0001387131-18-006141.txt : 20181114 0001387131-18-006141.hdr.sgml : 20181114 20181114070129 ACCESSION NUMBER: 0001387131-18-006141 CONFORMED SUBMISSION TYPE: 10-Q PUBLIC DOCUMENT COUNT: 57 CONFORMED PERIOD OF REPORT: 20180930 FILED AS OF DATE: 20181114 DATE AS OF CHANGE: 20181114 FILER: COMPANY DATA: COMPANY CONFORMED NAME: CareView Communications Inc CENTRAL INDEX KEY: 0001377149 STANDARD INDUSTRIAL CLASSIFICATION: RADIO & TV BROADCASTING & COMMUNICATIONS EQUIPMENT [3663] IRS NUMBER: 954659068 STATE OF INCORPORATION: NV FILING VALUES: FORM TYPE: 10-Q SEC ACT: 1934 Act SEC FILE NUMBER: 000-54090 FILM NUMBER: 181180378 BUSINESS ADDRESS: STREET 1: 405 STATE HIGHWAY 121 STREET 2: SUITE B-240 CITY: LEWISVILLE STATE: TX ZIP: 75067 BUSINESS PHONE: 972-943-6050 MAIL ADDRESS: STREET 1: 405 STATE HIGHWAY 121 STREET 2: SUITE B-240 CITY: LEWISVILLE STATE: TX ZIP: 75067 10-Q 1 crvw-10q_093018.htm QUARTERLY REPORT

 

UNITED STATES

SECURITIES AND EXCHANGE COMMISSION

Washington, D.C. 20549

 

FORM 10-Q

 

(Mark One)

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

 

For the quarterly period ended September 30, 2018

 

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

 

For the transition period from________ to ___________

 

Commission File No. 000-54090

 

CAREVIEW COMMUNICATIONS, INC.

(Exact name of registrant as specified in its charter)

 

Nevada   95-4659068
(State or other jurisdiction of incorporation or organization)   (I.R.S. Employer Identification No.)
     
     
405 State Highway 121, Suite B-240, Lewisville, TX 75067   (972) 943-6050
(Address of principal executive offices)   (Registrant’s Telephone Number)

 

N/A

(Former name, former address and former fiscal year, if changed since last report)

 

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 þ 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 þ   No ¨

 

Indicate by check mark whether the registrant is a large accelerated filer, an accelerated filer, a non-accelerated filer, or a smaller reporting company. See the definitions of “large accelerated filer,” “accelerated filer” and “smaller reporting 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 þ

 

The number of shares outstanding of each of the issuer’s classes of Common Stock as of November 14, 2018 was 139,380,748.

 

 
 

 

CAREVIEW COMMUNICATIONS, INC. AND SUBSIDIARIES
 
INDEX

 

      Page
PART I - FINANCIAL INFORMATION  
       
  Item 1. Financial Statements  
       
    Condensed Consolidated Balance Sheets as of September 30, 2018 (Unaudited) and December 31, 2017 3
       
    Condensed Consolidated Statements of Operations for the Three and Ninex Months Ended September 30, 2018 and 2017 (Unaudited) 4
       
    Condensed Consolidated Statements of Cash Flows for the Nine Months Ended September 30, 2018 and 2017 (Unaudited) 5
       
    Notes to the Condensed Consolidated Financial Statements 6
       
  Item 2. Management’s Discussion and Analysis of Financial Condition and Results of Operations 22
       
  Item 3. Quantitative and Qualitative Disclosures about Market Risk 36
       
  Item 4. Controls and Procedures 36
       
PART II - OTHER INFORMATION  
       
  Item 1. Legal Proceedings 36
       
  Item 1A. Risk Factors 36
       
  Item 2. Unregistered Sales of Equity Securities and Use of Proceeds 36
       
  Item 3. Defaults Upon Senior Securities 37
       
  Item 4.  Mine Safety Disclosures 37
       
  Item 5. Other Information 37
       
  Item 6. Exhibits 37

 

 

 2 
 

 

CAREVIEW COMMUNICATIONS, INC. AND SUBSIDIARIES
CONDENSED CONSOLIDATED BALANCE SHEETS

 

PART I - FINANCIAL INFORMATION

 

Item 1. Financial Statements

  September 30,  December 31,
  2018  2017
  (unaudited) 
ASSETS          
Current Assets:          
Cash and cash equivalents  $645,627   $2,066,392 
Accounts receivable   1,322,756    1,210,968 
Other current assets   1,432,372    585,622 
     Total current assets   3,400,755    3,862,982 
           
Property and equipment, net   2,760,111    3,321,541 
           
Other Assets:          
Restricted cash   1,825,000    2,500,000 
Intangible assets, net   730,959    665,918 
Other assets, net   1,471,207    1,767,909 
     Total other assets   4,027,166    4,933,827 
     Total assets  $10,188,032   $12,118,350 
           
 LIABILITIES AND STOCKHOLDERS’ DEFICIT          
           
Current Liabilities:          
Accounts payable  $527,657   $365,300 
Notes payable, current portion   13,683,334    8,533,334 
Other current liabilities   751,312    750,056 
     Total current liabilities   14,962,303    9,648,690 
           
Long-term Liabilities:          
Senior secured convertible notes, net of debt discount and debt costs          
    of $15,449,196  and $18,161,723, respectively   62,666,603    52,397,089 
Loan payable   6,666,666    11,666,666 
Note payable   213,786    513,786 
Accrued interest   68,495    43,583 
     Total long-term liabilities   69,615,550    64,621,124 
     Total liabilities   84,577,853    74,269,814 
           
Commitments and Contingencies          
           
Stockholders’ Deficit:          
Preferred stock - par value $0.001; 20,000,000 shares authorized;          
    no shares issued and outstanding   —      —   
Common stock - par value $0.001; 300,000,000 shares authorized;          
    139,380,748 issued and outstanding   139,381    139,381 
Additional paid in capital   83,936,186    83,617,896 
Accumulated deficit   (158,465,388)   (145,908,741)
     Total stockholders’ deficit   (74,389,821)   (62,151,464)
     Total liabilities and stockholders’ deficit  $10,188,032   $12,118,350 

 

 

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

 

 3 
 

 

CAREVIEW COMMUNICATIONS INC. AND SUBSIDIARIES
CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS
FOR THE THREE AND NINE MONTHS ENDED SEPTEMBER 30, 2018 AND 2017
(Unaudited)

 

  Three Months Ended  Nine Months Ended
  September 30,
2018
  September 30,
2017
  September 30,
2018
  September 30,
2017
Revenues, net  $1,512,075   $1,565,441   $4,603,200   $4,666,091 
                     
Operating expenses:                    
Network operations   791,082    1,219,205    2,643,197    3,497,463 
General and administration   769,320    937,800    2,468,741    3,064,158 
Sales and marketing   68,458    164,976    298,274    522,797 
Research and development   358,864    503,082    1,040,444    1,290,944 
Depreciation and amortization   307,069    480,644    1,022,644    1,399,684 
     Total operating expense   2,294,793    3,305,707    7,473,300    9,775,046 
                     
Operating loss   (782,718)   (1,740,266)   (2,870,100)   (5,108,955)
                     
Other income and (expense)                    
Interest expense   (2,438,627)   (3,388,915)   (9,707,423)   (9,894,420)
Interest income   711    2,063    2,642    7,588 
Other income   6,199    3,069    18,234    18,824 
     Total other income (expense)   (2,431,717)   (3,383,783)   (9,686,547)   (9,868,008)
                     
Loss before taxes   (3,214,435)   (5,124,049)   (12,556,647)   (14,976,963)
                     
Provision for income taxes   —      —      —      —   
Net loss  $(3,214,435)  $(5,124,049)  $(12,556,647)  $(14,976,963)
Net loss per share  $(0.02)  $(0.04)  $(0.09)  $(0.11)
                     
Weighted average number of common                    
   shares outstanding, basic and diluted   139,380,748    139,380,748    139,380,748    139,380,748 

 

 

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

 

 4 
 

 

CAREVIEW COMMUNICATIONS, INC. AND SUBSIDIARIES
CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS
FOR THE NINE MONTHS ENDED SEPTEMBER 30, 2018 AND 2017
(Unaudited)

 

  Nine Months Ended
  September 30,
2018
  September 30,
2017
CASH FLOWS FROM OPERATING ACTIVITIES          
  Net loss  $(12,556,647)  $(14,976,963)
     Adjustments to reconcile net loss to net cash flows used in          
        operating activities:          
          Depreciation   985,927    1,365,983 
          Amortization of debt discount and debt costs   2,810,889    2,407,194 
          Amortization of deferred installation costs   115,088    261,266 
          Amortization of deferred debt issuance and debt financing costs   225,720    218,313 
          Amortization of intangible assets   36,717    33,701 
          Interest incurred and paid in kind   4,506,987    5,200,207 
          Stock based compensation related to options granted   206,114    313,758 
          Stock based costs related to warrants issued   13,814    11,512 
          Loss on disposal of assets   6,725    1,717 
          Changes in operating assets and liabilities:          
             Accounts receivable   (111,788)   47,128 
             Other current assets   (846,750)   (142,998)
             Other assets   12,295    12,295 
             Accounts payable   162,357    94,822 
             Other current liabilities   26,168    202,207 
Net cash flows used in operating activities   (4,406,384)   (4,949,858)
           
CASH FLOWS FROM INVESTING ACTIVITIES          
  Purchase of property and equipment   (431,222)   (895,124)
  Payment for deferred installation costs   (56,401)   (102,375)
  Patent, trademark and other intangible asset costs   (101,758)   (74,201)
Net cash flows used in investing activities   (589,381)   (1,071,700)
           
CASH FLOWS FROM FINANCING ACTIVITIES          
  Proceeds from senior secured convertible promissory notes   3,050,000    (400,000)
  Repayment of notes payable   (150,000)   —   
Net cash flows provided by (used in) financing activities   2,900,000    (400,000)
Decrease in cash   (2,095,765)   (6,421,558)
Cash, cash equivalents and restricted cash, beginning of period   4,566,392    10,088,258 
Cash, cash equivalents and restricted cash, end of period  $2,470,627   $3,666,700 
           
SUPPLEMENTAL DISCLOSURES OF CASH FLOW INFORMATION: 
Cash paid for interest  $2,025,000   $2,026,000 
Cash paid for income taxes  $—     $—   
           
SUPPLEMENTAL SCHEDULE OF NON-CASH FINANCING ACTIVITIES: 
Beneficial conversion features for senior secured convertible notes  $98,363   $122,454 
Revaluation of warrants for modification of loan  $13,814   $—   

 

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

 

 5 
 

 

CAREVIEW COMMUNICATIONS, INC. AND SUBSIDIARIES

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS

 

 

NOTE 1 – BASIS OF PRESENTATION AND RECENTLY ISSUED ACCOUNTING PRONOUNCEMENTS

 

Interim Financial Statements

 

The accompanying unaudited interim condensed consolidated financial statements of CareView Communications, Inc. (“CareView”, the “Company”, “we”, “us” or “our”) have been prepared in accordance with generally accepted accounting principles in the United States of America (“GAAP”) for interim financial information and with the instructions to Form 10-Q. Accordingly, they do not include all of the information and footnotes required by GAAP for complete financial statements. In the opinion of management, such financial statements include all adjustments (consisting solely of normal recurring adjustments) necessary for the fair statement of the financial information included herein in accordance with GAAP and the rules and regulations of the Securities and Exchange Commission (the “SEC”). The balance sheet at December 31, 2017 has been derived from the audited consolidated financial statements at that date but does not include all of the information and footnotes required by GAAP for complete financial statements. The preparation of financial statements in conformity with GAAP requires management to make estimates and assumptions that affect the reported amounts of assets and liabilities and the disclosure of contingent assets and liabilities at the date of the financial statements and the reported amounts of revenue and expenses during the period. Actual results could differ from those estimates. Results of operations for interim periods are not necessarily indicative of results for the full year. The accompanying condensed consolidated financial statements should be read in conjunction with the audited consolidated financial statements and related notes included in our Annual Report on Form 10-K for the year ended December 31, 2017 as filed with the SEC on March 30, 2018.

 

Revenue Recognition

 

We adopted Accounting Standards Codification (“ASC”) Topic 606 (“606”) on January 1, 2018 using the full retrospective transition method for recognizing revenue. The adoption of ASC 606 represents a change in accounting principle that will more closely align revenue recognition with the delivery of our services to our customers and will provide financial statement readers with enhanced disclosures. Under ASC 606, there were no differences in the timing of our revenue recognition as compared to the requirements under ASC 605. We have employed the practical expedient discussed in ASC 606-10-55-18 related to invoicing as we have the right to consideration from our customers in the amount that corresponds directly with the value to the customer of our performance completed to date and therefore we recognize revenue upon invoicing as further discussed below. Further, for those customers for which we are required to collect sales taxes, we record such sales taxes on a net basis which has no effect on the amount of revenue or expenses recognized as the sales taxes are a flow through to the taxing authority.

 

In accordance with ASC 606, revenue is recognized when a customer obtains control of promised goods or services. The amount of revenue recognized reflects the consideration to which we expect to be entitled to receive in exchange for these goods or services. The provisions of ASC 606 include a five-step process by which we determine revenue recognition, depicting the transfer of goods or services to customers in amounts reflecting the payment to which we expect to be entitled in exchange for those goods or services. ASC 606 requires us to apply the following steps: (1) identify the contract with the customer; (2) identify the performance obligations in the contract; (3) determine the transaction price; (4) allocate the transaction price to the performance obligations in the contract; and (5) recognize revenue when, or as, we satisfy the performance obligation.

 

We offer CareView’s services through a subscription-based contract with each healthcare facility for a standard term of three to five years and have determined we have one performance obligation for our services. We begin to bill monthly subscription fees to the healthcare facility upon official acceptance of the CareView System by the healthcare facility which is when the service is initiated. When services begin, the customer simultaneously receives the use and benefit of that service and we recognize the revenue over time based on the service completed to date as the amount invoiced each month. The contract requires the healthcare facility to pay us the subscription fee monthly. During the term of the contract, we provide continuous monitoring of the CareView System and are required to maintain and service all CareView System equipment. If the healthcare facility requires additional services, the contract is amended accordingly. The Company evaluated the disaggregation criteria of ASC 606 and determine that based on the nature, amount, timing and uncertainty of our service revenues, there were no material differences that merited further disaggregation as compared to the total revenue as reported in the accompanying consolidated statements of operations.

 

 6 
 

 

CAREVIEW COMMUNICATIONS, INC. AND SUBSIDIARIES

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS 

 

We defer and capitalize all costs associated with the installation of the CareView System into a healthcare facility until the CareView System is fully operational and accepted by the healthcare facility. Installation costs are specifically identifiable based on the amounts we are charged from third party installers or directly identifiable labor hours incurred for each installation. Upon acceptance, the associated costs are expensed on a straight-line basis over the life of the contract with the healthcare facility. These costs are included in network operations on the accompanying consolidated statements of operations. The table below details the activity in these deferred installation costs during the nine months ended September 30, 2018.

 

Balance, December 31, 2017  $215,548 
  Additions   56,401 
  Transfer to expense   (115,088)
Balance, September 30, 2018  $156,861 

 

From time to time, we enter into contracts with healthcare facilities wherein full payment of the contractual obligation is paid in advance (“PIA Contracts”). The transaction is recorded as a contract liability in our consolidated financial statements, with revenue recorded and the contract liability reduced as services are provided under the contract. The table below details this activity during the nine months ended September 30, 2018.

 

Balance, December 31, 2017  $17,430 
  Additions   192,507 
  Transfer to revenue   (107,535)
Balance, September 30, 2018  $102,402 

 

Based on our contracts, we invoice customers once our performance obligations have been satisfied, at which point payment is unconditional. Accordingly, except in the case of PIA Contracts as detailed above, our contracts do not give rise to contract assets or liabilities under ASC 606. Accounts receivable are recorded when the right to consideration becomes unconditional and are reported accordingly on our consolidated financial statements.

 

Earnings Per Share

 

We calculate earnings per share (“EPS”) in accordance with GAAP, which requires the computation and disclosure of two EPS amounts, basic and diluted. Basic EPS is computed based on the weighted average number of shares of common stock outstanding during the period. Diluted EPS is computed based on the weighted average number of common shares outstanding plus all potentially dilutive common shares outstanding during the period under the treasury stock method. Such potential dilutive common shares consist of stock options, warrants and convertible debt. Potential common shares totaling approximately 189,000,000 and 128,000,000 at September 30, 2018 and 2017, respectively, have been excluded from the diluted earnings per share calculation as they are anti-dilutive due to our reported net loss.

 

 7 
 

 

CAREVIEW COMMUNICATIONS, INC. AND SUBSIDIARIES

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS

 

Recently Issued and Newly Adopted Accounting Pronouncements

 

In August 2016, the Financial Accounting Standards Board (“FASB”) issued Accounting Standards Update (“ASU”) 2016-15, Statement of Cash Flows (Topic 230) (“ASU 2016-15"). ASU 2016-15 is intended to reduce the diversity in practice regarding how certain transactions are classified within the statement of cash flows. ASU 2016-15 is effective for public business entities for annual periods beginning after December 15, 2017, including interim periods within those fiscal years. We adopted this update on January 1, 2018 and the adoption had no impact to our consolidated financial statements.

 

Aside from the change noted in Revenue Recognition above, there have been no material changes to our significant accounting policies as summarized in NOTE 2 of our Annual Report on Form 10-K for the year ended December 31, 2017. We do not expect that the adoption of any recent accounting pronouncements will have a material impact on our accompanying condensed consolidated financial statements.

 

NOTE 2 – GOING CONCERN, LIQUIDITY AND MANAGEMENT’S PLAN

 

Our cash position at September 30, 2018 was approximately $646,000. At September 30, 2018, we also had $1,825,000 included in restricted cash in other assets on the condensed consolidated balance sheet. On July 13, through the issuance of convertible secured promissory notes, we raised an aggregate of $1,000,000 (see NOTE 10 for further details).

 

Pursuant to the terms of a Note and Warrant Purchase Agreement dated April 21, 2011 (as subsequently amended) with HealthCor Partners Fund, LP and HealthCor Hybrid Offshore Master Fund, LP (“HealthCor”) we are required to maintain a minimum cash balance $2,000,000 (see NOTE 10 for further details), and we are in compliance with the minimum cash balance as of the date of this filing.

 

Accounting standards require management to evaluate our ability to continue as a going concern for a period of one year subsequent to the date of the filing of this Form 10-Q (“evaluation period”). As such, we have evaluated if cash and cash equivalents on hand and cash generated through operating activities would be sufficient to sustain projected operating activities through November 14, 2019. We anticipate that our current resources, along with cash generated from operations, will not be sufficient to meet our cash requirements throughout the evaluation period, including funding anticipated losses and scheduled debt maturities. We expect to seek additional funds from a combination of dilutive and/or non-dilutive financings in the future. Because such transactions have not been finalized, receipt of additional funding is not considered probable under current accounting standards. If we do not generate sufficient cash flows from operations and obtain sufficient funds when needed, we expect that we would scale back our operating plan by deferring or limiting some, or all, of our capital spending, reducing our spending on travel, and/or eliminating planned headcount additions, as well as other cost reductions to be determined. Because such contingency plans have not been finalized (the specifics would depend on the situation at the time), such actions also are not considered probable for purposes of current accounting standards. Because, under current accounting standards, neither future cash generated from operating activities, nor management’s contingency plans to mitigate the risk and extend cash resources through the evaluation period, are considered probable, substantial doubt is deemed to exist about the Company’s ability to continue as a going concern. As we continue to incur losses, our transition to profitability is dependent upon achieving a level of revenues adequate to support its cost structure. We may never achieve profitability, and unless and until doing so, we intend to fund future operations through additional dilutive or non-dilutive financings. There can be no assurances, however, that additional funding will be available on terms acceptable to us, if at all.

 

 8 
 

 

CAREVIEW COMMUNICATIONS, INC. AND SUBSIDIARIES

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS

 

NOTE 3 – STOCKHOLDERS’ EQUITY

 

Warrants to Purchase Common Stock of the Company

 

We use the Black-Scholes-Merton option pricing model (“Black-Scholes Model”) to determine the fair value of warrants to purchase Common Stock of the Company (“Warrants”). The Black-Scholes Model is an acceptable model in accordance with the GAAP. The Black-Scholes Model requires the use of a number of assumptions including volatility of the stock price, the weighted average risk-free interest rate, and the weighted average term of the Warrant.

 

The risk-free interest rate assumption is based upon observed interest rates on zero coupon U.S. Treasury bonds whose maturity period is appropriate for the term of the Warrants. Estimated volatility is a measure of the amount by which our stock price is expected to fluctuate each year during the expected life of the award. Our estimated volatility is an average of the historical volatility of our stock prices (and that of peer entities whose stock prices were publicly available) over a period equal to the expected life of the awards. Where appropriate we used the historical volatility of peer entities due to the lack of sufficient historical data of our stock price during 2007-2009.

 

Warrant Activity during the nine months ended September 30, 2018

 

On February 23, 2018, we issued an aggregate of 487,500 ten-year Warrants (with a fair value of $10,237) at an exercise price of $0.05 per share to certain directors and officers and 25,000 ten-year Warrants (with a fair value of $525) at an exercise price of $0.05 per share to an entity.

 

On March 31, 2018, 2,500,000 Warrants issued in connection with a private placement completed in April 2013 expired and the fair value of $11,157 was written off and recorded as expense on the accompanying condensed consolidated financial statements.

 

On July 10, 2018, we entered into the Ninth Amendment to the HealthCor Purchase Agreement (the “Ninth Amendment”) with HealthCor, pursuant to which they agreed to amend the HealthCor Purchase Agreement and the 2011 HealthCor Notes canceling 11,782,859 Warrants associated with the HealthCor Purchase Agreement and the 2011 HealthCor Notes (see NOTE 10 for further details).

 

Warrant Activity during the nine months ended September 30, 2017

 

During the nine months ended September 30, 2017, no Warrants were issued, 340,000 Warrants expired and none were exercised.

 

Options to Purchase Common Stock of the Company

 

On June 29, 2018, the Company’s Board of Directors amended our 2016 Stock Option Plan (the “2016 Plan”) to limit in certain circumstances the number of shares of Common Stock that would otherwise be available for issuance under the 2016 Plan, in order to ensure the availability of a sufficient number of authorized and unissued shares of Common Stock to meet all of the Company’s obligations. The number of additional shares of Common Stock that may be issued pursuant to the 2016 Plan from and after June 29, 2018 shall be the lesser of (i) such number of shares of Common Stock previously reserved for issuance under the 2016 Plan and not subject to awards outstanding (or previously exercised or vested) under the 2016 Plan as of any such date, or (ii) such number of authorized and unissued shares of Common Stock not otherwise reserved by the Company for issuance as of any such date pursuant to (a) all awards outstanding under any Company stock or option plan (including, for the avoidance of doubt, under the 2016 Plan), (b) full conversion of all outstanding notes, (c) full exercise of all outstanding warrants or (d) any other outstanding instrument or contractual commitment of the Company.

 

 9 
 

 

CAREVIEW COMMUNICATIONS, INC. AND SUBSIDIARIES

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS

 

During the nine months ended September 30, 2018, no options to purchase our Common Stock (the ’‘Option(s)’’) were granted. During the nine months ended September 30, 2017, we granted options to purchase 545,000 shares of our Common Stock (the ’‘Option(s)’’) to certain employees. During the same nine month-period, 222,830 Options were canceled.

 

A summary of our stock option activity and related information follows:

 

   Number of Shares Under Options  Weighted Average Exercise Price  Weighted
Average
Remaining
Contractual
Life
  Aggregate Intrinsic Value
Balance at December 31, 2017   22,660,459   $0.27    8.1   $—   
   Expired   (686,836)               
   Canceled   (214,997)               
Balance at September 30, 2018   21,758,626   $0.26    7.4   $—   

Vested and Exercisable at

September 30, 2018

   11,697,156   $

    6.1   $—   

 

The valuation methodology used to determine the fair value of the Options issued was the Black-Scholes Model.

 

The assumptions used in the Black-Scholes Model are set forth in the table below.

 

   Nine Months
Ended
September 30, 2018
  Year Ended
December 31, 2017
Risk-free interest rate   %   1.17-2.15% 
Volatility   %   78.40-89.93% 
Expected life in years       6 
Dividend yield   %   0.00%

 

The risk-free interest rate assumption is based upon observed interest rates on zero coupon U.S. Treasury bonds whose maturity period is appropriate for the expected term of the Option and is calculated by using the average daily historical stock prices through the day preceding the grant date. Estimated volatility is a measure of the amount by which our stock price is expected to fluctuate each year during the expected life of the award. Our estimated volatility is an average of the historical volatility of our stock prices. Our calculation of estimated volatility is based on historical stock prices over a period equal to the expected life of the awards.

 

Share-based compensation expense for Options charged to our operating results for the nine months ended September 30, 2018 and 2017 ($206,114 and $313,758, respectively) is based on awards vested. The estimate of forfeitures are to be recorded at the time of grant and revised in subsequent periods if actual forfeitures differ from the estimates. We have not included an adjustment to our stock-based compensation expense based on the nominal amount of the historical forfeiture rate. We do, however, revise our stock-based compensation expense based on actual forfeitures during each reporting period.

 

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CAREVIEW COMMUNICATIONS, INC. AND SUBSIDIARIES

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS

 

At September 30, 2018, total unrecognized estimated compensation expense related to non-vested Options granted prior to that date was approximately $327,000, which is expected to be recognized over a weighted-average period of 1.6 years. No tax benefit was realized due to a continued pattern of operating losses.

 

NOTE 4 – OTHER CURRENT ASSETS

 

Other current assets consist of the following:

   September 30,
2018
  December 31,
2017
Prepaid equipment  $1,274,522   $465,847 
Prepaid expenses   137,831    98,656 
Other current assets   20,019    21,119 
TOTAL OTHER CURRENT ASSETS  $1,432,372   $585,622 

 

NOTE 5 – PROPERTY AND EQUIPMENT

 

Property and equipment consist of the following:

   September 30,
2018
  December 31,
2017
Network equipment  $13,976,482   $13,610,280 
Office equipment   293,709    291,003 
Vehicles   217,004    217,004 
Test equipment   175,603    177,386 
Furniture   90,827    90,827 
Warehouse equipment   9,524    9,524 
Leasehold improvements   5,121    5,121 
    14,768,270    14,401,145 
Less: accumulated depreciation   (12,008,159)   (11,079,604)
TOTAL PROPERTY AND EQUIPMENT  $2,760,111   $3,321,541 

 

Depreciation expense for the nine months ended September 30, 2018 and 2017 was $985,927 and $1,365,983, respectively.

 

NOTE 6 – OTHER ASSETS

 

Intangible assets consist of the following:

 

   September 30, 2018
   Cost  Accumulated Amortization  Net
Patents and trademarks  $903,650   $180,575   $723,075 
Other intangible assets   63,509    55,625    7,884 
     TOTAL INTANGIBLE ASSETS  $967,159   $236,200   $730,959 

 

 

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NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS

 

   December 31, 2017
   Cost  Accumulated Amortization  Net
Patents and trademarks  $806,279   $146,246   $660,033 
Other intangible assets   59,122    53,237    5,885 
     TOTAL INTANGIBLE ASSETS  $865,401   $199,483   $665,918 

 

Other assets consist of the following:

 

   September 30, 2018
   Cost  Accumulated Amortization  Net
Deferred debt issuance costs  $1,302,223   $593,389   $708,834 
Prepaid financing costs   805,918    380,410    425,508 
Deferred installation costs   1,805,219    1,648,358    156,861 
Prepaid license fee   249,999    116,119    133,880 
Security deposit   46,124    —      46,124 
TOTAL OTHER ASSETS  $4,209,483   $2,738,276   $1,471,207 

 

 

   December 31, 2017
   Cost  Accumulated Amortization  Net
Deferred debt issuance costs  $1,257,778   $451,216   $806,562 
Deferred financing costs   850,363    296,863    553,500 
Deferred installation costs   1,748,818    1,533,270    215,548 
Prepaid license fee   249,999    103,824    146,175 
Security deposit   46,124    —      46,124 
TOTAL OTHER ASSETS  $4,153,082   $2,385,173   $1,767,909 

 

NOTE 7 – OTHER CURRENT LIABILITIES

 

Other current liabilities consist of the following:

 

   September 30,
2018
  December 31,
2017
Allowance for system removal  $235,700   $176,750 
Deferred officer compensation   120,184    —   
Accrued paid time off   105,481    112,577 
Deferred revenue   102,402    17,430 
Accrued rent expense   80,435    120,433 
Accrued taxes   55,166    127,225 
Other accrued liabilities   32,811    195,641 
Accrued insurance   19,133    —   
TOTAL OTHER CURRENT LIABILITIES  $751,312   $750,056 

 

 

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CAREVIEW COMMUNICATIONS, INC. AND SUBSIDIARIES

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS

 

NOTE 8 – INCOME TAXES

 

Deferred income tax assets and liabilities are determined based upon differences between the financial reporting and tax bases of assets and liabilities and are measured using the enacted tax rates and laws that will be in effect when the differences are expected to reverse. We do not expect to pay any significant federal or state income tax for 2018 as a result of the losses recorded during the nine months ended September 30, 2018 and the additional losses expected for the remainder of 2018 and net operating loss carry forwards from prior years. Accounting standards require the consideration of a valuation allowance for deferred tax assets if it is “more likely than not” that some component or all of the benefits of deferred tax assets will not be realized. As of September 30, 2018, we maintained a full valuation allowance for all deferred tax assets. Based on these requirements, no provision or benefit for income taxes has been recorded. There were no recorded unrecognized tax benefits at the end of the reporting period.

