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EX-31.2 - EX-31.2 - Fuse Medical, Inc.fzmd-ex312_10.htm
EX-32.1 - EX-32.1 - Fuse Medical, Inc.fzmd-ex321_8.htm
EX-31.1 - EX-31.1 - Fuse Medical, Inc.fzmd-ex311_9.htm
EX-10.2 - EX-10.2 - Fuse Medical, Inc.fzmd-ex102_244.htm
EX-10.1 - EX-10.1 - Fuse Medical, Inc.fzmd-ex101_333.htm

 

UNITED STATES

SECURITIES AND EXCHANGE COMMISSION

Washington, D.C. 20549

 

FORM 10-Q

 

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

For the quarterly period ended: March 31, 2021 

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

Commission File Number: 000-10093

Fuse Medical, Inc.

(Exact name of registrant as specified in its charter)

 

 

Delaware

 

59-1224913

(State or other jurisdiction of 

 

(I.R.S. Employer 

incorporation or organization) 

 

Identification No.) 

 

 

 

1565 N. Central Expressway, Suite 220, Richardson, TX

 

75080

(Address of principal executive offices)

 

(Zip Code)

(469) 862-3030

(Registrant's telephone number, including area code)

 

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, or a smaller reporting company, or emerging growth company. See the definitions of “large accelerated filer,” “accelerated filer” and “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

 

 

 

 

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

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 of revised financial accounting standards provided pursuant to Section 13(a) of the Exchange 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 Stock

 

FZMD

 

OTCPink

Indicate the number of shares outstanding of each of the registrant’s classes of common stock, as of the latest practicable date: As of May 6, 2021, 73,124,458 shares of the registrant’s common stock, $0.01 par value, were outstanding.

 

1


 

FUSE MEDICAL, INC.

FORM 10-Q

INDEX

 

 

 

 

PAGE

PART I. FINANCIAL INFORMATION

Item 1.

Financial Statements

 

F-1

 

Condensed Consolidated Balance Sheets at March 31, 2021 (Unaudited) and December 31, 2020

 

F-1

 

Condensed Consolidated Statements of Operations for the Three Months Ended March 31, 2021 and 2020 (Unaudited)

 

F-2

 

Condensed Consolidated Statements of Changes in Stockholders’ Equity for the Three Months Ended March 31, 2021 and 2020 (Unaudited)

 

F-3

 

Condensed Consolidated Statements of Cash Flows for the Three Months Ended March 31, 2021 and 2020 (Unaudited) 

 

F-4

 

Notes to the Unaudited Condensed Consolidated Financial Statements

 

F-5

Item 2.

Management's Discussion and Analysis of Financial Condition and Results of Operations

 

3

Item 3.

Quantitative and Qualitative Disclosures About Market Risk

 

10

Item 4.

Controls and Procedures

 

10

PART II. OTHER INFORMATION

Item 5.

Other Information

 

11

Item 6.

Exhibits

 

11

Signatures

 

13

 

 

 

2


 

 

PART I. FINANCIAL INFORMATION 

Item 1.   Condensed Consolidated Financial Statements

FUSE MEDICAL, INC.

CONDENSED CONSOLIDATED BALANCE SHEETS

(in dollars, except share data)

 

 

 

March 31,

2021

 

 

December 31,

2020

 

 

 

(Unaudited)

 

 

 

 

 

Assets

 

 

 

 

 

 

 

 

Current assets:

 

 

 

 

 

 

 

 

Cash and cash equivalents

 

$

1,417,793

 

 

$

1,187,458

 

Accounts receivable, net of allowance of $618,771 and $787,766, respectively

 

 

3,487,710

 

 

 

4,427,896

 

Inventories, net of allowance of $3,315,541 and $3,077,728, respectively

 

 

7,594,969

 

 

 

6,981,413

 

Prepaid expenses and other current assets

 

 

94,536

 

 

 

24,203

 

Total current assets

 

 

12,595,008

 

 

 

12,620,970

 

Property and equipment, net

 

 

13,630

 

 

 

17,791

 

Long term accounts receivable, net of allowance of $2,707,228 and $2,615,834, respectively

 

 

1,750,478

 

 

 

1,669,510

 

Intangible assets, net

 

 

1,125,447

 

 

 

1,138,080

 

Goodwill

 

 

1,972,886

 

 

 

1,972,886

 

Total assets

 

$

17,457,449

 

 

$

17,419,237

 

Liabilities and Stockholders' Equity (Accumulated Deficit)

 

 

 

 

 

 

 

 

Current liabilities:

 

 

 

 

 

 

 

 

Accounts payable

 

$

3,325,107

 

 

$

3,236,592

 

Accrued expenses

 

 

2,696,806

 

 

 

2,584,734

 

Convertible notes payable - related parties

 

 

150,000

 

 

 

150,000

 

Payroll Protection Program Loan

 

 

361,400

 

 

 

361,400

 

Economic Injury Disaster Loan - short term portion

 

 

3,004

 

 

 

2,241

 

Senior secured revolving credit facility

 

 

1,088,352

 

 

 

913,352

 

Total current liabilities

 

 

7,624,669

 

 

 

7,248,319

 

Notes payable - related parties

 

 

200,000

 

 

 

200,000

 

Economic Injury Disaster Loan - long term portion

 

 

146,996

 

 

 

147,759

 

Earn-out liability

 

 

11,936,000

 

 

 

11,936,000

 

Total liabilities

 

 

19,907,665

 

 

 

19,532,078

 

Commitments and contingencies

 

 

-

 

 

 

-

 

Stockholders' equity (accumulated deficit):

 

 

 

 

 

 

 

 

Preferred stock, $0.01 par value; 20,000,000 shares authorized, no shares issued and

   outstanding

 

 

-

 

 

 

-

 

Common stock, $0.01 par value; 100,000,000 shares authorized, 73,124,458 shares issued and outstanding as of March 31, 2021 and December 31, 2020

 

 

731,245

 

 

 

731,245

 

Additional paid-in capital

 

 

1,300,170

 

 

 

1,184,222

 

Accumulated deficit

 

 

(4,481,631

)

 

 

(4,028,308

)

Total stockholders' deficit

 

 

(2,450,216

)

 

 

(2,112,841

)

Total liabilities and stockholders' equity (accumulated deficit)

 

$

17,457,449

 

 

$

17,419,237

 

 

See notes to interim unaudited condensed consolidated financial statements.

 

 

F-1


 

 

FUSE MEDICAL, INC.

CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS

(unaudited)

(in dollars, except per share data)

 

 

For the Three Months Ended March 31,

 

 

2021

 

 

2020

 

 

 

 

 

 

 

 

 

Net revenues

$

4,440,759

 

 

$

4,636,503

 

Cost of revenues

 

1,853,865

 

 

 

1,982,896

 

Gross profit

 

2,586,894

 

 

 

2,653,607

 

Operating expenses:

 

 

 

 

 

 

 

Selling, general, administrative, and other

 

1,435,310

 

 

 

2,480,771

 

Commissions

 

1,564,753

 

 

 

1,391,117

 

Depreciation and amortization

 

16,794

 

 

 

29,983

 

Total operating expenses

 

3,016,857

 

 

 

3,901,871

 

Operating loss

 

(429,963

)

 

 

(1,248,264

)

Other expense:

 

 

 

 

 

 

 

Interest expense

 

19,000

 

 

 

31,001

 

Total other expense

 

19,000

 

 

 

31,001

 

Operating loss before tax

 

(448,963

)

 

 

(1,279,265

)

Income tax expense

 

4,360

 

 

 

4,734

 

Net loss

$

(453,323

)

 

$

(1,283,999

)

Net loss per common share - basic and diluted

$

(0.01

)

 

$

(0.02

)

Weighted average number of Common Stock outstanding - basic and diluted

 

70,221,566

 

 

 

70,221,566

 

 

See notes to interim unaudited condensed consolidated financial statements.

 

 


F-2


 

 

FUSE MEDICAL, INC.

CONDENSED CONSOLIDATED STATEMENTS OF CHANGES IN STOCKHOLDERS’ EQUITY

(unaudited)

(in dollars, except share data)

 

 

 

Common Stock

 

 

Additional

Paid-In

 

 

Accumulated

 

 

 

 

 

 

 

Shares

 

 

Amount

 

 

Capital

 

 

Deficit

 

 

Total

 

Balance, December 31, 2020

 

 

73,124,458

 

 

$

731,245

 

 

$

1,184,222

 

 

$

(4,028,308

)

 

$

(2,112,841

)

Stock based compensation

 

 

-

 

 

 

-

 

 

 

115,948

 

 

 

-

 

 

 

115,948

 

Net loss

 

 

-

 

 

 

-

 

 

 

-

 

 

 

(453,323

)

 

 

(453,323

)

Balance, March 31, 2021

 

 

73,124,458

 

 

$

731,245

 

 

$

1,300,170

 

 

$

(4,481,631

)

 

$

(2,450,216

)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Common Stock

 

 

Additional

Paid-In

 

 

Accumulated

 

 

 

 

 

 

 

Shares

 

 

Amount

 

 

Capital

 

 

Deficit

 

 

Total

 

Balance, December 31, 2019

 

 

73,124,458

 

 

$

731,245

 

 

$

642,435

 

 

$

(2,595,813

)

 

$

(1,222,133

)

Stock based compensation

 

 

-

 

 

 

-

 

 

 

162,656

 

 

 

-

 

 

 

162,656

 

Net loss

 

 

-

 

 

 

-

 

 

 

-

 

 

 

(1,283,999

)

 

 

(1,283,999

)

Balance, March 31, 2020

 

 

73,124,458

 

 

$

731,245

 

 

$

805,091

 

 

$

(3,879,812

)

 

$

(2,343,476

)

 

See notes to interim unaudited condensed consolidated financial statements.

 

 

 

 

 

F-3


 

 

FUSE MEDICAL, INC.

CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS

(unaudited)

 

 

 

For the Three Months Ended March 31,

 

 

 

2021

 

 

2020

 

Cash flows from operating activities

 

 

 

 

 

 

 

 

Net loss

 

$

(453,323

)

 

$

(1,283,999

)

Adjustments to reconcile net loss to net cash provided by operating

      activities:

 

 

 

 

 

 

 

 

Depreciation and amortization

 

 

16,794

 

 

 

29,983

 

Share-based compensation

 

 

115,948

 

 

 

162,656

 

Provision for bad debts and discounts

 

 

-

 

 

 

417,219

 

Provision for long term accounts receivable

 

 

91,394

 

 

 

198,124

 

Provision for slow moving inventory

 

 

237,813

 

 

 

81,190

 

Changes in operating assets and liabilities:

 

 

 

 

 

 

 

 

Accounts receivable

 

 

940,186

 

 

 

1,639,955

 

Inventories

 

 

(851,369

)

 

 

(27,267

)

Prepaid expenses and other current assets

 

 

(70,333

)

 

 

(77,520

)

Long term accounts receivable

 

 

(172,362

)

 

 

(495,310

)

Accounts payable

 

 

88,515

 

 

 

(181,162

)

Accrued expenses

 

 

112,072

 

 

 

(539,973

)

Net cash provided by (used in) operating activities

 

 

55,335

 

 

 

(76,104

)

 

 

 

 

 

 

 

 

 

Cash flows from investing activities

 

 

 

 

 

 

 

 

Purchase of property and equipment

 

 

-

 

 

 

(20,757

)

Net cash (used in) investing activities

 

 

-

 

 

 

(20,757

)

 

 

 

 

 

 

 

 

 

Cash flows from financing activities

 

 

 

 

 

 

 

 

Net payments/proceeds on senior secured revolving credit facility

 

 

175,000

 

 

 

(249,181

)

Net cash provided by (used in) financing activities

 

 

175,000

 

 

 

(249,181

)

 

 

 

 

 

 

 

 

 

Net increase (decrease) in cash

 

 

230,335

 

 

 

(346,042

)

Cash and cash equivalents - beginning of period

 

 

1,187,458

 

 

 

1,099,310

 

Cash and cash equivalents - end of period

 

$

1,417,793

 

 

$

753,268

 

Supplemental disclosure of cash flow information:

 

 

 

 

 

 

 

 

Cash paid for interest

 

$

10,000

 

 

$

21,788

 

 

See notes to interim unaudited condensed consolidated financial statements.

 

 

 

F-4


 

 

FUSE MEDICAL, INC.

NOTES TO THE UNAUDITED CONDENSED CONSOLIDATED FINANCIAL STATEMENTS

FOR THE THREE MONTHS ENDED MARCH 31, 2021
(Unaudited)

Note 1. Nature of Operations

Overview

Fuse Medical, Inc., a Delaware corporation (the “Company”), was initially incorporated in 1968 as American Metals Service, Inc., a Florida corporation.  In July 1999, American Metals Service, Inc. changed its name to GolfRounds, Inc. and was redomiciled to Delaware through a merger. Effective May 28, 2014, Golf Rounds amended its certificate of incorporation to change its name to Fuse Medical, Inc., and Fuse Medical, LLC, an unrelated entity, merged with and into a wholly owned subsidiary of Fuse Medical, Inc., with Fuse Medical, LLC surviving as a wholly owned subsidiary of Fuse Medical, Inc. The transaction was accounted for as a reverse merger. The Company was the legal acquirer, and Fuse Medical, LLC was deemed the accounting acquirer. During 2015, certificates of termination were filed for Fuse Medical, LLC and its two subsidiaries. 

On December 19, 2016 (the “Change-in-Control Date”), the Company entered into a Stock Purchase Agreement by and between the

Company, NC 143 Family Holdings, LP, a Texas limited partnership (“NC 143”) which is controlled by Mark W. Brooks (“Mr.

Brooks”), the Company’s Chairman of the Board of Directors (“Board”) and President; and Reeg Medical Industries, Inc., a Texas

corporation (“RMI”), which is owned and controlled by Christopher C. Reeg (“Mr. Reeg”), the Company’s Chief Executive Officer and Secretary, which resulted in a change-in-control of the Company.

 

On December 31, 2017, the Company completed the acquisition of CPM Medical Consultants, LLC (“CPM”) pursuant to the securities purchase agreement dated December 15, 2017 (“CPM Acquisition Agreement”). Subsequent to the Change-in-Control Date, CPM and Company operations are consolidated.

On August 1, 2018 (“Maxim Closing Date”), the Company completed the acquisition of Palm Springs Partners, LLC d/b/a Maxim Surgical (“Maxim”), pursuant to the securities purchase agreement (“Maxim Purchase Agreement”).  As of the Maxim Closing Date, Maxim and Company operations are consolidated.

 

Basis of Presentation

The interim unaudited condensed consolidated financial statements included herein reflect all material adjustments (consisting of normal recurring adjustments and reclassifications and non-recurring adjustments) which, in the opinion of the Company’s management, are ordinary and necessary for a fair presentation of results for the interim periods. Certain information and footnote disclosures required under generally accepted accounting principles in the United States of America (“GAAP”) have been condensed or omitted pursuant to the rules and regulations of the Securities and Exchange Commission (the “SEC”). The Company’s management believes the disclosures are adequate to make the information presented not misleading.

The condensed consolidated balance sheet information as of December 31, 2020, was derived from the Company’s annual report on Form 10-K for the fiscal year ended December 31, 2020 (“2020 Annual Report”), Filed with the SEC pursuant to Section 13 of 15(d) under the Securities Exchange Act of 1934, as amended (the “Exchange Act”), on March 30, 2021. These interim unaudited condensed consolidated financial statements should be read in conjunction with the 2020 Annual Report.

The results of operations for the three months ended March 31, 2021, are not necessarily indicative of the results to be expected for the entire fiscal year or for any other period as the Company has historically experienced seasonal trends with greater revenue and volume between the last two calendar quarters compared to the first two calendar quarters of the year.

Note 2. Significant Accounting Policies

Principles of Consolidation

The interim unaudited condensed consolidated financial statements include the accounts of the Company and its wholly owned subsidiaries, CPM, and Maxim. Intercompany transactions have been eliminated in consolidation.

F-5


FUSE MEDICAL, INC.

NOTES TO THE UNAUDITED CONDENSED CONSOLIDATED FINANCIAL STATEMENTS

FOR THE THREE MONTHS ENDED MARCH 31, 2021
(Unaudited)

 

Use of Estimates

The preparation of the interim unaudited condensed consolidated financial statements in accordance with GAAP, requires the Company’s management to make estimates and assumptions that affect the Company’s reported amounts in the interim unaudited condensed consolidated financial statements.

Actual results could differ from those estimates. Significant estimates on the accompanying interim unaudited condensed consolidated financial statements include the allowance for doubtful accounts, valuation of inventories, the Company’s effective income tax rate, and the fair value calculations of stock-based compensation, goodwill, finite lived intangibles and the earn-out (“Earn-Out”) liability.

Segment Reporting

In accordance with Accounting Standards Update (“ASU”) No. 280, “Segment Reporting,” the Company uses the management approach for determining its reportable segments. The management approach is based upon the way that management reviews performance and allocates resources. The Company’s Chief Executive Officer serves as the Company’s chief operating decision maker, and the management team reviews operating results on a consolidated basis for purposes of allocating resources and evaluating the financial performance of the Company. The Company has integrated the operations of both CPM and Maxim. Accordingly, the Company has determined that it has one operating segment and, therefore, one reporting segment.

Reclassification

 

Long term accounts receivable, net of allowance was previously reported as a component of current assets as accounts receivable, net of allowance, in the Company’s accompanying consolidated balance sheets. Long term accounts receivable reflects sales based on medical procedures in which the Company’s products are sold and used (“Cases”) where the patient has obtained a letter of protection, (“LOP”). A LOP is a contract that provides that the medical providers will be paid from any proceeds received from settlement of litigation of the underlying cause of action with respect to the event that necessitated medical goods and services. Once the medical provider receives payment, then the medical provider pays the Company’s invoice which payment is generally greater than 365 days from date of service. The LOP provides medical providers with greater certainty of full payment. This reclassification had no effect on the previously reported total assets or net loss.  

Loss Per Common Share

Loss per common share, basic is calculated by dividing the net income/(loss) attributable to common stockholders by the weighted-average number of common stock, par value $0.01, (“Common Stock”) outstanding during the period, without consideration of Common Stock equivalents. Shares of restricted stock are included in the basic weighted-average number of Common Stock outstanding from the time they vest.

Diluted loss per common share is computed by dividing net income/(loss) by the weighted-average number of Common Stock equivalents outstanding for the period determined using the treasury stock method. For the three months ended March 31, 2021 and 2020, the Company excluded the effects of outstanding stock options, convertible notes and, to the extent in the money, restricted stock as their effects were antidilutive due to the Company’s operating loss during these periods. (See Note 9, “Stockholders’ Equity” for the terms and conditions of restricted stock).

For the three months ended March 31, 2021, restricted Common Stock shares and Common Stock equivalents of 4,070,723 at exercise prices of $0.11 and $1.21 were excluded from diluted earnings per share because to include them would have been antidilutive. (See Note 9, “Stockholders’ Equity” for the terms and conditions of restricted stock).

Fair Value Measurements

Fair value is the exchange price that would be received for an asset or paid to transfer a liability (an exit price) in the principal or most advantageous market for the asset or liability in an orderly transaction between market participants. The Company classifies assets and liabilities recorded at fair value under the fair value hierarchy based upon the observability of inputs used in valuation techniques. Observable inputs (highest level) reflect market data obtained from independent sources, while unobservable inputs (lowest level) reflect internally developed market assumptions. The fair value measurements are classified under the following hierarchy:

Level 1—Observable inputs that reflect quoted market prices (unadjusted) for identical assets and liabilities in active markets;

F-6


FUSE MEDICAL, INC.

NOTES TO THE UNAUDITED CONDENSED CONSOLIDATED FINANCIAL STATEMENTS

FOR THE THREE MONTHS ENDED MARCH 31, 2021
(Unaudited)

 

Level 2—Observable inputs, other than quoted market prices, that are either directly or indirectly observable in the marketplace for identical or similar assets and liabilities, quoted prices in markets that are not active, or other inputs that are observable or can be corroborated by observable market data for substantially the full term of the assets and liabilities; and

Level 3—Unobservable inputs that are supported by little or no market activity that are significant to the fair value of assets or liabilities.

In connection with the CPM Acquisition, the Company initially recorded a $19,244,543 liability related to the Earn-Out portion of the purchase consideration. The Company has classified the Earn-Out liability as a Level 3 liability and the fair value of the Earn-Out liability will be evaluated each reporting period and changes in its fair value will be included in the Company’s earnings. The Earn-Out payments are based on the financial performance of the Company between the period of January 1, 2018, and December 31, 2034. The base amount of the Earn-Out is $16,000,000 with an additional bonus payment of $10,000,000. The payments of the base and bonus Earn-Out amounts are subject to the Company meeting certain earnings thresholds as detailed in the CPM Acquisition Agreement. The Earn-Out payments during the Earn-Out period specified above, ranges from $0 to $26,000,000.

The fair value of the Earn-Out liability was calculated using the Monte Carlo simulation, which was then applied to estimated Earn-Out payments with a discount rate of three percent (3%). To determine the fair value of the Earn-Out liability, the Company’s management evaluates assumptions that require significant judgement. Significant assumptions used for estimating the Earn-Out liability included: (i) EBITDA margins increasing from one percent (1%) to ten percent (10%) over the next four years; and (ii) revenue growth of approximately five percent (5%) over the next five years, and approximately two percent (2%) thereafter.

The Earn-Out liability, which represented contingent consideration associated with the CPM Acquisition, is recorded as a liability. This liability is subject to re-measurement to fair value at each reporting date until the contingency is resolved and the changes in fair value are recognized in the consolidated statements of operations at each reporting period.

