0001387131-21-004274.txt : 20210408 0001387131-21-004274.hdr.sgml : 20210408 20210408172850 ACCESSION NUMBER: 0001387131-21-004274 CONFORMED SUBMISSION TYPE: 10-K PUBLIC DOCUMENT COUNT: 84 CONFORMED PERIOD OF REPORT: 20201231 FILED AS OF DATE: 20210408 DATE AS OF CHANGE: 20210408 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 FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 10-K SEC ACT: 1934 Act SEC FILE NUMBER: 000-54090 FILM NUMBER: 21815774 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-K 1 crvw-10k_123120.htm ANNUAL REPORT crvw-10k_123120.htm
 

UNITED STATES

SECURITIES AND EXCHANGE COMMISSION

Washington, D.C. 20549

 

FORM 10-K

 

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

 

For the fiscal year ended: December 31, 2020

 

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.:  000-54090c

 

 

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

(Address of principal executive offices)

 

Registrant’s telephone number, including area code:  (972) 943-6050

 

Securities registered pursuant to Section 12(b) of the Exchange Act:  None

 

 

Title of Each Class

 

 

Trading Symbol

 

Name of Each Exchange on
Which Registered

 

 

 

 

 

Indicate by check mark if the registrant is a well-known seasoned issuer, as defined in Rule 405 of the Securities Act.  Yes  ☐  No  ☒

 

Indicate by check mark if the registrant is not required to file reports pursuant to Section 13 or Section 15(d) of the Exchange Act.  Yes  ☐  No  ☒

 

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

 

Indicate by check mark whether the registrant has submitted electronically every Interactive Data File required to be submitted pursuant to Rule 405 of Regulation S-T (§232.405 of this chapter) during the preceding 12 months (or for such shorter period that the registrant was required to submit such files).

Yes  ☒  No  ☐

 

Indicate by check mark if disclosure of delinquent filers pursuant to Item 405 of Regulation S-K (§229.405 of this chapter) is not contained herein, and will not be contained, to the best of the registrant’s knowledge, in definitive proxy or information statements incorporated by reference in Part III of this Form 10-K or any amendment to this Form 10-K.  ☐

 

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

 

Large accelerated filer  ☐

 

Accelerated filer  ☐

Non-accelerated filer  ☒

 

Smaller reporting company  ☒

 

 

Emerging growth company  ☐

 

If an emerging growth company, indicate by check mark if the registrant has elected not to use the extended transition period for complying with any new or revised financial accounting standards provided pursuant to Section 31(a) of the Exchange Act.  ☐

Indicate by check mark whether the registrant is a shell company (as defined in Rule 12b-2 of the Act).

Yes ☐  No ☒

 

The aggregate market value of the common stock held by non-affiliates of the registrant at June 30, 2020 (the last business day of the registrant’s most recently completed second fiscal quarter) was approximately $2,800,000. For purposes of this computation, all officers, directors, and 10% beneficial owners of the registrant are deemed to be affiliates. Such determination should not be deemed to be an admission that such officers, directors, or 10% beneficial owners are, in fact, affiliates of the registrant.

As of March 31, 2021, the registrant had 139,380,748 outstanding shares of common stock, $0.001 par value, which is its only class of common stock.

 

 

 

 

Table of Contents

 

 

 

ITEM 1.

BUSINESS.

2

 

 

 

ITEM 1A.

RISK FACTORS.

12

 

 

 

ITEM 1B.

UNRESOLVED STAFF COMMENTS.

12

 

 

 

ITEM 2.

PROPERTIES.

12

 

 

 

ITEM 3.

LEGAL PROCEEDINGS.

12

 

 

 

ITEM 4.

MINE SAFETY DISCLOSURES.

12

 

 

 

ITEM 5.

MARKET FOR REGISTRANT’S COMMON EQUITY, RELATED STOCKHOLDER MATTERS AND ISSUER PURCHASES OF EQUITY SECURITIES.

13

 

 

 

ITEM 6.

SELECTED FINANCIAL DATA.

14

 

 

 

ITEM 7.

MANAGEMENT’S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF OPERATIONS.

14

 

 

 

ITEM 7A.

QUANTITATIVE AND QUALITATIVE DISCLOSURES ABOUT MARKET RISK.

20

 

 

 

ITEM 8.

FINANCIAL STATEMENTS AND SUPPLEMENTARY DATA.

20

 

 

 

ITEM 9.

CHANGES IN AND DISAGREEMENTS WITH ACCOUNTANTS ON ACCOUNTING AND FINANCIAL DISCLOSURE.

21

 

 

 

ITEM 9A.

CONTROLS AND PROCEDURES.

21

 

 

 

ITEM 9B.

OTHER INFORMATION.

22

 

 

 

ITEM 10.

DIRECTORS, EXECUTIVE OFFICERS, AND CORPORATE GOVERNANCE.

22

 

 

 

ITEM 11.

EXECUTIVE COMPENSATION.

32

 

 

 

ITEM 12.

SECURITY OWNERSHIP OF CERTAIN BENEFICIAL OWNERS AND MANAGEMENT AND RELATED STOCKHOLDER MATTERS.

35

 

 

 

ITEM 13.

CERTAIN RELATIONSHIPS AND RELATED TRANSACTIONS, AND DIRECTOR INDEPENDENCE.

37

 

 

 

ITEM 14.

PRINCIPAL ACCOUNTANT FEES AND SERVICES.

37

 

 

 

ITEM 15.

EXHIBITS AND FINANCIAL STATEMENT SCHEDULES.

38

 

 

 

ITEM 16.

FORM 10K SUMMARY.

41

 

1

 

 

PART I

 

ITEM 1.                BUSINESS.

 

Cautionary Note Regarding Forward Looking Statements

This Annual Report on Form 10-K contains certain statements that are “forward-looking” within the meaning of the federal securities laws. These forward-looking statements and other information are based on our beliefs as well as assumptions made by us using information currently available.

The words “anticipate,” “believe,” “estimate,” “expect,” “intend,” “will,” “should” and similar expressions, as they relate to us, are intended to identify forward-looking statements. Such statements reflect our current views with respect to future events and are subject to certain risks, uncertainties, and assumptions, and are not guaranties of future performance. Should one or more of these risks or uncertainties materialize, or should underlying assumptions prove incorrect, actual results may vary materially from those described herein as anticipated, believed, estimated, expected, intended, or using other similar expressions.

We are making investors aware that such forward-looking statements, because they relate to future events, are by their very nature subject to many important factors that could cause actual results to differ materially from those contemplated by the forward-looking statements contained in this Annual Report on Form 10-K. Important factors that could cause actual results to differ from our predictions include those discussed under “Risk Factors,” “Management’s Discussion and Analysis” and “Business.” Although we have sought to identify the most significant risks to our business, we cannot predict whether, or to what extent, any of such risks may be realized, nor can there be any assurance that we have identified all possible issues which we might face. In addition, assumptions relating to budgeting, marketing, product development and other management decisions are subjective in many respects and thus susceptible to interpretations and periodic revisions based on actual experience and business developments, the impact of which may cause us to alter our marketing, capital expenditure or other budgets, which may in turn affect our financial position and results of operations. For all these reasons, the reader is cautioned not to place undue reliance on forward-looking statements contained herein, which speak only as of the date hereof. We assume no responsibility to update any forward-looking statements because of new information, future events, or otherwise except as required by law. We urge readers to carefully review the risk factors described in this Annual Report and in the other documents that we file with the Securities and Exchange Commission. You can read these documents at www.sec.gov.

Where we say “we,” “us,” “our,” “CareView,” or the “Company” refers to CareView Communications, Inc., a Nevada corporation, originally formed in California on July 8, 1997 under the name Purpose, Inc., changing our name to Ecogate, Inc. in April 1999, and CareView Communications, Inc. in October 2007. Unless otherwise specified, these terms also include our wholly owned subsidiaries, CareView Communications, Inc., a Texas corporation (“CareView-TX”) and CareView Operations, LLC, a Nevada limited liability company (“CareView Operations”).

General

Company Overview and Recent Developments

As a leader in turnkey patient video monitoring solutions, CareView is redefining the standard of patient safety in hospitals and healthcare facilities across the country. For over a decade, CareView has relentlessly pursued innovative ways to increase patient protection, providing next generation solutions that lower operational costs and foster a culture of safety among patient, staff, and hospital leadership. With installations in more than 150 hospitals, CareView has proven that its innovative technology is creating a culture of patient safety where patient falls have decreased by 80% with sitter costs reduced by more than 65%. Anchored by the CareView Patient Safety System, this modular, scalable solution delivers flexible configurations to fit any facility while significantly increasing patient safety and operational savings. All configurations feature HD cameras, high-fidelity 2-way audio/video, LCD displays for the ultimate in capability, flexibility, and affordability.

 

2

 

 

TeleMedView allows hospital staff to use CareView’s high-quality video cameras with pan-tilt-zoom and 2-way video functionality to observe and communicate with patients remotely. TeleMedView leverages the CareView Mobile Controller’s built-in monitor and can work with the CareView Portable Controller as well. CareView created TeleMedView in response to a growing demand for remote patient monitoring driven by increasing demands for care and staffing shortages in the healthcare industry. With CareView, hospitals are safely monitoring more patients while providing a higher level of care. CareView has been awarded several new patents for features supporting TeleMedView, adding to its 32 existing patents, including SitterView® and ProcedureView®. These patents provide additional support and insight into the clinical workflow, allowing staff to document patient risks and procedures.

 

Products and Services

 

Company Overview and Recent Developments

 

As a leader in turnkey patient video monitoring solutions, CareView is redefining the standard of patient safety in hospitals and healthcare facilities across the country. For over a decade, CareView has relentlessly pursued innovative ways to increase patient protection, providing next generation solutions that lower operational costs and foster a culture of safety among patient, staff, and hospital leadership. With installations in more than 150 hospitals, CareView has proven that its innovative technology is creating a culture of patient safety where patient falls have decreased by 80% and sitter costs reduced by more than 65%. Anchored by the CareView Patient Safety System, this modular, scalable solution delivers flexible configurations to fit any facility while significantly increasing patient safety and decreasing operational savings. All configurations feature HD cameras, high-fidelity 2-way audio/video, LCD displays for the ultimate in capability, flexibility, and affordability.

 

TeleMedView allows hospital staff to use CareView’s high-quality video cameras with pan-tilt-zoom and 2-way video functionality to observe and communicate with patients remotely. TeleMedView leverages the CareView Mobile Controller’s built-in monitor and can work with the CareView Portable Controller as well. CareView created TeleMedView in response to a growing need for remote patient monitoring driven by increasing demands for care and staffing shortages in the healthcare industry. With CareView, hospitals are safely monitoring more patients while providing a higher level of care. CareView has been awarded several new patents for features supporting TeleMedView, adding to its 32 existing patents, including SitterView® and ProcedureView®. These patents provide additional support and insight into the clinical workflow, allowing staff to document patient risks and procedures.

 

Current Products and Services

 

CareView Patient Safety System

 

Our CareView Patient Safety System provides innovative ways to increase patient protection, provides advanced solutions that lower operational costs, and helps hospitals foster a culture of safety among patients, staff, and hospital leadership. 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 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. 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.

 

3

 

 

The CareView Patient Safety System includes CareView’s new SitterView®, providing a clear picture of up to 40 patients at once, allowing staff to intervene and document patient risks more quickly. SitterView® features intuitive decision support pathway, guiding staff alarm response and pan- tilt-zoom functionality, allowing staff to home in on areas of interest. CareView’s new Analytics Dashboard provides real-time metrics on utilization, compliance, and outcome data by day, week, month, and quarter. Outcomes are automatically compared to organizational goals to evaluate real-time ROI.

 

CareView’s next generation of in-room camera; the CareView Controller features an HD camera, high- fidelity 2-way audio, and an LCD display, harnessing increased performance to deliver the ultimate in capability, flexibility, and affordability for all types of hospitals. Building on top of CareView’s patented Virtual Bed Rails® and Virtual Chair Rails® predictive technology, the CareView Controller uses machine learning to differentiate between normal patient movements and behaviors of a patient at risk. This technology results in less false alarms, faster staff intervention, and a significant reduction in patient falls.

 

The CareView Controller is available in multiple configurations for permanent or temporary situations, the CareView Mobile, Portable, and Fixed Controller. For situations that demand that the camera come to the patient, the CareView Mobile Controller on wheels comes with an uninterrupted external power supply for situations where power may not be readily available and can operate on the facility’s wireless network. For monitoring patients within a general care unit, the CareView Portable Controller can be easily removed from mounts and moved where the workflow dictates, making this application perfect for general use. For high-risk patient rooms where behavior and self-harm may be a factor, or where a patient must be continuously monitored, the CareView fixed Controller can be installed seamlessly in the ceiling tiles leaving no exposed wiring making it ligature resistant.

 

The CareView Patient Safety System can be easily configured to meet the individual privacy and security requirements of any hospital or nursing facility. CareView is (“HIPAA”) compliant and HITRUST certified. Additional HIPAA-compliant features allow privacy options to be enabled at any time by the patient, nurse, or physician.

 

CareView Patient Safety System Products and Services Agreement with Healthcare Facilities

 

Currently, 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 Patient Safety 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 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 like 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 like 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 Patient Safety 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 Patient Safety System to the extent, and only to the extent, necessary to access, explore and otherwise use the CareView Patient Safety System in real time. Such non-exclusive license expires upon termination of the P&S Agreement.

 

4

 

 

We use specific terminology to better define and track the staging and billing of the individual components of the CareView Patient Safety System. The CareView Patient Safety System includes three components which are separately billed; the CareView Controller (previously known as RCP), the CareView SitterView Monitor, and the CareView Application Server (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 “CareView Controller” as this component of the CareView Patient Safety System consistently resides within each room where the “bed” is located. On average, there are six SitterView Monitors 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.

 

With the introduction of our updated technology, CareView has also aligned its contracting model to meet the preferred acquisition model in the hospital industry. CareView now sells its proprietary equipment to facilities in lieu of lending the equipment as was done under the previous contract model. In doing so, the facility is billed for the hardware on acceptance of the contract. After CareView’s equipment is delivered to the facility, CareView begins the process of installing and securely integrating the equipment and software. Upon completion of installation, training, and “go-live”, CareView bills the facility for the installation, training, and an annual software license fee. CareView will continue to bill the facility an annual software license fee until end of the contract. The shift in our new contracting model will have an immediate impact on the company’s operations resulting in greater cash flow within 30 of contract signing. In addition, the new contracting model will provide higher current revenue and recurring revenue.

 

CareView continues its dedication to provide service and support on a 24x7x365 basis for every customer under the prior and updated revenue models.

 

CareView Connect

 

Our mission is to be the leading provider of resident monitoring products and services for the long- term care industry. We took what we learned in our medical facility business and applied it to developing a product to serve the long-term care market. With CareView ConnectTM Quality of Life System (“CareView Connect”), CareView has again positioned itself as a technology leader with its innovative suite of products specifically designed for all aspects of the long-term care market, including: Nursing Care, Home Care, Assisted Living and Independent Living.

 

With this mission in mind, in the second quarter of 2018, the Company introduced a new sensor product that has application in both the assisted living center market and the home health market. CareView Connect leverages both passive and active sensors to track the activities of daily life. CareView Connect provides peace of mind by using data from the resident’s activity, existing conditions, and environment to notify a caregiver of potential emergencies and identify the need for dignified support. CareView Connect consists of a small emergency assist button, two motion sensors, one sleep sensor, and one event sensor. Resident activity levels, medication administration, sleep patterns, and requests for assistance can all be monitored depending on which options are selected.

 

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.

 

5

 

 

CareView Connect is a platform consisting of several products and applications targeted at improving level of care and efficiency. CareView is building a cohesive and tightly integrated solution that solves several problems that long-term care facilities face. We offer an array of wearable and stationary buttons that allow a resident to summon help either for an emergency or assistance, which can be anything from toileting help to assistance putting on their shoes. We offer a mobile app capable of delivering an alert to the caregiver and allows them document information around that alert. This allows for workflows and reports around the alerts, i.e. how long before the alert was handled, what was the cause of the alert, and if it was not acknowledged in a timely manner then the alert is escalated to another individual or group. This ensures that every alert is responded to timely and is verifiable. In addition, the caregiver usually is carrying out a litany of daily activities directed at each facility resident.

 

Alert Management and Monitoring System

 

CareView Connect provides a suite of hardware and software that facilitate a data-driven solution for alert management and monitoring. CareView Connect’s solution provides additional context, including location of the resident, which improves response time by the staff. The alert system includes a documentation platform that allows the facility’s staff to classify reason for alerts and provides metrics around response time. CareView Connect’s solution involves several passive sensors that monitor the resident.

 

Caregiver Platform

 

The caregiver platform includes a “Leave of Absence” component, which allows the facility to document when the resident is outside of their room for a duration of time. This information is incorporated with known data from the workflows and sensors to improve awareness. The Caregiver Connect mobile application provides a convenient and intuitive interface to the CareView Connect platform. The caregiver can use the mobile app to capture important information and interface with critical workflows, such as acknowledging and documenting alert presses by the resident. CareView Connect also provides a product focused on capturing and measuring the mental state and pain experienced by the resident. “How are you feeling today?” provides a convenient way to capture information about the mental state of the resident using emojis. Similarly, “What is your pain today?” allows the staff to categorize and document pain. Connect Resident is a tablet application intended for the resident’s direct use. This product currently supports video conferencing with a remote caregiver, becoming a communications conduit for telehealth. Connect Resident also supports “How are you feeling today?”, which allows the resident to submit this information directly.

 

Quality of Life Metrics

 

CareView is developing its own algorithm for measuring quality of life based on “best of breed” research and leveraging the data collected by the platform. CareView Connect’s Quality of Life Metrics focuses on several categories, including Physical Activity, Bodily Pain, General Health, Vitality, Social Interaction, Mental Health, and Sleep Quality. Leveraging this data, the facility and their staff have improved visibility into the health and well-being of their residents. By applying machine learning and predictive analytics, subtle patterns and trends that may not otherwise be visible become actionable. The facility can use this information to present a more compassionate and capable level of care, differentiating the facility from their competition. The Quality of Life Metrics information can be made available to the family and loved ones, opening a new channel of remote awareness and care. Because the information is collected automatically, the family gains awareness on issues of which their loved ones may normally be unaware. The Connect Family mobile application allows family members to monitor their loved one and receive alerts and notifications based on their preferences.

 

6

 

 

Pricing Structure and Revenue Streams

 

The CareView Connect suite of products and services offers multiple pricing models. We work with each facility on pricing to offer an affordable package based on the demographics of the residents of the facility. The pricing structure with each facility is negotiated separately. Typically, we offer the CareView Connect basic package at a price per monitored room with varying price structures based on number of sensors and number of residents in each facility.

 

General Service Administration Multiple Award Schedule

 

Pursuant to the terms of the Company’s General Service Administration (“GSA”) Multiple Award Schedule contract (“MAS”) the MAS allows us to sell the CareView Patient Safety System at a negotiated rate to the approximate 169 United States Department of Veterans Affairs (“VA”) facilities with over 39,000 licensed beds and the approximate 42 DOD hospitals with over 2,600 licensed beds. The updated contracting model was added to the Multiple Award Schedule contract (“MAS”) which allows us to sell the proprietary hardware and license the software on an annualized basis. 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. CareView is a sole source provider. Our products and services represent an enormous opportunity to improve the health and safety of our Nation’s veterans.

 

On February 2, 2021, we partnered with Decisive Point Consulting Group, a Department of Veterans Affairs Contractor Verification Enterprise (CVE) and a Verified Service-Disabled Veteran Owned Small Business (SDVOSB), to expand our reach within the VA hospitals and Community Living Centers space. Our partnership reflects our desire to collaborate with companies that share our vision of patient safety.

 

Group Purchasing Agreement with HealthTrust Purchasing Group, LP

 

On December 14, 2016, the Company entered 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 Patient Safety 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.

 

On November 1, 2020, the updated contracting model has been added to the HealthTrust GPO Agreement which allows us to sell the proprietary hardware and license the software on an annualized basis.

 

Summary of Product and Service Contracts

 

Our contracts typically include multiple combinations of our products, software solutions, and related services with multiple payment options. Customers can continue to lease our equipment under our subscription model or can purchase our equipment upfront under our recently implemented sales-based contract model with an auto-renewal at the end of each contract period.  The new sales-based contract offers our customers the flexibility of capitalizing on their investment, which in turn, replenishes our cash reserves.  During the fourth quarter of 2020, the Company executed several new sales-based contracts with an aggregated contract sales price of $1,800,000. 

 

Availability of Suppliers

 

We are not dependent on, nor do we expect to become dependent on, any one or a limited number of suppliers. We purchase parts and components to assemble our equipment and products. We do not manufacture or fabricate our own products or systems but rely on sub-suppliers and third-party vendors to procure and/or fabricate components based on our designs, engineering, and specifications. Along with our employee installers, we enter subcontracts for field installation of our products which we supervise. We manage all technical, physical, and commercial aspects of the performance of our contracts with sub-suppliers and third-party vendors. To date, we have experienced no difficulties in obtaining fabricated components, materials, and parts or in identifying qualified subcontractors for installation work.

 

7

 

 

Sales, Marketing and Customer Service

We do not consider our business to be seasonal, however the availability of hospital staff is typically less available in December which impacts our ability to sell/install our CareView Patient Safety System. We generate sales leads through a variety of means including direct one-to-one marketing, email and web campaigns, customer and industry referrals, strategic partnerships, and trade shows and events. Our sales team consists of highly trained professionals with many years of experience in the healthcare market.

 

Our initial focus has been to pursue large for-profit hospital management companies that own multiple facilities and large not-for-profit integrated delivery networks in major metropolitan areas. Our sales staff approaches decision makers for hospitals, integrated delivery networks, and major owners and operators of hospitals to demonstrate the CareView product line. In 2013, we expanded our sales process to include an inside sales team and have expanded our capabilities of providing web-based demonstrations and presentations. I/n addition, we have begun to rely more heavily on arranging reference calls and site visits between our current customers and our prospects. These efforts have provided a higher volume of qualified sales leads and have resulted in more substantive conversations with a larger number of prospects.

 

We ensure high levels of customer service through our account representatives and through our technical support processes. We attempt to position our account representatives geographically close to our customer hospitals to allow them to make regular visits to proactively train staff and address any issues. We offer 24/7 monitoring and phone support through our technical support team which allows us to quickly identify and resolve any technical issues. From time to time, we are called upon to service the installed hardware at customer facilities. To facilitate expedient service, our account representatives typically maintain a small supply of room control platforms (“RCPs”) should they need repair or replacement. Historically, our RCPs and Nursing Station units have required little, if any, servicing. We believe that we handle requests quickly and efficiently, and that overall, our customers are satisfied with our level of service.

 

Intellectual Property

 

Our success depends, in part, on our ability to obtain patents, maintain trade secret protection and operate without infringing the proprietary rights of others. Our intellectual property portfolio is one of the means by which we attempt to protect our competitive position. We rely primarily on a combination of know- how, trade secrets, patents, trademarks, and contractual restrictions to protect our products and to maintain our competitive position. We are constantly seeking ways to protect our intellectual property through registrations in relevant jurisdictions.

 

We have received patents from the U.S. Patent and Trademark Office and have numerous patents pending. We intend to file additional patent applications when appropriate; however, we may not file any such applications or, if filed, the patents may not be issued. We also have numerous registered trademarks.

 

We intend to aggressively prosecute, enforce, and defend our patents, trademarks, and proprietary technology. The loss, by expiration or otherwise, of anyone patents may have a material effect on our business. Defense and enforcement of our intellectual property rights can be expensive and time consuming, even if the outcome is favorable to us. It is possible that the patents issued to or licensed to us will be successfully challenged, that a court may find that we are infringing validly issued patents of third parties, or that we may have to alter or discontinue the development of our products or pay licensing fees to take into account patent rights of third parties.

 

Agreement with Rockwell Holdings I, LLC

 

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 Patient Safety 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) ”).

 

8

 

 

On January 31, 2017, under the terms of the Rockwell Agreement, wherein we have 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 will 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 the last business day of each subsequent calendar quarter through September 30, 2019. The final payment due on December 31, 2019 was to be a balloon payment of $13,786 representing the remaining principal balance plus all accrued and unpaid interest. As previously reported in our Current Report on Form 8-K filed with the SEC on February 5, 2018, on February 2, 2018 the Company entered an amendment (the “Rockwell Note Amendment”) to the Company’s Promissory Note to Rockwell Holdings I, LLC (“Rockwell”) dated as of January 31, 2017 (the “Rockwell Note”), pursuant to which Rockwell agreed to defer $50,000 of each $100,000 quarterly payment due under the Rockwell Note from January 1, 2018 through the termination of the Modification Period, April 30, 2020. On December 31, 2019, the Company and Rockwell entered a Second Amendment to the Rockwell Note (the “Second Rockwell Note Amendment”) pursuant to which Rockwell agreed to extend the term of the Rockwell Note by one year, to December 31, 2020, and agreed to extend the time to make the quarterly payment that would otherwise be due on December 31, 2019 to January 31, 2020.

 

Effective as of January 31, 2020, the Company and Rockwell entered a Third Amendment to the Rockwell Note (the “Third Rockwell Note Amendment”), pursuant to which Rockwell agreed to extend the time to make the quarterly payment that would otherwise be due on December 31, 2019 from January 31, 2020 to February 10, 2020. The final balloon payment representing the remaining principal plus all accrued and unpaid interest is due on December 31, 2020.

 

Effective as of March 31, 2020, the Company and Rockwell entered a Fourth Amendment to the Rockwell Note (the “Fourth Rockwell Note Amendment”), pursuant to which Rockwell agreed to extend the time to make the quarterly payment that would otherwise be due on March 31, 2020 to April 16, 2020.

 

Effective as of December 31, 2020, the Company and Rockwell entered a Fifth Amendment to the Rockwell Note (the “Fifth Rockwell Note Amendment”), pursuant to which Rockwell agreed to extend the term of the Rockwell Note by one year, to December 31, 2021, and agreed to extend the time to make the quarterly payment that would otherwise be due on December 31, 2020 to March 31,2021. The final balloon payment representing the remaining principal plus all accrued and unpaid interest is due on December 31, 2020. We have evaluated the Fifth Amendment to the Rockwell Note under ASC 470 and determined that the amendment should be treated as a debt modification. We were not in default of any conditions under the Settlement Agreement and the Rockwell Note as amended as of December 31, 2020.

 

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 for the year ended December 31, 2017. Effective February 2, 2018, pursuant to the terms of the PDL Modification Agreement, we entered 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, this transaction was recorded as non-cash costs included in general and administration expense in the consolidated financial statements for the year ended December 31, 2018.

 

9

 

 

Installation and Technical Support

 

Along with our employee installers and technical support staff, we provide installation and technical support for our customers through third-party providers located across the United States that we contract on a per-job basis.

 

Competition

 

We offer a unique solution to clinical video monitoring, sitter reduction, and fall prevention by leveraging our patented Virtual Bed Rails and Virtual Chair Rails technology.  This technology allows an individual to watch more patients with a higher level of safety than they could without. We have competitors in clinical video monitoring; however, we believe that we offer a superior solution that provides for best ROI, reduction in patient falls, and reduction and sitter requirements. We compete with them based on price, engineering and technological expertise, knowledge, and the quality of our products, systems, and services. Additionally, we believe that the successful performance of our installed products and systems is a key factor in retaining current business and gaining new business as customers typically prefer to make significant purchases from a company with a solid performance history.

 

Clinical Video Monitoring and Fall Prevention: Cisco Systems, Inc., Avasure (a division of AvaSure Holdings, Inc.), Caregility, Royal Philips Electronics and Cerner Corporation all provide clinical video monitoring tools. Cisco offers Virtual Patient Observation, a video monitoring tool aimed at reducing sitter costs and preventing patient falls. AvaSure and Caregility offer a similar application using cameras mounted on a rolling camera stand, aimed at preventing patient falls. Philips offers the eICU product, which primarily targets a high-definition monitoring of patients in intensive-care applications and provides telephonic consults. Cerner offers the Cerner Patient Observer product, which uses depth sensors aimed at preventing patient falls.

 

Alternative fall prevention mechanisms include physical sensors manufactured by Stanley and Posey, and beds which include fall alarms manufactured by Stryker and Hill-Rom. Customers may consider these physical fall prevention mechanisms to be alternatives to a video-based fall prevention system such as the one we offer.

 

We believe we also compete based on the success of our products and services which provide our customers with:

 

 

significant and tangible cost savings,

 

reductions in patient falls,

 

improved documentation, quality, and timeliness of patient care,

 

enhanced safety and security for patients and facilities,

 

support for new technologies,

 

business growth,

 

return on investment, and

 

enhanced patient satisfaction.

 We are currently unable to predict what competitive impact any regulatory development and advances in technology will have on our future business and results of operations. We believe our success depends upon our ability to maintain and enhance the performance, content, and reliability of our products in response to the evolving demands of the industry and any competitive products that may emerge. We cannot give assurances that we will be able to do so successfully or that any enhancements or new products that we introduce will gain acceptance in the marketplace. If we are not successful or if our products are not accepted, we could lose potential customers to our competitors.

 

10

 

Major Customers

 

During 2020 one customer comprised of approximately $1,179,000 or 18% of our revenue, while no other customer comprised more than 10%. During 2019 one customer comprised of approximately $1,538,000 or 25% of our revenue, while no other customer comprised more than 10%.

 

Backlog

 

Our estimated backlog is driven by signed Master and Product & Service Agreements (P&S Agreement(s)). Each Master and P&S Agreement establishes the rates that we will charge for the use of our products and services as well as an approximate number of billable units that will be installed. Our RCPs, Nursing Stations and mobile devices are billed on a per unit basis. Most Master and P&S Agreements are for five years but include options to cancel after a minimum of two or three years. Backlog, which covers the non- cancellable period, as of December 31, 2020 is approximately $6,474,000, of which approximately $4,015,000 is expected to be billed during 2021. Most of the current backlog will have future value as the Master and P&S Agreements continue beyond the minimum two or three years and the Master and P&S Agreements move toward expiration and potential renewal. The amount of the non-cancellable backlog to be billed beyond December 31, 2021 is approximately $2,459,000.

 

Government Approval

 

Neither our Company nor our products are subject to government approval beyond required Federal Communication Commission (“FCC”) certifications. Certain medical devices and applications may be subject to Section 510(k) of the Food, Drug, and Cosmetics Act, which regulates the ability of medical device manufacturers to market their devices. CareView has reviewed the requirements for registration, and at the current time, we do not believe that our suite of applications is subject to 510(k) regulation. Although the parameters of our CareView Patient Safety System products and services complies with HIPAA as far as use by health care providers, CareView itself, as the manufacturer and installer of the units, is not subject to HIPAA regulations. We do not know of any other privacy laws that affect our business as we are not in control of nor do we keep patient medical records in our possession. We are unaware of any probable government regulations that may affect our business in the future. We have received Underwriters Laboratories (“UL”) and FCC approval on our products. Additionally, the Center for Medicare and Medicaid Services does not pay or reimburse any party for use of our products and services.

 

Environmental Laws

 

Our Company and our products are not affected by any federal, state, or local environmental laws; therefore, we have reserved no funds for compliance purposes.

 

Employees

 

As of March 31, 2021, we employed 56 persons on a full-time basis, two of whom are executive officers. None of our employees are covered by collective bargaining agreements and we have never experienced a major work stoppage, strike, or dispute. We consider our relationship with our employees to be outstanding.

 

11

 

Reports to Security Holders

 

We are subject to the requirements of Section 13(a) under the Exchange Act which requires us to file annual reports on Form 10-K, quarterly reports on Form 10-Q, and current reports on Form 8-K, and we are required to comply with all other obligations of the Exchange Act applicable to issuers filing registration statements pursuant to Section 12(g) of the Exchange Act. You may read and copy any materials we file with the Securities and Exchange Commission (the “SEC”) at the SEC’s Public Reference Room at 100 F Street NE, Washington, DC 20549. You may obtain information on the operation of the Public Reference Room by calling the SEC at 1-800-SEC-0330. The SEC also maintains an Internet site that contains reports, proxy and information statements, and other information filed electronically with the SEC at http://www/sec.gov.

 

You may obtain a copy, free of charge, of our annual reports on Form 10-K, quarterly reports on Form 10-Q, and current reports on Form 8-K, and amendments to those reports filed or furnished pursuant to Section 13(a) or 15(d) of the Exchange Act as soon as reasonably practicable after we electronically file such material with the SEC. You may obtain these reports by making a request in writing addressed to Steven G. Johnson, Chief Executive Officer, CareView Communications, Inc., 405 State Highway 121, Suite B-240, Lewisville, TX 75067 or by downloading these reports and further information about our company on our website at http://www.care-view.com.

 

We have adopted a Code of Business Conduct and Ethics for all our officers and directors and a Code of Ethics for Financial Executives. These codes are available for download on our website or may be obtained free of charge by making a request in writing to Steven G. Johnson, as indicated hereinabove.

 

Domain Names

 

The Company maintains a website at www.care-view.com.

 

ITEM 1A.             RISK FACTORS.

We are a smaller reporting company, and as such, are not required to provide information pursuant to this item.

ITEM 1B.             UNRESOLVED STAFF COMMENTS.

N/A.

ITEM 2.                PROPERTIES.

On September 8, 2009, we entered into a Commercial Lease Agreement (the “Lease”) for 10,578 square feet of office and warehouse space. On March 4, 2020, we entered into a Fourth Amendment to Commercial Lease Agreement (the “Lease Extension”), wherein we extended the Lease through August 31, 2025. The Lease Extension contains a renewal provision under which we may renew the Lease for an additional five-year period under the same terms and conditions. We believe that these premises are adequate and sufficient for our current needs. See NOTE 12 in accompanying consolidated financial statements.

ITEM 3.                LEGAL PROCEEDINGS.

None.

ITEM 4.                MINE SAFETY DISCLOSURE.

N/A.

 

12

 

PART II

 

ITEM 5. MARKET FOR REGISTRANT’S COMMON EQUITY, RELATED STOCKHOLDER MATTERS AND ISSUER PURCHASES OF EQUITY SECURITIES.

Market Information

Our Common Stock is traded on the OTCQB as provided by OTC Market Group, Inc. (“OTCQB”) under the symbol "CRVW."

Holders

Records of our stock transfer agent indicate that as of March 31, 2021 we had approximately 90 record holders of our Common Stock.  The number of registered shareholders excludes any estimate by us of the number of beneficial owners of shares of our Common Stock held in "street name."  We estimate that there are approximately 860 beneficial shareholders who hold their shares in street name.

Securities Authorized for Issuance under Equity Compensation Plans

As of December 31, 2020, the following table shows the number of securities to be issued upon exercise of outstanding stock options under equity compensation plans approved by our shareholders, which plans do not provide for the issuance of warrants or other rights.

 

Plan Category   Number of Securities to be issued upon exercise of outstanding options
(a)
    Weighted-average exercise price of outstanding options
(b)
    Number of securities remaining available for future issuance under equity compensation plans (excluding securities reflected in column (a)
(c)
 
Equity compensation plan approved by security holders: 2007 Plan                  
Equity compensation plan approved by security holders:  2009 Plan     4,111,944     $ 0.56        
Equity compensation plan not approved by security holders:  2015 Plan     3,883,500     $ 0.29        
Equity compensation plan not approved by security holders:  2016 Plan     11,483,533     $ 0.11        
Equity compensation plan not approved by security holders:  2020 Plan                   6,362,976  
Total     19,478,977     $ 0.26       6,362,976  

 

Recent Sales of Unregistered Securities

None.

 

13

 

 

Cancellation and Expiration of Options

During the year ended December 31, 2020, options to purchase an aggregate of 506,833 shares of our Common Stock were cancelled due to resignation and termination of employees.  In addition, during the same time period, options to purchase an aggregate of 703,982 shares of our Common Stock expired.

Purchases of Equity Securities by the Issuer and Affiliated Purchasers

None.

ITEM 6.                SELECTED FINANCIAL DATA.

We are a smaller reporting company as defined in Item 10(f)(l) of Regulation S-K and are not required to provide information under this item.

ITEM 7.                MANAGEMENT’S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF OPERATIONS.

You should read the following discussion and analysis in conjunction with the information set forth under our consolidated financial statements and the notes to those financial statements included elsewhere in this Annual Report.  This discussion contains forward-looking statements based upon current expectations that involve risks and uncertainties.  Our actual results may differ materially from those contained in or implied by any forward-looking statements.

Liquidity and Capital Resources

Our cash position at December 31, 2020 was approximately $358,000.

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-K (“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 one year after the date the financial statements are issued. 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 nondilutive 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. 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.

In December 2019, a novel strain of coronavirus (COVID-19) was identified in Wuhan, China, and has subsequently spread to other regions of the world, and has resulted in increased travel restrictions, business disruptions and emergency quarantine measures across the world including the United States. The extent to which COVID-19 will negatively impact our business results is highly uncertain and cannot be accurately predicted. Management believes that the COVID-19 outbreak and the measures taken to control it may have a large negative impact on economic activities across the world and the United States. As such, these uncertainties may impede our ability to conduct our daily operations and could materially and adversely affect our business, financial condition, and results of operations in the foreseeable future.

 

These conditions raise substantial doubt about the Company's ability to continue as a going concern for a period of time within one year after the date that the financial statements are issued. The financial information contained in these financial statements have been prepared on a basis that assumes that we will continue as a going concern, which contemplates the realization of assets and the satisfaction of liabilities and commitments in the normal course of business.  This financial information and these financial statements do not include any adjustments that may result from the outcome of this uncertainty.

 

14

 

 

As of December 31, 2020, our working capital deficit was approximately $72,041,000, our accumulated deficit was approximately $187,810,000, and our stockholders’ deficit was approximately $103,261,000 Operating loss was approximately $1,878,000 and $3,300,000 for the years ended December 31, 2020 and 2019, respectively. Our net loss was approximately $11,683,000 and $14,140,000 for the years ended December 31, 2020 and 2019, respectively.

 

The following is a summary of cash flow activity for the years ended December 31, 2020 and 2019.

 

 

 

 

2020

 

 

 

2019

 

 

 

 

          (000’s)             

 

Net cash flows used in operating activities

 

$

(791

)

 

$

(1,437

)

Net cash flows used in investing activities

 

 

(302

)

 

 

(344

)

Net cash provided by financing activities

 

 

1,181

 

 

 

100

 

Decrease in cash

 

 

88

 

 

 

(1,681

)

 

Cash, cash equivalents and restricted cash at  beginning of period

   

270

     

 

1,951

 

Cash, cash equivalents and restricted cash at end of period

 

$

358

 

 

$

270

 

 

Net increase in cash during the year ended December 31, 2020 was approximately $88,000. The principal use of cash in operating activities for the year ended December 31, 2020 was to fund our current expenses primarily related to research and development activities and administrative changes, adjusted for non-cash items. The change in cash flows used in operating activities between 2019 and 2020 of approximately $645,000 is primarily a result of gain on extinguishment of the payroll protection program loan and interest. The change in cash flows used in investing activities between 2019 and 2020 of approximately $42,000 is primarily a result of the reduction of purchases and installation of CareView Patient Systems and costs associated with patents and trademarks. The change in cash flows provided by financing activities between 2019 and 2020 of approximately $1,082,000 is primarily due to receiving funds from our payroll protection program loan.

 

15

 

Results of Operations

 

Year ended December 31, 2020 compared to year ended December 31, 2019

 

 

 

Year Ended December 31,

 

 

 

 

 

 

2020

 

 

2019

 

 

Change

 

 

 

(000’s)

 

 

 

 

Revenue, net

 

$

6,462

 

 

$

6,294

 

 

$

168

 

Operating expenses:

 

 

 

 

 

 

 

 

 

 

 

 

Network operations

 

 

2,738

 

 

 

3,033

 

 

 

(295

)

General and administration

 

 

2,722

 

 

 

4,054

 

 

 

(1,332

)

Sales and marketing

 

 

575

 

 

 

324

 

 

 

253

 

Research and development

 

 

1,708

 

 

 

1,400

 

 

 

308

 

Depreciation and amortization

 

 

597

 

 

 

721

 

 

 

(124

)

Operating expenses

 

 

8,340

 

 

 

9,532

 

 

 

(1,192

)

Operating loss

 

$

(1,878

)

 

$

(3,238

)

 

$

1,360

 

 

Revenue, net

 

Revenue increased approximately $168,000 for the year ended December 31, 2020 as compared to the same period in 2019. The increase in revenue is a result of new hospital billing as well as organic growth within our existing customer base and the introduction of a new product line. Of the 100 hospitals on December 31, 2020, one hospital group accounted for 18% of the total.

 

Operating Expenses

 

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

 

 

 

Year Ended
December 31,

 

 

 

2020

 

 

2019

 

Human resource costs, including benefits

 

 

56

%

 

 

46

%

Depreciation and amortization expense

 

 

7

%

 

 

8

%

Travel and entertainment

 

 

4

%

 

 

6

%

Other expenses

 

 

12

%

 

 

23

%

Other product deployment costs, excluding human resources and travel and entertainment expense

 

 

5

%

 

 

6

%

Professional fees and consulting expenses

 

 

10

%

 

 

7

%

Non-cash expense related to option grants

 

 

2

%

 

 

2

%

Research and development costs

 

 

2

%

 

 

1

%

Other sales and marketing costs, excluding human resources costs, travel and entertainment expense, and consulting expenses

 

 

2

%

 

 

1

%

 

16

 

 

Operating expenses decreased by approximately $1,192,000 (13%) as a result of the following items:

 

 

 

(000’s)

 

Increase:

 

 

 

 

Human resource costs, including benefits

 

$

270

 

Professional and consulting costs

 

 

172

 

R&D costs

   

57

 

Other sales and marketing costs, excluding human resources costs, travel and entertainment expense, and consulting expenses

 

 

144

 

Decrease:

 

 

 

 

Depreciation and amortization

 

 

(123

)

Travel and entertainment

 

 

(321

)

Other product deployment costs, excluding human resources and travel and entertainment expense

 

 

(117

)

Other expenses

 

 

(1,235

)

Non-cash expense related to option grants

 

 

(39

)

 

 

$

(1,192

)

 

Human resource related costs (including salaries and benefits and non-cash compensation) increased approximately $270,000 primarily because of additional sales and marketing and research and development staffing and PTO carryover expenses during the twelve months ended December 31, 2020 as compared to the twelve months ended December 31, 2019. Professional and consulting fees increased approximately $172,000, primarily because of increased accounting, consulting, and other professional fees. An increase in research and development (less non-personnel and travel costs) of approximately $57,000 primarily related to patent maintenance, software security, and obtaining industry-specific certifications. There was an increase in sales and marketing costs approximately $144,000 primarily related to marketing and website costs.

 

Depreciation and amortization expense decrease by approximately $123,000, primarily because of a reduction in depreciation expense as certain deployable assets purchased have become fully depreciated in 2020. Travel and entertainment expense decreased approximately $321,000 because of less product installations and COVID-19 related slowdown during the twelve months ended December 31, 2020 compared to the same period in 2019. Other product development costs decreased approximately $117,000 primarily because of decreases in product deployment and installation costs and related non-capital equipment costs. The decrease of approximately $1,315,000 in other expense is primarily attributable to prior year write off of abandoned CareView Connect assets of approximately $1,130,000. The decrease in non-cash expense related to option grants of approximately $39,000 was due to lower stock option grants.

 

Critical Accounting Estimates and New Accounting Pronouncements

 

Critical Accounting Estimates

 

The preparation of financial statements in accordance with accounting principles generally accepted in the United States of America (“GAAP”) requires management to make estimates and assumptions that affect reported amounts and related disclosures in the financial statements. Management considers an accounting estimate to be critical if:

 

if requires assumptions to be made that were uncertain at the time the estimate was made, and
changes in the estimate or different estimates that could have been selected could have a material impact on our results of operations or financial condition.

 

We base our estimates and judgments on our experience, our current knowledge, our beliefs of what could occur in the future, our observation of trends in the industry, information provided by our customers and information available from other sources. Actual results may differ from these estimates under different assumptions or conditions. We have identified the following accounting policies and estimates as those that we believe are most critical to our financial condition and results of operations and that require management’s most subjective and complex judgments in estimating the effect of inherent uncertainties: share-based compensation expense, income taxes, complex derivative financial instruments and impairment of long-lived assets.

 

17

 

 

Share-Based Compensation Expense. We calculate share-based compensation expense for option awards and certain warrant issuances (“Share-based Award(s)”) based on the estimated grant/issue date fair value using the Black-Scholes-Merton option pricing model (“Black-Sholes Model”) and recognize the expense on a straight-line basis over the vesting period, net of estimated forfeitures. We have not included an estimate for forfeitures due to our limited history and we revise based on actual forfeitures each period. The Black-Scholes Model requires the use of several assumptions including volatility of the stock price, the weighted average risk-free interest rate, and the vesting period of the Share-based Award in determining the fair value of Share-based Awards. Although we believe our assumptions used to calculate share-based compensation expense are reasonable, these assumptions can involve complex judgments about future events, which are open to interpretation and inherent uncertainty. In addition, significant changes to our assumptions could significantly impact the amount of expense recorded in each period.

