EX-99.2 3 tm2029099d1_ex99-2.htm EXHIBIT 99.2

Exhibit 99.2

 

Year End     2019
 

 

Management’s Discussion and Analysis
For the Years Ended September 30, 2019 and
September 30, 2018

 

 

Protech Home Medical Corp.

 

 

 

 

 

MANAGEMENT’S DISCUSSION AND ANALYSIS
September 30, 2019 and 2018
(Dollar amounts expressed in thousands, except per share amounts)
 

 

The following Management’s Discussion and Analysis (“MD&A”) of the financial condition and results of operations of Protech Home Medical Corp., formerly Patient Home Monitoring Corp. and its subsidiaries (“PHM” or the “Company”), prepared as of January 20, 2019 and should be read in conjunction with the consolidated financial statements for the year ended September 30, 2019, including the notes therein. The consolidated financial statements have been prepared in accordance with International Financial Reporting Standards (“IFRS”). Unless otherwise specified, all financial data is presented in Canadian dollars. The words “we”, “our”, “us”, “Company”, and “PHM” refer to Protech Home Medical Corp. and/or the management and employees of the Company.

 

Additional information relevant to the Company is available for review on SEDAR at www.sedar.com.

 

Table of Contents

 

Page 2 Caution Regarding Forward-Looking Statements
Page 3 Selected Annual Information
Page 4 About Our Business and Operating Results
Page 9 Financial Position
Page 12 Accounting and Disclosure Matters
Page 15 Financial Instruments and Risk Management
Page 16 Risk Factors

 

CAUTION REGARDING FORWARD-LOOKING STATEMENTS

 

Information included or incorporated by reference in this report may contain forward-looking statements. This information may involve known and unknown risks, uncertainties, and other factors which may cause our actual results, performance, or achievements to be materially different from the future results, performance, or achievements expressed or implied by any forward-looking statements. Forward-looking statements, which involve assumptions and describe our future, strategies, and expectations, are generally identifiable by use of the words “may,” “will,” “should,” “expect,” “anticipate,” “estimate,” “believe,” “plan,” “intend” or “project” or the negative of these words or other variations on these words or comparable terminology. Readers are cautioned regarding statements discussing profitability; growth strategies; anticipated trends in our industry; our future financing plans; and our anticipated needs for working capital. Actual events or results may differ materially from those discussed in forward- looking statements. There can be no assurance that the forward-looking statements contained in this report will in fact occur. The Company bases its forward-looking statements on information currently available to it and assumes no obligation to update them.

 

THE FORWARD-LOOKING INFORMATION CONTAINED IN THIS MD&A PRESENTS THE EXPECTATIONS OF THE COMPANY AS OF THE DATE OF THIS MD&A AND, ACCORDINGLY, IS SUBJECT TO CHANGE AFTER SUCH DATE. READERS SHOULD NOT PLACE UNDUE IMPORTANCE ON FORWARD-LOOKING INFORMATION AND SHOULD NOT RELY UPON THIS INFORMATION AS OF ANY OTHER DATE. WHILE THE COMPANY MAY ELECT TO, THE COMPANY DOES NOT UNDERTAKE TO UPDATE THIS INFORMATION AT ANY PARTICULAR TIME EXCEPT AS REQUIRED BY APPLICABLE SECURITIES LEGISLATION.

 

Page | 2  

 

 

MANAGEMENT’S DISCUSSION AND ANALYSIS
September 30, 2019 and 2018
(Dollar amounts expressed in thousands, except per share amounts)
 

 

FISCAL 2019 HIGHLIGHTS

 

These results reflect the Company’s divesture of the business and assets of Patient Home Monitoring, Inc. (“PHM”) and PHM’s financial results are reported as ‘discontinued operations’ in both fiscal 2019 and fiscal 2018.

 

®Increased Adjusted EBITDA by approximately $4,200 compared to 2018 due to integration efforts to standardize regional processes and operations, including improving product mix, sales practices, and billing practices, as well as the acquisition of two businesses.

 

®Successfully completed two financing transactions that improved the Company’s liquidity and lowered its long- term debt net of cash by over $4,000.

 

®Completed two acquisitions and one divestiture during 2019 and two additional acquisitions in the first quarter of fiscal 2020 as part of its acquisition strategy and to increase its geographic footprint, while disposing of a non- core asset.

 

®Increased the number of equipment deliveries, shipments and set-ups 13,227, an increase of 7% compared to 2018. An increased number of respiratory setups and shipments by 6,460, an increase of 15% compared to 2018.

 

®Increase of gross profit margin from 69% to 71% in 2019, as a result of integrating purchasing and increasing volume of shipments and patients, and better product mix.

 

SELECTED ANNUAL INFORMATION

 

   For the years ended 
   September 30, 2019   September 30, 2018 
Unique patients   76,146    69,500 
Number of equipment set-ups or deliveries   207,762    194,535 
Respiratory resupply set-ups or deliveries   46,639    40,597 
Revenue  $80,967   $70,514 
Gross margin  $57,440   $48,777 
Gross margin %   71%   69%
Adjusted EBITDA(1)  $14,801   $10,634 
Cash  $12,855   $4,331 

 

(1) Refer to page four for definition of Adjusted earnings before interest, taxes, depreciation, and amortization (“EBITDA”)

 

The words “we”, “our”, “us”, “Company”, and “PHM” refer to Protech Home Medical Corp. and/or the management and employees of the Company.

 

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MANAGEMENT’S DISCUSSION AND ANALYSIS
September 30, 2019 and 2018
(Dollar amounts expressed in thousands, except per share amounts)
 

 

ABOUT OUR BUSINESS

 

PHM business objective

 

The explosive growth in the number of elderly patients in the US healthcare market is creating pressure to provide more efficient delivery systems. Healthcare providers, such as hospitals, physicians and pharmacies, are seeking partners that can offer a range of products and services that improve outcomes, reduce hospital readmissions and help control costs. PHM fills this need by delivering a growing number of specialized products and services to achieve these goals. PHM seeks to provide an ever-expanding line of products and services over larger geographic regions within the United States using several growth strategies.

 

Future Outlook

 

PHM expects to generate net profit and positive adjusted EBITDA, excluding IFRS treatment of non-cash items. Our top priority continues to be the generation of operational net profit, positive cash flow, and positive EBITDA in fiscal year 2020 and beyond. As we continue to expand in our existing markets, we plan to leverage our business platforms to enter new markets. As we continue to grow and achieve scale, the increasing cash generated from operations will be used to market our service and to gain market share. Our continued integration and rationalization, as well as our acquisitions, have given us a focus and path towards profitability at each business unit.

 

Going forward, we seek to find ways to continue to grow our customer base and penetrate these markets, while continuing to streamline our operational platform and generate positive cash flow and operational profits. We will continue to improve on operational efficiencies and call center management as they are key execution points in order to maintain our healthy gross margin while growing revenues via the cross selling of services to existing and acquired patients.

 

OPERATING RESULTS

Accounting policies and estimates

 

The consolidated financial statements for the year ended September 30, 2019 are prepared under International Financial Reporting Standards (“IFRS”) issued by the governing body of the International Accounting Standards Board (“IASB”). The preparation of consolidated financial statements in conformity with IFRS requires management to make estimates and assumptions. These estimates and assumptions affect the reported amounts of assets and liabilities, disclosures of contingent assets and liabilities, and the reported amounts of revenues and expenses for the period of consolidated financial statements.

 

IFRS accounting treatment

 

Management does not rely upon non-cash IFRS accounting treatment of certain items such as impairment of goodwill and intangible assets, changes in the fair value of financial derivatives, stock-based compensation and amortization of intangible assets when planning, monitoring, and evaluating the Company’ s performance or in making financial decisions.

 

Non-IFRS measures

 

Throughout this MD&A, references are made to several measures which are believed to be meaningful in the assessment of the Company’ s performance. These metrics are non-standard measures under IFRS and may not be identical to similarly to it led measures reported by other companies. Also, in the future, we may disclose different non- IFRS financial measures in order to help our investors more meaningfully evaluate and compare our future results of operations to our previously reported results of operations. Readers are cautioned that the disclosure of these items is meant to add to, and not replace, the discussion of financial results as determined in accordance with IFRS. The primary purpose of these non-IFRS measures is to provide supplemental information that may prove useful to investors who wish to consider the impact of certain non-cash or uncontrollable items on the Company’s operating performance.