The Earn-Out was remeasured to fair value under the probability weighted income approach. As a result, the fair value of the Earn-Out liability was increased by $290,635 from $11,645,365 to $11,936,000 in 2020 and reduced by $1,936,164 from $13,581,529 to $11,645,365 in 2019 and reflected as “Change in fair value of contingent purchase consideration” on our Consolidated Financial Statements.

The estimated fair value of certain financial instruments, including cash and cash equivalents, accounts receivable, accounts payable and accrued expenses are carried at historical cost basis, which approximates their fair values because of the short-term nature of these instruments. The recorded values of notes payable approximate their respective fair values based upon their effective interest rates.

There was no change in the earn-out liability for the three months ended March 31, 2021 and there were no significant changes in the Level 3 inputs from those utilized at December 31, 2020. The required earnings thresholds have not been met from inception of the agreement through March 31, 2021, and as such, there have been no payments required for either the base or bonus earn-out tranches.

Financial Instruments

The estimated fair value of certain financial instruments, including cash and cash equivalents, accounts receivable, accounts payable and accrued expenses are carried at historical cost basis, which approximates their fair values because of the short-term nature of these instruments. The recorded values of notes payable approximate their respective fair values based upon their effective interest rates.

Cash and Cash Equivalents

The Company considers highly liquid investments with maturities of three months or less at the time of purchase to be cash equivalents. There were no cash equivalents at March 31, 2021, and December 31, 2020. The Company’s cash is concentrated in one large financial institution. The amount of cash held at the financial institution may at times exceed federally insured limits of $250,000 per financial institution. The Company has not experienced any financial institution losses from inception through March 31, 2021. As of March 31, 2021, and December 31, 2020, there were deposits of $1,053,368 and $761,671, respectively, which were greater than federally insured limits.

Accounts Receivable and Allowances

Accounts receivable are non-interest bearing and are stated at gross invoice amounts less an allowance for doubtful accounts receivable and an allowance for contractual discount pricing. Credit is extended to customers based on an evaluation of their financial condition, industry reputation, and other judgmental factors considered by the Company’s management. The Company generally does not require

F-7


FUSE MEDICAL, INC.

NOTES TO THE UNAUDITED CONDENSED CONSOLIDATED FINANCIAL STATEMENTS

FOR THE THREE MONTHS ENDED MARCH 31, 2021
(Unaudited)

 

collateral or other security interest to support accounts receivable. Based on trends and specific factors, the customer’s credit terms may be modified, including required payment upon delivery.

The Company performs regular on-going credit evaluations of its customers as deemed relevant. As events, trends, and circumstances warrant, the Company’s management estimates the amounts that are more likely than not to be uncollectible. These amounts are recognized as bad debt expense and are reflected within selling, general, administrative, and other expenses on the Company’s accompanying interim unaudited condensed consolidated statements of operations.

When accounts are deemed uncollectible, they are often referred to the Company’s outside legal firm for litigation. Accounts deemed uncollectible are written-off in the period when the Company has exhausted its efforts to collect overdue and unpaid receivables or otherwise has evaluated other circumstances that indicate that the Company should abandon such efforts. Accounts deemed uncollectible are removed from the Company’s accounts receivable portfolio, with a corresponding offset to the allowance for doubtful accounts receivable. The Company may record additional allowances for doubtful accounts based on known trends and expectations to ensure the Company’s accounts receivable portfolio is recorded at net realizable value. Specific allowances are re-evaluated and adjusted as additional facts and information become available. Previously written-off accounts receivable subsequently collected are recognized as a reduction of bad debt expense when funds are received.

The Company’s management estimates its allowance for contractual discount pricing, by evaluating specific accounts where information indicates the customer is offered contractual pricing and discount allowances. In these arrangements, the Company’s management uses assumptions and judgement, based on the best available facts and circumstances to record a specific allowance for the amounts due from those customers. The allowance is offset by a corresponding reduction to revenue. These specific allowances are re-evaluated, analyzed, and adjusted as additional information becomes available to determine the total amount of the allowance. The Company may record additional allowances based on trends and expectations to ensure the Company’s accounts receivable portfolio is recorded at net realizable value.

Inventories

Inventories are stated at the lower of cost or net realizable value (first-in, first-out) less an allowance for slow-moving inventory, expired inventory, and inventory obsolescence. Inventories consist entirely of finished goods and include internal and external fixation products; upper and lower extremity plating and total joint reconstruction; soft tissue fixation and augmentation for sports medicine procedures; spinal implants for trauma, degenerative disc disease, and deformity indications (collectively, “Orthopedic Implants”) and osteo-biologics and regenerative tissue which include human allografts, substitute bone materials, tendons, as well as amniotic tissues and fluids (collectively, “Biologics”). The Company reviews the market value of inventories whenever events and circumstances indicate that the carrying value of inventories may not be recoverable from the estimated future sales price less cost of disposal and normal gross profit. In cases where the market values are less than the carrying value, a write-down is recognized equal to an amount by which the carrying value exceeds the net realizable value of inventories.

Property and Equipment

Property and equipment are recorded at cost less accumulated depreciation. Depreciation is computed using the straight-line method over the estimated useful lives of the related assets per the following table. Expenditures for additions and improvements are capitalized, while repairs and maintenance are expensed as incurred. The Company reviews long-lived assets for impairment annually or whenever changes in circumstances indicate that the carrying amount of an asset might not be recoverable.

 

Category

 

Useful Life

Computer equipment and software

 

3 years

Furniture and fixtures

 

3 years

Office equipment

 

3 years

Software

 

3 years

 

Upon the retirement or disposition of property and equipment, the related cost and accumulated depreciation is removed. A gain is recorded when consideration received is more than the disposed asset’s cost, net of depreciation, and a loss is recorded when consideration received is less than the disposed asset’s cost, net of depreciation.

 

F-8


FUSE MEDICAL, INC.

NOTES TO THE UNAUDITED CONDENSED CONSOLIDATED FINANCIAL STATEMENTS

FOR THE THREE MONTHS ENDED MARCH 31, 2021
(Unaudited)

 

 

Long-Lived Assets

The Company reviews other long-lived assets for indicators of impairment whenever events or changes in circumstances indicate that the carrying amount may not be recoverable. The evaluation is performed at the lowest level of identifiable cash flows, which is at the individual asset level or the asset group level. The undiscounted cash flows expected to be generated by the related assets are estimated over their useful life based on updated projections. If the evaluation indicates that the carrying amount of the assets may not be recoverable, any potential impairment is measured based upon the fair value of the related assets or asset group as determined by an appropriate market appraisal or other valuation technique. Assets classified as held for sale, if any, are recorded at the lower of carrying amount or fair value less costs to sell.

Goodwill and Other Intangible Assets

Goodwill is determined based on an acquisition purchase price in excess of the fair value of identified net assets acquired.  Intangible assets with lives restricted by contractual, legal, or other means are amortized over their useful lives. 

Goodwill is not amortized but is tested in the fourth quarter each year for impairment, or more frequently if an event occurs or circumstances change that would more likely than not reduce the fair value of the reporting unit below its carrying amount.  The Company performs its annual, or interim, goodwill impairment test by comparing the fair value of a reporting unit with its carrying amount. If the carrying value of a reporting unit exceeds its fair value, an impairment charge is recognized for the amount by which the carrying amount exceeds the reporting unit’s fair value.

 

Accounting Standards Codification (“ASC”) 350-30-35-18 indicates that an intangible asset that is not subject to amortization shall be tested for impairment annually and more frequently if events or changes in circumstances indicate that it is more likely than not that the asset is impaired.  The Company’s 510(k) intangible asset has an indefinite life. The Company does not believe that a triggering event has occurred as of March 31, 2021.

The Company’s intangible assets subject to amortization consist primarily of acquired non-compete agreements and customer relationships. Amortization expense is calculated using the straight-line method over the asset’s expected useful life. 

Revenue Recognition

The Company’s revenues are generated from the sales of Orthopedic Implants and Biologics to support orthopedic surgeries. The Company obtains purchase orders from its customers for the sale of its products which sets forth the general terms and conditions including line-item pricing and payment terms (generally due upon receipt). The Company recognizes revenue when its customers obtain control over the assets (generally when the title passes upon shipment or when a product is utilized in a surgery) and it is probable that the Company will collect substantially all the amounts due. Individual promised goods are the Company’s only performance obligation.

Due to the nature of its products, the Company’s product returns have been historically immaterial.

The Company includes shipping and handling fees in net revenues. Shipping and handling costs are associated with outbound freight after control over a product has transferred to a customer and are accounted for as a fulfillment cost and are included in cost of goods sold on the Company’s accompanying interim unaudited condensed consolidated statements of operations.

Revenue Differentiation

The Company measures sales volume based on medical procedures in which the Company’s products are sold and used (Cases). The Company considers Cases resulting from direct sales to medical facilities to be retail cases (“Retail Cases”) and Cases resulting from sales to third parties, such as non-medical facilities, distributors, or sub-distributors, to be wholesale cases (“Wholesale Cases”). Some of the Company’s sales for Wholesale Cases are on a consignment basis with a third party. When consigned, the revenue is not recorded until the device is implanted in a patient during surgery. In the Company’s industry, Retail Cases are typically sold at higher price points than Wholesale Cases, resulting in greater revenue and gross profit per Case.

 

 

 

Three Months Ended

 

Category

 

March 31, 2021

 

 

March 31, 2020

 

 

 

 

 

 

 

 

 

 

Retail

 

$

3,984,024

 

 

$

4,126,923

 

Wholesale

 

 

456,735

 

 

 

509,580

 

Total

 

$

4,440,759

 

 

$

4,636,503

 

F-9


FUSE MEDICAL, INC.

NOTES TO THE UNAUDITED CONDENSED CONSOLIDATED FINANCIAL STATEMENTS

FOR THE THREE MONTHS ENDED MARCH 31, 2021
(Unaudited)

 

 

Cost of Revenues

Cost of revenues consists of (i) cost of goods sold, (ii) freight and shipping costs for items sold to customers, (iii) cost of storage, (iv) investment in medical instruments, which are expensed when acquired, (v) inventory shrink, and (vi) an estimate for slow-moving inventory, expired inventory, and inventory obsolescence.

Stock-Based Compensation

Stock-based compensation expense is measured at the grant date fair value of the award and is expensed over the requisite service period. For employee stock-based awards, the Company calculates the fair value of the award on the date of grant using the Black-Scholes option pricing model. Determining the fair value of stock-based awards at the grant date under this model requires judgment, including estimating volatility, employee stock option exercise behaviors and forfeiture rates. The assumptions used in calculating the fair value of stock-based awards represent the Company's best estimates, but these estimates involve inherent uncertainties and the application of management judgment. For non-employee stock-based awards, the Company calculates the fair value of the award on the date of grant in the same manner as employee awards, however, the awards are revalued at the end of each reporting period and the pro-rata compensation expense is adjusted accordingly until such time the non-employee award is fully vested, at which time the total compensation recognized to date shall equal the fair value of the stock-based award as calculated on the measurement date, which is the date at which the award recipient’s performance is complete. The estimation of stock-based awards that will ultimately vest requires judgment, and to the extent actual results or updated estimates differ from original estimates, such amounts are recorded as a cumulative adjustment in the period estimates are revised.