 

Income Taxes. As part of the process of preparing our consolidated financial statements, we are required to estimate income taxes in each of the jurisdictions in which we operate. Our provision for income taxes is determined using the asset and liability approach to account for income taxes. A current liability is recorded for the estimated taxes payable for the current year. Deferred tax assets and liabilities are recorded for the estimated future tax consequences attributable to differences between the financial statement carrying amounts of existing assets and liabilities and their respective tax bases. Deferred tax assets and liabilities are measured using the enacted tax rates in effect for the year in which the timing differences are expected to be recovered or settled. The effect on deferred tax assets and liabilities of changes in tax rates or tax laws are recognized in the provision for income taxes in the period that includes the enactment date. Valuation allowances are established, when necessary, to reduce deferred tax assets to the amount more-likely-than-not to be realized. Changes in valuation allowances will flow through the statement of operations unless related to deferred tax assets that expire unutilized or are modified through translation, in which case both the deferred tax asset and related valuation allowance are similarly adjusted. Where a valuation allowance was established through purchase accounting for acquired deferred tax assets, any future change will be credited or charged to income tax expense. See NOTE 5 in the accompanying Notes to Consolidated Financial Statements for discussion related to Tax Reform.

 

The determination of our provision for income taxes requires significant judgment, the use of estimates, and the interpretation and application of complex tax laws. In the ordinary course of our business, there are transactions and calculations for which the ultimate tax determination is uncertain. Despite our belief that we have appropriate support for all the positions taken on our tax returns, we acknowledge that certain positions may be successfully challenged by the taxing authorities. We determine the tax benefits more likely than not to be recognized with respect to uncertain tax positions. Although we believe our recorded tax assets and liabilities are reasonable, tax laws and regulations are subject to interpretation and inherent uncertainty; therefore, our assessments can involve both a series of complex judgments about future events and rely on estimates and assumptions. Although we believe these estimates and assumptions are reasonable, the final determination could be materially different than that which is reflected in our provision for income taxes and recorded tax assets and liabilities.

 

Complex Derivative Financial Instruments. From time to time, we sell common stock and we issue convertible debt, both with common stock purchase warrants, which may include terms requiring conversion price or exercise price adjustments based on subsequent issuance of securities at prices lower than those in the agreements of such securities. In these situations, the instruments may be accounted for as liabilities and recorded at fair value each reporting period. Due to the complexity of the agreement, we use an outside expert to assist in providing the mark to market fair valuation of the liabilities over the reporting periods in which the original agreement was in effect. It was determined that a Binomial Lattice option pricing model using a Monte Carlo simulation would provide the most accuracy given all the potential variables encompassing a future dilutive event. This model incorporated transaction assumptions such as our stock price, contractual terms, maturity, risk free rates, as well as estimates about future financings, volatility, and holder behavior. Although we believe our estimates and assumptions used to calculate the fair valuation liabilities and related expense were reasonable, these assumptions involved complex judgments about future events, which are open to interpretation and inherent uncertainty. In addition, significant changes to our assumptions could significantly impact the amount of expense recorded in each period.

 

18

 

 

Impairment of Long-Lived Assets. Carrying values of property and equipment and finite-lived intangible assets are reviewed for impairment whenever events or changes in circumstances indicate that their carrying values may not be recoverable. If impairment indicators are present, we determine whether an impairment loss should be recognized by testing the applicable asset or asset group’s carrying value for recoverability. This assessment requires the exercise of judgment in assessing the future use of and projected value to be derived from the eventual disposal of the assets to be held and used. Assessments also consider changes in asset utilization, including the temporary idling of capacity and the expected timing for placing this capacity back into production. If the carrying value of the assets is not recoverable, then a loss is recorded for the difference between the assets’ fair value and respective carrying value. The fair value of the assets is determined using an “income approach” based upon a forecast of all the expected discounted future net cash flows associated with the subject assets. Some of the more significant estimates and assumptions include market size and growth, market share, projected selling prices, manufacturing cost and discount rate. Our estimates are based upon historical experience, commercial relationships, market conditions and available external information about future trends.

 

Recently Issued Accounting Pronouncements

 

In June 2016, the FASB issued ASU 2016-13, Financial Instruments – Credit Losses: Measurement of Credit Losses on Financial Instruments, which requires entities to record expected credit losses for certain financial instruments, including trade receivables, as an allowance that reflects the entity’s current estimate of credit losses expected to be incurred. For available-for-sale debt securities in unrealized loss positions, the new standard requires allowances to be recorded instead of reducing the amortized cost of the investment. The Company does not currently hold or plan to invest in available-for-sale securities and has not historically experienced collection issues or bad debts with trade receivables. Accordingly, the Company does not expect this to have a significant impact on its consolidated financial statements and related disclosures at this time. The Company will adopt this guidance on its effective date for smaller reporting companies, January 1, 2023.

 

Recently Adopted Accounting Pronouncements

 

In August 2018, the Financial Accounting Standards Board (“FASB”), issued Accounting Standards Update ASU 2018-13, Fair Value Measurement (Topic 820): Disclosure Framework- Changes to the Disclosure Requirements for Fair Value Measurement that eliminates certain disclosure requirements for fair value measurements for all entities, requires public entities to disclose certain new information and modifies some disclosure requirements. The FASB developed the amendments to Accounting Standards Codification (“ASC”) 820 as part of its broader disclosure framework project, which aims to improve the effectiveness of disclosures in the notes to financial statements by focusing on requirements that clearly communicate the most important information to users of the financial statements. The new guidance is effective for all entities for fiscal years beginning after December 15, 2019 and for interim periods within those fiscal years. An entity is permitted to early adopt either the entire standard or only the provisions that eliminate or modify requirements. We are currently evaluating the effect of this guidance on our disclosures.

 

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, 2020. We do not expect that the adoption of any recent accounting pronouncements will have a material impact on our accompanying consolidated financial statements.

 

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Recent Events Since December 31, 2019

 

On January 31, 2021, the Company, the Borrower, the Subsidiary Guarantor, the Lender and the Tranche Three Lenders entered into a Twenty-Third Amendment to Modification Agreement (the “Twenty- Third Modification Agreement Amendment”), pursuant to which the parties agreed to amend the 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 May 31, 2021 (with each such date permitted to be extended by the Lender in its sole discretion); and that the Borrower’s (i) interest payments that would otherwise be due under the Credit Agreement on December 31, 2018, March 31, 2019, June 30, 2019, September 30, 2019, December 31, 2019, March 31, 2020, June 30, 2020 and September 30, 2020 from January 31, 2021 until May 31, 2021 and (ii) payments for principal and for any other Obligations then outstanding under the Tranche One Loan and the Tranche Three Loans that would otherwise be due under the Credit Agreement on October 7, 2020, would each be deferred from January 31, 2021 until May 31, 2021, and that such deferrals would be a Covered Event.

 

Off-Balance Sheet Arrangements

 

As of December 31, 2019, 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 number 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 December 31, 2020.

 

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.

 

ITEM 7A.       QUANTITATIVE AND QUALITATIVE DISCLOSURES ABOUT MARKET RISK. 

 

We are a smaller reporting company as defined in Item 10(f)(l) of Regulation S-K and are not required to provide information under this item.

 

ITEM 8.          FINANCIAL STATEMENTS AND SUPPLEMENTARY DATA.

 

Financial statements begin on page F-1 following this Report.

 

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ITEM 9.          CHANGES IN AND DISAGREEMENTS WITH ACCOUNTANTS ON ACCOUNTING AND FINANCIAL DISCLOSURE.

 

Not Applicable.

 

ITEM 9A.       CONTROLS AND PROCEDURES.

 

Disclosure Controls and Procedures

 

Disclosure controls and procedures are controls and other procedures that are designed to ensure that information required to be disclosed in our reports filed or submitted under the Securities Exchange Act of 1934, as amended (the “Exchange Act”), is recorded, processed, summarized and reported within the time periods specified in the SEC’s rules and forms. Disclosure controls and procedures include, without limitation, controls and procedures designed to ensure that information required to be disclosed in our reports filed or submitted under the Exchange Act is accumulated and communicated to management, including our chief executive officer and principal financial officer, as appropriate to allow timely decisions regarding 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.

 

Under the supervision and with the participation of our CEO and principal financial and chief accounting officer, our management evaluated the effectiveness of the design and operation of our disclosure controls and procedures as of December 31, 2020. Based on that evaluation, our CEO and principal financial and chief accounting officer concluded that our disclosure controls and procedures were not effective as of December 31, 2020 due to the continuing existence of a material weakness in internal control over financial reporting described below (which we view as an integral part of our disclosure controls and procedures). Based on the performance of additional procedures designed to ensure the reliability of our financial reporting, we believe that the consolidated financial statements included in this Annual Report on Form 10-K fairly present, in all material respects, our financial position, results of operations and cash flows as of the dates, and for the periods, presented, in conformity with accounting principles generally accepted in the United States (“GAAP”).

 

Material Weakness and Remediation Plan

 

A material weakness is a deficiency, or a combination of deficiencies, in internal controls over financial reporting, such that there is a reasonable possibility that a material misstatement of the Company’s annual or interim financial statements will not be prevented or detected on a timely basis.

 

Management has determined that the Company did not maintain effective internal control over financial reporting as of December 31, 2020 due to the existence of the following material weaknesses:

 

(i) Due to a lack of accounting resources, it was determined that the Company had inadequate segregation of duties in place related to its financial reporting and other management oversight. Specifically, the accounting manager had responsibility for initiating transactions in the financial statement areas of revenues, equity, payroll, debt, and financial reporting, recording transactions, and preparing financial reports. To remediate this material weakness, the Company is in the process of identifying and employing additional full-time accounting personnel to join the corporate accounting function in order to enhance overall monitoring and accounting oversight within the Company,
(ii) It was determined that the Company does not have effective controls over the identification and evaluation of the GAAP accounting for certain complex transactions due to a lack of technical expertise. Specifically, related to the recording of revenues, debt, income taxes, and other complex financial transactions. To remediate this material weakness, the Company has identified and engaged a third-party subject matter expert to assist with the preparation of accounting for and reporting of these complex transaction. The Company has hired a Certified Public Accountant to have oversight of these transactions.

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Changes in Internal Control Over Financial Reporting  

There were no changes in our internal control over financial reporting identified in management's evaluation pursuant to Rules 13a-15(d) or 15d-15(e) of the Exchange Act during the three months ended December 31, 2020 that materially affected, or are reasonably likely to materially affect, our system of internal control over financial reporting.

 

Limitations on Effectiveness of Controls and Procedures

 

In designing and evaluating the disclosure controls and procedures and internal control over financial reporting, management recognizes that any controls and procedures, no matter how well designed and operated, can provide only reasonable assurance of achieving the desired control objectives. In addition, the design of disclosure controls and procedures and internal control over financial reporting must reflect the fact that there are resource constraints, and that management is required to apply judgment in evaluating the benefits of possible controls and procedures relative to their costs.

 

ITEM 9B.       OTHER INFORMATION.

 

None

 

PART III

 

ITEM 10.       DIRECTORS, EXECUTIVE OFFICERS, AND CORPORATE GOVERNANCE.

 

Directors, Executive Officers, Promoter and Control Persons

 

The following table sets forth information on our executive officers and directors as of the filing of this Report. All executive officers serve at the discretion of the Board of Directors. The term of office of each of our directors expire at our next Annual Meeting of Shareholders or until their successors are duly elected and qualified. We do not have any promoters or control persons.

 

 

Name

 

Age

 

Position

Date Elected Director

Date Appointed Officer

Steven G. Johnson

61

Chief Executive Officer, President, Secretary, Treasurer, Director

April 11, 2006

April 11, 2006

Jason T. Thompson

46

Director, Principal Financial Officer, Chief Accounting Officer

January 1, 2014

January 24, 2018

Sandra K. McRee

65

Chief Operating Officer

N/A

November 1, 2013

L. Allen Wheeler

88

Chairman of the Board

January 26, 2006

N/A

Jeffrey C. Lightcap

62

Director

April 21, 2011

N/A

David R. White

73

Director

January 1, 2014

N/A

Steven B. Epstein

77

Director

April 1, 2014

N/A

Dr. James R. Higgins

71

Director

April 1, 2014

N/A

 

Mr. Lightcap was elected to serve on our Board of Directors pursuant to the terms of the HealthCor Note Purchase Agreement executed on April 21, 2011. Other than Mr. Lightcap, there are no arrangements or understandings between our directors and executive officers and any other person pursuant to which any director or officer was or is to be selected as a director or officer, and there are no arrangements, plans or understandings as to whether non-management shareholders will exercise their voting rights to continue to elect the current board of directors. There are also no arrangements, agreements or understandings to our knowledge between non-management shareholders that may directly or indirectly participate in or influence the management of our affairs.

 

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In December 2017, our Chief Financial Officer, Treasurer and Secretary resigned. Until such time as those positions are filled, Steven Johnson, our Chief Executive Officer and President, will also serve as our Secretary and Treasurer. In addition, Jason T. Thompson, our Chairman of the Audit Committee, will serve as our Principal Financial Officer and Chief Accounting Officer as those positions relate to our annual and quarterly filings with the SEC.

 

Identification of Certain Significant Employees

 

Kyle Johnson, our Director of Engineering, and Matthew E. Jackson, General Counsel, are considered significant employees. An overview of their business experience follows in Business Experience found within this Item 10.

 

Family Relationships

 

There are no family relationships between our officers and members of our Board of Directors.

 

Business Experience of Directors, Executive Officers and Significant Employees

 

The business experience of each of our directors, executive officers and significant employee follows:

 

Steve G. Johnson – Chief Executive Officer, President, Secretary, Treasurer, Director

 

Steven G. Johnson currently serves as Chief Executive Officer (effective January 1, 2014), President, Secretary, Treasurer and Director. Mr. Johnson also served as Chief Operating Officer until November 1, 2013. In December 2003, he filed for patent protection as the inventor of a Non-Intrusive Data Transmission Network for Use in an Enterprise Facility and Method for Implementing in the United States, which invention was subsequently assigned to CareView and was issued a patent number by the USPTO. The technology underlying this patent is the basis of the CareView Patient Safety System suite. Mr. Johnson is also one of the inventors on three issued patents for a Non-intrusive data transmission network for use in an enterprise facility and method for implementing in the U.S., a System and Method for Documenting Patient Procedures in the U.S., and a System and Method for Using a Video Monitoring System to Prevent and Manage Decubitus Ulcers in Patients in the U.S., and five additional pending patent applications for a System and Method for Predicting Falls in the U.S., a continuation patent for System and Method for Using a Video Monitoring System to Prevent and Manage Decubitus Ulcers, an Electronic Patient Sitter Management System and Method for Implementing in the U.S., a Noise Correcting Patient Fall Risk State System and Method for Predicting Patient Falls in the U.S., and a System and method for monitoring a fall state of a patient and minimizing false alarms in the U.S., all technology currently being deployed or in further development by CareView. Mr. Johnson has over 20 years of experience in the cable and wireless industry.

 

Before joining CareView in 2006, he served as Chief Executive Officer of Cadco Systems, a manufacturer of CATV and telecommunications equipment from 1997. From February 1991 to February 1996, he served as CEO, President and Director of American Wireless Systems, which he restructured and sold to Heartland Wireless Communications. Mr. Johnson also served as founder and President of Hanover Systems, a manufacturer of telecommunications equipment. Mr. Johnson has been actively involved with the wireless cable industry since 1984 and has served on the board of directors of the Wireless Cable Association and its FCC regulatory committee. Mr. Johnson developed various electronic telecommunications equipment for the wireless cable industry including microwave downconverters, wireless cable set top converters, antennas, and transmitters. Mr. Johnson’s accumulated knowledge in the field of technology, coupled with his development of patentable technology, makes him an invaluable member of our management team. Mr. Johnson earned his BA in Economics and Business Administration from Simpson College and currently serves as a Trustee on the Simpson College Board of Trustees. Mr. Johnson is the father of Kyle Johnson, our Director of Engineering.

 

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Jason T. Thompson – Director, Principal Financial Officer, Chief Accounting Officer

Jason T. Thompson was elected as a Director of CareView effective as of January 1, 2014. In addition, he currently serves as our Principal Financial Officer and Chief Accounting Officer while we seek a qualified candidate to fill those positions. Mr. Thompson is a partner and a member of the transactional group of Michael Best & Friedrich LLP where he focuses on mergers and acquisitions and general corporate matters, having joined Michael Best in September 2006. Mr. Thompson assists his clients with negotiating and structuring many types of transactions and agreements, including those related to corporate reorganizations, buyout transactions and venture capital investment transactions. In addition, he is President of Thompson Family Holdings, LLC, which invests in, and consults for, a number of healthcare companies, having joined Thompson Holdings in 2010. From 1999 to 2004, Mr. Thompson served as Vice President of Development and Planning for Bulk Petroleum Corporation, where he oversaw sales, operations, client maintenance, scheduling accounting and workforce management for its construction projects. Prior to joining Bulk Petroleum, Mr. Thompson was a senior auditor with Arthur Andersen. He is a certified public accountant. Mr. Thompson received a BBA in Accounting from the University of Wisconsin – Madison in 1996 and in 2006, received his JD from the University of Wisconsin, where he was a member of the Wisconsin Law Review. His business, accounting and legal experience makes him well-qualified to serve as one of the Company’s directors.

 

Sandra K. McRee – Chief Operating Officer

 

Sandra K. McRee joined CareView as Chief Operating Officer effective November 1, 2013. Ms. McRee also currently serves as President of McRee Consulting. Ms. McRee most recently served as the Vice Chair of the Board of Directors of IASIS Healthcare Corporation (“IASIS”) from April 2010 until October 2011. Previously, she served as Chief Operating Officer of IASIS from May 2001 until October 2010, and President from May 2004 to April 2010. At IASIS, she was responsible for overseeing all aspects of IASIS’s hospital operations and was responsible for overseeing clinical systems; developing an appropriate mix of quality services, physician relationships, effective staffing and supply utilization; and managing capital investments related to operations. From April 1999 through May 2001, Ms. McRee was Regional Vice President for Province Healthcare Corporation where she oversaw five facilities in Florida, Louisiana and Mississippi. Ms. McRee has more than 35 years of healthcare management experience. Ms. McRee has spent her entire professional career in the healthcare industry. She currently serves on the Board of Directors of Denver School of Nursing. Ms. McRee previously served on the Boards of EDCare, a national emergency room management company owned by Gemini Investors from August 2005 to July 2008, Mid-Western University from July 2000 to August 2004 and All About Women. Ms. McRee is a member of Women Business Leaders of the U.S. HealthCare Industry Foundation, a nonprofit organization that was established in 2001 to address the unique needs of women serving in a senior executive capacity in the U.S. healthcare industry and was a member of the Executive Leadership Team of Go Red for Women.

 

L. Allen Wheeler – Chairman of the Board

 

Mr. Wheeler has served as a Director of CareView since January 2006 and on January 1, 2014 became our Chairman of the Board. Mr. Wheeler has been a private investor for over 50 years with interests in nursing homes, banks, cable television, radio stations, real estate and ranching. Currently, Mr. Wheeler owns and operates three Abstract and Title companies in Bryan County, Oklahoma. Mr. Wheeler served on the Board of Directors of Texoma Medical Center from 1994 to 2005 and acted as Chairman of the Board from 2002 to 2005. Mr. Wheeler served as President of the Durant Industrial Authority for numerous years. Mr. Wheeler’s knowledge of the healthcare industry (as it relates to nursing homes), his technical knowledge of the broadcast television industry, and his expertise relative to investments and equity placements, qualifies him as a significant member of our board of directors. Mr. Wheeler earned his B.A. from Southeastern Oklahoma State University. Mr. Wheeler was elected Alumni of the Year of Southeastern Oklahoma State University in 2001.

 

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  Jeffrey D. Lightcap – Director

Mr. Lightcap was elected as a Director of CareView on April 21, 2011. Since October 2006, Mr. Lightcap has served as a Senior Managing Director at HealthCor Partners Management, LP, a growth equity investor focused on late stage venture and early commercial stage healthcare companies in the diagnostic, therapeutic and med tech, sectors. From 1997 to mid-2006, Mr. Lightcap served as a Senior Managing Director at JLL Partners, a leading middle-market private equity firm. Prior to JLL Partners, from 1993 to 1997, Mr. Lightcap served as a Managing Director at Merrill Lynch & Co., Inc. Prior to joining Merrill Lynch, Mr. Lightcap was a Senior Vice President in the mergers and acquisitions group at Kidder, Peabody & Co. and briefly at Salomon Brothers. Mr. Lightcap received a B.E. in Mechanical Engineering from the State University of New York at Stony Brook in 1981 and in 1985 received an MBA from the University of Chicago. Mr. Lightcap currently also serves as a director of the following companies: Heartflow Inc., a medical technology company redefining the way heart disease is diagnosed and treated; KellBenx, Inc., a prenatal diagnostic technology company; and RTI Surgical, Inc. (Nasdaq: RTIX), a spinal implant company. Mr. Lightcap’s experience with fundraising in the private equity market and his leadership skills exhibited throughout his career make him well-qualified to serve as one of the Company’s directors.

 

David R. White – Director

 

David R. White was elected as a director on January 1, 2014. From December 1, 2000 to November 1, 2010, Mr. White served as the Chief Executive Officer of IASIS Healthcare Corporation and he served as the Chief Executive Officer of IASIS Healthcare LLC from December 1, 2000 to October 2010. Mr. White served as the President of IASIS Healthcare Corporation from May 22, 2001 to May 2004 and also served as the President of IASIS Healthcare LLC from May 22, 2001 to May 2004. He served as the President and Chief Executive Officer of LifeTrust, from November 1998 to November 2000. From June 1994 to September 1998, Mr. White served as President of the Atlantic Group at Columbia/HCA, where he was responsible for 45 hospitals located in nine states. He has also served as Regional Vice President of Republic Health Corporation. Previously, Mr. White served as an Executive Vice President and Chief Operating Officer at Community Health Systems, Inc. He was Executive Chairman of Anthelio Healthcare Solutions Inc. from June 2012 to September 2016 and was its Independent Director from July 28, 2011 to September 2016. He has been Chairman of the Board at IASIS Healthcare Corporation since October 1999. He has been a Member of Strategic Advisory Board of Satori World Medical, Inc. since 2011. He was a Director of REACH Health, Inc. from August 30, 2011 to June 2015. He also serves as a director to CareView Communications, Inc. (OTCQB: CRVW), a healthcare technology company. He served as Non-Executive Director at Parkway Holdings Limited from July 15, 2005 to March 8, 2007. Mr. White earned a B.S. in Business Administration from the University of Tennessee in Knoxville, TN in 1970, and an MS in Healthcare Administration from Trinity University in San Antonio, TX in 1973. Mr. White’s lifetime career and knowledge in the healthcare industry makes him well-qualified to serve as a director of the Company.

Steven B Epstein - Director

 

Steven B. Epstein was elected as a Director of CareView effective as of April 1, 2014. Mr. Epstein is the founder of Epstein Becker & Green, P.C., a leading law firm in health care law with over 250 lawyers in 11 cities, where he serves as a senior health adviser. Mr. Epstein is a pioneer in the legal specialty known as health care law and provides a wide range of health care organizations and providers with strategic legal guidance responding to the legal challenges and opportunities of the rapidly changing American health care system. Mr. Epstein was instrumental in the acceptance of managed care as the prominent form of health care delivery and has been referred to as the “father of the healthcare [legal] industry”, as stated in Chambers USA. Mr. Epstein received his Bachelor of Arts from Tufts University in 1965, where he was awarded the Tufts University Distinguished Alumni Award and served as a member of the Board of Trustees from 1999-2009. He received his Juris Doctor from Columbia Law School in 1968. He is the recipient of Columbia University’s Distinguished Alumni Award and Columbia Law School’s Medal for Excellence, Columbia Law School’s most prestigious award and served as chairman of the Columbia Law School Board of Visitors from 2002-2015. Mr. Epstein has previously served as a director of the following companies among others: Accumen, Inc., a private lab services company; National Compliance Solutions, Inc.; a private drug and background search company; OrthoSensor, Inc.; a private orthopedic medical device company; ResCare, Inc. a private disability care company and Solis Women’s Health, a private mammography company; and currently serves as a director of Restorix Health, a private wound care company; Syft, a clinical supply chain software company. Mr. Epstein’s lifetime legal career and knowledge in the healthcare industry makes him well-qualified to serve as a director of the Company.

 

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  Dr. James R. Higgins - Director

 

Dr. James R. Higgins was elected as a director of CareView effective as of April 1, 2014. Dr. Higgins is a cardiologist practicing in Tulsa, Oklahoma. In addition to being boarded in cardiology he has sub-specialty boards in nuclear cardiology, electrophysiology, invasive cardiology, cardiac CT angiography, echocardiography, carotid and peripheral sonography, pacemakers and defibrillators. He graduated summa cum laude with a BS degree in electrical engineering from South Dakota State University and sum cum laude with a MD degree from the University of Rochester School of Medicine and Dentistry. He was an extern at the Massachusetts General Hospital in Boston, and intern, resident, and chief resident at Barnes Hospital, Washington University, in St. Louis Missouri. His cardiology fellowship was obtained at the University of California, San Francisco, Moffitt and Long Hospital. He was then the Director of research and invasive cardiology at Wilford Hall Medical Center, United States Air Force, San Antonio, Texas. In addition to his busy cardiology practice, Dr. Higgins has started and owns a real estate company, an electronic medical billing company, an oil pipeline supply company, and has a large cattle ranch operation in Oklahoma. He has published more than 300 peer review articles and has multiple patents on medical devices, mainly related to pacemakers and internal defibrillators. Dr. Higgin’s vast experience in the healthcare industry makes him well-qualified to serve as a director of the Company.

 

Kyle Johnson - Director of Engineering

 

Kyle Johnson has served as our Director of Engineering since August 2006 and is responsible for the design and development of our Room Control Platform and deployment of systems to hospitals. From June 2004 to August 2006, he served as Senior Product Manager of Cadco Systems, a company that specializes in broadband electronic design and manufacturing. As Senior Project Manager, Mr. Johnson managed the design and development of several products including the development of the technology used in the CareView Patient Safety System suite. Mr. Johnson is also one of the inventors on an issued patent for a System and Method for Using a Video Monitoring System to Prevent and Manage Decubitus Ulcers in Patients in the U.S. and an issued patent for a System and Method for Predicting Falls in the U.S. (the technology underlying CareView’s Virtual Bed Rails). From February 2000 to June 2004, Mr. Johnson served as General Manager and Chief Engineer for 391 Communications, a company that is a service provider to cable and wireless cable companies. Mr. Johnson has been involved in several large-scale deployments of CATV, MMDS, and DBS satellite systems, as well as designing and building numerous CATV/MMDS head-ends for major domestic and foreign CATV/MMDS providers. Mr. Johnson is the son of Steven Johnson, our Chief Executive Officer and President.

 

Matthew E. Jackson – General Counsel

 

Mr. Jackson joined CareView in 2012. Mr. Jackson is responsible for all company legal matters including drafting and negotiating contracts, litigation, risk management, labor and employment, corporate securities and corporate governance. Mr. Jackson is admitted to practice law in both Texas and California.

 

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Other Directorships

 

Other than as indicated within this section at Business Experience, none of our directors hold or have been nominated to hold a directorship in any company with a class of securities registered pursuant to Section 12 of the Exchange Act (the “Act”) or subject to the requirements of Section 15(d) of the Securities Act of 1933, or any company registered as an investment company under the Investment Company Act of 1940.

 

Committees of the Board

 

Audit Committee

 

The Audit Committee reviews and discusses the audited consolidated financial statements with management, discusses with our independent registered public accounting firm matters required to be discussed by Public Company Accounting Oversight Board Auditing Standard 1301: Communications with Audit Committees, and makes recommendations to the Board of Directors regarding the inclusion of our audited financial statements in this Annual Report on Form 10-K.

 

Our Audit Committee’s primary function is to provide advice with respect to our financial matters and to assist our Board of Directors in fulfilling its oversight responsibilities regarding finance, accounting, and legal compliance. The Audit Committee’s primary duties and responsibilities are to: (i) serve as an independent and objective party to monitor our financial reporting process and internal control system, (ii) review and appraise the audit efforts of our independent registered accounting firm, (iii) evaluate our quarterly financial performance as well as its compliance with laws and regulations, (iv) oversee management’s establishment and enforcement of financial policies and business practices, and (v) provide an open avenue of communication among the independent accountants, management and our Board of Directors.

 

For the year ended December 31, 2020, and as of the filing date of this Report, our Audit Committee consisted of three members of our Board of Directors, namely Jason Thompson as Chair, Allen Wheeler and Jeffrey Lightcap. Messrs. Thompson and Lightcap are deemed to be financial experts. Although our Board of Directors believes the members of our Audit Committee will exercise their judgment independently, no member is totally free of relationships that, in the opinion of the Board of Directors, might interfere with their exercise of independent judgment as a committee member. The Audit Committee’s Chair and members are to be designated annually by a majority vote of the Board of Directors. Any member may be removed at any time, with or without cause, and vacancies may be filled by a majority vote of the Board of Directors.

 

Compensation Committee

 

Our Compensation Committee’s function is to aid our Board of Directors in fulfilling their responsibility to our shareholders, potential shareholders, and the investment community relating to developing policies and making specific recommendations to the Board of Directors with respect to the direct and indirect compensation of our executive officers. The goal of such policies is to ensure that an appropriate relationship exists between executive pay and the creation of shareholder value, while at the same time motivating and retaining key employees. Our Compensation Committee’s primary duties and responsibilities are to: (i) review and approve our Company’s goals relevant to the compensation of our Chief Executive Officer, evaluate the Chief Executive Officer’s performance with respect to those goals, and set the Chief Executive Officer’s compensation based on that evaluation; (ii) assess the contributions of individual executives and recommend to our Board of Directors levels of salary and incentive compensation payable to them; (iii) compare compensation levels with those of other leading companies in the industry; (iv) grant stock incentives to key employees and administer our stock incentive plans; (v) monitor compliance with legal prohibition on loans to directors and executive officers; and (vi) recommend to our Board of Directors compensation packages for new corporate officers and termination packages for corporate officers as requested.

 

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For the year ended December 31, 2020, and as of the filing date of this Report, our Compensation Committee consisted of three members of ours Board of Directors, namely Allen Wheeler as Chair, Jeffrey Lightcap and David White. Although our Board of Directors believes the members of our Compensation Committee will exercise their judgment independently, no member is totally free of relationships that, in the opinion of our Board of Directors, might interfere with their exercise of independent judgment as a committee member. Our Compensation Committee’s Chair and members are to be designated annually by a majority vote of our Board. Any member may be removed at any time, with or without cause, and vacancies may be filled by a majority vote of our Board.

 

Nominating Committee

 

We do not currently have a Nominating Committee; therefore, our Board, as a whole, identifies director nominees by reviewing the desired experience, mix of skills and other qualities to assure appropriate Board composition, taking into consideration our current Board members and the specific needs of our Company and our Board. Among the qualifications to be considered in the selection of candidates, our Board considers the following attributes and criteria of candidates: experience, knowledge, skills, expertise, diversity, personal and professional integrity, character, business judgment and independence. Our Board recognizes that nominees for the Board should reflect a reasonable diversity of backgrounds and perspectives, including those backgrounds and perspectives with respect to business experience, professional expertise, age, gender and ethnic background. Nominations for the election of directors may be made by any member of the Board.

 

Our Board will also evaluate whether the nominee’s skills are complementary to the existing Board members’ skills; our Board’s needs for operational, management, financial, technological or other expertise; and whether the individual has sufficient time to devote to the interests of our Company. The prospective Board member cannot be a board member or officer at a competing company nor have relationships with a competing company and must be clear of any investigation or violations that would be perceived as affecting the duties and performance of a director.

 

Our Board identifies nominees by first evaluating the current members of our Board willing to continue in service. Current members of our Board with skills and experience that are relevant to the business and who are willing to continue in service are considered for re-nomination, balancing the value of continuity of service by existing members of the Board with that of obtaining a new perspective. If any member of our Board does not wish to continue in service, or if our Board decides not to nominate a member for re-election, our Board identifies the desired skills and experience of a new nominee and discusses with our Board suggestions as to individuals that meet the criteria.

 

Our Board is comprised of accomplished professionals who represent diverse and key areas of expertise including national business, operations, manufacturing, government, finance and investing, management, entrepreneurship, higher education and science, research and technology. We believe our directors’ wide range of professional experiences and backgrounds; education and skills has proven invaluable to our Company and we intend to continue leveraging this strength.

 

Board Involvement in Risk Oversight

 

Our Board of Directors is responsible for oversight of our risk assessment and management process. We believe risk can arise in every decision and action taken by us, whether strategic or operational. Our comprehensive approach is reflected in the reporting processes by which our management provides timely information to our Board of Directors to support its role in oversight, approval and decision-making.

 

Our Board of Directors closely monitors the information it receives from management and provides oversight and guidance to our management team concerning the assessment and management of risk. Our Board of Directors approves our high-level goals, strategies and policies to set the tone and direction for appropriate risk taking within the business.

 

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Our Board of Directors serving on the Compensation Committee have basic responsibility for oversight of management’s compensation risk assessment, and that committee reports to the Board on its review. Our Board of Directors also delegated tasks related to risk process oversight to our Audit Committee, which reports the results of its review process to our Board of Directors. The Audit Committee’s process includes a review, at least annually, of our internal audit process, including the organizational structure, as well as the scope and methodology of the internal audit process. The Board, as a whole, functions as the nominating committee to oversee risks related to our corporate governance, including director performance, director succession, director education and governance documents.

 

Code of Business Conduct and Ethics

 

Our Board of Directors adopted a Code of Business Conduct and Ethics applicable to all of our directors and executive officers. This code is intended to focus the members of our Board of Directors and each executive officer on areas of ethical risk, provide guidance to directors and executive officers to help them recognize and deal with ethical issues, provide mechanisms to report unethical conduct, and help foster a culture of honesty and accountability. All members of our Board of Directors and all executive officers are required to sign this code on an annual basis.

 

Code of Ethics for Financial Executives

 

Our Board of Directors adopted a Code of Ethics applicable to all financial executives and any other senior officer with financial oversight responsibilities. This code governs the professional and ethical conduct of our financial executives, and directs that they: (i) act with honesty and integrity; (ii) provide information that is accurate, complete, objective, relevant, and timely; (iii) comply with federal, state, and local rules and regulations; (iv) act in good faith with due care, competence and diligence; and (v) respect the confidentiality of information acquired in the course of their work and not use the information acquired for personal gain. All of our financial executives are required to sign this code on an annual basis.

 

Insider Trading Policy

 

Our Board of Directors adopted an Insider Trading Policy applicable to all directors and officers. Insider trading generally refers to the buying or selling of a security in breach of a fiduciary duty or other relationship of trust and confidence while in possession of material, non-public information about the security. Insider trading violations may also include ‘tipping’ such information, securities trading by the person ‘tipped,’ and securities trading by those who misappropriate such information. The scope of insider trading violations can be wide reaching. As such, our Insider Trading Policy outlines the definitions of insider trading, the penalties and sanctions determined, and what constitutes material, non-public information. Illegal insider trading is against our policy as such trading can cause significant harm to our reputation for integrity and ethical conduct. Individuals who fail to comply with the requirements of the policy are subject to disciplinary action including dismissal for cause. All members of our Board of Directors and all executive officers are required to ratify the terms of this policy on an annual basis.

 

Whistleblower Policy

 

Our Board of Directors adopted a Whistleblower Policy to establish and maintain a complaint program to facilitate (i) the receipt, retention and treatment of complaints received by us regarding our accounting, internal accounting controls, auditing matters or violations of the Code of Conduct and (ii) the confidential, anonymous submission by our employees of concerns regarding questionable accounting or auditing matters. Any person with a concern relating to the Accounting Policies or compliance with our Code of Conduct should submit their concern in writing to the Chair of our Audit Committee. Complaints may be made without fear of dismissal, disciplinary action or retaliation of any kind. We will not discharge, discipline, demote, suspend, threaten or in any manner discriminate against any officer or employee in the terms and conditions of employment based on any lawful actions with respect to (i) good faith reporting of concerns or complaints regarding Accounting Policies, or otherwise specified in Section 806 of the U.S. Sarbanes-Oxley Act of 2002, (ii) compliance with our Code of Conduct, or (iii) providing assistance to the Audit Committee, management or any other person or group, including any governmental, regulatory or law enforcement body, investigating a concern.

 

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Related Party Transactions Policy

 

Our Board of Directors adopted a Related Party Transactions Policy as we recognize that transactions involving related parties present a heightened risk of conflicts of interest and/or improper valuation (or the perception thereof). Therefore, our Board determined that our Audit Committee shall review, approve and, if necessary, recommend to the Board for its approval all related party transactions and any material amendments to such related party transactions. Our Board may determine that a particular related party transaction or a material amendment thereto shall instead be reviewed and approved by a majority of directors disinterested in the related party transaction. No director shall participate in any approval of a related party transaction for which the director is a related party, except that the director shall provide all material information concerning the related party transaction to the committee. Our President is responsible for providing to the Audit Committee, on a quarterly basis, a summary of all payments made by or to us in connection with duly approved related party transactions during the preceding fiscal quarter. The President is responsible for reviewing and approving all payments made by or to us in connection with duly approved related party transactions and shall certify to the Audit Committee that any payments made by or to us in connection with such related party transactions have been made in accordance with the policy. All related party transactions shall be disclosed in our applicable filings as required by the Securities Act of 1933 and the Securities Exchange Act of 1934 and related rules and regulations.

 

Committee Charters, Corporate Governance Guidelines, and Codes of Ethics

 

Our Board of Directors adopted charters for the Audit and Compensation Committees describing the authority and responsibilities delegated to each committee. We post on our website the charters of our Audit and Compensation Committees, our Code of Conduct and Ethics, our Code of Ethics for Financial Executive, and any amendments or waivers thereto applicable to our principal executive officer, principal financial officer, principal accounting officer or controller, or persons performing similar functions; and any other corporate governance materials contemplated by SEC regulations. These documents are also available in print to any stockholder requesting a copy in writing from our Secretary at our executive offices set forth in this Report.

 

Board Meetings and Committees; Annual Meeting Attendance

 

We held 5 meetings of the Board of Directors during the year ended December 31, 2020 and conducted other business through unanimous written actions.

 

Indemnification

 

Section 145 of the Nevada Corporation Law provides in relevant parts as follows:

 

(1) A corporation shall have power to indemnify any person who was or is a party or is threatened to be made a party to any threatened, pending, or completed action, suit, or proceeding, whether civil, criminal, administrative, or investigative (other than an action by or in the right of the corporation) by reason of the fact that he is or was a director, officer, employee, or agent of the corporation, or is or was serving at the request of the corporation as a director, officer, employee, or agent of another corporation, partnership, joint venture, trust, or other enterprise, against expenses (including attorneys’ fees), judgments, fines, and amounts paid in settlement actually and reasonably incurred by him in connection with such action, suit, or proceeding if he acted in good faith and in a manner he reasonably believed to be in or not opposed to the best interests of the corporation, and, with respect to any criminal action or proceeding, had no reasonable cause to believe his conduct was unlawful. The termination of any action, suit, or proceeding by judgment, order, settlement, conviction, or on a plea of nolo contendere or its equivalent, shall not, of itself, create a presumption that the person did not act in good faith and in a manner which he reasonably believed to be in or not opposed to the best interests of the corporation, and with respect to any criminal action or proceeding, had reasonable cause to believe that his conduct was unlawful.

 

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(2) A corporation shall have power to indemnify any person who was or is a party or is threatened to be made a party to any threatened, pending, or completed action or suit by or in the right of the corporation to procure a judgment in its favor by reason of the fact that he is or was a director, officer, employee, or agent of the corporation, or is or was serving at the request of the corporation as a director, officer, employee, or agent of another corporation, partnership, joint venture, trust, or other enterprise against expenses (including attorneys’ fees) actually and reasonably incurred by him in connection with the defense or settlement of such action or suit if he acted in good faith and in a manner he reasonably believed to be in or not opposed to the best interests of the corporation and except that no indemnification shall be made in respect of any claim, issue, or matter as to which such person shall have been adjudged to be liable for negligence or misconduct in the performance of his duty to the corporation unless and only to the extent that the court in which such action or suit was brought shall determine on application that, despite the adjudication of liability but in view of all circumstances of the case, such person is fairly and reasonably entitled to indemnity for such expenses which such court shall deem proper.

 

(3) To the extent that a director, officer, employee, or agent of a corporation has been successful on the merits or otherwise in defense of any action, suit, or proceeding referred to in (1) or (2) of this subsection, or in defense of any claim, issue or matter therein, he shall be indemnified against expenses (including attorneys’ fees) actually and reasonably incurred by him in connection therewith.

 

(4) The indemnification provided by this section shall not be deemed exclusive of any other rights to which those seeking indemnification may be entitled under any bylaws, agreement, vote of stockholders or disinterested directors or otherwise, both as to action in his official capacity and as to action in another capacity while holding such office, and shall continue as to a person who has ceased to be a director, officer, employee, or agent and shall inure to the benefit of the heirs, executors, and administrators of such a person.

 

The foregoing discussion of indemnification merely summarizes certain aspects of indemnification provisions and is limited by reference to the above discussed sections of the Nevada Corporation Law.

 

Our Articles of Incorporation and Bylaws provide that we may indemnify to the full extent of its power to do so, all directors, officers, employees, and/or agents. Insofar as indemnification by us for liabilities arising under the Securities Act that may be permitted to our officers and directors pursuant to the foregoing provisions or otherwise, we are aware that in the opinion of the Commission, such indemnification is against public policy as expressed in the Securities Act and is, therefore, unenforceable.

 

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ITEM 11.        EXECUTIVE COMPENSATION.

Summary Compensation Table 

 

The table below shows certain compensation information for services rendered in all capacities for the last two fiscal years ended December 31, 2019 and 2018. The information includes the dollar value of base salaries, bonus awards, the number of non-qualified stock options (“Options”) granted and certain other compensation, if any, whether paid or deferred.

 

Name and

Principal Position

Year

Salary

($)

Bonus ($)

Stock Awards

($)

Option Awards ($)

Non-Equity Incentive Plan Compensation

($)

Nonqualified Deferred Compensation Earnings ($)

All Other Compensation

($)

Total

($)

Steven G. Johnson (1)
(President, CEO, Sec., Treas.)
2020 $   250,046 $   16,997 $   267,043
2019 $   250,147 $   14,537 $   264,684
 
Sandra K McRee (2) (COO) 2020 $   216,045 $     7,997 $   224,042
2019 $   210,146 $     5,537 $   215,683
 
Jason T. Thompson (3)
(Principal Financial Officer)
2020
2019
 

  

 

 

(1)

For 2020: All Other Compensation includes $9,000 for car allowance and $7,997 for health insurance premiums paid on Mr. Johnson’s behalf. For 2019: All Other Compensation includes $9,000 for car allowance and $5,537 for health insurance premiums paid on Mr. Johnson’s behalf.

 

(2)

For 2020: All Other Compensation is for health insurance premiums paid on Ms. McRee’s behalf. For 2019: All Other Compensation is for health insurance premiums paid on Ms. McRee’s behalf.

 

(3)

Mr. Thompson was named Principal Financial Officer and Chief Accounting Officer effective January 1, 2018, upon the resignation of our former CFO.

 

 

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Outstanding Equity Awards at Fiscal Year End

 

The table below shows outstanding equity awards for our executive officers as of the fiscal year ended December 31, 2020, which equity awards consists solely of ten-year, non-qualified stock options (the “Options”). No executive officers have exercised any of their Options.

 

Name and Office

Option Awards   Stock Awards  

Number of Securities Underlying Unexercised Options

(#)

Exercisable

Number of Securities Underlying Unexercised Options (#)

Unexercisable

Equity Incentive Plan Awards: Number of Securities Underlying Unexercised Unearned Options

(#)

Option Exercise

Price

($)

Option Expiry

Date

Number of Shares or Units of Stock That Have Not Vested

(#)

 

Market Value of Shares or Units of Stock That Have Not Vested

($)

Equity Incentive Plan Awards: Number of Unearned Shares, Units or Other Rights That Have Not Vested

(#)

 

Equity Incentive Plan Awards Market or Payout Value of Unearned Shares, Units or Other Rights That Have Not

Vested ($)

Steve G. Johnson (Pres.,

CEO, Sec.,

Treas.)

2,000,000(1) —     $   0.10 12/05/26
666,667(2) —     $   0.06 11/28/27
—     1,200,000(3) $   0.04 08/08/30

Sandra K McRee
(COO)

2,000,000(4) —     $   0.51 10/30/23
1,000,000(5) —     $   0.53 02/22/25
2,000,000(6) —     $   0.10 12/05/26
2,000,000(7) —     $   0.10 12/02/27
—     7,400,000(8) $   0.04 08/08/30

Jason T. Thompson
(Principal Financial Officer)

150,000(9) —     $   0.40 12/31/23
235,295(10) —     $   0.17 08/29/26
666,667(11) —     $   0.06 11/28/27
—     1,200,000(12) $   0.04 08/08/30
                           

 

 

 

(1) All underlying shares vested on December 7, 2019.