 

EBITDA and Adjusted EBITDA

 

In calculating EBITDA and adjusted EBITDA certain items (mostly non-cash) are excluded from net loss including interest, taxes, depreciation, amortization, (gain)/loss on derivative financial liability, stock-based compensation and goodwill and intangible asset impairment charges. Set forth below are descriptions of the financial items that have been excluded from net income or loss to calculate EBITDA and Adjusted EBITDA and the material limitations associated with using these non-IFRS financial measures as compared to net income or loss.

 

-Depreciation and amortization expense may be useful for investors to consider because they generally represent the wear and tear on our property and equipment used in our operations and amortization of intangibles valued in purchase accounting. However, we do not believe these charges necessarily reflect the current and ongoing cash charges related to our operating costs.

 

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MANAGEMENT’S DISCUSSION AND ANALYSIS
September 30, 2019 and 2018
(Dollar amounts expressed in thousands, except per share amounts)
 

 

-The amount of interest expense we incur or interest income we generate may be useful for investors to consider and may result in current cash inflows or outflows. Accretion expense is the expense related to the value of the old derivatives the Company had in place. The Company paid off the debenture early, which was due December 2019.
   
-However, we do not consider the amount of interest expense, interest income or accretion expense to be a representative component of the day-to-day operating performance of our business.
   
-Gain/loss on derivative financial liability may be useful for investors to consider as it represents changes in the fair value of warrants and exchangeable shares of subsidiaries, driven predominantly by changes in the Company’s stock price and exchange rates. These changes are non-cash, as is the settlement of the underlying derivative liability, which occurs upon the conversion of the derivative instrument into PHM stock.
   
-Change in fair market value of the debenture is recorded at each quarter end. This is the change in value of the new debenture since its issuance in March 2019.
   
-Loss on early extinguishment of debenture is the loss incurred from the early payoff of the debenture due December 2019 but paid in May 2019.
   
-Income tax expense may be useful for investors to consider because it generally represents the taxes which may be payable for the period and the change in deferred income taxes and may reduce the amount of funds otherwise available for use. However, we do not consider the amount of income tax expense to be a representative component of the day-to-day operating performance of our business.
   
-Stock-based compensation may be useful for investors to consider because it is an estimate of the non-cash component of compensation received by the Company’s directors, officers, employees and consultants. However, stock-based compensation is being excluded from the Company’ s operating expenses because the decisions which gave rise to these expenses were not made to increase revenue in a particular period but were made for the Company’ s long-term benefit over multiple periods. While strategic decisions, such as those to issue stock-based awards are made to further the Company’ s long-term strategic objectives and do impact the Company’s earnings under IFRS, these items affect multiple periods and management is not able to change or affect these items within any period.
   
-Goodwill and intangible asset impairment may be useful for investors to consider because it represents a write-down in the value of goodwill and intangible assets acquired in business combinations. Intangible assets are recognized upon business combinations at their fair value based on expected future cash flows. Goodwill arises as a result of the difference in the purchase price of a business and the fair value of the underlying identifiable tangible and intangible assets. Goodwill and intangible asset impairment charges arise when the present value of forecasted cash flows is insufficient to support the carrying value of net assets. However, impairment charges are non-cash as they relate to an adjustment of the carrying value of an intangible asset or goodwill on the balance sheet.
   
-Gain/loss disposal of business represents the gain/loss on the sale or spin out of the entities. These changes are non- cash, as is the settlement of the underlying net assets sold.
   
-Acquisitions related expense for 338(h) election represents taxes that the Company had to pay in the current fiscal year that related to historical acquisition.
   
-Transaction costs were recorded in the fiscal year due to the issuance of new debentures, classified as fair value through profile/loss. All these costs were recorded directly to the income statement.
   
-Due to a cyber-scam occurrence in early 2019, there was a fraudulent intrusion into the Company’s email system and funds were misappropriated to a wrong bank account. See further detail in the contingency section for reference.

 

Management uses both IFRS and non-IFRS measures when planning, monitoring, and evaluating the Company’s performance.

 

The following table of adjusted EBITDA show our IFRS measures reconciled to EBITDA (non-IFRS measure) for the indicated periods. The table of net (loss) income is also measured based on IFRS. Both the tables are shown net of discontinued operations (Patient Home Monitoring, Inc. – 2019, Viemed – 2018). Discontinued operations are comprised of the earnings after tax of discontinued operations until divestiture and the gain or loss after tax on sale or fair value measurement, less costs to sell.

 

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MANAGEMENT’S DISCUSSION AND ANALYSIS
September 30, 2019 and 2018
(Dollar amounts expressed in thousands, except per share amounts)
 

 

   Years Ended 
   September 30, 2019   September 30, 2018 
Net loss from continuing operations  $(9,141)  $(8,459)
Add back:          
Depreciation and amortization   13,969    15,096 
Interest expense   2,509    1,906 
Transaction costs related to debenture issuance   1,758    - 
Change in fair market value of debenture   (1,034)   - 
Loss on early extinguishment of debenture   1,107    - 
Gain on financial derivative   (95)   (167)
Provision for income taxes   269    130 
EBITDA  $9,342   $8,506 
Stock-based compensation   2,063    2,128 
Loss from cyber incident   1,012    - 
Acquisition related costs   1,853    - 
Impairment of goodwill   531    - 
Adjusted EBITDA  $14,801   $10,634 

 

   Years Ended 
   September 30, 2019   September 30, 2018 
Revenue  $80,967   $70,514 
Cost of revenue   23,527    21,737 
Gross margin  $57,440   $48,777 
Gross margin %   71%   69%
Selling, general and administrative   42,582    38,401 
Depreciation   13,366    14,475 
Amortization of intangible assets   603    621 
Stock-based compensation   2,063    2,128 
Impairment of goodwill   531    - 
Loss from cyber incident   1,012    - 
Acquisition related costs   1,853    - 
Transaction costs related to debenture issuance   1,758    - 
Change in fair market value of debenture   (1,034)   - 
Loss on early extinguishment of debenture   1,106    - 
Other expense   77    15 
Gain on disposal of property and equipment   (20)   (273)
Interest expense, net of income   2,509    1,906 
Gain on derivative financial liability   (95)   (167)
Provision for income taxes   269    130 
Net loss from continuing operations after taxes and before discontinued operations   (9,141)   (8,459)
Income from discontinued operations   1,755    27,206 
Net (loss) income after taxes  $(7,386)  $18,747 
(Loss) income per share          
Basic - continuing operations  $(0.11)  $(0.11)
Basic - discontinued operations  $0.02   $0.36 
Diluted - continuing operations  $(0.11)  $(0.10)
Diluted - discontinued operations  $0.02   $0.34 

 

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MANAGEMENT’S DISCUSSION AND ANALYSIS
September 30, 2019 and 2018
(Dollar amounts expressed in thousands, except per share amounts)
 

 

Revenue

 

For the year ended September 30, 2019, revenue totaled $80,967, an increase of $10,453, or 15%, compared to the year ended September 30, 2018. The increase in revenues from 2018 to 2019 is due to the Company’s integration efforts in fiscal 2019 to standardize regional processes and operations including, to various degrees, changing product focus, product mix, sales practices, billing practices, ordering practices, and recurring operational protocols, as well as the acquisition of two businesses in the first quarter of fiscal year 2019, which added approximately $1,400.

 

Cost of revenue and gross margin

 

For the year ended September 30, 2019, cost of revenue totaled $23,527 and gross margin was $57,440, versus $21,737 and $48,777, respectively, during the year ended September 30, 2018. Gross margin percent increased from 69% to 71%. The gross margin improvement during the period were mostly driven by the better mix of higher gross margin rental revenue, consolidation of vendor accounts to secure pricing and terms across all companies, and better ordering models throughout the company to only order when necessary or ordering certain inventory items at the time where a better cost is given by vendors.

 

Selling, general & administrative expense

 

For the year ended September 30, 2019, total selling, general and administrative expenses were $42,582, an increase of $4,181 from $38,401 for the year ended September 30, 2018. The increases across the business were primarily due to the acquisitions of two businesses of approximately $1,100, higher payroll expenses to support the revenue growth, and higher bad debt expense commensurate with the revenue growth.

 

Stock-based compensation

 

For the year ended September 30, 2019, there is an expense for the stock-based compensation of $2,063 compared to an expense for the stock-based compensation of $2,128 for the year ended September 30, 2018.