 

The Tax Cuts and Jobs Act (the “Act”) was signed into law on December 22, 2017. Among its numerous changes to the Internal Revenue Code, the Act reduces U.S. corporate rates from 35% to 21%. Additionally, the Act limits the use of net operating loss carry backs, however any future net operating losses will instead be carried forward indefinitely. Net operating losses generated from January 1, 2018 are limited to offset 80% of current income, with the remainder of the net operating loss continuing to carry forward indefinitely. Net operating losses incurred before January 1, 2018 are not subject to the 80% limitations and will begin to expire in 2029. Based on an initial assessment of the Act, the Company believes that the most significant impact on the Company’s consolidated financial statements will be limitations in tax deductions on interest expense. Under the Act, interest deductions disallowed from current income will carryforward indefinitely. The Act did not impact management’s valuation allowance position.

 

NOTE 9 – AGREEMENT WITH PDL BIOPHARMA, INC.

 

On June 26, 2015, we entered into a Credit Agreement (as subsequently amended) with PDL BioPharma, Inc. (“PDL”), as administrative agent and lender (“the Lender”) (the “PDL Credit Agreement”). Under the PDL Credit Agreement the Lender made available to us up to $40 million in two tranches of $20 million each. Tranche One was funded on October 8, 2015 (the “Tranche One Loan’). Pursuant to the terms of the PDL Credit Agreement and having not met the Tranche Two Milestones by July 26, 2017, the Tranche Two funding was terminated in full. Outstanding borrowings under the Tranche One Loan bears interest at the rate of 13.5% per annum, payable quarterly in arrears. The PDL Credit Agreement, as modified, includes a minimum cash balance requirement of $2,500,000, which has been recorded as restricted cash on the condensed consolidated balance sheet at March 31, 2018, and should we drop below $2,500,000, it will trigger a default. On June 26, 2015, we issued Warrants to PDL for the purchase of an aggregate of 4,444,445 shares of our Common Stock at an exercise price of $0.45 per share (the “PDL Warrant”)

 

On October 7, 2015, we entered into an amendment to the PDL Credit Agreement (the “First Amendment”). The First Amendment modified the conditions precedent to the funding of each tranche, such that, among other things, we no longer need to attain a specified milestone relating to the placement of our products in order for the Lender to fund us the Tranche One Loan. Contemporaneously with the execution of the First Amendment we borrowed the Tranche One Loan and issued to the Lender a term note in the principal amount of $20 million (the “Tranche One Term Note”), payable in accordance with the terms of the PDL Credit Agreement, as amended. On October 7, 2015, we also amended and restated the PDL Warrant changing the exercise price from $0.45 to $0.40 per share (the “Amended PDL Warrant”). We evaluated whether there was an increase in fair value which would require recognition of additional costs. No such increase in fair value was noted and no adjustment to the PDL Warrant valuation was necessary.

 

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CAREVIEW COMMUNICATIONS, INC. AND SUBSIDIARIES

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS

 

On December 28, 2017, the Company and PDL Investment Holdings, LLC (as assignee of PDL) (“PDL Investment”) entered into a Binding Forbearance Term Sheet (the “Forbearance Term Sheet”) in order to modify certain provisions of the PDL Credit Agreement to prevent any Events of Default from occurring on December 31, 2017. This Forbearance Term Sheet was the governing document until February 2, 2018, at which time, the Company and PDL Investment entered into a modification agreement (the “PDL Modification Agreement”), effective December 28, 2017, with respect to the PDL Credit Agreement, as amended, which reiterated the terms included in the Forbearance Term Sheet and effective February 2, 2018, entered into certain consents and amendments with respect to other existing agreements. In accordance with GAAP, we accounted for this transaction as a debt modification, wherein consideration given to the Lender was recorded as deferred closing costs and all third-party payments were considered an expense and recorded as such on the accompanying condensed consolidated financial statements. Details of the PDL Modification Agreement are included in our Form 10-K filed with the SEC on March 30, 2018.

 

On May 31, 2018, the Company and PDL Investment entered into an amendment to the PDL Modification Agreement (the “PDL Modification Agreement Amendment”), pursuant to which the parties agreed to amend the PDL Modification Agreement to provide that the dates on which the Lender may elect, in the Lender’s sole discretion, to terminate the Modification Period would be July 31, 2018 and September 30, 2018 (with each such date permitted to be extended by the Lender in its sole discretion); and that the Company could satisfy its obligations under the PDL Modification Agreement, as amended to obtain financing by obtaining (i) at least $2,050,000 in net cash proceeds from the issuance of Capital Stock (other than Disqualified Capital Stock) or Debt on or prior to February 23, 2018 and (ii) an additional (A) $750,000 in net cash proceeds from the issuance of Capital Stock (other than Disqualified Capital Stock) or Debt on or prior to June 15, 2018 and (B) $750,000 in net cash proceeds from the issuance of Capital Stock (other than Disqualified Capital Stock) or Debt on or prior to August 31, 2018 (resulting in aggregate net cash proceeds of at least $3,550,000).

 

On June 14, 2018, the Company and PDL Investment entered into a second amendment to PDL Modification Agreement (the “Second PDL Modification Agreement Amendment”), pursuant to which the parties agreed to further amend the PDL Modification Agreement to provide that the Company could satisfy its obligations under the PDL Modification Agreement, as amended, to obtain financing by obtaining (i) at least $2,050,000 in net cash proceeds from the issuance of Capital Stock (other than Disqualified Capital Stock) or Debt on or prior to February 23, 2018 and (ii) an additional (A) $750,000 in net cash proceeds from the issuance of Capital Stock (other than Disqualified Capital Stock) or Debt on or prior to July 3, 2018 (rather than June 15, 2018) and (B) $750,000 in net cash proceeds from the issuance of Capital Stock (other than Disqualified Capital Stock) or Debt on or prior to August 31, 2018 (resulting in aggregate net cash proceeds of at least $3,550,000).

 

On June 28, 2018, the Company, and PDL Investment entered into a third amendment to Modification Agreement (the “Third PDL Modification Agreement Amendment”), pursuant to which the parties agreed to further amend the PDL Modification Agreement to provide that the Company could satisfy its obligations under the PDL Modification Agreement, as amended, to obtain financing by obtaining (i) at least $2,050,000 in net cash proceeds from the issuance of Capital Stock (other than Disqualified Capital Stock) or Debt on or prior to February 23, 2018 and (ii) an additional (A) $750,000 in net cash proceeds from the issuance of Capital Stock (other than Disqualified Capital Stock) or Debt on or prior to July 13, 2018 (rather than July 3, 2018) and (B) $750,000 in net cash proceeds from the issuance of Capital Stock (other than Disqualified Capital Stock) or Debt on or prior to August 31, 2018 (resulting in aggregate net cash proceeds of at least $3,550,000).

 

In accordance with the PDL Credit Agreement, as amended, interest only payments of $675,000 for each of the first nine interest payment dates (December 31, 2015, March 31, June 30, September 30, and December 31, 2016, March 31, June 30, September 30, 2017 and December 31, 2017) were made timely. Pursuant to the terms of the PDL Modification Agreement, as amended, the first principal payment on the Tranche One Loan due on December 31, 2017 in the amount of $1,666,667, and similar principal payments due on March 31, 2018, June 30, 2018 and September 30, 2018 have been delayed and are included in the payment due on December 31, 2018. Quarterly payments under the PDL Credit Agreement, as amended, subsequent to the PDL Modification Agreement, as amended, will be due as detailed in the PDL Credit Agreement, as amended. We may elect to prepay the Loans at any time without any premium or penalty, subject to certain conditions.

 

 14 
 

 

CAREVIEW COMMUNICATIONS, INC. AND SUBSIDIARIES

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS

 

The obligations under the PDL Credit Agreement, as amended, are secured by a pledge of substantially all of the assets of the Company and certain of its domestic subsidiaries. We executed a Subordination and Intercreditor Agreement (the “Subordination and Intercreditor Agreement”), with the Lender, HealthCor and the 2015 and 2018 Investors (as defined in NOTE 10) pursuant to which we granted first-priority liens on our pledged assets to the Lender and second-priority liens on such pledged assets to HealthCor and the 2015 and 2018 Investors.

 

The PDL Credit Agreement, as amended, contains customary affirmative covenants for transactions of this type and other affirmative covenants agreed to by the Company and the Lender, including, among others, the provision of annual and quarterly reports, maintenance of property, insurance, compliance with laws and contractual obligations and payment of taxes. The PDL Credit Agreement, as amended, contains customary negative covenants for transactions of this type and other negative covenants agreed to by the Company and the Lender, including, among others, restrictions on the incurrence of indebtedness, the granting of liens, making restricted payments and investments, entering into affiliate transactions and transferring assets. The PDL Credit Agreement, as amended, calls for a reduction of our operating expenses compared to such expense incurred in October 2017 by at least (i) $113,000 for January 2018, (ii) $148,000 for February 2018 and (iii) $167,000 for each other month for the duration of the Modification Period. We are in compliance with this covenant as of the date of this filing. The PDL Credit Agreement, as amended, also provides for a number of customary events of default, including payment, bankruptcy, covenant, representation and warranty and judgment defaults.

 

In addition, contemporaneously with the execution of the PDL Credit Agreement the Company and the Lender executed (i) a Registration Rights Agreement (as amended in the PDL Modification Agreement as discussed above) pursuant to which we agreed to provide the Lender with certain registration rights with respect to the shares of Common Stock issuable upon exercise of the PDL Warrant, (ii) a Guarantee and Collateral Agreement pursuant to which certain of our subsidiaries guaranteed the performance of our obligations under the PDL Credit Agreement, as amended, and granted the Lender a security interest in such subsidiaries’ tangible and intangible assets securing our performance of the same, and (iii) a Patent Security Agreement and a Trademark Security Agreement pursuant to which we granted the Lender a security interest in a certain subsidiary’s tangible and intangible assets securing the performance of our obligations under the PDL Credit Agreement, as amended.

 

Accounting Treatment

 

In connection with the PDL Credit Agreement, as amended, we issued the PDL Warrant to the Lender. The fair value of the PDL Warrant at issuance was $1,257,778, which has been recorded as deferred issuance costs in the accompanying condensed consolidated financial statements. The deferred debt issuance costs associated with the PDL Credit Agreement, as amended are recorded as assets in accordance with the accounting standards as the PDL Credit Agreement, as amended is considered to be a credit facility and the warrants were payment for the facility and not the drawdowns. These costs are amortized to interest expense using the straight-line method over the term of the PDL Credit Agreement, as amended. In December 2017, in connection with the PDL Modification Agreement, as amended, the Amended PDL Warrant was again amended (the “Second Amendment to the PDL Warrant’) resulting in an increase in fair value of $44,445, which was recorded as additional deferred financing costs in the accompanying condensed consolidated financial statements. For the nine-month periods ended September 30, 2018 and 2017, $94,782 and $89,844, respectively, was amortized to interest expense. As of September 30, 2018, the PDL Warrant, as amended, has not been exercised. We also incurred certain closing costs related to the PDL Credit Agreement totaling $805,917 in the accompanying condensed consolidated financial statements. These costs have been recorded as deferred closing costs and are being amortized to interest expense over the term of the PDL Credit Agreement as amended. For both nine month-periods ended September 30, 2018 and 2017, $55,698 was amortized to interest expense.

 

 15 
 

 

CAREVIEW COMMUNICATIONS, INC. AND SUBSIDIARIES

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS

 

NOTE 10 – AGREEMENT WITH HEALTHCOR

 

On April 21, 2011, we entered into a Note and Warrant Purchase Agreement (as subsequently amended) (the “HealthCor Purchase Agreement”) with HealthCor Partners Fund, LP and HealthCor Hybrid Offshore Master Fund, LP (“HealthCor”). Pursuant to the terms of the HealthCor Purchase Agreement, we sold Senior Secured Convertible Notes to HealthCor in the principal amount of $9,316,000 and $10,684,000, respectively (collectively the “2011 HealthCor Notes”). The 2011 HealthCor Notes have a maturity date of April 20, 2021. We also issued Warrants to HealthCor for the purchase of an aggregate of up to 5,488,456 and 6,294,403 shares, respectively, of our Common Stock at an exercise price of $1.40 per share (collectively the “2011 HealthCor Warrants”).

 

So long as no event of default has occurred, the outstanding principal balances of the 2011 HealthCor Notes accrue interest from April 21, 2011 through April 20, 2016 (the “First Five-Year Note Period”) at the rate of 12.5% per annum, compounding quarterly and shall be added to the outstanding principal balances of the 2011 HealthCor Notes on the last day of each calendar quarter. Interest accruing from April 21, 2016 through April 20, 2021 (the “Second Five Year Note Period”) at a rate of 10% per annum, compounding quarterly, may be paid quarterly in arrears in cash or, at our option, such interest may be added to the outstanding principal balances of the 2011 HealthCor Notes on the last day of each calendar quarter. For the period from April 21, 2016 through March 31, 2018 interest has been added to the outstanding principal balance.

 

From the date any event of default occurs, the interest rate, then applicable, shall be increased by five percent (5%) per annum. HealthCor has the right, upon an event of default, to declare due and payable any unpaid principal amount of the 2011 HealthCor Notes then outstanding, plus previously accrued but unpaid interest and charges, together with the interest then scheduled to accrue (calculated at the default rate described in the immediately preceding sentence) through the end of the First Five Year Note Period or the Second Five Year Note Period, as applicable.

 

Subject to the terms of the Ninth Amendment as discussed below, HealthCor’ s ability to convert any portion of the outstanding and unpaid accrued interest on and principal balances of the 2011 HealthCor Notes into fully paid and non-assessable shares of our Common Stock has been eliminated.

 

On January 31, 2012, we entered into the Second Amendment to the HealthCor Purchase Agreement with HealthCor (the “Second Amendment”) amending the HealthCor Purchase Agreement and sold Senior Secured Convertible Notes to HealthCor in the principal amounts of $2,329,000 and $2,671,000, respectively (collectively the “2012 HealthCor Notes”). As provided by the Second Amendment, the 2012 HealthCor Notes are in substantially the same form as the 2011 HealthCor Notes, with changes to the “Issuance Date,” “Maturity Date,” “First Five-Year Note Period” and other terms to take into account the timing of the issuance of the 2012 HealthCor Notes. The 2012 HealthCor Notes have a maturity date of January 30, 2022. In addition, the provisions regarding interest payments, interest acceleration, optional conversion, negative covenants, and events of default, preemptive rights and registration rights are the same as those of the 2011 HealthCor Notes. At any time after January 30, 2012, HealthCor is entitled to convert any portion of the outstanding and unpaid accrued interest on and principal balances of the 2012 HealthCor Notes into fully paid and non-assessable shares of our Common Stock at a conversion rate of $1.25 per share, subject to adjustment in accordance with anti-dilution provisions set forth in the 2012 HealthCor Notes.

 

 16 
 

 

CAREVIEW COMMUNICATIONS, INC. AND SUBSIDIARIES

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS

 

Subject to the terms of the Ninth Amendment as discussed below, HealthCor’s ability to convert any portion of the outstanding and unpaid accrued interest on and principal balances of the 2012 HealthCor Notes into fully paid and non-assessable shares of our Common Stock has been eliminated.

 

On August 20, 2013, we entered into the Third Amendment to the HealthCor Purchase Agreement with HealthCor (the “Third Amendment”) to redefine our minimum cash balance requirements. Previously we were required to maintain a minimum cash balance of $5,000,000 and should we drop below that balance, it triggered a default. The Third Amendment allowed for a reduced minimum cash period, as defined in the HealthCor Purchase Agreement, which allowed us to drop below $5,000,000, but not below $4,000,000. All other terms and conditions of the HealthCor Purchase Agreement, including all amendments thereto, remain the same. Upon entering the reduced minimum cash period (which occurred on October 7, 2013), we had 120 days to return our minimum cash balance to the original $5,000,000. On January 16, 2014, we increased our cash balance to in excess of the original $5,000,000 minimum allowable balance.

 

On January 16, 2014, we entered into the Fourth Amendment to the HealthCor Purchase Agreement with HealthCor (the “Fourth Amendment”) and sold Senior Secured Convertible Notes to HealthCor in the principal amounts of $2,329,000 and $2,671,000 (collectively the ’’2014 HealthCor Notes’’). As provided by the Fourth Amendment, the 2014 HealthCor Notes are in substantially the same form as the 2011 HealthCor Notes, with changes to the “Issuance Date,” “Maturity Date,” “First Five-Year Note Period” and other terms to take into account the timing of the issuance of the 2014 HealthCor Notes. The 2014 HealthCor Notes have a maturity date of January 15, 2024. In addition, the provisions regarding interest payments, interest acceleration, optional conversion, negative covenants, and events of default, preemptive rights and registration rights are the same as those of the 2011 HealthCor Notes. At any time after January 16, 2014, HealthCor is entitled to convert any portion of the outstanding and unpaid accrued interest on and principal balances of the 2014 HealthCor Notes into fully paid and non-assessable shares of our Common Stock at a conversion rate of $0.40 per share, subject to adjustment in accordance with anti-dilution provisions set forth in the 2014 HealthCor Notes. Additionally, we issued Warrants to HealthCor for the purchase of an aggregate of up to 4,000,000 shares of our Common Stock at an exercise price of $0.40 per share (collectively the “2014 HealthCor Warrants”). As of September 30, 2018, the underlying shares of our Common Stock related to the 2014 HealthCor Notes totaled approximately 22,000,000.

 

On December 4, 2014, we entered into the Fifth Amendment to the HealthCor Purchase Agreement (the “Fifth Amendment”) with HealthCor and certain additional investors (such additional investors, the “2015 Additional Investors” and, collectively with HealthCor Partners Fund, LP, the “2015 Investors”) and agreed to sell and issue (i) additional notes in the initial aggregate principal amount of $6,000,000,with a conversion price per share of $0.52 (subject to adjustment as described therein) (the “Fifth Amendment Notes”) and (ii) additional Warrants for an aggregate of up to 3,692,308 shares of our Common Stock at an exercise price per share of $0.52 (subject to adjustment as described therein) (the “Fifth Amendment Warrants”). As provided by the Fifth Amendment, the Fifth Amendment Notes are in substantially the same form as the 2011 HealthCor Notes, with changes to the “Issuance Date,” “Maturity Date,” “First Five-Year Note Period” and other terms to take into account the timing of the issuance of the Fifth Amendment Notes. The Fifth Amendment Notes have a maturity date of February 16, 2025. In addition, the provisions regarding interest payments, interest acceleration, optional conversion, negative covenants, and events of default, preemptive rights and registration rights are the same as those of the 2011 HealthCor Notes. The 2015 Investors are composed of all but one of our current directors and one of our officers. On February 17, 2015, the Company and the 2015 Investors closed on the transactions contemplated by the Fifth Amendment. In connection with this closing, the Company and the 2015 Investors entered into an Amended and Restated Pledge and Security Agreement (the “Amended Security Agreement”), amending and restating that certain Pledge and Security Agreement dated as of April 20, 2011, and an Amended and Restated Intellectual Property Security Agreement (the “Amended IP Security Agreement”), amending and restating that certain Intellectual Property Security Agreement dated as of April 20, 2011. As of September 30, 2018, the underlying shares of our Common Stock related to the Fifth Amendment Notes totaled approximately 3,000,000 to HealthCor Partners Fund, LP and 15,000,000 to the 2015 Additional Investors.

 

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CAREVIEW COMMUNICATIONS, INC. AND SUBSIDIARIES

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS

 

On March 31, 2015, we entered into the Sixth Amendment to the HealthCor Purchase Agreement (the “Sixth Amendment”) pursuant to which, among other things, (i) the requirement to maintain a minimum cash balance of $5,000,000 was reduced to a minimum cash balance of $2,000,000 and (ii) the amendment provision was revised to permit the HealthCor Purchase Agreement to be amended by the Company and the holders of the majority of the Common Stock underlying the outstanding notes and warrants to purchase shares of our Common Stock sold pursuant to the HealthCor Purchase Agreement. On March 31, 2015, we also issued a warrant to HealthCor to purchase up to an aggregate of 1,000,000 shares of our Common Stock in consideration for certain prior waivers of the minimum cash balance requirement in the HealthCor Purchase Agreement (the “Sixth Amendment Warrant”). The Sixth Amendment Warrant has an exercise price per share of $0.53 (subject to adjustment as described therein) and an expiration date of March 31, 2025.

 

On June 26, 2015, we (i) entered into the Seventh Amendment to the HealthCor Purchase Agreement (the “Seventh Amendment”) pursuant to which the HealthCor Purchase Agreement was amended to permit the Company to enter into and perform its obligations under the PDL Credit Agreement, as amended, (as detailed in NOTE 9); (ii) executed an Amendment to the Registration Rights Agreement between the Company and HealthCor dated April 21, 2011 (the “RR Agreement”) pursuant to which the RR Agreement was amended to make its priority of registration consistent with the Registration Rights Agreement executed by the Company and PDL; (iii) amended the 2011 HealthCor Notes to extend the maturity date, in the event that Tranche Two of the PDL Credit Agreement is funded, for such notes to 90 days after the earlier of the Tranche Two maturity date or repayment date, but not later than December 31, 2022, (iv) amended the 2012 HealthCor Notes, to set the maturity date at January 30, 2022 and, in the event that Tranche Two of the PDL Credit Agreement is funded, to extend such maturity date to 90 days after the earlier of the Tranche Two maturity date or repayment date, but later than December 31, 2022; and (v) amended each of the Senior Secured Convertible Notes issued under the HealthCor Purchase Agreement (the “HealthCor Notes”) to, among other things, subordinate the HealthCor Notes to the loans under the PDL Credit Agreement, as amended, and to increase certain event of default acceleration and payment thresholds. As pertains to (iii) and (iv) above , pursuant to the terms of the PDL Credit Agreement, as amended, and having not met the Tranche Two Milestones by July 26, 2017, the Tranche Two funding was terminated in full.

 

On February 23, 2018, we entered into the Eighth Amendment to the HealthCor Purchase Agreement (the “Eighth Amendment”) with HealthCor and certain investors ( the “February 2018 Investors”) and agreed to sell and issue (i) additional notes in the initial aggregate principal amount of $2,050,000,with a conversion price per share of $0.05 (subject to adjustment as described therein) (the “Eighth Amendment Notes”) and (ii) additional Warrants for an aggregate of up to 512,500 shares of our Common Stock at an exercise price per share of $0.05 (subject to adjustment as described therein) (the “Eighth Amendment Warrants”). As provided by the Eighth Amendment, the Eighth Amendment Notes are in substantially the same form as the 2011 HealthCor Notes, with changes to the “Issuance Date,” “Maturity Date,” “First Five-Year Note Period” and other terms to take into account the timing of the issuance of the Fifth Amendment Notes. The Eighth Amendment Notes have a maturity date of February 22, 2028. In addition, the provisions regarding interest payments, interest acceleration, optional conversion, negative covenants, and events of default, preemptive rights and registration rights are the same as those of the 2011 HealthCor Notes. The February 2018 Investors are composed of all but one of our current directors, one of our officers and an entity. As of September 30, 2018, the underlying shares of our Common Stock related to the Eighth Amendment Notes totaled approximately 44,000,000 to the February 2018 Investors.

 

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CAREVIEW COMMUNICATIONS, INC. AND SUBSIDIARIES

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS

 

On July 10, 2018, we entered into the Ninth Amendment to the HealthCor Purchase Agreement (the “Ninth Amendment”) with HealthCor, the 2015 Investors and the February 2018 Investors, pursuant to which the parties agreed to amend the HealthCor Purchase Agreement, the 2011 HealthCor Notes, the 2012 HealthCor Notes, the 2014 HealthCor Notes, the Fifth Amendment Notes and the Eighth Amendment Notes, as applicable, to (i) remove the rights of the holders of the 2011 HealthCor Notes and the 2012 HealthCor Notes to convert such notes to Common Stock after September 30, 2018; (ii) suspend the accrual of interest on the 2011 HealthCor Notes and the 2012 HealthCor Notes for periods after September 30, 2018; (iii) provide for the potential earlier repayment of the 2011 HealthCor Notes and the 2012 HealthCor Notes by the Company, 120 calendar days following a written demand for payment by the holder of such notes; provided, however, that such written demand may not be given prior to the twelve-month anniversary of the date on which the obligations of the Company under the PDL Credit Agreement are repaid in full; (iv) cancel the 2011 HealthCor Warrants; (v) provide for the seniority of the 2011 HealthCor Notes and the 2012 HealthCor Notes in right of payment over notes subsequently issued pursuant to the Purchase Agreement, including the 2014 HealthCor Notes, the Fifth Amendment Notes and the Eighth Amendment Notes; (vi) amend the terms of the 2014 HealthCor Notes, the Fifth Amendment Notes and the Eighth Amendment Notes to reflect the seniority in payment of the 2011 HealthCor Notes and 2012 HealthCor Notes; and (vii) reduce the number of shares of Common Stock that the Company must at all times have authorized and reserved for the purpose of issuance upon conversion of the notes issued pursuant to the HealthCor Purchase Agreement (collectively, the “Notes”) and exercise of the warrants issued pursuant to the HealthCor Purchase Agreement (collectively, the “Warrants”), from at least 120% of the aggregate number of shares of Common Stock then issuable upon full conversion of the Notes and exercise of the Warrants to at least 100% of such aggregate number of shares.

 

In addition, on July 10, 2018, along with PDL, HealthCor, the 2015 Investors and the February 2018 Investors, we entered into a Second Amendment to the Subordination and Intercreditor Agreement, to amend the Subordination and Intercreditor Agreement dated as of June 26, 2015, as amended to provide that, in the event of a sale of the Company’s hospital assets, after the net proceeds are first applied to repay obligations under the PDL Credit Agreement, as amended, until paid in full, up to the next $5,000,000 of such net proceeds may be retained by the Company for working capital purposes before all remaining net proceeds are then applied to repay the obligations under the Notes in accordance with the priorities set forth in the HealthCor Purchase Agreement and the Notes.

 

On July 13, 2018, we entered into the Tenth Amendment to the HealthCor Purchase Agreement with HealthCor and certain investors (all of which are directors of the Company) (the “July 2018 Investors”), pursuant to which we sold and issued convertible secured promissory notes for an aggregate of $1,000,000 to the July 2018 Investors with a conversion price per share equal to $0.05 and a maturity date of July 12, 2028. As of September 30, 2018, the underlying shares of our Common Stock related to the Tenth Amendment Notes totaled approximately 21,000,000 to the July 2018 Investors.

 

Accounting Treatment

 

When issuing debt or equity securities convertible into common stock at a discount to the fair value of the common stock at the date the debt or equity financing is committed, a company is required to record a beneficial conversion feature (“BCF”) charge. We had three separate issuances of equity securities convertible into common stock that qualify under this accounting treatment, (i) the 2011 HealthCor Notes, (ii) the 2012 HealthCor Notes and (iii) the 2014 HealthCor Notes. Because the conversion option and the 2011 HealthCor Warrants on the 2011 HealthCor Notes were originally classified as a liability when issued due to the down round provision and the removal of the provision requiring liability treatment, and subsequently reclassified to equity on December 31, 2011 when the 2011 HealthCor Notes were amended, only the accrued interest capitalized as payment in kind (’‘PIK’’) since reclassification qualifies under this accounting treatment. We recorded an aggregate of $2,746,081 and $2,345,767 in interest for the nine months ended September 30, 2018 and 2017, respectively, related to these transactions. The face amount of the 2012 HealthCor Notes, 2014 HealthCor Notes, the Fifth Amendment Notes and the Eighth Amendment Notes and all accrued PIK interest also qualify for BCF treatment as discussed above. During the nine months ended September 30, 2018 and 2017, we recorded a BCF of $98,363 and $122,453, respectively. The BCF was recorded as a charge to debt discount and a credit to additional paid in capital, with the debt discount, using the effective interest method, amortized to interest expense over the term of the notes.

