STOCK TITAN

[10-Q] VSEE HEALTH, INC. Quarterly Earnings Report

Filing Impact
(Neutral)
Filing Sentiment
(Neutral)
Form Type
10-Q

VSee Health (VSEE) filed its Q1 2025 10‑Q, reporting total revenues of $3,321,485, up from $1,620,995 a year ago as telehealth services, patient fees, and technical engineering expanded. Despite higher sales, the company posted a net loss of $3,959,440 versus net income of $62,770 in the prior-year period.

Gross margin was $1,859,971, but higher operating expenses of $3,691,289 and other expenses weighed on results, including interest expense of $730,665 and a $1,261,471 loss from changes in fair value of financial instruments. Cash used in operations was $440,493; cash ended at $410,122. The balance sheet shows assets of $19,395,686 against total liabilities of $22,892,683, resulting in a stockholders’ deficit of $3,496,997.

The company disclosed a going concern uncertainty due to historical losses and liquidity pressures. It also restated VSee Lab’s Q1 2024 standalone results, adjusting revenue and expenses. Management continues to pursue financing arrangements, including convertible and secured notes, to support operations.

VSee Health (VSEE) ha depositato il suo 10-Q del Q1 2025, riportando ricavi totali di 3.321.485 dollari, in crescita rispetto ai 1.620.995 dollari dell'anno precedente, man mano che i servizi di telemedicina, le commissioni dei pazienti e l'ingegneria tecnica si sono ampliati. Nonostante l'aumento delle vendite, l'azienda ha registrato una perdita netta di 3.959.440 dollari rispetto a un utile di 62.770 dollari nel periodo dell'anno precedente.

Il margine lordo è stato di 1.859.971 dollari, ma i maggiori costi operativi di 3.691.289 dollari e altre spese hanno pesato sui risultati, inclusi oneri interessari di 730.665 dollari e una perdita di 1.261.471 dollari dai cambiamenti nel fair value degli strumenti finanziari. Il flusso di cassa operativo ha assorbito 440.493 dollari; la liquidità si è attestata a 410.122 dollari. Lo stato patrimoniale mostra attività pari a 19.395.686 dollari e passività totali di 22.892.683 dollari, con un deficit degli azionisti di 3.496.997 dollari.

L’azienda ha comunicato un’incertezza sulla continuità operativa a causa di perdite storiche e pressioni di liquidità. Ha inoltre rilevato retroattivamente i risultati standalone del Q1 2024 di VSee Lab, adeguando ricavi e spese. La direzione continua a perseguire accordi di finanziamento, inclusi strumenti convertibili e note assicurate, per sostenere le operazioni.

VSee Health (VSEE) presentó su 10‑Q del 1T 2025, informando ingresos totales de 3.321.485 dólares, en aumento desde 1.620.995 dólares hace un año, a medida que se expandieron los servicios de telemedicina, las tarifas de los pacientes y la ingeniería técnica. A pesar de las mayores ventas, la empresa registró una pérdida neta de 3.959.440 dólares frente a un ingreso neto de 62.770 dólares en el periodo del año anterior.

El margen bruto fue de 1.859.971 dólares, pero mayores gastos operativos de 3.691.289 dólares y otros gastos pesaron sobre los resultados, incluyendo un gasto por intereses de 730.665 dólares y una pérdida de 1.261.471 dólares por cambios en el valor razonable de instrumentos financieros. El efectivo utilizado en operaciones fue de 440.493 dólares; el efectivo terminó en 410.122 dólares. El balance muestra activos por 19.395.686 dólares frente a pasivos totales de 22.892.683 dólares, dando como resultado un déficit de los accionistas de 3.496.997 dólares.

La empresa comunicó una incertidumbre de continuidad operacional debido a pérdidas históricas y presiones de liquidez. También reclasificó retroactivamente los resultados independientes del Q1 2024 de VSee Lab, ajustando ingresos y gastos. La dirección continúa buscando arreglos de financiación, incluyendo notas convertibles y notas garantizadas, para apoyar las operaciones.

VSee Health (VSEE)가 2025년 1분기 10-Q를 제출, 텔레메디슨 서비스, 환자 수수료 및 기술 엔지니어링의 확대로 매출 총액이 3,321,485달러로 증가했다고 보고했습니다. 전년 같은 기간 1,620,995달러에서 상승했습니다. 매출 증가에도 불구하고 회사는 전년 동기 대비 순손실 3,959,440달러를 기록했습니다(순이익 62,770달러).

총이익은 1,859,971달러였으나 영업비용 3,691,289달러 및 기타 비용이 실적에 부담을 주었고, 이자비용 730,665달러 및 금융상품 공정가치 변경에 따른 손실 1,261,471달러가 포함되었습니다. 영업에서의 현금 사용은 440,493달러였고 현금은 410,122달러로 마감되었습니다. 대차대조표상의 자산은 19,395,686달러, 총부채는 22,892,683달러로 주주자본은 3,496,997달러의 적자를 나타냅니다.

역사적 손실과 유동성 압박으로 인한 계속기업 불확실성을 회사가 공표했습니다. 또한 VSee Lab의 2024년 1분기 독립 재무제표를 소급 재작성하여 매출과 비용을 조정했습니다. 경영진은 운영을 지원하기 위해 전환사채 및 담보부 채권을 포함한 자금조달 계약을 계속 추구하고 있습니다.

VSee Health (VSEE) a déposé son 10-Q du T1 2025, rapportant des revenus totaux de 3 321 485 dollars, en hausse par rapport à 1 620 995 dollars il y a un an, alors que les services de télésanté, les frais des patients et l'ingénierie technique se sont développés. Malgré des ventes plus élevées, l'entreprise a enregistré une perte nette de 3 959 440 dollars contre un bénéfice net de 62 770 dollars sur la période de l'année précédente.

La marge brute s'élevait à 1 859 971 dollars, mais des dépenses d'exploitation plus élevées de 3 691 289 dollars et d'autres charges ont pesé sur les résultats, y compris une charge d'intérêts de 730 665 dollars et une perte de 1 261 471 dollars liée à des variations de la juste valeur des instruments financiers. La trésorerie générée par les opérations était de -440 493 dollars; la trésorerie a terminé à 410 122 dollars. Le bilan montre des actifs de 19 395 686 dollars contre des passifs totaux de 22 892 683 dollars, entraînant un déficit des actionnaires de 3 496 997 dollars.

L'entreprise a déclaré une incertitude de continuité d'exploitation en raison de pertes historiques et de pressions de liquidité. Elle a également retraité les résultats standalone du T1 2024 de VSee Lab, en ajustant les revenus et les dépenses. La direction continue de rechercher des arrangements de financement, y compris des notes convertibles et des notes sécurisées, pour soutenir les opérations.

VSee Health (VSEE) hat seinen Q1 2025 10-Q eingereicht, mit Gesamteinnahmen von 3.321.485 USD, gegenüber 1.620.995 USD vor einem Jahr, da Telemedizin-Dienste, Patienten Gebühren und technischeIngenieurwesen sich ausgeweitet haben. Trotz höherer Umsätze verzeichnete das Unternehmen einen Nettoverlust von 3.959.440 USD gegenüber einem Nettogewinn von 62.770 USD im Vorjahreszeitraum.

Die Bruttomarge betrug 1.859.971 USD, aber höhere Betriebskosten von 3.691.289 USD und andere Aufwendungen lasteten auf den Ergebnissen, einschließlich Zinsaufwendungen von 730.665 USD und ein Verlust von 1.261.471 USD durch Änderungen bei dem beizulegenden Zeitwert finanzieller Instrumente. Operativer Cashflow betrug -440.493 USD; Bargeld endete bei 410.122 USD. Die Bilanz weist Vermögenswerte von 19.395.686 USD gegen Verbindlichkeiten von 22.892.683 USD aus, was zu einem Aktionärendefizit von 3.496.997 USD führt.

Das Unternehmen gab aufgrund historischer Verluste und Liquiditätsdruck eine Fortführungsglaubwürdigkeit an. Es hat außerdem die Q1 2024 Standalone-Ergebnisse von VSee Lab rückwirkend neu bilanziert und Einnahmen sowie Aufwendungen angepasst. Das Management setzt die Verhandlungen über Finanzierung, einschließlich wandelbarer und gesicherter Anleihen, fort, um den Betrieb zu unterstützen.

شركة VSee Health (VSEE) قدمت 10-Q للربع الأول 2025، حيث بلغت الإيرادات الإجمالية 3,321,485 دولار، ارتفاعاً من 1,620,995 دولار قبل عام مع توسيع خدمات التطبيب عن بعد، ورسوم المرضى، والهندسة التقنية. على الرغم من زيادة المبيعات، سجلت الشركة صافي خسارة قدره 3,959,440 دولار مقابل دخل صافي قدره 62,770 دولار في الفترة المقارنة السابقة.

هامش الربح الإجمالي كان 1,859,971 دولار، لكن ارتفاع المصروفات التشغيلية إلى 3,691,289 دولار وغيرها من المصروفات أثقلت النتائج. كما شمل ذلك مصروف فائدة قدره 730,665 دولار وخسارة قدرها 1,261,471 دولار من تغيّر في القيمة العادلة للأدوات المالية. استخدم النقد من العمليات 440,493 دولار؛ وانتهى النقد عند 410,122 دولار. تُظهر الميزانية أن الأصول 19,395,686 دولار مقابل الخصوم الإجمالية 22,892,683 دولار، مما نتج عنه عجز المساهمين بقيمة 3,496,997 دولار.

أعلنت الشركة عن عدم اليقين بشأن استمرارية الأعمال بسبب الخسائر التاريخية وضغوط السيولة. كما أعادت تبويب نتائج VSee Lab المستقلة للربع الأول 2024، مع تعديل الإيرادات والمصاريف. ما زالت الإدارة تسعى لإبرام ترتيبات تمويل، بما في ذلك السندات القابلة للتحويل والسندات المضمونة، لدعم العمليات.

VSee Health (VSEE) 已提交其 2025 年第一季度的 10-Q,报告总收入为 3,321,485 美元,较一年前的 1,620,995 美元增长,原因在于远程医疗服务、患者费用以及技术工程领域的扩张。尽管销售增长,该公司实现净亏损 3,959,440 美元,相较于上年同期的净利润 62,770 美元。

毛利为 1,859,971 美元,但更高的营业费用 3,691,289 美元及其他费用对业绩造成拖累,其中利息支出 730,665 美元以及金融工具公允价值变动造成的损失 1,261,471 美元。经营活动现金流出 440,493 美元;期末现金为 410,122 美元。资产负债表显示资产 19,395,686 美元,对总负债 22,892,683 美元,股东权益亏损额为 3,496,997 美元。

公司披露了因历史亏损和流动性压力而存在的持续经营不确定性。它还对 VSee Lab 的 2024 年第一季度独立业绩进行了追溯重述,调整了收入和支出。管理层继续寻求融资安排,包括可转换债券和有担保票据,以支持运营。

Positive
  • None.
Negative
  • Going concern uncertainty disclosed due to recurring losses and liquidity constraints
  • Stockholders’ deficit of $3,496,997 with liabilities exceeding assets
  • Non-operating headwinds: $730,665 interest expense and $1,261,471 fair value loss in Q1 2025

Insights

Revenue grew, but losses, leverage, and going concern dominate.

VSee Health lifted revenue to $3,321,485, driven by expanded telehealth and patient fee streams. However, operating expenses of $3,691,289 and non-operating items, notably interest expense of $730,665 and a $1,261,471 fair value loss, produced a net loss of $3,959,440 for the quarter ended March 31, 2025.

Liabilities of $22,892,683 exceed assets of $19,395,686, leaving a stockholders’ deficit of $3,496,997. Cash was modest at $410,122 with operating cash outflow of $440,493. Management highlighted a going concern uncertainty, reflecting liquidity strain and historical losses.

Convertible and secured notes feature variable pricing and fair value remeasurement, which can add earnings volatility. Subsequent filings may detail how financing, amortization payments, and any conversions affect interest expense and fair value outcomes.

VSee Health (VSEE) ha depositato il suo 10-Q del Q1 2025, riportando ricavi totali di 3.321.485 dollari, in crescita rispetto ai 1.620.995 dollari dell'anno precedente, man mano che i servizi di telemedicina, le commissioni dei pazienti e l'ingegneria tecnica si sono ampliati. Nonostante l'aumento delle vendite, l'azienda ha registrato una perdita netta di 3.959.440 dollari rispetto a un utile di 62.770 dollari nel periodo dell'anno precedente.

Il margine lordo è stato di 1.859.971 dollari, ma i maggiori costi operativi di 3.691.289 dollari e altre spese hanno pesato sui risultati, inclusi oneri interessari di 730.665 dollari e una perdita di 1.261.471 dollari dai cambiamenti nel fair value degli strumenti finanziari. Il flusso di cassa operativo ha assorbito 440.493 dollari; la liquidità si è attestata a 410.122 dollari. Lo stato patrimoniale mostra attività pari a 19.395.686 dollari e passività totali di 22.892.683 dollari, con un deficit degli azionisti di 3.496.997 dollari.

L’azienda ha comunicato un’incertezza sulla continuità operativa a causa di perdite storiche e pressioni di liquidità. Ha inoltre rilevato retroattivamente i risultati standalone del Q1 2024 di VSee Lab, adeguando ricavi e spese. La direzione continua a perseguire accordi di finanziamento, inclusi strumenti convertibili e note assicurate, per sostenere le operazioni.

VSee Health (VSEE) presentó su 10‑Q del 1T 2025, informando ingresos totales de 3.321.485 dólares, en aumento desde 1.620.995 dólares hace un año, a medida que se expandieron los servicios de telemedicina, las tarifas de los pacientes y la ingeniería técnica. A pesar de las mayores ventas, la empresa registró una pérdida neta de 3.959.440 dólares frente a un ingreso neto de 62.770 dólares en el periodo del año anterior.

El margen bruto fue de 1.859.971 dólares, pero mayores gastos operativos de 3.691.289 dólares y otros gastos pesaron sobre los resultados, incluyendo un gasto por intereses de 730.665 dólares y una pérdida de 1.261.471 dólares por cambios en el valor razonable de instrumentos financieros. El efectivo utilizado en operaciones fue de 440.493 dólares; el efectivo terminó en 410.122 dólares. El balance muestra activos por 19.395.686 dólares frente a pasivos totales de 22.892.683 dólares, dando como resultado un déficit de los accionistas de 3.496.997 dólares.

La empresa comunicó una incertidumbre de continuidad operacional debido a pérdidas históricas y presiones de liquidez. También reclasificó retroactivamente los resultados independientes del Q1 2024 de VSee Lab, ajustando ingresos y gastos. La dirección continúa buscando arreglos de financiación, incluyendo notas convertibles y notas garantizadas, para apoyar las operaciones.

VSee Health (VSEE)가 2025년 1분기 10-Q를 제출, 텔레메디슨 서비스, 환자 수수료 및 기술 엔지니어링의 확대로 매출 총액이 3,321,485달러로 증가했다고 보고했습니다. 전년 같은 기간 1,620,995달러에서 상승했습니다. 매출 증가에도 불구하고 회사는 전년 동기 대비 순손실 3,959,440달러를 기록했습니다(순이익 62,770달러).

총이익은 1,859,971달러였으나 영업비용 3,691,289달러 및 기타 비용이 실적에 부담을 주었고, 이자비용 730,665달러 및 금융상품 공정가치 변경에 따른 손실 1,261,471달러가 포함되었습니다. 영업에서의 현금 사용은 440,493달러였고 현금은 410,122달러로 마감되었습니다. 대차대조표상의 자산은 19,395,686달러, 총부채는 22,892,683달러로 주주자본은 3,496,997달러의 적자를 나타냅니다.

역사적 손실과 유동성 압박으로 인한 계속기업 불확실성을 회사가 공표했습니다. 또한 VSee Lab의 2024년 1분기 독립 재무제표를 소급 재작성하여 매출과 비용을 조정했습니다. 경영진은 운영을 지원하기 위해 전환사채 및 담보부 채권을 포함한 자금조달 계약을 계속 추구하고 있습니다.

VSee Health (VSEE) a déposé son 10-Q du T1 2025, rapportant des revenus totaux de 3 321 485 dollars, en hausse par rapport à 1 620 995 dollars il y a un an, alors que les services de télésanté, les frais des patients et l'ingénierie technique se sont développés. Malgré des ventes plus élevées, l'entreprise a enregistré une perte nette de 3 959 440 dollars contre un bénéfice net de 62 770 dollars sur la période de l'année précédente.

La marge brute s'élevait à 1 859 971 dollars, mais des dépenses d'exploitation plus élevées de 3 691 289 dollars et d'autres charges ont pesé sur les résultats, y compris une charge d'intérêts de 730 665 dollars et une perte de 1 261 471 dollars liée à des variations de la juste valeur des instruments financiers. La trésorerie générée par les opérations était de -440 493 dollars; la trésorerie a terminé à 410 122 dollars. Le bilan montre des actifs de 19 395 686 dollars contre des passifs totaux de 22 892 683 dollars, entraînant un déficit des actionnaires de 3 496 997 dollars.

L'entreprise a déclaré une incertitude de continuité d'exploitation en raison de pertes historiques et de pressions de liquidité. Elle a également retraité les résultats standalone du T1 2024 de VSee Lab, en ajustant les revenus et les dépenses. La direction continue de rechercher des arrangements de financement, y compris des notes convertibles et des notes sécurisées, pour soutenir les opérations.

VSee Health (VSEE) hat seinen Q1 2025 10-Q eingereicht, mit Gesamteinnahmen von 3.321.485 USD, gegenüber 1.620.995 USD vor einem Jahr, da Telemedizin-Dienste, Patienten Gebühren und technischeIngenieurwesen sich ausgeweitet haben. Trotz höherer Umsätze verzeichnete das Unternehmen einen Nettoverlust von 3.959.440 USD gegenüber einem Nettogewinn von 62.770 USD im Vorjahreszeitraum.

Die Bruttomarge betrug 1.859.971 USD, aber höhere Betriebskosten von 3.691.289 USD und andere Aufwendungen lasteten auf den Ergebnissen, einschließlich Zinsaufwendungen von 730.665 USD und ein Verlust von 1.261.471 USD durch Änderungen bei dem beizulegenden Zeitwert finanzieller Instrumente. Operativer Cashflow betrug -440.493 USD; Bargeld endete bei 410.122 USD. Die Bilanz weist Vermögenswerte von 19.395.686 USD gegen Verbindlichkeiten von 22.892.683 USD aus, was zu einem Aktionärendefizit von 3.496.997 USD führt.

Das Unternehmen gab aufgrund historischer Verluste und Liquiditätsdruck eine Fortführungsglaubwürdigkeit an. Es hat außerdem die Q1 2024 Standalone-Ergebnisse von VSee Lab rückwirkend neu bilanziert und Einnahmen sowie Aufwendungen angepasst. Das Management setzt die Verhandlungen über Finanzierung, einschließlich wandelbarer und gesicherter Anleihen, fort, um den Betrieb zu unterstützen.

 

 

UNITED STATES

SECURITIES AND EXCHANGE COMMISSION

Washington, D.C. 20549

 

 

 

FORM 10-Q

 

 

 

(Mark One)

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

 

For the quarterly period ended March 31, 2025

or

 

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: 001-41015

 

VSee Health, Inc.

(Exact name of registrant as specified in its charter)

 

Delaware   86-2970927
(State or other jurisdiction of
incorporation or organization)
  (I.R.S. Employer
Identification Number)

 

980 N Federal Hwy

Suite 304

Boca Raton, FL 33432

(Address of Principal Executive Offices)

 

(754) 231-1688

(Registrant’s telephone number)

 

Securities registered pursuant to Section 12(b) of the Act:

 

Title of Each Class   Trading symbol   Name of Exchange on which registered
Common Stock, par value $0.0001 per share   VSEE   The Nasdaq Stock Market LLC
         
Warrants, which entitles the holder to purchase one
(1) share of common stock at a price of $11.50 per whole share
  VSEEW   The Nasdaq Stock Market LLC

 

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, a 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 October 14, 2025, there were 17,022,690 of the registrant’s common stock outstanding.

 

 

 

 

TABLE OF CONTENTS

 

    Page
     
Part I Financial Information  
     
Item 1. Financial Statements 1
     
  Condensed Consolidated Balance Sheets as of March 31, 2025 (Unaudited) and December 31, 2024 1
     
  Condensed Consolidated Statements of Operations for the three months ended March 31, 2025 and 2024 (Unaudited) 2
     
  Condensed Consolidated Statements of Stockholders’ Deficit for the three months ended March 31, 2025 and 2024 (Unaudited) 3
     
  Condensed Consolidated Statements of Cash Flows for the three months ended March 31, 2025 and 2024 (Unaudited) 4
     
  Notes to Condensed Consolidated Financial Statements (Unaudited) 5
     
Item 2. Management’s Discussion and Analysis of Financial Condition and Results of Operations 42
     
Item 3. Quantitative and Qualitative Disclosures about Market Risk 50
     
Item 4. Controls and Procedures 50
     
Part II Other Information  
     
Item 1. Legal Proceedings 52
     
Item 1A. Risk Factors 52
     
Item 2. Unregistered Sales of Equity Securities and Use of Proceeds 52
     
Item 3. Defaults Upon Senior Securities 52
     
Item 4. Mine Safety Disclosures 52
     
Item 5. Other Information 52
     
Item 6. Exhibits 53
     
Exhibit Index 53
     
Signatures 54

 

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As used in this Quarterly Report on Form 10-Q, unless otherwise indicated, VSee Health, Inc., together with its consolidated subsidiaries, is hereinafter referred to as “VSee Health,” the “Registrant,” “us,” “we,” “our” or the “Company.”

 

Cautionary Note on Forward-Looking Statements

 

This Quarterly Report on Form 10-Q contains “forward-looking statements” within the meaning of Section 27A of the Securities Act of 1933, as amended (the “Securities Act”), and Section 21E of the Securities Exchange Act of 1934, as amended (the “Exchange Act”). Forward-looking statements appear in a number of places in this Form 10-Q including, without limitation, in the section titled “Management’s Discussion and Analysis of Financial Condition and Results of Operations”. In addition, any statements that refer to projections, forecasts or other characterizations of future events or circumstances, including any underlying assumptions, are forward-looking statements. Forward-looking statements are typically identified by words such as “plan,” “believe,” “expect,” “anticipate,” “intend,” “outlook,” “estimate,” “forecast,” “project,” “continue,” “could,” “may,” “might,” “possible,” “potential,” “predict,” “should,” “would” and other similar words and expressions, but the absence of these words does not mean that a statement is not forward-looking.

 

The forward-looking statements are based on the current expectations of our management and are inherently subject to uncertainties and changes in circumstances and their potential effects and speak only as of the date of such statement. There can be no assurance that future developments will be those that have been anticipated. These forward-looking statements involve a number of risks, uncertainties or other assumptions that may cause actual results or performance to be materially different from those expressed or implied by these forward-looking statements.

 

These risks and uncertainties include, but are not limited to, those factors described in “Risk Factors” in our Annual Report on Form 10-K for the year ended December 31, 2024 filed by us with the Securities and Exchange Commission (“SEC”).

 

These and other factors could cause actual results to differ from those implied by the forward-looking statements. Forward-looking statements are not guarantees of performance and speak only as of the date hereof. The forward-looking statements are based on the current and reasonable expectations of our management but are inherently subject to uncertainties and changes in circumstances and their potential effects and speak.

 

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PART I —FINANCIAL INFORMATION

 

Item 1. Financial Statements

 

VSEE HEALTH, INC.

(FKA DIGITAL HEALTH ACQUISITION CORP.)

 

CONDENSED CONSOLIDATED BALANCE SHEETS

 

   March 31,   December 31, 
   2025   2024 
   (Unaudited)     
ASSETS        
Current assets        
Cash  $410,122   $326,115 
Accounts receivable, net of allowance for credit losses of $2,513,952 and $2,393,033 as of March 31, 2025, and December 31, 2024, respectively   1,850,581    1,716,370 
Due from related party   
289,156
    
531,656
 
Prepaids and other current assets   529,994    446,826 
Total current assets   3,079,853    3,020,967 
           
Right-of-use assets, net   359,061    379,585 
Intangible assets, net   10,442,500    10,995,000 
Goodwill   4,916,694    4,916,694 
Fixed assets, net   597,578    680,242 
Total assets  $19,395,686   $19,992,488 
           
LIABILITIES AND STOCKHOLDERS’ DEFICIT          
Current liabilities          
Accounts payable and accrued liabilities   9,458,045    9,343,659 
Deferred revenue   846,674    417,815 
Due to related party   
51,900
    
51,900
 
Operating lease liabilities   76,892    72,836 
Financing lease liabilities   282,877    328,833 
Factoring payable   150,380    179,007 
Encompass Purchase liability   263,918    263,918 
Equity Line of Credit   44,953    80,000 
Quantum Convertible Note, related party, at fair value   3,691,806    3,248,000 
September 2024 Convertible Note, at fair value   2,572,734    2,094,000 
Loan payable, related party, net of discount   471,651    471,651 
Line of credit   456,097    456,097 
Notes payable, net of discount   1,090,606    433,983 
Exchange Note, at fair value   2,462,897    1,499,000 
Common stock issuance obligation   61,430    69,621 
Total current liabilities  $21,982,860   $19,010,320 
           
Notes payable, less current portion, net of discount   593,941    593,941 
Operating lease liabilities, less current portion   248,504    269,338 
Deferred revenue, net of current portion       69,999 
Deferred tax liability   67,378    67,378 
Total liabilities  $22,892,683   $20,010,976 
           
Commitments, Contingencies, and Concentration Risk (Note 10)          
           
Stockholders’ deficit          
Preferred stock, $0.0001 par value, 10,000,000 shares authorized; 6,158 and 6,158 shares issued and outstanding as of March 31, 2025, and December 31, 2024, respectively   1    1 
Common stock, $0.0001 par value; 100,000,000 shares authorized; 16,422,190 and 16,297,190 shares issued and outstanding as of March 31, 2025, and December 31, 2024, respectively   1,643    1,630 
Additional paid-in capital   68,164,672    67,683,754 
Accumulated deficit   (71,663,313)   (67,703,873)
Total stockholders’ deficit  $(3,496,997)  $(18,488)
Total liabilities and stockholders’ deficit  $19,395,686   $19,992,488 

 

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

 

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VSEE HEALTH, INC.

(FKA DIGITAL HEALTH ACQUISITION CORP.)