 

Interest expense

 

Interest expense increased $636 for the year ended September 30, 2019 compared to 2018 as a result of the new debentures issued during 2019 having a higher face value and interest rate as compared to the debentures that were repaid. The Company paid off the unsecured debentures of $8.625 million bearing an interest rate of 7.5% in early May 2019. The Company issued new debentures on March 7, 2019 for $15.0M, bearing an interest rate of 8.0%. The remainder of the Company's interest expense is due to financial capital leases bearing an interest rate between 0% to 11.5%.

 

Impairment of goodwill

 

Goodwill and intangible asset impairment expense increased to $531 for the year ended September 30, 2019 as compared to $0 during the year ended September 30, 2018. The increase is due to the goodwill impairment related to the new acquisition of Central Oxygen, Inc, which was purchased on October 31, 2018.

 

Loss on cyber incident

 

In March 2019, the Company experienced an unlawful and undiscovered intrusion into its email system, which resulted in fraudulent banking information being relayed regarding the transfer of funds on April 30, 2019 to satisfy the then outstanding debentures. The intruder was able to mislead certain parties with inaccurate requests and instructions and in doing so, caused the funds of approximately $9,200 to be transferred into an account of a criminal third party outside North America. The fraud was uncovered on May 3, 2019, and the Company took immediate action to stop or undo the transfer and simultaneously started action to recover the amounts transferred. The Company has successfully retrieved approximately $8,600 of the funds and is in process of enforcing a court order to have the rest of the funds returned. The net loss and the legal fees incurred to recover the funds is reflected as “fraud-related expenses” on the statement of operations.

 

Acquisition related costs

 

The Company paid various taxes, penalties and interest as a result of a section 338(h)(10) tax election that was made after the purchase of Patient Aids, Inc. As of September 30, 2019, the amount was $1,853.No expenses were incurred for the year ended September 30, 2018.

 

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MANAGEMENT’S DISCUSSION AND ANALYSIS
September 30, 2019 and 2018
(Dollar amounts expressed in thousands, except per share amounts)
 

 

Gain on fair value of debenture

 

The debenture issued during 2019 were valued at fair value using the current trading price, with the movement in fair market value since issuance date being recorded as gain of $1,034 and $0 as of September 30, 2019 and 2018, respectively.

 

Gain (loss) on financial derivative liabilities

 

For the year ended September 30, 2019, the derivative gain was the result of the warrant related to the old debenture expiring in August 2019.

 

Plan of Arrangement

 

An Arrangement involving Viemed, a newly incorporated company was completed after a shareholder vote, as of close of business on December 21, 2017. Under this Arrangement agreement, all shareholders received one new PHM common share (a “New PHM Share”) and one-tenth (1/10) of one common share of Viemed (a “Viemed Share”) for each common share of PHM held by such Shareholder immediately prior to the completion of the Arrangement. Also in connection with the Arrangement, (a) for each stock option of PHM held, each option holder that remains employed or engaged by PHM received one option to purchase one New PHM Share (a “New PHM Option”) and PHM option holders employed or engaged by Viemed received one New PHM Option (which expired three months following completion of the Arrangement) and one tenth (1/10) of one option to purchase from Viemed one Viemed Share, and (b) for each common share purchase warrant of PHM held, each warrant holder received one warrant to purchase from PHM, one New PHM Share (a “New PHM Warrant”) and one tenth (1/10) of one warrant to purchase from Viemed one Viemed Share. The New PHM Options were issued pursuant to the PHM stock option plan, which was approved by Shareholders at an annual and special meeting of Shareholders held on December 15, 2017. At the meeting, the Shareholders also approved the adoption of a restricted share unit and deferred share unit plan. Pursuant to the PHM stock option plan and restricted share unit and deferred share unit plan, PHM may reserve up to an aggregate of 75,819,279 PHM Shares pursuant to awards granted under the plans. Upon completion of the Arrangement and at the time of listing, PHM had a total of 379,096,396 Common Shares, 26,005,058 common share purchase warrants and 17,906,179 (8,388,978 of which held by option holders employed or engaged by Viemed that will expire on March 21, 2017) stock options outstanding.

 

The Company accounted for the distribution in accordance with IFRS 17, Distribution of Non-Cash Assets to Owners, which required the assets being distributed to be recognized at fair value. The Company used significant judgement related to the fair value measurement of assets and liabilities distributed pursuant to the Arrangement. The estimates required management to exercise judgement concerning valuation approaches and methods, estimates of future cash flows, and discount rates. The distribution amount being the fair value of Viemed of $93,290 was set up as a distribution liability with a corresponding charge to deficit and accumulated comprehensive income (loss).

 

The assets and liabilities which were distributed to the Company’s shareholders in connection with the spin-off of Viemed on December 21, 2017 pursuant to the Arrangement comprised of cash of $7,856, accounts receivable of $11,811, prepaid and other assets of $2,829, property and equipment of $27,323, intangibles of $18,761, goodwill of $18,005 accounts payable and accrued liabilities of $8,390 and capital lease payables of $6,608. Total carrying value of net assets distributed on spin off was $71,587. A net gain of $21,509 was recorded on the spin-out during 2018 after considering transaction expenses.

 

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MANAGEMENT’S DISCUSSION AND ANALYSIS
September 30, 2019 and 2018
(Dollar amounts expressed in thousands, except per share amounts)
 

 

FINANCIAL POSITION

 

   As at   As at 
   September 30, 2019   September 30, 2018 
Cash  $12.855   $4,331 
Accounts receivable, inventory and prepaid assets   17,928    18,651 
Property and equipment   19,496    20,888 
Other assets   4,886    5,235 
Total assets  $55,165   $49,105 
Accounts payable and other current liabilities  $18,969   $18,395 
Long term debt and other long-term liabilities   17,047    11,440 
Total Liabilities  $36,016   $29,835 
Share capital  $197,175   $193,951 
Deficit   (212,898)   (206,054)
Contributed surplus   21,411    19,041 
Accumulated other comprehensive income   13,003    12,332 
Shareholders’ equity  $19,149   $19,270 

 

Liquidity

 

Management considers liquid assets to consist of cash, accounts receivable and inventory as of September 30, 2019 and 2018, the Company had cash on hand of $12,855 and $4,331, respectively. The Company’s approach in managing liquidity is to ensure, to the extent possible, that it will have enough liquidity to meet its liabilities when due by continuously monitoring actual and budgeted cash flows and monitoring financial market conditions for signs of weakness.

 

As of September 30, 2019, the Company faces no material liquidity risk and can meet all its current financial obligations as they become due and payable. The Company has $18,969 liabilities that are due within one year but has $30,783 of current assets to meet those obligations. As of September 30, 2018, these same respective figures were $18,395 and $22,982.

 

Capital management

 

The Company considers its capital to be shareholders’ equity, which is comprised of share capital, contributed surplus, and accumulated other comprehensive income and deficit, which totaled $19,149 at September 30, 2019, along with long-term debt, which totaled $17,047 at September 30, 2019.

 

The Company raises capital, as necessary, to meet its needs and take advantage of perceived opportunities and, therefore, does not have a numeric target for its capital structure. Funds are primarily secured through equity capital, convertible debentures raised by way of private placements, and debt instruments.

 

On November 2, 2018, the Company completed a bought deal offering of 5,649,600 common shares of the Company at a price of $0.60 per share for aggregate gross proceeds to the company of $4,490. Issuance costs of $343 in cash were incurred. The Company also issued to the underwriter compensation options equal to 6.5% of the offered shares (1,836,120). Each compensation option is exercisable into one common share of the Company at the issue price for a period of 24 months from the closing of the offering. These shares are recorded as broker equity warrants at $0.60 per share. Along with this bought deal private placement, the Company also completed a previously announced non-brokered private placement of common shares of the Company at the issue price for gross proceeds to the Company of $1,100. A total of 1,833,333 common shares of the Company were sold pursuant to the non-brokered private placement to officers and directors.

 

Management reviews its capital management approach on an ongoing basis and believes that this approach, given the relative size of the Company, is reasonable.

 

The Company invests all capital that is surplus to its immediate operational needs in short-term, liquid and highly rated financial instruments, such as cash and short-term guarantee deposits, held with major Canadian and US financial institutions.