 

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CAREVIEW COMMUNICATIONS, INC. AND SUBSIDIARIES

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS

 

As Warrants were issued with the Fifth Amendment Notes, the proceeds were allocated to the instruments based on relative fair value as the warrants did not contain any features requiring liability treatment and therefore were classified as equity. The value allocated to the Fifth Amendment Warrants was $1,093,105, which was recorded as debt discount with the credit to additional paid in capital. We recorded an aggregate of $21,456 and $18,054 in interest for the nine months ended September 30, 2018 and 2017, respectively, related to the Fifth Amendment Notes and Fifth Amendment Warrants. The carrying value of the Fifth Amendment Notes at September 30, 2018 approximates fair value as the interest rates used are those currently available to us and would be considered level 3 inputs under the fair value hierarchy.

 

The Warrants issued with the Sixth Amendment also did not contain features requiring liability accounting and were recorded at fair value on the date of issuance with the offsetting credit recorded in equity. The value allocated to the Sixth Amendment Warrant was $378,000, which was recorded as debt costs with the credit to additional paid in capital. We recorded an aggregate of $43,352 and 43,332 in interest for the nine month-periods ended September 30, 2018 and 2017, respectively.

 

As Warrants were issued with the Eighth Amendment Notes, the proceeds were allocated to the instruments based on relative fair value as the warrants did not contain any features requiring liability treatment and therefore were classified as equity. The value allocated to the Eighth Amendment Warrants was $10,707 and was recorded as interest expense with the credit to additional paid in capital. The carrying value of the Eighth Amendment Notes at September 30, 2018 approximates fair value as the interest rates used are those currently available to us and would be considered level 3 inputs under the fair value hierarchy.

 

NOTE 11 – JOINT VENTURE AGREEMENT

 

On November 16, 2009, we entered into a Master Investment Agreement (the “Rockwell Agreement”) with Rockwell Holdings I, LLC, a Wisconsin limited liability (“Rockwell”). Under the terms of the Rockwell Agreement, we used funds from Rockwell to fully implement the CareView System™ in Hillcrest Medical Center in Tulsa, Oklahoma (“Hillcrest”) and Saline Memorial Hospital in Benton, Arkansas (“Saline”) (the “Project Hospital(s)”). CareView-Hillcrest, LLC and CareView-Saline, LLC were created as the operating entities for the Project Hospitals under the Rockwell Agreement (the “Project LLC(s) “).

 

On January 31, 2017, under the terms of the Rockwell Agreement, wherein we had the option to purchase Rockwell’s interest in the Project LLCs, we exercised that right by entering into a Settlement and LLC Interest Purchase Agreement with Rockwell (the “Settlement Agreement). Pursuant to the terms of the Settlement Agreement, we paid Rockwell the aggregate amount of $1,213,786 by the issuance of a promissory note to Rockwell for $1,113,786 (the “Rockwell Note”) and a cash payment of $100,000. Pursuant to the terms of the Rockwell Note, we were to make quarterly principal payments of $100,000, with each payment being made on the last day of each calendar quarter beginning with the first payment date of March 31, 2017 and continuing on the last business day of each subsequent quarter through September 30, 2019 with the final payment of $13,786, representing the remaining principal balance plus all accrued and unpaid interest, due on December 31, 2019. On February 2, 2018, pursuant to the terms of PDL Modification Agreement, we entered into an amendment to the Rockwell Note wherein the quarterly payments under the Rockwell Note were reduced to $50,000 per quarter during the term of the PDL Modification Agreement, which ends December 31, 2018, at which time the payments will revert back to $100,000 per quarter starting March 31, 2019 through September 30, 2019 with the final payment of $307,538, representing the remaining principal balance plus all accrued and unpaid interest, due on December 31, 2019. Our evaluation of the February 2, 2018 modification of the Rockwell Note concluded that the modification resulted in a troubled debt restructuring under the accounting guidance as we are experiencing financial difficulties and it was deemed a concession was granted by Rockwell. However, as the future payments to be received subsequent to the modification were greater than the carrying value at the time of the modification, no gain was required to be recognized on the restructuring. We will amortize the restructured note using the effective interest method which is not expected to be materially different as the effective rate on the restructured debt was not materially lower than before the modification. We were not in default of any conditions under the Settlement Agreement as of September 30, 2018.

 

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CAREVIEW COMMUNICATIONS, INC. AND SUBSIDIARIES

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS

 

As additional consideration to Rockwell for entering into the Rockwell Agreement, we granted Rockwell Warrants to purchase 1,151,206 shares of our Common Stock on the date of the Rockwell Agreement, and, using the Black-Scholes Model, valued the Warrants at $1,124,728 (the “Project Warrant”), which amount was fully amortized at December 31, 2015. Pursuant to the terms of the Settlement Agreement, the expiration date of the Project Warrant was extended from November 16, 2017 to November 16, 2022. All other provisions of the Project Warrant remained unchanged. At the time of the extension, the Project Warrant were revalued resulting in a $11,512 increase in fair value, which has been recorded as non-cash costs included in general and administration expense in the accompanying consolidated financial statements. Effective February 2, 2018, pursuant to the terms of the PDL Modification Agreement, we entered into an amendment to the Project Warrant wherein the Project Warrant’s exercise price was changed from $0.52 to $0.05, resulting in a $13,814 increase in fair value, which was recorded as non-cash costs included in general and administration expense in the consolidated financial statements for the nine months ended September 30, 2018.

 

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

 

General

The following discussion and analysis provides information which our management believes to be relevant to an assessment and understanding of our results of operations and financial condition. This discussion should be read together with our financial statements and the notes to the financial statements, which are included in this Quarterly Report on Form 10-Q (the “Report”). This information should also be read in conjunction with the information contained in our Form 10-K filed with the Securities and Exchange Commission (the “SEC”) on March 30, 2018, including the audited consolidated financial statements and notes included therein as of and for the year ended December 31, 2017. The reported results will not necessarily reflect future results of operations or financial condition.

 

Throughout this Annual Report on Form 10-K (the “Report”), the terms “we,” “us,” “our,” “CareView,” or “Company” refers to CareView Communications, Inc., a Nevada corporation, and unless otherwise specified, includes our wholly owned subsidiaries, CareView Communications, Inc., a Texas corporation (“CareView-TX”) and CareView Operations, LLC, a Nevada limited liability company (“CareView Operations”) (collectively known as the “Company’s Subsidiaries”).

 

We maintain a website at www.care-view.com and our Common Stock trades on the OTCQB under the symbol “CRVW.’’

 

Company Overview

 

Our mission is to be the leading provider of products and on-demand application services for the healthcare industry, specializing in bedside video monitoring, software tools to improve hospital communications and operations, and patient education and entertainment packages. Our proprietary, high-speed data network system is the next generation of patient care monitoring that allows real-time bedside and point-of-care video monitoring designed to improve patient safety and overall hospital costs. The entertainment packages and patient education enhance the patient’s quality of stay. Reported results from CareView-driven facilities prove that our products reduce falls, reduce the cost of sitter fees, increase patient satisfaction and reduce bed turnaround time to increase patient flow. For patients, we have a convenient in-room, entertainment package that includes high-speed Internet, access to first-run on-demand movies and visual connectivity to family and friends from anywhere in the world. For the hospital, we offer tools to provide superior patient care, peace of mind and customer service satisfaction.

 

Our CareView System® suite of video monitoring, guest services and related applications connect patients, families and healthcare providers. Through the use of telecommunications technology and the Internet, our evolving products and on-demand services greatly increase the access to quality medical care and education for patients/consumers and healthcare professionals. We understand the importance of providing high quality patient care in a safe environment and believe in partnering with hospitals to improve the quality of patient care and safety by providing a system that monitors continuously. We are committed to providing an affordable video monitoring tool to improve the practice of nursing, create a better work environment and make the patient’s hospital stay more informative and satisfying. Our suite of products and services can simplify and streamline the task of preventing and managing patients’ falls, enhance patient safety, improve quality of care and reduce costs associated with bringing information technology directly to patients, families and healthcare providers. Our products and services can be used in all types of hospitals, nursing homes, adult living centers and selected outpatient care facilities domestically and internationally.

 

CareView’s secure video monitoring system connects the patient room to a touch-screen monitor at the nursing station or a mobile handheld device, allowing the nursing staff to maintain a level of visual contact with each patient. This configuration enhances the use of the nurse call system, reduces unnecessary steps to and from patient rooms, and facilitates a host of modules for patient safety and workflow improvements. The CareView System suite can be easily configured to meet the individual privacy and security requirements of any hospital or nursing facility. The Health Insurance Portability and Accountability Act of 1996 (“HIPAA’) compliant, patient approved video record can be included as part of the patient’s medical record and serves as additional documentation of bedside care, procedures performed, patient and hospital ancillary activities, safety or care incidents, support to necessitate additional clinical services, and, if necessary, as evidence. Additional HIPAA-compliance features allow privacy options to be enabled at any time by the patient, nurse or physician.

 

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In addition to patient safety and security, we also provide a suite of services to increase patient satisfaction scores and enhance the overall image of the hospital including first-run on-demand movies, Internet access via the patient’s television, and video visits with family and friends from most places throughout the world. Through continued investment in patient care technology, our products and services help hospitals and assisted living facilities build a safe, high quality healthcare delivery system that best serves the patient, while striving for the highest level of satisfaction and comfort.

 

Quarterly Update to Products and Services Agreement with Healthcare Facilities

 

We offer our products and services through a subscription-based model with healthcare facilities through a Products and Services Agreement (the “P&S Agreement(s)”). During the term of the P&S Agreement, we provide continuous monitoring of the CareView System’s products and services deployed to a healthcare facility and maintain and service all equipment installed by us. Terms of each P&S Agreement require the healthcare facility to pay us a monthly subscription fee based on the number of selected, installed and activated services. None of the services provided through the Primary Package or GuestView module are paid or reimbursed by any third-party provider including insurance companies, Medicare or Medicaid. We also enter into corporate-wide agreements with healthcare companies (the “Master Agreement(s)”), wherein the healthcare facilities that are a part of these healthcare companies enter into individual facility level agreements that are substantially similar to our P&S Agreements.

 

Master Agreements and P&S Agreements are currently negotiated for a period of five years with a minimum of two or three years; however, older P&S Agreements were negotiated for a five-year period with a provision for automatic renewal. P&S Agreements specific to pilot programs (“P&S Pilot Agreements”) contain pricing terms substantially similar to P&S Agreements, are generally three or six-months in length and can be extended on a month-to-month basis as required. We own all rights, title, and interest in and to the equipment we install at each location and agree to maintain and repair it; although, we may charge for repairs or replacements due to damage or misuse. We are not responsible for maintaining data arising from use of the CareView System or for transmission errors, corruption or compromise of data carried over local or interchange telecommunication carriers. We grant each healthcare facility a limited, revocable, non-transferable and non-exclusive license to use the software, network facilities, content and documentation on and in the CareView System suite to the extent, and only to the extent, necessary to access, explore and otherwise use the CareView System suite in real time. Such non-exclusive license expires upon termination of the P&S Agreement.

 

We use specific terminology in an effort to better define and track the staging and billing of the individual components of the CareView System suite. The CareView System suite includes three components which are separately billed; the Room Control Platform (the “RCP”), the Nurse Station, and mobile devices (each component referred to as a “unit”). The term “bed” refers to each healthcare facility bed as part of the overall potential volume that a healthcare facility represents. For example, if a healthcare facility has 200 beds, the aggregate of those beds is the overall potential volume of that healthcare facility. The term “bed” is often used interchangeably with “RCP” or “Room Control Platform” as this component of the CareView System consistently resides within each room where the “bed” is located. On average, there are six Nurse Stations for each 100 beds. The term “deployed” means that the units have been delivered to the healthcare facility but have not yet been installed at their respective locations within the facility. The term “installed” means that the units have been mounted and are operational. The term “billable” refers to the aggregate of all units on which we charge fees. Units become billable once they are installed and the required personnel have been trained in their use. Units are only deployed upon the execution of a P&S Agreement or P&S Pilot Agreement.

 

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Update on Significant Customer Agreements

 

HealthTrust

 

On December 14, 2016, the Company entered into a Group Purchasing Agreement with HealthTrust Purchasing Group, L.P. (“HealthTrust”) (the “HealthTrust GPO Agreement”), the nation’s only committed-model Group Purchasing Organization (“GPO”) headquartered in Nashville, Tennessee. HealthTrust serves approximately 1,600 acute care facilities and members in more than 26,000 other locations, including ambulatory surgery centers, physician practices, long-term care and alternate care sites. The agreement was effective on January 1, 2017 and all CareView System components and modules are available for purchase by HealthTrust’s exclusive membership. HealthTrust members may order CareView’s products and services included in the agreement directly from CareView.

 

On October 1, 2018, the Company added CareView Connect to the HealthTrust GPO Agreement.

 

Hospital Corporation of America

 

West Florida Division

 

On April 26, 2016, we entered into a Master Agreement with the West Florida Division of Health Corporation of America (“HCA”), the nation’s leading provider of healthcare services. The West Florida Division has approximately 2,600 beds. The three-year divisional Master Agreement follows the successful P&S Pilot Agreement with HCA’s Blake Medical Center. Currently, we are billing 439 units monthly.

 

Capital Division

 

On January 1, 2017, we entered into a P&S Agreement with HCA Capital Division pursuant to the HealthTrust GPO Agreement. We now have signed P&S Agreements for three facilities in the Capital Division, Lewis-Gale Medical Center, CJW Medical Center and Henrico Doctor’s Hospital totaling 169 units. There are 14 facilities in the division totaling approximately 3,200 staffed beds.

 

East Florida Division

 

On January 25, 2017, we entered into a P&S Agreement with HCA East Florida Division pursuant to the HealthTrust GPO Agreement. Under this agreement, our products and services will be available to all 13 facilities in the division, totaling approximately 3,600 staffed beds. Currently, we have 42 units in place at one facility.

 

Community Health Systems, Inc.

 

On April 1, 2015, we closed a Master Agreement with Community Health Systems, Inc. (“CHS”). Under the terms of the Master Agreement, currently, we are billing 1,016 units monthly in 17 hospitals. In early 2016, Mat-Su Regional Medical Center, a legacy CHS facility completed policy revision for patient video monitoring for CHS. With the policy revision complete, we have approval to contact all CHS facilities. We have had meetings with CHS market leaders and their Chief Nursing Officer and have their support, which could result in a potential roll-out of approximately 15,000 additional beds out of their estimated 27,000 staffed beds.

 

The Community Medical Centers HealthCare Network-Central California

 

On July 7, 2016, we signed a P&S Pilot Agreement with Clovis Community Medical Center, owned by The Community Medical Centers HealthCare Network-Central California (“Community Medical HealthCare”), which owns approximately 1,120 beds. We have completed the initial rollout of 64 units at Clovis Community Medical Center and 84 units at Community Regional Medical Center. Both facilities became billable in May 2017.

 

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Tenet Healthsystem Medical, Inc.

 

In February 2014, we entered into a Master Agreement with Tenet Healthsystem Medical, Inc. (“Tenet”). The terms of the Master Agreement provide for the execution of a facilities level agreement with each hospital. We are currently billing 631 units monthly.

 

Kaiser Permanente

 

We currently are billing 589 units monthly in seven Kaiser Permanente (“Kaiser”) facilities. In April and May 2014, we executed P&S Pilot Agreements with Kaiser’s Baldwin Park and Panorama City facilities, respectively. This is in addition to our P&S Pilot Agreement with Kaiser Orange County covering its facilities in Anaheim and Irvine, California which was executed in October 2013. The P&S Pilot Agreements for these four facilities provide for a monthly renewal until termination or replacement by a Master Agreement or individual P&S Agreements. We finalized a P&S Agreement with the Irvine facility in October 2016 and we are now in the process of finalizing a conversion from a P&S Pilot Agreement to a P&S Agreement with the Anaheim facility. Both of these facilities are in the process of determining their needs as it relates to adding additional units.

 

On November 2, 2015, we signed a P&S Agreement with Kaiser’s San Diego Medical Center. We currently have 28 installed units at this facility and anticipate adding additional beds once use and need has been determined.

 

In early 2016 we commenced discussions with Kaiser Northwest Region for deployment of the CareView System in Kaiser’s hospitals in Oregon. On November 10, 2016, we signed a P&S Pilot Agreement with the Northwest Division of Kaiser Permanente. Execution of this agreement signals our expanded growth within the Kaiser system. The agreement calls for the installation of 81 units at the Westside Medical Center.

 

After a successful pilot, in February 2016 we executed a P&S Agreement with Kaiser’s Los Angeles Medical Center for a total of 136 units. We are also in pilot discussions with other Kaiser facilities in the San Diego area. While we are continuing our sales efforts at the hospital and regional level, there are still discussions regarding a possible Master Agreement. Notwithstanding those discussions we will continue to sell into other Kaiser Regions and look to convert our P&S Pilot Agreements into P&S Agreements that can be replaced by a Master Agreement if and when one is finalized.

 

Parkland

 

In September 2015 we signed a P&S Agreement with Dallas County Hospital District d/b/a Parkland Health & Hospital System and are currently billing 425 units.

 

Geisinger Health System

 

In 2015 we signed a P&S Pilot Agreement with Geisinger Medical Center (“GMC”). Currently there are 144 monthly billable units at GMC. The results of the pilot were favorable and we have finalized the terms of a Master Agreement with GMC. There are approximately 1,800 beds within Geisinger System Services (“GSS”). Upon completion of the Master Agreement, we anticipate rolling out product and services to all owned and affiliated facilities. Currently we are in discussions with two GSS facilities who have expressed interest in installing the CareView System. We will also continue our sales efforts to the balance of GSS.

 

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Baptist Health South Florida

 

Baptist Health South Florida (“BHSF”) is a system comprised of 6 hospitals with 1,700 beds in the Miami area. They entered into a P&S Pilot Agreement in January 2016 to cover 99 beds. After a successful pilot BHSF has decided to move forward with a Master Agreement, which was finalized in July 2017. As of March 31, 2018, we are billing for 2013 units. CareView is in discussions with two additional BHSF facilities.

 

Adventist Health

 

In March 2017 we entered into a P&S Agreement with White Memorial Hospital for 78 units (“White Memorial”) following a successful pilot. White Memorial is part of the Adventist Health. There are a total of 16 facilities in the Adventist Health network. We are working on collecting data in anticipation of setting up a meeting to discuss a Master Agreement and system-wide roll-out. To that end, on July 24, 2017 we signed a P&S Agreement with Glendale Adventist for 68 units and on November 14, 2017 we began billing Adventist Health Bakersfield for 58 units.

 

Baylor Scott & White Health

 

Under the terms of a P&S Agreement with Baylor Scott & White Medical Center Frisco, we are currently billing 156 units monthly. On June 30, 2017 we executed a Master Agreement with Baylor Scott & White Health (“BSW”) corporate. We have had meetings with the following BSW facilities as we move toward a corporate roll-out, which include: BSW Temple, BSW All-Saints, BSW Hillcrest, BSW Round Rock, BSW Waxahachie, and BSW White Rock. These facilities are gathering data so we can generate proposals.

 

VA Central Arkansas Veterans Healthcare System

 

The Company accomplished its first contract with a VA facility, specifically the Central Arkansas Veterans Healthcare System (“CAVHS”). The CareView System is now completely installed at John L. McClellan Memorial Veterans Hospital in Little Rock with 103 units installed and billable. Central Arkansas Memorial Veterans Hospital added 40 beds to the CareView contract in September 2018.

 

The Eugene J. Towbin Healthcare Center awarded CareView a contract for 85 beds in September 2018. This is the first Community Living Center, a VA Nursing Home, to use CareView, and could lead to adoption by other VA Community Living Centers.

 

These agreement are pursuant to the Company’s General Service Administration (“GSA”) Multiple Award Schedule contract (“MAS”). The MAS allows us to sell the CareView System at a negotiated rate to the approximate 169 VA facilities with over 39,000 licensed beds and the approximate 42 DOD hospitals with over 2,600 licensed beds. The MAS is one of the most widely accepted government contract vehicles available to agency procurement officers. GSA’s application process requires potential vendors to be recognized as highly credible and well established. We are hopeful that once installation and training is complete, the other VA hospitals will also want to participate. Our products and services represent an enormous opportunity to improve the health and safety of our Nation’s veterans.

 

Other VA Opportunities

 

The Company is currently in discussions with several other large VA Hospitals and anticipates additional orders under its MAS. Specifically, the Company is in the contracting process with other VA facilities, including the Mountain Home VA Healthcare System in Tennessee, the VA Puget Sound Health Care System in Seattle Washington, the Oklahoma City VA Health Care System, in Oklahoma City, Oklahoma and the Lexington VA Medical Center in Lexington Kentucky.

 

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Steward Healthcare

 

On April 13, 2017 the Company signed a Master Agreement under the HealthTrust GPO Agreement with Steward Health Care (“Steward”). Steward is headquartered in Boston, Massachusetts. Steward recently announced the acquisition of IASIS Healthcare and eight hospitals from CHS bringing its total to 35 hospital facilities in its network. Under the Master Agreement, CareView will install approximately 867 units in 11 hospitals in Massachusetts and 66 units in one hospital in Pennsylvania. CareView is already installed in 19 facilities and anticipates being rolled-out to the additional 5 hospitals in 2018. All totaled, we anticipate being installed in all 35 of the Steward Hospital facilities with a total of over 3,200 units installed. There have been unexpected delays unrelated to the Company. We anticipate installation to commence within 60 days of this filing.

 

Atlantic Health System

 

On January 24, 2017 the Company executed a Purchase Agreement under its HealthTrust GPO Agreement with Atlantic Health System (“AHS”). AHS is headquartered in Morristown, New Jersey and one of the leading non-profit health care systems in the state of New Jersey. In March 2018 AHS notified us of their intent to extend their use of the CareView System to the full 36-month term and contracted to add 41 units to Morristown Medical Center. In July 2018 AHS and the Company entered into an agreement to place 40 beds at Newton Medical Center. Discussions have begun with other AHS facilities regarding further expansion. AHS consists of 5 hospitals and approximately 893 staffed beds.

 

Baptist Southeast Texas

 

On May 15, 2017 we executed a Purchase Agreement under its HealthTrust GPO Agreement with Baptist Southeast Texas. Billing for 105 units began on November 1, 2017.

 

Montefiore

 

On June 8, 2017 the Company executed a P&S Pilot Agreement with Montefiore Medical Center located in New York City. The Agreement calls for the installation of 46 units. After the 6-month pilot, which began on October 31, 2017, we anticipate converting to a Master P&S Agreement and expanding within the Montefiore Health System, which is comprised of 6 hospitals and approximately 2,000 staffed beds. On December 18, 2017, CareView executed a P&S Agreement with a Montefiore rehabilitation hospital for 31 units.

 

LifePoint

 

On September 29, 2017 the Company executed a P&S Pilot Agreement with Jackson Purchase Medical Center located in Mayfield, Kentucky. This is our first agreement in the LifePoint Health System (‘LifePoint”). We began billing for 42 units in January 2018 and finalized a P&S Agreement with LifePoint in April 2018. We signed a P&S Agreement with Logan Regional Medical Center located in Logan, West Virginia in July 2018 for 40 units and will begin billing during the 4th Quarter of 2018.

 

Kootenai Health

 

On October 3, 2017, the Company executed a three-year P&S Agreement with Kootenai Health (“Kootenai”) located in Coeur d’ Alene, Idaho. The agreement calls for the installation of 48 units. Kootenai provides a comprehensive range of medical services to patients in north Idaho, eastern Washington, Montana and the Inland Northwest at several facility locations. We began billing Kootenai in February 2018. Following positive results, we anticipate future growth in the Kootenai system.

 

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Hays Medical Center

 

On November 10, 2017, the Company executed a P&S Agreement with Hays Medical Center located in Hays, Kansas. The agreement calls for the installation of 53 units. The Hays Medical Center was founded in 1942 and is part of the University of Kansas Health System.

 

Franciscan Missionaries of Our Lady Health System

 

In November 2017, we executed a 6-month P&S Pilot Agreement with Franciscan Missionaries of Our Lady Health System’s (“FMOL”) Our Lady of the Lake Regional Medical Center for 139 units and in July 2018, we moved into a P&S Agreement and added an additional 100 units. We anticipate future growth in the FMOL which consists of six hospitals and 1,735 staffed beds.

 

Texas Health Resources

 

On December 13, 2017, we executed a Master Agreement with Texas Health Resources (“THR”) and a 6-month P&S Pilot Agreement with Texas Health Presbyterian Hospital Dallas for 53 units. Following positive results, we anticipate future growth in the THR system which consists of 14 hospitals and 2,853 staffed beds.

 

Strategic Expansion into Nursing Homes, Skilled Nursing and Assisted Living Center Markets

 

We always intended to expand into the skilled nursing and assisted living center markets. With the adoption of our technology, the traction of our products in the healthcare facility space and the combined interest from new and existing customers, our management believes that it is time to pursue this market.

 

The skilled nursing home market consists of approximately 2,000,000 beds, which is double the size of the current hospital/healthcare facility bed market. The assisted living center market is even larger at approximately 3,000,000 beds. Our products flow naturally into the nursing home space as it is substantially the same setting as hospital rooms. To service this intended expansion, we have hired sales staff to pursue new business in these markets and we anticipate that we will sign new contracts in these markets before the end of the year.

 

Strategic Expansion With New Sensor Product

 

In the 2nd quarter of 2018, the Company introduced a new sensor product that will have application in both the residential assisted living center market and the home health market. The Company has developed a sensor product, called CareView Connect – Quality of Life SystemTM that leverages both passive and active sensors to track the activities of daily life of its subscribers.

 

CareView’s Quality of Life System provides peace of mind by using data from the resident’s activity, existing conditions, and environment to notify your staff or loved ones of potential emergencies and identify the need for dignified support. CareView’s Quality of Life System consists of a small emergency assist button, up to four motion sensors, one bed sensor, and one toilet sensor. Resident activity levels, medication administration, sleep patterns, and toileting can all be monitored depending on which options are selected.

 

The Company anticipates marketing this new product to the residents of its Independent Living and Assisted Living Center customers as well as direct sales to home health customers.

 

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Life Care Services, LLC

 

In June 2018 the Company executed a Pilot Services Agreement (“PSA”) with LCS-Westminster, a life plan community in Austin, Texas. Westminster is managed by Life Care Services LLC, (“LCS”) the nation’s third largest developer and manager of over 130 senior living communities nationwide. The PSA has proven to be a success. The Company anticipates executing a Group Purchasing Organization (GPO) contract with LCS’s internal GPO during the 4th Quarter of 2018

 

CHRISTUS St. Joseph Village

 

In July 2018, the Company executed a PSA with CHRISTUS St. Joseph Village, a life plan community in Coppell, Texas. St. Joseph Village is owned by CHRISTUS Health. The PSA has proven to be a success and the Company anticipates expanding its presence in other CHRISTUS Health locations.

 

Pandion GPO

 

On October 1, 2018, the Company executed a Group Purchasing Agreement with Pandion Optimization Alliance a Group Purchasing Organization (GPO) and Supply Chain Management Company (“Pandion”). Pandion is an owner of Premier, Inc., one of the nation’s largest GPOs with more than $56 billion in purchasing volume from 2,900 US community hospitals and 100,000+ member organizations.

 

HealthTrust GPO

 

On October 1, 2018, the Company executed an amendment to its HealthTrust GPO Agreement to add CareView Connect to the GPO Agreement. Thereafter, the Company will be able to begin to market and sell CareView Connect to the approximately 300 LTC facilities who are members of the HealthTrust GPO.

 

Events Occurring During Third Quarter 2018

 

None

 

Summary of Product and Service Usage

 

The following table shows the number of healthcare facilities using our products and services including the number of deployed units, installed units and billable units as of October 31, 2018. The table also shows the number of pilot programs in place and hospital proposals pending approval, estimated bed count if the pilot programs and pending proposals result in executed contracts, and the estimated total number of licensed beds available under the pilot programs and hospital proposals. There are no assurances that the pilot programs will be extended or the pending proposals will be approved to ultimately result in the number of estimated beds. Further, there are no assurances that we will have access to the total number of licensed beds in each healthcare facility.