Recent Accounting Pronouncements

The Company considers the applicability and impact of all ASUs issued, both effective and not yet effective.

In February 2016, the Financial Accounting Standards Board (the “FASB”) issued ASU No. 2016-02, “Leases”, which requires a lessee to record a right of use asset and a corresponding lease liability on the balance sheet for all leases with terms longer than twelve (12) months. ASU 2016-02 is effective for all interim and annual reporting periods beginning after December 15, 2018. The Company adopted this guidance effective January 1, 2020. A modified retrospective transition approach is required for lessees for capital and operating leases existing at, or entered after, the beginning of the earliest comparative period presented in the financial statements, with certain practical expedients available. The Company presently leases office space on a month-to-month basis as described in Note 12.  As such, the adoption of the standard was not material.

In January 2017, the FASB issued ASU 2017-04, “Intangibles-Goodwill and Other” (Topic 350): Simplifying the Test for Goodwill Impairment. This guidance eliminates Step 2 from the goodwill impairment test, instead requiring an entity to recognize a goodwill impairment charge for the amount by which the goodwill carrying amount exceeds the reporting unit’s fair value. The Company adopted ASU 2017-04 effective December 31, 2019, on a prospective basis.  

Other recent accounting pronouncements issued by the FASB, including its Emerging Issues Task Force, the American Institute of Certified Public Accountants, and the SEC did not or are not believed by the Company’s management to have a material impact on the Company's present or future consolidated financial statements.

 

 

 

 

Note 3. Property and Equipment

F-10


FUSE MEDICAL, INC.

NOTES TO THE UNAUDITED CONDENSED CONSOLIDATED FINANCIAL STATEMENTS

FOR THE THREE MONTHS ENDED MARCH 31, 2021
(Unaudited)

 

Property and equipment consisted of the following at March 31, 2021, and December 31, 2020:

 

 

 

March 31,

2021

 

 

December 31,

2020

 

Computer equipment and software

 

$

37,970

 

 

$

49,918

 

Office equipment

 

 

-

 

 

 

-

 

Property and equipment costs

 

 

37,970

 

 

 

49,918

 

Less: accumulated depreciation

 

 

(24,340

)

 

 

(32,127

)

Property and equipment, net

 

$

13,630

 

 

$

17,791

 

 

Depreciation expense for the three months ended March 31, 2021, and 2020 was $4,161 and $9,628, respectively. During the first quarter of 2021, the Company disposed of $11,948 of fully depreciated assets.

Note 4. Goodwill and Intangible Assets

The following table summarizes the Company’s goodwill and other intangible assets:

 

 

 

March 31,

2021

 

 

December 31, 2020

 

 

Amortization period

(years)

Non-compete agreements

 

-

 

 

-

 

 

2

510(k) product technology

 

 

704,380

 

 

 

704,380

 

 

Indefinite

Customer relationships

 

 

555,819

 

 

 

555,819

 

 

11

Total intangible assets

 

 

1,260,199

 

 

 

1,260,199

 

 

 

Less: accumulated amortization

 

 

(134,752

)

 

 

(122,119

)

 

 

Intangible assets, net

 

 

1,125,447

 

 

 

1,138,080

 

 

 

Goodwill

 

$

1,972,886

 

 

$

1,972,886

 

 

Indefinite

 

Amortization expense for the three months ended March 31, 2021 and 2020 was $12,633 and $20,355, respectively.  

 

The Company’s intangible assets subject to amortization consist primarily of acquired non-compete agreements, product technology and customer relationships.

Note 5. Senior Secured Revolving Credit Facility

On December 29, 2017, the Company became party to the Senior Secured Revolving Credit Facility (“RLOC”) with ZB, N.A., d/b/a Amegy Bank (“Amegy Bank”). The RLOC established an asset-based senior secured revolving credit facility in the amount of $5,000,000.  The RLOC contains customary representation, warranties, covenants, events of default, and is collateralized by substantially all of the Company’s assets. The Company’s Chairman of the Board and President initially personally guaranteed fifty percent (50%) of the outstanding RLOC amount.

On September 21, 2018, the Company executed the First Amendment to the RLOC with Amegy Bank (the “First Amendment”). The First Amendment (i) waived the Company’s events of default under the RLOC through the fiscal quarter ended September 30, 2018, and (ii) added a covenant that the Company achieve quarterly net income of $700,000 or more for the fiscal quarter ending on September 30, 2018.

On November 19, 2018, the Company executed the Second Amendment to the RLOC with Amegy Bank (the “Second Amendment”). The Second Amendment (i) waived the Company’s events of default under the RLOC, (ii) reduced the aggregate limit of the RLOC to $4,000,000, (iii) extended the maturity date to November 4, 2019, (iv) revised the variable interest rate to the one-month LIBOR rate plus four percent (4.00%) per annum, and (v) amended the financial covenants to state that the Company will not permit: the Fixed Charge Coverage Ratio of any calendar quarter end from and after the quarter ending June 30, 2019, to be less than 1.25 to 1.00; EBITDA to be less than $700,000 for the fiscal quarter ending December 31, 2018, and $100,000 for the fiscal quarter ending March 31, 2019; modified the event of default related to consecutive quarterly losses to be applicable from and after the quarter ending June 30, 2019.

F-11


FUSE MEDICAL, INC.

NOTES TO THE UNAUDITED CONDENSED CONSOLIDATED FINANCIAL STATEMENTS

FOR THE THREE MONTHS ENDED MARCH 31, 2021
(Unaudited)

 

On May 9, 2019, the Company executed the Third Amendment to the RLOC with Amegy Bank (the “Third Amendment”). Pursuant to the Third Amendment, Amegy Bank (i) waived the Company’s events of default under the RLOC, (ii) reduced the aggregate limit of the RLOC to $3,500,000, (iii) reduced the limit of credit card exposure to $500,000, (iv) reduced borrowing base component of Inventory to 30%, (v) amended the financial covenants to state that the Company will not permit EBITDA to be less than $100,000 for the fiscal quarter ending June 30, 2019 and $500,000 for the fiscal quarter ending September 30, 2019 and (vi) rescinded the Loan Sweep Feature, requiring the Company to give notice of each requested loan by delivery of Advance Request to Amegy Bank.

On December 18, 2019, the Company executed the Fourth Amendment to the RLOC with Amegy Bank (the “Fourth Amendment”). Pursuant to the Fourth Amendment, Amegy Bank (i) waived the Company’s events of default under the RLOC, (ii) reduced the aggregate limit of the RLOC to $2,750,000, (iii) reduced and limited the annual salary of the Company’s Chairman of the Board and President, Mr. Brooks, to not exceed $550,000, (iv) amended the financial covenants to state that the Company will not permit EBITDA to be less than $600,000 for the fiscal quarter ending December 31, 2019 and $125,000 for the fiscal quarter ending March 31, 2020, (v) extended the termination date of the RLOC to May 4, 2020 and (vi) provides for our Chairman of the Board and President to personally guarantee one hundred percent (100%) of the outstanding RLOC amount.

 

On May 21, 2020, the Company executed the Fifth Amendment to the RLOC with Amegy Bank (the “Fifth Amendment”). Pursuant to the Fifth Amendment, Amegy Bank (i) waived the Company’s events of default under the RLOC, (ii) amended the financial covenants to state that the Company will not permit EBITDA to be less than $25,000 for the six months ended September 30, 2020, and (iii) extended the termination date of the RLOC until November 4, 2020.

 

In conjunction with executing the Fifth Amendment to the RLOC, the Company obtained an additional $200,000 in capital in the form of subordinated debt from affiliates of Messrs. Brooks and Reeg. Specifically, on May 6, 2020, the Company borrowed $180,000 from NC 143, and $20,000 from RMI, in exchange for two promissory notes which are unsecured and bear interest at 0.25% per annum until May 6, 2022, the maturity date, and 10.0% per annum after the maturity date, if not paid in full.  Principal and interest are due and payable on the maturity date, provided, however, any payment of principal and interest on the loans is subordinated to payment of all indebtedness under the RLOC.

 On November 12, 2020, the Company executed a Sixth Amendment to the RLOC with Amegy Bank (the “Sixth Amendment”), which extended the termination date of our RLOC to May 4, 2021. The Company was in compliance with all RLOC covenants as of December 31, 2020.

The Company was not in compliance with the minimum quarterly EBITDA requirement for the twelve months ended March 31, 2021. (See Note 13, “Subsequent Events”)

The outstanding balance of the RLOC was $1,088,352 and $913,352 at March 31, 2021 and December 31, 2020, respectively. Interest expense incurred on the RLOC was $9,861 and $24,270 for the three months ended March 31, 2021 and 2020, respectively, and is reflected in interest expense on the Company’s accompanying interim unaudited condensed consolidated statements of operations. Accrued interest on the RLOC at March 31, 2021 and December 31, 2020 was $2,808 and $2,947, respectively, and is reflected in accrued expenses on the Company’s accompanying interim unaudited condensed consolidated balance sheets. At March 31, 2021, the effective interest rate was 4.1%.

Note 6. Notes Payable – Related Parties

During July 2016 through October 2016, the Company obtained three working capital loans from NC 143 and RMI in the aggregate amount of $150,000 in exchange for convertible promissory notes (“Notes”) bearing ten percent (10%) interest per annum until December 31, 2016 (“Maturity Date”), and eighteen percent (18%) interest per annum for periods subsequent to the Maturity Date. The Notes remain outstanding, and principal and interest are due and payable, upon demand of the payee and at the holder’s sole discretion. The Notes’ holders have the right to convert all or any portion of the then unpaid principal and interest balance into shares of the Company’s Common Stock at a conversion price of $0.08 per share.

On May 6, 2020, the Company borrowed $180,000 from NC 143 and $20,000 from RMI, in exchange for two promissory notes which are unsecured and bear interest at 0.25% per annum until May 6, 2022, the maturity date, and 10.0% per annum after the maturity date, if not paid in full.  Principal and interest are due and payable on the maturity date, provided, however, any payment of principal and interest on the loans is subordinated to payment of all indebtedness under the RLOC.

During the three months ended March 31, 2021, and 2020, interest expense of $6,783 and $6,732, respectively, is reflected in interest expense on the Company’s accompanying interim unaudited condensed consolidated statements of operations. As of March 31, 2021,

F-12


FUSE MEDICAL, INC.

NOTES TO THE UNAUDITED CONDENSED CONSOLIDATED FINANCIAL STATEMENTS

FOR THE THREE MONTHS ENDED MARCH 31, 2021
(Unaudited)

 

and December 31, 2020, accrued interest was $120,286 and $113,503, respectively, which is reflected in accrued expenses on the Company’s accompanying interim unaudited condensed consolidated balance sheets.