 

CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS

 

FOR THE THREE MONTHS ENDED MARCH 31, 2025, AND 2024 (UNAUDITED)

 

   For the Three Months Ended 
   March 31,   March 31, 
   2025   2024 
       (Restated) 
Revenues        
Subscription fees  $827,345   $1,005,202 
Professional services and other fees   896,680    327,843 
Technical engineering fees   399,846    287,950 
Patient fees   711,264    - 
Telehealth fees   483,850    - 
Institutional fees   2,500    - 
Total revenues   3,321,485    1,620,995 
Cost of revenues   1,461,514    386,253 
Gross margin   1,859,971    1,234,742 
           
Operating expenses          
Compensation and related benefits   1,658,998    893,577 
General and administrative   2,032,291    210,767 
Transaction expenses   -    26,338 
Total operating expenses   3,691,289    1,130,682 
           
Net operating profit (loss) income   (1,831,318)   104,060 
           
Other income (expense)          
Interest expense   (730,665)   (9,310)
Other income, net   15,539    - 
Loss on issuance of financial instruments   (138,020)   - 
Change in fair value of financial instruments   (1,261,471)   - 
Total other income (expense), net   (2,114,617)   (9,310)
           
(Loss) income before provision for income taxes   (3,945,935)   94,750 
           
Provision for income taxes   (13,505)   - 
           
Net (loss) income   (3,959,440)   94,750 
Net profit attributable to non-controlling interest   -    31,980 
Net (loss) income attributable to stockholders  $(3,959,440)  $62,770 
           
Basic (loss) income per common share  $(0.24)  $0.01 
Weighted average number of common shares outstanding, basic   16,312,468    4,639,643 
           
Diluted (loss) income per common share  $(0.24)  $0.01 
Weighted average number of common shares outstanding, diluted   16,312,468    4,639,643 

 

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

 

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VSEE HEALTH, INC.

(FKA DIGITAL HEALTH ACQUISITION CORP.)

 

CONDENSED CONSOLIDATED STATEMENTS OF STOCKHOLDERS’ DEFICIT

(UNAUDITED)

 

   Series A
Preferred Stock
   Series A-1
Preferred Stock
   Common Stock   Additional
Paid-In
   Accumulated   Non-
controlling
   Total
Stockholders’
 
   Shares   Amount   Shares   Amount   Shares   Amount   Capital   Deficit   Interest   Deficit 
Balance - December 31, 2024   6,158   $      1          -   $       -    16,297,190   $1,630   $67,683,754   $(67,703,873)  $        -   $(18,488)
Net loss for the period ending March 31, 2025   -    -    -    -    -    -    -    (3,959,440)   -    (3,959,440)
Payment to shareholder   -    -    -    -    -    -    (10,000)   -    -    (10,000)
Issuance during the period   -    -    -    -    125,000    13    90,621    -    -    90,634 
Share based compensation        -    -    -    -    -    400,297    -    -    400,297 
Balance - March 31, 2025   6,158   $1    -   $-    16,422,190   $1,643   $68,164,672   $(71,663,313)  $-   $(3,496,997)

 

   Series A
Preferred Stock
   Series A-1
Preferred Stock
   Common Stock   Additional
Paid-In
   Accumulated   Non-
controlling
   Total
Stockholders’
 
   Shares   Amount   Shares   Amount   Shares   Amount   Capital   Deficit   Interest   Deficit 
Balance - December 31, 2023 (Restated)   371,715   $37    1,228,492   $123    9,998,446   $1,000   $6,026,457   $(10,001,858)  $(325,279)  $(4,299,520)
Retroactive application of recapitalization   (371,715)   (37)   (1,228,492)   (123)   (5,358,803)   (536)   696     -    -    - 
Net profit for the period ending March 31, 2024 (Restated)   -    -    -    -    -    -    -    62,770    31,980    94,750 
Balance - March 31, 2024 (Restated)   -   $         -    -   $-    4,639,643   $464   $6,027,153   $(9,939,088)  $(293,299)  $(4,204,770)

 

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

 

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VSEE HEALTH, INC.

(FKA DIGITAL HEALTH ACQUISITION CORP.)

 

CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS

For the Three Months Ended March 31,

 

   For Three Months Ended 
   March 31,   March 31, 
   2025   2024 
       (Restated) 
CASH FLOWS FROM OPERATING ACTIVITIES:        
Net (loss) income  $(3,959,440)  $94,750 
Adjustments to reconcile net (loss) income to net cash (used in) provided by operating activities:          
Amortization of discount on note payable       7,000 
Allowance for expected credit losses   120,919    9,201 
Depreciation and amortization   647,037    618 
Stock-based compensation   392,106     
Amortization of right-of-use assets   20,524     
Change in fair value of financial instruments   1,399,491     
Changes in operating assets and liabilities:          
Accounts receivable   (255,130)   (33,116)
Due from related party   242,500     
Prepaids and other current assets   (83,168)   (22,405)
Accounts payable and accrued liabilities   692,586    54,523 
Deferred revenue   358,860    469,003 
Due to related party       (288)
Operating lease liabilities   (16,778)    
Net cash (used in) provided by operating activities   (440,493)   579,286 
           
CASH FLOWS FROM INVESTING ACTIVITIES:          
Purchases of fixed assets   (11,873)   (8,740)
Net cash used in investing activities   (11,873)   (8,740)
           
CASH FLOWS FROM FINANCING ACTIVITIES:          
Proceeds from notes issued during the period   509,366     
Proceeds from issuance of common stock   90,634     
Payment to shareholder   (10,000)    
Payments on factoring payable   (28,627)    
Payments on finance lease liability   (25,000)    
Net cash provided by financing activities   536,373     
           
NET CHANGE IN CASH   84,007    570,546 
Cash, Beginning of Period   326,115    118,734 
CASH, END OF PERIOD   410,122    689,280 
           
Supplemental disclosure of cash flow information:          
Cash paid for interest expense  $110,205   $ 
Cash paid for income taxes  $   $ 

 

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

 

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VSEE HEALTH, INC.

(FKA DIGITAL HEALTH ACQUISITION CORP.)

 

NOTES TO THE UNAUDITED CONDENSED CONSOLIDATED FINANCIAL STATEMENTS

 

Note 1 Organization and Description of Business

 

VSee Health, Inc., (formerly known as Digital Health Acquisition Corp., is a Delaware Corporation) (the “Company”, “we”, “our”, “VSee Health” or “us”), based telehealth software company that provides a scalable, application programming interface-driven platform for virtual healthcare delivery. The platform integrates secure video streaming with medical device data, electronic medical records, and other sensitive health information, offering customizable and white-labeled solutions for healthcare providers, employers, and hospital systems.

 

On June 24, 2024, the Company completed a business combination (the “Business Combination”) with VSee Lab, Inc. (“Vsee Lab”) and iDoc Virtual Telehealth Solutions, Inc. (“iDoc”). As part of the transaction, Digital Health Acquisition Corp. changed its name to VSee Health, Inc. The transaction was accounted for as a reverse recapitalization, with VSee Lab, Inc. identified as the accounting acquirer. Various equity and debt instruments were converted into common and preferred shares, and the Company entered into an equity line of credit agreement for up to $50 million over a 36-month period.

 

For financial reporting purposes, historical financial data prior to June 24, 2024, reflects the operations of VSee Lab, Inc. The acquisition of iDoc Virtual Telehealth Solutions, Inc. was treated as a business combination under Accounting Standards Codification 805, Business Combinations, with the excess purchase consideration recorded as goodwill. Refer to Note 4 for additional details.

 

Going Concern

 

As disclosed in the prior year’s consolidated financial statements, there were significant doubts about the Company’s ability to continue as a going concern due to persistent operating losses during the past two years, and a deteriorating liquidity position from the Company generating negative operating cash.

 

Management has undertaken a series of measures to address these concerns, which include:

 

Revenue Enhancement Strategies: The Company including the acquisition of iDoc on June 24, 2024 (See Note 4 - Business Combination) won new contracts with larger hospitals and entered new markets, demonstrating the Company’s ability to generate positive revenue growth from its robust pipeline. During the third quarter, service commenced to a client in the new market, driving positive future revenue growth.

 

Additional Financing: The Company is in negotiations with an investor for additional financing, which is expected to support its working capital needs and fund its growth initiatives.

 

ELOC Financing: The Company has an equity line of credit purchase agreement (“ELOC Agreement”) dated November 21, 2023, with the right to issue and sell to the investor listed therein, from time to time, and the investor shall purchase from the Company, up to the lesser of (i) $50,000,000 in the aggregate gross purchase price of newly issued shares of the Company’s common stock. Per the ELOC Agreement, the aggregate number of shares issued in connection with the ELOC Agreement may not exceed 19.9% of the number of issued and outstanding shares. The investor shall have the right but not the obligation to purchase shares at the floor price if the VWAP on the date of notice is less than the floor price ($1.25).

 

Management has determined that the liquidity condition and historical operating losses raises substantial doubt about its ability to continue as a going concern for a period of time of least one year after the date that the accompanying condensed consolidated financial statements are issued.

 

There is no assurance that the Company’s plans to alleviate such concerns will be successful or successful within one year after the date the condensed consolidated financial statements are issued. The accompanying condensed consolidated financial statements do not include any adjustments that might result from the outcome of this uncertainty.

 

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Note 2 Restatement of Previously Issued Financial Statements

 

Restatement of VSee Lab, Inc. Condensed Consolidated Financial Statements as of March 31, 2024

 

During the preparation of the Company’s Annual Report on Form 10-K for the year ended December 31, 2024, the Company identified certain errors with the recognition and measurement of accrued expenses in the condensed consolidated balance sheet of VSee Lab as of March 31, 2024, and the proper cutoff of revenue transactions in the condensed consolidated statement of operations for the three months ended March 31, 2024. The Company determined that the previously issued condensed consolidated financial statements of VSee Lab (on a standalone basis, prior to the closing of the Business Combination) are materially misstated and should no longer be relied upon. The identified errors impacting the previously issued VSee Lab standalone condensed consolidated financial statements include:

 

The failure to identify and accrue for sales and use taxes in relation to its revenue-generating transactions to taxable customers. As a result of correcting this error, the Company recorded an accrual of $821,291 in the condensed consolidated balance sheet as of March 31, 2024. Of this amount, $761,873 related to periods prior to the year ended December 31, 2023, and is reflected as an adjustment to opening retained earnings in the condensed consolidated financial statements for VSee Lab as of March 31, 2024. The remaining $59,419 of this amount was reflected as an adjustment to operating expense in the condensed consolidated statement of operations for the three months ended March 31, 2024.

 

The incorrect cutoff of a revenue transaction with a customer as of December 31, 2023. Correcting this error did not have an impact on the condensed consolidated balance sheet as of March 31, 2024. As the related contract was completed during March 2024, the Company recognized all deferred revenue from prior periods related to the arrangement in this period. This resulted in an increase of $125,000 in revenue (specific to the technical engineering fees line item) during the three months ended March 31, 2024.

 

The following tables summarize the effect of the restatement on each financial statement line item in the VSee Lab condensed consolidated financial statements for the three months ended March 31, 2024. While not presented below, the Company’s condensed consolidated statement of changes in stockholders’ deficit has also been restated to reflect the cumulative adjustments to the condensed consolidated balance sheet and condensed consolidated statement of operations as described above:

 

Condensed Consolidated Balance Sheet of Vsee Lab, Inc. as of March 31, 2024   As
Reported
    Adjustment     As
Restated
 
Accounts Payable and Accrued Liabilities   $ 1,819,512     $ 821,292     $ 2,640,804  
Total Liabilities     4,814,257       821,292       5,635,549  
Accumulated Deficit     (9,117,796 )     (821,292 )     (9,939,088 )
Total Stockholders’ Deficit   $ (3,383,478 )   $ (821,292 )   $ (4,204,770 )

 

Condensed Consolidated Statement of Operations of VSee Lab, Inc. for the three months ended March 31, 2024  As
Reported
   Adjustment   As
Restated
 
Revenues, technical engineering fees  $162,950   $125,000   $287,950 
Total revenue   1,495,995    125,000    1,620,995 
Gross margin   1,109,742    125,000    1,234,742 
General and administrative expenses   151,348    59,419    210,767 
Total operating expenses   1,071,263    59,419    1,130,682 
Net operating (loss) profit   38,479    65,581    104,060 
(Loss) income before income taxes   29,169    65,581    94,750 
Net (loss) income   29,169    65,581    94,750 
Net (loss) income attributable to shareholders   (2,811)   65,581    62,770 
Basic and diluted net (loss) income per share  $-   $0.01   $0.01 

 

Condensed Consolidated Statement of Cash Flows for VSee Lab, Inc. for the three months ended March 31, 2024  As
Reported
   Adjustment   As
Restated
 
Net (loss) income  $29,169   $65,581   $94,750 
Accounts receivable   (8,116)   (25,000)   (33,116)
Accounts payable and accrued expenses   (4,896)   59,419    54,523 
Deferred revenue  $569,003   $(100,000)  $469,003 

 

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Note 3 Summary of Significant Accounting Policies

 

Basis of Presentation and Consolidation

 

The accompanying condensed consolidated financial statements of the Company have been prepared in accordance with accounting principles generally accepted in the United States (“U.S. GAAP”). Certain information or footnote disclosures normally included in financial statements prepared in accordance with U.S. GAAP have been condensed or omitted, pursuant to the rules and regulations of the Securities and Exchange Commission (“SEC”) for interim financial reporting. Accordingly, they do not include all the information and footnotes necessary for a complete presentation of financial position, results of operations, or cash flows. In the opinion of management, the accompanying unaudited condensed consolidated financial statements include all adjustments, consisting of a normal recurring nature, which are necessary for a fair presentation of the financial position, operating results and cash flows for the periods presented. For periods prior to the Business Combination as disclosed in Note 1 above, the reported share and per share amounts have been retroactively converted by the applicable exchange ratio. See Note 12– Equity for additional information.

 

The condensed consolidated financial statements include the accounts of VSee Health, Inc. and its subsidiaries, VSee Lab and iDoc, which are both 100% wholly-owned subsidiaries of the Company. In addition, the consolidation includes Encompass Healthcare Billing, LLC, a 100% wholly-owned subsidiary of iDoc and This American Doc, Inc. (“TAD”) now a wholly-owned subsidiary of VSee Lab. All intercompany amounts are eliminated upon consolidation. Prior to June 24, 2024, the condensed consolidated financial statements included the accounts of VSee Lab, Inc. and its 53.8% partially owned subsidiary, TAD.

 

The accompanying condensed consolidated financial statements reflect adjustments (including normal, recurring adjustments) necessary to present fairly the financial position of the Company as of March 31, 2025, and December 31, 2024, its results of operations, changes in stockholders’ deficit, and statements of cash flows for the three months ended March 31, 2025, and 2024, in conformity with U.S. GAAP. The interim results for the three months ended March 31, 2025, are not necessarily indicative of the results to be expected for the year ending December 31, 2025 or for any future interim periods. These financial statements should be read in conjunction with the audited condensed consolidated financial statements and notes thereto included in the Company’s Annual Report on Form 10-K for the year ended December 31, 2024 (the “December 31, 2024, Condensed Consolidated Financial Statements”), as filed with the SEC. The significant accounting policies and estimates used in preparing these Condensed Consolidated Financial Statements were applied on a basis consistent with those reflected in December 31, 2024, Condensed Consolidated Financial Statements. Certain reclassifications have been made to the amounts in prior periods to conform to the current period’s presentation primarily consisting of the breakout of revenue by category and the retroactive application of the recapitalization.

 

Segments

 

The Company determined its reporting units in accordance with ASC 280, Segment Reporting (“ASC 280”). Management evaluates a reporting unit by first identifying operating segments under ASC 280. The Company then evaluates each operating segment to determine if it includes one or more components that constitute a business. If there are components within an operating segment that meet the definition of a business, the Company evaluates those components to determine if they must be aggregated into one or more reporting units. If applicable, when determining if it is appropriate to aggregate different operating segments, the Company determines if the segments are economically similar and, if so, the operating segments are aggregated.

 

Management has determined that the Company has two consolidated operating segments. The Company’s reporting segment reflects the manner in which its chief operating decision makers, which is currently shared between the Co-Chief Executive Officers, Milton Chen and Imo Aisiku, review results and allocate resources. The Company’s reporting segment meets the definition of an operating segment and does not include the aggregation of multiple operating segments.

 

The Company’s reporting segments are Healthcare Technology (“Technology”) and Telehealth Services (“Telehealth”). VSee Lab is included in Technology, while iDoc is included in Telehealth.

 

Use of Estimates

 

The preparation of the Company’s consolidated financial statements in conformity with U.S. GAAP requires management to make estimates and assumptions that affect the amounts stated in the condensed consolidated financial statements and accompanying notes. These judgments, estimates, and assumptions are used for, but not limited to, the determination of estimated provision for contractual adjustments from third-party payors in the recognition of patient fee contracts, revenue, cost of revenues, goodwill and intangible asset impairment analysis, allowance for credit losses, the fair value of the ELOC agreement, the Exchange Note, the Additional Bridge Note, the Quantum Convertible Note, March 2025 Convertible Note, and the September 2024 Convertible Note (each note as defined in Note 8 Line of Credit and Notes Payable, Net of Discount), stock-based compensation, incremental borrowing rate determination, useful life of intangibles, reserve for income tax uncertainties and other contingencies, and valuation of deferred tax asset.

 

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The Company bases its estimates and judgments on historical experience and on various other assumptions that it believes are reasonable under the circumstances. However, future events are subject to change and best estimates and judgments routinely require adjustment. Actual results could differ from those estimates.

 

Income Taxes

 

The Company applies ASC 740-10, Accounting for Income Taxes, which requires an asset and liability approach to financial accounting and reporting for income taxes. Deferred tax assets and liabilities are recognized for the future tax consequences attributable to differences between the financial statement carrying amounts of existing assets and liabilities and the respective tax basis and operating loss, capital loss and tax credit carryforwards. Deferred tax assets and liabilities are measured using enacted tax rates expected to apply to taxable income in the years in which those temporary differences are expected to be recovered or settled. The effect on deferred tax assets and liabilities of a change in tax rates is recognized in income in the period that includes the enactment date.

 

The Company recognizes the effect of income tax positions only if those positions are more likely than not of being sustained. Recognized income tax positions are measured at the largest amount that is greater than 50% likely of being realized. Changes in recognition or measurement are reflected in the period in which the change in judgment occurs. The Company records interest and penalties related to unrecognized tax benefits as a component of general and administrative expenses. The Company’s federal tax return and any state tax returns are not currently under examination.

 

Revenue Recognition

 

The Company recognizes revenue in accordance with ASC 606, Revenue from Contracts with Customers, which establishes a principle for recognizing revenue upon the transfer of promised goods or services to customers in an amount that reflects the expected consideration received in exchange for those goods and services.

 

The Company derives revenue from business services associated with direct tele-physician provider patient fee services, telehealth services, professional services and technical engineering services, subscription services and institutional services provided to our clients.

 

The Company determines revenue recognition in accordance with ASC 606, through the following five steps:

 

1) Identify the contract with a customer

 

The Company considers the terms and conditions of its contracts and the Company’s customary business practices in identifying its contracts under ASC 606. The Company determines it has a contract with a customer when the contract has been approved by both parties, it can identify each party’s rights regarding the services to be transferred and the payment terms for the services, it has determined the customer to have the ability and intent to pay, and the contract has commercial substance. The Company applies judgment in determining the customer’s ability and intent to pay, which is based on a variety of factors, including the customer’s payment history or, in the case of a new customer, credit and financial information pertaining to the customer.

 

Contractual terms for subscription services are typically 12 months. Contracts are cancellable with a 30-day notice period and customers are billed in annual, quarterly, or monthly installments in advance of the service period of the subscription. The Company is not required to refund any prorated prepayment fees invoiced to cover services that were provided.

 

The Company also has service contracts with hospitals or hospital systems, physician practice groups, and other users. These customer contracts typically range from two to three years, with an automatic renewal process. The Company either invoices these customers for the monthly fixed fee in advance or at the end of the month, depending on the contract terms. The contracts typically contain cancellation clauses with advance notice; therefore, the Company does not believe that it has any material outstanding commitment for future revenues beyond one year from the end of a reporting period.

 

2) Identify the performance obligations in the contract

 

Performance obligations promised in a contract are identified based on the services that will be transferred to the customer that are both capable of being distinct, whereby the customer can benefit from the service either on its own or together with other resources that are readily available, and are distinct in the context of the contract, whereby the transfer of the services is separately identifiable from other promises in the contract. The Company’s contracts typically contain cancellation clauses with advance notice; therefore, the Company does not believe that they have any material outstanding commitments for future revenues beyond one year from the end of a reporting period.

 

3) Determine the transaction price

 

The Company believes the quoted transaction prices in the customer contracts represent the stand- alone selling prices for each of the separate performance obligations which are distinct and priced separately within the contract. The transaction price for each service provided is independent and established in the contract and based on the duration of service provided or for a rate for service provided. Fees are established based on the service transferred to the client.

 

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4) Allocate the transaction price to performance obligations in the contract

 

If the contract contains a single performance obligation, the entire transaction price is allocated to the single performance obligation. Contracts that contain multiple performance obligations require an allocation of the transaction price to each performance obligation based on a relative stand-alone selling price (“SSP”). The determination of a SSP for each distinct performance obligation requires judgment. The Company believes the quoted transaction prices in the customer contracts represent the stand alone selling prices for each of the separate performance obligations that are distinct and priced separately within the contract.

 

5) Recognize revenue when or as the Company satisfies a performance obligation

 

Revenue is recognized when or as control of the promised goods or service is transferred to the customer, in an amount that reflects the consideration that the Company expects to receive in exchange for those goods or services.

 

Subscription Service Contracts and Performance Obligation

 

The Company recognizes subscription revenue over time as customers receive and consume services. Each module is a distinct performance obligation, delivered consistently each month. Revenue begins when access is provided and is recognized using a time-based output method.

 

Upfront non-refundable fees are deferred and amortized over the subscription term, as they do not represent separate performance obligations. Deferred revenue consists of the unamortized balance of nonrefundable upfront fees which are classified as current and non-current based on the timing of when the Company expects to recognize revenue.

 

Modules are distinct and not interdependent, allowing standalone benefit. Pricing is fixed per user and based on the most likely amount expected to be collected. Implementation fees are typically paid upfront.

 

Professional Services and Technical Engineering Fees and Performance Obligation

 

Performance obligations under contracts for professional services may include maintenance, hardware, clinician fees, and technical engineering services. These services are generally distinct in the context of the contract and are accounted for as separate performance obligations.

 

For technical engineering services, performance obligations are typically satisfied over time based on the specified quantity of professional service hours provided to the customer. For maintenance, hardware, and clinician fees, revenue is recognized either over time or at a point in time or when control transfers to the customer. Maintenance and clinician fees are generally recognized over time as services are rendered, while hardware revenue is recognized at a point in time when control transfers to the customer.

 

Patient Fees Services and Performance Obligation

 

Patient Fee Services

 

Patient fees represent a series of distinct services because performance obligations are met when the Company’s physicians provide professional medical services to patients at the client site. The patient benefits from professional services when care is rendered by the Company’s medical professionals. Revenue recognition commences when the Company satisfies its performance obligation to provide professional medical services to patients.

 

Patient Fee Contracts Involving Third-Party Payors

 

The Company receives payments from patients, third-party payors, and others for patient fee services. Third-party payors reimburse based on contracted rates or billed charges, which are generally lower than billed amounts. The transaction price is based on standard charges, adjusted for third-party payor agreements and implicit price concessions for uninsured patients.

 

Revenue is presented net of estimated contractual adjustments, service credits, and expected credit losses. These adjustments reflect the difference between billed amounts and expected consideration, based on historical collection experience, market conditions, and other factors. The Company monitors receivables and records estimated allowances to account for these differences. Actual results may differ materially from estimates.

 

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All telemedicine contracts for patient reimbursement fees are directly billed to payors by the Company. The Company earns patient fees by providing high acuity patient care solutions. Performance obligations are met when the Company’s physicians provide professional medical services to patients at the client site, which is deemed a transfer of goods and services to respective patients. Revenue is determined based on telemedicine billing code(s) associated with the professional service rendered.

 

The Company earns primarily from reimbursement from the following third-party payors:

 

Medicare

 

The Company’s affiliated provider network is reimbursed by the Medicare Part B and Part C programs for certain of the telemedicine services it provides to Medicare beneficiaries. Medicare coverage for telemedicine services is treated distinctly from other types of professional medical services and is limited by federal statute and subject to specific conditions of participation and payment pursuant to Medicare regulations, policies and guidelines, including the location of the patient, the type of service, and the modality for delivering the telemedicine service, among others.

 

Medicaid

 

Medicaid programs are funded jointly by the federal government and the states and are administered by states (or the state’s designated managed care or other similar organizations) under approved plans. Our affiliated provider network is reimbursed by certain State Medicaid programs for certain of the telemedicine services it provides to Medicaid beneficiaries. Medicaid coverage for telemedicine services varies by state and is subject to specific conditions of participation and payment.

 

Commercial Insurance Providers

 

The Company is reimbursed by commercial insurance carriers. The basis for payment to the commercial insurance providers is consistent with Medicare reimbursement fee structure guidelines and the Company is in-network or out-of-network with the commercial insurance carriers based on state and insurer requirements.

 

Telehealth Fees Service Contracts and Performance Obligation

 

Contract For Telemedicine Care Services

 

Performance obligations for telemedicine care are based on services delivered through hardware and software integration, including multi-participant video conferencing and electronic communication available 24 hours per day, seven days per week for the duration of the contract. The Company provides administrative, hardware, software support, and physician coverage ranging from 12 to 24 hours per day. Revenue from telemedicine care services is included in telehealth fees in the condensed consolidated financial statements.

 

Revenue is recognized when the Company provides administrative, business, and medical records and reports as required. Variable consideration is estimated using the expected value or most likely amount method, based on legal enforceability, performance, and available information. Management estimates revenue based on expected customer life or performance period.

 

Revenue recognition begins when tele-physician service hours are provided. Start-up nonrefundable payments for training, hardware/software setup, and integration are recognized upon completion of implementation. These start-up services are separable and recognized over time using the input method.

 

Institutional Fees Service Contracts and Performance Obligation

 

Contract For Electroencephalogram (“EEG”) Professional Interpretation Services

 

Performance obligations are based on the number of EEG interpretations provided monthly, which are distinct and separately identifiable within the contract. The Company’s physicians use EEG telemedicine equipment supplied by the Company to deliver these services. Revenue is recognized monthly based on the number of interpretations performed and contractual rates and is included in institutional fees in the condensed consolidated financial statements.

 

Most contracts, including those with the Company’s top customers, involve fixed monthly fees covering telemedicine consultations, EEG interpretation, platform software, and hardware. These fees include predetermined physician coverage hours and agreed-upon rates for interpretation and software services. The Company also provides equipment, training, maintenance, and support for service delivery.

 

The Company commences revenue recognition on EEG professional interpretation services when the Company satisfies its performance obligation to provide professional interpretation monthly.

 

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Net (Loss) Income Per Common Share

 

The Company computes income (loss) per common share, in accordance with ASC Topic 260, Earnings Per Share, which requires dual presentation of basic and diluted earnings per share. Basic income or loss per common share is computed by dividing net income or loss by the weighted average number of common shares outstanding during the period. No potential dilutive common shares are included in the computation of any diluted per share amount when a loss is reported. Diluted income or loss per common share is computed by dividing net income or loss by the weighted average number of common shares outstanding.

