UNITED STATES

SECURITIES AND EXCHANGE COMMISSION

WASHINGTON, D.C. 20549

 

FORM 10-Q

 

(Mark one)

 

[X] QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934

[X]QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934

 

For the quarterly period ended September 30, 20172018

 

OR

[  ] TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934

[  ]TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934

 

For the transition period from ______ to ______.

 

Commission File Number: 001-35141

 

RENNOVA HEALTH, INC.

(Exact name of registrant as specified in its charter)

 

Delaware 68-0370244

(State or other jurisdiction of

incorporation or organization)

 

(IRS Employer

Identification No.)

   

400 South Australian Ave., 8th8th Floor

West Palm Beach, FL

 33401
(Address of principal executive offices) (Zip Code)

 

(561) 855-1626

(Registrant’s telephone number, including area code)

 

Indicate by check mark whether the registrant: (1) has filed all reports required to be filed by Section 13 or 15(d) of the Securities Exchange Act of 1934 during the preceding 12 months (or for such shorter period that the registrant was required to file such reports), and (2) has been subject to such filing requirements for the past 90 days. Yes [X][  ] No [  ][X]

 

Indicate by check mark whether the registrant has submitted electronically and posted on its corporate Web site, if any, every Interactive Data File required to be submitted and posted pursuant to Rule 405 of Regulation S-T (§232.405 of this chapter) during the preceding 12 months (or for such shorter period that the registrant was required to submit and post such files). Yes [X] No [  ]

 

Indicate by check mark whether the registrant is a large accelerated filer, an accelerated filer, a non-accelerated filer, smaller reporting company, or an emerging growth company. See the definitions of “large accelerated filer”, “accelerated filer”, “smaller reporting company”, and “emerging growth company” in Rule 12b-2 of the Exchange Act: (Check one)

 

Large accelerated filer [  ]Accelerated filer [  ]
Non-accelerated filer [  ](Do] (Do not check if a smaller reporting company)Smaller reporting company [X]

 

 Emerging growth company [  ]

 

If an emerging growth company, indicate by check mark if the registrant has elected not to use the extended transition period for complying with any new or revised financial accounting standards provided pursuant to Section 13(a) of the Exchange Act. [  ]

 

Indicate by check mark whether the registrant is a shell company (as defined in Rule 12b-2 of the Exchange Act). Yes [  ] No [X]

 

As of November 17, 2017,9, 2018, the registrant had 5,639,66915,291,866 shares of its Common Stock, $0.01$0.0001 par value, outstanding.outstanding

 

 

 

 

 

RENNOVA HEALTH, INC. AND SUBSIDIARIES

FORM 10-Q

 

September 30, 20172018

TABLE OF CONTENTS

 

 Page No.
PART I – FINANCIAL INFORMATION
   
Item 1.Financial Statements3
 Condensed Consolidated Balance Sheets as of September 30, 20172018 (unaudited) and December 31, 201620173
 Condensed Consolidated Statements of Operations for the three and nine months ended September 30, 2018 and 2017 and 2016 (unaudited)4
 Condensed Consolidated Statement of Changes in Stockholders’ Deficit for the nine months ended September 30, 20172018 (unaudited)5
 Condensed Consolidated Statements of Cash Flows for the nine months ended September 30, 2018 and 2017 and 2016 (unaudited)6
 Notes to Condensed Consolidated Financial Statements (unaudited)7
Item 2.Management’s Discussion and Analysis of Financial Condition and Results of Operations2937
Item 3.Quantitative and Qualitative Disclosures About Market Risk4347
Item 4.Controls and Procedures4347
   
PART II – OTHER INFORMATION 
   
Item 1.Legal Proceedings4448
Item 1A.Risk Factors4448
Item 2.Unregistered Sales of Equity Securities and Use of Proceeds4448
Item 3.Defaults Upon Senior Securities4448
Item 4.Mine Safety Disclosures4448
Item 5.Other Information4448
Item 6.Exhibits4448
   
SIGNATURES4649

2

RENNOVA HEALTH, INC. AND SUBSIDIARIES

PART I-FINANCIALI – FINANCIAL INFORMATION

Item 1. Financial Statements.Statements

 

CONDENSED CONSOLIDATED BALANCE SHEETS

(unaudited)

 

  September 30, 2017  December 31, 2016 
  (unaudited)    
ASSETS      
Current assets:        
Cash $41,019  $75,017 
Accounts receivable, net  401,026   1,199,899 
Prepaid expenses and other current assets  146,713   149,385 
Inventory  73,732   - 
Income tax refunds receivable  1,458,438   1,458,438 
Current assets of AMSG classified as held for sale  68,775   337,900 
Total current assets  2,189,703   3,220,639 
         
Property and equipment, net  3,090,047   3,043,590 
Deposits  157,461   141,402 
Non-current assets of AMSG classified as held for sale  928,722   76,762 
Total assets $6,365,933  $6,482,393 
         
LIABILITIES AND STOCKHOLDERS' DEFICIT        
Current liabilities:        
Accounts payable (includes related parties of $0.3 and $0.2 milion, respectively) $4,296,213  $2,928,524 
Accrued expenses  5,010,298   2,882,029 
Income taxes payable  490,436   942,433 
Current portion of notes payable  7,299,088   9,011,247 
Current portion of notes payable, related party  223,500   328,500 
Current portion of capital lease obligations  1,491,666   1,796,053 
Current liabilities of AMSG classified as held for sale  1,368,612   1,675,981 
Total current liabilities  20,179,813   19,564,767 
         
Other liabilities:        
Debentures  4,239,005   - 
Capital lease obligations, net of current portion  735,538   1,774,121 
Derivative liabilities  -   2,803 
Non-current liabilities of AMSG classified as held for sale  -   26,598 
         
Total liabilities  25,154,356   21,368,289 
         
Commitments and contingencies        
         
Stockholders' deficit:        
Series G preferred stock, $0.01 par value, 14,000 shares authorized, 215 shares issued and outstanding $2   2 
Series H preferred stock, $0.01 par value, 14,202 shares authorized, 60 and 10,019 shares issued and outstanding  -   100 
Series F preferred stock, $0.01 par value, 1,750,000 shares authorized, 1,750,000 and 0 shares issued and outstanding  17,500   - 
Common stock, $0.01 par value, 500,000,000 shares authorized,  1,354,171 and 186,692 shares issued and outstanding  13,542   1,867 
Additional paid-in-capital  126,335,119   45,752,999 
Accumulated deficit  (145,154,586)  (60,640,864)
Total stockholders' deficit  (18,788,423)  (14,885,896)
Total liabilities and stockholders' deficit $6,365,933  $6,482,393 

  

September 30, 2018

  

December 31, 2017

 
  (unaudited)    
ASSETS        
Current assets:        
Cash $-  $- 
Accounts receivable, net  6,619,655   971,312 
Inventory  662,530   236,914 
Prepaid expenses and other current assets  231,195   9,842 
Income tax refunds receivable  1,940,845   1,940,845 
Current assets of AMSG and HTS classified as held for sale  225,640   226,732 
Total current assets  9,679,865   3,385,645 
         
Property and equipment, net  9,136,994   2,695,440 
Intangibles, net  444,413   - 
Deposits  156,864   180,875 
Non-current assets of AMSG and HTS classified as held for sale  14,648   28,834 
         
Total assets $19,432,784  $6,290,794 
         
LIABILITIES AND STOCKHOLDERS’ DEFICIT        
Current liabilities:        
Accounts payable (includes related parties of $0.3 and $0.2 million, respectively) $7,746,626  $4,188,678 
Accrued expenses  8,908,303   4,967,405 
Income taxes payable  1,959,349   1,971,592 
Current portion of notes payable  6,701,349   6,957,830 
Current portion of notes payable, related parties  450,000   1,128,500 
Current portion of capital lease obligations  941,687   2,079,137 
Current portion of debentures  10,533,591   1,615,693 
Derivative liabilities  357,797   12,435,250 
Current liabilities of AMSG and HTS classified as held for sale  2,129,422   1,972,854 
Total current liabilities  39,728,124   37,316,939 
         
Other liabilities:        
Debentures, net of current portion  -   3,752,022 
Capital lease obligations, net of current portion  39,940   - 
Total liabilities  39,768,064   41,068,961 
         
Commitments and contingencies (Note 15)        
         
Redeemable Preferred Stock I-1  5,835,294   5,835,294 
Redeemable Preferred Stock I-2  3,964,156   - 
         
Stockholders’ deficit:        
Series G preferred stock, $0.01 par value, 14,000 shares authorized, 215 shares issued and outstanding  2   2 
Series H preferred stock, $0.01 par value, 14,202 shares authorized, 10 and 60 shares issued and outstanding  -   - 
Series F preferred stock, $0.01 par value, 1,750,000 shares authorized, 1,750,000 shares issued and outstanding  17,500   17,500 
Series J preferred stock, $0.01 par value, 250,000 shares authorized, 250,000 and 0 shares issued and outstanding  2,500   - 
Common stock, $0.0001 par value, 10,000,000,000 shares authorized, 7,365,881 and 39,502 shares issued and outstanding  737   4 
Additional paid-in-capital  160,817,545   128,549,458 
Accumulated deficit  (190,973,014)  (169,180,425)
Total stockholders’ deficit  (30,134,730)  (40,613,461)
Total liabilities and stockholders’ deficit $19,432,784  $6,290,794 

 

The accompanying notes are an integral part of these condensed unaudited consolidated financial statements.

3

RENNOVA HEALTH, INC. AND SUBSIDIARIES

CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS

(unaudited)

  Three Months Ended  Nine Months Ended 
  September 30,  September 30, 
  2017  2016  2017  2016 
             
Net revenues $1,414,211  $41,362  $3,312,476  $4,067,562 
                 
Operating expenses:                
Direct costs of revenue  309,347   305,157   849,632   1,128,060 
General and administrative  5,169,478   6,497,718   12,978,349   17,142,263 
Sales and marketing expenses  170,028   415,976   620,560   1,441,322 
Bad debt  477,249   3,666,707   1,051,590   3,667,992 
Depreciation and amortization  451,597   680,579   1,508,042   2,037,910 
Total operating expenses  6,577,699   11,566,137   17,008,173   25,417,547 
                 
Loss from continuing operations before other income (expense) and income taxes  (5,163,488)  (11,524,775)  (13,695,697)  (21,349,985)
                 
Other income (expense):                
Other income  40,455   127,008   91,212   227,020 
Change in fair value of derivative instruments  -  1,827,112   (42,702,815)  6,553,772 
Gain (loss) on extinguishment of debt  -  -   42,702,815   - 
Loss on legal settlement  -   -   -   (17,654)
Interest expense  (5,331,681)  (1,651,629)  (16,510,525)  (4,700,664)
Total other income (expense), net  (5,291,226)  302,491   (16,419,313)  2,062,474 
                 
Net loss from continuing operations before income taxes  (10,454,714)  (11,222,284)  (30,115,010)  (19,287,511)
                 
Provision for income taxes  372   -   3,622   - 
                 
Net loss from continuing operations  (10,455,086)  (11,222,284)  (30,118,632)  (19,287,511)
                 
Net loss from discontinued operations  (370,151)  (787,155)  (1,053,471)  (2,828,030)
                 
Net loss  (10,825,237)  (12,009,439)  (31,172,103)  (22,115,541)
Deemed dividend from trigger of down round provision feature  (2,280,280)  -   (53,341,619)  - 
Net loss to common shareholders $(13,105,157) $(12,009,439) $(84,513,722) $(22,115,541)
                 
Net loss per common share:                
Basic and diluted: continuing operations $(10.59) $(122.24) $(122.12) $(368.16)
                 
Basic and diluted: discontinued operations  (0.31)  (8.57)  (1.54)  (53.98)
                 
Total Basic and diluted $(10.90) $(130.81) $(123.66) $(422.14)
                
Weighted average number of common shares outstanding during the period:                
Basic and diluted  1,202,299   91,808   683,411   52,389 

The accompanying notes are an integral part of these condensed consolidated financial statements.

4

RENNOVA HEALTH, INC. 

CONDENSED CONSOLIDATED STATEMENT OF CHANGES IN STOCKHOLDERS’ DEFICIT

FOR THE NINE MONTHS ENDED SEPTEMBER 30, 2017

(unaudited)

 

  Preferred Stock     Additional     Total 
  Series G  Series H  Series F  Total  Common Stock  paid-in  Accumulated  Stockholders' 
  Shares  Amount  Shares  Amount  Shares  Amount  Shares  Amount  Shares  Amount  capital  Deficit  Deficit 
Balance at December 31, 2016  215  $2   10,019  $100   -    $-     10,234  $102   186,692  $1,867  $45,752,999  $(60,640,864) $(14,885,896)
Conversion of preferred stock into common stock  -     -     (7,785)  (78)  -     -     (7,785) $(78)  370,446   3,704   (3,627)  -     -   
Preferred stock issued for business acquisition  -     -     -     -     1,750,000   17,500   1,750,000  $17,500   -     -     156,597   -     174,097 
Common stock issued in exchange for warrants  -     -     -     -     -     -     -     -     2,056   21   57,848   -     57,869 
Shares issued in settlement of notes payable and warrants  -     -     -     -     -     -     -     -     26,667   267   439,733   -     440,000 
Exchange of preferred stock for convertible debentures  -     -     (2,174)  (22)  -     -     (2,174)  (22)  -     -     (2,173,978)  -     (2,174,000)
Conversion of debentures into common stock  -     -     -     -     -     -     -     -     548,932   5,489   4,058,672   -     4,064,161 
Rounding up of common shares in connection with reverse stock split  -     -     -     -     -     -     -     -     526   5   (5)  -     -   
Common stock granted to employees  -     -     -     -     -     -     -     -     185   2   (2)  -     -   
Discount on convertible debentures  -     -     -     -     -     -     -     -     -     -     252,143   -     252,143 
Warrants and benefical conversion features related to the issuance of convertible notes  -     -     -     -     -     -     -     -     -     -     24,177,258   -     24,177,258 
Stock-based compensation  -     -     -     -     -     -     -     -     -     -     34,081       34,081 
Deemed dividend from trigger of down round provision feature  -     -     -     -     -     -     -     -     -     -     53,341,619   (53,341,619)  -   
Restricted stock issued to employees  -     -     -     -     -     -     -     -     181,933   1,819   81,145   -     82,964 
Common stock issued for services and severance  -     -     -     -     -     -     -     -     41,667   417   160,586   -     161,003 
Shares returned to treasury  -     -     -     -     -     -     -     -     (4,933)  (49)  49       -   
Net loss  -     -     -     -     -     -     -     -     -     -     -     (31,172,103)  (31,172,103)
Balance at September 30, 2017  215  $2   60  $0   1,750,000  $17,500   1,750,275  $17,502   1,354,171  $13,542  $126,335,119  $(145,154,586) $(18,788,423)

The accompanying notes are an integral part of these condensed consolidated financial statements.

5

RENNOVA HEALTH, INC.

CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS

(unaudited)

  Nine Months Ended September 30, 
  2017  2016 
       
Cash flows used in operating activities:        
Net loss from continuing operations $(30,118,632) $(19,287,511)
Adjustments to reconcile net loss to net cash used in operations:        
Depreciation and amortization  1,508,042   2,037,910 
Non-cash gain on derivative instruments  -  (6,653,774)
Stock issued for services  161,003   9,310 
Stock-based compensation  34,081   884,165 
Bad debt expense  1,051,590   3,667,992 
Non-cash interest expense  8,441,043   - 
Amortization of debt discount  6,228,352   2,474,497 
Non-cash settlement of debt  (50,000)  - 
Loss (gain) on extinguishment of debt  (42,702,815)  (100,000)
Change in fair value of derivative instrument  42,702,815   - 
Loss from discontinued operations  (1,053,471)  (2,828,030)
Changes in operating assets and liabilities:        
Accounts receivable  (252,717)  1,878,086 
Inventory  (73,732)  - 
Prepaid expenses and other current assets  2,672   236,612 
Security deposits  (16,059)  3,040 
Accounts payable  1,367,689   (1,679,960)
Accrued expenses  2,081,876   331,797 
Income tax assets and liabilities  (451,997)  2,202,206 
Net cash used in operating activities of continuing operations  (11,140,260)  (16,823,660)
Net cash used in discontinued operations  (643,181)  (216,614)
Net cash used in operating activities  (11,783,441)  (17,040,274)
         
Cash flows provided by (used in) investing activities:        
Purchase of property and equipment  (1,554,499)  (15,998)
Net cash used in investing activities of continuing operations  (1,554,499)  (15,998)
Net cash provided by investing activites of discontinued operations  1,936   79,271 
Net cash provided by (used in) investing activities  (1,552,563)  63,273 
         
Cash flows provided by financing activities:        
Proceeds from the issuance of common stock and warrants, net of offering cost  -   7,521,036 
Proceeds from issuance of related party notes payable and advances  3,805,000   8,285,000 
Proceeds from issuance of notes payable and debentures  15,742,500   5,394,500 
Payments on related party notes payable and advances  (3,860,000)  (6,000,000)
Payments on notes payable  (1,042,524)  (5,715,000)
Payments on capital lease obligations  (1,342,970)  (791,365)
Net cash provided by financing activities of continuing operations  13,302,006   8,694,171 
Net cash used in financing activities of discontinued operations  -   (36,056)
Net cash provided by financing activities  13,302,006   8,658,115 
         
Net (decrease) in cash  (33,998)  (8,318,886)
         
Cash at beginning of period  75,017   8,833,230 
         
Cash at end of period $41,019  $514,344 
  Three Months Ended  Nine Months Ended 
  September 30,  September 30, 
  2018  2017  2018  2017 
             
Net revenues $5,039,112  $810,088  $9,932,989  $1,568,918 
                 
Operating expenses:                
Direct costs of revenue  3,350,286   262,000   7,809,465   717,234 
General and administrative  4,348,818   4,454,167   10,238,891   10,935,179 
Sales and marketing expenses  2,758   170,028   1,543   617,080 
Depreciation and amortization  152,825   426,582   804,074   1,273,435 
Total operating expenses  7,854,687   5,312,777   18,853,973   13,542,928 
                 
Loss from continuing operations before other income (expense) and income taxes  (2,815,575)  (4,502,688)  (8,920,984)  (11,974,010)
                 
Other income (expense):             ��  
Other income  188,658   40,455   609,719   91,212 
Gain on Bargain Purchase  -   -   7,732,302   - 
Change in fair value of derivative instruments  109,305,331   -   13,688,678   (42,702,815)
Gain on extinguishment of debt  -   (23,000)  -   42,679,815 
Interest expense  (9,322,333)  (5,331,673)  (17,075,437)  (16,510,517)
Total other income (expense), net  100,171,656   (5,314,218)  4,955,262   (16,442,305)
                 
Net income (loss) from continuing operations before income taxes  97,356,081   (9,816,906)  (3,965,722)  (28,416,314)
                 
Income tax expense  -   372   76   3,622 
                 
Net income (loss) from continuing operations  97,356,081   (9,817,278)  (3,965,798)  (28,419,936)
                 
Net income (loss) from discontinued operations  (159,430)  (1,007,959)  115,787   (2,752,168)
Net income (loss)  97,196,652   (10,825,237)  (3,850,011)  (31,172,104)
Deemed dividend from trigger of down round provision feature  (17,942,578)  (2,280,280)  (17,942,578)  (53,341,619)
Net income (loss) to common shareholders $79,254,074  $(13,105,517) $(21,792,589) $(84,513,723)
                 
Net income (loss) per common share:                
Basic continuing operations $17.60  $(4,083) $(1.55) $(20,793)
Diluted continuing operations $(0.08) $(4,083) $(1.55) $(20,793)
Basic discontinued operations $(0.03) $(419) $0.05  $(2,014)
Diluted discontinued operations $(0.00) $(419) $0.05  $(2,014)
Basic net income (loss) $14.33 $(5,450) $(8.54) $(61,832)
Diluted net loss $(0.08) $(5,450) $(8.54) $(61,832)
Weighted average number of common shares outstanding during the period:                
Basic  5,531,767   2,405   2,550,632   1,367 
Diluted  81,951,541   2,405   2,550,632   1,367 

 

The accompanying notes are an integral part of these condensed unaudited consolidated financial statements.

 

64

 

RENNOVA HEALTH, INC. AND SUBSIDIARIES

CONDENSED CONSOLIDATED STATEMENT OF CHANGES IN STOCKHOLDERS’ DEFICIT

FOR THE NINE MONTHS ENDED SEPTEMBER 30, 2018 (unaudited)

  Preferred Stock  Common Stock  

Additional

paid-in

  Accumulated  

Total

Stockholders’

 
  Shares  Amount  Shares  Amount  capital  Deficit  Deficit 
Balance at December 31, 2017  1,750,275  $17,502   39,502  $4  $128,549,458  $(169,180,425) $(40,613,461)
Conversion of Series H Preferred stock into common stock  (50)  -   40,000   4   (4)  -   - 
Common stock issued in cashless exercise of warrants  -   -   1,492,228   150   4,619,000   -   4,619,150 
Common stock issued for conversion of Series I-2 Preferred stock  -   -   1,764,927   176   632,924       633,100 
Conversion of debentures into common stock  -   -   3,886,680   389   8,084,953   -   8,085,342 
Exchange of notes payable and accrued expenses for Series J Preferred Stock  250,000   2,500   -   -   247,500   -   250,000 
Stock-based compensation  -   -   -   -   261,796   -   261,796 
Deemed dividend from trigger of down round provision feature                  17,942,579   (17,942,579)    
Exchange of debentures into Series I-2 Preferred stock  -   -   -   -   1,420   -   1,420 
Restricted stock issued to employees  -   -   142,667   14   477,919   -   477,933 
Adjustment to Treasury Shares  -   -   (122)  -   -   -   - 
Net loss  -   -   -   -   -   (3,850,010)  (3,850,010)
Balance at September 30, 2018  2,000,225  $20,002   7,365,881  $737  $160,817,545  $(190,973,014) $(30,134,730)

The accompanying notes are an integral part of these condensed unaudited consolidated financial statements.

RENNOVA HEALTH, INC. AND SUBSIDIARIES

CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS

(unaudited)

  Nine Months Ended September 30, 
  2018  2017 
       
Cash flows used in operating activities:        
Net income (loss) from continuing operations $(3,965,798) $(28,419,936)
Adjustments to reconcile net income (loss) to net cash used in operations:        
Depreciation and amortization  804,074   1,273,435 
Gain on sale of fixed assets  (549,524)  - 
Stock issued for services  -   161,003 
Stock-based compensation  739,729   34,081 
Non-cash interest expense  -   8,441,043 
Amortization of debt discount  16,080,270   6,228,352 
Gain on purchase of Jamestown Medical Center  

(7,732,302

)  - 
Non-cash settlement of debt  -   (50,000)
Gain on extinguishment of debt  -   (42,702,815)
Change in fair value of derivative instruments  (13,688,678)  42,702,815 
Income (loss) from discontinued operations  115,787   (2,752,173)
Changes in operating assets and liabilities:        
Accounts receivable  (5,648,343)  828,450 
Inventory  25,066   (73,732)
Prepaid expenses and other current assets  85,185   6,592 
Security deposits  27,857   (14,559)
Accounts payable  3,497,210   1,378,419 
Accrued expenses  3,728,038   2,067,818 
Income tax assets and liabilities  (12,243)  (451,997)
Net cash used in operating activities of continuing operations  (6,493,672)  (11,343,204)
Net cash used in discontinued operations  (628,154)  (449,925)
Net cash used in operating activities  (7,121,826)  (11,793,129)
         
Cash flows provided by (used in) investing activities:        
Purchase of Jamestown Regional Medical Center, net of cash acquired  (668,983)  - 
Sale of property and equipment  433,612   - 
Purchase of property and equipment  (103,387)  (1,554,499)
Net cash used in investing activities of continuing operations  (338,758)  (1,554,499)
Net cash provided by investing activities of discontinued operations  800,000   1,936 
Net cash provided by (used in) investing activities  461,242   (1,552,563)
         
Cash flows provided by financing activities:        
Proceeds from issuance of related party notes payable and advances  -  3,805,000 
Proceeds from issuance of debentures  8,000,000   15,742,500 
Payments on related party notes payable and advances  (428,500)   (3,860,000)
Payments on notes payable  (256,481)  (1,042,524)
Payments on capital lease obligations  (654,435)  (1,342,970)
Net cash provided by financing activities of continuing operations  6,660,584   13,302,006 
Net cash used in financing activities of discontinued operations  -   - 
Net cash provided by financing activities  6,660,584   13,302,006 
         
Net increase (decrease) in cash  -   (43,686)
         
Cash at beginning of period  -   70,173 
         
Cash at end of period $-  $26,487 

The accompanying notes are an integral part of these condensed unaudited consolidated financial statements.

RENNOVA HEALTH, INC. AND SUBSIDIARIES

Notes to Condensed Consolidated Financial Statements

(unaudited)

 

Note 1 – Organization and BasisSummary of PresentationSignificant Accounting Policies

Description of Business

 

Rennova Health, Inc. (“Rennova”), together with its subsidiaries (the “Company”, “we”, “us” or “our”), is a vertically integrated provider of healthcare related products and services. The Company’s principal lines of business are (i) hospital operations; and (ii) clinical laboratory operations; (ii) supportive software solutions to healthcare providers including Electronic Health Records (“EHR”), Medical Billing Services and Laboratory Information Services; and (iii) the recent addition of a rural critical access hospital.operations. The Company presents its financial results based upon these two business segments, which are more fully discussed in Note 16.

 

Reverse Stock Split

On September 18, 2018, the Company amended its Certificate of Incorporation to have the authority to issue 10,000,000,000 shares of Common Stock, par value $.0001 per share, and 5,000,000 shares of Preferred Stock, par value $0.01 per share.

On November 5, 2018, the Board of Directors of the Company approved an amendment to the Company’s Certificate of Incorporation, to effect a 1-for-500 reverse stock split of the Company’s shares of common stock to be effective on November 12, 2018. As a result of this reverse stock split, every 500 shares of the Company’s pre-reverse split common stock were combined and reclassified into one share of the Company’s common stock.The par value and other terms of the common stock were not affected by the reverse stock split.

All outstanding preferred shares, stock options, warrants, and equity incentive plans immediately prior to the reverse stock split will generally be appropriately adjusted by dividing the number of shares of common stock into which the preferred shares, stock options, warrants and equity incentive plans of the common stock are exercisable or convertible by 500 and multiplying the exercise or conversion price by 500, as a result of the reverse stock split.

All share, per share, and capital stock amounts for all periods presented have been restated to give effect to the reverse stock splits and the Certificate of Incorporation.

Basis of Presentation

 

The accompanying unaudited condensed consolidated financial statements were prepared using generally accepted accounting principles for interim financial information and the instructions to Form 10-Q and Regulation S-X. Accordingly, these financial statements do not include all information or notes required by generally accepted accounting principles for annual financial statements and should be read in conjunction with the 2016 auditedconsolidated financial statements included inas filed on the Company’s Annual Report on Form 10-K for the year ended December 31, 2017, filed with the U.S. Securities and Exchange Commission (the “SEC”) on April 10, 2017. These condensed consolidated interim financial statements have been prepared in accordance with the instructions to Form 10-Q and Article 8 of Regulation S-X of the SEC, and therefore omit or condense certain footnotes and other information normally included in consolidated interim financial statements prepared in accordance with U.S. generally accepted accounting principles (“GAAP”). All material intercompany balances and transactions have been eliminated in consolidation.24, 2018. In the opinion of the Company’s management, the unaudited interim condensed consolidated financial statements included herein contain all adjustments (consisting only of normal recurring accruals) considered necessary forto present fairly the fair presentation of theCompany’s consolidated financial position as of September 30, 2018, and the results of its operations and cash flows for the interim periods reported herein.presented. Such adjustments are of a normal recurring nature. The results of operations presented are not necessarily indicative of the results to be expected for any other interim period or for the entire year.

During the three and nine months ended September 30, 2017 and 2016, comprehensive loss was equal2018 may not be indicative of results for the year ending December 31, 2018.

7

RENNOVA HEALTH, INC. AND SUBSIDIARIES

Notes to the net loss amounts presented in theCondensed Consolidated Financial Statements

(unaudited)

Principles of Consolidation

The accompanying condensed consolidated financial statements which have been prepared in accordance with accounting principles generally accepted in the United States of operations. In addition, certain prior yearAmerica (“U.S. GAAP”) include the accounts of Rennova and its wholly-owned subsidiaries. All intercompany transactions and balances have been reclassified to conform toeliminated in the current presentation.consolidation.

 

Reclassification

 

The Company has reclassified certain amounts in the 20162017 condensed consolidated financial statements to be consistent with the 20172018 presentation. These principally relate to classification of certain revenues, cost of revenues and related segment data, as well as balance sheet classifications to assets and liabilities held for sale. Reclassifications relating to the discontinued operations of AMSGAdvanced Molecular Services Group (AMSG) and Health Technology Solutions (HTS) are described further in Note 14.18. The reclassifications had no impact on operations or cash flows for the three and nine months ended September 30, 2016.2017. In addition, certain prior year balances have been reclassified to conform to the current period presentation.

Comprehensive Income (Loss)

Reverse Stock Splits

 

On February 7,During the three and nine months ended September 30, 2018 and 2017, the Company’s Board of Directors approved an amendmentcomprehensive income (loss) was equal to the Company’s Certificate of Incorporation to effect a 1-for-30 reverse stock split of the Company’s shares of common stock effective on February 22, 2017 and on September 21, 2017, the Company’s Board of Directors approved an amendment to the Company’s Certificate of Incorporation to effect a 1-for-15 reverse stock split effective October 5, 2017 (the “Reverse Stock Splits”). The stockholders of the Company had approved these amendments to the Company’s Certificate of Incorporation on December 22, 2016 for the February 7, 2017 reverse stock split and on September 20, 2017 for the October 5, 2017 reverse stock split. In both cases, the Company’s stockholders had granted authorization to the Board of Directors to determine in its discretion the specific ratio, subject to limitations, and the timing of the reverse splits within certain specified effective dates.

As a result of the Reverse Stock Splits, every 30 shares of the Company’s then outstanding common stock was combined and automatically converted into one share of the Company’s common stock, par value $0.01 per share, on February 7, 2017 and every 15 shares of the Company’s then outstanding common stock was combined and automatically converted into one share of the Company’s common stock, par value $0.01 per share, on October 5, 2017. In addition, the conversions and exercise prices of all of the Company’s outstanding preferred stock, common stock purchase warrants, stock options, restricted stock, equity incentive plans and convertible notes payable were proportionately adjusted at the 1:30 reverse split ratio and again at the 1:15 reverse split ratio in accordance with the terms of such instruments. In addition, proportionate voting rights and other rights of common stockholders were not affected by the Reverse Stock Splits, other than as a result of the rounding up of fractional sharesnet income (loss) amounts presented in the February reverse split and the paymentaccompanying condensed consolidated statements of cash in lieu of fractional shares in the October reverse split, as no fractional shares were issued in connection with the Reverse Stock Splits.

The par value and other terms of the common stock were not affected by the Reverse Stock Splits. The authorized capital of the Company of 500,000,000 shares of common stock and 5,000,000 shares of preferred stock were also unaffected by the Reverse Stock Splits.

All share, per share and capital stock amounts for all periods presented have been restated to give effect to the Reverse Stock Splits.

