10-Q

UNITED STATES 

SECURITIES AND EXCHANGE COMMISSION 

Washington, D.C. 20549

FORM 10-Q

(Mark One) 

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

For the quarterly period ended March 31, 2019

or 

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

For the transition period from ___________ to ___________

Commission File Number 000-54748

ETHEMA HEALTH CORPORATION. 

(Exact Name of Registrant as Specified in its Charter)

Colorado	84-1227328
(State or other jurisdiction of incorporation or organization)	(I.R.S. employer Identification No.)
810 Andrews Avenue  Delray Beach, Florida	33483
Address of Principal Executive Offices	Zip Code

(561) 450-7679 

Registrant’s Telephone Number, Including Area Code

Former Name, Former Address and Former Fiscal Year, if Changed Since Last Report

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

Indicate by check mark whether the registrant has submitted electronically every Interactive Data File required to be submitted pursuant to Rule 405 of Regulation S-T (§ 232.405 of this chapter) during the preceding 12 months (or for such shorter period that the registrant was required to submit such files).  Yes ☒    No ☐

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

Large accelerated filer ☐	Accelerated filer ☐
Non-accelerated filer ☒	Smaller reporting company ☒
	Emerging growth company ☒

If an emerging growth company, indicate by check mark if the registrant has elected not to use the extended transition period for complying with any new or revised financial accounting standards provided pursuant to Section 13(a) of the Exchange Act.   ☒

Indicate by check mark whether the registrant is a shell company (as defined in Rule 12b-2 of the Act).  Yes ☐   No ☒ 

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

Title of each class	Trading Symbol(s)	Name of each exchange on which registered
Common shares	GRST	Nasdaq

Indicate the number of shares outstanding of each of the issuer’s classes of common stock, as of the latest practicable date:

Number of shares of common stock outstanding as of May 14, 2019 was 124,371,452.

ETHEMA HEALTH CORPORATION

NOTE REGARDING FORWARD-LOOKING STATEMENTS

This Quarterly Report on Form 10-Q contains “forward-looking statements” within the meaning of Section 27A of the Securities Act of 1933, as amended (the “Securities Act”), and Section 21E of the Securities Exchange Act of 1934, as amended (the “Exchange Act”). In particular, statements contained in this Quarterly Report on Form 10-Q, including but not limited to, statements regarding the sufficiency of our cash, our ability to finance our operations and business initiatives and obtain funding for such activities; our future results of operations and financial position, business strategy and plan prospects, or costs and objectives of management for future acquisitions, are forward looking statements. These forward-looking statements relate to our future plans, objectives, expectations and intentions and may be identified by words such as “may,” “will,” “should,” “expects,” “plans,” “anticipates,” “intends,” “targets,” “projects,” “contemplates,” “believes,” “seeks,” “goals,” “estimates,” “predicts,” “potential” and “continue” or similar words. Readers are cautioned that these forward-looking statements are based on our current beliefs, expectations and assumptions and are subject to risks, uncertainties, and assumptions that are difficult to predict, including those included elsewhere in this Quarterly Report on Form 10-Q, and those identified in our Annual Report on Form 10-K/A for the year ended December 31, 2018 filed with the SEC on April 22, 2019. Therefore, actual results may differ materially and adversely from those expressed, projected or implied in any forward-looking statements. We undertake no obligation to revise or update any forward-looking statements for any reason.

NOTE REGARDING COMPANY REFERENCES

Throughout this Quarterly Report on Form 10-Q, “Ethema,” the “Company,” “we,” “us” and “our” refer to Ethema Health Corporation.

ETHEMA HEALTH CORPORATION

FORM 10-Q

TABLE OF CONTENTS

		Page
	PART I - FINANCIAL INFORMATION
Item l.	Financial Statements	1
	Condensed Consolidated Balance Sheets as of March 31, 2019 (Unaudited) and December 31, 2018	1
	Unaudited Condensed Consolidated Statements of Operations and Comprehensive Loss for the three months ended March 31, 2019 and 2018	2
	Unaudited Condensed consolidated Statements of Stockholders’ Deficit for the three months ended March 31, 2019 and 2018	3
	Unaudited Condensed Consolidated Statements of Cash Flows for the three months ended March 31, 2019 and 2018	4
	Notes to the Unaudited Condensed Consolidated Financial Statements	5
Item 2.	Management’s Discussion and Analysis of Financial Condition and Results of Operations	30
Item 3.	Quantitative and Qualitative Disclosures About Market Risk	34
Item 4.	Controls and Procedures	34
	PART II - OTHER INFORMATION
Item 1.	Legal Proceedings	34
Item 1A.	Risk Factors	34
Item 2.	Unregistered Sales of Equity Securities and Use of Proceeds	34
Item 3.	Defaults Upon Senior Securities	34
Item 4.	Mine Safety Disclosures	35
Item 5.	Other Information	35
Item 6.	Exhibits	35
SIGNATURES		36

I

PART I: FINANCIAL INFORMATION

Item 1. Financial Statements

ETHEMA HEALTH CORPORATION

CONDENSED CONSOLIDATED BALANCE SHEETS          

	March 31, 2019			December 31, 2018
	(unaudited)
ASSETS
Current assets
Cash	$	25,579		$	24,674
Accounts receivable		279,929			202,654
Prepaid expenses and other current assets		246,532			147,870
Related party receivables		51,011			32,650
Assets held for resale		1,786,049			—
Total current assets		2,389,100			407,848
Non-current assets
Deposit on real estate		2,924,955			2,940,546
Due on sale of business		74,833			372,366
Property, plant and equipment		7,154,381			8,948,349
Right of use assets		15,736,177			—
Total non-current assets		25,890,346			12,261,261
Total assets	$	28,279,446		$	12,669,109
LIABILITIES AND STOCKHOLDERS’ DEFICIT
Current liabilities
Accounts payable and accrued liabilities	$	1,621,531		$	1,092,882
Taxes payable		751,900			775,392
Convertible notes		4,717,256			4,403,473
Mortgage loans		3,034,927			172,276
Operating lease liability		782,805			—
Derivative liability		5,652,403			4,618,080
Related party payables		2,674,178			2,615,613
Total current liabilities		19,235,000			13,677,716
Non-current liabilities
Mortgage loans		3,877,764			6,707,346
Operating lease liability		15,048,674			—
Total non-current liabilities		18,926,438			6,707,346
Total liabilities		38,161,438			20,385,062
Stockholders’ deficit
Preferred stock - Series A; $0.01 par value, 3,000,000 authorized, nil outstanding as of March 31, 2019 and December 31, 2018.					—
Preferred Stock - Series B; $0.01 par value, 10,000,000 authorized, nil outstanding as of March 31, 2019 and December 31, 2018.					—
Common stock; $0.01 par value, 500,000,000 shares authorized; 124,371,452 and 124,300,341 shares issued and outstanding  as of March 31, 2019 and December 31, 2018, respectively.		1,243,715			1,243,004
Additional paid-in capital		21,818,509			20,939,676
Accumulated other comprehensive income		673,508			630,411
Accumulated deficit		(33,617,724	)		(30,529,044	)
Total stockholders’ deficit		(9,881,992	)		(7,715,953	)
Total liabilities and stockholders’ deficit	$	28,279,446		$	12,669,109

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

1

ETHEMA HEALTH CORPORATION

UNAUDITED CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS  

AND COMPREHENSIVE LOSS

	Three months ended March 31, 2019			Three months ended  March 31, 2018
Revenues	$	82,015		$	113,302
Operating expenses
General and administrative		382,153			193,732
Rental expense		570,066			—
Management fees		—			46,533
Professional fees		44,154			38,010
Salaries and wages		404,264			185,156
Depreciation and amortization		75,876			68,415
Total operating expenses		1,476,513			531,846
Operating loss		(1,394,498	)		(418,544	)
Other Income (expense)
Interest income		15,277			49
Interest expense		(345,098	)		(170,451	)
Debt discount		(761,942	)		(752,949	)
Derivative liability movement		(473,301	)		(12,156	)
Foreign exchange movements		(129,118	)		137,896
Net loss before taxation		(3,088,680	)		(1,216,155	)
Taxation		—			—
Net loss		(3,088,680	)		(1,216,155	)
Accumulated other comprehensive loss
Foreign currency translation adjustment		43,097			(53,186	)
Total comprehensive loss	$	(3,045,583	)	$	(1,269,341	)
Basic and diluted loss per common share	$	(0.02	)	$	(0.01	)
Weighted average common shares outstanding – Basic and diluted		124,358,020			123,242,897

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

2

ETHEMA HEALTH CORPORATION

UNAUDITED CONDENSED CONSOLIDATED STATEMENT OF STOCKHOLDERS’ DEFICIT

	Preferred Series B				Common				Additional
	Shares		Amount		Shares		Amount		Paid in Capital		Comprehensive Income		Accumulated Deficit			Total
Balance as of December 31, 2018		—	$	—		124,300,341	$	1,243,004	$	20,939,676	$	630,411	$	(30,529,044	)	$	(7,715,953	)
Fair value of warrants issued		—		—		—		—		874,566		—		—			874,566
Shares issued for commitment fees		—		—		71,111		711		4,267		—		—			4,978
Foreign currency translation		—		—		—		—		—		43,097		—			43,097
Net loss		—		—		—		—		—		—		(3,088,680	)		(3,088,680	)
Balance as of March 31, 2019		—	$	—		124,371,452	$	1,243,715	$	21,818,509	$	673,508	$	(33,617,724	)	$	(9,881,992	)

	Preferred Series B				Common				Additional
	Shares		Amount		Shares		Amount		Paid in Capital		Comprehensive Income			Accumulated Deficit			Total
Balance as of December 31, 2017		—	$	—		123,239,230	$	1,232,393	$	18,545,913	$	796,453		$	(22,350,401	)	$	(1,775,642	)
Shares issued for commitment fees		—		—		165,000		1,650		9,900		—			—			11,550
Foreign currency translation		—		—		—		—		—		(53,186	)		—			(53,186	)
Net loss		—		—		—		—		—		—			(1,216,155	)		(1,216,155	)
Balance as of March 31, 2018		—	$	—		123,404,230	$	1,234,043	$	18,555,813	$	743,267		$	(23,566,556	)	$	(3,033,433	)

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

3

ETHEMA HEALTH CORPORATION

UNAUDITED CONDENSED CONSOLIDATED STATEMENT OF CASH FLOWS 

	Three months ended  March 31,  2019			Three months ended  March 31,  2018
Operating activities
Net loss	$	(3,088,680	)	$	(1,216,155	)
Adjustment to reconcile net loss to net cash (used in) provided by operating activities:
Depreciation		75,876			68,415
Non-cash interest accrual on escrow deposit		(15,277	)		—
Non-cash compensation for services		—			11,550
Non-cash discount on convertible debt		—			48,000
Amortization of debt discount		761,942			752,949
Derivative liability movements		473,301			12,156
Non-cash deferral of operating lease liability expense		95,302			—
Changes in operating assets and liabilities
Accounts receivable		(77,275	)		42,490
Prepaid expenses and other current assets		(80,409	)		74,630
Deposit released from escrow		322,156			395,354
Accounts payable and accrued liabilities		424,777			31,745
Taxes payable		—			1,933
Net cash (used in) provided by operating activities		(1,108,287	)		223,067
Investing activities
Deposits paid		(2,658	)		(286,912	)
Purchase of fixed assets		(8,176	)		—
Net cash used in investing activities		(10,834	)		(286,912	)
Financing activities
Decrease in bank overdraft		—			(25,878	)
Repayment of mortgage loans		(33,396	)		(33,186	)
Proceeds from convertible notes		1,567,000			600,000
Repayment of convertible notes		(523,803	)		(330,000	)
Proceeds from related party notes		(1,081	)		21,398
Net cash provided by financing activities		1,008,720			232,334
Effect of exchange rate on cash		111,306			(141,489	)
Net change in cash		905			27,000
Beginning cash balance		24,674			339
Ending cash balance	$	25,579		$	27,339
Supplemental cash flow information
Cash paid for interest	$	411,610		$	141,244
Cash paid for income taxes	$	—		$	—
Non cash investing and financing activities
Fair value of warrants issued	$	874,566		$	—

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

4

ETHEMA HEALTH CORPORATION

NOTES TO THE UNAUDITED CONDENSED CONSOLIDATED FINANCIAL STATEMENTS  

1. Nature of business

Ethema Health Corporation (the “Company”) was incorporated under the laws of the state of Colorado, USA, on April 1, 1993. Effective April 4, 2017, the Company changed its name to Ethema Health Corporation and prior to that, on May 2012, the Company had changed its name to GreeneStone Healthcare Corporation from Nova Natural Resources Corporation. As of December 31, 2017, the Company owned 100% of the outstanding shares of GreeneStone Clinic Muskoka Inc., incorporated in 2010 under the laws of the Province of Ontario, Canada; Cranberry Cove Holdings Ltd.(“CCH”), incorporated on January 9, 2004 under the laws of the Province of Ontario, Canada; Addiction Recovery Institute of America (“ARIA”) (formerly Seastone Delray Healthcare, LLC), incorporated on May 17, 2016 under the laws of Florida, USA; and Delray Andrews RE, LLC, incorporated on May 17, 2016 under the laws of Florida, USA

During December 2016, the Company obtained a license to operate and provide addiction treatment healthcare services in Florida, USA. The company commenced operations under this license with effect from January 2017.

On February 14, 2017, the Company completed a series of transactions (referred to collectively as the “Restructuring Transactions”), including a Share Purchase Agreement (the “SPA”) whereby the Company acquired 100% of the stock of CCH, which holds the real estate on which the Company previously operated a rehabilitation clinic (“the Canadian Rehab Clinic”). The Company entered into an Asset Purchase Agreement (the “APA”) and lease (the “Lease”) whereby the Company sold all of the Canadian Rehab Clinic business assets and leased the real estate to the buyer. Simultaneously with this transaction, the Company entered into a Real Estate \Purchase agreement and Asset Purchase Agreement whereby the Company purchased the real estate and business assets of Seastone Delray (the “Florida Purchase”).

The Share Purchase Agreement 

Under the SPA, the Company acquired 100% of the stock of CCH from Leon Developments Ltd. (“Leon Developments”), a company wholly owned by Shawn E. Leon, who is the President, CEO, and CFO of the Company (“Mr. Leon”). CCH owns the real estate on which the Canadian Rehab Clinic is located. The total consideration paid by the Company was CDN$3,517,062, including the assumption of certain liabilities of CCH, which was funded by the assignment to Leon Developments of certain indebtedness owing to the Company in the amount of CDN$659,918, and the issuance of 60,000,000 shares of the Company’s common stock to Leon Developments, valued at US$0.0364 per share.

The Asset Purchase Agreement and Lease 

Under the APA, the assets of the Canadian Rehab Clinic were sold by the Company, through its subsidiary, GreeneStone Clinic Muskoka Inc. (“Muskoka”), to Canadian Addiction Residential Treatment LP (the “Purchaser”), for a total consideration of CDN$10,000,000, plus an additional payment of up to CDN$3,000,000 as a performance payment to be received in 2019 if certain clinic performance metrics are met. The Purchaser completed the sale with cash proceeds to the Company of CDN$10,000,000, of which CDN$1,500,000 was to remain in escrow for up to two years to cover indemnities given by the Company. The proceeds of the Muskoka clinic asset sale were used to pay down certain tax debts and operational costs of the Company and to fund the Florida Purchase, mentioned below.

Through the APA, substantially all of the assets of the Canadian Rehab Clinic were sold, leaving Ethema with only the underlying clinic real estate, which the Company, through its newly acquired subsidiary, CCH, concurrently leased to the Purchaser. The Lease is a triple net lease and provides for a five (5) year primary term with three (3) five-year renewal options, annual base rent for the first year at CDN$420,000 with annual increases, an option to tenant to purchase the leased premises and certain first refusal rights.

The Florida Purchase

Immediately after closing on the sale of the assets of the Canadian Rehab Clinic, the Company closed on the acquisition of the real estate assets of Seastone Delray pursuant to certain real estate and asset purchase agreements The purchase price for the Seastone assets was US$6,070,000 financed with a purchase money mortgage of US$3,000,000, and US$3,070,000 in cash. 

5

ETHEMA HEALTH CORPORATION

NOTES TO THE UNAUDITED CONDENSED CONSOLIDATED FINANCIAL STATEMENTS 

2. Summary of significant accounting policies

Basis of presentation

The (a) unaudited condensed consolidated balance sheets as of March 31, 2019, which have been derived from the unaudited condensed consolidated financial statements, and as of December 31, 2018, which have been derived from audited consolidated financial statements, and (b) the unaudited condensed consolidated statements of operations, stockholders’ deficit and cash flows of the Company, have been prepared in accordance with accounting principles generally accepted in the United States (“GAAP”) for interim financial information and the instructions to Form 10-Q and Rule 8-03 of Regulation S-X. Accordingly, they do not include all of the information and footnotes required by GAAP for complete financial statements. In the opinion of management, all adjustments (consisting of normal recurring accruals) considered necessary for a fair presentation have been included. Operating results for the three months ended March 31, 2019 are not necessarily indicative of results that may be expected for the year ending December 31, 2019. These unaudited condensed consolidated financial statements should be read in conjunction with the audited consolidated financial statements and notes thereto included in the Company’s Form 10-K/A for the year ended December 31, 2018, filed with the Securities and Exchange Commission (“SEC”) on April 22, 2019.

All amounts referred to in the notes to the unaudited condensed consolidated financial statements are in United States Dollars ($) unless stated otherwise.

a) Use of Estimates

The preparation of financial statements in conformity with US GAAP requires management to make estimates and assumptions that affect the reported amounts of assets and liabilities and disclosure of contingent assets and liabilities at the date of the financial statements and the reported amounts of revenues and expenses during the reporting periods. Actual results could differ from those estimates.

b) Principals of consolidation and foreign currency translation

The accompanying unaudited condensed consolidated financial statements include the accounts of the Company and all of its subsidiaries. All intercompany transactions and balances have been eliminated on consolidation.

Certain of the Company’s subsidiaries functional currency is the Canadian dollar, while the Company’s reporting currency is the U.S. dollar. All transactions initiated in Canadian dollars are translated into US dollars in accordance with ASC 830, “Foreign Currency Translation” as follows:

● Monetary assets and liabilities at the rate of exchange in effect at the balance sheet date.

● Equity at historical rates.

● Revenue and expense items and cash flows at the average rate of exchange prevailing during the period.

Adjustments arising from such translations are deferred until realization and are included as a separate component of stockholders’ deficit as a component of accumulated other comprehensive income or loss. Therefore, translation adjustments are not included in determining net income (loss) but reported as other comprehensive income (loss).

For foreign currency transactions, the Company translates these amounts to the Company’s functional currency at the exchange rate effective on the invoice date. If the exchange rate changes between the time of purchase and the time actual payment is made, a foreign exchange transaction gain or loss results which is included in determining net income for the period.

The relevant translation rates are as follows: For the three months ended March 31, 2019, a closing rate of CDN$1.00 equals US$0.7483 and an average exchange rate of CDN$1.00 equals US$0.7522. For the three months ended March 31, 2018, a closing rate of CAD$1.00 equals US$0.7756 and an average exchange rate of CAD$1.0000 equals US$0.7907.

6

ETHEMA HEALTH CORPORATION

NOTES TO THE UNAUDITED CONDENSED CONSOLIDATED FINANCIAL STATEMENTS

c) Revenue Recognition

ASU 2014-09 requires companies to exercise more judgment and recognize revenue using a five-step process. The Company adopted ASU 2014-09 using the modified retrospective method for all contracts effective January 1, 2018. Modified retrospective adoption requires entities to apply the standard retrospectively to the most current period presented in the financial statements, requiring the cumulative effect of the retrospective application as an adjustment to the opening balance of retained earnings at the date of initial application. Prior periods have not been adjusted. No cumulative effect adjustment in retained earnings was recorded as the adoption of ASU 2014-09 did not significantly impact the Company’s reported historical revenue.

As a result of certain changes required by ASU 2014-09, the majority of the Company’s provision for doubtful accounts are recorded as a direct reduction to revenue instead of being presented as a separate line item on the consolidated statements of operations. The adoption of ASU 2014-09 has no impact on the Company’s accounts receivable as it was historically recorded net of allowance for doubtful accounts and contractual adjustments, and the Company has eliminated the presentation of allowance for doubtful accounts on the consolidated balance sheets.

As our performance obligations relate to contracts with a duration of one year or less, the Company elected the optional exemption in ASC 606-10-50-14(a). Therefore, the Company is not required to disclose the transaction price for the remaining performance obligations at the end of the reporting period or when the Company expects to recognize the revenue. The Company has minimal unsatisfied performance obligations at the end of the reporting period as our patients typically are under no obligation to remain admitted in our facilities.

The Company receives payments from the following sources for services rendered in our U.S. Facility: (i) commercial insurers; and (ii) individual patients and clients. As the period between the time of service and time of payment is typically one year or less, the Company elected the practical expedient under ASC 606-10-32-18 and did not adjust for the effects of a significant financing component.

The Company derives a significant portion of its revenue from other payors that receive discounts from established billing rates. The various managed care contracts under which these discounts must be calculated are complex, subject to interpretation and adjustment, and may include multiple reimbursement mechanisms for different types of services provided in the Company’s in-patient facilities and cost settlement provisions. Management estimates the transaction price on a pay or specific basis given its interpretation of the applicable regulations or contract terms. The services authorized and provided and related reimbursement are often subject to interpretation that could result in payments that differ from the Company’s estimates. Additionally, updated regulations and contract renegotiations occur frequently, necessitating regular review and assessment of the estimation process by management.

Settlements under cost reimbursement agreements with third-party payors are estimated and recorded in the period in which the related services are rendered and are adjusted in future periods as final settlements are determined. In the opinion of management, adequate provision has been made for any adjustments and final settlements. However, there can be no assurance that any such adjustments and final settlements will not have a material effect on the Company’s financial condition or results of operations. The Company’s cost report receivables were $279,929 and $202,654 for the three months ended March 31, 2019 and year ended December 31, 2018, respectively, and were included in other current assets in the consolidated balance sheets. Management believes that these receivables are properly stated and are not likely to be settled for a significantly different amount. The net adjustments to estimated cost report settlements resulted in a decrease in revenues of $0 and $262,353 for the three months ended March 31, 2019 and the year ended December 31, 2018, respectively.

7

ETHEMA HEALTH CORPORATION

NOTES TO THE UNAUDITED CONDENSED CONSOLIDATED FINANCIAL STATEMENTS

2. Summary of significant accounting policies (continued)

c) Revenue Recognition (continued)

The Company has analyzed its revenue transaction pursuant to ASC 606, Revenue, and it has no material impact as a result of the transition from ASC 605 to 606. The Company’s revenues are recognized when control of the promised goods or services are transferred to a customer, in an amount that reflects the consideration that the Company expects to receive in exchange for those services. The Company derives its revenues from the sale of its services, as defined below. The Company applies the following five steps in order to determine the appropriate amount of revenue to be recognized as it fulfills its obligations under each of its revenue transactions:

i. identify the contract with a customer;

ii. identify the performance obligations in the contract;

iii. determine the transaction price;

iv. allocate the transaction price to performance obligations in the contract; and

v. recognize revenue as the performance obligation is satisfied.

The Company has two operating segments from which it derives revenues which is recognized on the basis described below.

i. Rental Income

In terms of the lease agreement, on a monthly basis as long as the facility is utilized by the tenant

ii. In-patient revenue

The customers have been treated and provided with services by the Company; there is clear evidence that an arrangement exists; the amount of revenue and related costs can be measured reliably; and it is probable that the economic benefits associated with the transaction will flow to the Company.

d) Nonmonetary transactions

The Company’s policy is to measure an asset exchanged or transferred in a nonmonetary transaction at the more reliable measurement of the fair value of the asset given up and the fair value of the asset received, unless:

● The transaction lacks commercial substance;

● The transaction is a transfer between entities under common control;

● The transaction is an exchange of a product or property held for sale in the ordinary course of business for a product or property to be sold in the same line of business to facilitate sales to customers other than the parties to the exchange;

● Neither the fair value of the asset received nor the fair value of the asset given up is reliably measurable; or

● The transaction is a nonmonetary, non-reciprocal transfer to owners that represents a spinoff or other form of restructuring or liquidation.

8

ETHEMA HEALTH CORPORATION

NOTES TO THE UNAUDITED CONDENSED CONSOLIDATED FINANCIAL STATEMENTS 

2. Summary of significant accounting policies (continued)

e) Cash and cash equivalents

The Company’s policy is to disclose bank balances under cash, including bank overdrafts with balances that fluctuate frequently from being positive to overdrawn and term deposits with a maturity period of three months or less from the date of acquisition.

f) Accounts receivable

Accounts receivable primarily consists of amounts due from third-party payors (non-governmental) and private pay patients and is recorded net of allowances for doubtful accounts and contractual discounts. The Company’s ability to collect outstanding receivables is critical to its results of operations and cash flows. Accordingly, accounts receivable reported in the Company’s unaudited condensed consolidated financial statements is recorded at the net amount expected to be received. The Company’s primary collection risks are (i) the risk of overestimating net revenues at the time of billing that may result in the Company receiving less than the recorded receivable, (ii) the risk of non-payment as a result of commercial insurance companies denying claims, (iii) the risk that patients will fail to remit insurance payments to the Company when the commercial insurance company pays out-of-network claims directly to the patient, (iv) resource and capacity constraints that may prevent the Company from handling the volume of billing and collection issues in a timely manner, (v) the risk that patients do not pay the Company for their self-pay balances (including co-pays, deductibles and any portion of the claim not covered by insurance) and (vi) the risk of non-payment from uninsured patients.

g) Allowance for Doubtful Accounts, Contractual and other Discounts

The Company derives the majority of its revenues from commercial payors at out-of-network rates. Management estimates the allowance for contractual and other discounts based on its historical collection experience. The services authorized and provided and related reimbursement are often subject to interpretation and negotiation that could result in payments that differ from the Company’s estimates. The Company’s allowance for doubtful accounts is based on historical experience, but management also takes into consideration the age of accounts, creditworthiness and current economic trends when evaluating the adequacy of the allowance for doubtful accounts. An account is written off only after the Company has pursued collection efforts or otherwise determines an account to be uncollectible. Uncollectible balances are written-off against the allowance. Recoveries of previously written-off balances are credited to income when the recoveries are made.

h) Financial instruments

The Company initially measures its financial assets and liabilities at fair value, except for certain non-arm’s length transactions. The Company subsequently measures all its financial assets and financial liabilities at amortized cost.

