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UNITED
STATES
SECURITIES
AND EXCHANGE COMMISSION
WASHINGTON,
D.C. 20549
FORM
10-Q/A
(Amendment
No. 1)
(Mark
One)
☒ |
QUARTERLY
REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 FOR THE QUARTERLY PERIOD ENDED SEPTEMBER 30, 2024 |
|
|
☐ |
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: 001-38797
IMAC
Holdings, Inc.
(Exact
name of registrant as specified in its charter)
Delaware |
|
83-0784691 |
(State
or Other Jurisdiction of
Incorporation
or Organization) |
|
(I.R.S.
Employer
Identification
No.) |
3401
Mallory Lane, Suite 100, Franklin, Tennessee |
|
37067 |
(Address
of Principal Executive Offices) |
|
(Zip
Code) |
(844)
266-4622
(Registrant’s
Telephone Number, Including Area Code)
Securities
registered pursuant to Section 12(b) of the Act:
Title
of each class |
|
Trading
Symbol(s) |
|
Name
of each exchange on which registered |
Common
Stock, par value $0.001 per share |
|
BACK |
|
NASDAQ
Capital Market |
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 ☒ No ☐
Indicate
by check mark whether the registrant has submitted electronically every Interactive Data File required to be submitted 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 such files). Yes ☒ 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.
Large
accelerated filer |
☐ |
Accelerated
filer |
☐ |
|
|
|
|
Non-accelerated
filer |
☒ |
Smaller
reporting company |
☒ |
|
|
|
|
|
|
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 ☒
As
of January 16, 2025, the registrant had 2,029,864 shares of common stock, par value $0.001 per share, outstanding.
Explanatory
Note
This
Amendment No 1. (the “Amendment”) to the Quarterly Report on Form 10-Q for the quarter ended September 30, 2024,
originally filed with the Securities and Exchange Commission (the “SEC”) on January 17, 2025 (the “Original
Filing”) by IMAC Holdings, Inc. (the “Company”) is being filed to amend and restate the Original Filing in its
entirety. Amendments were made to Part I, Item 1 and Part I, Item 4. Changes were not made to the remaining sections, but all other sections are
contained in this Amendment for convenience.
Restatement
Background
As
previously reported in the Company’s Current Report on Form 8-K filed with the SEC on May 20, 2025, the Audit Committee of the Board
of Directors (the “Board”) of the Company (the “Audit Committee”), based on the recommendation of management, determined
that the Company’s previously issued financial statements included in the Company’s Quarterly Report on Form 10-Q for the period
ended September 30, 2024 should no longer be relied upon and require restatement because of an error with respect to the accounting for
its preferred dividends.
Refer
to Note 2 – Restatement of Previously Issued Financial Statements in the Notes to the Condensed Consolidated Financial Statements
for more information related to the Restatement, including the impact on the Company’s Condensed Consolidated Financial Statements.
Items
Amended in this Filing
This
Form 10-Q/A amends and restates the following item included in the Original Form 10-Q as appropriate to reflect the Restatement:
| ● | Part
I, Item 1. Unaudited Condensed Consolidated Financial Statements |
| ● | Part I, Item 4. Controls and Procedures |
The
Company is including with this Form 10-Q/A currently dated certifications of the Company’s Chief Executive Officer and Chief Financial
Officer, as required by Sections 302 and 906 of the Sarbanes-Oxley Act of 2002.
Except
as discussed above and as further described in Note 2 to the Unaudited Condensed Consolidated Financial Statements in this Form 10-Q/A,
the Company has not modified or updated the disclosures presented in the Original Form 10-Q to reflect events that occurred at a later
date or facts that subsequently became known to the Company. Accordingly, forward-looking statements included in this Amendment No. 1
may represent management’s view as of the Original Form 10-Q and should not be assumed to be accurate as of any date thereafter.
Accordingly, this Form 10-Q/A should be read in conjunction with the Company’s filings with the SEC subsequent to the date on which
it filed the Original Form 10-Q with the SEC. The check marks on the cover page of this Form 10-Q/A reflect the Company’s filer
status as of the date on which it filed the Original Form 10-Q.
IMAC
HOLDINGS, INC.
TABLE
OF CONTENTS
|
Page |
IMPORTANT INFORMATION REGARDING FORWARD-LOOKING STATEMENTS |
3 |
|
|
PART I. FINANCIAL INFORMATION |
4 |
Item 1. Financial Statements (Unaudited) |
4 |
Item 2. Management’s Discussion and Analysis of Financial Condition and Results of Operations |
20 |
Item 3. Quantitative and Qualitative Disclosures about Market Risk |
25 |
Item 4. Controls and Procedures |
25 |
|
|
PART II. OTHER INFORMATION |
26 |
Item 1. Legal Proceedings |
26 |
Item 1A. Risk Factors |
26 |
Item 2. Unregistered Sales of Equity Securities and Use of Proceeds |
26 |
Item 3. Defaults Upon Senior Securities |
26 |
Item 4. Mine Safety Disclosures |
26 |
Item 5. Other Information |
26 |
Item 6. Exhibits |
26 |
Important
Information Regarding Forward-Looking Statements
Portions
of this Quarterly Report on Form 10-Q (including information incorporated by reference) include “forward-looking statements”
based on our current beliefs, expectations, and projections regarding our business strategies, market potential, future financial performance,
industry, and other matters. This includes, in particular, “Item 2 — Management’s Discussion and Analysis of Financial
Condition and Results of Operations” of this Quarterly Report on Form 10-Q, as well as other portions of this Quarterly Report
on Form 10-Q. The words “believe,” “expect,” “anticipate,” “project,” “could,”
“would,” and similar expressions, among others, generally identify “forward-looking statements,” which speak
only as of the date the statements were made. The matters discussed in these forward-looking statements are subject to risks, uncertainties,
and other factors that could cause our actual results to differ materially from those projected, anticipated, or implied in the forward-looking
statements. The most significant of these risks, uncertainties, and other factors are described in “Item 1A — Risk Factors”
in our Annual Report on Form 10-K/A for the fiscal year ended December 31, 2023 filed with the U.S. Securities and Exchange Commission
on May 2, 2024. Except to the limited extent required by applicable law, we undertake no obligation to update or revise any forward-looking
statements, whether as a result of new information, future events, or otherwise.
PART
I. FINANCIAL INFORMATION
ITEM
1. |
FINANCIAL
STATEMENTS (Unaudited) |
IMAC
HOLDINGS, INC.
CONDENSED
CONSOLIDATED BALANCE SHEETS
| |
September
30, 2024 | | |
December
31, 2023 | |
| |
(As Restated) | | |
| |
ASSETS | |
| | | |
| | |
Current assets: | |
| | | |
| | |
Cash | |
$ | 195,511 | | |
$ | 221,511 | |
Accounts receivable, net | |
| 41,700 | | |
| - | |
Prepaid expenses and other current assets | |
| 273,527 | | |
| 94,711 | |
Note receivable, net | |
| - | | |
| 731,067 | |
Assets of discontinued operations | |
| - | | |
| 96,830 | |
Total current assets | |
| 510,738 | | |
| 1,144,119 | |
| |
| | | |
| | |
Property and equipment, net | |
| 956,873 | | |
| - | |
| |
| | | |
| | |
Total assets | |
$ | 1,467,611 | | |
$ | 1,144,119 | |
| |
| | | |
| | |
LIABILITIES AND STOCKHOLDERS’ (DEFICIT) | |
| | | |
| | |
| |
| | | |
| | |
Current liabilities: | |
| | | |
| | |
Accounts payable and accrued expenses | |
$ | 2,273,070 | | |
$ | 454,055 | |
Dividends payable – C-1 & C-2 | |
| 399,520 | | |
| 130,000 | |
Note payable, net | |
| 1,521,081 | | |
| - | |
Liabilities of discontinued operations | |
| 1,311,864 | | |
| 1,312,711 | |
Total current liabilities | |
| 5,505,535 | | |
| 1,896,766 | |
| |
| | | |
| | |
Commitments and Contingencies – Note 12 | |
| - | | |
| - | |
| |
| | | |
| | |
Stockholders’ deficit: | |
| | | |
| | |
Preferred stock - $0.001
par value, 5,000,000 authorized,45,826 Preferred stock at September 30, 2024 and 4,550 at December 31,
2023 issued and outstanding | |
| 46 | | |
| 5 | |
Common stock - $0.001
par value, 60,000,000
authorized; 2,013,199
at September 30, 2024 and 1,148,321
at December 31, 2023 issued and outstanding | |
| 1,151 | | |
| 1,149 | |
Additional paid-in capital | |
| 55,894,475 | | |
| 55,184,524 | |
Accumulated deficit | |
| (59,933,596 | ) | |
| (55,938,325 | ) |
Total stockholders’ deficit | |
| (4,037,924 | ) | |
| (752,647 | ) |
| |
| | | |
| | |
Total liabilities and stockholders’ deficit | |
$ | 1,467,611 | | |
$ | 1,144,119 | |
See
accompanying notes to the unaudited condensed consolidated financial statements.
IMAC
HOLDINGS, INC.