 

   Three months Ended 
   March 31,
2025
   March 31,
2024
 
       (Restated) 
Net (loss) income  $(3,959,440)  $62,770 
Weighted average shares outstanding – Basic   16,312,468    4,639,643 
Net (loss) income per share – Basic  $(0.24)  $0.01 
Weighted average shares outstanding – Diluted    16,312,468    4,639,643 
Net (loss) income per share – Diluted  $(0.24)   0.01 
Excluded securities (1)          
Public Warrants   11,500,000    - 
Private Warrants   557,000    - 
Bridge Warrants   173,913    - 
Extension Warrants   26,086    - 
September 2024 Warrants   740,741    - 
Quantum Convertible Note, related party (2)   1,862,466    - 
Exchange Note (2)   827,330    - 
September 2024 Convertible Note (3)   1,258,733    - 
Series A Preferred stock common stock equivalents (4)   3,079,000    - 
Stock options granted   803,646    - 
Common stock issuance obligation   51,192    - 
March 2025 Convertible Note   7,543    - 

 

(1)The Company’s dilutive shares have not been included in the computation of diluted net loss per share for the period ended March 31, 2025, as the result would be anti-dilutive.

 

(2)Includes the interest amount thereon and assumes the floor conversion price of $2.00.

 

(3)Includes the principal and interest amount thereon and calculated based on the initial fixed conversion price of $2.00.

 

(4)Assumes the maximum conversion thereon at the floor conversion price of $2.00.

 

Cash

 

The Company considers all highly liquid investments with maturities of three months or less at the time of acquisition to be cash equivalents. The Company had no cash equivalents as of March 31, 2025, and December 31, 2024, respectively.

 

Accounts Receivable and Credit losses

 

The Company carries its accounts receivable at net realizable value. The Company maintains an allowance for credit losses for the estimated losses resulting from the inability of the Company’s clients to pay their invoices. Financial Accounting Standards Board (“FASB”) issued ASU No. 2016-13, Credit Losses - Measurement of Credit Losses on Financial Instruments (“ASU 2016-13”), which requires entities to use a forward-looking approach based on current expected credit losses (“CECL”) to estimate credit losses on certain types of financial instruments, including trade receivables. As a result of the acquisition of iDoc and at the closing of the Business Combination on June 24, 2024, the Company assumed the allowance for credit losses of $1,696,553.

 

As of March 31, 2025, and December 31, 2024, respectively, the allowance for credit losses was $2,513,952 and $2,393,033, respectively. For the three months ended March 31, 2025, and 2024, the Company recognized $120,919 and $9,201 respectively, of credit loss expense recorded within general and administrative expense on the condensed consolidated statements of operations.

 

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The following table presents the Company’s allowance for credit losses at March 31, 2025, and December 31, 2024:

 

   March 31,   December 31, 
   2025   2024  
         
Beginning allowance for credit losses  $2,393,033   $32,457 
Add: Allowance for credit losses, due to acquisition   -    1,696,553 
Add: Provision for credit losses   120,919    514,282 
Less: Accounts receivable write-off included in allowance for credit losses above   -    149,741 
Ending allowance for credit losses  $2,513,952   $2,393,033 

 

Leases

 

The Company accounts for leases under ASC 842, Leases. Based on this standard, the Company determines if an agreement is a lease at inception. Operating leases are included in right-of-use assets and operating lease liabilities, less current portion on the Company’s condensed consolidated balance sheets. Finance leases are included in fixed assets and finance lease liabilities on the Company’s condensed consolidated balance sheets. Operating and finance lease right-of-use assets and liabilities are initially recognized based on the present value of lease payments over the lease term calculated using our incremental borrowing rate generally applicable to the location of the lease right-of-use asset, unless an implicit rate is readily determinable. As most of our leases do not provide an implicit rate, we generally use our incremental borrowing rate based on the estimated rate of interest for collateralized borrowing over a similar term of the lease payments at commencement date. As we do not have any outstanding public debt, we estimated the incremental borrowing rate based on our estimated credit rating and available market information. The incremental borrowing rate is subsequently reassessed upon a modification to the lease agreement.

 

As permitted under ASC 842, the Company has made an accounting policy election not to apply the recognition provisions of ASC 842 to short-term leases (leases with a lease term of 12 months or less that do not include an option to purchase the underlying asset that the lessee is reasonably certain to exercise); instead, the Company will recognize the lease payments for short-term leases on a straight-line basis over the lease term.

 

Stock-based Compensation

 

The Company accounts for stock-based compensation in accordance with ASC 718, Compensation-Stock Compensation. Under the fair value recognition provisions, stock-based compensation cost is measured at the grant date based on the fair value of the award and is recognized as an expense on a straight-line basis over the requisite service period, based on the terms of the awards. The Company estimates the fair value of share options using the Black-Scholes option-pricing model, utilizing assumptions related to the contractual term of the instruments, estimated volatility of the price of the Common Stock, and current interest rates. The Company accounts for forfeitures as they occur.

 

Deferred Revenue

 

The timing of revenue recognition, billing, and cash collections results in billed accounts receivable and deferred revenue, primarily attributable to the unamortized balance of nonrefundable upfront fees related to subscription services, which are classified as current and non-current based on the timing of when the Company expects to recognize revenue on the condensed consolidated balance sheets. Accounts receivable are recognized in the period in which the Company’s right to the consideration is unconditional. Contract liabilities consist of billing in excess of revenue recognized primarily related to deferred revenue.

 

As of March 31, 2025, and December 31, 2024, the Company had $846,674 and $417,815 respectively, of contract liabilities (current portion) associated with customer deposits for subscription, professional, and technical engineering services, which were reported in deferred revenue on the condensed consolidated balance sheets. As of March 31, 2025, and December 31, 2024, the non-current portion of deferred revenue was $0 and $69,999 respectively.

 

Fair Value of Financial Instruments

 

“Fair value” is defined as the price that would be received for sale of an asset or paid for transfer of a liability, in an orderly transaction between market participants at the measurement date. ASC 820 establishes a fair value hierarchy that prioritizes and ranks the level of observability of inputs used to measure investments at fair value. The observability of inputs is impacted by a number of factors, including the type of investment, characteristics specific to the investment, market conditions and other factors. The hierarchy gives the highest priority to unadjusted quoted prices in active markets for identical assets or liabilities (Level 1 measurements) and the lowest priority to unobservable inputs (Level 3 measurements). Investments with readily available quoted prices or for which fair value can be measured from quoted prices in active markets will typically have a higher degree of input observability and a lesser degree of judgment applied in determining fair value.

 

The carrying amounts are reflected in the accompanying balance sheets for cash, due from related party, and accounts payable approximate fair value due to their short-term nature. The three levels of the fair value hierarchy under ASC 820 are as follows:

 

“Level 1”, defined as observable inputs such as quoted prices (unadjusted) for identical instruments in active markets;

 

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“Level 2”, defined as inputs other than quoted prices in active markets that are either directly or indirectly observable such as quoted prices for similar instruments in active markets or quoted prices for identical or similar instruments in markets that are not active; and

 

“Level 3”, defined as unobservable inputs in which little or no market data exists, therefore requiring an entity to develop its own assumptions, such as valuations derived from valuation techniques in which one or more significant inputs or significant value drivers are unobservable.

 

In some cases, the inputs used to measure fair value might fall within different levels of the fair value hierarchy. In such cases, the level in the fair value hierarchy within which the investment is categorized in its entirety is determined based on the lowest level input that is significant to the investment. Assessing the significance of a particular input to the valuation of an investment in its entirety requires judgment and considers factors specific to the investment. The categorization of an investment within the hierarchy is based upon the pricing transparency of the investment and does not necessarily correspond to the perceived risk of that investment.

 

See Note 15 for additional information on assets and liabilities measured at fair value.

 

Warrant Instruments

 

The Company classifies warrants as equity or liability instruments based on their terms and guidance under ASC 480 (Distinguishing Liabilities from Equity) and ASC 815 (Derivatives and Hedging). This assessment considers whether warrants are freestanding financial instruments, meet liability definitions, and qualify for equity classification.

 

The evaluation is performed at issuance and each quarter-end. Warrants meeting equity criteria are recorded in additional paid-in capital. Those not meeting equity criteria are recorded at fair value initially and remeasured each reporting period.

 

The Company has determined that its Public Warrants, Private warrants, Bridge Warrants, September 2024 Warrants and Extension Warrants are freestanding and meet equity classification under ASC 815 (Derivatives and Hedging) and are therefore classified in equity.

 

Fixed Assets

 

Fixed assets are recorded at historical cost, less accumulated depreciation. The Company expenses fixed assets purchased that are less than $1,000. Depreciation is calculated on the straight-line method over the estimated useful lives of the respective assets. Repair and maintenance costs are charged to expenses as incurred.

 

Goodwill

 

Goodwill represents the excess of purchase price in a business combination over the fair value of the net identifiable assets acquired. We evaluate goodwill for impairment at the reporting unit level by assessing whether it is more likely than not that the fair value of a reporting unit exceeds its carrying value. If this assessment concludes that it is more likely than not that the fair value of a reporting unit exceeds its carrying value, then goodwill is not considered impaired and no further impairment testing is required. Conversely, if the assessment concludes that it is more likely than not that the fair value of a reporting unit is less than its carrying value, a goodwill impairment test is performed to compare the fair value of the reporting unit to its carrying value. The Company determines fair value of the two reporting units using both income and market-based models. Our models contain significant assumptions and accounting estimates about discount rates, future cash flows, and terminal values that could materially affect our operating results or financial position if they were to change significantly in the future and could result in an impairment. We perform our goodwill impairment assessment whenever events or changes in facts or circumstances indicate that impairment may exist and during the fourth quarter each year. The cash flow estimates and discount rates incorporate management’s best estimates, using appropriate and customary assumptions and projections at the date of evaluation. During the year ended December 31, 2024, the Company determined there were triggering events that required the Company to perform a quantitative analysis. Based on the analysis, the Company concluded the fair value of the Telehealth Services reporting unit was less than it’s carrying value. As a result, the Company recorded non-cash goodwill impairment charges of $56,675,210 on the consolidated statement of operations for the year ended December 31, 2024. For the three months ended March 31, 2025, the Company performed qualitative analysis by assessing that no adverse economic, industry, operational, or regulatory indicators were identified that would suggest impairment. Based on the qualitative assessment of relevant factors, the Company concludes that no impairment indicators exist determined that there were no triggering events that required the Company to perform a quantitative analysis.

 

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Intangible Assets

 

Intangible assets are presented at their historical costs, net of amortization. Historical cost of intangible assets acquired in a business combination represents the fair value at acquisition. The fair value at acquisition is determined based on the appraised value of the asset. Intangible assets are comprised of developed technology and customer list (See Note 4 – Business Combination). Developed technology and customer relationships are amortized using the straight-line method over the five-year and ten-year estimated useful lives of the assets, respectively. Identifiable intangible assets subject to amortization consist of the following:

 

   Estimated Useful Life  March 31,
2025
   December 31,
2024
 
Customer relationships  10 years  $2,100,000   $2,100,000 
Developed technology  5 years   10,000,000    10,000,000 
       12,100,000    12,100,000 
Less: Accumulated amortization      (1,657,500)   (1,105,000)
Intangible assets, net     $10,442,500   $10,995,000 

 

Expected amortization expense is as follows:

 

Year ending December 31, 2025 (Remaining nine months)  $1,657,500 
Year ending December 31, 2026   2,210,000 
Year ending December 31, 2027   2,210,000 
Year ending December 31, 2028   2,210,000 
Year ending December 31, 2029, and thereafter   2,155,000 
Total  $10,442,500 

 

For the three months ended March 31, 2025, and March 31, 2024, the Company recorded amortization expense of $552,500 and $0, respectively, within general and administrative expenses in the condensed consolidated statements of operations.

 

Original Issue Discount on Debt

 

When the Company issues notes payable with a face value higher than the proceeds it receives, it records the difference as a debt discount and amortizes the discount as interest expense over the life of the underlying note payable.

 

Loss Contingencies and Litigation

 

The Company records reserves for loss contingencies if (a) information available prior to issuance of the condensed consolidated financial statements indicates that it is probable that an asset had been impaired or a liability had been incurred at the date of the condensed consolidated financial statements and (b) the amount of loss can be reasonably estimated. If one or both criteria for accrual are not met, but there is at least a reasonable possibility that a material loss will occur, the Company does not record and reserve for a loss contingency but describes the contingency within a note and provides detail, when possible, of the estimated potential loss or range of loss. If an estimate cannot be made, a statement to that effect is made.

 

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Recent Accounting Pronouncements

 

Accounting Pronouncements Not Yet Effective 

 

ASU 2023-09: In December 2023, the FASB issued ASU No. 2023-09, Income Taxes (Topic 740): Improvements to Income Tax Disclosures” (“ASU 2023-09”), which will require the Company to disclose specified additional information in its income tax rate reconciliation and provide additional information for reconciling items that meet a quantitative threshold. ASU 2023-09 will also require the Company to disaggregate its income taxes paid disclosure by federal, state and foreign taxes, with further disaggregation required for significant individual jurisdictions. ASU 2023-09 will become effective for annual periods beginning after December 15, 2024. The Company is still reviewing the impact of ASU 2023-09.

 

Management does not believe that any recently issued, but not effective, accounting standards, if currently adopted, would have a material effect on the Company’s condensed consolidated financial statements.

 

ASU 2024-03: In November 2024, the FASB issued ASU No. 2024-03, Income Statement-Reporting Comprehensive Income-Expense Disaggregation Disclosures (Subtopic 220-40): Disaggregation of Income Statement Expenses (“ASU 2024-03”), which requires disaggregated disclosure of income statement expenses for public business entities. ASU 2024-03 is effective for fiscal years beginning after December 15, 2026, and interim periods within fiscal years beginning after December 15, 2027, with early adoption permitted. The Company is currently evaluating the impact of ASU 2024-03 on its disclosures in the condensed consolidated financial statements.

 

The Company continues to evaluate the impact of new accounting pronouncements, including enhanced disclosure requirements, on its business processes, controls and systems.

 

Note 4 Business Combination

 

Acquisition of iDoc Telehealth Solutions, Inc.

 

On June 24, 2024, VSee Health, Inc. (formerly Digital Health Acquisition Corp.) completed the Business Combination with VSee Lab and iDoc, a provider of tele-intensive acute and neurocritical care services. The overall transaction was accounted for as a reverse recapitalization between DHAC and VSee Lab, with VSee Lab identified as the accounting acquirer. Separately, the acquisition of iDoc was treated as a business combination under Accounting Standards Codification 805, with VSee Lab as the accounting acquirer and iDoc as the acquiree.

 

The acquisition enhanced the Company’s platform by integrating iDoc’s clinical capabilities in managing critically ill patients with complex neurological, cardiac, and pulmonary conditions. The transaction supported the Company’s strategy to expand its telehealth offerings in a rapidly evolving market.

 

At closing of the Business Combination, the Company issued 5,542,500 shares of common stock and 300 shares of Series A preferred stock, convertible into 150,000 shares of common stock at a floor conversion price of $2. This represents a total of 5,692,500 shares of common stock (on an as-converted basis), with an aggregate consideration of $68.9 million, based on a closing price of $12.11 per share.

 

The purchase price was allocated to assets including developed technology ($10 million), customer relationships ($2.1 million), and other tangible and intangible assets. Liabilities assumed totalled $8.3 million. The resulting goodwill of approximately $61.6 million reflects anticipated synergies and platform expansion opportunities. A goodwill impairment charge of $56.7 million was recorded in December 2024. Goodwill is not deductible for tax purposes.

 

Note 5 Leases

 

The Company has operating and finance leases for real estate, and office equipment.

 

Operating lease right-of-use assets are summarized below.

 

   March 31,
2025
   December 31,
2024
 
Office lease  $433,173   $433,173 
Less: Accumulated amortization   (74,112)   (53,588)
Right-of-use assets, net  $359,061   $379,585 

 

Operating lease liabilities are summarized below:

 

   March 31,
2025
   December 31,
2024
 
Office lease  $325,396   $342,174 
Less: current portion   (76,892)   (72,836)
Long term portion  $248,504   $269,338 

 

As of March 31, 2025, and December 31, 2024, $105,470 and $96,589, respectively, of the Company’s operating lease liabilities are included in accounts payable and accrued liabilities on the condensed consolidated balance sheets.

 

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Future minimum rent payments under the operating lease are as follows:

 

   Total 
Year ending December 31, 2025 (Remaining nine months)  $96,630 
Year ending December 31, 2026   131,440 
Year ending December 31, 2027   125,400 
Year ending December 31, 2028   82,880 
Total future minimum lease payments   436,350 
Less: Imputed interest   (110,954)
Present value of payments  $325,396 

 

Expenses incurred with respect to the Company’s operating leases during the three months ended March 31, 2025 and March 31, 2024, which are included in general and administrative expenses on the condensed consolidated statements of operations are set forth below.

 

   For Three Months Ended 
   March 31,
2025
   March 31,
2024
 
Operating lease expense:        
Operating lease expense  $35,635        — 
Total operating lease expense  $35,635   $ 

 

The weighted average remaining lease term and the weighted average discount rate on the operating leases are set forth below.

 

   March 31,
2025
   December 31,
2024
 
Weighted average remaining lease term (years)   3.3    3.6 
Weighted average discount rate   18%   17.9%

 

Finance Leases

 

On November 1, 2023, iDoc entered into a forbearance agreement with a maturity date of January 10, 2024. On December 13, 2024, the Company revised the forbearance agreement with a maturity date of November 30, 2025. Subsequently on August 27, 2025 the Company further revised the forbearance agreement and agreed to a payment on September 5, 2025 and a further payment on November 30, 2025. The remaining balance on the forbearance agreement is due December 10, 2025. Accordingly, the entirety of the finance lease has been reclassified to financing lease liabilities within current liabilities on the consolidated balance sheets as of March 31, 2025, and December 31, 2024.

 

Finance lease right-of-use assets are summarized below:

 

   March 31,
2025
   December 31,
2024
 
Equipment lease  $736,624   $736,624 
Less: Accumulated amortization   (286,619)   (200,633)
Leased equipment, net  $450,005   $535,991 

 

Finance lease liabilities are summarized below:

 

   March 31,
2025
   December 31,
2024
 
Equipment lease  $282,877   $328,833 
Less: Current portion   (282,877)   (328,833)
Long term portion  $   $ 

 

Future minimum payments under the finance lease are as follows:

 

   Total 
Year ending December 31, 2025 (Remaining nine months)  $182,818 
Year ending December 31, 2026   136,484 
Total future minimum lease payments   319,302 
Less imputed interest   (36,425)
Present value of payments  $282,877 

 

Total finance lease cash payments made during the three months ended March 31, 2025, and March 31, 2024, were $25,000 and $0. As such, as of March 31, 2025, and December 31, 2024, $482,830 and $446,890, respectively, of the Company’s finance lease liabilities are included in accounts payable and accrued liabilities on the condensed consolidated balance sheets.

 

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Expenses incurred with respect to the Company’s finance leases during the three months ended March 31, 2025, and March 31, 2024, which are included in the condensed consolidated statements of operations are set forth below.

 

   For the Three Months Ended 
   March 31,
2025
   March 31,
2024
 
Finance lease amortization  $85,986   $     — 
Finance lease interest   14,984     
Total finance lease expense  $100,970   $ 

 

The weighted average remaining lease term and the weighted average discount rate on the finance leases are set forth below.

 

   March 31,
2025
   December 31,
2024
 
Weighted average remaining lease term (years)*   1.3    1.6 
Weighted average discount rate   19.3%   19.3%

 

*The finance leases of the Company mature on June 30, 2026. However, as of March 31, 2025, and December 31, 2024, entire finance lease liability has been classified as current on the condensed consolidated balance sheet pursuant to the forbearance agreement entered into by the Company with the bank.

 

Note 6 Accounts Payable and Accrued Liabilities

 

The components of accounts payable and accrued liabilities are summarized as follows:

 

   March 31,
2025
   December 31,
2024
 
Accounts payable  $4,208,106   $4,283,397 
Accrued compensation and benefits   2,330,203    2,176,070 
Accrued interest   536,057    558,358 
Accrued sales and use tax   1,067,461    999,547 
Accrued financing lease   482,830    446,890 
Other accrued liabilities   833,388    879,397 
   $9,458,045   $9,343,659 

 

Note 7 Factoring Payable

 

As a result of the acquisition of iDoc and at the closing of the Business Combination on June 24, 2024, the Company assumed the following factoring payable liabilities from iDoc (See Note 4 – Business Combination). Except as specifically set forth below, the factoring purchase agreements are not collateralized by a general security agreement over iDoc’s personal property and interests. No interest rate is associated with these factoring purchase transactions and no time during which the amount sold must be collected because the weekly amount is subject to adjustment based on future receipts generated by iDoc or the Company after the closing of the Business Combination.

 

1.A Future Receipts Sale Agreement, which iDoc entered on June 21, 2023, pursuant to which iDoc sold $299,000 total dollar amount of future receipts for a net purchase price of $207,639 and under which iDoc authorized the factoring purchaser to collect $7,475 weekly. The factoring payable under the June 21, 2023, Future Receipt Sale Agreement was $51,300 and $59,527 on March 31, 2025, and December 31, 2024, respectively.

 

2.A Future Receipts Sale Agreement, which iDoc entered on June 28, 2023, pursuant to which iDoc sold $140,000 total dollar amount of future receipts for a net purchase price of $100,000 and under which iDoc authorized the factoring purchaser to collect $5,000 weekly. The factoring payable under the June 28, 2023, Future Receipt Sale Agreement was $24,480 and $34,315 on March 31, 2025, and December 31, 2024, respectively.

 

3.A Future Receipts Sale Agreement, which iDoc entered on October 13, 2023, pursuant to which iDoc sold $186,250 total dollar amount of future receipts for a net purchase price of $125,000 and under which iDoc authorized the factoring purchaser to collect $1,552 daily weekly. Furthermore, the agreement was not collateralized by a general security agreement over iDoc’s accounts, including, without limitation, all deposit accounts, accounts receivable, and other receivables, chattel paper, documents, equipment, general intangibles, instruments, and inventory. The factoring payable under the October 13, 2023, Future Receipt Sale Agreement was $74,600 and $85,166 on March 31, 2025, and December 31, 2024, respectively.

 

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Note 8 Line of Credit and Notes Payable, net of discount

 

The following is a summary of the notes payable as of March 31, 2025, and December 31, 2024:

 

   March 31,
2025
   December 31,
2024
 
         
Note payable issued November 29, 2021  $336,983   $336,983 
Note payable issued December 1, 2021   1,500,600    1,500,600 
Note payable issued August 18, 2023   33,000    33,000 
Note payable issued November 29, 2023   64,000    64,000 
Note payable issued March 20, 2025 (March 2025 Convertible Note)   238,020    - 
Note payable issued March 20, 2025 (March 2025 Promissory Note)   418,603    - 
Total notes payable and line of credit   2,591,206    1,934,583 
Less: Current portion   (1,090,606)   (433,983)
Less: Fair value adjustment for debt   (906,659)   (906,659)
Total notes payable, net of current portion  $593,941   $593,941 

 

Required principal payments under the Company’s notes payable and line of credit are as follows:

 

Year Ending December 31, 2025 (Remaining 9 months)  $1,095,173 
Year Ending December 31, 2026   26,534 
Year Ending December 31, 2027   37,720 
Year Ending December 31, 2028   39,008 
Year Ending December 31, 2029   40,646 
Thereafter   1,352,125 
Total  $2,591,206 

 

Description of Notes Payable

 

As a result of the acquisition of iDoc and at the closing of the Business Combination on June 24, 2024, the Company assumed the following outstanding notes payable liabilities from iDoc (See Note 4 – Business Combination).

 

(1)On November 29, 2021, the iDoc issued a $654,044 promissory note to a bank, collateralized by all the assets of iDoc. Interest was payable monthly at the annual fixed rate of 4.284%. On November 1, 2023, iDoc entered into a forbearance agreement with a maturity date of January 10, 2024, and increased the effective interest rate to 3% above the Wall Street Journal Prime Rate (7.75% at March 31, 2025) (See Note 10 - Commitments, Contingencies, and Concentration Risk). iDoc is required to pay the loan in 36 payments of $19,409. As of each of March 31, 2025, and December 31, 2024, the outstanding balance on the promissory note was $336,983. For the three months ended March 31, 2025, and March 31, 2024, the Company recorded $9,427 and $0 in interest. The accrued interest balance, which were included within accrued liabilities on the condensed consolidated balance sheets, as of March 31, 2025, and December 31, 2024, were $32,142 and $43,961. The note is currently in default, and as such, the company has classified the note in full in current liabilities.

 

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(2)On December 1, 2021, iDoc issued a promissory note to a bank in the amount of $500,000. On February 25, 2022, iDoc received an extension of $1,000,600 on the promissory note. The promissory note is collateralized by all the assets of iDoc and the private property of iDoc’s then Chief Executive Officer. Interest is accrued monthly at the annual fixed rate of 3.75%. The promissory note matures on December 19, 2051. As of each of March 31, 2025, and December 31, 2024, there were an outstanding balance of $1,500,600 on the promissory note. Commencing on January 1, 2024, iDoc is required to make monthly installment payments, including principal and interest, of $7,682. The Company recorded $13,875 and $0 in interest related to the promissory note for the three months ended March 31, 2025, and March 31, 2024. The accrued interest balance, which were included within accrued liabilities on the condensed consolidated balance sheets, as of March 31, 2025, and December 31, 2024, were $157,996 and $144,121. The note is currently in default.

 

(3)On August 3, 2023, iDoc issued a 10.00% original issue discount promissory note to an accredited investor with a principal balance of $33,000. Notes payable issued with a face value higher than the proceeds it receives is recognized as a debt discount and is amortized as interest expense over the life of the underlying note payable. The promissory note matured on November 1, 2023, and is collateralized by all the assets of iDoc. Interest is accrued monthly at the annual fixed rate of 8.00%, with principal and interest due upon maturity. Upon an event of default, the interest rate on the note increases to the greater of 26% per annum or the maximum rate allowed by the laws governing this agreement. The Company recognized total interest expense of $2,145 and $0 for the three months ended March 31, 2025 and March 31, 2024. The accrued interest balance, which is included within accrued liabilities on the condensed consolidated balance sheets, as of March 31, 2025 and December 31, 2024, were $10,920 and $0. As of each of March 31, 2025, and December 31, 2024, the outstanding balance of the promissory note were $33,000. The note is currently in default.

 

(4)On August 18, 2023, iDoc issued an 8.0% original issue discount promissory note to an accredited investor with a principal balance of $64,000. Notes payable issued with a face value higher than the proceeds it receives are recognized as a debt discount and are amortized as interest expense over the life of the underlying note payable. The promissory note matured on November 16, 2023, and is collateralized by all the assets of iDoc. Interest is accrued monthly at the annual fixed rate of 8.00%, with principal and interest due upon maturity. Upon an event of default, the interest rate on the note increases to the greater of 26% per annum or the maximum rate allowed by the laws governing this agreement. As of each of March 31, 2025 and December 31, 2024, the outstanding balance of the promissory note was $64,000. The Company recognized $4,160 and $0 interest at default interest for the three months ended March 31, 2025, and March 31, 2024. The Company had $22,080 and $17,920 in accrued interest as of March 31, 2025, and December 31, 2024. The note is currently in default.

 

Furthermore, on January 12, 2023, VSee Lab issued a 10.00% original issue discount promissory note to an accredited investor with a principal balance of $220,000. Notes payable issued with a face value higher than the proceeds it receives are recognized as a debt discount and is amortized as interest expense over the life of the underlying note payable. The promissory note matured on July 15, 2023. Interest accrued monthly at the annual fixed rate of 12.00%, with principal and interest due upon maturity. On November 21, 2023, VSee Lab, DHAC and the investor entered into a Loan Conversion securities purchase agreement pursuant to which $220,000 of the promissory note principal balance was converted into Series A Preferred Stock of the Company at the closing of the Business Combination. The Company paid off the promissory note by issuing 220 shares of Series A Preferred Stocks to the investor at the closing of the Business Combination. As of each of March 31, 2025, and December 31, 2024, there is no balance outstanding for the promissory note.