Financial assets measured at amortized cost include cash and accounts receivable.

Financial liabilities measured at amortized cost include bank indebtedness, accounts payable and accrued liabilities, harmonized sales tax payable, withholding taxes payable, convertible notes payable, loans payable and related party notes.

Financial assets measured at cost are tested for impairment when there are indicators of impairment. The amount of the write-down is recognized in net income. The previously recognized impairment loss may be reversed to the extent of the improvement, directly or by adjusting the allowance account, provided it is no greater than the amount that would have been reported at the date of the reversal had the impairment not been recognized previously. The amount of the reversal is recognized in net income. The Company recognizes its transaction costs in net income in the period incurred. However, financial instruments that will not be subsequently measured at fair value are adjusted by the transaction costs that are directly attributable to their origination, issuance or assumption.

9

ETHEMA HEALTH CORPORATION

NOTES TO THE UNAUDITED CONDENSED CONSOLIDATED FINANCIAL STATEMENTS

 2. Summary of significant accounting policies (continued)

h) Financial instruments (continued)

FASB ASC 820 defines fair value, establishes a framework for measuring fair value in accordance with generally accepted accounting principles, and expands disclosures about fair value measurements. ASC 820 establishes a three tier fair value hierarchy, which prioritizes the inputs used in measuring fair value as follows:

● Level 1. Observable inputs such as quoted prices in active markets;

● Level 2. Inputs, other than the quoted prices in active markets, that are observable either directly or indirectly; and

● Level 3. Unobservable inputs in which there is little or no market data, which requires the reporting entity to develop its own assumptions.

The Company measures its convertible debt and derivative liabilities associated therewith at fair value. These liabilities are revalued periodically and the resultant gain or loss is realized through the Statement of Operations.

i) Plant and equipment

Fixed assets are recorded at cost. Depreciation is calculated on the straight line basis over the estimated life of the asset:

Leasehold improvements are depreciated using the straight-line method over the term of the lease.

j) Leases

Leases are classified as either capital or operating leases. Leases that transfer substantially all of the benefits and inherent risks of ownership of property to the Company are accounted for as capital leases. At the time a capital lease is entered into, an asset is recorded together with its related long-term obligation to reflect the acquisition and financing. Equipment recorded under capital leases is amortized on the same basis as described above. Leases that are classified as operating leases are recorded as a right-of-use asset with a corresponding operating lease liability. The right of use asset is amortized over the life of the lease using the effective interest rate method whilst the operating lease obligation is amortized over the term of the lease using the effective interest method after adjusting for the impact of straight line lease payments. The operating lease expense is recorded as an expense in the statement of operations on a straight line basis over the term of the operating lease.

k) Income taxes

The Company accounts for income taxes under the provisions of ASC Topic 740, “Income Taxes”. Under ASC Topic 740, deferred tax assets and liabilities are recognized for the future tax consequences attributable to differences between the financial statement carrying amounts of existing assets and liabilities and their respective tax bases. Deferred income taxes are provided using the liability method. Under this method, deferred income taxes are recognized for the tax consequences of temporary differences by applying enacted statutory rates applicable to future years to differences between the financial statement carrying amounts and the tax bases of existing assets and liabilities. The tax basis of an asset or liability is the amount attributed to that asset or liability for tax purposes. The effect on deferred taxes of a change in tax rates is recognized in income in the period of change. A valuation allowance is provided to reduce the amount of deferred tax assets if it is considered more likely than not that some portion of, or all of, the deferred tax assets will not be realized.

ASC Topic 740 contains a two-step approach to recognizing and measuring uncertain tax positions taken or expected to be taken in a tax return. The first step is to determine if the weight of available evidence indicates that it is more likely than not that the tax position will be sustained in an audit, including resolution of any related appeals or litigation processes. The second step is to measure the tax benefit as the largest amount that is more than 50% likely to be realized upon ultimate settlement. The Company recognizes interest and penalties accrued on unrecognized tax benefits within general and administrative expense. To the extent that accrued interest and penalties do not ultimately become payable, amounts accrued will be reduced and reflected as a reduction in general and administrative expenses in the period that such determination is made. The tax returns for fiscal 2001, through 2017 are subject to audit or review by the US tax authorities, whereas fiscal 2010 through 2017 are subject to audit or review by the Canadian tax authority.

10

ETHEMA HEALTH CORPORATION

NOTES TO THE UNAUDITED CONDENSED CONSOLIDATED FINANCIAL STATEMENTS

2. Summary of significant accounting policies (continued)

l) Net income (loss) per Share

Basic net income (loss) per share is computed on the basis of the weighted average number of common stock outstanding during the period.

Diluted net income (loss) per share is computed on the basis of the weighted average number of common stock and common stock equivalents outstanding. Dilutive securities having an anti-dilutive effect on diluted net income (loss) per share are excluded from the calculation.

Dilution is computed by applying the treasury stock method for options and warrants. Under this method, “in-the money” options and warrants are assumed to be exercised at the beginning of the period (or at the time of issuance, if later), and as if funds obtained thereby were used to purchase common stock at the average market price during the period. Dilution is computed by applying the if-converted method for convertible preferred stocks. Under this method, convertible preferred stock is assumed to be converted at the beginning of the period (or at the time of issuance, if later), and preferred dividends (if any) will be added back to determine income applicable to common stock. The shares issuable upon conversion will be added to weighted average number of common stock outstanding. Conversion will be assumed only if it reduces earnings per share (or increases loss per share).

m) Stock based compensation

Stock based compensation cost is measured at the grant date, based on the estimated fair value of the award and is recognized as expense over the employee’s requisite service period or vesting period on a straight-line basis. Share-based compensation expense recognized in the unaudited condensed consolidated statements of operations for the three months ended March 31, 2019 and the year ended December 31, 2018 is based on awards ultimately expected to vest and has been reduced for estimated forfeitures. This estimate will be revised in subsequent periods if actual forfeitures differ from those estimates. We have minimal awards with performance conditions and no awards dependent on market conditions.

n) Derivatives

The Company evaluates embedded conversion features within convertible debt under ASC 815 “Derivatives and Hedging” to determine whether the embedded conversion feature should be bifurcated from the host instrument and accounted for as a derivative at fair value with changes in fair value recorded in earnings. The Company uses a Black Scholes Option Pricing model to estimate the fair value of convertible debt conversion features at the end of each applicable reporting period. Changes in the fair value of these derivatives during each reporting period are included in the statements of operations. Inputs into the Black Scholes Option Pricing model require estimates, including such items as estimated volatility of the Company’s stock, risk free interest rate and the estimated life of the financial instruments being fair valued.

If the conversion feature does not require derivative treatment under ASC 815, the instrument is evaluated under ASC 470-20 “Debt with Conversion and Other Options” for consideration of any beneficial conversion feature.

11

ETHEMA HEALTH CORPORATION

NOTES TO THE UNAUDITED CONDENSED CONSOLIDATED FINANCIAL STATEMENTS

2. Summary of significant accounting policies (continued)

o) Recent accounting pronouncements

Adoption of Accounting Standards

In February 2016, the Financial Accounting Standards Board (“FSAB”) issued Accounting Standards Update (“ASU”), No. 2016-02, Leases (Topic 842) (ASC 842)

The amendments in this update establishes a comprehensive new lease accounting model. The new standard: (a) clarifies the definition of a lease; (b) requires a dual approach to lease classification similar to current lease classifications; and (c) causes lessees to recognize leases on the balance sheet as a lease liability with a corresponding right-of-use asset for leases with a lease-term of more than twelve months. The new standard is effective for fiscal years and interim periods beginning after December 15, 2018, with early adoption permitted. A modified retrospective transition approach is required for leases existing at, or entered into after, the beginning of the earliest comparative period presented in the financial statements, including a number of optional practical expedients that entities may elect to apply. In July 2018, the FASB issued ASU No. 2018-11, Leases (Topic 842): Targeted Improvements, an update which provides another transition method, the prospective transition method, which allows entities to initially apply the new lease standard at the adoption date and recognize a cumulative-effect adjustment to the opening balance of retained earnings in the period of adoption. The Company adopted the new standard on January 1, 2019 using the prospective transition method.

The Company has identified all leases and reviewed the leases to determine the impact of ASC 842 on its unaudited condensed consolidated financial statements. The Company has elected to apply the practical expedient to certain classes of leases, whereby the separation of components of leases into lease and non-lease components is not required and all of the practical expedients to all leases, which include not reassessing (1) whether any expired or existing contracts are or contain leases, (2) lease classification for any expired or existing leases, and (3) initial direct costs for any existing leases. The adoption of the new standard resulted in the recording of a right-of-use asset and a lease liability on the unaudited condensed consolidated balance sheet on January 1, 2019 of $15,986,074. The adoption of ASU 2016-02, as amended, has had no impact on the unaudited condensed consolidated statements of operations or unaudited condensed consolidated statements of cash flows.

Recent accounting pronouncements   

The FASB issued several updated during the period, none of these standards are either applicable to the Company or require adoption at a future date and are not expected to have a material impact on the unaudited condensed consolidated financial statements upon adoption.   

p) Financial instruments Risks

The Company is exposed to various risks through its financial instruments. The following analysis provides a measure of the Company’s risk exposure and concentrations at the balance sheet date, March 31, 2019 and December 31, 2018.

i. Credit risk

Credit risk is the risk that one party to a financial instrument will cause a financial loss for the other party by failing to discharge an obligation. Financial instruments that subject the Company to credit risk consist primarily of accounts receivable.

Credit risk associated with accounts receivable of ARIA is mitigated as only a percentage of the revenue billed to health insurance companies is recognized as income until such time as the actual funds are collected. The revenue is concentrated amongst several health insurance companies located in the US.

In the opinion of management, credit risk with respect to accounts receivable is assessed as low.

12

ETHEMA HEALTH CORPORATION

NOTES TO THE UNAUDITED CONDENSED CONSOLIDATED FINANCIAL STATEMENTS

2. Summary of significant accounting policies (continued)

p) Financial instruments Risks (continued)

ii. Liquidity risk

Liquidity risk is the risk the Company will not be able to meet its financial obligations as they fall due. The Company is exposed to liquidity risk through its working capital deficiency of $16,845,900 accumulated deficit of $33,617,724. The Company will be dependent upon the raising of additional capital in order to implement its business plan. There is no assurance that the Company will be successful with future financing ventures, and the inability to secure such financing may have a material adverse effect on the Company’s financial condition. In the opinion of management, liquidity risk is assessed as high, material and remains unchanged from the prior year.

iii. Market risk

Market risk is the risk that the fair value or future cash flows of a financial instrument will fluctuate because of changes in market prices. Market risk comprises of three types of risk: interest rate risk, currency risk, and other price risk. The Company is exposed to interest rate risk and currency risk.

a. Interest rate risk

Interest rate risk is the risk that the fair value or future cash flows of a financial instrument will fluctuate because of changes in market interest rates. The Company is exposed to minimal interest rate risk as there is no overdraft indebtedness as of March 31, 2019. In the opinion of management, interest rate risk is assessed as low, not material and remains unchanged from the prior year.

b. Currency risk

Currency risk is the risk that the fair value or future cash flows of a financial instrument will fluctuate because of changes in foreign exchange rates. The Company is subject to currency risk as it has subsidiaries that operate in Canada and are subject to fluctuations in the Canadian dollar. A substantial portion of the Company’s financial assets and liabilities are denominated in Canadian dollars. Based on the net exposures at March 31, 2019, a 5% depreciation or appreciation of the Canadian dollar against the U.S. dollar would result in an approximate $5,250 increase or decrease in the Company’s after tax net income from operations. The Company has not entered into any hedging agreements to mediate this risk. In the opinion of management, currency risk is assessed as low, material and remains unchanged from the prior year.

c. Other price risk

Other price risk is the risk that the fair value or future cash flows of a financial instrument will fluctuate because of changes in market prices (other than those arising from interest rate risk or currency risk), whether those changes are caused by factors specific to the individual financial instrument or its issuer, or factors affecting all similar financial instruments traded in the market. In the opinion of management, the Company is not exposed to this risk and remains unchanged from the prior year.

q) Reclassification of Prior Year Presentation

Certain prior year amounts have been reclassified for consistency with the current year presentation. These reclassifications had no effect on the reported results of operations.

13

ETHEMA HEALTH CORPORATION

NOTES TO THE UNAUDITED CONDENSED CONSOLIDATED FINANCIAL STATEMENTS

3. Going concern

The Company’s unaudited condensed consolidated financial statements have been prepared in accordance with US GAAP applicable to a going concern, which assumes that the Company will be able to meet its obligations and continue its operations in the normal course of business. As at March 31, 2019 the Company has a working capital deficiency of $16,844,900 and accumulated deficit of $33,617,724. Management believes that current available resources will not be sufficient to fund the Company’s planned expenditures over the next 12 months. Accordingly, the Company will be dependent upon the raising of additional capital through placement of common shares, and/or debt financing in order to implement its business plan, and generating sufficient revenue in excess of costs. If the Company raises additional capital through the issuance of equity securities or securities convertible into equity, stockholders will experience dilution, and such securities may have rights, preferences or privileges senior to those of the holders of common stock or convertible senior notes. If the Company raises additional funds by issuing debt, the Company may be subject to limitations on its operations, through debt covenants or other restrictions. If the Company obtains additional funds through arrangements with collaborators or strategic partners, the Company may be required to relinquish its rights to certain geographical areas, or techniques that it might otherwise seek to retain. There is no assurance that the Company will be successful with future financing ventures, and the inability to secure such financing may have a material adverse effect on the Company’s financial condition. These factors create substantial doubt about the Company’s ability to continue as a going concern. These unaudited condensed consolidated financial statements do not include any adjustments relating to the recoverability or classification of recorded assets and liabilities or other adjustments that may be necessary should the Company not be able to continue as a going concern.

4. Prepaid expenses and other current assets

Prepaid expenses and other current assets includes the following:

On February 25, 2019, the Company entered into a Letter of Intent whereby it would purchase a 33.33% interest in Local Link Wellness, LLC (“LLW”) for gross proceeds of $400,000. LLW proposes to provide a comprehensive addiction treatment program to large employee groups. The company has advanced LLW a total of $80,000 as at March 31, 2019 and a further $30,000 as of May 15, 2019. These funds were advanced as short-term promissory notes.

5. Assets held for resale

On April 2, 2019, the Company entered into a Commercial Contract whereby the real property at 801 Andrews Avenue, Delray Beach, Florida, consisting of land and condominiums thereon, was sold to JAGGM, LLC for $3,500,000. This transaction closed on April 30, 2019.

The land and buildings thereon, net of accumulated depreciation as at March 31, 2019 of $1,786,049 was reclassified as an asset held for resale.

6. Deposit on real estate

On November 2, 2017, the Company entered into an Agreement to purchase from AREP 5400 East Avenue LLC certain buildings in West Palm Beach, Florida, totaling approximately 80,000 square feet, on which the present tenant operates a substance abuse treatment center. The purchase price of the Property is $20,530,000. The Company made a series of nonrefundable down payments totaling $2,924,955 as of March 31, 2019 and $2,940,546 as of December 31, 2018. On May 23, 2018, the Company converted the agreement to purchase AREP 5400 East Avenue LLC. (“the landlord”) into a lease agreement with a purchase option of $17,250,000, increasing by $750,000 per month until the purchase option is exercised. The premises is located at 5400, 5402 and 5410 East Avenue, West Palm Beach, Florida (the “Property”). The lease is for an initial 10 years and provides for two additional 10 year extensions.

The Company was previously under agreement to purchase the property from the landlord. The property is presently used as a rehabilitation treatment center. The current tenant at the property, Alternatives in Treatment, LLC, a Florida limited liability company, consented to the Lease and concurrent with the execution of the Lease entered into a Sublease Agreement with the Company.

14

ETHEMA HEALTH CORPORATION

NOTES TO THE UNAUDITED CONDENSED CONSOLIDATED FINANCIAL STATEMENTS

7. Due on sale of business

On February 14, 2017, the Company sold its Canadian Rehab Clinic for gross proceeds of CDN$10,000,000, of which CDN$1,500,000 had been retained in an escrow account for a period of up to two years in order to guarantee the warranties provided by the Company in terms of the APA. As of March 31, 2019, CDN$1,055,042 of the escrow had been refunded to the Company and CDN$365,268 had been used to affect building improvements to the premises owned by CCH, for a total reduction of CDN$1,420,310. The remaining escrow balance was CDN$100,000 consisting of principal of CDN$76,690 and accrued interest thereon of CDN$20,310.

8. Property, plant and equipment

Property, plant and equipment consists of the following:

	March 31,  2019							December 31, 2018
	Cost		Accumulated depreciation			Net book value		Net book value
Land	$	2,038,510	$	—		$	2,038,510	$	2,911,530
Property		5,215,854		(393,771	)		4,822,083		5,750,045
Leasehold improvements		265,100		(8,304	)		256,796		251,774
Furniture and fixtures		88,176		(51,184	)		36,992		35,000
	$	7,607,640	$	(453,259	)	$	7,154,381	$	8,948,349

Depreciation expense for the three months ended March 31, 2019 and 2018 was $75,876 and $68,415, respectively.

9. Leases

Adoption of ASC Topic 842, Leases

On January 1, 2019, the Company adopted Topic 842 using the modified retrospective method applied to leases that were in place as of January 1, 2019. Results for reporting periods beginning after January 1, 2019 are presented under Topic 842, while prior period amounts are not adjusted and continue to be reported in accordance with our historic accounting under Topic 840. The Company’s leases consists of operating leases that relate to real estate rental agreements. All of the value of the Company’s lease portfolio relates to a real estate lease agreement that was entered into in May 2018.

Practical Expedients and Elections

The Company elected the package of practical expedients permitted under the transition guidance, which allowed us to carryforward our historical lease classification, our assessment on whether a contract is or contains a lease, and our initial direct costs for any leases that exist prior to adoption of the new standard. We also elected the short-term lease recognition exemption for all leases that qualify.

Discount Rate applied to property operating lease

To determine the present value of minimum future lease payments for operating leases at January 1, 2019, the Company was required to estimate a rate of interest that we would have to pay to borrow on a collateralized basis over a similar term an amount equal to the lease payments in a similar economic environment (the “incremental borrowing rate” or “IBR”).

The Company determined the appropriate IBR by identifying a reference rate and making adjustments that take into consideration financing options and certain lease-specific circumstances. For the reference rate, the Company used the average of (i) the risk free interest rate adjusted for a premium for Company and liquidity risk; (ii) the weighted average mortgage interest rate currently availed to the Company; and (iii) the fifteen year mortgage interest rate. The weighted average rate the Company determined was 4.76% as an appropriate incremental borrowing rate to apply to its real-estate operating lease.

15

ETHEMA HEALTH CORPORATION

NOTES TO THE UNAUDITED CONDENSED CONSOLIDATED FINANCIAL STATEMENTS

9. Leases (continued)

Right of use assets

Right of use assets are included in the unaudited condensed consolidated Balance Sheet are as follows:

	March 31, 2019
Non-current assets
Right of use assets, net of amortization	$	15,736,177

Total operating lease cost

Individual components of the total lease cost incurred by the Company is as follows:

	Three months ended March 31, 2019
Operating lease expense	$	534,312

Minimum rental payments under operating leases are recognized on a straight-line basis over the term of the lease.

Maturity of operating leases

 The amount of future minimum lease payments under operating leases are as follows:

	Amount
Remainder of 2019	$	1,363,592
2020		1,882,422
2021		1,962,242
2022		2,042,062
2023 and thereafter		12,436,419
Total undiscounted minimum future lease payments		19,686,737
Deferred rental liability on straight line amortization		95,302
Imputed interest		(3,950,560	)
Total operating lease liability	$	15,831,479
Disclosed as:
Current portion	$	782,805
Non-current portion		15,048,674
	$	15,831,479

16

ETHEMA HEALTH CORPORATION

NOTES TO THE UNAUDITED CONDENSED CONSOLIDATED FINANCIAL STATEMENTS

10. Taxes payable

The taxes payable consist of:

● A payroll tax liability of $136,638 (CDN$182,589) in Greenestone Muskoka which has not been settled as yet.

● The Company has assets and operates businesses in Canada and is required to disclose these operations to the US taxation authorities, the requisite disclosure has not been made. Management has reserved the maximum penalty due to the IRS in terms of non-disclosure. This noncompliance with US disclosure requirements is currently being addressed. An amount of $250,000 has been accrued for any potential exposure the Company may have.

● Estimated income taxes payable in certain of the Canadian operations.

	March 31,  2019		December 31,  2018
Payroll taxes	$	136,638	$	133,843
HST/GST payable		—		33,757
US penalties due		250,000		250,000
Income tax payable		365,262		357,792
	$	751,900	$	775,392

11. Convertible notes

The convertible notes consist of the following:

	Interest  rate			Maturity date	Principal		Interest		Debt Discount			March 31,  2019		December 31,  2018
Leonite Investments LLC		11.0	%	July 25,  2019	$	2,494,754	$	—	$	(169,186	)	$	2,325,568	$	2,494,180
Power Up Lending Group Ltd		9.0	%	May 15,2019		—		—		—			—		94,595
		9.0	%	September 10, 2019		—		—		—			—		44,484
		9.0	%	October 30, 2019		53,000		1,059		(38,398	)		15,661		—
		9.0	%	November 11, 2019		138,000		2,110		(108,598	)		31,512		—
		9.0	%	November 15, 2019		128,000		789		(115,402	)		13,387		—
First Fire Global Opportunities Fund		12.0	%	December 5, 2019		200,000		712		(181,091	)		19,621		—
Series N convertible notes		6.0	%	May 17, 2019 to March 13, 2020		3,506,000		91,050		(1,285,543	)		2,311,507		1,770,214
													4,717,256		4,403,473

17

ETHEMA HEALTH CORPORATION

NOTES TO THE UNAUDITED CONDENSED CONSOLIDATED FINANCIAL STATEMENTS

11. Convertible notes (continued)

Leonite Investments, LLC

On December 1, 2017, the Company closed on a private offering to raise US $1,500,000 in capital. The Company issued one senior secured convertible promissory note with a principal amount of $1,650,000 to Leonite Capital, LLC (“Leonite”). The note is convertible into shares of common stock at a conversion price of $0.06 per share, subject to anti-dilution and price protection. The Note bears interest at the rate of 8.5% per annum. The Note’s amended maturity date was December 1, 2018. During the term of the Note the Company and the Subsidiaries will be obligated to make monthly payment of accrued and unpaid interest. The Note contains Company and Subsidiary representations and warranties, covenants, events of default, and registration rights. The Company paid a commitment fee of $132,000 settled through the issue of 1,650,000 shares of common stock and paid $20,000 towards the lenders legal fees. In conjunction with this note, the Company issued a five year warrant to purchase 27,500,000 shares of common stock at an exercise price or $0.10 per share, subject to antidilution and price protection.

The Note provided that the parties use reasonable best efforts to close on the remaining $1,200,000 of availability under the Note by January 1, 2018. As a condition to the closing of the Balance Tranche, the parties must finalize and enter into additional agreements related to the Private Offering, including, but not limited to, (i) a Securities Purchase Agreement; (ii) a Warrant Agreement under which the Investor will have the right to purchase up to 27,500,000 shares of the Company’ common stock for $0.10 per share, subject to adjustment, for a period of five years; (iii) a Securities Pledge Agreement under which the Company and the Subsidiaries will grant the lender a blanket lien on their assets, and the Company will pledge its equity ownership in the Subsidiaries. Upon the closing of the Balance Tranche the maturity date of the Note will become December 1, 2018.

On December 29, 2017, effective as of December 1, 2017, the Company and the Subsidiaries entered into an Amended and Restated Senior Secured Convertible Promissory Note, which note amends and restates the Note to (a) extend the maturity date to December 1, 2018; (b) remove CCH, as an obligor; (c) increase the interest rate by 2.00% per annum, to 8.5% per annum; and (d) issue an additional 250,000 shares of the Company’s common stock to the Investor. In connection with the execution of the amendment, the parties entered into (i) a Securities Purchase Agreement; (ii) a Warrant Agreement under which the Investor will have the right to purchase up to 27,500,000 shares of the Company’ common stock for $0.10 per share, subject to adjustment, for a period of five years; (iii) a Security and Pledge Agreement and a General Security Agreement under which the Company and the Subsidiaries will grant the Investor a blanket lien on their assets, and the Company will pledge its equity ownership in the Subsidiaries; and (iv) a First Amendment to the, effective January 2, 2018.

At the execution of the Note, the Investor funded an initial tranche of $300,000. Thereafter the Investor funded a second tranche of $156,136. Upon the execution of the A&R Note the Investor funded a third tranche of $100,000. Upon the execution of the First Amendment the Investor funded a final tranche of $850,000, with the remaining $93,764 of availability under the A&R Note, as amended, serving as a holdback pursuant to the terms of the First Amendment.

On March 12, 2018, the Company, entered into a Securities Purchase Agreement pursuant to which the Company issued a Convertible Promissory Note in the aggregate principal amount of $330,000, including an Original Issue Discount of $30,000, for net proceeds of $300,000. The note had a maturity date of March 19, 2018. The outstanding principal amount of the note was convertible at any time and from time to time at the election of the purchaser following the issue date into shares of the Company’s common stock at a conversion price equal to $0.06 per share subject to anti-dilution and price protection. The Company paid a commitment fee of $19,800 settled through the issue of 330,000 shares of common stock. This note was repaid on the maturity date for gross proceeds of $330,000.