CONDENSED
CONSOLIDATED STATEMENTS OF OPERATIONS
(Unaudited)
| |
2024 | | |
2023 | | |
2024 | | |
2023 | |
| |
Three Months Ended September 30, | | |
Nine Months Ended September 30, | |
| |
2024 | | |
2023 | | |
2024 | | |
2023 | |
| |
(As Restated) | | |
| | |
(As Restated) | | |
| |
| |
| | |
| | |
| | |
| |
Revenues, net | |
$ | 56,300 | | |
$ | - | | |
$ | 72,050 | | |
$ | - | |
Cost of revenues | |
| 122,077 | | |
| - | | |
| 194,079 | | |
| - | |
Gross profit | |
| (65,777 | ) | |
| - | | |
| (122,029 | ) | |
| - | |
| |
| | | |
| | | |
| | | |
| | |
Operating expenses: | |
| | | |
| | | |
| | | |
| | |
| |
| | | |
| | | |
| | | |
| | |
General and administrative | |
| 1,930,314 | | |
| 996,592 | | |
| 3,684,636 | | |
| 3,128,536 | |
Loss on disposal or impairment of assets | |
| - | | |
| 2,266,852 | | |
| - | | |
| 2,568,608 | |
Total operating expenses | |
| 1,930,314 | | |
| 3,263,444 | | |
| 3,684,636 | | |
| 5,697,144 | |
| |
| | | |
| | | |
| | | |
| | |
Operating loss | |
| (1,996,091 | ) | |
| (3,263,444 | ) | |
| (3,806,665 | ) | |
| (5,697,144 | ) |
| |
| | | |
| | | |
| | | |
| | |
Other income (expense): | |
| | | |
| | | |
| | | |
| | |
Interest income | |
| 1,453 | | |
| 27,027 | | |
| 2,448 | | |
| 27,030 | |
Interest expense | |
| (106,636 | ) | |
| (71,050 | ) | |
| (159,062 | ) | |
| (93,113 | ) |
Total other income (expenses) | |
| (105,183 | ) | |
| (44,023 | ) | |
| (156,614 | ) | |
| (66,083 | ) |
| |
| | | |
| | | |
| | | |
| | |
| |
| | | |
| | | |
| | | |
| | |
Income taxes | |
| - | | |
| - | | |
| - | | |
| - | |
| |
| | | |
| | | |
| | | |
| | |
Net loss from continuing operations | |
| (2,101,274 | ) | |
| (3,307,467 | ) | |
| (3,963,279 | ) | |
| (5,763,227 | ) |
| |
| | | |
| | | |
| | | |
| | |
Net income (loss) from discontinued operations | |
| (103,374 | ) | |
| 449,796 | | |
| (31,992 | ) | |
| (2,196,405 | ) |
| |
| | | |
| | | |
| | | |
| | |
Net loss | |
| (2,204,648 | ) | |
| (2,857,671 | ) | |
| (3,995,271 | ) | |
| (7,959,631 | ) |
| |
| | | |
| | | |
| | | |
| | |
Preferred dividends | |
| (1,158,777 | ) | |
| (55,000 | ) | |
| (1,886,258 | ) | |
| (55,000 | ) |
| |
| | | |
| | | |
| | | |
| | |
Net loss available to common stockholders | |
$ | (3,363,425 | ) | |
$ | (2,912,671 | ) | |
$ | (5,881,529 | ) | |
$ | (8,014,631 | ) |
| |
| | | |
| | | |
| | | |
| | |
Net loss per share from continuing operations – Basic and diluted | |
$ | (1.71 | ) | |
$ | (3.04 | ) | |
$ | (4.14 | ) | |
$ | (5.28 | ) |
| |
| | | |
| | | |
| | | |
| | |
Income (Loss) per share from discontinued operations – Basic and diluted | |
$ | (0.05 | ) | |
$ | 0.41 | | |
$ | (0.02 | ) | |
$ | (2.00 | ) |
| |
| | | |
| | | |
| | | |
| | |
Net loss per share – Basic and diluted | |
$ | (1.76 | ) | |
$ | (2.63 | ) | |
$ | (4.16 | ) | |
$ | (7.28 | ) |
| |
| | | |
| | | |
| | | |
| | |
Weighted average common shares outstanding | |
| | | |
| | | |
| | | |
| | |
Basic and diluted | |
| 1,909,588 | | |
| 1,107,134 | | |
| 1,414,912 | | |
| 1,102,738 | |
See
accompanying notes to the unaudited condensed consolidated financial statements.
IMAC
HOLDINGS, INC.
CONDENSED
CONSOLIDATED STATEMENTS OF CHANGES IN STOCKHOLDERS’ EQUITY (DEFICIT) FOR THE THREE MONTHS ENDED SEPTEMBER 30, 2024 AND 2023
(Unaudited)
| |
Number of Shares | | |
Par | | |
Number of Shares | | |
Par | | |
Paid-In- Capital | | |
Accumulated Deficit | | |
Total | |
| |
Preferred Stock | | |
Common Stock | | |
Additional | | |
| | |
| |
| |
Number of Shares | | |
Par | | |
Number of Shares | | |
Par | | |
Paid-In- Capital | | |
Accumulated Deficit | | |
Total | |
Balance, June 30, 2024 | |
| 47,126 | | |
| 47 | | |
| 1,494,272 | | |
| 1,150 | | |
| 55,958,027 | | |
| (57,728,948 | ) | |
| (1,769,724 | ) |
| |
| | | |
| | | |
| | | |
| | | |
| | | |
| | | |
| | |
Dividends declared | |
| | | |
| | | |
| | | |
| | | |
| (1,158,777 | ) | |
| - | | |
| (1,158,777 | ) |
Capitalized dividends – D, E, & F | |
| | | |
| | | |
| | | |
| | | |
| 1,062,777 | | |
| | | |
| 1,062,777 | |
Conversion of Series C-1 preferred stock into common shares | |
| (1,300 | ) | |
| (1 | ) | |
| 518,895 | | |
| 1 | | |
| 28,886 | | |
| - | | |
| 28,886 | |
Share based compensation expense | |
| - | | |
| - | | |
| - | | |
| - | | |
| 3,562 | | |
| - | | |
| 3,562 | |
Net loss | |
| - | | |
| - | | |
| - | | |
| - | | |
| - | | |
| (2,204,648 | ) | |
| (2,204,648 | ) |
Balance, September 30, 2024 (As Restated) | |
| 45,826 | | |
$ | 46 | | |
| 2,013,167 | | |
$ | 1,151 | | |
$ | 55,894,475 | | |
$ | (59,933,596 | ) | |
$ | (4,037,924 | ) |
| |
Preferred Stock | | |
Common Stock | | |
Additional | | |
| | |
| |
| |
Number of | | |
| | |
Number of | | |
| | |
Paid-In- | | |
Accumulated | | |
| |
| |
Shares | | |
Par | | |
Shares | | |
Par | | |
Capital | | |
Deficit | | |
Total | |
Balance, June 30, 2023 | |
| - | | |
$ | - | | |
| 1,109,335 | | |
$ | 1,110 | | |
$ | 51,261,620 | | |
$ | (51,621,700 | ) | |
$ | (358,970 | ) |
Issuance of preferred stock net of issuance costs | |
| 4,300 | | |
| 4 | | |
| - | | |
| - | | |
| 4,299,996 | | |
| - | | |
| 4,300,000 | |
Dividends declared | |
| | | |
| | | |
| | | |
| | | |
| (55,000 | ) | |
| - | | |
| (55,000 | ) |
Net loss | |
| - | | |
| - | | |
| - | | |
| - | | |
| - | | |
| (2,857,671 | ) | |
| (2,857,671 | ) |
Balance, September 30, 2023 | |
| 4,300 | | |
$ | 4 | | |
| 1,109,335 | | |
$ | 1,110 | | |
$ | 55,506,616 | | |
$ | (54,479,371 | ) | |
$ | 1,028,359 | |
See
accompanying notes to unaudited condensed consolidated financial statements.
IMAC
HOLDINGS, INC.
CONDENSED
CONSOLIDATED STATEMENTS OF CHANGES IN STOCKHOLDERS’ EQUITY (DEFICIT) FOR THE NINE MONTHS ENDED SEPTEMBER 30, 2024 AND 2023
(Unaudited)
| |
Preferred Stock | | |
Common Stock | | |
Additional | | |
| | |
| |
| |
Number of | | |
| | |
Number of | | |
| | |
Paid-In- | | |
Accumulated | | |
| |
| |
Shares | | |
Par | | |
Shares | | |
Par | | |
Capital | | |
Deficit | | |
Total | |
Balance, January 1, 2024 | |
| 4,550 | | |
$ | 5 | | |
| 1,148,321 | | |
$ | 1,149 | | |
$ | 55,184,524 | | |
$ | (55,938,325 | ) | |
$ | (752,647 | ) |
Issuance of preferred stock net of issuance costs | |
| 43,462 | | |
| 43 | | |
| - | | |
| - | | |
| 975,908 | | |
| - | | |
| 975,951 | |
Dividends declared | |
| - | | |
| - | | |
| - | | |
| - | | |
| (1,886,257 | ) | |
| - | | |
| (1,886,257 | ) |
Capitalized dividends – D, E & F | |
| - | | |
| - | | |
| - | | |
| - | | |
| 1,587,852 | | |
| - | | |
| 1,587,852 | |
Conversion of Series C-1 preferred stock into common shares | |
| (2,186 | ) | |
| (2 | ) | |
| 864,846 | | |
| 2 | | |
| 28,886 | | |
| - | | |
| 28,886 | |
Share based compensation expense | |
| - | | |
| - | | |
| - | | |
| - | | |
| 3,562 | | |
| - | | |
| 3,562 | |
Net loss | |
| - | | |
| - | | |
| - | | |
| - | | |
| - | | |
| (3,995,271 | ) | |
| (3,995,271 | ) |
Balance, September 30, 2024 (As Restated) | |
| 45,826 | | |
$ | 46 | | |
| 2,013,167 | | |
$ | 1,151 | | |
$ | 55,894,475 | | |
$ | (59,933,596 | ) | |
$ | (4,037924 | ) |
| |
Preferred Stock | | |
Common Stock | | |
Additional | | |
| | |
| |
| |
Number of | | |
| | |
Number of | | |
| | |
Paid-In- | | |
Accumulated | | |
| |
| |
Shares | | |
Par | | |
Shares | | |
Par | | |
Capital | | |
Deficit | | |
Total | |
Balance, January 1, 2023 | |
| - | | |
$ | - | | |
| 1,097,843 | | |
$ | 1,098 | | |
$ | 51,169,898 | | |
$ | (46,519,740 | ) | |
$ | 4,651,256 | |
Balance | |
| - | | |
$ | - | | |
| 1,097,843 | | |
$ | 1,098 | | |
$ | 51,169,898 | | |
$ | (46,519,740 | ) | |
$ | 4,651,256 | |
Issuance of preferred stock net of issuance costs | |
| 4,300 | | |
| 4 | | |
| - | | |
| - | | |
| 4,299,996 | | |
| - | | |
| 4,300,000 | |
Issuance of common stock | |
| - | | |
| - | | |
| 11,492 | | |
| 12 | | |
| 64,020 | | |
| - | | |
| 64,032 | |
Share based compensation expense | |
| - | | |
| - | | |
| - | | |
| - | | |
| 27,702 | | |
| - | | |
| 27,702 | |
Dividends | |
| - | | |
| - | | |
| - | | |
| - | | |
| (55,000 | ) | |
| - | | |
| (55,000 | ) |
Dividends declared | |
| - | | |
| - | | |
| - | | |
| - | | |
| (55,000 | ) | |
| - | | |
| (55,000 | ) |
Net loss | |
| - | | |
| - | | |
| - | | |
| - | | |
| - | | |
| (7,959,631 | ) | |
| (7,959,631 | ) |
Balance, September 30, 2023 | |
| 4,300 | | |
$ | 4 | | |
| 1,109,335 | | |
$ | 1,110 | | |
$ | 55,506,616 | | |
$ | (54,479,371 | ) | |
$ | 1,028,359 | |
Balance | |
| 4,300 | | |
$ | 4 | | |
| 1,109,335 | | |
$ | 1,110 | | |
$ | 55,506,616 | | |
$ | (54,479,371 | ) | |
$ | 1,028,359 | |
See
accompanying notes to unaudited condensed consolidated financial statements.
IMAC
HOLDINGS, INC.