 

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MANAGEMENT’S DISCUSSION AND ANALYSIS
September 30, 2019 and 2018
(Dollar amounts expressed in thousands, except per share amounts)
 

 

The Company had the following equity instruments outstanding at September 30, 2019 and September 30, 2018:

 

   As at
September 30, 2019
(000’s)
   As at
September 30, 2018
(000’s)
 
Common shares   83,589    75,819 
Warrants   519    358 
Options   11,759    9,804 

 

As of September 30, 2019, the Company had 83,589 common shares outstanding. As of the spin off date of December 21, 2017, the PHM warrants and broker warrants were ceased to represent the right to acquire PHM shares and they were replaced with New PHM warrants and Viemed warrants which will represent the right, upon exercise thereof, to acquire, the number of new PHM shares and Viemed shares, respectively, that a PHM warrant holder would have been entitled to receive. The exercise price of the new PHM share pursuant to the new PHM warrants will be equal to the exercise price of the applicable PHM warrant or PHM broker warrant in effect prior to the effective date multiplied by the new PHM exercise price ratio.

 

Financing

 

Historically and currently, the Company has financed its operations primarily from cash flow from operations, finance leases, debentures, equity financing and through the issuance of shares to acquire businesses. On March 7, 2019, the Company issued $15,000 in 8.0% Convertible Unsecured Debentures due March 7, 2024. The debentures are convertible into common shares at $1.30/share. After three years, the Company can force conversion of the outstanding principal if the daily volume weighted average price of the common shares exceeds $1.62/share for twenty consecutive trading days. The debentures were valued at fair value using the current trading price, with a gain in fair market value being recorded of $1,034. In connection with the new debt issued, the Company issued broker warrants to purchase 519,231 common shares. Each warrant entitles the holder to purchase one common share of the Company at a price of $1.30 until March 7, 2024. The warrants were valued using Black- Scholes and are included as equity warrants. The transaction costs of $1,758 are fully expensed on the income statement.

 

Commitments

 

Finance Leases

 

Leases under which the Company assumes substantially all the risks and rewards of ownership are classified as finance leases. Upon initial recognition, the leased asset is measured at an amount equal to the lesser of its fair value and the present value of the minimum lease payments. The lease liability is drawn down over the life of the lease by allocating a portion of each lease payment to the liability with the remainder being recognized as finance charges. Leases that do not transfer the risks and rewards of ownership to the Company are treated as operating leases and are expensed as incurred. Future payments on these liabilities are as follows:

 

Less than 1 year  $8,654 
Between 1 and 4 years   2,955 
Total  $11,609 

 

Operating leases

 

The Company leases certain facilities under the terms of non-cancelable operating leases. Future payments pursuant to these commitments are as follows:

 

Less than 1 year  $1,939 
Between 1 and 4 years   2,421 
Total  $4,360 

 

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MANAGEMENT’S DISCUSSION AND ANALYSIS
September 30, 2019 and 2018
(Dollar amounts expressed in thousands, except per share amounts)
 

 

Contingencies

 

The Company has been in litigation with Lightwater Long Short Fund (“Lightwater”) for the years ended September 30, 2019 and 2018. The litigation is due to Lightwater claiming damages for matters related to subscription agreements in a prior private placement. Management and legal believe that this lawsuit is without merit and is unpredictable. It is uncertain currently to determine the outcome of this lawsuit or our potential liability, if any.

 

In March 2019, the Company experienced an unlawful and undiscovered intrusion into its email system, which resulted in fraudulent banking information being relayed regarding the transfer of funds on April 30, 2019 to satisfy the then outstanding debentures. The fraud was uncovered on May 3, 2019, and the Company took immediate action to stop or undo the transfer and simultaneously started action to recover the amounts transferred. The Company has successfully retrieved $8,600 of the funds and is in process of enforcing a court order to have the rest of the $600 of funds returned. The net loss of $600 and the legal fees of $400 incurred to recover the funds is reflected as “loss from cyber incident” on the statement of income (loss) and comprehensive income.

 

The Company is included as a co-defendant, along with ten others in a litigation with the State of California regarding a violation of the California Insurance Prevention Act. The primary allegations are towards an unrelated entity and company is simply named a co-defendant because one or two prior officer and/or directors of the company were involved in the unrelated entity that is the primary co-defendant. The complaint alleges that the defendants violated the act by paying kickbacks in exchange for client referrals under the guise of so called bed vouchers or indigent scholarship costs, and by billing for addition recovery services that did not meet the minimum requirements put forth by the insurers as a precondition for reimbursement. The Company was not involved in the business of the unrelated entity that is a co-defendant and is contesting the allegations. It is too early in the litigation process to determine the outcome of this lawsuit or potential liability, if any.

 

Very recently a lawsuit was filed against the Company by an individual in the State of New Jersey. The complaint alleges that the defendants reused blood testing meters, resulting in fraudulent claims to the US government, and seeks damages for the unnecessary testing. The Company has denied the allegations of the complaint and is contesting the action. The company is going to file a motion to dismiss. The Company is already been approached by the Realtor’s counsel for an early settlement. It is too early in the litigation process to determine the outcome of this lawsuit or our potential liability, if any.

 

Quarterly operating results from continuing operations

 

Year ended September 30, 2019                
   Quarter ended
Sep. 30, 2019
   Quarter ended
Jun. 30, 2019
   Quarter ended
Mar. 31,2019
   Quarter ended
Dec. 31, 2018
 
Revenue  $19,470   $20,164   $20,824   $20,509 
Net income (loss) from continuing operations  $4,400   $(12,564)  $(591)  $(386)
Net income (loss) per share – continuing operations  $0.046   $(0.152)  $(0.007)  $(0.005)
Total assets  $55,165   $51,583   $70,049   $55,947 

 

Year ended September 30, 2018                
   Quarter ended
Sep. 30, 2018
   Quarter ended
Jun. 30, 2018
   Quarter ended
Mar. 31,2018
   Quarter ended
Dec. 31, 2017
 
Revenue  $18,041   $18,468   $17,117   $16,888 
Net income (loss) from continuing operations  $679   $(1,590)  $(3,527)  $(4,021)
Net income (loss) per share – continuing operations  $0.009   $(0.021)  $(0.047)  $(0.053)
Total assets  $49,105   $47,453   $46,804   $48,593 

 

Results of operations for the healthcare services market in which the Company operates show little seasonality from quarter to quarter. Below are some of the key items that had a significant impact on financial results over the last eight quarters.

 

The increase in revenues from 2018 to 2019 is due to the Company’s integration efforts in fiscal 2019 to standardize regional processes and operations including, to various degrees, changing product focus, product mix, sales practices, billing practices, ordering practices, and recurring operational protocols, as well as the acquisition of two businesses in the first quarter of fiscal year 2019, which added approximately $1,400.

 

Page | 11  

 

 

MANAGEMENT’S DISCUSSION AND ANALYSIS

September 30, 2019 and 2018

(Dollar amounts expressed in thousands, except per share amounts)

 

 

Related party transactions

 

On October 1, 2015, the Company entered into four market rate, seven-year, operating leases for office, warehouse, and retail space with a rental company affiliated with the Company’s Chief Executive Officer. Later the company entered into two additional leases with the Company’s Chief Executive Officer . The leases, for six different locations, have a combined area of approximately 74,520 square feet. Rental payments under this lease agreement are approximately US$52 per month, plus taxes, utilities and maintenance. The expense has been recorded as selling, general and administrative expenses. The Company also paid $1,853 representing taxes, penalties and interest as a result of a section 338(h)(10) tax election that was made for one of the past acquisitions. Not all but a large portion of these amount was paid to Chief Executive Officer to reimburse for the taxes and expense incurred as result of the 338(h)(10) tax election, in accordance with the purchase agreement of the acquisition. The total expense related to the 338(h)(10) tax election of $1,853 is disclosed as a separate line item on the income statement.

 

Expenses of US$178 and US$138 related to the bonus and fees were paid to the board for years ended September 30, 2019 and 2018, respectively.

 

All transactions outstanding are unsecured and non-interest bearing.

 

Key management personnel also participate in the Company’s share option program (see Note 9). The Company paid or accrued compensation to key management personnel the following:

 

   Year ended
September 30, 2019
   Year ended
September 30, 2018
 
Salaries and Benefits  $1,559   $1,073 
Stock-based compensation (Note 9)   858    1,614 
Total  $2,417   $2,687 

 

Off balance sheet arrangements

 

The Company has no material undisclosed off-balance sheet arrangements that have or are reasonably likely to have, a current or future effect on its results of operations or financial condition.

 

ACCOUNTING AND DISCLOSURE MATTERS

 

Financial reporting controls

 

The Company is not required to certify the design and evaluation of its disclosure controls and procedures and internal controls over financial reporting and has not completed such an evaluation.