 

Installed Hospitals Installed Units Billable Units Total Staffed Beds in Contracted/ Pilot Hospitals Potential Units Available Under Current Contract/ Pilot Contracts(*) Units in Negotiation Prior to Contract/ Pilot
125 10,303 7,991 154,115 57,508 55,710

 

 

(*)This number represents management’s best estimate of the number of units available to us in hospitals that are currently under contract. We assume that in any given acute care facility, our products and services are appropriate for deployment in approximately 70% of the total staffed beds. If we have specific information from a current contracted or pilot hospital that the number of potential units in that hospital is either higher or lower than 70%, specific number has been used in the aggregate estimate.

 

 29 
 


Results of Operations

 

Three months ended September 30, 2018 compared to three months ended September 30, 2017

 

   Three months ended
September 30,
   
   2018  2017  Change
    (000’s) 
Revenue  $1,512   $1,565   $(53)
Operating expenses   2,295    3,305    1,010 
     Operating loss   (783)   (1,740)   957 
Other, net   (2,431)   (3,384)   953 
     Net loss  $(3,214)  $(5,124)  $1,910 

 

Revenue

 

Revenue decreased approximately $53,000 for the three months ended September 30, 2018 as compared to the same period in 2017. Although hospitals with billable units increased from 98 on September 30, 2017 to 102 on September 30, 2018, revenue decreased as a result of pricing contracts procured through our HealthTrust GPO Agreement Of the 102 hospitals with billable units on September 30, 2018, two hospital groups accounted for 26% of the total. Billable units (RCPs and Nurse Stations) for all hospitals totaled 7,978 (7,459 and 519, respectively) on September 30, 2018 as compared to 8,078 (7,543 and 535, respectively) on September 30, 2017.

 

Operating Expenses

 

Our principal operating costs include the following items as a percentage of total operating expense.

 

   Three Months Ended
September 30,
   2018  2017
Human resource costs, including non-cash compensation   51%   53%
Professional and consulting costs   11%   6%
Depreciation and amortization   13%   15%
Oher product deployment costs   6%   8%
Travel and entertainment expense   5%   7%
Other expenses   14%   11%

 

Operating expenses decreased by 31% as a result of the following items:

 

    (000’s)
   Human resource costs, including benefits  $(581)
   Depreciation and amortization   (174)
   Other product deployment costs, excluding human resources and     
      travel and entertainment expense   (125)
   Travel and entertainment expense   (104)
   Other expenses   (95)
   Professional and consulting costs   69 
   $(1,010)

 

Human resource related costs (including salaries and benefits) decreased primarily as a result of a significant reduction in head count during the three months ended September 30, 2018 compared to the same period in 2017. We had 54 employees at September 30, 2018 as compared to 83 for the comparable date for the prior year. Other product development costs and travel and entertainment expense both decreased approximately $125,000 and $104,000, respectively as a result of a reduction in product installations during the three-month period ended September 30, 2018 compared to the same period in 2017. For the comparable periods other expenses decreased approximately $95,000, as a result of reductions in sales and marketing and research and development costs. For the comparable periods professional and consulting costs increased approximately $69,000 as a result of legal expense related to changes to the PDL BioPharma, Inc. Credit Agreement and the HealthCor Partners Fund, LP and HealthCor Hybrid Offshore Master Fund, LP (“HealthCor”) Note and Warrant Purchase Agreement (the “HealthCor Purchase Agreement”) (discussed in NOTES 9 and 10, respectively, in the Notes to Condensed Consolidated Financial Statements included herewith).

 

 30 
 

 

 

Other, net

 

Other non-operating income and expense decreased by $953,000, or 28%, for the three months ended September 30, 2018 in comparison to the same period in 2017, primarily a result of reductions in interest expense related to the HealthCor Purchase Agreement.

 

Net Loss

 

As a result of the factors above, our third quarter 2018 net loss of approximately $3,214,000 decreased $1,910,000, or 37%, from approximately $5,124,000 for the third quarter of 2017.

 

Nine months ended September 30, 2018 compared to Nine months ended September 30, 2017

 

   Nine months ended
September 30,
   
   2018  2017  Change
    (000’s) 
Revenue  $4,603   $4,666   $(63)
Operating expenses   7,473    9,775    2,302 
     Operating loss   (2,870)   (5,109)   (2,239)
Other, net   (9,687)   (9,868)   (181)
     Net loss  $(12,557)  $(14,977)  $(2,420)

 

Revenue

 

Revenue decreased approximately $63,000 for the nine months ended September 30, 2018 as compared to the same period in 2017. As discussed in the three months ending September 30, 2018 presentation above, revenue decreased as a result of pricing contracts procured through our HealthTrust GPO Agreement.

 

Operating Expenses

 

Our principal operating costs include the following items as a percentage of total operating expense.

 

   Nine Months Ended
September 30,
   2018  2017
Human resource costs, including non-cash compensation   53%   51%
Professional and consulting costs   9%   7%
Depreciation and amortization   14%   14%
Oher product deployment costs   6%   7%
Travel and entertainment expense   6%   8%
Other expenses   12%   13%

 

 31 
 

 

Operating expenses decreased by 24% as a result of the following items:

 

    (000’s)
   Human resource costs, including benefits  $(1,018)
   Travel and entertainment expense   (391)
   Depreciation and amortization   (377)
   Other expenses   (323)
   Other product deployment costs, excluding human resources and     
      travel and entertainment expense   (213)
   Professional and consulting costs   20 
   $(2,302)

 

As discussed in the three months ending September 30, 2018 presentation above, the change in human resource costs is related to our decrease in personnel Travel and entertainment expense and other product deployment costs decreased approximately $391,000 and $213,000, respectively, as a result of a reduction in product installations during the nine-month period ended September 30, 2018 compared to the same period in 2017. For the comparable period, other expenses decreased approximately $323,000, primarily a result of the lease drafting error impacting 2017 costs and the reversal of prior periods reserve for sales tax (approximately $59,000). Professional and consulting fees increase slightly as a result of increased legal fees partially offset by decrease in other professional fees.

 

Other, net

 

Other non-operating income and expense decreased by approximately $429,000, or 4%, for the nine months ended September 30, 2018 in comparison to the same period in 2017, primarily a result of reductions in interest expense related to the HealthCor Purchase Agreement.

 

Net Loss

 

As a result of the factors above, our net loss of approximately $12,557,000 for the nine months ended September 30, 2018 decreased approximately $2,420,000, or 16%, as compared to approximately $14,977,000 for the nine months ended September 30, 2017.

 

Liquidity and Capital Resources

 

Our cash position at September 30, 2018 was approximately $646,000. We also have $1,825,000 recorded as restricted cash related to a debt covenant in our credit agreement with PDL BioPharma, Inc.

 

HealthCor Partners Fund, LP and HealthCor Hybrid Offshore Master Fund, LP

 

Pursuant to the terms of a Note and Warrant Purchase Agreement dated April 21, 2011 (as subsequently amended) with HealthCor Partners Fund, LP and HealthCor Hybrid Offshore Master Fund, LP (“HealthCor”) we are required to maintain a minimum cash balance $2,000,000 (see NOTE 10 for further details), and we are in compliance with the minimum cash balance as of the date of this filing.

 

On February 23, 2018, we entered into the Eighth Amendment to the HealthCor Purchase Agreement (the “Eighth Amendment”) with HealthCor and certain investors ( the “February 2018 Investors”) and agreed to sell and issue (i) additional notes in the initial aggregate principal amount of $2,050,000,with a conversion price per share of $0.05 (subject to adjustment as described therein) (the “Eighth Amendment Notes”) and (ii) additional Warrants for an aggregate of up to 512,500 shares of our Common Stock at an exercise price per share of $0.05 (subject to adjustment as described therein) (the “Eighth Amendment Warrants”). As provided by the Eighth Amendment, the Eighth Amendment Notes are in substantially the same form as the 2011 HealthCor Notes, with changes to the “Issuance Date,” “Maturity Date,” “First Five-Year Note Period” and other terms to take into account the timing of the issuance of the Fifth Amendment Notes. The Eighth Amendment Notes have a maturity date of February 22, 2028. In addition, the provisions regarding interest payments, interest acceleration, optional conversion, negative covenants, and events of default, preemptive rights and registration rights are the same as those of the 2011 HealthCor Notes. The February 2018 Investors are composed of all but one of our current directors, one of our officers and an entity.

 

 32 
 

 

On July 10, 2018, we entered into the Ninth Amendment to the HealthCor Purchase Agreement (the “Ninth Amendment”) with HealthCor, the 2015 Investors and the February 2018 Investors, pursuant to which the parties agreed to amend the HealthCor Purchase Agreement, the 2011 HealthCor Notes, the 2012 HealthCor Notes, the 2014 HealthCor Notes, the Fifth Amendment Notes and the Eighth Amendment Notes, as applicable, to (i) remove the rights of the holders of the 2011 HealthCor Notes and the 2012 HealthCor Notes to convert such notes to Common Stock after September 30, 2018; (ii) suspend the accrual of interest on the 2011 HealthCor Notes and the 2012 HealthCor Notes for periods after September 30, 2018; (iii) provide for the potential earlier repayment of the 2011 HealthCor Notes and the 2012 HealthCor Notes by the Company, 120 calendar days following a written demand for payment by the holder of such notes; provided, however, that such written demand may not be given prior to the twelve-month anniversary of the date on which the obligations of the Company under the PDL Credit Agreement are repaid in full; (iv) cancel the 2011 HealthCor Warrants; (v) provide for the seniority of the 2011 HealthCor Notes and the 2012 HealthCor Notes in right of payment over notes subsequently issued pursuant to the Purchase Agreement, including the 2014 HealthCor Notes, the Fifth Amendment Notes and the Eighth Amendment Notes; (vi) amend the terms of the 2014 HealthCor Notes, the Fifth Amendment Notes and the Eighth Amendment Notes to reflect the seniority in payment of the 2011 HealthCor Notes and 2012 HealthCor Notes; and (vii) reduce the number of shares of Common Stock that the Company must at all times have authorized and reserved for the purpose of issuance upon conversion of the notes issued pursuant to the HealthCor Purchase Agreement (collectively, the “Notes”) and exercise of the warrants issued pursuant to the HealthCor Purchase Agreement (collectively, the “Warrants”), from at least 120% of the aggregate number of shares of Common Stock then issuable upon full conversion of the Notes and exercise of the Warrants to at least 100% of such aggregate number of shares. In addition, on July 10, 2018, along with PDL, HealthCor, the 2015 Investors and the February 2018 Investors, we entered into a Second Amendment to the Subordination and Intercreditor Agreement, to amend the Subordination and Intercreditor Agreement dated as of June 26, 2015, as amended to provide that, in the event of a sale of the Company’s hospital assets, after the net proceeds are first applied to repay obligations under the PDL Credit Agreement, as amended, until paid in full, up to the next $5,000,000 of such net proceeds may be retained by the Company for working capital purposes before all remaining net proceeds are then applied to repay the obligations under the Notes in accordance with the priorities set forth in the HealthCor Purchase Agreement and the Notes.

 

On July 13, 2018, we entered into the Tenth Amendment to the HealthCor Purchase Agreement with HealthCor and certain investors (all of which are directors of the Company) (the “July 2018 Investors”), pursuant to which we sold and issued convertible secured promissory notes for an aggregate of $1,000,000 to the July 2018 Investors with a conversion price per share equal to $0.05 and a maturity date of July 12, 2028.

 

PDL BioPharma, Inc.

 

On December 28, 2017, the Company and PDL Investment Holdings, LLC (as assignee of PDL) (“PDL Investment”) entered into a Binding Forbearance Term Sheet (the “Forbearance Term Sheet”) in order to modify certain provisions of the PDL Credit Agreement to prevent any Events of Default from occurring on December 31, 2017. This Forbearance Term Sheet was the governing document until February 2, 2018, at which time, the Company and PDL Investment entered into a modification agreement (the “PDL Modification Agreement”), effective December 28, 2017, with respect to the PDL Credit Agreement, as amended, which reiterated the terms included in the Forbearance Term Sheet and effective February 2, 2018, entered into certain consents and amendments with respect to other existing agreements. In accordance with GAAP, we accounted for this transaction as a debt modification, wherein consideration given to the Lender was recorded as deferred closing costs and all third-party payments were considered an expense and recorded as such on the accompanying condensed consolidated financial statements. Details of the PDL Modification Agreement are included in our Form 10-K filed with the SEC on March 30, 2018.

 

 33 
 

 

On May 31, 2018, the Company and PDL Investment entered into an amendment to the PDL Modification Agreement (the “PDL Modification Agreement Amendment”), pursuant to which the parties agreed to amend the PDL Modification Agreement to provide that the dates on which the Lender may elect, in the Lender’s sole discretion, to terminate the Modification Period would be July 31, 2018 and September 30, 2018 (with each such date permitted to be extended by the Lender in its sole discretion); and that the Company could satisfy its obligations under the PDL Modification Agreement, as amended to obtain financing by obtaining (i) at least $2,050,000 in net cash proceeds from the issuance of Capital Stock (other than Disqualified Capital Stock) or Debt on or prior to February 23, 2018 and (ii) an additional (A) $750,000 in net cash proceeds from the issuance of Capital Stock (other than Disqualified Capital Stock) or Debt on or prior to June 15, 2018 and (B) $750,000 in net cash proceeds from the issuance of Capital Stock (other than Disqualified Capital Stock) or Debt on or prior to August 31, 2018 (resulting in aggregate net cash proceeds of at least $3,550,000).

 

On June 14, 2018, the Company and PDL Investment entered into a second amendment to PDL Modification Agreement (the “Second PDL Modification Agreement Amendment”), pursuant to which the parties agreed to further amend the PDL Modification Agreement to provide that the Company could satisfy its obligations under the PDL Modification Agreement, as amended, to obtain financing by obtaining (i) at least $2,050,000 in net cash proceeds from the issuance of Capital Stock (other than Disqualified Capital Stock) or Debt on or prior to February 23, 2018 and (ii) an additional (A) $750,000 in net cash proceeds from the issuance of Capital Stock (other than Disqualified Capital Stock) or Debt on or prior to July 3, 2018 (rather than June 15, 2018) and (B) $750,000 in net cash proceeds from the issuance of Capital Stock (other than Disqualified Capital Stock) or Debt on or prior to August 31, 2018 (resulting in aggregate net cash proceeds of at least $3,550,000).

 

On June 28, 2018, the Company, and PDL Investment entered into a third amendment to Modification Agreement (the “Third PDL Modification Agreement Amendment”), pursuant to which the parties agreed to further amend the PDL Modification Agreement to provide that the Company could satisfy its obligations under the PDL Modification Agreement, as amended, to obtain financing by obtaining (i) at least $2,050,000 in net cash proceeds from the issuance of Capital Stock (other than Disqualified Capital Stock) or Debt on or prior to February 23, 2018 and (ii) an additional (A) $750,000 in net cash proceeds from the issuance of Capital Stock (other than Disqualified Capital Stock) or Debt on or prior to July 13, 2018 (rather than July 3, 2018) and (B) $750,000 in net cash proceeds from the issuance of Capital Stock (other than Disqualified Capital Stock) or Debt on or prior to August 31, 2018 (resulting in aggregate net cash proceeds of at least $3,550,000).

 

In accordance with the PDL Credit Agreement, as amended, interest only payments of $675,000 for each of the first nine interest payment dates (December 31, 2015, March 31, June 30, September 30, and December 31, 2016, March 31, June 30, September 30, 2017 and December 31, 2017) were made timely. Pursuant to the terms of the PDL Modification Agreement, as amended, the first principal payment on the Tranche One Loan due on December 31, 2017 in the amount of $1,666,667, and similar principal payments due on March 31, 2018, June 30, 2018 and September 30, 2018 have been delayed and are included in the payment due on December 31, 2018. Quarterly payments under the PDL Credit Agreement, as amended, subsequent to the PDL Modification Agreement, as amended, will be due as detailed in the PDL Credit Agreement, as amended. We may elect to prepay the Loans at any time without any premium or penalty, subject to certain conditions.

 

Accounting standards require management to evaluate our ability to continue as a going concern for a period of one year subsequent to the date of the filing of this Form 10-Q (“evaluation period”). As such, we have evaluated if cash and cash equivalents on hand and cash generated through operating activities would be sufficient to sustain projected operating activities through November 14, 2019. We anticipate that our current resources, along with cash generated from operations, will not be sufficient to meet our cash requirements throughout the evaluation period, including funding anticipated losses and scheduled debt maturities. We expect to seek additional funds from a combination of dilutive and/or non-dilutive financings in the future. Because such transactions have not been finalized, receipt of additional funding is not considered probable under current accounting standards. If we do not generate sufficient cash flows from operations and obtain sufficient funds when needed, we expect that we would scale back our operating plan by deferring or limiting some, or all, of our capital spending, reducing our spending on travel, and/or eliminating planned headcount additions, as well as other cost reductions to be determined. Because such contingency plans have not been finalized (the specifics would depend on the situation at the time), such actions also are not considered probable for purposes of current accounting standards. Because, under current accounting standards, neither future cash generated from operating activities, nor management’s contingency plans to mitigate the risk and extend cash resources through the evaluation period, are considered probable, substantial doubt is deemed to exist about the Company’s ability to continue as a going concern. As we continue to incur losses, our transition to profitability is dependent upon achieving a level of revenues adequate to support its cost structure. We may never achieve profitability, and unless and until doing so, we intend to fund future operations through additional dilutive or non-dilutive financings. There can be no assurances, however, that additional funding will be available on terms acceptable to us, if at all.

 

 34 
 

 

Off-Balance Sheet Arrangements

 

As of September 30, 2018, we had no material off-balance sheet arrangements.

 

In the ordinary course of business, we enter into agreements with third parties that include indemnification provisions which, in our judgment, are normal and customary for companies in our industry sector. These agreements are typically with business partners, clinical sites, and suppliers. Pursuant to these agreements, we generally agree to indemnify, hold harmless, and reimburse indemnified parties for losses suffered or incurred by the indemnified parties with respect to our product candidates, use of such product candidates, or other actions taken or omitted by us. The maximum potential amount of future payments we could be required to make under these indemnification provisions is unlimited. We have not incurred material costs to defend lawsuits or settle claims related to these indemnification provisions. As a result, the estimated fair value of liabilities relating to these provisions is minimal. Accordingly, we have no liabilities recorded for these provisions as of September 30, 2018.

 

In the normal course of business, we may be confronted with issues or events that may result in a contingent liability. These generally relate to lawsuits, claims, environmental actions or the actions of various regulatory agencies. We consult with counsel and other appropriate experts to assess the claim. If, in our opinion, we have incurred a probable loss as set forth by accounting principles generally accepted in the U.S., an estimate is made of the loss and the appropriate accounting entries are reflected in our financial statements. After consultation with legal counsel, we do not anticipate that liabilities arising out of currently threatened lawsuits and claims, if any, will have a material adverse effect on our financial position, results of operations or cash flows.

 

Critical Accounting Estimates

 

Please refer to our Annual Report on Form 10-K for the year ended December 31, 2017 filed with the Commission on March 30, 2018 and incorporated herein by reference, for detailed explanations of our critical accounting estimates, which have not changed significantly during the three months ended September 30, 2018.

 

New Accounting Pronouncements

 

Aside from the change noted in Revenue Recognition as summarized in NOTE 1 of the accompanying financial statements, there have been no material changes to our significant accounting policies as summarized in NOTE 2 of our Annual Report on Form 10-K for the year ended December 31, 2017. We do not expect that the adoption of any recent accounting pronouncements will have a material impact on our accompanying condensed consolidated financial statements.

 

 35 
 

 

Recent Events

 

None.

 

Item 3. Quantitative and Qualitative Disclosures about Market Risk

 

None.

 

Item 4. Controls and Procedures

 

Disclosure Controls and Procedures

 

Disclosure controls and procedures are designed to ensure that information required to be disclosed in the reports filed or submitted under the Securities Exchange Act of 1934 (the “Exchange Act”) is recorded, processed, summarized and reported, within the time period specified in the SEC’s rules and forms and is accumulated and communicated to our management, as appropriate, in order to allow timely decisions in connection with required disclosure.

 

Evaluation of Disclosure Controls and Procedures

 

Pursuant to Rule 13a-15(b) under the Securities Exchange Act of 1934 (“Exchange Act”), we carried out an evaluation, with the participation of our management, including Steve G. Johnson, our Chief Executive Officer (“CEO”) and principal executive officer, and Jason T. Thompson, our principal financial officer and chief accounting officer, of the effectiveness of our disclosure controls and procedures (as defined under Rule 13a-15(e) under the Exchange Act) as of the end of the period covered by this Report.

 

Based upon that evaluation, our CEO and Chief Accounting Officer concluded that our disclosure controls and procedures were effective as of September 30, 2018 to ensure that information required to be disclosed by us in the reports that we file or submit under the Exchange Act, is recorded, processed, summarized and reported, within the time periods specified in the SEC’s rules and forms, and that such information is accumulated and communicated to our management, including our CEO and Chief Accounting Officer, as appropriate, to allow timely decisions regarding required disclosure.

 

Changes in Internal Controls

 

During the three months ended September 30, 2018, there were no changes in our internal control over financial reporting that occurred that have materially affected, or are reasonably likely to materially affect, our internal control over financial reporting.

 

PART II - OTHER INFORMATION

 

Item 1. Legal Proceedings.

 

None.

 

Item 1A. Risk Factors.

 

Our Company is a “smaller reporting company” as defined by Rule 12b-2 of the Exchange Act, and as such, is not required to provide the information required under this Item.

 

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

 

None.

 

 36 
 

 

Item 3. Defaults Upon Senior Securities.

 

None.

 

Item 4. Mine Safety Disclosures.

 

Not applicable.

 

Item 5. Other Information.

 

None.

 

Item 6. Exhibits.

 

Exhibit No. Date of Document Name of Document

31.1

11/14/18

Certification of Chief Executive Officer of Periodic Report pursuant to Rule 13a-14a and Rule 14d-14(a).*

31.2

11/14/18

Certification of Chief Financial Officer of Periodic Report pursuant to Rule 13a-14a and Rule 15d-14(a).*
32.1 11/14/18 Certification of Chief Executive Officer pursuant to 18 U.S.C. Section 1350.*
32.2 11/14/18 Certification of Chief Financial Officer pursuant to 18 U.S.C. Section 1350.*
101.INS n/a XBRL Instance Document*
101.SCH n/a XBRL Taxonomy Extension Schema Document*
101.CAL n/a XBRL Taxonomy Extension Calculation Linkbase Document*
101.DEF n/a XBRL Taxonomy Extension Definition Linkbase Document*
101.LAB n/a XBRL Taxonomy Extension Label Linkbase Document*
101.PRE n/a XBRL Taxonomy Extension Presentation Linkbase Document*

 

 

*Filed herewith.

 

 

 37 
 

 

SIGNATURES

 

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

 

DATE: November 14, 2018

 

  CAREVIEW COMMUNICATIONS, INC.
   
   
   By: /s/ Steven G. Johnson
    Steven G. Johnson
Chief Executive Officer
Principal Executive Officer

   
   By: /s/ Jason T. Thompson
    Jason T. Thompson
Principal Financial Officer
Chief Accounting Officer

 

 

 

 38 
 

 

EX-31.1 2 ex31-1.htm CERTIFICATION OF CHIEF EXECUTIVE OFFICER

 

CareView Communications, Inc. 10-Q


Exhibit 31.1

 

CERTIFICATION PURSUANT TO

EXCHANGE ACT RULES 13a-14(a) AND 15d-14(a),

AS ADOPTED PURSUANT TO

SECTION 302 OF THE SARBANES-OXLEY ACT OF 2002

 

 

I, Steven G. Johnson, certify that:

 

(1)I have reviewed this quarterly report on Form 10-Q of CareView Communications, Inc.;

 

(2)Based on my knowledge, this report does not contain any untrue statement of a material fact or omit to state a material fact necessary to make the statements made, in light of the circumstances under which such statements were made, not misleading with respect to the period covered by this report;

 

(3)Based on my knowledge, the financial statements, and other financial information included in this report, fairly present in all material respects the financial condition, results of operations and cash flows of the registrant as of, and for, the periods presented in this report;

 

(4)The registrant’s other certifying officer and I are responsible for establishing and maintaining disclosure controls and procedures (as defined in Exchange Act Rules 13a-15(e) and 15d-15(e)) and internal control over financial reporting (as defined in Exchange Act Rules 13a-15(f) and 15d-15(f)) for the registrant and have:

 

(a)Designed such disclosure controls and procedures, or caused such disclosure controls and procedures to be designed under our supervision, to ensure that material information relating to the registrant, including its consolidated subsidiaries, is made known to us by others within those entities, particularly during the period in which this report is being prepared;

 

(b)Designed such internal control over financial reporting, or caused such internal control over financial reporting to be designed under our supervision, to provide reasonable assurance regarding the reliability of financial reporting and the preparation of financial statements for external purposes in accordance with generally accepted accounting principles;

 

(c)Evaluated the effectiveness of the registrant’s disclosure controls and procedures and presented in this report our conclusions about the effectiveness of the disclosure controls and procedures, as of the end of the period covered by this report based on such evaluation; and

 

(d)Disclosed in this report any change in the registrant’s internal control over financial reporting that occurred during the registrant’s most recent fiscal quarter (the registrant’s fourth fiscal quarter in the case of an annual report) that has materially affected, or is reasonably likely to materially affect, the registrant’s internal control over financial reporting; and

 

(5)The registrant’s other certifying officer and I have disclosed, based on our most recent evaluation of internal control over financial reporting, to the registrant’s auditors and the audit committee of registrant’s board of directors (or persons performing the equivalent functions):

 

(a)All significant deficiencies and material weaknesses in the design or operation of internal control over financial reporting which are reasonably likely to adversely affect the registrant’s ability to record, process, summarize and report financial information; and

 

(b)Any fraud, whether or not material, that involves management or other employees who have a significant role in the registrant’s internal control over financial reporting.

 

November 14, 2018

/s/ Steven G. Johnson                             

Steven G. Johnson

Chief Executive Officer and President

Principal Executive Officer

 

 
 

EX-31.2 3 ex31-2.htm CERTIFICATION OF CHIEF FINANCIAL OFFICER

 

 

Careview Communications, Inc. 10-Q

 

Exhibit 31.2

 

CERTIFICATION PURSUANT TO

EXCHANGE ACT RULES 13a-14(a) AND 15d-14(a),

AS ADOPTED PURSUANT TO

SECTION 302 OF THE SARBANES-OXLEY ACT OF 2002

 

 

I, Jason T. Thompson, certify that:

 

(1)I have reviewed this quarterly report on Form 10-Q of CareView Communications, Inc.;

 

(2)Based on my knowledge, this report does not contain any untrue statement of a material fact or omit to state a material fact necessary to make the statements made, in light of the circumstances under which such statements were made, not misleading with respect to the period covered by this report;

 

(3)Based on my knowledge, the financial statements, and other financial information included in this report, fairly present in all material respects the financial condition, results of operations and cash flows of the registrant as of, and for, the periods presented in this report;

 

(4)The registrant’s other certifying officer and I are responsible for establishing and maintaining disclosure controls and procedures (as defined in Exchange Act Rules 13a-15(e) and 15d-15(e)) and internal control over financial reporting (as defined in Exchange Act Rules 13a-15(f) and 15d-15(f)) for the registrant and have:

 

(a)Designed such disclosure controls and procedures, or caused such disclosure controls and procedures to be designed under our supervision, to ensure that material information relating to the registrant, including its consolidated subsidiaries, is made known to us by others within those entities, particularly during the period in which this report is being prepared;

 

(b)Designed such internal control over financial reporting, or caused such internal control over financial reporting to be designed under our supervision, to provide reasonable assurance regarding the reliability of financial reporting and the preparation of financial statements for external purposes in accordance with generally accepted accounting principles;

 

(c)Evaluated the effectiveness of the registrant’s disclosure controls and procedures and presented in this report our conclusions about the effectiveness of the disclosure controls and procedures, as of the end of the period covered by this report based on such evaluation; and

 

(d)Disclosed in this report any change in the registrant’s internal control over financial reporting that occurred during the registrant’s most recent fiscal quarter (the registrant’s fourth fiscal quarter in the case of an annual report) that has materially affected, or is reasonably likely to materially affect, the registrant’s internal control over financial reporting; and

 

(5)The registrant’s other certifying officer and I have disclosed, based on our most recent evaluation of internal control over financial reporting, to the registrant’s auditors and the audit committee of registrant’s board of directors (or persons performing the equivalent functions):

 

(a)All significant deficiencies and material weaknesses in the design or operation of internal control over financial reporting which are reasonably likely to adversely affect the registrant’s ability to record, process, summarize and report financial information; and

 

(b)Any fraud, whether or not material, that involves management or other employees who have a significant role in the registrant’s internal control over financial reporting.