On March 29, 2018, the Company, entered into a Securities Purchase Agreement pursuant to which the Company issued a Convertible Promissory Note in the aggregate principal amount of $165,000, including an Original Issue Discount of $15,000, for net proceeds of $150,000. The note had a maturity date of December 1, 2018 and bears interest at a rate of 8.5% per annum. The outstanding principal amount of the note is convertible at any time and from time to time at the election of the purchaser following the issue date into shares of the Company’s common stock at a conversion price equal to $0.06 per share subject to anti-dilution and price protection. The Company paid a commitment fee of $11,550 settled through the issue of 165,000 shares of common stock. In conjunction with this note the Company issued a five year warrant to purchase 5,500,000 shares of common stock at an exercise price of $0.10 per share, subject to anti-dilution and price protection.

18

ETHEMA HEALTH CORPORATION

NOTES TO THE UNAUDITED CONDENSED CONSOLIDATED FINANCIAL STATEMENTS

11. Convertible notes (continued)

Leonite Investments, LLC (continued)

On April 17, 2018, the Company, entered into a Securities Purchase Agreement pursuant to which the Company issued a Convertible Promissory Note in the aggregate principal amount of $605,000, including an Original Issue Discount of $55,000, for net proceeds of $550,000. The note had a maturity date of December 1, 2018 and bears interest at 8.5% per annum. The outstanding principal amount of the note is convertible at any time and from time to time at the election of the purchaser following the issue date into shares of the Company’s common stock at a conversion price equal to $0.06 per share subject to price protection and anti-dilution protection. The Company paid a commitment fee of $42,350 settled through the issue of 10,083,333 shares of common stock. In conjunction with this note the Company issued a five year warrant to purchase 10,083,333 shares of common stock at an exercise price of $0.10 per share, subject to anti-dilution and price protection.

On November 5, 2018, the Company, entered into a Securities Purchase Agreement pursuant to which the Company issued a Convertible Promissory Note in the aggregate principal amount of $111,111, including an Original Issue Discount of $11,111, for net proceeds of $100,000. The note had a maturity date of November 30, 2018 and bore interest at 1.0% per annum. The outstanding principal amount of the note was convertible at any time and from time to time at the election of the purchaser following the issue date into shares of the Company’s common stock at a conversion price equal to $0.06 per share subject to price protection and anti-dilution protection. The Company paid a commitment fee of $8,889 settled through the issue of 111,111 shares of common stock. In conjunction with this note the Company issued a five year warrant to purchase 1,400,000 shares of common stock at an exercise price of $0.10 per share, subject to anti-dilution and price protection. This note was repaid on the maturity date for gross proceeds of $111,184.

On January 17, the Company, entered into a Securities Purchase Agreement pursuant to which the Company issued a Convertible Promissory Note in the aggregate principal amount of $71,111, including an Original Issue Discount of $7,111, for net proceeds of $64,000. The note had a maturity date of July 25, 2019 and bears interest at 11.0% per annum. The outstanding principal amount of the note is convertible at any time and from time to time at the election of the purchaser following the issue date into shares of the Company’s common stock at a conversion price equal to $0.06 per share subject to price protection and anti-dilution protection. The Company paid a commitment fee of $4,978 settled through the issue of 71,111 shares of common stock. In conjunction with this note the Company issued a five year warrant to purchase 1,185,183 shares of common stock at an exercise price of $0.10 per share, subject to anti-dilution and price protection.

Effective March 19, 2019, the Company entered into a note extension agreement with Leonite, whereby the convertible notes outstanding to Leonite, amounting to $2,420,000, for consideration of $75,000 added to the principal outstanding on the note on January 1, 2019, a further $75,000 added to the principal outstanding on the note on February 1, 2019 and a further $100,000 added to the principal of the note on March 15, 2019, the maturity date of the convertible notes above were extended to July 25, 2019. In Addition, the coupon rate of the note was adjusted to 11% per annum with effect from September 2018.

Power Up Lending Group LTD

On July 31, 2018, the Company, entered into a Securities Purchase Agreement with Power Up, pursuant to which the Company issued to the Purchaser a Convertible Promissory Note in the aggregate principal amount of $153,000. The Note has a maturity date of May 15, 2019 and bears interest at the rate of nine percent per annum from the date on which the Note was issued until the same becomes due and payable, whether at maturity or upon acceleration or by prepayment or otherwise. The Company has the right to prepay the Note in terms of agreement. The outstanding principal amount of the Note is convertible at any time and from time to time at the election of the Purchaser during the period beginning on the date that is 180 days following the issue date into shares of the Company’s common stock at a conversion price equal to 61% of the lowest closing bid price of the Company’s common stock for the ten trading days prior to conversion. On January 28, 2019, the Company repaid the Power Up, convertible note entered into on July 31, 2018, of $153,000 together with interest and early settlement penalty thereon for gross proceeds of $207,679.

19

ETHEMA HEALTH CORPORATION

NOTES TO THE UNAUDITED CONDENSED CONSOLIDATED FINANCIAL STATEMENTS

11. Convertible notes (continued)

Power Up Lending Group LTD (continued)

On September 10, 2018, the Company, entered into a Securities Purchase Agreement with Power Up, pursuant to which the Company issued to the Purchaser a Convertible Promissory Note in the aggregate principal amount of $133,000. The Note has a maturity date of September 10, 2019 and bears interest at the rate of nine percent per annum from the date on which the Note was issued until the same becomes due and payable, whether at maturity or upon acceleration or by prepayment or otherwise. The Company has the right to prepay the Note in terms of agreement. The outstanding principal amount of the Note is convertible at any time and from time to time at the election of the Purchaser during the period beginning on the date that is 180 days following the issue date into shares of the Company’s common stock at a conversion price equal to 61% of the lowest closing bid price of the Company’s common stock for the ten trading days prior to conversion. On March 11, 2019, the Company repaid the Power Up convertible note entered into on September 10, 2018, of $133,000 together with interest and early settlement penalty thereon for gross proceeds of $180,062.

On January 9, 2019, the Company, entered into a Securities Purchase Agreement with Power Up, pursuant to which the Company issued a Convertible Promissory Note in the aggregate principal amount of $53,000 for net proceeds of $50,000 after expenses. The Note has a maturity date of October 30, 2019 and bears interest at the rate of nine percent per annum from the date on which the Note was issued until the same becomes due and payable, whether at maturity or upon acceleration or by prepayment or otherwise. The Company has the right to prepay the Note in terms of agreement. The outstanding principal amount of the Note is convertible at any time and from time to time at the election of Power Up during the period beginning on the date that is 180 days following the issue date into shares of the Company’s common stock at a conversion price equal to 61% of the lowest closing bid price of the Company’s common stock for the ten trading days prior to conversion.

On January 28, 2019, the Company, entered into a Securities Purchase Agreement with Power Up, pursuant to which the Company issued a Convertible Promissory Note in the aggregate principal amount of $138,000 for net proceeds of $135,000 after expenses. The Note has a maturity date of November 15, 2019 and bears interest at the rate of nine percent per annum from the date on which the Note was issued until the same becomes due and payable, whether at maturity or upon acceleration or by prepayment or otherwise. The Company has the right to prepay the Note in terms of agreement. The outstanding principal amount of the Note is convertible at any time and from time to time at the election of Power Up during the period beginning on the date that is 180 days following the issue date into shares of the Company’s common stock at a conversion price equal to 61% of the lowest closing bid price of the Company’s common stock for the ten trading days prior to conversion.

On March 6, 2019, the Company, entered into a Securities Purchase Agreement with Power Up, pursuant to which the Company issued a Convertible Promissory Note in the aggregate principal amount of $128,000, for net proceeds of $125,000 after expenses. The Note has a maturity date of January 30, 2020 and bears interest at the rate of nine percent per annum from the date on which the Note was issued until the same becomes due and payable, whether at maturity or upon acceleration or by prepayment or otherwise. The Company has the right to prepay the Note in terms of agreement. The outstanding principal amount of the Note is convertible at any time and from time to time at the election of Power Up during the period beginning on the date that is 180 days following the issue date into shares of the Company’s common stock at a conversion price equal to 61% of the lowest closing bid price of the Company’s common stock for the ten trading days prior to conversion.

First Fire Global Opportunities Fund

On March 5, 2019, the Company, entered into a Securities Purchase Agreement pursuant to which the Company issued a Convertible Promissory Note in the aggregate principal amount of $200,000, for net proceeds of $192,000 after the payment of legal fees and origination fees amounting to $8,000. The note has a maturity date of December 9, 2019. The outstanding principal amount of the note is convertible at any time and from time to time at the election of the purchaser 180 days after the issued date into shares of the Company’s common stock at the lower of $0.08 per share or 65% of the lowest trade price during the ten consecutive trading days immediately prior to conversion. The note has certain buyback terms if the Company consummates a registered or unregistered primary offering of securities for capital raising purposes, or an option to convert at a 20% discount to the offering price to investors.

20

ETHEMA HEALTH CORPORATION

NOTES TO THE UNAUDITED CONDENSED CONSOLIDATED FINANCIAL STATEMENTS

11. Convertible notes (continued)

Series N convertible notes

During the period from May 17, 2018 to December 4, 2018, The Company closed several tranches of a private offering in which it raised $2,505,000 in principal from 12 accredited investors through the issuance to the investors of the Company’s Series N convertible notes, in the total original principal amount of $2,505,000, which Notes are convertible into the Company’s common stock at a conversion price of $0.08 per share together with three year warrants to purchase up to a total of 31,312,500 shares of the Company’s common stock at an exercise price of $0.12 per share. Both the conversion price under the Notes and the exercise price under the warrants are subject to standard price and anti-dilution adjustment mechanisms. The notes mature between May 16, 2019 to December 3, 2019.

Between January 28, 2019 and March 13, 2019, the Company closed several tranches of Series N Convertible notes in which it raised $1,001,000 in principal from accredited investors through the issuance to the investors of the Company’s Series N convertible notes, in the total original principal amount of $1,001,000, which Notes are convertible into the Company’s common stock at a conversion price of $0.08 per share together with three year warrants to purchase up to a total of 12,512,500 shares of the Company’s common stock at an exercise price of $0.12 per share. Both the conversion price under the Notes and the exercise price under the warrants are subject to standard adjustment mechanisms. The notes mature one year from the date of issuance.

12. Mortgage loans

Mortgage loans payable is disclosed as follows:

	Interest  rate			Maturity date	Principal  Outstanding		Accrued  interest		March 31, 2019		December 31, 2018
Cranberry Cove Holdings, Ltd.
Pace Mortgage		4.2	%	July 19, 2022	$	3,954,225	$	5,460	$	3,959,685		3,924,836
ARIA
Mortgage		5.0	%	February 13, 2020		2,942,526		10,480		2,953,006		2,954,786
					$	6,896,751	$	15,940	$	6,912,691	$	6,879,722
Disclosed as follows:
Short-term portion									$	3,034,927	$	172,276
Long-term portion										3,877,764		6,707,346
									$	6,912,691	$	6,879,722

The aggregate amount outstanding is payable as follows:

	Amount
Within one year		3,034,927
One to two years		105,728
Two to three years		110,215
Three to four years		3,661,821
Total	$	6,912,691

Cranberry Cove Holdings, Ltd – Pace mortgage

On July 19, 2017, CCH, a wholly owned subsidiary, closed on a loan agreement in the principal amount of CDN$5,500,000. The loan is secured by a first mortgage on the premises owned by CCH located at 3571 Muskoka Road 169, Bala, Ontario (the “Property”). The loan bears interest at the fixed rate of 4.2% with a 5-year primary term and a 25-year amortization. The Company has guaranteed the loan and the Company’s chief executive officer and controlling shareholder also has personally guaranteed the Loan. CCH and the Company have granted the Lender a general security interest in its assets to secure repayment of the Loan. The loan is amortized with monthly installments of CDN $29,531.

21

ETHEMA HEALTH CORPORATION

NOTES TO THE UNAUDITED CONDENSED CONSOLIDATED FINANCIAL STATEMENTS

 12. Mortgage loans payable (continued)

ARIA

On February 13, 2017, the Company, through its subsidiary, ARIA, entered into a Mortgage and Security Agreement to purchase the properties located at 801 and 810 Andrews Avenue, Delray Beach, Florida, for an aggregate principal sum of $3,000,000, bearing interest at the rate of 5% per annum, maturing on February 13, 2020, with monthly installments of $15,000.

On April 2, 2019, the Company entered into a Commercial Contract whereby the real property at 801 Andrews Avenue, Delray Beach, Florida, consisting of land and condominiums thereon, was sold to JAGGM, LLC for $3,500,000. This transaction closed during April 2019 and the principal mortgage liability of $2,942,526, including interest thereon was settled.

13. Derivative liability

The short-term convertible notes, together with certain warrants issued to Leonite and the short term convertible notes issued to Power Up disclosed in note 11 above and note 15 below, have variable priced conversion rights with no fixed floor price and will reprice dependent on the share price performance over varying periods of time. This gives rise to a derivative financial liability, which was initially valued at inception of the convertible notes at $1,335,709 using a Black-Scholes valuation model.

The following assumptions were used in the Black-Scholes valuation model:

	Three months ended March 31,  2019
Calculated stock price		$0.07 to $0.09
Risk free interest rate		2.23% to 2.56%
Expected life of convertible notes and warrants		3 to 60 months
expected volatility of underlying stock		124.7% to 206.8%
Expected dividend rate		0	%

The movement in derivative liability is as follows:

	March 31,  2019		December 31,  2018
Opening balance	$	4,618,080	$	2,859,832
Derivative liability on convertible notes and variable priced warrants		561,022		1,335,709
Fair value adjustments to derivative liability		473,301		422,539
Closing balance	$	5,652,403	$	4,618,080

22

ETHEMA HEALTH CORPORATION

NOTES TO THE UNAUDITED CONDENSED CONSOLIDATED FINANCIAL STATEMENTS

14. Related party transactions

Shawn E. Leon 

As of March 31, 2019 and December 31, 2018 the Company had a receivable of $51,011 and $32,650 from Shawn E. Leon, respectively. Mr. Leon is a director and CEO of the Company. The balances receivable is non-interest bearing and has no fixed repayment terms.

Mr. Leon was paid management fees of $0 and $46,533 for the three months ended March 31, 2019 and 2018 respectively.

Leon Developments, Ltd. 

As of March 31, 2019 and December 31, 2018, the Company owed Leon Developments, Ltd., $1,625,908 and $1,581,499, respectively. The balance owing to Leon Developments, Ltd. Is non-interest bearing and has no fixed terms of repayment.

Eileen Greene 

As of March 31, 2019 and December 31, 2018, the Company owed Eileen Greene, the spouse of its CEO, Shawn Leon, $1,048,270 and $1,034,114, respectively. The amount owing to Ms. Greene is non-interest bearing and has no fixed repayment terms.

All related party transactions occur in the normal course of operations and in terms of agreements entered into between the parties.

15. Stockholders’ deficit

a) Common shares

Authorized, issued and outstanding

The Company has authorized 500,000,000 shares with a par value of $0.01 per share. The company has issued and outstanding 124,371,452 and 124,300,341 as of March 31, 2019 and December 31, 2018, respectively.

On January 17, 2019, the Company issued 71,111 shares of common stock to Leonite in connection with the closing of a financing of a Senior Secured Convertible Note. The shares were valued at $4,978 on the issue date and recorded as a debt discount.

b) Preferred shares

Authorized, issued and outstanding

The Company has authorized 13,000,000 preferred shares with a par value of $0.01 per share, designated as 3,000,000 series A convertible preferred shares and 10,000,000 series B convertible preferred shares. The Company has no preferred shares issued and outstanding.

c) Warrants

In terms of the convertible note agreements entered into with Leonite disclosed in note 11 above, the Company granted warrants exercisable over a total of 1,185,183 shares of common stock at an exercise price of $0.10 per share, which was recorded as a debt discount.

In terms of the Series N Convertible debt issued to various accredited investors, disclosed in note 11 above, the Company granted warrants exercisable over a total of 12,512,500 shares of common stock at an exercise price of $0.12 per share, which was recorded as a debt discount.

23

ETHEMA HEALTH CORPORATION

NOTES TO THE UNAUDITED CONDENSED CONSOLIDATED FINANCIAL STATEMENTS

15. Stockholders’ deficit (continued)

c) Warrants (continued)

The warrants were valued using a Black Scholes pricing model on the date of grant at $899,049 using the following weighted average assumptions:

	Three months ended March 31,  2019
Calculated stock price		$0.07 to $0.09
Risk free interest rate		2.19% to 2.58%
Expected life of convertible notes and warrants		36 to 60 months
expected volatility of underlying stock		398% to 535%
Expected dividend rate		0	%

The volatility of the common stock is estimated using historical data of the Company’s common stock. The risk-free interest rate used in the Black Scholes pricing model is determined by reference to historical U.S. Treasury constant maturity rates with maturities approximate to the life of the warrants granted. An expected dividend yield of zero is used in the valuation model, because the Company does not expect to pay any cash dividends in the foreseeable future. As of March 31, 2019, the Company does not anticipate any awards will be forfeited in the valuation of the warrants.

A summary of all of the Company’s warrant activity during the period January 1, 2018 to March 31, 2019 is as follows:

	No. of shares		Exercise price per  share		Weighted average exercise price
Outstanding January 1, 2018		49,504,075		$0.0033 to $.0.10	$	0.0690
Granted		48,295,833		0.10 to 0.12		0.1130
Forfeited/cancelled		—		—		—
Exercised		—		—		—
Outstanding December 31, 2018		97,799,908		0.03 to 0.12		0.0910
Granted		13,697,683		0.10 to 0.12		0.1183
Forfeited/cancelled		—		—		—
Exercised		—		—		—
Outstanding March 31, 2019		111,197,591		$0.03 to $0.12	$	0.0942

The following table summarizes information about warrants outstanding at March 31, 2019:

	Warrants outstanding						Warrants exercisable
Exercise price	No. of shares		Weighted average  remaining years		Weighted average  exercise price		No. of shares		Weighted average  exercise price
$0.03		21,704,075		1.00				21,704,075
$0.10		45,668,516		3.90				45,668,516
$0.12		43,825,000		2.50				43,825,000
		111,197,591		2.77	$	0.0942		111,197,591	$	0.0942

All of the warrants outstanding as of March 31, 2019 and December 31, 2018 are vested. The warrants outstanding as of March 31, 2019 have an intrinsic value of $1,085,204.

24

ETHEMA HEALTH CORPORATION

NOTES TO THE UNAUDITED CONDENSED CONSOLIDATED FINANCIAL STATEMENTS

15. Stockholders’ deficit (continued)

d) Stock options

Our board of directors adopted the Greenestone Healthcare Corporation 2013 Stock Option Plan (the “Plan”) to promote our long-term growth and profitability by (i) providing our key directors, officers and employees with incentives to improve stockholder value and contribute to our growth and financial success and (ii) enable us to attract, retain and reward the best available persons for positions of substantial responsibility. A total of 10,000,000 shares of our common stock have been reserved for issuance upon exercise of options granted pursuant to the Plan. The Plan allows us to grant options to our employees, officers and directors and those of our subsidiaries; provided that only our employees and those of our subsidiaries may receive incentive stock options under the Plan. We have granted a total of 480,000 options as of March 31, 2019 under the Plan.

No options were issued, exercised or cancelled during the three months ended March 31, 2019 and the year ended December 31, 2018, respectively.

The following table summarizes information about options outstanding as of March 31, 2019:

	Options outstanding						Options exercisable
Exercise price	No. of shares		Weighted average  remaining years		Weighted average  exercise price		No. of shares		Weighted average  exercise price
$0.12		480,000		0.59				480,000
		480,000		0.59	$	0.12		480,000	$	0.12

The Company issued Stock options to a former officer vesting over a 24-month period commencing on November 1, 2014 expiring on October 31, 2019, a formal option agreement has not been issued as yet, as such the terms of these options are uncertain.

As of March 31, 2019 there was no unrecognized compensation costs related to these options and the intrinsic value of the options as of March 31, 2019 was $0.

16. Segment information

The Company has two reportable operating segments:

a. Rental income from the property owned by CCH subsidiary located at 3571 Muskoka Road, #169, Bala, on which the operations of the Canadian Rehab Clinic were located prior to disposal on February 14, 2017 and subsequently leased to the purchasers of the business of the Canadian Rehab Clinic, for a period of 5 years renewable for a further three five-year periods and with an option to acquire the property at a fixed price.

b. Rehabilitation Services provided to customers, these services were provided to customers at the Company’s Addiction Recovery Institute of America and Seastone of Delray operations.

25

ETHEMA HEALTH CORPORATION

NOTES TO THE UNAUDITED CONDENSED CONSOLIDATED FINANCIAL STATEMENTS

16. Segment information (continued)

The segment operating results of the reportable segments are disclosed as follows:

	Three months ended March 31, 2019
	Rental Operations			In-Patient services			Total
Revenue	$	82,015		$	—		$	82,015
Operating expenses		37,358			1,439,155			1,476,513
Operating income (loss)		44,657			(1,439,155	)		(1,394,498	)
Other (expense) income
Interest income		—			15,277			15,277
Interest expense		(41,512	)		(303,586	)		(345,098	)
Amortization of debt discount		—			(761,942	)		(761,942	)
Loss on change in fair value of derivative liability		—			(473,301	)		(473,301	)
Foreign exchange movements		(19,291	)		(109,827	)		(129,118	)
Net loss before taxation		(16,146	)		(3,072,534	)		(3,088,680	)
Taxation		—			—			—
Net loss	$	(16,146	)	$	(3,072,534	)	$	(3,088,680	)

The operating assets and liabilities of the reportable segments are as follows:

	March 31, 2019
	Rental Operations			In-Patient services			Total
Purchase of fixed assets		—			8,176			8,176
Assets
Current assets		471			2,388,629			2,389,100
Non-current assets		2,885,893			23,004,453			25,890,346
Liabilities
Current liabilities		(2,117,691	)		(17,117,309	)		(19,235,000	)
Non-current liabilities		(3,877,763	)		(15,048,675	)		(18,926,438	)
Intercompany balances		737,461			(737,461	)		—
Net liability position		(2,371,629	)		(7,510,363	)		(9,881,992	)

26

ETHEMA HEALTH CORPORATION

NOTES TO THE UNAUDITED CONDENSED CONSOLIDATED FINANCIAL STATEMENTS

16. Segment information (continued)

The segment operating results of the reportable segments are disclosed as follows:

	Three months ended March 31, 2018
	Rental Operations			In-Patient services			Total
Revenue	$	84,112		$	29,190		$	113,302
Operating expenditure		31,401			500,445			531,846
Operating income (loss)		52,711			(471,255	)		(418,544	)
Other (expense) income
Interest income		—			49			49
Interest expense		(50,049	)		(120,402	)		(170,451	)
Amortization of debt discount		—			(752,949	)		(752,949	)
Loss on change in fair value of derivative liability		—			(12,156	)		(12,156	)
Foreign exchange movements		29,209			108,687			137,896
Net income (loss) before taxation		31,871			(1,248,026	)		(1,216,155	)
Taxation		—			—			—
Net income (loss)	$	31,871		$	(1,248,026	)	$	(1,216,155	)

The operating assets and liabilities of the reportable segments are as follows:

	March 31, 2018
	Rental Operations			In-Patient services			Total
Purchase of fixed assets		—			—			—
Assets
Current assets		—			308,280			308,280
Non-current assets		3,066,465			8,524,705			11,591,170
Liabilities
Current liabilities		(2,222,619	)		(5,677,890	)		(7,900,509	)
Non-current liabilities		(4,128,074	)		(2,904,300	)		(7,032,374	)
Intercompany balances		789,576			(789,576	)		—
Net liability position		(2,494,652	)		(538,781	)		(3,033,433	)

17. Net loss per common share

For the three months ended March 31, 2019 and 2018, the following options and warrants were excluded from the computation of diluted net loss per share as the results would have been anti-dilutive.

	March 31,  2019		March 31,  2018
Stock options		480,000		480,000
Warrants		111,197,591		55,004,075
Convertible notes		83,671,069		37,244,536
		195,348,660		92,728,611

27

ETHEMA HEALTH CORPORATION

NOTES TO THE UNAUDITED CONDENSED CONSOLIDATED FINANCIAL STATEMENTS

18. Commitment and contingencies

a) Contingency related to outstanding penalties

The Company has provided for potential US penalties of $250,000 due to non-compliance with the filing of certain required returns. The actual liability may be higher due to interest and penalties assessed by these taxing authorities. 

b) Option to purchase lease property

On May 23, 2018, the Company entered into a Lease Agreement pursuant to which it leased from the AREP 5400 East Avenue LLP (the “Landlord”), the premises located at 5400, 5402, and 5410 East Avenue, West Palm Beach, Florida (the “Property”). The Lease has an initial term of 10 years and provides for 2 additional 10 year extensions. The Company has the option to purchase the property initially for $17,250,000, which amount has increased to $24,000,000 as of April 30, 2019, plus any landlord funded improvements. The option to purchase increases by $750,000 per calendar month. The initial base rental is $146,337 per month, plus any taxes imposed on the premises or the base rental.

c) Future minimum operating lease payments

In terms of the lease agreement mentioned above the Company is obligated to make the following minimum undiscounted lease payments:

	Amount
Remainder of 2019	$	1,363,592
2020		1,882,422
2021		1,962,242
2022		2,042,062
2023 and thereafter		12,436,419
Total undiscounted minimum future lease payments		19,686,737

d) Mortgage payments

The Company is obligated to make the following mortgage loans payments:

	Amount
Within one year		3,034,927
One to two years		105,728
Two to three years		110,215
Three to four years		3,661,821
Total	$	6,912,691

Included in the amount due within one year is an amount t of $2,953,006 related to the Assets held for resale, disclosed under note 5 above, this amount was settled out of the proceeds realized on the sale of the property.

e) Other

The Company has principal and interest payment commitments under the Convertible notes disclosed under Note 11 above. Conversion of these notes are at the option of the investor, if not converted these notes may need to be repaid.

From time to time, the Company and its subsidiaries enter into legal disputes in the ordinary course of business. The Company believes there are no material legal or administrative matters pending that are likely to have, individually or in the aggregate, a material adverse effect on its business or results of operations.