 

There were no substantive changes in the Company’ s disclosure controls and procedures and internal controls over financial reporting during the period ended September 30, 2019 that have materially affected, or are reasonably likely to materially affect, the Company’ s disclosure controls and procedures and internal controls over financial reporting.

 

Critical accounting estimates

 

The preparation of financial statements in conformity with IFRS requires management to make estimates and assumptions that affect the reported amounts of assets, liabilities, revenues and expenses and the disclosure of contingent assets and liabilities in the consolidated financial statements. We constantly evaluate these estimates and assumptions.

 

We base our estimates and assumptions on experience and other factors that are deemed reasonable under the circumstances. This involves varying degrees of judgment and uncertainty, thus the amounts currently reported in the consolidated financial statements could prove to be inaccurate in the future.

 

We consider the estimates and assumptions described in this section to be an important part in understanding the consolidated financial statements. These estimates and assumptions are subject to change, as they rely heavily on management’ s judgment and are based on factors that are inherently uncertain.

 

Revenue recognition

 

Revenue consists of net patient service revenue. Net patient service revenue is recognized at the time services are provided net of contractual adjustments based on an evaluation of expected collections resulting from the analysis of current and past due accounts, past collection experience in relation to amounts billed and other relevant information. Contractual adjustments result from the differences between the rates charged for services and reimbursements by government-sponsored healthcare programs and insurance companies for such services.

 

Page | 12

 

 

MANAGEMENT’S DISCUSSION AND ANALYSIS

September 30, 2019 and 2018

(Dollar amounts expressed in thousands, except per share amounts)

 

 

Accounts receivable

 

Accounts receivable are recorded at the time revenue is recognized and are presented on the balance sheet net of an allowance for doubtful accounts. It is possible that our estimates of the allowance for doubtful accounts could change, which could have a material impact on our operations and cash flows.

 

The Company will write-off receivables when the likelihood for collection is remote, the receivables have been fully reserved, and when the Company believes collection efforts have been fully exhausted and it does not intend to devote additional resources in attempting to collect.

 

Stock-based compensation

 

The Company accounts for stock-based compensation, including stock options and warrants, using the fair value method as prescribed by IFRS 2. Under this method, the fair value of stock options and warrants at the date of grant is amortized over the vesting period and the offsetting credit is recorded as an increase in contributed surplus. The Company accounts for forfeitures as they happen. For the fiscal year ended September 30, 2019 and 2018, the Company recorded stock-based compensation expense of $2,063 and $2,128, respectively.

 

The fair value of the vested stock options has been charged to the statement of loss and comprehensive income (loss) and credited to contributed surplus over the proper vesting period. Fair value for the options granted periods ended September 30, 2019 and 2018, used the Black-Scholes option pricing model calculated using the following assumptions:

 

   As of  As of 
   September 30, 2019  September 30, 2018 
Share price  $0.63 - $0.90  $0.05 
Risk-free interest rate  1.26% - 2.24%   2.36%
Expected volatility  84.70% - 118.17%   136.35%
Expected life of option  2 – 10 years   10 years 
Expected dividend yield  Nil   Nil 

 

Income taxes

 

The Company is subject to income taxes in numerous jurisdictions. Significant judgment is required in determining the provision for income taxes and the Company’s income tax provisions reflect management’s interpretation of country- specific tax law. There are many transactions and calculations for which the ultimate tax determination is uncertain during the ordinary course of business and may remain uncertain for several years after their occurrence. The Company recognizes assets and liabilities for taxation when it is probable that the relevant taxation authority will require the Company to receive or pay taxes.

 

Where the outcome of the determination of tax assets and liabilities is different from the amounts that were initially recorded, such differences will impact the current and deferred income taxes provision in the period in which such determination is made. Changes in tax law or changes in the way tax law is interpreted may also impact the Company’s effective tax rate as well as its business and operations.

 

Deferred income tax assets and liabilities are recognized for the future income tax consequences attributable to temporary differences between the financial statement carrying value of assets and liabilities and their respective income tax bases. Deferred income tax assets or liabilities are measured using enacted or substantively enacted income tax rates expected to apply to taxable income in the years in which those temporary differences are expected to be recovered or settled.

 

The calculation of current and deferred income taxes requires management to make estimates and assumptions and to exercise a certain amount of judgment concerning the carrying value of assets and liabilities. The current and deferred income tax assets and liabilities are also impacted by expectations about future operating results and the timing of reversal of temporary differences as well as possible audits of tax filings by regulatory agencies. Changes or differences in these estimates or assumptions may result in changes to the current and deferred tax assets and liabilities on the consolidated statements of financial position and a charge to or recovery of income tax expense.

 

Acquisition accounting

 

Accounting for business combinations requires the allocation of the Company’s purchase price to the various assets and liabilities of the acquired business at their respective fair values. The Company uses all available information to make these fair value determinations. In some instances, assumptions with respect to the timing and amount of future revenues and expenses associated with an asset or group of assets may be used to determine fair value. Actual timing and amount of net cash flows from revenues and expenses related to that asset over time may differ materially from those initial estimates, and if the timing is delayed significantly or if the net cash flows decline significantly, the asset could become impaired.

 

Discontinued operations and assets held for distribution

 

An operation is qualified as discontinued when it represents a separate major line of business and has been sold, or when the criteria for classification as an asset held for distribution have been met.

 

Page | 13

 

 

MANAGEMENT’S DISCUSSION AND ANALYSIS

September 30, 2019 and 2018

(Dollar amounts expressed in thousands, except per share amounts)

 

 

Discontinued operations are presented on the statement of income (loss) and comprehensive income (loss) for the periods reported, comprising the earnings after tax of discontinued operations until divestiture and the gain or loss after tax on sale or fair value measurement, less costs to sell.

 

Significant accounting judgments

 

The following are the critical judgments, apart from those involving estimations, that have been made in the process of applying the Company's accounting policies and that have the most significant effect on the amounts recognized in the consolidated financial statements.

 

Functional currency

 

Management has exercised judgment in selecting the functional currency of each of the entities that it consolidates based on the primary economic environment in which the entity operates and in reference to the various indicators including the currency that primarily influences or determines the selling prices of goods and services and the cost of production, including labor, material and other costs and the currency whose competitive forces and regulations mainly determine selling prices. The consolidated financial statements of the Company are presented in Canadian dollars, however the parent company and its subsidiaries’ functional currency is US dollar, which was determined using managements assumption that the primary economic environment from which it will derive its revenues and the expenses incurred to generate those revenues is the US.

 

Segmented reporting

 

Management has assessed the information that is provided to the chief operating decision maker and how the business is monitored and has exercised judgment in determining that there is only one operating segment.

 

Asset impairment and cash generating units

 

For purposes of the asset impairment testing, the Company identifies cash generating units as the smallest identifiable groups of assets that generate independent cash inflows. Impairment testing is performed on these groups of assets on an annual basis or when events or circumstances indicate that the cash generating unit may become impaired considering the assessed and projected recoverable values of the cash generating unit.

 

Valuation of derivative instruments

 

Management has exercised judgment in the determination of the fair value of the derivative instruments. Estimating fair value for the derivatives requires determining the most appropriate valuation model, which is dependent on the terms and conditions of the instrument. This estimate also requires the judgment in the determination of the most appropriate inputs to the valuation model including the expected life of the option or warrant, volatility and dividend yield and making assumptions about them.

 

Recognition of leases

 

Management has exercised judgment in the determination of whether a contract to rent equipment represents a financing lease. Using historical returns and other operational data management has determined that in cases where the Company is the lessor, no rental agreements represent financing leases.

 

Goodwill impairment

 

Management has evaluated the recoverable amount of cash generating units and applied judgment in the discount rate and other underlying assumptions used in impairment analysis of goodwill.

 

Business Acquisitions

 

On August 31, 2018, the Company executed a purchase agreement to acquire all the assets of Coastal Med-Tech Corp. (CMT), a Maine company, for a purchase consideration of $546 which was paid in cash. The Company has determined that the transaction is an acquisition of a business under IFRS 3 and it has been accounted for by applying the acquisition method. CMT provides sales of nebulizers, oxygen concentrators, CPAP/BiPAP units, non-invasive ventilation equipment and supplies and traditional and non-traditional respiratory and durable medical equipment and services. The acquisition was performed due to synergies with company’s existing business.