(2) All underlying shares vested on November 11, 2020.

(3) Options awarded for services as a member of the Board of Directors.

(4) All underlying shares vested on November 1, 2016.

(5) All underlying shares vested on February 25, 2018.

(6) All underlying shares vested on December 7, 2019.

(7) All underlying shares vested on December 3, 2020.

(8) Options awarded for services as a member of the Board of Directors.

(9) All underlying shares vested on January 2, 2017

(10) All underlying shares vested on August 31, 2019.

(11) All underlying shares vested on November 20, 2020.

(12) Options awarded for services as a member of the Board of Directors.

 

Employment Agreements with Executive Officers

 

We have no employment agreements with our executive officers.

 

Director Compensation

 

Our Directors Compensation Policy state that a cash retainer to outside directors shall be paid quarterly in advance as of the first day of each fiscal quarter. Cash retainers shall commence effective as of January 1, 2017, or at such later date as the Company is in a position to pay cash retainers. No cash retainers were paid in 2020 and 2019 per the terms of the Directors Compensation Policy as the Company was not in a financial position to pay such cash retainers.

 

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Our directors have also been granted non-qualified stock options from time to time as detailed in the table below. During the period ended December 31, 2020, there were an aggregate of 6,000,000 options granted to directors at a total fair value amount of $180,000. No options were granted to directors in 2019.

 

The table below shows outstanding equity awards for our directors who are not executive officers, which equity awards consists solely of ten-year, non-qualified stock options. No options have been exercised.

 

Name

Fees Earned or Paid

in Cash

Stock Awards

($)

Option Awards

($)(1)

Non-Equity Incentive Plan Compensation

($)

Nonqualified Deferred Compensation Earnings

($)

All Other Compensation

($)

Total

($)

L. Allen Wheeler (2)     $     24,000       $     24,000
      $     50,700       $     50,700
      $     24,000       $     24,000
$     36,000 $     36,000
Steven B. Epstein (3)     $   221,500       $   221,500
      $     16,900       $     16,900
      $     24,000       $     24,000
      $     24,000       $     24,000
$     36,000 $     36,000
Dr. James R. Higgins (4)     $     66,450       $     66,450
      $     24,000       $     24,000
  $     24,000 $     24,000
    $     36,000       $     36,000

Jeffery C. Lightcap(5)

David R. White (6)     $   130,000       $   130,000
      $     24,000       $     24,000
      $     24,000       $     24,000
$     36,000 $     36,000

 

 

(1) The valuation methodology used to determine the fair value of the options granted during the year was the Black-Scholes Model. The Black-Scholes-Merton 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 expected life of the options. For more detail, see NOTE 4 of the Notes to Consolidated Financial Statements attached hereto.

 

(2) An aggregate of 150,000 underlying shares expired on January 4, 2020. An aggregate of 1,051,962 are vested as of December 31, 2020. The 1,200,000 granted on August 10, 2020 will vest evenly on each of August 10, 2021, August 10, 2022, and August 10, 2023.

 

(3) An aggregate of 1,451,962 are vested as of December 31, 2020. The 1,200,000 granted on August 10, 2020 will vest evenly on each of August 10, 2021, August 10, 2022, and August 10, 2023.

 

(4) An aggregate of 1,051,962 are vested as of December 31, 2020. The 1,200,000 granted on August 10, 2020 will vest evenly on each of August 10, 2021, August 10, 2022, and August 10, 2023.

 

(5) No granted options.

 

(6) An aggregate of 1,401,962 are vested as of December 31, 2020. The 1,200,000 granted on August 10, 2020 will vest evenly on each of August 10, 2021, August 10, 2022, and August 10, 2023.

 

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ITEM 12.      SECURITY OWNERSHIP OF CERTAIN BENEFICIAL OWNERS AND MANAGEMENT AND RELATED STOCKHOLDER MATTERS.

 

Beneficial Security Ownership Table

 

As of the date of this filing, the following table sets forth certain information with respect to the beneficial ownership of our Common Stock by (i) each shareholder known by us to be the beneficial owner of more than five percent (5%) of our Common Stock, (ii) by each of our current directors and executive officers as identified herein, and (iii) all of our directors and executive officers as a group. Each person has sole voting and investment power with respect to the shares of Common Stock, except as otherwise indicated. Beneficial ownership is determined in accordance with the rules of the SEC and generally includes voting or investment power with respect to securities. Shares of Common Stock and non-qualified stock options (“Options”), common stock purchase warrants (“Warrants”), and convertible securities that are currently exercisable or convertible into shares of our Common Stock within sixty (60) days of the date of this document, are deemed to be outstanding and to be beneficially owned by the person holding the Options, Warrants, or convertible securities for the purpose of computing the percentage ownership of the person, but are not treated as outstanding for the purpose of computing the percentage ownership of any other person. Convertible securities are valued as of the most practical date, March 31, 2021. Unless otherwise noted, the address for all officers and directors listed below is 405 State Highway 121, Suite B-240, Lewisville, Texas 75067.

 

Title of Class

Name and Address of Officer and Directors

Amount and Nature of
Beneficial Ownership (1)

Percent

of

Class

Common Stock

Steve G. Johnson (Chief Executive Officer, President, Secretary, Treasurer, Director) 53,356,129 (2)

30.15%

Common Stock Sandra K. McRee (Chief Operating Officer) 11,623,593 (3)  

7.74%

Common Stock Jason T. Thompson (Director and Chief Accounting Officer, Principal Financial Officer) 4,974,427 (4)

3.46%

Common Stock L. Allen Wheeler (Chairman of the Board)  28,304,036 (5) 18.67%
Common Stock Steven B. Epstein (Director) 8,732,372 (6) 5.97%
Common Stock Dr. James R. Higgins (Director) 36,327,061 (7) 22.10%
Common Stock Jeffrey C. Lightcap (Director) 68,871,110 (8) 33.07%
Common Stock David R. White (Director) 1,671,962 (9)   1.19%
Common Stock All Officers & Directors as a Group (8 persons) 213,860,690 (10) 69.78%

 

 

(1) Unless otherwise noted, we believe that all shares are beneficially owned and that all persons named in the table have sole voting and investment power with respect to all shares of Common Stock owned by them. Applicable percentage of ownership is based on 139,380,748 shares of Common Stock currently outstanding, as adjusted for each shareholder.

(2) This amount includes (i) 208,977 shares directly owned by Johnson, (ii) 2,666,667 shares due to Johnson upon exercise of vested Options, (iii) 550,001 shares due to Johnson upon exercise of vested warrants, (iv) 34,139,325 shares that may be acquired upon conversion of convertible debt (including interest paid in kind through May 31, 2021), and (v) 15,791,159 shares beneficially owned by SJ Capital, LLC, a company controlled by Johnson. The percentage of class for Johnson is based on 176,966,284 shares which would be outstanding if all of Johnson’s vested Options and Warrants were exercised and convertible debt was converted.

(3) This amount includes (i) 750,000 shares directly owned by McRee, (ii) 7,000,000 shares due to McRee upon exercise of vested Options, (iii) 148,076 shares due to McRee upon exercise of vested warrants, and (iv) 3,725,517 shares that may be acquired upon conversion of convertible debt (including interest paid in kind through May 31, 2021). The percentage of class for McRee is based on 150,254,341 shares which would be outstanding if all of McRee’s vested Options and Warrants were exercised and convertible debt was converted.

(4) This amount includes (i) 737,500 shares directly owned by Thompson, (ii) 1,051,962 shares due to Thompson upon exercise of vested Options, (iii) 55,769 shares due to Thompson upon exercise of vested warrants, and (iv) 3,129,196 shares that may be acquired upon conversion of convertible debt (including interest paid in kind through May 31, 2021). The percentage of class for Thompson is based on 143,617,675 shares which would be outstanding if all of Thompson’s vested Options and Warrants were exercised and convertible debt was converted.

 

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(5) This amount includes (i) 1,856,345 shares directly owned by Wheeler, (ii) 1,051,962 shares due to Wheeler upon exercise of Options, (iii) 382,692 shares due to Wheeler upon exercise of vested warrants (iv) 10,779,001 shares that may be acquired upon conversion of convertible debt (including interest paid in kind through May 31, 2021), (v) 14,201,820 shares beneficially owned by Dozer Man, LLC, an entity controlled by Wheeler, and (vi) 32,216 shares beneficially owned by Global FG, LLC, an entity of which Wheeler owns 50%. The percentage of class for Wheeler is based on 151,594,403 shares which would be outstanding if all of Wheeler’s vested Options and Warrants were exercised and convertible debt was converted.

 

(6) This amount includes (i) 1,780,000 shares directly owned by Epstein, (ii) 1,451,962 shares due to Epstein upon exercise of vested Options, (iii) 178,846 shares due to Epstein upon exercise of vested warrants, and (iv) 5,321,564 shares that may be acquired upon conversion of convertible debt (including interest paid in kind through May 31, 2021). The percentage of class for Epstein is based on 146,333,120 shares which would be outstanding if all of Epstein’s vested Options and Warrants were exercised and convertible debt was converted.

 

(7) This amount includes (i) 4,731,445 shares directly owned by Higgins, (ii) 1,361,538 shares jointly owned by Higgins and his wife, (iii) 5,270,484 shares held in trust by Higgins’ wife, (iv) 1,051,962 shares due to Higgins upon exercise of vested Options, (v) 1,682,692 shares due to Higgins upon exercise of vested warrants, and (vi) 22,228,940 shares that may be acquired upon conversion of convertible debt (including interest paid in kind through May 31, 2021). The percentage of class for Higgins is based on 164,344,342shares which would be outstanding if all of Higgins’ vested Options and Warrants were exercised and convertible debt was converted.

 

(8) HealthCor Management, LP, HealthCor Associates, LLC, HealthCor Hybrid Offshore Master Fund, LP, HealthCor Hybrid Offshore GP, LLC, HealthCor Group, LLC, HealthCor Partners Management, L.P., HealthCor Partners Management GP, LLC, HealthCor Partners Fund, LP, HealthCor Partners, LP HealthCor Partners GP, LLC, and Jeffrey C. Lightcap (collectively, the Reporting Persons), beneficially own an aggregate of 68,871,110 shares, representing (i) 37,655,083 shares that may be acquired upon conversion of convertible debt (including interest paid in kind through May 31, 2021) and (ii) 5,615,384 shares that may be acquired upon exercise of Warrants. The amounts detailed above include (i) 493,269 shares due to Lightcap upon exercise of vested Warrants and (ii) 31,216,027 shares that may be acquired upon conversion of convertible debt (including interest paid in kind through May 31, 2021). The percentage of class for Reporting Persons and Lightcap as an individual is based on 208,251,858 shares which would be outstanding if the Reporting Persons notes and convertible debt held by Lightcap were converted and all Warrants held by the Reporting Persons and Lightcap were exercised.

 

(9) This amount includes (i) 270,000 shares directly owned by White (ii) 1,401,962 shares due to White upon exercise of vested Options. The percentage of class for White is based on 140,782,710 shares which would be outstanding if all of White’s vested Options were exercised.

 

(10) This amount includes all shares directly and beneficially owned by all officers and directors and all shares to be issued directly and beneficially upon exercise of vested shares under Options and Warrants and upon conversion of convertible securities. The percentage of class for all officers and directors is based on 306,479,497 shares which would be outstanding if all the aforementioned Options, Warrants and convertible securities were exercised or converted.

 

Under Rule 144 promulgated under the Securities Act, our officers, directors and beneficial shareholders may sell up to one percent (1%) of the total outstanding shares (or an amount of shares equal to the average weekly reported volume of trading during the four calendar weeks preceding the sale) every three months provided that (1) current public information is available about our Company, (2) the shares have been fully paid for at least one year, (3) the shares are sold in a broker’s transaction or through a market-maker, and (4) the seller files a Form 144 with the SEC if seller is an affiliate.

 

Section 16(a) Beneficial Ownership Reporting Compliance

 

During the year ended December 31, 2020, we acknowledge that none of our officers or directors failed to file on a timely basis certain ownership forms required by Section 16(a) of the Exchange Act.

 

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ITEM 13.              CERTAIN RELATIONSHIPS AND RELATED TRANSACTIONS, AND DIRECTOR INDEPENDENCE.

 

Exclusive of the participation of certain funding activity in February and July 2018, May 2019, and February 2020 (for more detail, see NOTE 13 of the Notes to Consolidated Financial Statements attached hereto), none of our directors, officers, or principal shareholders, nor any associate or affiliate of the foregoing, has any interest, direct or indirect, in any transaction or in any proposed transaction, which materially affected us during the year ended December 31, 2020.

 

Related Party Transactions Policy

 

As indicated hereinabove, our Board of Directors adopted a Related Party Transactions Policy and all related party transactions have been disclosed in our applicable filings as required by the Securities Act of 1933 and the Securities Exchange Act of 1934 and related rules and regulations.

 

Director Independence

 

Although our Board of Directors believes that our directors will exercise their judgment independently, no director is totally free of relationships that, in the opinion of the Board of Directors, might interfere with their exercise of independent judgment as a director.

 

Promoters and Certain Control Persons

 

None.

 

ITEM 14.        PRINCIPAL ACCOUNTANT FEES AND SERVICES.

 

Audit Fees. The aggregate amount expected to be billed for professional services rendered by BDO USA, LLP (“BDO”) for the 2020 quarterly reviews and the annual audit for the year ended December 31, 2020 were approximately $300,000. BDO billed us approximately $280,000 for professional services rendered for the annual audit for the year ended December 31, 2019 and for quarterly review of our financial statements for 2019.

 

Tax Fees. The aggregate amount expected to be billed for tax return preparation for the year ended December 31, 2020 rendered by BDO is approximately $50,000. BDO billed us approximately $36,000 for tax return preparation for the year ended December 31, 2019.

 

All Other Fees. We incurred no other fees for the years ended December 31, 2020 and 2019.

 

The Audit Committee of our Board of Directors adopted a policy requiring that it pre-approve all fees paid to our independent registered public accounting firm, regardless of the type of service. All non-audit services were reviewed with the Audit Committee, which concluded that the provision of such services by BDO USA, LLP was compatible with the maintenance of that firm’s independence in the conduct of its auditing functions.

 

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ITEM 15.         EXHIBITS AND FINANCIAL STATEMENT SCHEDULES.

 

Exhibit No.

Date of Document

Name of Document

3.08

11/06/07

Notice of Conversion filed in State of Nevada (to convert CareView Communications, Inc. from a California corporation to a Nevada corporation) (1)

3.09

11/06/07

Articles of Incorporation for CareView Communications, Inc. filed in State of Nevada (1)

3.10

06/26/19

Certificate of Amendment to Articles of Incorporation of CareView Communications, Inc. (incorporated herein by reference to Exhibit 3.01 to the Company’s Current Report on Form 8-K filed on June 27, 2019 (File No. 000-54090))

3.11

n/a

Bylaws of CareView Communications, Inc., a Nevada corporation (1)

3.12

04/11/19

Amendments to the Bylaws of CareView Communications, Inc., a Nevada corporation (incorporated herein by reference to the Company’s Current Report on Form 8-K filed on May 20, 2019 (File No. 000-54090))

10.01

02/02/18

Modification Agreement by and among the Company, CareView Communications, Inc., a Texas corporation, CareView Operations, L.L.C., a Texas limited liability company, and PDL Investment Holdings, LLC (incorporated herein by reference to Exhibit 10.1 to the Company’s Current Report on Form 8-K filed on February 2, 2018 (File No. 000-54090))

10.02

02/02/18

Second Amended and Restated Warrant to Purchase Common Stock of the Company, issued to PDL Investment Holdings, LLC (incorporated herein by reference to Exhibit 10.2 to the Company’s Current Report on Form 8-K filed on February 2, 2018 (File No. 000-54090))

10.03

02/02/18

Amended and Restated Registration Rights Agreement by and between the Company and PDL Investment Holdings, LCC (incorporated herein by reference to Exhibit 10.3 to the Company’s Current Report on Form 8-K filed on February 2, 2018 (File No. 000-54090))

10.04

02/02/18

Consent and Amendment to Note and Warrant Purchase Agreement and Subordination and Intercreditor Agreement by and among the Company, CareView Communications, Inc., a Texas corporation, PDL Investment Holdings, LLC and the note investors signatory to the Note and Warrant Purchase Agreement, as amended (incorporated herein by reference to Exhibit 10.4 to the Company’s Current Report on Form 8-K filed on February 2, 2018 (File No. 000-54090))

10.05

02/02/18

Consent to Credit Agreement by and among the Company, CareView Communications, Inc., a Texas corporation, and PDL Investment Holdings, LLC (incorporated herein by reference to Exhibit 10.5 to the Company’s Current Report on Form 8-K filed on February 2, 2018 (File No. 000-54090))

10.06

02/02/18

Amendment to Promissory Note to Rockwell Holdings I, LLC ( incorporated herein by reference to Exhibit 10.6 to the Company’s Current Report on Form 8-K filed on February 2, 2018 (File No. 000-54090))

10.07

02/02/18

Amendment to Common Stock Purchase Warrant issued to Rockwell Holdings I, LLC ( incorporated herein by reference to Exhibit 10.7 to the Company’s Current Report on Form 8-K filed on February 2, 2018 (File No. 000-54090))

10.08

02/23/18

Eighth Amendment to Note and Warrant Purchase Agreement, among the Company HealthCor Partners Fund LP, HealthCor Hybrid Offshore Master Fund, LP and the investors party thereto (incorporated herein by reference to Exhibit 10.34 to the Company’s Current Report on Form 8-K filed on February 26, 2018 (File No. 000-54090))

10.09

02/23/18

Form of Eighth Amendment Supplemental Closing Note (incorporated herein by reference to Exhibit 10.35 to the Company’s Current Report on Form 8-K filed on February 26, 2018 (File No. 000-54090))

10.10

02/23/18

Form of Eighth Amendment Supplemental Warrant (incorporated herein by reference to Exhibit 10.36 to the Company’s Current Report on Form 8-K filed on February 26, 2018 (File No. 000-54090))

10.11

02/23/18

Second Amendment to Credit Agreement, by and among the Company, CareView Communications, Inc., and PDL Investment Holding, LLC (incorporated herein by reference to Exhibit 10.37 to the Company’s Current Report on Form 8-K filed on February 26, 2018 (File No. 000-54090))

 

38  

 

 

10.12

05/31/18

Amendment to Modification Agreement, by and among the Company, CareView Communications, Inc., a Texas corporation, CareView Operations, L.L.C., a Texas limited liability company, and PDL Investment Holdings, LLC ( incorporated herein by reference to Exhibit 10.05 to the Company’s Current Report on Form 8-K filed on June 4, 2018 (File No. 000-54090))

10.14

06/14/18

Second Amendment to Modification Agreement, by and among the Company, CareView Communications, Inc., a Texas corporation, CareView Operations, L.L.C., a Texas limited liability company, and PDL Investment Holdings, LLC ( incorporated herein by reference to Exhibit 10.06 to the Company’s Current Report on Form 8-K filed on June 15, 2018 (File No. 000-54090))

10.15

06/28/18

Third Amendment to Modification Agreement, by and among the Company, CareView Communications, Inc., a Texas corporation, CareView Operations, L.L.C., a Texas limited liability company, and PDL Investment Holdings, LLC ( incorporated herein by reference to Exhibit 10.08 to the Company’s Current Report on Form 8-K filed on July 5, 2018 (File No. 000-54090))

10.16

07/10/18

Ninth Amendment to Note and Warrant Purchase Agreement, among the Company HealthCor Partners Fund LP, HealthCor Hybrid Offshore Master Fund, LP and the investors party thereto (incorporated herein by reference to Exhibit 10.43 to the Company’s Current Report on Form 8-K filed on July 11, 2018 (File No. 000-54090))

10.17

07/13/18

Tenth Amendment to Note and Warrant Purchase Agreement, among the Company HealthCor Partners Fund LP, HealthCor Hybrid Offshore Master Fund, LP and the investors party thereto (incorporated herein by reference to Exhibit 10.53 to the Company’s Current Report on Form 8-K filed on July 16, 2018 (File No. 000-54090))

10.18

07/13/18

Form of Tenth Amendment Supplemental Closing Note (incorporated herein by reference to Exhibit 10.54 to the Company’s Current Report on Form 8-K filed on July 16, 2018 (File No. 000-54090))

10.19

07/13/18

Third Amendment to Credit Agreement, by and among the Company, CareView Communications, Inc., a Texas corporation, and PDL Investment Holdings, LLC ( incorporated herein by reference to Exhibit 10.55 to the Company’s Current Report on Form 8-K filed on July 16, 2018 (File No. 000-54090))

10.20

08/31/18

Fourth Amendment to Modification Agreement, by and among the Company, CareView Communications, Inc., a Texas corporation, CareView Operations, L.L.C., a Texas limited liability company, and PDL Investment Holdings, LLC ( incorporated herein by reference to Exhibit 10.09 to the Company’s Current Report on Form 8-K filed on September 5, 2018 (File No. 000-54090))

10.21

09/28/18

Fifth Amendment to Modification Agreement, by and among the Company, CareView Communications, Inc., a Texas corporation, CareView Operations, L.L.C., a Texas limited liability company, and PDL Investment Holdings, LLC ( incorporated herein by reference to Exhibit 10.10 to the Company’s Current Report on Form 8-K filed on October 4, 2018 (File No. 000-54090))

10.22

11/12/18

Sixth Amendment to Modification Agreement, by and among the Company, CareView Communications, Inc., a Texas corporation, CareView Operations, L.L.C., a Texas limited liability company, and PDL Investment Holdings, LLC ( incorporated herein by reference to Exhibit 10.11 to the Company’s Current Report on Form 8-K filed on November 16, 2018 (File No. 000-54090))

10.23

11/19/18

Seventh Amendment to Modification Agreement, by and among the Company, CareView Communications, Inc., a Texas corporation, CareView Operations, L.L.C., a Texas limited liability company, and PDL Investment Holdings, LLC ( incorporated herein by reference to Exhibit 10.12 to the Company’s Current Report on Form 8-K filed on November 21, 2018 (File No. 000-54090))

10.24

12/03/18

Eighth Amendment to Modification Agreement, by and among the Company, CareView Communications, Inc., a Texas corporation, CareView Operations, L.L.C., a Texas limited liability company, and PDL Investment Holdings, LLC ( incorporated herein by reference to Exhibit 10.13 to the Company’s Current Report on Form 8-K filed on December 6, 2018 (File No. 000-54090))

10.25

12/17/18

Ninth Amendment to Modification Agreement, by and among the Company, CareView Communications, Inc., a Texas corporation, CareView Operations, L.L.C., a Texas limited liability company, and PDL Investment Holdings, LLC (incorporated herein by reference to Exhibit 10.14 to the Company’s Current Report on Form 8-K filed on December 21, 2018 (File No. 000-54090))

 

 

39  

 

 

10.26

01/31/19

Tenth Amendment to Modification Agreement, by and among the Company, CareView Communications, Inc., a Texas corporation, CareView Operations, L.L.C., a Texas limited liability company, and PDL Investment Holdings, LLC (incorporated herein by reference to Exhibit 10.15 to the Company’s Current Report on Form 8-K filed on February 5, 2019 (File No. 000-54090))

10.27

02/28/19

Eleventh Amendment to Modification Agreement, by and among the Company, CareView Communications, Inc., a Texas corporation, CareView Operations, L.L.C., a Texas limited liability company, and PDL Investment Holdings, LLC (incorporated herein by reference to Exhibit 10.16 to the Company’s Current Report on Form 8-K filed on March 4, 2019 (File No. 000-54090))

10.28

03/27/19

Eleventh Amendment to Note and Warrant Purchase Agreement, among the Company HealthCor Partners Fund LP, HealthCor Hybrid Offshore Master Fund, LP and the investors party thereto (incorporated herein by reference to the Company’s Current Report on Form 8-K filed on March 29, 2019 (File No. 000-54090))

10.29

03/29/19

Twelfth Amendment to Modification Agreement, by and among the Company, CareView Communications, Inc., a Texas corporation, CareView Operations, L.L.C., a Texas limited liability company, and PDL Investment Holdings, LLC (incorporated herein by reference to the Company’s Annual Report on Form 10-K filed on March 29, 2019 (File No. 000-54090))

10.30

04/09/19 Fourth Amendment to Credit Agreement (incorporated herein by reference to Exhibit 10.19 to the Company’s Current Report on Form 8-K filed on April 15, 2019 (File No. 000-54090))

10.31

04/09/19 Amended and Restated Tranche One Term Note (incorporated herein by reference to Exhibit 10.19 to the Company’s Current Report on Form 8-K filed on April 15, 2019 (File No. 000-54090))

10.32

04/29/19 Thirteenth Amendment to Modification Agreement (incorporated herein by reference to Exhibit 10.20 to the Company’s Current Report on Form 8-K filed on May 1, 2019 (File No. 000-54090))

10.33

05/15/19 Fourteenth Amendment to Modification Agreement (incorporated herein by reference to Exhibit 10.32 to the Company’s Current Report on Form 8-K filed on May 20, 2019 (File No. 000-54090))

10.34

05/15/19 Twelfth Amendment to Note and Warrant Purchase Agreement (incorporated herein by reference to Exhibit 10.33 to the Company’s Current Report on Form 8-K filed on May 20, 2019 (File No. 000-54090))

10.35

05/15/19 Form of Twelfth Amendment Supplemental Closing Note (incorporated herein by reference to Exhibit 10.34 to the Company’s Current Report on Form 8-K filed on May 20, 2019 (File No. 000-54090))

10.36

05/15/19 Fifth Amendment to Credit Agreement (incorporated herein by reference to Exhibit 10.35 to the Company’s Current Report on Form 8-K filed on May 20, 2019 (File No. 000-54090))

10.37

05/15/19 Form of Tranche Three Term Note (incorporated herein by reference to Exhibit 10.36 to the Company’s Current Report on Form 8-K filed on May 20, 2019 (File No. 000-54090))

10.38

05/15/19 Form of Tranche Three Loan Warrant (incorporated herein by reference to Exhibit 10.37 to the Company’s Current Report on Form 8-K filed on May 20, 2019 (File No. 000-54090))

10.39

09/30/19

Fifteenth Amendment to Modification Agreement, by and among the Company, CareView Communications, Inc., a Texas corporation, CareView Operations, L.L.C., a Texas limited liability company, and PDL Investments, LLC (incorporated herein by reference to Exhibit 10.22 to the Company’s Current Report on Form 8-K filed on October 4, 2019 (File No. 000-54090))

10.40

11/29/19

Sixteenth Amendment to Modification Agreement, by and among the Company, CareView Communications, Inc., a Texas corporation, CareView Operations, L.L.C., a Texas limited liability company, and PDL Investments, LLC (incorporated herein by reference to Exhibit 10.23 to the Company’s Current Report on Form 8-K filed on December 5, 2019 (File No. 000-54090))

10.41

12/31/19

Seventeenth Amendment to Modification Agreement, by and among the Company, CareView Communications, Inc., a Texas corporation, CareView Operations, L.L.C., a Texas limited liability company, and PDL Investments, LLC (incorporated herein by reference to Exhibit 10.22 to the Company’s Current Report on Form 8-K filed on January 7, 2020 (File No. 000-54090))

10.42

12/31/19

Second Amendment to Promissory Note to Rockwell Holdings I, LLC (incorporated herein by reference to Exhibit 10.27 to the Company’s Current Report on Form 8-K filed on January 7, 2020 (File No. 000-54090))
21.00 04/08/21 Subsidiaries of the Registrant*

31.1

04/08/21

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

 

40  

 

 

 

31.2

04/08/21

Certification of Chief Financial Officer of Periodic Report pursuant to Rule 13a-14a and Rule 15d-14(a). *

32.1

04/08/21

Certification of Chief Executive Officer pursuant to 18 U.S.C. Section 1350. *

32.2

04/08/21

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.

 

ITEM 16.        FORM 10-K SUMMARY.

 

None.

 

41  

 

 

SIGNATURES

 

Pursuant to the requirements of Section 13 or 15(d) 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: April 8, 2021          

 

 

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

 

42  

 

 

KNOW ALL PERSONS BY THESE PRESENTS, that each person whose signature appears below constitutes and appoints Steven G. Johnson and Jason T. Thompson and each of them, his attorney-in-fact with power of substitution for him in any and all capacities, to sign any amendments, supplements or other documents relating to this Annual Report on Form 10-K he deems necessary or appropriate, and to file the same, with exhibits thereto, and other documents in connection therewith, with the SEC, hereby ratifying and confirming all that such attorney-in-fact or their substitute may do or cause to be done by virtue hereof.

 

Pursuant to the requirements of the Securities Exchange Act of 1934, this Report has been signed below by the following persons on behalf of the Registrant and in the capacities and on the dates indicated.

 

Signature

Title

Date

 

 

 

/s/ Steven G. Johnson

Steven G. Johnson

Chief Executive Officer, President, Secretary, Treasurer, Director

 

April 8, 2021

 

 

 

/s/ Jason T. Thompson

Jason T. Thompson

Director, Principal Financial Officer, Chief Accounting Officer

 

April 8, 2021

 

 

 

/s/ Sandra K. McRee

Sandra K. McRee

 

Chief Operating Officer

 

April 8, 2021

 

 

 

/s/ L. Allen Wheeler

L. Allen Wheeler

 

Chairman of the Board,

 

April 8, 2021

 

 

 

/s/ Jeffrey C. Lightcap

Jeffrey C. Lightcap

 

Director

 

April 8, 2021

 

 

 

/s/ David R. White

David R. White

 

Director

 

April 8, 2021

 

 

 

/s/ Steven B. Epstein

Steven B. Epstein

 

Director

 

April 8, 2021

 

 

 

/s/ Dr. James R. Higgins

Dr. James R. Higgins

 

Director

 

April 8, 2021

43  

 

 

 

INDEX TO FINANCIAL STATEMENTS

 

  Page
Report of Independent Registered Public Accounting Firm F-2
Consolidated Balance Sheets as of December 31, 2020 and 2019 F-3
Consolidated Statements of Operations for the years ended December 31, 2020 and 2019 F-4
Consolidated Statements of Changes in Equity for the years ended December 31, 2020 and 2019 F-5
Consolidated Statements of Cash Flows for the years ended December 31, 2020 and 2019 F-6
Notes to Consolidated Financial Statements F-7

 

 

 

Report of Independent Registered Public Accounting Firm

 

The Board of Directors and Subsidiaries

CareView Communications, Inc

Lewisville, TX

Opinion on the Consolidated Financial Statements

We have audited the accompanying consolidated balance sheets of CareView Communications, Inc.(the “Company”) as of December 31, 2020 and 2019, the related consolidated statements of operations, changes in equity, and cash flows for the years then ended, and the related notes (collectively referred to as the “consolidated financial statements”). In our opinion, the consolidated financial statements present fairly, in all material respects, the financial position of the Company at December 31, 2020 and 2019, and the results of its operations and its cash flows for each of the years then ended, in conformity with accounting principles generally accepted in the United States of America.

Going Concern Uncertainty

The accompanying consolidated financial statements have been prepared assuming that the Company will continue as a going concern. As discussed in Note 3 to the consolidated financial statements, the Company has suffered recurring losses from operations and has accumulated losses since inception that raise substantial doubt about its ability to continue as a going concern. Management’s plans in regard to these matters are also described in Note 3. The consolidated financial statements do not include any adjustments that might result that might result from the outcome of this uncertainty.

Basis for Opinion

These consolidated financial statements are the responsibility of the Company’s management. Our responsibility is to express an opinion on the Company’s consolidated financial statements based on our audits. We are a public accounting firm registered with the Public Company Accounting Oversight Board (United States) (“PCAOB”) and are required to be independent with respect to the Company in accordance with the U.S. federal securities laws and the applicable rules and regulations of the Securities and Exchange Commission and the PCAOB.

We conducted our audits in accordance with the standards of the PCAOB. Those standards require that we plan and perform the audit to obtain reasonable assurance about whether the consolidated financial statements are free of material misstatement, whether due to error or fraud. The Company is not required to have, nor were we engaged to perform, an audit of its internal control over financial reporting. As part of our audits we are required to obtain an understanding of internal control over financial reporting but not for the purpose of expressing an opinion on the effectiveness of the Company’s internal control over financial reporting. Accordingly, we express no such opinion.

Our audits included performing procedures to assess the risks of material misstatement of the consolidated financial statements, whether due to error or fraud, and performing procedures that respond to those risks. Such procedures included examining, on a test basis, evidence regarding the amounts and disclosures in the consolidated financial statements. Our audits also included evaluating the accounting principles used and significant estimates made by management, as well as evaluating the overall presentation of the consolidated financial statements. We believe that our audits provide a reasonable basis for our opinion.

Critical Audit Matter

 

The critical audit matter communicated below is a matter arising from the current period audit of the consolidated financial statements that were communicated or required to be communicated to the audit committee and that: (1) relate to accounts or disclosures that are material to the consolidated financial statements and (2) involved our especially challenging, subjective, or complex judgments. The communication of critical audit matter does not alter in any way our opinion on the consolidated financial statements, taken as a whole, and we are not, by communicating the critical audit matter below, providing a separate opinion on the critical audit matter or on the accounts or disclosures to which it relates.

 

Amendments to the PDL Credit Agreement

 

As described in Note 13 to the consolidated financial statements, the Company has an existing credit agreement with PDL BioPharma, Inc. (“PDL Modification Agreement”). The outstanding balance arising from this obligation amounted to $20,000,000 of notes payable as of December 31, 2020. During the year ended December 31, 2020, the Company entered into five amendments to extend the due date of principal and interest payments on the PDL Modification Agreement. Management applies significant judgment in determining whether the lender has granted a concession, which affects the accounting for each amendment as either a Troubled Debt Restructuring (“TDR”) or modification.

 

We identified the accounting for debt modifications, specifically related to management’s assessment of the effective interest rate, as a critical audit matter. The principal considerations for our determination are the volume of amendments as well as the complexity in applying the relevant terms and provisions of each PDL Modification Agreement to the calculation of the effective interest rate. The effective interest rate as of each amendment date is the determining factor in concluding whether the lender has granted a concession in the TDR analysis. Auditing this element was especially challenging due to the volume of amendments and effort required to address these matters, including the extent of specialized skill and knowledge needed.

 

The primary procedures we performed to address this critical audit matter included:

 

· Utilizing personnel with specialized knowledge and skill to assist in: (i) evaluating the terms and provisions of each amendment that affect the accounting for the modification; (ii) and assessing the appropriateness of conclusions reached by management.

 

/s/ BDO USA, LLP

 

We have served as the Company’s auditor since 2010.

 

Dallas, Texas

 

April 8, 2021

 

F- 2  

 

CAREVIEW COMMUNICATIONS, INC. AND SUBSIDIARIES
CONSOLIDATED BALANCE SHEETS

 

    December 31,   December 31,
    2020   2019
ASSETS
Current Assets:                
Cash and cash equivalents   $ 357,950     $ 269,741  
Accounts receivable     1,146,486       1,666,338  
Inventory     408,450       —    
Other current assets     244,307       220,464  
     Total current assets     2,157,193       2,156,543  
                 
Property and equipment, net     1,592,484       1,978,020  
                 
Other Assets:                
Intangible assets, net     897,712       830,682  
Operating lease asset     659,099       85,942  
Other assets     197,121       240,700  
     Total other assets     1,753,932       1,157,324  
     Total assets   $ 5,503,609     $ 5,291,887  
                 
 LIABILITIES AND STOCKHOLDERS' DEFICIT
Current Liabilities:                
Accounts payable   $ 442,004     $ 439,851  
Notes payable     20,163,786       20,363,786  
Notes payable, related parties     700,000       200,000  
Senior secured notes - related parties, current portion net of debt discount                
and debt costs of $1,083,599 and $0, respectively     44,883,349       —    
Operating lease liability     150,087       91,363  
Other current liabilities     7,858,480       4,505,505  
     Total current liabilities     74,197,706       25,600,505  
                 
Long-term Liabilities:                
Senior secured notes - related parties, net of debt discount and debt costs of $749,069, and $5,775,097, respectively     9,894,117       50,835,220  
Senior secured convertible notes - related parties, net of debt discount and debt costs of $3,514,921 and $4,163,489, respectively     20,717,036       17,570,365  
Senior secured convertible notes, net of debt discount and debt costs of $136,810 and $156,549, respectively     3,394,478       3,029,110  
Operating lease liability     561,202       —    
     Total long-term liabilities     34,566,833       71,434,695  
     Total liabilities     108,764,539       97,035,200  
                 
Commitments and Contingencies (Note 11)                
                 
Stockholders' Deficit:                
Preferred stock - par value $0.001; 20,000,000 shares authorized; no shares issued and outstanding     —         —    
Common stock - par value $0.001; 500,000,000 shares authorized; 139,380,748 issued and outstanding     139,381       139,381  
Additional paid in capital     84,409,372       84,244,343  
Accumulated deficit     (187,809,683 )     (176,127,037 )
     Total stockholders' deficit     (103,260,930 )     (91,743,313 )
     Total liabilities and stockholders' deficit   $ 5,503,609     $ 5,291,887  

 

 

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

 

F- 3  

 

CAREVIEW COMMUNICATIONS INC. AND SUBSIDIARIES

CONSOLIDATED STATEMENTS OF OPERATIONS

FOR THE YEARS ENDED DECEMBER 31, 2020 AND 2019

 

    Year Ended
    December 31, 2020   December 31, 2019
Revenues, net   $ 6,461,995     $ 6,294,122  
                 
Operating expenses:                
Network operations     2,738,120       3,033,130  
General and administration     2,721,552       4,054,398  
Sales and marketing     575,195       324,267  
Research and development     1,708,296       1,400,325  
Depreciation and amortization     597,119       720,567  
     Total operating expense     8,340,282       9,532,688  
                 
Operating loss     (1,828,287 )     (3,238,566 )
                 
Other income and (expense)                
Interest expense     (10,595,598 )     (10,851,162 )
Interest income     400       761  
Gain on extinguishment of debt     786,889        
Other expense     (37,917 )     (61,340
Other income     41,867       9,860  
     Total other income (expense)     (9,804,359 )     (10,840,541 )
                 
Loss before taxes     (11,682,646 )     (14,140,446 )
                 
Provision for income taxes     —         —    
                 
Net loss   $ (11,682,646 )   $ (14,140,446 )
                 
Net loss per share   $ (0.08 )   $ (0.10 )
                 
Weighted average number of common shares outstanding, basic and diluted     139,380,748       139,380,748  

 

 

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

F- 4  

 

 

CAREVIEW COMMUNICATIONS, INC. AND SUBSIDIARIES

CONSOLIDATED STATEMENTS OF CHANGES IN EQUITY

FOR THE YEARS ENDED DECEMBER 31, 2020 AND 2019

 

 

            Additional        
    Common Stock   Paid in   Accumulated    
    Shares   Amount   Capital   Deficit   Total
Balance, December 31, 2018     139,380,748     $ 139,381     $ 84,027,883     $ (161,986,591 )   $ (77,819,327 )
                                         
Options granted as compensation     —         —         195,657       —         195,657  
Beneficial conversion features for senior secured convertible notes     —         —         6,392       —         6,392  
Issuance of warrants to purchase common stock     —         —         14,411       —         14,411  
Net loss     —         —         —         (14,140,446 )     (14,140,446 )
                                         
Balance, December 31, 2019     139,380,748       139,381       84,244,343       (176,127,037 )     (91,743,313 )
                                         
Options granted as compensation     —         —         156,342       —         156,342  
Issuance of warrants to purchase common stock     —         —         8,687       —         8,687  
Net loss     —         —         —         (11,682,646 )     (11,682,646 )
                                         
Balance, December 31, 2020     139,380,748     $ 139,381     $ 84,409,372     $ (187,809,683 )   $ (103,260,930 )

 

  

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

F- 5  

 

 

CAREVIEW COMMUNICATIONS, INC. AND SUBSIDIARIES

CONSOLIDATED STATEMENTS OF CASH FLOWS

FOR THE YEARS ENDED DECEMBER 31, 2020 AND 2019

 

    Year Ended
    December 31, 2020   December 31, 2019
CASH FLOWS FROM OPERATING ACTIVITES                
  Net loss   $ (11,682,646 )   $ (14,140,446 )
     Adjustments to reconcile net loss to net cash flows used in                
        operating activities:                
          Depreciation     531,098       666,387  
          Amortization of intangible assets     66,021       54,180  
          Bad debt recovery     —         (7,588 )
          Amortization of debt discount     4,552,751       4,357,463  
          Amortization of deferred installation costs     31,759       91,694  
          Amortization of deferred debt issuance and debt financing costs     57,803       815,061  
          Non-cash lease expense     (11,955 )     —    
          Gain on extinguishment of debt     (786,889 )     —    
          Interest incurred and paid in kind     2,743,734       2,673,428  
          Stock based compensation related to options granted     165,029       195,657  
          Loss on disposal of intangible assets     (2,885     249  
          Write off of deferred installation costs     21,886       9,277  
          Changes in operating assets and liabilities:                
             Accounts receivable     519,852       (381,757 )
             Inventory     (408,450 )     —    
             Other current assets     (23,842 )     1,187,962  
             Other assets     16,393       167,409  
             Accounts payable     2,152       (69,447 )
             Accrued interest     3,227,058       2,937,285  
             Other current liabilities     131,005       6,384  
             Operating lease liability     58,724       —    
Net cash flows used in operating activities     (791,402 )     (1,436,802 )
                 
CASH FLOWS FROM INVESTING ACTIVITIES                
  Purchase of property and equipment     (142,679 )     (157,988 )
  Payment for deferred installation costs     (26,459 )     (47,472 )
  Patent, trademark and other intangible asset costs     (133,051 )     (138,722 )
Net cash flows used in investing activities     (302,189 )     (344,182 )
                 
CASH FLOWS FROM FINANCING ACTIVITIES                
  Proceeds from senior secured convertible promissory notes     100,000       50,000  
  Proceeds from payroll protection program loan     781,800       —    
  Proceeds from promissory notes     500,000       200,000  
  Repayment of notes payable     (200,000 )     (150,000 )
Net cash flows provided by financing activities     1,181,800       100,000  
                 
Increase (Decrease) in cash     88,209       (1,680,984 )
Cash and cash equivalents, beginning of period     269,741       1,950,725  
Cash and cash equivalents, end of period   $ 357,950     $ 269,741  
                 
SUPPLEMENTAL DISCLOSURES OF CASH FLOW INFORMATION:                
                 
Cash paid for interest   $ —       $ 150,000  
Cash paid for income taxes   $ —       $ —    
                 
SUPPLEMENTAL SCHEDULE OF NON-CASH FINANCING ACTIVITIES:                
                 
Remeasurement of operating lease   $ 46,769     $ —    
Beneficial conversion features for senior secured convertible notes   $ —       $ 6,392  

 

 

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

F- 6  

 

 

CAREVIEW COMMUNICATION, INC. AND SUBSIDIARIES

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

 

NOTE 1 – DESCRIPTION OF BUSINESS AND BASIS OF PRESENTATION 

 

CareView Communications, Inc., a Nevada corporation (“CareView”, the “Company”, “we”, “us” or “our”), was originally formed in California on July 8, 1997 under the name Purpose, Inc., changing our name to Ecogate, Inc. in April 1999, and CareView Communications, Inc. in October 2007. We began our current operation in 2003 as a healthcare information technology company with a patented patient monitoring and entertainment system.

 

Our business consists of a single segment of products and services all of which are sold and provided within the United States.

 

Description of Business

 

We provide products and on-demand application services for the healthcare industry, seeking to improve hospital communications, operational effectiveness, implement loss preventative and patient safety measures through bedside video monitoring, telemedicine services, and software applications. 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.

 

CareView Patient Safety System

 

Our CareView Patient Safety System® suite of video monitoring, guest services, and related applications connect patients, families and healthcare providers. CareView's secure video monitoring system connects the patient room to a touchscreen monitor at the nursing station or a mobile handheld device allowing the nursing staff to maintain a level of visual contact with each patient.

 

In addition to patient safety and security we also provide a suite of services including on-demand movies, Internet access via the patient's television, and video visits with family and friends. 

 

 

F- 7  

 

 

CAREVIEW COMMUNICATION, INC. AND SUBSIDIARIES

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

 

CareView Connect

 

CareView ConnectTM Quality of Life System (“CareView Connect”), consists of a small emergency assist button, two motion sensors, one sleep sensor, and one event sensor. Resident activity levels, medication administration, sleep patterns, and requests for assistance can all be monitored depending on which options are selected. CareView's suite of products are designed for the long-term care market, including: Nursing Care, Home Care, Assisted Living and Independent Living.

 

During 2019, the Company was only able to enter two pilot contracts, one of which was converted into a fully executed contract in the amount of $1,464 per month in August 2019, the other remains a pilot contract.  In the fourth quarter of 2019, we wrote off the $1,131,000 CareView Connect product on hand due to the lack of recent marketability of the Connect product and our additional focus on CareView Patient Safety System sales. This loss was included in general and administrative expenses in the statement of operations. 