28

ETHEMA HEALTH CORPORATION

NOTES TO THE UNAUDITED CONDENSED CONSOLIDATED FINANCIAL STATEMENTS

18. Subsequent events

On April 30, 2019, the Company concluded the sale of the real property located at 801 Andrews Avenue, Delray Beach consisting of land and condominiums thereon, for gross proceeds of $3,500,000. The proceeds were used to settle the outstanding mortgage loan of $2,987,568, including interest thereon, commissions and expenses related to the sale of the property of approximately $183,819, and certain outstanding property taxes of $77,523. The net proceeds received by the company of $251,000 was used to repay a portion of the convertible debt.

Subsequent to March 31, 2019 we raised an additional CDN$255,000 and a further US$175,000 which together with proceeds of US$70,000 and CDN$75,000 received prior to March 31, 2019 were converted into Series N convertible notes.

Other than disclosed above, the Company has evaluated subsequent events through the date the unaudited condensed consolidated financial statements were available to be issued and has concluded that no such events or transactions took place that would require disclosure herein.

29

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

The following discussion and analysis is intended as a review of significant factors affecting our financial condition and results of operations for the periods indicated. The discussion should be read in conjunction with our consolidated financial statements and the notes presented herein and the consolidated financial statements and the other information set forth in our Annual Report on Form 10- K/A for the year ended December 31, 2018 filed with the Securities and Exchange Commission on April 22, 2019. In addition to historical information, the following Management’s Discussion and Analysis of Financial Condition and Results of Operations contains forward-looking statements that involve risks and uncertainties. Our actual results could differ significantly from those anticipated in these forward-looking statements as a result of certain factors discussed herein and any other periodic reports filed and to be filed with the Securities and Exchange Commission.

Our financial statements are prepared in accordance with accounting principles generally accepted in the United States (“GAAP”). These accounting principles require us to make certain estimates, judgments, and assumptions. We believe that the estimates, judgments and assumptions upon which we rely are reasonable based upon information available to us at the time that these estimates, judgments, and assumptions are made. These estimates, judgments, and assumptions can affect the reported amounts of assets and liabilities as of the date of the financial statements as well as the reported amounts of revenues and expenses during the periods presented. Our financial statements would be affected to the extent there are material differences between these estimates. This discussion and analysis should be read in conjunction with the Company’s financial statements and accompanying notes to the financial statements for the year ended December 31, 2018.

Plan of Operation

During the next twelve months, the Company plans to continue and expand its operations as a provider of addiction and aftercare treatment services through marketing efforts undertaken to expand its patient base in Florida. The Company plans to focus on the growth of its addiction and aftercare treatment units by seeking out potential acquisitions.

Results of Operations

For the three months ended March 31, 2019 and March 31, 2018.

Revenues were $82,015 and $113,302 for the three months ended March 31, 2019 and 2018, respectively, a decrease of $31,287 or 27.6%.

Revenue from patient treatment was $0 and $29,190 for the three months ended March 31, 2019 and 2018, respectively, a decrease of $29,190 or 100%. The decrease is primarily due to the relocation of the Company’s treatment operations to a significantly larger West Palm Beach facility from the Delray Beach facility and delays in attracting new patients to our new facility. The Company is actively building up its customer contact base to increase patient revenues.

Revenue from rental income was $82,015 and $84,112 for the three months ended March 31, 2019 and 2018, respectively, a decrease of $2,097 or 2.5%. The decrease is due to foreign currency movements between the two periods.

Operating Expenses

Operating expenses were $1,476,513 and $531,846 for the three months ended March 31, 2019 and 2018, respectively, an increase of $944,667 or 177.6%. The increase is primarily due to the following:

● General and administrative expenses of $382,153 and $193,732 for the three months ended March 31, 2019 and 2018, respectively, an increase of $188,401 or 97.2%, primarily due to an increase in property taxes of $357,075 relating to the leased East Avenue Properties, offset by sub-letting income of $205,941 on our 5400 East Avenue properties. All other items included in general and administrative expenses are immaterial.

● Rent expense was $577,066 and $0 for the three months ended March 31, 2019 and 2018, an increase of 100%. This was due to the Company converting the option to purchase the property located at 5400 East Avenue, West Palm Beach, Florida, in which the treatment center is located into an operating lease during May 2018. The Company has an option to acquire the property.

30

● Management fees of $0 and $46,533 for the three months ended March 31, 2019 and 2018, respectively, decreased by $46,533 or 100%, our CEO did not charge any fees during the current period to facilitate cash flow.

● Professional fees of $44,154 and $38,010 for the three months ended March 31,, 2019 and 2018, respectively, increased by $6,144 or 16.2%, the slight increase is due to activity around the disposal of the property located at 801 Andrews Avenue, Delray Beach, Florida.

● Salaries and wages of $404,264 and $185,156 for the three months ended March 31, 2019 and 2018, respectively, increased by $219,108 or 118.3%, primarily due to additional staff required to operate the significantly larger West Palm Beach facility, which was not in full operation during the prior period.

● Depreciation was $75,876 and $68,415 for the three months ended March 31, 2019 and 2018, respectively, an increase of $7,461 or 10.9%, the increase is attributable to additional depreciation on the leasehold improvements affected on the East Avenue properties at the end of the prior year. Depreciation consists primarily of depreciation on property, plant and equipment related to the acquisition of the assets of Seastone of Delray and the acquisition of CCH, which owns the buildings in which Canadian Addiction Residential Treatment, now operates.

Operating loss

The operating loss was $1,394,498 and $418,544 for the three months ended March 31, 2019 and 2018, respectively, an increase of $975,954 or 233.2%. The increase is attributable to the decrease in revenue and the increase in rent, property taxes and other operating expenses discussed above.

Interest income

Interest income of $15,277 and $49 for the three months ended March 31, 2019 and 2018, respectively, an increase of $15,228. The interest earned in the current period relates to the escrow deposit on the sale of the Muskoka business in the 2017 year.

Interest expense

Interest expense of $345,098 and $170,451 for the three months ended March 31, 2019 and 2018, respectively, an increase of $174,647 or 102.5% was primarily due to the increase in convertible note funding during the prior year of a net $3,337,889 and a further increase in net convertible note funding of $1,043,197 during the current period. The funding was used for general working capital purposes.

Debt discount

Debt discount was $761,942 and $752,949 for the three months ended March 31, 2019 and 2018, respectively, an increase of $8,993 or 1.2%. The charge during the current period represents the amortization of the value of the warrants issued over the terms of the convertible loan agreements entered into during the current period and during 2018 and the amortization of the fair value of the beneficial conversion feature of the convertible notes issued to note holders during the current period and 2018. The fair value of the warrants and the beneficial conversion features are amortized over a six to twelve month period, the term of the underlying convertible securities.

Derivative liability movement

The derivative liability movement during the current year represents the mark to market movements of variably priced convertible notes and warrants issued during the current and prior years. These securities are marked to market on a quarterly basis and the resultant gain or loss is recorded as a derivative liability movement in the unaudited condensed consolidated statement of operations.

Foreign exchange movements

Foreign exchange movements of $(129,118) and $137,896 for the three months ended March 31, 2019 and 2018, respectively, represents the realized exchange gains and (losses) on monetary assets and liabilities settled during the current year as well as mark to market adjustments on monetary assets and liabilities reflected on the balance sheet and denominated in Canadian Dollars. The average exchange rate utilized during the current year of $0.7522 weakened by 3.0% from $0.7756 in the prior period.

31

Net loss

Net loss of $(3,088,680) and $(1,216,155) for the three months ended March 31, 2019 and 2018, respectively, an increase of $1,872,525 or 154.0%, is primarily due to the increase in operating expenses in the current period, the increase in interest expense over the prior period and the increase in the derivative liability movement and the foreign exchange gain in the prior period compared to a loss in the current period

Contingency related to outstanding payroll tax liabilities

The Company has also not filed certain foreign assets forms due to the US Federal Government. A provision of $250,000 was made for any potential penalties due This issue is being addressed by our tax advisors.

Liquidity and Capital Resources

Cash used in operating activities of $1,108,287 and provided by operations of $223,067 for the three months ended March 31, 2019 and 2018, respectively decreased by $1,331,354 or 596.8%. The decrease is primarily due to the following:

● the increase in net loss of $1,872,525, discussed under operations above.

● the movement in non-cash items increased by $498,074, primarily made up of;

○ the derivative liability movement of $461,145 due to the mark-to market of current derivative instruments;

● The net movement in working capital items of $43,098

Cash used in investing activities of $10,834 and $286,912 for the three months ended March 31, 2019 and 2018, respectively, a decrease of $276,078 or 96.2%. In the prior period the Company paid deposits on real estate of $286,912, while attempting to close the purchase of 5400 East Avenue, West Palm Beach, Florida.

Cash generated by financing activities was $1,008,720 and $232,334, an increase of $776,386 or 334.2%. The Company raised an additional net $773,197 from convertible notes over the prior period to fund working capital purposes

Over the next twelve months we estimate that the company will require approximately $2.5 million in working capital as it continues to develop its West Palm Beach facility and it is also exploring several other treatment center options and sources of patients throughout the country. The company may have to raise equity or secure debt. There is no assurance that the Company will be successful with future financing ventures, and the inability to secure such financing may have a material adverse effect on the Company’s financial condition. In the opinion of management, the Company’s liquidity risk is assessed as medium.

On April 30, 2019, the Company concluded the sale of the real property located at 801 Andrews Avenue, Delray beach consisting of land and condominiums thereon, for gross proceeds of $3,500,000. The proceeds were used to settle the outstanding mortgage loan of $2,987,568, including interest thereon, commissions and expenses related to the sale of the property of approximately $183,819, and certain outstanding property taxes of $77,523. The net proceeds received by the company of $251,000 was used to repay a portion of the convertible debt.

In addition, we raised an additional CDN$255,000 and a further US$175,000 which together with proceeds of US$70,000 and CDN$75,000 received prior to March 31, 2019 were converted into Series N convertible notes.

Recently Issued Accounting Pronouncements

The recent Accounting Pronouncements are fully disclosed in note 2 to our unaudited condensed consolidated financial statements.

Management does not believe that any other recently issued but not yet effective accounting pronouncements, if adopted, would have an effect on the accompanying unaudited condensed consolidated financial statements.

Off balance sheet arrangements

We do not maintain off-balance sheet arrangements nor do we participate in non-exchange traded contracts requiring fair value accounting treatment.

32

Inflation

The effect of inflation on our revenue and operating results was not significant.

Climate Change  

We believe that neither climate change, nor governmental regulations related to climate change, have had, or are expected to have, any material effect on our operations.

33

Item 3. Quantitative and Qualitative Disclosures about Market Risk.

Not applicable.

Item 4. Controls and Procedures.

Disclosure Controls and Procedures

The Company has adopted and maintains disclosure controls and procedures that are designed to provide reasonable assurance that information required to be disclosed in the reports filed under the Exchange Act, such as this Quarterly Report on Form 10-Q, is collected, recorded, processed, summarized and reported within the time periods specified in the rules of the Securities and Exchange Commission. The Company’s disclosure controls and procedures are also designed to ensure that such information is accumulated and communicated to management to allow timely decisions regarding required disclosure. As required under Exchange Act Rule 13a-15, the Company’s management, including the Principal Executive Officer and the Principal Financial Officer, has conducted an evaluation of the effectiveness of disclosure controls and procedures as of the end of the period covered by this report. Based upon that evaluation, the Company’s CEO and CFO concluded that due to a lack of segregation of duties the Company’s disclosure controls and procedures are not effective to ensure that information required to be disclosed by the Company in the reports that the Company files or submits under the Exchange Act, is recorded, processed, summarized and reported, within the time periods specified in the SEC’s rules and forms, and that such information is accumulated and communicated to the Company’s management, including the Company’s CEO and CFO, as appropriate, to allow timely decisions regarding required disclosure. Subject to receipt of additional financing or revenue generated from operations, the Company intends to retain additional individuals to remedy the ineffective controls.

Changes in Internal Control

There has been no change in our internal control over financial reporting (as defined in Rules 13a-15(f) and 15d-15(f) of the Exchange Act) that occurred during our fiscal quarter ended March 31, 2019 that has materially affected, or is reasonably likely to materially affect, our internal control over financial reporting.

PART II

Item 1. Legal Proceedings.

A former employee has filed suit against the Company asserting wrongful dismissal, claiming damages between CDN$43,500 and CDN$50,000 this matter was settled for CDN$14,070, including applicable legal fees, the settlement remains unpaid as the plaintiff has not signed the minutes of settlement.

Other than disclosed above, we are currently not involved in any litigation that we believe could have a material adverse effect on our financial condition or results of operations. There is no action, suit, proceeding, inquiry or investigation before or by any court, public board, government agency, self-regulatory organization or body pending or, to the knowledge of the executive officers of our company or any of our subsidiaries, threatened against or affecting our company, our common stock, any of our subsidiaries or of our companies or our subsidiaries’ officers or directors in their capacities as such, in which an adverse decision could have a material adverse effect.

Item 1A. Risk Factors.

Not applicable because we are a smaller reporting company.

Item 2. Unregistered sales of equity securities and use of proceeds

No shares were issued pursuant to the exemptions from the registration requirements of the Securities Act of 1933, as amended, afforded the Company under Section 4(a)(2) promulgated thereunder due to the fact that the issuance did not involve a public offering because of the insubstantial number of persons involved in each offering, the size of the offering, manner of the offering and number of shares offered. Based on an analysis of the above factors, we have met the requirements to qualify for exemption under Section 4(a) (2) of the Securities Act for these transactions.

Item 3. Defaults upon senior securities

None.

34

Item 4. Mine Safety Disclosures.

None.

Item 5. Other Information.

Not applicable.

Item 6. Exhibits

Exhibit No. 

Description

31.1 Certification of Principal Executive Officer and Principal Financial Officer, pursuant to 18 U.S.C. 1350, as adopted pursuant to Section 302 of 2002 *

32.1 Certification of Principal Executive Officer and Principal Financial Officer, pursuant to 18 U.S.C. 1350, as adopted pursuant to Section 906 of the Sarbanes Oxley Act of 2002 *

101.INS XBRL Instance *

101.SCH XBRL Taxonomy Extension Schema * 101.CAL XBRL Taxonomy Extension Calculation * 101.DEF Taxonomy Extension Definition * 101.LAB Taxonomy Extension Labels *  

101. PRE Taxonomy Extension Presentation *

* filed herewith

35

SIGNATURES

Pursuant to the requirements of Section 13 or 15(d) of the Exchange Act of 1934, the registrant has duly caused this report to be signed on its behalf by the undersigned, thereunto duly authorized.

ETHEMA HEALTH CORPORATION

Date: May 15, 2019  

By:/s/ Shawn E. Leon  

Name: Shawn E. Leon  

Title: Chief Executive Officer and Chief Financial Officer (Principal Executive Officer and Principal Financial Officer)

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.

Name	Position	Date
/s/Shawn E. Leon	Chief Executive Officer (Principal Executive Officer),	May 15, 2019
Shawn Leon	Chief Financial Officer (Principal Financial Officer), President and Director
/s/ John O’Bireck	Director	May 15, 2019
John O’Bireck
/s/ Gerald T. Miller	Director	May 15, 2019
Gerald T. Miller

36

EX-31.1

Exhibit 31.1

CERTIFICATION PURSUANT TO RULE 13a-14 OR RULE

15d-14 OF THE SECURITIES EXCHANGE ACT OF 1934,

AS ADOPTED PURSUANT TO SECTION 302 OF THE SARBANES-OXLEY ACT OF 2002

I, Shawn E. Leon, certify that: 

I have reviewed this Annual Report on Form 10-Q of Ethema Health Corporation; 

1. 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;

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(s) 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; and

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(s) 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 the 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.

Dated: May 15, 2019

/s/ Shawn E. Leon

Chief Executive Officer and Chief Financial Officer 

(Principal Executive Officer and Principal Financial Officer)

EX-32.1

Exhibit 32.1

CERTIFICATION PURSUANT TO 18 U.S.C. SECTION 1350, 

AS ADOPTED PURSUANT TO SECTION 906 OF THE SARBANES-OXLEY ACT OF 2002

In connection with the Quarterly Report of Ethema Health Corporation, a Colorado corporation (the “Company”), on Form 10-Q for the three months ended March 31, 2019 as filed with the Securities and Exchange Commission on the date hereof (the “Report”), I, Shawn E. Leon, Chief Executive Officer and Chief Financial Officer of the Company, certify, pursuant to Section 18 U.S.C. 1350, as adopted pursuant to Section 906 of the Sarbanes-Oxley Act of 2002, that to my knowledge: 

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

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

/s/ Shawn E. Leon

Chief Executive Officer and Chief Financial Officer 

(Principal Executive Officer and Principal Financial Officer)

May 15, 2019

XML

Document and Entity Information - shares	3 Months Ended
	Mar. 31, 2019	May 14, 2019
Document And Entity Information
Entity Registrant Name	ETHEMA HEALTH Corp
Entity Central Index Key	0000792935
Document Type	10-Q
Document Period End Date	Mar. 31, 2019
Amendment Flag	false
Current Fiscal Year End Date	--12-31
Is Entity's Reporting Status Current?	Yes
Entity Filer Category	Smaller Reporting Company
Entity Common Stock, Shares Outstanding		243,714,52.
Document Fiscal Period Focus	Q1
Document Fiscal Year Focus	2019

XML

Balance Sheets - USD ($)	Mar. 31, 2019	Dec. 31, 2018
Current assets
Cash	$ 25,579	$ 24,674
Accounts receivable	279,929	202,654
Prepaid expenses and other current assets	246,532	147,870
Related party Receivables	51,011	32,650
Assets held for resale	1,786,049
Total current assets	2,389,100	407,848
Non-current assets
Deposit on real Estate	2,924,955	2,940,546
Due on sale of subsidiary	74,833	372,366
Property, plant and equipment	7,154,381	8,948,349
Right of use assets	15,736,177
Total non-current assets	25,890,346	12,261,261
Total assets	28,279,446	12,669,109
Current liabilities
Accounts payable and accrued liabilities	1,621,531	1,092,882
Taxes payable	751,900	775,392
Convertible loans	4,717,256	4,403,473
Mortgage loans	3,034,927	172,276
Operating lease liability	782,805
Derivative liability	5,652,403	4,618,080
Related party payables	2,674,178	2,615,613
Total current liabilities	19,235,000	13,677,716
Non-current liabilities
Mortgage loans	3,877,764	6,707,346
Operating lease liability	15,048,674
Total non-current liabilities	18,926,438	6,707,346
Total liabilities	38,161,438	20,385,062
Stockholders' deficit
Preferred stock - Series A; $0.01 par value, 3,000,000 authorized, nil outstanding as of March 31, 2019 and December 31, 2018.
Preferred Stock - Series B; $0.01 par value, 10,000,000 authorized, nil outstanding as ofMarch 31, 2019 and December 31, 2018.
Common stock; $0.01 par value, 500,000,000 shares authorized; 124,371,452 and 124,300,341 shares issued and outstanding as of March 31, 2019 and December 31, 2018, respectively.	1,243,715	1,243,004
Additional paid-in capital	21,818,509	20,939,676
Accumulated other comprehensive income	673,508	630,411
Accumulated deficit	(33,617,724)	(30,529,044)
Total stockholders' deficit	(9,881,992)	(7,715,953)
Total liabilities and stockholders' deficit	$ 28,279,446	$ 12,669,109

XML

Balance Sheets (Parenthetical) - $ / shares	Mar. 31, 2019	Dec. 31, 2018
Statement of Financial Position [Abstract]
Common Stock Par Value	$ 0.01	$ 0.01
Common Stock Shares Authorized	500,000,000	500,000,000
Common Stock Shares Issued	124,371,452	124,300,341
Common Stock Shares Outstanding	124,371,452	124,300,341
Preferred Stock, Seriea A Par Value	$ 0.01	$ 0.01
Preferred Stock, Series A Shares Authorized	3,000,000	3,000,000
Preferred Stock, Series A Shares Issued	0	0
Preferred Stock, Series A Shares Outstanding	0	0
Preferred Stock, Series B Par Value	$ 0.01	$ 0.01
Preferred Stock, Series B Shares Authorized	10,000,000	10,000,000
Preferred Stock, Series B Shares Issued	0	0
Preferred Stock, Series B Shares Outstanding	0	0

XML

Statements of Operations - USD ($)	3 Months Ended
	Mar. 31, 2019	Mar. 31, 2018
Income Statement [Abstract]
Revenues	$ 82,015	$ 113,302
Operating expenses
General and administrative	382,153	193,732
Rental expense	570,066
Management fees		46,533
Professional fees	44,154	38,010
Salaries and wages	404,264	185,156
Depreciation and amortization	75,876	68,415
Total operating expenses	1,476,513	531,846
Operating loss	(1,394,498)	(418,544)
Other Income (expense)
Interest income	15,277	49
Interest expense	(345,098)	(170,451)
Debt discount	(761,942)	(752,949)
Derivative liability movement	(473,301)	(12,156)
Foreign exchange movements	(129,118)	137,896
Net loss before taxation from continuing operations	(3,088,680)	(1,216,155)
Taxation
Net loss	(3,088,680)	(1,216,155)
Foreign currency translation adjustment	43,097	(53,186)
Total comprehensive loss	$ (3,045,583)	$ (1,269,341)
Basic and diluted loss per common share	$ (0.02)	$ (0.01)
Weighted average common shares outstanding - Basic and diluted	124,358,020	123,242,897

XML

Shareholders Equity - USD ($)	Common Stock	Additional Paid-In Capital	Comprehensive Income	Accumulated Deficit	Total
Beginning Balance, Shares at Dec. 31, 2017	123,239,230
Beginning Balance, Value at Dec. 31, 2017	$ 1,232,393	$ 18,545,913	$ 796,453	$ (22,350,401)	$ (7,715,953)
Shares issued for commitment fee, Shares	165,000
Shares issued for commitment fee, Amount	$ 1,650	9,900			11,550
Foreign currency translation			(53,186)		(53,186)
Net loss				(1,216,155)	(1,216,155)
Ending Balance, Shares at Mar. 31, 2018	123,404,230
Ending Balance, Value at Mar. 31, 2018	$ 1,234,043	18,555,813	743,267	(23,566,556)	(9,881,992)
Beginning Balance, Shares at Dec. 31, 2018	124,300,341
Beginning Balance, Value at Dec. 31, 2018	$ 1,243,004	20,939,676	630,411	(30,529,044)	(7,715,953)
Fair value of warrants issued		874,566			874,566
Shares issued for commitment fee, Shares	71,111
Shares issued for commitment fee, Amount	$ 711	4,267			4,978
Foreign currency translation			43,097		43,097
Net loss				(3,088,680)	(3,088,680)
Ending Balance, Shares at Mar. 31, 2019	124,371,452
Ending Balance, Value at Mar. 31, 2019	$ 1,243,715	$ 21,818,509	$ 673,508	$ (33,617,724)	$ (9,881,992)

XML

Statements of Cash Flows - USD ($)	3 Months Ended
	Mar. 31, 2019	Mar. 31, 2018
Operating activities
Net loss	$ (3,088,680)	$ (1,216,155)
Adjustment to reconcile net loss to net cash (used in) provided by operating activities:
Depreciation	75,876	68,415
Non cash interest accrual on escrow deposit	(15,277)
Non cash compensation for services		11,550
Non-cash discount on convertible debt		48,000
Amortization of debt discount	761,942	752,949
Derivative liability movements	473,301	12,156
Non-cash deferral of operating lease liability expense	95,302
Changes in operating assets and liabilities
Accounts receivable	(77,275)	42,490
Prepaid expenses and other current assets	(80,409)	74,630
Deposit released from escrow	322,156	395,354
Accounts payable and accrued liabilities	424,777	31,745
Taxes payable		1,933
Net cash (used in) provided by operating activities	(1,108,287)	223,067
Investing activities
Deposits paid	(2,658)	(286,912)
Purchase of fixed assets	(8,176)
Net cash used in Investing activities	(10,834)	(286,912)
Financing activities
Decrease in bank overdraft		(25,878)
Repayment of mortgage loans	(33,396)	(33,186)
Proceeds from convertible notes	1,567,000	600,000
Repayment of convertible notes	(523,803)	(330,000)
Proceeds from related party notes	(1,081)	21,398
Net cash provided by financing activities	1,008,720	232,334
Effect of exchange rate on cash	111,306	(141,489)
Net change in cash	905	27,000
Beginning cash balance	24,674	339
Ending cash balance	25,579	27,339
Supplemental cash flow information
Cash paid for interest	411,610	141,244
Cash paid for income taxes
Non cash investing and financing activities
Fair value of warrants issued	$ 874,566

XML

Nature of Business

3 Months Ended

Mar. 31, 2019

Organization, Consolidation and Presentation of Financial Statements [Abstract]

Nature of Business

1. Nature of business

Ethema Health Corporation (the “Company”) was incorporated under the laws of the state of Colorado, USA, on April 1, 1993. Effective April 4, 2017, the Company changed its name to Ethema Health Corporation and prior to that, on May 2012, the Company had changed its name to GreeneStone Healthcare Corporation from Nova Natural Resources Corporation. As of December 31, 2017, the Company owned 100% of the outstanding shares of GreeneStone Clinic Muskoka Inc., incorporated in 2010 under the laws of the Province of Ontario, Canada; Cranberry Cove Holdings Ltd.(“CCH”), incorporated on January 9, 2004 under the laws of the Province of Ontario, Canada; Addiction Recovery Institute of America (“ARIA”) (formerly Seastone Delray Healthcare, LLC), incorporated on May 17, 2016 under the laws of Florida, USA; and Delray Andrews RE, LLC, incorporated on May 17, 2016 under the laws of Florida, USA

During December 2016, the Company obtained a license to operate and provide addiction treatment healthcare services in Florida, USA. The company commenced operations under this license with effect from January 2017.

On February 14, 2017, the Company completed a series of transactions (referred to collectively as the “Restructuring Transactions”), including a Share Purchase Agreement (the “SPA”) whereby the Company acquired 100% of the stock of CCH, which holds the real estate on which the Company previously operated a rehabilitation clinic (“the Canadian Rehab Clinic”). The Company entered into an Asset Purchase Agreement (the “APA”) and lease (the “Lease”) whereby the Company sold all of the Canadian Rehab Clinic business assets and leased the real estate to the buyer. Simultaneously with this transaction, the Company entered into a Real Estate \Purchase agreement and Asset Purchase Agreement whereby the Company purchased the real estate and business assets of Seastone Delray (the “Florida Purchase”).