CONDENSED
CONSOLIDATED STATEMENTS OF CASH FLOWS
(Unaudited)
| |
2024 | | |
2023 | |
| |
Nine Months Ended September 30, | |
| |
2024 | | |
2023 | |
| |
| (As Restated) | | |
| | |
Cash flows from operating activities: | |
| | | |
| | |
Net loss | |
$ | (3,995,271 | ) | |
$ | (7,960,429 | ) |
Net income (loss) from discontinued operations | |
| (31,992 | ) | |
| (2,196,405 | ) |
Net loss from continuing operations | |
| (3,963,279 | ) | |
| (5,764,024 | ) |
Adjustments to reconcile net loss to net cash used in operating activities: | |
| | | |
| | |
Depreciation and amortization | |
| 86,988 | | |
| 386,847 | |
Interest expense - OID | |
| 121,080 | | |
| - | |
Share based compensation, net | |
| 3,562 | | |
| 90,569 | |
Loss on disposition or impairment of assets | |
| - | | |
| 3,642,799 | |
Bad debt expense (recovery) | |
| - | | |
| 61,599 | |
Changes in operating assets and liabilities: | |
| | | |
| | |
Accounts receivable | |
| (41,700 | ) | |
| 1,083,371 | |
Prepaid expenses and other current assets | |
| (115,584 | ) | |
| (2,772 | ) |
Security deposits | |
| - | | |
| 149,937 | |
Right of use lease liability | |
| - | | |
| (232,014 | ) |
Accounts payable and accrued expenses | |
| 1,915,698 | | |
| (60,611 | ) |
Patient deposits | |
| - | | |
| (116,452 | ) |
Net cash provided (used) in operating activities from continuing operations | |
| (1,993,235 | ) | |
| (760,751 | ) |
Net cash provided (used) in operating activities from discontinued operations | |
| (31,992 | ) | |
| (2,196,404 | ) |
Net cash used in operating activities | |
| (2,025,227 | ) | |
| (2,957,156 | ) |
| |
| | | |
| | |
Cash flows from investing activities: | |
| | | |
| | |
Proceeds from sale of Chicago | |
| - | | |
| 80,000 | |
Proceeds from sale of fixed assets | |
| - | | |
| 1,050,000 | |
Note receivable | |
| (375,000 | ) | |
| (3,000,000 | ) |
Net cash used in investing activities | |
| (375,000 | ) | |
| (1,870,000 | ) |
| |
| | | |
| | |
Cash flows from financing activities: | |
| | | |
| | |
Proceeds from issuance of common stock | |
| - | | |
| 64,032 | |
Proceeds from issuance of preferred stock, net of offering costs | |
| 975,951 | | |
| 4,300,000 | |
Payments on notes payable | |
| - | | |
| (60,599 | ) |
Proceeds from notes payable | |
| 1,400,000 | | |
| - | |
Payments on finance lease obligation | |
| (1,724 | ) | |
| (14,842 | ) |
Net cash provided in financing activities | |
| 2,374,227 | | |
| 4,288,591 | |
| |
| | | |
| | |
Net increase (decrease) in cash | |
| (26,000 | ) | |
| (538,565 | ) |
| |
| | | |
| | |
Cash, beginning of period | |
| 221,511 | | |
| 763,211 | |
| |
| | | |
| | |
Cash, end of period | |
$ | 195,511 | | |
$ | 224,646 | |
| |
| | | |
| | |
Supplemental cash flow information: | |
| | | |
| | |
Interest paid | |
$ | - | | |
$ | 96,656 | |
Income tax | |
$ | - | | |
$ | - | |
| |
| | | |
| | |
Non-cash investing and financial activities: | |
| | | |
| | |
Preferred stock conversion | |
$ | 2 | | |
$ | - | |
Converted accrued C-1 dividends | |
$ | 29,000 | | |
$ | - | |
Preferred dividends accrued – C-1 & C-2 | |
$ | 210,000 | | |
$ | - | |
Preferred dividends
accrued – B-1 | |
$ | 88,000 | | |
$ | 55,000 | |
Preferred dividends accrued converted into C-1 | |
$ | (218,000 | ) | |
$ | - | |
Capitalized dividends – D, E & F | |
$ | 1,588,000 | | |
$ | - | |
Settlement of notes receivable in connection with asset purchase agreement | |
$ | 1,083,000 | | |
$ | - | |
See
accompanying notes to the unaudited condensed consolidated financial statements.
IMAC
HOLDINGS, INC.
NOTES
TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS
September
30, 2024
(Unaudited)
Note
1 – Description of Business
We
provide services related to proteomic products that identify and support oncology clinical treatment decisions and biopharmaceutical
drug development.
Continuing
operations
The
continuing operations of the business are precision medicine in cancer treatment based on activated protein analysis. The Company has
acquired laboratory capabilities from Theralink Technologies, Inc, and has the technical capability and intellectual property licenses
to engage in clinical testing of breast cancer patients to determine which medications and treatments will be most effective. The Company
also engages in collaborations with biopharmaceutical companies to identify drug targets based on activated protein analysis. Drug makers
benefit from the application of our technology in target identification, clinical trial design, and clinical trial execution.
On August 30, 2024, the Company amended
its 2018 Incentive Compensation Plan to increase the number of shares authorized for issuance thereunder from 66,667 to 566,667 shares.
Discontinued
operations
Until
recently, IMAC Holdings, Inc. was a holding company for IMAC Regeneration Centers, The BackSpace retail stores and our Investigational
New Drug division. As of September 30, 2024 and December 31, 2023, the Company has sold or discontinued patient care at all our locations
and has accordingly presented this component as discontinued operations. (See Note 10)
Note
2 – Restatement of Previously Issued Financial Statements
Management,
in concurrence with the Company’s Audit Committee, concluded that the Company’s previously issued financial statements
included in the Company’s previously issued unaudited interim financial information included in the Company’s Quarterly
Report on Form 10-Q for the quarterly period ended September 30, 2024 (“the Affected Financial Statements”) should no
longer be relied upon. Details of the restated condensed consolidated financial statements as of and for the period ended September
30, 2024 are provided below (“Restatement Items”). The Company evaluated the materiality of these errors both
qualitatively and quantitatively in accordance with Staff Accounting Bulletin (“SAB”) No. 99, Materiality
and SAB No. 108, Considering the Effects of Prior Year Misstatements in Current Year Financial Statements, and
determined the effect of these corrections were material to the Affected Financial Statements. As a result of the material
misstatements, the Company has restated our Affected Financial Statements, in accordance with ASC 250, Accounting Changes
and Error Corrections.
The
Restatement Items primarily reflect adjustments to correct errors with respect to the accounting for its preferred dividends and earnings
per share.
The
Company has also updated all accompanying footnotes and disclosures affected by the Restatement Items, within Note 8. Preferred Stock.
Summary
Impact of Restatement Items
The
following table presents the effect of the Restatement Items on the Company’s condensed consolidated balance sheet for the period
indicated:
Schedule of Restatement Items on the Financial Statements
| |
As
Previo usly Reported | | |
Restatement Adjustment | | |
As Restated | |
| |
As of September 30, 2024 | |
| |
As Previously Reported | | |
Restatement Adjustment | | |
As Restated | |
ASSETS | |
| | | |
| | | |
| | |
Current assets: | |
| | | |
| | | |
| | |
Cash | |
$ | 195,511 | | |
$ | - | | |
$ | 195,511 | |
Accounts receivable, net | |
| 41,700 | | |
| - | | |
| 41,700 | |
Prepaid expenses and other current assets | |
| 273,527 | | |
| - | | |
| 273,527 | |
Note receivable, net | |
| - | | |
| - | | |
| - | |
Assets of discontinued operations | |
| - | | |
| - | | |
| - | |
Total current assets | |
| 510,738 | | |
| - | | |
| 510,738 | |
| |
| | | |
| | | |
| | |
Property and equipment, net | |
| 956,873 | | |
| - | | |
| 956,873 | |
| |
| | | |
| | | |
| | |
Total assets | |
$ | 1,467,611 | | |
$ | - | | |
$ | 1,467,611 | |
| |
| | | |
| | | |
| | |
LIABILITIES AND STOCKHOLDERS’ (DEFICIT) | |
| | | |
| | | |
| | |
| |
| | | |
| | | |
| | |
Current liabilities: | |
| | | |
| | | |
| | |
Accounts payable and accrued expenses | |
$ | 2,273,070 | | |
$ | - | | |
$ | 2,273,070 | |
Dividends payable | |
| 1,160,911 | | |
| (761,391 | ) | |
| 399,520 | |
Note payable, net | |
| 1,521,081 | | |
| - | | |
| 1,521,081 | |
Liabilities of discontinued operations | |
| 1,311,864 | | |
| - | | |
| 1,311,864 | |
Total current liabilities | |
| 6,266,926 | | |
| (761,391 | ) | |
| 5,505,535 | |
| |
| | | |
| | | |
| | |
Commitment and Contingencies - Note 12 | |
| - | | |
| - | | |
| - | |
| |
| | | |
| | | |
| | |
Stockholders’ deficit: | |
| | | |
| | | |
| | |
Preferred stock - $0.001
par value, 5,000,000
authorized, 45,826
Preferred stock at September 30, 2024 and 4,550 at December 31, 2023 issued and outstanding. | |
| 46 | | |
| - | | |
| 46 | |
Common stock - $0.001
par value, 60,000,000
authorized; 2,013,199
at September 30, 2024 and 1,148,321 at December 31, 2023 issued and outstanding. | |
| 1,151 | | |
| - | | |
| 1,151 | |
Additional paid-in capital | |
| 55,133,084 | | |
| 761,391 | | |
| 55,894,475 | |
Accumulated deficit | |
| (59,933,596 | ) | |
| - | | |
| (59,933,596 | ) |
Total stockholders’ deficit | |
| (4,799,315 | ) | |
| 761,391 | | |
| (4,037,924 | ) |
| |
| | | |
| | | |
| | |
Total liabilities and stockholders’ deficit | |
$ | 1,467,611 | | |
$ | - | | |
$ | 1,467,611 | |
The
following table presents the effect of the Restatement Items on the Company’s condensed consolidated statement of operations for
the period indicated:
| |
As Previously Reported | | |
Restatement Adjustment | | |
As Restated | |
| |
Three Months Ended September 30, 2024 | |
| |
As Previously Reported | | |
Restatement Adjustment | | |
As Restated | |
Revenues, net | |
| 56,300 | | |
| - | | |
| 56,300 | |
Cost of revenues | |
| 122,077 | | |
| - | | |
| 122,077 | |
Gross profit | |
| (65,777 | ) | |
| - | | |
| (65,777 | ) |
| |
| | | |
| | | |
| | |