7

operations.

RENNOVA HEALTH, INC. AND SUBSIDIARIES

Notes to Condensed Consolidated Financial Statements

(unaudited)

 

AdoptionUse of ASU 2017-11Estimates

 

Management makes estimates and assumptions that affect the reported amounts of assets and liabilities, and disclosure of contingent liabilities at the date of the condensed consolidated financial statements, and the reported amounts of revenues and expenses during the reporting period. Actual results could differ from those estimates. Significant estimates and assumptions include the estimates of fair values of assets acquired and liabilities assumed in business combinations, reserves and write-downs related to receivables and inventories, the recoverability of long-lived assets, the valuation allowance relating to the Company’s deferred tax assets, valuation of equity and derivative instruments, and debt discounts and the valuation of the assets and liabilities acquired in the acquisition of hospitals.

Revenue Recognition

In July 2017,May 2014, the Financial Accounting Standards Board (“FASB”) issued Accounting Standards Update (“ASU”) 2014-09, “Revenue from Contracts with Customers (Topic 606),” including subsequently issued updates. This series of comprehensive guidance has replaced all existing revenue recognition guidance and became effective for us beginning January 1, 2018. There is a five-step approach outlined in the standard. Entities are permitted to apply the new standard under the full retrospective method, subject to certain practical expedients, or the modified retrospective method that requires the application of the guidance only to contracts that are uncompleted on the date of initial application.

In determining revenue, we first identify the contract according to the scope of Accounting Standard Codification (“ASC’) 606 with the following criteria:

The parties have approved the contract either in writing through the acknowledgement or consent of the patient responsibility or consent form; orally by acknowledgement or by scheduled appointment; or implicitly, based on the hospital’s customary business practices (outpatient services, inpatient, emergency room visits, for example).
Each party’s rights and the contract’s payment terms are identified.
The contract has commercial substance.
Collection is probable.

Based on the new standard for revenue recognition, bad debt is now treated similar to contractual allowance, and directly reduces sales revenue. The Company reduced gross revenues by $3.1 million for bad debt for the nine months ended September 30, 2018, for the Oneida hospital, which began operations in August 2017, and for the Jamestown Regional Medical Center, which was acquired on June 1, 2018. As required by the new standard, after bad debt and contractual allowance adjustments to revenues of $13.0 million for the nine months ended September 30, 2018, the Company reported net revenues for the three and nine months ended September 30, 2018 of $5.0 million and $9.9 million, respectively. The Company continues to review its provision for bad debt and contractual allowance.

Service revenues are generated from laboratory testing services and hospital revenues.

Laboratory testing services include chemical diagnostic tests such as blood analysis and urine analysis. Laboratory service revenues are recognized at the time the testing services are performed and billed and are reported at their estimated net realizable amounts. Net service revenues are determined utilizing gross service revenues net of contractual adjustments and discounts. Even though it is the responsibility of the patient to pay for laboratory service bills, most individuals in the U.S. have an agreement with a third-party payer such as a commercial insurance provider, Medicaid or Medicare to pay all or a portion of their healthcare expenses; most of the services provided by us are to patients covered under a third-party payer contract. In most cases, the Company is provided the third-party billing information and seeks payment from the third party in accordance with the terms and conditions of the third-party payer for health service providers like us. Each of these third-party payers may differ not only in terms of rates, but also with respect to terms and conditions of payment and providing coverage (reimbursement) for specific tests. Estimated revenues are established based on a series of procedures and judgments that require industry specific healthcare experience and an understanding of payer methods and trends. Despite follow up billing efforts, the Company does not currently anticipate collection of a significant portion of self-pay billings, including the patient responsibility portion of the billing for patients covered by third party payers. The Company currently does not have any capitated agreements.

RENNOVA HEALTH, INC. AND SUBSIDIARIES

Notes to Condensed Consolidated Financial Statements

(unaudited)

For hospital goods and or services, net revenues are determined utilizing gross revenues net of contractual adjustments and discounts and are recognized when the goods and services are delivered. Even though it is the responsibility of the patient to pay for goods and services rendered, most individuals have an agreement with a third-party payer such as a commercial insurance provider, Medicaid or Medicare to pay all or a portion of their healthcare expenses.

The hospitals ensure that the collection of substantially all the consideration to which they are entitled to is probable. The hospitals have established the transaction price for providing goods or services to a patient through historical cash collection and current data from each identified payer class. This may include the effects of variable consideration such as discounts and price concessions and may be less than the stated contract price, whether applied on a contract-by-contract basis or by using a portfolio approach. The ultimate transaction price reflects explicit price concessions. The hospitals have an obligation to provide medically necessary or emergency services regardless of a patient’s intent or ability to pay. In determining collectability, the evaluation is based on experience or the contract portfolio approach with either a specific patient or a class of similar patients.

The hospitals and the laboratory service practice the full retrospective approach of all the reporting periods presented under the new standard and disclose any adjustment to prior-period information. No such prior-period adjustment has been determined to date.

This includes but is not limited to disaggregated revenue information, contract asset and liability information, including significant changes from prior year, and judgments, and changes in judgment, that significantly affect the determination of the amount of revenue and timing.

We review our calculations for the realizability of gross service revenues monthly to make certain that we are properly allowing for the uncollectable portion of our gross billings and that our estimates remain sensitive to variances and changes within our payer groups. The contractual allowance calculation is made based on historical allowance rates for the various specific payer groups monthly with a greater weight being given to the most recent trends; this process is adjusted based on recent changes in underlying contract provisions. This calculation is routinely analyzed by us based on actual allowances issued by payers and the actual payments made to determine what adjustments, if any, are needed.

Derivative Liabilities

The Company applies ASC Topic 815-40,“Derivatives and Hedging,” which provides a two-step model to determine whether a financial instrument or an embedded feature is indexed to an issuer’s own stock and thus able to qualify for the scope exception in ASC 815-10-15-74. This standard triggers liability accounting on all instruments and embedded features exercisable at strike prices based on future equity-linked instruments issued at a lower rate. Using the criteria in ASC 815, the Company determines which instruments or embedded features that require liability accounting and records the fair values as a derivative liability. The changes in the values of the derivative liabilities are shown in the accompanying consolidated statements of operations as “Change in Fair Value of Derivative Instruments.”

In July 2017, the FASB issued ASU 2017-11 “EarningsEarnings Per Share (Topic 260) Distinguishing Liabilities from Equity (Topic 480) Derivatives and Hedging (Topic 815).”The amendments in Part I of this Update change the classification analysis of certain equity-linked financial instruments (or embedded features) with down round features. When determining whether certain financial instruments should be classified as liabilities or equity instruments, a down round feature no longer precludes equity classification when assessing whether the instrument is indexed to an entity’s own stock. The amendments also clarify existing disclosure requirements for equity-classified instruments. As a result, a freestanding equity-linked financial instrument (or embedded conversion option) no longer would be accounted for as a derivative liability at fair value as a result of the existence of a down round feature. For freestanding equity classified financial instruments, the amendments require entities that present earnings per share (EPS) in accordance with Topic 260 to recognize the effect of the down round feature when it is triggered. That effect is treated as a dividend and as a reduction of income available to common shareholders in basic EPS. Convertible instruments with embedded conversion options that have down round features are now subject to the specialized guidance for contingent beneficial conversion features (in Subtopic 470-20, Debt—Debt with Conversion and Other Options), including related EPS guidance (in Topic 260). The amendments in Part II of this Update recharacterize the indefinite deferral of certain provisions of Topic 480 that now are presented as pending content in the Codification, to a scope exception. Those amendments do not have an accounting effect.

10

RENNOVA HEALTH, INC. AND SUBSIDIARIES

Notes to Condensed Consolidated Financial Statements

(unaudited)

 

Under current GAAP, an equity-linked financial instrument with a down round feature that otherwise is not required to be classified as a liability under the guidance in Topic 480 is evaluated under the guidance in Topic 815, Derivatives and Hedging, to determine whether it meets the definition of a derivative. If it meets that definition, the instrument (or embedded feature) is evaluated to determine whether it is indexed to an entity’s own stock as part of the analysis of whether it qualifies for a scope exception from derivative accounting. Generally, for warrants and conversion options embedded in financial instruments that are deemed to have a debt host (assuming the underlying shares are readily convertible to cash or the contract provides for net settlement such that the embedded conversion option meets the definition of a derivative), the existence of a down round feature results in an instrument not being considered indexed to an entity’s own stock. This results in a reporting entity being required to classify the freestanding financial instrument or the bifurcated conversion option as a liability, which the entity must measure at fair value initially and at each subsequent reporting date.

 

The amendments in this Update revise the guidance for instruments with down round features in Subtopic 815-40, Derivatives and Hedging—Contracts in Entity’s Own Equity, which is considered in determining whether an equity-linked financial instrument qualifies for a scope exception from derivative accounting. An entity still is required to determine whether instruments would be classified in equity under the guidance in Subtopic 815-40 in determining whether they qualify for that scope exception. If they do qualify, freestanding instruments with down round features are no longer classified as liabilities and embedded conversion options with down round features are no longer bifurcated.

 

For entities that present EPS in accordance with Topic 260, and when the down round feature is included in an equity-classified freestanding financial instrument, the value of the effect of the down round feature is treated as a dividend when it is triggered and as a numerator adjustment in the basic EPS calculation. This reflects the occurrence of an economic transfer of value to the holder of the instrument, while alleviating the complexity and income statement volatility associated with fair value measurement on an ongoing basis. Convertible instruments are unaffected by the Topic 260 amendments in this Update.

 

Those amendments in Part 1 of this Update are a cost savings relative to current GAAP. This is because, assuming the required criteria for equity classification in Subtopic 815-40 are met, an entity that issued such an instrument no longer measures the instrument at fair value at each reporting period (in the case of warrants) or separately accounts for a bifurcated derivative (in the case of convertible instruments) based on the basis of the existence of a down round feature. For convertible instruments with embedded conversion options that have down round features, applying specialized guidance such as the model for contingent beneficial conversion features rather than bifurcating an embedded derivative also reduces cost and complexity. Under that specialized guidance, the issuer recognizes the intrinsic value of the feature only when the feature becomes beneficial instead of bifurcating the conversion option and measuring it at fair value each reporting period.

 

The amendments in Part II of this Update replace the indefinite deferral of certain guidance in Topic 480 with a scope exception.exception and do not require any transition guidance because those amendments do not have an accounting effect. This has the benefit of improving the readability of the Codification and reducing the complexity associated with navigating the guidance in Topic 480.

 

For public business entities, the amendments in Part I of this Update are effective for fiscal years, and interim periods within those fiscal years, beginning after December 15, 2018. For all other entities, the amendments in Part I of this Update are effective for fiscal years beginning after December 15, 2019, and interim periods within fiscal years beginning after December 15, 2020. Early adoption is permitted for all entities, including adoption in an interim period. If an entity early adopts the amendments in an interim period, any adjustments should be reflected as of the beginning of the fiscal year that includes that interim period. The amendments in Part 1 of this Update should be applied in either of the following ways: 1. Retrospectively to outstanding financial instruments with a down round feature by means of a cumulative-effect adjustment to the statement of financial position as of the beginning of the first fiscal year and interim period(s) in which the pending content that links to this paragraph is effective; or 2. Retrospectively to outstanding financial instruments with a down round feature for each prior reporting period presented in accordance with the guidance on accounting changes in paragraphs 250-10-45-5 through 45-10.

8

RENNOVA HEALTH, INC. AND SUBSIDIARIES

Notes to Condensed Consolidated Financial Statements

(unaudited)

The amendments in Part II of this Update do not require any transition guidance because those amendments do not have an accounting effect.

 

The Company has determined that this amendment had a material impact on its condensed consolidated financial statements and has early adopted this accounting standard update. The cumulative effect of the adoption of ASU 2017-11 resulted in the reclassification of the derivative liability recorded of $56 million and the reversal of $41 million of interest expense recorded in the Company’s first fiscal quarter of 2017. The remaining $16 million was offset to additional paid in capital (discount on convertible debenture). Additionally, the Company recognized a deemed dividend from the trigger of the down round provision feature of $53.3 million. A $51 million deemed dividend was recorded retrospectively as of the beginning of the issuance of the debentures issued in March 2017 debentures where the initial derivative liability was recorded. A $2.3 million deemed dividend adjustment was recorded in the three months ended September 30, 2017 as a resultbecause of the down round provision feature.

 

Going ConcernEarnings (Loss) Per Share

 

The Company’s condensed consolidated financial statementsCompany reports earnings (loss) per share in accordance with ASC Topic 260, “Earnings Per Share,” which establishes standards for computing and presenting earnings per share. Basic earnings (loss) per share of common stock is calculated by dividing net earnings (loss) allocable to common stockholders by the weighted-average shares of common stock outstanding during the period, without consideration of common stock equivalents. Diluted earnings (loss) per share is calculated by adjusting the weighted-average shares of common stock outstanding for the dilutive effect of common stock equivalents, including stock options and warrants outstanding for the period as determined using the treasury stock method. For purposes of the diluted net loss per share calculation, common stock equivalents are prepared using U.S. GAAPexcluded from the calculation when their effect would be anti-dilutive. The gain associated with the change in fair value of the derivative liabilities and the unamortized discounts associated with dilutive convertible debentures, are deducted from net income, the numerator, as a result of the inclusion of dilutive securities in the common stock equivalents, the denominator. Therefore, basic and diluted net loss per share applicable to common stockholders is the same for periods with a going concern that contemplatesnet loss. See Note 3 for the realizationcomputation of assetsearnings (loss) per share for the three and liquidationnine months ended September 30, 2018 and 2017.

Note 2 – Liquidity and Financial Condition

Under ASU, 2014-15, Presentation of liabilities inFinancial Statements—Going Concern (Subtopic 205-40) (“ASC 205-40”), the normal course of business. The Company has accumulated significant losses and has negative cash flows from operations, and at September 30, 2017 had a working capital deficit and stockholders’ deficit of $18.0 million and $18.8 million, respectively, whichthe responsibility to evaluate whether conditions and/or events raise substantial doubt about its ability to meet its future financial obligations as they become due within one year after the date that the financial statements are issued. As required by ASC 205-40, this evaluation shall initially not take into consideration the potential mitigating effects of plans that have not been fully implemented as of the date the financial statements are issued. Management has assessed the Company’s ability to continue as a going concern.concern in accordance with the requirement of ASC 205-40.

As reflected in the condensed consolidated financial statements, the Company had a working capital deficit and an accumulated deficit of $30 million and $191.0 million, respectively, at September 30, 2018. In addition, the Company’sCompany had a loss from operations of approximately $3.9 million and cash position asused in operating activities of $7.1 million for the datenine months ended September 30, 2018. The reduced loss from operations was primarily driven by a positive change in fair value of this report is critically deficient, critical payments are not being made in the ordinary course of business and certain indebtednessderivative instruments in the amount of $6.0$13.7 million maturedand a gain on March 31, 2017, whichbargain purchase in the Company does not have the financial resources to satisfy (seeamount of $7.7 million. See Note 5), all of which17. The continued losses and other related factors raise substantial doubt about the Company’s ability to continue as a going concern.concern for twelve months from the filing date of this report.

 

The Company’s condensed consolidated financial statements are prepared assuming the Company continuescan continue as a going concern, which contemplates continuity of operations through realization of assets, and the settling of liabilities in the normal course of business. Initial cost savings were realized by reducing the number of laboratory facilities to consider efficiencies and is currently using one laboratory for the majoritymost of its toxicology diagnostics, thereby reducing the number of employees and associated operating expenses, in order to reduce costs. In addition, the Company received approximately $15.7 million in cash from the issuances of debentures and warrants in the first nine months of 2017 (see Note 6), $3.8 million from related parties and an additional $4.0 million of proceeds on October 30, 2017 from the issuance of convertible preferred stock (see Note 15). In Julyexpenses. During 2017, the Company announced that it plansCompany’s Board of Directors voted unanimously to spin off itsspinoff Advanced Molecular Services Group (“AMSG”) and Health Technology Solutions, Inc. (“HTS”), as an independent publicly traded companycompanies by way of a tax-free distributiondistributions to its shareholders. Completion of the spinoff of AMSGthese spinoffs is expected to occur during the first quartersecond half of 2018, and is2018. The spinoffs are subject to numerous conditions, including effectiveness of a Registration StatementStatements on Form 10 to be filed with the Securities and Exchange Commission and consents, including under various funding agreements previously entered into by the Company. The intent of the spinoffspinoffs of AMSG and HTS is to create twothree public companies, each of which can focus on its own strengths and operational plans. In accordance with ASC 205-20 and having met the criteria for “held for sale”, the Company has reflected amounts relating to AMSG and HTS as a disposal groupgroups classified as held for sale and included as part of discontinued operations. AMSG isand HTS are no longer included in the segment reporting following the reclassification to discontinued operations. The discontinued operations of AMSG and HTS are described further in Note 14. The Company also announced that18.

During the Big South Fork Medical Center received CMS regional office licensure approval and opened its doors on August 8, 2017. The hospital provided services to over 1,854 patients and recognized approximately $0.6 million of revenues during the threenine months ended September 30, 2017. The Company may amend its current revenue recognition policy and percentage for the hospital when payments are received to support amended revenue recognition methodologies. Therefore,2018, the Company expects thatcompleted several private placement offerings with institutional investors for $9.9 million in principal less original issue discounts of an aggregate of $1.9 million and received proceeds totaling $8,000,000.As more fully discussed in Note 20, from October 1, 2018 to November 9, 2018, the opening of the hospital will continueCompany completed additional private placement offerings for $1.2 million in principal and received $1 million in total proceeds.

RENNOVA HEALTH, INC. AND SUBSIDIARIES

Notes to provide additional revenue and cash flow sources.Condensed Consolidated Financial Statements

(unaudited)

 

There can be no assurance that the Company will be able to achieve its business plan, raise any additional capital or secure the additional financing necessary to implement its current operating plan. The ability of the Company to continue as a going concern is dependent upon its ability to significantly reduce its operating costs, increase its revenues, and eventually regain profitable operations. The accompanying condensed consolidated financial statements do not include any adjustments that might be necessary if the Company is unable to continue as a going concern.

Recent EventsNote 3 – Earnings (Loss) Per Share

 

Common Stock ListingThe following table sets forth basic and diluted earnings (loss) per share for the periods presented:

Effective October 25,

  Three Months Ended September 30,  Nine Months Ended September 30, 
  2018  2017  2018  2017 
Numerator:                
Net income (loss) from continuing operations $97,356,081  $(9,817,278) $(3,965,798) $(28,419,936)
Net income (loss) from discontinued operations  (159,430)  (1,007,959)  115,787   (2,752,168)
Deduct dividends  (17,942,578)  (2,280,280)  (17,942,578)  (53,341,619)
Net income (loss) to common shareholders - Basic  79,254,074   (13,105,517)  (21,792,589)  (84,513,723)
Deduct change in fair value of derivative liabilities to the extent effect is dilutive  (109,305,331)  -   -   - 
Amortized discounts associated with dilutive convertible debentures $(7,303,912) $-  $-  $- 
Change in warrant value  (11,376)  -   -   - 
Adjusted net loss from continuing operations $(37,366,546) $(13,105,517) $(21,792,589) $(84,513,723)
Add back dividends  17,942,578   2,280,280   17,942,578   53,341,619 
Add Net loss from discontinued operations  159,430   1,007,959   (115,787)  2,752,168 
Net loss to common shareholders - dilutive $(19,264,537) $(9,817,278) $(3,965,798) $(28,419,936)
Denominator:                
Weighted average number of common shares outstanding during the period:                
Basic  5,531,767   2,405   2,550,632   1,367 
Common stock equivalents:                
Warrants  64,315,740   -   -   - 
Convertible preferred stock  9,505,156   -   -   - 
Convertible debentures  175,301,554   -   -   - 
Diluted  254,654,217   2,405   2,550,632   1,367 
Net income (loss) per common share- continuing operations:                
Basic $17.60  $(4,083) $(1.55) $(20,793)
Diluted $(0.08) $(4,083) $(1.55) $(20,793)
Net income (loss) per common share- discontinued operations:                
Basic $(0.03) $(419) $0.05  $(2,014)
Diluted $(0.00) $(419) $0.05  $(2,014)
Total per share net income (loss) to common shareholders:                
Basic $14.33  $(5,450) $(1.55) $(61,832)
Diluted $(0.08) $(5,450) $(1.55) $(61,832)

Diluted loss per share as reflected in the table above excludes all dilutive potential shares if their effect is anti-dilutive. For the nine months ended September 30, 2018 and 2017, the Company’sfollowing table sets forth the computation of the following potential common stock (RNVA) and warrants to purchase common stock (RNVAW) were no longer listed onequivalents excluded from the Nasdaq Stock Market but began trading on the OTCQB instead,calculation of diluted loss per share as more fully discussed in Note 15.

9

their effect was anti-dilutive:

RENNOVA HEALTH, INC. AND SUBSIDIARIES

Notes to Condensed Consolidated Financial Statements

(unaudited)

 

Financing Agreements

On October 30, 2017, the Company issued its Series I-1 Convertible Preferred Stock, and modified the anti-dilution provisions of certain outstanding debentures and warrants that were issued in March 2017, as more fully discussed in Note 15.

  Nine Months Ended September 30, 
  2018  2017 
Warrants  463,449,767   35,977 
Convertible preferred stock  68,344,495   142 
Convertible debentures  214,222,495   8,708 
Stock options  77   77 
   746,016,834   44,904 

 

Note 24 – Accounts Receivable

 

Accounts receivable at September 30, 20172018 (unaudited) and December 31, 20162017 consisted of the following:

 

 September 30, 2017 December 31, 2016  

September 30, 2018

  

December 31, 2017

 
Accounts receivable - laboratory services $4,118,407  $12,715,835  $2,448,120  $1,478,451 
Accounts receivable - hospital  2,982,771   - 
Accounts receivable - all others  528,196   499,508 
Accounts receivable - hospital operations  27,535,665   8,593,747 
Total accounts receivable  7,629,374   13,215,343   29,983,785   10,072,198 
Less:                
Allowance for discounts  (3,583,014)  (11,664,490)
Allowance for discounts - hospital  (2,368,565)  - 
Allowance for discounts – laboratory services  (2,302,331)  (1,177,054)
Allowance for discounts - hospital operations  (20,085,750)  (6,936,429)
Allowance for bad debts  (1,276,769)  (350,954)  (976,049)  (987,403)
Accounts receivable, net $401,026  $1,199,899  $6,619,655  $971,312 

 

Note 35 – Property and Equipment

 

Property and equipment at September 30, 20172018 (unaudited) and December 31, 20162017 consisted of the following:

 

 September 30, 2017 December 31, 2016  

September 30, 2018

  

December 31, 2017

 
Medical equipment $713,799  $696,195  $2,196,358  $696,195 
Land  550,700   - 
Building  1,359,484   -   6,478,284   1,359,472 
Equipment  461,912   461,912   437,029   476,548 
Equipment under capital leases  4,497,025   4,497,025   742,745   4,686,736 
Furniture  408,101   377,630   244,828   222,824 
Leasehold improvements  1,333,385   1,329,387   1,303,131   1,303,131 
Vehicles  196,534   196,534   56,624   196,534 
Computer equipment  587,742   564,742   224,447   226,441 
Software  1,859,289   1,739,348   724,126   631,033 
  11,417,271   9,862,773   12,958,272   9,798,914 
Less accumulated depreciation  (8,327,224)  (6,819,183)  (3,821,278)  (7,103,474)
Property and equipment, net $3,090,047  $3,043,590  $9,136,994  $2,695,440 

 

On January 13, 2017, the Company completed an asset purchase agreement to acquire certain assets related to Scott County Community Hospital, based in Oneida, Tennessee (the “Hospital Assets”). The Hospital Assets include a 52,000 square foot hospital building and 6,300 square foot professional building on approximately 4.3 acres. Scott County Community Hospital, which has since been renamed as Big South Fork Medical Center, is classified as a Critical Access Hospital (rural). The Company acquired the Hospital Assets out of bankruptcy for a purchase price of $1.0 million, and the purchase price has been recorded as property and equipment in the Company’s condensed consolidated balance sheet. The Company opened the hospital on August 8, 2017.

 

On January 31, 2018, the Company entered into a purchase agreement to acquire certain assets and liabilities related to Jamestown Regional Medical Center. The purchase was completed on June 1, 2018. The Company has valued the net assets acquired, subject to completion of a valuation study, at approximately $7.1 million, of which $6.5 million was recorded as property and equipment. The purchase is more fully discussed in Notes 1 and 6.

RENNOVA HEALTH, INC. AND SUBSIDIARIES

Notes to Condensed Consolidated Financial Statements

(unaudited)

Depreciation expense on property and equipment was $0.5$0.1 million and $0.7$0.4 million for the three months ended September 30, 2018 and 2017, respectively, and 2016, and $1.5$0.8 million and $2.0$1.2 million for the nine months ended September 30, 2018 and 2017, and 2016, respectively.

Management periodically reviews the valuation of long-lived assets, including property and equipment, for potential impairment. Management did not recognize any impairment of these assets during the three and nine months ended September 30, 20172018 and 2016.2017.

Note 6 – Acquisitions

Purchase Agreement Re Jamestown Regional Medical Center

On June 1, 2018, the Company acquired a business engaging in acute hospital care located in Jamestown, Tennessee under an asset purchase agreement. The acquisition also included a separate physician practice which now operates under the Company as Mountain View Physician Practice, Inc.

Pursuant to the asset purchase agreement, by and among the Company and Jamestown TN Medical Center, Inc., and HMA Fentress County Hospital, LLC, Jamestown HMA Physician Management, LLC and CHS/Community Health Systems, Inc. (the “Sellers”), the purchase price paid for the transaction was an aggregate of $668,983 which includes closing costs of $35,735 paid for in cash consideration to the Sellers.

The preliminary fair value of the purchase consideration paid to the Sellers was allocated to the net tangible and intangible assets acquired. The Company accounted for the acquisition as a business combination under U.S. GAAP. In accordance with the acquisition method of accounting under ASC Topic 805,“Business Combinations,” (“ASC 805”) the assets acquired, and liabilities assumed were recorded as of the acquisition date, at their respective fair values and consolidated with those of the Company.

The Company is currently undertaking a valuation study to determine the fair value of the assets acquired. The preliminary estimated fair value of the net assets acquired, and liabilities assumed is approximately $8.4 million. The excess of the aggregate fair value of the net tangible assets acquired over the purchase price is currently estimated to be $7.7 million and has been treated as a gain on bargain purchase in accordance with ASC 805. In addition, during the measurement period or until the valuation study is complete, the provisional amounts used for the purchase price allocation are subject to adjustments for a period not to exceed one year from the acquisition date. As a result, upon completion of the valuation study, the gain on bargain purchase presented below may be increased or decreased. The preliminary purchase price allocation was based, in part, on management’s knowledge of HMA Fentress County General Hospital and Jamestown HMA Physician Management, LLC.

The following table shows the preliminary allocation of the purchase price of Jamestown Regional Medical Center to the acquired identifiable assets acquired, and liabilities assumed:

Total purchase price $668,983 
Tangible and intangible assets acquired, and liabilities assumed at estimated fair value:    
Cash $- 
Inventories  450,682 
Prepaids and deposits  310,385 
Property and equipment  7,347,468 
Intangible assets  486,716 
Accrued expenses  (193,966)
Net tangible and intangible assets acquired $8,401,285 
Gain on bargain purchase $7,732,302 

 

1015

 

RENNOVA HEALTH, INC. AND SUBSIDIARIES

Notes to Condensed Consolidated Financial Statements

(unaudited)

The total cost relating to the acquisition was approximately $1,100,000. This includes $668,983, which was paid in cash consideration to the sellers, closing costs of $35,735, legal costs of approximately $115,000, and other diligence related costs, which were expensed as of September 30, 2018.

As prescribed by Regulation S-X of the Securities and Exchange Commission, within seventy-five days of the acquisition of a significant business, separate audited pre-acquisition historical financial statements are required to be filed. An audit of the Jamestown Regional Medical Center’s financial statements was deemed necessary based on the guidance applicable to our financial statements and based on the acquisition’s significance to the Company’s financial statements prior to completion. On August 25, 2018, the Company engaged our auditors, Haynie & Company to perform the required audit. As of the date of the filing of this report, the Company has not met this filing requirement.

The following presents the unaudited pro-forma combined results of operations of the Company and Jamestown Regional Medical Center as if the acquisition had occurred on January 1, 2017.

  Three Months Ended  Nine Months Ended 
  September 30,  September 30, 
  2017  2018  2017 
  (unaudited)  (unaudited) 
Net revenue $4,606,295  $15,367,565  $13,042,346 
Net income (loss) from continuing operations  (10,581,164)  (6,098,958)  (30,956,920)
Net income (loss)  (11,589,123)  (5,983,171)  (33,709,088)
Deemed dividend from trigger of down round provision feature  (2,280,280)  (17,942,578)  (53,341,619)
Net income (loss) to common shareholders $(13,869,403) $(23,925,749) $(87,050,707)
             
Net income (loss) per common share:            
Basic continuing operations $(4,400.39) $(2.39) $(22,648.83)
Diluted continuing operations $(4,400.39) $(2.39) $(22,648.83)
Basic net income (loss) $(5,767.87) $(9.38) $(63,688.40)
Diluted net loss $(5,767.87) $(9.38) $(63,688.40)
Weighted average number of common shares outstanding during the period:            
Basic  2,405   2,550,632   1,367 
Diluted  2,405   2,550,632   1,367 

The unaudited pro-forma results of operations are presented for information purposes only. The unaudited pro-forma results of operations are not intended to present actual results that would have been attained had the acquisition been completed as of January 1, 2017 or to project potential operating results as of any future date or for any future periods.