 

November 14, 2018

/s/ Jason T. Thompson            

Jason T. Thompson

Principal Financial Officer

Chief Accounting Officer


 
 

EX-32.1 4 ex32-1.htm CERTIFICATION OF CHIEF EXECUTIVE OFFICER

 

 

CareView Communications, Inc. 10-Q

 

Exhibit 32.1

 

CERTIFICATION PURSUANT TO

18 U.S.C. SECTION 1350,

AS ADOPTED PURSUANT TO

SECTION 906 OF THE SARBANES-OXLEY ACT OF 2002

 

 

In connection with the quarterly report of CareView Communications, Inc. (the “Company”) on Form 10-Q for the period ending September 30, 2018, as filed with the Securities and Exchange Commission (the “Report”), I, Steven G. Johnson, Chief Executive Officer, President and Principal Executive Officer of the Company, certify, pursuant to 18 U.S.C. § 1350, as adopted pursuant to § 906 of the Sarbanes-Oxley Act of 2002, to my knowledge, that:

 

(1)The Report fully complies with the requirements of Section 13(a) or 15(d) of the Securities Exchange Act of 1934; and

 

(2)The information contained in the Report fairly presents, in all material respects, the financial condition and results of operations of the Company.

 

November 14, 2018

 

/s/ Steven G. Johnson                            

Steven G. Johnson

Chief Executive Officer and President

Principal Executive Officer 

 

 

A signed original of this certification has been provided to the Company and will be retained by the Company and furnished to the Securities and Exchange Commission or its staff upon request.

 

 
 

 

EX-32.2 5 ex32-2.htm CERTIFICATION OF CHIEF FINANCIAL OFFICER

 

CareView Communications, Inc. 10-Q

 

Exhibit 32.2

 

CERTIFICATION PURSUANT TO

18 U.S.C. SECTION 1350,

AS ADOPTED PURSUANT TO

SECTION 906 OF THE SARBANES-OXLEY ACT OF 2002

 

 

In connection with the quarterly report of CareView Communications, Inc. (the “Company”) on Form 10-Q for the period ending September 30, 2018, as filed with the Securities and Exchange Commission (the “Report”), I, Jason T. Thompson, Principal Financial Officer of the Company, certify, pursuant to 18 U.S.C. § 1350, as adopted pursuant to § 906 of the Sarbanes-Oxley Act of 2002, to my knowledge, that:

 

(1)The Report fully complies with the requirements of Section 13(a) or 15(d) of the Securities Exchange Act of 1934; and

 

(2)The information contained in the Report fairly presents, in all material respects, the financial condition and results of operations of the Company.

 

November 14, 2018

 

/s/ Jason T. Thompson       

Jason T. Thompson

Principal Financial Officer

 

 

A signed original of this certification has been provided to the Company and will be retained by the Company and furnished to the Securities and Exchange Commission or its staff upon request.

 

 
 

 

 

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20,000,000 shares authorized; no shares issued and outstanding Common stock - par value $0.001; 300,000,000 shares authorized; 139,380,748 issued and outstanding Additional paid in capital Accumulated deficit Total stockholders' deficit Total liabilities and stockholders' deficit Debt discount and debt issuance costs (in dollars) Preferred stock, par value (in dollars per share) Preferred stock, authorized Preferred stock, issued Preferred stock, outstanding Common stock, par value (in dollars per share) Common stock, authorized Common stock, issued Common stock, outstanding Income Statement [Abstract] Revenues, net Operating expenses: Network operations General and administration Sales and marketing Research and development Depreciation and amortization Total operating expense Operating loss Other income and (expense) Interest expense Interest income Other income Total other income (expense) Loss before taxes Provision for income taxes Net loss Net loss per share (in dollars per share) Weighted average number of common shares outstanding, basic and diluted (in shares) Statement of Cash Flows [Abstract] CASH FLOWS FROM OPERATING ACTIVITIES Net loss Adjustments to reconcile net loss to net cash flows used in operating activities: Depreciation Amortization of debt discount and debt costs Amortization of deferred installation costs Amortization of deferred debt issuance and debt financing costs Amortization of intangible assets Interest incurred and paid in kind Stock based compensation related to options granted Stock based costs related to warrants issued Loss on disposal of assets Changes in operating assets and liabilities: Accounts receivable Other current assets Other assets Accounts payable Other current liabilities Net cash flows used in operating activities CASH FLOWS FROM INVESTING ACTIVITIES Purchase of property and equipment Payment for deferred installation costs Patent, trademark and other intangible asset costs Net cash flows used in investing activities CASH FLOWS FROM FINANCING ACTIVITIES Proceeds from senior secured convertible promissory notes Repayment of notes payable Net cash flows provided by (used in) financing activities Decrease in cash Cash, cash equivalents and restricted cash, beginning of period Cash, cash equivalents and restricted cash, end of period SUPPLEMENTAL DISCLOSURES OF CASH FLOW INFORMATION: Cash paid for interest Cash paid for income taxes SUPPLEMENTAL SCHEDULE OF NON-CASH FINANCING ACTIVITIES: Beneficial conversion features for senior secured convertible notes Revaluation of warrants for modification of loan Organization, Consolidation and Presentation of Financial Statements [Abstract] BASIS OF PRESENTATION AND RECENTLY ISSUED ACCOUNTING PRONOUNCEMENTS Going Concern Liquidity And Managements Plan GOING CONCERN, LIQUIDITY AND MANAGEMENT'S PLAN Stockholders' Equity Note [Abstract] STOCKHOLDERS' EQUITY Deferred Costs, Capitalized, Prepaid, and Other Assets Disclosure [Abstract] OTHER CURRENT ASSETS Property, Plant and Equipment [Abstract] PROPERTY AND EQUIPMENT OTHER ASSETS Payables and Accruals [Abstract] OTHER CURRENT LIABILITIES Income Tax Disclosure [Abstract] INCOME TAXES Agreement With Pdl Biopharma Inc. AGREEMENT WITH PDL BIOPHARMA, INC. Agreement With Healthcor AGREEMENT WITH HEALTHCOR Equity Method Investments and Joint Ventures [Abstract] JOINT VENTURE AGREEMENT Interim Financial Statements Revenue Recognition Earnings Per Share Recently Issued and Newly Adopted Accounting Pronouncements Basis Of Presentation And Recently Issued Accounting Pronouncements Schedule of activity of deferred installation costs Schedule of activity of contract liability Schedule of stock option activity Schedule of assumptions used in the Black-Scholes Model - stock options Schedule of other current assets Schedule of property and equipment Schedule of intangible assets Schedule of other assets Schedule of other current liabilities Deferred installation costs, beginning Additions Transfer to expense Deferred installation costs, ending Contract liabilities, beginning Additions Transfer to revenue Contract liabilities, ending Anti-dilutive common share equivalents excluded from EPS calculation Statement [Table] Statement [Line Items] Subsequent Event Type [Axis] Minimum cash balance required under existing loan documents Companys stock option activity and related information Number Options Stock Options Outstanding, Beginning Expired Granted Canceled Stock Options Outstanding, Ending Stock Options, vested and exercisable Weighted Average Exercise Price Stock Options Outstanding, Beginning Granted Canceled Stock Options Outstanding, Ending Stock Options, vested and exercisable Weighted Average Remaining Contractual Life Stock Options Outstanding, Beginning Granted Stock Options Outstanding, Ending Stock Options, vested and exercisable Black-Scholes Model: Risk-free interest rate Volatility Expected life Dividend yield Warrant activity Number of warrants expired Number of warrant issued Written off warrant Warrant exercise price (in dollars per share) Fair value of the warrants Option activity Options canceled Share-based compensation expense Unrecognized estimated compensation expense Period for recognition of unrecognized compensation expense Purchase of granted Prepaid equipment Prepaid expenses Other current assets TOTAL OTHER CURRENT ASSETS Property, Plant and Equipment [Table] Property, Plant and Equipment [Line Items] Property and equipment, gross Less: accumulated depreciation Property and equipment, net Depreciation expense Schedule of Finite-Lived Intangible Assets [Table] Finite-Lived Intangible Assets [Line Items] Cost Accumulated Amortization Intangible assets, Net Balance Sheet Location [Axis] Cost Accumulated Amortization Other assets OTHER CURRENT LIABILITIES: Allowance for system removal Deferred officer compensation Accrued paid time off Deferred revenue Accrued rent expense Accrued taxes Other accrued liabilities Accrued insurance TOTAL OTHER CURRENT LIABILITIES Statutory federal tax rate (in percent) Previously Statutory federal tax rate (in percent) Amount available under credit agreement Proceeds for debt Warrants granted (shares) Interest rate Reduction in monthly operating expenses Interest only quarterly payments Principal payments Deferred issuance costs Deferred financing costs Amortization of issuance costs Amortization of financing costs Net cash proceeds for issuance capital stock or debt Note amount Debt Maturity Date Issuance of warrants Exercise price of warrants Interest rate, provided no default Increase in interest rate (per annum) should default occur Debt conversion price Number of shares the note may be converted into Debt discount Interest Expense Deferred debt costs Net proceeds to be retained from sale of hospital assets Conversion of notes Cash proceeds of working capital stock and debt Conversion price Maturity date Total cost to acquire remaining interest in joint venture Promissory note issued to acquire interest in joint venture Cash payment to acquire remaining interest in joint venture Balloon payment to be paid Percentage owned by company of each joint venture Increase fair value of warrant Changes in exercise price of warrants Warrants issued for financing costs, warrants Fair value of warrants issued to Rockwell for providing funding Fair value adjustment of warrants The aggregate amount of income or expense from ancillary business-related activities and interest and debt related expenses associated with nonoperating financing activities of the entity. Periodic amortization of installation costs. Amount of amortization expense attributable to financing and issuance costs. Stock based costs related to warrants issued. Cash outflow for the payment of deferred installation costs during the period. The revaluation of warrants for modification of loan in noncash investing or financing transactions. The entire disclosure for liquidity and managements plan. The entire disclosure regarding the Agreement with PDL BioPharma, Inc. The entire disclosure regarding the Agreement with Healthcor. Information pertaining to HealthCor Purchase Agreement. Accumulated Amortization It represents as sharebased compensation arrangement by sharebased payment award options outstanding weighted average remaining contractual term begining. The weighted average period between the balance sheet date and expiration for all awards granted during the period. It represents as sharebased compensation arrangement by sharebased payment award options outstanding weighted average remaining contractual termending. Information by type of related party. Related parties include, but not limited to, affiliates; other entities for which investments are accounted for by the equity method by the entity; trusts for benefit of employees; and principal owners, management, and members of immediate families. It also may include other parties with which the entity may control or can significantly influence the management or operating policies of the other to an extent that one of the transacting parties might be prevented from fully pursuing its own separate interests. Represents the number of warrents experied during the period. Refers to written off value of warrant. Information pertaining to Prepaid Equipment. Information pertaining to Network Equipment. Network Equipment is tangible personal property used to produce goods and services. Information pertaining to test equipment. Test equipment is tangible personal property used to produce goods and services. Information pertaining to patents and trademarks. Information pertaining to deferred debt issuance costs. Information about deferred financing costs. Information pertaining to deferred installation costs. Information preferred to prepaid license fees. Information pertaining to security deposit. Aggregate gross amount, as of the balance sheet date, of noncurrent assets not separately disclosed in the balance sheet. Noncurrent assets are expected to be realized or consumed after one year (or the normal operating cycle, if longer). Accumulated Amortization related to other assets. Carrying value as of the balance sheet date of obligations incurred through that date and payable for allowance for system removal. Used to reflect the current portion of the liabilities (due within one year or within the normal operating cycle if longer). Refers to the amount related to deferred revenue incurred as on balance sheet date. Percentage of previously domestic federal statutory tax rate applicable to pretax income (loss). PDL Bio Pharma Inc [Member]. Warrant Purchase Agreement [Member]. Secured debt 1 [Member]. Information by category of arrangement, including but not limited to collaborative arrangements and non-collaborative arrangements. Information by second pdl modification agreement. Information by third pdl modification agreement. Number of warrants granted in the period. The amount to reduce monthly operating expenses as compared to operating expenses incurred in Oct 2017 per credit agreement. Amount, before accumulated amortization, of issuance costs. Amount of amortization expense attributable to issuance costs. The cash inflow required from issuance of working capital stock and debt per credit agreement. Borrowing which can be exchanged for a specified number of another security at the option of the issuer or the holder, for example, but not limited to, the entity's common stock. Borrowing which can be exchanged for a specified number of another security at the option of the issuer or the holder, for example, but not limited to, the entity's common stock. The name for the particular debt instrument or borrowing that distinguishes it from other debt instruments or borrowings, including draws against credit facilities. Information pertaining to HealthCor Partners Management, L.P. (the consolidated entity of HealthCor). Borrowing which can be exchanged for a specified number of another security at the option of the issuer or the holder, for example, but not limited to, the entity's common stock. Borrowing which can be exchanged for a specified number of another security at the option of the issuer or the holder, for example, but not limited to, the entity's common stock. Borrowing which can be exchanged for a specified number of another security at the option of the issuer or the holder, for example, but not limited to, the entity's common stock. The issuance of warrants (shares). Information pertaining to HealthCor Partners Management, L.P. (the consolidated entity of HealthCor). Information pertaining to HealthCor Purchase Agreement. Borrowing which can be exchanged for a specified number of another security at the option of the issuer or the holder, for example, but not limited to, the entity's common stock. Borrowing which can be exchanged for a specified number of another security at the option of the issuer or the holder, for example, but not limited to, the entity's common stock. Borrowing which can be exchanged for a specified number of another security at the option of the issuer or the holder, for example, but not limited to, the entity's common stock. Information pertaining to HealthCor Purchase Agreement. Information pertaining to HealthCor Purchase Agreement. Information pertaining to HealthCor Purchase Agreement. Health Cor New Investors [Member]. Information pertaining to HealthCor Partners Fund, LP. Information pertaining to HealthCor Purchase Agreement. Information pertaining to HealthCor Purchase Agreement. Information pertaining to HealthCor Purchase Agreement. Information pertaining to HealthCor Purchase Agreement. It represents warrants member. It represents health cor tenth amedment purchase agreement member. Net proceeds that may be retained by the Company from sale of hospital assets for working capital purposes before all remaining net proceeds are then applied to repay the obligations under the Notes in accordance with the priorities set forth in the HealthCor Purchase Agreement and the Notes. The cash inflow required from issuance of working capital stock and debt per credit agreement. Information pertaining to the Joint Venture Agreement with Rockwell. The aggregate cost to associated with the investment in or advances to an entity in which the reporting entity shares control of the entity with another party or group. Exercise price per share or per unit of warrants or rights outstanding. The number of warrants issued for financing costs in the period. The fair value of warrants, at issuance, to purchase shares of company common stock issued to Rockwell Holdings as additional consideration for providing the funding for the Master Investment Agreement. It represents deferred officer compensation. The amount of deferred installation costs for reporting period for installations that are not fully operational and accepted by facility. The amount of expense recognized for deferred installation costs for reporting period for installations. Amount of revenue from additions to contracts that is included in balance of obligation to transfer good or service to customer for which consideration from customer has not been received or is due. HealthCor9Member HealthCor11Member Warrant [Member] Assets, Current Assets, Noncurrent Assets Liabilities, Current Liabilities, Noncurrent Liabilities Stockholders' Equity Attributable to Parent Liabilities and Equity Operating Expenses Operating Income (Loss) TotalOtherIncomeExpense Income (Loss) from Continuing Operations before Income Taxes, Noncontrolling Interest Gain (Loss) on Disposition of Property Plant Equipment, Excluding Oil and Gas Property and Timber Property Increase (Decrease) in Accounts Receivable Increase (Decrease) in Other Current Assets Increase (Decrease) in Other Operating Assets Increase (Decrease) in Accounts Payable Increase (Decrease) in Accrued Liabilities and Other Operating Liabilities Net Cash Provided by (Used in) Operating Activities Payments to Acquire Property, Plant, and Equipment PaymentsForDeferredInstallationCosts Payments to Acquire Intangible Assets Net Cash Provided by (Used in) Investing Activities Repayments of Notes Payable Net Cash Provided by (Used in) Financing Activities Cash and Cash Equivalents, Period Increase (Decrease) Capitalized Contract Cost, Gross TransferToExpense Contract with Customer, Liability ContractWithCustomerLiabilityAdditions Contract with Customer, Liability, Revenue Recognized Share-based Compensation Arrangement by Share-based Payment Award, Options, Outstanding, Number Share-based Compensation Arrangement by Share-based Payment Award, Options, Expirations in Period Share-based Compensation Arrangement by Share-based Payment Award, Options, Forfeitures in Period Share-based Compensation Arrangement by Share-based Payment Award, Options, Exercisable, Number Share-based Compensation Arrangement by Share-based Payment Award, Options, Outstanding, Weighted Average Exercise Price Share-based Compensation Arrangements by Share-based Payment Award, Options, Grants in Period, Weighted Average Exercise Price Share-based Compensation Arrangement by Share-based Payment Award, Options, Exercisable, Weighted Average Exercise Price SharebasedCompensationArrangementBySharebasedPaymentAwardOptionsGrantsWeightedAverageRemainingContractualTerm Other Receivables, Net, Current Accumulated Depreciation, Depletion and Amortization, Property, Plant, and Equipment OtherAssetsNoncurrentGross Accumulated Amortization [Default Label] EX-101.PRE 11 crvw-20180930_pre.xml XBRL TAXONOMY EXTENSION PRESENTATION LINKBASE DOCUMENT XML 12 R1.htm IDEA: XBRL DOCUMENT v3.10.0.1
Document and Entity Information - shares
9 Months Ended
Sep. 30, 2018
Nov. 14, 2018
HealthCor [Member]    
Entity Registrant Name CareView Communications Inc  
Entity Central Index Key 0001377149  
Document Type 10-Q  
Trading Symbol CRVW  
Document Period End Date Sep. 30, 2018  
Amendment Flag false  
Current Fiscal Year End Date --12-31  
Entity's Reporting Status Current Yes  
Entity Filer Category Smaller Reporting Company  
Entity Common Stock, Shares Outstanding   139,380,748
Document Fiscal Period Focus Q3  
Document Fiscal Year Focus 2018  
XML 13 R2.htm IDEA: XBRL DOCUMENT v3.10.0.1
CONDENSED CONSOLIDATED BALANCE SHEETS (unaudited) - USD ($)
Sep. 30, 2018
Dec. 31, 2017
Current Assets:    
Cash and cash equivalents $ 645,627 $ 2,066,392
Accounts receivable 1,322,756 1,210,968
Other current assets 1,432,372 585,622
Total current assets 3,400,755 3,862,982
Property and equipment, net 2,760,111 3,321,541
Other Assets:    
Restricted cash 1,825,000 2,500,000
Intangible assets, net 730,959 665,918
Other assets, net 1,471,207 1,767,909
Total other assets 4,027,166 4,933,827
Total assets 10,188,032 12,118,350
Current Liabilities:    
Accounts payable 527,657 365,300
Notes payable, current portion 13,683,334 8,533,334
Other current liabilities 751,312 750,056
Total current liabilities 14,962,303 9,648,690
Long-term Liabilities:    
Senior secured convertible notes, net of debt discount and debt costs of $15,449,196 and $18,161,723, respectively 62,666,603 52,397,089
Loan payable 6,666,666 11,666,666
Note payable 213,786 513,786
Accrued interest 68,495 43,583
Total long-term liabilities 69,615,550 64,621,124
Total liabilities 84,577,853 74,269,814
Commitments and Contingencies
Stockholders' Deficit:    
Preferred stock - par value $0.001; 20,000,000 shares authorized; no shares issued and outstanding
Common stock - par value $0.001; 300,000,000 shares authorized; 139,380,748 issued and outstanding 139,381 139,381
Additional paid in capital 83,936,186 83,617,896
Accumulated deficit (158,465,388) (145,908,741)
Total stockholders' deficit (74,389,821) (62,151,464)
Total liabilities and stockholders' deficit $ 10,188,032 $ 12,118,350
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CONDENSED CONSOLIDATED BALANCE SHEETS (unaudited) (Parenthetical) - USD ($)
Sep. 30, 2018
Dec. 31, 2017
Statement of Financial Position [Abstract]    
Debt discount and debt issuance costs (in dollars) $ 15,449,196 $ 18,161,723
Preferred stock, par value (in dollars per share) $ 0.001 $ 0.001
Preferred stock, authorized 20,000,000 20,000,000
Common stock, par value (in dollars per share) $ 0.001 $ 0.001
Common stock, authorized 300,000,000 300,000,000
Common stock, issued 139,380,748 139,380,748
Common stock, outstanding 139,380,748 139,380,748
XML 15 R4.htm IDEA: XBRL DOCUMENT v3.10.0.1
CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS (Unaudited) - USD ($)
3 Months Ended 9 Months Ended
Sep. 30, 2018
Sep. 30, 2017
Sep. 30, 2018
Sep. 30, 2017
Income Statement [Abstract]        
Revenues, net $ 1,512,075 $ 1,565,441 $ 4,603,200 $ 4,666,091
Operating expenses:        
Network operations 791,082 1,219,205 2,643,197 3,497,463
General and administration 769,320 937,800 2,468,741 3,064,158
Sales and marketing 68,458 164,976 298,274 522,797
Research and development 358,864 503,082 1,040,444 1,290,944
Depreciation and amortization 307,069 480,644 1,022,644 1,399,684
Total operating expense 2,294,793 3,305,707 7,473,300 9,775,046
Operating loss (782,718) (1,740,266) (2,870,100) (5,108,955)
Other income and (expense)        
Interest expense (2,438,627) (3,388,915) (9,707,423) (9,894,420)
Interest income 711 2,063 2,642 7,588
Other income 6,199 3,069 18,234 18,824
Total other income (expense) (2,431,717) (3,383,783) (9,686,547) (9,868,008)
Loss before taxes (3,214,435) (5,124,049) (12,556,647) (14,976,963)
Provision for income taxes
Net loss $ (3,214,435) $ (5,124,049) $ (12,556,647) $ (14,976,963)
Net loss per share (in dollars per share) $ (0.02) $ (0.04) $ (0.09) $ (0.11)
Weighted average number of common shares outstanding, basic and diluted (in shares) 139,380,748 139,380,748 139,380,748 139,380,748
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CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS (Unaudited) - USD ($)
9 Months Ended
Sep. 30, 2018
Sep. 30, 2017
CASH FLOWS FROM OPERATING ACTIVITIES    
Net loss $ (12,556,647) $ (14,976,963)
Adjustments to reconcile net loss to net cash flows used in operating activities:    
Depreciation 985,927 1,365,983
Amortization of debt discount and debt costs 2,810,889 2,407,194
Amortization of deferred installation costs 115,088 261,266
Amortization of deferred debt issuance and debt financing costs 225,720 218,313
Amortization of intangible assets 36,717 33,701
Interest incurred and paid in kind 4,506,987 5,200,207
Stock based compensation related to options granted 206,114 313,758
Stock based costs related to warrants issued 13,814 11,512
Loss on disposal of assets 6,725 1,717
Changes in operating assets and liabilities:    
Accounts receivable (111,788) 47,128
Other current assets (846,750) (142,998)
Other assets 12,295 12,295
Accounts payable 162,357 94,822
Other current liabilities 26,168 202,207
Net cash flows used in operating activities (4,406,384) (4,949,858)
CASH FLOWS FROM INVESTING ACTIVITIES    
Purchase of property and equipment (431,222) (895,124)
Payment for deferred installation costs (56,401) (102,375)
Patent, trademark and other intangible asset costs (101,758) (74,201)
Net cash flows used in investing activities (589,381) (1,071,700)
CASH FLOWS FROM FINANCING ACTIVITIES    
Proceeds from senior secured convertible promissory notes 3,050,000 (400,000)
Repayment of notes payable (150,000)  
Net cash flows provided by (used in) financing activities 2,900,000 (400,000)
Decrease in cash (2,095,765) (6,421,558)
Cash, cash equivalents and restricted cash, beginning of period 2,066,392 10,088,258
Cash, cash equivalents and restricted cash, end of period 645,627 3,666,700
SUPPLEMENTAL DISCLOSURES OF CASH FLOW INFORMATION:    
Cash paid for interest 2,025,000 2,026,000
Cash paid for income taxes
SUPPLEMENTAL SCHEDULE OF NON-CASH FINANCING ACTIVITIES:    
Beneficial conversion features for senior secured convertible notes 98,363 $ 122,454
Revaluation of warrants for modification of loan $ 13,814  
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BASIS OF PRESENTATION AND RECENTLY ISSUED ACCOUNTING PRONOUNCEMENTS
9 Months Ended
Sep. 30, 2018
Organization, Consolidation and Presentation of Financial Statements [Abstract]  
BASIS OF PRESENTATION AND RECENTLY ISSUED ACCOUNTING PRONOUNCEMENTS

NOTE 1 – BASIS OF PRESENTATION AND RECENTLY ISSUED ACCOUNTING PRONOUNCEMENTS

 

Interim Financial Statements

 

The accompanying unaudited interim condensed consolidated financial statements of CareView Communications, Inc. (“CareView”, the “Company”, “we”, “us” or “our”) have been prepared in accordance with generally accepted accounting principles in the United States of America (“GAAP”) for interim financial information and with the instructions to Form 10-Q. Accordingly, they do not include all of the information and footnotes required by GAAP for complete financial statements. In the opinion of management, such financial statements include all adjustments (consisting solely of normal recurring adjustments) necessary for the fair statement of the financial information included herein in accordance with GAAP and the rules and regulations of the Securities and Exchange Commission (the “SEC”). The balance sheet at December 31, 2017 has been derived from the audited consolidated financial statements at that date but does not include all of the information and footnotes required by GAAP for complete financial statements. The preparation of financial statements in conformity with GAAP requires management to make estimates and assumptions that affect the reported amounts of assets and liabilities and the disclosure of contingent assets and liabilities at the date of the financial statements and the reported amounts of revenue and expenses during the period. Actual results could differ from those estimates. Results of operations for interim periods are not necessarily indicative of results for the full year. The accompanying condensed consolidated financial statements should be read in conjunction with the audited consolidated financial statements and related notes included in our Annual Report on Form 10-K for the year ended December 31, 2017 as filed with the SEC on March 30, 2018.

 

Revenue Recognition

 

We adopted Accounting Standards Codification (“ASC”) Topic 606 (“606”) on January 1, 2018 using the full retrospective transition method for recognizing revenue. The adoption of ASC 606 represents a change in accounting principle that will more closely align revenue recognition with the delivery of our services to our customers and will provide financial statement readers with enhanced disclosures. Under ASC 606, there were no differences in the timing of our revenue recognition as compared to the requirements under ASC 605. We have employed the practical expedient discussed in ASC 606-10-55-18 related to invoicing as we have the right to consideration from our customers in the amount that corresponds directly with the value to the customer of our performance completed to date and therefore we recognize revenue upon invoicing as further discussed below. Further, for those customers for which we are required to collect sales taxes, we record such sales taxes on a net basis which has no effect on the amount of revenue or expenses recognized as the sales taxes are a flow through to the taxing authority.

 

In accordance with ASC 606, revenue is recognized when a customer obtains control of promised goods or services. The amount of revenue recognized reflects the consideration to which we expect to be entitled to receive in exchange for these goods or services. The provisions of ASC 606 include a five-step process by which we determine revenue recognition, depicting the transfer of goods or services to customers in amounts reflecting the payment to which we expect to be entitled in exchange for those goods or services. ASC 606 requires us to apply the following steps: (1) identify the contract with the customer; (2) identify the performance obligations in the contract; (3) determine the transaction price; (4) allocate the transaction price to the performance obligations in the contract; and (5) recognize revenue when, or as, we satisfy the performance obligation.

 

We offer CareView’s services through a subscription-based contract with each healthcare facility for a standard term of three to five years and have determined we have one performance obligation for our services. We begin to bill monthly subscription fees to the healthcare facility upon official acceptance of the CareView System by the healthcare facility which is when the service is initiated. When services begin, the customer simultaneously receives the use and benefit of that service and we recognize the revenue over time based on the service completed to date as the amount invoiced each month. The contract requires the healthcare facility to pay us the subscription fee monthly. During the term of the contract, we provide continuous monitoring of the CareView System and are required to maintain and service all CareView System equipment. If the healthcare facility requires additional services, the contract is amended accordingly. The Company evaluated the disaggregation criteria of ASC 606 and determine that based on the nature, amount, timing and uncertainty of our service revenues, there were no material differences that merited further disaggregation as compared to the total revenue as reported in the accompanying consolidated statements of operations.