Operating expenses: | |
| | | |
| | | |
| | |
| |
| | | |
| | | |
| | |
General and administrative | |
| 1,930,314 | | |
| - | | |
| 1,930,314 | |
Loss on disposal or impairment of assets | |
| - | | |
| - | | |
| - | |
Total operating expenses | |
| 1,930,314 | | |
| - | | |
| 1,930,314 | |
| |
| | | |
| | | |
| | |
Operating loss | |
| (1,996,091 | ) | |
| - | | |
| (1,996,091 | ) |
| |
| | | |
| | | |
| | |
Other income (expense): | |
| | | |
| | | |
| | |
Interest income | |
| 1,453 | | |
| - | | |
| 1,453 | |
Interest expense | |
| (106,636 | ) | |
| - | | |
| (106,636 | ) |
Total other income (expenses) | |
| (105,183 | ) | |
| - | | |
| (105,183 | ) |
| |
| | | |
| | | |
| | |
| |
| | | |
| | | |
| | |
Income taxes | |
| - | | |
| - | | |
| - | |
| |
| | | |
| | | |
| | |
Net loss from continuing operations | |
| (2,101,274 | ) | |
| - | | |
| (2,101,274 | ) |
| |
| | | |
| | | |
| | |
Net income (loss) from discontinued operations | |
| (103,374 | ) | |
| - | | |
| (103,374 | ) |
| |
| | | |
| | | |
| | |
Net loss | |
| (2,204,648 | ) | |
| - | | |
| (2,204,648 | ) |
| |
| | | |
| | | |
| | |
Preferred dividends | |
| (433,430 | ) | |
| (725,347 | ) | |
| (1,158,777 | ) |
| |
| | | |
| | | |
| | |
Net loss available to common stockholders | |
$ | (2,638,078 | ) | |
$ | (725,347 | ) | |
$ | (3,363,425 | ) |
| |
| | | |
| | | |
| | |
Net loss per share from continuing operations - Basic and diluted | |
$ | (1.33 | ) | |
$ | (0.38 | ) | |
$ | (1.71 | ) |
| |
| | | |
| | | |
| | |
Income (Loss) per share from discontinued operations - Basic and diluted | |
$ | (0.05 | ) | |
$ | - | | |
$ | (0.05 | ) |
| |
| | | |
| | | |
| | |
Net loss per share - Basic and diluted | |
$ | (1.38 | ) | |
$ | (0.38 | ) | |
$ | (1.76 | ) |
| |
| | | |
| | | |
| | |
Weighted average common shares outstanding Basic and diluted |
|
|
1,909,588 |
|
|
|
- |
|
|
|
1,909,588 |
|
| |
As Previously Reported | | |
Restatement Adjustment | | |
As Restated | |
| |
Nine Months Ended September 30, 2024 | |
| |
As Previously Reported | | |
Restatement Adjustment | | |
As Restated | |
Revenues, net | |
| 72,050 | | |
| - | | |
| 72,050 | |
Cost of revenues | |
| 194,079 | | |
| - | | |
| 194,079 | |
Gross profit | |
| (122,029 | ) | |
| - | | |
| (122,029 | ) |
| |
| | | |
| | | |
| | |
Operating expenses: | |
| | | |
| | | |
| | |
| |
| | | |
| | | |
| | |
General and administrative | |
| 3,684,636 | | |
| - | | |
| 3,684,636 | |
Loss on disposal or impairment of assets | |
| - | | |
| - | | |
| - | |
Total operating expenses | |
| 3,684,636 | | |
| - | | |
| 3,684,636 | |
| |
| | | |
| | | |
| | |
Operating loss | |
| (3,806,665 | ) | |
| - | | |
| (3,806,665 | ) |
| |
| | | |
| | | |
| | |
Other income (expense): | |
| | | |
| | | |
| | |
Interest income | |
| 2,448 | | |
| - | | |
| 2,448 | |
Interest expense | |
| (159,062 | ) | |
| - | | |
| (159,062 | ) |
Total other income (expenses) | |
| (156,614 | ) | |
| - | | |
| (156,614 | ) |
| |
| | | |
| | | |
| | |
| |
| | | |
| | | |
| | |
Income taxes | |
| - | | |
| - | | |
| - | |
| |
| | | |
| | | |
| | |
Net loss from continuing operations | |
| (3,963,279 | ) | |
| - | | |
| (3,963,279 | ) |
| |
| | | |
| | | |
| | |
Net income (loss) from discontinued operations | |
| (31,992 | ) | |
| - | | |
| (31,992 | ) |
| |
| | | |
| | | |
| | |
Net loss | |
| (3,995,271 | ) | |
| - | | |
| (3,995,271 | ) |
| |
| | | |
| | | |
| | |
Preferred dividends | |
| (1,160,911 | ) | |
| (725,347 | ) | |
| (1,886,258 | ) |
| |
| | | |
| | | |
| | |
Net loss available to common stockholders | |
$ | (5,156,182 | ) | |
$ | (725,347 | ) | |
$ | (5,881,529 | ) |
| |
| | | |
| | | |
| | |
Net loss per share from continuing operations - Basic and diluted | |
$ | (3.62 | ) | |
$ | (0.52 | ) | |
$ | (4.14 | ) |
| |
| | | |
| | | |
| | |
Income (Loss) per share from discontinued operations - Basic and diluted | |
$ | (0.02 | ) | |
$ | - | | |
$ | (0.02 | ) |
| |
| | | |
| | | |
| | |
Net loss per share - Basic and diluted | |
$ | (3.64 | ) | |
$ | (0.52 | ) | |
$ | (4.16 | ) |
| |
| | | |
| | | |
| | |
Weighted average common shares outstanding Basic and diluted |
|
|
1,414,912 |
|
|
|
- |
|
|
|
1,414,912 |
|
The
following table presents the effect of the Restatement Items on the Company’s condensed consolidated statement of stockholders’
equity:
| |
Number of Shares | | |
Par | | |
Number of Shares | | |
Par | | |
Additional Paid-In-Capital | | |
Accumulated Deficit | | |
Total | |
BALANCE - September 30, 2024 | |
| 45,826 | | |
$ | 46 | | |
| 2,013,167 | | |
$ | 1,151 | | |
$ | 55,133,084 | | |
$ | (59,933,596 | ) | |
$ | (4,799,315 | ) |
Cumulative adjustments | |
| - | | |
| - | | |
| - | | |
| - | | |
| 761,391 | | |
| - | | |
| 761,391 | |
BALANCE - September 30, 2024 (As Restated) | |
| 45,826 | | |
$ | 46 | | |
| 2,013,167 | | |
$ | 1,151 | | |
$ | 55,894,475 | | |
$ | (59,933,596 | ) | |
$ | (4,037,924 | ) |
The
following table presents the effect of the Restatement Items on the Company’s condensed consolidated statement of cash flows:
| |
As Previously Reported | | |
Restatement Adjustment | | |
As Restated | |
| |
Nine Months Ended September 30, 2024 | |
| |
As Previously Reported | | |
Restatement Adjustment | | |
As Restated | |
Cash flows from operating activities: | |
| | | |
| | | |
| | |
Net loss | |
$ | (3,995,271 | ) | |
$ | - | | |
$ | (3,995,271 | ) |
Net income (loss) from discontinued operations | |
| (31,992 | ) | |
| - | | |
| (31,992 | ) |
Net loss from continuing operations | |
| (3,963,279 | ) | |
| - | | |
| (3,963,279 | ) |
Adjustments to reconcile net loss to net cash used in operating activities: | |
| | | |
| | | |
| | |
Depreciation and amortization | |
| 86,988 | | |
| - | | |
| 86,988 | |
Interest expense - OID | |
| 121,080 | | |
| - | | |
| 121,080 | |
Share based compensation, net | |
| 3,562 | | |
| - | | |
| 3,562 | |
Changes in operating assets and liabilities: | |
| | | |
| | | |
| | |
Accounts receivable | |
| (41,700 | ) | |
| - | | |
| (41,700 | ) |
Prepaid expenses and other current assets | |
| (115,584 | ) | |
| - | | |
| (115,584 | ) |
Accounts payable and accrued expenses | |
| 1,915,698 | | |
| - | | |
| 1,915,698 | |
Net cash provided (used) in operating activities from continuing operations | |
| (1,993,235 | ) | |
| - | | |
| (1,993,235 | ) |
Net cash provided (used) in operating activities from discontinued operations | |
| (31,992 | ) | |
| - | | |
| (31,992 | ) |
Net cash used in operating activities | |
| (2,025,227 | ) | |
| - | | |
| (2,025,227 | ) |
| |
| | | |
| | | |
| | |
Cash flows from investing activities: | |
| | | |
| | | |
| | |
Note receivable | |
| (375,000 | ) | |
| - | | |
| (375,000 | ) |
Net cash used in investing activities | |
| (375,000 | ) | |
| - | | |
| (375,000 | ) |
| |
| | | |
| | | |
| | |
Cash flows from financing activities: | |
| | | |
| | | |
| | |
Proceeds from issuance of preferred stock, net of offering costs | |
| 975,951 | | |
| - | | |
| 975,951 | |
Proceeds from notes payable | |
| 1,400,000 | | |
| - | | |
| 1,400,000 | |
Payments on finance lease obligation | |
| (1,724 | ) | |
| - | | |
| (1,724 | ) |
Net cash provided in financing activities | |
| 2,374,227 | | |
| - | | |
| 2,374,227 | |
| |
| | | |
| | | |
| | |
Net increase (decrease) in cash | |
| (26,000 | ) | |
| - | | |
| (26,000 | ) |
| |
| | | |
| | | |
| | |
Cash, beginning of period | |
| 221,511 | | |
| - | | |
| 221,511 | |
| |
| | | |
| | | |
| | |
Cash, end of period | |
$ | 195,511 | | |
$ | - | | |
$ | 195,511 | |
| |
| | | |
| | | |
| | |
Supplemental cash flow information: | |
| | | |
| | | |
| | |
Interest paid | |
$ | - | | |
$ | - | | |
$ | - | |
Income tax | |
$ | - | | |
$ | - | | |
$ | - | |
Non-cash investing and financial activities: | |
| | | |
| | | |
| | |
Preferred stock conversion | |
$ | 2 | | |
$ | - | | |
$ | 2 | |
Converted accrued C-1 dividends | |
$ | - | | |
$ | 29,000 | | |
$ | 29,000 | |
Accrued dividends | |
$ | 1,161,000 | | |
$ | (1,161,000 | ) | |
$ | - | |
Preferred dividends accrued – C-1 & C-2 | |
$ | - | | |
$ | 210,000 | | |
$ | 210,000 | |
Preferred dividends accrued – B-1 | |
$ | - | | |
$ | 88,000 | | |
$ | 88,000 | |
Preferred dividends accrued converted into C-1 | |
$ | - | | |
$ | (218,000 | ) | |
$ | (218,000 | ) |
Capitalized dividends – D, E &
F | |
$ | - | | |
$ | 1,588,000 | | |
$ | 1,588,000 | |
Settlement of notes receivable in connection with asset purchase agreement | |
$ | 1,083,000 | | |
$ | - | | |
$ | 1,083,000 | |
Note
3 – Summary of Significant Accounting Policies
Basis
of Presentation – Interim Financial Statements
The
unaudited consolidated financial statements for the three and nine months ended September 30, 2024 and 2023 have been prepared by the
Company without audit, pursuant to the rules and regulations of the Securities and Exchange Commission (the “SEC”). In the
opinion of management, all adjustments necessary to present fairly our consolidated financial position, results of operations, and cash
flows as of September 30, 2024 and 2023, and for the periods then ended, have been made. Those adjustments consist of normal and recurring
adjustments. Operating results for interim periods are not necessarily indicative of results that may be expected for the fiscal year
as a whole. Accordingly, the unaudited consolidated financial statements do not include all the information and notes necessary for a
comprehensive presentation of our financial position and results of operations and should be read in conjunction with the audited financial
statements of the Company for the year ended December 31, 2023 included in our Annual Report on Form 10-K/A filed with the SEC on May
2, 2024.