RENNOVA HEALTH, INC. AND SUBSIDIARIES

Notes to Condensed Consolidated Financial Statements

(unaudited)

 

Note 47 – Accrued Expenses

 

Accrued expenses at September 30, 20172018 (unaudited) and December 31, 20162017 consisted of the following:

 

 September 30, 2017 December 31, 2016  

September 30, 2018

  

December 31, 2017

 
Commisions payable $29,860  $44,788 
Commissions payable $15,985  $24,470 
Sales Tax Payable  2,337   - 
Accrued payroll and related liabilities  1,755,131   493,521   3,684,320   897,088 
Property Tax  154,426   - 
Accrued interest  2,211,588   1,471,191   3,377,732   2,636,057 
Other accrued expenses  1,013,719   872,529   1,673,503   1,409,790 
Total accrued expenses $5,010,298  $2,882,029  $8,908,303  $4,967,405 

 

Note 58 – Notes Payable

 

The Company and its subsidiaries are party to a number of loans with affiliates and unrelated parties. At September 30, 20172018 (unaudited) and December 31, 2016,2017, notes payable consisted of the following:

 

Notes Payable – Third Parties

  September 30, 2017  December 31, 2016 
Loan payable under prepaid forward purchase contract $5,000,000  $5,000,000 
         
Loan payable to TCA Global Master Fund, LP ("TCA") in the original principal amount of $3 million at 16% interest (the "TCA Debenture").  Principal and interest payments due in various installments through December 31, 2017.  1,957,476   3,000,000 
         
Notes payable to CommerceNet and Jay Tenenbaum in the original principal amount of $500,000, bearing interest at 6% per annum (the "Tegal Notes"). Prinicpal and interest payments are due annually from July 12, 2015 through July 12, 2017  341,612   341,612 
         
Other convertible notes payable  -   440,000 
         
Unamortized discount on other convertible notes  -   (179,889)
Derivative liability associated with the TCA Debenture, at fair value  -   409,524 
   7,299,088   9,011,247 
Less current portion  (7,299,088)  (9,011,247)
Notes payable - third parties, net of current portion $-  $- 
  

September 30, 2018

  

December 31, 2017

 
Loan payable under prepaid forward purchase contract $5,000,000  $5,000,000 
         
Loan payable to TCA Global Master Fund, LP (“TCA”) in the original principal amount of $3 million at 16% interest (the “TCA Debenture”). Principal and interest payments due in various installments through December 31, 2017.  1,359,737   1,616,218 
         
Notes payable to CommerceNet and Jay Tenenbaum in the original principal amount of $500,000, bearing interest at 6% per annum (the “Tegal Notes”). Principal and interest payments due annually from July 12, 2015 through July 12, 2017.  341,612   341,612 
         
   6,701,349   6,957,830 
Less current portion  (6,701,349)  (6,957,830)
Notes payable - third parties, net of current portion $-  $- 

On March 31, 2016, the Company entered into an agreement to pledge certain of its accounts receivable as collateral against a prepaid forward purchase contract, whereby the Company received consideration in the amount of $5.0 million. The receivables had an estimated collectable value of $8.7 million, which had been adjusted down to approximately $1.5 million on the Company’s balance sheet as of December 31, 2016 and $0 as of September 30,December 31, 2017. In exchange for the consideration received, the counterparty received the right to: (i) a 20% per annum investment return from the Company on the consideration, with a minimum repayment term of six months and minimum return of $0.5 million, (ii) all payments recovered from the accounts receivable up to $5.25 million, if paid in full within six months, or $5.5 million, if not paid in full within six months, and (iii) 20% of all payments of the accounts receivable in excess of amounts received in (i) and (ii). On March 31, 2017, to the extent that the counterparty hashad not been paid $6.0 million, the Company was required to pay the difference,difference.

Christopher Diamantis, a director of the Company, guaranteed the Company’s obligation. On March 24, 2017, the Company, the counterparty and Mr. Diamantis, as guarantor, entered into an amendment to extend the Company’s obligation to March 31, 2018. Also, what the counterparty is to receive was amended to equal (a) the $5,000,000 purchase price plus 30% interesta 20% per annum oninvestment return thereon, plus (b) $500,000, plus (c) the total balance.product of (i) the proceeds received from the accounts receivable, minus the amount set forth in clauses (a) and (b), multiplied by 40%. In connection with this extension, the counterparty received a fee of $1,000,000. On April 2, 2018, the Company, the counterparty and Mr. Diamantis, as guarantor, entered into a second amendment to extend further the Company’s obligation to May 30, 2018. In connection with this further extension, the counterparty received a fee of $100,000. To date, the Company has not recovered any payments against the accounts receivable.receivable and the full balance is now payable. The counterparty has instituted an arbitration proceeding under the agreement with regard to the outstanding balance. As of September 30, 2017,November 14, 2018, the Company has accrued $1.9 million fornot made a payment under this agreement and the counterparty’s required investment return, whichfull balance is reflected in accrued expenses in the accompanying condensed consolidated balance sheet, and $6.9 million was due to the counterparty on September 30, 2017.now payable. The Company does not have the financial resources to repaysatisfy this obligation.amount.

RENNOVA HEALTH, INC. AND SUBSIDIARIES

Notes to Condensed Consolidated Financial Statements

(unaudited)

 

The Company did not make the required monthly principal and interest payments due under the TCA Debenture for the period from October 2016 through March 2017. On February 2, 2017, the Company made a payment to TCA in the amount of $0.4 million, which was applied to accrued and unpaid interest and fees, including default interest, as of the date of payment. On March 21, 2017, the Company made a payment to TCA in the amount of $0.75 million, of which approximately $0.1 million was applied to accrued and unpaid interest and fees in accordance with the terms of the TCA Debenture. Also on March 21, 2017, the Company entered into a letter agreement with TCA, which (i) waived any payment defaults through March 21, 2017; (ii) provided for the $0.75 million payment discussed above; (iii) set forth a revised repayment schedule whereby the remaining principal plus interest aggregating to approximately $2.6 million was to be repaid in various monthly installments from April of 2017 through September of 2017; and (iv) provided for payment of an additional service fee in the amount of $150,000, which was due on June 27, 2017, the day after the effective date of the registration statement filed by the Company; which amount is reflected in accrued expenses in the accompanying condensed consolidated balance sheet at September 30,December 31, 2017. In addition, TCA entered into an intercreditorinter-creditor agreement with the purchasers of the convertible debentures (see Note 6)9) which sets forth rights, preferences and priorities with respect to the security interests in the Company’s assets. On September 19, 2017, the Company entered into a new agreement with TCA, which extended the repayment schedule through to December 31, 2017. The Company is currentprincipal balance as of September 30, 2018, was reduced from $1.6 million to $1.4 million, with its payments.

11

RENNOVA HEALTH, INC.

Notesinterest accrued of approximately $145,000. The remaining debt to Condensed Consolidated Financial Statements

(unaudited)

On September 15, 2016,TCA remains outstanding and TCA has made a demand for payment. The parties are currently working to amend the Company entered into an agreement with two investors wherebyTCA Debenture to extend the Company soldmaturity although there can be no assurance that the parties will agree to the investors convertible notes in the aggregate principal amount of $0.4 million (the “September 2016 Notes”). The September 2016 Notes were convertible into shares of the Company’s common stock at a conversion price of $112.50 per share. In conjunction with the sale of the September 2016 Notes, the Company issued warrants to purchase an aggregate of 4,444 shares of the Company’s common stock at an exercise price of $180.00 per share. Based on the allocation of the net proceeds from the September 2016 Notes to the fair value of the warrants, and the resulting beneficial conversion features, the Company recognized a discount for the entire face value of the September 2016 Notes, which was accreted through the notes’ maturity date of March 15, 2017. On March 13, 2017, the September 2016 Notes, along with the accompanying warrants, were exchanged for 26,667 shares of the Company’s common stock.any such extension.

 

The Company did not make the principal payments under the Tegal Notes that were due on July 12, 2016. On November 3, 2016, the Company received a default notice from the holders of the Tegal Notes demanding immediate repayment of the outstanding principal of $341,612 and accrued interest aggregating to $0.4 million.of $43,000. On December 7, 2016, the Company received a breach of contract complaint with a request for the entry of a default judgment (see Note 11)15). On April 23, 2018, the holders of the Tegal Notes received a judgment against the Company. To date, the Company has yet to repay this amount.

 

Notes Payable – Related Parties

 

 September 30, 2017 December 31, 2016  

September 30, 2018

  

December 31, 2017

 
Loan payable to Alcimede LLC, bearing interest at 6% per annum, with all principal and interest due on February 2, 2018 $168,500  $218,500 
Loan payable to Alcimede LLC, bearing interest at 6% per annum, with all principal and interest due on August 2, 2018 $-  $168,500 
                
Other advances from related parties  55,000   110,000 
Loan payable to Christopher Diamantis  450,000   960,000 
  223,500   328,500   450,000   1,128,500 
Less current portion  (223,500)  (328,500)  (450,000)  (1,128,500)
Total notes payable - related parties, net of current portion $-  $-  $-  $- 

 

On February 3, 2015, the Company borrowed $3.0 million from Alcimede LLC (“Alcimede”). Seamus Lagan, the Company’s President and Chief Executive Officer, is the sole manager of Alcimede. The note hashad an interest rate of 6% and was originally due on February 2, 2016. Alcimede later agreed to extend the maturity date of the loan to August 2, 2017. On June 29, 2015, Alcimede exercised options granted in October 2012 to purchase 66,667 shares of the Company’s common stock, at an exercise price of $37.50 per share, and the loan outstanding was reduced in satisfaction of the aggregate exercise price of $2.5 million. In August of 2016, $0.3 million was repaid by the Company through the issuance of shares of common stock. In March of 2017, the Company and Mr. Lagan agreed that a payment made to Alcimede in the amount of $50,000 would be deducted from the outstanding balance of the note. On August 2, 2017, the Company and Alcimede agreed to further extend the maturity date of the loan to FebruaryAugust 2, 2018.

The remaining balance due on On July 23, 2018, the Company issued preferred stock to Alcimede and part of the consideration was full settlement of this loan as of September 30, 2017 was $0.2 million, including accrued interest.more fully discussed in Note 20.

 

During the nine months ended September 30, 2017,2018, the Company repaid $0.1 million that was outstanding to a former principal stockholder, and borrowed an additional $75,000 from this same stockholder of which $50,000 has been repaid and $3.6$3.1 million from Mr.Christopher Diamantis a director of the Company, which has been fullyand repaid (see Note 7).$2.6 million. The loan payable balance including interest was $0.5 million on September 30, 2018.

12

RENNOVA HEALTH, INC. AND SUBSIDIARIES

Notes to Condensed Consolidated Financial Statements

(unaudited)

 

Note 69 – Debentures

 

The carrying amount of all outstanding debentures as of September 30, 2018 (unaudited), and December 31, 2017 (unaudited) is as follows:

 

 September 30, 2017  

September 30, 2018

  

December 31, 2017

 
Debentures $20,962,234  $17,837,502  $17,720,082 
Discount on Debentures  (16,398,666)  (7,284,194)  (12,127,634)
Deferred financing fees  (324,563)  (19,717)  (224,733)
  4,239,005   10,533,591   5,367,715 
Less current portion  -   (10,533,591)  (1,615,693)
Debentures $4,239,005  $-  $3,752,022 

 

There were noPayment on all outstanding debentures outstanding as of December 31, 2016.September 30, 2018 is due as follows:

Period ended September 30,   
2018 $2,027,502 
2019 $15,810,000 
  $17,837,502 

February 2017 Offering

On February 2, 2017, the Company issued $1.6 million aggregate principal amount of Original Issue Discount Convertible Debentures due three months from the date of issuance (the “February Debentures”) and warrants to purchase an aggregate of 6,66713 shares of common stock, which can be exercised at any time after August 17, 2017 at an exercise price of $38.70$19,350 per share (the “February Warrants”), to an accredited investor for a purchase price of $1.5 million. On March 21, 2017, the February Debentures were exchanged for $2.5 million of exchange debentures as more fully discussed below.

 

March 2017 Offerings

On March 21, 2017, the Company issued $10.85 million aggregate principal amount of Senior Secured Original Issue Discount Convertible Debentures due March 21, 2019 (the “Convertible Debentures”). The Company received net proceeds from this transaction in the approximate amount of $8.4 million. The Company used $3.8 million of the net proceeds to repay the 2017a loan from Mr. Diamantis as more fully discussed in Note (see Note 7)10 and $0.75 million of the net proceeds to make the partial repayment on the TCA Debenture (see Note 5).Debenture. The remainder of the net proceeds were used for general corporate purposes. In conjunction with the issuance of the Convertible Debentures, the holder of the February Debentures exchanged these debentures for $2.5 million of new debentures (the “Exchange Debentures” and, collectively with the Convertible Debentures, the “March Debentures”) on the same terms as, and pari passu with, the Convertible Debentures and warrants. The Company recorded non-cash interest expense in the amount of $0.4 million as a result of this exchange. Additionally, the holders of an aggregate of $2.2 million stated value of the Company’s Series H Convertible Preferred Stock (the “Series H Preferred Stock”) exchanged such preferred stock into $2.7 million principal amount of Exchange Debentures and warrants. The March Debentures contain a 24% original issue discount, have no regularly scheduled interest payments except in the event of a default and have a maturity date of March 21, 2019.

 

In connection with the March Debentures the Company issued warrants to purchase an aggregate of 9,166,616 shares of the Company’s common stock to several accredited investors. At September 30, 2018, these warrants were exercisable into an aggregate of approximately 382.3 million shares of common stock. The warrants were issued to the investors in three tranches, Series A Warrants, Series B Warrants and Series C Warrants (collectively, the “March Warrants”). TheAt September 30, 2018, the Series A Warrants are exercisable for 3,214,911146.6 million shares of the Company’s common stock. They are immediately exercisable and have a term of exercise equal to five years. TheAt September 30, 2018, the Series B Warrants are immediately exercisable for 2,736,79490.1 million shares of the Company’s common stock and arewere initially exercisable for a period of 18 months. During the three months commencing immediately.ended September 30, 2018, the Company extended the exercise period for 180 days and recorded an additional discount on the March Debentures of approximately $8.3 million as a result of the extension. The Series C Warrants are exercisable for 3,214,911145.6 million shares of the Company’s common stock and have a term of five years provided such warrants shall only vest if, when and to the extent that the holders exercise the Series B Warrants. At September 30, 2017,2018, the Series A, Series B and Series C Warrants each have an exercise price of $5.85$0.1275 per share, which reflects an adjustmentadjustments pursuant to their terms. The Series A, Series B and Series C Warrants are subject to “full ratchet” and other customary anti-dilution protections.

RENNOVA HEALTH, INC. AND SUBSIDIARIES

Notes to Condensed Consolidated Financial Statements

(unaudited)

 

The March Debentures are convertible into shares of the Company’s common stock, at a conversion price which has been adjusted pursuant to the terms of the March Debentures to $5.85$0.1275 per share as of September 30, 2017,2018, due to prices at which the Company has subsequently issued shares of common stock. The Convertible Debentures began to amortize monthly commencing on the 90th day following the closing date. The Exchange Debentures began to amortize monthly on the closing date. On each monthly amortization date, the Company may elect to repay 5% of the original principal amount of the March Debentures in cash or, in lieu thereof, the conversion price of such debentures will thereafter be 85% of the volume weighted average price at the time of conversion. In the event the Company does not elect to pay such amortization amounts in cash, each investor, in their sole discretion, may increase the conversion amount subject to the alternative conversion price by up to four times the amortization amount. The March Debentures contain customary affirmative and negative covenants. The conversion prices are subject to reset in the event of offerings or other issuances of common stock, or rights to purchase common stock, at a price below the then conversion price, as well as other customary anti-dilution protections as more fully described in the debentures.

 

On October 30, 2017, the Company agreed to amend the March Debentures and March Warrants to remove the floor in the anti-dilution provisions therein. The conversion price of the March Debentures and the exercise price of the March Warrants as of September 30, 2018 stated above reflect the amendment as well as other adjustments for dilutive issuances, which triggered the down round provisions in the March Debentures and March Warrants. The March Debentures are secured by all of the Company’s assets and are guaranteed by substantially all of the Company’s subsidiaries. Between March 22, 2017 and September 30, 2017,2018, holders of the March Debentures converted an aggregate of $4.1 million$13,982,758 of these debentures into 548,9323,923,251 shares of common stock.

13

RENNOVA HEALTH, INC.

Notes to Condensed Consolidated Financial Statements

(unaudited)

 

The exercise prices of the March Warrants issued in connection withrelating to the March Debentures are subject to reset in the event of offerings or other issuances of common stock, or rights to purchase common stock, at a price below the then exercise price, as well as other customary anti-dilution protections. As a resultBecause of these provisions, both the March Debentures and the March Warrants were deemed to be not indexed to the Company’s common stock, and the Company recognized derivative liabilities for the embedded conversion feature of the March Debentures and the March Warrants in the original amount of $15.3 million and $41.3 million, respectively. The Company recognized a discount for 100% of the principal value of the March Debentures and non-cash interest expense in the amount of $43.7 million in connection withregarding the recognition of these derivative liabilities. As a resultBecause of the adoption of ASU 2017-11 in the second quarter of 2017, the interest expense and derivative liability originally recognized were adjusted and extinguished during the three months ended JuneSeptember 30, 2017. See Note 1 for the adoption of ASU 2017-11 for the retrospective adjustments made to the Company’s condensed consolidated financial statements with respect to the derivative liabilities associated with these debentures and warrants.

 

June 2017 Offerings

In June 2017, the Company issued debentures due three months from the date of issuance in two issuances (collectively, the “June Debentures”) and warrants to purchase an aggregate of 100,000200 shares of common stock (33,333(67 warrants in the June 2, 2017 transaction and 66,667133 in the June 22, 2017 transaction), which can be exercised at any time after nine months at an exercise price of $5.85$2,925 per share for the June 2, 2017 warrants and $5.70$2,850 per share for the June 22, 2017 warrants (collectively the “June Warrants”), to accredited investors for a purchase price of $1,902,700 and proceeds to the Company of $1.5 million. The Company recorded a discount on the debentures of $107,700 which has been fully amortized.amortized. As more fully discussed below, on July 17, 2017, the June Debentures were exchanged.exchanged.

 

July 2017 Offerings

On July 17, 2017, the Company closed an offering of $4,136,862 aggregate principal amount of Original Issue Discount Debentures due October 17, 2017 (the “July Debentures”) and warrants to purchase an aggregate of 141,333283 shares of common stock (the “July Warrants”) for consideration of $2,000,000 in cash and the exchange of the full $1,902,700 aggregate principal amount of the June Debentures. Under the Purchase Agreement, the Company was required to hold a stockholders’ meeting to obtain stockholder approval for at least a 1-for-8 reverse split of the Company’s common stock on or before September 20, 2017. Accordingly, the Company’s stockholders approved a reverse stock split on September 20, 2017 and the Company effected a 1-for-15 reverse stock split of its common stock on October 5, 2017, as further discussed in Note 1. The July Debentures were guaranteed by substantially all of the subsidiaries of the Company pursuant to a Subsidiary Guarantee in favor of the holders of the July Debentures. As more fully discussed below, on September 19, 2017, the July Debentures were exchanged for $6.4 million of exchange debentures.

 

The July Warrants are exercisable into shares of the Company’s common stock at any time from and after six months from the closing date at an exercise price of $5.63$2,815 per common share (subject to adjustment). The July Warrants will terminate five years after they become exercisable.

RENNOVA HEALTH, INC. AND SUBSIDIARIES

Notes to Condensed Consolidated Financial Statements

(unaudited)

September 2017 Offerings

On September 19, 2017, the Company closed an offering of $2,604,000 principal amount of Senior Secured Original Issue Discount Convertible Debentures due September 19, 2019 (the “New Debentures”) and three series of warrants to purchase an aggregate of 6,935,51734,677,585 shares of the Company’s common stock (the “Series A Warrants,” the “Series B Warrants,” and the “Series C Warrants,” and collectively, the “September Warrants”). The offering was pursuant to the terms of a Securities Purchase Agreement, dated as of August 31, 2017 (the “Purchase Agreement”), between the Company and certain existing institutional investors of the Company. The Company received proceeds of $2,100,000 from the offering.

 

Also on September 19, 2017, the Company closed exchanges by which the holders of the Company’s July Debentures exchanged $4,136,862 principal amount of such debentures for $6,412,136 principal amountnumber of new debentures on the same items as, and pari passu with, the New Debentures (the “September Exchange Debentures” and, together with the New Debentures, the “September Debentures”). The Company recorded non-cash interest expense in the amount of $1.0 million as a resultbecause of this exchange. All issuance amounts of the September Debentures reflect a 24% original issue discount.

 

The September Debentures contain customary affirmative and negative covenants. The conversion price is subject to “full ratchet” and other customary anti-dilution protections as more fully described in the debentures. The September Debentures may be converted at any time into shares of the Company’s common stock. TheOriginally, the September Debentures begin to amortize monthly commencing on October 1, 2017. For2017, and for the first three amortization dates, the amortization amount iswas $100,000. Thereafter, onOn October 19, 2017, the September Debentures were amended so that they began to amortize immediately. On each monthly amortization date, the Company may elect to repay 5% of the original principal amount of September Debentures in cash or, in lieu thereof, the conversion price of such September Debentures shall thereafter be 85% of the volume weighted average price at the time of conversion.conversion, but not less than the floor of $.78 per share. In the event the Company does not elect to pay such amortization amounts in cash, each investor, in their sole discretion, may increase the conversion amount subject to the alternative conversion price by up to four times the amortization amount.

14

RENNOVA HEALTH, INC.

Notes On October 30, 2017, the Company entered into exchange agreements (“Exchange Agreements”) with the holders of the September Debentures to Condensed Consolidated Financial Statements

(unaudited)provide that the holders may, from time to time, exchange their September Debentures for shares of a newly-authorized Series I-2 Convertible Preferred Stock of the Company (the “Series I-2 Preferred Stock”). On February 8, 2018, $1,384,556 of the September Debentures were exchanged for 1,730.1 shares of Series I-2 Preferred Stock and the Company recorded a loss on the exchange of $651,562. On July 16, 2018, $1,741,580 of the September Debentures were exchanged for 2,176.9 shares of Series I-2 Preferred Stock and the Company recorded a loss on the exchange of $819,561. The Series I-2 Preferred Stock is more fully discussed in Note 13.

 

The

At September 30, 2018, the Series A Warrants are exercisable for an aggregate of 2,311,82911,559,195 shares of the Company’s common stock. They are immediately exercisable and have a term of exercise equal to five years. The Series B Warrants are exercisable for an aggregate of 2,311,85911,559,195 shares of the Company’s common stock and are exercisable for a period of 18 months commencing immediately. TheAt September 30, 2018, the Series C Warrants are exercisable for an aggregate of 2,311,82911,559,195 shares of the Company’s common stock, and have a term of five years provided such Series C Warrants shall only vest if, when and to the extent that the holders exercise the Series B Warrants. The September Warrants each have ana fixed exercise price, subject to a floor of $3.90. All of$0.78 per share. At September 30, 2018, the exercise price was $0.78 per share, which reflects adjustments made pursuant to their terms due to the down round provisions in the September Warrants. The September Warrants are subject to “full ratchet” and other customary anti-dilution protections.

 

The Company’s obligations under the September Debentures are secured by a security interest in all of the Company’s and its subsidiaries’ assets, pursuant to the terms of the Security Agreement, dated as of March 20, 2017.

 

2018 Offerings

On March 5, 2018, May 14, 2018, May 21, 2018 and June 28, 2018, the Company closed offerings of $6,810,000 aggregate principal amount of Senior Secured Original Issue Discount Convertible Debentures due September 19, 2019. The Company received proceeds of $5,500,000 in the offerings net of the original issue discount of $1,310,000. On July 16, 2018, August 2, 2018, and September 6, 2018, the Company entered into Additional Issuance Agreements (the “Issuance Agreements”), with two existing institutional investors of the Company. Under the Issuance Agreements, the Company issued $3.1 million aggregate principal amount of Senior Secured Original Issue Discount Convertible Debentures due September 19, 2019 and received proceeds of $2.5 million. The conversion terms of these debentures are the same as those issued in September 2017 under the Purchase Agreement, dated as of August 31, 2017, as more fully described above, with the exception of the floor conversion price, which is $.052 per share. These debentures may also be exchanged for shares of the Company’s Series I-2 Preferred Stock under the terms of the Exchange Agreements.

During the year ended December 31, 2017 and the nine months ended September 30, 2017,2018, the Company realized approximately $15.7$23.7 million in proceeds from the issuances of thesethe debentures and warrants. At September 30, 2017,2018, the unamortized discounts were $16.4$7.3 million. These discounts represent original issue discounts, the relative fair value of the warrants issued with the debentures and the relative fair value of the beneficial conversion features of the debentures. During the three and nine months ended September 30, 2018 and 2017, the Company recorded approximately $4.8$16.0 million and approximately $14.7 million, respectively, of non-cash interest and amortization of debt discount expense primarily in connection with the debentures and warrants.

RENNOVA HEALTH, INC. AND SUBSIDIARIES

Notes to Condensed Consolidated Financial Statements

(unaudited)

 

See Note 913 for summarized information related to warrants issued and the activity during the nine months ended September 30, 2018 and 2017.

See Notes 3 and 13 for a discussion of the dilutive effect of the outstanding debentures and warrants as of September 30, 2018.

 

Note 710 – Related Party Transactions

 

In addition to the transactions discussed in Note 5,8, the Company had the following related party transactions during the nine months ended September 30, 20172018 and 2016:2017:

 

In January and February of 2017, the Company received advances aggregating $3.6 million from Christopher Diamantis, a director of the Company. The advances, along with $0.5 million of previously accrued but unpaid interest, were due on demand, bearing interest at 10% per annum. The Company used the advances to pay the purchase price for the Hospital Assets and for general corporate purposes. On March 7, 2017, the Company issued a promissory note to Mr. Diamantis in the amount of $3.8$0.5 million (the “2017 Diamantis Note”) in connection withrelating to these advances received in 2017, plus accrued and unpaid interest of $0.5 million.million (and together with the advances and accrued interest the “2017 Diamantis Note”). In the nine months ended September 30, 2018, the Company has paid $251,000 of the accrued interest. In conjunction with the issuance of the 2017 Diamantis Note, the Company also issued to Mr. Diamantis warrants to purchase 27,66755 shares of the Company’s common stock, exercisable at $15.00.$7,500. The 2017 Diamantis Note was repaid on March 21, 2017 with the proceeds received from the issuance of the Convertible Debentures (see Note 6)9). In May and June of 2017, the Company received advances from Mr. Diamantis, net of repayments totaling $0.2 million, at a 10% annum interest rate, which amount was paid in full on July 18, 2017.

Alcimede billed the Company $0.4 million and $0.3 million for consulting fees pursuant to a consulting agreement for each of the nine months ended September 30, 2017 and 2016, respectively.

 

Monarch Capital, LLC (“Monarch”) billed the Company for consulting fees delivered in 2017, pursuant to a consulting agreement in the amount of $0.1 million formillion. While the nine months ended September 30, 2017 and 2016, respectively. The agreement expired on August 31, 2017.2017, the balance remains outstanding at September 30, 2018. Michael Goldberg, a director of the Company up until his resignation effective April 24, 2017, is the Managing Director of Monarch.

Alcimede billed the Company $0.1 million and $0.1 million for consulting fees pursuant to a consulting agreement for the three months ended September 30, 2018 and 2017, respectively. Alcimede billed $0.3 million and $0.2 million for the nine months ended September 30, 2018 and 2017, respectively. Seamus Lagan, the Company’s President and Chief Executive Officer, is the sole manager of Alcimede (see Note 8).

 

Note 811 – Capital Lease Obligations

 

The Company leases various assets under capital leases expiring through 2020 as follows. At September 30, 20172018 (unaudited) and December 31, 2016,2017, capital lease obligationsequipment consisted of the following:

 

 September 30, 2017 December 31, 2016 
      

September 30, 2018

  

December 31, 2017

 
Medical equipment $4,497,025  $4,497,025  $742,745  $4,686,736 
Less accumulated depreciation  (3,582,631)  (2,809,511)  (618,931)  (3,842,443)
                
Net $914,394  $1,687,514  $123,815  $844,293 

 

As of September 30, 2018, the Company is in default of substantially all its lease obligations, therefore the aggregate future minimum rentals and accrued interest under capital leases in the amount of $988,936 are deemed to be due. The significant reduction in the leased assets at September 30, 2018 from December 31, 2017, was due to the sale and or surrender of certain leased medical equipment relating to our laboratory operations which have significantly decreased in size over the past 24 months.

15

 

In December 2016, several lawsuits were filed for past due lease payment obligations. In January 2017, default judgements were issued against the Company aggregating to $3.5 million, including default interest, late fees, penalties and other fees (see Note 15). Additionally, the Company recognized additional interest expense of $0.6 million to recognize the additional obligations under these leases.

 

Note 12 – Redeemable Preferred Stock

The Company has 5,000,000 authorized shares of Preferred Stock at a par value of $0.01. Issuances of the Company’s Preferred Stock included as part of stockholders’ deficit are discussed in Note 13. The following is a summary of the issuances of the Company’s Redeemable Preferred Stock.

RENNOVA HEALTH, INC. AND SUBSIDIARIES

Notes to Condensed Consolidated Financial Statements

(unaudited)

 

Series I-1 Convertible Preferred Stock

On October 30, 2017, the Company closed an offering of $4,960,000 stated value of 4,960 shares of a newly-authorized Series I-1 Convertible Preferred Stock (the “Series I-1 Preferred Stock”). Each share of Series I-1 Preferred Stock has a stated value of $1,000. The offering was pursuant to the terms of the Securities Purchase Agreement, dated as of October 30, 2017 (the “Purchase Agreement”), between the Company and certain existing institutional investors of the Company. The Company received proceeds of $4.0 million from the offering. The Purchase Agreement gives the investors the right to participate in up to 50% of any offering of common stock or common stock equivalents by the Company. In the event of any such offering, the investors may also exchange all or some of their Series I-1 Preferred Stock for such new securities on an $0.80 stated value of Series I-1 Preferred Stock for $1.00 of new subscription amount basis. Each share of Series I-1 Preferred Stock is convertible into shares of the Company’s common stock at any time at the option of the holder at a conversion price equal to the lesser of (i) $1.00, subject to adjustment, and (ii) 85% of the lesser of the volume weighted average market price of the common stock on the day prior to conversion or on the day of conversion. The conversion price is subject to “full ratchet” and other customary anti-dilution protections as more fully described in the Certificate of Designation of the Series I-1 Preferred Stock. Upon the occurrence of certain Triggering Events, as defined in the Certificate of Designation of the Series I-1 Preferred Stock, the holder shall, in addition to any other right it may have, have the right, at its option, to require the Company to either redeem the Series I-1 Preferred Stock in cash or in certain circumstance in shares of common stock at the redemption prices set forth in the Certificate of Designation.

Series I-2 Convertible Preferred Stock

On October 30, 2017, the Company entered into Exchange Agreements with the holders of the September Debentures to provide that the holders may, from time to time, exchange their September Debentures for shares of a newly-authorized Series I-2 Preferred Stock. The exchange agreements permitted the holders of the September Debentures to exchange specified principal amounts of the September Debentures on various closing dates starting on December 2, 2017, as more fully discussed in Note 9. At the holder’s option each holder may reduce the principal amount of September Debentures exchanged on any particular closing date, or elect not to exchange any September Debentures at all on a closing date. If a holder does choose to exchange less principal amount of September Debentures, or no September Debentures at all, it can carry forward such lesser amount to a future closing date and then exchange more than the originally specified principal amount for that later closing date. For each $0.80 of principal amount of September Debenture surrendered to the Company at any closing date, the Company will issue the holder a share of Series I-2 Preferred Stock with a stated value of $1.00. Each share of Series I-2 Preferred Stock is convertible into shares of the Company’s common stock at any time at the option of the holder at a conversion price equal to the lesser of (i) $1.00, subject to adjustment, and (ii) 85% of the lesser of the volume weighted average market price of the common stock on the day prior to conversion or on the day of conversion. The conversion price is subject to “full ratchet” and other customary anti-dilution protections as more fully described in the Certificate of Designation of the Series I-2 Preferred Stock. From December 2, 2017 through March 1, 2018, any exchange under the Exchange Agreements was at the option of the holder. Subsequent to March 2018, any exchange is at the option of the Company.

The Company’s board of directors has designated up to 21,346 shares of the 5,000,000 authorized shares of preferred stock as the Series I-2 Preferred Stock. Each share of Series I-2 Preferred Stock has a stated value of $1,000. Upon the occurrence of certain Triggering Events (as defined in the Certificate of Designation of the Series I-2 Preferred Stock), the holder shall, in addition to any other right it may have, have the right, at its option, to require the Company to either redeem the Series I-2 Preferred Stock in cash or in certain circumstance in shares of common stock at the redemption prices set forth in the Certificate of Designation.