Note 7. Paycheck Protection Program Loan

On April 11, 2020, the Company received approval from the U.S. Small Business Administration (“SBA”) to fund the Company’s request for a Paycheck Protection Program Loan (“PPP Loan”) created as part of the recently enacted Coronavirus Aid, Relief, and Economic Security Act (“CARES Act”) administered by the SBA. In connection with the PPP Loan, the Company has entered into a promissory note in the principal amount of $361,400. In accordance with the requirements of the CARES Act, the Company intends to use the proceeds from the PPP Loan primarily for payroll costs. The PPP Loan is scheduled to mature on April 11, 2022, has a 1.00% interest rate, and is subject to the terms and conditions applicable to all loans made pursuant to the PPP. The PPP Loan is reflected in short term liabilities in the Company’s accompanying interim unaudited condensed consolidated balance sheets as the Company expects the PPP Loan will be forgiven during 2021.

For the three months ended March 31, 2021, the Company incurred approximately $911 in interest expense related to the PPP Loan, which is reflected in interest expense on the Company’s accompanying interim unaudited condensed consolidated statements of operations. The Company did not incur interest expense related to the PPP Loan for the three months ended March 31, 2020. As of March 31, 2021, and December 31, 2020, accrued interest was approximately $3,630 and $2,720, respectively, related to the PPP Loan, which is reflected in accrued expenses on the Company’s accompanying interim unaudited condensed consolidated balance sheets.

Note 8.  Economic Injury Disaster Loan

On May 12, 2020, the Company executed the standard loan documents required for securing a loan from the SBA under its Economic Injury Disaster Loan (“EIDL”) assistance program in light of the impact of the COVID-19 pandemic on the Company’s business (“EIDL Loan”). Pursuant to the SBA Loan Agreement, the principal amount of the EIDL Loan was $150,000, with proceeds to be used for working capital purposes. Interest accrues at the rate of 3.75% per annum. Installment payments, including principal and interest, are due monthly beginning May 12, 2021 (twelve months from the date of the SBA Loan Agreement) in the amount of $731. The balance of principal and interest is payable thirty years from the date of the SBA Loan Agreement. The EIDL Loan is reflected in long term liabilities in the Company’s accompanying interim unaudited condensed consolidated balance sheets. In connection therewith, the Company received a $10,000 advance, which does not have to be repaid and is reflected as an offset in Selling, General, Administrative and Other Expenses in the Company’s accompanying interim unaudited condensed consolidated statements of operations.

EIDL Loan interest expense incurred was approximately $1,446 and zero for the three months ended March 31, 2021 and 2020, respectively, and is reflected in interest expense on the Company’s accompanying interim unaudited condensed consolidated statements of operations. Accrued interest on the EIDL Loan at March 31, 2021 and December 31, 2020 was $5,237 and $3,791, respectively, and is reflected in accrued expenses on the Company’s accompanying interim unaudited condensed consolidated balance sheets.

Note 9. Stockholders’ Equity

Stock-Based Compensation

The 2018 Amended and Restated Equity Incentive Plan of Fuse Medical, Inc. (“2018 Equity Plan”), is the Company’s stock-based compensation plan, which the Company’s Board adopted on April 5, 2017, and subsequently amended and restated on December 13, 2018. The 2018 Equity Plan provides for the granting of equity awards, including qualified incentive and non-qualified stock options, stock appreciation awards, and restricted stock awards to employees, directors, consultants, and advisors. Awards granted pursuant to the 2018 Equity Plan are subject to a vesting schedule as set forth in individual agreements.

The Company’s management estimates the fair value of stock-based compensation utilizing the Black-Scholes option pricing model. Black-Scholes option pricing is calculated using several variables such as the expected option term, expected volatility of the Company’s stock price over the expected option term, expected risk-free interest rate over the expected option term, expected dividend yield rate over the expected option term, and an estimate of expected forfeiture rates. The Company’s management believes this valuation methodology is appropriate for estimating the fair value of stock options granted to employees and directors, which are subject to ASC Topic 718 requirements. The Company’s management estimates of fair value may not be reflective of actual future values or amounts ultimately realized by recipients of these grants. The Company recognizes compensation on a straight-line basis over the requisite service period for each award.

The Company’s management utilizes the simplified method to estimate the expected life for stock options granted to employees, as the Company does not have sufficient historical data regarding stock option exercises. The risk-free interest rate is based on the U.S. Treasury yields with terms equivalent to the expected life of the related option at the time of the grant. Dividend yield is based on

F-13


FUSE MEDICAL, INC.

NOTES TO THE UNAUDITED CONDENSED CONSOLIDATED FINANCIAL STATEMENTS

FOR THE THREE MONTHS ENDED MARCH 31, 2021
(Unaudited)

 

historical trends. While the Company’s management believes these estimates are reasonable, the compensation expense recorded would increase if the expected life was increased, a higher expected volatility was used, or if the expected dividend yields increased.

The Company made an accounting policy election to account for forfeitures when they occur, versus estimating the number of awards that are expected to vest, in accordance with ASU 2016-09.

Non-Qualified Stock Option Awards

The Board did not grant any non-qualified stock option awards (“NQSOs”) for the three months ended March 31, 2021 and 2020. For the three months ended March 31, 2021, and 2020, the Company amortized $115,948 and $162,656, respectively, relating to the vesting of NQSOs, which is included in selling, general, administrative, and other expenses on the Company’s accompanying interim unaudited condensed consolidated statements of operations. The Company will recognize approximately $199,217 in expense in future periods as the NQSOs vest. The Company recognizes stock compensation expense on a straight-line basis over the requisite service period for each award, which are subject to a vesting schedule as set forth in individual agreements.

The following reflected the NQSO’s that were granted, exercised, forfeited, or expired during the three months ended March 31, 2021.

 

 

 

No. of

Shares

 

 

Weighted

Average

Exercise

Price

 

 

Weighted

Average

Remaining

Contractual

Term

 

 

Aggregate

Intrinsic

Value

 

Balance outstanding at December 31, 2020

 

 

2,595,000

 

 

$

0.65

 

 

 

5.92

 

 

$

56,000

 

Granted

 

 

-

 

 

 

-

 

 

 

-

 

 

 

-

 

Exercised

 

 

-

 

 

 

-

 

 

 

-

 

 

 

-

 

Forfeited

 

 

-

 

 

 

-

 

 

 

-

 

 

 

-

 

Expired

 

 

-

 

 

 

-

 

 

 

-

 

 

 

-

 

Balance outstanding at March 31, 2021

 

 

2,595,000

 

 

$

0.65

 

 

 

5.68

 

 

$

-

 

Exercisable at March 31, 2021

 

 

1,963,333

 

 

$

0.61

 

 

 

5.04

 

 

$

-

 

 

Restricted Common Stock

The non-vested restricted stock awards (“RSA”s), as of March 31, 2021, were granted to the Company’s Board members as compensation. These awards vest only upon: (i) the occurrence of one of the Accelerating Events: (a) a Change in Control (as defined in RSA Agreement); or (b) listing of the Company’s Common Stock on either NYSE or NASDAQ Stock Market; and (ii) the director’s delivery to the Company of a Notice of Acceleration of Vesting (as defined in RSA Agreement), within the Acceleration Notice Period (as defined in RSA Agreement).

 

As of March 31, 2021, and 2020, it was not probable that the performance conditions on the outstanding options would be met, therefore, no expense has been recorded for these awards for the three months ended March 31, 2021 and 2020.

There was no RSA’s that were granted, exercised, or forfeited during the three months ended March 31, 2021.

 

 

Number of

Shares

 

 

Fair Value

 

 

Weighted Average Grant Date Fair Value

 

Non-vested, December 31, 2020

 

2,902,892

 

 

$

1,382,800

 

 

$

0.48

 

Granted

 

-

 

 

 

-

 

 

 

-

 

Vested

 

-

 

 

 

-

 

 

 

-

 

Forfeited

 

-

 

 

 

-

 

 

 

-

 

Non-vested, March 31, 2021

 

2,902,892

 

 

$

1,382,800

 

 

$

0.48

 

 

 

F-14


FUSE MEDICAL, INC.

NOTES TO THE UNAUDITED CONDENSED CONSOLIDATED FINANCIAL STATEMENTS

FOR THE THREE MONTHS ENDED MARCH 31, 2021
(Unaudited)

 

 

Note 10. Income Taxes

The Company is subject to U.S. federal income taxes, in addition to state and local income taxes.

The components of income tax expense (benefit) are as follows:

 

 

For the

Three Months Ended March 31, 2021

 

 

For the

Three Months Ended March 31, 2020

 

Current:

 

 

 

 

 

 

 

 

Federal

 

$

-

 

 

$

-

 

State

 

 

4,360

 

 

 

4,734

 

Income tax expense

 

 

4,360

 

 

 

4,734

 

Deferred:

 

 

 

 

 

 

 

 

Federal

 

 

-

 

 

 

-

 

State

 

 

-

 

 

 

-

 

Income tax benefit

 

 

-

 

 

 

-

 

Total income tax expense (benefit), net

 

$

4,360

 

 

$

4,734

 

Significant components of the Company's deferred income tax assets and liabilities are as follows:

 

 

March 31, 2021

 

 

December 31, 2020

 

Deferred tax assets:

 

 

 

 

 

 

 

 

Net operating loss carryover

 

$

881,171

 

 

$

786,751

 

Accounts receivable

 

 

129,942

 

 

 

165,431

 

Compensation

 

 

505,124

 

 

 

480,774

 

Inventory

 

 

583,241

 

 

 

588,966

 

Other

 

 

19,871

 

 

 

5,083

 

Total deferred tax assets

 

 

2,119,349

 

 

 

2,027,005

 

Deferred tax liabilities:

 

 

 

 

 

 

 

 

Intangibles

 

 

(204,742

)

 

 

(206,723

)

Property and equipment

 

 

(2,862

)

 

 

(3,736

)

Total deferred tax liabilities

 

 

(207,604

)

 

 

(210,459

)

Deferred tax assets, net

 

 

1,911,745

 

 

 

1,816,546

 

Valuation allowance:

 

 

 

 

 

 

 

 

    Beginning of year

 

 

(1,816,546

)

 

 

(1,529,584

)

   Increase during the year

 

 

(95,199

)

 

 

(286,962

)

      Ending balance

 

 

(1,911,745

)

 

 

(1,816,546

)

 

 

 

 

 

 

 

 

 

Net deferred tax asset

 

$

-

 

 

$

-

 

 

A valuation allowance is established if it is more likely than not that all or a portion of the deferred tax asset will not be realized.  The Company recorded a valuation allowance totaling $95,199 for the three months ended March 31, 2021 due to the uncertainty of realization.  Management believes that based upon the history of losses that the Company has incurred to date and its projection of future taxable operating income for the foreseeable future, it is more likely than not that the Company will not be able to realize the tax benefit associated with deferred tax assets. The valuation allowance established as of March 31, 2021 was $1,911,745.