Principles
of Consolidation
The
accompanying condensed consolidated financial statements have been prepared in accordance with Generally Accepted Accounting Principles
(“GAAP”) in the United States of America (“U.S.”) as promulgated by the Financial Accounting Standards Board
(“FASB”) Accounting Standards Codification (“ASC”) and with the rules and regulations of the U.S. Securities
and Exchange Commission (“SEC”).
Revenue
Recognition
The
Company’s continuing revenues are from individual patient protein analysis and collaborations with biopharmaceutical companies.
The fees for individual patient services are billed either to the patient or a third-party payor, including Medicare. The fees for the
biopharmaceutical collaborations are billed directly to the company.
Recently
Issued Accounting Standards
On
December 14, 2023, the Financial Accounting Standards Board (“FASB”) issued Accounting Standards Update (“ASU”)
No. 2023-09, Income Taxes (Topic 740): Improvements to Income Tax Disclosures (“ASU 2023-09”). ASU 2023-09 requires
entities to disclose specific rate reconciliations, amount of income taxes separated by federal and individual jurisdiction, and the
amount of income (loss) from continuing operations before income tax expense (benefit) disaggregated between federal, state, and foreign.
The new standard is effective for the Company for its fiscal year beginning January 1, 2025, with early adoption permitted. The Company
is currently evaluating the impact of adopting the standard.
On
November 27, 2023, the FASB issued ASU No. 2023-07, Segment Reporting (Topic 280): Improvements to Reportable Segment Disclosures (“ASU
2023-07”). ASU 2023-07 is designed to improve the reportable segment disclosure requirements, primarily through enhanced
disclosures about significant segment expenses that are regularly provided to the chief operating decision maker. The new standard
is effective for the Company for its fiscal year ending December 31, 2024, with early adoption permitted. The Company is currently
evaluating the impact of adopting the standard.
Note
4 –Liquidity and Going Concern Considerations
The
Company’s consolidated financial statements are prepared in accordance with GAAP and includes the assumption of a going concern
basis, which contemplates the realization of assets and liquidation of liabilities in the normal course of business. The Company has
historically and expects to incur operating losses and cash outflows from operations and as a result concludes that there is substantial
doubt to continue as a going concern twelve months from the issuance of these statements.
These
consolidated financial statements do not include any adjustments relating to the recoverability and classification of recorded asset
amounts and classification of liabilities that might be necessary should the Company be unable to continue as a going concern.
Note
5 – Property and Equipment
Property
and equipment consisted of the following at September 30, 2024 and December 31, 2023:
Schedule
of Property and Equipment
| |
Estimated Useful
Life | |
September
30, 2024 | | |
December
31, 2023 | |
| |
| |
| | |
| |
Equipment | |
5 years | |
| 1,044,000 | | |
| 762 | |
| |
| |
| | | |
| | |
Less: accumulated depreciation | |
| |
| (87,000 | ) | |
| - | |
| |
| |
| | | |
| | |
Total property and equipment, net | |
| |
$ | 957,000 | | |
$ | 762 | |
Depreciation
was approximately $87,000 and $277,000 for the nine months ended September 30, 2024 and 2023, and $52,000 and $44,000 for the three months
ended September 30, 2024 and 2023, respectively.
Note
6 – Settlement and Release Agreement - Theralink
During
the nine months ended September 30, 2024, the Company entered into several financing transactions with Theralink Technologies, Inc. that culminated
in an acquisition of Theralink assets. Pursuant to the Settlement and Release Agreement, the Company acquired certain assets which resulted
in the recording of long lived assets of $1.1 million. The Note receivables of $1.1 million was settled as part of the arrangement. In
addition, in order to receive releases from security holders of Theralink, the Company issued 24,172 shares of Series E preferred stock.
The Series E preferred stock was valued at a de minimis value. Series E preferred stock does not have any voting rights and each preferred
share has a conversion price of $3.641 per share.
Note
7 – Note Payable
Notes
payable at September 30, 2024 and December 31, 2023 were comprised of the following:
Schedule of Notes Payable
| |
Interest rate | |
Due date | |
September
30, 2024 | | |
December
31, 2023 | |
40% OID promissory note | |
OID only | |
June 18, 2025 | |
$ | 1,960,000 | | |
$ | - | |
Total notes payable | |
| |
| |
| 1,960,000 | | |
| - | |
Less: unamortized debt discounts | |
| |
| |
| (438,919 | ) | |
| - | |
Notes payable | |
| |
| |
$ | 1,521,081 | | |
$ | - | |
During
the nine months ended September 30, 2024, the Company issued promissory notes (the “Notes”) to certain lenders (the “Lenders”)
in the aggregate principal amount for approximately $2.0 million (the “Principal”), for cash proceeds of approximately
$1.4 million.
Note
8 – Preferred Stock
Preferred
Stock sold for cash
During
the nine months ended September 30, 2024, the Company sold 1,276, 17,364, 24,172 and 450 shares of Series C-2, Series D, Series E and Series
F respectively for gross proceeds of $1.35 million.
Series C-2, Series D, Series E and Series F have dividends equal to 10%
per annum. Series D, Series E and Series F dividends are capitalized by increasing the stated value of each preferred share
on the dividend date.
In
connection with the sale of Preferred Stock, the Company issued common stock purchase warrants of 2.8 million with a weighted average
exercise price of $2.60. The warrants were accounted for in equity and have a value of $8.4 million.
Inputs
associated with the value of those warrants is Contractual term of 5 years, Volatility of 157%, Dividend Yield of 0% and risk free rate
of 4.33%.
Preferred
stock exchanged
During
the nine months ended September 30, 2024, certain investors exchanged 4,550 shares of Series B-1 and B-2 for shares of Series C-1. The share
exchange was accounted for as a modification; however, the difference in fair value was de minimis. The Series C-1 have dividends equal
to 10% per annum.
Preferred stock converted
During the nine months ended September 30, 2024, 2,186
shares of preferred stock were converted into 864,846 shares of common stock.
Liquidation
preference
Liquidation
Value
Schedule of Liquidation Preference Value
| |
Preferred Shares Outstanding |
|
|
|
Stated Value |
|
Total Value | |
Series C-1 | |
|
2,564 |
|
|
|
$ |
1,000 |
|
$ | 3,189,000 | |
Series C-2 | |
|
1,276 |
|
|
|
$ |
1,000 |
|
| 1,464,000 | |
Series D | |
|
17,364 |
|
|
|
$ |
1,013 |
|
| 19,779,000 | |
Series E | |
|
24,172 |
|
|
|
$ |
1,013 |
|
| 27,533,000 | |
Series F | |
|
450 |
|
|
|
$ |
1,013 |
|
| 513,000 | |
Total | |
|
45,826 |
|
|
|
|
|
|
$ | 52,478,000 | |
Note
9 – Common stock purchase warrants
Schedule of Number of Warrants
| |
Number of Warrants | | |
Weighted
Average Exercise Price
Per Share | |
|
Weighted
Average
Remaining
Contractual
Term |
|
| |
| | |
| |
|
|
|
|
January 1, 2024 | |
| 2,474,284 | | |
$ | 8.80 | |
|
|
4.13 |
|
Granted | |
| 2,756,084 | | |
| 2.60 | |
|
|
5.50 |
|
Expired | |
| (2,302,137 | ) | |
| 8.62 | |
|
|
0.00 |
|
September 30, 2024 | |
| 2,928,231 | | |
$ | 4.12 | |
|
|
4.94 |
|
Note
10 - Net Loss Per Share
Basic
net loss per common share is computed by dividing net loss applicable to common stockholders by the weighted-average number of common
shares outstanding during the year. Diluted net loss per common share is determined using the weighted-average of common shares outstanding
during the year, adjusted for the dilutive effect of common stock equivalents, consisting of the conversion option embedded in convertible
debt. The weighted-average number of common shares outstanding excludes common stock equivalents because their inclusion would have an
anti-dilutive effect. Dilutive shares not included in the computation of dilutive loss per share because the effect would be anti-dilutive
due to the Company’s net loss were as follows:
Schedule of Net Loss Per Share
| |
2024 | | |
2023 | |
| |
September 30, | |
| |
2024 | | |
2023 | |
| |
| | |
| |
Common Stock Purchase Warrants | |
| 2,928,231 | | |
| 2,474,285 | |
Preferred shares C-1 | |
| 1,075,532 | | |
| - | |
Preferred shares C-2 | |
| 535,248 | | |
| - | |
Preferred shares D | |
| 5,074,462 | | |
| - | |
Preferred shares E | |
| 7,064,049 | | |
| - | |
Preferred shares F | |
| 140,867 | | |
| - | |
Stock options | |
| 11,312 | | |
| 4,368 | |
Anti-dilutive shares | |
| 16,829,701 | | |
| 2,478,653 | |
Note
11 – Discontinued operations
Schedule of Discontinued Operations on Consolidated Balance Sheet and Income Statement
| |
September
30, | | |
December 31, | |
| |
2024 | | |
2023 | |
| |
| | |
| |
Assets | |
| | | |
| | |
Accounts receivable, net | |
$ | - | | |
$ | - | |
Other current assets | |
| - | | |
| 1,028 | |
Property and equipment, net | |
| - | | |
| 762 | |
Other assets | |
| - | | |
| 95,040 | |
Net assets from discontinued operations | |
$ | - | | |
$ | 96,830 | |
| |
| | | |
| | |
Liabilities | |
| | | |
| | |
Accounts payable and accrued expenses | |
$ | 861,099 | | |
$ | 860,221 | |
Other current liabilities | |
| 193,500 | | |
| 108,088 | |
Other liabilities | |
| 257,265 | | |
| 344,402 | |
Net liabilities from discontinued operations | |
$ | 1,311,864 | | |
$ | 1,312,711 | |
The
following table shows the results of income (loss) from discontinued operations:
| |
2024 | | |
2023 | |
| |
September 30, | |
| |
2024 | | |
2023 | |
Patient revenues, net | |
$ | - | | |
$ | 5,003,160 | |
| |
| | | |
| | |
Operating expenses (recovery) | |
| (80,080 | ) | |
| 6,050,927 | |
Other expenses | |
| 112,072 | | |
| 1,318,124 | |
Total (recovery) costs and expenses | |
| 31,992 | | |
| 7,199,565 | |
| |
| | | |
| | |
Income (loss) from discontinued operations, net of income taxes | |
$ | (31,992 | ) | |
$ | (2,196,405 | ) |
Revenue
and Accounts Receivable
As
of September 30, 2024 and December 31, 2023, the Company had discontinued operations revenue and accounts receivable concentrations:
Schedule of Concentration Risk
| |
September 30, 2024 | | |
December 31, 2023 | |
| |
% of Revenue | | |
% of Accounts Receivable | | |
% of Revenue | | |
% of Accounts Receivable | |
| |
| | |
| | |
| | |
| |
Medicare payment | |
| 0 | % | |
| 0 | % | |
| 24 | % | |
| 0 | % |
Note
12 – Commitments and Contingencies
The
Company accrues a liability and charges operations for the estimated costs of contingent liabilities, including adjudication or settlement
of various asserted and unasserted claims existing as of the consolidated balance sheet date, when it is probable that a loss has been
incurred and the loss (or range of probable loss) is estimable.