Aggregate future minimum rentals

On February 9, 2018, the holders exercised their right to exchange a portion of the September Debentures for shares of the Series I-2 Preferred Stock for the first time. On that date, the holders elected to exchange an aggregate of $1,384,556 principal amount of September Debentures and the Company issued an aggregate 1,730.7 shares of its Series I-2 Preferred Stock. On July 16, 2018, under capital leases are as follows:the Exchange Agreements with the holders of the September Debentures, the holders exchanged a portion of the September Debentures for shares of the Company’s Series I-2 Preferred Stock. On that date, the holders elected to exchange an aggregate of $1,741,580 principal amount of the September Debentures and the Company issued an aggregate of 2,176.975 shares of its Series I-2 Preferred Stock. In July 2018, the holder converted 538.137 shares of Series I-2 Preferred Stock into 1,764,927 shares of the Company’s common stock.

Year ended December 31,   
2017 (October through December) $493,282 
2018  1,427,375 
2019  377,919 
2020  32,611 
Total  2,331,187 
     
Less interest  103,983 
Present value of minimum lease payments  2,227,204 
     
Less current portion of capital lease obligations  1,491,666 
Capital lease obligations, net of current portion $735,538 

RENNOVA HEALTH, INC. AND SUBSIDIARIES

Notes to Condensed Consolidated Financial Statements

(unaudited)

 

Note 913 – Stockholders’ EquityDeficit

 

Preferred Stock

 

The Company has 5,000,000 shares, par value $0.01, of preferred stock authorized. As of September 30, 2017,2018, the Company had outstanding 1,750,275 shares of preferred stock consisting of shares of its Series I-1 Preferred Stock and shares of Series I-2 Preferred Stock (both of which are more fully discussed in Note 12), 215 shares of its Series G Preferred Stock, 6010 shares of its Series H Preferred Stock and 1,750,000 shares of its Series F Convertible Preferred Stock (the “Series F Preferred Stock”).

During the nine months ended September 30, 2017, 7,785Stock. On June 28, 2018, 50 shares of the Series H Preferred Stock were converted into 370,44640,000 shares of the Company’s common stock in accordance with the termsstock.

The rights of the Series F, G, and H Preferred Stock. Also duringpreferred stock are disclosed in the nine monthsCompany’s Annual Report on Form 10-K for the year ended September 30, 2017, 2,174December 31, 2017. The Series G and H preferred stock are convertible into shares of Series H Preferred Stock with a stated value of $2.2 million were exchanged for Exchange Debentures with an aggregate principal amount of $2.7 million and warrants (see Note 6).

In connection with the acquisition of Genomas, Inc., on September 27, 2017, which is more fully discussed in Note 14, the Company issued 1,750,000 shares of its Series F Preferred Stock valued at $174,097. The following is a summary of certain terms and provisions of the Company’s Series F Preferred Stock:

Rank. The Series F Preferred Stock ranks on paritycommon stock at a price equal to our common stock.

Conversion. Each share85% of the volume weighted average price of the Company’s common stock at the time of conversion. The Series F Preferred Stock is convertible into shares of ourthe Company’s common stock (subject to adjustment as provided inat a fixed price of $14,625 per share.

On July 20, 2018, the related certificateCompany filed a Certificate of designationDesignation with the Secretary of preferences, rights and limitations) at any time after the first anniversaryState of the State of Delaware to authorize the issuance date atof up to 250,000 shares of its Series J Convertible Preferred Stock (the “Series J Preferred Stock”). On July 23, 2018, the optionCompany entered into an Exchange Agreement (the “Agreement”) with Alcimede, of which Seamus Lagan, our Chief Executive Officer, is the sole manager. Pursuant to the Agreement, the Company issued to Alcimede 250,000 shares of the holder atSeries J Preferred Stock in exchange for the cancellation of the outstanding principal and interest owed by the Company to Alcimede under the Note, dated February 5, 2015, and the cancellation of certain amounts owed by the Company to Alcimede under a consulting agreement between the parties. The total amount of consideration paid by Alcimede to the Company equaled $250,000. Each share of the Series J Preferred Stock has a stated value of $1.00. The conversion price is equal to the greater of $29.25 or the average closing price of the Company’s common stock foron the 10 trading days immediately precedingprior to the conversion. The maximum numberconversion date. Each holder of the Series J Preferred Stock is entitled to vote on all matters submitted to a vote of the holders of the Company’s common stock. With respect to a vote of stockholders, no later than September 30, 2018 only, to approve either or both of a reverse stock split of the Company’s common stock and an increase in the authorized shares of common stock issuable upon the conversionfrom three billion shares to up to ten billion shares, each share of the Series FJ Preferred Stock had the whole number of votes equal to 24 shares of common stock. With respect to all other matters, and from and after October 1, 2018, each share of the Series J Preferred Stock is 59,829. Anyentitled to the whole number of votes equal to the number of common shares into which it is then convertible. The full terms of the Series FJ Preferred Stock outstandingare listed in the Certificate of Designations filed as Exhibit 3.16 to the Company’s Current Report on Form 8-K filed with the fifth anniversary of the issuance date will be mandatorily converted into common stock at the applicable conversion priceSecurities and Exchange Commission on such date.July 24, 2018.

Common Stock

Liquidation Preference. In

On May 9, 2018, the eventCompany held a Special Meeting of our liquidation, dissolution or winding-up, holdersStockholders, in part, to approve an amendment to the Company’s Certificate of Series F Preferred Stock will be entitledIncorporation, as amended, to receiveincrease the same amount that a holdernumber of authorized shares of common stock would receive iffrom 500,000,000 to 3,000,000,000 shares. The proposal was approved and on May 9, 2018 the Series FCompany filed an amendment to its Certificate of Incorporation to increase its authorized common stock to 3,000,000,000 shares.

On September 18, 2018, the Company amended its Certificate of Incorporation to have the authority to issue 10,000,000,000 shares of Common Stock, par value $.0001 per share, and 5,000,000 shares of Preferred Stock, were fully converted into shares of our common stock at the conversion price (assuming for such purposes that the Series F Preferred Stock is then convertible) which amounts shall be paid pari passu with all holders of common stock.

Voting Rights. Each share of Series F Preferred Stock shall have one vote, and the holders of the Series F Preferred Stock shall vote together with the holders of our common stock as a single class.

Dividends. The holders of the Series F Preferred Stock will participate, on an as-if-converted-to-common stock basis, in any cash dividends to the holders of common stock.

Redemption. At any time, from time to time after the first anniversary of the issuance date, we have the right to redeem all or any portion of the outstanding Series F Preferred Stock at a pricepar value $0.01 per share equal to $1.95 plus any accrued but unpaid dividends.

Negative Covenants. As long as any shares of Series F Preferred Stock are outstanding, the Company may not amend, alter or repeal any provision of our certificate of incorporation, the certificate of designation or our bylaws in a manner that materially adversely affects the powers, preferences or rights of the Series F Preferred Stock.

16

RENNOVA HEALTH, INC.

Notes to Condensed Consolidated Financial Statements

(unaudited)

Preferred Stock Issued Subsequent to September 30, 2017

In October 2017, the Company issued its Series I-1 Convertible Preferred Stock in connection with a financing as more fully discussed in Note 15.

Common Stockshare. 

 

The Company had 1,354,1717,365,881 and 186,69239,502 shares of common stock issued and outstanding at September 30, 20172018 and December 31, 2016,2017, respectively. The Company issued 1,167,479 shares of its common stock during the nine months ended September 30, 2017 as follows:

The February 22, 2017 reverse stock split, which is more fully described in Note 1, resulted in the issuance of 526 shares of common stock due to the rounding up of fractional shares.

On March 13, 2017, the Company issued 26,667 shares of common stock in settlement of $0.4 million of outstanding notes and warrants (see Note 5).

On March 15, 2017, the Company agreed to issue 2,056 shares of common stock to the holders of a like number of warrants to purchase the Company’s common stock in exchange for the warrants valued at $57,868.

During the nine months ended September 30, 2017,2018, the Company issued 548,932 shares of its common stock upon conversion of $4.1 million of the principal amount of the March Debentures (See Note 6).Company:

 

On July 25, 2017, the Company issued 8,333 shares of its common stock valued at $42,510 for severance owed to a former employee under the terms of the Company’s equity plan. The equity plan is more fully described below.

issued an aggregate of 3,886,680 shares of its common stock upon conversion of $6.7 million of the principal amount of the March 2017 Debentures. The value of the common stock issued was based on the fair value of the stock at the time of issuance;
issued 1,492,228 shares of common stock upon exercise of 5,906,177 warrants, on a cashless basis;
issued 40,000 shares of common stock upon the conversion of 50 shares of its Series H Preferred stock as discussed above; and
issued 1,764,927 shares of common stock upon the conversion of 538.137 shares its Series I-2 Preferred stock;

 

On August 14, 2017, the Company issued 181,933 shares of restricted stock to employees and directors, and later returned 4,933 shares of this stock to treasury, as more fully discussed under the headingRestricted Stock below.

 

On August 23, 2017, the Company issued 33,334 shares of its common stock in payment of professional service fees valued at $118,493.

Restricted Stock

On August 14, 2017, the Board of Directors, based on the recommendation of the Compensation Committee of the Board and in accordance with the provisions of the 2007 Equity Plan, approved grants to employees and directors of the Company of an aggregate of 181,933364 shares of restricted common stock of the Company. The grants fully vestvested on the first anniversary of the date of grant, subject to the grantee’s continued status as an employee or director as the case may be, on the vesting date. During the nine months ended September 30, 2017, 4,933 shares of the restricted stock were forfeited by their terms and returned to treasury and cancelled.

 

During the nine months ended September 30, 2017, the Company recognized stock-based compensation in the amount of $82,974 for the grant of the restricted stock based on a valuation of $3.75 per share. At September 30, 2017, the Company had approximately $580,750 of unrecognized compensation cost related to the restricted stock.2018:

122shares of the restricted stock were forfeited by their terms and returned to treasury.
the Company issued an aggregate of 142,667 shares of restricted stock to employees and directors, based upon the recommendation of the Compensation Committee of the Board. The grants fully vested immediately. The Company recognized stock-based compensation in the amount of $477,933 for the grant of such restricted stock based on a valuation of $3.35 per share. In addition, the Company recorded $189,209 of compensation expense related to restricted stock issued in 2017. The value of the common stock issued was based on the fair value of the stock at the time of issuance.

RENNOVA HEALTH, INC. AND SUBSIDIARIES

Notes to Condensed Consolidated Financial Statements

(unaudited)

Stock Options

The Company maintained and sponsored the Tegal Corporation 2007 Incentive Award Equity Plan (the “2007 Equity Plan”). Tegal Corporation is the predecessor entity to the Company. The 2007 Equity Plan, as amended, provided for the issuance of stock options and other equity awards to the Company’s officers, directors, employees and consultants. During the nine months ended September 30, 20172018 and 2016,2017, the Company recognized stock-basedrecorded approximately $72,590 and $34,081, respectively, as stock compensation expense from the amortization of stock options issued in prior periods. As of September 30, 2018, the weighted average remaining contractual life was 7.6 years for options outstanding and exercisable. The intrinsic value of options exercisable at September 30, 2018 and 2017 was $0. As of September 30, 2018, the remaining expense is approximately $58,796 over the remaining amortization period which is 0.53 years under the Company’s 2007 Equity Plan. The Company estimates forfeiture and volatility using historical information. The risk-free interest rate is based on the implied yield available on U.S. Treasury zero-coupon issues over the equivalent lives of the options. The expected life of the options represents the estimated period using the simplified method. The Company has not paid cash dividends on its common stock and no assumption of dividend payment(s) is made in the amount of $34,081 and $0.7 million, respectively, for the vesting of outstanding stock options. The 2007 Equity Plan terminated pursuant to its terms in September 2017. model.

The following table summarizes the Company’s stock option activity for the nine months ended September 30, 2017:

17

RENNOVA HEALTH, INC.

Notes to Condensed Consolidated Financial Statements

(unaudited)

  Number of
options
  Weighted-
average
exercise
price
  Weighted-
average
contractual
term (Yrs.)
 
Outstanding at December 31, 2016  47,268  $1,941.45   8.93 
Granted  -   -     
Expired  -   -     
Forfeit  (8,790)  -     
Exercised  -   -     
Outstanding at September 30, 2017  38,478  $2,072.75   8.68 
Exercisable at September 30, 2017  31,811  $2,445.84     

As of September 30, 2017, the Company had approximately $155,582 of unrecognized compensation cost related to stock options granted under the Company’s 2007 Equity Plan, which is expected to be recognized over a weighted-average period of 1.03 years.2018:

 

  

Number

of options

  

Weighted-

average

exercise price

  

Weighted-

average

contractual

term (Yrs.)

 
Outstanding at December 31, 2017  77  $1,036,374   8 
Granted  -   -     
Expired  -   -     
Forfeit  -   -     
Exercised  -   -     
Outstanding at September 30, 2018  77  $1,036,374   8 
Exercisable at September 30, 2018  66  $1,186,581     

Warrants

Warrants

The Company, as part of various debt and equity financing transactions, has issued warrants to purchase shares of the Company’s common stock. The following summarizes the information related to warrants issued and the activity during the nine months ended September 30, 2017:

  Number of
warrants
  Weighted
average
exercise price
 
Balance at December 31, 2016  93,843  $175.50 
Warrants issued during the period  17,900,999  $4.58 
Warrants exchanged/exercised during period  (6,500)    
Warrants expired during the period  -     
Balance at September 30, 2017  17,988,342  $5.40 

During the nine-months ended September 31, 2017, the Company issued 16,350,132 warrants with a weighted average exercise price of $5.03 per share in connection with the issuances of debentures as more fully discussed in Note 6.2018: 

 

Basic and Diluted Loss per Share

Basic loss per share excludes dilution and is computed by dividing loss attributable to common stockholders by the weighted-average number of common shares outstanding during the period. Diluted loss per share reflects the potential dilution that could occur if securities or other contracts to issue common stock were exercised or converted into common stock or resulted in the issuance of common stock that then shared in the income of the Company. For the three and nine months ended September 30, 2017 and 2016, basic loss per share is the same as diluted loss per share.

Diluted loss per share excludes all dilutive potential shares if their effect is anti-dilutive. As of September 30, 2017 and 2016, the following potential common stock equivalents were excluded from the calculation of diluted loss per share as their effect was anti-dilutive:

  As of September 30, 
  2017  2016 
Warrants  17,988,342   78,102 
Convertible preferred stock  71,147   47,463 
Convertible debt  4,353,898   3,911 
Stock options  38,478   49,331 
   22,451,865   178,807 
  Number of warrants  

Weighted

average

exercise price

 
Balance at December 31, 2017  38,961,036  $2.48 
Warrants issued during the period  -  $- 
Increases due to dilution  433,154,987  $0.67 
Warrants exercised during the period  (5,906,177) $0.17 
Warrants expired during the period  (2,760,079) $- 
Balance at September 30, 2018  463,449,767  $0.21 

18

RENNOVA HEALTH, INC. AND SUBSIDIARIES

Notes to Condensed Consolidated Financial Statements

(unaudited)

Common Stock and Common Stock Equivalents

The Company has outstanding options, warrants, convertible preferred stock and convertible debentures. Exercise of the options and warrants, and conversions of the convertible preferred stock and debentures could result in substantial dilution of our common stock and a decline in its market price. In addition, the terms of certain of the warrants, convertible preferred stock, and convertible debentures issued by us provide for reductions in the per share exercise prices of the warrants. These terms also provide for reductions in the per share conversion prices of the debentures and preferred stock (if applicable and subject to a floor in certain cases), in the event that we issue common stock or common stock equivalents (as that term is defined in the agreements), at an effective exercise/conversion price that is less than the then exercise/conversion prices of the outstanding warrants, preferred stock and debentures. These provisions, as well as the issuances of debentures and preferred stock with conversion prices that vary based upon the price of our common stock on the date of conversion, have resulted in significant dilution of our common stock and have given rise to reverse splits of our common stock.

The following table presents the dilutive effect of our various potential common shares as of September 30, 2018:

September 30, 2018

Common shares outstanding

7,365,881

Dilutive potential shares:
Stock options77
Warrants

463,449,767

Convertible debt

214,222,493

Convertible preferred stock

68,344,495

Total dilutive potential common shares, including outstanding common stock

753,382,713

As of November 9, 2018, the Company had sufficient authorized shares of its common stock to cover all potentially dilutive common shares outstanding.

 

Note 1014 – Supplemental Disclosure of Cash Flow Information

 

The supplemental cash flow information for the nine months ended September 30, 20172018 and 20162017 (unaudited) is as follows:

 

   Nine Months Ended September 30, 
   2017   2016 
Cash paid for interest $1,106,835  $1,237,622 
Cash paid for income taxes $506,313  $- 
         
Non-cash investing and financing activities:        
Services and severance settled through issuance of common stock $161,003  $2,131,829 
Exchange of convertible debentures for convertible debentures and warrants $10,734,336  $- 
Series F Preferred Stock issued for business acquisition $174,097  $- 
Note payable and warrants settled through issuance of common stock $440,000  $- 
Convertible debenture issued in exchange of Series H Preferred Stock $2,695,760  $- 
Debentures converted into common stock $4,064,162  $- 
Deemed dividend for trigger of down round provision feature $53,341,619  $- 

  Nine Months Ended September 30, 
  2018  2017 
Cash paid for interest $302,308  $1,106,835 
Cash paid for income taxes $20,000  $506,313 
         
Acquisition of Jamestown Regional Medical Center:        
Cash $-  $- 
Inventory $450,682  $- 
Prepaid expenses and other current assets $310,385  $- 
Property and equipment $7,347,468  $- 
Intangible assets $486,716  $- 
Accrued expenses $(193,966) $- 
         
Non-cash investing and financing activities:        
Exchange of preferred stock for convertible debentures and warrants $-  $10,734,336 
Cashless exercise of warrants $4,619,150  $- 
Exchange of convertible debentures for convertible debentures and warrants $-  $- 
Exchange of debentures for Series I-2 Preferred Stock $1,420  $- 
Services and severance settled through issuance of common stock $-  $161,003 
Note payable, warrants, and accrued expenses settled through issuance of common stock $-  $440,000 
Note payable and accrued expenses settled through issuance of Series J Preferred Stock $250,000   - 
Exchange of Series H Preferred Stock for debentures $-  $2,695,760 
Series F Preferred Stock issued for business acquisition $-  $174,097 
Debentures converted into common stock $8,085,342  $4,064,162 
OID from issuance of debentures $1,920,000  $- 
Conversions of shares of Preferred Stock into common stock $633,100  $- 
Conversions of shares of Series H Preferred Stock into common stock $50,000  $- 
Deemed dividend for trigger of down round provision feature $17,942,578  $53,341,619 

RENNOVA HEALTH, INC. AND SUBSIDIARIES

Notes to Condensed Consolidated Financial Statements

(unaudited)

 

Note 1115 – Commitments and Contingencies

 

Legal Matters

 

From time to time, the Company may be involved in a variety of claims, lawsuits, investigations and proceedings related to contractual disputes, employment matters, regulatory and compliance matters, intellectual property rights and other litigation arising in the ordinary course of business. The Company operates in a highly regulated industry which may inherently lend itself to legal matters. Management is aware that litigation has associated costs and that results of adverse litigation verdicts could have a material effect on the Company’s financial position or results of operations. Management, in consultation with legal counsel, has addressed known assertions and predicted unasserted claims below.

 

Biohealth Medical Laboratory, Inc,Inc. and PB Laboratories, LLC (the “Companies”) filed suit against CIGNA Health in 2015 alleging that CIGNA failed to pay claims for laboratory services the Companies provided to patients pursuant to CIGNA - issued and CIGNA - administered plans. In 2016, the U.S. District Court dismissed part of the Companies’ claims for lack of standing. The Companies appealed that decision to the Eleventh Circuit Court of Appeals, which recentlyin late 2017 reversed the District Court’s decision and found that the Companies have standing to raise claims arising out of traditional insurance plans as well as self-funded plans. The Company continues to consider its options in this matter.

 

The Company’s Epinex Diagnostics Laboratories, Inc. subsidiary was sued in a California state court by two former employees who alleged that they were wrongfully terminated, as well as for a variety of unpaid wage claims. The parties entered into a settlement agreement of this matter on July 29, 2016 for approximately $0.2 million, and the settlement was consummated on August 25, 2016. In October of 2016, the plaintiffs in this matter filed a motion with the court seeking payment for attorneys’ fees in the approximate amount of $0.7 million. On March 24, 2017, the court granted plaintiffs’ motion for payment of attorneys’ fees in the amount of $0.3 million, and the Company has accrued this amount in its condensed consolidated financial statements. Additionally, the Company is seeking indemnification for these amounts from Epinex Diagnostics, Inc. (“EDI”), the seller of Epinex Diagnostic Laboratories, Inc. (“EDL”), pursuant to a Stock Purchase Agreement entered into by and among the parties.

 

In February 2016, the Company received notice that the Internal Revenue Service (the “IRS”) placed a lien against Medytox Solutions, Inc. and its subsidiaries relating to unpaid 2014 taxes due, plus penalties and interest, in the amount of $5.0 million. The Company paid $0.1 million toward its 2014 tax liability onin March 2016. The Company filed its 2015 Federal tax return on March 15, 2016 and the accompanying election to carryback the reported net operating losses was filed in April 2016. On August 24, 2016, the lien was released, and onin September of 2016 the Company received a refund from the IRS in the amount of $1.9 million. In November of 2016, the IRS commenced an audit of the Company’s 2015 Federal tax return. The Company is currently unable to predict the outcome of the audit or any liability to the Company that may result from the audit.audit and made provisions of approximately $2.0 million as a liability in its financial statements as well as an estimated $1.9 million of receivables for an additional refund that it believes is due. The Company expects the audit and all tax related matters to be concluded before the end of 2018.

 

On September 27, 2016, a tax warrant was issued against the Company by the Florida Department of Revenue (the “DOR”) for unpaid 2014 state income taxes in the approximate amount of $0.9 million, including penalties and interest. On January 25, 2017,The Company has made payments to reduce the Company paid the DOR $250,000 as partial payment on this liability,amount owed to approximately $443,000, and in February 2017 the Company entered into a Stipulation Agreement with the DOR which will allowallowing the Company to make monthly installment payments of $35,000installments until February 2018 and negotiate a new payment agreement then, ifJuly 2019. If in July 2019, the remaining estimated balance of $0.3 million cannot be satisfied$390,000 is not paid in a lump sum.sum, the Company would have the option to renegotiate another Stipulation agreement. If at any time during the Stipulation period the Company fails to timely file any required tax returns with the DOR or does not meet the payment obligations under the Stipulation Agreement, the entire amount due willcould be accelerated. The Company is current withremaining balance of approximately $443,000 remains outstanding to the agreed payment plan.

19

RENNOVA HEALTH, INC.

Notes to Condensed Consolidated Financial Statements

(unaudited)DOR at September 30, 2018.

 

In December of 2016, TCS-Florida, L.P. (“Tetra”), filed suit against the Company for failure to make the required payments under an equipment leasing contract that the Company had with Tetra (see Note 8)11). On January 3, 2017, Tetra received a Default Judgment against the Company in the amount of $2.6 million, representing the balance owed on the leases, as well as additional interest, penalties and fees. The Company has recognized this amount in its consolidated financial statements as of December 31, 2016. In January and February of 2017, the Company made payments to Tetra in connection withrelating to this judgment aggregating to $0.7 million, and on February 15, 2017, the Company entered into a forbearance agreement with Tetra whereby the remaining $1.9 million due willwould be paid in 24 equal monthly installments. Payments commenced on May 1, 2017. The Company is current with its payments.has not maintained the payment schedule to Tetra. As a result of this default, in May 2018, Tetra and the Company agreed to dispose of certain equipment and the proceeds from the sale have been applied to the outstanding balance. The balance owed to Tetra at September 30, 2018 was $0.5 million and the Company remains in default.

 

In December of 2016, DeLage Landen Financial Services, Inc. (“DeLage”), filed suit against the Company for failure to make the required payments under an equipment leasing contract that the Company had with DeLage (see Note 8)11). On January 24, 2017, DeLage received a default judgment against the Company in the approximate amount of $1.0 million, representing the balance owed on the lease, as well as additional interest, penalties and fees. The Company has recognized this amount in its consolidated financial statements as of December 31, 2016. On February 8, 2017, a Stay of Execution was filed and under its terms the balance due will be paid in variable monthly installments through January of 2019, with an implicit interest rate of 4.97%. The Company is current in its payments.and DeLage have now disposed of certain equipment and reduced the balance owed to DeLage. A balance of $0.2 million remains outstanding at September 30, 2018.

27

RENNOVA HEALTH, INC. AND SUBSIDIARIES

Notes to Condensed Consolidated Financial Statements

(unaudited)

 

On December 7, 2016, the holders of the Tegal Notes (see Note 5)8) filed suit against the Company seeking payment for the amounts due under the notes in the aggregate of $0.4 million, includingthe principal of $341,612, and accrued interest.interest of $43,000. A request for entry of default judgment was filed on January 24, 2017. A Case Management Conference is scheduled for December 5, 2017. The Company has submitted a settlement agreement proposal toOn April 23, 2018, the holders of the Tegal Notes received a judgment against the Company. To date, the Company has yet to repay this amount.

In November 2017, a former shareholder of Genomas, Phenomas, LLC, filed suit against the Company for payment of a $200,000 note payable by the Company’s subsidiary, Genomas. This note is recorded in the financial statements of the subsidiary and is awaitingnot payable directly from the Company. The Company has made payments totaling $120,000 against this note and agreed to a response.payment schedule in order to dismiss the legal action. On November 12, 2018, Phenomas, LLC filed a motion to voluntarily dismisses the suit without prejudice.

The counterparty to the prepaid forward purchase agreement entered into by the Company on March 31, 2016, as amended, has filed an arbitration proceeding under the agreement with regard to the outstanding balance. See Note 9. The Company does not have the financial resources to satisfy this amount.

Two former employees of the Company’s CollabRx, Inc. subsidiary have filed suits in a California state court in connection with amounts claimed to be owed under their respective employment agreements with the subsidiary. One former employee received a judgment in October 2018 for approximately $253,000. The other former employee’s claim is for approximately $110,000. The Company is considering its options to refute these matters and believes the claims to be frivolous and outside of entitlement and contractual agreements.

The Company, as well as many of our subsidiaries, are defendants in a case filed in Broward County Circuit Court by TCA Global Credit Master Fund, L.P. The plaintiff alleges a breach by Medytox Solutions, Inc. of its obligations under a debenture and claims damages of approximately $2,030,000 plus interest, costs and fees. The Company and the other subsidiaries are sued as alleged guarantors of the debenture. The complaint was filed on August 1, 2018. The Company has recorded the principal balance and interest owed under the debentures agreement for the period ended September 30, 2018. The Company and all defendants have filed a motion to dismiss the complaint, but have not recorded any potential liability related to any further damages. The case is in its early stages.

On September 13, 2018, Laboratory Corporation of America sued EPIC Reference Laboratories, Inc., a subsidiary of the Company, in Palm Beach County Circuit Court for amounts claimed to be owed of approximately $148,000. The Company has recorded the amount owed in accrued expenses for the period ended September 30, 2018. This case is in its early stages. 

 

Note 1216 – Segment Information

 

Operating segments are defined under U.S. GAAP as components of an enterprise for which discrete financial information is available and are evaluated regularly by the enterprise’s chief operating decision maker in determining how to allocate resources and assess performance. The Company operates in fourtwo reportable business segments:

 

 Clinical Laboratory Operations, which specializes in providing urine and blood toxicology and pain medication testing to physicians, clinics and rehabilitation facilities in the United States.
   
 Supportive Software Solutions, including EHR and medical billing and laboratory information management systems.
Hospital Operations,, which reflects the purchase of the Hospital Assets (see Note 3) and the operations of Scott County Community Hospital, which has since been renamed asJamestown Regional Medical Center and Big South Fork Medical Center.
Corporate,which reflects consolidated company wide support services such as finance, legal counsel, human resources, and payroll.

The Company’s Corporate expenses reflect consolidated company wide support services such as finance, legal counsel, human resources, and payroll.

 

The Company’s Decision Support and Informatics segment isand its Supportive Software Solutions segment are now included in discontinued operations as it hasthey have been classified as held for sale as of September 30, 2017.2018. The accounting policies of the reportable segments are the same as those described in Note 1 above and in Note 2 Summary of Significant Accounting Policies, of the Company’s audited consolidated financial statements included into the Company’s Annual Report on Form 10-K for the year ended December 31, 2016 and in Note 1 for2017 filed with the adoptionSEC on April 24, 2018.

RENNOVA HEALTH, INC. AND SUBSIDIARIES

Notes to ASU 2017-11. Condensed Consolidated Financial Statements

(unaudited)

Selected financial information for the Company’s operating segments is as follows:

 

  Three Months Ended September 30,  Nine Months Ended September 30, 
  2018  2017  2018  2017 
Net revenues - External                
Clinical Laboratory Operations $17,568  $190,610  $177,890  $949,440 
Hospital Operations  5,021,541   619,478   9,755,099   619,478 
  $5,039,110  $810,088  $9,932,989  $1,568,918 
(Loss) from operations                
Clinical Laboratory Operations $(547,041) $(1,039,118) $(1,765,395) $(3,809,147)
Hospital Operations  (1,294,580)  (2,093,805)  (3,998,943)  (3,114,473)
Corporate  (973,954)  (1,369,765)  (3,156,645)  (5,058,569)
Eliminations  -   -   -   - 
  $(2,815,575) $(4,502,688) $(8,920,983) $(11,982,189)
Depreciation and amortization                
Clinical Laboratory Operations $112,908  $410,801  $625,877  $1,265,174 

Hospital Operations

  

39,669

   15,436   177,386   15,436 

Corporate

  248   345   810   1006 
Eliminations  -   -   -   - 
  $152,825  $426,582  $804,073  $1,281,616 

  September 30, 2018  December 31, 2017 
Total assets        
Clinical Laboratory Operations $421,478  $1,503,520 
Supportive Software Solutions  1,650,984   2,549,504 
Decision Support and Informatics  38,323   - 
Hospital Operations  16,730,568   3,436,773 
Corporate  4,087,610   255,566 
Eliminations  (3,506,178)  (1,454,569)
Total Assets $19,422,785  $6,290,794 

Note 17 – Derivative Financial Instruments and Fair Value

In accordance with ASC 820, “Fair Value Measurements and Disclosures,” the Company applies fair value accounting for all financial assets and liabilities and non-financial assets and liabilities that are recognized or disclosed at fair value in the financial statements on a recurring basis. Fair value is defined as the price that would be received from selling an asset or paid to transfer a liability in an orderly transaction between market participants at the measurement date. When determining the fair value measurements for assets and liabilities, which are required to be recorded at fair value, the Company considers the principal or most advantageous market in which it would transact and the market-based risk measurements or assumptions that market participants would use in pricing the asset or liability, such as risks inherent in valuation techniques, transfer restrictions and credit risk. Fair value is estimated by applying the following hierarchy, which prioritizes the inputs used to measure fair value into three levels and bases the categorization within the hierarchy upon the lowest level of input that is available and significant to the fair value measurement:

20Level 1 applies to assets or liabilities for which there are quoted prices in active markets for identical assets or liabilities that we have the ability to access at the measurement date.