At March 31, 2021, the Company estimates it has approximately $7,160,019 of net operating loss carryforwards, of which $3,863,299 will expire in 2021 through 2037. Under Section 382 of the Internal Revenue Code of 1986, as amended (“IRC Section 382”), a corporation that undergoes an “ownership change”, as defined therein, is subject to limitation on its use of pre-change tax attributes carryforward to offset future taxable income. The Company completed a 382 study and determined that there were changes in ownership in prior years which limited the NOL from 2013 and earlier, and 2014 through 2016. The 382 limitation mathematically precludes the use of approximately $2,963,968 of net operating loss carryforwards. Therefore, the deferred net operating loss carryover asset excludes the portion of net operating losses that are mathematically excluded from future use by the Company.

F-15


FUSE MEDICAL, INC.

NOTES TO THE UNAUDITED CONDENSED CONSOLIDATED FINANCIAL STATEMENTS

FOR THE THREE MONTHS ENDED MARCH 31, 2021
(Unaudited)

 

The Company’s management believes its tax positions will more likely than not be upheld upon examination. As such, the Company has not recorded a liability for unrecognized tax positions. As of March 31, 2021, all the tax years remained open to examination for three years from the tax year in which net operating losses are utilized. The Company was not subject to examination by any income taxing authority as of March 31, 2021.

A reconciliation of income tax computed at the U.S. statutory rate to the effective income tax rate is as follows:

 

 

 

Three Months Ended

 

 

 

March 31, 2021

 

 

March 31, 2020

 

Expected U.S. federal incomes as statutory rate

 

21.0%

 

 

21.0%

 

Permanent differences

 

0.0%

 

 

0.0%

 

Other

 

0.0%

 

 

0.0%

 

State and local income taxes, net of federal benefit

 

-0.8%

 

 

-0.3%

 

Change in deferred tax asset valuation allowance

 

-21.2%

 

 

-21.1%

 

Effective tax rate

 

-1.0%

 

 

-0.4%

 

Our effective income tax rates for the three months ended March 31, 2021 and 2020 were (1.0%) and (0.4%), respectively.   The decrease from the prior period is driven by the valuation allowance allocated to the deferred tax asset for the current period.  

Note 11. Concentrations

Concentration of Revenues, Accounts Receivable and Suppliers

For the three months ended March 31, 2021, and 2020, the following significant customers had an individual percentage of total revenues equaling ten percent (10%) or greater:

 

 

For the Three Months Ended

 

 

March 31, 2021

 

 

March 31, 2020

 

Customer 1

 

14.8

%

 

 

11.0

%

Customer 2

 

4.9

%

 

 

11.5

%

Totals

 

19.7

%

 

 

22.5

%

 

At March 31, 2021 and December 31, 2020, there were no significant customers that had a concentration of accounts receivable representing ten percent (10%) or greater of accounts receivable:

 

For the three months ended March 31, 2021 and 2020, the following significant suppliers represented ten percent (10%) or greater of goods purchased:

 

 

For the Three Months Ended

 

 

March 31, 2021

 

 

March 31, 2020

 

Supplier 1

 

18.2

%

 

 

0.0

%

Supplier 2

 

17.6

%

 

 

20.1

%

Supplier 3

 

6.6

%

 

 

16.9

%

Supplier 4 (Related party)

 

4.1

%

 

 

12.9

%

Totals

 

46.5

%

 

 

49.9

%

 

F-16


FUSE MEDICAL, INC.

NOTES TO THE UNAUDITED CONDENSED CONSOLIDATED FINANCIAL STATEMENTS

FOR THE THREE MONTHS ENDED MARCH 31, 2021
(Unaudited)

 

 

Note 12. Related Party Transactions

Lease with 1565 North Central Expressway, LP

For its principal executive office, the Company leases an aggregate of approximately 11,500 square-foot space at 1565 North Central Expressway, Suite 220, Richardson, Texas 75080 from 1565 NCE, LP, a real estate investment company that is owned and controlled by Mr. Brooks. The Company’s lease arrangement includes (1) the lease acquired pursuant to the CPM Acquisition effective January 1, 2013 and (2) a lease effective July 14, 2017 entered into to support the Company’s relocation of its Fort Worth, Texas corporate offices to CPM’s executive offices. Both leases terminated December 31, 2017, with month-to-month renewals. For the three months ended March 31, 2021, and 2020, the Company paid approximately $42,000 and $42,000 in rent expense, which is reflected in selling, general, administrative, and other expenses in the Company’s accompanying interim unaudited condensed consolidated statements of operations.

AmBio Contract

The Company engaged AmBio Staffing, LLC (“AmBio”), a Texas licensed Professional Employment Organization, to provide payroll processing, employee benefit administration, and related human capital services effective January 1, 2017. Mr. Brooks owns and controls AmBio. As of March 31, 2021, AmBio operations support approximately 44 full time equivalents (“FTE”). Of those 44 FTEs, 36 FTEs directly support the Company, 7 FTEs support the operations of other companies, and 1 FTE is shared between the Company and other companies.

As of March 31, 2021, and December 31, 2020, the Company owed amounts to AmBio of approximately zero and $154,051, respectively, which is reflected in the accounts payable on the Company’s accompanying interim unaudited condensed consolidated balance sheets. For the three months ended March 31, 2021, and 2020, the Company paid approximately $41,611 and $50,869, respectively, to AmBio in administrative fees, which is reflected in selling, general, administrative, and other expenses in the Company’s accompanying interim unaudited condensed consolidated statements of operations.  

Operations

Historically, the Company conducts various related-party transactions with entities that are owned by or affiliated with Mr. Brooks and Mr. Reeg. These transactions are based on wholesale contractual agreements that the Company’s management believes are on terms and conditions substantially similar to other third-party contractual arrangements. As described more fully below, these transactions include: selling and purchasing of inventory on wholesale basis, commissions earned and paid, and shared-service fee arrangements.

MedUSA Group, LLC

MedUSA Group, LLC (“MedUSA”) is a sub-distributor owned and controlled by Mr. Brooks and Mr. Reeg.

During the three months ended March 31, 2021 and 2020, the Company:

 

sold Orthopedic Implants and Biologics products to MedUSA in the amounts of approximately $1,400 and $25,131, respectively, which is reflected in net revenues in the Company’s accompanying interim unaudited condensed consolidated statements of operations;

 

 

had no purchases of Orthopedic Implants, medical instruments, or Biologics from MedUSA, and

 

 

incurred approximately $836,609 and $682,580, respectively, in commission costs, which is reflected in commissions in the Company’s accompanying interim unaudited condensed consolidated statements of operations.

As of March 31, 2021, and December 31, 2020, the Company had approximately $1,039,444 and $960,932, respectively, of unpaid commission costs due to MedUSA.

As of March 31, 2021, and December 31, 2020, the Company had outstanding balances due from MedUSA of approximately $323,496 and $398,151, respectively. These amounts are reflected in accounts receivable in the Company’s accompanying interim unaudited condensed consolidated balance sheets.

As of March 31, 2021, and December 31, 2020, the Company had no outstanding balances owed to MedUSA.

Payment terms per our stocking and distribution agreement with MedUSA are 30 days from receipt of invoice. As of March 31, 2021, MedUSA has a past due balance of approximately $323,496.

F-17


FUSE MEDICAL, INC.

NOTES TO THE UNAUDITED CONDENSED CONSOLIDATED FINANCIAL STATEMENTS

FOR THE THREE MONTHS ENDED MARCH 31, 2021
(Unaudited)

 

Texas Overlord, LLC

Texas Overlord, LLC (“Overlord”) is an investment holding company owned and controlled by Mr. Brooks.

During the three months ended March 31, 2021 and 2020 the Company:

 

Incurred approximately $60,000 and $45,000, respectively, in commission costs, which is reflected in commissions in the Company’s accompanying interim unaudited condensed consolidated statements of operations.

As of March 31, 2021, and December 31, 2020, the Company had approximately $60,000 and $20,000, respectively, of unpaid commission costs due to Overlord.

As of March 31, 2021, and December 31, 2020, the Company had no outstanding balances due from Overlord.

NBMJ, Inc.

NBMJ, Inc. d/b/a Incare Technology (“NBMJ”) is a durable medical equipment, wound care, and surgical supplies distributor owned and controlled by Mr. Brooks.

During the three months ended March 31, 2021, and 2020, the Company sold Biologics products to NBMJ in the amounts of approximately $13,327, and $978, respectively, which are reflected in net revenues in the Company’s accompanying interim unaudited condensed consolidated statements of operations.

As of March 31, 2021, and December 31, 2020, the Company has outstanding balances due from NBMJ of approximately $13,327 and zero, respectively. These amounts are reflected in accounts receivable in the Company’s accompanying interim unaudited condensed consolidated balance sheets.

 

Payment terms per the stocking and distribution agreement are 30 days from receipt of invoice. As of March 31, 2021, NBMJ has a past due balance of approximately $4,250.

Bass Bone and Spine Specialists

 

Bass Bone & Spine Specialists (“Bass”) operates as a sub-distributor of surgical implants and is owned and controlled by Mr. Brooks.

 

During the three months ended March 31, 2021, and 2020, the Company:

 

 

sold Orthopedic Implants and Biologics products to Bass in the amounts of approximately $7,920 and $31,657, respectively, which is reflected in net revenues in the Company’s accompanying interim unaudited condensed consolidated statements of operations;

 

As of March 31, 2021, and December 31, 2020, the Company has outstanding balances due from Bass of approximately $8,729

and $20,117, respectively. These amounts are reflected in accounts receivable in the Company’s accompanying interim unaudited condensed consolidated balance sheets.

 

Payment terms per the stocking and distribution agreement are 30 days from receipt of invoice. As of March 31, 2021, Bass has a past due balance of approximately $8,729.

Sintu, LLC

Sintu, LLC (“Sintu”) operates as a sub-distributor of surgical implants and is owned and controlled by Mr. Brooks.

During the three months ended March 31, 2021, and 2020, the Company incurred approximately $75,927 and $266,329, respectively, in commission costs to Sintu, which is reflected in commissions on the Company’s accompanying interim unaudited condensed consolidated statement of operations.

As of March 31, 2021, and December 31, 2020, the Company had approximately $219,491 and $163,567, respectively, of unpaid commission costs due to Sintu.

Tiger Orthopedics, LLC

F-18


FUSE MEDICAL, INC.

NOTES TO THE UNAUDITED CONDENSED CONSOLIDATED FINANCIAL STATEMENTS

FOR THE THREE MONTHS ENDED MARCH 31, 2021
(Unaudited)

 

 

Tiger Orthopedics, LLC (“Tiger”) operates as a sub-distributor of surgical implants and is owned and controlled by Mr. Brooks.

 

During the three months ended March 31, 2021, and 2020, the Company sold Orthopedic Implants and Biologics products to Tiger in the amounts of approximately $502 and $32,600, respectively, which is reflected in net revenues in the Company’s accompanying interim unaudited condensed consolidated statements of operations;

 

As of March 31, 2021, and December 31, 2020, the Company has outstanding balances due from Tiger of approximately $502 and zero, respectively. These amounts are reflected in accounts receivable in the Company’s accompanying interim unaudited condensed consolidated balance sheets.