 

March 2025 Convertible Note

 

On March 20, 2025, the Company entered into a Convertible Note Purchase Agreement (the “March 2025 SPA”), pursuant to which the Company issued and sold a senior secured convertible promissory note in the principal amount of $108,696 (the “March 2025 Convertible Note”). The Company received $100,000 in initial proceeds, reflecting an 8% original issue discount. The March 2025 Convertible Note matures on December 20, 2025, and provides for a minimum interest amount guaranteed for the first six months, with interest accruing at 18% per annum and payable monthly in cash or common stock at the holder’s discretion. Interest in excess of the minimum amount (if applicable) will accrue at a rate of 18% per annum, increasing to 28% per annum upon the occurrence of an event of default. The minimum interest amount is payable in 9 equal installments of $1,630 per month beginning on April 20, 2025.

 

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The March 2025 Convertible Note is convertible into shares of the Company’s common stock at any time after three months from issuance (or earlier upon prepayment) by the holder, at a conversion price equal to the greater of (i) $2.00 per share or (ii) the lower of (a) the lowest average historical Nasdaq Official Closing Price (NOCP) for the five trading days immediately preceding the closing, or (b) the NOCP on the day prior to closing, subject to reverse stock split adjustment and most-favored nation protections. In addition, prior to a Qualified Financing, (as defined in the March 2025 Convertible Note), the holder may elect to convert at a price equal to the lower of the then-current conversion price or 75% of the effective price per share at which the Company issues common stock, options, or convertible securities to new investors in the Qualified Financing. The conversion price is subject to standard antidilution adjustments, including adjustments for stock splits, dividends, mergers, asset sales, volume resets, defaults, and down-round events. Conversion is subject to beneficial ownership and exchange cap limitations.

 

The March 2025 Convertible Note is prepayable at any time (unless an event of default has occurred) at 110% of the outstanding balance and is mandatorily prepayable upon the occurrence of a Qualified Financing (gross proceeds ≥ $2,000,000), with the redemption amount paid from the financing proceeds. The note is also mandatorily prepayable upon a change of control at 120% of the outstanding balance. The note can be accelerated upon an event of default either automatically or at the option of the note holder, depending on the nature of the event. Upon an uncured event of default, the holder may accelerate the note and require payment of 115% of the outstanding principal and accrued interest (“Mandatory Default Amount”), plus $5,000 in liquidated damages, and may convert the Mandatory Default Amount at a more favorable “Alternative Conversion Price,” defined as the lower of the conversion price then in effect or the lowest VWAP during the ten trading days prior to the default.

 

The March 2025 Convertible Note is secured by substantially all of the Company’s assets, and includes certain covenants which restrict the Company’s ability to incur additional indebtedness, grant liens, pay dividends, or dispose of assets without the lender’s consent.

 

In connection with the March 2025 SPA and March 2025 Convertible Note, the Company also issued 25,000 shares of common stock to the investor as additional consideration for entering into the agreement, which were classified in stockholders’ deficit upon issuance.

 

After analyzing the terms of the March 2025 Convertible Note and its embedded features, the Company elected to account for the March 2025 Convertible Note at fair value under the allowable fair value option election. As such, the Company initially recognized the March 2025 Convertible Note at its fair value of $238,020 and will subsequently measure the note at fair value with changes in fair value recorded in current period earnings. The original discount of $8,696 was recognized in the condensed consolidated statements of operations as the March 2025 Convertible Note is recognized at fair value on a recurring basis. The Company recognized a loss of $138,020 on initial recognition of the March 2025 Convertible Note as the fair value of the March 2025 Convertible Note exceeded the proceeds of $100,000, received on issuance.

 

As of March 31, 2025, and December 31, 2024, the March 2025 Convertible Note’s fair value was $238,020 (see Note 15 Fair Value Measurements) and $0, respectively.

 

March 2025 Promissory Note

 

On March 20, 2025, the Company entered into Amendment No. 1 to the Securities Purchase Agreement, originally dated as of September 30, 2024 (the “Purchase Agreement”), pursuant to which the Company issued and sold a senior secured convertible promissory note in the principal amount of $555,556 (the “March 2025 Promissory Note”). The Company received $500,000 in initial proceeds, reflecting an original issue discount (OID) of approximately 10%. This transaction was completed as part of the second closing under the terms of the Purchase Agreement.

 

The March 2025 Promissory Note matures on November 1, 2025, and provides for a minimum interest amount equal to 5% of the initial principal, fully earned and accrued on the original issue date, with interest accruing at 5% per annum and payable monthly in cash. Interest in excess of the minimum amount will accrue at a rate of 5% per annum, increasing to 24% per annum upon the occurrence of an event of default. The minimum interest amount is payable in 8 equal installments of $2,315 per month beginning on April 20, 2025.

 

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The March 2025 Promissory Note is prepayable at any time (unless an event of default has occurred) with advance notice and is mandatorily prepayable upon the occurrence of a subsequent offering, with the redemption amount paid from the financing proceeds. The note can be accelerated upon an event of default either automatically or at the option of the note holder, depending on the nature of the event. Upon an uncured event of default, the Holder may accelerate the note and require immediate payment of all outstanding principal and accrued interest.

 

If any payment due under the March 2025 Promissory Note is not paid when due, the Company shall pay a late fee equal to ten percent (10%) of such payment, due and payable immediately upon such failure.

 

The March 2025 Promissory Note is secured by substantially all of the Company’s assets and includes certain covenants which restrict the Company’s ability to enter into certain agreements or transactions without the lender’s consent.

 

In connection with the second closing under the Purchase Agreement and March 2025 Promissory Note, the Company also issued 100,000 shares of Common Stock to the investor as additional consideration for entering into the agreement, which were classified in stockholders’ deficit upon issuance.

 

The Company identified certain embedded features within the March 2025 Promissory Note that would require bifurcation. However, the value of such embedded derivatives was de minimis and, accordingly, the March 2025 Promissory Note is accounted for at amortized cost using the effective interest method. The proceeds from the issuance of the March 2025 Promissory Note were allocated between the March 2025 Promissory Note and the common shares on a relative fair value basis. The amount allocated to the March 2025 Promissory Note was $409,366 and to the common shares was $90,634. As of March 31, 2025, and December 31, 2024, the outstanding balance on the March 2025 Promissory Note is $418,603 and $0, respectively. The interest expense recognized for the three months ended March 31, 2025, and March 31, 2024, is $9,237 and $0, respectively.

 

Line of credit

 

On November 29, 2021, iDoc received a revolving line of credit from the same bank that issued the $500,000 promissory note as described in the above “Description of Notes Payable” section. The line of credit is collateralized by iDoc’s assets. Interest was payable monthly at 1.25% above the Wall Street Journal prime rate (7.75% at March 31, 2025). On November 1, 2023, iDoc entered into a forbearance agreement with a maturity date of January 10, 2024, and increased the effective interest rate to 3% above the Wall Street Journal Prime Rate (7.75% at March 31, 2025) (See Note 10 - Commitments, Contingencies, and Concentration Risk).

 

On December 13, 2024, the Company revised the forbearance agreement. Under the revised forbearance, the Company agreed to monthly payments of $25,000 beginning January 2025 to May 2025, and a payment in full of $1,541,106 on June 16, 2025.

 

On August 27, 2025, the Company revised the forbearance agreement and agreed to a payment of $50,000 on September 5, 2025 and a further payment of $100,000 on November 30, 2025. The remaining balance on the forbearance agreement is due December 10, 2025. As of December 31, 2024, and March 31, 2025, the Company has accrued the obligation in line of credit and note payable, net of discount, right-of-use liabilit – finance, and accrued interest is included in accounts payable and accrued liabilities.

 

As a result of the acquisition of iDoc and at the closing of the Business Combination on June 24, 2024, the Company assumed the revolving line of credit. As of March 31, 2025, and December 31, 2024, the Company had an outstanding balance of $456,097 on the line of credit. The Company recorded $12,759 and $0 in interest related to the line of credit for the three months ended March 31, 2025, and March 31, 2024. The accrued interest balance, which was included within accounts payable and accrued liabilities on the condensed consolidated balance sheets, as of March 31, 2025, and December 31, 2024, was $36,194 and $52,190.

 

Loan Conversions

 

On November 21, 2023, DHAC, VSee Lab, and/or iDoc, as applicable, entered into Securities Purchase Agreements (the “Conversion SPAs”), certain of which were further amended and restated on February 13, 2024 (the “A&R Loan Conversion SPAs”) with various lenders of each of DHAC, VSee and iDoc, pursuant to which certain indebtedness owed by DHAC, VSee Lab and iDoc would be converted into shares of Series A Preferred Stock pursuant to the Conversion SPAs or shares of common stock of the Company pursuant to the A&R Loan Conversion SPAs at the closing of the Business Combination as further described and set forth below.

 

 On November 21, 2023, DHAC and VSee Lab entered into a Conversion SPA with Whacky Ventures LLC (“Whacky”), pursuant to which certain loans incurred by VSee Lab to Whacky in the aggregate amount of $220,000 was converted into shares of Series A Preferred Stock to be issued to the investor at the closing. As a result of the closing of the Business Combination, 220 shares of Series A Preferred Stock of the Company were issued to Whacky on June 24, 2024, and such promissory note owned thereof was paid off.

 

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  On November 1, 2023, DHAC and iDoc, entered into a Conversion SPA with Mark E. Munro Charitable Remainder Unitrust (“Munro Trust”) , pursuant to which certain loans incurred by iDoc to Munro Trust in the aggregate amount of $300,000 was converted into shares of Series A Preferred Stock to be issued to the investor at the closing. As a result of the closing of the Business Combination, 300 shares of Series A Preferred Stock were issued to Munro Trust on June 24, 2024, and such promissory note owned thereof was paid off.
     
  On November 21, 2023, and as further amended and restated on February 13, 2024, DHAC, VSee Lab and the Bridge Investor, entered into an A&R Loan Conversion SPA, pursuant to which certain loans incurred by VSee Lab to the Bridge Investor in the aggregate amount of $600,000 was converted into shares of VSee Health common stock to be issued to the Bridge Investor at the closing. As a result of the closing of the Business Combination, 300,000 shares of common stock were issued to the Bridge Investor on June 24, 2024, and such promissory note owned thereof was paid off.
     
  On November 21, 2023, and as further amended and restated on February 13, 2024, DHAC, iDoc and Tidewater Ventures, LLC (“Tidewater”), entered into an A&R Loan Conversion SPA, pursuant to which certain loans incurred by iDoc to Tidewater in the aggregate amount of $585,000 were converted into shares of VSee Health common stock to be issued to the Tidewater at the closing. As a result of the closing of the Business Combination, 292,500 shares of common stock were issued to Tidewater on June 24, 2024, and such promissory note owned thereof was paid off.

 

  On November 21, 2023, and as further amended and restated on February 13,2024, DHAC, iDoc and the Bridge Investor, entered into an A&R Loan Conversion SPA, pursuant to which certain loans incurred by iDoc to the Bridge Investor in the aggregate amount of $600,000 was converted into shares of VSee Health common stock to be issued to the Bridge Investor at the closing. As a result of the closing of the Business Combination, 300,000 shares of common stock were issued to the investor on June 24, 2024, and such promissory note owned thereof was paid off.

 

Exchange Note and Exchange Financing

 

In connection with a securities purchase agreement by and among DHAC, VSee Lab, iDoc and an investor (“the Bridge Investor”) dated October 5, 2022 (the “Original Bridge SPA”), DHAC, VSee Lab, and iDoc each issued to the Bridge Investor a 10% original issue discount senior secured convertible notes (collectively the “Original Bridge Notes” and individually, the “DHAC Bridge Notes,” “VSee Bridge Notes” and “iDoc Bridge Notes” when referring to Original Bridge Notes issued to DHAC, VSee Lab, and iDoc, respectively) in an aggregate principal amount of approximately $2,222,222. On November 21, 2023, DHAC, VSee Lab, iDoc and the Bridge Investor entered into an Exchange Agreement. Pursuant to the Exchange Agreement, the Bridge Investor agreed to exchange all amounts currently due and owing under (i) the DHAC Bridge Note, (ii) the VSee Bridge Note other than the principal amount of $600,000 thereof, and (iii) the iDoc Bridge Note other than the principal amount of $600,000 thereof for a senior secured convertible promissory note with an aggregate principle value of $2,523,744 (the “Exchange Note”). As such, the Company issued and sold the Exchange Note to the Bridge Investor in connection with the closing of the Business Combination on June 24, 2024. The transactions contemplated by the Exchange Agreement and the Exchange Note is hereby referred as the “Exchange Financing.”

 

The Exchange Note bears interest at a rate of 8% per annum and is convertible into shares of common stock of VSee Health at a fixed conversion price of $10 per share. The conversion price of the Exchange Note is subject to reset if the Company’s common stock trades below $10.00 on the 10th business day after the conversion shares are registered or may otherwise be freely resold, and every 90th day thereafter, to a price equal to the greater of (x) 95% of the average lowest VWAP of the Company’s common stock in the 10th trading dates prior to the measurement date and (y) $2.0. Amounts repaid may not be reborrowed. The Bridge Investor may set off and deduct the amounts due under the Exchange Note pursuant to and in accordance with the terms of the Exchange Agreement. The Exchange Note is also guaranteed by each of the Company, VSee Lab and iDoc and is fully secured by collateral of the Company and its subsidiaries including, without limitation, the intellectual property, trademark, and patent rights.

 

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The monetary amount of the obligation is a fixed monetary amount known at inception as represented by the Amortization of Principal Schedule in the Exchange Note (each, an “Amortization Payment”). As a result, the Exchange Note represents a debt instrument that the Company must or may settle by issuing a variable number of its equity shares as each Amortization Payment shall, at the option of the Company, be made in whole or in part, in immediately available Dollars equal to the sum of the Amortization Payments provided for in the Exchange Note or, subject to the Company complying with the equity conditions provided for in the Exchange Note on the date of such Amortization Payment, in common stock issued at 95% of the lowest VWAP in the prior ten (10) trading days prior to such Amortization Payment (the “Amortization Conversion Price”) but in no event shall common stock be used to make such Amortization Payment if the Amortization Conversion Price is less than $2.00.

 

The Exchange Note represents share-settled debt that requires or may require the Company to settle the debt instrument by delivering a variable number of shares with a then-current fair value equal to the principal amount of the note plus accrued and unpaid interest. As a result, the Exchange Note is required to be accounted for as a liability under ASC 480. As required under ASC 480, the liability will be re-measured at fair value at each reporting period with the changes in the fair value of the liability recognized in earnings.

 

For accounting purposes, it was treated that the Company (as the successor of VSee Lab for accounting purposes) acquired and assumed the Exchange Note due to the reverse merger with DHAC on June 24, 2024.

 

On August 8, 2024, $566,740 of outstanding principal on the Exchange Note was converted into 213,759 shares of Common Stock, at a conversion price based on a 5% discount to the prior trading day VWAP. The Company accounted for the conversion under the debt extinguishment model and recognized a loss on extinguishment of $98,050, reflecting the difference between the carrying value of the Exchange Note being converted (recorded at fair value) and the fair value of the shares of common stock issued upon conversion (which was $664,790).

 

On November 26, 2024, $500,000 of outstanding principal with accrued interest expense of $11,693 on the Exchange Note was converted into 255,847 shares of common stock. The portion of the Exchange Note converted on this date had a fair value of $512,693.

 

As of March 31, 2025, and December 31, 2024, the Exchange Note’s fair value was $2,462,897 and $1,499,000, respectively. The Company recognized a total Exchange Note interest expense of $30,475 (of which $20,317 was paid during the three months ended March 31, 2025), for the three months ended March 31, 2025, and a change in fair value of $953,739. No interest expense and change in fair value was recognised for the three months ended March 31, 2024 (See Note 15 – Fair Value Measurements).

 

Additional Bridge Financing

 

On November 21, 2023, DHAC, VSee Lab and iDoc entered into an amendment to the Original Bridge SPA (the “Bridge Amendment”), pursuant to which the Bridge Investor agreed to purchase additional promissory note in the aggregate principal amount of $166,667 (with an aggregate subscription amount of $150,000) from DHAC with (1) a $111,111 note purchased on November 21, 2023, which will mature on May 21, 2025 and (2) a $55,556 note (which was purchased on January 25, 2024 and will mature on July 25, 2025) (the “Additional Bridge Notes”). The Additional Bridge Notes bear guaranteed interest at a rate of 8% per annum and are convertible into shares of the Company’s common stock, at an initial fixed conversion price of $10.00 per share. The conversion price of the Additional Bridge Notes is subject to reset if the Company’s common stock trades below $10.00 on the 10th business day after the conversion shares are registered or may otherwise be freely resold, and every 90th day thereafter, to a price equal to the greater of (x) 95% of the average lowest VWAP of the Company’s common stock in the 10 trading dates prior to the measurement date and (y) $2.00. In addition, optional prepayment of the Additional Bridge Notes requires the payment of 110% of the outstanding obligations, including the guaranteed minimum interest. If an event of default occurs, the Additional Bridge Notes would bear interest at a rate of 24% per annum and require the payment of 125% of the outstanding obligations, including the guaranteed minimum interest. As of March 31, 2025, $150,000 pursuant to the Additional Bridge Notes has been funded to the Company. The transactions contemplated by the Bridge Amendment and the Additional Bridge Notes are hereby referred as the “Additional Bridge Financing.”

 

The monetary amount of the obligation is a fixed monetary amount known at inception as represented by the Amortization of Principal Schedule in the Additional Bridge Notes (each, an “Amortization Payment”). As a result, the Additional Bridge Note represents a debt instrument that the Company must or may settle by issuing a variable number of its equity shares as each Amortization Payment shall, at the option of the Company, be made in whole or in part, in immediately available Dollars equal to the sum of the Amortization Payment provided for in in the Additional Bridge Notes, or, subject to the Company complying with the equity conditions listed in the Additional Bridge Notes on the date of such Amortization Payment, in common stock issued at 95% of the lowest VWAP in the prior ten (10) trading days prior to such Amortization Payment (the “Amortization Conversion Price”) but in no event shall common stock be used to make such Amortization Payment if the Amortization Conversion Price is less than $2.00.

 

The Additional Bridge Note represents share-settled debt that requires or may require the Company to settle the debt instrument by delivering a variable number of shares with a then-current fair value equal to the principal amount of the note plus accrued and unpaid interest. As a result, the Additional Bridge Notes are required to be accounted for as a liability under ASC 480. As required under ASC 480, the liability will be re-measured at fair value at each reporting period with the changes in the fair value of the liability recognized in earnings.

 

For accounting purposes, it was treated that the Company (as the successor of VSee Lab for accounting purposes) acquired and assumed the Additional Bridge Notes due to the reverse merger with DHAC on June 24, 2024.

 

As a result of the Business Combination, the fair value of the Additional Bridge Notes on June 24, 2024, was $466,646 in accordance with ASC 480.

 

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On August 2, 2024, holders of the Additional Bridge Notes converted an aggregate $ 41,417 of outstanding principal into14,199 shares of common stock, at a conversion price based on a 5% discount to the prior trading day VWAP. The Company accounted for the conversion under the debt extinguishment model and recognized a loss on extinguishment of $18,928, reflecting the difference between the carrying value of the Additional Bridge Notes being converted (recorded at fair value) and the fair value of the shares of common stock issued upon conversion (which was $60,346).

 

On November 26, 2024, the remaining $92,593 of outstanding principal on the Additional Bridge Notes were converted into 46,565 shares of common stock and the Additional Bridge Notes were settled in full. The Additional Bridge Notes converted on this date had a fair value of $99,535.

 

Extension Note 

 

On May 5, 2023, DHAC entered into a securities purchase agreement (the “Extension Purchase Agreement”) with an institutional investor (the “Holder”). Pursuant to the Extension Purchase Agreement, the Company issued the holder a 16.67% original issue discount promissory note, in favor of the Holder, in the aggregate principal amount of $300,000 (the “Extension Note”). The Extension Note bears guaranteed interest at a rate of 10% per annum and was due and payable on May 5, 2024. On April 17, 2024, the Company and the investor entered into a letter agreement (the “Extension Letter Agreement”), which amended the maturity date of the Extension Note to March 31, 2025, and clarified certain definitions and transaction terms in both the Extension Purchase Agreement and the Extension Note. The Extension Note is also guaranteed by each of VSee Lab and iDoc and was subordinated to the security interests granted to the Bridge Investor. In connection with the Extension Purchase Agreement, on May 5, 2023, DHAC also issued to the holder (i) warrants with an exercise period of five years to purchase up to 26,086 shares of the Company’s common stock at an exercise price of $11.50 per share (the “Extension Warrants”), and (ii) 7,000 shares of DHAC common stock as commitment shares (the “Extension Shares”).

 

For accounting purposes, it was treated that the Company (as the successor of VSee Lab for accounting purposes) acquired and assumed certain Extension Note due to the reverse merger with DHAC on June 24, 2024. The Extension Note was paid off in full by the Company in June 2024 and was no longer outstanding as of March 31, 2025.

 

The Company reviewed the Extension Warrants and Extension Shares issued in connection with the Extension Purchase Agreement under ASC 815 and concluded that the Extension Warrants are not in scope of ASC 480 and are not subject to the Derivative guidance under ASC 815. The Extension Warrants and the Extension Shares should be recorded as equity. As such the principal value of the Extension Note was allocated using the relative fair value basis of all three instruments. As the Extension Warrants were issued with various instruments the purchase price needs to be allocated using the relative fair value method (i.e., warrant at its fair value and the common stock at its fair value, the promissory note at its principal value allocated using the relative fair value of the proceeds received and applied proportionally to the equity classified stock, warrants and promissory note).

 

The Company reviewed the contingent early repayment option granted in the Extension Note under ASC 815 and concluded that as a result of the significant discount granted in the note the contingent repayment provision is therefore considered an embedded derivative that should be bifurcated from the debt host. Accordingly, in accordance with ASC 470-20, the Company allocated the Extension Note proceeds between the Extension Note and the Bifurcated Derivative, using the residual method by allocating the principal first to fair value of the embedded derivative and then to the debt. Accordingly, the fair value of the embedded derivative at June 24, 2024, was $33,000 and $335,750 was allocated to the principal balance of the note with $30,000 of accrued interest for a total of $365,750. On June 30, 2024, the Company paid the Extension Note in full in the amount of $365,750 and derecognized the embedded derivative recognizing a change in the fair value of the derivative of $33,000.

 

Quantum Financing Purchase Agreement

 

On November 21, 2023, DHAC entered into a convertible note purchase agreement (the “Quantum Purchase Agreement”), pursuant to which an institutional and accredited investor (the “Quantum Investor”) subscribed for and purchased, and DHAC would issue and sell to the Quantum Investor, at the closing of the Business Combination, a 7% original issue discount convertible promissory note (the “Quantum Convertible Note”) in the aggregate principal amount of $3,000,000.

 

The Quantum Convertible Note was issued and sold to the Quantum Investor subsequent to the closing of the Business Combination on June 25, 2024. The Quantum Convertible Note was further amended on July 3, 2024, whereby the maturity date of the Quantum Convertible Note was changed from June 25, 2025, to June 30, 2026, and that eighteen months of interest will be guaranteed regardless of early pay or redemption. Furthermore, the Quantum Convertible Note bears an interest at rate of 12% per annum and are convertible into shares of the Company’s Common Stock at (1) a fixed conversion price of $10.00 per share; or (2) 85% of the lowest daily VWAP (as defined in the Quantum Convertible Note) during the seven (7) consecutive trading days immediately preceding the date of conversion or other date of determination. The conversion price of the Quantum Convertible Note is subject to reset if the average of the daily VWAPs for the three (3) trading days prior to the 30-day anniversary of the Quantum Convertible Note issuance date (the “Average Price”) is less than $10.00, to a price equal to the Average Price but in no event less than $2.00. In addition, the Company at its option can redeem early a portion or all amounts outstanding under the Quantum Convertible Note if the Company provides the Quantum Convertible Note holder a notice at least ten (10) trading days prior to such redemption and on the notice day the VWAP of the Company’s Common Stock is less than $10.00. If an event of default occurs, the Quantum Convertible Note would bear interest at a rate of 18% per annum.

 

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On June 25, 2024, $2,700,000 net of originally issued discount of $210,000 and legal fees of $90,000 pursuant to the Quantum Convertible Note has been funded to the Company. The Quantum Convertible Note represents share-settled debt that requires or may require the Company to settle the debt instrument by delivering a variable number of shares with a then-current fair value equal to the principal amount of the note plus accrued and unpaid interest. As a result, the Quantum Convertible Note was accounted for as a liability under ASC 480 upon funding of the note. As required under ASC 480, the liability will be re-measured at fair value at each reporting period with the changes in the fair value of the liability recognized in earnings. The original issue discount of $210,000 and direct cost of $90,000 was expensed as interest expense.

 

On July 3, 2024, the Company and the Quantum Investor agreed to modify certain terms of the Quantum Convertible Note. The modifications included the extension of the maturity date from June 25, 2025, to June 30, 2026, and an interest guarantee whereby the Quantum Investor would receive 18 months of interest regardless of any early repayment or redemption of the Quantum Convertible Note. The Company concluded that these changes represented a modification for accounting purposes as the change in the present value of the cash flows was less than 10% and the change in the estimated fair value of the embedded conversion right was less than 10% of the carrying value. As such, the Company accounted for the change in fair value related to the modification of terms as part of the change in fair value of the Quantum Convertible Note during year ended December 31, 2024 (see Note 15 Fair Value Measurements).

 

As of March 31, 2025, and December 31, 2024, the Quantum Convertible Note’s fair value was $3,691,806 and $3,248,000, respectively. The Company recognized interest expense of $540,000 for the three months ended March 31, 2025, and a change in fair value of $96,194 for the three months ended March 31, 2025 (see Note 15 Fair Value Measurements). No interest expense and change in fair value had been recognized for the three months ended March 31, 2024.

 

ELOC / Equity Financing

 

On November 21, 2023, DHAC entered into an equity line of credit purchase agreement (the “ELOC Purchase Agreement”) with the Bridge Investor pursuant to which DHAC may sell and issue to the Bridge Investor, and the Bridge Investor is obligated to purchase from DHAC, up to $50,000,000 of its newly issued shares of the Company’s common stock, from time to time over a 36 month period (the “Equity Purchase Commitment Period”) beginning from the sixth (6th) trading day following the closing of the Business Combination transaction (the “Equity Purchase Effective Day”), provided that certain conditions are met. The Company also agreed to file a resale registration statement to register shares of common stock to be purchased under the ELOC Purchase Agreement with the SEC within 45 days following the Equity Purchase Effective Day and shall use commercially reasonable efforts to have such registration statement declared effective by the SEC within 30 days of such filing. During the Equity Purchase Commitment Period, the Company may suspend the use of the resale registration statement to (i) delay the disclosure of material nonpublic information concerning the Company in good faith or (ii) amend the registration statement concerning material information, by providing written notice to the investor. Such suspension cannot be longer than 90 consecutive days (or 120 days in any calendar year). The investor has agreed not to cause or engage in any manner whatsoever, any direct or indirect short selling or hedging of the Company’s common stock. The deferred charge will be allocated and amortized over the ELOC Purchase Agreement once it is drawn upon.