 

Principles of Consolidation

 

The accompanying consolidated financial statements include the accounts of CareView and CareView Communications, Inc., a Texas corporation and CareView Operations, LLC, a Nevada limited liability company (our wholly owned subsidiaries). All inter-company balances and transactions have been eliminated in consolidation.

 

COVID-19 Outbreak

 

In December 2019, a novel strain of coronavirus (COVID-19) was identified in Wuhan, China, and has subsequently spread to other regions of the world, and has resulted in increased travel restrictions, business disruptions and emergency quarantine measures across the world including the United States.

 

The Company has considered the effects of COVID-19 in the preparation of the financial statements as of and for the period ended December 31, 2020. We have been able to continue providing services to our current customer base and have not yet experienced a slowdown in collections. However, the continued shelter-in-place orders have limited our ability to install currently contracted units as well as make sales visits. 

 

On March 27, 2020, the Coronavirus Aid, Relief, and Economic Security (CARES) Act (the "Act") was enacted. The CARES Act is an approximately $2 trillion emergency economic stimulus package in response to the Coronavirus outbreak, which among other things contains numerous income tax provisions. Some of these tax provisions are expected to be effective retroactively for years ending before the date of enactment. The Company applied for, and received, funds under the Paycheck Protection Program in the amount of $781,800. Refer to Note 11.

   

F- 8  

 

 

CAREVIEW COMMUNICATION, INC. AND SUBSIDIARIES

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

 

NOTE 2 – SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES

 

Cash and Cash Equivalents

 

We consider all highly liquid investments with a maturity of three months or less when purchased to be cash equivalents. We maintain cash at financial institutions that at times may exceed federally insured limits.

 

Trade Accounts Receivable

 

Trade accounts receivable are customer obligations due under normal trade terms. We provide an allowance for doubtful accounts, which is based upon a review of outstanding receivables, historical collection information and existing economic conditions. Trade accounts receivable past due more than 90 days are considered delinquent. Delinquent receivables are written off based on individual credit evaluations, results of collection efforts, and specific circumstances of the customer. Recoveries of accounts previously written off are recorded as reductions of bad debt expense when received. At December 31, 2020 and 2019, an allowance for doubtful accounts of $0 and $0, respectively, was recorded.

 

Property and Equipment

 

Property and equipment is stated at cost, net of accumulated depreciation. Maintenance costs, which do not significantly extend the useful lives of the respective assets, and repair costs are charged to operating expense as incurred. We include Network Equipment in fixed assets upon receipt and begin depreciating the Network Equipment when such equipment passes our incoming inspection and is available for use. We attribute no salvage value to the Network Equipment and depreciation is computed using the straight-line method based on the estimated useful life of seven years. Depreciation of office and test equipment, warehouse equipment and furniture is computed using the straight-line method based on the estimated useful lives of the assets, generally three years for office and test equipment, and five years for warehouse equipment and furniture.

 

Inventories

 

Inventory is valued at the lower of cost, determined on a first-in, first-out (FIFO), or net realizable value. Inventory items are analyzed to determine cost and net realizable value, and appropriate valuation adjustments are then established. See NOTE 6 for more details.

 

Allowance for System Removal

 

We would remove the CareView Patient Safety System from customer premises due to a number of factors; including, but not limited to, collection/revenue performance issues and contract expiration/non-renewal. We regularly evaluate the installed CareView Patient Safety Systems for such factors and an allowance is set up based on the estimated cost of removal. At December 31, 2020 and 2019, an allowance of $36,500 and $152,800, respectively, was recorded in other assets in the accompanying consolidated financial statements.

 

F- 9  

 

 

CAREVIEW COMMUNICATION, INC. AND SUBSIDIARIES

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

 

Impairment of Long-Lived Assets

 

Carrying values of property and equipment and finite-lived intangible assets are reviewed for impairment whenever events or changes in circumstances indicate that their carrying values may not be recoverable. Such events or circumstances include, but are not limited to:

 

 

Significant declines in an asset’s market price;

 

Significant deterioration in an asset’s physical condition;

 

Significant changes in the nature or extent of an asset’s use or operation;

 

Significant adverse changes in the business climate that could impact an asset’s value, including adverse actions or assessments by regulators;

 

Accumulation of costs significantly in excess of original expectations related to the acquisition or construction of an asset;

 

Current-period operating or cash flow losses combined with a history of such losses or a forecast that demonstrates continuing losses associated with an asset’s use; and

 

Expectations that it is more likely than not that an asset will be sold or otherwise disposed of significantly before the end of our previously estimated useful life.

 

If impairment indicators are present, we determine whether an impairment loss should be recognized by testing the applicable asset or asset groups’ carrying value for recoverability. This test requires long-lived assets to be grouped at the lowest level for which identifiable cash flows are largely independent of the cash flows of other assets and liabilities, the determination of which requires judgment. We estimate the undiscounted future cash flows expected to be generated from the use and eventual disposal of the assets and compare that estimate to the respective carrying values in order to determine if such carrying values are recoverable. This assessment requires the exercise of judgment in assessing the future use of and projected value to be derived from the eventual disposal of the assets to be held and used. Assessments also consider changes in asset utilization, including the temporary idling of capacity and the expected timing for placing this capacity back into production. If the carrying value of the asset is not recoverable, then a loss is recorded for the difference between the assets’ fair value and respective carrying value. The fair value of the asset is determined using an “income approach” based upon a forecast of all the expected discounted future net cash flows associated with the subject assets. Some of the more significant estimates and assumptions include market size and growth, market share, projected selling prices, manufacturing cost and discount rate. Our estimates are based upon our historical experience, our commercial relationships, market conditions and available external information about future trends. We believe our current assumptions and estimates are reasonable and appropriate; however, unanticipated events and changes in market conditions could affect such estimates resulting in the need for an impairment charge in future periods. During the years ended December 31, 2020 and 2019, no impairment was recognized.

 

Research and Development

 

Research and development costs are expensed as incurred. Costs regarding the development of software to be sold, leased or otherwise marketed are subject to capitalization beginning when a product’s technological feasibility has been established and ending when a product is available for general release to customers. We did not capitalize any such costs during the years ended December 31, 2020 and 2019.

 

Intellectual Property

 

We capitalize certain costs of developing software upon the establishment of technological feasibility and prior to the availability of the product for general release to customers for our CareView Patient Safety System in accordance with accounting principles generally accepted in the United States of America (“GAAP”). Capitalized costs are reported at the lower of unamortized cost or net realizable value and are amortized over the estimated useful life of the CareView Patient Safety System not to exceed five years. Additionally, we test our intangible assets for impairment whenever circumstances indicate that their carrying value may not be recoverable. No impairment was recorded during the years ended December 31, 2020 and 2019.

 

During the years ended December 31, 2020 and 2019, we capitalized no additional intellectual property costs.

 

F- 10  

 

 

CAREVIEW COMMUNICATION, INC. AND SUBSIDIARIES

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

 

Patents and Trademarks

 

We amortize our intangible assets with a finite life on a straight-line basis, over 10 years for trademarks and 20 years for patents. We begin amortization of these costs on the date patents or trademarks are awarded.

 

Derivative Financial Instruments

 

Derivatives are recorded on the balance sheet at fair value and changes in fair value are recorded in earnings at each reporting date in accordance with GAAP. See Fair Value of Financial Instruments, below, and NOTES 13 and 14 for further details regarding derivative activity during the years ended December 31, 2020 and 2019.

 

Fair Value of Financial Instruments

 

Our financial instruments consist primarily of receivables, accounts payable, accrued expenses and short and long-term debt. The carrying amount of receivables, accounts payable and accrued expenses approximate our fair value because of the short-term maturity of such instruments, and they are considered Level 1 assets under the fair value hierarchy. We have elected not to carry our debt instruments at fair value. The carrying amount of our debt approximates fair value. Interest rates that are currently available to us for issuance of short and long-term debt with similar terms and remaining maturities are used to estimate the fair value of our short and long-term debt and would be considered Level 3 inputs under the fair value hierarchy.

 

We have categorized our assets and liabilities that are valued at fair value on a recurring basis into a three-level fair value hierarchy in accordance with GAAP. Fair value is defined as the exchange price that would be received for an asset or paid to transfer a liability (an exit price) in the principal or most advantageous market for the asset or liability in an orderly transaction between market participants on the measurement date. The fair value hierarchy gives the highest priority to quoted prices in active markets for identical assets and liabilities (Level 1) and lowest priority to unobservable inputs (Level 3).

 

Assets and liabilities recorded in the consolidated balance sheets at fair value are categorized based on a hierarchy of inputs, as follows:

 

Level 1 -- Unadjusted quoted prices in active markets for identical assets or liabilities.

Level 2 -- Quoted prices for similar assets or liabilities in active markets or inputs that are observable for the asset or liability, either directly or indirectly through market corroboration, for substantially the full term of the financial instrument.

Level 3 -- Unobservable inputs for the asset or liability.

 

At December 31, 2020 and 2019, we had no financial assets and liabilities reported at fair value.

 

Income Taxes

 

Income taxes are accounted for under the asset and liability method. Deferred tax assets and liabilities are recognized for the estimated future tax consequences attributable to differences between the financial statements carrying amounts of existing assets and liabilities and their respective tax basis. Deferred tax assets and liabilities are measured using enacted tax rates expected to apply to taxable income in the years in which the related temporary differences are expected to be recovered or settled. The effect on deferred tax assets and liabilities of a change in tax rates is recognized when the rate change is enacted. Valuation allowances are recorded to reduce deferred tax assets to the amount that will more likely than not be realized. In accordance with GAAP, we recognize the effect of uncertain income tax positions only if the positions are more likely than not of being sustained in an audit, based on the technical merits of the position. Recognized uncertain income tax positions are measured at the largest amount that is greater than 50% likely of being realized. Changes in recognition or measurement are reflected in the period in which those changes in judgement occur. We recognize both interest and penalties related to uncertain tax positions as part of the income tax provision. 

F- 11  

 

 

CAREVIEW COMMUNICATION, INC. AND SUBSIDIARIES

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

 

Revenue Recognition

 

We adopted Accounting Standards Codification (“ASC”) Topic 606 (“ASC 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. 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 with each healthcare facility for a standard term of three to five years and have determined we have one performance obligation for our services and hardware. Under the subscription-based contract, 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 Patient Safety System and are required to maintain and service all CareView Patient Safety System equipment. If the healthcare facility requires additional services, the contract is amended accordingly. 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 incur 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.

 

Under our sales-based contract model, the hardware, installation costs, and software license are billed to the facility upon receipt of hardware and at "Go Live" for installation costs and software licensing.  If the healthcare facility requires additional services or hardware, the contract is amended accordingly. The revenues related to the sales-based contract model were not material during fiscal 2020; the company is still evaluating recognition of these contracts.

   

F- 12  

 

 

CAREVIEW COMMUNICATION, INC. AND SUBSIDIARIES

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

 

The table below details the activity in these deferred installation costs during the years ended December 31, 2020 and 2019, including in other assets in the accompanying consolidated balance sheet.

 

 

 

For the Years Ended
December 31,

 

 

 

2020

 

 

2019

 

Balance, beginning of period

 

$

81,188

 

 

$

134,686

 

Additions

 

 

26,459

 

 

 

47,472

 

Transfer to expense

 

 

(53,645

)

 

 

(100,970

)

Balance, end of period

 

$

54,002

 

 

$

81,188

 

 

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.

 

During the years ended December 31, 2020 and 2019, a total of $137,866 and $58,559, respectively, of the beginning balance of the contract liability was recognized as revenue. The table below details the activity during the years ended December 31, 2020 and 2019.

 

 

 

For the Years Ended
December 31,

 

 

 

2020

 

 

2019

 

Balance, beginning of period

 

$

255,398

 

 

$

58,559

 

Additions

 

 

493,767

 

 

 

647,473

 

Transfer to revenue

 

 

(284,041

)

 

 

(450,634

)

Balance, end of period

 

$

465,124

 

 

$

255,398

 

 

As of December 31, 2020, future transfers to revenue are as follows:

 

Years Ending December 31,

 

Amount

 

2021

 

$

331,717

 

2022

 

 

66,207

 

Thereafter

 

 

67,200

 

 

 

$

465,124

 

 

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 is recorded when the right to consideration becomes unconditional and are reported accordingly our consolidated financial statements.

 

F- 13  

 

 

CAREVIEW COMMUNICATION, INC. AND SUBSIDIARIES

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

 

Leases

 

Under ASC Topic 842, operating lease expense is generally recognized evenly over the term of the lease. The Company has an operating lease primarily consisting of office space with a remaining lease term of 55 months. We adopted ASC Topic 824, Leases, using the cumulative effect transition method for all operating leases with an original term of 12 months or more as of January 1, 2019. The cumulative impact of the adoption of ASC Topic 842 to the consolidated balance sheet as of January 1, 2019 was as follows:

 

Operating Lease Asset   $ 236,959  
Operating Lease Liability-ST   $ 166,955  
Operating Lease Liability-LT   $ 83,477  

 

The adoption of  ASC Topic 842 did not result in an adjustment to retained earnings.

 

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 common shares 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 to purchase our Common Stock (the “Warrants”) and convertible debt. Potential common shares totaling approximately 207,000,000 and 161,000,000 at December 31, 2020 and 2019, respectively, have been excluded from the diluted earnings per share calculation as they are anti-dilutive due to our reported net loss.

 

Stock Based Compensation

 

We recognize compensation expense for all share-based payments granted and amended based on the grant date fair value estimated in accordance with GAAP. Compensation expense is generally recognized on a straight-line basis over the employee’s requisite service period based on the award’s estimated lives for fixed awards with ratable vesting provisions.

 

Debt Discount Costs

 

Costs incurred with parties who are providing long-term financing, with Warrants issued with the underlying debt, are reflected as a debt discount based on the relative fair value of the debt and Warrants. These discounts are generally amortized over the life of the related debt, using the effective interest rate method or other methods approximating the effective interest method. Additionally, convertible debt issued with a beneficial conversion feature is recorded at a discount based on the difference in the effective conversion price and the fair value of the Company’s stock on the date of issuance, if any. Outstanding debt is presented net of any such discounts on the accompanying consolidated financial statements.

 

Deferred Debt Issuance and Debt Financing Costs

 

Costs incurred through the issuance of Warrants to parties who are providing long-term financing availability, which includes revolving credit lines, are reflected as deferred debt issuance based on the fair value of the Warrants issued. Costs incurred with third parties related to issuance of debt are recorded as deferred financing costs. These costs are generally amortized over the life of the financing instrument using the effective interest rate method or other methods approximating the effective interest method. Amounts associated with our senior secured convertible notes are netted with the outstanding debt on the accompanying consolidated financial statements while amount associated with credit facilities are presented in other assets on the accompanying consolidated statements of operations.

 

F- 14  

 

 

CAREVIEW COMMUNICATION, INC. AND SUBSIDIARIES

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

 

Shipping and Handling Costs

 

We expense all shipping and handling costs as incurred. These costs are included in network operations on the accompanying consolidated statements of operations.

 

Advertising Costs

 

We consider advertising costs as costs associated with the promotion of our products through the various media outlets and trade shows. We expense all advertising costs as incurred. Our advertising expense for the years ended December 31, 2020 and 2019 totaled approximately $28,000 and $30,000, respectively.

 

Concentration of Credit Risks and Customer Data

 

During 2020 one customer comprised $1,179,000 or 18% of our revenue, while no other customer comprised more than 10%. During 2019 one customer comprised $1,538,000 or 25% of our revenue, while no other customer comprised more than 10%.

 

Use of Estimates

 

Our financial statements have been prepared in accordance with GAAP. The preparation of these financial statements requires us to make significant estimates and judgments that affect the reported amounts of assets, liabilities, revenues, expenses and related disclosure of contingent assets and liabilities. We evaluate our estimates, including those related to contingencies, on an ongoing basis. We base our estimates on historical experience and on various other assumptions that are believed to be reasonable under the circumstances, the results of which form the basis for making judgments about the carrying values of assets and liabilities that are not readily apparent from other sources. Actual results may differ from these estimates under different assumptions or conditions.

 

F- 15  

 

 

CAREVIEW COMMUNICATION, INC. AND SUBSIDIARIES

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

 

Recently Issued and Newly Adopted Accounting Pronouncements

 

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, 2019. We do not expect that the adoption of any recent accounting pronouncements will have a material impact on our accompanying consolidated financial statements.

 

Reclassification

 

Certain amounts reported in the prior year financial statements may have been reclassified to conform to the current year presentation.

     

NOTE 3 – GOING CONCERN, LIQUIDITY AND MANAGMENTS PLAN

 

Our cash position at December 31, 2020 was approximately $358,000.

 

Accounting standards require management to evaluate our ability to continue as a going concern for a period of one year after the date of the filing of this Form 10-K (“evaluation period”). These conditions raise substantial doubt about the Company's ability to continue as a going concern for a period of time within one year after the date that the financial statements are issued. 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 nondilutive 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.

 

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. The financial information contained in these financial statements have been prepared on a basis that assumes that we will continue as a going concern, which contemplates the realization of assets and the satisfaction of liabilities and commitments in the normal course of business. This financial information and these financial statements do not include any adjustments that may result from the outcome of this uncertainty.

 

F- 16  

 

 

CAREVIEW COMMUNICATION, INC. AND SUBSIDIARIES

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

 

NOTE 4 – STOCKHOLDERS’ EQUITY

 

Preferred Stock

 

At December 31, 2020 and 2019, we had 20,000,000 shares of Preferred Stock, par value $0.001 authorized and none outstanding, which can be designated by our Board of Directors.

 

Common Stock

 

At December 31, 2020 and 2019, we had 500,000,000 and 300,000,000 shares of Common Stock, $0.001 par value, respectively, authorized, and 139,380,748 shares of Common Stock issued and outstanding. There was no Common Stock issued during the years ended December 31, 2020 or 2019.

 

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 (except certain Warrants issued to HealthCor in 2011 (the “2011 HealthCor Warrants”) as discussed in NOTE 14 and the warrants issued in connection with a private placement completed in April 2013 (“Private Placement Warrants”). 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 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 (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.

 

F- 17  

 

 

CAREVIEW COMMUNICATION, INC. AND SUBSIDIARIES

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

 

Active Warrant Holders

 

A summary of our Warrants activity and related information follows:

 

 

 

Number of Shares Under Warrant

 

 

Range of Warrant Price Per Share

 

 

Weighted Average Exercise Price

 

 

Weighted Average Remaining Contractual Life

 

Beginning Balance     16,284,000     $ 0.05-$1.10      $  0.49        4.9  
   Granted      250,000      0.03      0.03        9.4  
   Canceled                              

Balance at December 31, 2019

 

 

16,534,030

 

 

$

0.03-$1.10

 

 

$

0.49

 

 

 

4.4

 

Granted

 

 

1,000,000

 

 

$

0.01

 

 

$

0.01

 

 

 

9.10

 

Expired

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Canceled

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Balance at December 31, 2020

 

 

16,050,458

 

 

$

0.01-$0.53

 

 

$

0.76

 

 

 

4.3

 

 

As of December 31, 2020 and 2019, we had no unamortized costs associated with capitalized Warrants.

 

Warrant Activity During 2020

 

In February 2020, we issued 1,000,000 ten-year Warrants (with a fair value of $10,000) at an exercise price of $0.01 per share to a director.

 

Warrant Activity During 2019

 

In May 2019, we issued 250,000 ten-year Warrants (with a fair value of $4,000) at an exercise price of $0.03 per share to a director.

 

Stock Options

 

Effective December 3, 2007, we established the CareView Communications, Inc. 2007 Stock Incentive Plan (“2007 Plan”) pursuant to which 8,000,000 shares of Common Stock were reserved for issuance upon the exercise of options (“2007 Plan Option(s)”). The 2007 Plan was designed to serve as an incentive for retaining our qualified and competent key employees, officers and directors, and certain consultants and advisors. The 2007 Plan Options vest over three years and have an exercise period of ten years from the date of issuance. At December 31, 2020, the 2007 Plan Option to purchase 8,000,000 shares of our Common Stock have been issued with zero remaining outstanding.

 

F- 18  

 

CAREVIEW COMMUNICATION, INC. AND SUBSIDIARIES

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

 

Effective September 30, 2009, we established the CareView Communications, Inc. 2009 Stock Incentive Plan (the “2009 Plan”) pursuant to which 10,000,000 shares of Common Stock was reserved for issuance upon the exercise of options (“2009 Plan Option(s)”). The 2009 Plan was designed to serve as an incentive for retaining our qualified and competent key employees, officers, and directors. The 2009 Plan Options vest over three years and have an exercise period of ten years from the date of issuance. As of December 31, 2020, the 2009 Plan Option to purchase 10,000,000 shares of our Common Stock have been issued with zero remaining outstanding.

 

On February 25, 2015, we established the CareView Communications, Inc. 2015 Stock Option Plan (the “2015 Plan”) pursuant to which 5,000,000 shares of Common Stock was reserved for issuance upon the exercise of options (“2015 Plan Option(s)”). The 2015 Plan was designed to serve as an incentive for retaining our qualified and competent key employees, officers, and directors. The 2015 Plan Options vest over three years and have an exercise period of ten years from the date of issuance. As of December 31, 2020, the 2015 Plan Option to purchase 5,000,000 shares of our Common Stock have been issued with zero remaining outstanding.

 

On December 7, 2016, we established the CareView Communications, Inc. 2016 Stock Option Plan (the “2016 Plan”) pursuant to which 20,000,000 shares of Common Stock was reserved for issuance upon the exercise of options (“2016 Plan Option(s)”). The 2016 Plan was designed to serve as an incentive for retaining our qualified and competent key employees, officers, and directors. The 2016 Plan Options vest over three years and have an exercise period of ten years from the date of issuance. As of December 31, 2020, the 2016 Plan Option to purchase 20,000,000 shares of our Common Stock have been issued with zero remaining outstanding.

 

On August 6, 2020, we established the CareView Communications, Inc. 2020 Stock Option Plan (the “2020 Plan”) pursuant to which 20,000,000 shares of Common Stock was reserved for issuance upon the exercise of options (“2020 Plan Option(s)”). The 2020 Plan was designed to serve as an incentive for retaining our qualified and competent key employees, officers, and directors. The 2020 Plan Options vest over three years and have an exercise period of ten years from the date of issuance. As of December 31, 2020, the 2020 Plan Option to purchase 13,637,024 shares of our Common Stock have been issued with 6,362,976 remaining outstanding.

 

The valuation methodology used to determine the fair value of the 2007 Plan Options, 2009 Plan Options, 2015 Plan Options, 2016 Plan Options, and 2020 Plan Options, collectively, (the “Option(s)”) issued was the Black- Scholes Model. 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 expected term of the options.

 

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

 

 

 

Number of Shares Under Option

 

 

Weighted Average Exercise Price

 

 

Weighted
Average
Remaining
Contractual
Life

 

 

Aggregate Intrinsic Value

 

Balance at December 31, 2019

 

 

20,524,792

 

 

$

0.25

 

 

 

6.3

 

 

$

 

Granted

 

 

21,374,991

 

 

 

 

 

 

 

 

 

 

 

 

 

Expired

 

 

(703,982

)

 

 

 

 

 

 

 

 

 

 

 

 

Canceled

 

 

(506,833

)

 

 

 

 

 

 

 

 

 

 

 

 

Balance at December 31, 2020

 

 

40,688,968

 

 

$

0.13

 

 

 

7.6

 

 

$

526,724

 

Vested and Exercisable at December 31, 2020

 

 

 

19,478,977

 

 

$

 

0.23

 

 

 

 

5.5

 

 

$

 

 

 

Share-based compensation expense for Options charged to our operating results for the twelve months ended December 31, 2020 and 2019 were $156,342 and $158,866, respectively. The estimate of forfeitures is 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.

 

F- 19  

 

 

CAREVIEW COMMUNICATION, INC. AND SUBSIDIARIES

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

 

At December 31, 2020, total unrecognized estimated compensation expense related to non-vested Options granted was $552,501, which is expected to be recognized over a weighted- average period of 2.6 years. No tax benefit was realized due to a continued pattern of operating losses.

 

NOTE 5 – INCOME TAXES

 

In assessing the realizability of deferred tax asset, including the net operating loss carryforwards (NOLs), the Company assesses the available positive and negative evidence to estimate if sufficient future taxable income will be generated to utilize its existing deferred assets. The ultimate realization of deferred tax assets is dependent upon the generation of future taxable income during the period when those temporary difference become deductible. Based on its assessment, the Company has provided a full valuation allowance against its net deferred tax assets as their future utilization remains uncertain at this time.  In 2020, the deferred tax valuation allowance increased by $1,649,389. In 2019, the deferred tax valuation allowance increased by $1,986,506.

 

At December 31, 2020, we had approximately $89,000,000 of federal net operating tax loss carryforward which begins to expire in 2028. We had approximately $20,000,000 million of state net operating losses as of December 31, 2019. In accordance with Section 382 of the Internal Revenue code, the usage of the Company's Federal Carryforwards could be limited in the event of a change in ownership.  As of December 31, 2020, the Company has not completed an analysis as to whether or not an ownership change has occurred. We are currently subject to the general three-year state of limitation for federal tax. Under this general rule, the earliest period subject to potential audit is 2018. For years to which the Company may utilize its net operating losses, the IRS has the ability to examine the tax year that generated those losses and propose adjustments up to the amount of losses utilized.

 

The Company applies the FASB's provisions for uncertain tax positions. The Company utilizes the two-step process to determine the amount of recognized tax benefit.  For tax positions meeting the more-likely-than-not threshold, the amount recognized in the consolidated financial statements is the largest benefit that has a greater than 50% likelihood of being realized upon ultimate settlement with the relevant tax authority. The Company recognizes interest and penalties associated with uncertain tax positions as a component of income tax expense. 

 

As of December 31, 2020, management does not believe the Company has any material uncertain tax positions that would require it to measure and reflect the potential lack of sustainability of a position on audit in its financial statements. The Company will continue to evaluate its uncertain tax positions in future periods to determine if measurement and recognition in its financial statements is necessary. The Company does not believe there will be any material changes in its unrecognized tax positions over the next year. 

 

On March 27, 2020, H.R. 748, the Coronavirus Aid, Relief, and Economic Security Act, "the CARES Act," was signed into legislation which includes tax provisions relevant to businesses that will impact taxes related to 2018, 2019, and 2020. Some of the significant tax law changes are to increase the limitation on deductible business interest expenses for 2019 and 2020, allow for the five-year carryback of net operating losses for 2018-2020, suspend the 80% limitation of taxable income for net operating, loss carryforwards for 2018-2020, provide for the acceleration of depreciation expense from 2018 and forward on qualified improvement property, and accelerate the ability to claim refunds of AMT credit carryforwards. The Company is required to recognize the effect on the consolidated financial statements in the period the law was enacted. 

 

The provision for income taxes consists of the following:

 

 

 

2020

 

 

2019

 

 

 

 

 

 

 

 

 

 

Current:

 

 

  Federal

 

 

 

 

  State income tax, net of federal benefit

 

 

9,635

 

 

 

7,268

 

    Sub-total:

 

 

9,635

 

 

7,268

 

   

 

 

 

 

Deferred:

 

 

 

 

 

  Federal            

  State income tax, net of federal benefit

 

 

 

 

 

 

    Sub-total:

 

 

 

 

 

 

 Total 

 

$

9,635

 

 

$

7,268

 

 

 

 

 

Years Ended December 31,

 

 

 

2020

 

 

2019

 

 

 

 

 

 

 

 

 

 

Expected income tax benefit at statutory rate

 

$

(2,453,962

)

 

$

(2,969,493

)

Debt discount amortization

 

 

688,950

 

 

 

683,911

 

Permanently disallowed interest

 

 

238,673

 

 

 

223,586

 

PPP loan

 

 

(164,178

)

 

 

 

 

Other permanent differences

 

 

4,390

 

 

 

10,263

 

State income tax, net of federal benefit

   

9,635

 

 

 

7,268

 

Other reconciling items

 

 

36,738

 

 

 

65,227

 

Change in valuation account

 

 

1,649,389

 

 

 

1,986,506

 

Income tax expense (benefit)

 

$

9,635

 

 

$

7,268

 

 

The components of the deferred tax assets and liabilities are as follows:  

 

 

 

December 31,

 

 

 

2020

 

 

2019

 

Deferred Tax Assets:

 

 

 

 

 

 

 

 

Tax benefit of net operating loss carry-forward

 

$

18,588,968

 

 

$

18,162,329

 

Accrued interest

 

 

7,450,680

 

 

 

6,378,719

 

Stock based compensation

 

 

1,298,120

 

 

 

1,265,290

 

Amortization

 

 

314,022

 

 

 

100,550

 

Depreciation

 

 

52,965

 

 

 

393,935

 

Accrued expenses

 

 

71,402

 

 

 

60,193

 

Donations

 

 

5,947

 

 

 

5,947

 

Inventory reserve

 

 

237,527

 

 

 

237,527

 

Bad debt allowance

 

 

(2

)

 

 

1,591

 

Research and development credit carry-forward

 

 

29,084

 

 

 

29,084

 

BCF debt discount

 

 

(444,009

)

 

 

(679,850

)

Total deferred tax assets

 

 

27,604,704

 

 

 

25,955,315

 

Valuation allowance for deferred tax assets

 

 

(27,604,704

 

 

(25,955,315

)

Deferred tax assets, net of valuation allowance

 

$

 

 

$

 


F- 20  

 

 

CAREVIEW COMMUNICATION, INC. AND SUBSIDIARIES

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

 

NOTE 6 – INVENTORY

 

Inventory is valued at the lower of cost, determined on a first-in, first-out (FIFO), or net realizable value. Inventory items are analyzed to determine cost and net realizable value and appropriate valuation adjustments are then established.

 

Inventory consists of the following:

 

 

 

December 31,

 

 

 

2020

 

 

2019

 

Inventory

 

$

408,450

 

 

$

 

TOTAL INVENTORY

 

$

408,450

 

 

$

 

 

Inventory is related to our new sales-based contract model launched in fiscal 2020, and the revenues associated with the 2020 sales were immaterial.

 

NOTE 7 – OTHER CURRENT ASSETS

 

Other current assets consist of the following:

 

 

 

December 31,

 

 

 

2020

 

 

2019

 

Prepaid equipment

 

$

 

 

$

102,125

 

Other prepaid expenses

 

 

211,751

 

 

 

109,185

 

Other current assets

 

 

32,556

 

 

 

9,064

 

          TOTAL OTHER CURRENT ASSETS

 

$

244,307

 

 

$

220,464

 

 

 

F- 21  

 

 

CAREVIEW COMMUNICATION, INC. AND SUBSIDIARIES

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

 

NOTE 8 - PROPERTY AND EQUIPMENT

 

Property and equipment consist of the following:

 

 

 

December 31,

 

 

 

2020

 

 

2019

 

Network equipment

 

$

12,536,423

 

 

$

12,424,248

 

Office equipment

 

 

229,240

 

 

 

207.608

 

Vehicles

 

 

217,004

 

 

 

217,004

 

Test equipment

 

 

204,455

 

 

 

197,090

 

Furniture

 

 

92,846

 

 

 

91,341

 

Warehouse equipment

 

 

9,524

 

 

 

9,524

 

Leasehold improvements

 

 

5,121

 

 

 

5,121

 

 

 

 

13,294,613

 

 

 

13,151,936

 

Less: accumulated depreciation

 

 

(11,702,129

)

 

 

(11,173,916

)

TOTAL PROPERTY AND EQUIPMENT

 

$

1,592,484

 

 

$

1,978,020

 

 

Depreciation expense for the years ended December 31, 2020 and 2019 was $531,098 and $666,387, respectively.

 

NOTE 9 – OTHER ASSETS

 

Intangible assets consist of the following:

 

 

 

December 31, 2020

 

 

 

Cost

 

 

Accumulated Amortization

 

 

Net

 

Patents and trademarks

 

$

1,131,581

 

 

$

238,625

 

 

$

892,956

 

Other intangible assets

 

 

83,745

 

 

 

78,989

 

 

 

4,756

 

TOTAL INTANGIBLE ASSETS

 

$

1,215,326

 

 

$

317,614

 

 

$

897,712

 

  

 

 

December 31, 2019

 

 

 

Cost

 

 

Accumulated Amortization

 

 

Net

 

Patents and trademarks

 

$

1,070,871

 

 

$

243,702

 

 

$

827,169

 

Other intangible assets

 

 

63,509

 

 

 

59,996

 

 

 

3,513

 

TOTAL INTANGIBLE ASSETS

 

$

1,134,380

 

 

$

303,698

 

 

$

830,682

 

 

Other assets consist of the following:

 

 

 

December 31, 2020

 

 

 

Cost

 

 

Accumulated Amortization

 

 

Net

 

Deferred installation costs

 

$

1,292,729

 

 

$

1,238,727

 

 

$

54,002

 

Prepaid license fee

 

 

249,999

 

 

 

153,004

 

 

 

96,995

 

Security deposit

 

 

46,124

 

 

 

 

 

 

46,124

 

TOTAL OTHER ASSETS

 

$

1,588,852

 

 

$

1,391,731

 

 

$

197,121

 

F- 22  

 

 

CAREVIEW COMMUNICATION, INC. AND SUBSIDIARIES

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

 

 

 

December 31, 2019

 

 

 

Cost

 

 

Accumulated Amortization

 

 

Net

 

Deferred installation costs

 

$

1,288,156

 

 

$

1,206,968

 

 

$

81,188

 

Prepaid license fee

 

 

249,999

 

 

 

136,611

 

 

 

113,388

 

Security deposit

 

 

46,124

 

 

 

 

 

 

46,124

 

TOTAL OTHER ASSETS

 

$

1,584,279

 

 

$

1,343,579

 

 

$

240,700

 

 

NOTE 10 – OTHER CURRENT LIABILITIES

 

Other current liabilities consist of the following:

 

 

 

December 31,

 

 

 

2020

 

 

2019

 

Accrued interest

 

$

6,973,032

 

 

$

3,751,061

 

Allowance for system removal

 

 

36,500

 

 

 

152,800

 

Accrued paid time off

 

 

146,342

 

 

 

112,176

 

Deferred commission

 

 

139,041

 

 

 

139,041

 

Accrued rent expense

 

 

 

 

 

18,276

 

Deferred revenue

 

 

465,124

 

 

 

255,398

 

Accrued taxes

 

 

10,424

 

 

 

29,309

 

Insurance Premium Financing

 

 

67,927

 

 

 

19,360

 

Other accrued liabilities

 

 

20,090

 

 

 

24,199

 

TOTAL OTHER CURRENT LIABILITIES

 

$

7,858,480

 

 

$

4,505,505

 

 

NOTE 11– COMMITMENTS AND CONTINGENCIES

 

Debt Maturity

 

As of December 31, 2020, future debt payments due are as follows:

 

Years
Ending December 31,

 

 

Total

 

 

Loan Payable

 

 

Senior Secured Convertible Notes(1)

 

 

Senior Secured Notes(2)

 

2021

Related Party

$

46,666,949

 

 

$

700,000

 

 

$

 

 

 

45,966,949

 

 

Other

 

20,163,786

 

 

 

 20,163,786

 

 

 

 

 

 

 

2022

Related Party 

 

10,643,186

 

 

 

 

 

 

 

 

 

10,643,186

 

 

Other 

 

 

 

 

 

 

 

 

 

 

 

2023

Related Party

 

 

 

 

 

 

 

 

 

 

 

 

Other 

 

 

 

 

 

 

 

 

 

 

 

2024

Related Party 

 

11,225,690

 

 

 

 

 

 

11,225,690

 

 

 

 

 

Other 

 

 

 

 

 

 

 

 

 

 

 

Thereafter

Related Party

 

13,006,268

 

 

 

 

 

 

13,006,268

 

 

 

 

Other

 

3,531,289

 

 

 

 

 

 

3,531,289

 

 

 

 

Total

 

$

105,237,168

 

 

$

20,863,786

 

 

$

27,763,247

 

 

$

56,610,135

 

 

 

 

 

(1)

Senior Secured Convertible Notes are included on the accompanying consolidated financial statements as $24,111,516, which represents this amount less debt discount of $3,651,731.

 

(2)

Senior Secured Notes are included on the accompanying consolidated financial statements as $54,777,467, which represents this amount less debt discount of $1,832,668.

 

F- 23  

 

CAREVIEW COMMUNICATION, INC. AND SUBSIDIARIES

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

 

Payroll Protection Program

  On April 10, 2020, the Company received loan proceeds in the amount of $781,800 pursuant to a promissory note agreement (the “Promissory Note”) with a bank under the Paycheck Protection Program (“PPP”). The PPP, established as part of the Coronavirus Aid, Relief and Economic Security Act (“CARES Act”), provides for loans to qualifying businesses for amounts up to 2.5 times of the average monthly payroll expenses of the qualifying business. The Promissory Note has a loan maturity of April 10, 2022, a stated interest rate of 1.0% per annum, and has payments of principal and interest that are due monthly after an initial six-month deferral period where interest accrues, but no payments are due. The Promissory Note provides for customary events of default, including, among others, those relating to failure to make payment when due and breaches of representations. The Company may prepay the principal of the Promissory Note at any time without incurring any prepayment charges. The loan is subject to all the terms and conditions applicable under the PPP and is subject to review by the Small Business Association (the “SBA”) for compliance with program requirements, including the Company’s certification that the current economic uncertainty made the PPP loan request necessary to support ongoing operations and the Company’s obtaining approval from the SBA for the private placement equity transaction.

In June 2020, the Payroll Protection Program Flexibility Act (“PPPFA”) was signed into law adjusting certain key terms of loans issued under the PPP. In accordance with the PPPFA, the initial deferral period may be extended from six to up to ten months and the loan maturity may be extended from two to five years. The PPPFA also provided for certain other changes, including the extent to which the loan may be forgiven.

The loan’s principal and accrued interest were forgivable to the extent that the Company initially qualified for the loan and the proceeds were used for eligible purposes, subject to certain limitations, and that the Company maintains its payroll levels over a twenty-four-week period following the loan date. 

As the legal form of the Promissory Note was a debt obligation, the Company accounted for it as debt under Accounting Standards Codification (ASC) 470, Debt and recorded a liability of $781,800 in the consolidated balance sheet upon receipt of the loan proceeds.

The Company applied for forgiveness, and on November 20, 2020, we received confirmation from our bank that the Promissory Note was forgiven by the SBA. The loan balance plus accrued interest of $786,889 was recorded as a gain on extinguishment of debt in the December 31, 2020 consolidated statement of operations.

The SBA has created an audit safe harbor for any PPP loan borrower that, together with its affiliates, received PPP loans with an original amount of less than $2 million. The safe harbor is designed to protect a small borrower from a PPP audit based on its good faith certification.  However, the government may still decide to audit a PPP loan for other purposes, such as possible misuse of PPP funds. The Company has not been notified of an audit nor does it expect to be audited by the SBA.

NOTE 12– LEASE

Operating Lease

 

The Company has an operating lease primarily consisting of office space with remaining lease term of 18 months.

F- 24  

 

 

CAREVIEW COMMUNICATION, INC. AND SUBSIDIARIES

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

 

On March 4, 2020, we entered into the Fourth Amendment to Commercial Lease Agreement (the “Lease Extension”), wherein we extended the Lease through August 31, 2025. The Lease Extension contains a renewal provision under which the Lease has been extended for an additional five-year period under the same terms and conditions of the original Lease Agreement. Management has identified this extension as a reassessment event, as we have elected to exercise the Lease Extension option even though the Company had previously determined that it was not reasonably certain to do so.

 

The Company has reassessed the discount rate at the remeasurement date, at 14.8% and the Company has remeasured its ROU asset and lease liability on our balance sheet using the discount rate that applies as of the date of the reassessment event to remeasure its Operating lease asset and lease liability. The reassessment is based on the remaining lease term and lease payments. The Company has further concluded that the Lease Extension has no effects on the classification of the Lease. Rent expense for the twelve months ended December 31, 2020 and 2019 was $295,692 and $263,664, respectively.

Lease Position

 

Operating lease asset and liability for our operating lease were recorded in the consolidated balance sheet as follows:

 

    December 31, 2020  
Assets        
Operating lease asset   $ 659,099  
Total lease asset   $ 659,099  
         
Liabilities        
Current liabilities:        
Operating lease liability   $ 150,087  
         
Long-term liabilities:        
Operating lease liability, net of current portion   $ 561,202  
Total lease liability   $ 711,289  

 

F- 25  

 

 

CAREVIEW COMMUNICATION, INC. AND SUBSIDIARIES

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

 

Undiscounted Cash Flows

 

Future lease payments included in the measurement of operating lease liability on the consolidated balance sheet as of December 31, 2020, for the following five fiscal years and thereafter as follows:

 

Year ending December 31,

 

Operating Leases

 

2021

 

$

202,310

 

2022

 

 

208,379

 

2023

 

 

214,631

 

2024

 

 

221,069

 

2025 and thereafter

 

 

150,679

 

Total minimum lease payments

 

 

997,068

 

Less effects of discounting

 

 

(285,779

)

Present value of future minimum lease payments

 

 $

711,289 

 

 

Cash Flows

 

The table below presents certain information related to the cash flows for the Company’s operating lease for twelve months ending December 31, 2020:

 

 

Twelve Months

Ended

December 31, 2020

 

Cash paid for amounts included in the measurement of lease liabilities:

 

 

 

Operating cash flows for operating leases

 

$

46,769

 

 

 

F- 26  

 

CAREVIEW COMMUNICATION, INC. AND SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

 

NOTE 13– 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. 

 

From October 8, 2015 through May 14, 2019, the outstanding borrowings under the Tranche One Loan bore interest at the rate of 13.5% per annum, payable quarterly. On May 15, 2019, pursuant to the terms of the Fifth Amendment to the PDL Credit Agreement (see below for additional details), the interest increased to 15.5% per annum, payable quarterly.  Also, on May 15, 2019, pursuant to the terms of the Fourteenth Amendment to the PDL Modification Agreement (see below for additional details), the minimum cash balance requirement of $750,000 was reduced to $0.

 

On January 31, 2019, February 28, 2019, March 29, 2019 and April 29, 2019, the Company and Lender entered into the Tenth, Eleventh, Twelfth, and Thirteenth Amendments to the PDL Modification Agreement, as previously amended, respectively, pursuant to which the parties agreed to amend the PDL Modification Agreement to provide that (A) 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, pursuant to the Thirteenth Amendment to the PDL Modification Agreement, May 15, 2019 (rather than January 31, February 28, June 30, and April 30, respectively) (with each such date permitted to be extended by the Lender in its sole discretion); (B) the Company could satisfy its obligations under the PDL Modification Agreement, as amended, to obtain financing by obtaining (a) 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 (b) an additional (i) $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 and (ii) $750,000 in net cash proceeds from the issuance of Capital Stock (other than Disqualified Capital Stock) or Debt on or prior to May 15, 2019 (rather than January 31, February 28, June 30, and April 30, respectively) (resulting in aggregate net cash proceeds of at least $3,550,000); and (C) the Company’s quarterly interest payments that would otherwise have been due to Lender on December 31, 2018 and June 30, 2019 would be deferred until May 15, 2019 (the end of the extended Modification Period) and that such deferral would be a Covered Event.

 

On April 9, 2019, the Company, PDL Investment entered into a Fourth Amendment to PDL Credit Agreement (the “Fourth Amendment to the PDL Credit Agreement”), wherein the Company executed an Amended and Restated Tranche One Term Note in the principal amount of $20,000,000 to PDL Investments (the “Amended Tranche One Loan”), pursuant to which the parties agreed, among other things, to amend the note from registered to unregistered form.

 

F- 27  

 

CAREVIEW COMMUNICATION, INC. AND SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

 

On May 15, 2019, the Company, the Lender, Steven G. Johnson (our Chief Executive Officer, President, Secretary and Treasurer), individually, and Dr. James R. Higgins (a member of our board of directors), individually (Mr. Johnson and Dr. Higgins, collectively, the “Tranche Three Lenders”) entered into a Fifth Amendment to the PDL Credit Agreement (the “Fifth PDL Credit Agreement Amendment”), pursuant to which the parties agreed to amend the PDL Credit Agreement to, among other things, (i) provide for a new tranche of term loan in the aggregate principal amount of $200,000, from the Tranche Three Lenders, with a maturity date of October 7, 2020 and bearing interest at the rate of 15.5% per annum, payable quarterly in arrears (subject to the terms of the PDL Modification Agreement, as amended) (the “Tranche Three Loan”); (ii) increase the interest rate for outstanding borrowings under the Amended Tranche One Loan from 13.5% per annum to 15.5% per annum, payable quarterly in arrears (subject to the terms of the PDL Modification Agreement, as amended), effective May 15, 2019,; and (iii) provide for the issuance of the Twelfth Amendment Note, pursuant to the terms of the Twelfth Amendment to the HealthCor Agreement (see NOTE 10 for details). Under the accounting standards, we determined that the restructuring of the Tranche One Loan resulted in a troubled debt restructuring. As the future cash flows were greater than the carrying amount of the debt at the date of the amendment, we accounted for the change prospectively using the new effective interest rate. Also on May 15, 2019, upon the execution of the Fifth PDL Credit Agreement Amendment, (i) the Company sold and issued the Tranche Three Lenders term notes in the aggregate principal amount of $200,000, payable in accordance with the terms of the PDL Credit Agreement (the “Tranche Three Loans”), $150,000 from Mr. Johnson and $50,000 from Dr. Higgins, and (ii) the Company issued a warrant for the purchase of 250,000 shares of Common Stock, with an exercise price per share equal to $0.03 (subject to adjustment as described therein) and an expiration date of May 15, 2029 (the “Tranche Three Loan Warrant”), to Dr. Higgins in connection with his Tranche Three Loan. Mr. Johnson declined to be issued a Tranche Three Loan Warrant.