The Share Purchase Agreement 

Under the SPA, the Company acquired 100% of the stock of CCH from Leon Developments Ltd. (“Leon Developments”), a company wholly owned by Shawn E. Leon, who is the President, CEO, and CFO of the Company (“Mr. Leon”). CCH owns the real estate on which the Canadian Rehab Clinic is located. The total consideration paid by the Company was CDN$3,517,062, including the assumption of certain liabilities of CCH, which was funded by the assignment to Leon Developments of certain indebtedness owing to the Company in the amount of CDN$659,918, and the issuance of 60,000,000 shares of the Company’s common stock to Leon Developments, valued at US$0.0364 per share.

The Asset Purchase Agreement and Lease 

Under the APA, the assets of the Canadian Rehab Clinic were sold by the Company, through its subsidiary, GreeneStone Clinic Muskoka Inc. (“Muskoka”), to Canadian Addiction Residential Treatment LP (the “Purchaser”), for a total consideration of CDN$10,000,000, plus an additional payment of up to CDN$3,000,000 as a performance payment to be received in 2019 if certain clinic performance metrics are met. The Purchaser completed the sale with cash proceeds to the Company of CDN$10,000,000, of which CDN$1,500,000 was to remain in escrow for up to two years to cover indemnities given by the Company. The proceeds of the Muskoka clinic asset sale were used to pay down certain tax debts and operational costs of the Company and to fund the Florida Purchase, mentioned below.

Through the APA, substantially all of the assets of the Canadian Rehab Clinic were sold, leaving Ethema with only the underlying clinic real estate, which the Company, through its newly acquired subsidiary, CCH, concurrently leased to the Purchaser. The Lease is a triple net lease and provides for a five (5) year primary term with three (3) five-year renewal options, annual base rent for the first year at CDN$420,000 with annual increases, an option to tenant to purchase the leased premises and certain first refusal rights.

The Florida Purchase

Immediately after closing on the sale of the assets of the Canadian Rehab Clinic, the Company closed on the acquisition of the real estate assets of Seastone Delray pursuant to certain real estate and asset purchase agreements The purchase price for the Seastone assets was US$6,070,000 financed with a purchase money mortgage of US$3,000,000, and US$3,070,000 in cash. 

XML

Summary of Significant Accounting Policies

3 Months Ended

Mar. 31, 2019

Accounting Policies [Abstract]

Summary of Significant Accounting Policies

2. Summary of significant accounting policies

Basis of presentation

The (a) unaudited condensed consolidated balance sheets as of March 31, 2019, which have been derived from the unaudited condensed consolidated financial statements, and as of December 31, 2018, which have been derived from audited consolidated financial statements, and (b) the unaudited condensed consolidated statements of operations, stockholders’ deficit and cash flows of the Company, have been prepared in accordance with accounting principles generally accepted in the United States (“GAAP”) for interim financial information and the instructions to Form 10-Q and Rule 8-03 of Regulation S-X. Accordingly, they do not include all of the information and footnotes required by GAAP for complete financial statements. In the opinion of management, all adjustments (consisting of normal recurring accruals) considered necessary for a fair presentation have been included. Operating results for the three months ended March 31, 2019 are not necessarily indicative of results that may be expected for the year ending December 31, 2019. These unaudited condensed consolidated financial statements should be read in conjunction with the audited consolidated financial statements and notes thereto included in the Company’s Form 10-K/A for the year ended December 31, 2018, filed with the Securities and Exchange Commission (“SEC”) on April 22, 2019.

All amounts referred to in the notes to the unaudited condensed consolidated financial statements are in United States Dollars ($) unless stated otherwise.

a) Use of Estimates

The preparation of financial statements in conformity with US GAAP requires management to make estimates and assumptions that affect the reported amounts of assets and liabilities and disclosure of contingent assets and liabilities at the date of the financial statements and the reported amounts of revenues and expenses during the reporting periods. Actual results could differ from those estimates.

b) Principals of consolidation and foreign currency translation

The accompanying unaudited condensed consolidated financial statements include the accounts of the Company and all of its subsidiaries. All intercompany transactions and balances have been eliminated on consolidation.

Certain of the Company’s subsidiaries functional currency is the Canadian dollar, while the Company’s reporting currency is the U.S. dollar. All transactions initiated in Canadian dollars are translated into US dollars in accordance with ASC 830, “Foreign Currency Translation” as follows:

● Monetary assets and liabilities at the rate of exchange in effect at the balance sheet date.

● Equity at historical rates.

● Revenue and expense items and cash flows at the average rate of exchange prevailing during the period.

Adjustments arising from such translations are deferred until realization and are included as a separate component of stockholders’ deficit as a component of accumulated other comprehensive income or loss. Therefore, translation adjustments are not included in determining net income (loss) but reported as other comprehensive income (loss).

For foreign currency transactions, the Company translates these amounts to the Company’s functional currency at the exchange rate effective on the invoice date. If the exchange rate changes between the time of purchase and the time actual payment is made, a foreign exchange transaction gain or loss results which is included in determining net income for the period.

The relevant translation rates are as follows: For the three months ended March 31, 2019, a closing rate of CDN$1.00 equals US$0.7483 and an average exchange rate of CDN$1.00 equals US$0.7522. For the three months ended March 31, 2018, a closing rate of CAD$1.00 equals US$0.7756 and an average exchange rate of CAD$1.0000 equals US$0.7907.

c) Revenue Recognition

ASU 2014-09 requires companies to exercise more judgment and recognize revenue using a five-step process. The Company adopted ASU 2014-09 using the modified retrospective method for all contracts effective January 1, 2018. Modified retrospective adoption requires entities to apply the standard retrospectively to the most current period presented in the financial statements, requiring the cumulative effect of the retrospective application as an adjustment to the opening balance of retained earnings at the date of initial application. Prior periods have not been adjusted. No cumulative effect adjustment in retained earnings was recorded as the adoption of ASU 2014-09 did not significantly impact the Company’s reported historical revenue.

As a result of certain changes required by ASU 2014-09, the majority of the Company’s provision for doubtful accounts are recorded as a direct reduction to revenue instead of being presented as a separate line item on the consolidated statements of operations. The adoption of ASU 2014-09 has no impact on the Company’s accounts receivable as it was historically recorded net of allowance for doubtful accounts and contractual adjustments, and the Company has eliminated the presentation of allowance for doubtful accounts on the consolidated balance sheets.

As our performance obligations relate to contracts with a duration of one year or less, the Company elected the optional exemption in ASC 606-10-50-14(a). Therefore, the Company is not required to disclose the transaction price for the remaining performance obligations at the end of the reporting period or when the Company expects to recognize the revenue. The Company has minimal unsatisfied performance obligations at the end of the reporting period as our patients typically are under no obligation to remain admitted in our facilities.

The Company receives payments from the following sources for services rendered in our U.S. Facility: (i) commercial insurers; and (ii) individual patients and clients. As the period between the time of service and time of payment is typically one year or less, the Company elected the practical expedient under ASC 606-10-32-18 and did not adjust for the effects of a significant financing component.

The Company derives a significant portion of its revenue from other payors that receive discounts from established billing rates. The various managed care contracts under which these discounts must be calculated are complex, subject to interpretation and adjustment, and may include multiple reimbursement mechanisms for different types of services provided in the Company’s in-patient facilities and cost settlement provisions. Management estimates the transaction price on a pay or specific basis given its interpretation of the applicable regulations or contract terms. The services authorized and provided and related reimbursement are often subject to interpretation that could result in payments that differ from the Company’s estimates. Additionally, updated regulations and contract renegotiations occur frequently, necessitating regular review and assessment of the estimation process by management.

Settlements under cost reimbursement agreements with third-party payors are estimated and recorded in the period in which the related services are rendered and are adjusted in future periods as final settlements are determined. In the opinion of management, adequate provision has been made for any adjustments and final settlements. However, there can be no assurance that any such adjustments and final settlements will not have a material effect on the Company’s financial condition or results of operations. The Company’s cost report receivables were $279,929 and $202,654 for the three months ended March 31, 2019 and year ended December 31, 2018, respectively, and were included in other current assets in the consolidated balance sheets. Management believes that these receivables are properly stated and are not likely to be settled for a significantly different amount. The net adjustments to estimated cost report settlements resulted in a decrease in revenues of $0 and $262,353 for the three months ended March 31, 2019 and the year ended December 31, 2018, respectively.

The Company has analyzed its revenue transaction pursuant to ASC 606, Revenue, and it has no material impact as a result of the transition from ASC 605 to 606. The Company’s revenues are recognized when control of the promised goods or services are transferred to a customer, in an amount that reflects the consideration that the Company expects to receive in exchange for those services. The Company derives its revenues from the sale of its services, as defined below. The Company applies the following five steps in order to determine the appropriate amount of revenue to be recognized as it fulfills its obligations under each of its revenue transactions:

i. identify the contract with a customer;

ii. identify the performance obligations in the contract;

iii. determine the transaction price;

iv. allocate the transaction price to performance obligations in the contract; and

v. recognize revenue as the performance obligation is satisfied.

The Company has two operating segments from which it derives revenues which is recognized on the basis described below.

i. Rental Income

In terms of the lease agreement, on a monthly basis as long as the facility is utilized by the tenant

ii. In-patient revenue

The customers have been treated and provided with services by the Company; there is clear evidence that an arrangement exists; the amount of revenue and related costs can be measured reliably; and it is probable that the economic benefits associated with the transaction will flow to the Company.

d) Nonmonetary transactions

The Company’s policy is to measure an asset exchanged or transferred in a nonmonetary transaction at the more reliable measurement of the fair value of the asset given up and the fair value of the asset received, unless:

● The transaction lacks commercial substance;

● The transaction is a transfer between entities under common control;

● The transaction is an exchange of a product or property held for sale in the ordinary course of business for a product or property to be sold in the same line of business to facilitate sales to customers other than the parties to the exchange;

● Neither the fair value of the asset received nor the fair value of the asset given up is reliably measurable; or

● The transaction is a nonmonetary, non-reciprocal transfer to owners that represents a spinoff or other form of restructuring or liquidation.

e) Cash and cash equivalents

The Company’s policy is to disclose bank balances under cash, including bank overdrafts with balances that fluctuate frequently from being positive to overdrawn and term deposits with a maturity period of three months or less from the date of acquisition.

f) Accounts receivable

Accounts receivable primarily consists of amounts due from third-party payors (non-governmental) and private pay patients and is recorded net of allowances for doubtful accounts and contractual discounts. The Company’s ability to collect outstanding receivables is critical to its results of operations and cash flows. Accordingly, accounts receivable reported in the Company’s unaudited condensed consolidated financial statements is recorded at the net amount expected to be received. The Company’s primary collection risks are (i) the risk of overestimating net revenues at the time of billing that may result in the Company receiving less than the recorded receivable, (ii) the risk of non-payment as a result of commercial insurance companies denying claims, (iii) the risk that patients will fail to remit insurance payments to the Company when the commercial insurance company pays out-of-network claims directly to the patient, (iv) resource and capacity constraints that may prevent the Company from handling the volume of billing and collection issues in a timely manner, (v) the risk that patients do not pay the Company for their self-pay balances (including co-pays, deductibles and any portion of the claim not covered by insurance) and (vi) the risk of non-payment from uninsured patients.

g) Allowance for Doubtful Accounts, Contractual and other Discounts

The Company derives the majority of its revenues from commercial payors at out-of-network rates. Management estimates the allowance for contractual and other discounts based on its historical collection experience. The services authorized and provided and related reimbursement are often subject to interpretation and negotiation that could result in payments that differ from the Company’s estimates. The Company’s allowance for doubtful accounts is based on historical experience, but management also takes into consideration the age of accounts, creditworthiness and current economic trends when evaluating the adequacy of the allowance for doubtful accounts. An account is written off only after the Company has pursued collection efforts or otherwise determines an account to be uncollectible. Uncollectible balances are written-off against the allowance. Recoveries of previously written-off balances are credited to income when the recoveries are made.

h) Financial instruments

The Company initially measures its financial assets and liabilities at fair value, except for certain non-arm’s length transactions. The Company subsequently measures all its financial assets and financial liabilities at amortized cost.

Financial assets measured at amortized cost include cash and accounts receivable.

Financial liabilities measured at amortized cost include bank indebtedness, accounts payable and accrued liabilities, harmonized sales tax payable, withholding taxes payable, convertible notes payable, loans payable and related party notes.

Financial assets measured at cost are tested for impairment when there are indicators of impairment. The amount of the write-down is recognized in net income. The previously recognized impairment loss may be reversed to the extent of the improvement, directly or by adjusting the allowance account, provided it is no greater than the amount that would have been reported at the date of the reversal had the impairment not been recognized previously. The amount of the reversal is recognized in net income. The Company recognizes its transaction costs in net income in the period incurred. However, financial instruments that will not be subsequently measured at fair value are adjusted by the transaction costs that are directly attributable to their origination, issuance or assumption.

FASB ASC 820 defines fair value, establishes a framework for measuring fair value in accordance with generally accepted accounting principles, and expands disclosures about fair value measurements. ASC 820 establishes a three tier fair value hierarchy, which prioritizes the inputs used in measuring fair value as follows:

● Level 1. Observable inputs such as quoted prices in active markets;

● Level 2. Inputs, other than the quoted prices in active markets, that are observable either directly or indirectly; and

● Level 3. Unobservable inputs in which there is little or no market data, which requires the reporting entity to develop its own assumptions.

The Company measures its convertible debt and derivative liabilities associated therewith at fair value. These liabilities are revalued periodically and the resultant gain or loss is realized through the Statement of Operations.

i) Plant and equipment

Fixed assets are recorded at cost. Depreciation is calculated on the straight line basis over the estimated life of the asset:

Leasehold improvements are depreciated using the straight-line method over the term of the lease.

j) Leases

Leases are classified as either capital or operating leases. Leases that transfer substantially all of the benefits and inherent risks of ownership of property to the Company are accounted for as capital leases. At the time a capital lease is entered into, an asset is recorded together with its related long-term obligation to reflect the acquisition and financing. Equipment recorded under capital leases is amortized on the same basis as described above. Leases that are classified as operating leases are recorded as a right-of-use asset with a corresponding operating lease liability. The right of use asset is amortized over the life of the lease using the effective interest rate method whilst the operating lease obligation is amortized over the term of the lease using the effective interest method after adjusting for the impact of straight line lease payments. The operating lease expense is recorded as an expense in the statement of operations on a straight line basis over the term of the operating lease.

k) Income taxes

The Company accounts for income taxes under the provisions of ASC Topic 740, “Income Taxes”. Under ASC Topic 740, deferred tax assets and liabilities are recognized for the future tax consequences attributable to differences between the financial statement carrying amounts of existing assets and liabilities and their respective tax bases. Deferred income taxes are provided using the liability method. Under this method, deferred income taxes are recognized for the tax consequences of temporary differences by applying enacted statutory rates applicable to future years to differences between the financial statement carrying amounts and the tax bases of existing assets and liabilities. The tax basis of an asset or liability is the amount attributed to that asset or liability for tax purposes. The effect on deferred taxes of a change in tax rates is recognized in income in the period of change. A valuation allowance is provided to reduce the amount of deferred tax assets if it is considered more likely than not that some portion of, or all of, the deferred tax assets will not be realized.

ASC Topic 740 contains a two-step approach to recognizing and measuring uncertain tax positions taken or expected to be taken in a tax return. The first step is to determine if the weight of available evidence indicates that it is more likely than not that the tax position will be sustained in an audit, including resolution of any related appeals or litigation processes. The second step is to measure the tax benefit as the largest amount that is more than 50% likely to be realized upon ultimate settlement. The Company recognizes interest and penalties accrued on unrecognized tax benefits within general and administrative expense. To the extent that accrued interest and penalties do not ultimately become payable, amounts accrued will be reduced and reflected as a reduction in general and administrative expenses in the period that such determination is made. The tax returns for fiscal 2001, through 2017 are subject to audit or review by the US tax authorities, whereas fiscal 2010 through 2017 are subject to audit or review by the Canadian tax authority.

l) Net income (loss) per Share

Basic net income (loss) per share is computed on the basis of the weighted average number of common stock outstanding during the period.

Diluted net income (loss) per share is computed on the basis of the weighted average number of common stock and common stock equivalents outstanding. Dilutive securities having an anti-dilutive effect on diluted net income (loss) per share are excluded from the calculation.

Dilution is computed by applying the treasury stock method for options and warrants. Under this method, “in-the money” options and warrants are assumed to be exercised at the beginning of the period (or at the time of issuance, if later), and as if funds obtained thereby were used to purchase common stock at the average market price during the period. Dilution is computed by applying the if-converted method for convertible preferred stocks. Under this method, convertible preferred stock is assumed to be converted at the beginning of the period (or at the time of issuance, if later), and preferred dividends (if any) will be added back to determine income applicable to common stock. The shares issuable upon conversion will be added to weighted average number of common stock outstanding. Conversion will be assumed only if it reduces earnings per share (or increases loss per share).

m) Stock based compensation

Stock based compensation cost is measured at the grant date, based on the estimated fair value of the award and is recognized as expense over the employee’s requisite service period or vesting period on a straight-line basis. Share-based compensation expense recognized in the unaudited condensed consolidated statements of operations for the three months ended March 31, 2019 and the year ended December 31, 2018 is based on awards ultimately expected to vest and has been reduced for estimated forfeitures. This estimate will be revised in subsequent periods if actual forfeitures differ from those estimates. We have minimal awards with performance conditions and no awards dependent on market conditions.

n) Derivatives

The Company evaluates embedded conversion features within convertible debt under ASC 815 “Derivatives and Hedging” to determine whether the embedded conversion feature should be bifurcated from the host instrument and accounted for as a derivative at fair value with changes in fair value recorded in earnings. The Company uses a Black Scholes Option Pricing model to estimate the fair value of convertible debt conversion features at the end of each applicable reporting period. Changes in the fair value of these derivatives during each reporting period are included in the statements of operations. Inputs into the Black Scholes Option Pricing model require estimates, including such items as estimated volatility of the Company’s stock, risk free interest rate and the estimated life of the financial instruments being fair valued.

If the conversion feature does not require derivative treatment under ASC 815, the instrument is evaluated under ASC 470-20 “Debt with Conversion and Other Options” for consideration of any beneficial conversion feature.

o) Recent accounting pronouncements

Adoption of Accounting Standards

In February 2016, the Financial Accounting Standards Board (“FSAB”) issued Accounting Standards Update (“ASU”), No. 2016-02, Leases (Topic 842) (ASC 842)

The amendments in this update establishes a comprehensive new lease accounting model. The new standard: (a) clarifies the definition of a lease; (b) requires a dual approach to lease classification similar to current lease classifications; and (c) causes lessees to recognize leases on the balance sheet as a lease liability with a corresponding right-of-use asset for leases with a lease-term of more than twelve months. The new standard is effective for fiscal years and interim periods beginning after December 15, 2018, with early adoption permitted. A modified retrospective transition approach is required for leases existing at, or entered into after, the beginning of the earliest comparative period presented in the financial statements, including a number of optional practical expedients that entities may elect to apply. In July 2018, the FASB issued ASU No. 2018-11, Leases (Topic 842): Targeted Improvements, an update which provides another transition method, the prospective transition method, which allows entities to initially apply the new lease standard at the adoption date and recognize a cumulative-effect adjustment to the opening balance of retained earnings in the period of adoption. The Company adopted the new standard on January 1, 2019 using the prospective transition method.

The Company has identified all leases and reviewed the leases to determine the impact of ASC 842 on its unaudited condensed consolidated financial statements. The Company has elected to apply the practical expedient to certain classes of leases, whereby the separation of components of leases into lease and non-lease components is not required and all of the practical expedients to all leases, which include not reassessing (1) whether any expired or existing contracts are or contain leases, (2) lease classification for any expired or existing leases, and (3) initial direct costs for any existing leases. The adoption of the new standard resulted in the recording of a right-of-use asset and a lease liability on the unaudited condensed consolidated balance sheet on January 1, 2019 of $15,986,074. The adoption of ASU 2016-02, as amended, has had no impact on the unaudited condensed consolidated statements of operations or unaudited condensed consolidated statements of cash flows.

Recent accounting pronouncements   

The FASB issued several updated during the period, none of these standards are either applicable to the Company or require adoption at a future date and are not expected to have a material impact on the unaudited condensed consolidated financial statements upon adoption.   

p) Financial instruments Risks

The Company is exposed to various risks through its financial instruments. The following analysis provides a measure of the Company’s risk exposure and concentrations at the balance sheet date, March 31, 2019 and December 31, 2018.

i. Credit risk

Credit risk is the risk that one party to a financial instrument will cause a financial loss for the other party by failing to discharge an obligation. Financial instruments that subject the Company to credit risk consist primarily of accounts receivable.

Credit risk associated with accounts receivable of ARIA is mitigated as only a percentage of the revenue billed to health insurance companies is recognized as income until such time as the actual funds are collected. The revenue is concentrated amongst several health insurance companies located in the US.

In the opinion of management, credit risk with respect to accounts receivable is assessed as low.

ii. Liquidity risk

Liquidity risk is the risk the Company will not be able to meet its financial obligations as they fall due. The Company is exposed to liquidity risk through its working capital deficiency of $16,845,900 accumulated deficit of $33,617,724. The Company will be dependent upon the raising of additional capital in order to implement its business plan. There is no assurance that the Company will be successful with future financing ventures, and the inability to secure such financing may have a material adverse effect on the Company’s financial condition. In the opinion of management, liquidity risk is assessed as high, material and remains unchanged from the prior year.

iii. Market risk

Market risk is the risk that the fair value or future cash flows of a financial instrument will fluctuate because of changes in market prices. Market risk comprises of three types of risk: interest rate risk, currency risk, and other price risk. The Company is exposed to interest rate risk and currency risk.

a. Interest rate risk

Interest rate risk is the risk that the fair value or future cash flows of a financial instrument will fluctuate because of changes in market interest rates. The Company is exposed to minimal interest rate risk as there is no overdraft indebtedness as of March 31, 2019. In the opinion of management, interest rate risk is assessed as low, not material and remains unchanged from the prior year.

b. Currency risk

Currency risk is the risk that the fair value or future cash flows of a financial instrument will fluctuate because of changes in foreign exchange rates. The Company is subject to currency risk as it has subsidiaries that operate in Canada and are subject to fluctuations in the Canadian dollar. A substantial portion of the Company’s financial assets and liabilities are denominated in Canadian dollars. Based on the net exposures at March 31, 2019, a 5% depreciation or appreciation of the Canadian dollar against the U.S. dollar would result in an approximate $5,250 increase or decrease in the Company’s after tax net income from operations. The Company has not entered into any hedging agreements to mediate this risk. In the opinion of management, currency risk is assessed as low, material and remains unchanged from the prior year.

c. Other price risk

Other price risk is the risk that the fair value or future cash flows of a financial instrument will fluctuate because of changes in market prices (other than those arising from interest rate risk or currency risk), whether those changes are caused by factors specific to the individual financial instrument or its issuer, or factors affecting all similar financial instruments traded in the market. In the opinion of management, the Company is not exposed to this risk and remains unchanged from the prior year.

q) Reclassification of Prior Year Presentation

Certain prior year amounts have been reclassified for consistency with the current year presentation. These reclassifications had no effect on the reported results of operations.

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Going concern

3 Months Ended

Mar. 31, 2019

Organization, Consolidation and Presentation of Financial Statements [Abstract]

Going Concern

3. Going concern

The Company’s unaudited condensed consolidated financial statements have been prepared in accordance with US GAAP applicable to a going concern, which assumes that the Company will be able to meet its obligations and continue its operations in the normal course of business. As at March 31, 2019 the Company has a working capital deficiency of $16,844,900 and accumulated deficit of $33,617,724. Management believes that current available resources will not be sufficient to fund the Company’s planned expenditures over the next 12 months. Accordingly, the Company will be dependent upon the raising of additional capital through placement of common shares, and/or debt financing in order to implement its business plan, and generating sufficient revenue in excess of costs. If the Company raises additional capital through the issuance of equity securities or securities convertible into equity, stockholders will experience dilution, and such securities may have rights, preferences or privileges senior to those of the holders of common stock or convertible senior notes. If the Company raises additional funds by issuing debt, the Company may be subject to limitations on its operations, through debt covenants or other restrictions. If the Company obtains additional funds through arrangements with collaborators or strategic partners, the Company may be required to relinquish its rights to certain geographical areas, or techniques that it might otherwise seek to retain. There is no assurance that the Company will be successful with future financing ventures, and the inability to secure such financing may have a material adverse effect on the Company’s financial condition. These factors create substantial doubt about the Company’s ability to continue as a going concern. These unaudited condensed consolidated financial statements do not include any adjustments relating to the recoverability or classification of recorded assets and liabilities or other adjustments that may be necessary should the Company not be able to continue as a going concern.

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Prepaid expenses and other current assets

3 Months Ended

Mar. 31, 2019

Deferred Costs, Capitalized, Prepaid, and Other Assets Disclosure [Abstract]

Prepaid expenses and other current assets

4. Prepaid expenses and other current assets

Prepaid expenses and other current assets includes the following:

On February 25, 2019, the Company entered into a Letter of Intent whereby it would purchase a 33.33% interest in Local Link Wellness, LLC (“LLW”) for gross proceeds of $400,000. LLW proposes to provide a comprehensive addiction treatment program to large employee groups. The company has advanced LLW a total of $80,000 as at March 31, 2019 and a further $30,000 as of May 15, 2019. These funds were advanced as short-term promissory notes.

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Assets held for resale

3 Months Ended

Mar. 31, 2019

Property, Plant and Equipment [Abstract]

Assets held for resale

5. Assets held for resale

On April 2, 2019, the Company entered into a Commercial Contract whereby the real property at 801 Andrews Avenue, Delray Beach, Florida, consisting of land and condominiums thereon, was sold to JAGGM, LLC for $3,500,000. This transaction closed on April 30, 2019.

The land and buildings thereon, net of accumulated depreciation as at March 31, 2019 of $1,786,049 was reclassified as an asset held for resale.