 

For accounting purposes, it was treated that the Company (as the successor of VSee Lab for accounting purposes) acquired and assumed the ELOC Purchase Agreement due to the reverse merger with DHAC and iDoc on June 24, 2024.

 

The Company has analyzed the ELOC Purchase Agreement and determined that the contract should be recorded as a liability under ASC 815 and measured at fair value. As a result of the ASC 815 liability classification, the Company is required to re-measure the liability at fair value at each reporting period until the liability is settled.

 

The Company has determined that the fair value of the ELOC Purchase Agreement is based upon management’s expected usage of the facility. The contract provides no scenario in which the Company may exercise the contract at above market rates (i.e., sell shares at a price above which the shares are currently trading in the active market except that when the Company’s per share stock price drops below $2, the Bridge Investor has the discretion to decide whether to purchase the Company’s common stock under the ELOC Purchase Agreement at a floor price of $2 per share). Furthermore, the choice to exercise the ELOC Purchase Agreement is solely at the discretion of the Company (i.e., does not obligate the Company in any manner). Additionally, the ELOC Purchase Agreement does not impose a fee or fine if the Company chooses not to exercise the contract.

 

As a result of the Business Combination, the fair value of the ELOC Purchase Agreement on June 24, 2024, was $694,512 in accordance with ASC 815.

 

During the year ended December 31, 2024, pursuant to the ELOC Purchase Agreement and the Company’s purchase notices thereof, the Bridge Investor purchased an aggregate of 380,000 shares of common stock for $760,000 in total proceeds. The Company did not issue any shares during the period ended March 31, 2025. The maximum remaining availability under the ELOC Purchase Agreement was $49,240,000 as of March 31, 2025, and December 31, 2024.

 

On March 20, 2025, the Company entered into Amendment No. 1 to the ELOC Purchase Agreement, originally dated November 21, 2023, which modifies the floor price to $1.25 and related terms of the ELOC Purchase Agreement. In accordance with ASC 815, the amendment requires remeasurement of the ELOC Purchase Agreement derivative liability at fair value as of the amendment date. Any resulting change in fair value is recognized in earnings for the period.

 

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The ELOC Purchase Agreement continues to be treated as a liability measured at fair value, with ongoing remeasurement at each reporting date until settlement. The amendment does not introduce any new obligations or penalties for non-usage.

 

The fair value of the equity contract was $44,953 and $80,000 as of March 31, 2025, and December 31, 2024, respectively, resulting in a change in fair value of the ELOC of $35,047 during the three months ended March 31, 2025. No change in fair value had been recognised for the three months ended March 31, 2024.

 

ELOC Commitment Fee Note

 

Pursuant to the ELOC Purchase Agreement, DHAC agreed to issue to the investor, as a commitment fee for this equity purchase transaction, a senior unsecured note in a principal amount of $500,000 that is payable only in shares of the Company’s common stock at an initial price of $10 per share (the “ELOC Commitment Fee Note”) after the closing of the Business Combination.

 

On July 2, 2024, the Company issued to the Bridge Investor the ELOC Commitment Fee Note. The original maturity date of the ELOC Commitment Fee Note was September 22, 2024. The conversion right is exercisable by the Bridge Investor at any time after issuance and includes certain standard antidilution adjustments. Upon the occurrence of an event of default, the Bridge Investor may require repayment in cash or in shares at its discretion, in an amount representing the greater of the outstanding principal balance and any accrued unpaid fees, or the value of the conversion shares issuable multiplied by the highest closing price for the Company’s common stock during the period from the event of default to conversion.

 

The Company elected to account for the ELOC Commitment Fee Note at fair value under the fair value option and estimated its fair value to be $595,000 at issuance. As the related ELOC Purchase Agreement is classified as a liability, the Company expensed the issuance cost based on its $595,000 fair value, which is included in loss on issuance of financial statements in the consolidated statement of operations for the year ended December 31, 2024.

 

On September 30, 2024, the Company and the Bridge Investor mutually agreed to extend the maturity date of the ELOC Commitment Fee Note from September 23, 2024, to December 31, 2024. The Company accounted for the extension of the maturity date as an extinguishment.

 

In December 2024, the Bridge Investor fully converted this note into 50,000 shares of common stock. The fair value of the ELOC Commitment Fee Note was $79,500 just prior to conversion. The Company recorded a total gain on change in fair value of $510,500 for the ELOC Commitment Fee Note for the year ended December 31, 2024.

 

September 2024 Security Purchase Agreement

 

On September 30, 2024, the Company entered into a securities purchase agreement (the “September 2024 SPA”) with an accredited and institutional investor, pursuant to which the Company issued and sold to the investor promissory notes for an aggregate principal amount of $2,222,222 (the “September 2024 Convertible Note”). The Company received $2,000,000 in initial proceeds from the September 2024 Convertible Note, reflecting a 10% original issue discount. The September 2024 Convertible Note will mature on March 30, 2026, and provides for a minimum interest amount at 15% of the initial principal amount of the note through maturity, or $333,333. Interest in excess of the minimum interest amount (if applicable) will accrue at a rate of 10% per annum. The interest rate on the September 2024 Convertible Note will increase to 24% per annum upon the occurrence of an event of default. The minimum interest amount is payable in 18 equal installments of $18,519 per month beginning on November 1, 2024. Repayments of principal will be paid in 12 equal installments of $185,185 per month beginning on May 1, 2025. Any repayments of principal that are not funded through draws on the ELOC Purchase Agreement are subject to a 5% cash payment fee.

 

The September 2024 Convertible Note is convertible into shares of the Company’s common stock at any time at an initial fixed conversion price of $2.00 per share, subject to certain beneficial ownership and exchange cap considerations. The conversion price includes standard antidilution adjustments as well as adjustment in the event the Company sells or issues shares of common stock at a price less than the conversion price (a down-round event). The September 2024 Convertible Note is prepayable at any time (unless an event of default has occurred) based on the outstanding principal, accrued interest and any remaining minimum interest amount payable through the remainder of the term of the note. The September 2024 Convertible Note is mandatorily prepayable upon the occurrence of certain events (such as the issuance of stock or incurrence of debt) and can be accelerated upon an event of default either automatically or at the option of the note holder, depending on the nature of the event.

 

The September 2024 Convertible Note is secured by substantially all of the Company’s assets and includes certain covenants which restrict the Company’s ability to enter into certain agreements or transactions without the lender’s consent.

 

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In connection with the September 2024 SPA and Convertible Note, the Company also issued a warrant to the investor to purchase up to 740,741 shares of the Company’s common stock. The warrant exercise price is $2.25 per share (exercisable on a cash or cashless basis) and will expire on September 30, 2029. The exercise price includes standard antidilution adjustments as well as adjustment in the event the Company sells or issues shares of common stock at a price less than the exercise price (a down-round event). The Company assessed the warrant as a freestanding financial instrument and determined it did not include any provisions which would require liability classification under ASC 480, and that it met the requirements to be considered indexed to the Company’s own stock and the additional equity classification requirements under ASC 815-40. As such, the Company classified the warrant in stockholders’ deficit upon its issuance. In addition, upon execution of the September 2024 SPA, the Company issued 100,000 shares of common stock to the investor as additional consideration for entering into the September 2024 SPA and related agreements, which were also classified in stockholders’ deficit upon issuance.

 

During the year ended December 31, 2024, the Company incurred approximately $95,000 of issuance costs in connection with the September 2024 SPA transaction.

 

After analyzing the terms of the September 2024 Convertible Note and its embedded features, the Company elected to account for the September 2024 Convertible Note at fair value under the allowable fair value option election. As such, the Company initially recognized the September 2024 Convertible Note at its fair value and will subsequently measure the note at fair value with changes in fair value recorded in current period earnings (or other comprehensive income, if specific to Company credit risk). The Company initially recorded the September 2024 Convertible Note at its estimated issuance date fair value of $2,000,000, based on the initial proceeds received. As the proceeds were allocated in full to the September 2024 Convertible Note recorded at fair value, there were no proceeds remaining to allocate to the equity-classified warrants or shares issued under the terms of the September 2024 SPA, on a residual basis. In addition, the Company allocated the issuance costs incurred to the September 2024 Convertible Note, and as such expensed the $95,000 in issuance costs incurred.

 

As of March 31, 2025, and December 31, 2024, the September Note’s fair value was $2,572,734 and $2,094,000, respectively. The Company recognized interest expense of $58,333 (of which $38,889 was paid during the three months ended March 31, 2025), and $0 for the three months ended March 31, 2025, and March 31, 2024, and a total change in fair value of $459,290 and $0 for the three months ended March 31, 2025 and March 31, 2024 (see Note 15 Fair Value Measurements).

 

Encompass Purchase Liability

 

As a result of the acquisition of iDoc and at the closing of the Business Combination on June 24, 2024, the Company assumed the principal balance on an acquisition purchase. On January 1, 2022, iDoc acquired 100% of Encompass Healthcare Billing, LLC. (“Encompass”) with a stock purchase agreement to acquire the equity interests of Encompass, according to the acquisition agreement (“Encompass Acquisition Agreement”). Per the Encompass Acquisition Agreement, iDoc acquired all the outstanding shares of Encompass for a cash payment of $300,000, due upon the closing of the Business Combination. On January 9, 2023, iDoc agreed to an additional obligation of $45,000, which was accounted for as interest expense and reflected in the accrued liabilities as of December 31, 2024. As of March 31, 2025, and December 31, 2024, the value of purchase liability related to the Encompass Acquisition Agreement was $263,918.

 

Note 9 Related Party

 

Related Party Transactions by VSee Labs

 

 Notwithstanding the legal form of the business combination pursuant to the Business Combination Agreement, since the Business Combination was accounted for as a reverse recapitalization between VSee Lab and DHAC, and VSee lab as the accounting acquirer and iDoc as the accounting acquiree and the historical comparative financial information prior to June 24, 2024 as presented in this quarterly report is that of VSee Lab, the following related party transactions incurred by VSee Lab were reported hereby

 

(1)During the year ended December 31, 2022, employees subscribed $127,710 of cash for shares in VSee Lab representing 597,000 common stock shares in VSee Lab. As a result of the closing of the Business Combination, the shares were issued to the subscribing employees for total 239,424 shares of common stock in VSee Health, Inc. and as such the payable was reclassified to equity in additional paid in capital as share were issued. In addition, $210,796 of the related party payable was eliminated at consolidation between iDoc and VSee Lab. The balance due to the related party as of March 31, 2025, and December 31, 2024, was $0 and $51,900, respectively.

 

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(2)During the year ended December 31, 2022, VSee Lab received a loan of $110,000 from the then CEO, Milton Chen, for advance cash and paid operating expenses incurred by VSee Lab. On March 29, 2023, VSee Lab revised the terms of the loan to a 10.00% original issue discount promissory note with a principal balance of $121,000 from Mr. Milton Chen for advance cash and paid operating expenses on behalf of VSee Lab. Notes payable issued with a face value higher than the proceeds received are recognized as a debt discount and amortized as interest expense via effective interest method over the life of the underlying note payable. The promissory note matured on June 27, 2023. Interest is accrued monthly at the annual fixed rate of 12.00%, with principal and interest due upon maturity. The note has a default interest rate of 26% from the default date. As of March 31, 2025, and December 31, 2024, the related party promissory note balance was $121,000. The Company (as the successor of VSee Lab for accounting purposes) recognized $7,757 and $0 in interest expense for the three months ended March 31, 2025, and for the three months ended March 31, 2024. The Company (as the successor of VSee Lab for accounting purposes) had $33,660, and $49,390 in accrued interest as of March 31, 2025, and December 31, 2024, respectively, which is included within accounts payable and accrued liabilities on the condensed consolidated balance sheets.

 

(3)On March 29, 2023, VSee Lab received a 10.00% original issue discount promissory note with a principal balance of $132,000 from the then CEO, Milton Chen, for advanced cash and paid operating expenses on behalf of VSee Lab. Notes payable issued with a face value higher than the proceeds received are recognized as a debt discount and amortized via effective interest method as interest expense over the life of the underlying note payable. The promissory note matured on June 27, 2023. Interest is accrued monthly at the annual fixed rate of 12.00%, with principal and interest due upon maturity. The note has a default interest rate of 26% from the default date. As of March 31, 2025, and December 31, 2024, the related party promissory note net of unamortized debt discount was $132,000. The Company (as the successor of VSee Lab for accounting purposes) recognized $8,462 and $0 in interest expense for the three months ended March 31, 2025, and for the three months ended March 31, 2024. The Company (as the successor of VSee Lab for accounting purposes) had $63,902, and $55,440 in accrued interest as of March 31, 2025, and December 31, 2024, respectively, which is included within accounts payable and accrued liabilities on the condensed consolidated balance sheets.

 

(4)On December 26, 2023, VSee Lab received a 10.00% original issue discount promissory note with a principal balance of $77,000 from the then CEO, Milton Chen, for advanced cash and paid operating expenses on behalf of the Company. Notes payable issued with a face value higher than the proceeds received are recognized as a debt discount and amortized via effective interest method as interest expense over the life of the underlying note payable. The promissory note matured on March 28, 2024. Interest is accrued monthly at the annual fixed rate of 12.00%, with principal and interest due upon maturity. The note has a default interest rate of 26% from the default date. As of March 31, 2025, and December 31, 2024, the balance of the related party promissory note was $70,000. The Company (as the successor of VSee Lab for accounting purposes) recognized $4,936 and $2,310 in accrued interest expense and $4.936 and $7,000 of amortized debt discount for a total interest expense of $4,936 and $9,310 for the three months ended March 31, 2025, and March 31, 2024. The Company (as the successor of VSee Lab for accounting purposes) had $22,261, and $17,325 in accrued interest as of March 31, 2025, and December 31, 2024, respectively, which is included within accounts payable and accrued liabilities on the condensed consolidated balance sheets.

 

Related Party Transactions by iDoc

 

(1)For accounting purposes, it was treated that the Company (as the successor of VSee Lab for accounting purposes) acquired and assumed the following related party transactions incurred by iDoc due to acquisition of iDoc on June 24, 2024 (See Note 4 – Business Combination 1) A related party balance due from the then CEO of iDoc, Imoigele Aisiku, for cash transferred through a company controlled by him. The balance due from the related party on March 31, 2025, and on December 31, 2024, was $292,156 and $531,656 respectively. The transactions and amounts are unsecured and non-interest-bearing and are not necessarily what third parties would agree to.

 

  (2) A note receivable that was issued and sold on September 1, 2022, from iDoc to the then CEO of iDoc, Imoigele Aisiku, with a principal balance of $336,000. During the year ended December 31, 2024, the related party note receivable was written off by the Company and no further balance remaining outstanding. The Company recognized a $245,500 loss upon the write-off of the related party note receivable balance, which was included in the provision for credit losses for the year ended December 31, 2024.

 

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(3)iDoc issued a promissory note on May 15, 2023, with a principal balance of $200,000 from a board member (“Holder”). The note bears no interest and matures on May 15, 2026. iDoc shall use the funds solely for the purchase of telepresence robots. The Holder has security rights to eight (8) telepresence robots, from the 13th to 20th , that iDoc deployed. iDoc is required to make payments to the Holder based on eighty percent (80%) of the monthly revenue generated on the eight telepresence robots from the twelfth through the twentieth deployment of the telepresence robots. As of March 31, 2025, and December 31, 2024, the related party promissory note was $141,651. The loan is included in the Related Party Loan Payable disclosure on the condensed consolidated balance sheets. No interest is recognized for the three months ending March 31, 2025 and March 31, 2024.

 

(4)On March 28, 2024, iDoc issued and sold a secured convertible promissory note in the principal amount of $224,000 (the “Note”) to Mr. David L. Wickersham who became a member of the Company’s board of directors on July 17, 2024. Interest is accrued at $2,000 per month. The Note was fully satisfied and paid off by the issuance of 114,000 shares of the Company common stock to Mr. Wickersham on the maturity date of June 30, 2024.

 

Related Party Transactions by DHAC

 

For accounting purposes, it was treated that the Company (as the successor of VSee Lab for accounting purposes) acquired and assumed the following related party transactions incurred by DHAC due to the reverse merger with DHAC on June 24, 2024 (See Note 12 – Equity).

 

(1)On October 24, 2022, DHAC issued and sold an unsecured promissory note in the aggregate principal amount of $350,000 to Digital Health Sponsor, LLC, the sponsor of DHAC (“Sponsor”) On November 21, 2023, DHAC entered into a Conversion SPA with the Sponsor, pursuant to which the loans in aggregate amount of $350,000 would be converted into Series A Preferred Shares at the Closing of the Business Combination. The Company paid off this promissory note by issuing 350 shares of Series A Preferred Stocks to the Sponsor at the Closing.

 

(2)On February 2, 2023, SCS Capital Partners LLC, a Sponsor affiliate issued a $250,000 interest-free loan to DHAC for Nasdaq fee payment and litigation expense, and on August 17, 2023, such loan was amended and restated to include an additional $315,000 interest-free loan to DHAC for operating expenses, making the aggregate principal amount to be $565,000. On May 5, 2023, SCS Capital Partners, LLC issued another $200,000 loan to DHAC for operating expenses. The related note bears interest of 10% and would mature on May 5, 2024. On November 21, 2023, DHAC entered into a Conversion SPA with SCS Capital Partners LLC, pursuant to which the loans in aggregate amount of $765,000 will be converted into Series A Preferred Shares at the Closing of the Business Combination. The Company paid off this promissory note by issuing 765 shares of Series A Preferred Stocks to SCS Capital Partners LLC at the Closing.

 

(3)SCS, LLC, as the administrator of DHAC, incurred monthly office management and other operating expenses since the inception of DHAC. As of November 21, 2023, a total of $153,000 office expense was incurred. On November 21, 2023, DHAC entered into a Conversion SPA with SCS, LLC, pursuant to which the outstanding office expenses in aggregate amount of $153,000 will be converted into Series A Preferred Shares at the Closing of the Business Combination. The Company paid off this outstanding office expense by issuing 153 shares of Series A Preferred Stocks to SCS, LLC at the Closing.

 

(4)On November 21, 2023, DHAC entered into a convertible note purchase agreement, pursuant to which an institutional and accredited investor, the Quantum Investor, subscribed for and purchased, and the Company issued and sold to the Quantum Investor, after the Closing of the Business Combination on June 25, 2024 and as further amended on July 3, 2024, a 7% original issue discount convertible promissory note, the Quantum Convertible Note, in the aggregate principal amount of $3,000,000. SCS Capital Partners LLC, a Sponsor affiliate, owns approximately 40.74% of the Quantum Investor. As of March 31, 2025, and December 31, 2024, the full principal amount of the Quantum Convertible Note plus interest accrued thereof remains due and payable.

 

(5)On June 21, 2024, we entered into a Consulting Services Agreement with SCS, LLC (“SCS”), who is an affiliate of our Sponsor, pursuant to which we shall pay SCS $12,500 per month for business consulting services and $2,500 per month for access to remote office space in Boca Raton, Florida. In addition, the Consulting Services Agreement calls for the issuance of $25,000 worth of shares of common stock at issuance and an additional $25,000 worth of common stock on or about each of the Company’s filings on Form 10-K or Form 10-Q. The agreement shall continue for twelve (12) months and shall automatically continue on a six-month term basis thereafter unless terminated by either party. During the year ended December 31, 2024, the Company made cash payments totaling $90,000 to SCS, representing consulting service provided to the Company. In addition, the Company issued 2,500 shares of common stock to SCS with a fair value of $25,000 and recognized total consulting expense of $62,500 related to the stock-based compensation for the year ended December 31, 2024. The Company has accrued the remaining $37,500 payable to SCS related to the future common stock issuances.

 

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(6)On June 24, 2024, DHAC owed the Sponsor and certain Sponsor affiliates $504,659 in advance to cover working capital needs, which were non-interest bearing due on demand. On June 25, 2024, $47,800 of such advances were repaid in cash. On November 8, 2024, the Sponsor affiliate, SCS and the Company executed a securities purchase agreement whereby certain working capital funds advanced by SCS in the aggregate amount of $405,000 as of December 31, 2024 were converted into 202,500 shares of Common Stock. The Company determined that the partial settlement of the working capital advances represented a troubled debt restructuring, as the Company determined it was experiencing financial difficulties, and the lender granted a concession through the exchange for shares of Common Stock. Under the troubled debt restructuring accounting, the Company reduced the carrying amount of the working capital funds advances by the fair value of the shares of Common Stock issued ($261,225) and then compared the future undiscounted cash flows associated with the working capital advances to the carrying value. The Company determined an additional $143,775 reduction in the carrying value was necessary to equate it to the future undiscounted cash flows, representing a gain on restructuring. As SCS is a related party to the Company, the restructuring gain was treated as a capital transaction and recorded to additional paid in capital along with the fair value of the shares of common stock issued in the settlement. As of March 31, 2025, and December 31, 2024, $51,900 of advances due to the Sponsor and certain Sponsor affiliates remain due and payable. The Sponsor has no further obligation to fund working capital needs.

 

  (7) On December 13, 2024, the Company issued 50,000 shares to Dominion Capital to settle the ELOC Commitment Fee Note upon conversion. After the transfer of the shares, Dominion Capital owned a total of 600,000 shares of the Company as of December 31, 2024.

 

Note 10 Commitments, Contingencies, and Concentration Risk

 

Litigation

 

We are currently involved in, and may in the future be involved in, legal proceedings, claims, and government investigations in the ordinary course of business. These include proceedings, claims, and investigations relating to, among other things, regulatory matters, commercial matters, intellectual property, competition, tax, employment, pricing, discrimination, consumer rights, personal injury, and property rights.

 

Depending on the nature of the proceeding, claim, or investigation, we may be subject to settlement awards, monetary damage awards, fines, penalties, or injunctive orders. Furthermore, the outcome of these matters could materially adversely affect the Company’s business, results of operations, and financial condition. The outcomes of legal proceedings, claims, and government investigations are inherently unpredictable and subject to significant judgment to determine the likelihood and amount of loss related to such matters. While it is not possible to determine the outcomes, the Company believes based on its current knowledge that the resolution of the sole pending matter will not, either individually or in the aggregate, have a material adverse effect on the business, results of operations, cash flows or financial condition.

 

On July 25, 2024, the Company was notified of a lawsuit filed against it. The plaintiffs’ claims arose out of an alleged breach of contract and unjust enrichment. The plaintiffs are seeking payment under the promissory notes, payments related to the breach of the Encompass Acquisition Agreement, prejudgment and post judgment interest, and reasonable attorneys’ fees. In response to this lawsuit, the Company, through its attorney, denied all allegations of breach of contract and unjust enrichment, and filed a counterclaim seeking breach of contract on the part of plaintiffs for failure to pay amounts owed to Encompass for services it rendered to plaintiffs, and breach of contract for failure to pay a corporate credit card bill, promissory estoppel, and unjust enrichment. The lawsuit is currently pending in federal court before the US District Court for the District of Colorado. The parties began engaging in settlement discussions shortly after the complaint was served and are still actively engaged in such discussions.

 

Contingencies

 

During the normal course of business, the Company may be exposed to litigation. When the Company becomes aware of potential litigation, it evaluates the merits of the case in accordance with ASC 450, Contingencies. Litigation and contingency accruals are based on the Company’s assessment, including advice of legal counsel, regarding the expected outcome of litigation or other dispute resolution proceedings. If the Company determines that an unfavorable outcome is probable and can be reasonably assessed, it establishes the necessary accruals.

 

(1)For accounting purposes, it was treated that the Company (as the successor of VSee Lab for accounting purposes) acquired and assumed the following commitments by iDoc due to the reverse merger with DHAC and iDoc on June 24, 2024 (See Note 4 – Business Combination iDoc entered into a purchase agreement with a vendor to purchase twenty (20) Telepresence Robots, receive maintenance services, and access user-related Ava Telepresence applications and the Ava Cloud Service for a total purchase commitment of $711,900. As of March 31, 2025, and December 31, 2024, the Company (as the successor of VSee Lab for accounting purposes) had an unpaid commitment of $179,900 and $179,900, respectively on this agreement. The commitment is not reflected in the condensed consolidated financial statements as it is due and payable upon invoicing from the vendor for delivery and servicing installation of the Telepresence Robots and software applications.

 

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(2)iDoc has a promissory note with a principal balance of $200,000 with a related party (See - Note 8 Related Party Transactions by iDoc sub-point (3)). The related party has security rights to eight (8) telepresence robots, from the 13th to 20th , that iDoc deployed. iDoc is required to make payments to the holder based on eighty percent (80%) of the monthly revenue generated on the eight telepresence robots from the thirteenth through the twentieth deployment of the telepresence robots. The monthly revenue generated on the eight telepresence robots deployed by iDoc would be used to pay off principal balance of the note. Once the principal balance is paid off, iDoc will continue making payments through the deployment of 125 telepresence robots by iDoc.

 

(3)On May 12, 2023, iDoc entered in a partnership agreement with an accredited investor to agree and collaborate in the development of telepresence robots for telehealth solutions. The investor pledged to pay $352,000 directly to the vendor. In consideration thereof, the investor is entitled to 80% of the monthly revenue generated from the first eleven telepresence robots deployed by iDoc under the partnership agreement. Payments will continue until the last remaining robot is being paid for by customers and will remain as full payments for the length of time that a minimum of eleven robots are deployed. After the number reduces below eleven deployed robots, the amount will pro rate down but will remain in the same ratio as 80% of the monthly revenue generated.

 

  (4) On November 1, 2023, the iDoc entered a forbearance agreement related to the promissory note and line of credit issued by a bank on November 29, 2021, and its finance leases. (See Note 8 – Line of Credit and Notes Payable). Pursuant to the forbearance agreement, effective November 1, 2023, the interest rate on the promissory note and the line of credit is payable monthly at 3% above the Wall Street Journal prime rate (8.5% at March 31, 2025). In consideration of the bank forbearing on its right to collect the amount due and owing until January 10, 2024, iDoc agreed to make respective payments of $20,000 on November 13, 2023, and $80,000 on November 30, 2023. iDoc defaulted on the forbearance at the end of December 2023. Upon default of the forbearance agreement, the lender has the right to take appropriate action to collect the amounts owed. The bank’s forbearance obligation shall terminate immediately, irrevocably, and without notice in the event of the borrower’s default under any provision of this agreement. This litigation was resolved by Agreed Judgment signed by the Court on June 24, 2024, under the judgment, the Company subsequently revised the forbearance agreement on December 13, 2024. Under the revised forbearance, the Company agreed to monthly payments of $25,000 beginning January 2025 to May 2025, and a payment in full of $1,541,106 on June 16, 2025. On August 27, 2025, the Company revised the forbearance agreement and agreed to a payment of $50,000 on September 5, 2025 and a further payment of $100,000 on November 30, 2025. The remaining balance on the forbearance agreement is due December 10, 2025 As of March 31, 2025, the Company has accrued the obligation in Line of credit and note payable, net of discount, Right - of - use liability - financing, and accrued interest is included in accounts payable and accrued liabilities.