 

RENNOVA HEALTH, INC. AND SUBSIDIARIES

Notes to Condensed Consolidated Financial Statements

(unaudited)

Level 2 applies to assets or liabilities for which there are inputs other than quoted prices included in Level 1 that are observable for the asset or liability, either directly or indirectly, such as quoted prices for similar assets or liabilities in active markets; or quoted prices for identical assets or liabilities in markets with insufficient volume or infrequent transactions (less active markets).
Level 3 applies to assets or liabilities for which fair value is derived from valuation techniques in which one or more significant inputs are unobservable, including our own assumptions.

The estimated fair value of financial instruments is determined by the Company using available market information and valuation methodologies considered to be appropriate. At September 30, 2018 and December 31, 2017, the carrying value of the Company’s accounts receivable, accounts payable and accrued expenses approximate their fair values due to their short-term nature.

 

  Three Months Ended September 30,  Nine Months Ended September 30, 
  2017  2016  2017  2016 
Net revenues - External                
Clinical Laboratory Operations $586,663  $(9,085) $1,994,639  $3,461,987 
Supportive Software Solutions  208,070   50,447   698,359   605,575 
Hospital Operations  619,478   -   619,478   - 
  $1,414,211  $41,362  $3,312,476  $4,067,562 
Net revenues - Intersegment (***)                
Supportive Software Solutions  217,431   502,055   501,924   1,036,396 
  $217,431  $502,055  $501,924  $1,036,396 
(Loss) income from operations                
Clinical Laboratory Operations $(1,039,118) $(7,364,096) $(3,809,146) $(10,590,435)
Supportive Software Solutions  (660,800)  (1,253,386)  (1,721,694)  (3,800,893)
Hospital Operations  (2,093,805)  -   (3,114,473)  - 
Corporate  (1,369,765)  (2,940,956)  (5,058,565)  (7,059,644)
Eliminations  -   33,663   8,181   100,987 
  $(5,163,488) $(11,524,775) $(13,695,697) $(21,349,985)
Depreciation and amortization                
Clinical Laboratory Operations $410,801  $549,748  $1,265,174  $1,646,167 
Supportive Software Solutions  25,015   163,749   227,999   490,236 
Hospital Operations  15,436   -   22,045   - 
Corporate  345   745   1,005   2,494 
Eliminations  -   (33,663)  (8,181)  (100,987)
  $451,597  $680,579  $1,508,042  $2,037,910 
Capital expenditures                
Clinical Laboratory Operations $-  $-  $-  $6,000 
Supportive Software Solutions  -   -   -   9,998 
Hospital Operations  160,413   -   1,554,499   - 
  $160,413  $-  $1,554,499  $15,998 

The following table sets forth the financial assets and liabilities carried at fair value measured on a recurring basis as of December 31, 2017 and September 30, 2018:

  Level 1  Level 2  Level 3  Total 
As of December 31, 2017:                
Embedded conversion options $-  $-  $1,577,025  $1,577,025 
Common stock warrants  -   -   10,858,225   10,858,225 
Total $-  $-  $12,435,250  $12,435,250 
                 
As of September 30, 2018:                
Embedded conversion options $-  $-  $357,797  $357,797 
Common stock warrants  -   -   -   0 
Total $-  $-  $357,797  $357,797 

For the three and nine months ended September 30, 2018, total income (loss) on instruments valued using Level 3 valuations was $109.3 million and $13.7 million, respectively.

The Company reclassified the derivative liability previously reported at December 31, 2017 as long term to current liability for the second quarter 2018. On September 23, 2018, the Company’s board of directors approved a reverse split of its common stock, which would provide sufficient authorized and unissued shares to allow for otherwise equity classified instruments to be classified in equity. As of September 23, 2018, the fair value of these instruments was evaluated for reclassification. As a result of the evaluation, the Company reclassified the derivative liability previously reported as a current liability to derivative income.

 

***`Intersegment revenuesThe Company utilized the following methods to value its derivative liabilities for the nine months ended September 30, 2018, for embedded conversion options valued at $357,797. The Company determined the fair value by comparing the discounted conversion price per share (85% of market price) multiplied by the number of shares issuable at the balance sheet date to the actual price per share of the Company’s common stock multiplied by the number of shares issuable at that date with the difference in value recorded as a liability. In addition, the Company valued the modification in the term of the March 2017 Series B Warrants at $8,603,067using Monte Carlo simulations. All inputs for the derivative liabilities are eliminatedobservable and, therefore, there is no sensitivity in consolidation.the valuation to unobservable inputs.

The following table reconciles the changes in the liabilities categorized within Level 3 of the fair value hierarchy for the nine months ended September 30, 2018:

Balance at December 31, 2017 $12,435,250 
Loss on change in fair value of debentures and warrants  (15,159,799)
Fair value of warrants exercised  (4,619,150)
Fair value of debentures converted  (1,408,899)
Fair value of debentures exchanged for Series I-2 Preferred Stock  (1,420)
Modification of warrants  8,603,067 
Issuance of convertible debt  508,748 
Balance at September 30, 2018 $357,797 

 

  September 30, 2017  December 31, 2016 
Total assets        
Clinical Laboratory Operations $1,686,167  $3,986,126 
Supportive Software Solutions  1,767,251   2,602,428 
Decision Support and Informatics  -   60,000 
Hospital Operations  1,748,986   - 
Corporate  3,037,112   2,130,191 
Assets of AMSG classified as held for sale  997,497   414,662 
Eliminations  (2,871,080)  (2,711,014)
  $6,365,933  $6,482,393 

In addition to the loss on change in fair value of debentures and warrants, during the nine months ended September 30, 2018, the Company recorded a loss on the exchange of convertible debentures into shares of its Series I-2 Preferred Stock of $1,471,121.

21

 

RENNOVA HEALTH, INC. AND SUBSIDIARIES

Notes to Condensed Consolidated Financial Statements

(unaudited)

On September 14, 2018, the expiration date of certain warrants was extended by 180 days. The Company used the Black Scholes model to calculate the fair value of the warrants as of the modification date. Using the pre-modification term and related assumptions, and the post-modification term and related assumptions, the fair value of the warrant instruments was estimated for embedded conversion options on each conversation date. This was done by comparing the fair value of shares issued upon conversion to the amount of principal and interest converted.

 

On September 28, 2018, subsequent to the board approval of the reverse split and resulting reclassification of the warrants from liabilities to equity, the conversion of certain convertible notes triggered a further reduction in the exercise prices of any warrants containing a ratchet feature that had not already ratcheted down to their floor. In accordance with US GAAP, the incremental fair value of the warrants was measured, ignoring the down-round provision, using Black Scholes.

Note 13 – Recently Issued Accounting Standards

The following table provides a brief description of recently issued accounting standards:

Title and referencePrescribedCommentary
Effective Date
ASU No. 2015-11, “Inventory” (Topic 330): Simplifying the Measurement of Inventory.Fiscal years beginning after December 15, 2016 and for interim periods therein.In July 2015, the FASB issued ASU No. 2015-11, “Inventory” (Topic 330): Simplifying the Measurement of Inventory (“ASU 2015-11”). ASU 2015-11 simplifies the measurement of inventory by requiring certain inventory to be subsequently measured at the lower of cost and net realizable value. The amendments in this guidance are effective for fiscal years beginning after December 15, 2016 and for interim periods therein and did not have a significant impact on the Company’s consolidated financial statements upon adoption.
ASU No. 2014-09, “Revenue from Contracts with Customers (Topic 606)”Fiscal years beginning after December 15, 2017 and for interim periods therein.In May 2014, the FASB issued guidance that outlines a single comprehensive model for entities to use in accounting for revenue arising from contracts with customers and supersedes most recent current revenue recognition guidance, including industry-specific guidance. The core principle of the revenue model is that an entity recognizes revenue to depict the transfer of promised goods or services to customers in an amount that reflects the consideration to which the entity expects to be entitled in exchange for those goods or services. The guidance also specifies the accounting for certain incremental costs of obtaining a contract and costs to fulfill a contract with a customer. Entities have the option of applying either a full retrospective approach to all periods presented or a modified approach that reflects differences prior to the date of adoption as an adjustment to equity. In April 2015, FASB deferred the effective date of this guidance until January 1, 2018 and the Company is currently assessing the impact of this guidance on its consolidated financial statements.
ASU No. 2014-15, “Presentation of Financial Statements - Going Concern” (Subtopic 205-40): Disclosure of Uncertainty about an Entity’s Ability to Continue as a Going Concern.Fiscal years, and interim periods within those years, beginning on or after December 15, 2016, with early adoption permitted.In August 2014, the FASB issued ASU No. 2014-15, “Presentation of Financial Statements - Going Concern” (Subtopic 205-40): Disclosure of Uncertainty about an Entity’s Ability to Continue as a Going Concern (“ASU 2014-15”). ASU 2014-15 provides guidance that establishes management’s responsibility to evaluate whether there is substantial doubt about an entity’s ability to continue as a going concern and setting rules for how this information should be disclosed in the financial statements. Adoption of this new standard did not have a significant impact on the Company’s consolidated financial statements. See Note 1 regarding management’s current disclosures regarding the Company’s ability to continue as a going concern.
ASU No. 2015-17, “Income Taxes (Topic 740): Balance Sheet Classification of Deferred Taxes”Fiscal years beginning on or after December 15, 2016, with early adoption permitted.In November 2015, the FASB issued ASU No. 2015-17, “Income Taxes (Topic 740): Balance Sheet Classification of Deferred Taxes” (“ASU 2015-17”). Topic 740, Income Taxes, requires an entity to separate deferred income tax liabilities and assets into current and noncurrent amounts in a classified statement of financial position. Deferred tax liabilities and assets are classified as current or noncurrent based on the classification of the related asset or liability for financial reporting. Deferred tax liabilities and assets that are not related to an asset or liability for financial reporting are classified according to the expected reversal date of the temporary difference. To simplify the presentation of deferred income taxes, the amendments in ASU 2015-17 require that deferred income tax liabilities and assets be classified as noncurrent in a classified statement of financial position. For public business entities, the amendments in this update are effective for financial statements issued for annual periods beginning after December 15, 2016, and interim periods within those annual periods. Adoption of ASU 2015-17 did not have a material impact on the Company’s consolidated financial statements.

22

Accounting Standards Update (“ASU”) No. 2016-02, “Leases (Topic 842)” Annual and interim periods within the annual period beginning after December 15, 2018.In February 2016, the FASB issued Accounting Standards Update (“ASU”) No. 2016-02, “Leases (Topic 842)” (“ASU 2016-02”). The amendments in this update create Topic 842, Leases, and supersede the leases requirements in Topic 840, Leases. Topic 842 specifies the accounting for leases. The objective of Topic 842 is to establish the principles that lessees and lessors shall apply to report useful information to users of financial statements about the amount, timing, and uncertainty of cash flows arising from a lease. The main difference between Topic 842 and Topic 840 is the recognition of lease assets and lease liabilities for those leases classified as operating leases under Topic 840. Topic 842 retains a distinction between finance leases and operating leases. The classification criteria for distinguishing between finance leases and operating leases are substantially similar to the classification criteria for distinguishing between capital leases and operating leases in the previous leases guidance. The result of retaining a distinction between finance leases and operating leases is that under the lessee accounting model in Topic 842, the effect of leases in the statement of comprehensive income and the statement of cash flows is largely unchanged from previous GAAP. The amendments in ASU 2016-02 are effective for fiscal years beginning after December 15, 2018, including interim periods within those fiscal years for public business entities. Early application of the amendments in ASU 2016-02 is permitted. The Company has not yet determined the impact that adoption of ASU 2016-02 will have on its consolidated financial statements.
ASU No. 2017-11, “Earnings Per Share (Topic 260) Distinguishing Liabilities from Equity (Topic 480) Derivatives and Hedging (Topic 815)” (“ASU 2017-11”)Fiscal years beginning on or after December 15, 2018, with early adoption permitted.The Company adopted this amendment as of its period ended June 30, 2017 (see Note 1).

23

ASU No. 2017-12, “Derivatives and Hedging (Topic 815)”(“ASU 2017-12”)For public business entities, the amendments in this ASU 2017-12 are effective for fiscal years beginning after December 15, 2018, and interim periods within those fiscal years. Early adoption permitted in any interim period after issuance of this ASU.The amendments in ASU 2017-12 (“Update”) provide recognition and presentation guidance for qualifying hedges. The amendments in this Update more closely align the results of cash flow and fair value hedge accounting with risk management activities through changes to both the designation and measurement guidance for qualifying hedging relationships and the presentation of hedge results in the financial statements. The amendments address specific limitations in current U.S. GAAP by expanding hedge accounting for both nonfinancial and financial risk components and by refining the measurement of hedge results to better reflect an entity’s hedging strategies. Thus, the amendments will enable an entity to report more faithfully the economic results of hedging activities for certain fair value and cash flow hedges and will avoid mismatches in earnings by allowing for greater precision when measuring change in fair value of the hedged item for certain fair value hedges. Additionally, by aligning the timing of recognition of hedge results with the earnings effect of the hedged item for cash flow and net investment hedges, and by including the earnings effect of the hedging instrument in the same income statement line item in which the earnings effect of the hedged item is presented, the results of an entity’s hedging program and the cost of executing that program will be more visible to users of financial statements. Additionally, the amendments in this Update should ease the operational burden of applying hedge accounting by allowing more time to prepare hedge documentation and allowing effectiveness assessments to be performed on a qualitative basis after hedge inception. The Company has not yet determined the impact that adoption of ASU 2017-12 will have on its consolidated financial statements.

Note 1418 – Discontinued Operations

 

On July 12, 2017, the Company announced plans to spin off AMSGspinoff its Advanced Molecular Services Group (“AMSG”) and in the third quarter of 2017 the Company’s Board of Directors voted unanimously to spinoff the Company’s wholly-owned subsidiary, Health Technology Solutions, Inc. (“HTS”), as an independent publicly traded companycompanies by way of a tax-free distributiondistributions to the Company’s stockholders. Completion of the spinoffthese spinoffs is now expected to occur in the firstfourth quarter of 2018 and is2018. The spinoffs are subject to numerous conditions, including effectiveness of a Registration StatementStatements on Form 10 to be filed with the Securities and Exchange Commission, and consents, including under various funding agreements previously entered into by the Company. A record date to determine those stockholders entitled to receive shares in the spin offspinoffs should be approximately 30 to 60 days prior to the datedates of the spinoff.spinoffs. The strategic goal of the spinoffspinoffs is to create twothree public companies, each of which can focus on its own strengths and operational plans. In addition, after the spinoff,spinoffs, each company will provide a distinct and targeted investment opportunity.

 

In accordance with ASC 205-20 and having met the criteria for “held for sale”, as the Company reached this decision prior to September 30, 2017, theThe Company has reflected the amounts relating to AMSG and HTS as a disposal groupgroups classified as held for sale and included in discontinued operations in the Company’s accompanying consolidated financial statements. Prior to being classified as part of discontinued operations.held for sale, AMSG had been included in the Decision Support and Informatics segment,division, except for the Company’s subsidiary, Alethea Laboratories, Inc., which had been included in the Clinical Laboratory Operations segment. SegmentLaboratories division, and HTS had been included in the Company’s Supportive Software Solutions division. The segment disclosures included in Note 12our results of operations no longer include amounts relating to AMSG and HTS following the reclassification to discontinued operations.operations except that the inter-company debt as of September 30, 2018 from HTS to the Company of $15,396,149 and from AMSG of $7,429,387 will remain with the separated entities. The Company hopes to complete the spinoffs in a manner to permit it to recognize these amounts on its balance sheet as investments in the divisions.

 

Carrying amounts of major classes of assets and liabilities classified as held for sale and included as part of discontinued operations in the condensed consolidated balance sheets consisted of the following:

24

 

AMSG Assets and Liabilities:

  September 30, 2018  December 31, 2017 
  (unaudited)  (unaudited) 
Cash $8,575  $9,273 
Accounts receivable, net  1,837   19,022 
Prepaid expenses and other current assets  25,477   25,477 
Current assets classified as held for sale $35,889  $53,772 
         
Accounts payable (includes related parties) $492,898  $671,561 
Accrued expenses  405,616   375,165 
Current portion of notes payable  281,728   249,589 
Current liabilities classified as held for sale $1,180,242  $1,296,315 

 

RENNOVA HEALTH, INC.

Notes to Condensed Consolidated Financial Statements

(unaudited)

  September 30, 2017  December 31, 2016 
  (unaudited)  (unaudited) 
Cash $8,690  $2,962 
Accounts receivable, net  6,503   267,681 
Prepaid expenses and other current assets  53,582   67,257 
Current assets classified as held for sale $68,775  $337,900 
         
Property and equipment, net $-  $53,012 
Goodwill  914,972   - 
Deposits  13,750   23,750 
Non-current assets classified as held for sale $928,722  $76,762 
         
Accounts payable (includes related parties) $837,989  $422,864 
Accrued expenses  253,991   1,253,117 
Current portion of notes payable  276,632   - 
Current liabilities classified as held for sale $1,368,612  $1,675,981 
         
Non-current liabilities classified as held for sale $-  $26,598 

Major line items constituting loss from discontinued operations in the consolidated statements of operations for the nine months ended September 30, 2017 and 2016 consisted of the following:

  September 30, 2017  September 30, 2016 
   (unaudited)   (unaudited) 
Revenue from services $224,224  $1,154,967 
Cost of services  9,282   162,266 
Gross profit  214,942   992,701 
Operating expenses  1,225,638   4,073,873 
Other income (expenses)  42,775   (253,142)
Loss from discontinued operations $(1,053,471) $(2,828,030)

Acquisition of Genomas, Inc. on September 27, 2017

On September 29, 2016, the Company announced that it had entered into a Stock Purchase Agreement (the “Purchase Agreement”) to acquire the remaining outstanding equity securities of Genomas, Inc. (“Genomas”) that the Company did not already own, representing approximately 85% of the outstanding equity interests in Genomas, for 1,750,000 shares of the Company’s newly - designated Series F Preferred Stock. (The Series F Preferred Stock is more fully described in Note 9 and below.) Genomas is a biomedical company that develops PhyzioType Systems for DNA-guided management and prescription of drugs used to treat mental illness, pain, heart disease, and diabetes. The Company had previously announced that on July 19, 2016 it acquired approximately 15% of the outstanding equity of Genomas from Hartford Healthcare Corporation (“Hartford”), along with approximately $1.5 million of notes payable to Hartford and certain rights to and license participation in technology that is used by Genomas, for $250,000 in cash. Under the terms of the Purchase Agreement, the Company also agreed to assume approximately $0.8 million of indebtedness and other obligations of Genomas. The closing of this acquisition, which was subject to, among other things, receipt of regulatory and licensure approvals as well as other customary closing conditions, did not occur until September 27, 2017. As a result of delays in the closing of the transaction, the Company expensed all amounts previously paid for the company during the fourth quarter of 2016, including outstanding advances to Genomas in the amount of $0.4 million. Genomas will be spun-off as part of AMSG, so it is presented here in discontinued operations.

25

RENNOVA HEALTH, INC. AND SUBSIDIARIES

Notes to Condensed Consolidated Financial Statements

(unaudited)

 

The Series F Preferred Stock issued effective September 27, 2017 has an aggregate stated value of $1,750,000,HTS Assets and is convertible into shares of the Company’s common stock at any time after the one-year anniversary of the closing date at a conversion price per common share equalLiabilities:

  September 30, 2018  December 31, 2017 
  (unaudited)  (unaudited) 
Cash $1,424  $8,281 
Accounts receivable, net  178,027   160,715 
Prepaid expenses and other current assets  10,300   3,964 
Current assets classified as held for sale $189,751  $172,960 
         
Property and equipment, net $8,619  $21,078 
Deposits  6,029   7,756 
Non-current assets classified as held for sale $14,648  $28,834 
         
Accounts payable (includes related parties) $493,535  $407,404 
Accrued expenses  455,645   269,135 
Current liabilities classified as held for sale $949,180  $676,539 

Consolidated Discontinued Operations Assets and Liabilities:
Total Discontinued Assets and Liabilities:

  September 30, 2018  December 31, 2017 
  (unaudited)  (unaudited) 
Cash $9,999  $17,554 
Accounts receivable, net  179,864   179,737 
Prepaid expenses and other current assets  35,777   29,441 
Current assets classified as held for sale $225,640  $226,732 
         
Property and equipment, net $8,619  $21,078 
Deposits  6,029   7,756 
Non-current assets classified as held for sale $14,648  $28,834 
         
Accounts payable (includes related parties) $986,433  $1,078,965 
Accrued expenses  861,261   644,300 
Current portion of notes payable  281,728   249,589 
Current liabilities classified as held for sale $2,129,422  $1,972,854 

32

RENNOVA HEALTH, INC. AND SUBSIDIARIES

Notes to the greater of $29.25 or the average closing sales price of the Company’s common stock for the 10 trading days immediately preceding the conversion. The maximum number of common shares issuable upon the conversion of the Series F Preferred Stock is 59,829. The Company valued the Series F Preferred Stock based on the value of the common stock issuable upon conversion on the date of the acquisition, which was $174,097.Condensed Consolidated Financial Statements

(unaudited)

 

The following table summarizesMajor line items constituting income (loss) from discontinued operations in the (preliminary) fair values of assets acquired and liabilities assumed at the acquisition date of Genomas. The Fair Market Value appears to equal cost. The Company has one year to revalue goodwill and other intangible assets in accordance with GAAP per ASC 850-10-25-14.

Cash $7,990 
Accounts receivable, net  6,503 
Accounts payable and accrued expenses  (458,736)
Deferred revenue  (20,000)
Loans payable short-term  (142,514)
Note payable long-term  (134,118)
Total identifiable net liabilities  (740,875)
Goodwill  914,972 
Total consideration $174,097 

The acquisition of Genomas was accounted for under the purchase method of accounting and, accordingly, the unaudited condensed consolidated financial statements reflect the results of operations of Genomas from the date of acquisition. Unaudited pro forma results of operations for the three-monthsthree and nine months ended September 30, 2018 and 2017 consisted of the following:

AMSG Loss from Discontinued Operations:

  Three Months Ended September 30, 
  

2018

  2017 
  (unaudited)  (unaudited) 
Revenue from services $13,249  $1,120 
Cost of services  15,559   8,513 
Gross profit  (2,310)  (7,393)
Operating expenses  93,059   328,233 
Other (income) expenses  (5,748)  34,523 
Loss from discontinued operations $(89,621) $(370,149)

HTS Loss from Discontinued Operations:

  Three Months Ended September 30, 
  2018  2017 
  (unaudited)  (unaudited) 
Revenue from services $499,317  $344,304 
Cost of services  30,082   47,347 
Gross profit  469,235   296,957 
Operating expenses  532,892   957,757 
Other (income) expenses  6,152   (22,992)
Loss from discontinued operations $(69,808) $(637,808)

AMSG Income (loss) from Discontinued Operations:

  Nine Months Ended  September 30, 
  

2018

  2017 
  (unaudited)  (unaudited) 
Revenue from services $92,090  $224,224 
Cost of services  37,773   9282 
Gross profit  54,317   214,942 
Operating expenses  363,944   1,225,639 
Other (income) expenses  (819,258)  42,767 
Income (loss) from discontinued operations $509,631  $(1,053,464)

RENNOVA HEALTH, INC. AND SUBSIDIARIES

Notes to Condensed Consolidated Financial Statements

(unaudited)

HTS Loss from Discontinued Operations:

  

Nine Months Ended September 30,

 
  2018  2017 
  (unaudited)  (unaudited) 
Revenue from services $1,291,288  $1,112,653 
Cost of services  95,965   122,728 
Gross profit  1,195,323   989,925 
Operating expenses  1,577,046   2,711,619 
Other (income) expenses  12,121   (22,992)
Loss from discontinued operations $(393,844) $(1,698,702)

Consolidated Loss from Discontinued Operations:

  Three Months Ended  September 30, 
  2018  2017 
  (unaudited)  (unaudited) 
Revenue from services $512,566  $345,424 
Cost of services  45,641   55,860 
Gross profit  466,925   289,564 
Operating expenses  625,950   1,285,990 
Other (income) expenses  404   11,532 
Loss from discontinued operations $(159,430) $(1,007,957)

Consolidated Income (loss) from Discontinued Operations:

  Nine Months Ended  September 30, 
  2018  2017 
  (unaudited)  (unaudited) 
Revenue from services $1,383,378  $1,336,877 
Cost of services  133,738   132,010 
Gross profit  1,249,640   1,204,867 
Operating expenses  1,940,990   3,937,258 
Other (income) expenses  (807,137)  19,776 
Income (loss) from discontinued operations $115,787  $(2,752,166)

Note 19 – Recent Accounting Pronouncements

Accounting Pronouncements Adopted

In July 2017, the FASB issued ASU 2017-11 “Earnings Per Share (Topic 260) Distinguishing Liabilities from Equity (Topic 480) Derivatives and 2016Hedging (Topic 815).”The amendments in Part I of this Update change the classification analysis of certain equity-linked financial instruments (or embedded features) with down round features. For public business entities, the amendments in Part I of this Update are effective for fiscal years, and interim periods within those fiscal years, beginning after December 15, 2018. Early adoption is permitted for all entities, including adoption in an interim period. If an entity early adopts the nine-months ended September 30, 2017 and 2016 are included below. Such pro forma information assumes that the Genomas acquisition had occurredamendments in an interim period, any adjustments should be reflected as of January 1, 2017 and 2016, respectively, and revenue is presented in accordance with our accounting policies. These unaudited pro forma statements have been prepared for comparative purposes only and are not intended to be indicative of what our results would have been had the acquisition occurred at the beginning of the fiscal year that includes that interim period. The Company had determined that this amendment had a material impact on its consolidated financial statements and has early adopted this accounting standard update. The provisions of this Update and its impact on the Company’s financial statements are discussed in Note 1.

RENNOVA HEALTH, INC. AND SUBSIDIARIES

Notes to Condensed Consolidated Financial Statements

(unaudited)

Effective January 1, 2018, the Company adopted ASU No. 2014-09,“Revenue from Contracts with Customers (Topic 606)” as more fully discussed in Note 1.

Accounting Pronouncements Not Yet Adopted

In February 2016, the FASB issued ASU 2016-02, Leases (Topic 842)as updated. This new standard introduces a new lease model that requires the recognition of lease assets and lease liabilities on the balance sheet and the disclosure of key information about leasing arrangements. While this new standard retains most of the principles of the existing lessor model under U.S. GAAP, it aligns many of those principles withASC 606: Revenue from Contracts with Customers. The new guidance will be effective for us beginning after December 31, 2018. Early adoption will be permitted for all entities. The Company has not yet determined the impact of the adoption of this guidance on its consolidated financial statements.

In February 2018, the FASB issued ASU 2018-02,Income Statement—Reporting Comprehensive Income (Topic 220): Reclassification of Certain Tax Effects from Accumulated Other Comprehensive Income.This standard provides companies with an option to reclassify stranded tax effects resulting from enactment of the Tax Cuts and Jobs Act (“TCJA”) from accumulated other comprehensive income to retained earnings. This ASU will be effective for us for annual and interim periods presented or the results whichbeginning on December 15, 2018. Early adoption of this standard is permitted and may occurbe applied either in the future.period of adoption or retrospectively to each period in which the effect of the change in the tax rate as a result of TCJA is recognized. The Company does not expect the adoption of this ASU to have a material impact on its results of operations, financial position and cash flows.

 

  Three Months Ended September 30,  Nine Months Ended September 30, 
  (unaudited)  (unaudited) 
  2017  2016  2017  2016 
Net Revenue $1,439,151  $122,432  $3,460,125  $4,251,890 
Loss from discontinued operations  (475,065)  452,083   (1,070,620)  (1,871,057)
Net loss  (10,930,151)  (10,770,201)  (31,189,252)  (21,158,568)
Deemed dividend from triggher of down            
round provision feature  (2,280,280)  -  (53,341,619)  - 
Net loss to common shareholders $(13,210,431) $(10,770,201) $(84,530,871) $(21,158,568)
Loss per share basic and diluted:                
Loss per share – discontinued operations $(0.40) $(4.92) $(1.57) $(35.71)
Net loss per common share $(10.99) $(117.32) $(123.69) $(403.88)

In February 2018, the FASB issued ASU 2018-03;Technical Corrections and Improvements to Financial Instruments—Overall (Subtopic 825-10): Recognition and Measurement of Financial Assets and Financial Liabilities. The technical corrections and improvements intended to clarify certain aspects of the guidance on recognizing and measuring financial assets and liabilities in ASU 2016-01. This includes equity securities without a readily determinable fair value, forward contracts and purchased options, presentation requirements for certain fair value option liabilities, fair value option liabilities denominated in foreign currency and transition guidance for equity securities without a readily determinable fair value. The Company is required to adopt these standards starting in the first quarter of fiscal year 2019 and does not anticipate that implementation will have a material impact on its consolidated financial statements.

In March 2018, the FASB issued ASU 2018-05;“Income Taxes (Topic 740): Amendments to SEC Paragraphs Pursuant to SEC Staff Accounting Bulletin No. 118 (SEC Update)”, which amended ASC 740 to incorporate the requirements of Staff Accounting Bulletin (“SAB”) 118. Issued in December 2017 by the SEC, SAB 118 addresses the application of U.S. GAAP in situations in which a registrant does not have the necessary information available, prepared, or analyzed (including computations) in reasonable detail to complete the accounting for certain income tax effects of the TCJA which was signed into law on December 22, 2017. The Company does not expect this to have a material impact on its consolidated financial statements.

In June 2018, the FASB issued ASU 2018-07 to expand the scope ofASC Topic 718, Compensation - Stock Compensation, to include share-based payment transactions for acquiring goods and services from nonemployees. The pronouncement is effective for fiscal years, and for interim periods within those fiscal years, beginning after December 15, 2018, with early adoption permitted. The Company has not yet determined the effect of this pronouncement on its consolidated financial statements.

Other recent accounting standards issued by the FASB, including its Emerging Issues Task Force, the American Institute of Certified Public Accountants, and the SEC did not or are not believed by management to have a material impact on the Company’s present or future consolidated financial statements.

35

RENNOVA HEALTH, INC. AND SUBSIDIARIES

Notes to Condensed Consolidated Financial Statements

(unaudited)

 

Note 1520 – Subsequent Events

Common Stock Listing

As previously announced, on April 18, 2017, the Company was notified by Nasdaq that the stockholders’ equity balance reported on the Company’s Form 10-K for the year ended December 31, 2016 fell below the $2.5 million minimum requirement for continued listing under the Nasdaq Capital Market’s Listing Rule 5550(b)(1) (the “Rule”). As of September 30, 2017, the Company reported a stockholders’ deficit of $18.8 million.

In accordance with the Rule, the Company submitted a plan to Nasdaq outlining how it intended to regain compliance. On August 17, 2017, Nasdaq notified the Company that its plan to correct the stockholders’ equity deficiency did not contain sufficient evidence to support a correction being achieved in the required time frame. The Company appealed this decision to a Hearing Panel which, on October 23, 2017, maintained this position and denied the Company a continued listing. Effective October 25, 2017, the Company’s common stock (RNVA) and warrants to purchase common stock (RNVAW) were no longer listed on the Nasdaq Stock Market but began trading on the OTCQB instead.