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Deposit on Real Estate

3 Months Ended

Mar. 31, 2019

Notes to Financial Statements

Deposit on Real Estate

6. Deposit on real estate

On November 2, 2017, the Company entered into an Agreement to purchase from AREP 5400 East Avenue LLC certain buildings in West Palm Beach, Florida, totaling approximately 80,000 square feet, on which the present tenant operates a substance abuse treatment center. The purchase price of the Property is $20,530,000. The Company made a series of nonrefundable down payments totaling $2,924,955 as of March 31, 2019 and $2,940,546 as of December 31, 2018. On May 23, 2018, the Company converted the agreement to purchase AREP 5400 East Avenue LLC. (“the landlord”) into a lease agreement with a purchase option of $17,250,000, increasing by $750,000 per month until the purchase option is exercised. The premises is located at 5400, 5402 and 5410 East Avenue, West Palm Beach, Florida (the “Property”). The lease is for an initial 10 years and provides for two additional 10 year extensions.

The Company was previously under agreement to purchase the property from the landlord. The property is presently used as a rehabilitation treatment center. The current tenant at the property, Alternatives in Treatment, LLC, a Florida limited liability company, consented to the Lease and concurrent with the execution of the Lease entered into a Sublease Agreement with the Company.

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Due from sale of business

3 Months Ended

Mar. 31, 2019

Notes to Financial Statements

Due from sale of business

7. Due on sale of business

On February 14, 2017, the Company sold its Canadian Rehab Clinic for gross proceeds of CDN$10,000,000, of which CDN$1,500,000 had been retained in an escrow account for a period of up to two years in order to guarantee the warranties provided by the Company in terms of the APA. As of March 31, 2019, CDN$1,055,042 of the escrow had been refunded to the Company and CDN$365,268 had been used to affect building improvements to the premises owned by CCH, for a total reduction of CDN$1,420,310. The remaining escrow balance was CDN$100,000 consisting of principal of CDN$76,690 and accrued interest thereon of CDN$20,310.

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Property plant and equipment

3 Months Ended

Mar. 31, 2019

Property, Plant and Equipment [Abstract]

9. Property plant and equipment

8. Property, plant and equipment

Property, plant and equipment consists of the following:

	March 31,  2019							December 31, 2018
	Cost		Accumulated depreciation			Net book value		Net book value
Land	$	2,038,510	$	—		$	2,038,510	$	2,911,530
Property		5,215,854		(393,771	)		4,822,083		5,750,045
Leasehold improvements		265,100		(8,304	)		256,796		251,774
Furniture and fixtures		88,176		(51,184	)		36,992		35,000
	$	7,607,640	$	(453,259	)	$	7,154,381	$	8,948,349

Depreciation expense for the three months ended March 31, 2019 and 2018 was $75,876 and $68,415, respectively.

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Leases

3 Months Ended

Mar. 31, 2019

Notes to Financial Statements

Leases

9. Leases

Adoption of ASC Topic 842, Leases

On January 1, 2019, the Company adopted Topic 842 using the modified retrospective method applied to leases that were in place as of January 1, 2019. Results for reporting periods beginning after January 1, 2019 are presented under Topic 842, while prior period amounts are not adjusted and continue to be reported in accordance with our historic accounting under Topic 840. The Company’s leases consists of operating leases that relate to real estate rental agreements. All of the value of the Company’s lease portfolio relates to a real estate lease agreement that was entered into in May 2018.

Practical Expedients and Elections

The Company elected the package of practical expedients permitted under the transition guidance, which allowed us to carryforward our historical lease classification, our assessment on whether a contract is or contains a lease, and our initial direct costs for any leases that exist prior to adoption of the new standard. We also elected the short-term lease recognition exemption for all leases that qualify.

Discount Rate applied to property operating lease

To determine the present value of minimum future lease payments for operating leases at January 1, 2019, the Company was required to estimate a rate of interest that we would have to pay to borrow on a collateralized basis over a similar term an amount equal to the lease payments in a similar economic environment (the “incremental borrowing rate” or “IBR”).

The Company determined the appropriate IBR by identifying a reference rate and making adjustments that take into consideration financing options and certain lease-specific circumstances. For the reference rate, the Company used the average of (i) the risk free interest rate adjusted for a premium for Company and liquidity risk; (ii) the weighted average mortgage interest rate currently availed to the Company; and (iii) the fifteen year mortgage interest rate. The weighted average rate the Company determined was 4.76% as an appropriate incremental borrowing rate to apply to its real-estate operating lease.

Right of use assets

Right of use assets are included in the unaudited condensed consolidated Balance Sheet are as follows:

	March 31, 2019
Non-current assets
Right of use assets, net of amortization	$	15,736,177

Total operating lease cost

Individual components of the total lease cost incurred by the Company is as follows:

	Three months ended March 31, 2019
Operating lease expense	$	534,312

Minimum rental payments under operating leases are recognized on a straight-line basis over the term of the lease.

Maturity of operating leases

 The amount of future minimum lease payments under operating leases are as follows:

	Amount
Remainder of 2019	$	1,363,592
2020		1,882,422
2021		1,962,242
2022		2,042,062
2023 and thereafter		12,436,419
Total undiscounted minimum future lease payments		19,686,737
Deferred rental liability on straight line amortization		95,302
Imputed interest		(3,950,560	)
Total operating lease liability	$	15,831,479
Disclosed as:
Current portion	$	782,805
Non-current portion		15,048,674
	$	15,831,479

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Taxes Payable

3 Months Ended

Mar. 31, 2019

Notes to Financial Statements

Taxes Payable

10. Taxes payable

The taxes payable consist of:

● A payroll tax liability of $136,638 (CDN$182,589) in Greenestone Muskoka which has not been settled as yet.

● The Company has assets and operates businesses in Canada and is required to disclose these operations to the US taxation authorities, the requisite disclosure has not been made. Management has reserved the maximum penalty due to the IRS in terms of non-disclosure. This noncompliance with US disclosure requirements is currently being addressed. An amount of $250,000 has been accrued for any potential exposure the Company may have.

● Estimated income taxes payable in certain of the Canadian operations.

	March 31,  2019		December 31,  2018
Payroll taxes	$	136,638	$	133,843
HST/GST payable		—		33,757
US penalties due		250,000		250,000
Income tax payable		365,262		357,792
	$	751,900	$	775,392

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Convetible notes

3 Months Ended

Mar. 31, 2019

Debt Disclosure [Abstract]

Convertible notes

11. Convertible notes

The convertible notes consist of the following:

	Interest  rate			Maturity date	Principal		Interest		Debt Discount			March 31,  2019		December 31,  2018
Leonite Investments LLC		11.0	%	July 25,  2019	$	2,494,754	$	—	$	(169,186	)	$	2,325,568	$	2,494,180
Power Up Lending Group Ltd		9.0	%	May 15,2019		—		—		—			—		94,595
		9.0	%	September 10, 2019		—		—		—			—		44,484
		9.0	%	October 30, 2019		53,000		1,059		(38,398	)		15,661		—
		9.0	%	November 11, 2019		138,000		2,110		(108,598	)		31,512		—
		9.0	%	November 15, 2019		128,000		789		(115,402	)		13,387		—
First Fire Global Opportunities Fund		12.0	%	December 5, 2019		200,000		712		(181,091	)		19,621		—
Series N convertible notes		6.0	%	May 17, 2019 to March 13, 2020		3,506,000		91,050		(1,285,543	)		2,311,507		1,770,214
													4,717,256		4,403,473

Leonite Investments, LLC

On December 1, 2017, the Company closed on a private offering to raise US $1,500,000 in capital. The Company issued one senior secured convertible promissory note with a principal amount of $1,650,000 to Leonite Capital, LLC (“Leonite”). The note is convertible into shares of common stock at a conversion price of $0.06 per share, subject to anti-dilution and price protection. The Note bears interest at the rate of 8.5% per annum. The Note’s amended maturity date was December 1, 2018. During the term of the Note the Company and the Subsidiaries will be obligated to make monthly payment of accrued and unpaid interest. The Note contains Company and Subsidiary representations and warranties, covenants, events of default, and registration rights. The Company paid a commitment fee of $132,000 settled through the issue of 1,650,000 shares of common stock and paid $20,000 towards the lenders legal fees. In conjunction with this note, the Company issued a five year warrant to purchase 27,500,000 shares of common stock at an exercise price or $0.10 per share, subject to antidilution and price protection.

The Note provided that the parties use reasonable best efforts to close on the remaining $1,200,000 of availability under the Note by January 1, 2018. As a condition to the closing of the Balance Tranche, the parties must finalize and enter into additional agreements related to the Private Offering, including, but not limited to, (i) a Securities Purchase Agreement; (ii) a Warrant Agreement under which the Investor will have the right to purchase up to 27,500,000 shares of the Company’ common stock for $0.10 per share, subject to adjustment, for a period of five years; (iii) a Securities Pledge Agreement under which the Company and the Subsidiaries will grant the lender a blanket lien on their assets, and the Company will pledge its equity ownership in the Subsidiaries. Upon the closing of the Balance Tranche the maturity date of the Note will become December 1, 2018.

On December 29, 2017, effective as of December 1, 2017, the Company and the Subsidiaries entered into an Amended and Restated Senior Secured Convertible Promissory Note, which note amends and restates the Note to (a) extend the maturity date to December 1, 2018; (b) remove CCH, as an obligor; (c) increase the interest rate by 2.00% per annum, to 8.5% per annum; and (d) issue an additional 250,000 shares of the Company’s common stock to the Investor. In connection with the execution of the amendment, the parties entered into (i) a Securities Purchase Agreement; (ii) a Warrant Agreement under which the Investor will have the right to purchase up to 27,500,000 shares of the Company’ common stock for $0.10 per share, subject to adjustment, for a period of five years; (iii) a Security and Pledge Agreement and a General Security Agreement under which the Company and the Subsidiaries will grant the Investor a blanket lien on their assets, and the Company will pledge its equity ownership in the Subsidiaries; and (iv) a First Amendment to the, effective January 2, 2018.

At the execution of the Note, the Investor funded an initial tranche of $300,000. Thereafter the Investor funded a second tranche of $156,136. Upon the execution of the A&R Note the Investor funded a third tranche of $100,000. Upon the execution of the First Amendment the Investor funded a final tranche of $850,000, with the remaining $93,764 of availability under the A&R Note, as amended, serving as a holdback pursuant to the terms of the First Amendment.

On March 12, 2018, the Company, entered into a Securities Purchase Agreement pursuant to which the Company issued a Convertible Promissory Note in the aggregate principal amount of $330,000, including an Original Issue Discount of $30,000, for net proceeds of $300,000. The note had a maturity date of March 19, 2018. The outstanding principal amount of the note was convertible at any time and from time to time at the election of the purchaser following the issue date into shares of the Company’s common stock at a conversion price equal to $0.06 per share subject to anti-dilution and price protection. The Company paid a commitment fee of $19,800 settled through the issue of 330,000 shares of common stock. This note was repaid on the maturity date for gross proceeds of $330,000.

On March 29, 2018, the Company, entered into a Securities Purchase Agreement pursuant to which the Company issued a Convertible Promissory Note in the aggregate principal amount of $165,000, including an Original Issue Discount of $15,000, for net proceeds of $150,000. The note had a maturity date of December 1, 2018 and bears interest at a rate of 8.5% per annum. The outstanding principal amount of the note is convertible at any time and from time to time at the election of the purchaser following the issue date into shares of the Company’s common stock at a conversion price equal to $0.06 per share subject to anti-dilution and price protection. The Company paid a commitment fee of $11,550 settled through the issue of 165,000 shares of common stock. In conjunction with this note the Company issued a five year warrant to purchase 5,500,000 shares of common stock at an exercise price of $0.10 per share, subject to anti-dilution and price protection.

On April 17, 2018, the Company, entered into a Securities Purchase Agreement pursuant to which the Company issued a Convertible Promissory Note in the aggregate principal amount of $605,000, including an Original Issue Discount of $55,000, for net proceeds of $550,000. The note had a maturity date of December 1, 2018 and bears interest at 8.5% per annum. The outstanding principal amount of the note is convertible at any time and from time to time at the election of the purchaser following the issue date into shares of the Company’s common stock at a conversion price equal to $0.06 per share subject to price protection and anti-dilution protection. The Company paid a commitment fee of $42,350 settled through the issue of 10,083,333 shares of common stock. In conjunction with this note the Company issued a five year warrant to purchase 10,083,333 shares of common stock at an exercise price of $0.10 per share, subject to anti-dilution and price protection.

On November 5, 2018, the Company, entered into a Securities Purchase Agreement pursuant to which the Company issued a Convertible Promissory Note in the aggregate principal amount of $111,111, including an Original Issue Discount of $11,111, for net proceeds of $100,000. The note had a maturity date of November 30, 2018 and bore interest at 1.0% per annum. The outstanding principal amount of the note was convertible at any time and from time to time at the election of the purchaser following the issue date into shares of the Company’s common stock at a conversion price equal to $0.06 per share subject to price protection and anti-dilution protection. The Company paid a commitment fee of $8,889 settled through the issue of 111,111 shares of common stock. In conjunction with this note the Company issued a five year warrant to purchase 1,400,000 shares of common stock at an exercise price of $0.10 per share, subject to anti-dilution and price protection. This note was repaid on the maturity date for gross proceeds of $111,184.

On January 17, the Company, entered into a Securities Purchase Agreement pursuant to which the Company issued a Convertible Promissory Note in the aggregate principal amount of $71,111, including an Original Issue Discount of $7,111, for net proceeds of $64,000. The note had a maturity date of July 25, 2019 and bears interest at 11.0% per annum. The outstanding principal amount of the note is convertible at any time and from time to time at the election of the purchaser following the issue date into shares of the Company’s common stock at a conversion price equal to $0.06 per share subject to price protection and anti-dilution protection. The Company paid a commitment fee of $4,978 settled through the issue of 71,111 shares of common stock. In conjunction with this note the Company issued a five year warrant to purchase 1,185,183 shares of common stock at an exercise price of $0.10 per share, subject to anti-dilution and price protection.

Effective March 19, 2019, the Company entered into a note extension agreement with Leonite, whereby the convertible notes outstanding to Leonite, amounting to $2,420,000, for consideration of $75,000 added to the principal outstanding on the note on January 1, 2019, a further $75,000 added to the principal outstanding on the note on February 1, 2019 and a further $100,000 added to the principal of the note on March 15, 2019, the maturity date of the convertible notes above were extended to July 25, 2019. In Addition, the coupon rate of the note was adjusted to 11% per annum with effect from September 2018.

Power Up Lending Group LTD

On July 31, 2018, the Company, entered into a Securities Purchase Agreement with Power Up, pursuant to which the Company issued to the Purchaser a Convertible Promissory Note in the aggregate principal amount of $153,000. The Note has a maturity date of May 15, 2019 and bears interest at the rate of nine percent per annum from the date on which the Note was issued until the same becomes due and payable, whether at maturity or upon acceleration or by prepayment or otherwise. The Company has the right to prepay the Note in terms of agreement. The outstanding principal amount of the Note is convertible at any time and from time to time at the election of the Purchaser during the period beginning on the date that is 180 days following the issue date into shares of the Company’s common stock at a conversion price equal to 61% of the lowest closing bid price of the Company’s common stock for the ten trading days prior to conversion. On January 28, 2019, the Company repaid the Power Up, convertible note entered into on July 31, 2018, of $153,000 together with interest and early settlement penalty thereon for gross proceeds of $207,679.

On September 10, 2018, the Company, entered into a Securities Purchase Agreement with Power Up, pursuant to which the Company issued to the Purchaser a Convertible Promissory Note in the aggregate principal amount of $133,000. The Note has a maturity date of September 10, 2019 and bears interest at the rate of nine percent per annum from the date on which the Note was issued until the same becomes due and payable, whether at maturity or upon acceleration or by prepayment or otherwise. The Company has the right to prepay the Note in terms of agreement. The outstanding principal amount of the Note is convertible at any time and from time to time at the election of the Purchaser during the period beginning on the date that is 180 days following the issue date into shares of the Company’s common stock at a conversion price equal to 61% of the lowest closing bid price of the Company’s common stock for the ten trading days prior to conversion. On March 11, 2019, the Company repaid the Power Up convertible note entered into on September 10, 2018, of $133,000 together with interest and early settlement penalty thereon for gross proceeds of $180,062.

On January 9, 2019, the Company, entered into a Securities Purchase Agreement with Power Up, pursuant to which the Company issued a Convertible Promissory Note in the aggregate principal amount of $53,000 for net proceeds of $50,000 after expenses. The Note has a maturity date of October 30, 2019 and bears interest at the rate of nine percent per annum from the date on which the Note was issued until the same becomes due and payable, whether at maturity or upon acceleration or by prepayment or otherwise. The Company has the right to prepay the Note in terms of agreement. The outstanding principal amount of the Note is convertible at any time and from time to time at the election of Power Up during the period beginning on the date that is 180 days following the issue date into shares of the Company’s common stock at a conversion price equal to 61% of the lowest closing bid price of the Company’s common stock for the ten trading days prior to conversion.

On January 28, 2019, the Company, entered into a Securities Purchase Agreement with Power Up, pursuant to which the Company issued a Convertible Promissory Note in the aggregate principal amount of $138,000 for net proceeds of $135,000 after expenses. The Note has a maturity date of November 15, 2019 and bears interest at the rate of nine percent per annum from the date on which the Note was issued until the same becomes due and payable, whether at maturity or upon acceleration or by prepayment or otherwise. The Company has the right to prepay the Note in terms of agreement. The outstanding principal amount of the Note is convertible at any time and from time to time at the election of Power Up during the period beginning on the date that is 180 days following the issue date into shares of the Company’s common stock at a conversion price equal to 61% of the lowest closing bid price of the Company’s common stock for the ten trading days prior to conversion.

On March 6, 2019, the Company, entered into a Securities Purchase Agreement with Power Up, pursuant to which the Company issued a Convertible Promissory Note in the aggregate principal amount of $128,000, for net proceeds of $125,000 after expenses. The Note has a maturity date of January 30, 2020 and bears interest at the rate of nine percent per annum from the date on which the Note was issued until the same becomes due and payable, whether at maturity or upon acceleration or by prepayment or otherwise. The Company has the right to prepay the Note in terms of agreement. The outstanding principal amount of the Note is convertible at any time and from time to time at the election of Power Up during the period beginning on the date that is 180 days following the issue date into shares of the Company’s common stock at a conversion price equal to 61% of the lowest closing bid price of the Company’s common stock for the ten trading days prior to conversion.

First Fire Global Opportunities Fund

On March 5, 2019, the Company, entered into a Securities Purchase Agreement pursuant to which the Company issued a Convertible Promissory Note in the aggregate principal amount of $200,000, for net proceeds of $192,000 after the payment of legal fees and origination fees amounting to $8,000. The note has a maturity date of December 9, 2019. The outstanding principal amount of the note is convertible at any time and from time to time at the election of the purchaser 180 days after the issued date into shares of the Company’s common stock at the lower of $0.08 per share or 65% of the lowest trade price during the ten consecutive trading days immediately prior to conversion. The note has certain buyback terms if the Company consummates a registered or unregistered primary offering of securities for capital raising purposes, or an option to convert at a 20% discount to the offering price to investors.

Series N convertible notes

During the period from May 17, 2018 to December 4, 2018, The Company closed several tranches of a private offering in which it raised $2,505,000 in principal from 12 accredited investors through the issuance to the investors of the Company’s Series N convertible notes, in the total original principal amount of $2,505,000, which Notes are convertible into the Company’s common stock at a conversion price of $0.08 per share together with three year warrants to purchase up to a total of 31,312,500 shares of the Company’s common stock at an exercise price of $0.12 per share. Both the conversion price under the Notes and the exercise price under the warrants are subject to standard price and anti-dilution adjustment mechanisms. The notes mature between May 16, 2019 to December 3, 2019.

Between January 28, 2019 and March 13, 2019, the Company closed several tranches of Series N Convertible notes in which it raised $1,001,000 in principal from accredited investors through the issuance to the investors of the Company’s Series N convertible notes, in the total original principal amount of $1,001,000, which Notes are convertible into the Company’s common stock at a conversion price of $0.08 per share together with three year warrants to purchase up to a total of 12,512,500 shares of the Company’s common stock at an exercise price of $0.12 per share. Both the conversion price under the Notes and the exercise price under the warrants are subject to standard adjustment mechanisms. The notes mature one year from the date of issuance.

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Mortgage Loans

3 Months Ended

Mar. 31, 2019

Notes to Financial Statements

Mortgage Loans

12. Mortgage loans

Mortgage loans payable is disclosed as follows:

	Interest  rate			Maturity date	Principal  Outstanding		Accrued  interest		March 31, 2019		December 31, 2018
Cranberry Cove Holdings, Ltd.
Pace Mortgage		4.2	%	July 19, 2022	$	3,954,225	$	5,460	$	3,959,685		3,924,836
ARIA
Mortgage		5.0	%	February 13, 2020		2,942,526		10,480		2,953,006		2,954,786
					$	6,896,751	$	15,940	$	6,912,691	$	6,879,722
Disclosed as follows:
Short-term portion									$	3,034,927	$	172,276
Long-term portion										3,877,764		6,707,346
									$	6,912,691	$	6,879,722

The aggregate amount outstanding is payable as follows:

	Amount
Within one year		3,034,927
One to two years		105,728
Two to three years		110,215
Three to four years		3,661,821
Total	$	6,912,691

Cranberry Cove Holdings, Ltd – Pace mortgage

On July 19, 2017, CCH, a wholly owned subsidiary, closed on a loan agreement in the principal amount of CDN$5,500,000. The loan is secured by a first mortgage on the premises owned by CCH located at 3571 Muskoka Road 169, Bala, Ontario (the “Property”). The loan bears interest at the fixed rate of 4.2% with a 5-year primary term and a 25-year amortization. The Company has guaranteed the loan and the Company’s chief executive officer and controlling shareholder also has personally guaranteed the Loan. CCH and the Company have granted the Lender a general security interest in its assets to secure repayment of the Loan. The loan is amortized with monthly installments of CDN $29,531.

ARIA

On February 13, 2017, the Company, through its subsidiary, ARIA, entered into a Mortgage and Security Agreement to purchase the properties located at 801 and 810 Andrews Avenue, Delray Beach, Florida, for an aggregate principal sum of $3,000,000, bearing interest at the rate of 5% per annum, maturing on February 13, 2020, with monthly installments of $15,000.

On April 2, 2019, the Company entered into a Commercial Contract whereby the real property at 801 Andrews Avenue, Delray Beach, Florida, consisting of land and condominiums thereon, was sold to JAGGM, LLC for $3,500,000. This transaction closed during April 2019 and the principal mortgage liability of $2,942,526, including interest thereon was settled.

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Derivative Liablility

3 Months Ended

Mar. 31, 2019

Notes to Financial Statements

Derivative Liablility

13. Derivative liability

The short-term convertible notes, together with certain warrants issued to Leonite and the short term convertible notes issued to Power Up disclosed in note 11 above and note 15 below, have variable priced conversion rights with no fixed floor price and will reprice dependent on the share price performance over varying periods of time. This gives rise to a derivative financial liability, which was initially valued at inception of the convertible notes at $1,335,709 using a Black-Scholes valuation model.

The following assumptions were used in the Black-Scholes valuation model:

	Three months ended March 31,  2019
Calculated stock price		$0.07 to $0.09
Risk free interest rate		2.23% to 2.56%
Expected life of convertible notes and warrants		3 to 60 months
expected volatility of underlying stock		124.7% to 206.8%
Expected dividend rate		0	%

The movement in derivative liability is as follows:

	March 31,  2019		December 31,  2018
Opening balance	$	4,618,080	$	2,859,832
Derivative liability on convertible notes and variable priced warrants		561,022		1,335,709
Fair value adjustments to derivative liability		473,301		422,539
Closing balance	$	5,652,403	$	4,618,080

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Related Party Transactions

3 Months Ended

Mar. 31, 2019

Related Party Transactions [Abstract]

Related Party Transactions

14. Related party transactions

Shawn E. Leon 

As of March 31, 2019 and December 31, 2018 the Company had a receivable of $51,011 and $32,650 from Shawn E. Leon, respectively. Mr. Leon is a director and CEO of the Company. The balances receivable is non-interest bearing and has no fixed repayment terms.

Mr. Leon was paid management fees of $0 and $46,533 for the three months ended March 31, 2019 and 2018 respectively.

Leon Developments, Ltd. 

As of March 31, 2019 and December 31, 2018, the Company owed Leon Developments, Ltd., $1,625,908 and $1,581,499, respectively. The balance owing to Leon Developments, Ltd. Is non-interest bearing and has no fixed terms of repayment.

Eileen Greene 

As of March 31, 2019 and December 31, 2018, the Company owed Eileen Greene, the spouse of its CEO, Shawn Leon, $1,048,270 and $1,034,114, respectively. The amount owing to Ms. Greene is non-interest bearing and has no fixed repayment terms.

All related party transactions occur in the normal course of operations and in terms of agreements entered into between the parties.

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Stockholders' deficit

3 Months Ended

Mar. 31, 2019

Equity [Abstract]

Stockholders' deficit

15. Stockholders’ deficit

a) Common shares

Authorized, issued and outstanding

The Company has authorized 500,000,000 shares with a par value of $0.01 per share. The company has issued and outstanding 124,371,452 and 124,300,341 as of March 31, 2019 and December 31, 2018, respectively.

On January 17, 2019, the Company issued 71,111 shares of common stock to Leonite in connection with the closing of a financing of a Senior Secured Convertible Note. The shares were valued at $4,978 on the issue date and recorded as a debt discount.

b) Preferred shares

Authorized, issued and outstanding

The Company has authorized 13,000,000 preferred shares with a par value of $0.01 per share, designated as 3,000,000 series A convertible preferred shares and 10,000,000 series B convertible preferred shares. The Company has no preferred shares issued and outstanding.

c) Warrants

In terms of the convertible note agreements entered into with Leonite disclosed in note 11 above, the Company granted warrants exercisable over a total of 1,185,183 shares of common stock at an exercise price of $0.10 per share, which was recorded as a debt discount.