 

On October 31, 2018, the Company, through one of its indirect wholly owned subsidiary, PHM Logistics, entered into a purchase agreement to acquire 100% shares of Central Oxygen Inc. (Central Oxygen), an Indiana company and participating Medicare provider that provides i) power mobility equipment, vehicle lifts, nebulizers, oxygen concentrators, and CPAP and BiPAP units; ii) traditional and non-traditional durable medical equipment respiratory and durable medical equipment and services; and iii) non-invasive ventilation equipment, supplies and services. Total consideration of $395 was paid on closing.

 

Page | 14

 

 

MANAGEMENT’S DISCUSSION AND ANALYSIS

September 30, 2019 and 2018

(Dollar amounts expressed in thousands, except per share amounts)

 

 

On October 31, 2018, the Company, through one of its indirect wholly owned subsidiary, PHM Logistics Corporation (PHM Logistics), entered into a purchase agreement to acquire 100% shares of Riverside Medical Inc. (Riverside), a Tennessee company and participating Medicare provider that provides i) nebulizers, oxygen concentrators, and CPAP and BiPAP units; ii) traditional and non-traditional durable medical respiratory equipment and services; and iii) non-invasive ventilation equipment, supplies and services. Consideration paid of $131 and included the payoff of the scheduled debt outstanding.

 

Subsequent events

 

Cooley Medical Equipment, Inc.

 

Effective October 1, 2019, the Company, through one of its indirect wholly-owned subsidiaries, PHM Logistics, entered into a purchase agreement to acquire Cooley Medical Equipment, Inc. (“Cooley”), a Kentucky company and participating Medicare provider that provides i) nebulizers, oxygen concentrators, and CPAP and BiPAP units; ii) traditional and non-traditional durable medical respiratory equipment and services; and iii) non-invasive ventilation equipment, supplies and services. The purchase price was US$2,514, of which the Company paid cash at closing of US$2,333. There is a holdback of US$181 which will be payable 18 months after the agreement was signed.

 

The Company is in the process of gathering the information required to allocate the purchase price to the acquired tangible and intangible assets as of the acquisition date.

 

Acadia Medical Supply, Inc.

 

Effective December 1, 2019, the Company, through one of its indirect wholly-owned subsidiaries, PHM Logistics, entered into a purchase agreement to acquire Acadia Medical Supply, Inc. (“Acadia”), a Maine company and participating Medicare provider that provides i) power mobility equipment, vehicle lifts, nebulizers, oxygen concentrators, and CPAP and BiPAP units; (ii) traditional and non-traditional durable medical equipment respiratory and durable medical equipment and services; and (iii) non- invasive ventilation equipment and supplies. The purchase price was US$1,750, of which the Company paid cash at closing of US$1,004. There is a holdback of US$600 which US$100 will be payable 90 days after the close date and US$250 on each of the one-year anniversary of the closing date and the two-year anniversary of the closing date.

 

The Company is in the process of gathering the information required to allocate the purchase price to the acquired tangible and intangible assets as of the acquisition date.

 

FINANCIAL INSTRUMENTS AND RISK MANAGEMENT

 

Financial instrument risk exposure

 

The Company’ s activities expose it to a variety of financial risks: market risk (including price risk, currency risk and interest rate risk), credit risk and liquidity risk. These risks arise from the normal course of operations and all transactions are undertaken to support the Company’ s ability to continue as a going concern. Risk management is carried out by management under policies approved by the Board of Directors. Management identifies and evaluates the financial risks in co-operation with the Company’s operating units. The Company’ s overall risk management program seeks to minimize potential adverse effects on the Company’s financial performance.

 

Credit risk

 

Credit risk is the risk that one party to a financial instrument will fail to discharge an obligation and cause the other party to incur a financial loss. Financial instruments that potentially subject the Company to credit risk are primarily cash and accounts receivable. Each subsidiary places its cash with one major financial institution. At times, the cash in the financial institution is temporarily in excess of the amount insured by the Federal Deposit Insurance Corporation. Substantially all accounts receivable are due under fee-for-service contracts from third party payors, such as insurance companies and government-sponsored healthcare programs, directly from patients or for rebates due from manufacturers. Receivables generally are collected within industry norms for third-party payors and from manufacturers. The Company continuously monitors collections from its clients and maintains an allowance for bad debts based upon any specific payor collection issues that are identified and historical experience.

 

The Company recorded bad debt expense of $5,686 and $5,226 for years ended September 30, 2019 and 2018, respectively. As of September 30, 2019, no one customer represented more than 10% of outstanding accounts receivable. The Company does have more than 10% of receivables through Medicare. As this is a Federal program there is very little credit risk associated with these balances.

 

Page | 15

 

 

MANAGEMENT’S DISCUSSION AND ANALYSIS

September 30, 2019 and 2018

(Dollar amounts expressed in thousands, except per share amounts)

 

 

Currency risk

 

Currency risk is the risk that the Company will be subject to foreign currency fluctuations in satisfying obligations related to its foreign activities.

 

The Company realizes approximately 100% of its sales and makes a significant amount of its purchases in US dollars. Consequently, assets and liabilities are exposed to foreign exchange fluctuations.

 

The Company’s objective in managing its foreign currency risk is to minimize its net exposures to foreign currency cash flows by holding approximately 90% of its cash and cash equivalents in US dollars. The Company monitors and forecasts the values of net foreign currency cash flow and statement of financial position exposures and from time to time could authorize the use of derivative financial instruments such as forward foreign exchange contracts to economically hedge a portion of foreign currency fluctuations.

 

Based on the above net exposure at fiscal year ended September 30, 2019, a 10% depreciation or appreciation of the US dollar against the Canadian dollar would result in an insignificant effect in net loss. The Company has not employed any currency hedging programs during the years ended September 30, 2019 or 2018.

 

Liquidity risk

 

Liquidity risk is the risk that the Company will not be able to meet its financial obligations as they become due. The Company’s approach in managing liquidity is to ensure, to the extent possible, that it will have enough liquidity to meet its liabilities when due, under both normal conditions, by continuously monitoring actual and budgeted cash flows.

 

As of September 30, 2019, the Company faces no material liquidity risk and can meet all its current financial obligations as they become due and payable. The Company has $18,969 of liabilities that are due within one year. The Company has $30,783 of current assets to meet those obligations.

 

Interest rate risk

 

Interest rate risk is the risk that the future cash flows of a financial instrument will fluctuate because of changes in market interest rates. Interest rate risk is limited to potential decreases on the interest rate offered on cash and cash equivalents held with Chartered Canadian and registered US financial institutions. The Company considers this risk to be immaterial. The interest on the convertible notes is not subject to cash flow interest rate risk as these instruments bear interest at fixed rates.

 

RISK FACTORS

 

While it is impossible to identify all such risk factors, factors that could cause actual results to differ materially from those estimated by us include:

 

Market Price of the Company Shares

 

The Company Shares are listed and posted for trading on the TSX-V. Securities of small-cap and healthcare companies have experienced substantial volatility in the past, often based on factors unrelated to the financial performance or prospects of the companies involved. These factors include macroeconomic developments in North America and globally, and market perceptions of the attractiveness of particular industries. The price of the Company Shares is also likely to be significantly affected by short-term changes in cost of goods, or in financial condition or results of operations. Other factors unrelated to the performance of the Company that may have an effect on the price of the Company Shares include the following: the extent of analytical coverage available to investors concerning the business of the Company may be limited if investment banks with research capabilities do not follow the Company securities; lessening in trading volume and general market interest in the Company’s securities may affect an investor’s ability to trade significant numbers of the Company Shares; the size of the Company’s public float may limit the ability of some institutions to invest in the Company’s securities; and a substantial decline in the price of the Company Shares that persists for a significant period of time could cause the Company’s securities, if listed on an exchange, to be delisted from such exchange, further reducing market liquidity.

 

As a result of any of these factors, the market price of the Company Shares at any given point in time may not accurately reflect the long-term value of the Company. Securities class-action litigation often has been brought against companies following periods of volatility in the market price of their securities. The Company may in the future be the target of similar litigation. Securities litigation could result in substantial costs and damages and divert management’s attention and resources.

 

Page | 16

 

 

MANAGEMENT’S DISCUSSION AND ANALYSIS

September 30, 2019 and 2018

(Dollar amounts expressed in thousands, except per share amounts)

 

 

Dilution

 

The Company will require additional funds in respect of the further development of The Company’s business. If the Company raises funds by issuing additional equity securities, such financing will dilute the equity interests of its shareholders.