From
time to time the Company may become subject to threatened and/or asserted claims arising in the ordinary course of our business. Other
than the matter described below, management is not aware of any matters, either individually or in the aggregate, that are reasonably
likely to have a material impact on the Company’s financial condition, results of operations or liquidity.
Third
Party Audit
From
time to time, in the ordinary course of business, we are subject to audits under various governmental programs in which third party firms
engaged by the Center for Medicare & Medicaid Services (“CMS”) conduct extensive reviews of claims data to identify potential
improper payments. We cannot predict the ultimate outcome of any regulatory reviews or other governmental audits and investigations.
Progressive
Health
In
October 2021, the Company received notification from Covent Bridge Group, a Center for Medicare & Medicaid Services (“CMS”)
contractor, that they are recommending to CMS that the Company was overpaid and a request for payment was made in December 2021 in the
amount of approximately $2.7 million.
The
amount represents a statistical extrapolation of $ of charges from a sample of 38 claims for the periods July 2017 to November 2020
for Progressive Health & Rehabilitation, Ltd (“Progressive Health”). The Company entered into a management agreement
with Progressive Health in April 2019 and therefore liable for only a portion of the sampled claims. There were a total of 38 claims
reviewed, 25 of these claims were from the period prior to the management agreement with the Company and the remaining 13 claims were
related to the period that Progressive Health was managed by the Company.
The
Company performed an internal audit process and has initiated the appropriate appeals. The Company submitted a redetermination request
in March 2022, which was denied. The Company submitted a reconsideration request February 2023. In July 2023, the Company received a
reconsideration decision from the second appeal. The Qualified Independent Contractor provided a partially favorable decision that medical
necessity supported 15 of 38 appealed claims. The Company filed an appeal and a hearing with an Administrative Law Judge (ALJ) was conducted
November 2023. The ALJ decision received on February 2024, did not address the Company’s appeal and the impact on the partially
favorable decision from the Independent contractor and the potential impact on the extrapolated charges.
The
Company filed a appeal to Medicare Appeals Council in April 2024 and is awaiting a response.
Advantage
Therapy
In
May 2022 the Company received notifications from Covent Bridge Group, a Center for Medicare & Medicaid Services (“CMS”)
contractor, that they are recommending to CMS that the Company was overpaid and a request for payment was made in the amount of approximately
$0.5 million.
This
amount represents a statistical extrapolation of charges from a sample, the actual amount found to be overpaid was $10,420.
The
Company has begun its own internal audit process and has initiated the appropriate appeals. The Company submitted a reconsideration request
in May 2023. In August 2023 the Company received a reconsideration decision from the second appeal. The Qualified Independent Contractor
provided a partially favorable decision supporting the appealed claims.
Subsequent
to the findings of the second Appeal the Company filed an appeal and conducted a hearing with an Administrative Law Judge in February
2024. The Company awaits the response from the hearing.
Summary of Contingencies
At
this stage of the appeals process, based on the information currently available to the Company, the Company is unable to predict the
timing and ultimate outcomes of these matters and therefore is unable to estimate the range of possible loss. Any potential loss may
be classified as errors and omissions for which insurance coverage was in place during a majority of the years being evaluated.
As
of September 30, 2024 and December 31, 2023, the Company has not recorded a provision for any of these claims, as management does not
believe that an estimate of a possible loss or range of loss can reasonably be made at this time.
Note
13 - Subsequent Events
Issuance
of promissory notes
In
October 2024, the Company issued promissory notes (the “October 2024 Notes”) to certain lenders in the aggregate principal
amount of $0.3
million, for an aggregate purchase price from
the Lenders of $0.2
million. The October 2024 Notes are unsecured
and mature on the earlier of (i) the date of consummation of any offering or offerings, individually or in the aggregate, of securities
with gross proceeds of at least $1,000,000,
and (ii) June 18, 2025.
Issuance
of Series G convertible preferred stock
The Company entered into securities purchase agreements (the “Securities Purchase Agreements”) with accredited investors
(the “Investors”), pursuant to which the Company agreed to issue and sell, and the Investors agreed to purchase, 4,676 shares
of Series G convertible preferred stock, par value $0.001 per
share (“Series G Preferred Stock”) and 2,977,711 warrants (the “Warrants”, and, together with the Series G
Preferred Stock, the “Securities”), (at a purchase price of $800 for
each Preferred Share and pro rata number of Warrants to purchase one share
of Common Stock) for aggregate proceeds of $3,740,000.
Such investment is referred to as the “PIPE Financing”.
Settlement of Promissory Notes
The
Company has used $2.2
million of the proceeds of the PIPE Financing
to repay the outstanding promissory notes.
Common stock purchase agreement
On November 12, 2024, the Company entered
into a Common Stock Purchase Agreement (the “Purchase Agreement”) and a Registration Rights Agreement (the “Registration
Rights Agreement”) with Keystone Capital Partners, LLC (the “Purchaser”), pursuant to which from time to time during
the 36-months after all of the conditions to the Company’s right to commence sales of Common Stock to the Purchaser have been satisfied,
including that a registration statement covering the resale of such shares (the “Registration Statement”) is declared effective
by the Securities and Exchange Commission (“SEC”) and the final form of prospectus contained therein is filed with the SEC
(the “Commencement Date”), the Company has the right, but not the obligation, to sell to the Purchaser (subject to certain
conditions and limitations), and the Purchaser is obligated to purchase, up to the lesser of (i) $60 million of newly issued shares (the
“Shares”) of Common Stock and (ii) 402,438 shares of Common Stock at an average per share purchase price less than the lower
of (A) the closing price of the Common Stock immediately preceding the sale of such shares and (B) the average of the closing prices
of the Common Stock for the five business days immediately preceding such sale (the “Exchange Cap”). The purchase price for
such shares will be based on a VWAP calculation or closing price of the Common Stock, in each case at a discount of 92.5%. As
consideration for the Purchaser’s commitment to purchase shares of Common Stock, upon the SEC’s declaration of the effectiveness
of the Registration Statement, the Company will issue 164,000 shares of its Common Stock to the Purchaser and will issue, on the trading
day immediately following the date stockholder approval is obtained with respect to the Exchange Cap, $1,000,000 of Common Stock, valued
at the VWAP Purchase Price (collectively, the “Commitment Shares”). As an additional condition to any sale of Common
Stock pursuant to the Purchase Agreement, the Company agreed to use 25% of the proceeds of any such sale to optionally redeem certain
outstanding shares of preferred stock of the Company, pro rata, at a 120% premium to the conversion value thereof as scheduled to the
Purchase Agreement.
Third
party audit
In November 2024, the Company received notification from Covent Bridge
Group, a Center for Medicare & Medicaid Services (“CMS”) contractor, that it estimates the Company was overpaid CMS funds
in the amount of approximately $1.1 million at a patient center in MO. The overpayment occurred between February 26, 2020 through January
2, 2024. The Company is planning to appeal by filing a redetermination request.
ITEM
2. |
MANAGEMENT’S
DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF OPERATIONS |
Special
Note Regarding Forward-Looking Information
The
following discussion and analysis of the results of operations and financial condition as of September 30, 2024 and for the nine months
ended September 30, 2024 and 2023 should be read in conjunction with our financial statements and the notes to those financial statements
that are included elsewhere in this Quarterly Report on Form 10-Q. This Quarterly Report contains forward-looking statements as that
term is defined in the federal securities laws. The events described in forward-looking statements contained in this Quarterly Report
may not occur. Generally, these statements relate to business plans or strategies, projected or anticipated benefits or other consequences
of our plans or strategies, projected or anticipated benefits from acquisitions to be made by us, or projections involving anticipated
revenues, earnings or other aspects of our operating results. The words “may,” “will,” “expect,”
“believe,” “anticipate,” “project,” “plan,” “intend,” “estimate,”
and “continue,” and their opposites and similar expressions, are intended to identify forward-looking statements. We caution
you that these statements are not guarantees of future performance or events and are subject to a number of uncertainties, risks and
other influences, many of which are beyond our control, which may influence the accuracy of the statements and the projections upon which
the statements are based. Factors that may affect our results include, but are not limited to, the risks and uncertainties set forth
under Item 1A. Risk Factors in the Company’s Annual Report on Form 10-K/A for the year ended December 31, 2023, as discussed elsewhere
in this Quarterly Report, particularly in Part II, Item IA - Risk Factors.
Any
one or more of these uncertainties, risks and other influences, could materially affect our results of operations and whether forward-looking
statements made by us ultimately prove to be accurate. Our actual results, performance and achievements could differ materially from
those expressed or implied in these forward-looking statements. Except as required by federal securities laws, we undertake no obligation
to publicly update or revise any forward-looking statements, whether from new information, future events or otherwise.