 

Payment terms per the stocking and distribution agreement are 30 days from receipt of invoice. As of March 31, 2021, there is no past due balance.

 

Modal Manufacturing, LLC

 

Modal Manufacturing, LLC (“Modal”) is a manufacturer of medical devices owned and controlled by Mr. Brooks.

 

During the three months ended March 31, 2021 and 2020, the Company purchased approximately $180,397 and $220,919 respectively, in Orthopedic Implants and medical instruments from Modal, which is reflected within inventories, net of allowance on the Company’s accompanying interim unaudited condensed consolidated balance sheets.

 

As of March 31, 2021, and December 31, 2020, the Company had outstanding balances owed to Modal of approximately $598,293 and $417,897, respectively. This is reflected in accounts receivable in the Company’s accompanying condensed consolidated balance sheets.

 

Payment terms per the stocking and distribution agreement are 30 days from receipt of invoice. As of March 31, 2021, the Company had a past due balance of approximately $426,030 owed to Modal.

Note 13. Subsequent Events

In preparing these interim unaudited condensed consolidated financial statements, the Company has evaluated events and transactions for potential recognition or disclosure through May 12, 2021, the date the interim unaudited condensed consolidated financial statements were available to be issued.

On April 30, 2021, the Company’s management obtained a waiver from Amegy Bank with respect to the event of default for the three months ended March 31, 2021. On May 4, 2021, the Company and Amegy Bank executed the Seventh Amendment to the RLOC, extending the termination date of the RLOC until November 4, 2021. (See Note 5, “Senior Secured Revolving Credit Facility.”)

The Company’s management concluded there are no other material events or transactions for potential recognition or disclosure.

 

F-19


 

 

 

ITEM 2. MANAGEMENT'S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF OPERATIONS. 

Explanatory Note 

As used in this report on Form 10-Q, “we”, “us”, “our”, and the “Company” refer to Fuse Medical, Inc, a Delaware corporation. 

This discussion and analysis should be read in conjunction with the interim unaudited condensed consolidated financial statements of our Company and the related notes included in this report for the periods presented (our “Financial Statements”), the audited consolidated financial statements of our Company and the related notes thereto and the Management’s Discussion and Analysis of Financial Condition and Results of Operations in our Company’s Annual Report on Form 10-K for the fiscal year ended December 31, 2020 (our “2020 Annual Report”), filed with the Securities and Exchange Commission (the “SEC”) pursuant to Section 13 or 15(d) under the Securities Exchange Act of 1934, as amended (the “Exchange Act”), on March 30, 2021.

Overview

We are a manufacturer and national distributor of medical devices. We provide a broad portfolio of orthopedic implants including:

 

Foot and Ankle: internal and external fixation products;

 

Orthopedics: upper and lower extremity plating and total joint reconstruction implants;

 

Sports Medicine: soft tissue fixation and augmentation for sports medicine procedures;

 

Spine: full spinal implants for trauma, degenerative disc disease, and deformity indications (collectively, we refer to these bulleted products as Orthopedic Implants).

We also provide a wide array of osteo-biologics and regenerative tissues, which include human allografts, substitute bone materials, tendons, and amniotic tissues and fluids, which we refer to as (Biologics).

All of our medical devices are cleared by the U.S. Food and Drug Administration (“FDA”) for sale in the United States, and all of our Biologics suppliers are licensed tissue banks accredited by the American Association of Tissue Banks. Additionally, we are an FDA-registered medical device specification developer and repackager/relabeler, and manufacturer of record, (a “Manufacturer”). We are seeking to grow our manufacturing operations, both by internal product development and by acquiring existing FDA approved devices and related intellectual property.

 

First Quarter 2021 Update

 

International Sales

 

During the first quarter of 2021, we expanded internationally into Australia with sales of our Fuse TyPEEK™ Titanium coated spinal interbodies, which are used in spinal fusion surgical procedures.  We view the Australian market as the ideal opportunity to begin our global expansion. In addition to our spinal implants, we have internal fixation implants for extremities that are currently cleared for the Australian marketplace as well. We are evaluating additional CE marked products in our portfolio for Australia, as well as European markets.

 

Impact of Coronavirus

 

During the first quarter of 2020, the novel coronavirus SARS-CoV-2 global pandemic ("COVID-19") significantly impacted the global economy. The impact has been profound, has continued in April 2021 and is likely to persist for months to come.

 

Since the first quarter of 2020, in response to COVID-19, the Governor of Texas has declared several executive orders limiting elective surgeries based on hospital facility capacity. During January 2021, certain of our hospital facility customers temporarily restricted elective surgeries. Generally, these surgical cases were deferred and rescheduled to subsequent months.

 

 

 

 

 

3


 

 

Severe Weather Conditions

 

During February 2021, the state of Texas experienced record-breaking winter weather which resulted in dangerous road conditions, widespread power outages, water outages and contamination of the water supply, causing significant disruptions through-out Texas, including our corporate office and distribution center for several days.

In response to the dangerous weather conditions, our executive management team immediately focused on the health and wellbeing of our employees, allowing employees to work from home to avoid driving to our offices. Our management also worked to minimize the impact on our customers by rescheduling and coordinating new surgery dates. We resumed full operations on March 1, 2021 and have worked to address the surgical caseload, sales support, and administrative functions backlog. Generally, surgical Cases canceled due to the severe weather have been rescheduled to subsequent weeks.

 

Current Trends and Outlook

Seasonality

We are subject to seasonal fluctuations in sales, which cause fluctuations in quarterly results of operations. Because of the seasonality of our business, results for any quarter are not necessarily indicative of results that may be achieved in other quarters or for a full fiscal year.

Historically, we have experienced greater revenue and greater sales volume, as a percentage of revenue, during the last two calendar quarters of our fiscal year compared to the first two calendar quarters of the year. We believe this revenue trend is primarily due to the increase in elective surgeries during the last two quarters of the calendar year, which are partially satisfied by patient annual healthcare deductibles being met in those two quarters. We use this seasonality trend to assist us in enterprise-wide resource planning, such as purchasing, product inventory logistics, and human capital demands.

Retail and Wholesale Cases

We believe our comprehensive selection of Orthopedic Implants and Biologics products is pivotal to our ability to acquire new customers, increase sales to existing customers and increase overall sales volume, revenues, and profitability. We continue to review and evaluate our product lines, ensuring we maintain a high-quality and cost-effective selection of Orthopedic Implants and Biologics.

Retail. Under our retail distribution model, (“Retail Model”), we sell directly to our end customers, which consist of hospitals and medical facilities, utilizing (i) our full-time sales representatives whom we employ or engage as independent contractors and (ii) independent sales representatives who work on a non-exclusive basis. In both instances, we pay the sales representative a commission with respect to sales made by the representative. We refer to sales through our Retail Model as Retail Cases..

Wholesale. Under our wholesale distribution model, (“Wholesale Model”), we sell our products directly to independent distributors rather than to hospitals and medical facilities who are the ultimate end customer. We do not pay or receive commissions from any sales by the independent distributor to the end customer. We refer to sales through our Wholesale Model as Wholesale Cases..

Retail Cases in our industry command higher revenue price points than Wholesale Cases. Because Retail Cases involve direct sales to our end customers, we typically receive a higher gross profit margin due to the absence of any third party in the sales process. However, we may pay commissions to our full time or independent sales representatives with respect to Retail Sales increasing our commission expenses. Retail Cases generally generate substantially more gross profit than Wholesale Case transactions but are subject to commission expenses which we do not incur with respect to Wholesale Cases.

Wholesale Cases in our industry command lower revenue price-points than Retail Cases as the third-party reseller must build in its own profit margin. Because Wholesale Cases involve sales to third parties who sell our products to end customers, our profit margins are reduced for these Cases due to the lower sales price. Consequently, our Wholesale Cases generate substantially lower gross profit than our Retail Cases. Our Wholesale Case business is highly dependent on minimum volume sales levels to generate revenues in excess of our fixed costs of revenues in order to achieve appropriate profitability.

Pricing Pressures

Pricing pressure has increased in our industry due to (i) continuous consolidation among healthcare providers, (ii) trends toward managed healthcare, (iii) increased government oversight of healthcare costs, and (iv) new laws and regulations that address healthcare reimbursement and pricing. Pricing pressure, reductions in reimbursement levels or coverage, or other cost containment measures can significantly impact our business, future operating results, and financial condition.

To offset pricing pressure, we employ strategies to maximize revenue per Case. For the three months ended March 31, 2021 and 2020, our average revenues per Case were $5,041 and $4,980, respectively. Our strategy to emphasize our Retail Model proved successful as

4


 

Retail Cases represented approximately 90% of revenue for the first quarter of 2021, or an approximate 1% increase over the same quarter of 2020.

Critical Accounting Policies

The preparation of our Financial Statements and the related disclosures in conformity with GAAP, requires our management to make judgments, assumptions, and estimates that affect the amounts of revenue, expenses, income, assets, and liabilities, reported in our Financial Statements and accompanying notes. Understanding our accounting policies and the extent to which our management uses judgment, assumptions, and estimates in applying these policies is integral to understanding our Financial Statements.

We describe our most significant accounting policies in Note 2, “Significant Accounting Policies” of our accompanying interim unaudited condensed consolidated notes to our Financial Statements beginning on page F-1 and found elsewhere in this report and in our 2020 Annual Report. These policies are considered critical because they may result in fluctuations in our reported results from period to period due to the significant judgments, estimates, and assumptions about highly complex and inherently uncertain matters. In addition, the use of different judgments, assumptions, or estimates could have a material impact on our financial condition or results of operations. We evaluate our critical accounting estimates and judgments required by our policies on an ongoing basis and update them as appropriate based on changing conditions.

There have been no material changes to our critical accounting policies during the period covered by this report.

Recent Accounting Pronouncements

We describe recent accounting pronouncements in Note 2, “Significant Accounting Policies,” of our accompanying interim unaudited condensed consolidated notes to our Financial Statements beginning on page F-1.


5


 

 

Results of Operations

The following table sets forth certain financial information from our interim unaudited condensed consolidated statements of operations, along with a percentage of net revenues. 

 

For the Three Months Ended

 

 

March 31,

2021

 

(% Rev)

 

March 31,

2020

 

(% Rev)

 

Net revenues

$

4,440,759

 

100%

 

$

4,636,503

 

100%

 

Cost of revenues

 

1,853,865

 

42%

 

 

1,982,896

 

43%

 

Gross profit

 

2,586,894

 

58%

 

 

2,653,607

 

57%

 

Operating expenses:

 

 

 

 

 

 

 

 

 

 

 

 

Selling, general, administrative, and other

 

1,435,310

 

32%

 

 

2,480,771

 

54%

 

Commissions

 

1,564,753

 

35%

 

 

1,391,117

 

30%

 

Depreciation and amortization

 

16,794

 

0%

 

 

29,983

 

1%

 

Total operating expenses

 

3,016,857

 

68%

 

 

3,901,871

 

84%

 

Operating loss

 

(429,963

)

-10%

 

 

(1,248,264

)

-27%

 

Other expense

 

 

 

 

 

 

 

 

 

 

 

 

Interest expense

 

19,000

 

0%

 

 

31,001

 

1%

 

Total other expense

 

19,000

 

0%

 

 

31,001

 

1%

 

Operating loss before tax

 

(448,963

)

-10%

 

 

(1,279,265

)

-28%

 

Income tax expense

 

4,360

 

0%

 

 

4,734

 

0%

 

Net loss

$

(453,323

)

-10%

 

$

(1,283,999

)

-28%

 

Three Months Ended March 31, 2021, Compared to Three Months Ended March 31, 2020

Net Revenues

For the three months ended March 31, 2021, net revenues were $4,440,759 compared to $4,636,503 for the three months ended March 31, 2020, a decrease of $195,744 or approximately 4.2%.