 

On May 15, 2019 the Company and the Lender entered into the Fourteenth Amendment to the PDL Modification Agreement (the “Fourteenth Amendment to the PDL Modification Agreement”), pursuant to which, in connection with the Twelfth Amendment to the HealthCor Purchase Agreement (see NOTE 10 for further details) and the Fifth Amendment to the PDL Credit Agreement, the parties agreed to amend the PDL Modification Agreement, as previously amended, to provide that (A) 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, 2019 (with each such date permitted to be extended by the Lender in its sole discretion); (B) the Borrower could satisfy its obligations under the PDL Modification Agreement, as amended, to obtain financing by obtaining (a) 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 (b) an additional (i) $1,000,000 in net cash proceeds from the issuance of Capital Stock (other than Disqualified Capital Stock) or Debt on or prior to July 13, 2018 and (ii) $250,000 in net cash proceeds from the issuance of Capital Stock (other than Disqualified Capital Stock) or Debt on or prior to May 15, 2019 (resulting in aggregate net cash proceeds of at least $3,300,000); (C) the Liquidity required during the Modification Period would be lowered to $0 from $750,000; and (D) the Company’s interest payments that would otherwise be due to Lender on December 31, 2018, June 30, 2019 and June 30, 2019 would be deferred until September 30, 2019 (the end of the extended Modification Period) and that such deferrals would be a Covered Event.

 

On September 30, 2019, the Company, the Borrower, the Subsidiary Guarantor and the Lender entered into a Fifteenth Amendment to Modification Agreement (the “Fifteenth Modification Agreement Amendment”), pursuant to which the parties agreed to amend the 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 November 30, 2019 (with each such date permitted to be extended by the Lender in its sole discretion); and that the Borrower’s interest payments that would otherwise be due to Lender on December 31, 2018, June 30, 2019, June 30, 2019, and September 30, 2019 would be deferred until November 30, 2019 (the end of the extended Modification Period) and that such deferrals would be a Covered Event.

 

F- 28  

 

CAREVIEW COMMUNICATION, INC. AND SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

 

On November 29, 2019, the Company, the Borrower, the Subsidiary Guarantor and the Lender entered into a Sixteenth Amendment to Modification Agreement (the “Sixteenth Modification Agreement Amendment”), pursuant to which the parties agreed to amend the 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 December 31, 2019 (with each such date permitted to be extended by the Lender in its sole discretion); and that the Borrower’s interest payments that would otherwise be due to Lender on December 31, 2018, June 30, 2019, June 30, 2019, and September 30, 2019 would be deferred until December 31, 2019 (the end of the extended Modification Period) and that such deferrals would be a Covered Event.

 

On December 31, 2019, the Company, the Borrower, the Subsidiary Guarantor and the Lender entered into a Seventeenth Amendment to Modification Agreement (the “Seventeenth Modification Agreement Amendment”), pursuant to which the parties agreed to amend the 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 January 17, 2020 (with each such date permitted to be extended by the Lender in its sole discretion); and that the Borrower’s interest payments that would otherwise be due to Lender on December 31, 2018, June 30, 2019, June 30, 2019, September 30, 2019, and December 31, 2019 would be deferred until January 17, 2020 (the end of the extended Modification Period) and that such deferrals would be a Covered Event.

 

On January 17, 2020, the Company, the Borrower, the Subsidiary Guarantor and the Lender entered into an Eighteenth Amendment to Modification Agreement (the “Eighteenth Modification Agreement Amendment”), pursuant to which the parties agreed to amend the 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 January 28, 2020 (with each such date permitted to be extended by the Lender in its sole discretion); and that the Borrower’s interest payments that would otherwise be due to Lender on December 31, 2018, June 30, 2019, June 30, 2019, September 30, 2019, and December 31, 2019 would be deferred until January 28, 2020 (the end of the extended Modification Period) and that such deferrals would be a Covered Event.

 

On January 28, 2020, the Company, the Borrower, the Subsidiary Guarantor and the Lender entered into a Nineteenth Amendment to Modification Agreement (the “Nineteenth Modification Agreement Amendment”), pursuant to which the parties agreed to amend the 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 (i) April 30, 2020 (provided that Borrower obtains at least $600,000 in cash proceeds from the issuance of Capital Stock (other than Disqualified Capital Stock) or Debt subordinated to the Tranche One Loan (as defined in the Credit Agreement) pursuant to the terms of the Intercreditor Agreement (as defined in the Credit Agreement) on or prior to February 11, 2020) or (ii) February 11, 2020 (if Borrower has not obtained such cash proceeds by such date) (with each such date permitted to be extended by the Lender in its sole discretion); and that the Borrower’s interest payments that would otherwise be due to Lender on December 31, 2018, June 30, 2019, June 30, 2019, September 30, 2019, December 31, 2019, and June 30, 2020 would be deferred until the end of the extended Modification Period (but with respect to the June 30, 2020 interest payment, such payment would be deferred only in the event that the end of the extended Modification Period is April 30, 2020 rather than February 11, 2020; otherwise the Borrower will make the interest payment due under the Credit Agreement on June 30, 2020), and that such deferrals would be a Covered Event.

 

The Company has evaluated the Eighteenth and Nineteenth Modification Agreement Amendments and as the effective borrowing rate under the restructured agreement is less than the effective borrowing rate on the old agreement, a concession is deemed to have been granted under ASC 470-60-55-10. As a concession has been granted, the agreement is to be accounted for as a troubled debt restructuring by debtors (TDR) under ASC 470-60.

 

F- 29  

 

CAREVIEW COMMUNICATION, INC. AND SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

 

On February 6, 2020, the Company, the Borrower, the Lender (in its capacity as administrative agent and lender) and the Tranche Three Lenders entered into a Sixth Amendment to Credit Agreement (the “Sixth Credit Agreement Amendment”), pursuant to which the parties agreed to amend the Credit Agreement to, among other things, (i) provide for additional funding under the Tranche Three Loan, in the aggregate principal amount of $500,000, from the Tranche Three Lenders (the “Additional Tranche Three Loan”), with a maturity date of October 7, 2020 (the fifth anniversary of the funding date of the Tranche One Loan (as defined in the Credit Agreement)), with outstanding borrowings bearing interest at the rate of 15.5% per annum, payable quarterly in arrears (subject to the terms of the Modification Agreement, as amended), and with payment of the Additional Tranche Three Loan and any other Obligations (as defined in the Credit Agreement) incurred in connection with the Additional Tranche Three Loan subordinated and subject in right and time of payment to the Payment in Full (as defined in the Credit Agreement) of the Tranche One Loan and any other Obligations incurred in connection with the Tranche One Loan, to the extent and in the manner set forth in the Credit Agreement; and (ii) provide for the issuance of the Thirteenth Amendment Supplemental Closing Note.

 

Also on February 6, 2020, upon the execution of the Sixth Credit Agreement Amendment, (i) the Borrower borrowed the Additional Tranche Three Loan and issued to the Tranche Three Lenders term notes in the aggregate principal amount of $500,000, payable in accordance with the terms of the Credit Agreement (the “Additional Tranche Three Term Notes”), $250,000 from Mr. Johnson and $250,000 from Dr. Higgins, and (ii) the Company issued a warrant for the purchase of 1,000,000 shares of Common Stock, with an exercise price per share equal to $0.01 (subject to adjustment as described therein) and expiration date of February 6, 2030 (the “Additional Tranche Three Loan Warrant”), to Dr. Higgins in connection with his Additional Tranche Three Loan. Mr. Johnson declined to be issued an Additional Tranche Three Loan Warrant. Mr. Johnson is our Chief Executive Officer, President, Secretary and Treasurer and is one of our directors. Dr. Higgins is one of our directors.

 

On April 17, 2020, the Company and PDL Investment Holdings, LLC, entered into a Consent and Agreement Regarding SBA Loan Agreement (the “PDL Consent Agreement”), pursuant to which the Lender (i) consented under the Credit Agreement to the Borrower’s issuing the Promissory Note and borrowing the SBA Loan and (ii) agreed that the SBA Loan would be deemed to be debt that is permitted under the Credit Agreement and Loan Documents.

 

On April 17, 2020, the Company and the Lender entered into a Twentieth Amendment to the PDL Modification Agreement (the “Twentieth Modification Agreement Amendment”), pursuant to which the parties agreed to amend the 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, 2020 (with each such date permitted to be extended by the Lender in its sole discretion); and that the Borrower’s interest payments that would otherwise be due to Lender on December 31, 2018, June 30, 2019, June 30, 2019, September 30, 2019, December 31, 2019, June 30, 2020 and June 30, 2020 would be deferred until September 30, 2020 (the end of the extended Modification Period), and that such deferrals would be a Covered Event. The Company has evaluated the Twentieth Modification Agreement Amendment and as the effective borrowing rate under the restructured agreement is less than the effective borrowing rate on the old agreement, a concession is deemed to have been granted under ASC 470-60-55-10. As a concession has been granted, the agreement is to be accounted for as a troubled debt restructuring by debtors (TDR) under ASC 470-60.

 

F- 30  

 

CAREVIEW COMMUNICATION, INC. AND SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

 

On September 30, 2020, the Company, the Borrower, the Subsidiary Guarantor, the Lender and the Tranche Three Lenders entered into a Twenty-First Amendment to Modification Agreement (the “Twenty- First Modification Agreement Amendment”), pursuant to which the parties agreed to amend the 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 November 30, 2020 (with each such date permitted to be extended by the Lender in its sole discretion); and that the Borrower’s (i) interest payments that would otherwise be due under the Credit Agreement on December 31, 2018, March 31, 2019, June 30, 2019, September 30, 2019, December 31, 2019, March 31, 2020, June 30, 2020, September 30, 2020 and October 7, 2020 and (ii) payments for principal and for any other Obligations then outstanding under the Tranche One Loan and the Tranche Three Loans that would otherwise be due under the Credit Agreement on October 7, 2020, would each be deferred until November 30, 2020 (the end of the extended Modification Period), and that such deferrals would be a Covered Event. The Company has evaluated the Twenty-First Modification Agreement Amendment and as the effective borrowing rate under the restructured agreement is less than the effective borrowing rate on the old agreement, a concession is deemed to have been granted under ASC 470-60-55-10. As a concession has been granted, the agreement is to be accounted for as a troubled debt restructuring by debtors (TDR) under ASC 470-60.

 

On November 30, 2020, the Company, the Borrower, the Subsidiary Guarantor, the Lender and the Tranche Three Lenders entered into a Twenty-Second Amendment to Modification Agreement (the “Twenty-Second Modification Agreement Amendment”), pursuant to which the parties agreed to amend the 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 January 31, 2021 (with each such date permitted to be extended by the Lender in its sole discretion); and that the Borrower’s (i) interest payments that would otherwise be due under the Credit Agreement on December 31, 2018, March 31, 2019, June 30, 2019, September 30, 2019, December 31, 2019, March 31, 2020, June 30, 2020, September 30, 2020, and October 7, 2020 and (ii) payments for principal and for any other Obligations then outstanding under the Tranche One Loan and the Tranche Three Loans that would otherwise be due under the Credit Agreement on October 7, 2020, would each be deferred until January 31, 2021 (the end of the extended Modification Period) and that such deferrals would be a Covered Event. The Company has evaluated the Twenty-Second Modification Agreement Amendment and as the effective borrowing rate under the restructured agreement is less than the effective borrowing rate on the old agreement, a concession is deemed to have been granted under ASC 470-60-55-10. As a concession has been granted, the agreement is to be accounted for as a troubled debt restructuring by debtors (TDR) under ASC 470-60.

 

On January 31, 2021, the Company, the Borrower, the Subsidiary Guarantor, the Lender and the Tranche Three Lenders entered into a Twenty-Third Amendment to Modification Agreement (the “Twenty- Third Modification Agreement Amendment”). See NOTE 16 for more details.

 

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 $1,600,000 which has been recorded as deferred issuance costs in the accompanying consolidated financial statements. As of December 31, 2019, the Amended PDL Warrant has not been exercised. 

 

F- 31  

 

CAREVIEW COMMUNICATION, INC. AND SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

 

During the year ended December 31, 2019, the Company and Lender entered into eight amendments to the PDL Modification Agreement (as detailed above), resulting in restructuring of the PDL Credit Agreement and the accounting treatment of the related costs. During the year ended December 31, 2020, the Company and Lender entered into four amendments to the PDL Modification Agreement (as detailed above), resulting in restructuring of the PDL Credit Agreement and the accounting treatment of the related costs. Under debt modification/troubled debt guidance, we determined that the first of the eight amendments qualified for modification accounting, while the final fifteen qualified for troubled debt restructuring accounting. As appropriate, we expensed the legal costs paid to third parties. For the years ended December 31, 2020 and 2019, pursuant to the terms of the PDL Modification Agreement, as amended, $3,100,000 and $3,773,673, respectively, was recorded as interest expense on the accompanying consolidated financial statements.

 

The Tranche Three Warrant issued with the Fifth PDL Credit Agreement Amendment 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 Tranche Three Loan Warrant was $3,704 and was recorded as interest expense at December 31, 2019.

 

NOTE 14 – AGREEMENT WITH HEALTHCOR

 

On April 21, 2011, we entered into a Note and Warrant Purchase Agreement (as subsequently amended) with HealthCor Partners Fund, LP (“HealthCor Partners”) and HealthCor Hybrid Offshore Master Fund, LP (“HealthCor Hybrid” and, together with HealthCor Partners, “HealthCor”) (the “HealthCor Purchase Agreement”). Pursuant to the terms of the HealthCor Purchase Agreement, we sold and issued 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 September 30, 2018 interest has been added to the outstanding principal balance. Pursuant to the terms of the Ninth Amendment, the accrual of interest has been suspended after September 30, 2018. 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.  The warrants issued with this Note were cancelled with the Ninth-Amendment dated July 10, 2018. 

 

F- 32  

 

CAREVIEW COMMUNICATION, INC. AND SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

 

On January 31, 2012, we entered 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 consider the timing of the issuance of the 2012 HealthCor Notes. The 2012 HealthCor Notes have a maturity date of January 30, 2022.

On January 16, 2014, we entered a 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 consider the timing of the issuance of the 2014 HealthCor Notes. The 2014 HealthCor Notes have a maturity date of January 15, 2024.

On December 4, 2014, we entered into a Fifth Amendment to the HealthCor Purchase Agreement (the “Fifth Amendment”) with HealthCor and certain additional investors (such additional investors, the “2015 Investors” and, collectively with HealthCor, the “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 consider the timing of the issuance of the Fifth Amendment Notes. The Fifth Amendment Notes have a maturity date of February 16, 2025.

On February 23, 2018, we entered into an Eighth Amendment to the HealthCor Purchase Agreement (the “Eighth Amendment”) with HealthCor, the 2015 Investors and certain investors (such additional 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 consider the timing of the issuance of the Eighth Amendment Notes. The Eighth Amendment Notes have a maturity date of February 22, 2028.

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 September 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, the 2015 Investors, the February 2018 Investors and certain investors (all of which are directors of the Company) (such additional investors, 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 (subject to adjustment as described therein) (the “Tenth Amendment Notes”). As provided by the Tenth Amendment, the Tenth 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 consider the timing of the issuance of the Tenth Amendment Notes. The Tenth Amendment Notes have a maturity date of July 12, 2028.

On May 15, 2019, we entered into the Twelfth Amendment to HealthCor Purchase Agreement with HealthCor, the 2015 Investors, the February 2018 Investors, the July 2018 Investors, and an investor (a member of our board of directors) (such additional investor, the “2019 Investor”), pursuant to which we sold and issued a convertible secured promissory note for $50,000 to the 2019 Investor with a conversion price per share equal to $0.03 (subject to adjustment as described therein) (the “Twelfth Amendment Note”). As provided by the Twelfth Amendment, the Twelfth Amendment Note is 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 Twelfth Amendment Note. The Twelfth Amendment Note has a maturity date of May 15, 2029. 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. As of December 31, 2020, the underlying shares of our Common Stock related to the Twelfth Amendment Note totaled approximately 2,000,000 to the 2019 Investor.

On February 6, 2020, we entered into the Thirteenth Amendment to HealthCor Purchase Agreement with HealthCor, the 2015 Investors, the February 2018 Investors, the July 2018 Investors, the 2019 Investor and an investor (a member of our board of directors) (such additional investor, the “February 2020 Investor”), pursuant to which (i) we sold and issued a convertible secured promissory note for $100,000 to the February 2020 Investor with a conversion price per share equal to $0.01 (subject to adjustment as described therein) (the “Thirteenth Amendment Note”). As provided by the Twelfth Amendment, the Twelfth Amendment Note is 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 Thirteenth Amendment Note. The Thirteenth Amendment Note has a maturity date of February 5, 2030. 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. As of December 31, 2020, the underlying shares of our Common Stock related to the Thirteenth Amendment Note totaled approximately 11,200,000 to the 2020 Investor.

 

On April 17, 2020, the Company and holders of at least a majority of the Common Stock underlying the outstanding notes and warrants to purchase shares of our Common Stock, on an as-converted basis, sold pursuant to the Note and Warrant Purchase Agreement dated April 21, 2011, as amended, by and among HealthCor Partners Fund, LP, HealthCor Hybrid Offshore Master Fund, LP and the other investors party thereto (the “Majority Holders”) (the “Purchase Agreement”), entered into a Consent and Agreement Regarding SBA Loan Agreement (the “NWPA Consent Agreement”), pursuant to which the Majority Holders (i) consented under the Purchase Agreement to the Borrower’s issuing the Promissory Note and borrowing the SBA Loan and (ii) agreed that the SBA Loan would be deemed to be Permitted Indebtedness under the Purchase Agreement (as defined therein).

 

   Underlying Shares
Investor Group  of Common Stock
2014 Healthcor Notes   28,064,226 
2015 Investors   19,388,598 
2015 Healthcor Notes   3,877,721 
February 2018 Investors   58,234,786 
July 2018 Investors   27,090,063 
2019 Investor   2,036,258 
February 2020 Investor   11,174,105 
Total   149,865,756 

 

F- 33  

 

CAREVIEW COMMUNICATION, INC. AND SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

 

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 $4,403,770 and $4,413,123 in interest for the years ended December 31, 2020 and 2019, respectively, related to these transactions. For the years ended December 31, 2020 and 2019, we recorded $2,743,735 and $1,178,322, respectively, of PIK related to the notes included in the HealthCor Purchase Agreement. 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. Under the accounting standards, we determined that the restructuring of the HealthCor notes, pursuant to the terms of the Ninth Amendment, resulted in a troubled debt restructuring. As the future cash flows were greater than the carrying amount of the debt at the date of the amendment, we accounted for the change prospectively using the new effective interest rate. During the years ended December 31, 2020 and 2019, we recorded a BCF of $0 and $6,390, 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 $157,668 and $34,672 in interest for the years ended December 31, 2020 and 2019, respectively, related to the Fifth Amendment Notes and Fifth Amendment Warrants. The Sixth Amendment Warrants 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 Ninth Amendment Warrants was $378,000, which was recorded as debt costs with the credit to additional paid in capital. We recorded an aggregate of $57,803 and $57,803 in interest expense for the years ended December 31, 2020 and 2019, respectively. The Eighth Amendment Warrants 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 Eighth Amendment Warrants was $10,707, which was recorded as interest expense at December 31, 2019.

 

F- 34  

 

   CAREVIEW COMMUNICATION, INC. AND SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

 

NOTE 15 – JOINT VENTURE AGREEMENT

 

On December 31, 2019, the Company and Rockwell entered into a Second Amendment to the Rockwell Note (the “Second Rockwell Note Amendment”) pursuant to which Rockwell agreed to extend the term of the Rockwell Note by one year, to December 31, 2020, and agreed to extend the time to make the quarterly payment that would otherwise be due on December 31, 2019 to January 31, 2020. We have evaluated the Second Amendment to the Rockwell Note under ASC 470 and determined that the amendment should be treated as a debt modification.

 

On January 31, 2020, the Company and Rockwell entered into a Third Amendment to the Rockwell Note (the “Third Rockwell Note Amendment”), pursuant to which Rockwell agreed to extend the time to make the quarterly payment that would otherwise be due on January 31, 2020 (per the Second Rockwell Note Amendment) to February 10, 2020. We have evaluated the Third Amendment to the Rockwell Note under ASC 470 and determined that the amendment should be treated as a debt modification.

 

Effective as of March 31, 2020, the Company and Rockwell entered into a Fourth Amendment to the Rockwell Note (the “Fourth Rockwell Note Amendment”), pursuant to which Rockwell agreed to extend the time to make the quarterly payment that would otherwise be due on March 31, 2020 to April 16, 2020. We have evaluated the Fourth Amendment to the Rockwell Note under ASC 470 and determined that the amendment should be treated as a debt modification.

 

On December 31, 2020, the Company and Rockwell entered a Fifth Amendment to the Rockwell Note (the “Fifth Rockwell Note Amendment”), pursuant to which Rockwell agreed (i) to extend the term of the Promissory Note by one (1) year and continue the quarterly principal payments through September 30, 2021 with the final balloon payment due on December 31, 2021 and (ii) that the quarterly principal payment that would otherwise be due on December 31, 2020 will not be required to be made until the final balloon payment due date. We have evaluated the Fourth Amendment to the Rockwell Note under ASC 470 and determined that the amendment should be treated as a debt modification.

 

F- 35  

 

CAREVIEW COMMUNICATION, INC. AND SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

  

NOTE 16 – SUBSEQUENT EVENTS

 

On January 31, 2021, the Company, the Borrower, the Subsidiary Guarantor, the Lender and the Tranche Three Lenders entered into a Twenty-Third Amendment to Modification Agreement (the “Twenty- Third Modification Agreement Amendment”), pursuant to which the parties agreed to amend the 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 May 31, 2021 (with each such date permitted to be extended by the Lender in its sole discretion); and that the Borrower’s (i) interest payments that would otherwise be due under the Credit Agreement on December 31, 2018, March 31, 2019, June 30, 2019, September 30, 2019, December 31, 2019, March 31, 2020, June 30, 2020 and September 30, 2020 from January 31, 2021 until May 31, 2021 and (ii) payments for principal and for any other Obligations then outstanding under the Tranche One Loan and the Tranche Three Loans that would otherwise be due under the Credit Agreement on October 7, 2020, would each be deferred from January 31, 2021 until May 31, 2021, and that such deferrals would be a Covered Event.

 

F- 36  

EX-21 2 ex21.htm SUBSIDIARIES OF THE REGISTRANT
 

CAREVIEW COMMUNICATIONS, INC. 10-K

 

Exhibit 21.00

 

Subsidiaries of the registrant

 

 

CareView Communications, Inc., a Texas corporation (“CareView-TX”), a wholly owned subsidiary

 

CareView Operations, LLC, a Nevada limited liability company (“CareView Operations”), a wholly owned subsidiary

 

 

EX-31.1 3 ex31-1.htm CERTIFICATION OF CHIEF EXECUTIVE OFFICER
 

CAREVIEW COMMUNICATIONS, INC. 10-K

 

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

 

Steven G. Johnson, certifies that:

 

(1)           I have reviewed this Annual Report on Form 10-K 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.

 

April 8, 2021

 

/s/ Steven G. Johnson

Steven G. Johnson

Chief Executive Officer

Principal Executive Officer

 

EX-31.2 4 ex31-2.htm CERTIFICATION OF CHIEF FINANCIAL OFFICER
 

CAREVIEW COMMUNICATIONS, INC. 10-K

 

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

 

Jason T. Thompson, certifies that:

 

(1)           I have reviewed this Annual report on Form 10-K 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.

 

April 8, 2021

 

/s/ Jason T. Thompson

Jason T. Thompson

Principal Financial Officer

Chief Accounting Officer

 

EX-32.1 5 ex32-1.htm CERTIFICATION OF CHIEF EXECUTIVE OFFICER
 

CAREVIEW COMMUNICATIONS, INC. 10-K

 

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 Annual Report of CareView Communications, Inc. (the “Company”) on Form 10-K for the year ended December 31, 2020, as filed with the Securities and Exchange Commission (the “Report”), I, Steven G. Johnson, Chief 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, 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 result of operations of the Company.

 

April 8, 2021

 

/s/ Steven G. Johnson

Steven G. Johnson

Chief 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 6 ex32-2.htm CERTIFICATION OF CHIEF FINANCIAL OFFICER
 

CAREVIEW COMMUNICATIONS, INC. 10-K

 

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 Annual Report of CareView Communications, Inc. (the “Company”) on Form 10-K for the year ended December 31, 2020, 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, 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 result of operations of the Company.

 

April 8, 2021

 

/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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Warrant term Award Type [Axis] Shares reserved for option under the plan Vesting period Expiration period Options granted Options outstanding Options issued Weighted average grant date fair value of options Share-based compensation expense Unrecognized estimated compensation expense Period for recognization of unrecognized compensation expense Exercise price of options granted Current: Federal State income tax, net of federal benefit Sub-total: Deferred: Federal State income tax, net of federal benefit Sub-total: Total: Income tax expense (benefit) Income tax reconciliation Expected income tax benefit at statutory rate Debt discount amortization Permanently disallowed interest PPP loan Other permanent differences State income tax, net of federal benefit Other reconciling items Change in valuation account Deferred Tax Assets: Tax benefit of net operating loss carry-forward Accrued interest Stock based compensation Amortization Depreciation Accrued expenses Donations Inventory reserve Bad debt allowance Research and development credit carry-forward BCF debt discount Total deferred tax assets Valuation allowance for deferred tax assets Deferred tax assets, net of valuation allowance Operating Loss Carryforwards [Table] Operating Loss Carryforwards [Line Items] Deferred tax valuation allowance increase Net operating loss carryforwards Expiration of net operating tax loss carry-forward Inventory TOTAL INVENTORY Prepaid equipment Other 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 TOTAL PROPERTY AND EQUIPMENT Depreciation expense Schedule of Finite-Lived Intangible Assets [Table] Finite-Lived Intangible Assets [Line Items] Cost Accumulated Amortization Net Balance Sheet Location [Axis] Cost Accumulated Amortization Net OTHER CURRENT LIABILITIES: Accrued interest Allowance for system removal Accrued paid time off Deferred commission Accrued rent expense Deferred revenue Accrued taxes Insurance Premium Financing Other accrued liabilities TOTAL OTHER CURRENT LIABILITIES Future debt payments for the year ending December 31, 2021 2022 2023 2024 Thereafter Total Maturity date Interest rate Liability Interest and other income Total debt amount, net Debt discount Initial deferral period Loan maturity period Assets Total lease asset Liabilities Current liabilities: Long-term liabilities: Operating lease liability, net of current portion Total lease liability Operating Leases 2021 2022 2023 2024 2025 and thereafter Total minimum lease payments Less effects of discounting Present value of future minimum lease payments Cash paid for amounts included in the measurement of lease liabilities: Operating cash flows for operating leases Remaining lease term Lease renewal term Rent expense Discount rate Changes in exercise price of warrants [Axis] Amount available under credit agreement Interest rate during period Proceeds for debt Interest rate Minimum cash balance required before modification Minimum cash balance required Restricted cash Reduction in monthly operating expenses Interest only quarterly payments Accrued interest Interest Expense Principal payments Deferred issuance costs Deferred financing costs Amortization of financing costs Net cash proceeds for issuance capital stock or debt Note amount Issuance of warrants Debt outstanding Underlying Shares of Common Stock HealthCor Fifth Amedment Purchase Agreement [Member] 2012 Senior Secured Convertible Notes [Member] Debt Maturity Date 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 Underlying shares Percentage of shares reserved prior to amendment Percentage of shares reserved Net proceeds to be retained from sale of hospital assets Minimum cash balance required under existing loan documents Paid in kind interest Deferred debt costs Conversion of notes Cash proceeds of working capital stock and debt Senior secured convertible notes, net of debt discount and debt costs Number of shares outstanding Percentage of common stock shares reserved for issuance of notes, previous Percentage of common stock shares reserved for issuance of notes, adjusted The entire disclosure regarding the Agreement with PDL BioPharma, Inc. The entire disclosure regarding the Agreement with Healthcor. The company's policy for accounting for the allowance for system removal, should the CareView system be required to be removed. Represents as a adjustment to fair value of warrants for modification of loan agreement. It represents as a cost associated with closure of joint ventures. Amount of increase in additional paid in capital (APIC) resulting from the issuance of warrants. Includes allocation of proceeds of debt securities issued with detachable stock purchase warrants. Periodic amortization of installation costs. Periodic amortization of deferred debt issuance costs. Non-cash lease expense. Cash outflow for the payment of deferred installation costs during the period. Amount of increase in lease obligation from remeasurement of operating lease. CareView Connect [Member] Number of pilot contracts. The monthly amount of a fully executed contract. 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. Amount of revenue recognized that was previously included or added during the period to balance of obligation to transfer good or service to customer for which consideration from customer has been received or is due. 2021 2022 Information pertaining to Network Equipment. Network Equipment is tangible personal property used to produce goods and services. Information by type of long-lived, physical assets used to produce goods and services and not intended for resale. Information by type of long-lived, physical assets used to produce goods and services and not intended for resale. Membe stand for customer. Member stand for office space. Balance of an allowance account, utilized to accrue for the potential de-install of systems, as of the balance sheet date. Number of warrants granted in the period. Number of shares class of warrant or right warrants canceled. Number of warrants expired in the period. Number of warrants exercisable and vested as of the balance sheet date. Price per share amount at which grantees can acquire shares of common stock by exercise of warrant. Price as of the balance sheet date at which grantees can acquire the shares reserved for issuance on vested outstanding and currently exercisable warrants. Weighted average price at which grantees can acquire the shares reserved for issuance of warrants. Weighted average per share amount at which grantees can acquire shares of common stock by exercise of warrants. The weighted-average exercise price of each class of warrants vested and exercisable. It represents as class of warrant or righst contractual life beginning. Duration of a class of warrant or right contractual life granted. It represents as class of warrant or righst contractual life ending. It represents as class of warrant or righst contractual life vested andexercisable. Accumulated Amortization It represents as sharebased compensation arrangement by sharebased payment award options outstanding weighted average remaining contractual term begining. It represents as sharebased compensation arrangement by sharebased payment award options outstanding weighted average remaining contractual termending. Represents the number of warrents experied during the period. Refers to written off value of warrant. Information pertaining to the 2007 Option Plan. Information pertaining to the 2009 Option Plan. It represents as option plan 2015 member. It represents as option plan 2016 member. It represents as option plan 2020 member. It represents as sharebased compensation arrangement by share based payment award options issued number. It represents as a BCF debt discount. The amount of inventory asset. 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 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). It represents deferred officer compensation. Refers to the amount related to deferred revenue incurred as on balance sheet date. Amount represent the insurance premium financing. Senior Secured Convertible Notes [Member] Senior Secured Convertible Notes [Member] Represents member of payroll protection program. Represents member of PPP loan. Tabular disclosure of operating lease right of use assets and lease liabilities. Tabular disclosure of cash flow information related to operating leases. Amount refers to the lease assets. Represents information related to lessee operating lease remaining lease terms. Represents the termination date. PDL Bio Pharma Inc [Member]. Represents fifth PDL credit agreement amendment. Information by category of arrangement, including but not limited to collaborative arrangements and non-collaborative arrangements. Represents tenth PDL Modification member. Represents eleventh PDL Modification member. Represents twelfth PDL Modification member. Represents the information pertaining to thirteen PDL modification agreement. Represents the information pertaining to medium term notes. Represents the information pertaining to Mr Johnon. Represents the information pertaining to Dr Higgins. Represents the information pertaining to medium term notes. Represents the information pertaining to fourteen amendment to the pdl modification agreement. Represents the information pertaining to termination date. Represents the information pertaining to termination date. Represents the information pertaining to termination date. Represents the information pertaining to termination date. The member represent termination date. This member stand for the sixth PDL credit agreement amendment. The member represent medium term notes. Warrant Purchase Agreement [Member]. Represents the information pertaining to termination date. Represents the information pertaining to medium term notes. It represents warrants member. The member represent medium term notes. 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. The cash inflow required from issuance of working capital stock and debt per credit agreement. The issuance of warrants (shares). Information pertaining to HealthCor Purchase Agreement. Information pertaining to HealthCor Purchase Agreement. Information pertaining to HealthCor Purchase Agreement. Information pertaining to HealthCor Purchase Agreement. Information pertaining to HealthCor Purchase Agreement. Represents the information pertaining to healt cor. Represents the information pertaining to healt cor new investors. 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. Information pertaining to HealthCor Partners Fund, LP. Health Cor New Investors [Member]. It represents health cor tenth amedment purchase agreement member. Represents the information pertaining to healt cor new investors. The member refer to health cor. The member represent health cor new investors. The member refer to thirteen amendment note. 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. Percentage of common stock shares reserved for issuance of notes, previous. Percentage of common stock shares reserved for issuance of notes. The information of health cor. The information of paycheck protection program. The information of payroll protection program flexibility act. Initial deferral period, in 'PnYnMnDTnHnMnS' format, for example, 'P1Y5M13D' represents reported fact of one year, five months, and thirteen days. Loan maturity period, in 'PnYnMnDTnHnMnS' format, for example, 'P1Y5M13D' represents reported fact of one year, five months, and thirteen days. 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. Collateralized debt obligation backed by, for example, but not limited to, pledge, mortgage or other lien on the entity's assets. Collateralized debt obligation backed by, for example, but not limited to, pledge, mortgage or other lien on the entity's assets. Amount before allocation of valuation allowances of deferred tax asset (liability) attributable to bad debt allowance. Related party debt. Other debt. Tranche One. Minimum cash balance required before modification. 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. First Five Year Note Period [Member] 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. Information pertaining to HealthCor Purchase Agreement. Thereafter. Amount of the difference between reported income tax expense (benefit) and expected income tax expense (benefit) computed by applying the domestic federal statutory income tax rates to pretax income (loss) from continuing operations attributable to debt. 2014 Senior Secured Convertible Note#1 HealthCor Ninth Amendment to Purchase Agreement Percecntage of shares that the Company must have authorized and reserved for the purpose of issuance upon conversion of the notes issued and exercise of the warrants prior to amendment. Percecntage of shares that the Company must have authorized and reserved for the purpose of issuance upon conversion of the notes issued and exercise of the warrants. Schedule of majority of the Common Stock underlying the outstanding notes and warrants to purchase shares of our Common Stock, on an as-converted basis. Represents the information pertaining to Healthcor 2014 investors group.. Represents the information pertaining to Healthcor 2015 investors group. The common shares of the outstanding notes and warrants to purchase common shares, on an as-converted basis, Represents the information pertaining to 2015 new investors group. Represents the information pertaining to investor group. Represents the information pertaining to investor group. Represents the information pertaining to investor group. Represents the information pertaining to investor group. Debt Instrument, Redemption, Period Four [Member] Net proceeds to be retained from sale of hospital assets [Default Label] Warrants [Member] [Default Label] HealthCor9Member NewInvestors2Member NewInvestors1Member Assets, Current Other Assets, Noncurrent Assets Liabilities, Current Operating Lease, Liability, Noncurrent Liabilities, Noncurrent Liabilities [Default Label] Stockholders' Equity, Including Portion Attributable to Noncontrolling Interest Liabilities and Equity Operating Expenses Operating Income (Loss) Other Nonoperating Expense Nonoperating Income (Expense) Income (Loss) from Continuing Operations before Equity Method Investments, Income Taxes, Noncontrolling Interest Stockholders' Equity Attributable to Parent Shares, Outstanding Allowance for Loan and Lease Loss, Recovery of Bad Debts Gain (Loss) on Disposition of Intangible Assets Increase (Decrease) in Accounts Receivable Increase (Decrease) in Inventories Increase (Decrease) in Other Current Assets Increase (Decrease) in Other Noncurrent Assets Increase (Decrease) in Accounts Payable Increase (Decrease) in Accrued Interest Receivable, Net Increase (Decrease) in Accrued Liabilities and Other Operating Liabilities Increase (Decrease) in 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, Cash Equivalents, Restricted Cash and Restricted Cash Equivalents, Period Increase (Decrease), Including Exchange Rate Effect Cash, Cash Equivalents, Restricted Cash and Restricted Cash Equivalents Debt Instrument, Convertible, Beneficial Conversion Feature Capitalized Contract Cost, Gross TransferToExpense Companys stock option activity and related information [Default Label] Fair value of warrants at re-value Class of Warrant or Right, Outstanding Warrants expired PaymentsForDeferredInstallationCosts [Default Label] WeightedAverageExercisePriceWarrants Warrants Granted WarrantsVestedAndExercisable Joint Venture Agreement 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 Arrangement by Share-based Payment Award, Options, Exercisable, Weighted Average Exercise Price Share-based Compensation Arrangement by Share-based Payment Award, Options, Vested and Expected to Vest, Outstanding, Aggregate Intrinsic Value Current Income Tax Expense (Benefit) Deferred Federal Income Tax Expense (Benefit) Deferred State and Local Income Tax Expense (Benefit) Deferred Income Tax Expense (Benefit) Effective Income Tax Rate Reconciliation, State and Local Income Taxes, Amount Deferred Tax Assets, Property, Plant and Equipment Deferred Tax Assets, Gross Deferred Tax Assets, Valuation Allowance Deferred Tax Assets, Net of Valuation Allowance InventoryAsset Other Receivables, Net, Current Accumulated Depreciation, Depletion and Amortization, Property, Plant, and Equipment OtherAssetsNoncurrentGross Accumulated Amortization [Default Label] Accrued Liabilities Proceeds from insurance claims Debt, Long-term and Short-term, Combined Amount HealthCor Second Amendment Purchase Agreement [Member] [Default Label] Operating Lease, Liability Lessee, Operating Lease, Liability, to be Paid, Year One Lessee, Operating Lease, Liability, to be Paid, Year Two Lessee, Operating Lease, Liability, to be Paid, Year Three Lessee, Operating Lease, Liability, to be Paid, Year Four Lessee, Operating Lease, Liability, to be Paid Lessee, Operating Lease, Liability, Undiscounted Excess Amount Debt Instrument, Interest Rate, Stated Percentage Interest Payable EX-101.PRE 12 crvw-20201231_pre.xml XBRL PRESENTATION FILE GRAPHIC 13 careview-logo.jpg GRAPHIC begin 644 careview-logo.jpg M_]C_X 02D9)1@ ! 0$ E@"6 #_[@ .061O8F4 9 "_]L 0P # @(# M @(# P,#! ,#! 4(!04$! 4*!P<&" P*# P+"@L+#0X2$ T.$0X+"Q 6$!$3 M%!45%0P/%Q@6%!@2%!44_]L 0P$#! 0%! 4)!04)% T+#104%!04%!04%!04 M%!04%!04%!04%!04%!04%!04%!04%!04%!04%!04%!04%!04%!04_\ % @ MP /A! $B (1 0,1 00B /_$ !\ $% 0$! 0$! ! @,$!08' M" D*"__$ +40 (! 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Cover - USD ($)
12 Months Ended
Dec. 31, 2020
Mar. 31, 2021
Jun. 30, 2020
Cover [Abstract]      
Entity Registrant Name CareView Communications Inc    
Entity Central Index Key 0001377149    
Document Type 10-K    
Document Period End Date Dec. 31, 2020    
Amendment Flag false    
Current Fiscal Year End Date --12-31    
Entity File Number 000-54090    
Entity Incorporation, State Code NV    
Entity Well-known Season Issuer No    
Entity Voluntary Filers No    
Entity Reporting Status Current Yes    
Entity Interactive Data Current Yes    
Entity Filer Category Non-accelerated Filer    
Entity Small Business true    
Entity Emerging Growth Company false    
Entity Shell Company false    
Entity Common Stock, Shares Outstanding   139,380,748  
Entity Public Float     $ 2,800,000
Document Fiscal Period Focus FY    
Document Fiscal Year Focus 2020    
XML 15 R2.htm IDEA: XBRL DOCUMENT v3.21.1
CONSOLIDATED BALANCE SHEETS - USD ($)
Dec. 31, 2020
Dec. 31, 2019
Current Assets:    
Cash and cash equivalents $ 357,950 $ 269,741
Accounts receivable 1,146,486 1,666,338
Inventory 408,450  
Other current assets 244,307 220,464
Total current assets 2,157,193 2,156,543
Property and equipment, net 1,592,484 1,978,020
Other Assets:    
Intangible assets, net 897,712 830,682
Operating lease asset 659,099 85,942
Other assets, net 197,121 240,700
Total other assets 1,753,932 1,157,324
Total assets 5,503,609 5,291,887
Current Liabilities:    
Accounts payable 442,004 439,851
Notes payable 20,163,786 20,363,786
Notes payable, related parties 700,000 200,000
Senior secured notes - related parties, current portion net of debt discount and debt costs of $1,083,599 and $0, respectively 44,883,349  
Operating lease liability 150,087 91,363
Other current liabilities 7,858,480 4,505,505
Total current liabilities 74,197,706 25,600,505
Long-term Liabilities:    
Senior secured notes - related parties, net of debt discount and debt costs of $749,069, and $5,775,097, respectively 9,894,117 50,835,220
Senior secured convertible notes - related parties, net of debt discount and debt costs of $3,514,921 and $4,163,489, respectively 20,717,036 17,570,365
Senior secured convertible notes, net of debt discount and debt costs of $136,810 and $156,549, respectively 3,394,478 3,029,110
Operating lease liability 561,202  
Total long-term liabilities 34,566,833 71,434,695
Total liabilities 108,764,539 97,035,200
Commitments and Contingencies (NOTE 11)  
Stockholders' Deficit:    
Preferred stock - par value $0.001; 20,000,000 shares authorized; no shares issued and outstanding  
Common stock - par value $0.001; 500,000,000 shares authorized; 139,380,748 issued and outstanding 139,381 139,381
Additional paid in capital 84,409,372 84,244,343
Accumulated deficit (187,809,685) (176,127,037)
Total stockholders' deficit (103,260,933) (91,743,313)
Total liabilities and stockholders' deficit $ 5,503,609 $ 5,291,887
XML 16 R3.htm IDEA: XBRL DOCUMENT v3.21.1
CONSOLIDATED BALANCE SHEETS (Parenthetical) - USD ($)
Dec. 31, 2020
Dec. 31, 2019
Allowance for doubtful accounts $ 0 $ 0
Preferred stock, par value (in dollars per share) $ 0.001 $ 0.001
Preferred stock, authorized 20,000,000 20,000,000
Preferred stock, issued 0 0
Preferred stock, outstanding 0 0
Common stock, par value (in dollars per share) $ 0.001 $ 0.001
Common stock, authorized 500,000,000 500,000,000
Common stock, issued 139,380,748 139,380,748
Common stock, outstanding 139,380,748 139,380,748
Senior Secured Notes Related Party Current [Member]    
Debt discount and debt costs $ 1,083,599 $ 0
Senior Secured Notes Related Party [Member]    
Debt discount and debt costs 749,069 5,775,097
Senior Secured Convertible Notes Related Party [Member]    
Debt discount and debt costs 3,514,921 4,163,489
Senior Secured Convertible Notes [Member]    
Debt discount and debt costs $ 136,810 $ 156,549
XML 17 R4.htm IDEA: XBRL DOCUMENT v3.21.1
CONSOLIDATED STATEMENTS OF OPERATIONS - USD ($)
12 Months Ended
Dec. 31, 2020
Dec. 31, 2019
Income Statement [Abstract]    
Revenues, net $ 6,461,995 $ 6,294,122
Operating expenses:    
Network operations 2,738,120 3,033,130
General and administration 2,721,552 4,054,398
Sales and marketing 575,195 324,267
Research and development 1,708,296 1,400,325
Depreciation and amortization 597,119 720,567
Total operating expense 8,340,282 9,532,687
Operating loss (1,878,287) (3,238,565)
Other income and (expense)    
Interest expense (10,595,598) (10,851,162)
Interest income 400 761
Gain on extinguishment of debt 786,889  
Other expense (37,917) (61,340)
Other income 41,867 9,860
Total other income (expense) (9,804,359) (10,901,881)
Loss before taxes (11,682,646) (14,140,446)
Net loss $ (11,682,646) $ (14,140,446)
Net loss per share (in dollars per share) $ (0.08) $ (0.10)
Weighted average number of common shares outstanding, basic and diluted (in shares) 139,380,748 139,380,748
XML 18 R5.htm IDEA: XBRL DOCUMENT v3.21.1
CONSOLIDATED STATEMENTS OF CHANGES IN EQUITY - USD ($)
Common Stock [Member]
Additional Paid in Capital [Member]
Accumulated Deficit [Member]
Total
Balance, beginning at Dec. 31, 2018 $ 139,381 $ 84,027,883 $ (161,986,591) $ (77,819,327)
Balance, beginning (in shares) at Dec. 31, 2018 139,380,748      
Increase (Decrease) in Stockholders' Equity [Roll Forward]        
Options granted as compensation   195,657   195,657
Beneficial conversion features for senior secured convertible notes   6,392   6,392
Issuance of warrants to purchase common stock   14,411   14,411
Net loss     (14,140,446) (14,140,446)
Balance, ending at Dec. 31, 2019 $ 139,381 84,244,343 (176,127,037) (91,743,313)
Balance, ending (in shares) at Dec. 31, 2019 139,380,748      
Increase (Decrease) in Stockholders' Equity [Roll Forward]        
Options granted as compensation   156,342   156,342
Issuance of warrants to purchase common stock   8,687   8,687
Net loss     (11,682,646) (11,682,646)
Balance, ending at Dec. 31, 2020 $ 139,381 $ 84,409,372 $ (187,809,683) $ (103,260,930)
Balance, ending (in shares) at Dec. 31, 2020 139,380,748      
XML 19 R6.htm IDEA: XBRL DOCUMENT v3.21.1
CONSOLIDATED STATEMENTS OF CASH FLOWS - USD ($)
12 Months Ended
Dec. 31, 2020
Dec. 31, 2019
CASH FLOWS FROM OPERATING ACTIVITES    
Net loss $ (11,682,646) $ (14,140,446)
Adjustments to reconcile net loss to net cash flows used in operating activities:    
Depreciation 531,098 666,387
Amortization of intangible assets 66,021 54,180
Bad debt recovery   (7,588)
Amortization of debt discount 4,552,751 4,357,463
Amortization of deferred installation costs 31,759 91,694
Amortization of deferred debt issuance and debt financing costs 57,803 815,061
Non-cash lease expense (11,955)  
Gain on extinguishment of debt (786,889)  
Interest incurred and paid in kind 2,743,734 2,673,428
Stock based compensation related to options granted 165,029 195,657
Loss on disposal of intangible assets (2,885) 249
Write off of deferred installation costs 21,886 9,277
Changes in operating assets and liabilities:    
Accounts receivable 519,852 (381,757)
Inventory (408,450)  
Other current assets (23,842) 1,187,962
Other assets 16,393 167,409
Accounts payable 2,152 (69,447)
Accrued interest 3,227,058 2,937,285
Other current liabilities 131,005 6,384
Operating lease liability 58,724  
Net cash flows used in operating activities (791,402) (1,436,802)
CASH FLOWS FROM INVESTING ACTIVITIES    
Purchase of property and equipment (142,679) (157,988)
Payment for deferred installation costs (26,459) (47,472)
Patent, trademark and other intangible asset costs (133,051) (138,722)
Net cash flows used in investing activities (302,189) (344,182)
CASH FLOWS FROM FINANCING ACTIVITIES    
Proceeds from senior secured convertible promissory notes 100,000 50,000
Proceeds from payroll protection program loan 781,800  
Proceeds from promissory notes 500,000 200,000
Repayment of notes payable (200,000) (150,000)
Net cash flows provided by financing activities 1,181,800 100,000
Increase (Decrease) in cash 88,209 (1,680,984)
Cash and cash equivalents, beginning of period 269,741 1,950,725
Cash and cash equivalents, end of period 357,950 269,741
SUPPLEMENTAL DISCLOSURES OF CASH FLOW INFORMATION:    
Cash paid for interest   150,000
Cash paid for income taxes  
SUPPLEMENTAL SCHEDULE OF NON-CASH FINANCING ACTIVITIES:    
Remeasurement of operating lease $ 46,769  
Beneficial conversion features for senior secured convertible notes   $ 6,392
XML 20 R7.htm IDEA: XBRL DOCUMENT v3.21.1
DESCRIPTION OF BUSINESS AND BASIS OF PRESENTATION
12 Months Ended
Dec. 31, 2020
Organization, Consolidation and Presentation of Financial Statements [Abstract]  
DESCRIPTION OF BUSINESS AND BASIS OF PRESENTATION

NOTE 1 – DESCRIPTION OF BUSINESS AND BASIS OF PRESENTATION 

 

CareView Communications, Inc., a Nevada corporation (“CareView”, the “Company”, “we”, “us” or “our”), was originally formed in California on July 8, 1997 under the name Purpose, Inc., changing our name to Ecogate, Inc. in April 1999, and CareView Communications, Inc. in October 2007. We began our current operation in 2003 as a healthcare information technology company with a patented patient monitoring and entertainment system.