In terms of the Series N Convertible debt issued to various accredited investors, disclosed in note 11 above, the Company granted warrants exercisable over a total of 12,512,500 shares of common stock at an exercise price of $0.12 per share, which was recorded as a debt discount.

The warrants were valued using a Black Scholes pricing model on the date of grant at $899,049 using the following weighted average assumptions:

	Three months ended March 31,  2019
Calculated stock price		$0.07 to $0.09
Risk free interest rate		2.19% to 2.58%
Expected life of convertible notes and warrants		36 to 60 months
expected volatility of underlying stock		398% to 535%
Expected dividend rate		0	%

The volatility of the common stock is estimated using historical data of the Company’s common stock. The risk-free interest rate used in the Black Scholes pricing model is determined by reference to historical U.S. Treasury constant maturity rates with maturities approximate to the life of the warrants granted. An expected dividend yield of zero is used in the valuation model, because the Company does not expect to pay any cash dividends in the foreseeable future. As of March 31, 2019, the Company does not anticipate any awards will be forfeited in the valuation of the warrants.

A summary of all of the Company’s warrant activity during the period January 1, 2018 to March 31, 2019 is as follows:

	No. of shares		Exercise price per  share		Weighted average exercise price
Outstanding January 1, 2018		49,504,075		$0.0033 to $.0.10	$	0.0690
Granted		48,295,833		0.10 to 0.12		0.1130
Forfeited/cancelled		—		—		—
Exercised		—		—		—
Outstanding December 31, 2018		97,799,908		0.03 to 0.12		0.0910
Granted		13,697,683		0.10 to 0.12		0.1183
Forfeited/cancelled		—		—		—
Exercised		—		—		—
Outstanding March 31, 2019		111,197,591		$0.03 to $0.12	$	0.0942

The following table summarizes information about warrants outstanding at March 31, 2019:

	Warrants outstanding						Warrants exercisable
Exercise price	No. of shares		Weighted average  remaining years		Weighted average  exercise price		No. of shares		Weighted average  exercise price
$0.03		21,704,075		1.00				21,704,075
$0.10		45,668,516		3.90				45,668,516
$0.12		43,825,000		2.50				43,825,000
		111,197,591		2.77	$	0.0942		111,197,591	$	0.0942

All of the warrants outstanding as of March 31, 2019 and December 31, 2018 are vested. The warrants outstanding as of March 31, 2019 have an intrinsic value of $1,085,204.

d) Stock options

Our board of directors adopted the Greenestone Healthcare Corporation 2013 Stock Option Plan (the “Plan”) to promote our long-term growth and profitability by (i) providing our key directors, officers and employees with incentives to improve stockholder value and contribute to our growth and financial success and (ii) enable us to attract, retain and reward the best available persons for positions of substantial responsibility. A total of 10,000,000 shares of our common stock have been reserved for issuance upon exercise of options granted pursuant to the Plan. The Plan allows us to grant options to our employees, officers and directors and those of our subsidiaries; provided that only our employees and those of our subsidiaries may receive incentive stock options under the Plan. We have granted a total of 480,000 options as of March 31, 2019 under the Plan.

No options were issued, exercised or cancelled during the three months ended March 31, 2019 and the year ended December 31, 2018, respectively.

The following table summarizes information about options outstanding as of March 31, 2019:

	Options outstanding						Options exercisable
Exercise price	No. of shares		Weighted average  remaining years		Weighted average  exercise price		No. of shares		Weighted average  exercise price
$0.12		480,000		0.59				480,000
		480,000		0.59	$	0.12		480,000	$	0.12

The Company issued Stock options to a former officer vesting over a 24-month period commencing on November 1, 2014 expiring on October 31, 2019, a formal option agreement has not been issued as yet, as such the terms of these options are uncertain.

As of March 31, 2019 there was no unrecognized compensation costs related to these options and the intrinsic value of the options as of March 31, 2019 was $0.

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Segment Information

3 Months Ended

Mar. 31, 2019

Notes to Financial Statements

Segment Information

16. Segment information

The Company has two reportable operating segments:

a. Rental income from the property owned by CCH subsidiary located at 3571 Muskoka Road, #169, Bala, on which the operations of the Canadian Rehab Clinic were located prior to disposal on February 14, 2017 and subsequently leased to the purchasers of the business of the Canadian Rehab Clinic, for a period of 5 years renewable for a further three five-year periods and with an option to acquire the property at a fixed price.

b. Rehabilitation Services provided to customers, these services were provided to customers at the Company’s Addiction Recovery Institute of America and Seastone of Delray operations.

The segment operating results of the reportable segments are disclosed as follows:

	Three months ended March 31, 2019
	Rental Operations			In-Patient services			Total
Revenue	$	82,015		$	—		$	82,015
Operating expenses		37,358			1,439,155			1,476,513
Operating income (loss)		44,657			(1,439,155	)		(1,394,498	)
Other (expense) income
Interest income		—			15,277			15,277
Interest expense		(41,512	)		(303,586	)		(345,098	)
Amortization of debt discount		—			(761,942	)		(761,942	)
Loss on change in fair value of derivative liability		—			(473,301	)		(473,301	)
Foreign exchange movements		(19,291	)		(109,827	)		(129,118	)
Net loss before taxation		(16,146	)		(3,072,534	)		(3,088,680	)
Taxation		—			—			—
Net loss	$	(16,146	)	$	(3,072,534	)	$	(3,088,680	)

The operating assets and liabilities of the reportable segments are as follows:

	March 31, 2019
	Rental Operations			In-Patient services			Total
Purchase of fixed assets		—			8,176			8,176
Assets
Current assets		471			2,388,629			2,389,100
Non-current assets		2,885,893			23,004,453			25,890,346
Liabilities
Current liabilities		(2,117,691	)		(17,117,309	)		(19,235,000	)
Non-current liabilities		(3,877,763	)		(15,048,675	)		(18,926,438	)
Intercompany balances		737,461			(737,461	)		—
Net liability position		(2,371,629	)		(7,510,363	)		(9,881,992	)

The segment operating results of the reportable segments are disclosed as follows:

	Three months ended March 31, 2018
	Rental Operations			In-Patient services			Total
Revenue	$	84,112		$	29,190		$	113,302
Operating expenditure		31,401			500,445			531,846
Operating income (loss)		52,711			(471,255	)		(418,544	)
Other (expense) income
Interest income		—			49			49
Interest expense		(50,049	)		(120,402	)		(170,451	)
Amortization of debt discount		—			(752,949	)		(752,949	)
Loss on change in fair value of derivative liability		—			(12,156	)		(12,156	)
Foreign exchange movements		29,209			108,687			137,896
Net income (loss)		31,871			(1,248,026	)		(1,216,155	)
Taxation		—			—			—
Net income (loss)	$	31,871		$	(1,248,026	)	$	(1,216,155	)

The operating assets and liabilities of the reportable segments are as follows:

	March 31, 2018
	Rental Operations			In-Patient services			Total
Purchase of fixed assets		—			—			—
Assets
Current assets		—			308,280			308,280
Non-current assets		3,066,465			8,524,705			11,591,170
Liabilities
Current liabilities		(2,222,619	)		(5,677,890	)		(7,900,509	)
Non-current liabilities		(4,128,074	)		(2,904,300	)		(7,032,374	)
Intercompany balances		789,576			(789,576	)		—
Net liability position		(2,494,652	)		(538,781	)		(3,033,433	)

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Net loss per common share

3 Months Ended

Mar. 31, 2019

Earnings Per Share [Abstract]

Net loss per common share

17. Net loss per common share

For the three months ended March 31, 2019 and 2018, the following options and warrants were excluded from the computation of diluted net loss per share as the results would have been anti-dilutive.

	March 31,  2019		March 31,  2018
Stock options		480,000		480,000
Warrants		111,197,591		55,004,075
Convertible notes		83,671,069		37,244,536
		195,348,660		92,728,611

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Commitments and contingencies

3 Months Ended

Mar. 31, 2019

Commitments and Contingencies Disclosure [Abstract]

Commitments and contingencies

18. Commitment and contingencies

a) Contingency related to outstanding penalties

The Company has provided for potential US penalties of $250,000 due to non-compliance with the filing of certain required returns. The actual liability may be higher due to interest and penalties assessed by these taxing authorities. 

b) Option to purchase lease property

On May 23, 2018, the Company entered into a Lease Agreement pursuant to which it leased from the AREP 5400 East Avenue LLP (the “Landlord”), the premises located at 5400, 5402, and 5410 East Avenue, West Palm Beach, Florida (the “Property”). The Lease has an initial term of 10 years and provides for 2 additional 10 year extensions. The Company has the option to purchase the property initially for $17,250,000, which amount has increased to $24,000,000 as of April 30, 2019, plus any landlord funded improvements. The option to purchase increases by $750,000 per calendar month. The initial base rental is $146,337 per month, plus any taxes imposed on the premises or the base rental.

c) Future minimum operating lease payments

In terms of the lease agreement mentioned above the Company is obligated to make the following minimum undiscounted lease payments:

	Amount
Remainder of 2019	$	1,363,592
2020		1,882,422
2021		1,962,242
2022		2,042,062
2023 and thereafter		12,436,419
Total undiscounted minimum future lease payments		19,686,737

d) Mortgage payments

The Company is obligated to make the following mortgage loans payments:

	Amount
Within one year		3,034,927
One to two years		105,728
Two to three years		110,215
Three to four years		3,661,821
Total	$	6,912,691

Included in the amount due within one year is an amount t of $2,953,006 related to the Assets held for resale, disclosed under note 5 above, this amount was settled out of the proceeds realized on the sale of the property.

e) Other

The Company has principal and interest payment commitments under the Convertible notes disclosed under Note 11 above. Conversion of these notes are at the option of the investor, if not converted these notes may need to be repaid.

From time to time, the Company and its subsidiaries enter into legal disputes in the ordinary course of business. The Company believes there are no material legal or administrative matters pending that are likely to have, individually or in the aggregate, a material adverse effect on its business or results of operations.

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Subsequent events

3 Months Ended

Mar. 31, 2019

Subsequent Events [Abstract]

Subsequent events

18. Subsequent events

On April 30, 2019, the Company concluded the sale of the real property located at 801 Andrews Avenue, Delray Beach consisting of land and condominiums thereon, for gross proceeds of $3,500,000. The proceeds were used to settle the outstanding mortgage loan of $2,987,568, including interest thereon, commissions and expenses related to the sale of the property of approximately $183,819, and certain outstanding property taxes of $77,523. The net proceeds received by the company of $251,000 was used to repay a portion of the convertible debt.

Subsequent to March 31, 2019 we raised an additional CDN$255,000 and a further US$175,000 which together with proceeds of US$70,000 and CDN$75,000 received prior to March 31, 2019 were converted into Series N convertible notes.

Other than disclosed above, the Company has evaluated subsequent events through the date the unaudited condensed consolidated financial statements were available to be issued and has concluded that no such events or transactions took place that would require disclosure herein.

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Summary of Significant Accounting Policies (Policies)

3 Months Ended

Mar. 31, 2019

Accounting Policies [Abstract]

Use of Estimates

a) Use of Estimates

The preparation of financial statements in conformity with US GAAP requires management to make estimates and assumptions that affect the reported amounts of assets and liabilities and disclosure of contingent assets and liabilities at the date of the financial statements and the reported amounts of revenues and expenses during the reporting periods. Actual results could differ from those estimates.

Principals of consolidation and foreign currency translation

b) Principals of consolidation and foreign currency translation

The accompanying unaudited condensed consolidated financial statements include the accounts of the Company and all of its subsidiaries. All intercompany transactions and balances have been eliminated on consolidation.

Certain of the Company’s subsidiaries functional currency is the Canadian dollar, while the Company’s reporting currency is the U.S. dollar. All transactions initiated in Canadian dollars are translated into US dollars in accordance with ASC 830, “Foreign Currency Translation” as follows:

● Monetary assets and liabilities at the rate of exchange in effect at the balance sheet date.

● Equity at historical rates.

● Revenue and expense items and cash flows at the average rate of exchange prevailing during the period.

Adjustments arising from such translations are deferred until realization and are included as a separate component of stockholders’ deficit as a component of accumulated other comprehensive income or loss. Therefore, translation adjustments are not included in determining net income (loss) but reported as other comprehensive income (loss).

For foreign currency transactions, the Company translates these amounts to the Company’s functional currency at the exchange rate effective on the invoice date. If the exchange rate changes between the time of purchase and the time actual payment is made, a foreign exchange transaction gain or loss results which is included in determining net income for the period.

The relevant translation rates are as follows: For the three months ended March 31, 2019, a closing rate of CDN$1.00 equals US$0.7483 and an average exchange rate of CDN$1.00 equals US$0.7522. For the three months ended March 31, 2018, a closing rate of CAD$1.00 equals US$0.7756 and an average exchange rate of CAD$1.0000 equals US$0.7907.

Revenue Recognition

c) Revenue Recognition

ASU 2014-09 requires companies to exercise more judgment and recognize revenue using a five-step process. The Company adopted ASU 2014-09 using the modified retrospective method for all contracts effective January 1, 2018. Modified retrospective adoption requires entities to apply the standard retrospectively to the most current period presented in the financial statements, requiring the cumulative effect of the retrospective application as an adjustment to the opening balance of retained earnings at the date of initial application. Prior periods have not been adjusted. No cumulative effect adjustment in retained earnings was recorded as the adoption of ASU 2014-09 did not significantly impact the Company’s reported historical revenue.

As a result of certain changes required by ASU 2014-09, the majority of the Company’s provision for doubtful accounts are recorded as a direct reduction to revenue instead of being presented as a separate line item on the consolidated statements of operations. The adoption of ASU 2014-09 has no impact on the Company’s accounts receivable as it was historically recorded net of allowance for doubtful accounts and contractual adjustments, and the Company has eliminated the presentation of allowance for doubtful accounts on the consolidated balance sheets.

As our performance obligations relate to contracts with a duration of one year or less, the Company elected the optional exemption in ASC 606-10-50-14(a). Therefore, the Company is not required to disclose the transaction price for the remaining performance obligations at the end of the reporting period or when the Company expects to recognize the revenue. The Company has minimal unsatisfied performance obligations at the end of the reporting period as our patients typically are under no obligation to remain admitted in our facilities.

The Company receives payments from the following sources for services rendered in our U.S. Facility: (i) commercial insurers; and (ii) individual patients and clients. As the period between the time of service and time of payment is typically one year or less, the Company elected the practical expedient under ASC 606-10-32-18 and did not adjust for the effects of a significant financing component.

The Company derives a significant portion of its revenue from other payors that receive discounts from established billing rates. The various managed care contracts under which these discounts must be calculated are complex, subject to interpretation and adjustment, and may include multiple reimbursement mechanisms for different types of services provided in the Company’s in-patient facilities and cost settlement provisions. Management estimates the transaction price on a pay or specific basis given its interpretation of the applicable regulations or contract terms. The services authorized and provided and related reimbursement are often subject to interpretation that could result in payments that differ from the Company’s estimates. Additionally, updated regulations and contract renegotiations occur frequently, necessitating regular review and assessment of the estimation process by management.

Settlements under cost reimbursement agreements with third-party payors are estimated and recorded in the period in which the related services are rendered and are adjusted in future periods as final settlements are determined. In the opinion of management, adequate provision has been made for any adjustments and final settlements. However, there can be no assurance that any such adjustments and final settlements will not have a material effect on the Company’s financial condition or results of operations. The Company’s cost report receivables were $279,929 and $202,654 for the three months ended March 31, 2019 and year ended December 31, 2018, respectively, and were included in other current assets in the consolidated balance sheets. Management believes that these receivables are properly stated and are not likely to be settled for a significantly different amount. The net adjustments to estimated cost report settlements resulted in a decrease in revenues of $0 and $262,353 for the three months ended March 31, 2019 and the year ended December 31, 2018, respectively.

The Company has analyzed its revenue transaction pursuant to ASC 606, Revenue, and it has no material impact as a result of the transition from ASC 605 to 606. The Company’s revenues are recognized when control of the promised goods or services are transferred to a customer, in an amount that reflects the consideration that the Company expects to receive in exchange for those services. The Company derives its revenues from the sale of its services, as defined below. The Company applies the following five steps in order to determine the appropriate amount of revenue to be recognized as it fulfills its obligations under each of its revenue transactions:

i. identify the contract with a customer;

ii. identify the performance obligations in the contract;

iii. determine the transaction price;

iv. allocate the transaction price to performance obligations in the contract; and

v. recognize revenue as the performance obligation is satisfied.

The Company has two operating segments from which it derives revenues which is recognized on the basis described below.

i. Rental Income

In terms of the lease agreement, on a monthly basis as long as the facility is utilized by the tenant

ii. In-patient revenue

The customers have been treated and provided with services by the Company; there is clear evidence that an arrangement exists; the amount of revenue and related costs can be measured reliably; and it is probable that the economic benefits associated with the transaction will flow to the Company.

Non-monetary transactions

d) Nonmonetary transactions

The Company’s policy is to measure an asset exchanged or transferred in a nonmonetary transaction at the more reliable measurement of the fair value of the asset given up and the fair value of the asset received, unless:

● The transaction lacks commercial substance;

● The transaction is a transfer between entities under common control;

● The transaction is an exchange of a product or property held for sale in the ordinary course of business for a product or property to be sold in the same line of business to facilitate sales to customers other than the parties to the exchange;

● Neither the fair value of the asset received nor the fair value of the asset given up is reliably measurable; or

● The transaction is a nonmonetary, non-reciprocal transfer to owners that represents a spinoff or other form of restructuring or liquidation.

Cash and cash equivalents

e) Cash and cash equivalents

The Company’s policy is to disclose bank balances under cash, including bank overdrafts with balances that fluctuate frequently from being positive to overdrawn and term deposits with a maturity period of three months or less from the date of acquisition.

Accounts receivable

f) Accounts receivable

Accounts receivable primarily consists of amounts due from third-party payors (non-governmental) and private pay patients and is recorded net of allowances for doubtful accounts and contractual discounts. The Company’s ability to collect outstanding receivables is critical to its results of operations and cash flows. Accordingly, accounts receivable reported in the Company’s unaudited condensed consolidated financial statements is recorded at the net amount expected to be received. The Company’s primary collection risks are (i) the risk of overestimating net revenues at the time of billing that may result in the Company receiving less than the recorded receivable, (ii) the risk of non-payment as a result of commercial insurance companies denying claims, (iii) the risk that patients will fail to remit insurance payments to the Company when the commercial insurance company pays out-of-network claims directly to the patient, (iv) resource and capacity constraints that may prevent the Company from handling the volume of billing and collection issues in a timely manner, (v) the risk that patients do not pay the Company for their self-pay balances (including co-pays, deductibles and any portion of the claim not covered by insurance) and (vi) the risk of non-payment from uninsured patients.

Allowance for Doubtful Accounts, Contractual and Other Discounts

g) Allowance for Doubtful Accounts, Contractual and other Discounts

The Company derives the majority of its revenues from commercial payors at out-of-network rates. Management estimates the allowance for contractual and other discounts based on its historical collection experience. The services authorized and provided and related reimbursement are often subject to interpretation and negotiation that could result in payments that differ from the Company’s estimates. The Company’s allowance for doubtful accounts is based on historical experience, but management also takes into consideration the age of accounts, creditworthiness and current economic trends when evaluating the adequacy of the allowance for doubtful accounts. An account is written off only after the Company has pursued collection efforts or otherwise determines an account to be uncollectible. Uncollectible balances are written-off against the allowance. Recoveries of previously written-off balances are credited to income when the recoveries are made.

Financial instruments

h) Financial instruments

The Company initially measures its financial assets and liabilities at fair value, except for certain non-arm’s length transactions. The Company subsequently measures all its financial assets and financial liabilities at amortized cost.

Financial assets measured at amortized cost include cash and accounts receivable.

Financial liabilities measured at amortized cost include bank indebtedness, accounts payable and accrued liabilities, harmonized sales tax payable, withholding taxes payable, convertible notes payable, loans payable and related party notes.

Financial assets measured at cost are tested for impairment when there are indicators of impairment. The amount of the write-down is recognized in net income. The previously recognized impairment loss may be reversed to the extent of the improvement, directly or by adjusting the allowance account, provided it is no greater than the amount that would have been reported at the date of the reversal had the impairment not been recognized previously. The amount of the reversal is recognized in net income. The Company recognizes its transaction costs in net income in the period incurred. However, financial instruments that will not be subsequently measured at fair value are adjusted by the transaction costs that are directly attributable to their origination, issuance or assumption.

FASB ASC 820 defines fair value, establishes a framework for measuring fair value in accordance with generally accepted accounting principles, and expands disclosures about fair value measurements. ASC 820 establishes a three tier fair value hierarchy, which prioritizes the inputs used in measuring fair value as follows:

● Level 1. Observable inputs such as quoted prices in active markets;

● Level 2. Inputs, other than the quoted prices in active markets, that are observable either directly or indirectly; and

● Level 3. Unobservable inputs in which there is little or no market data, which requires the reporting entity to develop its own assumptions.

The Company measures its convertible debt and derivative liabilities associated therewith at fair value. These liabilities are revalued periodically and the resultant gain or loss is realized through the Statement of Operations.

Plant and equipment

i) Plant and equipment

Fixed assets are recorded at cost. Depreciation is calculated on the straight line basis over the estimated life of the asset:

Leasehold improvements are depreciated using the straight-line method over the term of the lease.

Leases

j) Leases

Leases are classified as either capital or operating leases. Leases that transfer substantially all of the benefits and inherent risks of ownership of property to the Company are accounted for as capital leases. At the time a capital lease is entered into, an asset is recorded together with its related long-term obligation to reflect the acquisition and financing. Equipment recorded under capital leases is amortized on the same basis as described above. Leases that are classified as operating leases are recorded as a right-of-use asset with a corresponding operating lease liability. The right of use asset is amortized over the life of the lease using the effective interest rate method whilst the operating lease obligation is amortized over the term of the lease using the effective interest method after adjusting for the impact of straight line lease payments. The operating lease expense is recorded as an expense in the statement of operations on a straight line basis over the term of the operating lease.

Income taxes

k) Income taxes

The Company accounts for income taxes under the provisions of ASC Topic 740, “Income Taxes”. Under ASC Topic 740, deferred tax assets and liabilities are recognized for the future tax consequences attributable to differences between the financial statement carrying amounts of existing assets and liabilities and their respective tax bases. Deferred income taxes are provided using the liability method. Under this method, deferred income taxes are recognized for the tax consequences of temporary differences by applying enacted statutory rates applicable to future years to differences between the financial statement carrying amounts and the tax bases of existing assets and liabilities. The tax basis of an asset or liability is the amount attributed to that asset or liability for tax purposes. The effect on deferred taxes of a change in tax rates is recognized in income in the period of change. A valuation allowance is provided to reduce the amount of deferred tax assets if it is considered more likely than not that some portion of, or all of, the deferred tax assets will not be realized.

ASC Topic 740 contains a two-step approach to recognizing and measuring uncertain tax positions taken or expected to be taken in a tax return. The first step is to determine if the weight of available evidence indicates that it is more likely than not that the tax position will be sustained in an audit, including resolution of any related appeals or litigation processes. The second step is to measure the tax benefit as the largest amount that is more than 50% likely to be realized upon ultimate settlement. The Company recognizes interest and penalties accrued on unrecognized tax benefits within general and administrative expense. To the extent that accrued interest and penalties do not ultimately become payable, amounts accrued will be reduced and reflected as a reduction in general and administrative expenses in the period that such determination is made. The tax returns for fiscal 2001, through 2017 are subject to audit or review by the US tax authorities, whereas fiscal 2010 through 2017 are subject to audit or review by the Canadian tax authority.

Net income (loss) per share information

l) Net income (loss) per Share

Basic net income (loss) per share is computed on the basis of the weighted average number of common stock outstanding during the period.

Diluted net income (loss) per share is computed on the basis of the weighted average number of common stock and common stock equivalents outstanding. Dilutive securities having an anti-dilutive effect on diluted net income (loss) per share are excluded from the calculation.

Dilution is computed by applying the treasury stock method for options and warrants. Under this method, “in-the money” options and warrants are assumed to be exercised at the beginning of the period (or at the time of issuance, if later), and as if funds obtained thereby were used to purchase common stock at the average market price during the period. Dilution is computed by applying the if-converted method for convertible preferred stocks. Under this method, convertible preferred stock is assumed to be converted at the beginning of the period (or at the time of issuance, if later), and preferred dividends (if any) will be added back to determine income applicable to common stock. The shares issuable upon conversion will be added to weighted average number of common stock outstanding. Conversion will be assumed only if it reduces earnings per share (or increases loss per share).

Stock based compensation

m) Stock based compensation

Stock based compensation cost is measured at the grant date, based on the estimated fair value of the award and is recognized as expense over the employee’s requisite service period or vesting period on a straight-line basis. Share-based compensation expense recognized in the unaudited condensed consolidated statements of operations for the three months ended March 31, 2019 and the year ended December 31, 2018 is based on awards ultimately expected to vest and has been reduced for estimated forfeitures. This estimate will be revised in subsequent periods if actual forfeitures differ from those estimates. We have minimal awards with performance conditions and no awards dependent on market conditions.

Derivatives

n) Derivatives

The Company evaluates embedded conversion features within convertible debt under ASC 815 “Derivatives and Hedging” to determine whether the embedded conversion feature should be bifurcated from the host instrument and accounted for as a derivative at fair value with changes in fair value recorded in earnings. The Company uses a Black Scholes Option Pricing model to estimate the fair value of convertible debt conversion features at the end of each applicable reporting period. Changes in the fair value of these derivatives during each reporting period are included in the statements of operations. Inputs into the Black Scholes Option Pricing model require estimates, including such items as estimated volatility of the Company’s stock, risk free interest rate and the estimated life of the financial instruments being fair valued.

If the conversion feature does not require derivative treatment under ASC 815, the instrument is evaluated under ASC 470-20 “Debt with Conversion and Other Options” for consideration of any beneficial conversion feature.