 

(5)VSee Lab has a reseller agreement with a vendor to generate revenue opportunities in the international market. As of March 31, 2025, and December 31, 2024, the Company (as the successor of VSee Lab for accounting purposes) has an unpaid commitment of $582,677 and $82,677, respectively, on this reseller agreement. The commitment is not reflected in the condensed consolidated financial statements as the commitment is due and payable once revenues are generated under the reseller agreement. VSee Lab entered into the reseller agreement to generate market share in the international market, and payments are based on revenues generated by the reseller.

 

As of March 31, 2025, the Company determined that the range of loss cannot be reasonably estimated, and no reserve was established for the contingency.

 

VSee Health, Inc. Incentive Plan

 

DHAC approved and adopted the VSee Health, Inc. 2024 Equity Incentive Plan (the “2024 Plan”) to be effective as of one day prior to the closing Business Combination. The Incentive Plan provides for an initial share reserve equal to 15% of the number of shares of Company common stock outstanding (including shares of Company common stock issuable upon conversion of the outstanding Series A Preferred Stock) following the closing after giving effect to the Business Combination. As such, on June 24, 2024, the Company reserved 2,544,021 shares of its common stock for issuance under the 2024 Plan.

 

Indemnities

 

The Company generally indemnifies its customers for the services it provides under its contracts and other specified liabilities, which may subject the Company to indemnity claims, liabilities, and related litigation. As of March 31, 2025, and December 31, 2024, the Company was unaware of any material asserted or unasserted claims concerning these indemnity obligations.

 

Concentrations of Credit Risk

 

Financial instruments potentially subject the Company to credit risk concentrations consisting of cash and trade accounts receivables. The Company maintains all its cash in commercial depository accounts, insured by the Federal Deposit Insurance Corporation. At times, cash deposits may exceed federally insured limits. Any loss incurred or lack of access to such funds could have an adverse impact on the Company’s financial condition, results of operations, and cash flows.

 

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Major Customer Concentration

 

The Company has two customers whose accounts receivable represented 58% of the Company’s total accounts receivable as of March 31, 2025. In the aggregate, the Company had two customers whose accounts receivable represented 50% of the Company’s total accounts receivable as of December 31, 2024.

 

The Company has one customer whose revenue accounted for approximately 26% of the Company’s total revenue for the three months ended March 31, 2025. The Company has one customer whose revenue accounted for approximately 12% of the Company’s total revenue for the three months ended March 31, 2024.

 

Major Vendor Concentration

 

The Company had one vendor whose accounts payable and accrued liabilities represented 21% of the Company’s total accounts payable and accrued liabilities as of March 31, 2025. The Company had one vendor whose accounts payable and accrued liabilities represented 22% of the Company’s total accounts payable and accrued liabilities as of December 31, 2024.

 

Other Matters

 

The Company continues to analyze potential sales tax exposure using a state-by-state assessment. In accordance with ASC 450, Contingencies, the Company estimated and recorded a liability of $1,067,461 and $999,548 as of March 31, 2025, and December 31, 2024, respectively, within accounts payable and accrued liabilities on the consolidated balance sheets. The Company recorded a sales tax expense of $67,913 and $0 during the three months ended March 31, 2025, and March 31, 2024, respectively.

 

Note 11 Income Taxes

 

The components of our income or (loss) before income taxes were as follows:

 

   For the three months ended 
   March 31,
2025
   March 31,
2024

(Restated)

 
United States  $(3,945,935)  $94,750 
Total  $(3,945,935)  $94,750 

 

For the three months ended March 31, 2025, and March 31, 2024, the Company recorded income tax expense of $13,505 and $0, respectively, for continuing operations. The effective tax rate of (0.35%) and 0.00% applied to income for three months ended March 31, 2025 and March 31, 2024, respectively, varied from the statutory United States federal income tax rate of 21.0% primarily due to the effect of state income taxes, net of the federal benefit, and adjustments for meals, entertainment and penalties, changes in fair value of financial instruments, stock compensation expenses and changes to valuation allowance.

 

The Company evaluates and updates the estimated annual effective income tax rate on a quarterly basis based on current and forecasted operating results and tax laws. Consequently, based upon the mix and timing of the Company’s actual earnings compared to annual projections, the effective tax rate may vary quarterly and may make quarterly comparisons not meaningful. The quarterly income tax provision is generally comprised of tax expense on income or benefit on loss at the most recent estimated annual effective tax rate. The tax effect of discrete items is recognized in the period in which they occur at the applicable statutory rate.

 

The Company does not have any uncertain income tax positions as at March 31, 2025, and December 31, 2024.

 

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Note 12 Equity

 

Preferred Stock

 

The Company has 10,000,000 shares of preferred stock authorized with a par value of $0.0001. The Company has designated 6,500 of such shares as Series A Preferred Stock and 6,158 shares as Series A Preferred Stock were issued and outstanding as of March 31, 2025, and December 31, 2024.

 

Series A Preferred Stock

 

The Series A Preferred has the following rights and privileges:

 

Voting – Series A preferred stockholders are permitted to vote with the same voting rights as common stockholders in any actions to be taken by the stockholders of the Company, including any action with respect to the election of directors to the Board of Directors of the Company. With respect to any vote with the class of Common Stock, each Preferred Share shall entitle the holder thereof to cast that number of votes per share as is equal to the number of shares of Common Stock into which it is then convertible (subject to the ownership limitations specified 4.99%) using the record date for determining the stockholders of the Company eligible to vote on such matters as the date as of which the Conversion Price is calculated.

 

Dividends – Series A preferred stockholders shall be entitled to receive cumulative participating dividends when and if declared. Dividends are prior and in preference to any declaration or payment of any dividend to the common stockholders of the Company.

 

Liquidation – In the event of a Liquidation Event, the Holders shall be entitled to receive in cash out of the assets of the Company, whether from capital or from earnings available for distribution to its stockholders (the “Liquidation Funds”), before any amount shall be paid to the holders of any of shares of Junior Stock, but junior with respect to any Senior Preferred Stock then outstanding, an amount per Preferred Share equal to the amount per share such Holder would receive if such Holder converted such Preferred Share into Common Stock immediately prior to the date of such payment.

 

Conversion – Series A preferred stock is convertible into common stock at the option of the holder, at any time after the earlier of (i) twelve months from the Initial Issuance Date (June 24, 2024) or (ii) the date on which no shares of Series A preferred stock remain outstanding, at the initial rate of $10.00 per share, with an alternate optional conversion, with respect to any Alternate Conversion that price which shall be the lowest of (i) the applicable Conversion Price as in effect on the applicable Conversion Date of the applicable Alternate Conversion, and (ii) the greater of (x) the Floor Price and (y) 90% of the price computed as the quotient of (I) the sum of the VWAP of the Common Stock for each of the three (3) Trading Days with the lowest VWAP of the Common Stock during the ten (10) consecutive Trading Day period ending and including the Trading Day immediately preceding the delivery or deemed delivery of the applicable Conversion Notice, divided by (II) three (3) (such period, the “Alternate Conversion Measuring Period”). All such determinations to be appropriately adjusted for any stock dividend, stock split, stock combination, reclassification or similar transaction that proportionately decreases or increases the Common Stock during such Alternate Conversion Measuring Period.

 

Redemption – The Company shall have the right to redeem all, or any portion, of the Series A preferred stock then outstanding at a price equal to 100% of the stated value ($1,000 per share) of the shares being redeemed. The Company’s right to redeem the Series A preferred stock is one-time in nature and such exercise shall be irrevocable. The preferred stock are not mandatorily redeemable.

 

The Company reviewed the Series A Preferred Stock under ASC 480 and ASC 815 and concluded that Series A Preferred Stock did not include any elements that would preclude them from equity treatment and therefore are not subject to the liability treatment under ASC 480 or derivative guidance under ASC 815.

 

Common Stock

 

The Company is authorized to issue 100,000,000 shares of common stock with a par value of $0.0001 per share. As of March 31, 2025, and December 31, 2024, there were 16,422,190 and 16,297,190 shares of common stock outstanding. The Company issued 125,000 common stock during the three months ended March 31, 2025.

 

Voting rights – Each holder of Common Stock is entitled to one vote for each share of Common Stock held of record by such holder on all matters on which stockholders generally are entitled to vote. The holders of Common Stock do not have cumulative voting rights in the election of directors. Generally, all matters to be voted on by stockholders must be approved by a majority (or, in the case of election of directors, by a plurality) of the votes entitled to be cast by all stockholders present in person or represented by proxy, voting together as a single class. 

 

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Dividend Rights  Subject to preferences that may be applicable to any outstanding Preferred Stock, the holders of shares of Common Stock are entitled to receive ratably such dividends, if any, as may be declared from time to time by the Board out of funds legally available for such purposes. 

 

Liquidation Rights  In the event of any voluntary or involuntary liquidation, dissolution or winding up of the Company’s affairs, the holders of Common Stock are entitled to share ratably in all assets remaining after payment of the Company’s debts and other liabilities, subject to prior distribution rights of Preferred Stock or any class or series of stock having a preference over the Common Stock, then outstanding, if any. 

 

Other rights  The holders of Common Stock have no pre-emptive or conversion rights or other subscription rights. There are no redemption or sinking fund provisions applicable to the Common Stock. The rights, preferences and privileges of holders of the Common Stock will be subject to those of the holders of any shares of the Preferred Stock that the Company may issue in the future.

 

Stock Options

 

In June 2024, the DHAC board of directors and stockholders approved the 2024 Plan. There are currently 2,544,021 shares of common stock reserved for issuance under the 2024 Plan. At the closing of the Business Combination on June 24, 2024, the Company granted 803,646 stock options with an exercise price equal to $12.11 pursuant to the 2024 Plan to the individuals, in the amounts, and on the terms set forth in the Business Combination Agreement.

 

The 2024 Plan provides for the grant of stock options, including options that are intended to qualify as “incentive stock options” under Section 422 of the Code, as well as non-qualified stock options. Each award is set forth in a separate agreement with the person who received the award which indicates the type, terms and conditions of the award. 

 

As of March 31, 2025, unrecognized compensation cost related to the unvested options granted was approximately $373,977 to be recognized through June 2025. The value of the fully vested options which were included as part of the recapitalization were valued at $5,728,784 on June 24, 2024, grant date and closing of the business combination. Stock-based compensation expense of $400,297 was recognized for the three months ended March 31, 2025, within compensation and related benefits on the consolidated statements of operations, and no stock-based compensation expense was recognized during the three months ended March 31, 2024.

 

Common Stock Issuance Obligation

 

In connection with the Business Combination on June 24, 2024, the Company agreed to assume an obligation by iDoc to issue 51,192 shares of common stock (contingent on the Business Combination) to certain employees. In accordance with ASC 718, the Company determined that it was not obligated to replace the awards, and as such, recognized the fair value of the award at the Business Combination date as additional stock-based compensation (included in cost of revenues). The grant date fair value was estimated to be $619,935 (see Note 15 Fair Value Measurements). The Company also determined that it should classify this award as a liability under ASC 718 and remeasure the award at its then current fair value at each reporting date. As of March 31, 2025, and December 31, 2024, the common stock issuance obligation was adjusted to $61,430 and $69,621, respectively, and the net stock-based compensation expense reversed was $8,191 and $0 for the three months ended March 31, 2025, and March 31, 2024, respectively.

 

As of March 31, 2025, and December 31, 2024, no shares of common stock have been issued under the common stock issuance obligation arrangements.

 

NOTE 13 Warrants

 

DHAC Assumed Warrants

 

The Company has analyzed the public warrants, private warrants, bridge warrants (as defined below), September 2024 warrants (as defined below) and the Extension warrants (as defined below) and determined they are considered to be freestanding instruments and do not exhibit any of the characteristics in ASC 480 and therefore are not classified as liabilities under ASC 480. The warrants meet all of the requirements for equity classification under ASC 815 and therefore are classified in equity. Below is a summary of the warrants issued and outstanding:

 

   Public   Private   Bridge   Extension   September
2024
Warrants
   Total 
Outstanding, December 31, 2024   11,500,000    557,000    173,913    26,086    740,741    12,997,740 
Issued                        
Exercised                        
Outstanding, March 31, 2025   11,500,000    557,000    173,913    26,086    740,741    12,997,740 
                               
Exercisable, March 31, 2025   11,500,000    557,000    173,913    26,086    740,741    12,997,740 
                               
Weighted Average Exercise Price  $11.5   $11.5   $11.5   $11.5   $2.25   $9.65 
Weighted Average Remaining Life in Years   4.23    4.23    2.51    3.10    4.50    3.71 

 

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Public and Private Warrants

 

As of March 31, 2025, 12,057,000 public and private warrants remain outstanding, originally issued by DHAC in connection with its initial public offering and assumed through the Business Combination. Each warrant entitles the holder to purchase one share of common stock at $11.50, subject to adjustment. Warrants become exercisable post-business combination and expire five years thereafter. Exercise requires an effective registration statement; otherwise, holders may exercise on a cashless basis if permitted under applicable exemptions. The Company may redeem warrants at $0.01 per warrant under certain conditions, including share price thresholds and notice requirements. Adjustments to exercise terms may occur under specific corporate actions.

 

Bridge Warrants

 

In connection with the Business Combination, the Company assumed 173,913 warrants to the Bridge Investor (the “Bridge Warrants”) issued on October 6, 2022. Each Bridge Warrant entitles the holder to purchase one share of common stock at $11.50 and expires five years from issuance. If no effective registration statement is available, Bridge Warrants may be exercised on a cashless basis. The exercise price and share count are subject to adjustment for corporate actions and certain issuances. Holders do not have shareholder rights until exercise.

 

Extension Warrants

 

In connection with the Business Combination, the Company assumed 26,086 Extension Warrants issued on May 5, 2023. Each Extension Warrant allows the holder to purchase one share of common stock at $11.50 and expires five years from issuance. If no effective registration statement is available, warrants may be exercised on a cashless basis. The exercise price and share count are subject to adjustment for corporate actions and certain issuances. Holders do not have shareholder rights until exercise.

 

September 2024 Warrants

 

On September 30, 2024, the Company issued 740,741 warrants to an institutional investor under a securities purchase agreement (the “September 2024 Warrants”). Each September 2024 Warrant is exercisable for one share of common stock at $2.25 per share for five years, subject to standard and down-round antidilution adjustments. The September 2024 Warrants were classified in stockholders’ deficit under ASC 480 and ASC 815-40. The Company will reserve sufficient shares for potential exercises and adjust terms for corporate actions or dilutive issuances. Holders do not have shareholder rights until exercise.

 

Note 14 Reportable Segments

 

Subsequent to the Business Combination in June 2024 (see Note 4 - Business Combination), the Company has two reportable segments: Technology and Telehealth. These two reportable segments align with the two legacy operating entities (VSee Lab and iDoc) which merged together upon the closing of the Business Combination. Operating segments are defined as components of an enterprise where separate financial information is evaluated regularly by a chief operating decision maker (“CODM”) in deciding how to allocate resources and assess performance. As of March 31, 2025, the Company’s CODM role was shared between the two Co-CEOs.

 

The CODM reviews gross margin and income (loss) from operations from our reportable segments to evaluate budgets and forecasts, assess actual performance and allocate resources. The CODM review focuses on month to month and quarter to quarter changes in these profit measures in order to identify potential future liquidity issues, evaluate performance and need for potential cost reductions and identify potential vendor sourcing changes. The CODM also reviews the operating segment’s assets, which mainly includes review of the accounts receivable accounts. 

 

Our reportable segments are described below. The Company has no inter-segment revenues. 

 

Telehealth Services – The Company’s proprietary technology platform and modular software solution empower users to plug and play telehealth services with end-to-end encrypted video streaming integrated with medical device data, electronic medical records, and other sensitive data, with multiple other interactive functionalities that enable teamwork that the Company believes are not available from any other system worldwide.  

 

Healthcare Technology - The Company’s core platform is a highly scalable, integrated, application program interface (“API”) driven technology platform, for virtual healthcare delivery, with multiple real-time integrations spanning the healthcare ecosystem. The platform’s APIs power external connectivity and deep integration with a wide range of payors, electronic medical records, third-party applications, and other interfaces with employers, hospital systems, and health systems, which we believe uniquely positions us as a long-term partner meeting the unique needs of the rapidly changing healthcare industry. The Company will also be able to white label our solutions, so they fit into the plans and strategies of our clients, all on a platform that is high-performance and highly scalable.

 

The accounting policies of our reportable segments are the same as those described in the “Summary of Significant Accounting Policies” for the Company. In addition, the Company currently operates in one primary geographic area (the United States) and as such, the disclosures below are attributable to that geographic area.

 

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Revenue and costs are generally directly attributed to our segments, based on the historical separation of these two operating segments (as prior separate operating entities). In addition, the Company incurs certain costs at the corporate level, which generally include legal, finance and accounting and consulting, investor relations and insurance costs, as well as certain executive compensation costs. These costs recorded at the corporate level are not allocated to the operating segments and are reflected as the “Unallocated corporate overhead expenses” in the summary tables below.

 

For three months ended March 31, 2025  Technology   Telehealth   Total 
             
Revenues:            
Subscription fees   827,345    -    827,345 
Professional services and other fees   896,680    -    896,680 
Technical engineering fees   399,846    -    399,846 
Patient fees   -    711,264    711,264 
Telehealth fees   -    483,850    483,850 
Institutional fees   -    2,500    2,500 
Total revenues   2,123,871    1,197,614    3,321,485 
                
Cost of revenues   1,074,124    387,390    1,461,514 
Segment gross margin   1,049,747    810,224    1,859,971 
                
Less (1):               
Compensation and related benefits   1,164,051    412,319    1,576,370 
General and administrative   239,933    981,079    1,221,012 
Segment operating loss   (354,237)   (583,174)   (937,411)
                
Reconciliation to loss before provision for income taxes:               
Unallocated corporate overhead expense             (893,907)
Interest expense             (730,665)
Other income, net             15,539 
Loss on issuance of financial instrument             (138,020)
Change in fair value of financial instruments             (1,261,471)
Loss before provision for income taxes             (3,945,935)

 

(1)The significant expense categories and amounts align with the segment-level information that is regularly provided to the CODM.

 

For three months ended March 31, 2024 (Restated)  Technology   Telehealth (1)   Total 
             
Revenues:            
Subscription fees   1,005,202       -    1,005,202 
Professional services and other fees   327,843    -    327,843 
Technical engineering fees   287,950    -    287,950 
Patient fees   -    -    - 
Telehealth fees   -    -    - 
Institutional fees   -    -    - 
Total revenues   1,620,995    -    1,620,995 
                
Cost of revenues   386,253    -    386,253 
Segment gross margin   1,234,742    -    1,234,742 
                
Less:               
Compensation and related benefits   893,577    -    893,577 
General and administrative   210,767    -    210,767 
Transaction expenses   26,338         26,338 
Segment operating income   104,060    -    104,060 
                
Reconciliation to income (loss) before income taxes:               
Interest expense             (9,310)
Income before provision for income taxes             94,750 

 

(1)The Telehealth segment was first identified as a segment by the Company effective upon the close of the Business Combination in June 2024, as the Telehealth segment aligns with the legacy iDoc operating entity acquired at that time.

 

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The summary information regarding the reportable segment total assets at March 31, 2025, and December 31, 2024, are as follows:

 

   2025   2024 
Total Assets:        
Technology  $1,541,470   $1,503,995 
Telehealth   17,712,598    18,271,724 
Non-operating corporate   141,618    216,769 
Total  $19,395,686   $19,992,488 

 

   2025   2024 
Total Goodwill:        
Technology  $   $ 
Telehealth   4,916,694    4,916,694 
Non-operating corporate        
Total  $4,916,694   $4,916,694 

 

Some additional summary information regarding the reportable segment depreciation and amortization and capital expenditures at March 31, 2025, and 2024 (Restated) are as follows:

 

   2025   2024
(Restated)
 
Depreciation and Amortization:        
Technology  $2,161   $618 
Telehealth   644,876     
Total  $647,037   $618 

 

   2025   2024
(Restated)
 
Capital Expenditures:        
Technology  $11,873   $8,740 
Telehealth        
Total  $11,873   $8,740 

 

   2025   2024
(Restated)
 
Interest Expense:        
Technology  $21,158   $9,310 
Telehealth   54,252     
Non-Operating corporate   655,255     
Total  $730,665   $9,310 

 

Note 15 Fair Value Measurements

 

The following tables present fair value information as of March 31, 2025, and December 31, 2024. The Company’s financial liabilities that were accounted for at fair value on a recurring basis indicate the fair value hierarchy of the valuation techniques the Company utilized to determine such fair value:

 

March 31, 2025  Fair Value   (Level 1)   (Level 2)   (Level 3) 
Liabilities:                
Exchange Note  $2,462,897   $   $   $2,462,897 
Equity line of credit  $44,953   $   $   $44,953 
Quantum Convertible Note, related party  $3,691,806   $   $   $3,691,806 
September 2024 Convertible Note  $2,572,734   $   $   $2,572,734 
Common stock issuance obligation  $61,430   $61,430   $   $ 
March 2025 Convertible Note  $238,020   $   $   $238,020 

 

December 31, 2024  Fair Value   (Level 1)   (Level 2)   (Level 3) 
Liabilities:                
Exchange Note  $1,499,000   $   $   $1,499,000 
Equity line of credit  $80,000   $   $   $80,000 
Quantum Convertible Note, related party  $3,248,000   $   $   $3,248,000 
September 2024 Convertible Note  $2,094,000   $   $   $2,094,000 
Common stock issuance obligation  $69,621   $69,621   $   $ 

 

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Measurement

 

Quantum Convertible Note

 

The Company established the initial fair value for the Quantum Convertible Note as of June 25, 2024, which was the date the Quantum Convertible Note was funded. As of March 31, 2025, and December 31, 2024, the fair value was remeasured. As such, the Company used the Monte Carlo model (“MCM”) that fair values the debt. The MCM was used to value the Quantum Convertible Note for the initial periods and subsequent measurement periods. The initial value in excess of proceeds on June 25, 2024, was recognized in the statement of operations under loss on issuance of financial instruments. The change in fair value between December 31, 2024, and March 31, 2025, was recognized in the statement of operations under change in fair value of financial instruments.

 

The Quantum Convertible Note was classified within Level 3 of the fair value hierarchy at the initial measurement date and as of March 31, 2025, and December 31, 2024, due to the use of unobservable inputs. The key inputs into the MCM model for the Quantum Convertible Note were as follows at March 31, 2025, and at December 31, 2024:

 

   March 31,
2025
   December 31,
2024
 
Risk-free interest rate   3.92%   4.20%
Expected term (years)   1.25    1.50 
Volatility   118.85%   138.00%
Stock price  $1.20   $1.36 
Debt discount rate   13.90%   9.30%

 

Exchange Note

 

The Company established the initial fair value for the Exchange Note as of June 24, 2024, the date the Business combination closed. As of March 31, 2025, and December 31, 2024, the fair value was remeasured. The MCM was used to value the Exchange Note for the initial periods and subsequent measurement periods up to December 31, 2024. For March 2025, the Company has determined the fair value under a default scenario, wherein the expected payout is primarily based on the assumption that settlement will occur on the contractual maturity date. The change in fair value between December 31, 2024, and March 31, 2025, was recognized in the statement of operations under “Change in fair value of financial instruments”.

 

The Exchange Note was classified within Level 3 of the fair value hierarchy at the initial measurement dates and as of March 31, 2025, and December 31, 2024, due to the use of unobservable inputs. The key inputs into the valuation models for the Exchange Note were as follows at March 31, 2025, and December 31, 2024:

 

   March 31,
2025
   December 31,
2024
 
Risk-free interest rate   4.05%   4.08%
Expected term (years)   0.73    0.98 
Volatility*   -%   156.00%
Stock price*  $-   $1.36 
Debt discount rate*   -%   42.50%

 

*These assumptions are not used for valuation of Exchange Note as of March 31, 2025.

 

ELOC Purchase Agreement

 

The Company established the initial fair value for the ELOC Purchase Agreement as of June 24, 2024, the date the Business combination closed. As of March 31, 2025, and December 31, 2024, the fair value was remeasured. As such, the Company used the MCM that fair values the early termination/repayment features of the debt. The MCM was used to value the ELOC Purchase Agreement for the initial periods and subsequent measurement periods. The change in fair value between December 31, 2024 and March 31, 2025, was recognized in the condensed consolidated statements of operations under change in fair value of financial instruments.

 

The ELOC Purchase Agreement was classified within Level 3 of the fair value hierarchy at the initial measurement dates and as of March 31, 2025, and December 31, 2024, due to the use of unobservable inputs. The key inputs into the MCM model for the ELOC Purchase Agreement were as follows at March 31, 2025, and at December 31, 2024:

 

   March 31,
2025
   December 31,
2024
 
Risk-free interest rate   3.89%   4.26%
Expected term (years)   2.25    2.51 
Volatility   114.04%   124.00%
Stock price  $1.20   $1.36 

 

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September 2024 Convertible Note

 

The Company established the initial fair value for the September 2024 Convertible Note as of September 30, 2024, which was the date the note was funded. As of March 31, 2025, and December 31, 2024, the fair value was remeasured. The Company used a probability-weighted scenario model that accounts for three scenarios, (a) repayment in accordance with terms of the note through maturity, (b) the occurrence of a change in control, and (c) the occurrence of event of default. Under the repayment at maturity scenario, the Company considers the potential settlement value of the September 2024 Convertible Note based on the defined repayment schedule. On each repayment date, the analysis considers whether the holder would exercise its conversion option in relation to the principal to be repaid, in the event that the value obtained upon conversion would exceed the value of the cash payable per the repayment schedule. Under a default scenario, the Company estimates that the lender would recover approximately 44% of the principal outstanding. Due to the arm’s-length nature of the transaction, the note is calibrated at issuance using a discount percentage, such that the value of the note is equal to the proceeds received from the investor, and the additional instruments issued (warrants and shares of common stock) were considered equity sweeteners). This valuation model was used to value the September 2024 Convertible Note as of March 31, 2025, and December 31, 2024.

 

The change in fair value between December 31, 2024, and March 31, 2025, was recognized in the condensed consolidated statements of operations under change in fair value of financial instruments.

 

The September 2024 Convertible Note was classified within Level 3 of the fair value hierarchy at December 31, 2024, and as of March 31, 2025, due to the use of unobservable inputs. The key inputs into the valuation model for the September 2024 Convertible Note were as follows at March 31, 2025, and December 31, 2024:

 

   March 31,
2025
   December 31,
2024
 
Risk-free interest rate   4.03%   4.27%
Expected term (years)   1.00    4.75 
Volatility   112.73%   113.00%
Stock price  $1.20   $1.36 
Market discount rate   13.90%   8.22%

 

Common Stock Issuance Obligation

 

The Company established the initial fair value for the common stock issuance obligation to certain employees of the historical iDoc entity as of June 24, 2024, the date the Business Combination closed (see discussion in Note 2, Restatement of Previously Issued Financial Statements). As of March 31, 2025, and December 31, 2024, the fair value was remeasured. As the obligation is to issue shares of the Company’s common stock, the Company estimated the fair value of the obligation based on the shares of common stock expected to be issued and the closing price of the Company’s common stock on the date of the fair value measurement. As the key inputs into this fair value estimate are observable, the Company classified the common stock issuance obligation within Level 1 of the fair value hierarchy as of March 31, 2025, and December 31, 2024. The change in fair value between December 31, 2024, and March 31, 2025, was recognized as compensation expense within cost of revenues in the condensed consolidated statement of operations.