 

Our business consists of a single segment of products and services all of which are sold and provided within the United States.

 

Description of Business

 

We provide products and on-demand application services for the healthcare industry, seeking to improve hospital communications, operational effectiveness, implement loss preventative and patient safety measures through bedside video monitoring, telemedicine services, and software applications. 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.

 

CareView Patient Safety System

 

Our CareView Patient Safety System® suite of video monitoring, guest services, and related applications connect patients, families and healthcare providers. CareView's secure video monitoring system connects the patient room to a touchscreen monitor at the nursing station or a mobile handheld device allowing the nursing staff to maintain a level of visual contact with each patient.

 

In addition to patient safety and security we also provide a suite of services including on-demand movies, Internet access via the patient's television, and video visits with family and friends. 

 

CareView Connect

 

CareView ConnectTM Quality of Life System (“CareView Connect”), consists of a small emergency assist button, two motion sensors, one sleep sensor, and one event sensor. Resident activity levels, medication administration, sleep patterns, and requests for assistance can all be monitored depending on which options are selected. CareView's suite of products are designed for the long-term care market, including: Nursing Care, Home Care, Assisted Living and Independent Living.

 

During 2019, the Company was only able to enter two pilot contracts, one of which was converted into a fully executed contract in the amount of $1,464 per month in August 2019, the other remains a pilot contract.  In the fourth quarter of 2019, we wrote off the $1,131,000 CareView Connect product on hand due to the lack of recent marketability of the Connect product and our additional focus on CareView Patient Safety System sales. This loss was included in general and administrative expenses in the statement of operations. 

 

Principles of Consolidation

 

The accompanying consolidated financial statements include the accounts of CareView and CareView Communications, Inc., a Texas corporation and CareView Operations, LLC, a Nevada limited liability company (our wholly owned subsidiaries). All inter-company balances and transactions have been eliminated in consolidation.

 

COVID-19 Outbreak

 

In December 2019, a novel strain of coronavirus (COVID-19) was identified in Wuhan, China, and has subsequently spread to other regions of the world, and has resulted in increased travel restrictions, business disruptions and emergency quarantine measures across the world including the United States.

 

The Company has considered the effects of COVID-19 in the preparation of the financial statements as of and for the period ended December 31, 2020. We have been able to continue providing services to our current customer base and have not yet experienced a slowdown in collections. However, the continued shelter-in-place orders have limited our ability to install currently contracted units as well as make sales visits. 

 

On March 27, 2020, the Coronavirus Aid, Relief, and Economic Security (CARES) Act (the "Act") was enacted. The CARES Act is an approximately $2 trillion emergency economic stimulus package in response to the Coronavirus outbreak, which among other things contains numerous income tax provisions. Some of these tax provisions are expected to be effective retroactively for years ending before the date of enactment. The Company applied for, and received, funds under the Paycheck Protection Program in the amount of $781,800. Refer to Note 11.

XML 21 R8.htm IDEA: XBRL DOCUMENT v3.21.1
SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES
12 Months Ended
Dec. 31, 2020
Accounting Policies [Abstract]  
SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES

NOTE 2 – SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES

 

Cash and Cash Equivalents

 

We consider all highly liquid investments with a maturity of three months or less when purchased to be cash equivalents. We maintain cash at financial institutions that at times may exceed federally insured limits.

 

Trade Accounts Receivable

 

Trade accounts receivable are customer obligations due under normal trade terms. We provide an allowance for doubtful accounts, which is based upon a review of outstanding receivables, historical collection information and existing economic conditions. Trade accounts receivable past due more than 90 days are considered delinquent. Delinquent receivables are written off based on individual credit evaluations, results of collection efforts, and specific circumstances of the customer. Recoveries of accounts previously written off are recorded as reductions of bad debt expense when received. At December 31, 2020 and 2019, an allowance for doubtful accounts of $0 and $0, respectively, was recorded.

 

Property and Equipment

 

Property and equipment is stated at cost, net of accumulated depreciation. Maintenance costs, which do not significantly extend the useful lives of the respective assets, and repair costs are charged to operating expense as incurred. We include Network Equipment in fixed assets upon receipt and begin depreciating the Network Equipment when such equipment passes our incoming inspection and is available for use. We attribute no salvage value to the Network Equipment and depreciation is computed using the straight-line method based on the estimated useful life of seven years. Depreciation of office and test equipment, warehouse equipment and furniture is computed using the straight-line method based on the estimated useful lives of the assets, generally three years for office and test equipment, and five years for warehouse equipment and furniture.

 

Inventories

 

Inventory is valued at the lower of cost, determined on a first-in, first-out (FIFO), or net realizable value. Inventory items are analyzed to determine cost and net realizable value, and appropriate valuation adjustments are then established. See NOTE 6 for more details.

 

Allowance for System Removal

 

We would remove the CareView Patient Safety System from customer premises due to a number of factors; including, but not limited to, collection/revenue performance issues and contract expiration/non-renewal. We regularly evaluate the installed CareView Patient Safety Systems for such factors and an allowance is set up based on the estimated cost of removal. At December 31, 2020 and 2019, an allowance of $36,500 and $152,800, respectively, was recorded in other assets in the accompanying consolidated financial statements.

 

Impairment of Long-Lived Assets

 

Carrying values of property and equipment and finite-lived intangible assets are reviewed for impairment whenever events or changes in circumstances indicate that their carrying values may not be recoverable. Such events or circumstances include, but are not limited to:

 

 

Significant declines in an asset’s market price;

 

Significant deterioration in an asset’s physical condition;

 

Significant changes in the nature or extent of an asset’s use or operation;

 

Significant adverse changes in the business climate that could impact an asset’s value, including adverse actions or assessments by regulators;

 

Accumulation of costs significantly in excess of original expectations related to the acquisition or construction of an asset;

 

Current-period operating or cash flow losses combined with a history of such losses or a forecast that demonstrates continuing losses associated with an asset’s use; and

 

Expectations that it is more likely than not that an asset will be sold or otherwise disposed of significantly before the end of our previously estimated useful life.

 

If impairment indicators are present, we determine whether an impairment loss should be recognized by testing the applicable asset or asset groups’ carrying value for recoverability. This test requires long-lived assets to be grouped at the lowest level for which identifiable cash flows are largely independent of the cash flows of other assets and liabilities, the determination of which requires judgment. We estimate the undiscounted future cash flows expected to be generated from the use and eventual disposal of the assets and compare that estimate to the respective carrying values in order to determine if such carrying values are recoverable. This assessment requires the exercise of judgment in assessing the future use of and projected value to be derived from the eventual disposal of the assets to be held and used. Assessments also consider changes in asset utilization, including the temporary idling of capacity and the expected timing for placing this capacity back into production. If the carrying value of the asset is not recoverable, then a loss is recorded for the difference between the assets’ fair value and respective carrying value. The fair value of the asset is determined using an “income approach” based upon a forecast of all the expected discounted future net cash flows associated with the subject assets. Some of the more significant estimates and assumptions include market size and growth, market share, projected selling prices, manufacturing cost and discount rate. Our estimates are based upon our historical experience, our commercial relationships, market conditions and available external information about future trends. We believe our current assumptions and estimates are reasonable and appropriate; however, unanticipated events and changes in market conditions could affect such estimates resulting in the need for an impairment charge in future periods. During the years ended December 31, 2020 and 2019, no impairment was recognized.

 

Research and Development

 

Research and development costs are expensed as incurred. Costs regarding the development of software to be sold, leased or otherwise marketed are subject to capitalization beginning when a product’s technological feasibility has been established and ending when a product is available for general release to customers. We did not capitalize any such costs during the years ended December 31, 2020 and 2019.

 

Intellectual Property

 

We capitalize certain costs of developing software upon the establishment of technological feasibility and prior to the availability of the product for general release to customers for our CareView Patient Safety System in accordance with accounting principles generally accepted in the United States of America (“GAAP”). Capitalized costs are reported at the lower of unamortized cost or net realizable value and are amortized over the estimated useful life of the CareView Patient Safety System not to exceed five years. Additionally, we test our intangible assets for impairment whenever circumstances indicate that their carrying value may not be recoverable. No impairment was recorded during the years ended December 31, 2020 and 2019.

 

During the years ended December 31, 2020 and 2019, we capitalized no additional intellectual property costs.

 

Patents and Trademarks

 

We amortize our intangible assets with a finite life on a straight-line basis, over 10 years for trademarks and 20 years for patents. We begin amortization of these costs on the date patents or trademarks are awarded.

 

Derivative Financial Instruments

 

Derivatives are recorded on the balance sheet at fair value and changes in fair value are recorded in earnings at each reporting date in accordance with GAAP. See Fair Value of Financial Instruments, below, and NOTES 13 and 14 for further details regarding derivative activity during the years ended December 31, 2020 and 2019.

 

Fair Value of Financial Instruments

 

Our financial instruments consist primarily of receivables, accounts payable, accrued expenses and short and long-term debt. The carrying amount of receivables, accounts payable and accrued expenses approximate our fair value because of the short-term maturity of such instruments, and they are considered Level 1 assets under the fair value hierarchy. We have elected not to carry our debt instruments at fair value. The carrying amount of our debt approximates fair value. Interest rates that are currently available to us for issuance of short and long-term debt with similar terms and remaining maturities are used to estimate the fair value of our short and long-term debt and would be considered Level 3 inputs under the fair value hierarchy.

 

We have categorized our assets and liabilities that are valued at fair value on a recurring basis into a three-level fair value hierarchy in accordance with GAAP. Fair value is defined as the exchange price that would be received for an asset or paid to transfer a liability (an exit price) in the principal or most advantageous market for the asset or liability in an orderly transaction between market participants on the measurement date. The fair value hierarchy gives the highest priority to quoted prices in active markets for identical assets and liabilities (Level 1) and lowest priority to unobservable inputs (Level 3).

 

Assets and liabilities recorded in the consolidated balance sheets at fair value are categorized based on a hierarchy of inputs, as follows:

 

Level 1 -- Unadjusted quoted prices in active markets for identical assets or liabilities.

Level 2 -- Quoted prices for similar assets or liabilities in active markets or inputs that are observable for the asset or liability, either directly or indirectly through market corroboration, for substantially the full term of the financial instrument.

Level 3 -- Unobservable inputs for the asset or liability.

 

At December 31, 2020 and 2019, we had no financial assets and liabilities reported at fair value.

 

Income Taxes

 

Income taxes are accounted for under the asset and liability method. Deferred tax assets and liabilities are recognized for the estimated future tax consequences attributable to differences between the financial statements carrying amounts of existing assets and liabilities and their respective tax basis. Deferred tax assets and liabilities are measured using enacted tax rates expected to apply to taxable income in the years in which the related temporary differences are expected to be recovered or settled. The effect on deferred tax assets and liabilities of a change in tax rates is recognized when the rate change is enacted. Valuation allowances are recorded to reduce deferred tax assets to the amount that will more likely than not be realized. In accordance with GAAP, we recognize the effect of uncertain income tax positions only if the positions are more likely than not of being sustained in an audit, based on the technical merits of the position. Recognized uncertain income tax positions are measured at the largest amount that is greater than 50% likely of being realized. Changes in recognition or measurement are reflected in the period in which those changes in judgement occur. We recognize both interest and penalties related to uncertain tax positions as part of the income tax provision. 

 

Revenue Recognition

 

We adopted Accounting Standards Codification (“ASC”) Topic 606 (“ASC 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. 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 with each healthcare facility for a standard term of three to five years and have determined we have one performance obligation for our services and hardware. Under the subscription-based contract, 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 Patient Safety System and are required to maintain and service all CareView Patient Safety System equipment. If the healthcare facility requires additional services, the contract is amended accordingly. 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 incur 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.

 

Under our sales-based contract model, the hardware, installation costs, and software license are billed to the facility upon receipt of hardware and at "Go Live" for installation costs and software licensing. Upon Go-Live and when services begin, the customer simultaneously receives the use and benefit of those services and recognize the revenue from the sale of hardware, installation, and software licensing over time. If the healthcare facility requires additional services or hardware, the contract is amended accordingly. The revenues related to the sales-based contract model were not material during fiscal 2020, and therefore, the Company determined 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 operation.

   

The table below details the activity in these deferred installation costs during the years ended December 31, 2020 and 2019, including in other assets in the accompanying consolidated balance sheet.

 

 

 

For the Years Ended
December 31,

 

 

 

2020

 

 

2019

 

Balance, beginning of period

 

$

81,188

 

 

$

134,686

 

Additions

 

 

26,459

 

 

 

47,472

 

Transfer to expense

 

 

(53,645

)

 

 

(100,970

)

Balance, end of period

 

$

54,002

 

 

$

81,188

 

 

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.

 

During the years ended December 31, 2020 and 2019, a total of $137,866 and $58,559, respectively, of the beginning balance of the contract liability was recognized as revenue. The table below details the activity during the years ended December 31, 2020 and 2019.

 

 

 

For the Years Ended
December 31,

 

 

 

2020

 

 

2019

 

Balance, beginning of period

 

$

255,398

 

 

$

58,559

 

Additions

 

 

493,767

 

 

 

647,473

 

Transfer to revenue

 

 

(284,041

)

 

 

(450,634

)

Balance, end of period

 

$

465,124

 

 

$

255,398

 

 

As of December 31, 2020, future transfers to revenue are as follows:

 

Years Ending December 31,

 

Amount

 

2021

 

$

331,717

 

2022

 

 

66,207

 

Thereafter

 

 

67,200

 

 

 

$

465,124

 

 

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 is recorded when the right to consideration becomes unconditional and are reported accordingly our consolidated financial statements.

 

Leases

 

Under ASC Topic 842, operating lease expense is generally recognized evenly over the term of the lease. The Company has an operating lease primarily consisting of office space with a remaining lease term of 55 months. We adopted ASC Topic 824, Leases, using the cumulative effect transition method for all operating leases with an original term of 12 months or more as of January 1, 2019. The cumulative impact of the adoption of ASC Topic 842 to the consolidated balance sheet as of January 1, 2019 was as follows:

 

Operating Lease Asset   $ 236,959  
Operating Lease Liability-ST   $ 166,955  
Operating Lease Liability-LT   $ 83,477  

 

The adoption of  ASC Topic 842 did not result in an adjustment to retained earnings.

 

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 common shares 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 to purchase our Common Stock (the “Warrants”) and convertible debt. Potential common shares totaling approximately 207,000,000 and 161,000,000 at December 31, 2020 and 2019, respectively, have been excluded from the diluted earnings per share calculation as they are anti-dilutive due to our reported net loss.

 

Stock Based Compensation

 

We recognize compensation expense for all share-based payments granted and amended based on the grant date fair value estimated in accordance with GAAP. Compensation expense is generally recognized on a straight-line basis over the employee’s requisite service period based on the award’s estimated lives for fixed awards with ratable vesting provisions.

 

Debt Discount Costs

 

Costs incurred with parties who are providing long-term financing, with Warrants issued with the underlying debt, are reflected as a debt discount based on the relative fair value of the debt and Warrants. These discounts are generally amortized over the life of the related debt, using the effective interest rate method or other methods approximating the effective interest method. Additionally, convertible debt issued with a beneficial conversion feature is recorded at a discount based on the difference in the effective conversion price and the fair value of the Company’s stock on the date of issuance, if any. Outstanding debt is presented net of any such discounts on the accompanying consolidated financial statements.

 

Deferred Debt Issuance and Debt Financing Costs

 

Costs incurred through the issuance of Warrants to parties who are providing long-term financing availability, which includes revolving credit lines, are reflected as deferred debt issuance based on the fair value of the Warrants issued. Costs incurred with third parties related to issuance of debt are recorded as deferred financing costs. These costs are generally amortized over the life of the financing instrument using the effective interest rate method or other methods approximating the effective interest method. Amounts associated with our senior secured convertible notes are netted with the outstanding debt on the accompanying consolidated financial statements while amount associated with credit facilities are presented in other assets on the accompanying consolidated statements of operations.

 

Shipping and Handling Costs

 

We expense all shipping and handling costs as incurred. These costs are included in network operations on the accompanying consolidated statements of operations.

 

Advertising Costs

 

We consider advertising costs as costs associated with the promotion of our products through the various media outlets and trade shows. We expense all advertising costs as incurred. Our advertising expense for the years ended December 31, 2020 and 2019 totaled approximately $28,000 and $30,000, respectively.

 

Concentration of Credit Risks and Customer Data

 

During 2020 one customer comprised $1,179,000 or 18% of our revenue, while no other customer comprised more than 10%. During 2019 one customer comprised $1,538,000 or 25% of our revenue, while no other customer comprised more than 10%.

 

Use of Estimates

 

Our financial statements have been prepared in accordance with GAAP. The preparation of these financial statements requires us to make significant estimates and judgments that affect the reported amounts of assets, liabilities, revenues, expenses and related disclosure of contingent assets and liabilities. We evaluate our estimates, including those related to contingencies, on an ongoing basis. We base our estimates on historical experience and on various other assumptions that are believed to be reasonable under the circumstances, the results of which form the basis for making judgments about the carrying values of assets and liabilities that are not readily apparent from other sources. Actual results may differ from these estimates under different assumptions or conditions.

 

Recently Issued and Newly Adopted Accounting Pronouncements

 

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, 2019. We do not expect that the adoption of any recent accounting pronouncements will have a material impact on our accompanying consolidated financial statements.

 

Reclassification

 

Certain amounts reported in the prior year financial statements may have been reclassified to conform to the current year presentation.

XML 22 R9.htm IDEA: XBRL DOCUMENT v3.21.1
GOING CONCERN, LIQUIDITY AND MANAGMENTS PLAN
12 Months Ended
Dec. 31, 2020
Liquidity and Managments Plan [Abstract]  
GOING CONCERN, LIQUIDITY AND MANAGMENTS PLAN

NOTE 3 – GOING CONCERN, LIQUIDITY AND MANAGMENTS PLAN

 

Our cash position at December 31, 2020 was approximately $358,000.

 

Accounting standards require management to evaluate our ability to continue as a going concern for a period of one year after the date of the filing of this Form 10-K (“evaluation period”). These conditions raise substantial doubt about the Company's ability to continue as a going concern for a period of time within one year after the date that the financial statements are issued. 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 nondilutive 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.

 

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. The financial information contained in these financial statements have been prepared on a basis that assumes that we will continue as a going concern, which contemplates the realization of assets and the satisfaction of liabilities and commitments in the normal course of business. This financial information and these financial statements do not include any adjustments that may result from the outcome of this uncertainty.

XML 23 R10.htm IDEA: XBRL DOCUMENT v3.21.1
STOCKHOLDERS' EQUITY
12 Months Ended
Dec. 31, 2020
Stockholders' Equity Note [Abstract]  
STOCKHOLDERS' EQUITY

NOTE 4 – STOCKHOLDERS’ EQUITY

 

Preferred Stock

 

At December 31, 2020 and 2019, we had 20,000,000 shares of Preferred Stock, par value $0.001 authorized and none outstanding, which can be designated by our Board of Directors.

 

Common Stock

 

At December 31, 2020 and 2019, we had 500,000,000 and 300,000,000 shares of Common Stock, $0.001 par value, respectively, authorized, and 139,380,748 shares of Common Stock issued and outstanding. There was no Common Stock issued during the years ended December 31, 2020 or 2019.

 

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 (except certain Warrants issued to HealthCor in 2011 (the “2011 HealthCor Warrants”) as discussed in NOTE 14 and the warrants issued in connection with a private placement completed in April 2013 (“Private Placement Warrants”). 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 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 (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.

 

Active Warrant Holders

 

A summary of our Warrants activity and related information follows:

 

 

 

Number of Shares Under Warrant

 

 

Range of Warrant Price Per Share

 

 

Weighted Average Exercise Price

 

 

Weighted Average Remaining Contractual Life

 

Beginning Balance     16,284,000     $ 0.05-$1.10      $  0.49        4.9  
   Granted      250,000      0.03      0.03        9.4  
   Canceled                              

Balance at December 31, 2019

 

 

16,534,030

 

 

$

0.03-$1.10

 

 

$

0.49

 

 

 

4.4

 

Granted

 

 

1,000,000

 

 

$

0.01

 

 

$

0.01

 

 

 

9.10

 

Expired

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Canceled

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Balance at December 31, 2020

 

 

16,050,458

 

 

$

0.01-$0.53

 

 

$

0.76

 

 

 

4.3

 

 

As of December 31, 2020 and 2019, we had no unamortized costs associated with capitalized Warrants.

 

Warrant Activity During 2020

 

In February 2020, we issued 1,000,000 ten-year Warrants (with a fair value of $10,000) at an exercise price of $0.01 per share to a director.

 

Warrant Activity During 2019

 

In May 2019, we issued 250,000 ten-year Warrants (with a fair value of $4,000) at an exercise price of $0.03 per share to a director.

 

Stock Options

 

Effective December 3, 2007, we established the CareView Communications, Inc. 2007 Stock Incentive Plan (“2007 Plan”) pursuant to which 8,000,000 shares of Common Stock were reserved for issuance upon the exercise of options (“2007 Plan Option(s)”). The 2007 Plan was designed to serve as an incentive for retaining our qualified and competent key employees, officers and directors, and certain consultants and advisors. The 2007 Plan Options vest over three years and have an exercise period of ten years from the date of issuance. At December 31, 2020, the 2007 Plan Option to purchase 8,000,000 shares of our Common Stock have been issued with zero remaining outstanding.

 

Effective September 30, 2009, we established the CareView Communications, Inc. 2009 Stock Incentive Plan (the “2009 Plan”) pursuant to which 10,000,000 shares of Common Stock was reserved for issuance upon the exercise of options (“2009 Plan Option(s)”). The 2009 Plan was designed to serve as an incentive for retaining our qualified and competent key employees, officers, and directors. The 2009 Plan Options vest over three years and have an exercise period of ten years from the date of issuance. As of December 31, 2020, the 2009 Plan Option to purchase 10,000,000 shares of our Common Stock have been issued with zero remaining outstanding.

 

On February 25, 2015, we established the CareView Communications, Inc. 2015 Stock Option Plan (the “2015 Plan”) pursuant to which 5,000,000 shares of Common Stock was reserved for issuance upon the exercise of options (“2015 Plan Option(s)”). The 2015 Plan was designed to serve as an incentive for retaining our qualified and competent key employees, officers, and directors. The 2015 Plan Options vest over three years and have an exercise period of ten years from the date of issuance. As of December 31, 2020, the 2015 Plan Option to purchase 5,000,000 shares of our Common Stock have been issued with zero remaining outstanding.

 

On December 7, 2016, we established the CareView Communications, Inc. 2016 Stock Option Plan (the “2016 Plan”) pursuant to which 20,000,000 shares of Common Stock was reserved for issuance upon the exercise of options (“2016 Plan Option(s)”). The 2016 Plan was designed to serve as an incentive for retaining our qualified and competent key employees, officers, and directors. The 2016 Plan Options vest over three years and have an exercise period of ten years from the date of issuance. As of December 31, 2020, the 2016 Plan Option to purchase 20,000,000 shares of our Common Stock have been issued with zero remaining outstanding.

 

On August 6, 2020, we established the CareView Communications, Inc. 2020 Stock Option Plan (the “2020 Plan”) pursuant to which 20,000,000 shares of Common Stock was reserved for issuance upon the exercise of options (“2020 Plan Option(s)”). The 2020 Plan was designed to serve as an incentive for retaining our qualified and competent key employees, officers, and directors. The 2020 Plan Options vest over three years and have an exercise period of ten years from the date of issuance. As of December 31, 2020, the 2020 Plan Option to purchase 13,637,024 shares of our Common Stock have been issued with 6,362,976 remaining outstanding.

 

The valuation methodology used to determine the fair value of the 2007 Plan Options, 2009 Plan Options, 2015 Plan Options, 2016 Plan Options, and 2020 Plan Options, collectively, (the “Option(s)”) issued was the Black- Scholes Model. 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 expected term of the options.

 

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

 

 

 

Number of Shares Under Option

 

 

Weighted Average Exercise Price

 

 

Weighted
Average
Remaining
Contractual
Life

 

 

Aggregate Intrinsic Value

 

Balance at December 31, 2019

 

 

20,524,792

 

 

$

0.25

 

 

 

6.3

 

 

$

 

Granted

 

 

21,374,991

 

 

 

 

 

 

 

 

 

 

 

 

 

Expired

 

 

(703,982

)

 

 

 

 

 

 

 

 

 

 

 

 

Canceled

 

 

(506,833

)

 

 

 

 

 

 

 

 

 

 

 

 

Balance at December 31, 2020

 

 

40,688,968

 

 

$

0.13

 

 

 

7.6

 

 

$

526,724

 

Vested and Exercisable at December 31, 2020

 

 

 

19,478,977

 

 

$

 

0.23

 

 

 

 

5.5

 

 

$

 

 

 

Share-based compensation expense for Options charged to our operating results for the twelve months ended December 31, 2020 and 2019 were $156,342 and $158,866, respectively. The estimate of forfeitures is 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 December 31, 2020, total unrecognized estimated compensation expense related to non-vested Options granted was $552,501, which is expected to be recognized over a weighted- average period of 2.6 years. No tax benefit was realized due to a continued pattern of operating losses.

XML 24 R11.htm IDEA: XBRL DOCUMENT v3.21.1
INCOME TAXES
12 Months Ended
Dec. 31, 2020
Income Tax Disclosure [Abstract]  
INCOME TAXES

NOTE 5 – INCOME TAXES

 

In assessing the realizability of deferred tax asset, including the net operating loss carryforwards (NOLs), the Company assesses the available positive and negative evidence to estimate if sufficient future taxable income will be generated to utilize its existing deferred assets. The ultimate realization of deferred tax assets is dependent upon the generation of future taxable income during the period when those temporary difference become deductible. Based on its assessment, the Company has provided a full valuation allowance against its net deferred tax assets as their future utilization remains uncertain at this time.  In 2020, the deferred tax valuation allowance increased by $1,649,389. In 2019, the deferred tax valuation allowance increased by $1,986,506.

 

At December 31, 2020, we had approximately $89,000,000 of federal net operating tax loss carryforward which begins to expire in 2028. We had approximately $20,000,000 million of state net operating losses as of December 31, 2019. In accordance with Section 382 of the Internal Revenue code, the usage of the Company's Federal Carryforwards could be limited in the event of a change in ownership.  As of December 31, 2020, the Company has not completed an analysis as to whether or not an ownership change has occurred. We are currently subject to the general three-year state of limitation for federal tax. Under this general rule, the earliest period subject to potential audit is 2018. For years to which the Company may utilize its net operating losses, the IRS has the ability to examine the tax year that generated those losses and propose adjustments up to the amount of losses utilized.

 

The Company applies the FASB's provisions for uncertain tax positions. The Company utilizes the two-step process to determine the amount of recognized tax benefit.  For tax positions meeting the more-likely-than-not threshold, the amount recognized in the consolidated financial statements is the largest benefit that has a greater than 50% likelihood of being realized upon ultimate settlement with the relevant tax authority. The Company recognizes interest and penalties associated with uncertain tax positions as a component of income tax expense. 

 

As of December 31, 2020, management does not believe the Company has any material uncertain tax positions that would require it to measure and reflect the potential lack of sustainability of a position on audit in its financial statements. The Company will continue to evaluate its uncertain tax positions in future periods to determine if measurement and recognition in its financial statements is necessary. The Company does not believe there will be any material changes in its unrecognized tax positions over the next year. 

 

On March 27, 2020, H.R. 748, the Coronavirus Aid, Relief, and Economic Security Act, "the CARES Act," was signed into legislation which includes tax provisions relevant to businesses that will impact taxes related to 2018, 2019, and 2020. Some of the significant tax law changes are to increase the limitation on deductible business interest expenses for 2019 and 2020, allow for the five-year carryback of net operating losses for 2018-2020, suspend the 80% limitation of taxable income for net operating, loss carryforwards for 2018-2020, provide for the acceleration of depreciation expense from 2018 and forward on qualified improvement property, and accelerate the ability to claim refunds of AMT credit carryforwards. The Company is required to recognize the effect on the consolidated financial statements in the period the law was enacted. 

 

The provision for income taxes consists of the following:

 

 

 

2020

 

 

2019

 

 

 

 

 

 

 

 

 

 

Current:

 

 

  Federal

 

 

 

 

  State income tax, net of federal benefit

 

 

9,635

 

 

 

7,268

 

    Sub-total:

 

 

9,635

 

 

7,268

 

   

 

 

 

 

Deferred:

 

 

 

 

 

  Federal            

  State income tax, net of federal benefit

 

 

 

 

 

 

    Sub-total:

 

 

 

 

 

 

Total

 

$

9,635

 

 

$

7,268

 

 

 

Years Ended December 31,

 

 

 

2020

 

 

2019

 

 

 

 

 

 

 

 

 

 

Expected income tax benefit at statutory rate

 

$

(2,453,962

)

 

$

(2,969,493

)

Debt discount amortization

 

 

688,950

 

 

 

683,911

 

Permanently disallowed interest

 

 

238,673

 

 

 

223,586

 

PPP loan

 

 

(164,178

)

 

 

 

 

Other permanent differences

 

 

4,390

 

 

 

10,263

 

State income tax, net of federal benefit

   

9,635

 

 

 

7,268

 

Other reconciling items

 

 

36,738

 

 

 

65,227

 

Change in valuation account

 

 

1,649,389

 

 

 

1,986,506

 

Income tax expense (benefit)

 

$

9,635

 

 

$

7,268

 

 

The components of the deferred tax assets and liabilities are as follows:  

 

 

 

December 31,

 

 

 

2020

 

 

2019

 

Deferred Tax Assets:

 

 

 

 

 

 

 

 

Tax benefit of net operating loss carry-forward

 

$

18,588,968

 

 

$

18,162,329

 

Accrued interest

 

 

7,450,680

 

 

 

6,378,719

 

Stock based compensation

 

 

1,298,120

 

 

 

1,265,290

 

Amortization

 

 

314,022

 

 

 

100,550

 

Depreciation

 

 

52,965

 

 

 

393,935

 

Accrued expenses

 

 

71,402

 

 

 

60,193

 

Donations

 

 

5,947

 

 

 

5,947

 

Inventory reserve

 

 

237,527

 

 

 

237,527

 

Bad debt allowance

 

 

(2

)

 

 

1,591

 

Research and development credit carry-forward

 

 

29,084

 

 

 

29,084

 

BCF debt discount

 

 

(444,009

)

 

 

(679,850

)

Total deferred tax assets

 

 

27,604,704

 

 

 

25,955,315

 

Valuation allowance for deferred tax assets

 

 

(27,604,704

 

 

(25,955,315

)

Deferred tax assets, net of valuation allowance

 

$

 

 

$

 

XML 25 R12.htm IDEA: XBRL DOCUMENT v3.21.1
INVENTORY
12 Months Ended
Dec. 31, 2020
Inventory Disclosure [Abstract]  
INVENTORY

NOTE 6 – INVENTORY

 

Inventory is valued at the lower of cost, determined on a first-in, first-out (FIFO), or net realizable value. Inventory items are analyzed to determine cost and net realizable value and appropriate valuation adjustments are then established.

 

Inventory consists of the following:

 

 

 

December 31,

 

 

 

2020

 

 

2019

 

Inventory

 

$

408,450

 

 

$

 

TOTAL INVENTORY

 

$

408,450

 

 

$

 

 

Inventory is related to our new sales-based contract model launched in fiscal 2020, and the revenues associated with the 2020 sales were immaterial.

XML 26 R13.htm IDEA: XBRL DOCUMENT v3.21.1
OTHER CURRENT ASSETS
12 Months Ended
Dec. 31, 2020
Deferred Costs, Capitalized, Prepaid, and Other Assets Disclosure [Abstract]  
OTHER CURRENT ASSETS

NOTE 7 – OTHER CURRENT ASSETS

 

Other current assets consist of the following:

 

    December 31,  
    2020     2019  
Prepaid equipment   $     $ 102,215  
Other prepaid expenses     211,751       109,185  
Other current assets     32,556       9,064  
          TOTAL OTHER CURRENT ASSETS   $ 244,307     $ 220,464  
XML 27 R14.htm IDEA: XBRL DOCUMENT v3.21.1
PROPERTY AND EQUIPMENT
12 Months Ended
Dec. 31, 2020
Property, Plant and Equipment [Abstract]  
PROPERTY AND EQUIPMENT

NOTE 8 - PROPERTY AND EQUIPMENT

 

Property and equipment consist of the following:

 

 

 

December 31,

 

 

 

2020

 

 

2019

 

Network equipment

 

$

12,536,423

 

 

$

12,424,248

 

Office equipment

 

 

229,240

 

 

 

207.608

 

Vehicles

 

 

217,004

 

 

 

217,004

 

Test equipment

 

 

204,455

 

 

 

197,090

 

Furniture

 

 

92,846

 

 

 

91,341

 

Warehouse equipment

 

 

9,524

 

 

 

9,524

 

Leasehold improvements

 

 

5,121

 

 

 

5,121

 

 

 

 

13,294,613

 

 

 

13,151,936

 

Less: accumulated depreciation

 

 

(11,702,129

)

 

 

(11,173,916

)

TOTAL PROPERTY AND EQUIPMENT

 

$

1,592,484

 

 

$

1,978,020

 

 

Depreciation expense for the years ended December 31, 2020 and 2019 was $531,098 and $666,387, respectively.

 

XML 28 R15.htm IDEA: XBRL DOCUMENT v3.21.1
OTHER ASSETS
12 Months Ended
Dec. 31, 2020
Deferred Costs, Capitalized, Prepaid, and Other Assets Disclosure [Abstract]  
OTHER ASSETS

NOTE 9 – OTHER ASSETS

 

Intangible assets consist of the following:

 

    December 31, 2020  
    Cost     Accumulated Amortization     Net  
Patents and trademarks   $ 1,131,581     $ 238,625     $ 892,956  
Other intangible assets     83,745       78,989       4,756  
TOTAL INTANGIBLE ASSETS   $ 1,215,326     $ 317,614     $ 897,712  

 

    December 31, 2019  
    Cost     Accumulated Amortization     Net  
Patents and trademarks   $ 1,070,871     $ 243,702     $ 827,169  
Other intangible assets     63,509       59,996       3,513  
TOTAL INTANGIBLE ASSETS   $ 1,134,380     $ 303,698     $ 830,682  

 

Other assets consist of the following:

 

    December 31, 2020  
    Cost     Accumulated Amortization     Net  
Deferred installation costs   $ 1,292,729     $ 1,238,727     $ 54,002  
Prepaid license fee     249,999       153,004       96,995  
Security deposit     46,124             46,124  
TOTAL OTHER ASSETS   $ 1,588,852     $ 1,391,731     $ 197,121  

 

    December 31, 2019  
    Cost     Accumulated Amortization     Net  
Deferred installation costs   $ 1,288,156     $ 1,206,968     $ 81,188  
Prepaid license fee     249,999       136,611       113,388  
Security deposit     46,124             46,124  
TOTAL OTHER ASSETS   $ 1,584,279     $ 1,343,579     $ 240,700  
XML 29 R16.htm IDEA: XBRL DOCUMENT v3.21.1
OTHER CURRENT LIABILITIES
12 Months Ended
Dec. 31, 2020
Payables and Accruals [Abstract]  
OTHER CURRENT LIABILITIES

NOTE 10 – OTHER CURRENT LIABILITIES

 

Other current liabilities consist of the following:

 

    December 31,  
    2020     2019  
Accrued interest   $ 6,973,032     $ 3,751,061  
Allowance for system removal     36,500       152,800  
Accrued paid time off     146,342       112,176  
Deferred commission     139,041       139,041  
Accrued rent expense           18,276  
Deferred revenue     465,124       255,398  
Accrued taxes     10,424       29,309  
Insurance Premium Financing     67,927       19,360  
Other accrued liabilities     20,090       24,199  
TOTAL OTHER CURRENT LIABILITIES   $ 7,858,480     $ 4,505,505  
XML 30 R17.htm IDEA: XBRL DOCUMENT v3.21.1
COMMITMENTS AND CONTINGENCIES
12 Months Ended
Dec. 31, 2020
Commitments and Contingencies Disclosure [Abstract]  
COMMITMENTS AND CONTINGENCIES

NOTE 11– COMMITMENTS AND CONTINGENCIES

 

Debt Maturity

 

As of December 31, 2020, future debt payments due are as follows:

 

Years
Ending December 31,

 

 

Total

 

 

Loan Payable

 

 

Senior Secured Convertible Notes(1)

 

 

Senior Secured Notes(2)

 

2021

Related Party

$

46,666,949

 

 

$

700,000

 

 

$

 

 

 

45,966,949

 

 

Other

 

20,163,786

 

 

 

 20,163,786

 

 

 

 

 

 

 

2022

Related Party 

 

10,643,186

 

 

 

 

 

 

 

 

 

10,643,186

 

 

Other 

 

 

 

 

 

 

 

 

 

 

 

2023

Related Party

 

 

 

 

 

 

 

 

 

 

 

 

Other 

 

 

 

 

 

 

 

 

 

 

 

2024

Related Party 

 

11,225,690

 

 

 

 

 

 

11,225,690

 

 

 

 

 

Other 

 

 

 

 

 

 

 

 

 

 

 

Thereafter

Related Party

 

13,006,268

 

 

 

 

 

 

13,006,268

 

 

 

 

Other

 

3,531,289

 

 

 

 

 

 

3,531,289

 

 

 

 

Total

 

$

105,237,168

 

 

$

20,863,786

 

 

$

27,763,247

 

 

$

56,610,135

 

 

 

 

 

(1)

Senior Secured Convertible Notes are included on the accompanying consolidated financial statements as $24,111,516, which represents this amount less debt discount of $3,651,731.

 

(2)

Senior Secured Notes are included on the accompanying consolidated financial statements as $54,777,467, which represents this amount less debt discount of $1,832,668.

 

Payroll Protection Program

  On April 10, 2020, the Company received loan proceeds in the amount of $781,800 pursuant to a promissory note agreement (the “Promissory Note”) with a bank under the Paycheck Protection Program (“PPP”). The PPP, established as part of the Coronavirus Aid, Relief and Economic Security Act (“CARES Act”), provides for loans to qualifying businesses for amounts up to 2.5 times of the average monthly payroll expenses of the qualifying business. The Promissory Note has a loan maturity of April 10, 2022, a stated interest rate of 1.0% per annum, and has payments of principal and interest that are due monthly after an initial six-month deferral period where interest accrues, but no payments are due. The Promissory Note provides for customary events of default, including, among others, those relating to failure to make payment when due and breaches of representations. The Company may prepay the principal of the Promissory Note at any time without incurring any prepayment charges. The loan is subject to all the terms and conditions applicable under the PPP and is subject to review by the Small Business Association (the “SBA”) for compliance with program requirements, including the Company’s certification that the current economic uncertainty made the PPP loan request necessary to support ongoing operations and the Company’s obtaining approval from the SBA for the private placement equity transaction.

In June 2020, the Payroll Protection Program Flexibility Act (“PPPFA”) was signed into law adjusting certain key terms of loans issued under the PPP. In accordance with the PPPFA, the initial deferral period may be extended from six to up to ten months and the loan maturity may be extended from two to five years. The PPPFA also provided for certain other changes, including the extent to which the loan may be forgiven.

The loan’s principal and accrued interest were forgivable to the extent that the Company initially qualified for the loan and the proceeds were used for eligible purposes, subject to certain limitations, and that the Company maintains its payroll levels over a twenty-four-week period following the loan date. 

As the legal form of the Promissory Note was a debt obligation, the Company accounted for it as debt under Accounting Standards Codification (ASC) 470, Debt and recorded a liability of $781,800 in the consolidated balance sheet upon receipt of the loan proceeds.

The Company applied for forgiveness, and on November 20, 2020, we received confirmation from our bank that the Promissory Note was forgiven by the SBA. The loan balance plus accrued interest of $786,889 was recorded as a gain on extinguishment of debt in the December 31, 2020 consolidated statement of operations.

The SBA has created an audit safe harbor for any PPP loan borrower that, together with its affiliates, received PPP loans with an original amount of less than $2 million. The safe harbor is designed to protect a small borrower from a PPP audit based on its good faith certification.  However, the government may still decide to audit a PPP loan for other purposes, such as possible misuse of PPP funds. The Company has not been notified of an audit nor does it expect to be audited by the SBA.

XML 31 R18.htm IDEA: XBRL DOCUMENT v3.21.1
LEASE
12 Months Ended
Dec. 31, 2020
Leases [Abstract]  
LEASE

NOTE 12– LEASE

Operating Lease

 

The Company has an operating lease primarily consisting of office space with remaining lease term of 18 months.