Subsequent to September 30, 2017, the Company has issued an aggregate of 4.3 million shares of common stock upon the conversion of debentures and exercise of warrants.

26

RENNOVA HEALTH, INC.

Notes to Condensed Consolidated Financial Statements

(unaudited)

Series I-1 Convertible Preferred Stock

On October 30, 2017, the Company closed an offering of $4,960,000 stated value of its newly-authorized Series I-1 Convertible Preferred Stock (the “Series I-1 Preferred Stock”). The offering was pursuant to the terms of the Securities Purchase Agreement, dated as of October 30, 2017 (the “Purchase Agreement”), between the Company and certain existing institutional investors of the Company. The Company received proceeds of $4,000,000 from the offering.

The Purchase Agreement gives the investors the right to participate in up to 50% of any offering of common stock or common stock equivalents by the Company. In the event of any such offering, the investors may also exchange all or some of their Series I-1 Preferred Stock for such new securities on an $0.80 stated value of Series I-1 Preferred Stock for $1.00 of new subscription amount basis.

The following is a summary of certain terms and provisions of the Series I-1 Preferred Stock:

General.The Company’s board of directors has designated up to 4,960 shares of the 5,000,000 authorized shares of preferred stock as the Series I-1 Preferred Stock. Each share of Series I-1 Preferred Stock has a stated value of $1,000.

Rank.The Series I-1 Preferred Stock is senior in right of payment, including dividend rights and liquidation preference, to the Company’s Series G Preferred Stock and Series H Preferred Stock.

Conversion.Each share of Series I-1 Preferred Stock is convertible into shares of the Company’s common stock at any time at the option of the holder at a conversion price equal to the lesser of (i) $1.00, subject to adjustment, and (ii) 85% of the lesser of the volume weighted average market price of the common stock on the day prior to conversion or on the day of conversion. The conversion price is subject to “full ratchet” and other customary anti-dilution protections as more fully described in the Certificate of Designation of the Series I-1 Preferred Stock.

Liquidation Preference.Upon any liquidation, dissolution or winding-up of the Company, the holders of Series I-1 Preferred Stock shall be entitled to receive an amount equal to the stated value of the Series I-1 Preferred Stock, plus any accrued and unpaid dividends thereon and any other fees or liquidated damages then due and owing for each share of Series I-1 Preferred Stock, before any distribution or payment shall be made on any junior securities.

Voting Rights.Shares of Series I-1 Preferred Stock generally have no voting rights, except as required by law and except that the affirmative vote of the holders of a majority of the then outstanding shares of Series I-1 Preferred Stock is required to (a) alter or change adversely the powers, preferences or rights given to the Series I-1 Preferred Stock or alter or amend the Certificate of Designation of the Series I-1 Preferred Stock, (b) authorize or create any class of stock ranking as to dividends, redemption or distribution of assets upon liquidation senior to, or otherwise pari passu with, the Series I-1 Preferred Stock, (c) amend the Company’s certificate of incorporation or other charter documents in any manner that adversely affects any rights of the holders, (d) increase the number of authorized shares of Series I-1 Preferred Stock, or (e) enter into any agreement with respect to any of the foregoing.

Dividends.Holders of Series I-1 Preferred Stock shall be entitled to receive dividends on shares of Series I-1 Preferred Stock equal (on an as-converted to common stock basis) to and in the same form as dividends actually paid on shares of common stock when, as and if dividends are paid on shares of common stock. No other dividends shall be paid on shares of Series I-1 Preferred Stock.

Redemption.Upon the occurrence of certain Triggering Events (as defined in the Certificate of Designation of the Series I-1 Preferred Stock), the holder shall, in addition to any other right it may have, have the right, at its option, to require the Company to either redeem the Series I-1 Preferred Stock in cash or in certain circumstance in shares of common stock at the redemption prices set forth in the Certificate of Designation.

Negative Covenants.As long as at least a specified number of shares of Series I-1 Preferred Stock are outstanding, unless the holders of 67% of the then outstanding shares of Series I-1 Preferred Stock shall have given prior written consent, the Company and its subsidiaries are, with certain exceptions, limited from (a) incurring indebtedness, (b) creating liens, (c) amending its charter documents, (d) repurchasing or acquiring shares of common stock or common stock equivalents, (e) paying cash dividends on junior securities, (f) entering into transactions with affiliates, or (g) entering into any agreement with respect to the foregoing.

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RENNOVA HEALTH, INC.

Notes to Condensed Consolidated Financial Statements

(unaudited)

 

Series I-2 Convertible PreferredCommon Stock

 

On October 30, 2017,As of November 9, 2018, the Company entered into exchange agreements with the holders of the September Debentures to provide that the holders may, from time to time, exchange their September Debentures forhas outstanding 15.2 million shares of a newly-authorizedits common stock. Since September 30, 2018, the Company has issued 7,925,985 shares of common stock through November 9, 2018 as follows:

482.21 shares of its Series I-2 Convertible Preferred Stock were converted into 7,365,985 shares of common stock;

200,000 shares of common stock were issued upon conversion of $25,500 of the principal amount of the March 2017 Debentures; and
360,000 shares of common stock were issued for the cashless exercise of 2,400,000 March 2017 Series B warrants.

On November 5, 2018, the Board of Directors of the Company (the “Series I-2 Preferred Stock”). The exchange agreements permitapproved an amendment to the holdersCompany’s Certificate of Incorporation, to effect a 1-for-500 reverse stock split of the September Debentures to exchange specified principal amountsCompany’s shares of common stock. As a result of the September Debentures on various closing dates from December 2, 2017 through March 1, 2018. Any exchange is at the option of the holders. Each holder may reduce the principal amount of September Debentures exchanged on any particular closing date, or elect not to exchange any September Debentures at all on a closing date. If a holder does choose to exchange less principal amount of September Debentures, or no September Debentures at all, it can carry forward such lesser amount to a future closing date and then exchange more than the originally specified principal amount for that later closing date. For each $0.80 of principal amount of September Debenture surrendered to the Company at any closing date, the Company will issue the holder a share of Series I-2 Preferred Stock with a stated value of $1.00. Each share of Series I-2 Preferred Stock is convertible intoreverse stock split, every 500 shares of the Company’s pre-reverse split common stock at any time at the optionwere combined and reclassified into one share of the holder atCompany’s common stock. Proportionate voting rights and other rights of common stockholders will not be affected by the reverse stock split, other than as a conversion price equal to the lesser of (i) $1.00, subject to adjustment, and (ii) 85%result of the lessercash payment for any fractional shares that would have otherwise been issued. Stockholders who would otherwise hold a fractional share of common stock will receive a cash payment in respect of such fraction of a share of common stock. No fractional shares will be issued in connection with the volume weighted average market pricereverse stock split.

After the reverse stock split, effective at 5:00 p.m., Eastern Time, on November 12, 2018, the Company’s common stock trades on a post-split basis. The par value and other terms of the common stock onwas not be affected by the day prior to conversion or on the day of conversion.reverse stock split. The conversion price is subject to “full ratchet” and other customary anti-dilution protections as more fully described in the Certificate of Designation of the Series I-2 Preferred Stock.

The following is a summary of certain terms and provisions of the Series I-2 Preferred Stock.

General.The Company’s board of directors has designated up to 12,000 shares of the 5,000,000 authorized shares of preferred stock as the Series I-2 Preferred Stock. Each share of Series I-2 Preferred Stock has a stated value of $1,000.

Rank.The Series I-2 Preferred Stock is senior in right of payment, including dividend rights and liquidation preference, to the Company’s Series G Preferred Stock and Series H Preferred Stock.

Liquidation Preference. Upon any liquidation, dissolution or winding-upcapital of the Company the holders of Series I-2 Preferred Stock shall be entitled to receive an amount equal to the stated value of the Series I-2 Preferred Stock, plus any accrued and unpaid dividends thereon and any other fees or liquidated damages then due and owing for each share of Series I-2 Preferred Stock, before any distribution or payment shall be made on any junior securities.

Voting Rights. Shares of Series I-2 Preferred Stock generally have no voting rights, except as required by law and except that the affirmative vote of the holders of a majority of the then outstanding shares of Series I-2 Preferred Stock is required to (a) alter or change adversely the powers, preferences or rights given to the Series I-2 Preferred Stock or alter or amend the Certificate of Designation of the Series I-2 Preferred Stock, (b) authorize or create any class of stock ranking as to dividends, redemption or distribution of assets upon liquidation senior to, or otherwise pari passu with, the Series I-2 Preferred Stock, (c) amend the Company’s certificate of incorporation or other charter documents in any manner that adversely affects any rights of the holders, (d) increase the number of authorized shares of Series I-2 Preferred Stock, or (e) enter into any agreement with respect to any of the foregoing.

Dividends. Holders of Series I-2 Preferred Stock shall be entitled to receive dividends on shares of Series I-2 Preferred Stock equal (on an as-converted to common stock basis) to and in the same form as dividends actually paid on shares of common stock when, as and if dividends are paid on shares of common stock. No other dividends shall be paid on shares of Series I-2 Preferred Stock.

Redemption.Upon the occurrence of certain Triggering Events (as defined in the Certificate of Designation of the Series I-2 Preferred Stock), the holder shall, in addition to any other right it may have, have the right, at its option, to require the Company to either redeem the Series I-2 Preferred Stock in cash or in certain circumstance in shares of common stock at the redemption prices set forth in the Certificate of Designation.

Negative Covenants.As long as at least a specified number of shares of Series I-2 Preferred Stock are outstanding, unless the holders of 67% of the then outstanding shares of Series I-2 Preferred Stock shall have given prior written consent, the Company and its subsidiaries are, with certain exceptions, limited from (a) incurring indebtedness, (b) creating liens, (c) amending its charter documents, (d) repurchasing or acquiring shares of common stock or common stock equivalents, (e) paying cash dividends on junior securities, (f) entering into transactions with affiliates, or (g) entering into any agreement with respect to the foregoing.

Modification of Anti-Dilution Provisions of the March Debentures and March Warrants

On October 30, 2017, the Company agreed to amend the March Debentures and March Warrants, which are more fully discussed in Note 6, to remove the floor in the anti-dilution provisions therein.

Conversions of March Debentures and Exercises of Warrants

During the month of October 2017, $2,185,464.02 aggregate principal amount of March Debentures were exercised for 1,924,03710,000,000,000 shares of common stock and 5,000,000 shares of preferred stock, also will not be affected by the Company received $633,000 uponreverse split.

All outstanding preferred shares, stock options, warrants, and equity incentive plans immediately prior to the exercisereverse stock split will generally be appropriately adjusted by dividing the number of Class B Warrants issued in March 2017 for the issuance of 600,000 shares of common stock into which the preferred shares, stock options, warrants and equity incentive plans of the common stock are exercisable or convertible by 500 and multiplying the exercise or conversion price by 500, as a result of the reverse stock split.

The Company’s transfer agent, Computershare Inc., is acting as exchange agent for the reverse stock split and will send instructions to stockholders of record regarding the exchange of certificates for common stock.

The following table presents the dilutive effect of our various potential common shares as of November 9, 2018:

 

November 9, 2018
Common shares outstanding15,291,866
Dilutive potential shares:
Stock options77
Warrants1,318,592,863
Convertible debt269,272,606
Convertible preferred stock194,943,417
Total dilutive potential common shares, including outstanding common stock1,798,100,829

As of November 9, 2018, the Company had sufficient authorized shares of its common stock to cover all potentially dilutive common shares outstanding.

2836

RENNOVA HEALTH, INC.

 

Item 2. Management’s Discussion and Analysis of Financial Condition and Results of Operations.

 

SPECIAL NOTE CONCERNING FORWARD-LOOKING STATEMENTS

 

Certain statements made in this Form 10-Q are “forward-looking statements” (within the meaning of the Private Securities Litigation Reform Act of 1995) regarding the plans and objectives of management for future operations. Such statements involve known and unknown risks, uncertainties and other factors that may cause actual results, performance or achievements of the Company to be materially different from any future results, performance or achievements expressed or implied by such forward-looking statements. The forward-looking statements included herein are based on current expectations that involve numerous risks and uncertainties. The Company’s plans and objectives are based, in part, on assumptions involving its continued business operations. Assumptions related to the foregoing involve judgments with respect to, among other things, future economic, competitive and market conditions and future business decisions, all of which are difficult or impossible to predict accurately and many of which are beyond the control of the Company. Although the Company believes its assumptions underlying the forward-looking statements are reasonable, any of the assumptions could prove to be inaccurate and, therefore, there can be no assurance the forward-looking statements included in this report will prove to be accurate. In light of the significant uncertainties inherent in the forward-looking statements included herein, the inclusion of such information should not be regarded as a representation by the Company or any other person that the objectives and plans of the Company will be achieved.

 

The forward-looking statements included in this Form 10-Q and referred to elsewhere are related to future events or our strategies or future financial performance. In some cases, you can identify forward-looking statements by terminology such as “may,” “should,” “believe,” “anticipate,” “future,” “potential,” “estimate,” “expect,” “intend,” “plan,” or the negative of such terms or comparable terminology. All forward-looking statements included in this Form 10-Q are based on information available to us as of the filing date of this report, and the Company assumes no obligation to update any such forward-looking statements, except as required by law. Our actual results could differ materially from the forward-looking statements.

 

Important factors that might cause our actual results to differ materially from the results contemplated by the forward-looking statements are contained in the “Risk Factors” section of our Annual Report on Form 10-K for the fiscal year ended December 31, 20162017 (the “2016“2017 Form 10-K”) and in our subsequent filings with the Securities and Exchange Commission. The following discussion of our results of operations should be read in conjunction with the audited financial statements contained within the 20162017 Form 10-K and with our unaudited condensed consolidated financial statements and related notes thereto included elsewhere in this report.

 

COMPANY OVERVIEW

 

We are a healthcare enterprise that delivers products and services to healthcare providers, their patients and individuals. We currently operate in threetwo synergistic divisions: 1) Clinical diagnostics services through our clinical laboratories; and 2) supportive software solutions to healthcare providers including Electronic Health Records (“EHR”), Laboratory Information Systems and Medical Billing services; and 3) the recent addition of a rural critical access hospital in Tennessee.Hospital operations. We aspire to create a more sustainable relationship with our customers by offering needed and interoperable solutions to capture multiple revenue streams from medical providers.

 

Our Services

 

Our principal line of business to date ishistorically was clinical laboratory blood and urine testing services, performed by our Clinical Laboratory Operations business segment, with a particular emphasis on the provision of urine drug toxicology testing to physicians, clinics and rehabilitation facilities in the United States. Testing services to rehabilitation facilities represented approximately 60%3% and 85%95% of our revenues for the nine months ended September 30, 2018 and 2017, and 2016, respectively.respectively, the change caused by the increase in revenue from our hospital operations. Since the opening of our hospital in Oneida, Tennessee in August 2017, our principal line of business has been our hospital operations.

 

Our Supportive Software Solutions segment provides a customizable EHR and revenue cycle management services providing a full suite of billing services to substance abuse and behavioral health providers,

37

Scott County Community Hospital (now known as well as a dictation-based ambulatory EHR for physician practices and advanced transcription services.Big South Fork Medical Center)

 

On January 13, 2017, we closed on an asset purchase agreement to acquire certain assets related to Scott County Community Hospital, based in Oneida, Tennessee (the “Hospital Assets”). The Hospital Assets include a 52,000 square foot hospital building and 6,300 square foot professional building on approximately 4.3 acres. Scott County Community Hospital is classified as a Critical Access Hospital (rural) with 25 beds, a 24/7 emergency department, operating rooms and a laboratory that provides a range of diagnostic services. Scott County Community Hospital closed in July 2016 in connection with the bankruptcy filing of its parent company, Pioneer Health Services, Inc. We acquired the Hospital Assets out of bankruptcy for a purchase price of $1.0 million. The hospital, which has been renamed Big South Fork Medical Center, became operational on August 8, 2017. We believe that the hospital will provide us with a stable revenue base, as well as the potential for significant synergistic opportunities with our Clinical Laboratory Operations business segment. The Company is also actively seeking opportunities regarding other similar rural hospitals.

29

 

RENNOVA HEALTH, INC.Jamestown Regional Medical Center

 

Our Decision SupportOn January 31, 2018, the Company entered into an asset purchase agreement to acquire certain assets related to an acute care hospital located in Jamestown, Tennessee, referred to as Jamestown Regional Medical Center. The purchase was completed on June 1, 2018. The hospital was acquired by a newly formed subsidiary, Jamestown TN Medical Center, Inc., and Informatics business segment developsis an 85-bed facility of approximately 90,000 square feet on over eight acres of land, which offers a 24-hour Emergency Department with two spacious trauma bays and marketsseven private exam rooms, inpatient and outpatient medical informationservices and clinical decision support products and services intended to set a standard for the clinical interpretation of genomics-based, precision medicine. CollabRx offers interpretation and decision support solutions that enhance cancer diagnoses and treatment through actionable data analytics and reporting for oncologists and their patients. This segment isProgressive Care Unit which provides telemetry services. The acquisition also included a separate physician practice which now considered part of our discontinued operations.

RESULTS OF OPERATIONS

Critical Accounting Policies and Estimates

Our discussion and analysis of financial condition and results of operations are based on our condensed consolidated financial statements, which have been prepared in accordance with U.S. generally accepted accounting principles (“GAAP”). The preparation of these financial statements requires us to make a number of estimates and assumptions that affect the reported amounts of assets and liabilities and disclosure of contingent assets and liabilities at the date of the financial statements. Such estimates and assumptions affect the reported amounts of revenues and expenses during the reporting period. We base our estimates on historical experiences and on various other assumptions that we believe to be reasonableoperates under the circumstances. Actual results may differ materially from these estimates under different assumptions and conditions. We continue to monitor significant estimates made during the preparation of our financial statements. On an ongoing basis, we evaluate estimates and assumptions based upon historical experience and various other factors and circumstances. We believe our estimates and assumptions are reasonable in the circumstances; however, actual results may differ from these estimates under different future conditions.

We have identified the policies and significant estimation processes discussed belowRennova as critical to our business and to the understanding of our results of operations. For a detailed application of these and other accounting policies, see Note 2 to the audited consolidated financial statements as of and for the year ended December 31, 2016 included in the 2016 Form 10-K.

Revenue Recognition

Service revenues are principally generated from laboratory testing services, including chemical diagnostic tests such as blood analysis and urine analysis. Laboratory service revenues are recognized at the time the testing services are performed and billed and are reported at their estimated net realizable amounts.Mountain View Physician Practice, Inc.

 

Net serviceannual revenues are determined utilizing gross service revenues netfor the hospital in Jamestown in recent years have been approximately $15 million with government payers including Medicare and Medicaid accounting for in excess of contractual adjustments and discounts. Even though it is the responsibility60% of the patientpayor mix. Rennova does not expect this payor mix to pay for laboratory service bills, most individualschange significantly in the United States have an agreementnear future. The hospital was acquired for approximately $668,983 from Community Health Systems, Inc. Diligence, legal and other costs associated with a third-party payer such as a commercial insurance provider, Medicaid or Medicarethe acquisition are estimated to pay all or a portionbe approximately $500,000 meaning the total cost of their healthcare expenses; the majority of services provided by us areacquisition to patients covered under a third-party payer contract. In most cases, the Company is provided the third-party billing information and seeks paymentapproximately $1,100,000. Jamestown is located 38 miles from the third partyCompany’s other hospital, the Big South Fork Medical Center, which is located in accordance with the terms and conditions of the third party payer for health service providers like us. Each of these third-party payers may differ not only in terms of rates, but also with respect to terms and conditions of payment and providing coverage (reimbursement) for specific tests. Estimated revenues are established based on a series of procedures and judgments that require industry specific healthcare experience and an understanding of payer methods and trends. Despite follow up billing efforts, the Company does not currently anticipate collection of a significant portion of self-pay billings, including the patient responsibility portion of the billing for patients covered by third party payers. The Company currently does not have any capitated agreements.

We review our calculations for the realizability of gross service revenues on a monthly basis in order to make certain that we are properly allowing for the uncollectable portion of our gross billings and that our estimates remain sensitive to variances and changes within our payer groups. The contractual allowance calculation is made on the basis of historical allowance rates for the various specific payer groups on a monthly basis with a greater weight being given to the most recent trends; this process is adjusted based on recent changes in underlying contract provisions and shifts in the testing being performed. This calculation is routinely analyzed by us on the basis of actual allowances issued by payers and the actual payments made to determine what adjustments, if any, are needed. Based on the calculations at September 30, 2017 and 2016, we determined that the collectible portion of our gross billings that should be reflected in net revenues was approximately 13% and 15%, respectively, of the outgoing gross billings.

Oneida, Tennessee.

Contractual Allowances and Doubtful Accounts

Accounts receivable are reported at realizable value, net of allowancesComparison for credits and doubtful accounts, which are estimated and recorded in the period the related revenue is recorded. The Company has a standardized approach to estimating and reviewing the collectability of its receivables based on a number of factors, including the period they have been outstanding. Historical collection and payer reimbursement experience is an integral part of the estimation process related to allowances for contractual credits and doubtful accounts. In addition, the Company regularly assesses the state of its billing operations in order to identify issues which may impact the collectability of these receivables or reserve estimates. Receivables deemed to be uncollectible are charged against the allowance for doubtful accounts at the time such receivables are written-off. Recoveries of receivables previously written-off are recorded as credits to the allowance for doubtful accounts. Revisions to the allowances for doubtful accounts estimates are recorded as an adjustment to provision for bad debts.

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RENNOVA HEALTH, INC.

Impairment or Disposal of Long-Lived Assets

The Company accounts for the impairment or disposal of long-lived assets according to the Financial Accounting Standards Board’s (“FASB”) Accounting Standards Codification (“ASC”) Topic 360,Property, Plant and Equipment(“ASC 360”). ASC 360 clarifies the accounting for the impairment of long-lived assets and for long-lived assets to be disposed of, including the disposal of business segments and major lines of business. Long-lived assets are reviewed when facts and circumstances indicate that the carrying value of the asset may not be recoverable. When necessary, impaired assets are written down to estimated fair value based on the best information available. Estimated fair value is generally based on either appraised value or measured by discounting estimated future cash flows. Considerable management judgment is necessary to estimate discounted future cash flows. Accordingly, actual results could vary significantly from such estimates. We did not record any impairment charges during the nine months ended September 30, 2017 and 2016.

Derivative Financial Instruments and Fair Value

We account for warrants issued in conjunction with the issuance of common stock and certain convertible debt instruments in accordance with the guidance contained in ASC Topic 815,Derivatives and Hedging (“ASC 815”) and ASC Topic 480,Distinguishing Liabilities from Equity (“ASC 480”). For warrant instruments and conversion options embedded in promissory notes that are not deemed to be indexed to the Company’s own stock, we classified such instruments as liabilities at their fair values at the time of issuance and adjusted the instruments to fair value at each reporting period. These liabilities were subject to re-measurement at each balance sheet date until extinguished either through conversion or exercise, and any change in fair value was recognized in our statement of operations. The fair values of these derivative and other financial instruments had been estimated using a Black-Scholes model and other valuation techniques.

In July 2017, the FASB issued ASU 2017-11“Earnings Per Share (Topic 260) Distinguishing Liabilities from Equity (Topic 480) Derivatives and Hedging (Topic 815).” The amendments in Part I of this Update change the classification analysis of certain equity-linked financial instruments (or embedded features) with down round features. When determining whether certain financial instruments should be classified as liabilities or equity instruments, a down round feature no longer precludes equity classification when assessing whether the instrument is indexed to an entity’s own stock. The amendments also clarify existing disclosure requirements for equity-classified instruments. As a result, a freestanding equity-linked financial instrument (or embedded conversion option) no longer would be accounted for as a derivative liability at fair value as a result of the existence of a down round feature. For freestanding equity classified financial instruments, the amendments require entities that present earnings per share (EPS) in accordance with Topic 260 to recognize the effect of the down round feature when it is triggered. That effect is treated as a dividend and as a reduction of income available to common shareholders in basic EPS. Convertible instruments with embedded conversion options that have down round features are now subject to the specialized guidance for contingent beneficial conversion features (in Subtopic 470-20, Debt—Debt with Conversion and Other Options), including related EPS guidance (in Topic 260). The amendments in Part II of this Update recharacterize the indefinite deferral of certain provisions of Topic 480 that now are presented as pending content in the Codification, to a scope exception. Those amendments do not have an accounting effect.

Under current GAAP, an equity-linked financial instrument with a down round feature that otherwise is not required to be classified as a liability under the guidance in Topic 480 is evaluated under the guidance in Topic 815, Derivatives and Hedging, to determine whether it meets the definition of a derivative. If it meets that definition, the instrument (or embedded feature) is evaluated to determine whether it is indexed to an entity’s own stock as part of the analysis of whether it qualifies for a scope exception from derivative accounting. Generally, for warrants and conversion options embedded in financial instruments that are deemed to have a debt host (assuming the underlying shares are readily convertible to cash or the contract provides for net settlement such that the embedded conversion option meets the definition of a derivative), the existence of a down round feature results in an instrument not being considered indexed to an entity’s own stock. This results in a reporting entity being required to classify the freestanding financial instrument or the bifurcated conversion option as a liability, which the entity must measure at fair value initially and at each subsequent reporting date.

The amendments in this Update revise the guidance for instruments with down round features in Subtopic 815-40, Derivatives and Hedging—Contracts in Entity’s Own Equity, which is considered in determining whether an equity-linked financial instrument qualifies for a scope exception from derivative accounting. An entity still is required to determine whether instruments would be classified in equity under the guidance in Subtopic 815-40 in determining whether they qualify for that scope exception. If they do qualify, freestanding instruments with down round features are no longer classified as liabilities and embedded conversion options with down round features are no longer bifurcated.

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RENNOVA HEALTH, INC.

For entities that present EPS in accordance with Topic 260, and when the down round feature is included in an equity-classified freestanding financial instrument, the value of the effect of the down round feature is treated as a dividend when it is triggered and as a numerator adjustment in the basic EPS calculation. This reflects the occurrence of an economic transfer of value to the holder of the instrument, while alleviating the complexity and income statement volatility associated with fair value measurement on an ongoing basis. Convertible instruments are unaffected by the Topic 260 amendments in this Update.

The amendments in Part 1 of this Update are a cost savings relative to current GAAP. This is because, assuming the required criteria for equity classification in Subtopic 815-40 are met, an entity that issued such an instrument no longer measures the instrument at fair value at each reporting period (in the case of warrants) or separately accounts for a bifurcated derivative (in the case of convertible instruments) on the basis of the existence of a down round feature. For convertible instruments with embedded conversion options that have down round features, applying specialized guidance such as the model for contingent beneficial conversion features rather than bifurcating an embedded derivative also reduces cost and complexity. Under that specialized guidance, the issuer recognizes the intrinsic value of the feature only when the feature becomes beneficial instead of bifurcating the conversion option and measuring it at fair value each reporting period.

The amendments in Part II of this Update replace the indefinite deferral of certain guidance in Topic 480 with a scope exception. This has the benefit of improving the readability of the Codification and reducing the complexity associated with navigating the guidance in Topic 480.

We have early adopted this amendment as it has a material impact on our condensed consolidated financial statements.

Stock Based Compensation

We account for Stock-Based Compensation under ASC 718 “Compensation – Stock Compensation”, which addresses the accounting for transactions in which an entity exchanges its equity instruments for goods or services, with a primary focus on transactions in which an entity obtains employee services in share-based payment transactions. ASC 718 requires measurement of the cost of employee services received in exchange for an award of equity instruments based on the grant-date fair value of the award. Incremental compensation costs arising from subsequent modifications of awards after the grant date must be recognized.

The Company accounts for stock-based compensation awards to non-employees in accordance with ASC 505-50, Equity-Based Payments to Non-Employees. Under ASC 505-50, the Company determines the fair value of the options, warrants or stock-based compensation awards granted as either the fair value of the consideration received or the fair value of the equity instruments issued, whichever is more reliably measurable. Any stock options or warrants issued to non-employees are recorded in expense and additional paid-in capital in stockholders’ equity (deficit) over the applicable service periods using variable accounting through the vesting dates based on the fair value of the options or warrants at the end of each period.

Three months ended September 30, 2017 compared to three months ended September 30, 20162018 and September 30, 2017

 

The following table summarizes the results of our consolidated continuing operations for the three months ended September 30, 20172018 and 20162017 (unaudited):

 

  Three Months Ended September 30, 
  2017  2016 
  $   % $   %
Net revenues $1,414,211   100.0% $41,362   100.0%
Operating expenses:                
Direct costs of revenue  309,347   21.9%  305,157   737.8%
General and administrative expenses  5,169,478   365.5%  6,497,718   15709.4%
Sales and marketing expenses  170,028   12.0%  415,976   1005.7%
Bad debt expense  477,249   33.7%  3,666,707   8864.9%
Depreciation and amortization  451,597   31.9%  680,579   1645.4%
Loss from operations  (5,163,488)  -365.1%  (11,524,775)  -27863.2%
Interest expense  (5,331,681)  -377.0%  (1,651,629)  -3993.1%
Other income, net  40,455   2.9%  127,008   307.1%
Change in fair value of derivative instruments  -  0.0%  1,827,112  4417.4%
Gain on extinguishment of debt  -   0.0%  -   0.0%
Net loss $(10,454,714)  -739.3% $(11,222,284)  -27131.9%

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RENNOVA HEALTH, INC.

  Three Months Ended September 30, 
  2018  2017 
             
Net revenues $5,039,112   100% $810,088   100%
Operating expenses:                
Direct costs of revenue  3,350,286   66.5%  262,000   32.3%
General and administrative expenses  4,348,818   86.3%  4,454,167   549.8%
Sales and marketing expenses  2,758   0.1%  170,028   21.0%
Depreciation and amortization  152,825   3%  426,582   52.7%
Loss from operations  (2,815,575)  -55.9%  (4,502,688)  -555.8%
Interest expense  (9,322,333)  -185.0%  (5,331,673)  -658.2%
Other income, net  188,658   3.7%  40,455   5.0%
Gain on Bargain Purchase  -   0.0%  -   0.0%
Change in fair value of derivative instruments  109,305,331   2169.1%  -   0.0%
Gain on extinguishment of debt     0.0  (23,000)   0.0
Income tax expense  -   0.0%  (372)  0.0%
Net income (loss) from continuing operations $97,356,081   1381.0% $(9,817,278)  -1211.9%

 

Net Revenues

 

Consolidated net revenues were $1.4$5.0 million for the three months ended September 30, 2018, as compared to $0.8 million for the three months ended September 30, 2017, as comparedan increase of $4.2 million. The 2018 and 2017 net revenues include a bad debt expense elimination of $1.8 million and $0.5 million, respectively, for doubtful accounts and allowance billing adjustments by insurance companies. In a continued effort to $41 thousandrefine our revenue recognition estimates, the Company practices the full retrospective approach, evaluating and analyzing the realizability of gross service revenues monthly, to make certain that we are properly allowing for bad debt and contractual adjustments. The increase in net revenues was due to revenue from Jamestown Regional Medical Center, which was acquired on June 1, 2018 and a full quarter of revenue from the Big South Fork Medical Center, which we began operating on August 8, 2017. The increase in Hospital revenue was offset by a $0.7 million decrease in Clinical Laboratory Operations revenue for the three months ended September 30, 2016, an increase of $1.4 million. The increase is mainly the result of two factors; (1) the opening of the Hospital which resulted in net revenues of $0.6 million for the three months ended September 30, 2017 and (2) the increase in the Clinical Laboratory Operations business segment revenue of $0.6 million compared to last year, even though there was a 75% decline in insured test volumes. The net revenue decline for the three months ended September 30, 2016 was due to the determination that the collectible portion of gross billings should be reflected at 15%, as compared to 20% from earlier in 2016. This change in estimate resulted in a reduction in net revenues in the amount of $1.7 million. Net revenues in our Supportive Software Solutions increased by $0.2 million for the three months ended September 30, 20172018 compared to the same period a year ago.in 2017. 