 

Future Sales of Shares by Existing Shareholders

 

Sales of a large number of the Company Shares in the public markets, or the potential for such sales, could decrease the trading price of the Company Shares and could impair The Company’s ability to raise capital through future sales of the Company Shares. The Company may from time to time have previously issued securities at an effective price per share which will be lower than the market price of the Company Shares. Accordingly, certain shareholders of The Company may have an investment profit in the Company Shares that they may seek to liquidate.

 

Limited History of Operations

 

The Company has a limited history of operations. There can be no assurance that the business of the Company and/or its subsidiaries will be successful and generate, or maintain, any profit.

 

Novel Business Model

 

Home monitoring of patients on anticoagulants is a relatively new business, making it difficult to predict market acceptance, development, expansion and direction. The home monitoring services to be provided by the Company represent a relatively new development in the U.S. healthcare industry. Accordingly, adoption by patients and physicians can require education, which can result in a lengthy sales cycle. The market may take time to develop. Physicians and/or patients may be slow to adopt new methods. The development of the Company’s home monitoring business will depend on several factors. These factors include: The Company’s ability to differentiate its services from those of its competitors; the extent and timing of the acceptance of the Company’s services as a replacement for, or supplement to, traditional methods of monitoring patients; the effectiveness of the Company’s sales and marketing and engagement efforts with customers and their health plan participants; the Company’s ability to provide quality customer service, as perceived by patients and physicians.

 

Because the monitoring business is evolving, the Company may not be able to anticipate and adapt to the developing market. Moreover, management cannot predict with certainty the future growth rate or the ultimate size of the market.

 

Reimbursement Rates May Decline

 

Reimbursement for services to be provided by the Company will come primarily from Medicare and private health insurance companies. The reimbursement rates offered are outside the control of the Company. Reimbursement rates in this area, and much of the U.S. health care market in general, have been subject to continual reductions as health insurers and governmental entities attempt to control health care costs. The extent and timing of any reduction in reimbursement rates cannot be predicted by the Company.

 

Reductions in reimbursement rates can have a material impact on the profitability of the Company’s operations. A reduction in reimbursement may be unrelated to any concurrent decline in the cost of operations, thereby resulting in reduced profitability. The Company’s costs of operations could increase, but the cost increases may not be passed on to customers because reimbursement rates are set without regard to the cost of service.

 

Dependence Upon Relationships with Key Suppliers

 

There are few manufacturers of equipment which can be used for home monitoring of patients on anticoagulants. There is the possibility that a new meter will encounter difficulties or “bugs” when first sent to market, and that initial technical support costs may be higher than for more well-established meters. Even if the Company switches to other competing meters, they may also encounter technical difficulties or regulatory issues. The emerging nature of the market presents risks that suppliers may not be able to provide equipment to satisfy demand. Demand may outstrip supply, leading to equipment shortages. Conversely, incorrect demand forecasting could lead to excess inventory. If the Company fails to achieve certain volume of sales, prices of meters may increase. The industry is subject to a high level of regulatory scrutiny, and government or manufacturer recalls could adversely affect the Company’s ability to provide monitoring services and achieve revenue targets.

 

Inadequate supply could impair the Company’s ability to attract new business and could create upward pricing pressure on equipment and supplies, adversely affecting margins for The Company. Additionally, the market for financing home testing meters and other supplies needed by the Company is limited. Several equipment manufacturers are pursuing a strategy of vertical integration, and should the Company ever need to order equipment from those manufacturers, such equipment may not be available on favorable terms.

 

Page | 17

 

 

MANAGEMENT’S DISCUSSION AND ANALYSIS

September 30, 2019 and 2018

(Dollar amounts expressed in thousands, except per share amounts)

 

 

Reliance Upon Few Payers

 

The Company will earn revenues by seeking reimbursement from Medicare and private health insurance companies, with the Medicare program of the U.S. government being the primary entity making payments. If the Medicare program were to slow payments of PHM receivables for any reason, PHM would be adversely impacted. In addition, both governmental and private health insurance companies may seek ways to avoid or delay reimbursement, which could adversely affect cash flow and revenues for the Company.

 

Government Regulation

 

Some operations of the Company will require certain licenses and permits from the authorities in the United States. The ability of the Company and its subsidiaries to obtain, sustain or renew any such licenses and permits on acceptable terms is subject to changes in regulations and policies and to the discretion of the applicable authorities or other governmental agencies. The ability of the Company to collect certain revenues in the future will depend on the Company receiving approval of an independent diagnostic testing facility and entering into an agreement with Medicare. There is no guarantee that the Company will meet these conditions. The Company will be subject to regulation from United States federal and state authorities. Regulatory action could disrupt its ability to provide services. Such regulatory action could come in the form of actions against manufacturers, unrelated to the Company’s conduct, or actions based upon the Company’s operation. Regulatory action could prevent or delay reimbursement for certain services.

 

There could also be legislative action that could adversely affect the Company’s business model, including, without limitation: a decision by the United States government to become the exclusive provider of health care services at some time in the future; changes in United States federal or state laws, rules, and regulations, including those governing the corporate practice of medicine, and fee splitting; and changes in the United States Anti-Kickback Statute and Stark Law and/or similar state laws, rules, and regulations. Conversely, budgetary problems in the United States could lead to reduced funding, substantial modification or elimination of Medicare programs, which would end reimbursement for many patients. There can be no assurance that new rules and regulations will not be enacted or that existing rules and regulations will not be applied in a manner which could limit or curtail the business of the Company. Amendments to current laws and regulations could have a substantial adverse impact on the Company.

 

CMS (Centers for Medicare & Medicaid Services) policies of health insurance for Medicare in the United States may affect the amount of revenue the Company receives. The Company will continue to be subject to risk that reimbursement rates for its services from both federal and private payers will decline over time. Reimbursement from federal programs is subject to constant regulatory review and increasing audits by federal authorities, the effect of which may be to increase costs of service and delay or affect reimbursement, which could negatively impact cash flow and/or revenue. Audits may be costly and time consuming, and could delay cash flow, even if the Company acted properly in all respects.

 

The policies of health insurance carriers in the United States may affect the amount of revenue the Company receives.

 

Highly Competitive Market

 

The Company will participate in a highly competitive market, which may become more competitive as new players enter. Certain competitors will be subsidiaries or divisions of larger, much better capitalized companies. Certain competitors will have vertically integrated manufacturing and services sectors of the market. The Company may have less capital and may encounter greater operational challenges in serving the market. Better capitalized competitors may also be expected to borrow money or raise debt to purchase equipment more easily than the Company.

 

Foreign Subsidiaries

 

The Company plans to conduct all its operations through respective United States subsidiaries. Therefore, to the extent of these holdings, the Company (directly and indirectly) will be dependent on the cash flows of these subsidiaries to meet its obligations. The ability of such subsidiaries to make payments to their parent companies may be constrained by the following factors: the level of taxation, particularly corporate profits and withholding taxes, in the jurisdiction in which each subsidiary operates; and the introduction of exchange controls or repatriation restrictions or the availability of hard currency to be repatriated.

 

Page | 18

 

 

MANAGEMENT’S DISCUSSION AND ANALYSIS

September 30, 2019 and 2018

(Dollar amounts expressed in thousands, except per share amounts)

 

 

Attraction and Retention of Key Personnel Including Directors

 

The Company will have a small management team and the loss of a key individual or inability to attract suitably qualified staff could have a material adverse impact on the business of The Company. The Company may also encounter difficulties in obtaining and maintaining suitably qualified staff. The success of The Company depends on the ability of management to interpret market data correctly and to interpret and respond to economic, market and other conditions in order to locate and adopt appropriate opportunities. No assurance can be given that individuals with the required skills will continue employment with The Company or that replacement personnel with comparable skills can be found. The Company will be dependent on the services of key executives, including the directors of The Company and a small number of highly skilled and experienced executives and personnel. Due to the relatively small size of The Company, the loss of these persons or The Company’s inability to attract and retain additional highly skilled employees may adversely affect its business and future operations.

 

Dividends

 

The Company currently intends to retain future earnings to finance the operation, development and expansion of its business. The Company does not anticipate paying cash dividends on the Company Shares in the foreseeable future. Payment of future cash dividends, if any, will be at the discretion of the Company Board and will depend on the Company’s financial condition, results of operations, contractual restrictions, capital requirements, business prospects and other factors that the Company Board may consider relevant. Accordingly, investors will only see a return on their investment if the value of the Company Shares appreciates.