 

On March 4, 2020, we entered into the Fourth Amendment to Commercial Lease Agreement (the “Lease Extension”), wherein we extended the Lease through August 31, 2025. The Lease Extension contains a renewal provision under which the Lease has been extended for an additional five-year period under the same terms and conditions of the original Lease Agreement. Management has identified this extension as a reassessment event, as we have elected to exercise the Lease Extension option even though the Company had previously determined that it was not reasonably certain to do so.

 

The Company has reassessed the discount rate at the remeasurement date, at 14.8% and the Company has remeasured its ROU asset and lease liability on our balance sheet using the discount rate that applies as of the date of the reassessment event to remeasure its Operating lease asset and lease liability. The reassessment is based on the remaining lease term and lease payments. The Company has further concluded that the Lease Extension has no effects on the classification of the Lease. Rent expense for the twelve months ended December 31, 2020 and 2019 was $295,692 and $263,664, respectively.

 

Lease Position

 

Operating lease asset and liability for our operating lease were recorded in the consolidated balance sheet as follows:

 

    December 31, 2020  
Assets        
Operating lease asset   $ 659,099  
Total lease asset   $ 659,099  
         
Liabilities        
Current liabilities:        
Operating lease liability   $ 150,087  
         
Long-term liabilities:        
Operating lease liability, net of current portion   $ 561,202  
Total lease liability   $ 711,289  

 

 

Undiscounted Cash Flows

 

Future lease payments included in the measurement of operating lease liability on the consolidated balance sheet as of December 31, 2020, for the following five fiscal years and thereafter as follows:

 

Year ending December 31,

 

Operating Leases

 

2021

 

$

202,310

 

2022

 

 

208,379

 

2023

 

 

214,631

 

2024

 

 

221,069

 

2025 and thereafter

 

 

150,679

 

Total minimum lease payments

 

 

997,068

 

Less effects of discounting

 

 

(285,779

)

Present value of future minimum lease payments

 

 $

711,289 

 

 

Cash Flows

 

The table below presents certain information related to the cash flows for the Company’s operating lease for twelve months ending December 31, 2020:

 

 

Twelve Months

Ended

December 31, 2020

 

Cash paid for amounts included in the measurement of lease liabilities:

 

 

 

Operating cash flows for operating leases

 

$

46,769

 

 

 

XML 32 R19.htm IDEA: XBRL DOCUMENT v3.21.1
AGREEMENT WITH PDL BIOPHARMA, INC.
12 Months Ended
Dec. 31, 2020
Agreement With Pdl Biopharma Inc.  
AGREEMENT WITH PDL BIOPHARMA, INC.

NOTE 13– 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. 

 

From October 8, 2015 through May 14, 2019, the outstanding borrowings under the Tranche One Loan bore interest at the rate of 13.5% per annum, payable quarterly. On May 15, 2019, pursuant to the terms of the Fifth Amendment to the PDL Credit Agreement (see below for additional details), the interest increased to 15.5% per annum, payable quarterly.  Also, on May 15, 2019, pursuant to the terms of the Fourteenth Amendment to the PDL Modification Agreement (see below for additional details), the minimum cash balance requirement of $750,000 was reduced to $0.

 

On January 31, 2019, February 28, 2019, March 29, 2019 and April 29, 2019, the Company and Lender entered into the Tenth, Eleventh, Twelfth, and Thirteenth Amendments to the PDL Modification Agreement, as previously amended, respectively, pursuant to which the parties agreed to amend the PDL Modification Agreement to provide that (A) 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, pursuant to the Thirteenth Amendment to the PDL Modification Agreement, May 15, 2019 (rather than January 31, February 28, June 30, and April 30, respectively) (with each such date permitted to be extended by the Lender in its sole discretion); (B) the Company could satisfy its obligations under the PDL Modification Agreement, as amended, to obtain financing by obtaining (a) 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 (b) an additional (i) $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 and (ii) $750,000 in net cash proceeds from the issuance of Capital Stock (other than Disqualified Capital Stock) or Debt on or prior to May 15, 2019 (rather than January 31, February 28, June 30, and April 30, respectively) (resulting in aggregate net cash proceeds of at least $3,550,000); and (C) the Company’s quarterly interest payments that would otherwise have been due to Lender on December 31, 2018 and June 30, 2019 would be deferred until May 15, 2019 (the end of the extended Modification Period) and that such deferral would be a Covered Event.

 

On April 9, 2019, the Company, PDL Investment entered into a Fourth Amendment to PDL Credit Agreement (the “Fourth Amendment to the PDL Credit Agreement”), wherein the Company executed an Amended and Restated Tranche One Term Note in the principal amount of $20,000,000 to PDL Investments (the “Amended Tranche One Loan”), pursuant to which the parties agreed, among other things, to amend the note from registered to unregistered form.

 

On May 15, 2019, the Company, the Lender, Steven G. Johnson (our Chief Executive Officer, President, Secretary and Treasurer), individually, and Dr. James R. Higgins (a member of our board of directors), individually (Mr. Johnson and Dr. Higgins, collectively, the “Tranche Three Lenders”) entered into a Fifth Amendment to the PDL Credit Agreement (the “Fifth PDL Credit Agreement Amendment”), pursuant to which the parties agreed to amend the PDL Credit Agreement to, among other things, (i) provide for a new tranche of term loan in the aggregate principal amount of $200,000, from the Tranche Three Lenders, with a maturity date of October 7, 2020 and bearing interest at the rate of 15.5% per annum, payable quarterly in arrears (subject to the terms of the PDL Modification Agreement, as amended) (the “Tranche Three Loan”); (ii) increase the interest rate for outstanding borrowings under the Amended Tranche One Loan from 13.5% per annum to 15.5% per annum, payable quarterly in arrears (subject to the terms of the PDL Modification Agreement, as amended), effective May 15, 2019,; and (iii) provide for the issuance of the Twelfth Amendment Note, pursuant to the terms of the Twelfth Amendment to the HealthCor Agreement (see NOTE 10 for details). Under the accounting standards, we determined that the restructuring of the Tranche One Loan resulted in a troubled debt restructuring. As the future cash flows were greater than the carrying amount of the debt at the date of the amendment, we accounted for the change prospectively using the new effective interest rate. Also on May 15, 2019, upon the execution of the Fifth PDL Credit Agreement Amendment, (i) the Company sold and issued the Tranche Three Lenders term notes in the aggregate principal amount of $200,000, payable in accordance with the terms of the PDL Credit Agreement (the “Tranche Three Loans”), $150,000 from Mr. Johnson and $50,000 from Dr. Higgins, and (ii) the Company issued a warrant for the purchase of 250,000 shares of Common Stock, with an exercise price per share equal to $0.03 (subject to adjustment as described therein) and an expiration date of May 15, 2029 (the “Tranche Three Loan Warrant”), to Dr. Higgins in connection with his Tranche Three Loan. Mr. Johnson declined to be issued a Tranche Three Loan Warrant.

 

On May 15, 2019 the Company and the Lender entered into the Fourteenth Amendment to the PDL Modification Agreement (the “Fourteenth Amendment to the PDL Modification Agreement”), pursuant to which, in connection with the Twelfth Amendment to the HealthCor Purchase Agreement (see NOTE 10 for further details) and the Fifth Amendment to the PDL Credit Agreement, the parties agreed to amend the PDL Modification Agreement, as previously amended, to provide that (A) 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, 2019 (with each such date permitted to be extended by the Lender in its sole discretion); (B) the Borrower could satisfy its obligations under the PDL Modification Agreement, as amended, to obtain financing by obtaining (a) 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 (b) an additional (i) $1,000,000 in net cash proceeds from the issuance of Capital Stock (other than Disqualified Capital Stock) or Debt on or prior to July 13, 2018 and (ii) $250,000 in net cash proceeds from the issuance of Capital Stock (other than Disqualified Capital Stock) or Debt on or prior to May 15, 2019 (resulting in aggregate net cash proceeds of at least $3,300,000); (C) the Liquidity required during the Modification Period would be lowered to $0 from $750,000; and (D) the Company’s interest payments that would otherwise be due to Lender on December 31, 2018, June 30, 2019 and June 30, 2019 would be deferred until September 30, 2019 (the end of the extended Modification Period) and that such deferrals would be a Covered Event.

 

On September 30, 2019, the Company, the Borrower, the Subsidiary Guarantor and the Lender entered into a Fifteenth Amendment to Modification Agreement (the “Fifteenth Modification Agreement Amendment”), pursuant to which the parties agreed to amend the 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 November 30, 2019 (with each such date permitted to be extended by the Lender in its sole discretion); and that the Borrower’s interest payments that would otherwise be due to Lender on December 31, 2018, June 30, 2019, June 30, 2019, and September 30, 2019 would be deferred until November 30, 2019 (the end of the extended Modification Period) and that such deferrals would be a Covered Event.

 

On November 29, 2019, the Company, the Borrower, the Subsidiary Guarantor and the Lender entered into a Sixteenth Amendment to Modification Agreement (the “Sixteenth Modification Agreement Amendment”), pursuant to which the parties agreed to amend the 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 December 31, 2019 (with each such date permitted to be extended by the Lender in its sole discretion); and that the Borrower’s interest payments that would otherwise be due to Lender on December 31, 2018, June 30, 2019, June 30, 2019, and September 30, 2019 would be deferred until December 31, 2019 (the end of the extended Modification Period) and that such deferrals would be a Covered Event.

 

On December 31, 2019, the Company, the Borrower, the Subsidiary Guarantor and the Lender entered into a Seventeenth Amendment to Modification Agreement (the “Seventeenth Modification Agreement Amendment”), pursuant to which the parties agreed to amend the 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 January 17, 2020 (with each such date permitted to be extended by the Lender in its sole discretion); and that the Borrower’s interest payments that would otherwise be due to Lender on December 31, 2018, June 30, 2019, June 30, 2019, September 30, 2019, and December 31, 2019 would be deferred until January 17, 2020 (the end of the extended Modification Period) and that such deferrals would be a Covered Event.

 

On January 17, 2020, the Company, the Borrower, the Subsidiary Guarantor and the Lender entered into an Eighteenth Amendment to Modification Agreement (the “Eighteenth Modification Agreement Amendment”), pursuant to which the parties agreed to amend the 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 January 28, 2020 (with each such date permitted to be extended by the Lender in its sole discretion); and that the Borrower’s interest payments that would otherwise be due to Lender on December 31, 2018, June 30, 2019, June 30, 2019, September 30, 2019, and December 31, 2019 would be deferred until January 28, 2020 (the end of the extended Modification Period) and that such deferrals would be a Covered Event.

 

On January 28, 2020, the Company, the Borrower, the Subsidiary Guarantor and the Lender entered into a Nineteenth Amendment to Modification Agreement (the “Nineteenth Modification Agreement Amendment”), pursuant to which the parties agreed to amend the 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 (i) April 30, 2020 (provided that Borrower obtains at least $600,000 in cash proceeds from the issuance of Capital Stock (other than Disqualified Capital Stock) or Debt subordinated to the Tranche One Loan (as defined in the Credit Agreement) pursuant to the terms of the Intercreditor Agreement (as defined in the Credit Agreement) on or prior to February 11, 2020) or (ii) February 11, 2020 (if Borrower has not obtained such cash proceeds by such date) (with each such date permitted to be extended by the Lender in its sole discretion); and that the Borrower’s interest payments that would otherwise be due to Lender on December 31, 2018, June 30, 2019, June 30, 2019, September 30, 2019, December 31, 2019, and June 30, 2020 would be deferred until the end of the extended Modification Period (but with respect to the June 30, 2020 interest payment, such payment would be deferred only in the event that the end of the extended Modification Period is April 30, 2020 rather than February 11, 2020; otherwise the Borrower will make the interest payment due under the Credit Agreement on June 30, 2020), and that such deferrals would be a Covered Event.

 

The Company has evaluated the Eighteenth and Nineteenth Modification Agreement Amendments and as the effective borrowing rate under the restructured agreement is less than the effective borrowing rate on the old agreement, a concession is deemed to have been granted under ASC 470-60-55-10. As a concession has been granted, the agreement is to be accounted for as a troubled debt restructuring by debtors (TDR) under ASC 470-60.

 

On February 6, 2020, the Company, the Borrower, the Lender (in its capacity as administrative agent and lender) and the Tranche Three Lenders entered into a Sixth Amendment to Credit Agreement (the “Sixth Credit Agreement Amendment”), pursuant to which the parties agreed to amend the Credit Agreement to, among other things, (i) provide for additional funding under the Tranche Three Loan, in the aggregate principal amount of $500,000, from the Tranche Three Lenders (the “Additional Tranche Three Loan”), with a maturity date of October 7, 2020 (the fifth anniversary of the funding date of the Tranche One Loan (as defined in the Credit Agreement)), with outstanding borrowings bearing interest at the rate of 15.5% per annum, payable quarterly in arrears (subject to the terms of the Modification Agreement, as amended), and with payment of the Additional Tranche Three Loan and any other Obligations (as defined in the Credit Agreement) incurred in connection with the Additional Tranche Three Loan subordinated and subject in right and time of payment to the Payment in Full (as defined in the Credit Agreement) of the Tranche One Loan and any other Obligations incurred in connection with the Tranche One Loan, to the extent and in the manner set forth in the Credit Agreement; and (ii) provide for the issuance of the Thirteenth Amendment Supplemental Closing Note.

 

Also on February 6, 2020, upon the execution of the Sixth Credit Agreement Amendment, (i) the Borrower borrowed the Additional Tranche Three Loan and issued to the Tranche Three Lenders term notes in the aggregate principal amount of $500,000, payable in accordance with the terms of the Credit Agreement (the “Additional Tranche Three Term Notes”), $250,000 from Mr. Johnson and $250,000 from Dr. Higgins, and (ii) the Company issued a warrant for the purchase of 1,000,000 shares of Common Stock, with an exercise price per share equal to $0.01 (subject to adjustment as described therein) and expiration date of February 6, 2030 (the “Additional Tranche Three Loan Warrant”), to Dr. Higgins in connection with his Additional Tranche Three Loan. Mr. Johnson declined to be issued an Additional Tranche Three Loan Warrant. Mr. Johnson is our Chief Executive Officer, President, Secretary and Treasurer and is one of our directors. Dr. Higgins is one of our directors.

 

On April 17, 2020, the Company and PDL Investment Holdings, LLC, entered into a Consent and Agreement Regarding SBA Loan Agreement (the “PDL Consent Agreement”), pursuant to which the Lender (i) consented under the Credit Agreement to the Borrower’s issuing the Promissory Note and borrowing the SBA Loan and (ii) agreed that the SBA Loan would be deemed to be debt that is permitted under the Credit Agreement and Loan Documents.

 

On April 17, 2020, the Company and the Lender entered into a Twentieth Amendment to the PDL Modification Agreement (the “Twentieth Modification Agreement Amendment”), pursuant to which the parties agreed to amend the 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, 2020 (with each such date permitted to be extended by the Lender in its sole discretion); and that the Borrower’s interest payments that would otherwise be due to Lender on December 31, 2018, June 30, 2019, June 30, 2019, September 30, 2019, December 31, 2019, June 30, 2020 and June 30, 2020 would be deferred until September 30, 2020 (the end of the extended Modification Period), and that such deferrals would be a Covered Event. The Company has evaluated the Twentieth Modification Agreement Amendment and as the effective borrowing rate under the restructured agreement is less than the effective borrowing rate on the old agreement, a concession is deemed to have been granted under ASC 470-60-55-10. As a concession has been granted, the agreement is to be accounted for as a troubled debt restructuring by debtors (TDR) under ASC 470-60.

 

On September 30, 2020, the Company, the Borrower, the Subsidiary Guarantor, the Lender and the Tranche Three Lenders entered into a Twenty-First Amendment to Modification Agreement (the “Twenty- First Modification Agreement Amendment”), pursuant to which the parties agreed to amend the 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 November 30, 2020 (with each such date permitted to be extended by the Lender in its sole discretion); and that the Borrower’s (i) interest payments that would otherwise be due under the Credit Agreement on December 31, 2018, March 31, 2019, June 30, 2019, September 30, 2019, December 31, 2019, March 31, 2020, June 30, 2020, September 30, 2020 and October 7, 2020 and (ii) payments for principal and for any other Obligations then outstanding under the Tranche One Loan and the Tranche Three Loans that would otherwise be due under the Credit Agreement on October 7, 2020, would each be deferred until November 30, 2020 (the end of the extended Modification Period), and that such deferrals would be a Covered Event. The Company has evaluated the Twenty-First Modification Agreement Amendment and as the effective borrowing rate under the restructured agreement is less than the effective borrowing rate on the old agreement, a concession is deemed to have been granted under ASC 470-60-55-10. As a concession has been granted, the agreement is to be accounted for as a troubled debt restructuring by debtors (TDR) under ASC 470-60.

 

On November 30, 2020, the Company, the Borrower, the Subsidiary Guarantor, the Lender and the Tranche Three Lenders entered into a Twenty-Second Amendment to Modification Agreement (the “Twenty-Second Modification Agreement Amendment”), pursuant to which the parties agreed to amend the 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 January 31, 2021 (with each such date permitted to be extended by the Lender in its sole discretion); and that the Borrower’s (i) interest payments that would otherwise be due under the Credit Agreement on December 31, 2018, March 31, 2019, June 30, 2019, September 30, 2019, December 31, 2019, March 31, 2020, June 30, 2020, September 30, 2020, and October 7, 2020 and (ii) payments for principal and for any other Obligations then outstanding under the Tranche One Loan and the Tranche Three Loans that would otherwise be due under the Credit Agreement on October 7, 2020, would each be deferred until January 31, 2021 (the end of the extended Modification Period) and that such deferrals would be a Covered Event. The Company has evaluated the Twenty-Second Modification Agreement Amendment and as the effective borrowing rate under the restructured agreement is less than the effective borrowing rate on the old agreement, a concession is deemed to have been granted under ASC 470-60-55-10. As a concession has been granted, the agreement is to be accounted for as a troubled debt restructuring by debtors (TDR) under ASC 470-60.

 

On January 31, 2021, the Company, the Borrower, the Subsidiary Guarantor, the Lender and the Tranche Three Lenders entered into a Twenty-Third Amendment to Modification Agreement (the “Twenty- Third Modification Agreement Amendment”). See NOTE 16 for more details.

 

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 $1,600,000 which has been recorded as deferred issuance costs in the accompanying consolidated financial statements. As of December 31, 2019, the Amended PDL Warrant has not been exercised. 

 

During the year ended December 31, 2019, the Company and Lender entered into eight amendments to the PDL Modification Agreement (as detailed above), resulting in restructuring of the PDL Credit Agreement and the accounting treatment of the related costs. During the year ended December 31, 2020, the Company and Lender entered into four amendments to the PDL Modification Agreement (as detailed above), resulting in restructuring of the PDL Credit Agreement and the accounting treatment of the related costs. Under debt modification/troubled debt guidance, we determined that the first of the eight amendments qualified for modification accounting, while the final fifteen qualified for troubled debt restructuring accounting. As appropriate, we expensed the legal costs paid to third parties. For the years ended December 31, 2020 and 2019, pursuant to the terms of the PDL Modification Agreement, as amended, $3,100,000 and $3,773,673, respectively, was recorded as interest expense on the accompanying consolidated financial statements.

 

The Tranche Three Warrant issued with the Fifth PDL Credit Agreement Amendment 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 Tranche Three Loan Warrant was $3,704 and was recorded as interest expense at December 31, 2019.

XML 33 R20.htm IDEA: XBRL DOCUMENT v3.21.1
AGREEMENT WITH HEALTHCOR
12 Months Ended
Dec. 31, 2020
Agreement With Healthcor  
AGREEMENT WITH HEALTHCOR

NOTE 14 – AGREEMENT WITH HEALTHCOR

 

On April 21, 2011, we entered into a Note and Warrant Purchase Agreement (as subsequently amended) with HealthCor Partners Fund, LP (“HealthCor Partners”) and HealthCor Hybrid Offshore Master Fund, LP (“HealthCor Hybrid” and, together with HealthCor Partners, “HealthCor”) (the “HealthCor Purchase Agreement”). Pursuant to the terms of the HealthCor Purchase Agreement, we sold and issued 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 September 30, 2018 interest has been added to the outstanding principal balance. Pursuant to the terms of the Ninth Amendment, the accrual of interest has been suspended after September 30, 2018. 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.  The warrants issued with this Note were cancelled with the Ninth-Amendment dated July 10, 2018. 

 

On January 31, 2012, we entered 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 consider the timing of the issuance of the 2012 HealthCor Notes. The 2012 HealthCor Notes have a maturity date of January 30, 2022.

On January 16, 2014, we entered a 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 consider the timing of the issuance of the 2014 HealthCor Notes. The 2014 HealthCor Notes have a maturity date of January 15, 2024.

On December 4, 2014, we entered into a Fifth Amendment to the HealthCor Purchase Agreement (the “Fifth Amendment”) with HealthCor and certain additional investors (such additional investors, the “2015 Investors” and, collectively with HealthCor, the “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 consider the timing of the issuance of the Fifth Amendment Notes. The Fifth Amendment Notes have a maturity date of February 16, 2025.

On February 23, 2018, we entered into an Eighth Amendment to the HealthCor Purchase Agreement (the “Eighth Amendment”) with HealthCor, the 2015 Investors and certain investors (such additional 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 consider the timing of the issuance of the Eighth Amendment Notes. The Eighth Amendment Notes have a maturity date of February 22, 2028.

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 September 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, the 2015 Investors, the February 2018 Investors and certain investors (all of which are directors of the Company) (such additional investors, 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 (subject to adjustment as described therein) (the “Tenth Amendment Notes”). As provided by the Tenth Amendment, the Tenth 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 consider the timing of the issuance of the Tenth Amendment Notes. The Tenth Amendment Notes have a maturity date of July 12, 2028.

On May 15, 2019, we entered into the Twelfth Amendment to HealthCor Purchase Agreement with HealthCor, the 2015 Investors, the February 2018 Investors, the July 2018 Investors, and an investor (a member of our board of directors) (such additional investor, the “2019 Investor”), pursuant to which we sold and issued a convertible secured promissory note for $50,000 to the 2019 Investor with a conversion price per share equal to $0.03 (subject to adjustment as described therein) (the “Twelfth Amendment Note”). As provided by the Twelfth Amendment, the Twelfth Amendment Note is 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 Twelfth Amendment Note. The Twelfth Amendment Note has a maturity date of May 15, 2029. 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. As of December 31, 2020, the underlying shares of our Common Stock related to the Twelfth Amendment Note totaled approximately 2,000,000 to the 2019 Investor.

On February 6, 2020, we entered into the Thirteenth Amendment to HealthCor Purchase Agreement with HealthCor, the 2015 Investors, the February 2018 Investors, the July 2018 Investors, the 2019 Investor and an investor (a member of our board of directors) (such additional investor, the “February 2020 Investor”), pursuant to which (i) we sold and issued a convertible secured promissory note for $100,000 to the February 2020 Investor with a conversion price per share equal to $0.01 (subject to adjustment as described therein) (the “Thirteenth Amendment Note”). As provided by the Twelfth Amendment, the Twelfth Amendment Note is 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 Thirteenth Amendment Note. The Thirteenth Amendment Note has a maturity date of February 5, 2030. 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. As of December 31, 2020, the underlying shares of our Common Stock related to the Thirteenth Amendment Note totaled approximately 11,200,000 to the 2020 Investor.

 

On April 17, 2020, the Company and holders of at least a majority of the Common Stock underlying the outstanding notes and warrants to purchase shares of our Common Stock, on an as-converted basis, sold pursuant to the Note and Warrant Purchase Agreement dated April 21, 2011, as amended, by and among HealthCor Partners Fund, LP, HealthCor Hybrid Offshore Master Fund, LP and the other investors party thereto (the “Majority Holders”) (the “Purchase Agreement”), entered into a Consent and Agreement Regarding SBA Loan Agreement (the “NWPA Consent Agreement”), pursuant to which the Majority Holders (i) consented under the Purchase Agreement to the Borrower’s issuing the Promissory Note and borrowing the SBA Loan and (ii) agreed that the SBA Loan would be deemed to be Permitted Indebtedness under the Purchase Agreement (as defined therein).

 

   Underlying Shares
Investor Group  of Common Stock
2014 Healthcor Notes   28,064,226 
2015 Investors   19,388,598 
2015 Healthcor Notes   3,877,721 
February 2018 Investors   58,234,786 
July 2018 Investors   27,090,063 
2019 Investor   2,036,258 
February 2020 Investor   11,174,105 
Total   149,865,756 

 

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 $4,403,770 and $4,413,123 in interest for the years ended December 31, 2020 and 2019, respectively, related to these transactions. For the years ended December 31, 2020 and 2019, we recorded $2,743,735 and $1,178,322, respectively, of PIK related to the notes included in the HealthCor Purchase Agreement. 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. Under the accounting standards, we determined that the restructuring of the HealthCor notes, pursuant to the terms of the Ninth Amendment, resulted in a troubled debt restructuring. As the future cash flows were greater than the carrying amount of the debt at the date of the amendment, we accounted for the change prospectively using the new effective interest rate. During the years ended December 31, 2020 and 2019, we recorded a BCF of $0 and $6,390, 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 $157,668 and $34,672 in interest for the years ended December 31, 2020 and 2019, respectively, related to the Fifth Amendment Notes and Fifth Amendment Warrants. The Sixth Amendment Warrants 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 Ninth Amendment Warrants was $378,000, which was recorded as debt costs with the credit to additional paid in capital. We recorded an aggregate of $57,803 and $57,803 in interest expense for the years ended December 31, 2020 and 2019, respectively. The Eighth Amendment Warrants 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 Eighth Amendment Warrants was $10,707, which was recorded as interest expense at December 31, 2019.

 

XML 34 R21.htm IDEA: XBRL DOCUMENT v3.21.1
JOINT VENTURE AGREEMENT
12 Months Ended
Dec. 31, 2020
Equity Method Investments and Joint Ventures [Abstract]  
JOINT VENTURE AGREEMENT

NOTE 15 – JOINT VENTURE AGREEMENT

 

On December 31, 2019, the Company and Rockwell entered into a Second Amendment to the Rockwell Note (the “Second Rockwell Note Amendment”) pursuant to which Rockwell agreed to extend the term of the Rockwell Note by one year, to December 31, 2020, and agreed to extend the time to make the quarterly payment that would otherwise be due on December 31, 2019 to January 31, 2020. We have evaluated the Second Amendment to the Rockwell Note under ASC 470 and determined that the amendment should be treated as a debt modification.

 

On January 31, 2020, the Company and Rockwell entered into a Third Amendment to the Rockwell Note (the “Third Rockwell Note Amendment”), pursuant to which Rockwell agreed to extend the time to make the quarterly payment that would otherwise be due on January 31, 2020 (per the Second Rockwell Note Amendment) to February 10, 2020. We have evaluated the Third Amendment to the Rockwell Note under ASC 470 and determined that the amendment should be treated as a debt modification.

 

Effective as of March 31, 2020, the Company and Rockwell entered into a Fourth Amendment to the Rockwell Note (the “Fourth Rockwell Note Amendment”), pursuant to which Rockwell agreed to extend the time to make the quarterly payment that would otherwise be due on March 31, 2020 to April 16, 2020. We have evaluated the Fourth Amendment to the Rockwell Note under ASC 470 and determined that the amendment should be treated as a debt modification.

 

On December 31, 2020, the Company and Rockwell entered a Fifth Amendment to the Rockwell Note (the “Fifth Rockwell Note Amendment”), pursuant to which Rockwell agreed (i) to extend the term of the Promissory Note by one (1) year and continue the quarterly principal payments through September 30, 2021 with the final balloon payment due on December 31, 2021 and (ii) that the quarterly principal payment that would otherwise be due on December 31, 2020 will not be required to be made until the final balloon payment due date. We have evaluated the Fourth Amendment to the Rockwell Note under ASC 470 and determined that the amendment should be treated as a debt modification.

XML 35 R22.htm IDEA: XBRL DOCUMENT v3.21.1
SUBSEQUENT EVENTS
12 Months Ended
Dec. 31, 2020
Subsequent Events [Abstract]  
SUBSEQUENT EVENTS

NOTE 16 – SUBSEQUENT EVENTS

 

On January 31, 2021, the Company, the Borrower, the Subsidiary Guarantor, the Lender and the Tranche Three Lenders entered into a Twenty-Third Amendment to Modification Agreement (the “Twenty- Third Modification Agreement Amendment”), pursuant to which the parties agreed to amend the 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 May 31, 2021 (with each such date permitted to be extended by the Lender in its sole discretion); and that the Borrower’s (i) interest payments that would otherwise be due under the Credit Agreement on December 31, 2018, March 31, 2019, June 30, 2019, September 30, 2019, December 31, 2019, March 31, 2020, June 30, 2020 and September 30, 2020 from January 31, 2021 until May 31, 2021 and (ii) payments for principal and for any other Obligations then outstanding under the Tranche One Loan and the Tranche Three Loans that would otherwise be due under the Credit Agreement on October 7, 2020, would each be deferred from January 31, 2021 until May 31, 2021, and that such deferrals would be a Covered Event.

 

XML 36 R23.htm IDEA: XBRL DOCUMENT v3.21.1
SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES (Policies)
12 Months Ended
Dec. 31, 2020
Accounting Policies [Abstract]  
Cash and Cash Equivalents

Cash and Cash Equivalents

 

We consider all highly liquid investments with a maturity of three months or less when purchased to be cash equivalents. We maintain cash at financial institutions that at times may exceed federally insured limits.

Trade Accounts Receivable

Trade Accounts Receivable

 

Trade accounts receivable are customer obligations due under normal trade terms. We provide an allowance for doubtful accounts, which is based upon a review of outstanding receivables, historical collection information and existing economic conditions. Trade accounts receivable past due more than 90 days are considered delinquent. Delinquent receivables are written off based on individual credit evaluations, results of collection efforts, and specific circumstances of the customer. Recoveries of accounts previously written off are recorded as reductions of bad debt expense when received. At December 31, 2020 and 2019, an allowance for doubtful accounts of $0 and $0, respectively, was recorded.

Property and Equipment

Property and Equipment

 

Property and equipment is stated at cost, net of accumulated depreciation. Maintenance costs, which do not significantly extend the useful lives of the respective assets, and repair costs are charged to operating expense as incurred. We include Network Equipment in fixed assets upon receipt and begin depreciating the Network Equipment when such equipment passes our incoming inspection and is available for use. We attribute no salvage value to the Network Equipment and depreciation is computed using the straight-line method based on the estimated useful life of seven years. Depreciation of office and test equipment, warehouse equipment and furniture is computed using the straight-line method based on the estimated useful lives of the assets, generally three years for office and test equipment, and five years for warehouse equipment and furniture.

Inventories

Inventories

 

Inventory is valued at the lower of cost, determined on a first-in, first-out (FIFO), or net realizable value. Inventory items are analyzed to determine cost and net realizable value, and appropriate valuation adjustments are then established. See NOTE 6 for more details.

Allowance for System Removal

Allowance for System Removal

 

We would remove the CareView Patient Safety System from customer premises due to a number of factors; including, but not limited to, collection/revenue performance issues and contract expiration/non-renewal. We regularly evaluate the installed CareView Patient Safety Systems for such factors and an allowance is set up based on the estimated cost of removal. At December 31, 2020 and 2019, an allowance of $36,500 and $152,800, respectively, was recorded in other assets in the accompanying consolidated financial statements.

Impairment of Long-Lived Assets

Impairment of Long-Lived Assets

 

Carrying values of property and equipment and finite-lived intangible assets are reviewed for impairment whenever events or changes in circumstances indicate that their carrying values may not be recoverable. Such events or circumstances include, but are not limited to:

 

  Significant declines in an asset’s market price;
  Significant deterioration in an asset’s physical condition;
  Significant changes in the nature or extent of an asset’s use or operation;
  Significant adverse changes in the business climate that could impact an asset’s value, including adverse actions or assessments by regulators;
  Accumulation of costs significantly in excess of original expectations related to the acquisition or construction of an asset;
  Current-period operating or cash flow losses combined with a history of such losses or a forecast that demonstrates continuing losses associated with an asset’s use; and
  Expectations that it is more likely than not that an asset will be sold or otherwise disposed of significantly before the end of our previously estimated useful life.

 

If impairment indicators are present, we determine whether an impairment loss should be recognized by testing the applicable asset or asset groups’ carrying value for recoverability. This test requires long-lived assets to be grouped at the lowest level for which identifiable cash flows are largely independent of the cash flows of other assets and liabilities, the determination of which requires judgment. We estimate the undiscounted future cash flows expected to be generated from the use and eventual disposal of the assets and compare that estimate to the respective carrying values in order to determine if such carrying values are recoverable. This assessment requires the exercise of judgment in assessing the future use of and projected value to be derived from the eventual disposal of the assets to be held and used. Assessments also consider changes in asset utilization, including the temporary idling of capacity and the expected timing for placing this capacity back into production. If the carrying value of the asset is not recoverable, then a loss is recorded for the difference between the assets’ fair value and respective carrying value. The fair value of the asset is determined using an “income approach” based upon a forecast of all the expected discounted future net cash flows associated with the subject assets. Some of the more significant estimates and assumptions include market size and growth, market share, projected selling prices, manufacturing cost and discount rate. Our estimates are based upon our historical experience, our commercial relationships, market conditions and available external information about future trends. We believe our current assumptions and estimates are reasonable and appropriate; however, unanticipated events and changes in market conditions could affect such estimates resulting in the need for an impairment charge in future periods. During the years ended December 31, 2020 and 2019, no impairment was recognized.

Research and Development

Research and Development

 

Research and development costs are expensed as incurred. Costs regarding the development of software to be sold, leased or otherwise marketed are subject to capitalization beginning when a product’s technological feasibility has been established and ending when a product is available for general release to customers. We did not capitalize any such costs during the years ended December 31, 2020 and 2019.

Intellectual Property

Intellectual Property

 

We capitalize certain costs of developing software upon the establishment of technological feasibility and prior to the availability of the product for general release to customers for our CareView Patient Safety System in accordance with accounting principles generally accepted in the United States of America (“GAAP”). Capitalized costs are reported at the lower of unamortized cost or net realizable value and are amortized over the estimated useful life of the CareView Patient Safety System not to exceed five years. Additionally, we test our intangible assets for impairment whenever circumstances indicate that their carrying value may not be recoverable. No impairment was recorded during the years ended December 31, 2020 and 2019.

 

During the years ended December 31, 2020 and 2019, we capitalized no additional intellectual property costs.

Patents and Trademarks

Patents and Trademarks

 

We amortize our intangible assets with a finite life on a straight-line basis, over 10 years for trademarks and 20 years for patents. We begin amortization of these costs on the date patents or trademarks are awarded.

Derivative Financial Instruments

Derivative Financial Instruments

 

Derivatives are recorded on the balance sheet at fair value and changes in fair value are recorded in earnings at each reporting date in accordance with GAAP. See Fair Value of Financial Instruments, below, and NOTES 13 and 14 for further details regarding derivative activity during the years ended December 31, 2020 and 2019.

Fair Value of Financial Instruments

Fair Value of Financial Instruments

 

Our financial instruments consist primarily of receivables, accounts payable, accrued expenses and short and long-term debt. The carrying amount of receivables, accounts payable and accrued expenses approximate our fair value because of the short-term maturity of such instruments, and they are considered Level 1 assets under the fair value hierarchy. We have elected not to carry our debt instruments at fair value. The carrying amount of our debt approximates fair value. Interest rates that are currently available to us for issuance of short and long-term debt with similar terms and remaining maturities are used to estimate the fair value of our short and long-term debt and would be considered Level 3 inputs under the fair value hierarchy.

 

We have categorized our assets and liabilities that are valued at fair value on a recurring basis into a three-level fair value hierarchy in accordance with GAAP. Fair value is defined as the exchange price that would be received for an asset or paid to transfer a liability (an exit price) in the principal or most advantageous market for the asset or liability in an orderly transaction between market participants on the measurement date. The fair value hierarchy gives the highest priority to quoted prices in active markets for identical assets and liabilities (Level 1) and lowest priority to unobservable inputs (Level 3).

 

Assets and liabilities recorded in the consolidated balance sheets at fair value are categorized based on a hierarchy of inputs, as follows:

 

Level 1 -- Unadjusted quoted prices in active markets for identical assets or liabilities.

Level 2 -- Quoted prices for similar assets or liabilities in active markets or inputs that are observable for the asset or liability, either directly or indirectly through market corroboration, for substantially the full term of the financial instrument.

Level 3 -- Unobservable inputs for the asset or liability.

 

At December 31, 2020 and 2019, we had no financial assets and liabilities reported at fair value.

Income Taxes

Income Taxes

 

Income taxes are accounted for under the asset and liability method. Deferred tax assets and liabilities are recognized for the estimated future tax consequences attributable to differences between the financial statements carrying amounts of existing assets and liabilities and their respective tax basis. Deferred tax assets and liabilities are measured using enacted tax rates expected to apply to taxable income in the years in which the related temporary differences are expected to be recovered or settled. The effect on deferred tax assets and liabilities of a change in tax rates is recognized when the rate change is enacted. Valuation allowances are recorded to reduce deferred tax assets to the amount that will more likely than not be realized. In accordance with GAAP, we recognize the effect of uncertain income tax positions only if the positions are more likely than not of being sustained in an audit, based on the technical merits of the position. Recognized uncertain income tax positions are measured at the largest amount that is greater than 50% likely of being realized. Changes in recognition or measurement are reflected in the period in which those changes in judgement occur. We recognize both interest and penalties related to uncertain tax positions as part of the income tax provision. 

Revenue Recognition

Revenue Recognition

 

We adopted Accounting Standards Codification (“ASC”) Topic 606 (“ASC 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. 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 with each healthcare facility for a standard term of three to five years and have determined we have one performance obligation for our services and hardware. Under the subscription-based contract, 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 Patient Safety System and are required to maintain and service all CareView Patient Safety System equipment. If the healthcare facility requires additional services, the contract is amended accordingly. 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 incur 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.

 

Under our sales-based contract model, the hardware, installation costs, and software license are billed to the facility upon receipt of hardware and at "Go Live" for installation costs and software licensing. Upon Go-Live and when services begin, the customer simultaneously receives the use and benefit of those services and recognize the revenue from the sale of hardware, installation, and software licensing over time. If the healthcare facility requires additional services or hardware, the contract is amended accordingly. The revenues related to the sales-based contract model were not material during fiscal 2020, and therefore, the Company determined 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 operation.

   

The table below details the activity in these deferred installation costs during the years ended December 31, 2020 and 2019, including in other assets in the accompanying consolidated balance sheet.

 

 

 

For the Years Ended
December 31,

 

 

 

2020

 

 

2019

 

Balance, beginning of period

 

$

81,188

 

 

$

134,686

 

Additions

 

 

26,459

 

 

 

47,472

 

Transfer to expense

 

 

(53,645

)

 

 

(100,970

)

Balance, end of period

 

$

54,002

 

 

$

81,188

 

 

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.

 

During the years ended December 31, 2020 and 2019, a total of $137,866 and $58,559, respectively, of the beginning balance of the contract liability was recognized as revenue. The table below details the activity during the years ended December 31, 2020 and 2019.

 

 

 

For the Years Ended
December 31,

 

 

 

2020

 

 

2019

 

Balance, beginning of period

 

$

255,398

 

 

$

58,559

 

Additions

 

 

493,767

 

 

 

647,473

 

Transfer to revenue

 

 

(284,041

)

 

 

(450,634

)

Balance, end of period

 

$

465,124

 

 

$

255,398

 

 

As of December 31, 2020, future transfers to revenue are as follows:

 

Years Ending December 31,

 

Amount

 

2021

 

$

331,717

 

2022

 

 

66,207

 

Thereafter

 

 

67,200

 

 

 

$

465,124

 

 

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 is recorded when the right to consideration becomes unconditional and are reported accordingly our consolidated financial statements.

   

Leases

Leases

 

Under ASC Topic 842, operating lease expense is generally recognized evenly over the term of the lease. The Company has an operating lease primarily consisting of office space with a remaining lease term of 55 months. We adopted ASC Topic 824, Leases, using the cumulative effect transition method for all operating leases with an original term of 12 months or more as of January 1, 2019. The cumulative impact of the adoption of ASC Topic 842 to the consolidated balance sheet as of January 1, 2019 was as follows:

 

Operating Lease Asset   $ 236,959  
Operating Lease Liability-ST   $ 166,955  
Operating Lease Liability-LT   $ 83,477  

 

The adoption of  ASC Topic 842 did not result in an adjustment to retained earnings.

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 common shares 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 to purchase our Common Stock (the “Warrants”) and convertible debt. Potential common shares totaling approximately 207,000,000 and 161,000,000 at December 31, 2020 and 2019, respectively, have been excluded from the diluted earnings per share calculation as they are anti-dilutive due to our reported net loss.

Stock Based Compensation

Stock Based Compensation

 

We recognize compensation expense for all share-based payments granted and amended based on the grant date fair value estimated in accordance with GAAP. Compensation expense is generally recognized on a straight-line basis over the employee’s requisite service period based on the award’s estimated lives for fixed awards with ratable vesting provisions.

Debt Discount Costs

Debt Discount Costs

 

Costs incurred with parties who are providing long-term financing, with Warrants issued with the underlying debt, are reflected as a debt discount based on the relative fair value of the debt and Warrants. These discounts are generally amortized over the life of the related debt, using the effective interest rate method or other methods approximating the effective interest method. Additionally, convertible debt issued with a beneficial conversion feature is recorded at a discount based on the difference in the effective conversion price and the fair value of the Company’s stock on the date of issuance, if any. Outstanding debt is presented net of any such discounts on the accompanying consolidated financial statements.

Deferred Debt Issuance and Debt Financing Costs

Deferred Debt Issuance and Debt Financing Costs

 

Costs incurred through the issuance of Warrants to parties who are providing long-term financing availability, which includes revolving credit lines, are reflected as deferred debt issuance based on the fair value of the Warrants issued. Costs incurred with third parties related to issuance of debt are recorded as deferred financing costs. These costs are generally amortized over the life of the financing instrument using the effective interest rate method or other methods approximating the effective interest method. Amounts associated with our senior secured convertible notes are netted with the outstanding debt on the accompanying consolidated financial statements while amount associated with credit facilities are presented in other assets on the accompanying consolidated statements of operations.

Shipping and Handling Costs

Shipping and Handling Costs

 

We expense all shipping and handling costs as incurred. These costs are included in network operations on the accompanying consolidated statements of operations.

Advertising Costs

Advertising Costs

 

We consider advertising costs as costs associated with the promotion of our products through the various media outlets and trade shows. We expense all advertising costs as incurred. Our advertising expense for the years ended December 31, 2020 and 2019 totaled approximately $28,000 and $30,000, respectively.

Concentration of Credit Risks and Customer Data

Concentration of Credit Risks and Customer Data

 

During 2020 one customer comprised $1,179,000 or 18% of our revenue, while no other customer comprised more than 10%. During 2019 one customer comprised $1,538,000 or 25% of our revenue, while no other customer comprised more than 10%.

Use of Estimates

Use of Estimates

 

Our financial statements have been prepared in accordance with GAAP. The preparation of these financial statements requires us to make significant estimates and judgments that affect the reported amounts of assets, liabilities, revenues, expenses and related disclosure of contingent assets and liabilities. We evaluate our estimates, including those related to contingencies, on an ongoing basis. We base our estimates on historical experience and on various other assumptions that are believed to be reasonable under the circumstances, the results of which form the basis for making judgments about the carrying values of assets and liabilities that are not readily apparent from other sources. Actual results may differ from these estimates under different assumptions or conditions.

Recently Issued and Newly Adopted Accounting Pronouncements

Recently Issued and Newly Adopted Accounting Pronouncements

 

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, 2019. We do not expect that the adoption of any recent accounting pronouncements will have a material impact on our accompanying consolidated financial statements.

Reclassification

Reclassification

 

Certain amounts reported in the prior year financial statements may have been reclassified to conform to the current year presentation.

XML 37 R24.htm IDEA: XBRL DOCUMENT v3.21.1
SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES (Tables)
12 Months Ended
Dec. 31, 2020
Accounting Policies [Abstract]  
Schedule of deferred installation costs

The table below details the activity in these deferred installation costs during the years ended December 31, 2020 and 2019, including in other assets in the accompanying consolidated balance sheet.

 

    For the Years Ended
December 31,
 
    2020     2019  
Balance, beginning of period   $ 81,188     $ 134,686  
Additions     26,459       47,472  
Transfer to expense     (53,645 )     (100,970 )
Balance, end of period   $ 54,002     $ 81,188  
Schedule of contract liability activity

The table below details the activity during the years ended December 31, 2020 and 2019.