References
in this MD&A to “we,” “us,” “our,” “our company,” “our business” and
“IMAC Holdings” are to IMAC Holdings, Inc., a Delaware corporation and prior to the Corporate Conversion (defined below),
IMAC Holdings, LLC, a Kentucky limited liability company, and the following entities which are consolidated due to direct ownership of
a controlling voting interest or other rights granted to us as the sole general partner or managing member of the entity: Ignite Proteomics,
LLC, IMAC Regeneration Center of St. Louis, LLC (“IMAC St. Louis”), IMAC Management Services, LLC (“IMAC Management”),
IMAC Regeneration Management, LLC (“IMAC Texas”) IMAC Regeneration Management of Nashville, LLC (“IMAC Nashville”)
IMAC Management of Illinois, LLC (“IMAC Illinois”), Advantage Hand Therapy and Orthopedic Rehabilitation, LLC (“Advantage
Therapy”), IMAC Management of Florida, LLC (“IMAC Florida”), Louisiana Orthopaedic & Sports Rehab (“IMAC
Louisiana”) and The Back Space, LLC (“BackSpace”); the following entity which is consolidated with IMAC Regeneration
Management of Nashville, LLC due to control by contract: IMAC Regeneration Center of Nashville, PC (“IMAC Nashville PC”);
the following entities which are consolidated with IMAC Management of Illinois, LLC due to control by contract: Progressive Health and
Rehabilitation, Ltd., Illinois Spine and Disc Institute, Ltd. and Ricardo Knight, P.C.; the following entities which is consolidated
with IMAC Management Services, LLC due to control by contract: Integrated Medicine and Chiropractic Regeneration Center PSC (“Kentucky
PC”) and IMAC Medical of Kentucky PSC (“Kentucky PSC”); the following entities which are consolidated with IMAC Florida
due to control by contract: Willmitch Chiropractic, P.A. and IMAC Medical of Florida, P.A.; the following entity which is consolidated
with Louisiana Orthopaedic & Sports Rehab due to control by contract: IMAC Medical of Louisiana, a Medical Corporation; and the following
entities which are consolidated with BackSpace due to control by contract: ChiroMart LLC, ChiroMart Florida LLC, and ChiroMart Missouri
LLC.
Overview
The
continuing operations of the business is precision medicine in cancer treatment based on activated protein analysis. The Company has
acquired laboratory capabilities from Theralink Technologies, Inc, and has the technical capability and intellectual property licenses
to engage in clinical testing of breast cancer patients to determine which medications and treatments will be most effective. The Company
also engages in collaborations with biopharmaceutical companies to identify drug targets based on activated protein analysis. Drug makers
benefit from the application of our technology in target identification, clinical trial design, and clinical trial execution. Ultimately
our technology will be used to both gain FDA approval for treatments and also determine which patients will most benefit from those treatments.
We
were a provider of movement and orthopedic therapies and minimally invasive procedures performed through our regenerative and rehabilitative
medical treatments to improve the physical health of our patients. Given the Company’s financial position during 2023, the Company
decided to close its underperforming locations and sold it’s remaining practices.
Significant
financial metrics
Significant
financial metrics of the Company for the third quarter of 2024 are set forth in the bullets below.
|
● |
Working
capital deficit is ($5.5 million) as of September 30, 2024 compared to a working capital deficit of ($0.8) million as of December
31, 2023. |
|
|
|
|
● |
The
Company had revenues of $53 thousand from the collaboration with biopharmaceutical companies. |
Matters
that May or Are Currently Affecting Our Business
We
believe that the growth of our business and our future success depend on various opportunities, challenges, trends and other factors,
including the following:
|
● |
Our
ability to obtain additional financing for the projected costs associated with the current operations and the personnel involved, if
and when needed; |
|
|
|
|
● |
Our
ability to attract competent, skilled laboratory and sales personnel for our laboratory operations at acceptable prices to manage
our overhead; and |
|
|
|
|
● |
Our
ability to control our operating expenses and our ability to prove the asset acquisition will be beneficial to our Company and stockholders. |
On
May 1, 2024, the Company entered into a Settlement and Release Agreement with Theralink (the “Settlement Agreement”) pursuant
to which the parties agreed to a settlement of the default by Theralink under the previously announced Credit Agreement dated April 11,
2024 between the Company as Lender and Theralink as Borrower (the “Theralink Credit Agreement”). The settlement consisted
of the transfer of all of the assets of Theralink, other than certain excluded assets, and certain liabilities, to the Company in exchange
for (i) the forgiveness by the Company of the outstanding amounts due under (a) certain secured notes of Theralink to be held by the
Company pursuant to a Securities Purchase Agreement among the Company and holders of such notes and (b) the Theralink Credit Agreement
and (ii) the issuance to Theralink of the Company’s newly created Series E Convertible Preferred Stock, $0.001 par value (the “Series
E Preferred Stock”). In addition, pursuant to the Settlement Agreement, the parties agreed to mutual releases with respect to the
outstanding payments being forgiven, the Company and Theralink agreed to terminate the merger agreement between them and withdraw the
Registration Statement on Form S-4 related thereto as soon as commercially practicable, and the Company agreed to assume certain liabilities
of Theralink and to hire certain of the employees of Theralink.
On
May 6, 2024, in light of having already acquired the Theralink assets, the Company, IMAC Merger Sub, Inc. (“Merger Sub”)
and Theralink entered into a Termination Agreement, which immediately terminated the Merger Agreement.
Critical
Accounting Policies and Estimates
We
prepare our consolidated financial statements in accordance with U.S. generally accepted accounting principles (“GAAP”),
which require our management to make estimates that affect the reported amounts of assets, liabilities and disclosures of contingent
assets and liabilities at the balance sheet dates, as well as the reported amounts of revenues and expenses during the reporting periods.
To the extent that there are material differences between these estimates and actual results, our financial condition or results of operations
would be affected. We base our estimates on our own historical experience and other assumptions that we believe are reasonable after
taking account of our circumstances and expectations for the future based on available information. We evaluate these estimates on an
ongoing basis.
We
consider an accounting estimate to be critical if: (i) the accounting estimate requires us to make assumptions about matters that were
highly uncertain at the time the accounting estimate was made, and (ii) changes in the estimate that are reasonably likely to occur from
period to period or use of different estimates that we reasonably could have used in the current period, would have a material impact
on our financial condition or results of operations.
Management
has discussed the development and selection of these critical accounting estimates with the Audit Committee of our Board of Directors.
In addition, there are other items within our financial statements that require estimation but are not deemed critical as defined above.
Changes in estimates used in these and other items could have a material impact on our financial statements.
Results
of Operations for the Three and Nine Months Ended September 30, 2024 Compared to the Three and Nine Months Ended September 30, 2023
In
2023, the Company decided to discontinue business activities related to its underperforming clinic locations and BackSpace retail stores.
As of December 31, 2023, all locations had been closed and all assets had been sold. We owned our medical clinics directly or had entered
into long-term management services agreements to operate and control these medical clinics by contract. Our preference was to own the
clinics; however, some state laws restrict the corporate practice of medicine and require a licensed medical practitioner to own the
clinic. Accordingly, our managed clinics were owned exclusively by a medical professional within a professional service corporation (formed
as a corporation or a limited liability company) under common control with us in order to comply with state laws regulating the ownership
of medical practices. We were compensated under management services agreements through service fees based on the cost of the services
provided, plus a specified markup percentage, and a discretionary annual bonus determined in the sole discretion of each professional
service corporation.
Revenues
– Continuing Operations
The
continuing operations of the business is precision medicine in cancer treatment based on activated protein analysis. The Company has
the technical capability and intellectual property licenses to engage in clinical testing of breast cancer patients to determine which
medications and treatments will be most effective. The Company also engages in collaborations with biopharmaceutical companies to identify
drug targets based on activated protein analysis. Drug makers benefit from the application of our technology in target identification,
clinical trial design, and clinical trial execution. Ultimately our technology will be used to both gain FDA approval for treatments
and also determine which patients will most benefit from those treatments.
Revenues
from continuing operations for the three months and nine months ended September 30, 2024 consisted of $56,300 and $72,050, respectively.
Revenues
– Discontinued Operations
Our
revenue mix was diversified between medical treatments and physiological treatments. Our medical treatments were further segmented into
traditional medical and regenerative medicine practices. We were an in-network provider for traditional physical medical treatments,
such as physical therapy, chiropractic services and medical evaluations, with most private health insurance carriers. Regenerative medical
treatments are typically not covered by insurance, but paid by the patient. For more information on our revenue recognition policies,
see “Critical Accounting Policies and Estimates - Revenue Recognition.”
Cost of Revenues –
Continuing Operations
Our cost of revenues consists
of laboratory supplies and depreciation expenses of the laboratory equipment.
Laboratory supplies
Laboratory supplies consists of
supplies necessary to perform clinical tests.
Laboratory supplies for the three
months and nine months ended September 30, 2024 was approximately $70,000 and $107,000, respectively due to the acquisition of the laboratory
in May 2024.
Laboratory Depreciation
Laboratory depreciation is related
to our property and equipment purchases to use in the course of our business activities.
Laboratory depreciation for
the three months and nine months ended September 30, 2024 was approximately $52,000 and $87,000, respectively due to the acquisition
of the laboratory in May 2024.
Operating
Expenses – Continuing Operations
Operating
expenses consist of salaries and benefits and general and administrative expenses.
Salaries
and benefits
Salaries
and benefits consist of payroll, benefits and related party contracts.
Salaries
and benefits expenses for the three months ended September 30, 2024, as compared to the three months ended September 30, 2023, were
$277,000 higher due to the additional staff in 2024 from the laboratory acquisition. The expenses for the nine months ended September
30, 2024, as compared to the nine months ended September 30, 2023 decreased $212,000 due to the lower staff count in the first four
months of 2024 due to the closure of the clinics in 2023.
General
and administrative expense (G&A”)
General
and administrative expense (“G&A”) consist of all other costs than, salaries and benefits.
G&A
increased $707,000 in the three months ended September 30, 2024 as compared to the three months ended September 30, 2023 due to the
additional costs associated with adding the laboratory in May 2024. G&A increased $926,000 in the nine months ended September
30, 2024 as compared to the nine months ended September 30, 2023 due to the sale or closure of all clinical locations in 2023 and
the addition of the laboratory in 2024.
Analysis
of Cash Flows
The
primary source of our operating cash flow is the collection of accounts receivable from patients, private insurance companies, government
programs, self-insured employers and other payors.
During
the nine months ended September 30, 2024, net cash used in operations decreased to approximately $2.0 million compared to $3.0 million
for the nine months ended September 30, 2023. This decrease was primarily attributable to our lower net loss for the nine months ended
September 30, 2024 and discontinuance of our operations in 2023.
Net
cash used by investing activities during the nine months ended September 30, 2024 and 2023 was approximately ($0.4) and ($1.9)
million, respectively. This was attributed to the notes receivable of $3.0 million issued and the sale of Louisiana Orthopedic
operations of $1.0 million during the nine months ended September 30, 2023.
Net
cash provided by financing activities during the nine months ended September 30, 2024 and 2023 was approximately $2.4 million and $4.3
million, respectively. The decrease is due to the issuance of preferred stock of $4.3 million during the nine months ended September 30, 2023.
Liquidity
and Capital Resources
As
of September 30, 2024, we had $0.2 million in cash and negative working capital of $5.8 million. As of December 31, 2023, we had cash
of $0.2 million and negative working capital of $0.8 million. The decrease in working capital was primarily due to the use of cash for
operating expenses and minimal revenues during the nine months ended September 30, 2024.