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Direct CostCosts of Revenue

 

Direct costs of revenue is essentially unchanged in the three months ended September 30, 2017, asincreased by $3.1 million compared to the three months ended September 30, 2016.2017. The increase is related to the hospital operations.

 

General and Administrative Expenses

 

General and administrative expenses decreased by $1.3$0.1 million, or 20%, in the third quarter of 2017 as compared to the same period a year ago. The decrease is mainly the result ofago due to a $1.1 millionsignificant reduction in employee compensationthe number of laboratory facilities, thereby reducing the number of employees and the related costs, as we significantly reduced our headcount throughout the latter half of 2016 and 2017 in response to the decline in revenues, and a $0.2 million reduction in maintenance costs for our laboratory equipment.operating expenses.

 

Sales and Marketing Expenses

 

TheThere was a decline in sales and marketing expenses of $0.2 million, or 59%, for the three months ended September 30, 20172018 as compared to the three months ended September 30, 2016 was primarily2017, which is due to a significant reduction in sales employeeforce and contractor compensation expenses in the amount of $0.2 million, as well as reduced travel, advertising and commissionable collections related to the decline in net revenues.

Bad Debt Expense

Bad debt expense for the three months ended September 30, 2017 was $0.5 million, as compared to $3.7 million for the three months ended September 30, 2016.

During the three months ended September 30, 2016, we recorded a charge of $3.5 million related to receivables in our Clinical Laboratory Operations segment that were deemed uncollectible. The primary factors in rendering these receivables uncollectible were our failure to obtain preauthorization from the third party prior to rendering services and the lack of an existing preferred provider contract with the third-party payer. We also increased the allowance for doubtful accounts for our Supportive Software Solutions segment by $0.2 million.

During the three months ended September 30, 2017, the Hospital business segment deemed uncollectible $0.4 million related to the August and September receivables since their Medicare & Medicaid certification was not approved until October 11, 2017. The Company will submit all claims for services rendered for payment since the opening of the hospital. We also increased the allowance for doubtful accounts for our Supportive Software Solutions segment by $0.1 million.total marketing spend.

 

Depreciation and Amortization Expenses

 

Depreciation and amortization expense was $0.5$0.2 million for the three months ended September 30, 20172018 as compared to $0.7$0.4 million for the same period a year ago as some of our property and equipment became fully depreciated during 20162017. We expect our depreciation and amortization expense to increase going forward as a result of the fixed assets associated with our capital expenditures have been minimal due to the reduced sample volume at our laboratories.hospital acquisitions.

 

Loss from Operations

 

Our operating loss decreased by $6.4 million, to $5.2$1.7 million for the three months ended September 30, 2017,2018 as compared to $11.5 million forsame period a year ago. We attribute the three months ended September 30, 2016. The decrease is dueimprovement to the $5.0 million decrease in total operating expenses and the $1.4 million increase in our net revenues.revenues generated by our hospital acquisitions.

 

Interest Expense

 

Interest expense for the three months ended September 30, 20172018 was $5.3$9.3 million, as compared to $1.7$5.3 million for the three months ended September 30, 2016.2017. Interest expense for the three months ended September 30, 2018 includes $9 million for the amortization of debt discount and deferred financial costs related to convertible debentures and warrants and $300,000 for interest expense on notes payable and capital lease obligations. Interest expense in the three months ended September 30, 2017 includes a $4.8 million non-cash interest charge related to the issuance of convertible debentures and warrants during the period. Interest expense in the three months ended September 30, 2016 mainly consists of an interest charge of $0.5 million related to the $5 million prepaid forward purchase contract and $0.4 million of non-cash interest expense related to the accretion of debt discounts.

33

RENNOVA HEALTH, INC.

 

Other income (expense)

 

Other income decreasedincreased by $1.9 million$148,000 for the three months ended September 30, 20172018 as compared to same period a year ago.

Change in Fair Value of Derivative Instruments

The decrease consists primarily of $2.1 millionincrease in non-cash gains on the change in fair value of derivative financial instruments relatedis primarily due to convertible notesthe increase in the spread between the price of our common stock and warrants recorded in 2016.the exercise/conversion prices of the derivatives from July 1, 2018 to September 30, 2018.

 

Net LossIncome (loss)

 

Our net lossincome from continuing operations was $97.4 million for the three months ended September 30, 2017 was $10.5 million,2018, as compared to $11.2a net loss of $4 million for the same period of a year ago, a decrease of $0.8 million.three months ended September 30, 2017. The changenet income is due primarily due to the decreaserevaluation of our derivative instruments resulting in operating expensesa gain of $5.0$109.3 million, an increase of $3.6 million in interest expense, and a decrease of $2.0 million inamong other income (expense), offset by the increase in revenue of $1.4 million.items.

 

The following table presents key financial and operating metrics for our Clinical Laboratory Operations segment:

 

 Three Months Ended September 30,       Three Months Ended September 30,      
Clinical Laboratory Operations 2017 2016 Change %  2018  2017  Change  % 
                  
Net revenues $586,663  $(9,085) $595,748   6557.5% $17,569  $708,875  $(691,306)  -97.5%
Operating expenses:                                
Direct costs of revenue  191,537   224,285   (32,748)  -14.6%  193,826   191,536   2,290   1.2%
Bad debt expense  (43,887)  3,475,252   (3,519,139)  -101.3%
General and administrative expenses  897,038   2,691,078   (1,794,040)  -66.7%  255,237   975,813   (720,576)  -73.8%
Sales and marketing expenses  170,292   414,648   (244,356)  -58.9%  2,640   169,842   (167,202)  -98.4%
Depreciation and amortization  410,801   549,748   (138,947)  -25.3%  112,908   410,801   (297,893)  -72.5%
                                
Loss from operations $(1,039,118) $(7,364,096) $6,324,978   -85.9% $(547,041) $(1,039,117) $492,076   -47.4%
                                
Key Operating Measures - Revenues:                                
Insured tests performed  15,415   61,106   (45,691)  -74.8%  1,895   14,459   (12,564)  -86.9%
Net revenue per insured test $38.06  $(0.15) $38.21   25697.9% $9.27  $49.03 $(39.80)  -81.1%
Revenue recognition percent of gross billings  13.0%  15.0%  -2.0%      7   13   (6)    
                                
Key Operating Measures - Direct Costs:                                
Total samples processed  5,320   7,850   (2,530)  -32.2%  1,259   5,545   (4,286)  -77.3%
Direct costs per sample $36.00  $28.57  $7.43   26.0% $153.95  $34.54  $119.41   345.7%

 

The following table presents key financial metrics for our Supportive Software Solutions segment:

  Three Months Ended September 30,       
Supportive Software Solutions 2017  2016  Change  % 
             
Net revenues $208,070  $50,447  $157,623   312.5%
Operating expenses:                
Direct costs of revenue  47,347   80,872   (33,525)  -41.5%
General and administrative expenses  722,790   865,143   (142,353)  -16.5%
Sales and marketing expenses  491   1,329   (838)  -63.1%
Bad debt expense  73,227   192,740   (119,513)  -62.0%
Depreciation and amortization  25,015   163,749   (138,734)  -84.7%
                 
Loss from operations $(660,800) $(1,253,386) $592,586   -47.3%

34

RENNOVA HEALTH, INC.

 

The following table presents key financial metrics for our Hospital segment:

 

  Three Months Ended September 30,       
Hospital 2017  2016  Change  % 
             
Net revenues $619,478  $-  $619,478   - 
Operating expenses:                
Direct costs of revenue  69,145   -   69,145   - 
General and administrative expenses  2,180,793   -   2,180,793   - 
Bad debt expense  447,909   -   447,909   - 
Depreciation and amortization  15,436   -   15,436   - 
                 
Loss from operations $(2,093,805) $-  $(2,093,805)  - 

  Three Months Ended September 30,       
Hospital 2018  2017  Change  % 
             
Net revenues $5,021,543  $171,569  $4,849,974   2,826.8%
Operating expenses:                
Direct costs of revenue  3,156,461   78,815   3,077,646   3904.9%
General and administrative expenses  3,119,994   2,164,514   955,480   44.1%
Depreciation and amortization  39,669   22,045   17,624   79.9%
                 
Loss from operations $(1,294,580) $(2,093,805) $799,225   -38.2%
                 
Number of Patients Serviced  3,044   2,065   979     
                 
Key Operating Measures - Net Revenues per patient: $1,649.65   83.08   N/A     
                 
Key Operating Measures - Direct costs of revenue per patient: $1,036.95   38.17   N/A     

Our hospital operations began on August 8, 2017.

Our Hospital Operations segment, formed in January of 2017, had general and administrative expenses of $3.1 million for the three months ended September 30, 2018, as compared to $2.2 million for the three months ended September 30, 2017. These expenses consisted primarily of employee compensation costs, legal expenses and startup expenses.

 

The following table presents key financial metrics for our Corporate group:

 

  Three Months Ended September 30,       
Corporate 2017  2016  Change  % 
             
Operating expenses:                
General and administrative expenses $1,364,927  $2,940,211  $(1,575,284)  -53.6%
Direct costs of revenue  1,319   -   1,319   - 
Sales and marketing expenses  3,174   -   3,174   - 
Depreciation and amortization  345   745   (400)  -53.7%
                 
Loss from operations $(1,369,765) $(2,940,956) $1,571,191   -53.4%

35

  Three Months Ended September 30,       
Corporate 2018  2017  Change  % 
             
Operating expenses:                
General and administrative expenses $973,588  $1,364,923  $(391,335)  -28.7%
Direct costs of revenue  -   1,319   (1,319)  -100.0%
Sales and marketing expenses  118   3,175   (3,057)  -96.3%
Depreciation and amortization  248   674   (426)  -63.2%
                 
Loss from operations $(973,954) $(1,370,091) $396,137   -28.9%

 

RENNOVA HEALTH, INC.

NineComparison for the nine months ended September 30, 2018 and 2017 compared to Nine months ended September 30, 2016

 

The following table summarizes the results of our consolidated continuing operations for the nine months ended September 30, 2018 and 2017 and 2016:(unaudited):

 

  Nine Months Ended September 30, 
  2017  2016 
  $   % $   %
Net revenues $3,312,476   100.0% $4,067,562   100.0%
Operating expenses:                
Direct costs of revenue  849,632   25.6%  1,128,060   27.7%
General and administrative expenses  12,978,349   391.8%  17,142,263   421.4%
Sales and marketing expenses  620,560   18.7%  1,441,322   35.4%
Bad debt expense  1,051,590   31.7%  3,667,992   90.2%
Depreciation and amortization  1,508,042   45.5%  2,037,910   50.1%
Loss from operations  (13,695,697)  -413.5%  (21,349,985)  -524.9%
Interest expense  (16,510,525)  -498.4%  (4,700,664)  -115.6%
Other income, net  91,212   2.8%  6,763,138   166.3%
Change in fair value of derivative instruments  (42,702,815)  -1289.2%  -   0.0%
Gain on extinguishment of debt  42,702,815   1289.2%  -   0.0%
Income tax expense  3,622   0.1%  -   0.0%
Net loss $(30,118,632)  -909.2% $(19,287,511)  -474.2%

  Nine Months Ended September 30, 
  2018  2017 
  $  %  $  % 
Net revenues $9,932,989   100% $1,568,918   100%
Operating expenses:                
Direct costs of revenue  7,809,465   78.6%  717,234   45.7%
General and administrative expenses  10,238,891   103.1%  10,935,178   697.0%
Sales and marketing expenses  1,543   0.0%  617,081   39.3%
Depreciation and amortization  804,074   8%  1,273,435   81.2%
Loss from operations  (8,920,984)  -89.8%  (11,974,010)  -763.2%
Interest expense  (17,075,437)  -171.9%  (16,510,517)  -1052.4%
Other income  609,719   6.1%  91,212   5.8%
Gain on Bargain Purchase  7,732,302   78%  -   -%
Change in fair value of derivative instruments  13,688,678   137.8%  (42,702,815)  -2721.8%
Gain on extinguishment of debt  -   -%  42,679,815   2,720.3%
Income tax expense  (76)  0.0%  (3,622)  -0.2%
Net loss $(3,965,798)  -39.9% $(28,419,936)  -1811.4%

 

Net Revenues

 

Consolidated net revenues were $3.3$9.9 million for the nine months ended September 30, 2018, as compared to $1.6 million for the nine months ended September 30, 2017, asan increase of $8.3 million. The increase is due to revenue from Jamestown Regional Medical Center, which was acquired on June 1, 2018 and the Big South Fork Medical Center, which we began operating on August 8, 2017. The increase in Hospital revenue was offset by a $1.3 million decrease in Clinical Laboratory Operations revenue for the nine months ended September 30, 2018 compared to $4.1the same period in 2017. The 2018 and 2017 net revenues include a bad debt expense elimination of $3.1 million and $1.0 million, respectively, for doubtful accounts and allowance billing adjustments by insurance companies.

Direct Costs of Revenue

Direct costs of revenue increased by $7.1 million for the nine months ended September 30, 2016, a decrease of $0.8 million, or 19%. The decrease is mainly the result of a 72% decline in insured test volumes in our Clinical Laboratory Operations business segment, offset by the net revenue of the Hospital in the amount of $0.6 million. Net revenues in our Supportive Software Solutions increased by $0.1 million or 15% for the nine months ended September 30, 20172018, as compared to the same period a year ago.

Direct Cost of Revenue

Direct costs of revenue decreased by 25%, from $1.1 million in the nine months ended September 30, 2016 to $0.8 million in the nine months ended September 30, 2017. The decreaseincrease is a result of reduced expenses for transcription, data storage and software license related mostly to our Supportive Software Solutions segment as well as a decrease in reagents and supplies at our laboratories offset by an increase of $0.1 million related to the Hospital.hospital operations.

 

General and Administrative Expenses

 

General and administrative expenses decreased by $4.2$0.7 million, or 24%9%, for the nine months ended September 30, 2017, compared to the same period a year ago. The decrease is mainlyprimarily due to the result of a $3.0 millionsignificant reduction in employee compensationthe number of laboratory facilities to one, thereby reducing the number of employees and the related costs, net of Hospital employee compensation of $1.6 million, as we significantly reduced our headcount throughout the latter half of 2016 and 2017 in response to the decline in revenues in our Clinical and Supportive Software, and a $0.2 million reduction in maintenance costs for our laboratory equipment and a $0.8 million decrease in stock compensation expense.operating expenses.

41

 

Sales and Marketing Expenses

 

TheThere was a decline in sales and marketing expenses of $0.8$0.6 million, or 57%100%, for the nine months ended September 30, 20172018 as compared to the ninethree months ended September 30, 2016 was primarily due2017. We attribute the decrease to athe significant reduction in sales employeeforce and contractor compensation expenses in the amount of $0.8 million, as well as reduced travel, advertising and commissionable collections related to the decline in net revenues.

Bad Debt Expense

Bad debt expense for the nine months ended September 30, 2017 was $1.1 million, as compared to $3.7 million for the same period of a year ago. The decrease is mainly due to the $3.5 million bad debt charge in 2016 related to receivables in our Clinical Laboratory Operations segment.

36

RENNOVA HEALTH, INC.total marketing spend.

 

Depreciation and Amortization Expenses

 

Depreciation and amortization expense was $1.5$0.8 million for the nine months ended September 30, 20172018 as compared to $2.0$1.3 million for the same period a year ago as some of our property and equipment became fully depreciated during 20162017. We expect our depreciation and our capital expenditures have been minimal dueamortization expense to the reduced sample volume at our laboratories. Mostincrease going forward as a result of the capital expenditures for the Hospital in the amount of $1.5 million, started depreciating at the time the Hospital was opened in August 2017.fixed assets associated with our hospital acquisitions.

 

Loss from Operations

 

Our operating loss decreased by $7.7 million, to $13.7$3.1 million for the nine months ended September 30, 2017,2018 as compared to $21.3 million for the nine months ended September 30, 2016. The decrease issame period a year ago due to a reduction in the $8.4 millionoperating loss of our Clinical Laboratory Operations and the decrease in total operatingCorporate’s general and administrative expenses, partially offset by the $0.8 million decreaseincrease in net revenues.the loss from our Hospital operations.

 

Interest Expense

 

Interest expense for the nine months ended September 30, 20172018 was $16.5$17.1 million, as compared to $4.7$16.5 million for the nine months ended September 30, 2016.2017. The interest expense for the nine months ended September 30, 2018 included $16.1 million for the amortization of debt discount and deferred financial costs related to convertible debentures and warrants. Interest expense in the nine months ended September 30, 2017 includes a $8.5$12.2 million non-cash interest charge related to the issuance of convertible debentures and warrants during the period, and $6.2$9.0 million for the amortization of debt discount.discount and deferred financing costs.

 

Other income (expense)

 

Other income (expense) decreasedincreased by $6.8 million$518,500 for the nine months ended September 30, 20172018 as compared to the same period a year ago. The decrease consists of the $6.8There also was a $7.7 million in non-cash gainsgain on the changebargain purchase involving real property assets acquired in the Jamestown Regional Medical Center acquisition on June 1, 2018.

Change in Fair Value of Derivative Instruments

The increase in the fair value of derivative financial instruments relatedis primarily due to convertible notesthe increase in the spread between the price of our common stock and warrants recorded in 2016.the exercise/conversion prices of the derivatives for the nine months ended September 30, 2018.

 

Net Loss

 

Our net loss from continuing operationsdecreased by $27.3 million, to $3.9 million for the nine months ended September 30, 2017 was $30.1 million,2018, as compared to $19.3$31.2 million for the same periodnine months ended September 30, 2017. The decrease is due primarily to the revaluation of our derivative instruments resulting in a year ago, an increasenet gain of $10.8$13.7 million. The changedecrease is primarilyalso due to the increase of $12.2$7.7 million in non-cash interest and amortization of debt discount charge, and a decrease of $6.8 million inbargain purchase gain related to the Jamestown Regional Medical Center acquisition on June 1, 2018, among other income (expense), offset by a decrease in loss from operations of $7.7 million.items.

 

The following table presents key financial and operating metrics for our Clinical Laboratory Operations segment:segment

 

  Nine Months Ended September 30,       
Clinical Laboratory Operations 2017  2016  Change  % 
             
Net revenues $1,994,639  $3,461,987  $(1,467,348)  -42.4%
Operating expenses:                
Direct costs of revenue  605,593   898,444   (292,851)  -32.6%
Bad debt expense  526,934   3,475,252   (2,948,318)  -84.8%
General and administrative expenses  2,794,143   6,592,565   (3,798,422)  -57.6%
Sales and marketing expenses  611,941   1,439,994   (828,053)  -57.5%
Depreciation and amortization  1,265,174   1,646,167   (380,993)  -23.1%
                 
(Loss) income from operations $(3,809,146) $(10,590,435) $6,781,289   -64.0%
                 
Key Operating Measures - Revenues:                
Insured tests performed  52,374   187,283   (134,909)  -72.0%
Net revenue per insured test $38.08  $18.49  $19.60   106.0%
Revenue recognition percent of gross billings  13.0%  15.0%  -2.0%    
                 
Key Operating Measures - Direct Costs:                
Total samples processed  16,246   19,039   (2,793)  -14.7%
Direct costs per sample $37.28  $47.19  $(9.91)  -21.0%

37

RENNOVA HEALTH, INC.

The following table presents key financial metrics for our Supportive Software Solutions segment:

  Nine Months Ended September 30,       
Supportive Software Solutions 2017  2016  Change  % 
             
Net revenues $698,359  $605,575  $92,784   15.3%
Operating expenses:                
Direct costs of revenue  122,728   229,616   (106,888)  -46.6%
General and administrative expenses  1,992,088   3,492,547   (1,500,459)  -43.0%
Sales and marketing expenses  491   1,329   (838)  -63.1%
Bad debt expense  76,747   192,740   (115,993)  -60.2%
Depreciation and amortization  227,999   490,236   (262,237)  -53.5%
                 
Loss from operations $(1,721,694) $(3,800,893) $2,079,199   -54.7%

The decrease in general and administrative expenses relates primarily to the reduction in employee compensation and related costs, as we significantly reduced our headcount.

  Nine Months Ended September 30,       
Clinical Laboratory Operations 2018  2017  Change  % 
             
Net revenues $177,890  $1,467,705  $(1,289,815)  -87.9%
Operating expenses:                
Direct costs of revenue  234,846   605,593   (370,747)  -61.2%
General and administrative expenses  1,081,137   2,794,143   (1,713,006)  -61.3%
Sales and marketing expenses  1,425   611,941   (610,516)  -99.8%
Depreciation and amortization  625,877   1,265,174   (639,297)  -50.5%
                 
Loss from operations $(1,765,395) $(3,809,146) $2,043,751   -53.7%
                 
Key Operating Measures - Revenues:                
Insured tests performed  3,444   14,459   (11,015)  -76.2%
Net revenue per insured test $51.65  $101.51  $(49.86)  -49.1%
Revenue recognition percent of gross billings  11%  13%  (2)%    
                 
Key Operating Measures - Direct Costs:                
Total samples processed  4,499   5,545   (1,046)  -18.9%
Direct costs per sample $52.20  $109.21  $(57.01)  -52.2%

 

The following table presents key financial metrics for our Hospital segment:

 

 Nine Months Ended September 30,       Nine Months Ended September 30,      
Hospital 2017  2016  Change  %  2018  2017  Change  % 
                  
Net revenues $619,478  $-  $619,478   -  $9,755,099  $171,569  $9,583,530   5,585.8%
Operating expenses:                                
Direct costs of revenue  78,815   -   78,815   -   7,574,619   78,815   7,495,804   9,510.6%
General and administrative expenses  3,185,182   -   3,185,182   -   6,002,037   3,185,182   2,816,855   88.4%
Bad debt expense  447,909   -   447,909   - 
Depreciation and amortization  22,045   -   22,045   -   177,386   22,045   155,341   704.6%
                                
Loss from operations $(3,114,473) $-  $(3,114,473)  -  $(3,998,943) $(3,114,473) $(884,470)  28.4%
                
Number of Patients Serviced  10,093   2,065   N/A     
                
Key Operating Measures – Net Revenues per patient: $966.52  $83.08   N/A     
                
Key Operating Measures - Direct costs of revenue per patient: $750.48  $38.17   N/A     

Our hospital operations began on August 8, 2017.

Our Hospital Operations segment, formed in January of 2017, had general and administrative expenses of $6 million for the nine months ended September 30, 2018. These expenses consisted primarily of employee compensation costs, legal expenses and startup expenses.

 

The following table presents key financial metrics for our Corporate group:

 

  Nine Months Ended September 30,       
Corporate 2017  2016  Change  % 
             
Operating expenses:                
General and administrative expenses $5,006,936  $7,057,150  $(2,050,214)  -29.1%
Direct costs of revenue  42,496   -   42,496   - 
Sales and marketing expenses  8,128   -   8,128   - 
Depreciation and amortization  1,005   2,494   (1,489)  -59.7%
                 
Loss from operations $(5,058,565) $(7,059,644) $2,001,079   -28.3%

The decrease in general and administrative expenses is mainly due to reductions in stock-based compensation in 2017 as compared to the prior year in the amount of $0.8 million, $0.7 million of interest and penalties that were recognized in 2016 in connection with unpaid taxes, and a $0.3 million decrease in salaries due to headcount reduction.

38

RENNOVA HEALTH, INC.

  Nine Months Ended September 30,       
Corporate 2018  2017  Change  % 
             
Operating expenses:                
General and administrative expenses $3,155,717  $5,006,936  $(1,851,219)  -37.0%
Direct costs of revenue  -   42,496   (42,496)  -100%
Sales and marketing expenses  118   8,128   (8,010)  -99%
Depreciation and amortization  810   1005   (195)  (19.4)%
                 
Loss from operations $(3,156,645) $(5,058,565) $(1,901,920)  37.6%

 

LIQUIDITY AND CAPITAL RESOURCES

 

For the yearnine months ended December 31, 2016 and through September 30, 2018 and 2017, we have financed our operations primarily from the sale of our equity securities, the issuance of debentures, short-term advances from related parties, the issuance of debentures and the proceeds we received from pledging certain of our accounts receivable as discussed below.in March 2016. Future cash needs for working capital, capital expenditures and potential acquisitions will require management to seek additional equity or obtain additional credit facilities. As of November 9, 2018, the Company had enough authorized shares of common stock to issue additional shares of common stock. The sale of additional equity will result in additional dilution to our stockholders. A portion of our cash may be used to acquire or invest in complementary businesses or products or to obtain the right to use complementary technologies. From time to time, in the ordinary course of business, we evaluate potential acquisitions of such businesses, products or technologies.

 

At September 30, 2017,2018, we had no cash on hand from continuing operations, of approximately $41,019, a working capital deficit of $18.0$30 million and a stockholders’ deficit of $18.8$30.1 million. In addition, we incurred a loss from continuing operations before other income (expense) and income taxes of $30.1$2.8 million and $8.9 million for the three and nine months ended September 30, 2017.2018, respectively. As of the date of this report, our cash position is critically deficient andstill deficient; however, payments critical to our ability to operate are not being madeoperations in the ordinary course.course are being made. Our fixed operating expenses includinginclude payroll, rent, capital lease payments and other fixed expenses, includingas well as the costs required to operate Big South Fork Medical Center, arewhich began operations on August 8, 2017, and Jamestown Regional Medical Center, which was acquired on June 1, 2018. The fixed operating expenses were approximately $1.5-$2.0$2.6 and $2.1 million per month.month for the three and nine months ended September 30, 2018, respectively.

 

On October 30, 2017, we raised $4.0 million fromFebruary 9, 2018, the issuanceholders exercised their right to exchange a portion of ourthe September Debentures for shares of the Series I-1 ConvertibleI-2 Preferred Stock for the first time. On that date, the holders elected to exchange an aggregate of $1,384,556 principal amount of September Debentures and the Company issued an aggregate 1,730.7 shares of its Series I-2 Preferred Stock. On July 16, 2018, under the Exchange Agreements with the holders of the September Debentures, the holders exchanged a portion of the September Debentures for shares of the Company’s Series I-2 Preferred Stock. On that date, the holders elected to exchange an aggregate of $1,741,580 principal amount of the September Debentures and the Company issued an aggregate of 2,176.975 shares of its Series I-2 Preferred Stock. In July 2018, the holder converted 538.137 shares of Series I-2 Preferred Stock into 1,764,927 shares of the Company’s common stock.

For the nine months ended September 30, 2018, the Company issued an aggregate of 142,667 shares of restricted stock to employees and directors, based upon the recommendation of the Compensation Committee of the Board. The Company recognized stock-based compensation in the amount of $477,933 for the grant of such restricted stock based on a valuation of $3.35 per share.

The Company had 7,365,881 and 39,502 shares of common stock issued and outstanding at September 30, 2018 and December 31, 2017, respectively. During the nine months ended September 30, 2018, the Company issued an aggregate of 3,886,680 shares of its common stock upon conversion of $6.7 million of the principal amount of the March 2017 Debentures. We also issued 1,492,228 shares of common stock upon exercise of 5,906,177 warrants, on a cashless basis and 40,000 shares of common stock upon the conversion of 50 shares of its Series H Preferred stock as discussed above.

On March 5, 2018, May 14, 2018, May 21, 2018 and June 28, 2018, the Company closed offerings of $6,810,000 aggregate principal amount of Senior Secured Original Issue Discount Convertible Debentures due September 19, 2019. The Company received proceeds of $5,500,000 in the offerings. The terms of these debentures are the same as those issued under the previously-announced Securities Purchase Agreement, dated as of August 31, 2017, (the “Series I-1 Preferred Stock”“Purchase Agreement”). On July 16, 2018, August 2, 2018, and September 6, 2018, the Company entered into Additional Issuance Agreements (the “Issuance Agreements”), with two existing institutional investors of the Company. Under the Issuance Agreements, the Company issued $3.1 million aggregate principal amount of Senior Secured Original Issue Discount Convertible Debentures due September 19, 2019 and received proceeds of $2.5 million. The conversion terms of these debentures are the same as those issued in September 2017 under the Purchase Agreement, as more fully discussed below. However,described above, with the exception of the floor conversion price, which is $.052 per share. These debentures may also be exchanged for shares of the Company’s Series I-2 Preferred Stock under the terms of the Exchange Agreements.

The Debentures were issued in reliance on the exemption from registration contained in Section 4(a)(2) of the Securities Act and by Rule 506 of Registration D promulgated thereunder as a transaction by an issuer not involving a public offering.

The following table presents our failure to raise additional capital resources as of September 30, 2018 and December 31, 2017:

  September 30, 2018  December 31, 2017  Change 
          
Cash $-  $-  $- 
Working capital  (30,048,259)  (33,931,294)  3,883,035 
Total debt, excluding discounts and deferred financing fees  24,988,852   25,806,412   (817,560)
Capital lease obligations  981,627   2,079,137   (1,097,510)
Stockholders’ deficit  (30,134,730)  (40,613,461)  10,478,731 

The following table presents the major sources and uses of cash for the nine months ended September 30, 2018 and 2017:

  Nine Months Ended September 30,    
  2018  2017  Change 
          
Cash used in operations $(7,121,826) $(11,793,129) $4,671,303 
Cash provided by (used in) investing activities  461,242   (1,552,563)  2,013,805 
Cash provided by financing activities  6,660,584   13,302,006   (6,641,422)
             
Net change in cash $0  $(43,686) $43,686 

The decrease in the coming months will have a material adverse effect on our ability to operate our business. In addition, we will be required to raise additional capitalcash used in order to fund our operations for the next twelve months. There can be no assurances that we will be ablenine months ended September 30, 2018 and 2017 is presented in the following table:

  Nine Months Ended September 30,    
  2018  2017  Change 
          
Net loss from continuing operations $(3,965,798) $(28,419,936) $24,454,138 
Non-cash adjustments to income  (4,346,430)  16,087,914     
Accounts receivable  (5,648,343)  828,450   (6,476,793)
Accounts payable and accrued expenses  7,225,248   3,446,237   3,779,011 
Income (loss) from discontinued operations  115,787   (2,752,173)  2,867,960 
Other  125,865   (533,696)  659,561 
Net cash used in operating activities  (6,493,672)  (11,343,204)  4,849,532 
Cash used in discontinued operations  (628,154)  (449,925)  (178,229)
Cash used in operations $(7,121,826) $(11,793,129) $4,671,303 

Cash provided by investing activities for the nine months ended September 30, 2018 consist of the $800,000 received from the February 14, 2018 Common Stock Purchase Agreement with two investors pursuant to raisewhich the necessaryCompany agreed to sell an aggregate of 200,000 shares of common stock of NanoVibronix, Inc. owned by the Company at a purchase price of $4.00 per share. The Company had acquired the shares as a result of an investment originally made in 2011. Also, cash was provided in the nine months ended September 30, 2018 from the sale of property and equipment of $433,612. Cash provided by investing activities for the nine months ended September 30, 2018 was reduced by the purchase of Jamestown Medical Center of $668,983, which is net of cash acquired.