 

Discretion in the Use of Available Funds

 

Management will have broad discretion concerning the use of the available funds of the Company as well as the timing of their expenditures. As a result, shareholders and investors will be relying on the judgment of management of the Company on completion of the Arrangement for the application of the available funds of the Company (see “Available Funds and Principal Purposes” above). Management may use the available funds in ways that an investor may not consider desirable. The results and the effectiveness of the application of the available funds are uncertain. If the available funds are not applied effectively, the Company’s results of operations may suffer.

 

Potential Conflicts of Interest

 

Some of the proposed directors and officers of the Company are engaged and will continue to be engaged as directors and officers of other companies in the search for additional business opportunities on behalf of such other corporations, and situations may arise where these directors and officers will be in direct competition with the Company. Some of the proposed directors and officers of the Company are or may become directors or officers of other companies engaged in other business ventures.

 

Conflicts of interest, if any, which arise may be subject to and be governed by procedures prescribed by the Business Corporations Act (British Columbia) which require a director or officer of a corporation who is a party to or is a director or an officer of or has a material interest in any person who is a party to a material contract or proposed material contract with The Company to disclose his interest and to refrain from voting on any matter in respect of such contract unless otherwise permitted under the Business Corporations Act (British Columbia). Any decision made by any of such directors and officers involving the Company should be made in accordance with their duties and obligations to deal fairly and in good faith with a view to the best interests of the Company and its shareholders.

 

Insurance and Uninsured Risks

 

The Company’s business will continue to be subject to several risks and hazards generally, including general liability. Such occurrences could result in damage to property, inventory, facilities, personal injury or death, damage to the properties of the Company, or the properties of others, monetary losses and possible legal liability. The Company may be subject to product liability and medical malpractice claims, which may adversely affect its operations. The Company’s industry is highly regulated, and the Company may be subject to regulatory scrutiny for violations of regulations and laws. The Company could be adversely affected by the time and cost involved with regulatory investigations even if it has operated in compliance with all laws. Investigations could also adversely affect the timely payment of receivables.

 

Although the Company will maintain insurance to protect against certain risks in such amounts as it considers to be reasonable, its insurance will not cover all the potential risks associated with its operations. The Company may also be unable to maintain insurance to cover these risks at economically feasible premiums. Insurance coverage may not continue to be available or may not be adequate to cover any resulting liability. The Company might also become subject to liability which may not be insured against or which the Company may elect not to insure against because of premium costs or other reasons. Losses from these events may cause the Company to incur significant costs that could have a material adverse effect upon its financial performance and results of operations.

 

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MANAGEMENT’S DISCUSSION AND ANALYSIS

September 30, 2019 and 2018

(Dollar amounts expressed in thousands, except per share amounts)

 

 

Additional Capital

 

The development and the business (including acquisitions) of the Company may require additional financing, which may involve high transaction costs, dilution to shareholders, high interest rates or unfavorable terms and conditions. Failure to obtain enough financing may result in the delay or indefinite postponement of its business plans. As the Company will likely be unable to obtain traditional debt financing until it has a profitable and longer operating history, the initial primary source of funding available to the Company will consist of equity financing. There can be no assurance that additional capital or other types of financing will be available if needed or that, if available, the terms of such financing will be favorable to the Company.

 

Loss of Foreign Private Issuer Status

 

The Company may lose its foreign private issuer status in the future, which could result in significant additional costs and expenses. As a foreign private issuer, as defined in Rule 3b-4 under the Securities Exchange Act of 1934, as amended (the “Exchange Act”), the Company is currently exempt from certain of the provisions of the U.S. federal securities laws. For example, an issuer with total assets in excess of US$10 million and whose outstanding equity securities are held by 2,000 or more persons, or 500 or more persons who are not “accredited investors”, must register such securities as a class under the Exchange Act. However, as a foreign private issuer subject to Canadian continuous disclosure requirements, the Company may claim the exemption from registration under the Exchange Act provided by Rule threeg3-2(b) thereunder, even if these thresholds are exceeded. To be considered a foreign private issuer, The Company must satisfy a United States shareholder test (not more than 50% of the voting securities of a company must be held by residents of the United States) if any of the following disqualifying conditions apply: (i) the majority of the Company’s executive officers or directors are United States citizens or residents; (ii) more than 50 percent of The Company’s assets are located in the United States; or (iii) The Company’s business is administered principally in the United States. Based on information available as at the date hereof, approximately 26.7% of the Company’s outstanding voting securities are anticipated to be directly or indirectly held of record by residents of the United States. If the Company loses its status as a foreign private issuer, these regulations could apply and it could also be required to commence reporting on forms required of U.S. domestic companies, such as Forms 10-K, 10-Q and 8-K. It could also become subject to U.S. proxy rules, and certain holders of its equity securities could become subject to the insider reporting and “short swing” profit rules under Section 16 of the Exchange Act. In addition, any securities issued by the Company if it loses foreign private issuer status would become subject to certain rules and restrictions under the Securities Act of 1933, as amended, even if they are issued or resold outside the United States. Compliance with the additional disclosure, compliance and timing requirements under these securities laws would likely result in increased expenses and would require the Company’s management to devote substantial time and resources to comply with new regulatory requirements.

 

United States Operations and Exchange Rate Fluctuations:

 

All the Company’s revenue generating operations will occur in the United States. The Company will be subject to risks associated with its operations that may increase liability and costs and require significant management attention. These risks include:

 

·compliance with laws of the United States that will apply to the Company’s United States operations, including lawful access, privacy laws and anti-corruption laws;
·instability in economic or political conditions, including inflation, recession and political uncertainty;
·potential adverse tax consequences; and
·litigation in United States courts.

 

In addition, the Company will be exposed to foreign exchange risk as a result of substantially all of its revenue generating operations taking place in the United States and thus, revenues and expenses being earned and paid in United States dollars while the Company reports its financial statements in Canadian dollars. If the Canadian dollar appreciates relative to the United States dollar, the Company’s Canadian dollar expenses and revenues will decrease when translated from United States dollars for financial reporting purposes. Conversely, if the Canadian dollar depreciates relative to the United States dollar, the Company’s Canadian dollar expenses and revenues will increase when translated from United States dollars for financial reporting purposes. In addition, exchange rate fluctuations may affect the costs that The Company incurs in its operations. The appreciation of non-United States dollar currencies against the United States dollar can increase the cost of operations in United States dollar terms. Foreign exchange rate fluctuations may materially affect the Company’s financial condition and results of operations in future periods.

 

The Company will continue to translate the assets and liabilities of its United States dollar functional currency subsidiaries into Canadian dollars using exchange rates in effect at the end of each period. Revenue and expenses for these subsidiaries are translated using average exchange rates that approximate those in effect during the period. The Company will continue to maintain cash balances in both United States and Canadian dollars, but management anticipates that it will not purchase any securities or financial instruments to speculate on or hedge against a rise or fall in the value of the United States dollar.

 

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MANAGEMENT’S DISCUSSION AND ANALYSIS

September 30, 2019 and 2018

(Dollar amounts expressed in thousands, except per share amounts)

 

 

Global Economy

 

Recent market events and conditions, including disruptions in the international credit markets and other financial systems and the deterioration of global economic conditions, could impede the Company’s access to capital or increase the cost of capital. From 2007 to 2009, the United States credit markets began to experience serious disruption due to deterioration in residential property values, defaults and delinquencies in the residential mortgage market and a decline in the credit quality of mortgage- backed securities. These problems led to a slow-down in residential housing market transactions, declining housing prices, delinquencies in non-mortgage consumer credit and a general decline in consumer confidence. These conditions caused a loss of confidence in the broader United States and global credit and financial markets and resulted in the collapse of, and government intervention in, major banks, financial institutions and insurers and created a climate of greater volatility, less liquidity, widening of credit spreads, a lack of price transparency, increased credit losses and tighter credit conditions which continued throughout 2012 with continued uncertainty in the European marketplace and continued uncertainty surrounding the “fiscal cliff” , the United States government deficit and the United States government spending cuts. Notwithstanding various actions by the United States and foreign governments, concerns about the general condition of the capital markets, financial instruments, banks, investment banks, insurers and other financial institutions caused the broader credit markets to deteriorate and stock markets to fluctuate substantially.

 

These disruptions in the current credit and financial markets have had a significant material adverse impact on several financial institutions and have limited access to capital and credit for many companies, including junior mining companies. These disruptions could, among other things, make it more difficult for the Company to obtain, or increase its cost of obtaining, capital and financing for its operations. Access to additional capital may not be available to the Company on terms acceptable to it, or at all.

 

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