As
of September 30, 2024, we had approximately $6.3 million in current liabilities. Approximately $2.1 million of our current liabilities
outstanding were to our vendors. The current portion of our operating lease liability accounted for approximately $0.2 million of our
current liabilities.
As
of September 30, 2024, we had an accumulated deficit of $59.9 million. We anticipate that we will need to raise additional capital to
fund future operations. However, we may be unable to raise additional funds or enter into such arrangements when needed or favorable
terms, or at all, which would have a negative impact on our financial condition and could force us to delay, limit, reduce or terminate
our development or acquisition activity. Failure to receive additional funding could also cause us to cease operations, in part or in
full. Furthermore, even if we believe we have sufficient funds for our current of future operating plans, we may seek additional capital
due to favorable market conditions or strategic considerations. Our management team has determined that our financial condition raises
substantial doubt as to our ability to continue as a going concern.
Contractual
Obligations
The
following table summarizes our contractual obligations by period as of September 30, 2024:
| |
Payments Due by Period | |
| |
Total | | |
Less Than 1 Year | | |
1-3 Years | | |
4-5 Years | |
Operating lease obligations | |
| 506,547 | | |
| 117,758 | | |
| 307,098 | | |
| 81,691 | |
| |
$ | 506,547 | | |
$ | 117,758 | | |
$ | 307,098 | | |
$ | 81,691 | |
Impact
of Inflation
We
believe that inflation had a material impact on our results of operations for the nine months ended September 30, 2024 and 2023. Inflation
was evident in staffing and supply costs related to the delivery of patient care. We cannot assure you that future inflation will not
have an adverse impact on our operating results and financial condition.
ITEM
3. |
QUANTITATIVE
AND QUALITATIVE DISCLOSURES ABOUT MARKET RISK |
Not
applicable.
ITEM
4. |
CONTROLS
AND PROCEDURES |
Disclosure
Controls and Procedures
We
maintain disclosure controls and procedures that are designed to ensure that information required to be disclosed in our Securities Exchange
Act of 1934 (the “Exchange Act”) reports is recorded, processed, summarized, and reported within the time periods specified
in the SEC’s rules and forms and that such information is accumulated and communicated to our management, including our chief executive
officer and chief financial officer, as appropriate, to allow for timely decisions regarding required disclosure. In designing and evaluating
the disclosure controls and procedures, we recognize that any controls and procedures, no matter how well designed and operated, can
provide only reasonable assurance of achieving the desired control objectives, and management is required to apply its judgment in evaluating
the cost-benefit relationship of possible controls and procedures.
As
further discussed below, we carried out an evaluation, under the supervision and with the participation of our management, including
our chief executive officer and chief financial officer, of the effectiveness of the design and operation of our disclosure controls
and procedures, as defined in Rules 13a-15(e) and 15d-15(e) of the Exchange Act. Based on that evaluation, our chief executive officer
and chief financial officer concluded that, because of certain material weaknesses in our internal control over financial reporting,
our disclosure controls and procedures as defined in Rule 13a-15(e) and 15d-15(e) under the Exchange Act were not effective as of September
30, 2024. The material weaknesses are as follows:
|
1. |
We
do not have sufficient resources in our accounting department, which restricts our ability to gather, analyze and properly review
information related to financial reporting, including applying complex accounting principles relating to accrued dividends,
capitalized dividends, consolidation accounting, related party transactions, fair value estimates, accounting contingencies and
analysis of financial instruments for proper classification in the consolidated financial statements, in a timely
manner; |
|
|
|
|
2. |
Due
to our size and nature, segregation of all conflicting duties may not always be possible and may not be economically feasible. However,
to the extent possible, the initiation of transactions, the custody of assets and the recording of transactions should be performed
by separate individuals. Management evaluated the impact of our failure to have segregation of duties during our assessment of our
disclosure controls and procedures and concluded that the control deficiency that resulted represented a material weakness. |
We
hired a consulting firm to advise on technical issues related to U.S. GAAP as related to the maintenance of our accounting books and
records and the preparation of our consolidated financial statements. Although we are aware of the risks associated with not having dedicated
accounting personnel, we are also at an early stage in the development of our business. We anticipate expanding our accounting functions
with dedicated staff and improving our internal accounting procedures and separation of duties when we can absorb the costs of such expansion
and improvement with additional capital resources. In the meantime, management will continue to observe and assess our internal accounting
function and make necessary improvements whenever they may be required. If our remedial measures are insufficient to address the material
weakness, or if additional material weaknesses or significant deficiencies in our internal control over financial reporting are discovered
or occur in the future, our consolidated financial statements may contain material misstatements, and we could be required to restate
our financial results. In addition, if we are unable to successfully remediate this material weakness and if we are unable to produce
accurate and timely financial statements, our stock price may be adversely affected and we may be unable to maintain compliance with
applicable stock exchange listing requirements.
Our
management is responsible for establishing and maintaining adequate internal control over financial reporting, as such term is defined
in Rules 13a-15(f) and 15d-15(f) of the Exchange Act. Under the supervision and with the participation of our management, including our
chief executive officer and chief financial officer, we conducted an evaluation of the effectiveness of our internal control over financial
reporting based on the framework in Internal Control—Integrated Framework (2013) issued by the Committee of Sponsoring Organizations
of the Treadway Commission (“COSO”). Because of its inherent limitations, internal control over financial reporting may not
prevent or detect all misstatements. Also, projections of any evaluation of effectiveness to future periods are subject to the risk that
controls may become inadequate because of changes in conditions, or that the degree of compliance with the policies or procedures may
deteriorate. Therefore, even those systems determined to be effective can provide only reasonable assurance with respect to financial
statement preparation and presentation. Based on our evaluation under the framework in Internal Control—Integrated Framework
(2013), our management concluded that, because of certain material weaknesses in our internal control over financial reporting our
disclosure controls and procedures as defined in Rule 13a-15(e) and 15d-15(e) under the Exchange Act were not effective as of September 30,
2024.
Changes
in Internal Control over Financial Reporting
There
has been no change in our internal control over financial reporting identified in connection with the evaluation required by paragraph
(d) of Rules 13a-15 or 15d-15 under the Exchange Act that occurred during our most recent fiscal quarter that has materially affected,
or is reasonably likely to materially affect, our internal control over financial reporting.
PART
II. OTHER INFORMATION
ITEM
1. |
LEGAL
PROCEEDINGS |
From
time to time, we may become involved in various lawsuits and legal proceedings that arise in the ordinary course of our business, as
described below. Litigation is, however, subject to inherent uncertainties, and an adverse result in these or other matters may arise
from time to time that may harm our business. We are currently not aware of any legal proceedings or claims that we believe would or
could have, individually or in the aggregate, a material adverse effect on us. Regardless of final outcomes, however, any such proceedings
or claims may nonetheless impose a significant burden on management and employees and may come with costly defense costs or unfavorable
preliminary interim rulings.
There have been no material changes to our Risk Factors as disclosed in our
Annual Report on Form 10-K/A for the year ended December 31, 2024 and our Quarterly Reports on Form 10-Q for the quarters ended March 31, 2024 and June 30.2024.
ITEM
2. |
UNREGISTERED
SALES OF EQUITY SECURITIES AND USE OF PROCEEDS |
None.
ITEM
3. |
DEFAULTS
UPON SENIOR SECURITIES |
None.
ITEM
4. |
MINE
SAFETY DISCLOSURES |
Not
applicable.
ITEM
5. |
OTHER
INFORMATION |
None.
Exhibit
Number |
|
Description |
3.1* |
|
Certificate of Incorporation of IMAC Holdings, Inc., as amended to date. |
|
|
|
4.1 |
|
Form of Promissory Note dated September 12, 2024 (filed as Exhibit 4.1 to the Company’s Current Report on Form 8-K filed with the SEC on September 13, 2024 and incorporated herein by reference). |
|
|
|
4.2 |
|
Form of Promissory Note dated September 27, 2024 (filed as Exhibit 4.1 to the Company’s Current Report on Form 8-K filed with the SEC on September 27, 2024 and incorporated herein by reference). |
|
|
|
10.1 |
|
Amendment No. 3 to 2018 Incentive Compensation Plan dated August 30, 2024 (filed as Exhibit 10.1 to the Company’s Current Report on Form 8-K filed with the SEC on August 30, 2024 and incorporated herein by reference). |
|
|
|
31.1* |
|
Certification of the Principal Executive Officer pursuant to Rules 13a-14(a) and 15d-14(a) promulgated pursuant to the Securities Exchange Act of 1934, as amended. |
|
|
|
31.2* |
|
Certification of the Principal Financial Officer pursuant to Rules 13a-14(a) and 15d-14(a) promulgated pursuant to the Securities Exchange Act of 1934, as amended. |
|
|
|
32.1** |
|
Certification of the Principal Executive Officer pursuant to Section 906 of the Sarbanes-Oxley Act of 2002. |
|
|
|
32.2** |
|
Certification of the Principal Financial Officer pursuant to Section 906 of the Sarbanes-Oxley Act of 2002. |
|
|
|
101.INS* |
|
Inline
XBRL Instance Document |
|
|
|
101.SCH* |
|
Inline
XBRL Taxonomy Extension Schema |
|
|
|
101.CAL* |
|
Inline
XBRL Taxonomy Extension Calculation Linkbase |
|
|
|
101.LAB* |
|
Inline
XBRL Taxonomy Extension Labels Linkbase |
|
|
|
101.PRE* |
|
Inline
XBRL Taxonomy Extension Presentation Linkbase |
|
|
|
101.DEF* |
|
Inline
XBRL Taxonomy Extension Definition Linkbase |
|
|
|
104 |
|
Cover
Page Interactive Data File (embedded within the Inline XBRL document) |
* |
Filed
herewith. |
|
|
** |
This
certification is being furnished solely to accompany this quarterly report pursuant to 18 U.S.C. § 1350, and is not being filed
for purposes of Section 18 of the Securities Exchange Act of 1934, as amended, and is not to be incorporated by reference into any
filing of IMAC Holdings, Inc., whether made before or after the date hereof, regardless of any general incorporation language in
such filing. |
SIGNATURES
Pursuant
to the requirements of the Securities and Exchange Act of 1934, the registrant has duly caused this report to be signed on its behalf
by the undersigned thereunto duly authorized.
|
IMAC
HOLDINGS, INC. |
|
|
|
Date:
June 30, 2025 |
By:
|
/s/
Faith Zaslavsky |
|
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Faith
Zaslavsky |
|
|
Chief
Executive Officer
(Principal
Executive Officer) |
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|
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Date:
June 30, 2025 |
By:
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/s/
Sheri Gardzina |
|
|
Sheri
Gardzina |
|
|
Chief
Financial Officer
(Principal
Financial and Accounting Officer) |