 

We defer and capitalize all costs associated with the installation of the CareView System into a healthcare facility until the CareView System is fully operational and accepted by the healthcare facility. Installation costs are specifically identifiable based on the amounts we are charged from third party installers or directly identifiable labor hours incurred for each installation. Upon acceptance, the associated costs are expensed on a straight-line basis over the life of the contract with the healthcare facility. These costs are included in network operations on the accompanying consolidated statements of operations. The table below details the activity in these deferred installation costs during the nine months ended September 30, 2018.

 

Balance, December 31, 2017   $ 215,548  
  Additions     56,401  
  Transfer to expense     (115,088 )
Balance, September 30, 2018   $ 156,861  

 

From time to time, we enter into contracts with healthcare facilities wherein full payment of the contractual obligation is paid in advance (“PIA Contracts”). The transaction is recorded as a contract liability in our consolidated financial statements, with revenue recorded and the contract liability reduced as services are provided under the contract. The table below details this activity during the nine months ended September 30, 2018.

 

Balance, December 31, 2017   $ 17,430  
  Additions     192,507  
  Transfer to revenue     (107,535 )
Balance, September 30, 2018   $ 102,402  

 

Based on our contracts, we invoice customers once our performance obligations have been satisfied, at which point payment is unconditional. Accordingly, except in the case of PIA Contracts as detailed above, our contracts do not give rise to contract assets or liabilities under ASC 606. Accounts receivable are recorded when the right to consideration becomes unconditional and are reported accordingly on our consolidated financial statements.

 

Earnings Per Share

 

We calculate earnings per share (“EPS”) in accordance with GAAP, which requires the computation and disclosure of two EPS amounts, basic and diluted. Basic EPS is computed based on the weighted average number of shares of common stock outstanding during the period. Diluted EPS is computed based on the weighted average number of common shares outstanding plus all potentially dilutive common shares outstanding during the period under the treasury stock method. Such potential dilutive common shares consist of stock options, warrants and convertible debt. Potential common shares totaling approximately 189,000,000 and 128,000,000 at September 30, 2018 and 2017, respectively, have been excluded from the diluted earnings per share calculation as they are anti-dilutive due to our reported net loss.

 

Recently Issued and Newly Adopted Accounting Pronouncements

 

In August 2016, the Financial Accounting Standards Board (“FASB”) issued Accounting Standards Update (“ASU”) 2016-15, Statement of Cash Flows (Topic 230) (“ASU 2016-15"). ASU 2016-15 is intended to reduce the diversity in practice regarding how certain transactions are classified within the statement of cash flows. ASU 2016-15 is effective for public business entities for annual periods beginning after December 15, 2017, including interim periods within those fiscal years. We adopted this update on January 1, 2018 and the adoption had no impact to our consolidated financial statements.

 

Aside from the change noted in Revenue Recognition above, there have been no material changes to our significant accounting policies as summarized in NOTE 2 of our Annual Report on Form 10-K for the year ended December 31, 2017. We do not expect that the adoption of any recent accounting pronouncements will have a material impact on our accompanying condensed consolidated financial statements.

XML 18 R7.htm IDEA: XBRL DOCUMENT v3.10.0.1
GOING CONCERN, LIQUIDITY AND MANAGEMENT'S PLAN
9 Months Ended
Sep. 30, 2018
Going Concern Liquidity And Managements Plan  
GOING CONCERN, LIQUIDITY AND MANAGEMENT'S PLAN

NOTE 2 – GOING CONCERN, LIQUIDITY AND MANAGEMENT’S PLAN

 

Our cash position at September 30, 2018 was approximately $646,000. At September 30, 2018, we also had $1,825,000 included in restricted cash in other assets on the condensed consolidated balance sheet. On July 13, through the issuance of convertible secured promissory notes, we raised an aggregate of $1,000,000 (see NOTE 10 for further details).

 

Pursuant to the terms of a Note and Warrant Purchase Agreement dated April 21, 2011 (as subsequently amended) with HealthCor Partners Fund, LP and HealthCor Hybrid Offshore Master Fund, LP (“HealthCor”) we are required to maintain a minimum cash balance $2,000,000 (see NOTE 10 for further details), and we are in compliance with the minimum cash balance as of the date of this filing.

 

Accounting standards require management to evaluate our ability to continue as a going concern for a period of one year subsequent to the date of the filing of this Form 10-Q (“evaluation period”). As such, we have evaluated if cash and cash equivalents on hand and cash generated through operating activities would be sufficient to sustain projected operating activities through November 14, 2019. We anticipate that our current resources, along with cash generated from operations, will not be sufficient to meet our cash requirements throughout the evaluation period, including funding anticipated losses and scheduled debt maturities. We expect to seek additional funds from a combination of dilutive and/or non-dilutive financings in the future. Because such transactions have not been finalized, receipt of additional funding is not considered probable under current accounting standards. If we do not generate sufficient cash flows from operations and obtain sufficient funds when needed, we expect that we would scale back our operating plan by deferring or limiting some, or all, of our capital spending, reducing our spending on travel, and/or eliminating planned headcount additions, as well as other cost reductions to be determined. Because such contingency plans have not been finalized (the specifics would depend on the situation at the time), such actions also are not considered probable for purposes of current accounting standards. Because, under current accounting standards, neither future cash generated from operating activities, nor management’s contingency plans to mitigate the risk and extend cash resources through the evaluation period, are considered probable, substantial doubt is deemed to exist about the Company’s ability to continue as a going concern. As we continue to incur losses, our transition to profitability is dependent upon achieving a level of revenues adequate to support its cost structure. We may never achieve profitability, and unless and until doing so, we intend to fund future operations through additional dilutive or non-dilutive financings. There can be no assurances, however, that additional funding will be available on terms acceptable to us, if at all.

XML 19 R8.htm IDEA: XBRL DOCUMENT v3.10.0.1
STOCKHOLDERS' EQUITY
9 Months Ended
Sep. 30, 2018
Stockholders' Equity Note [Abstract]  
STOCKHOLDERS' EQUITY

NOTE 3 – STOCKHOLDERS’ EQUITY

 

Warrants to Purchase Common Stock of the Company

 

We use the Black-Scholes-Merton option pricing model (“Black-Scholes Model”) to determine the fair value of warrants to purchase Common Stock of the Company (“Warrants”). The Black-Scholes Model is an acceptable model in accordance with the GAAP. The Black-Scholes Model requires the use of a number of assumptions including volatility of the stock price, the weighted average risk-free interest rate, and the weighted average term of the Warrant.

 

The risk-free interest rate assumption is based upon observed interest rates on zero coupon U.S. Treasury bonds whose maturity period is appropriate for the term of the Warrants. Estimated volatility is a measure of the amount by which our stock price is expected to fluctuate each year during the expected life of the award. Our estimated volatility is an average of the historical volatility of our stock prices (and that of peer entities whose stock prices were publicly available) over a period equal to the expected life of the awards. Where appropriate we used the historical volatility of peer entities due to the lack of sufficient historical data of our stock price during 2007-2009.

 

Warrant Activity during the nine months ended September 30, 2018

 

On February 23, 2018, we issued an aggregate of 487,500 ten-year Warrants (with a fair value of $10,237) at an exercise price of $0.05 per share to certain directors and officers and 25,000 ten-year Warrants (with a fair value of $525) at an exercise price of $0.05 per share to an entity.

 

On March 31, 2018, 2,500,000 Warrants issued in connection with a private placement completed in April 2013 expired and the fair value of $11,157 was written off and recorded as expense on the accompanying condensed consolidated financial statements.

 

On July 10, 2018, we entered into the Ninth Amendment to the HealthCor Purchase Agreement (the “Ninth Amendment”) with HealthCor, pursuant to which they agreed to amend the HealthCor Purchase Agreement and the 2011 HealthCor Notes canceling 11,782,859 Warrants associated with the HealthCor Purchase Agreement and the 2011 HealthCor Notes (see NOTE 10 for further details).

 

Warrant Activity during the nine months ended September 30, 2017

 

During the nine months ended September 30, 2017, no Warrants were issued, 340,000 Warrants expired and none were exercised.

 

Options to Purchase Common Stock of the Company

 

On June 29, 2018, the Company’s Board of Directors amended our 2016 Stock Option Plan (the “2016 Plan”) to limit in certain circumstances the number of shares of Common Stock that would otherwise be available for issuance under the 2016 Plan, in order to ensure the availability of a sufficient number of authorized and unissued shares of Common Stock to meet all of the Company’s obligations. The number of additional shares of Common Stock that may be issued pursuant to the 2016 Plan from and after June 29, 2018 shall be the lesser of (i) such number of shares of Common Stock previously reserved for issuance under the 2016 Plan and not subject to awards outstanding (or previously exercised or vested) under the 2016 Plan as of any such date, or (ii) such number of authorized and unissued shares of Common Stock not otherwise reserved by the Company for issuance as of any such date pursuant to (a) all awards outstanding under any Company stock or option plan (including, for the avoidance of doubt, under the 2016 Plan), (b) full conversion of all outstanding notes, (c) full exercise of all outstanding warrants or (d) any other outstanding instrument or contractual commitment of the Company.

 

During the nine months ended September 30, 2018, no options to purchase our Common Stock (the ’‘Option(s)’’) were granted. During the nine months ended September 30, 2017, we granted options to purchase 545,000 shares of our Common Stock (the ’‘Option(s)’’) to certain employees. During the same nine month-period, 222,830 Options were canceled.

 

A summary of our stock option activity and related information follows:

 

    Number of Shares Under Options   Weighted Average Exercise Price   Weighted
Average
Remaining
Contractual
Life
  Aggregate Intrinsic Value
Balance at December 31, 2017     22,660,459     $ 0.27       8.1     $ —    
   Expired     (686,836 )                        
   Canceled     (214,997 )                        
Balance at September 30, 2018     21,758,626     $ 0.26       7.4     $ —    

Vested and Exercisable at

September 30, 2018

    11,697,156     $

 

      6.1     $ —    

  

The valuation methodology used to determine the fair value of the Options issued was the Black-Scholes Model.

 

The assumptions used in the Black-Scholes Model are set forth in the table below.

 

    Nine Months
Ended
September 30, 2018
  Year Ended
December 31, 2017
Risk-free interest rate     %     1.17-2.15%  
Volatility     %     78.40-89.93%  
Expected life in years           6  
Dividend yield     %     0.00 %

 

The risk-free interest rate assumption is based upon observed interest rates on zero coupon U.S. Treasury bonds whose maturity period is appropriate for the expected term of the Option and is calculated by using the average daily historical stock prices through the day preceding the grant date. Estimated volatility is a measure of the amount by which our stock price is expected to fluctuate each year during the expected life of the award. Our estimated volatility is an average of the historical volatility of our stock prices. Our calculation of estimated volatility is based on historical stock prices over a period equal to the expected life of the awards.

 

Share-based compensation expense for Options charged to our operating results for the nine months ended September 30, 2018 and 2017 ($206,114 and $313,758, respectively) is based on awards vested. The estimate of forfeitures are to be recorded at the time of grant and revised in subsequent periods if actual forfeitures differ from the estimates. We have not included an adjustment to our stock-based compensation expense based on the nominal amount of the historical forfeiture rate. We do, however, revise our stock-based compensation expense based on actual forfeitures during each reporting period.

 

At September 30, 2018, total unrecognized estimated compensation expense related to non-vested Options granted prior to that date was approximately $327,000, which is expected to be recognized over a weighted-average period of 1.6 years. No tax benefit was realized due to a continued pattern of operating losses.

XML 20 R9.htm IDEA: XBRL DOCUMENT v3.10.0.1
OTHER CURRENT ASSETS
9 Months Ended
Sep. 30, 2018
Deferred Costs, Capitalized, Prepaid, and Other Assets Disclosure [Abstract]  
OTHER CURRENT ASSETS

NOTE 4 – OTHER CURRENT ASSETS

 

Other current assets consist of the following:

    September 30,
2018
  December 31,
2017
Prepaid equipment   $ 1,274,522     $ 465,847  
Prepaid expenses     137,831       98,656  
Other current assets     20,019       21,119  
TOTAL OTHER CURRENT ASSETS   $ 1,432,372     $ 585,622  
XML 21 R10.htm IDEA: XBRL DOCUMENT v3.10.0.1
PROPERTY AND EQUIPMENT
9 Months Ended
Sep. 30, 2018
Property, Plant and Equipment [Abstract]  
PROPERTY AND EQUIPMENT

NOTE 5 – PROPERTY AND EQUIPMENT

 

Property and equipment consist of the following:

    September 30,
2018
  December 31,
2017
Network equipment   $ 13,976,482     $ 13,610,280  
Office equipment     293,709       291,003  
Vehicles     217,004       217,004  
Test equipment     175,603       177,386  
Furniture     90,827       90,827  
Warehouse equipment     9,524       9,524  
Leasehold improvements     5,121       5,121  
      14,768,270       14,401,145  
Less: accumulated depreciation     (12,008,159 )     (11,079,604 )
TOTAL PROPERTY AND EQUIPMENT   $ 2,760,111     $ 3,321,541  

 

Depreciation expense for the nine months ended September 30, 2018 and 2017 was $985,927 and $1,365,983, respectively.

XML 22 R11.htm IDEA: XBRL DOCUMENT v3.10.0.1
OTHER ASSETS
9 Months Ended
Sep. 30, 2018
Deferred Costs, Capitalized, Prepaid, and Other Assets Disclosure [Abstract]  
OTHER ASSETS

NOTE 6 – OTHER ASSETS

 

Intangible assets consist of the following:

 

    September 30, 2018
    Cost   Accumulated Amortization   Net
Patents and trademarks   $ 903,650     $ 180,575     $ 723,075  
Other intangible assets     63,509       55,625       7,884  
     TOTAL INTANGIBLE ASSETS   $ 967,159     $ 236,200     $ 730,959  

 

    December 31, 2017
    Cost   Accumulated Amortization   Net
Patents and trademarks   $ 806,279     $ 146,246     $ 660,033  
Other intangible assets     59,122       53,237       5,885  
     TOTAL INTANGIBLE ASSETS   $ 865,401     $ 199,483     $ 665,918  

 

Other assets consist of the following:

 

    September 30, 2018
    Cost   Accumulated Amortization   Net
Deferred debt issuance costs   $ 1,302,223     $ 593,389     $ 708,834  
Prepaid financing costs     805,918       380,410       425,508  
Deferred installation costs     1,805,219       1,648,358       156,861  
Prepaid license fee     249,999       116,119       133,880  
Security deposit     46,124       —         46,124  
TOTAL OTHER ASSETS   $ 4,209,483     $ 2,738,276     $ 1,471,207  

 

    December 31, 2017
    Cost   Accumulated Amortization   Net
Deferred debt issuance costs   $ 1,257,778     $ 451,216     $ 806,562  
Deferred financing costs     850,363       296,863       553,500  
Deferred installation costs     1,748,818       1,533,270       215,548  
Prepaid license fee     249,999       103,824       146,175  
Security deposit     46,124       —         46,124  
TOTAL OTHER ASSETS   $ 4,153,082     $ 2,385,173     $ 1,767,909  
XML 23 R12.htm IDEA: XBRL DOCUMENT v3.10.0.1
OTHER CURRENT LIABILITIES
9 Months Ended
Sep. 30, 2018
Payables and Accruals [Abstract]  
OTHER CURRENT LIABILITIES

NOTE 7 – OTHER CURRENT LIABILITIES

 

Other current liabilities consist of the following:

 

    September 30,
2018
  December 31,
2017
Allowance for system removal   $ 235,700     $ 176,750  
Deferred officer compensation     120,184       —    
Accrued paid time off     105,481       112,577  
Deferred revenue     102,402       17,430  
Accrued rent expense     80,435       120,433  
Accrued taxes     55,166       127,225  
Other accrued liabilities     32,811       195,641  
Accrued insurance     19,133       —    
TOTAL OTHER CURRENT LIABILITIES   $ 751,312     $ 750,056  
XML 24 R13.htm IDEA: XBRL DOCUMENT v3.10.0.1
INCOME TAXES
9 Months Ended
Sep. 30, 2018
Income Tax Disclosure [Abstract]  
INCOME TAXES

NOTE 8 – INCOME TAXES

 

Deferred income tax assets and liabilities are determined based upon differences between the financial reporting and tax bases of assets and liabilities and are measured using the enacted tax rates and laws that will be in effect when the differences are expected to reverse. We do not expect to pay any significant federal or state income tax for 2018 as a result of the losses recorded during the nine months ended September 30, 2018 and the additional losses expected for the remainder of 2018 and net operating loss carry forwards from prior years. Accounting standards require the consideration of a valuation allowance for deferred tax assets if it is “more likely than not” that some component or all of the benefits of deferred tax assets will not be realized. As of September 30, 2018, we maintained a full valuation allowance for all deferred tax assets. Based on these requirements, no provision or benefit for income taxes has been recorded. There were no recorded unrecognized tax benefits at the end of the reporting period.

 

The Tax Cuts and Jobs Act (the “Act”) was signed into law on December 22, 2017. Among its numerous changes to the Internal Revenue Code, the Act reduces U.S. corporate rates from 35% to 21%. Additionally, the Act limits the use of net operating loss carry backs, however any future net operating losses will instead be carried forward indefinitely. Net operating losses generated from January 1, 2018 are limited to offset 80% of current income, with the remainder of the net operating loss continuing to carry forward indefinitely. Net operating losses incurred before January 1, 2018 are not subject to the 80% limitations and will begin to expire in 2029. Based on an initial assessment of the Act, the Company believes that the most significant impact on the Company’s consolidated financial statements will be limitations in tax deductions on interest expense. Under the Act, interest deductions disallowed from current income will carryforward indefinitely. The Act did not impact management’s valuation allowance position.

XML 25 R14.htm IDEA: XBRL DOCUMENT v3.10.0.1
AGREEMENT WITH PDL BIOPHARMA, INC.
9 Months Ended
Sep. 30, 2018
Agreement With Pdl Biopharma Inc.  
AGREEMENT WITH PDL BIOPHARMA, INC.

NOTE 9 – AGREEMENT WITH PDL BIOPHARMA, INC.

 

On June 26, 2015, we entered into a Credit Agreement (as subsequently amended) with PDL BioPharma, Inc. (“PDL”), as administrative agent and lender (“the Lender”) (the “PDL Credit Agreement”). Under the PDL Credit Agreement the Lender made available to us up to $40 million in two tranches of $20 million each. Tranche One was funded on October 8, 2015 (the “Tranche One Loan’). Pursuant to the terms of the PDL Credit Agreement and having not met the Tranche Two Milestones by July 26, 2017, the Tranche Two funding was terminated in full. Outstanding borrowings under the Tranche One Loan bears interest at the rate of 13.5% per annum, payable quarterly in arrears. The PDL Credit Agreement, as modified, includes a minimum cash balance requirement of $2,500,000, which has been recorded as restricted cash on the condensed consolidated balance sheet at March 31, 2018, and should we drop below $2,500,000, it will trigger a default. On June 26, 2015, we issued Warrants to PDL for the purchase of an aggregate of 4,444,445 shares of our Common Stock at an exercise price of $0.45 per share (the “PDL Warrant”)

 

On October 7, 2015, we entered into an amendment to the PDL Credit Agreement (the “First Amendment”). The First Amendment modified the conditions precedent to the funding of each tranche, such that, among other things, we no longer need to attain a specified milestone relating to the placement of our products in order for the Lender to fund us the Tranche One Loan. Contemporaneously with the execution of the First Amendment we borrowed the Tranche One Loan and issued to the Lender a term note in the principal amount of $20 million (the “Tranche One Term Note”), payable in accordance with the terms of the PDL Credit Agreement, as amended. On October 7, 2015, we also amended and restated the PDL Warrant changing the exercise price from $0.45 to $0.40 per share (the “Amended PDL Warrant”). We evaluated whether there was an increase in fair value which would require recognition of additional costs. No such increase in fair value was noted and no adjustment to the PDL Warrant valuation was necessary.

 

On December 28, 2017, the Company and PDL Investment Holdings, LLC (as assignee of PDL) (“PDL Investment”) entered into a Binding Forbearance Term Sheet (the “Forbearance Term Sheet”) in order to modify certain provisions of the PDL Credit Agreement to prevent any Events of Default from occurring on December 31, 2017. This Forbearance Term Sheet was the governing document until February 2, 2018, at which time, the Company and PDL Investment entered into a modification agreement (the “PDL Modification Agreement”), effective December 28, 2017, with respect to the PDL Credit Agreement, as amended, which reiterated the terms included in the Forbearance Term Sheet and effective February 2, 2018, entered into certain consents and amendments with respect to other existing agreements. In accordance with GAAP, we accounted for this transaction as a debt modification, wherein consideration given to the Lender was recorded as deferred closing costs and all third-party payments were considered an expense and recorded as such on the accompanying condensed consolidated financial statements. Details of the PDL Modification Agreement are included in our Form 10-K filed with the SEC on March 30, 2018.

 

On May 31, 2018, the Company and PDL Investment entered into an amendment to the PDL Modification Agreement (the “PDL Modification Agreement Amendment”), pursuant to which the parties agreed to amend the PDL Modification Agreement to provide that the dates on which the Lender may elect, in the Lender’s sole discretion, to terminate the Modification Period would be July 31, 2018 and September 30, 2018 (with each such date permitted to be extended by the Lender in its sole discretion); and that the Company could satisfy its obligations under the PDL Modification Agreement, as amended to obtain financing by obtaining (i) at least $2,050,000 in net cash proceeds from the issuance of Capital Stock (other than Disqualified Capital Stock) or Debt on or prior to February 23, 2018 and (ii) an additional (A) $750,000 in net cash proceeds from the issuance of Capital Stock (other than Disqualified Capital Stock) or Debt on or prior to June 15, 2018 and (B) $750,000 in net cash proceeds from the issuance of Capital Stock (other than Disqualified Capital Stock) or Debt on or prior to August 31, 2018 (resulting in aggregate net cash proceeds of at least $3,550,000).

 

On June 14, 2018, the Company and PDL Investment entered into a second amendment to PDL Modification Agreement (the “Second PDL Modification Agreement Amendment”), pursuant to which the parties agreed to further amend the PDL Modification Agreement to provide that the Company could satisfy its obligations under the PDL Modification Agreement, as amended, to obtain financing by obtaining (i) at least $2,050,000 in net cash proceeds from the issuance of Capital Stock (other than Disqualified Capital Stock) or Debt on or prior to February 23, 2018 and (ii) an additional (A) $750,000 in net cash proceeds from the issuance of Capital Stock (other than Disqualified Capital Stock) or Debt on or prior to July 3, 2018 (rather than June 15, 2018) and (B) $750,000 in net cash proceeds from the issuance of Capital Stock (other than Disqualified Capital Stock) or Debt on or prior to August 31, 2018 (resulting in aggregate net cash proceeds of at least $3,550,000).

 

On June 28, 2018, the Company, and PDL Investment entered into a third amendment to Modification Agreement (the “Third PDL Modification Agreement Amendment”), pursuant to which the parties agreed to further amend the PDL Modification Agreement to provide that the Company could satisfy its obligations under the PDL Modification Agreement, as amended, to obtain financing by obtaining (i) at least $2,050,000 in net cash proceeds from the issuance of Capital Stock (other than Disqualified Capital Stock) or Debt on or prior to February 23, 2018 and (ii) an additional (A) $750,000 in net cash proceeds from the issuance of Capital Stock (other than Disqualified Capital Stock) or Debt on or prior to July 13, 2018 (rather than July 3, 2018) and (B) $750,000 in net cash proceeds from the issuance of Capital Stock (other than Disqualified Capital Stock) or Debt on or prior to August 31, 2018 (resulting in aggregate net cash proceeds of at least $3,550,000).

 

In accordance with the PDL Credit Agreement, as amended, interest only payments of $675,000 for each of the first nine interest payment dates (December 31, 2015, March 31, June 30, September 30, and December 31, 2016, March 31, June 30, September 30, 2017 and December 31, 2017) were made timely. Pursuant to the terms of the PDL Modification Agreement, as amended, the first principal payment on the Tranche One Loan due on December 31, 2017 in the amount of $1,666,667, and similar principal payments due on March 31, 2018, June 30, 2018 and September 30, 2018 have been delayed and are included in the payment due on December 31, 2018. Quarterly payments under the PDL Credit Agreement, as amended, subsequent to the PDL Modification Agreement, as amended, will be due as detailed in the PDL Credit Agreement, as amended. We may elect to prepay the Loans at any time without any premium or penalty, subject to certain conditions.

 

The obligations under the PDL Credit Agreement, as amended, are secured by a pledge of substantially all of the assets of the Company and certain of its domestic subsidiaries. We executed a Subordination and Intercreditor Agreement (the “Subordination and Intercreditor Agreement”), with the Lender, HealthCor and the 2015 and 2018 Investors (as defined in NOTE 10) pursuant to which we granted first-priority liens on our pledged assets to the Lender and second-priority liens on such pledged assets to HealthCor and the 2015 and 2018 Investors.

 

The PDL Credit Agreement, as amended, contains customary affirmative covenants for transactions of this type and other affirmative covenants agreed to by the Company and the Lender, including, among others, the provision of annual and quarterly reports, maintenance of property, insurance, compliance with laws and contractual obligations and payment of taxes. The PDL Credit Agreement, as amended, contains customary negative covenants for transactions of this type and other negative covenants agreed to by the Company and the Lender, including, among others, restrictions on the incurrence of indebtedness, the granting of liens, making restricted payments and investments, entering into affiliate transactions and transferring assets. The PDL Credit Agreement, as amended, calls for a reduction of our operating expenses compared to such expense incurred in October 2017 by at least (i) $113,000 for January 2018, (ii) $148,000 for February 2018 and (iii) $167,000 for each other month for the duration of the Modification Period. We are in compliance with this covenant as of the date of this filing. The PDL Credit Agreement, as amended, also provides for a number of customary events of default, including payment, bankruptcy, covenant, representation and warranty and judgment defaults.

 

In addition, contemporaneously with the execution of the PDL Credit Agreement the Company and the Lender executed (i) a Registration Rights Agreement (as amended in the PDL Modification Agreement as discussed above) pursuant to which we agreed to provide the Lender with certain registration rights with respect to the shares of Common Stock issuable upon exercise of the PDL Warrant, (ii) a Guarantee and Collateral Agreement pursuant to which certain of our subsidiaries guaranteed the performance of our obligations under the PDL Credit Agreement, as amended, and granted the Lender a security interest in such subsidiaries’ tangible and intangible assets securing our performance of the same, and (iii) a Patent Security Agreement and a Trademark Security Agreement pursuant to which we granted the Lender a security interest in a certain subsidiary’s tangible and intangible assets securing the performance of our obligations under the PDL Credit Agreement, as amended.

 

Accounting Treatment

 

In connection with the PDL Credit Agreement, as amended, we issued the PDL Warrant to the Lender. The fair value of the PDL Warrant at issuance was $1,257,778, which has been recorded as deferred issuance costs in the accompanying condensed consolidated financial statements. The deferred debt issuance costs associated with the PDL Credit Agreement, as amended are recorded as assets in accordance with the accounting standards as the PDL Credit Agreement, as amended is considered to be a credit facility and the warrants were payment for the facility and not the drawdowns. These costs are amortized to interest expense using the straight-line method over the term of the PDL Credit Agreement, as amended. In December 2017, in connection with the PDL Modification Agreement, as amended, the Amended PDL Warrant was again amended (the “Second Amendment to the PDL Warrant’) resulting in an increase in fair value of $44,445, which was recorded as additional deferred financing costs in the accompanying condensed consolidated financial statements. For the nine-month periods ended September 30, 2018 and 2017, $94,782 and $89,844, respectively, was amortized to interest expense. As of September 30, 2018, the PDL Warrant, as amended, has not been exercised. We also incurred certain closing costs related to the PDL Credit Agreement totaling $805,917 in the accompanying condensed consolidated financial statements. These costs have been recorded as deferred closing costs and are being amortized to interest expense over the term of the PDL Credit Agreement as amended. For both nine month-periods ended September 30, 2018 and 2017, $55,698 was amortized to interest expense.