Cash provided by financing activities for the nine months ended September 30, 2018 consists of the $8 million received from the debenture issuances, partially offset by $428,500 from related party notes payable and advances, $256,481 for payments on notes payable, and $654,435 for payments on capital on terms that are acceptablelease obligations.

Going Concern and Liquidity

Under Accounting Standards Update, or ASU, 2014-15,Presentation of Financial Statements—Going Concern (Subtopic 205-40) (“ASC 205-40”), the Company has the responsibility to us, evaluate whether conditions and/or at all. If we are unable to secure the necessary funding as and when required, it will have a material adverse effect on our business and we may be required to downsize, further reduce our workforce, sell some of our assets or possibly curtail or even cease operations, raisingevents raise substantial doubt about ourits ability to meet its future financial obligations as they become due within one year after the date that the financial statements are issued. As required by ASC 205-40, this evaluation shall initially not take into consideration the potential mitigating effects of plans that have not been fully implemented as of the date the financial statements are issued. Management has assessed the Company’s ability to continue as a going concern.concern in accordance with the requirement of ASC 205-40.

 

On July 12,As reflected in the condensed consolidated financial statements, the Company reported net income from operations of approximately $97.2 million and cash used in operating activities of $7.1 million for the three months ended September 30, 2018. For the nine months ended September 30, 2018, the Company reported a net loss of $3.9 million. In addition, the Company had a working capital deficit and an accumulated deficit of $30 million and $190.1 million, respectively, at September 30, 2018.

The Company’s condensed consolidated financial statements are prepared assuming the Company can continue as a going concern, which contemplates continuity of operations through realization of assets, and the settling of liabilities in the normal course of business. Initial cost savings were realized by reducing the number of laboratory facilities to one for most of its toxicology diagnostics, thereby reducing the number of employees and associated operating expenses. During 2017, we announced that we planthe Company’s Board of Directors voted unanimously to spin off thespinoff Advanced Molecular Services Group (“AMSG”) and Health Technology Solutions, Inc. (“HTS”), as an independent publicly traded companycompanies by way of a tax-free distributiondistributions to ourits shareholders. Completion of the spinoffthese spinoffs is expected to occur during the first quartersecond half of 2018, and is2018. The spinoffs are subject to numerous conditions, including effectiveness of a Registration StatementStatements on Form 10 to be filed with the Securities and Exchange Commission and consents, including under various funding agreements previously entered into by the Company. The intent of the spinoffspinoffs of AMSG and HTS is to create twothree public companies, each of which can focus on its own strengths and operational plans. We alsoIn accordance with ASC 205-20 and having met the criteria for “held for sale”, the Company has reflected amounts relating to AMSG and HTS as disposal groups classified as held for sale and included as part of discontinued operations. AMSG and HTS are no longer included in the segment reporting following the reclassification to discontinued operations. The discontinued operations of AMSG and HTS are described further in Note 18.

During the nine months ended September 30, 2018, the Company completed several private placement offerings with institutional investors for $9.9 million in principal less original issue discounts of an aggregate of $1.9 million and received proceeds totaling $8,000,000. As more fully discussed in Note 20 to the accompanying condensed consolidated financial statements, from October 1, 2018 to November 9, 2018, the Company completed additional private placement offerings for an aggregate of $1,240,000 in principal and received $1,000,000 in additional proceeds. Previously, the Company announced on July 24, 2017 that theits Big South Fork Medical Center received CMS regional office licensure approval.approval and opened on August 8, 2017. On June 1, 2018, the Company purchased certain assets of and began operating the Jamestown Regional Medical Center, which is located in Jamestown Tennessee. The hospital opened in August 2017. We expectCompany may amend its current revenue recognition policy and percentage for the hospitals when payments are received to support amended revenue recognition methodologies. Therefore, the Company expects that the hospitalthese hospitals will continue to provide us additional revenue and cash flow sources.

 

During 2017, we entered into financings as follows:

In 2017, we received short-term advances from Christopher Diamantis, a member of our Board of Directors, inThere can be no assurance that the amount of $3.3 million. On March 7, 2017 we issued a promissory noteCompany will be able to Mr. Diamantis inachieve its business plan, raise any additional capital or secure the amount of $3.8 million (the “2017 Diamantis Note”) in connection with the advances we received in 2017, plus accrued and unpaid interest reflecting the advances we received in both fiscal 2016 and 2017, in the amount of $0.5 million.

On February 2, 2017, we issued $1.59 million of convertible debentures (the “February Debentures”) and warrantsadditional financing necessary to purchase 6,667 shares of our common stock and received cash proceeds of $1.5 million.

On March 21, 2017, we issued $10.85 million aggregate principal amount of Senior Secured Original Issue Discount Convertible Debentures due two years from the date of issuance (the “Convertible Debentures”) and three series of warrants to purchase shares of our common stock to several accredited investors. We received net proceeds from this transaction in the approximate amount of $8.4 million. We used $3.8 millionimplement its current operating plan. The ability of the net proceedsCompany to repaycontinue as a going concern is dependent upon its ability to significantly reduce its operating costs, increase its revenues and eventually regain profitable operations. While implementing cost reduction initiatives and generating operating profits are management’s primary focus, the 2017 Diamantis Note and $0.75 million of the net proceeds to make a partial repayment on the TCA Debenture (as defined below). The remainder of the net proceeds were used for general corporate purposes. In conjunction with the issuance of the Convertible Debentures, the holder of the February Debentures exchanged these debentures for $2.7 million of new debentures (the “Exchange Debentures” and, collectively with the Convertible Debentures, the “March Debentures”) on the same terms as, and pari passu with, the Convertible Debentures and warrants. Additionally, the holders of an aggregate of $2.2 million stated value of our Series H Convertible Preferred Stock (the “Series H Preferred Stock”) exchanged such preferred stock into $2.5 million principal amount of Exchange Debentures and warrants. All of the March Debentures contain a 24% original issue discount.

On June 2, 2017 and June 22, 2017, we issued $1.9 million aggregate principal amount of Original Issue Discount Debentures due three months from the date of issuance of these two issuances (collectively, the “June Debentures”) and warrants to purchase an aggregate of 100,000 shares of common stock to accredited investors for a purchase price of $1.8 million and cash proceeds of $1.5 million.

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RENNOVA HEALTH, INC.

On July 17, 2017, we closed an offering of $4,136,862 aggregate principal amount of Original Issue Discount Debentures due October 17, 2017 and warrants to purchase an aggregate of 141,333 shares of common stock for consideration of $2,000,000 in cash and the exchange of the $1,902,700 aggregate principal amount of Original Issue Discount Debentures due September 22, 2017 issued by us on June 22, 2017.

On September 19, 2017, we closed an offering of $2,604,000 principal amount of Senior Secured Original Issue Discount Convertible Debentures due September 19, 2019 (the “New Debentures”) and three series of warrants to purchase shares of our common stock. The offering was pursuant to the terms of a Securities Purchase Agreement, dated as of August 31, 2017, between us and certain of our existing institutional investors. We received proceeds of $2,100,000 from the offering.

Also on September 19, 2017, we closed exchanges by which the holders of our July Debentures exchanged $4,136,862 principal amount of such debentures for $6,412,136 principal amount of new debentures and warrants on the same items as, and pari passu with, the New Debentures (the “September Exchange Debentures” and, together with the New Debentures, the “September Debentures”). All issuance amounts of the September Debentures reflect a 24% original issue discount.

On October 30, 2017, we closed an offering of $4,960,000 stated value of our newly-authorized Series I-1 Preferred Stock. The offering was pursuant to the terms of the Securities Purchase Agreement, dated as of October 30, 2017, between us and certain of our existing institutional investors. We received proceeds of $4,000,000 from the offering.

In September of 2016, we received $0.4 million from the sale of convertible notes and warrants with a maturity date of March 15, 2017. On March 13, 2017, these securities were exchanged for 26,666 shares of our common stock.

On March 31, 2016, we entered into an agreement to pledge certain of our accounts receivable as collateral against a prepaid forward purchase contract. The receivables had an estimated collectable value of $8.7 million which had been adjusted down to approximately $1.5 million and $0 on our balance sheet as of December 31, 2016 and September 30, 2017, respectively. The consideration received was $5.0 million. In exchange for the consideration received, the counterparty received the right to: (i) a 20% per annum investment return from us on the consideration, with a minimum repayment term of six months and minimum return of $0.5 million, (ii) all payments recovered from the accounts receivable up to $5.25 million, if paid in full within six months,Company also believes it can raise additional working capital through equity or $5.5 million, if not paid in full within six months, and (iii) 20% of all payments of the accounts receivable in excess of amounts received in (i) and (ii). On March 31, 2017, to the extentdebt offerings; however, no assurance can be provided that the counterparty has not been paid $6.0 million, we were required to pay the difference, plus 30% interest per annum on the total balance. As of September 30, 2017, and the date of this report, we had not collected any amounts due on these receivables, and $6.9 million, including accrued interest, is currently due to the counterparty. We currently do not have the financial resources to satisfy this obligation. Mr. Diamantis has guaranteed our payment obligation under this agreement.

On November 3, 2016, we received a Notice of Default from TCA Global Credit Master Fund, LP (“TCA”), the holder of a secured convertible debenture with an original outstanding principal amount of $3.0 million (the “TCA Debenture”), related to our failure to pay the monthly principal and interest payments required under the TCA Debenture. Prior to our issuance of the March Debentures on March 21, 2017, we had not made the last nine required payments under the TCA Debenture, other than a $0.4 million payment we made in February of 2017. In conjunction with the issuance of the March Debentures on March 21, 2017, we entered into a letter agreement with TCA, which (i) waived any non-payment default through March 21, 2017; (ii) provided for the $0.75 million payment discussed above; (iii) set forth a revised repayment schedule whereby the remaining principal plus interest aggregating to approximately $2.6 million was to be repaid in various monthly installments from April of 2017 through September of 2017; and (iv) provided for payment of an additional service fee in the amount of $150,000, which was due on June 27, 2017, the day after the effective date of the registration statement filed by us; which amount is reflected in accrued expenses in the accompanying consolidated balance sheet at September 30, 2017. In addition, TCA entered into an intercreditor agreement with the purchasers of the March Debentures which sets forth rights, preferences and priorities with respect to the security interests in our assets. On September 19, 2017, the Company entered into a new agreement with TCA, which extended the repayment schedule through to December 31, 2017. The Company is current with its payments.

As of September 30, 2017, we were party to the following legal matters:

Biohealth Medical Laboratory, Inc, and PB Laboratories, LLC (the “Companies”) filed suit against CIGNA Health in 2015 alleging that CIGNA failed to pay claims for laboratory services the Companies provided to patients pursuant to CIGNA - issued and CIGNA - administered plans. In 2016, the U.S. District Court dismissed part of the Companies’ claims for lack of standing. The Companies appealed that decision to the Eleventh Circuit Court of Appeals, which recently reversed the District Court’s decision and found that the Companies have standing to raise claims arising out of traditional insurance plans as well as self-funded plans.

Our Epinex Diagnostics Laboratories, Inc. subsidiary had been sued in a California state court by two former employees who alleged that they were wrongfully terminated, as well as for a variety of unpaid wage claims. The parties entered into a settlement agreement of this matter on July 29, 2016 for approximately $0.2 million, and the settlement was consummated on August 25, 2016. In October of 2016, the plaintiffs in this matter filed a motion with the court seeking payment for attorneys’ fees in the approximate amount of $0.7 million. On March 24, 2017, the court granted plaintiffs’ motion for payment of attorneys’ fees in the amount of $0.3 million, and we have accrued this amount in its condensed consolidated financial statements. Additionally, we are seeking indemnification for these amounts from Epinex Diagnostics, Inc. (“EDI”), the seller of Epinex Diagnostic Laboratories, Inc. (“EDL”), pursuant to a Stock Purchase Agreement entered into by and among the parties.

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RENNOVA HEALTH, INC.

InFebruary 2016, we received notice that the Internal Revenue Service (the “IRS”) had placed a lien against Medytox Solutions, Inc. and its subsidiaries relating to unpaid 2014 taxes due, plus penalties and interest, in the amount of $5.0 million. We paid $0.1 million toward the 2014 tax liability on March 2016. We filed our 2015 Federal tax return on March 15, 2016 and the accompanying election to carryback the reported net operating losses was filed in April 2016. On August 24, 2016, the lien was released, and in September of 2016, we received a refund from the IRS in the amount of $1.9 million. In November of 2016, the IRS commenced an audit of our 2015 Federal tax return. We are currently unable to predict the outcome of the audit or any liability to us that may result from the audit.

On September 27, 2016, a tax warrant was issued against us by the Florida Department of Revenue (the “DOR”) for unpaid 2014 state income taxes in the approximate amount of $0.9 million, including penalties and interest. On January 25, 2017, we paid the DOR $250,000 as partial payment on this liability, and in February 2017, we entered into a Stipulation Agreement with the DOR which will allow us to make monthly installment payments of $35,000 until February 2018 and negotiate a new payment agreement then, if the balance of $0.3 million cannot be satisfied in a lump sum. If at any time during the Stipulation period we fail to timely file any required tax returns with the DOR or do not meet the payment obligations under the Stipulation Agreement, the entire amount due will be accelerated. The Company is current with the agreed payment plan.

InDecember of 2016, TCS-Florida, L.P. (“Tetra”), filed suit against us for failure to make the required payments under an equipment leasing contract that we had with Tetra. On January 3, 2017, Tetra received a Default Judgment against ussuccessful in the amount of $2.6 million, representing the balance owed on the leases, as well as additional interest, penalties and fees. We have recognized this amount in our consolidated financial statements as of December 31, 2016. In January and February of 2017, we made payments to Tetra in connection with this judgment aggregating to $0.7 million, and on February 15, 2017, we entered into a forbearance agreement with Tetra whereby the remaining $1.9 million due will be paid in 24 equal monthly installments. Payments commenced on May 1, 2017. The Company is current with its payments.

InDecember of 2016, DeLage Landen Financial Services, Inc. (“DeLage”), filed suit against us for failure to make the required payments under an equipment leasing contract that we had with DeLage. On January 24, 2017, DeLage received a default judgment against us in the approximate amount of $1.0 million, representing the balance owed on the lease, as well as additional interest, penalties and fees. We have recognized this amount in our consolidated financial statements as of December 31, 2016. On February 8, 2017, a Stay of Execution was filed and under its terms the balance due will be paid in variable monthly installments through January of 2019, with an implicit interest rate of 4.97%. The Company is current with its payments.

On December 7, 2016, the holders of the notes payable to CommerceNet and Jay Tannenbaum (the “Tegal Notes”) filed suit against us seeking payment for the amounts due under the notes in the aggregate of $0.4 million, including accrued interest. A request for entry of default judgment was filed on January 24, 2017. A Case Management Conference is scheduled for December 5, 2017.such capital raising efforts.

 

The following table presents our capital resources asability to recognize revenue and ultimately cash receipts is contingent upon, but not limited to, acceptable performance of September 30, 2017 and December 31, 2016:

  September 30, 2017  December 31, 2016  Change 
          
Cash $41,019  $75,017  $(33,998)
Working capital  (17,990,110)  (16,344,128)  (1,645,982)
Total debt, excluding discounts and deferred financing fees  28,484,822   9,339,747   19,145,075 
Capital lease obligations  2,227,204   3,570,174   (1,342,970)
Stockholders’ deficit $(18,788,423) $(14,885,896) $(3,902,527)

41

RENNOVA HEALTH, INC.

The following table presents the major sources and uses of cash fordelivered healthcare services. If the nine months ended September 30, 2017 and 2016:

  Nine Months Ended September 30,    
  2017  2016  Change 
          
Cash used in operations $(11,783,441) $(17,040,274) $5,256,833 
Cash used in investing activities  (1,552,563)  63,273   (1,615,836)
Cash provided by financing activities  13,302,006   8,658,115   4,643,891 
             
Net change in cash $(33,998) $(8,318,886) $8,284,888 

The decrease in cash used in operations for the nine months ended September 30, 2017 and 2016Company is presentedunable to succeed with these new ventures to increase its revenue producing opportunities in the following table:

  Nine Months Ended September 30,    
  2017  2016  Change 
          
Net loss $(30,118,632) $(19,287,511) $(10,831,121)
Non-cash adjustments to income  17,475,571   2,320,100   15,155,471 
Accounts receivable  (252,717)  1,878,086   (2,130,803)
Accounts payable and accrued expenses  3,449,565   (1,348,163)  4,797,728 
Loss from discontinued operations  (1,053,471)  (2,828,030)  1,774,559 
Other  (539,116)  2,441,858   (2,980,974)
Net cash used in operating activities  (11,038,800)  (16,823,660)  5,784,860 
Cash used in discontinued operations  (744,641)  (216,614)  (528,027)
Cash used in operations $(11,783,441) $(17,040,274) $5,256,833 

The increase in cash used in investing activities is due tonear term, the acquisitioncarrying value of the Hospital Assets in January of 2017. Cash provided by investing activities for the nine months ended September 30, 2017 consists of $1.6 million.

Cash provided by financing activities for the nine months ended September 30, 2017 consists of the $15.7 million of net proceeds received in connection with the issuance of debentures and warrants and $1.1 million of related party payments net of advances, partially offset by payments on capital lease obligations in the amount of $1.3 million.

Cash provided by financing activities for the nine months ended September 30, 2016 consists of the $5.0 million received from the prepaid forward purchase contract and the $7.5 million in proceeds from a public offering, partially offset by the $3.4 million of related party payments, net of advances, and repayment of capital lease obligations in the amount of $0.8 million.its assets may be materially impacted.

 

OTHER MATTERS

 

Inflation

 

We do not believe inflation has a significant effect on the Company’s operations at this time.

 

Off Balance Sheet Arrangements

 

Under SEC regulations, we are required to disclose the Company’s off-balance sheet arrangements that have or are reasonably likely to have a current or future effect on the Company’s financial condition, results of operations, liquidity, capital expenditures or capital resources that are material to investors. Off-balance sheet arrangements consist of transactions, agreements or contractual arrangements to which any entity that is not consolidated with us is a party, under which we have:

 

 Any obligation under certain guarantee contracts.
   
 Any retained or contingent interest in assets transferred to an unconsolidated entity or similar arrangement that serves as credit, liquidity or market risk support to that entity for such assets.
   
 Any obligation under a contract that would be accounted for as a derivative instrument, except that it is both indexed to the Company’s stock and classified in stockholder’s equity in the Company’s statement of financial position.
   
 Any obligation arising out of a material variable interest held by us in an unconsolidated entity that provides financing, liquidity, market risk or credit risk support to us, or engages in leasing, hedging or research and development services with us.

 

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RENNOVA HEALTH, INC.

As of September 30, 2017,2018, the Company had no off-balance sheet arrangements that have, or are reasonably likely to have, a current or future effect on the Company’s financial condition, results of operations, liquidity, capital expenditures or capital resources that is material to investors.

 

Item 3. Quantitative and Qualitative Disclosures About Market Risk.

 

Not applicable

 

Item 4. Controls and Procedures.

 

 (a)Evaluation of Disclosure Controls and Procedures

 

In connection with the preparation of this Quarterly Report on Form 10-Q, an evaluation was carried out by the Company’s management, with the participation of our chief executive officer and interim chief financial officer, of the effectiveness of the Company’sWe maintain disclosure controls and procedures (as defined in Rules 13a-15(e) and 15d-15(e) under the Securities Exchange Act of 1934 (“Exchange Act”)) as of September 30, 2017. Disclosure controls and proceduresthat are designed to ensure that material information required to be disclosed in our periodic reports filed or submitted under the Exchange Act is recorded, processed, summarized, and reported within the time periods specified in the SEC’s rules and forms and to ensure that such information is accumulated and communicated to our management, including the chief executive officer,our Chief Executive Officer and Chief Financial Officer as appropriate, to allow timely decisions regarding required disclosures.

disclosure. Under the supervision and with the participation of our management, including our Chief Executive Officer and Chief Financial Officer, we conducted an evaluation of our disclosure controls and procedures. Based on thatthe foregoing evaluation, our management concluded that, as of September 30, 2018, our disclosure controls and procedures were not effective to provide reasonable assurance that the end ofinformation required to be disclosed by us in reports that we file or submit under the period covered by this report,Exchange Act is recorded, processed, summarized, and reported within the time periods specified in SEC rules and forms, and is accumulated and communicated to our management, including our Chief Executive Officer and Chief Financial Officer, as appropriate, to allow timely decisions regarding required disclosure. Our management, including our Chief Executive Officer (Principal Executive Officer) and Chief Financial Officer (Principal Financial Officer), does not expect that our disclosure controls and procedures (as defined in Rules 13a-15(e)will prevent all errors and 15d-15(e) under the Exchange Act) wereall fraud. A control system, no matter how well conceived and operated, can provide only reasonable, not effective. In connection with such evaluation, management concludedabsolute, assurance that the material weaknessobjectives of the control system are met. Further, the design of a control system must reflect the fact that there are resource constraints and the benefits of controls must be considered relative to their costs. Because of the inherent limitations in internalall control over financial reporting identifiedsystems, no evaluation of controls can provide absolute assurance that all control issues and instances of fraud, if any, within our Company have been detected. These inherent limitations include, but are not limited to, the realities that judgments in decision-making can be faulty and that breakdowns can occur because of simple error or mistake. Additionally, controls can be circumvented by the individual acts of some persons, by collusion of two or more people, or by management override of the control. The design of any system of controls also is based in part upon certain assumptions about the likelihood of future events and there can be no assurance that any design will succeed in achieving its stated goals under all potential future conditions.

In our Annual Report on Form 10-K for the year ended December 31, 2016 continued2017, we identified material weaknesses in our internal control over financial reporting as a result of not properly performing an effective risk assessment or monitoring of our internal controls over financial reporting. With the acquisitions of Oneida and Jamestown Hospitals, there are risks related to exist,the timing and as such our disclosure controls and procedures were not effective asaccuracy of the integration of information from various accounting systems whereby the Company has experienced delays in receiving information in a timely manner from its subsidiaries. As of September 30, 2017. Insufficient staffing, accounting processes2018, we concluded that the identified material weaknesses continued to exist.

The Company expects improvements to be made on the integration of information issues in 2018 as we plan to move towards securing a prompt and procedures ledaccurate reporting system. The Company is continuing to a lack of contemporaneous documentation supportingfurther remediate the accounting for certain transactions and the approval of certain cash disbursements.material weakness identified above as its resources permit. The Company is in the process of taking the following steps to remediate these material weaknesses: (i) increasing the staffing of its internal accounting department including the addition of(the Company has recently hired a full time Chief Financial Officer;Officer); (ii) beginningcontinuing the process of converting to a new integrated accounting system to enhance controls and procedures for recording accounting transactions; and (iii) implementing enhanced documentation procedures to be followed by the internal accounting department, including independent review of material cash disbursements.

 

Notwithstanding such material weakness, management believes that the condensed consolidated financial statements included in this Form 10-Q fairly present in all material respects the Company’s financial condition, results of operations and cash flows for the periods and dates presented.

 

 (b)Changes in Internal Control over Financial Reporting

 

During the nine months ended September 30, 2017,2018, there werehave been no changes in our internal control over financial reporting that have materially affected or are reasonably likely to materially affect our internal control over financial reporting.reporting except as disclosed above.

 

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PART II – OTHER INFORMATION

 

Item 1. Legal Proceedings.

 

From time to time, the Company may be involved in a variety of claims, lawsuits, investigations and proceedings related to contractual disputes, employment matters, regulatory and compliance matters, intellectual property rights and other litigation arising in the ordinary course of business. The Company operates in a highly regulated industry which may inherently lend itself to legal matters. Management is aware that litigation has associated costs and that results of adverse litigation verdicts could have a material effect on the Company’s financial position or results of operations. Management, in consultation with legal counsel, has addressed known assertions and predicted unasserted claims, which are presented in Note 1115 to the accompanying unaudited condensed consolidated financial statements.

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RENNOVA HEALTH, INC.

 

Item 1A. Risk Factors.

 

In addition to the other information set forth in this report, you should carefully consider the risk factors discussed in Part I, Item 1A of the 20162017 Form 10-K which could materially affect our business, financial condition, or future results. There have been no material changes to the risk factors previously disclosed in our 20162017 Form 10-K.

 

Item 2. Unregistered Sales of Equity Securities and Use of Proceeds.

 

During the three-months ended September 30, 2017, the Company had the following issuance of unregistered sales of equity securities that was not previously disclosed on a Current Report on Form 8-K:None.

On August 15, 2017, the Company issued 33,334 shares of its common stock in payment of professional service fees valued at $118,493. These securities were issued without registration in reliance upon the exemption provided by Section 4(2) of the Securities Act of 1933, as amended, as a transaction by an issuer not involving a public offering.

 

Item 3. Defaults Upon Senior Securities.

 

None.

 

Item 4. Mine Safety Disclosures.

 

Not applicable.

 

Item 5. Other Information.

 

None.There have been no material changes to the procedures by which security holders may recommend nominees to our Board of Directors.

 

Item 6. ExhibitsExhibits.

 

3.13.16Amended Certificate of Designation for Series FJ Convertible Preferred Stock (incorporated by reference to Exhibit 3.113.16 of the Company’s Current Report on Form 8-K filed with the Securities and Exchange Commission on July 24, 2018).
3.17Amended Certificate of Designation for Series I-2 Convertible Preferred Stock (incorporated by reference to Exhibit 3.17 of the Company’s Current Report on Form 8-K filed with the Securities and Exchange Commission on August 30, 2018).
3.18

Certificate of Amendment to Certificate of Incorporation of Rennova Health, Inc. filed September 18, 2018 (incorporated by reference to Exhibit 3.18 of the Company’s Current Report on Form 8-K filed with the Securities and Exchange Commission on September 25, 2017)19, 2018).

10.163
3.2Certificate of Amendment to Certificate of Incorporation of Rennova Health, Inc., filed October 5, 2017.
4.1Form of Common Stock Purchase WarrantAdditional Issuance Agreement, dated as of July 16, 2018 (incorporated by reference to Exhibit 10.14610.169 of the Company’s Current Report on Form 8-K filed with the Securities and Exchange Commission on July 20, 2017)16, 2018).
  
4.210.164FormExchange Agreement, dated as of Series A/B/C Common Stock Purchase WarrantJuly 23, 2018, between Rennova Health, Inc. and Alcimede LLC (incorporated by reference to Exhibit 10.14910.170 of the Company’s Current Report on Form 8-K filed with the Securities and Exchange Commission on July 24, 2018).
10.165Series B Warrant Extension Agreement, dated September 14, 2018, between Rennova Health, Inc. and the investors signatory thereto (incorporated by reference to Exhibit 10.171 of the Company’s Current Report on Form 8-K filed with the Securities and Exchange Commission on September 1, 2017)17, 2018).
10.1Amendment, dated July 10, 2017, among Rennova Health, Inc. and Sabby Healthcare Master Fund, Ltd. and Sabby Volatility Warrant Master Fund, Ltd. (incorporated by reference to Exhibit 10.143 of the Company’s Current Report on Form 8-K filed with the Securities and Exchange Commission on July 13, 2017).
10.2Securities Purchase Agreement, dated as of July 16, 2017, between Rennova Health Inc. and each purchaser identified on the signature pages thereto (incorporated by reference to Exhibit 10.144 of the Company’s Current Report on Form 8-K filed with the Securities and Exchange Commission on July 17, 2017).
10.3Form of Original Issue Discount Debenture (incorporated by reference to Exhibit 10.145 of the Company’s Current Report on Form 8-K filed with the Securities and Exchange Commission on July 17, 2017).
10.4Form of Subsidiary Guarantee (incorporated by reference to Exhibit 10.147 of the Company’s Current Report on Form 8-K filed with the Securities and Exchange Commission on July 17, 2017).
10.5Form of Grant Agreement (incorporated by reference to Exhibit 10.1 of the Company’s Current Report on Form 8-K filed with the Securities and Exchange Commission on August 21, 2017).

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RENNOVA HEALTH, INC.

10.6Securities Purchase Agreement, dated as of August 31, 2017, between Rennova Health Inc. and each purchaser identified on the signature pages thereto (incorporated by reference to Exhibit 10.147 of the Company’s Current Report on Form 8-K filed with the Securities and Exchange Commission on September 1, 2017).
10.7Form of Senior Secured Original Issue Discount Convertible Debenture (incorporated by reference to Exhibit 10.148 of the Company’s Current Report on Form 8-K filed with the Securities and Exchange Commission on September 1, 2017).
10.8Form of Exchange Agreement, dated as of August 31, 2017, between Rennova Health Inc. and the investor signatory thereto (incorporated by reference to Exhibit 10.150 of the Company’s Current Report on Form 8-K filed with the Securities and Exchange Commission on September 1, 2017).
10.9Form of Security Agreement, dated March 21, 2017 (incorporated by reference to Exhibit 10.154 of the Company’s Current Report on Form 8-K filed with the Securities and Exchange Commission on September 25, 2017).
10.10Subsidiary Guarantee, dated as of September 19, 2017, by the Subsidiary Guarantors party thereto, in favor of the Purchasers (incorporated by reference to Exhibit 10.156 of the Company’s Current Report on Form 8-K filed with the Securities and Exchange Commission on September 25, 2017).
10.11Consent, dated as of September 19, 2017, by TCA Global Credit Master Fund, LP (incorporated by reference to Exhibit 10.157 of the Company’s Current Report on Form 8-K filed with the Securities and Exchange Commission on September 25, 2017).
  
31.1Rule 13a-14(a) Certification by the Principal Executive Officer and InterimOfficer.
31.2Rule 13a-14(a) Certification by the Principal Financial OfficerOfficer.
  
32.1Certification by the Principal Executive Officer and Interimpursuant to 18 U.S.C. Section 1350, as adopted pursuant to Section 906 of the Sarbanes-Oxley Act of 2002.*
32.2Certification by the Principal Financial Officer pursuant to 18 U.S.C. Section 1350, as adopted pursuant to Section 906 of the Sarbanes-Oxley Act of 2002*2002.*
  

101.INS

XBRL Instance Document

  
101.SCHXBRL Schema Document
  
101.CALXBRL Calculation Link base Document
  
101.DEFXBRL Definition Link base Document
  
101.LABXBRL Label Link base Document
  
101.PREXBRL Presentation Link base Document

 

*Furnished herewith

 

4548

 

RENNOVA HEALTH, INC.

SIGNATURES

 

Pursuant to the requirements of the Securities Exchange Act of 1934, the registrant has duly caused this report to be signed on its behalf by the undersigned thereunto duly authorized.

 

 RENNOVA HEALTH, INC.
   
Date: November 20, 201714, 2018By:/s/ Seamus Lagan
  Seamus Lagan
  

Chief Executive Officer and Interim Chief Financial Officer

(Principal Executive Officer and Interim Principal Financial Officer)

 

46