 

March 2025 Convertible Note

 

The Company established the initial fair value for the March 2025 Convertible Note as of March 20, 2025, which was the date the March 2025 Convertible was funded. As of March 31, 2025, the fair value was remeasured. As such, the Company used the Monte Carlo model (“MCM”) that fair values the debt. The MCM was used to value the March 2025 Convertible Note for the initial periods and subsequent measurement periods. The change in fair value between March 20, 2025, and March 31, 2025, was recognized in the condensed consolidated statement of operations under change in fair value of financial instruments.

 

The March 2025 Convertible Note was classified within Level 3 of the fair value hierarchy as of March 20, 2025, and March 31, 2025, due to the use of unobservable inputs. The key inputs into the MCM model for the March 2025 Convertible Note were as follows at March 31, 2025, and at March 20, 2025:

 

   March 31,
2025
   March 20,
2025
 
Risk-free interest rate   4.06%   4.06%
Expected term (years)   0.72    0.72 
Volatility   115.61%   115.61%
Stock price  $1.20   $1.20 

 

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Level 3 Changes in Fair Value

 

The change in the fair value of the Level 3 financial liabilities for the period from December 31, 2024, through March 31, 2025, is summarized as follows:

 

   Quantum          September   Common
Stock
   M2B     
   Convertible
Note
   Exchange
Note
   ELOC   Convertible
Note
   Issuance
Obligation
   Convertible
Note
   Total 
Fair value as of December 31, 2024  $3,248,000   $1,499,000   $80,000   $2,094,000   $69,621   $   $6,990,621 
Initial fair value at issuance                       238,020    238,020 
(Gain) Loss on change in fair value   443,806    963,897    (35,047)   478,734    (8,191)       1,843,199 
Fair value as of March 31, 2025  $3,691,806   $2,462,897   $44,953   $2,572,734   $61,430   $238,020   $9,071,840 

 

Transfers to/from Levels 1, 2 and 3 are recognized at the end of the reporting period in which a change in valuation technique or methodology occurs. There were no transfers to or from the various levels for the three months ended March 31, 2025, and December 31, 2024.

 

Note 16 Subsequent Events

 

The Company evaluated subsequent events from the date of the condensed consolidated balance sheets as of March 31, 2025 through the date of the release of the condensed consolidated financial statements.

 

On July 2, 2025, the Company issued the ELOC Commitment Fee Note in a principal amount of $500,000 that is payable only in shares of the Company’s common stock at an initial price of $10 per share.

 

On July 3, 2025, the Company and the Quantum Investor entered into an amendment to the Quantum Note (“Amended Note”) to change the maturity date from June 25, 2025, to June 30, 2026, and to provide that eighteen months of interest will be guaranteed regardless of early pay or redemption.

 

On August 2, 2025, the Bridge Investor converted (1) $4,630 principal amount under the $55,556 Additional Bridge Note issued and sold to the Bridge Investor on January 25, 2024, and (2) $27,778 principal amount under the $111,111 Additional Bridge Note issued and sold to the Bridge Investor on November 21, 2023, for an aggregate of 14,199 shares of the Company common stock.

 

On August 5, 2025, the board approved stock grants totaling 227,500 shares of common stock to vendors as consideration for services rendered and payable.

 

On August 8, 2025, the Bridge Investor converted $500,000 principal amount under the Exchange Note issued and sold to the Bridge Investor on June 24, 2024, for 213,759 shares of the Company’s common stock.

 

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On August 28, 2025, the Company entered into an amendment to the Quantum Convertible Note referenced in Note 8, Line of Credit and Notes Payable, Net of Discount. The amendment provides for additional cash proceeds of $380,000 and an equivalent increase to the principal balance outstanding as of March 31, 2025, of $3,000,000. The amendment did not result in any other changes to the terms of the existing Quantum Convertible Note agreement. The March 2025 Convertible Note will be receiving an equity kicker of 500,000 restricted common shares for their assistance with the additional Quantum Convertible Note investment. 

 

On September 5, 2025, the Company entered into a Master Business Loan Agreement (the “MBLA”) with Change Capital Holdings I, LLC (“Change Capital”), whereby Change Capital agreed to, for a period of up to three years, make advances to the Company (each, an “Advance”) in the aggregate amount of $2,500,001, upon the Company’s request and satisfaction of certain conditions. On September 5, 2025, Change Capital made an initial Advance of $525,000 (the “Initial Advance”). Each additional Advance may not individually exceed $250,000 and may only be made at most every 90 days. The MBLA contains customary representations, warranties, and covenants for a transaction of this nature. During the term of the MBLA, the Company is prohibited from: (i) incurring any indebtedness (other than ordinary course trade debt), and (ii) paying any dividends or making distributions on the Company’s equity interests. The MBLA provides for certain events of default that are typical for a transaction of this type, including, among other things, failure to make payment, default with respect to any other indebtedness of the Company, and any change in ownership of 50% or more of the equity interests of the Company. In connection with the Initial Advance, the Company issued a commercial promissory note to Change Capital (the “Initial MBLA Note”), which the Company is required to repay in 12 weekly payments of $7,500 each followed by 40 weekly payments of $15,862.50 each (for an aggregate total of $724,500). The MBLA Note may be prepaid at any time by payment of an amount equal to the Initial Advance plus 3.167% of the Initial Advance for each month from the date of the advance to the date of payment (subject to a minimum of 20%). Upon an event of default under the MBLA, payment under the Initial MBLA Note may be accelerated and a default fee equal to 10% of the outstanding balance will become due. The Initial MBLA Note, and any future notes issued pursuant to the MBLA, is secured by a junior lien on all assets of the Company and the validity and performance of which are guaranteed personally by Imo Aisiku (the Company’s Co-CEO), Milton Chen (the Company’s Co-CEO), and Jerry Leonard (the Company’s CFO). Mr. Aisiku also entered into a pledge agreement in favor of Change Capital whereby he pledged, as security for the payment and performance of all obligation so the Company under the MBLA, all shares of common stock and other equity interests held by Mr. Aisiku in the Company.

 

On October 9, 2025, the Company entered into a note purchase agreement (the “Note Purchase Agreement”) with an accredited institutional investor (the “Note Investor”) pursuant to which the Company issued to the Investor a secured note in the aggregate principal amount of $133,333 (the “October 2025 Note”) for a purchase price of $120,000. The October 2025 Note bears interest at the rate of 5% per annum, matures on May 8, 2026, and is secured by all assets of the Company. The October 2025 Note is not convertible and provides for certain events of default that are typical for a transaction of this type, including, among other things, any breach of the representations or warranties made by the Company or its subsidiaries. In connection with any event of default that results in the acceleration of payment of the October 2025 Note, the interest rate on the October 2025 Note will accrue at a rate equal to the lesser of 24% per annum or the maximum rate permitted under applicable law. For as long as the October 2025 Note remains outstanding, the Note Purchase Agreement: (1) prohibits the Company from entering into an variable rate transaction, (2) requires that the Company provide the Note Investor with any more favorable terms granted to any future purchaser or holder of the Company’s debt or securities and (3) prohibits any exchange transaction involving the Company’s debt or securities. In connection with the Note Purchase Agreement, on October 9, 2025, the Company entered into an amendment agreement with certain of its creditors whereby the October 2025 Note was consented to and subordinated to the outstanding debt.

 

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

 

MANAGEMENT’S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF OPERATIONS OF VSEE HEALTH

 

The following discussion and analysis provide information that VSee Health’s management believes is relevant to an assessment and understanding of the results of operations and financial of VSee Health, Inc. (“VSee Health” and for purposes of this section only, referred to as the “Company”, “we,” “us” and “our”). The discussion and analysis should be read together with VSee Health’s consolidated financial statements as of and for the three months ended March 31, 2025 and 2024, and the related respective notes thereto. This discussion may contain forward-looking statements based upon VSee Health’s current expectations, estimates and projections that involve risks and uncertainties. Actual results could differ materially from those anticipated in these forward-looking statements due to, among other considerations, the matters discussed under “Risk Factors” in the Annual Report for the year ended December 31, 2024 and the section herein entitled “Cautionary Note Regarding Forward-Looking Statements. Management’s Discussion and Analysis of Financial Condition and Results of Operations has been impacted by the restatement described in Note 2 to our consolidated financial statements entitled “Restatement of Previously Issued Financial Statements. Certain of the financial and other information provided in this Management’s Discussion and Analysis of Financial Condition and Results of Operations has been amended to give effect to such restatement adjustments.”

 

Overview

 

Prior to June 24, 2024, we were a blank check company incorporated in the State of Delaware organized for the purpose of effecting a merger, share exchange, asset acquisition, share purchase, reorganization or similar business combination with one or more businesses. On June 24, 2024, we completed the Business Combination pursuant to the Business Combination Agreement dated as of November 21, 2023, as amended by the first amendment dated February 13, 2024 and the second amendment dated April 17, 2024 (as amended, the “Business Combination Agreement”) that we entered into with VSee Lab and iDoc. Upon the completion of the Business Combination, we changed our name to “VSee Health, Inc.” and the business of VSee Lab and iDoc became our business.

 

Our wholly-owned subsidiary VSee Lab is a telehealth software platform. VSee Lab’s proprietary technology platform and modular software solution empower users to plug and play telehealth services with end-to-end encrypted video streaming integrated with medical device data, electronic medical records, and other sensitive data, with multiple other interactive functionalities that enable teamwork that VSee Lab believes are not available from any other system worldwide. Our company’s core platform is a highly scalable, integrated, application program interface (“API”) driven technology platform, for virtual healthcare delivery, with multiple real-time integrations spanning the healthcare ecosystem. Our platform’s APIs power external connectivity and deep integration with a wide range of payors, electronic medical records, third party applications, and other interfaces with employers, hospital systems, and health systems, which we believe uniquely positions us as a long-term partner meeting the unique needs of the rapidly changing, healthcare industry. Our company will also be able to white label our solutions so they fit into the plans and strategies of our clients, all on a platform that is high-performance and highly scalable.

 

We put telehealth software tools in the hands of clinicians to enable them to make changes without programming so that they can achieve the best patient outcomes. We provide our clients with capabilities specifically built to enable them to collaborate with their clinical and non-clinical colleagues, securely coordinate patient care, conduct virtual patient visits including remote physical exam and remote patient monitoring, and an analytical dashboard to manage their entire telehealth operations from patient satisfaction score to patient wait time to staffing allocations. We empower clinicians to create the workflow they want without waiting for IT; where today, most clinicians feel helpless given that IT departments often cannot give clinicians what they want.

 

Through VSee Lab, we offer a set of telehealth software building blocks, data connectors, and workflow templates that can be rapidly configured into the client’s workflows. Our offerings allow clinicians without programming experience to configure our building blocks into their existing workflow without requiring programmers - i.e. - no code. In addition, our building blocks allow programmers to increase their productivity with simple coding to piece together our building blocks - i.e. - low code. At the core of our platform is a comprehensive set of software building blocks for telehealth that include on-demand visits, scheduling appointments, in-take forms, signature for consent and compliance, team coordination, unified communication, remote exam and remote patient monitoring, payments including insurance processing, clinical notes, and administrative control panels and analytics. These set of building blocks can connect to electronic medical record systems such as EPIC and Cerner via HL7, FHIR, and SFTP. Lastly, we provide a set of templates to make creating telehealth workflow fast and easy. The entire telehealth platform sits on a scalable server architecture and is HIPAA compliant and SOC2 externally audited. VSee Lab is also GDPR compliant and supports single-sign-on (SSO) and multi-factor-authentication (MFA).

 

The Company’s wholly-owned subsidiary iDoc is a high acuity patient care solution providing elite physician services in intensive care units of our major hospital systems and other customers. iDoc delivers neuro-critical care through a proprietary technology platform. iDoc serves a diverse range of customers from large hospital systems to small/micro hospitals, long-term acute care (LTAC) facilities, correctional facilities and others. In addition to the specialization of neuro critical care, iDoc provides general tele-critical care services, and specialty e-consults to large organizations such as correctional facilities. iDoc has an experienced team of board-certified intensivists, neurointensivists, neurologists, and advanced practice providers that treat and coordinate care for acutely ill patients 24/7 in the Neurointensive Care Unit (“NICU”) and Intensive Care Unit (“ICU”) for stroke, brain trauma, spinal cord, and all other neurological conditions. Our Neurocritical care experts will also help develop multidisciplinary plans of care to optimally treat neurological conditions in relation to their overall medical needs. Our Neuro Critical care service delivery will focus on physicians and provider services in Teleneurocritical care, epileptology, and teleneurology. In addition to standard interventions, our Neurocritical care experts will offer specific care including monitoring intracranial pressure, cerebral hemodynamics, advanced multimodal neuro monitoring (brain oximetry, cerebral microdialysis and continuous electroencephalography).

 

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We strive to be the solutions provider of access to the shortage of intensivists across the care continuum utilizing sophisticated telehealth solutions to bridge the care gap. In a post Covid, physician burnout health care system, we aim to provide a solution to physician burnout and to a lack of patient access to quality intensive care. By using the sophisticated leading telehealth software and hardware devices, we provide access to highly skilled physicians in the highest acuity in patient setting, the ICU. We provide elite physician services in the Intensive care units of major hospital systems and other customers. Our core service delivers general critical care, neurology, EEG reading, and neuro critical care through a custom internal virtual health care technology platform. We also serves a diverse range of customers from large hospital systems to small/micro hospitals, to long-term acute care (LTAC) facilities to the federal prison system and others. We connect critically ill patients to high quality Neurointensivists, general and cardiac intensivists and specialty specific e-consultations and helps to improve outcomes for patients as well as improved productivity and physician burnout while reduced costs for health systems. We have developed a unique quality control program in collaboration with each hospital by development of a hospital specific reporting dashboard to monitor and achieve high quality critical care quality. In addition, current workflows and protocols are evaluated to adjust to incorporate critical care. Continuous process improvement and readjustment of target metrics with the ICU team to maximize patient safety and improve outcomes.

 

Implications of Being an Emerging Growth Company

 

The Company is an “emerging growth company,” as defined in Section 2(a) of the Securities Act of 1933, as amended (the “Securities Act”), as modified by the Jumpstart Our Business Startups Act of 2012(the “JOBS Act”), and it may take advantage of certain exemptions from various reporting requirements that are applicable to other public companies that are not emerging growth companies including, but not limited to, not being required to comply with the auditor attestation requirements of Section 404 of the Sarbanes-Oxley Act, reduced disclosure obligations regarding executive compensation in its periodic reports and proxy statements, and exemptions from the requirements of holding a nonbinding advisory vote on executive compensation and stockholder approval of any golden parachute payments not previously approved.

 

Further, Section 102(b)(1) of the JOBS Act exempts emerging growth companies from being required to comply with new or revised financial accounting standards until private companies (that is, those that have not had a Securities Act registration statement declared effective or do not have a class of securities registered under the Exchange Act) are required to comply with the new or revised financial accounting standards. The Jobs Act provides that a company can elect to opt out of the extended transition period and comply with the requirements that apply to non-emerging growth companies but any such election to opt out is irrevocable. The Company has elected not to opt out of such extended transition period which means that when a standard is issued or revised and it has different application dates for public or private companies, the Company, as an emerging growth company, can adopt the new or revised standard at the time private companies adopt the new or revised standard. This may make comparison of the Company’s financial statements with another public company which is neither an emerging growth company nor an emerging growth company which has opted out of using the extended transition period difficult or impossible because of the potential differences in accounting standards used.

 

The Company is also a “smaller reporting company,” meaning that either (i) the market value of our shares held by non-affiliates is less than $250 million or (ii) the market value of our shares held by non-affiliates is less than $700 million and our annual revenue was less than $100 million during the most recently completed fiscal year. The Company may continue to be a smaller reporting company if either (i) the market value of our shares held by non-affiliates is less than $250 million or (ii) our annual revenue was less than $100 million during the most recently completed fiscal year and the market value of our shares held by non-affiliates is less than $700 million. The Company may take advantage of certain of the scaled disclosures available to smaller reporting companies.

 

Performance Factors

 

We believe that our future performance will depend on many factors, including the following:

 

The Rapid Transformation of the Telehealth Market

 

The Telehealth market today is one characterized by rapid transformation, with major customers and hospital systems looking to build or add capabilities and major legacy competitors looking to shore up historical limitations. We believe that the rapid transformation of the telehealth market indicates strong future growth of the market, and our current offerings provide an attractive value proposition to health systems, medical groups, and individual medical practitioners, driving higher market share. We plan to continue to harness our scale to further grow the value proposition of our platform for all stakeholders.

 

Ability to Expand Within the Market and Attract New Customers

 

Telehealth is still in its total infancy stages in terms of utilization, scope, and services. Most of the growth is expected within hospital systems, definition, and segmentation structure, and we believe our software platform and services have significant potential. We plan to leverage our industry relationships with government, hospital systems and insurance providers to increase our customer base.

 

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Innovation and New Product Offerings

 

Despite the rapid advancements in technology, growth in virtual healthcare delivery, and improvement in decision support algorithms and machine learning tools, Telehealth Technology Solutions have not fully penetrated medicine and hospital systems to become the standard methodology of care and represent less than 1% of total healthcare spending according to Grandview Research. Major reasons for Telehealth solutions not capturing its full potential include:

 

Many of the existing video and hardware and software used in telehealth are repurposed businesses that are not healthcare specific.

 

Remote monitoring/diagnostic devices do not readily integrate into telehealth systems limiting doctors real time metrics to enable diagnostics and assessment.

 

Backend software coordination is not optimized for telehealth use and connectivity, resulting in significant greater complexity and costs for implementation.

 

The software and code foundations of the early telemedicine companies have major functionality limitations and arduous implementation and incremental coding/connectivity requirements adding significant cost and reducing functionality.

 

We believe our technology solutions meet the performance and compliance standards in healthcare, increase the sharing of patient history, files and scheduling are integrated into the video view for doctors, create sophisticated video engagement between patients, staff and doctors and seamlessly integrate patients’ records to provide more comprehensive telehealth care. We believe our ability to invest in new technology and develop new features, modules, and solutions will be critical to our long-term success.

 

Critical Accounting Estimates

 

We prepare our consolidated financial statements in accordance with U.S. GAAP. The preparation of consolidated financial statements also requires we make estimates and assumptions that affect the reported amounts of assets, liabilities, revenue, costs and expenses and related disclosures. We base our estimates on historical experience and on various other assumptions that we believe to be reasonable under the circumstances. Actual results could differ significantly from the estimates made by our management. To the extent that there are differences between our estimates and actual results, our future financial statement presentation, balance sheet, results of operations and cash flows will be affected. We believe that the accounting policies discussed below are critical to understanding our historical and future performance, as these policies relate to the more significant areas involving our management’s judgments and estimates. Critical accounting policies and estimates are those that we consider the most important to the portrayal of our balance sheet and results of operations because they require our most difficult, subjective or complex judgments, often as a result of the need to make estimates about the effects of matters that are inherently uncertain.

 

The preparation of our consolidated financial statements in conformity with U.S. GAAP requires us to make estimates and judgments that affect the amounts reported in those consolidated financial statements and accompanying notes. Although we believe that the estimates we use are reasonable, due to the inherent uncertainty involved in making those estimates, actual results reported in future periods could differ from those estimates. Our significant accounting policies are described in Note 2 to our Unaudited Condensed Consolidated Financial Statements for the three-month March 31, 2025 included elsewhere in this report. Our critical accounting policies are described below.

 

Revenue Recognition

 

The Company recognizes revenue in accordance with ASC 606, Revenue from Contracts with Customers (“ASC 606”). ASC 606 establishes a principle for recognizing revenue upon the transfer of promised goods or services to customers in an amount that reflects the expected consideration received in exchange for those goods or services. The core principle of ASC 606 is to recognize revenue to depict the transfer of promised goods or services to clients in an amount that reflects the consideration the entity expects to be entitled in exchange for those goods and services.

 

The Company determines revenue recognition in accordance with ASC 606 through the following five steps:

 

1) Identify the contract with a customer

 

The Company considers the terms and conditions of its contracts and the Company’s customary business practices in identifying its contracts under ASC 606. The Company determines it has a contract with a customer when the contract has been approved by both parties, it can identify each party’s rights regarding the goods and services to be transferred and the payment terms for the goods and services, it has determined the customer to have the ability and intent to pay, and the contract has commercial substance. The Company applies judgment in determining the customer’s ability and intent to pay, which is based on a variety of factors, including the customer’s payment history or, in the case of a new customer, credit and financial information pertaining to the customer.

 

Contractual terms for subscription services are typically 12 months. Contracts are generally cancellable with a 30-day notice period, and customers are billed in annual, quarterly, or monthly installments in advance of the service period of the subscription. The Company is not required to refund any prorated prepayment fees invoiced to cover services that were provided.

 

The Company also has service contracts with hospitals or hospital systems, physician practice groups, and other users. These customer contracts typically range from two to three years, with an automatic renewal process. The Company either invoices these customers for the monthly fixed fee in advance or at the end of the month, depending on the contract terms. The contracts typically contain cancellation clauses with advance notice, and revenue for goods and services transferred prior to cancellation is not refundable or creditable.

 

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2) Identify the performance obligations in the contract

 

Performance obligations promised in a contract are identified based on the goods and services that will be transferred to the customer that are both capable of being distinct, whereby the customer can benefit from the service either on its own or together with other resources that are readily available, and are distinct in the context of the contract, whereby the transfer of the services is separately identifiable from other promises in the contract.

 

3) Determine the transaction price

 

Total transaction price is based on the amount to which the Company is entitled to base on the contracts with its customers. The Company believes the quoted transaction prices in the customer contracts represent the standalone selling prices for each of the separate performance obligations which are distinct and priced separately within the contract.  Consideration promised in the Company’s contracts includes both fixed and variable amounts. The Company’s variable consideration is based on fixed unit price for promised services, though the total consideration is dependent upon the actual amounts of promised services used by the customers. If necessary, the Company estimates the total variable consideration based on the information available to management, and updates such estimates each financial period when needed.

 

4) Allocate the transaction price to performance obligations in the contract

 

If the contract contains a single performance obligation, the entire transaction price is allocated to the single performance obligation. Contracts that contain multiple performance obligations require an allocation of the transaction price to each performance obligation based on a relative standalone selling price (“SSP”). The determination of a SSP for each distinct performance obligation requires judgment. Where applicable, the Company establishes standalone selling prices based on the observable prices of the good or service when the Company sells that good or service separately in similar circumstances and to similar customers. If a standalone selling price is not directly observable, the Company estimates the standalone selling price using the expected cost plus a margin approach.

 

5) Recognize revenue when or as the Company satisfies a performance obligation

 

Revenue is recognized when or as control of the promised goods or service are transferred to the customer in an amount that reflects the consideration that the Company expects to receive in exchange for those goods or services.

 

The Company derives revenue from business services associated with direct tele-physician provider patient fee services, telehealth services, subscription services and institutional services provided to our clients.

 

Subscription Service Contracts and Performance Obligation

 

Subscriptions Services

 

Subscriptions represent a series of distinct goods or services because the performance obligations are satisfied over time as customers simultaneously receive and consume the benefits related to the services the Company performs. In the case of module specific subscriptions, a consistent level of service is provided during each monthly period of subscription to the Company’s platform. The Company commences revenue recognition when the customer is provided with platform subscription for the initial monthly period and revenue is recognized over time as a consistent level of subscription service during the subsequent period is delivered. The Company’s obligation for its integrated subscriptions is to stand-ready throughout the subscription period; therefore, the Company considers an output method of time to measure progress toward satisfaction of its obligations with revenue commencing upon the beginning of the subscription period. Deferred revenue consists of the unamortized balance of nonrefundable upfront fees which are classified as current and non-current based on the timing of when the Company expects to recognize revenue.

 

The Company treats each subscription to a specific module as a distinct performance obligation because each module is capable of being distinct as the customer can benefit from the subscription to each module on its own and each subscription can be sold standalone.

 

Furthermore, the subscriptions to individual modules are distinct in the context of the contract as (1) the Company is not integrating the services with other services promised in the contract into a bundle of services that represent a combined output, (2) the subscriptions to specific modules do not significantly modify or customize the subscription to another module, and (3) the specific modules are not highly interdependent or highly interrelated. The subscription to each module is treated as a series of distinct performance obligations because it is distinct and substantially the same, satisfied over time, and has the same measure of progress.

 

The transaction price is determined based on the consideration the Company expects to be entitled to in exchange for transferring services to the customer. Under the contracts, the clients pay a fixed rate per user per subscription service. Prior to the start of a contract, clients generally make upfront nonrefundable payments to the Company when contracting for implementation services.

 

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Professional Services and Technical Engineering Fees and Performance Obligation

 

Performance obligations under contracts for professional services may include maintenance, hardware, clinician fees, and technical engineering services. These services are generally distinct in the context of the contract and are accounted for as separate performance obligations.

 

For technical engineering services, performance obligations are typically satisfied over time based on the specified quantity of professional service hours provided to the customer. For maintenance, hardware, and clinician fees, revenue is recognized either over time or at a point in time or when control transfers to the customer. Maintenance and clinician fees are generally recognized over time as services are rendered, while hardware revenue is recognized at a point in time when control transfers to the customer.

 

The Company evaluates the nature of each professional services arrangement to determine the appropriate timing of revenue recognition, ensuring that revenue is recognized in a manner that faithfully depicts the transfer of goods or services to the customer.

 

Patient Fees Services and Performance Obligation

 

Patient Fee Services

 

Patient fees represent a series of distinct services because the performance obligations are met when the Company’s physicians provide professional medical services to patients at the client site as this is deemed as transfer of goods and services to respective patients. The patient benefits from the professional services when care is rendered by the Company’s medical professionals. The Company commences revenue recognition on patient services when the Company satisfies its performance obligation to provide professional medical services to patients.

 

Patient Fee Contracts Involving Third-Party Payors

 

The Company receives payments from patients, third-party payors and others for patient fee services. Third-party payors pay the Company based on contracted rates or the entities’ billed charges. Payments received from third-party payors are generally less than billed charges. The Company determines the transaction price on patient fees based on standard charges for services provided, reduced by adjustments provided to third-party payors, and implicit price concessions provided to uninsured patients. The Company monitors its revenue and receivables from third-party payors and records an estimated contractual allowance to properly account for the differences between billed and collected amounts.

 

Revenue from third-party payors is presented net of an estimated provision for contractual adjustments. Patient revenues are net of service credits and service adjustments, and allowance for doubtful accounts receivable. These adjustments and implicit price concessions represent the difference between the amount billed and the estimated consideration the Company expects to receive, based on historical collection experience, market conditions and other factors. Although the Company believes that its approach to estimates and judgments as described herein is reasonable, actual results could differ, from estimated amounts and such difference could be material.