XML 26 R15.htm IDEA: XBRL DOCUMENT v3.10.0.1
AGREEMENT WITH HEALTHCOR
9 Months Ended
Sep. 30, 2018
Agreement With Healthcor  
AGREEMENT WITH HEALTHCOR

NOTE 10 – AGREEMENT WITH HEALTHCOR

 

On April 21, 2011, we entered into a Note and Warrant Purchase Agreement (as subsequently amended) (the “HealthCor Purchase Agreement”) with HealthCor Partners Fund, LP and HealthCor Hybrid Offshore Master Fund, LP (“HealthCor”). Pursuant to the terms of the HealthCor Purchase Agreement, we sold Senior Secured Convertible Notes to HealthCor in the principal amount of $9,316,000 and $10,684,000, respectively (collectively the “2011 HealthCor Notes”). The 2011 HealthCor Notes have a maturity date of April 20, 2021. We also issued Warrants to HealthCor for the purchase of an aggregate of up to 5,488,456 and 6,294,403 shares, respectively, of our Common Stock at an exercise price of $1.40 per share (collectively the “2011 HealthCor Warrants”).

 

So long as no event of default has occurred, the outstanding principal balances of the 2011 HealthCor Notes accrue interest from April 21, 2011 through April 20, 2016 (the “First Five-Year Note Period”) at the rate of 12.5% per annum, compounding quarterly and shall be added to the outstanding principal balances of the 2011 HealthCor Notes on the last day of each calendar quarter. Interest accruing from April 21, 2016 through April 20, 2021 (the “Second Five Year Note Period”) at a rate of 10% per annum, compounding quarterly, may be paid quarterly in arrears in cash or, at our option, such interest may be added to the outstanding principal balances of the 2011 HealthCor Notes on the last day of each calendar quarter. For the period from April 21, 2016 through March 31, 2018 interest has been added to the outstanding principal balance.

 

From the date any event of default occurs, the interest rate, then applicable, shall be increased by five percent (5%) per annum. HealthCor has the right, upon an event of default, to declare due and payable any unpaid principal amount of the 2011 HealthCor Notes then outstanding, plus previously accrued but unpaid interest and charges, together with the interest then scheduled to accrue (calculated at the default rate described in the immediately preceding sentence) through the end of the First Five Year Note Period or the Second Five Year Note Period, as applicable.

 

Subject to the terms of the Ninth Amendment as discussed below, HealthCor’ s ability to convert any portion of the outstanding and unpaid accrued interest on and principal balances of the 2011 HealthCor Notes into fully paid and non-assessable shares of our Common Stock has been eliminated.

 

On January 31, 2012, we entered into the Second Amendment to the HealthCor Purchase Agreement with HealthCor (the “Second Amendment”) amending the HealthCor Purchase Agreement and sold Senior Secured Convertible Notes to HealthCor in the principal amounts of $2,329,000 and $2,671,000, respectively (collectively the “2012 HealthCor Notes”). As provided by the Second Amendment, the 2012 HealthCor Notes are in substantially the same form as the 2011 HealthCor Notes, with changes to the “Issuance Date,” “Maturity Date,” “First Five-Year Note Period” and other terms to take into account the timing of the issuance of the 2012 HealthCor Notes. The 2012 HealthCor Notes have a maturity date of January 30, 2022. In addition, the provisions regarding interest payments, interest acceleration, optional conversion, negative covenants, and events of default, preemptive rights and registration rights are the same as those of the 2011 HealthCor Notes. At any time after January 30, 2012, HealthCor is entitled to convert any portion of the outstanding and unpaid accrued interest on and principal balances of the 2012 HealthCor Notes into fully paid and non-assessable shares of our Common Stock at a conversion rate of $1.25 per share, subject to adjustment in accordance with anti-dilution provisions set forth in the 2012 HealthCor Notes.

 

Subject to the terms of the Ninth Amendment as discussed below, HealthCor’s ability to convert any portion of the outstanding and unpaid accrued interest on and principal balances of the 2012 HealthCor Notes into fully paid and non-assessable shares of our Common Stock has been eliminated.

 

On August 20, 2013, we entered into the Third Amendment to the HealthCor Purchase Agreement with HealthCor (the “Third Amendment”) to redefine our minimum cash balance requirements. Previously we were required to maintain a minimum cash balance of $5,000,000 and should we drop below that balance, it triggered a default. The Third Amendment allowed for a reduced minimum cash period, as defined in the HealthCor Purchase Agreement, which allowed us to drop below $5,000,000, but not below $4,000,000. All other terms and conditions of the HealthCor Purchase Agreement, including all amendments thereto, remain the same. Upon entering the reduced minimum cash period (which occurred on October 7, 2013), we had 120 days to return our minimum cash balance to the original $5,000,000. On January 16, 2014, we increased our cash balance to in excess of the original $5,000,000 minimum allowable balance.

 

On January 16, 2014, we entered into the Fourth Amendment to the HealthCor Purchase Agreement with HealthCor (the “Fourth Amendment”) and sold Senior Secured Convertible Notes to HealthCor in the principal amounts of $2,329,000 and $2,671,000 (collectively the ’’2014 HealthCor Notes’’). As provided by the Fourth Amendment, the 2014 HealthCor Notes are in substantially the same form as the 2011 HealthCor Notes, with changes to the “Issuance Date,” “Maturity Date,” “First Five-Year Note Period” and other terms to take into account the timing of the issuance of the 2014 HealthCor Notes. The 2014 HealthCor Notes have a maturity date of January 15, 2024. In addition, the provisions regarding interest payments, interest acceleration, optional conversion, negative covenants, and events of default, preemptive rights and registration rights are the same as those of the 2011 HealthCor Notes. At any time after January 16, 2014, HealthCor is entitled to convert any portion of the outstanding and unpaid accrued interest on and principal balances of the 2014 HealthCor Notes into fully paid and non-assessable shares of our Common Stock at a conversion rate of $0.40 per share, subject to adjustment in accordance with anti-dilution provisions set forth in the 2014 HealthCor Notes. Additionally, we issued Warrants to HealthCor for the purchase of an aggregate of up to 4,000,000 shares of our Common Stock at an exercise price of $0.40 per share (collectively the “2014 HealthCor Warrants”). As of September 30, 2018, the underlying shares of our Common Stock related to the 2014 HealthCor Notes totaled approximately 22,000,000.

 

On December 4, 2014, we entered into the Fifth Amendment to the HealthCor Purchase Agreement (the “Fifth Amendment”) with HealthCor and certain additional investors (such additional investors, the “2015 Additional Investors” and, collectively with HealthCor Partners Fund, LP, the “2015 Investors”) and agreed to sell and issue (i) additional notes in the initial aggregate principal amount of $6,000,000,with a conversion price per share of $0.52 (subject to adjustment as described therein) (the “Fifth Amendment Notes”) and (ii) additional Warrants for an aggregate of up to 3,692,308 shares of our Common Stock at an exercise price per share of $0.52 (subject to adjustment as described therein) (the “Fifth Amendment Warrants”). As provided by the Fifth Amendment, the Fifth Amendment Notes are in substantially the same form as the 2011 HealthCor Notes, with changes to the “Issuance Date,” “Maturity Date,” “First Five-Year Note Period” and other terms to take into account the timing of the issuance of the Fifth Amendment Notes. The Fifth Amendment Notes have a maturity date of February 16, 2025. In addition, the provisions regarding interest payments, interest acceleration, optional conversion, negative covenants, and events of default, preemptive rights and registration rights are the same as those of the 2011 HealthCor Notes. The 2015 Investors are composed of all but one of our current directors and one of our officers. On February 17, 2015, the Company and the 2015 Investors closed on the transactions contemplated by the Fifth Amendment. In connection with this closing, the Company and the 2015 Investors entered into an Amended and Restated Pledge and Security Agreement (the “Amended Security Agreement”), amending and restating that certain Pledge and Security Agreement dated as of April 20, 2011, and an Amended and Restated Intellectual Property Security Agreement (the “Amended IP Security Agreement”), amending and restating that certain Intellectual Property Security Agreement dated as of April 20, 2011. As of September 30, 2018, the underlying shares of our Common Stock related to the Fifth Amendment Notes totaled approximately 3,000,000 to HealthCor Partners Fund, LP and 15,000,000 to the 2015 Additional Investors.

 

On March 31, 2015, we entered into the Sixth Amendment to the HealthCor Purchase Agreement (the “Sixth Amendment”) pursuant to which, among other things, (i) the requirement to maintain a minimum cash balance of $5,000,000 was reduced to a minimum cash balance of $2,000,000 and (ii) the amendment provision was revised to permit the HealthCor Purchase Agreement to be amended by the Company and the holders of the majority of the Common Stock underlying the outstanding notes and warrants to purchase shares of our Common Stock sold pursuant to the HealthCor Purchase Agreement. On March 31, 2015, we also issued a warrant to HealthCor to purchase up to an aggregate of 1,000,000 shares of our Common Stock in consideration for certain prior waivers of the minimum cash balance requirement in the HealthCor Purchase Agreement (the “Sixth Amendment Warrant”). The Sixth Amendment Warrant has an exercise price per share of $0.53 (subject to adjustment as described therein) and an expiration date of March 31, 2025.

 

On June 26, 2015, we (i) entered into the Seventh Amendment to the HealthCor Purchase Agreement (the “Seventh Amendment”) pursuant to which the HealthCor Purchase Agreement was amended to permit the Company to enter into and perform its obligations under the PDL Credit Agreement, as amended, (as detailed in NOTE 9); (ii) executed an Amendment to the Registration Rights Agreement between the Company and HealthCor dated April 21, 2011 (the “RR Agreement”) pursuant to which the RR Agreement was amended to make its priority of registration consistent with the Registration Rights Agreement executed by the Company and PDL; (iii) amended the 2011 HealthCor Notes to extend the maturity date, in the event that Tranche Two of the PDL Credit Agreement is funded, for such notes to 90 days after the earlier of the Tranche Two maturity date or repayment date, but not later than December 31, 2022, (iv) amended the 2012 HealthCor Notes, to set the maturity date at January 30, 2022 and, in the event that Tranche Two of the PDL Credit Agreement is funded, to extend such maturity date to 90 days after the earlier of the Tranche Two maturity date or repayment date, but later than December 31, 2022; and (v) amended each of the Senior Secured Convertible Notes issued under the HealthCor Purchase Agreement (the “HealthCor Notes”) to, among other things, subordinate the HealthCor Notes to the loans under the PDL Credit Agreement, as amended, and to increase certain event of default acceleration and payment thresholds. As pertains to (iii) and (iv) above , pursuant to the terms of the PDL Credit Agreement, as amended, and having not met the Tranche Two Milestones by July 26, 2017, the Tranche Two funding was terminated in full.

 

On February 23, 2018, we entered into the Eighth Amendment to the HealthCor Purchase Agreement (the “Eighth Amendment”) with HealthCor and certain investors ( the “February 2018 Investors”) and agreed to sell and issue (i) additional notes in the initial aggregate principal amount of $2,050,000,with a conversion price per share of $0.05 (subject to adjustment as described therein) (the “Eighth Amendment Notes”) and (ii) additional Warrants for an aggregate of up to 512,500 shares of our Common Stock at an exercise price per share of $0.05 (subject to adjustment as described therein) (the “Eighth Amendment Warrants”). As provided by the Eighth Amendment, the Eighth Amendment Notes are in substantially the same form as the 2011 HealthCor Notes, with changes to the “Issuance Date,” “Maturity Date,” “First Five-Year Note Period” and other terms to take into account the timing of the issuance of the Fifth Amendment Notes. The Eighth Amendment Notes have a maturity date of February 22, 2028. In addition, the provisions regarding interest payments, interest acceleration, optional conversion, negative covenants, and events of default, preemptive rights and registration rights are the same as those of the 2011 HealthCor Notes. The February 2018 Investors are composed of all but one of our current directors, one of our officers and an entity. As of September 30, 2018, the underlying shares of our Common Stock related to the Eighth Amendment Notes totaled approximately 44,000,000 to the February 2018 Investors.

 

On July 10, 2018, we entered into the Ninth Amendment to the HealthCor Purchase Agreement (the “Ninth Amendment”) with HealthCor, the 2015 Investors and the February 2018 Investors, pursuant to which the parties agreed to amend the HealthCor Purchase Agreement, the 2011 HealthCor Notes, the 2012 HealthCor Notes, the 2014 HealthCor Notes, the Fifth Amendment Notes and the Eighth Amendment Notes, as applicable, to (i) remove the rights of the holders of the 2011 HealthCor Notes and the 2012 HealthCor Notes to convert such notes to Common Stock after September 30, 2018; (ii) suspend the accrual of interest on the 2011 HealthCor Notes and the 2012 HealthCor Notes for periods after September 30, 2018; (iii) provide for the potential earlier repayment of the 2011 HealthCor Notes and the 2012 HealthCor Notes by the Company, 120 calendar days following a written demand for payment by the holder of such notes; provided, however, that such written demand may not be given prior to the twelve-month anniversary of the date on which the obligations of the Company under the PDL Credit Agreement are repaid in full; (iv) cancel the 2011 HealthCor Warrants; (v) provide for the seniority of the 2011 HealthCor Notes and the 2012 HealthCor Notes in right of payment over notes subsequently issued pursuant to the Purchase Agreement, including the 2014 HealthCor Notes, the Fifth Amendment Notes and the Eighth Amendment Notes; (vi) amend the terms of the 2014 HealthCor Notes, the Fifth Amendment Notes and the Eighth Amendment Notes to reflect the seniority in payment of the 2011 HealthCor Notes and 2012 HealthCor Notes; and (vii) reduce the number of shares of Common Stock that the Company must at all times have authorized and reserved for the purpose of issuance upon conversion of the notes issued pursuant to the HealthCor Purchase Agreement (collectively, the “Notes”) and exercise of the warrants issued pursuant to the HealthCor Purchase Agreement (collectively, the “Warrants”), from at least 120% of the aggregate number of shares of Common Stock then issuable upon full conversion of the Notes and exercise of the Warrants to at least 100% of such aggregate number of shares.

 

In addition, on July 10, 2018, along with PDL, HealthCor, the 2015 Investors and the February 2018 Investors, we entered into a Second Amendment to the Subordination and Intercreditor Agreement, to amend the Subordination and Intercreditor Agreement dated as of June 26, 2015, as amended to provide that, in the event of a sale of the Company’s hospital assets, after the net proceeds are first applied to repay obligations under the PDL Credit Agreement, as amended, until paid in full, up to the next $5,000,000 of such net proceeds may be retained by the Company for working capital purposes before all remaining net proceeds are then applied to repay the obligations under the Notes in accordance with the priorities set forth in the HealthCor Purchase Agreement and the Notes.

 

On July 13, 2018, we entered into the Tenth Amendment to the HealthCor Purchase Agreement with HealthCor and certain investors (all of which are directors of the Company) (the “July 2018 Investors”), pursuant to which we sold and issued convertible secured promissory notes for an aggregate of $1,000,000 to the July 2018 Investors with a conversion price per share equal to $0.05 and a maturity date of July 12, 2028. As of September 30, 2018, the underlying shares of our Common Stock related to the Tenth Amendment Notes totaled approximately 21,000,000 to the July 2018 Investors.

 

Accounting Treatment

 

When issuing debt or equity securities convertible into common stock at a discount to the fair value of the common stock at the date the debt or equity financing is committed, a company is required to record a beneficial conversion feature (“BCF”) charge. We had three separate issuances of equity securities convertible into common stock that qualify under this accounting treatment, (i) the 2011 HealthCor Notes, (ii) the 2012 HealthCor Notes and (iii) the 2014 HealthCor Notes. Because the conversion option and the 2011 HealthCor Warrants on the 2011 HealthCor Notes were originally classified as a liability when issued due to the down round provision and the removal of the provision requiring liability treatment, and subsequently reclassified to equity on December 31, 2011 when the 2011 HealthCor Notes were amended, only the accrued interest capitalized as payment in kind (’‘PIK’’) since reclassification qualifies under this accounting treatment. We recorded an aggregate of $2,746,081 and $2,345,767 in interest for the nine months ended September 30, 2018 and 2017, respectively, related to these transactions. The face amount of the 2012 HealthCor Notes, 2014 HealthCor Notes, the Fifth Amendment Notes and the Eighth Amendment Notes and all accrued PIK interest also qualify for BCF treatment as discussed above. During the nine months ended September 30, 2018 and 2017, we recorded a BCF of $98,363 and $122,453, respectively. The BCF was recorded as a charge to debt discount and a credit to additional paid in capital, with the debt discount, using the effective interest method, amortized to interest expense over the term of the notes.

 

As Warrants were issued with the Fifth Amendment Notes, the proceeds were allocated to the instruments based on relative fair value as the warrants did not contain any features requiring liability treatment and therefore were classified as equity. The value allocated to the Fifth Amendment Warrants was $1,093,105, which was recorded as debt discount with the credit to additional paid in capital. We recorded an aggregate of $21,456 and $18,054 in interest for the nine months ended September 30, 2018 and 2017, respectively, related to the Fifth Amendment Notes and Fifth Amendment Warrants. The carrying value of the Fifth Amendment Notes at September 30, 2018 approximates fair value as the interest rates used are those currently available to us and would be considered level 3 inputs under the fair value hierarchy.

 

The Warrants issued with the Sixth Amendment also did not contain features requiring liability accounting and were recorded at fair value on the date of issuance with the offsetting credit recorded in equity. The value allocated to the Sixth Amendment Warrant was $378,000, which was recorded as debt costs with the credit to additional paid in capital. We recorded an aggregate of $43,352 and 43,332 in interest for the nine month-periods ended September 30, 2018 and 2017, respectively.

 

As Warrants were issued with the Eighth Amendment Notes, the proceeds were allocated to the instruments based on relative fair value as the warrants did not contain any features requiring liability treatment and therefore were classified as equity. The value allocated to the Eighth Amendment Warrants was $10,707 and was recorded as interest expense with the credit to additional paid in capital. The carrying value of the Eighth Amendment Notes at September 30, 2018 approximates fair value as the interest rates used are those currently available to us and would be considered level 3 inputs under the fair value hierarchy.

XML 27 R16.htm IDEA: XBRL DOCUMENT v3.10.0.1
JOINT VENTURE AGREEMENT
9 Months Ended
Sep. 30, 2018
Equity Method Investments and Joint Ventures [Abstract]  
JOINT VENTURE AGREEMENT

NOTE 11 – JOINT VENTURE AGREEMENT

 

On November 16, 2009, we entered into a Master Investment Agreement (the “Rockwell Agreement”) with Rockwell Holdings I, LLC, a Wisconsin limited liability (“Rockwell”). Under the terms of the Rockwell Agreement, we used funds from Rockwell to fully implement the CareView System™ in Hillcrest Medical Center in Tulsa, Oklahoma (“Hillcrest”) and Saline Memorial Hospital in Benton, Arkansas (“Saline”) (the “Project Hospital(s)”). CareView-Hillcrest, LLC and CareView-Saline, LLC were created as the operating entities for the Project Hospitals under the Rockwell Agreement (the “Project LLC(s) “).

 

On January 31, 2017, under the terms of the Rockwell Agreement, wherein we had the option to purchase Rockwell’s interest in the Project LLCs, we exercised that right by entering into a Settlement and LLC Interest Purchase Agreement with Rockwell (the “Settlement Agreement). Pursuant to the terms of the Settlement Agreement, we paid Rockwell the aggregate amount of $1,213,786 by the issuance of a promissory note to Rockwell for $1,113,786 (the “Rockwell Note”) and a cash payment of $100,000. Pursuant to the terms of the Rockwell Note, we were to make quarterly principal payments of $100,000, with each payment being made on the last day of each calendar quarter beginning with the first payment date of March 31, 2017 and continuing on the last business day of each subsequent quarter through September 30, 2019 with the final payment of $13,786, representing the remaining principal balance plus all accrued and unpaid interest, due on December 31, 2019. On February 2, 2018, pursuant to the terms of PDL Modification Agreement, we entered into an amendment to the Rockwell Note wherein the quarterly payments under the Rockwell Note were reduced to $50,000 per quarter during the term of the PDL Modification Agreement, which ends December 31, 2018, at which time the payments will revert back to $100,000 per quarter starting March 31, 2019 through September 30, 2019 with the final payment of $307,538, representing the remaining principal balance plus all accrued and unpaid interest, due on December 31, 2019. Our evaluation of the February 2, 2018 modification of the Rockwell Note concluded that the modification resulted in a troubled debt restructuring under the accounting guidance as we are experiencing financial difficulties and it was deemed a concession was granted by Rockwell. However, as the future payments to be received subsequent to the modification were greater than the carrying value at the time of the modification, no gain was required to be recognized on the restructuring. We will amortize the restructured note using the effective interest method which is not expected to be materially different as the effective rate on the restructured debt was not materially lower than before the modification. We were not in default of any conditions under the Settlement Agreement as of September 30, 2018.

 

As additional consideration to Rockwell for entering into the Rockwell Agreement, we granted Rockwell Warrants to purchase 1,151,206 shares of our Common Stock on the date of the Rockwell Agreement, and, using the Black-Scholes Model, valued the Warrants at $1,124,728 (the “Project Warrant”), which amount was fully amortized at December 31, 2015. Pursuant to the terms of the Settlement Agreement, the expiration date of the Project Warrant was extended from November 16, 2017 to November 16, 2022. All other provisions of the Project Warrant remained unchanged. At the time of the extension, the Project Warrant were revalued resulting in a $11,512 increase in fair value, which has been recorded as non-cash costs included in general and administration expense in the accompanying consolidated financial statements. Effective February 2, 2018, pursuant to the terms of the PDL Modification Agreement, we entered into an amendment to the Project Warrant wherein the Project Warrant’s exercise price was changed from $0.52 to $0.05, resulting in a $13,814 increase in fair value, which was recorded as non-cash costs included in general and administration expense in the consolidated financial statements for the nine months ended September 30, 2018.

XML 28 R17.htm IDEA: XBRL DOCUMENT v3.10.0.1
BASIS OF PRESENTATION AND RECENTLY ISSUED ACCOUNTING PRONOUNCEMENTS (Policies)
9 Months Ended
Sep. 30, 2018
Organization, Consolidation and Presentation of Financial Statements [Abstract]  
Interim Financial Statements

Interim Financial Statements

 

The accompanying unaudited interim condensed consolidated financial statements of CareView Communications, Inc. (“CareView”, the “Company”, “we”, “us” or “our”) have been prepared in accordance with generally accepted accounting principles in the United States of America (“GAAP”) for interim financial information and with the instructions to Form 10-Q. Accordingly, they do not include all of the information and footnotes required by GAAP for complete financial statements. In the opinion of management, such financial statements include all adjustments (consisting solely of normal recurring adjustments) necessary for the fair statement of the financial information included herein in accordance with GAAP and the rules and regulations of the Securities and Exchange Commission (the “SEC”). The balance sheet at December 31, 2017 has been derived from the audited consolidated financial statements at that date but does not include all of the information and footnotes required by GAAP for complete financial statements. The preparation of financial statements in conformity with GAAP requires management to make estimates and assumptions that affect the reported amounts of assets and liabilities and the disclosure of contingent assets and liabilities at the date of the financial statements and the reported amounts of revenue and expenses during the period. Actual results could differ from those estimates. Results of operations for interim periods are not necessarily indicative of results for the full year. The accompanying condensed consolidated financial statements should be read in conjunction with the audited consolidated financial statements and related notes included in our Annual Report on Form 10-K for the year ended December 31, 2017 as filed with the SEC on March 30, 2018.

Revenue Recognition

Revenue Recognition

 

We adopted Accounting Standards Codification (“ASC”) Topic 606 (“606”) on January 1, 2018 using the full retrospective transition method for recognizing revenue. The adoption of ASC 606 represents a change in accounting principle that will more closely align revenue recognition with the delivery of our services to our customers and will provide financial statement readers with enhanced disclosures. Under ASC 606, there were no differences in the timing of our revenue recognition as compared to the requirements under ASC 605. We have employed the practical expedient discussed in ASC 606-10-55-18 related to invoicing as we have the right to consideration from our customers in the amount that corresponds directly with the value to the customer of our performance completed to date and therefore we recognize revenue upon invoicing as further discussed below. Further, for those customers for which we are required to collect sales taxes, we record such sales taxes on a net basis which has no effect on the amount of revenue or expenses recognized as the sales taxes are a flow through to the taxing authority.

 

In accordance with ASC 606, revenue is recognized when a customer obtains control of promised goods or services. The amount of revenue recognized reflects the consideration to which we expect to be entitled to receive in exchange for these goods or services. The provisions of ASC 606 include a five-step process by which we determine revenue recognition, depicting the transfer of goods or services to customers in amounts reflecting the payment to which we expect to be entitled in exchange for those goods or services. ASC 606 requires us to apply the following steps: (1) identify the contract with the customer; (2) identify the performance obligations in the contract; (3) determine the transaction price; (4) allocate the transaction price to the performance obligations in the contract; and (5) recognize revenue when, or as, we satisfy the performance obligation.

 

We offer CareView’s services through a subscription-based contract with each healthcare facility for a standard term of three to five years and have determined we have one performance obligation for our services. We begin to bill monthly subscription fees to the healthcare facility upon official acceptance of the CareView System by the healthcare facility which is when the service is initiated. When services begin, the customer simultaneously receives the use and benefit of that service and we recognize the revenue over time based on the service completed to date as the amount invoiced each month. The contract requires the healthcare facility to pay us the subscription fee monthly. During the term of the contract, we provide continuous monitoring of the CareView System and are required to maintain and service all CareView System equipment. If the healthcare facility requires additional services, the contract is amended accordingly. The Company evaluated the disaggregation criteria of ASC 606 and determine that based on the nature, amount, timing and uncertainty of our service revenues, there were no material differences that merited further disaggregation as compared to the total revenue as reported in the accompanying consolidated statements of operations.

 

We defer and capitalize all costs associated with the installation of the CareView System into a healthcare facility until the CareView System is fully operational and accepted by the healthcare facility. Installation costs are specifically identifiable based on the amounts we are charged from third party installers or directly identifiable labor hours incurred for each installation. Upon acceptance, the associated costs are expensed on a straight-line basis over the life of the contract with the healthcare facility. These costs are included in network operations on the accompanying consolidated statements of operations. The table below details the activity in these deferred installation costs during the nine months ended September 30, 2018.

 

Balance, December 31, 2017   $ 215,548  
  Additions     56,401  
  Transfer to expense     (115,088 )
Balance, September 30, 2018   $ 156,861  

 

From time to time, we enter into contracts with healthcare facilities wherein full payment of the contractual obligation is paid in advance (“PIA Contracts”). The transaction is recorded as a contract liability in our consolidated financial statements, with revenue recorded and the contract liability reduced as services are provided under the contract. The table below details this activity during the nine months ended September 30, 2018.

 

Balance, December 31, 2017   $ 17,430  
  Additions     192,507  
  Transfer to revenue     (107,535 )
Balance, September 30, 2018   $ 102,402  

 

Based on our contracts, we invoice customers once our performance obligations have been satisfied, at which point payment is unconditional. Accordingly, except in the case of PIA Contracts as detailed above, our contracts do not give rise to contract assets or liabilities under ASC 606. Accounts receivable are recorded when the right to consideration becomes unconditional and are reported accordingly on our consolidated financial statements.

Earnings Per Share

Earnings Per Share

 

We calculate earnings per share (“EPS”) in accordance with GAAP, which requires the computation and disclosure of two EPS amounts, basic and diluted. Basic EPS is computed based on the weighted average number of shares of common stock outstanding during the period. Diluted EPS is computed based on the weighted average number of common shares outstanding plus all potentially dilutive common shares outstanding during the period under the treasury stock method. Such potential dilutive common shares consist of stock options, warrants and convertible debt. Potential common shares totaling approximately 189,000,000 and 128,000,000 at September 30, 2018 and 2017, respectively, have been excluded from the diluted earnings per share calculation as they are anti-dilutive due to our reported net loss.

Recently Issued and Newly Adopted Accounting Pronouncements

Recently Issued and Newly Adopted Accounting Pronouncements

 

In August 2016, the Financial Accounting Standards Board (“FASB”) issued Accounting Standards Update (“ASU”) 2016-15, Statement of Cash Flows (Topic 230) (“ASU 2016-15"). ASU 2016-15 is intended to reduce the diversity in practice regarding how certain transactions are classified within the statement of cash flows. ASU 2016-15 is effective for public business entities for annual periods beginning after December 15, 2017, including interim periods within those fiscal years. We adopted this update on January 1, 2018 and the adoption had no impact to our consolidated financial statements.

 

Aside from the change noted in Revenue Recognition above, there have been no material changes to our significant accounting policies as summarized in NOTE 2 of our Annual Report on Form 10-K for the year ended December 31, 2017. We do not expect that the adoption of any recent accounting pronouncements will have a material impact on our accompanying condensed consolidated financial statements.