Recent accounting pronouncements

o) Recent accounting pronouncements

Adoption of Accounting Standards

In February 2016, the Financial Accounting Standards Board (“FSAB”) issued Accounting Standards Update (“ASU”), No. 2016-02, Leases (Topic 842) (ASC 842)

The amendments in this update establishes a comprehensive new lease accounting model. The new standard: (a) clarifies the definition of a lease; (b) requires a dual approach to lease classification similar to current lease classifications; and (c) causes lessees to recognize leases on the balance sheet as a lease liability with a corresponding right-of-use asset for leases with a lease-term of more than twelve months. The new standard is effective for fiscal years and interim periods beginning after December 15, 2018, with early adoption permitted. A modified retrospective transition approach is required for leases existing at, or entered into after, the beginning of the earliest comparative period presented in the financial statements, including a number of optional practical expedients that entities may elect to apply. In July 2018, the FASB issued ASU No. 2018-11, Leases (Topic 842): Targeted Improvements, an update which provides another transition method, the prospective transition method, which allows entities to initially apply the new lease standard at the adoption date and recognize a cumulative-effect adjustment to the opening balance of retained earnings in the period of adoption. The Company adopted the new standard on January 1, 2019 using the prospective transition method.

The Company has identified all leases and reviewed the leases to determine the impact of ASC 842 on its unaudited condensed consolidated financial statements. The Company has elected to apply the practical expedient to certain classes of leases, whereby the separation of components of leases into lease and non-lease components is not required and all of the practical expedients to all leases, which include not reassessing (1) whether any expired or existing contracts are or contain leases, (2) lease classification for any expired or existing leases, and (3) initial direct costs for any existing leases. The adoption of the new standard resulted in the recording of a right-of-use asset and a lease liability on the unaudited condensed consolidated balance sheet on January 1, 2019 of $15,986,074. The adoption of ASU 2016-02, as amended, has had no impact on the unaudited condensed consolidated statements of operations or unaudited condensed consolidated statements of cash flows.

Recent accounting pronouncements   

The FASB issued several updated during the period, none of these standards are either applicable to the Company or require adoption at a future date and are not expected to have a material impact on the unaudited condensed consolidated financial statements upon adoption.   

Financial instrument Risks

p) Financial instruments Risks

The Company is exposed to various risks through its financial instruments. The following analysis provides a measure of the Company’s risk exposure and concentrations at the balance sheet date, March 31, 2019 and December 31, 2018.

i. Credit risk

Credit risk is the risk that one party to a financial instrument will cause a financial loss for the other party by failing to discharge an obligation. Financial instruments that subject the Company to credit risk consist primarily of accounts receivable.

Credit risk associated with accounts receivable of ARIA is mitigated as only a percentage of the revenue billed to health insurance companies is recognized as income until such time as the actual funds are collected. The revenue is concentrated amongst several health insurance companies located in the US.

In the opinion of management, credit risk with respect to accounts receivable is assessed as low.

ii. Liquidity risk

Liquidity risk is the risk the Company will not be able to meet its financial obligations as they fall due. The Company is exposed to liquidity risk through its working capital deficiency of $16,845,900 accumulated deficit of $33,617,724. The Company will be dependent upon the raising of additional capital in order to implement its business plan. There is no assurance that the Company will be successful with future financing ventures, and the inability to secure such financing may have a material adverse effect on the Company’s financial condition. In the opinion of management, liquidity risk is assessed as high, material and remains unchanged from the prior year.

iii. Market risk

Market risk is the risk that the fair value or future cash flows of a financial instrument will fluctuate because of changes in market prices. Market risk comprises of three types of risk: interest rate risk, currency risk, and other price risk. The Company is exposed to interest rate risk and currency risk.

a. Interest rate risk

Interest rate risk is the risk that the fair value or future cash flows of a financial instrument will fluctuate because of changes in market interest rates. The Company is exposed to minimal interest rate risk as there is no overdraft indebtedness as of March 31, 2019. In the opinion of management, interest rate risk is assessed as low, not material and remains unchanged from the prior year.

b. Currency risk

Currency risk is the risk that the fair value or future cash flows of a financial instrument will fluctuate because of changes in foreign exchange rates. The Company is subject to currency risk as it has subsidiaries that operate in Canada and are subject to fluctuations in the Canadian dollar. A substantial portion of the Company’s financial assets and liabilities are denominated in Canadian dollars. Based on the net exposures at March 31, 2019, a 5% depreciation or appreciation of the Canadian dollar against the U.S. dollar would result in an approximate $5,250 increase or decrease in the Company’s after tax net income from operations. The Company has not entered into any hedging agreements to mediate this risk. In the opinion of management, currency risk is assessed as low, material and remains unchanged from the prior year.

c. Other price risk

Other price risk is the risk that the fair value or future cash flows of a financial instrument will fluctuate because of changes in market prices (other than those arising from interest rate risk or currency risk), whether those changes are caused by factors specific to the individual financial instrument or its issuer, or factors affecting all similar financial instruments traded in the market. In the opinion of management, the Company is not exposed to this risk and remains unchanged from the prior year.

Reclassification of Prior Year Presentation

q) Reclassification of Prior Year Presentation

Certain prior year amounts have been reclassified for consistency with the current year presentation. These reclassifications had no effect on the reported results of operations.

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Property plant and equipment (Tables)

3 Months Ended

Mar. 31, 2019

Property Plant And Equipment Tables

Schedule of property and equipment

	March 31,  2019							December 31, 2018
	Cost		Accumulated depreciation			Net book value		Net book value
Land	$	2,038,510	$	—		$	2,038,510	$	2,911,530
Property		5,215,854		(393,771	)		4,822,083		5,750,045
Leasehold improvements		265,100		(8,304	)		256,796		251,774
Furniture and fixtures		88,176		(51,184	)		36,992		35,000
	$	7,607,640	$	(453,259	)	$	7,154,381	$	8,948,349

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Leases (Tables)

3 Months Ended

Mar. 31, 2019

Leases Tables Abstract

Schedule of operating leases

Right of use assets

Right of use assets are included in the unaudited condensed consolidated Balance Sheet are as follows:

	March 31, 2019
Non-current assets
Right of use assets, net of amortization	$	15,736,177

Total operating lease cost

Individual components of the total lease cost incurred by the Company is as follows:

	Three months ended March 31, 2019
Operating lease expense	$	534,312

Minimum rental payments under operating leases are recognized on a straight-line basis over the term of the lease.

Maturity of operating leases

 The amount of future minimum lease payments under operating leases are as follows:

	Amount
Remainder of 2019	$	1,363,592
2020		1,882,422
2021		1,962,242
2022		2,042,062
2023 and thereafter		12,436,419
Total undiscounted minimum future lease payments		19,686,737
Deferred rental liability on straight line amortization		95,302
Imputed interest		(3,950,560	)
Total operating lease liability	$	15,831,479
Disclosed as:
Current portion	$	782,805
Non-current portion		15,048,674
	$	15,831,479

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Taxes Payable (Tables)

3 Months Ended

Mar. 31, 2019

Notes to Financial Statements

Taxation Payable

	March 31,  2019		December 31,  2018
Payroll taxes	$	136,638	$	133,843
HST/GST payable		—		33,757
US penalties due		250,000		250,000
Income tax payable		365,262		357,792
	$	751,900	$	775,392

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Convertible notes (Tables)

3 Months Ended

Mar. 31, 2019

Short-term Convertible Loan Tables

Convertible notes

	Interest  rate			Maturity date	Principal		Interest		Debt Discount			March 31,  2019		December 31,  2018
Leonite Investments LLC		11.0	%	July 25,  2019	$	2,494,754	$	—	$	(169,186	)	$	2,325,568	$	2,494,180
Power Up Lending Group Ltd		9.0	%	May 15,2019		—		—		—			—		94,595
		9.0	%	September 10, 2019		—		—		—			—		44,484
		9.0	%	October 30, 2019		53,000		1,059		(38,398	)		15,661		—
		9.0	%	November 11, 2019		138,000		2,110		(108,598	)		31,512		—
		9.0	%	November 15, 2019		128,000		789		(115,402	)		13,387		—
First Fire Global Opportunities Fund		12.0	%	December 5, 2019		200,000		712		(181,091	)		19,621		—
Series N convertible notes		6.0	%	May 17, 2019 to March 13, 2020		3,506,000		91,050		(1,285,543	)		2,311,507		1,770,214
													4,717,256		4,403,473

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Mortgage loans (Tables)

3 Months Ended

Mar. 31, 2019

Payables and Accruals [Abstract]

Mortgage loans

	Interest  rate			Maturity date	Principal  Outstanding		Accrued  interest		March 31, 2019		December 31, 2018
Cranberry Cove Holdings, Ltd.
Pace Mortgage		4.2	%	July 19, 2022	$	3,954,225	$	5,460	$	3,959,685		3,924,836
ARIA
Mortgage		5.0	%	February 13, 2020		2,942,526		10,480		2,953,006		2,954,786
					$	6,896,751	$	15,940	$	6,912,691	$	6,879,722
Disclosed as follows:
Short-term portion									$	3,034,927	$	172,276
Long-term portion										3,877,764		6,707,346
									$	6,912,691	$	6,879,722

The aggregate amount outstanding is payable as follows:

	Amount
Within one year		3,034,927
One to two years		105,728
Two to three years		110,215
Three to four years		3,661,821
Total	$	6,912,691

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Derivative Liablility (Tables)

3 Months Ended

Mar. 31, 2019

Derivative Liablility Tables Abstract

Schedule of assumption used in Black Scholes

	Three months ended March 31,  2019
Calculated stock price		$0.07 to $0.09
Risk free interest rate		2.23% to 2.56%
Expected life of convertible notes and warrants		3 to 60 months
expected volatility of underlying stock		124.7% to 206.8%
Expected dividend rate		0	%

Schedule of derivative liability

	March 31,  2019		December 31,  2018
Opening balance	$	4,618,080	$	2,859,832
Derivative liability on convertible notes and variable priced warrants		561,022		1,335,709
Fair value adjustments to derivative liability		473,301		422,539
Closing balance	$	5,652,403	$	4,618,080

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Stockholders' deficit (Tables)

3 Months Ended

Mar. 31, 2019

Equity [Abstract]

Warrants outstanding

The warrants were valued using a Black Scholes pricing model on the date of grant at $899,049 using the following weighted average assumptions:

	Three months ended March 31,  2019
Calculated stock price		$0.07 to $0.09
Risk free interest rate		2.19% to 2.58%
Expected life of convertible notes and warrants		36 to 60 months
expected volatility of underlying stock		398% to 535%
Expected dividend rate		0	%

A summary of all of the Company’s warrant activity during the period January 1, 2018 to March 31, 2019 is as follows:

	No. of shares		Exercise price per  share		Weighted average exercise price
Outstanding January 1, 2018		49,504,075		$0.0033 to $.0.10	$	0.0690
Granted		48,295,833		0.10 to 0.12		0.1130
Forfeited/cancelled		—		—		—
Exercised		—		—		—
Outstanding December 31, 2018		97,799,908		0.03 to 0.12		0.0910
Granted		13,697,683		0.10 to 0.12		0.1183
Forfeited/cancelled		—		—		—
Exercised		—		—		—
Outstanding March 31, 2019		111,197,591		$0.03 to $0.12	$	0.0942

The following table summarizes information about warrants outstanding at March 31, 2019:

	Warrants outstanding						Warrants exercisable
Exercise price	No. of shares		Weighted average  remaining years		Weighted average  exercise price		No. of shares		Weighted average  exercise price
$0.03		21,704,075		1.00				21,704,075
$0.10		45,668,516		3.90				45,668,516
$0.12		43,825,000		2.50				43,825,000
		111,197,591		2.77	$	0.0942		111,197,591	$	0.0942

Options Outstanding

	Options outstanding						Options exercisable
Exercise price	No. of shares		Weighted average  remaining years		Weighted average  exercise price		No. of shares		Weighted average  exercise price
$0.12		480,000		0.59				480,000
		480,000		0.59	$	0.12		480,000	$	0.12

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Segment information (Tables)

3 Months Ended

Mar. 31, 2019

Notes to Financial Statements

Segment information

The segment operating results of the reportable segments are disclosed as follows:

	Three months ended March 31, 2019
	Rental Operations			In-Patient services			Total
Revenue	$	82,015		$	—		$	82,015
Operating expenses		37,358			1,439,155			1,476,513
Operating income (loss)		44,657			(1,439,155	)		(1,394,498	)
Other (expense) income
Interest income		—			15,277			15,277
Interest expense		(41,512	)		(303,586	)		(345,098	)
Amortization of debt discount		—			(761,942	)		(761,942	)
Loss on change in fair value of derivative liability		—			(473,301	)		(473,301	)
Foreign exchange movements		(19,291	)		(109,827	)		(129,118	)
Net loss before taxation		(16,146	)		(3,072,534	)		(3,088,680	)
Taxation		—			—			—
Net loss	$	(16,146	)	$	(3,072,534	)	$	(3,088,680	)

The operating assets and liabilities of the reportable segments are as follows:

	March 31, 2019
	Rental Operations			In-Patient services			Total
Purchase of fixed assets		—			8,176			8,176
Assets
Current assets		471			2,388,629			2,389,100
Non-current assets		2,885,893			23,004,453			25,890,346
Liabilities
Current liabilities		(2,117,691	)		(17,117,309	)		(19,235,000	)
Non-current liabilities		(3,877,763	)		(15,048,675	)		(18,926,438	)
Intercompany balances		737,461			(737,461	)		—
Net liability position		(2,371,629	)		(7,510,363	)		(9,881,992	)

The segment operating results of the reportable segments are disclosed as follows:

	Three months ended March 31, 2018
	Rental Operations			In-Patient services			Total
Revenue	$	84,112		$	29,190		$	113,302
Operating expenditure		31,401			500,445			531,846
Operating income (loss)		52,711			(471,255	)		(418,544	)
Other (expense) income
Interest income		—			49			49
Interest expense		(50,049	)		(120,402	)		(170,451	)
Amortization of debt discount		—			(752,949	)		(752,949	)
Loss on change in fair value of derivative liability		—			(12,156	)		(12,156	)
Foreign exchange movements		29,209			108,687			137,896
Net income (loss)		31,871			(1,248,026	)		(1,216,155	)
Taxation		—			—			—
Net income (loss)	$	31,871		$	(1,248,026	)	$	(1,216,155	)

The operating assets and liabilities of the reportable segments are as follows:

	March 31, 2018
	Rental Operations			In-Patient services			Total
Purchase of fixed assets		—			—			—
Assets
Current assets		—			308,280			308,280
Non-current assets		3,066,465			8,524,705			11,591,170
Liabilities
Current liabilities		(2,222,619	)		(5,677,890	)		(7,900,509	)
Non-current liabilities		(4,128,074	)		(2,904,300	)		(7,032,374	)
Intercompany balances		789,576			(789,576	)		—
Net liability position		(2,494,652	)		(538,781	)		(3,033,433	)

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Net loss per common share (Tables)

3 Months Ended

Mar. 31, 2019

Earnings Per Share [Abstract]

Net loss per common share (Tables)

	March 31,  2019		March 31,  2018
Stock options		480,000		480,000
Warrants		111,197,591		55,004,075
Convertible notes		83,671,069		37,244,536
		195,348,660		92,728,611

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Commitments and contingencies (Tables)

3 Months Ended

Mar. 31, 2019

Commitments And Contingencies

Schedule of operating leases

	Amount
Remainder of 2019	$	1,363,592
2020		1,882,422
2021		1,962,242
2022		2,042,062
2023 and thereafter		12,436,419
Total undiscounted minimum future lease payments		19,686,737

Schedule of mortgage loans

	Amount
Within one year		3,034,927
One to two years		105,728
Two to three years		110,215
Three to four years		3,661,821
Total	$	6,912,691

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Going Concern (Details Narrative)	Mar. 31, 2019 USD ($)
Organization, Consolidation and Presentation of Financial Statements [Abstract]
Working Capital Deficiency	$ 16,844,900
Accumulated Deficit	$ 33,617,724

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Property plant and equipment (Details) - USD ($)	Mar. 31, 2019	Dec. 31, 2018
Cost	$ 7,607,640
Amortization and impairment	(453,259)
Net book value	7,154,381	$ 8,948,349
Land [Member]
Cost	2,038,510
Amortization and impairment
Net book value	2,038,510	2,911,530
Property
Cost	5,215,854
Amortization and impairment	(393,771)
Net book value	4,822,083	5,750,045
Leasehold Improvements
Cost	265,100
Amortization and impairment	(8,304)
Net book value	256,796	251,774
Furniture and Equipment
Cost	88,176
Amortization and impairment	(51,184)
Net book value	$ 36,992	$ 35,000

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Leases - Right of use assets (Details)	Mar. 31, 2019 USD ($)
Leases - Right Of Use Assets
Right of use assets, net of amortization	$ 15,736,177

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Leases - Operating leases (Details)	3 Months Ended
	Mar. 31, 2019 USD ($)
Leases - Operating Leases
Operating lease expense	$ 534,312

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Leases - Maturity of operating leases (Details)	Mar. 31, 2019 USD ($)
Leases - Maturity Of Operating Leases
Remainder of 2019	$ 1,363,592
2020	1,882,422
2021	1,962,242
2022	12,436,419
2023 and thereafter	12,436,419
Total undiscounted minimum future lease payments	19,686,737
Deferred rental liability on straight line amortization	95,302
Imputed interest	(3,950,560)
Total operating lease liability	15,831,479
Disclosed as:
Current portion	782,805
Non-current portion	15,048,674
Total	$ 15,831,479

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Taxes payable - Taxes Payable (Details) - USD ($)	Mar. 31, 2019	Dec. 31, 2018
Notes to Financial Statements
Payroll taxes	$ 136,638	$ 133,843
HST/GST payable		33,757
US tax penalties	250,000	250,000
Income tax payable	365,262	357,792
Taxes Payable	$ 751,900	$ 775,392

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Convertible notes (Details) - USD ($)	3 Months Ended
	Mar. 31, 2019	Dec. 31, 2018
Total	$ 4,717,256	$ 1,770,214
Leonite Investment LLC
Interest Rate	11.00%
Maturity	July 25, 2019
Principal	$ 2,494,754
Interest
Debt Discount	(169,186)
Total	$ 2,325,568	2,494,180
Power Up Lending Group LTD
Interest Rate	9.00%
Maturity	May 15,2019
Principal
Interest
Debt Discount
Total		94,595
Power Up Lending Group LTD 2
Interest Rate	9.00%
Maturity	September 10, 2019
Principal
Interest
Debt Discount
Total		44,484
Power Up Lending Group LTD 3
Interest Rate	9.00%
Maturity	October 30, 2019
Principal	$ 53,000
Interest	1,059
Debt Discount	(38,398)
Total	$ 15,664
Power Up Lending Group LTD 4
Interest Rate	9.00%
Maturity	November 11, 2019
Principal	$ 138,000
Interest	2,110
Debt Discount	(108,598)
Total	$ 31,512
Power Up Lending Group LTD 5
Interest Rate	9.00%
Maturity	November 15, 2019
Principal	$ 128,000
Interest	789
Debt Discount	(115,402)
Total	$ 13,387
First Fire Global Opportunities Fund
Interest Rate	12.00%
Maturity	December 5, 2019
Principal	$ 200,000
Interest	712
Debt Discount	(181,091)
Total	$ 19,621
Series N Convertible Notes
Interest Rate	6.00%
Maturity	May 17, 2019 to March 13, 2020
Principal	$ 3,506,000
Interest	91,050
Debt Discount	(1,285,543)
Total	$ 2,311,507	$ 1,770,214

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Mortgage loans - Loans Payable (Details) - USD ($)	Mar. 31, 2019	Dec. 31, 2018
Payables and Accruals [Abstract]
Short term portion	$ 3,034,927	$ 172,276
Long term portion	3,877,764	6,707,346
Automobile Loan Payable	$ 6,912,691	$ 6,879,722

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Mortgage loans - Aggregate Amount Outstanding (Details)	Mar. 31, 2019 USD ($)
Mortgage Loans - Aggregate Amount Outstanding
Within one year	$ 3,034,927
One to two years	105,728
Two to three years	110,215
Three to four years	3,661,821
Total	$ 6,912,691

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Derivative liability - Black Scholes Valuations (Details)	3 Months Ended
	Mar. 31, 2019 $ / shares
Derivative Liability Details
Calculated stock price, min	$ .07
Calculated stock price, max	$ .099
Risk free interest rate, min	2.23%
Risk free interest rate, max	2.56%
Expected life of convertible notes, minimum	3 months
Expected life of convertible notes, maximum	5 years
Expected volatility of underlying stock, min	124.70%
Expected volatility of underlying stock, max	206.80%
Expected dividend rate	0.00%

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Derivative liability - Movement (Details) - USD ($)	3 Months Ended	12 Months Ended
	Mar. 31, 2019	Dec. 31, 2018
Derivative Liability Details 1
Opening Balance	$ 4,618,080	$ 2,859,832
Derivative liability arising from convertible notes	561,022	1,335,709
Fair value adjustment to derivative liability	473,301	422,539
Closing Balance	$ 5,652,403	$ 4,618,080

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Stockholders' deficit - Warrants Outstanding (Details) - $ / shares	3 Months Ended	12 Months Ended
	Mar. 31, 2019	Dec. 31, 2018
Beginning balance, warrants	97,799,908	49,504,075
Beginning balance, warrants exercise price	$ 0.0910	$ 0.0690
Warrants Granted, shares	13,697,683	48,295,833
Warrants granted, price	$ 0.1183	$ 0.1130
Ending Balance, warrants	111,197,591	97,799,908
Ending Balance, warrants exercise price	$ 0.0942	$ 0.0910

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Stockholders' deficit - Options Outstanding (Details)	3 Months Ended
	Mar. 31, 2019 $ / shares shares
Beginning balance, options | shares	480,000
Beginning balance, options exercise price | $ / shares	$ 0.12
Ending Balance, options | shares	480,000
Ending Balance, options exercise price | $ / shares	$ 0.12
Weighted Average Contractual Life, options	7 months 2 days

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Segment information (Details) - USD ($)	3 Months Ended
	Mar. 31, 2019	Mar. 31, 2018	Dec. 31, 2018
Revenues	$ 82,015	$ 113,302
Operating expenditure	1,476,513	531,846
Operating income (loss)	(1,394,498)	(418,544)
Other (expense) income
Interest income	15,277	49
Interest expense	(345,098)	(170,451)
Foreign exchange movements	(129,118)	137,896
Net loss before taxation from continuing operations	(3,088,680)	(1,216,155)
Taxation
Assets
Current assets	2,389,100		$ 407,848
Non-current assets	25,890,346		12,261,261
Liabilities
Current liabilities	19,235,000		$ 13,677,716
Rental Operations
Revenues	84,112	84,112
Operating expenditure	31,401	31,401
Operating income (loss)	52,711	52,711
Other (expense) income
Interest income
Interest expense	(50,049)	(50,049)
Amortization of debt discount
Loss on change in fair value of derivative liability
Foreign exchange movements	29,209	29,209
Net loss before taxation from continuing operations	31,871	31,871
Taxation
Net income (loss) from continuing operations	31,871	31,871
Purchase of fixed assets
Assets
Current assets	471
Non-current assets	2,885,893	3,066,465
Liabilities
Current liabilities	(2,117,691)	(2,222,619)
Non-current liabilities	(3,877,763)	(4,128,074)
Intercompany balances	737,461	789,576
Net (liability) asset position	(2,371,629)	(2,494,652)
In-Patient services
Revenues	29,190	29,190
Operating expenditure	500,445	500,445
Operating income (loss)	(471,255)	(471,255)
Other (expense) income
Interest income	49	49
Interest expense	(120,402)	(120,402)
Amortization of debt discount	(752,949)	(752,949)
Loss on change in fair value of derivative liability	(12,156)	(12,156)
Foreign exchange movements	108,687	108,687
Net loss before taxation from continuing operations	(1,248,026)	(1,248,026)
Taxation
Net income (loss) from continuing operations	(1,248,026)	(1,248,026)
Purchase of fixed assets	8,176
Assets
Current assets	2,388,629	308,280
Non-current assets	23,004,453	8,524,705
Liabilities
Current liabilities	(17,117,309)	(5,677,890)
Non-current liabilities	(15,048,675)	(2,904,300)
Intercompany balances	(737,461)	(789,576)
Net (liability) asset position	(7,510,363)	(538,781)
Total
Revenues	113,302	113,302
Operating expenditure	531,846	531,846
Operating income (loss)	(418,544)	(418,544)
Other (expense) income
Interest income	49	49
Interest expense	(170,451)	(170,451)
Amortization of debt discount	(752,949)	(752,949)
Loss on change in fair value of derivative liability	(12,156)	(12,156)
Foreign exchange movements	137,896	137,896
Net loss before taxation from continuing operations	(1,216,155)	(1,216,155)
Taxation
Net income (loss) from continuing operations	(1,216,155)	(1,216,155)
Purchase of fixed assets	8,176
Assets
Current assets	2,389,100	308,280
Non-current assets	25,890,346	11,591,170
Liabilities
Current liabilities	(19,235,000)	(7,900,509)
Non-current liabilities	(18,926,438)	(7,032,374)
Intercompany balances
Net (liability) asset position	$ (9,881,992)	$ (3,033,433)

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Net loss per common share (Details) - USD ($)	3 Months Ended
	Mar. 31, 2019	Mar. 31, 2018
Net Loss Per Common Share Details
Stock options	$ 480,000	$ 480,000
Warrants to purchase shares of common stock	111,197,591	55,004,075
Convertible notes	83,671,069	37,244,536
Total	$ 195,348,660	$ 92,728,611

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Commitments and contingencies - Operating Leases (Details)	Mar. 31, 2019 USD ($)
Commitments And Contingencies - Operating Leases
Remainder of 2019	$ 1,363,592
2020	1,882,422
2021	1,962,242
2022	2,042,062
2023 and thereafter	12,436,419
Total undiscounted minimum future lease payments	19,686,737
Total	$ 19,686,737

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Commitments and contingencies - Mortgage Loans (Details)	Mar. 31, 2019 USD ($)
Commitments And Contingencies - Mortgage Loans
Within one year	$ 3,034,927
One to two years	105,728
Two to three years	110,215
Three to four years	3,661,821
Total	$ 6,912,691