 

 

 

For the Years Ended
December 31,

 

 

 

2020

 

 

2019

 

Balance, beginning of period

 

$

255,398

 

 

$

58,559

 

Additions

 

 

493,767

 

 

 

647,473

 

Transfer to revenue

 

 

(284,041

)

 

 

(450,634

)

Balance, end of period

 

$

465,124

 

 

$

255,398

 

Schedule of future transfers to revenue

As of December 31, 2020, future transfers to revenue are as follows:

 

Years Ending December 31,

 

Amount

 

2021

 

$

331,717

 

2022

 

 

66,207

 

Thereafter

 

 

67,200

 

 

 

$

465,124

 

Schedule of the impact of ASU 2016-02

The cumulative impact of the adoption of ASU 2016-02 to the consolidated balance sheet as of January 1, 2019 was as follows:

 

Operating Lease Asset   $ 236,959  
Operating Lease Liability-ST   $ 166,955  
Operating Lease Liability-LT   $ 83,477  
XML 38 R25.htm IDEA: XBRL DOCUMENT v3.21.1
STOCKHOLDERS' EQUITY (Tables)
12 Months Ended
Dec. 31, 2020
Stockholders' Equity Note [Abstract]  
Schedule of warrant activity

A summary of our Warrants activity and related information follows:

 

 

 

Number of Shares Under Warrant

 

 

Range of Warrant Price Per Share

 

 

Weighted Average Exercise Price

 

 

Weighted Average Remaining Contractual Life

 

Beginning Balance     16,284,000     $ 0.05-$1.10      $  0.49        4.9  
   Granted      250,000      0.03      0.03        9.4  
   Canceled                              

Balance at December 31, 2019

 

 

16,534,030

 

 

$

0.03-$1.10

 

 

$

0.49

 

 

 

4.4

 

Granted

 

 

1,000,000

 

 

$

0.01

 

 

$

0.01

 

 

 

9.10

 

Expired

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Canceled

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Balance at December 31, 2020

 

 

16,050,458

 

 

$

0.01-$0.53

 

 

$

0.76

 

 

 

4.3

 

Schedule of stock option activity

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

 

 

 

Number of Shares Under Option

 

 

Weighted Average Exercise Price

 

 

Weighted
Average
Remaining
Contractual
Life

 

 

Aggregate Intrinsic Value

 

Balance at December 31, 2019

 

 

20,524,792

 

 

$

0.25

 

 

 

6.3

 

 

$

 

Granted

 

 

21,374,991

 

 

 

 

 

 

 

 

 

 

 

 

 

Expired

 

 

(703,982

)

 

 

 

 

 

 

 

 

 

 

 

 

Canceled

 

 

(506,833

)

 

 

 

 

 

 

 

 

 

 

 

 

Balance at December 31, 2020

 

 

40,688,968

 

 

$

0.13

 

 

 

7.6

 

 

$

526,724

 

Vested and Exercisable at December 31, 2020

 

 

 

19,478,977

 

 

$

 

0.23

 

 

 

 

5.5

 

 

$

 

 

 

XML 39 R26.htm IDEA: XBRL DOCUMENT v3.21.1
INCOME TAXES (Tables)
12 Months Ended
Dec. 31, 2020
Income Tax Disclosure [Abstract]  
Schedule of provision for income taxes

The provision for income taxes consists of the following:

 

 

 

2020

 

 

2019

 

 

 

 

 

 

 

 

 

 

Current:

 

 

  Federal

 

 

 

 

  State income tax, net of federal benefit

 

 

9,635

 

 

 

7,268

 

    Sub-total:

 

 

9,635

 

 

7,268

 

   

 

 

 

 

Deferred:

 

 

 

 

 

  Federal            

  State income tax, net of federal benefit

 

 

 

 

 

 

    Sub-total:

 

 

 

 

 

 

Total

 

$

9,635

 

 

$

7,268

 

Schedule of income tax reconciliation

 

 

Years Ended December 31,

 

 

 

2020

 

 

2019

 

 

 

 

 

 

 

 

 

 

Expected income tax benefit at statutory rate

 

$

(2,453,962

)

 

$

(2,969,493

)

Debt discount amortization

 

 

688,950

 

 

 

683,911

 

Permanently disallowed interest

 

 

238,673

 

 

 

223,586

 

PPP loan

 

 

(164,178

)

 

 

 

 

Other permanent differences

 

 

4,390

 

 

 

10,263

 

State income tax, net of federal benefit

   

9,635

 

 

 

7,268

 

Other reconciling items

 

 

36,738

 

 

 

65,227

 

Change in valuation account

 

 

1,649,389

 

 

 

1,986,506

 

Income tax expense (benefit)

 

$

9,635

 

 

$

7,268

Schedule of components of deferred tax assets

The components of the deferred tax assets and liabilities are as follows:  

 

 

 

December 31,

 

 

 

2020

 

 

2019

 

Deferred Tax Assets:

 

 

 

 

 

 

 

 

Tax benefit of net operating loss carry-forward

 

$

18,588,968

 

 

$

18,162,329

 

Accrued interest

 

 

7,450,680

 

 

 

6,378,719

 

Stock based compensation

 

 

1,298,120

 

 

 

1,265,290

 

Amortization

 

 

314,022

 

 

 

100,550

 

Depreciation

 

 

52,965

 

 

 

393,935

 

Accrued expenses

 

 

71,402

 

 

 

60,193

 

Donations

 

 

5,947

 

 

 

5,947

 

Inventory reserve

 

 

237,527

 

 

 

237,527

 

Bad debt allowance

 

 

(2

)

 

 

1,591

 

Research and development credit carry-forward

 

 

29,084

 

 

 

29,084

 

BCF debt discount

 

 

(444,009

)

 

 

(679,850

)

Total deferred tax assets

 

 

27,604,704

 

 

 

25,955,315

 

Valuation allowance for deferred tax assets

 

 

(27,604,704

 

 

(25,955,315

)

Deferred tax assets, net of valuation allowance

 

$

 

 

$

 

XML 40 R27.htm IDEA: XBRL DOCUMENT v3.21.1
INVENTORY (Tables)
12 Months Ended
Dec. 31, 2020
Inventory Disclosure [Abstract]  
Schedule of inventory

Inventory consists of the following:

 

 

 

December 31,

 

 

 

2020

 

 

2019

 

Inventory

 

$

408,450

 

 

$

 

TOTAL INVENTORY

 

$

408,450

 

 

$

 

 

XML 41 R28.htm IDEA: XBRL DOCUMENT v3.21.1
OTHER CURRENT ASSETS (Tables)
12 Months Ended
Dec. 31, 2020
Deferred Costs, Capitalized, Prepaid, and Other Assets Disclosure [Abstract]  
Schedule of other current assets

Other current assets consist of the following:

 

    December 31,  
    2020     2019  
Prepaid equipment   $     $ 102,215  
Other prepaid expenses     211,751       109,185  
Other current assets     32,556       9,064  
          TOTAL OTHER CURRENT ASSETS   $ 244,307     $ 220,464  
XML 42 R29.htm IDEA: XBRL DOCUMENT v3.21.1
PROPERTY AND EQUIPMENT (Tables)
12 Months Ended
Dec. 31, 2020
Property, Plant and Equipment [Abstract]  
Schedule of property and equipment

Property and equipment consist of the following:

 

 

 

December 31,

 

 

 

2020

 

 

2019

 

Network equipment

 

$

12,536,423

 

 

$

12,424,248

 

Office equipment

 

 

229,240

 

 

 

207.608

 

Vehicles

 

 

217,004

 

 

 

217,004

 

Test equipment

 

 

204,455

 

 

 

197,090

 

Furniture

 

 

92,846

 

 

 

91,341

 

Warehouse equipment

 

 

9,524

 

 

 

9,524

 

Leasehold improvements

 

 

5,121

 

 

 

5,121

 

 

 

 

13,294,613

 

 

 

13,151,936

 

Less: accumulated depreciation

 

 

(11,702,129

)

 

 

(11,173,916

)

TOTAL PROPERTY AND EQUIPMENT

 

$

1,592,484

 

 

$

1,978,020

 

 

XML 43 R30.htm IDEA: XBRL DOCUMENT v3.21.1
OTHER ASSETS (Tables)
12 Months Ended
Dec. 31, 2020
Deferred Costs, Capitalized, Prepaid, and Other Assets Disclosure [Abstract]  
Schedule of intangible assets

Intangible assets consist of the following:

 

    December 31, 2020  
    Cost     Accumulated Amortization     Net  
Patents and trademarks   $ 1,131,581     $ 238,625     $ 892,956  
Other intangible assets     83,745       78,989       4,756  
TOTAL INTANGIBLE ASSETS   $ 1,215,326     $ 317,614     $ 897,712  

 

    December 31, 2019  
    Cost     Accumulated Amortization     Net  
Patents and trademarks   $ 1,070,871     $ 243,702     $ 827,169  
Other intangible assets     63,509       59,996       3,513  
TOTAL INTANGIBLE ASSETS   $ 1,134,380     $ 303,698     $ 830,682  
Schedule of other assets

Other assets consist of the following:

 

    December 31, 2020  
    Cost     Accumulated Amortization     Net  
Deferred installation costs   $ 1,292,729     $ 1,238,727     $ 54,002  
Prepaid license fee     249,999       153,004       96,995  
Security deposit     46,124             46,124  
TOTAL OTHER ASSETS   $ 1,588,852     $ 1,391,731     $ 197,121  

 

    December 31, 2019  
    Cost     Accumulated Amortization     Net  
Deferred installation costs   $ 1,288,156     $ 1,206,968     $ 81,188  
Prepaid license fee     249,999       136,611       113,388  
Security deposit     46,124             46,124  
TOTAL OTHER ASSETS   $ 1,584,279     $ 1,343,579     $ 240,700  
XML 44 R31.htm IDEA: XBRL DOCUMENT v3.21.1
OTHER CURRENT LIABILITIES (Tables)
12 Months Ended
Dec. 31, 2020
Payables and Accruals [Abstract]  
Schedule of other current liabilities

Other current liabilities consist of the following:

 

    December 31,  
    2020     2019  
Accrued interest   $ 6,973,032     $ 3,751,061  
Allowance for system removal     36,500       152,800  
Accrued paid time off     146,342       112,176  
Deferred commission     139,041       139,041  
Accrued rent expense           18,276  
Deferred revenue     465,124       255,398  
Accrued taxes     10,424       29,309  
Insurance Premium Financing     67,927       19,360  
Other accrued liabilities     20,090       24,199  
TOTAL OTHER CURRENT LIABILITIES   $ 7,858,480     $ 4,505,505  
XML 45 R32.htm IDEA: XBRL DOCUMENT v3.21.1
COMMITMENTS AND CONTINGENCIES (Tables)
12 Months Ended
Dec. 31, 2020
Commitments and Contingencies Disclosure [Abstract]  
Schedule of future debt payments

As of December 31, 2020, future debt payments due are as follows:

 

Years
Ending December 31,

 

 

Total

 

 

Loan Payable

 

 

Senior Secured Convertible Notes(1)

 

 

Senior Secured Notes(2)

 

2021

Related Party

$

46,666,949

 

 

$

700,000

 

 

$

 

 

 

45,966,949

 

 

Other

 

20,163,786

 

 

 

 20,163,786

 

 

 

 

 

 

 

2022

Related Party 

 

10,643,186

 

 

 

 

 

 

 

 

 

10,643,186

 

 

Other 

 

 

 

 

 

 

 

 

 

 

 

2023

Related Party

 

 

 

 

 

 

 

 

 

 

 

 

Other 

 

 

 

 

 

 

 

 

 

 

 

2024

Related Party 

 

11,225,690

 

 

 

 

 

 

11,225,690

 

 

 

 

 

Other 

 

 

 

 

 

 

 

 

 

 

 

Thereafter

Related Party

 

13,006,268

 

 

 

 

 

 

13,006,268

 

 

 

 

Other

 

3,531,289

 

 

 

 

 

 

3,531,289

 

 

 

 

Total

 

$

105,237,168

 

 

$

20,863,786

 

 

$

27,763,247

 

 

$

56,610,135

 

 

 

 

 

(1)

Senior Secured Convertible Notes are included on the accompanying consolidated financial statements as $24,111,516, which represents this amount less debt discount of $3,651,731.

 

(2)

Senior Secured Notes are included on the accompanying consolidated financial statements as $54,777,467, which represents this amount less debt discount of $1,832,668.

XML 46 R33.htm IDEA: XBRL DOCUMENT v3.21.1
LEASE (Tables)
12 Months Ended
Dec. 31, 2020
Leases [Abstract]  
Schedule of operating lease asset and liability

Operating lease asset and liability for our operating lease were recorded in the  consolidated balance sheet as follows:

 

    December 31, 2020  
Assets        
Operating lease asset   $ 659,099  
Total lease asset   $ 659,099  
         
Liabilities        
Current liabilities:        
Operating lease liability   $ 150,087  
         
Long-term liabilities:        
Operating lease liability, net of current portion   $ 561,202  
Total lease liability   $ 711,289  
Schedule of future minimum lease payments

Future lease payments included in the measurement of operating lease liability on the  consolidated balance sheet as of December 31, 2020, for the following five fiscal years and thereafter as follows:

 

Year ending December 31,   Operating Leases  
2021   $ 202,310  
2022     208,379  
2023     214,631  
2024     221,069  
2025 and thereafter     150,679  
Total minimum lease payments     997,068  
Less effects of discounting     (285,779 )
Present value of future minimum lease payments    $ 711,289   
Schedule of cash flow information related to operating lease

The table below presents certain information related to the cash flows for the Company’s operating lease for twelve months ending December 31, 2020:

 

   

Twelve Months

 Ended

 December 31, 2020 

 
Cash paid for amounts included in the measurement of lease liabilities:      
Operating cash flows for operating leases   $ 46,769  
XML 47 R34.htm IDEA: XBRL DOCUMENT v3.21.1
AGREEMENT WITH HEALTHCOR (Tables)
12 Months Ended
Dec. 31, 2020
Agreement With Healthcor  
Schedule of holders of at least a majority of the Common Stock underlying the outstanding notes and warrants to purchase shares of common stock

   Underlying Shares
Investor Group  of Common Stock
2014 Healthcor Notes   28,064,226 
2015 Investors   19,388,598 
2015 Healthcor Notes   3,877,721 
February 2018 Investors   58,234,786 
July 2018 Investors   27,090,063 
2019 Investor   2,036,258 
February 2020 Investor   11,174,105 
Total   149,865,756 

 

XML 48 R35.htm IDEA: XBRL DOCUMENT v3.21.1
DESCRIPTION OF BUSINESS AND BASIS OF PRESENTATION (Details Narrative)
1 Months Ended 3 Months Ended 12 Months Ended
Aug. 31, 2019
USD ($)
Dec. 31, 2019
USD ($)
Dec. 31, 2019
Number
Apr. 10, 2020
USD ($)
Paycheck Protection Program [Member] | PPP Loan [Member]        
Loan amount       $ 781,800
CareView Connect [Member]        
Number of pilot contracts | Number     2  
Fully executed contract, per month $ 1,464      
Write-off of inventory   $ 1,131,000    
XML 49 R36.htm IDEA: XBRL DOCUMENT v3.21.1
SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES (Details) - USD ($)
12 Months Ended
Dec. 31, 2020
Dec. 31, 2019
Accounting Policies [Abstract]    
Balance, beginning of period $ 81,188 $ 134,686
Additions 26,459 47,472
Transfer to expense (53,645) (100,970)
Balance, end of period $ 54,002 $ 81,188
XML 50 R37.htm IDEA: XBRL DOCUMENT v3.21.1
SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES (Details 1) - USD ($)
12 Months Ended
Dec. 31, 2020
Dec. 31, 2019
Accounting Policies [Abstract]    
Balance, beginning of period $ 255,398 $ 58,559
Additions 493,767 647,473
Transfer to revenue (284,041) (450,634)
Balance, end of period $ 465,124 $ 255,398
XML 51 R38.htm IDEA: XBRL DOCUMENT v3.21.1
SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES (Details 2) - USD ($)
Dec. 31, 2020
Dec. 31, 2019
Dec. 31, 2018
Total $ 465,124 $ 255,398 $ 58,559
2021 [Member]      
Total 331,717    
2022 [Member]      
Total 66,207    
Thereafter [Member]      
Total $ 67,200    
XML 52 R39.htm IDEA: XBRL DOCUMENT v3.21.1
SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES (Details 3) - USD ($)
Dec. 31, 2020
Dec. 31, 2019
Jan. 02, 2019
Right to Use Asset $ 659,099 $ 85,942  
Right to Use Liability-ST 150,087 $ 91,363  
Right to Use Liability-LT $ 561,202    
ASU 2016-02 [Member]      
Right to Use Asset     $ 236,959
Right to Use Liability-ST     166,955
Right to Use Liability-LT     $ 83,477
XML 53 R40.htm IDEA: XBRL DOCUMENT v3.21.1
SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES (Details Narrative) - USD ($)
12 Months Ended
Dec. 31, 2020
Dec. 31, 2019
Allowance for system removal $ 36,500 $ 152,800
Advertising costs $ 28,000 $ 30,000
Anti-dilutive common share equivalents excluded from EPS calculation 207,000,000 161,000,000
Transfer to revenue - additions $ 137,866 $ 58,559
Allowance for doubtful accounts 0 0
Revenues, net $ 6,461,995 $ 6,294,122
Concentration [Member] | Revenue [Member] | One Customer [Member]    
Concentration risk percentage 18.00% 25.00%
Revenues, net $ 1,179,000 $ 1,538,193
Trademarks [Member]    
Amortization period for intangible assets 10 years  
Patents [Member]    
Amortization period for intangible assets 20 years  
Intellectual Property [Member] | Upper Range [Member]    
Amortization period for intangible assets 5 years  
Network Equipment [Member]    
Estimated useful life of property and equipment 7 years  
Office and Test Equipment [Member]    
Estimated useful life of property and equipment 3 years  
Warehouse Equipment and Furniture [Member]    
Estimated useful life of property and equipment 5 years  
Office Space [Member]    
Estimated useful life of property and equipment 55 months  
XML 54 R41.htm IDEA: XBRL DOCUMENT v3.21.1
GOING CONCERN, LIQUIDITY AND MANAGMENTS PLAN (Details Narrative) - USD ($)
Dec. 31, 2020
Dec. 31, 2019
Liquidity and Managments Plan [Abstract]    
Cash and cash equivalents $ 357,950 $ 269,741
XML 55 R42.htm IDEA: XBRL DOCUMENT v3.21.1
STOCKHOLDERS' EQUITY (Details) - Warrants [Member] - $ / shares
12 Months Ended
Dec. 31, 2020
Dec. 31, 2019
Number of shares under warrant    
Warrants outstanding, beginning 16,534,030 16,284,000
Warrants granted 1,000,000 250,000
Warrants outstanding, ending 16,050,458 16,534,030
Range of Warrant Price Per Share    
Warrant price granted $ 0.01 $ 0.03
Weighted Average Exercise Price    
Warrant exercise price, beginning 0.49 0.49
Warrants granted 0.01 0.03
Warrant exercise price, ending $ 0.76 $ 0.49
Weighted Average Remaining Contractual Life    
Wararnt term, beginning 4 years 4 months 24 days 4 years 10 months 25 days
Warrant term, granted 9 years 1 month 6 days 9 years 4 months 24 days
Warrant term, ending 4 years 3 months 18 days 4 years 4 months 24 days
Lower Range [Member]    
Range of Warrant Price Per Share    
Warrant price, beginning $ 0.03 $ 0.05
Warrant price granted
Warrant price, ending 0.01 0.03
Upper Range [Member]    
Range of Warrant Price Per Share    
Warrant price, beginning 1.10 1.10
Warrant price granted
Warrant price, ending $ 0.53 $ 1.10
XML 56 R43.htm IDEA: XBRL DOCUMENT v3.21.1
STOCKHOLDERS' EQUITY (Details 1)
12 Months Ended
Dec. 31, 2020
USD ($)
$ / shares
shares
Number Options  
Stock Options Outstanding, Beginning 20,524,792
Granted 21,374,991
Expired (703,982)
Canceled (506,833)
Stock Options Outstanding, Ending 40,688,968
Stock Options, vested and exercisable 19,478,977
Weighted Average Exercise Price  
Stock Options Outstanding, Beginning | $ / shares $ 0.25
Stock Options Outstanding, Ending | $ / shares 0.13
Stock Options, vested and exercisable | $ / shares $ 0.23
Weighted Average Remaining Contractual Life  
Stock Options Outstanding, Beginning 6 years 3 months 18 days
Stock Options Outstanding, Ending 7 years 7 months 6 days
Stock Options, vested and exercisable 5 years 6 months
Aggregate Intrinsic Value  
Stock Options Outstanding, Ending | $ $ 526,724
XML 57 R44.htm IDEA: XBRL DOCUMENT v3.21.1
STOCKHOLDERS' EQUITY (Details Narrative) - USD ($)
Dec. 31, 2020
Feb. 28, 2020
Dec. 31, 2019
May 31, 2019
Preferred stock, par value (in dollars per share) $ 0.001   $ 0.001  
Preferred stock, shares authorized 20,000,000   20,000,000  
Common stock, par value (in dollars per share) $ 0.001   $ 0.001  
Common stock, shares authorized 500,000,000   500,000,000  
Common stock, shares issued 139,380,748   139,380,748  
Common stock, shares outstanding 139,380,748   139,380,748  
Director [Member] | Warrants [Member]        
Number of warrants issued   1,000,000   250,000
Warrant exercise price (in dollars per share)   $ 0.01   $ 0.03
Fair value of the warrants   $ 10,000   $ 4,000
Warrant term   10 years   10 years
XML 58 R45.htm IDEA: XBRL DOCUMENT v3.21.1
STOCKHOLDERS' EQUITY (Details Narrative 1) - USD ($)
12 Months Ended
Dec. 31, 2020
Dec. 31, 2019
Aug. 06, 2020
Dec. 07, 2016
Feb. 25, 2015
Sep. 30, 2009
Dec. 03, 2007
Options granted 21,374,991            
Options outstanding 40,688,968 20,524,792          
Share-based compensation expense $ 156,342 $ 158,866          
Unrecognized estimated compensation expense $ 552,501            
Period for recognization of unrecognized compensation expense 2 years 7 months 6 days            
2007 Stock Incentive Plan [Member]              
Shares reserved for option under the plan             8,000,000
Vesting period 3 years            
Expiration period 10 years            
Options granted 8,000,000            
Options outstanding 0            
2009 Stock Incentive Plan [Member]              
Shares reserved for option under the plan           10,000,000  
Vesting period 3 years            
Expiration period 10 years            
Options granted 10,000,000            
Options outstanding 0            
2015 Option Plan [Member]              
Shares reserved for option under the plan         5,000,000    
Vesting period 3 years            
Expiration period 10 years            
Options granted 5,000,000            
Options outstanding 0            
2016 Option Plan [Member]              
Shares reserved for option under the plan       20,000,000      
Vesting period 3 years            
Expiration period 10 years            
Options granted 20,000,000            
Options outstanding 0            
Options issued 20,000,000            
2020 Option Plan [Member]              
Shares reserved for option under the plan     20,000,000        
Vesting period 3 years            
Expiration period 10 years            
Options granted 13,637,024            
Options outstanding 6,362,976            
XML 59 R46.htm IDEA: XBRL DOCUMENT v3.21.1
INCOME TAXES (Details) - USD ($)
12 Months Ended
Dec. 31, 2020
Dec. 31, 2019
Tax Year 2020 [Member]    
Current:    
Federal  
State income tax, net of federal benefit 9,635  
Sub-total: 9,635  
Deferred:    
Federal  
State income tax, net of federal benefit  
Sub-total:  
Total:    
Income tax expense (benefit) $ 9,635  
Tax Year 2019 [Member]    
Current:    
State income tax, net of federal benefit   $ 7,268
Sub-total:   7,268
Total:    
Income tax expense (benefit)   $ 7,268
XML 60 R47.htm IDEA: XBRL DOCUMENT v3.21.1
INCOME TAXES (Details 1) - USD ($)
12 Months Ended
Dec. 31, 2020
Dec. 31, 2019
Tax Year 2020 [Member]    
Income tax reconciliation    
Expected income tax benefit at statutory rate $ (2,453,962)  
Debt discount amortization 688,950  
Permanently disallowed interest 238,673  
PPP loan (164,178)  
Other permanent differences 4,390  
State income tax, net of federal benefit 9,635  
Other reconciling items 36,738  
Change in valuation account 1,649,389  
Income tax expense (benefit) $ 9,635  
Tax Year 2019 [Member]    
Income tax reconciliation    
Expected income tax benefit at statutory rate   $ (2,969,493)
Debt discount amortization   683,911
Permanently disallowed interest   223,586
Other permanent differences   10,263
State income tax, net of federal benefit   7,268
Other reconciling items   65,227
Change in valuation account   1,986,506
Income tax expense (benefit)   $ 7,268
XML 61 R48.htm IDEA: XBRL DOCUMENT v3.21.1
INCOME TAXES (Details 2) - USD ($)
Dec. 31, 2020
Dec. 31, 2019
Deferred Tax Assets:    
Tax benefit of net operating loss carry-forward $ 18,588,968 $ 18,162,329
Accrued interest 7,450,680 6,378,719
Stock based compensation 1,298,120 1,265,290
Amortization 314,022 100,550
Depreciation 52,965 393,935
Accrued expenses 71,402 60,193
Donations 5,947 5,947
Inventory reserve 237,527 237,527
Bad debt allowance (2) 1,591
Research and development credit carry-forward 29,084 29,084
BCF debt discount (444,009) (679,850)
Total deferred tax assets 27,604,704 25,955,315
Valuation allowance for deferred tax assets (27,604,704) (25,955,315)
Deferred tax assets, net of valuation allowance $ 0 $ 0
XML 62 R49.htm IDEA: XBRL DOCUMENT v3.21.1
INCOME TAXES (Details Narrative) - USD ($)
12 Months Ended
Dec. 31, 2020
Dec. 31, 2019
Operating Loss Carryforwards [Line Items]    
Deferred tax valuation allowance increase $ 1,649,389 $ 1,986,506
Federal [Member]    
Operating Loss Carryforwards [Line Items]    
Net operating loss carryforwards $ 89,000,000  
Expiration of net operating tax loss carry-forward Dec. 31, 2028  
State [Member]    
Operating Loss Carryforwards [Line Items]    
Net operating loss carryforwards $ 20,000,000  
XML 63 R50.htm IDEA: XBRL DOCUMENT v3.21.1
INVENTORY (Details)
Dec. 31, 2020
USD ($)
Inventory Disclosure [Abstract]  
Inventory $ 408,450
TOTAL INVENTORY $ 408,450
XML 64 R51.htm IDEA: XBRL DOCUMENT v3.21.1
OTHER CURRENT ASSETS (Details) - USD ($)
Dec. 31, 2020
Dec. 31, 2019
Deferred Costs, Capitalized, Prepaid, and Other Assets Disclosure [Abstract]    
Prepaid equipment   $ 102,215
Other prepaid expenses $ 211,751 109,185
Other current assets 32,556 9,064
TOTAL OTHER CURRENT ASSETS $ 244,307 $ 220,464
XML 65 R52.htm IDEA: XBRL DOCUMENT v3.21.1
PROPERTY AND EQUIPMENT (Details) - USD ($)
Dec. 31, 2020
Dec. 31, 2019
Property, Plant and Equipment [Line Items]    
Property and equipment, gross $ 13,294,613 $ 13,151,936
Less: accumulated depreciation (11,702,129) (11,173,916)
TOTAL PROPERTY AND EQUIPMENT 1,592,484 1,978,020
Network Equipment [Member]    
Property, Plant and Equipment [Line Items]    
Property and equipment, gross 12,536,423 12,424,248
Office Equipment [Member]    
Property, Plant and Equipment [Line Items]    
Property and equipment, gross 229,240 207,608
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 204,455 197,090
Furniture [Member]    
Property, Plant and Equipment [Line Items]    
Property and equipment, gross 92,846 91,341
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 66 R53.htm IDEA: XBRL DOCUMENT v3.21.1
PROPERTY AND EQUIPMENT (Details Narrative) - USD ($)
12 Months Ended
Dec. 31, 2020
Dec. 31, 2019
Property, Plant and Equipment [Abstract]    
Depreciation expense $ 531,098 $ 666,387
XML 67 R54.htm IDEA: XBRL DOCUMENT v3.21.1
OTHER ASSETS (Details) - USD ($)
Dec. 31, 2020
Dec. 31, 2019
Finite-Lived Intangible Assets [Line Items]    
Cost $ 1,215,326 $ 1,134,380
Accumulated Amortization 317,614 303,698
Net 897,712 830,682
Patents and Trademarks [Member]    
Finite-Lived Intangible Assets [Line Items]    
Cost 1,131,581 1,070,871
Accumulated Amortization 238,625 243,702
Net 892,956 827,169
Other Intangible Assets [Member]    
Finite-Lived Intangible Assets [Line Items]    
Cost 83,745 63,509
Accumulated Amortization 78,989 59,996
Net $ 4,756 $ 3,513
XML 68 R55.htm IDEA: XBRL DOCUMENT v3.21.1
OTHER ASSETS (Details 1) - USD ($)
Dec. 31, 2020
Dec. 31, 2019
Cost $ 1,588,852 $ 1,584,279
Accumulated Amortization 1,391,731 1,343,579
Net 197,121 240,700
Deferred Installation Costs [Member]    
Cost 1,292,729 1,288,156
Accumulated Amortization 1,238,727 1,206,968
Net 54,002 81,188
Prepaid License Fee [Member]    
Cost 249,999 249,999
Accumulated Amortization 153,004 136,611
Net 96,995 113,388
Security Deposit [Member]    
Cost 46,124 46,124
Net $ 46,124 $ 46,124
XML 69 R56.htm IDEA: XBRL DOCUMENT v3.21.1
OTHER CURRENT LIABILITIES (Details) - USD ($)
Dec. 31, 2020
Dec. 31, 2019
OTHER CURRENT LIABILITIES:    
Accrued interest $ 6,973,032 $ 3,751,061
Allowance for system removal 36,500 152,800
Accrued paid time off 146,342 112,176
Deferred commission 139,041 139,041
Accrued rent expense   18,276
Deferred revenue 465,124 255,398
Accrued taxes 10,424 29,309
Insurance Premium Financing 67,927 19,360
Other accrued liabilities 20,090 24,199
TOTAL OTHER CURRENT LIABILITIES $ 7,858,480 $ 4,505,505
XML 70 R57.htm IDEA: XBRL DOCUMENT v3.21.1
COMMITMENTS AND CONTINGENCIES (Details)
Dec. 31, 2020
USD ($)
Future debt payments for the year ending December 31,  
Total $ 105,237,168
Loans Payable [Member]  
Future debt payments for the year ending December 31,  
Total 20,863,786
Senior Secured Convertible Notes [Member]  
Future debt payments for the year ending December 31,  
Total 27,763,247 [1]
Senior Secured Notes [Member]  
Future debt payments for the year ending December 31,  
Total 56,610,135 [2]
Related Party [Member]  
Future debt payments for the year ending December 31,  
2021 46,666,949
2022 10,643,186
2024 11,225,690
Thereafter 13,006,268
Related Party [Member] | Loans Payable [Member]  
Future debt payments for the year ending December 31,  
2021 700,000
Related Party [Member] | Senior Secured Convertible Notes [Member]  
Future debt payments for the year ending December 31,  
2024 11,225,690 [1]
Thereafter 13,006,268 [1]
Related Party [Member] | Senior Secured Notes [Member]  
Future debt payments for the year ending December 31,  
2021 45,966,949 [2]
2022 10,643,186 [2]
Other [Member]  
Future debt payments for the year ending December 31,  
2021 20,163,786
Thereafter 3,531,289
Other [Member] | Loans Payable [Member]  
Future debt payments for the year ending December 31,  
2021 20,163,786
Other [Member] | Senior Secured Convertible Notes [Member]  
Future debt payments for the year ending December 31,  
Thereafter $ 3,531,289 [1]
[1] Senior Secured Convertible Notes are included on the accompanying consolidated financial statements as $24,111,516, which represents this amount less debt discount of $3,651,731.
[2] Senior Secured Notes are included on the accompanying consolidated financial statements as $54,777,467, which represents this amount less debt discount of $1,832,668.
XML 71 R58.htm IDEA: XBRL DOCUMENT v3.21.1
COMMITMENTS AND CONTINGENCIES (Details Narrative) - USD ($)
1 Months Ended 12 Months Ended
Nov. 20, 2020
Apr. 10, 2020
Jun. 30, 2020
Dec. 31, 2020
Interest and other income $ 786,889      
Gain on extinguishment of debt       $ 786,889
Senior Secured Convertible Notes [Member]        
Total debt amount, net       24,111,516
Debt discount       3,651,731
Senior Secured Notes Related Party [Member]        
Total debt amount, net       54,777,467
Debt discount       $ 1,832,668
Paycheck Protection Program [Member] | PPP Loan [Member]        
Loan amount   $ 781,800    
Maturity date   Apr. 10, 2022    
Interest rate   1.00%    
Liability   $ 781,800    
Payroll Protection Program Flexibility Act [Member] | Lower Range [Member]        
Initial deferral period     6 months  
Loan maturity period     2 years  
Payroll Protection Program Flexibility Act [Member] | Upper Range [Member]        
Initial deferral period     10 months  
Loan maturity period     5 years  
XML 72 R59.htm IDEA: XBRL DOCUMENT v3.21.1
LEASE (Details) - USD ($)
Dec. 31, 2020
Dec. 31, 2019
Assets    
Operating lease asset $ 659,099 $ 85,942
Total lease asset 659,099  
Current liabilities:    
Operating lease liability 150,087 $ 91,363
Long-term liabilities:    
Operating lease liability, net of current portion 561,202  
Total lease liability $ 711,289  
XML 73 R60.htm IDEA: XBRL DOCUMENT v3.21.1
LEASE (Details 1)
Dec. 31, 2020
USD ($)
Operating Leases  
2021 $ 202,310
2022 208,379
2023 214,631
2024 221,069
2025 and thereafter 150,679
Total minimum lease payments 997,068
Less effects of discounting (285,779)
Present value of future minimum lease payments $ 711,289
XML 74 R61.htm IDEA: XBRL DOCUMENT v3.21.1
LEASE (Details 2)
12 Months Ended
Dec. 31, 2020
USD ($)
Cash paid for amounts included in the measurement of lease liabilities:  
Operating cash flows for operating leases $ 46,769
XML 75 R62.htm IDEA: XBRL DOCUMENT v3.21.1
LEASE (Details Narrative) - USD ($)
12 Months Ended
Jan. 02, 2019
Dec. 31, 2020
Dec. 31, 2019
Mar. 04, 2020
Leases [Abstract]        
Remaining lease term 18 months      
Lease renewal term       5 years
Rent expense   $ 295,692 $ 263,664  
Discount rate   14.80%    
XML 76 R63.htm IDEA: XBRL DOCUMENT v3.21.1
AGREEMENT WITH PDL BIOPHARMA, INC. (Details Narrative) - USD ($)
12 Months Ended 43 Months Ended
Apr. 30, 2020
Feb. 06, 2020
May 15, 2019
Apr. 29, 2019
Mar. 29, 2019
Feb. 28, 2019
Jan. 31, 2019
Dec. 31, 2020
Dec. 31, 2019
May 13, 2019
Apr. 09, 2019
Jun. 26, 2015
Interest Expense               $ 10,595,598 $ 10,851,162      
PDL Modification Agreement [Member]                        
Interest Expense               3,100,000 $ 3,773,673      
PDL Credit Agreement [Member]                        
Amount available under credit agreement                       $ 40,000,000
PDL Credit Agreement [Member] | Purchase Agreement Warrants [Member]                        
Deferred issuance costs                       1,600,000
PDL Credit Agreement [Member] | Tranche One [Member]                        
Amount available under credit agreement                       $ 20,000,000
Interest rate during period                   13.50%    
Interest rate     15.50%                  
Minimum cash balance required before modification     $ 750,000                  
Minimum cash balance required     $ 0                  
Tenth Amendment PDL Modification Agreement [Member] | February 23, 2018 [Member]                        
Net cash proceeds for issuance capital stock or debt             $ 2,050,000          
Eleventh Amendment PDL Modification Agreement [Member] | July 13, 2018 [Member]                        
Net cash proceeds for issuance capital stock or debt           $ 750,000            
Twelfth Amendment PDL Modification Agreement [Member] | May 15, 2019 [Member]                        
Net cash proceeds for issuance capital stock or debt         $ 750,000              
Thirteen Amendment PDL Modification Agreement [Member] | May 15, 2019 [Member]                        
Net cash proceeds for issuance capital stock or debt       $ 3,550,000                
Fifth PDL Credit Agreement Amendment [Member]                        
Interest rate     15.50%                  
Fifth PDL Credit Agreement Amendment [Member] | Tranche Three Loans Term Note [Member] | Mr. Johnson [Member]                        
Note amount     $ 150,000                  
Fifth PDL Credit Agreement Amendment [Member] | Tranche Three Loans Term Note [Member] | Dr. Higgins [Member]                        
Note amount     $ 50,000                  
Fifth PDL Credit Agreement Amendment [Member] | Tranche One Term Note [Member]                        
Maturity date     Oct. 07, 2020                  
Issuance of warrants     250,000                  
Fifth PDL Credit Agreement Amendment [Member] | Tranche One Loan Term Note [Member]                        
Interest rate     13.50%                  
Fourteenth Amendment To The PDL Modification Agreement [Member]                        
Net cash proceeds for issuance capital stock or debt     $ 750,000                  
Note amount                     $ 20,000,000  
Fourteenth Amendment To The PDL Modification Agreement [Member] | On or prior to February 23, 2018 [Member]                        
Net cash proceeds for issuance capital stock or debt     2,050,000                  
Fourteenth Amendment To The PDL Modification Agreement [Member] | On or prior to July 13, 2018 [Member]                        
Net cash proceeds for issuance capital stock or debt     1,000,000                  
Fourteenth Amendment To The PDL Modification Agreement [Member] | On or prior to May 15, 2019 [Member]                        
Net cash proceeds for issuance capital stock or debt     250,000                  
Fourteenth Amendment To The PDL Modification Agreement [Member] | On or prior to May 15, 2019 [Member]                        
Net cash proceeds for issuance capital stock or debt     3,300,000                  
Fourteenth Amendment To The PDL Modification Agreement [Member] | On or prior to February 11, 2020 [Member]                        
Net cash proceeds for issuance capital stock or debt $ 600,000                      
Fourteenth Amendment To The PDL Modification Agreement [Member] | On or prior to Feb. 28, 2019 [Member]                        
Net cash proceeds for issuance capital stock or debt     $ 750,000                  
Sixth PDL Credit Agreement Amendment [Member] | Tranche One Term Note [Member]                        
Interest rate   15.50%                    
Principal payments   $ 500,000                    
Maturity date   Oct. 07, 2020                    
Sixth PDL Credit Agreement Amendment [Member] | Additional Tranche Three Term Notes [Member]                        
Note amount   $ 500,000                    
Sixth PDL Credit Agreement Amendment [Member] | Additional Tranche Three Term Notes [Member] | Mr. Johnson [Member]                        
Note amount   250,000                    
Sixth PDL Credit Agreement Amendment [Member] | Additional Tranche Three Term Notes [Member] | Dr. Higgins [Member]                        
Note amount   $ 250,000                    
Sixth PDL Credit Agreement Amendment [Member] | Tranche Three Lenders Term Note [Member] | Warrants [Member]                        
Interest Expense               $ 3,704        
Sixth PDL Credit Agreement Amendment [Member] | Additional Tranche Three Loan Warrant [Member] | Dr. Higgins [Member]                        
Warrant exercise price (in dollars per share)   $ 0.01                    
Maturity date   Feb. 06, 2030                    
Issuance of warrants   1,000,000                    
XML 77 R64.htm IDEA: XBRL DOCUMENT v3.21.1
AGREEMENT WITH HEALTHCOR (Details)
Apr. 17, 2020
shares
Underlying Shares of Common Stock 149,865,756
2014 Healthcor Notes Investors [Member]  
Underlying Shares of Common Stock 28,064,226
2015 Investors [Member]  
Underlying Shares of Common Stock 19,388,598
2015 Healthcor Notes Investors [Member]  
Underlying Shares of Common Stock 3,877,721
February 2018 Investors [Member]  
Underlying Shares of Common Stock 58,234,786
July 2018 Investors [Member]  
Underlying Shares of Common Stock 27,090,063
2019 Investor [Member]  
Underlying Shares of Common Stock 2,036,258
February 2020 Investor [Member]  
Underlying Shares of Common Stock 11,174,105
XML 78 R65.htm IDEA: XBRL DOCUMENT v3.21.1
AGREEMENT WITH HEALTHCOR (Details Narrative) - USD ($)
Jul. 13, 2018
Feb. 23, 2018
Dec. 04, 2014
Jan. 16, 2014
Jan. 31, 2012
Apr. 21, 2011
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%
HealthCor Purchase Agreement [Member] | 2011 Senior Secured Convertible Notes [Member] | First Five Year Note Period [Member]            
Interest rate, provided no default           12.50%
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 Tenth Amendment to Purchase Agreement [Member]            
Note amount $ 1,000,000          
Debt Maturity Date Jul. 12, 2028          
Debt conversion price $ 0.05          
HealthCor Eighth Amendment Purchase Agreement [Member]            
Note amount   $ 2,050,000        
Debt Maturity Date   Feb. 22, 2028        
Issuance of warrants   512,500        
Exercise price of warrants   $ 0.05        
Debt conversion price   $ 0.05        
HealthCor Fifth Amendment Purchase Agreement [Member]            
Note amount     $ 6,000,000      
Debt Maturity Date     Feb. 16, 2025      
Issuance of warrants     3,692,308      
Exercise price of warrants     $ 0.52      
Debt conversion price     $ 0.52      
HealthCor Fourth Amendment Purchase Agreement [Member] | 2014 Senior Secured Convertible Note#1 [Member]            
Note amount       $ 2,329,000    
Debt 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    
HealthCor Ninth Amendment to Purchase Agreement [Member]            
Percentage of shares reserved prior to amendment 140.00%          
Percentage of shares reserved 100.00%          
Net proceeds to be retained from sale of hospital assets $ 5,000,000          
XML 79 R66.htm IDEA: XBRL DOCUMENT v3.21.1
AGREEMENT WITH HEALTHCOR (Details Narrative 1)
12 Months Ended
Feb. 06, 2020
USD ($)
$ / shares
shares
May 15, 2019
USD ($)
$ / shares
Feb. 23, 2018
USD ($)
$ / shares
shares
Dec. 04, 2014
USD ($)
$ / shares
shares
Dec. 31, 2020
USD ($)
Number
shares
Dec. 31, 2019
USD ($)
shares
Beneficial conversion features for senior secured convertible notes           $ 6,392
Interest Expense         $ 10,595,598 10,851,162
Paid in kind interest         2,743,734 2,673,428
Senior secured convertible notes, net of debt discount and debt costs         $ 9,894,117 $ 50,835,220
Number of shares outstanding | shares         139,380,748 139,380,748
HealthCor Twelfth Amendment Purchase Agreement [Member] | 2019 Investor [Member]            
Note amount   $ 50,000        
Debt Maturity Date   May 15, 2029        
Debt conversion price | $ / shares   $ 0.03        
HealthCor Twelfth Amendment Purchase Agreement [Member] | 2019 Investor [Member] | Common Stock [Member]            
Issuance of warrants | shares         2,000,000  
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    
Beneficial conversion features for senior secured convertible notes         $ 0  
Interest Expense         $ 157,668 $ 34,672
HealthCor Fifth Amendment Purchase Agreement [Member] | HealthCor Partners Fund [Member]            
Number of shares the note may be converted into | Number         3,900,000  
HealthCor Fifth Amendment Purchase Agreement [Member] | New Investors [Member]            
Number of shares the note may be converted into | Number         19,400,000  
HealthCor Fourth Amendment Purchase Agreement [Member] | 2014 Senior Secured Convertible Note#2 [Member]            
Number of shares the note may be converted into | Number         27,100,000  
HealthCor Purchase Agreement [Member]            
Beneficial conversion features for senior secured convertible notes           6,390
Interest Expense         $ 4,403,770 4,413,123
Paid in kind interest         2,743,735 1,178,322
HealthCor Ninth Amendment Purchase Agreement [Member]            
Interest Expense         $ 57,803 $ 57,803
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      
HealthCor Eighth Amendment Purchase Agreement [Member] | New Investors [Member]            
Number of shares the note may be converted into | Number         55,400,000  
HealthCor Tenth Amedment Purchase Agreement [Member] | 2018 Investor [Member] | Common Stock [Member]            
Issuance of warrants | shares         28,100,000  
HealthCor Thirteenth Amendment Purchase Agreement [Member] | February 2020 Investor [Member]            
Number of shares outstanding | shares 11,200,000       11,200,000  
HealthCor Thirteenth Amendment Purchase Agreement [Member] | February 2020 Investor [Member] | Thirteenth Amendment Note [Member]            
Note amount $ 100,000          
Debt Maturity Date Feb. 05, 2030          
Debt conversion price | $ / shares $ 0.01          
HealthCor Eighth Amendment Purchase Agreement [Member]            
Interest Expense         $ 10,707  
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