XML 29 R18.htm IDEA: XBRL DOCUMENT v3.10.0.1
BASIS OF PRESENTATION AND RECENTLY ISSUED ACCOUNTING PRONOUNCEMENTS (Tables)
9 Months Ended
Sep. 30, 2018
Basis Of Presentation And Recently Issued Accounting Pronouncements  
Schedule of activity of deferred installation costs

The table below details the activity in these deferred installation costs during the nine months ended September 30, 2018.

 

Balance, December 31, 2017   $ 215,548  
  Additions     56,401  
  Transfer to expense     (115,088 )
Balance, September 30, 2018   $ 156,861  

 

Schedule of activity of contract liability

From time to time, we enter into contracts with healthcare facilities wherein full payment of the contractual obligation is paid in advance (“PIA Contracts”). The transaction is recorded as a contract liability in our consolidated financial statements, with revenue recorded and the contract liability reduced as services are provided under the contract. The table below details this activity during the nine months ended September 30, 2018.

 

Balance, December 31, 2017   $ 17,430  
  Additions     192,507  
  Transfer to revenue     (107,535 )
Balance, September 30, 2018   $ 102,402  

 

XML 30 R19.htm IDEA: XBRL DOCUMENT v3.10.0.1
STOCKHOLDERS' EQUITY (Tables)
9 Months Ended
Sep. 30, 2018
Stockholders' Equity Note [Abstract]  
Schedule of stock option activity

A summary of our stock option activity and related information follows:

 

    Number of Shares Under Options   Weighted Average Exercise Price   Weighted
Average
Remaining
Contractual
Life
  Aggregate Intrinsic Value
Balance at December 31, 2017     22,660,459     $ 0.27       8.1     $ —    
   Expired     (686,836 )                        
   Canceled     (214,997 )                        
Balance at September 30, 2018     21,758,626     $ 0.26       7.4     $ —    

Vested and Exercisable at

September 30, 2018

    11,697,156     $

 

      6.1     $ —    
Schedule of assumptions used in the Black-Scholes Model - stock options

The assumptions used in the Black-Scholes Model are set forth in the table below.

 

    Nine Months
Ended
September 30, 2018
  Year Ended
December 31, 2017
Risk-free interest rate     %     1.17-2.15%  
Volatility     %     78.40-89.93%  
Expected life in years           6  
Dividend yield     %     0.00 %
XML 31 R20.htm IDEA: XBRL DOCUMENT v3.10.0.1
OTHER CURRENT ASSETS (Tables)
9 Months Ended
Sep. 30, 2018
Deferred Costs, Capitalized, Prepaid, and Other Assets Disclosure [Abstract]  
Schedule of other current assets

Other current assets consist of the following:

    September 30,
2018
  December 31,
2017
Prepaid equipment   $ 1,274,522     $ 465,847  
Prepaid expenses     137,831       98,656  
Other current assets     20,019       21,119  
TOTAL OTHER CURRENT ASSETS   $ 1,432,372     $ 585,622  
XML 32 R21.htm IDEA: XBRL DOCUMENT v3.10.0.1
PROPERTY AND EQUIPMENT (Tables)
9 Months Ended
Sep. 30, 2018
Property, Plant and Equipment [Abstract]  
Schedule of property and equipment

Property and equipment consist of the following:

    September 30,
2018
  December 31,
2017
Network equipment   $ 13,976,482     $ 13,610,280  
Office equipment     293,709       291,003  
Vehicles     217,004       217,004  
Test equipment     175,603       177,386  
Furniture     90,827       90,827  
Warehouse equipment     9,524       9,524  
Leasehold improvements     5,121       5,121  
      14,768,270       14,401,145  
Less: accumulated depreciation     (12,008,159 )     (11,079,604 )
TOTAL PROPERTY AND EQUIPMENT   $ 2,760,111     $ 3,321,541  
XML 33 R22.htm IDEA: XBRL DOCUMENT v3.10.0.1
OTHER ASSETS (Tables)
9 Months Ended
Sep. 30, 2018
Deferred Costs, Capitalized, Prepaid, and Other Assets Disclosure [Abstract]  
Schedule of intangible assets

Intangible assets consist of the following:

 

    September 30, 2018
    Cost   Accumulated Amortization   Net
Patents and trademarks   $ 903,650     $ 180,575     $ 723,075  
Other intangible assets     63,509       55,625       7,884  
     TOTAL INTANGIBLE ASSETS   $ 967,159     $ 236,200     $ 730,959  

 

    December 31, 2017
    Cost   Accumulated Amortization   Net
Patents and trademarks   $ 806,279     $ 146,246     $ 660,033  
Other intangible assets     59,122       53,237       5,885  
     TOTAL INTANGIBLE ASSETS   $ 865,401     $ 199,483     $ 665,918  
Schedule of other assets

Other assets consist of the following:

 

    September 30, 2018
    Cost   Accumulated Amortization   Net
Deferred debt issuance costs   $ 1,302,223     $ 593,389     $ 708,834  
Prepaid financing costs     805,918       380,410       425,508  
Deferred installation costs     1,805,219       1,648,358       156,861  
Prepaid license fee     249,999       116,119       133,880  
Security deposit     46,124       —         46,124  
TOTAL OTHER ASSETS   $ 4,209,483     $ 2,738,276     $ 1,471,207  

 

    December 31, 2017
    Cost   Accumulated Amortization   Net
Deferred debt issuance costs   $ 1,257,778     $ 451,216     $ 806,562  
Deferred financing costs     850,363       296,863       553,500  
Deferred installation costs     1,748,818       1,533,270       215,548  
Prepaid license fee     249,999       103,824       146,175  
Security deposit     46,124       —         46,124  
TOTAL OTHER ASSETS   $ 4,153,082     $ 2,385,173     $ 1,767,909  
XML 34 R23.htm IDEA: XBRL DOCUMENT v3.10.0.1
OTHER CURRENT LIABILITIES (Tables)
9 Months Ended
Sep. 30, 2018
Payables and Accruals [Abstract]  
Schedule of other current liabilities

Other current liabilities consist of the following:

 

    September 30,
2018
  December 31,
2017
Allowance for system removal   $ 235,700     $ 176,750  
Deferred officer compensation     120,184       —    
Accrued paid time off     105,481       112,577  
Deferred revenue     102,402       17,430  
Accrued rent expense     80,435       120,433  
Accrued taxes     55,166       127,225  
Other accrued liabilities     32,811       195,641  
Accrued insurance     19,133       —    
TOTAL OTHER CURRENT LIABILITIES   $ 751,312     $ 750,056  
XML 35 R24.htm IDEA: XBRL DOCUMENT v3.10.0.1
BASIS OF PRESENTATION AND RECENTLY ISSUED ACCOUNTING PRONOUNCEMENTS (Details)
9 Months Ended
Sep. 30, 2018
USD ($)
Deferred Costs, Capitalized, Prepaid, and Other Assets Disclosure [Abstract]  
Deferred installation costs, beginning $ 215,548
Additions 56,401
Transfer to expense (115,088)
Deferred installation costs, ending $ 156,861
XML 36 R25.htm IDEA: XBRL DOCUMENT v3.10.0.1
BASIS OF PRESENTATION AND RECENTLY ISSUED ACCOUNTING PRONOUNCEMENTS (Details 1)
9 Months Ended
Sep. 30, 2018
USD ($)
Deferred Costs, Capitalized, Prepaid, and Other Assets Disclosure [Abstract]  
Contract liabilities, beginning $ 17,430
Additions 192,507
Transfer to revenue (107,535)
Contract liabilities, ending $ 102,402
XML 37 R26.htm IDEA: XBRL DOCUMENT v3.10.0.1
BASIS OF PRESENTATION AND RECENTLY ISSUED ACCOUNTING PRONOUNCEMENTS (Details Narrative) - shares
9 Months Ended
Sep. 30, 2018
Sep. 30, 2017
Organization, Consolidation and Presentation of Financial Statements [Abstract]    
Anti-dilutive common share equivalents excluded from EPS calculation 189,000,000 128,000,000
XML 38 R27.htm IDEA: XBRL DOCUMENT v3.10.0.1
GOING CONCERN, LIQUIDITY AND MANAGEMENT'S PLAN (Details Narrative) - USD ($)
Sep. 30, 2018
Dec. 31, 2017
Sep. 30, 2017
Dec. 31, 2016
Apr. 21, 2011
Cash and cash equivalents $ 645,627 $ 2,066,392 $ 3,666,700 $ 10,088,258  
Restricted cash $ 1,825,000 $ 2,500,000      
HealthCor Purchase Agreement [Member]          
Minimum cash balance required under existing loan documents         $ 2,000,000
XML 39 R28.htm IDEA: XBRL DOCUMENT v3.10.0.1
STOCKHOLDERS' EQUITY (Details) - $ / shares
9 Months Ended
Sep. 30, 2018
Sep. 30, 2017
Number Options    
Stock Options Outstanding, Beginning 22,660,459  
Expired (686,836)  
Granted   545,000
Canceled (214,997)  
Stock Options Outstanding, Ending 21,758,626  
Stock Options, vested and exercisable 11,697,156  
Weighted Average Exercise Price    
Stock Options Outstanding, Beginning $ 0.27  
Stock Options Outstanding, Ending $ 0.26  
Weighted Average Remaining Contractual Life    
Stock Options Outstanding, Beginning 8 years 1 month 6 days  
Stock Options Outstanding, Ending 7 years 4 months 24 days  
Stock Options, vested and exercisable 6 years 1 month 6 days  
XML 40 R29.htm IDEA: XBRL DOCUMENT v3.10.0.1
STOCKHOLDERS' EQUITY (Details 1) - Stock Options [Member]
9 Months Ended 12 Months Ended
Sep. 30, 2018
Dec. 31, 2017
Black-Scholes Model:    
Expected life   6 years
Dividend yield   0.00%
Lower Range [Member]    
Black-Scholes Model:    
Risk-free interest rate 0.00% 1.17%
Volatility 0.00% 78.40%
Lower Range [Member]    
Black-Scholes Model:    
Risk-free interest rate 0.00% 2.15%
Volatility 0.00% 89.93%
XML 41 R30.htm IDEA: XBRL DOCUMENT v3.10.0.1
STOCKHOLDERS' EQUITY (Details Narrative) - USD ($)
9 Months Ended
Sep. 30, 2018
Sep. 30, 2017
Feb. 23, 2018
Warrant activity      
Number of warrants expired   340,000  
Number of warrant issued 2,500,000   487,500
Written off warrant $ 11,157    
Warrant exercise price (in dollars per share)     $ 0.05
Fair value of the warrants     $ 10,237
Option activity      
Options canceled 222,830 222,830  
Share-based compensation expense $ 206,114 $ 313,758  
Unrecognized estimated compensation expense $ 327,000    
Period for recognition of unrecognized compensation expense 1 year 7 months 6 days    
Purchase of granted   545,000  
Directors And Officers [Member]      
Warrant activity      
Number of warrant issued     25,000
Warrant exercise price (in dollars per share)     $ 0.05
Fair value of the warrants     $ 525
XML 42 R31.htm IDEA: XBRL DOCUMENT v3.10.0.1
OTHER CURRENT ASSETS (Details) - USD ($)
Sep. 30, 2018
Dec. 31, 2017
Deferred Costs, Capitalized, Prepaid, and Other Assets Disclosure [Abstract]    
Prepaid equipment $ 1,274,522 $ 465,847
Prepaid expenses 137,831 98,656
Other current assets 20,019 21,119
TOTAL OTHER CURRENT ASSETS $ 1,432,372 $ 585,622
XML 43 R32.htm IDEA: XBRL DOCUMENT v3.10.0.1
PROPERTY AND EQUIPMENT (Details) - USD ($)
Sep. 30, 2018
Dec. 31, 2017
Property, Plant and Equipment [Line Items]    
Property and equipment, gross $ 14,768,270 $ 14,401,145
Less: accumulated depreciation (12,008,159) (11,079,604)
Property and equipment, net 2,760,111 3,321,541
Network Equipment [Member]    
Property, Plant and Equipment [Line Items]    
Property and equipment, gross 13,976,482 13,610,280
Office Equipment [Member]    
Property, Plant and Equipment [Line Items]    
Property and equipment, gross 293,709 291,003
Vehicles [Member]    
Property, Plant and Equipment [Line Items]    
Property and equipment, gross 217,004 217,004
Test Equipment [Member]    
Property, Plant and Equipment [Line Items]    
Property and equipment, gross 175,603 177,386
Furniture [Member]    
Property, Plant and Equipment [Line Items]    
Property and equipment, gross 90,827 90,827
Warehouse Equipment [Member]    
Property, Plant and Equipment [Line Items]    
Property and equipment, gross 9,524 9,524
Leasehold Improvements [Member]    
Property, Plant and Equipment [Line Items]    
Property and equipment, gross $ 5,121 $ 5,121
XML 44 R33.htm IDEA: XBRL DOCUMENT v3.10.0.1
PROPERTY AND EQUIPMENT (Details Narrative) - USD ($)
9 Months Ended
Sep. 30, 2018
Sep. 30, 2017
Property, Plant and Equipment [Abstract]    
Depreciation expense $ 985,927 $ 1,365,983
XML 45 R34.htm IDEA: XBRL DOCUMENT v3.10.0.1
OTHER ASSETS (Details) - USD ($)
Sep. 30, 2018
Dec. 31, 2017
Finite-Lived Intangible Assets [Line Items]    
Cost $ 967,159 $ 865,401
Accumulated Amortization 236,200 199,483
Intangible assets, Net 730,959 665,918
Patents and Trademarks [Member]    
Finite-Lived Intangible Assets [Line Items]    
Cost 903,650 806,279
Accumulated Amortization 180,575 146,246
Intangible assets, Net 723,075 660,033
Other Intangible Assets [Member]    
Finite-Lived Intangible Assets [Line Items]    
Cost 63,509 59,122
Accumulated Amortization 55,625 53,237
Intangible assets, Net $ 7,884 $ 5,885
XML 46 R35.htm IDEA: XBRL DOCUMENT v3.10.0.1
OTHER ASSETS (Details 1) - USD ($)
Sep. 30, 2018
Dec. 31, 2017
Cost $ 4,209,483 $ 4,153,082
Accumulated Amortization 2,738,276 2,385,173
Other assets 1,471,207 1,767,909
Deferred Debt Issuance Costs [Member]    
Cost 1,302,223 1,257,778
Accumulated Amortization 593,389 451,216
Other assets 708,834 806,562
Deferred Financing Costs [Member]    
Cost 805,918 850,363
Accumulated Amortization 380,410 296,863
Other assets 425,508 553,500
Deferred Installation Costs [Member]    
Cost 1,805,219 1,748,818
Accumulated Amortization 1,648,358 1,533,270
Other assets 156,861 215,548
Prepaid License Fee [Member]    
Cost 249,999 249,999
Accumulated Amortization 116,119 103,824
Other assets 133,880 146,175
Security Deposit [Member]    
Cost 46,124 46,124
Other assets $ 46,124 $ 46,124
XML 47 R36.htm IDEA: XBRL DOCUMENT v3.10.0.1
OTHER CURRENT LIABILITIES (Details) - USD ($)
Sep. 30, 2018
Dec. 31, 2017
OTHER CURRENT LIABILITIES:    
Allowance for system removal $ 235,700 $ 176,750
Deferred officer compensation 120,184  
Accrued paid time off 105,481 112,577
Deferred revenue 102,402 17,430
Accrued rent expense 80,435 120,433
Accrued taxes 55,166 127,225
Other accrued liabilities 32,811 195,641
Accrued insurance 19,133  
TOTAL OTHER CURRENT LIABILITIES $ 751,312 $ 750,056
XML 48 R37.htm IDEA: XBRL DOCUMENT v3.10.0.1
INCOME TAXES (Details Narrative)
9 Months Ended
Sep. 30, 2018
Income Tax Disclosure [Abstract]  
Statutory federal tax rate (in percent) 21.00%
Previously Statutory federal tax rate (in percent) 35.00%
XML 49 R38.htm IDEA: XBRL DOCUMENT v3.10.0.1
AGREEMENT WITH PDL BIOPHARMA, INC. (Details Narrative) - USD ($)
1 Months Ended 9 Months Ended 10 Months Ended 36 Months Ended
Dec. 28, 2018
Jun. 28, 2018
Jun. 14, 2018
May 31, 2018
Jun. 26, 2015
Feb. 28, 2018
Jan. 31, 2018
Sep. 30, 2018
Sep. 30, 2017
Dec. 31, 2018
Oct. 08, 2018
Feb. 23, 2018
Dec. 31, 2017
Dec. 28, 2017
Oct. 09, 2015
Warrant exercise price (in dollars per share)                       $ 0.05      
Restricted cash               $ 1,825,000         $ 2,500,000    
Amortization of issuance costs               55,698 $ 55,698            
Amortization of financing costs               94,782 $ 89,844            
PDL Modification Agreement [Member]                              
Reduction in monthly operating expenses           $ 148,000 $ 113,000     $ 167,000          
PDL Credit Agreement [Member]                              
Amount available under credit agreement         $ 40,000,000                    
Minimum cash balance required under existing loan documents         2,500,000                    
Interest only quarterly payments         $ 675,000                    
Deferred financing costs               $ 805,917              
PDL Credit Agreement [Member] | Purchase Agreement Warrants [Member]                              
Warrants granted (shares)         4,444,445                    
Warrant exercise price (in dollars per share)         $ 0.45                   $ 0.40
Deferred issuance costs         $ 1,257,778                    
Deferred financing costs                           $ 44,445  
PDL Modification Agreement [Member]                              
Net cash proceeds for issuance capital stock or debt       $ 3,550,000                      
PDL Modification Agreement [Member] | February 23, 2018 [Member]                              
Net cash proceeds for issuance capital stock or debt       2,050,000                      
PDL Modification Agreement [Member] | June 15, 2018 [Member]                              
Net cash proceeds for issuance capital stock or debt       750,000                      
PDL Modification Agreement [Member] | August 31, 2018 [Member]                              
Net cash proceeds for issuance capital stock or debt       $ 750,000                      
Second Amendment PDL Modification Agreement [Member]                              
Net cash proceeds for issuance capital stock or debt     $ 3,550,000                        
Second Amendment PDL Modification Agreement [Member] | February 23, 2018 [Member]                              
Net cash proceeds for issuance capital stock or debt     2,050,000                        
Second Amendment PDL Modification Agreement [Member] | June 15, 2018 [Member]                              
Net cash proceeds for issuance capital stock or debt     750,000                        
Second Amendment PDL Modification Agreement [Member] | August 31, 2018 [Member]                              
Net cash proceeds for issuance capital stock or debt     750,000                        
Third Amendment PDL Modification Agreement [Member]                              
Net cash proceeds for issuance capital stock or debt   $ 3,550,000                          
Third Amendment PDL Modification Agreement [Member] | February 23, 2018 [Member]                              
Net cash proceeds for issuance capital stock or debt   2,050,000                          
Third Amendment PDL Modification Agreement [Member] | June 15, 2018 [Member]                              
Net cash proceeds for issuance capital stock or debt     $ 750,000                        
Third Amendment PDL Modification Agreement [Member] | August 31, 2018 [Member]                              
Net cash proceeds for issuance capital stock or debt   $ 750,000                          
Tranche One Term Note [Member]                              
Proceeds for debt                     $ 20,000,000        
Principal payments $ 1,666,667                            
PDL Credit Agreement - Tranche One Debt [Member]                              
Amount available under credit agreement         $ 20,000,000                    
Interest rate         13.50%                    
PDL Credit Agreement - Tranche Two Debt [Member]                              
Amount available under credit agreement         $ 20,000,000                    
XML 50 R39.htm IDEA: XBRL DOCUMENT v3.10.0.1
AGREEMENT WITH HEALTHCOR (Details Narrative) - USD ($)
Jan. 31, 2012
Apr. 21, 2011
Feb. 23, 2018
Exercise price of warrants     $ 0.05
HealthCor Purchase Agreement [Member] | 2011 Senior Secured Convertible Note#1 [Member]      
Note amount   $ 9,316,000  
Debt Maturity Date   Apr. 20, 2021  
Issuance of warrants   5,488,456  
Exercise price of warrants   $ 1.40  
HealthCor Purchase Agreement [Member] | 2011 Senior Secured Convertible Note#2 [Member]      
Note amount   $ 10,684,000  
Debt Maturity Date   Apr. 20, 2021  
Issuance of warrants   6,294,403  
Exercise price of warrants   $ 1.40  
HealthCor Purchase Agreement [Member] | 2011 Senior Secured Convertible Notes [Member]      
Increase in interest rate (per annum) should default occur   5.00%  
Debt conversion price   $ 1.25  
HealthCor Purchase Agreement [Member] | 2011 Senior Secured Convertible Notes [Member] | Second Five Year Note Period [Member]      
Interest rate, provided no default   10.00%  
HealthCor Second Amendment Purchase Agreement [Member] | 2012 Senior Secured Convertible Note#1 [Member]      
Note amount $ 2,329,000    
Debt Maturity Date Jan. 30, 2022    
HealthCor Second Amendment Purchase Agreement [Member] | 2012 Senior Secured Convertible Note#2 [Member]      
Note amount $ 2,671,000    
Debt Maturity Date Jan. 30, 2022    
HealthCor Second Amendment Purchase Agreement [Member] | 2012 Senior Secured Convertible Notes [Member]      
Debt conversion price $ 1.25    
XML 51 R40.htm IDEA: XBRL DOCUMENT v3.10.0.1
AGREEMENT WITH HEALTHCOR (Details Narrative 1)
3 Months Ended 9 Months Ended
Jul. 13, 2018
USD ($)
$ / shares
Jul. 10, 2018
USD ($)
$ / shares
Feb. 23, 2018
USD ($)
$ / shares
shares
Sep. 30, 2015
USD ($)
$ / shares
shares
Dec. 04, 2014
USD ($)
$ / shares
shares
Jan. 16, 2014
USD ($)
$ / shares
shares
Sep. 30, 2018
USD ($)
Sep. 30, 2017
USD ($)
Sep. 30, 2018
USD ($)
Number
Sep. 30, 2017
USD ($)
Dec. 31, 2017
USD ($)
Aug. 20, 2013
USD ($)
Apr. 21, 2011
USD ($)
Exercise price of warrants | $ / shares     $ 0.05                    
Beneficial conversion features for senior secured convertible notes                 $ 98,363 $ 122,454      
Debt discount             $ 15,449,196   15,449,196   $ 18,161,723    
Interest Expense             $ 2,438,627 $ 3,388,915 $ 9,707,423 9,894,420      
HealthCor Third Amendment Purchase Agreement [Member]                          
Minimum cash balance required under existing loan documents                       $ 5,000,000  
HealthCor Third Amendment Purchase Agreement [Member] | Lower Range [Member]                          
Minimum cash balance required under existing loan documents                       4,000,000  
HealthCor Third Amendment Purchase Agreement [Member] | Upper Range [Member]                          
Minimum cash balance required under existing loan documents                       $ 5,000,000  
HealthCor Fourth Amendment Purchase Agreement [Member] | 2014 Senior Secured Convertible Note#1 [Member]                          
Note amount           $ 2,329,000              
Debt Maturity Date           Jan. 15, 2024              
Minimum cash balance required under existing loan documents           $ 5,000,000              
Maturity date           Jan. 15, 2024              
HealthCor Fourth Amendment Purchase Agreement [Member] | 2014 Senior Secured Convertible Note#2 [Member]                          
Note amount           $ 2,671,000              
Debt Maturity Date           Jan. 15, 2024              
Maturity date           Jan. 15, 2024              
HealthCor Fourth Amendment Purchase Agreement [Member] | 2014 Senior Secured Convertible Notes [Member]                          
Issuance of warrants | shares           4,000,000              
Exercise price of warrants | $ / shares           $ 0.40              
Debt conversion price | $ / shares           0.40              
Number of shares the note may be converted into | Number                 22,000,000        
Conversion price | $ / shares           $ 0.40              
HealthCor Fifth Amendment Purchase Agreement [Member]                          
Note amount         $ 6,000,000                
Debt Maturity Date         Feb. 16, 2025                
Issuance of warrants | shares         3,692,308                
Exercise price of warrants | $ / shares         $ 0.52                
Debt conversion price | $ / shares         $ 0.52                
Debt discount         $ 1,093,105                
Interest Expense                 $ 21,456 18,054      
Conversion price | $ / shares         $ 0.52                
Maturity date         Feb. 16, 2025                
HealthCor Fifth Amendment Purchase Agreement [Member] | HealthCor Partners Fund [Member]                          
Number of shares the note may be converted into | Number                 3,000,000        
HealthCor Fifth Amendment Purchase Agreement [Member] | New Investors [Member]                          
Number of shares the note may be converted into | Number                 14,000,000        
HealthCor Eighth Amendment Purchase Agreement [Member]                          
Note amount     $ 2,050,000                    
Debt Maturity Date     Feb. 22, 2028                    
Issuance of warrants | shares     512,500                    
Exercise price of warrants | $ / shares     $ 0.05                    
Debt conversion price | $ / shares     $ 0.05                    
Debt discount     $ 10,707                    
Interest Expense                   43,352      
Conversion price | $ / shares     $ 0.05                    
Maturity date     Feb. 22, 2028                    
HealthCor Eighth Amendment Purchase Agreement [Member] | New Investors [Member]                          
Number of shares the note may be converted into | Number                 43,000,000        
HealthCor Sixth Amendment Purchase Agreement [Member]                          
Debt Maturity Date       Mar. 31, 2025                  
Issuance of warrants | shares       1,000,000                  
Exercise price of warrants | $ / shares       $ 0.53                  
Minimum cash balance required under existing loan documents       $ 5,000,000                  
Debt discount       $ 378,000                  
Maturity date       Mar. 31, 2025                  
HealthCor Sixth Amendment Purchase Agreement [Member] | Lower Range [Member]                          
Minimum cash balance required under existing loan documents       $ 2,000,000                  
HealthCor Sixth Amendment Purchase Agreement [Member]                          
Interest Expense                 $ 43,352        
HealthCor Purchase Agreement [Member]                          
Minimum cash balance required under existing loan documents                         $ 2,000,000
Beneficial conversion features for senior secured convertible notes                 98,363 28,901      
Interest Expense                 $ 2,746,081 $ 2,345,767      
HealthCor Tenth Amendment to Purchase Agreement [Member]                          
Note amount $ 1,000,000                        
Debt Maturity Date Jul. 12, 2028                        
Debt conversion price | $ / shares $ 0.05                        
Conversion price | $ / shares $ 0.05                        
Maturity date Jul. 12, 2028                        
HealthCor Ninth Amedment Purchase Agreement [Member]                          
Net proceeds to be retained from sale of hospital assets   $ 5,000,000                      
Cash proceeds of working capital stock and debt   $ 5,000,000                      
HealthCor Ninth Amedment Purchase Agreement [Member] | Common Stock [Member]                          
Conversion of notes   1.20                      
HealthCor Ninth Amedment Purchase Agreement [Member] | Warrants [Member]                          
Conversion of notes   1.00                      
HealthCor Tenth Amedment Purchase Agreement [Member]                          
Debt Maturity Date   Jul. 12, 2028                      
Debt conversion price | $ / shares   $ 0.05                      
Cash proceeds of working capital stock and debt   $ 1,000,000                      
Conversion price | $ / shares   $ 0.05                      
Maturity date   Jul. 12, 2028                      
XML 52 R41.htm IDEA: XBRL DOCUMENT v3.10.0.1
JOINT VENTURE AGREEMENT (Details Narrative) - USD ($)
Jan. 31, 2019
Feb. 02, 2018
Jan. 31, 2017
Dec. 31, 2015
Sep. 30, 2018
Feb. 23, 2018
Exercise price of warrants           $ 0.05
Joint Venture - Rockwell [Member]            
Total cost to acquire remaining interest in joint venture     $ 1,213,786      
Promissory note issued to acquire interest in joint venture     1,113,786      
Cash payment to acquire remaining interest in joint venture $ 307,538   100,000      
Balloon payment to be paid     13,786      
Joint Venture - Rockwell [Member] | PDL Modification Agreement [Member]            
Cash payment to acquire remaining interest in joint venture   $ 50,000        
Balloon payment to be paid         $ 13,786  
Increase fair value of warrant   $ 13,814        
Exercise price of warrants   $ 0.05     $ 0.52  
Joint Venture - Rockwell [Member] | Warrants [Member]            
Warrants issued for financing costs, warrants       1,151,206    
Fair value of warrants issued to Rockwell for providing funding       $ 1,124,728    
Fair value adjustment of warrants     $ 11,512      
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