 

All of the Company’s telemedicine contracts for patient reimbursement fees are directly billed to the payors by the Company. The Company earns patient fees by providing high acuity patient care solutions. For patient fees, performance obligations are met when the Company’s physicians provide professional medical services to patients at the client site as this is deemed as transfer of goods and services to respective patients. The patient benefits from the professional services when care is rendered by the Company’s medical professionals. The revenue is determined based on the telemedicine billing code(s) associated with the respective professional service rendered to patients. The Company earns primarily from reimbursement from the following third-party payors:

 

Medicare

 

The Company’s affiliated provider network is reimbursed by the Medicare Part B and Part C programs for certain of the telemedicine services it provides to Medicare beneficiaries. Medicare coverage for telemedicine services is treated distinctly from other types of professional medical services and is limited by federal statute and subject to specific conditions of participation and payment pursuant to Medicare regulations, policies and guidelines, including the location of the patient, the type of service, and the modality for delivering the telemedicine service, among others.

 

Medicaid

 

Medicaid programs are funded jointly by the federal government and the states and are administered by states (or the state’s designated managed care or other similar organizations) under approved plans. The Company’s affiliated provider network is reimbursed by certain State Medicaid programs for certain of the telemedicine services it provides to Medicaid beneficiaries. Medicaid coverage for telemedicine services varies by state and is subject to specific conditions of participation and payment.

 

Commercial Insurance Providers

 

The Company is reimbursed by commercial insurance carriers. The basis for payment to the commercial insurance providers is consistent with Medicare reimbursement fee structure guidelines, and the Company is in-network or out-of-network with the commercial insurance carriers based on state and insurer requirements.

 

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Telehealth Fees Service Contracts and Performance Obligation

 

Contract For Telemedicine Care Services

 

Performance obligations in the contract for telemedicine care are based on services provided via the use of hardware and software integration that includes multi-participant video conferencing, and electronic communication for 24 hours per day, seven days per week for the duration of the contract. The Company provides administrative support for the tele-physician services and coordinates the services of its clinicians’ network through administrative support, hardware support, and software support and provider coverage availability. The Company provides coverage availability of its physician services ranging from 12-24 hours per day. Performance obligations in the contract for these services transferred to the customer are distinct in the context of the contract, whereby the transfer of the services is separately identifiable from patient services and institutional services obligations. Performance obligations are met when the Company provides administrative, business, and medical records and reports related to their professional services rendered pursuant to the agreement in such format and upon such interval as hospitals may require. Revenue from telemedicine care services is included in telehealth fees in the condensed consolidated financial statements.

 

The Company recognizes revenue for variable consideration when it is probable that a significant reversal in the amount of cumulative revenue recognized will not occur. The Company estimates the amount of revenue to be recognized on variable consideration, using the expected value or the most likely amount method, whichever is expected to better predict the amount. The Company’s estimates of variable consideration and determination of whether to include estimated amounts in the transaction price are based largely on assessments of legal enforceability, performance, and all information that is reasonably available to the Company. The determination of the amount of revenue the Company can recognize each accounting period requires management to make estimates and judgments on the estimated expected customer life or expected performance period.

 

The Company commences revenue recognition when the Company satisfies its performance obligation to provide the contractual tele-physician hours services monthly. Prior to the commencement of services, customers generally make initial start-up nonrefundable payments to the Company when contracting for Company training, hardware and software installation and integration, which includes a onetime setup of software security, API interfaces, and compatibility between hospital existing equipment and hardware and software. The Company recognizes revenue upon completion of the implementation when the performance obligation of equipment setup and initial training is completed. The start-up fees do not significantly modify or customize the other goods in the contract. As the start-up service primarily covers initial administrative services for which the Company’s clients can cancel future services upon completion, management considers it to be separable from the ongoing business services, and the Company records start-up fees as revenue when the start-up service is completed over time, using the input method to measure progress each financial period.

 

Institutional Fees Service Contracts and Performance Obligation

 

Contract For Electroencephalogram (“EEG”) Professional Interpretation Services

 

Performance obligations in the contract for EEG professional interpretation services are based on the number of professional services EEG interpretation provides monthly. The performance obligation in the contract for these services transferred to the customer is distinct in the context of the contract, whereby the transfer of the services is separately identifiable from other promises in the contract. To facilitate the delivery of the EEG professional interpretation services, the Company’s physicians use EEG telemedicine equipment provided by the Company. The performance obligation is satisfied based on the number of EEG professional interpretations performed by the Company’s physicians. The number of professional interpretations is traced monthly by both parties and used to determine the revenue earned based on established contractual rates and is included in institutional fees in the condensed consolidated financial statements.

 

Under most of the Company’s contracts, including contracts with its two top customers, the customer pays fixed monthly fees for telemedicine consultation services, EEG professional interpretation services, platform software services, and hardware fees. The fixed monthly fee provides for a predetermined number of daily, monthly, or annual physician hours of coverage and agreed upon rates for interpretation and software services. To facilitate the delivery of the consultation services, the facilities use telemedicine equipment and the Company’s virtual healthcare platform, which is provided and installed by the Company. The Company also provides the hospitals with user training, maintenance and support services for the telemedicine equipment used to perform the consultation services.

 

The Company commences revenue recognition on EEG professional interpretation services when the Company satisfies its performance obligation to provide professional interpretation monthly.

 

Fair Value of Financial Instruments

 

“Fair value” is defined as the price that would be received for sale of an asset or paid for transfer of a liability, in an orderly transaction between market participants at the measurement date. ASC 820 establishes a fair value hierarchy that prioritizes and ranks the level of observability of inputs used to measure investments at fair value. The observability of inputs is impacted by a number of factors, including the type of investment, characteristics specific to the investment, market conditions and other factors. The hierarchy gives the highest priority to unadjusted quoted prices in active markets for identical assets or liabilities (Level 1 measurements) and the lowest priority to unobservable inputs (Level 3 measurements). Investments with readily available quoted prices or for which fair value can be measured from quoted prices in active markets will typically have a higher degree of input observability and a lesser degree of judgment applied in determining fair value.

 

See Note 15 Fair Value Measurements of the financial statements for additional information on assets and liabilities measured at fair value.

 

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Goodwill

 

Goodwill represents the excess of purchase price in a business combination over the fair value of the net identifiable assets acquired. We evaluate goodwill for impairment at the reporting unit level by assessing whether it is more likely than not that the fair value of a reporting unit exceeds its carrying value. If this assessment concludes that it is more likely than not that the fair value of a reporting unit exceeds its carrying value, then goodwill is not considered impaired and no further impairment testing is required. Conversely, if the assessment concludes that it is more likely than not that the fair value of a reporting unit is less than its carrying value, a goodwill impairment test is performed to compare the fair value of the reporting unit to its carrying value. The Company determines fair value of the two reporting units using both income and market-based models. Our models contain significant assumptions and accounting estimates about discount rates, future cash flows, and terminal values that could materially affect our operating results or financial position if they were to change significantly in the future and could result in an impairment. We perform our goodwill impairment assessment whenever events or changes in facts or circumstances indicate that impairment may exist and during the fourth quarter each year. The cash flow estimates and discount rates incorporate management’s best estimates, using appropriate and customary assumptions and projections at the date of evaluation. During the year ended December 31, 2024, the Company determined there were triggering events that required the Company to perform a quantitative analysis. Based on the analysis, the Company concluded the fair value of the Telehealth Services reporting unit was less than it’s carrying value. As a result, the Company recorded non-cash goodwill impairment charges of $56,675,210 on the consolidated statement of operations for the year ended December 31, 2024. For the three months ended March 31, 2025, the Company performed qualitative analysis by assessing that no adverse economic, industry, operational, or regulatory indicators were identified that would suggest impairment. Based on the qualitative assessment of relevant factors, the Company concludes that no impairment indicators exist determined that there were no triggering events that required the Company to perform a quantitative analysis.

 

Impairment of Long-lived and Intangible Assets Other than Goodwill

 

In accordance with ASC 360-10, the Company, on a regular basis, reviews the carrying amount of long-lived assets, including fixed assets, right-of-use assets and intangible assets, for the existence of facts or circumstances, both internally and externally, that suggest impairment. The Company determines if the carrying amount of a long-lived asset is impaired based on anticipated undiscounted cash flows, before interest, from the use of the asset. In the event of impairment, a loss is recognized based on the amount by which the carrying amount exceeds the fair value of the asset. Fair value is determined based on the appraised value of the assets or the anticipated cash flows from the use of the asset, discounted at a rate commensurate with the risk involved.

 

Income Taxes

 

Income taxes are accounted for under the asset and liability method. Deferred tax assets and liabilities are recognized for the future tax consequences attributable to differences between the financial statement carrying amounts of existing assets and liabilities and the respective tax basis and operating loss, capital loss and tax credit carryforwards. Deferred tax assets and liabilities are measured using enacted tax rates expected to apply to taxable income in the years in which those temporary differences are expected to be recovered or settled. The effect on deferred tax assets and liabilities of a change in tax rates is recognized in income in the period that includes the enactment date.

 

The Company recognizes the effect of income tax positions only if those positions are more likely than not of being sustained. Recognized income tax positions are measured at the largest amount that is greater than 50% likely of being realized. Changes in recognition or measurement are reflected in the period in which the change in judgment occurs. The Company records interest and penalties related to unrecognized tax benefits as a component of general and administrative expenses. The Company’s federal tax return and any state tax returns are not currently under examination.

 

The Company applies ASC 740-10, Accounting for Income Taxes, which requires an asset and liability approach to financial accounting and reporting for income taxes. Deferred income tax assets and liabilities are computed annually from differences between the financial statement and tax basis of assets and liabilities that will result in taxable or deductible amounts in the future based on enacted tax laws and rates applicable to the periods in which the differences are expected to affect taxable income. Valuation allowances are established when necessary to reduce deferred tax assets to the amount expected to be realized.

 

Financial Statement Components

 

Three Months Ended March 31, 2025 and 2024 Results of Operations

 

The following table presents VSee Health’s results of operations for the three months ended March 31, 2025 and 2024:

 

   For the three months ended March 31, 
   2025   2024

(Restated)

   Change   % 
Revenue  $3,321,485   $1,620,995   $1,700,490    105%
Cost of revenues   1,461,514    386,253    1,075,261    278%
Gross margin   1,859,971    1,234,742    625,299    51%
Operating expenses   3,691,289    1,130,682    2,560,607    226%
Other income (expense)   2,114,617    9,310    2,105,307    22,613%
Net loss before taxes   (3,945,935)   94,750    4,040,685    4,265%
Income tax expense   13,505    -    13,505    100%
Net loss  $(3,959,440)  $94,750   $4,054,190    4,279%

 

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Revenue

 

Through our wholly-owned subsidiary VSee Lab, the Company generates revenue from subscription services to its software platform. Subscriptions represent a series of distinct goods or services because the performance obligations are satisfied over time as customers simultaneously receive and consume the benefits related to the services as VSee Lab performs. Through our wholly-owned subsidiary iDoc, the Company establishes management and administrative services contracts with hospitals or hospital systems to provide telehealth physician services to acute patients of the hospitals or hospital systems. iDoc also generate revenue by directly billing the insurance companies for care provided at hospitals or hospital systems. iDoc’s contracts typically range in length from two to three years, with an automatic renewal process.

 

Revenue was $3,321,485 for the three months ended March 31, 2025, compared to $1,620,995 for the three months ended March 31, 2024, an increase of $1,700,490 or 105%. The increase was driven by $1,197,614, or 70% of revenue, from the acquisition of iDoc during the 2nd quarter of 2024, primarily from patient and telehealth fees of $702,087 and $483,850, respectively. The increase was also driven by $716,090, or 42% higher revenue from the new Human Health and Services (“HHS”) contract, primarily from medical device sales, engineering, and professional fees. The increase was also driven by $43,374 or 3% of higher utilization of physician services usage (Veterans Clinic). These increases were slightly offset by a decrease in revenue, driven primarily by a decline in recurring subscriptions and the Stand Together Aimee project. The decrease due to decline in recurring subscription and due to the Stand Together Aimee project was $177,857 and $78,750 or 18% and 100% respectively.

 

Cost of Goods Sold

 

VSee Lab’s cost of revenues consists primarily of expenses related to cloud hosting, personnel-related expenses for VSee’s customer success team, costs for third-party software services and contractors, and other services. iDoc’s cost of goods sold is primarily comprised of personnel-related expenses for our employee and consulting physicians and other medical providers, and the costs for third-party software services and hardware used in connection with delivery of high acuity patient care solution when providing elite physician services in the intensive care units of our major hospital systems and other customers.

 

The cost of goods sold for the three months ended March 31, 2025, increased by $1,075,261, or 278%, compared to March 31, 2024. The increase was primarily driven by the acquisition of IDoc in 2024, resulting in an increase in compensation expense of $387,375, or 36%. The increase was also primarily driven by $223,192, or 21%, higher compensation expenses resulting from additional headcount working on the HHS project. Higher procurement of medical devices for the HHS project, increased cost of goods sold by $367,307 or 34%. There was an increase of $33,084, or 3%, and $41,819, or 4%, due to increased physician visits and the expansion of the development environment for the HHS project. There was an increased software expense of $21,557 or 2% because of deploying MFA and FedRAMP- compliant cloud infrastructure (via Okta) to support the HHS deal.

 

Operating Expenses

 

VSee Lab’s operating expenses include all operating costs not included in the cost of revenues. These costs consist of general and administrative expenses composed primarily of all payroll and payroll-related expenses, professional fees, and other costs related to the administration of its business. iDoc’s operating expenses include all operating costs not included in cost of revenues. These costs consist of compensation, general and administrative expenses composed primarily of all payroll and payroll- related expenses, professional fees, insurance, software costs, occupancy expenses related to iDoc’s operations, including utilities, depreciation and amortization, and other costs related to the administration of its business.

 

Operating expenses for the quarter ending March 31, 2025, increased by $2,560,607 or 226% compared to the same period last year. The growth was driven by higher general and administrative expenses of $1,821,524, an increase of 864%, mainly due to higher expenses of $949,427 or 100% from the acquisition of iDoc, primarily related to amortization and depreciation expenses of $644,875, bad debt expenses of $120,919, and insurance-related expenses of $99,406. Additionally, expenses increased by $881,275 or 100% from the recapitalization with DHAC, mainly for professional and advisory service fees, slightly offset by a decrease of $9,177 in expenses from the VSee Lab business. The rise in operating expenses was also driven by $765,421 or 86% higher compensation-related expenses, mainly from the acquisition of iDoc, and an increase of $400,297 from higher stock-based compensation in the VSee Lab business. These increases were partly offset by the absence of transaction expenses incurred during the current quarter, resulting in a reduction of $26,338, or 100%, compared to the same period last year. 

 

Other Income (Expense)

 

Other income (expense) during the three months ended March 31, 2025, increased $2,105,307 or 22613%. The increase was primarily driven by the gain on change in fair value of on the debt and derivative financial instruments of $1,261,471, and an increase in the interest expense of $697,221 primarily due to new loan agreements entered in 2024.

 

Net Loss

 

Net loss for the three months ended March 31, 2025, compared to the three months ended March 31, 2024, increased by $4,054,197 or 4279%. The increase in the Company’s net loss was driven by the acquisition of iDoc and recapitalization with DHAC in 2024 and was offset by gain on change in fair value of the debt and derivative financial instruments of $1,931,300.

 

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Cash Flows

 

The following table presents selected captions from VSee Health’s consolidated statements of cash flows for the three months ended March 31, 2025 and 2024:

 

   For the three months ended
March 31,
 
   2025   2024

(Restated)

 
Net cash used in operating activities  $(440,493)  $579,286 
Net cash used in from investing activities  $(11,873)  $(8,740)
Net cash provided by financing activities  $536,373   $- 
Change in cash  $84,007   $570,546 

 

VSee Health’s principal sources of liquidity are cash and cash equivalents, totalling $410,122 and $689,280 as of March 31, 2025 and 2024, respectively.

 

VSee Health’s future capital requirements will depend on many factors, including our growth rate, contract renewal activity, number of subscription renewals, the continuing market acceptance of telehealth, and debt funding.

 

Cash Used in Operating Activities

 

Cash used in operating activities was $440,493 for three months ended March 31, 2025. The change in operating activities presents changes for VSee Lab for the three months ended March 31, 2025, and changes for iDoc and DHAC from the Business Combination date of June 24, 2024. Cash used in operating activities consists of a net loss of $3,959,440, adjusted for non-cash items of $2,580,077 and the remaining changes pertaining to changes in working capital.

 

Cash used in operating activities was $579,286 for three months ended March 31, 2024. This consisted of a net income of $94,750, adjusted for non-cash items of $16,819, and an increase in net changes in operating assets and liabilities of $467,717. The net changes in operating assets and liabilities were primarily driven by the increase in deferred revenue.

 

Cash Used in Investing Activities

 

Cash used for investing activities for the three months ended March 31, 2025, was $11,873, driven primarily by $11,873 for the purchase fixed assets. Cash used for investing activities for the three months ended March 31, 2024, was $8,740 and was used to purchase fixed assets.

 

Cash Provided by Financing Activities

 

Cash provided by financing activities for the three months ended March 31, 2025, was $536,373, primarily consisting of 600,000 proceeds from the M2B and Ascent notes issued and offset by $10,000, $28,627 and $25,000 of payments to shareholders, for factoring payables and finance lease liability.

 

Item 3.Quantitative and Qualitative Disclosures About Market Risk

 

As a smaller reporting company, we are not required to provide the information required by this item.

 

Item 4.Controls and Procedures

 

Evaluation of Disclosure Controls and Procedures

 

Disclosure controls are procedures that are designed with the objective of ensuring that information required to be disclosed in our reports filed under the Exchange Act, such as this Report, is recorded, processed, summarized, and reported within the time period specified in the SEC’s rules and forms. Disclosure controls are also designed with the objective of ensuring that such information is accumulated and communicated to our management, including the chief executive officer and chief financial officer, as appropriate to allow timely decisions regarding required disclosure. Our management evaluated, with the participation of our current chief executive officer and chief financial officer (our “Certifying Officers”), the effectiveness of our disclosure controls and procedures as of March 31, 2025, pursuant to Rule 13a-15(b) under the Exchange Act. Based upon that evaluation, our Certifying Officers concluded that, as of March 31, 2025, our disclosure controls and procedures were not effective.

 

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Management concluded that material weaknesses in internal control over financial reporting existed relating to the lack of sufficient number of personnel within the accounting function to adequately segregate duties, we did not have a designed and implemented effective Information Technology General Controls (“ITGC”) related to access controls to financial accounting system, we did not have a formalized control environment and oversite of controls over financial reporting, and we lack proper accounting for significant or non-recurring transactions. Such material weaknesses contributed to our inability to timely file this Quarterly Report on Form 10-Q. A material weakness is a deficiency, or combination of deficiencies, in internal control over financial reporting, such that there is a reasonable possibility that a material misstatement of the Company’s annual or interim financial statements will not be prevented or detected on a timely basis.

 

We lack the resources to employ additional personnel to help mitigate these material weaknesses and we foresee that these material weaknesses will not be remediated until we receive additional funding to support our accounting department.

 

We cannot assure you that these or other measures will fully remediate the material weakness in a timely manner. Notwithstanding the identified material weakness, our management believes that the consolidated financial statements included in this report fairly represent in all material respects our financial condition, results of operations and cash flows at and for the periods presented in accordance with U.S. GAAP.

 

We do not expect that our disclosure controls and procedures will prevent all errors and all instances of fraud. Disclosure controls and procedures, no matter how well conceived and operated, can provide only reasonable, not absolute, assurance that the objectives of the disclosure controls and procedures are met. Further, the design of disclosure controls and procedures must reflect the fact that there are resource constraints, and the benefits must be considered relative to their costs. Because of the inherent limitations in all disclosure controls and procedures, no evaluation of disclosure controls and procedures can provide absolute assurance that we have detected all our control deficiencies and instances of fraud, if any. The design of disclosure controls and procedures also is based partly on 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.

 

Changes in Internal Control over Financial Reporting

 

There were no changes in our internal control over financial reporting (as such term is defined in Rules 13a-15(f) and 15d-15(f) of the Exchange Act) during the most recent fiscal quarter that have materially affected, or are reasonably likely to materially affect, our internal control over financial reporting.

 

Subsequent to the quarter end, in light of the material weakness as described above, we have enhanced our processes to identify and appropriately apply applicable accounting requirements to better evaluate and understand the nuances of the complex accounting standards that apply to our financial statements on a timely basis. Our plans at this time include providing enhanced access to accounting literature, research materials and documents and increased communication among our personnel and third-party professionals with whom we consult regarding application and financial reporting. The elements of our remediation plan can only be accomplished over time, and we can offer no assurance that these initiatives will ultimately have the intended effects.

 

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PART II — OTHER INFORMATION

 

Item 1. Legal Proceedings

 

We are from time to time subject to claims, lawsuits and other legal and administrative proceedings arising in the ordinary course of business. Defending such proceedings is costly and can impose a significant burden on management and employees. The results of any future litigation cannot be predicted with certainty, and regardless of the outcome, litigation can have an adverse impact on us because of defense and settlement costs, diversion of management resources and other factors. We are not presently a party to any litigation the outcome of which, we believe, if determined adversely to us, would individually or taken together have a material adverse effect on our business, operating results, cash flows or financial condition.

 

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. Risk Factors” of our Annual Report on Form 10-K for the fiscal year ended December 31, 2024, which could materially affect our business, financial condition, or future operating results and cash flows. We do not believe that there have been any material changes to the risk factors disclosed in “Part I, Item 1A. Risk Factors” of our Annual Report on Form 10-K for the fiscal year ended December 31, 2024. The risks described in “Part I, Item 1A. Risk Factors” of our Annual Report on Form 10-K for the fiscal year ended December 31, 2024 are not the only risks facing our Company. Additional risks and uncertainties not currently known to us or that we currently deem immaterial also may materially adversely affect our business, financial condition, operating results and/or cash flows

 

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

 

For this fiscal quarter ended March 31, 2025, there were no unregistered securities to report which have not been previously included in a Quarterly Report on Form 10-Q, Annual Report on Form 10-K, or a Current Report on Form 8-K.

 

Item 3. Defaults Upon Senior Securities

 

Not applicable.

 

Item 4. Mine Safety Disclosures

 

Not applicable.

 

Item 5. Other Information

 

During the three months ended March 31, 2025, none of our directors or officers (as defined in Rule 16a-1(f) of the Exchange Act) informed us of the adoption or termination of a “Rule 10b5-1 trading arrangement” or “non-Rule 10b5-1 trading arrangement” (as defined in Item 408 of Regulation S-K).

 

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Item 6. Exhibits

 

The following exhibits are filed as part of, or incorporated by reference into, this Quarterly Report on Form 10-Q.

 

Exhibit No.   Description
3.1   Second Amended and Restated Certificate of Incorporation of VSee Health, Inc. (incorporated by reference to Exhibit 3.1 filed with the Form 8-K filed by the Registrant on June 28, 2024).
3.2   Certificate of Designation of Series A Convertible Preferred Stock of VSee Health, Inc. (incorporated by reference to Exhibit 3.2 filed with the Form 8-K filed by the Registrant on June 28, 2024).
3.3   Amended and Restated Bylaws of VSee Health, Inc. (incorporated by reference to Exhibit 3.3 filed with the Form 8-K filed by the Registrant on June 28, 2024).
10.1   Amendment to Equity Purchase Agreement dated as of March 20, 2025, by and between the Company and the Investor (incorporated by reference to Exhibit 10.6 filed with the Form 8-K filed by the Registrant on March 21, 2025).
10.2   Amendment No.1 to Securities Purchase Agreement, dated as of March 20, 2025, by and between the Company and the Investor (incorporated by reference to Exhibit 10.1 filed with the Form 8-K filed by the Registrant on March 21, 2025).
10.3   Form of Note Pursuant to Amendment No.1 to Securities Purchase Agreement, dated March 20, 2025 (incorporated by reference to Exhibit 10.2 filed with the Form 8-K filed by the Registrant on March 21, 2025).
10.4   Secured Note Purchase Agreement, dated as of March 20, 2025, by and between the Company and the Investor (incorporated by reference to Exhibit 10.3 filed with the Form 8-K filed by the Registrant on March 21, 2025).
10.5   Form of Secured Note, dated March 20, 2025 (incorporated by reference to Exhibit 10.4 filed with the Form 8-K filed by the Registrant on March 21, 2025).
10.6   Form of Security Agreement, dated March 20, 2025 (incorporated by reference to Exhibit 10.5 filed with the Form 8-K filed by the Registrant on March 21, 2025).
31.1*   Certification of Chief Executive Officer pursuant to Rule 13a-14(a) or Rule 15d-14(a) under the Securities Exchange Act of 1934
31.2*   Certification of Chief Financial Officer pursuant to Rule 13a-14(a) or Rule 15d-14(a) under the Securities Exchange Act of 1934
32.1*   Certification of Chief Executive Officer and Chief Financial Officer pursuant to 18 U.S.C. § 1350
101.INS   XBRL Instance Document - the instance document does not appear in the Interactive Data File because its XBRL tags are embedded within the Inline XBRL document.
101.SCH   XBRL Taxonomy Extension Schema Document.
101.CAL   XBRL Taxonomy Extension Calculation Linkbase Document.
101.DEF   XBRL Taxonomy Extension Definition Linkbase Document.
101.LAB   XBRL Taxonomy Extension Label Linkbase Document.
101.PRE   XBRL Taxonomy Extension Presentation Linkbase Document.
104   Cover Page Interactive Data File - the cover page interactive data file does not appear in the Interactive Data File because its XBRL tags are embedded within the Inline XBRL document.

 

*Filed herewith (furnished herewith with respect to Exhibit 32.1)

 

53

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SIGNATURES

 

In accordance with the requirements of the Exchange Act, the registrant caused this report to be signed on its behalf by the undersigned, thereunto duly authorized.

 

    VSEE HEALTH, INC.
     
Date: October 15, 2025 By: /s/ Imoigele Aisiku
  Name:  Imoigele Aisiku
  Title: Co-Chief Executive Officer and Chairman of the Board
    (Principal Executive Officer)
     
Date: October 15, 2025 By: /s/ Jerry Leonard
  Name: Jerry Leonard
  Title: Chief Financial Officer and Secretary
    (Principal Financial and Accounting Officer)

 

54

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FAQ

What were VSee Health (VSEE) Q1 2025 revenues?

Total revenues were $3,321,485, up from $1,620,995 a year earlier, reflecting growth across patient fees, telehealth fees, and technical engineering services.

What was VSee Health’s Q1 2025 net income or loss?

VSee Health reported a net loss of $3,959,440 for the three months ended March 31, 2025.

How much cash did VSEE have at quarter end and what was operating cash flow?

Cash was $410,122 at March 31, 2025. Net cash used in operating activities was $440,493.

Did VSee Health disclose a going concern issue?

Yes. Management stated substantial doubt about the Company’s ability to continue as a going concern due to historical losses and liquidity conditions.

What drove the loss beyond operating expenses?

The quarter included $730,665 of interest expense and a $1,261,471 loss from changes in fair value of financial instruments.

What is VSee Health’s balance sheet position?

Assets totaled $19,395,686 and liabilities $22,892,683, resulting in a stockholders’ deficit of $3,496,997 as of March 31, 2025.

Did VSee restate prior financials?

Yes. The Company restated VSee Lab’s Q1 2024 standalone financials, adjusting revenue and expenses and increasing the accumulated deficit.
VSee Health, Inc.

NASDAQ:VSEE

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VSEE Stock Data

9.87M
7.87M
56.34%
4.51%
0.55%
Health Information Services
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United States
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