For the three months ended March 31, 2021, Retail Cases decreased by approximately 6% compared to the three months ended March 31, 2020, and revenues from Retail Cases decreased by approximately 3% compared to revenues from Retail Cases for the three months ended March 31, 2020. Revenues from Retail Cases as a percentage of total revenues increased to 90% of revenues for the three months ended March 31, 2021, from 89% of revenues for the three months ended March 31, 2020. We believe the increase in revenue from Retail Cases as a percent of total revenues reflects the execution of our strategies to shift more of our business to higher margin Retail Cases through improvement of our supply chain management. Therefore, wholesale revenue as a percent of total revenue has decreased.

Additionally, as discussed above in “Severe Weather Conditions”, we believe the severe weather conditions that we experienced in February 2021 had a material impact on our first quarter revenues for 2021, as approximately 80 Cases had to be deferred as a result of severe weather conditions.

As discussed above in “Current Trends and Outlook,” we believe that as our industry faces increased pricing pressures, we will need to focus on increased volume of Cases to maintain gross profit levels. We intend to increase our Retail Case volume by increasing sales volumes with our existing retail customer base as well as on-boarding new surgeons, distributors, and retail customers.

Cost of Revenues

For the three months ended March 31, 2021, our cost of revenues was $1,853,865, compared to $1,982,896 for the three months ended March 31, 2020, representing a decrease of $129,031, or approximately 6.5%. 

As a percentage of revenues, cost of revenues decreased 1% percentage points to approximately 42% for the three months ended March 31, 2021, compared to approximately 43% for the three months ended March 31, 2020.   As a percentage of net revenues, the decrease of approximately 1% primarily resulted from (a)(i) a decrease of 6.4% in inventory shrink, (ii) a 0.3% reduction in cost of revenues product mix; offset, in part, by (b)(i) an increase of 3.6% in the inventory loss provision for slow-moving and obsolescence, (ii) an increase of 1.8% for medical instruments purchased based on new product development and (iii) an increase of approximately 0.3% of purchase price variance and shipping costs, net.  

Gross Profit

For the three months ended March 31, 2021, we generated a gross profit of $2,586,894, compared to $2,653,607 for the three months ended March 31, 2020, representing a decrease of $66,713, or approximately 2.5%.

6


 

As a percentage of revenues, gross profit increased approximately 1% for the three months ended March 31, 2021 compared to 2020. The components of gross profit varied and included primarily, (a)(i) an increase of 3.6% in the inventory loss provision for slow-moving and obsolescence, (ii) an increase of 1.8% for medical instruments purchased based on new product development, (iii) an increase of approximately 0.3% of purchase price variance and shipping costs, net, offset, in part, by (b)(i) a decrease of 6.4% in inventory shrink and (ii) a 0.3% reduction in cost of revenues product mix.

Selling, General, Administrative, and Other Expenses

For the three months ended March 31, 2021, selling, general, administrative, and other expenses (“SG&A”) decreased to $1,435,310 from $2,480,771 for the three months ended March 31, 2020, representing a decrease of $1,045,461 or approximately 42.1%.

As a percentage of net revenues, SG&A accounted for approximately 32% for the three months ended March 31, 2021, and 54% for the three months ended March 31, 2020. As a percentage of net revenues, the decrease of approximately 22% primarily resulted from (a)(i) a decrease of 12.8% in bad debt expense; (ii) a 4.2% decrease in leased staffing costs; (iii) a 2.4% reduction in professional fees relating to audit, legal and consulting expenses; (iv) a decrease of 1.2% for employee expense reimbursements related to business development and travel costs; and (v) a 0.9% reduction in stock-based compensation.  

Commissions

For the three months ended March 31, 2021, and 2020, commission expense was $1,564,753 and $1,391,117, respectively, representing an increase of $173,636, or approximately 12.5%.

As a percentage of net revenues, commission expense accounted for approximately 35% for the three months ended March 31, 2021, and approximately 30% for the three months ended March 31, 2020. This approximate 5% increase primarily resulted from (a)(i) an approximate 9% increase in average commission rates; offset, in part, by (b)(i) the approximate 4% decrease in revenues eligible for commissions.

Depreciation and amortization

For the three months ended March 31, 2021, our depreciation expense decreased to $16,794 from $29,983 for the three months ended March 31, 2020, representing a decrease of $13,189. This decrease is the result of (i) an approximate $7,722 reduction in amortization of intangible assets, and (ii) an approximate $5,467 reduction in depreciation expense as relating to investment in IT infrastructure such as additional and replacement user workstations.

Interest

For the three months ended March 31, 2021, interest expense decreased to $19,000 from $31,001 for the three months ended March 31, 2020, which is a decrease of $12,001, or approximately 38.7%. The increase is primarily due to a reduction in average borrowings on our RLOC with Amegy Bank, and a decrease in the interest rate on the RLOC.

Tax

For the three months ended March 31, 2021, and 2020 we recorded an income tax expense of $4,360 and $4,734.  For additional information, please see Note 10, “Income Taxes,” of our accompanying interim unaudited condensed consolidated notes to our Financial Statements, beginning on page F-1.

Net Loss

For the three months ended March 31, 2021, we had a net loss of $453,323 compared to a net loss $1,283,999 for the three months ended March 31, 2020, respectively, representing a reduction in net loss of $830,676 or a reduction of approximately 64.7%. The drivers for our reduction in net loss for the three months ended March 31, 2021 were (a)(i) a decrease of $1,045,461 in SG&A and other expense, (ii) a $129,031 reduction in cost of revenue, (iii) a $13,189 reduction in depreciation and amortization (iv) a $12,001 decrease in interest expense (v) a decrease in tax expense of $374; offset, in part, by (b)(i) a $195,744 reduction in net revenues, and  (ii) a $173,636 increase in commissions.

 

7


 

 

Cash Flows

A summary of our cash flows is as follows:

 

 

 

Three Months Ended March 31,

 

 

 

2021

 

 

2020

 

Net cash provided by (used in) operating activities

 

$

55,335

 

 

$

(76,104

)

Net cash used in investing activities

 

 

-

 

 

 

(20,757

)

Net cash provided by (used in) financing activities

 

 

175,000

 

 

 

(249,181

)

Net increase (decrease) in cash and cash equivalents

 

$

230,335

 

 

$

(346,042

)

Net Cash Provided by Operating Activities

During the three months ended March 31, 2021, net cash provided by operating activities was $55,335 compared to net cash used in operations of $76,104 for the three months ended March 31, 2020, representing an increase of $131,439.

The increase provided by operating activities of $131,439 primarily resulted from: (a)(i) a $652,045 increase in cash provided by accrued expenses; (ii) a $403,453 increase in cash provided by the net loss adjusted for non-cash items;  (iii) a $322,948 reduction in cash used for long term accounts receivable; (iv) a $269,677 increase in cash provided by accounts payable; (v) a $7,187 reduction in cash used for prepaid expenses and other current assets; offset, in part, by (b)(i) a $824,102 increase in cash used for inventories; and (ii) a $699,769 decrease in cash provided by accounts receivable.

Net Cash Used in Investing Activities

For the three months ended March 31, 2021, net cash used in investing activities was zero. For the three months ended March 31, 2020 net cash used in investing activities was $20,757, primarily related to the purchase of property and equipment, such as new and replacement user workstations and equity incentive tracking and reporting system.

Net Cash Used in Financing Activities

For the three months ended March 31, 2021, net cash provided by financing activities was $175,000, compared to $249,181 used in financing activities for the three months ended March 31, 2020. For both periods, the amount of net cash used in financing activities was driven by the net activity on our RLOC. The increase in net cash provided by financing activities between March 31, 2021 and 2020 was primarily related to increased borrowings and reduced payments on our RLOC.

Liquidity

 

Our primary sources of liquidity are cash from our operations and our RLOC with Amegy Bank. As of March 31, 2021, our current assets exceeded our current liabilities by $4,970,339 (our “Working Capital”), which includes $1,417,793 in cash and cash equivalents. We believe cash from our operations and net borrowings on our RLOC supports our Working Capital needs.

On December 29, 2017, we became party to a RLOC with Amegy Bank. The RLOC established an asset-based senior secured revolving credit facility in the amount of $5,000,000. The RLOC contains customary representation, warranties, covenants, events of default, and is collateralized by substantially all of our assets and provides that our Chairman of the Board and President personally guarantee a portion of the outstanding RLOC amount.

On September 21, 2018, we executed the First Amendment to the RLOC with Amegy Bank. The First Amendment (i) waived our events of default under the RLOC through the fiscal quarter ended September 30, 2018, and (ii) added a covenant that we achieve quarterly net income of $700,000 or more for the fiscal quarter ending on September 30, 2018.

On November 19, 2018, we executed the Second Amendment to the RLOC with Amegy Bank. The Second Amendment (i) waived our events of default under the RLOC, (ii) reduced the aggregate limit of the RLOC to $4,000,000, (iii) extended the maturity date to November 4, 2019, (iv) revised the variable interest rate to the one-month LIBOR rate plus four percent (4.00%) per annum, and (v) amended the financial covenants to state that we will not permit: the Fixed Charge Coverage Ratio of any calendar quarter end from and after the quarter ending June 30, 2019, to be less than 1.25 to 1.00; earnings before interest, taxes, depreciation and amortization (“EBITDA”) to be less than $700,000 for the fiscal quarter ending December 31, 2018, and $100,000 for the fiscal quarter ending March 31, 2019; modified the event of default related to consecutive quarterly losses to be applicable from and after the quarter ending June 30, 2019.

8


 

On May 9, 2019, we executed the Third Amendment to the RLOC with Amegy Bank. Pursuant to the Third Amendment, Amegy Bank (i) waived our events of default under the RLOC, (ii) reduced the aggregate limit of the RLOC to $3,500,000, (iii) reduced the limit of credit card exposure to $500,000, (iv) reduced the borrowing base component of Inventory to 30%, (v) amended the financial covenants to state that we will not permit EBITDA to be less than $100,000 for the fiscal quarter ending June 30, 2019 and $500,000 for the fiscal quarter ending September 30, 2019 and (vi) rescinded the loan sweep feature, requiring us to give notice of each requested loan by delivery of advance request to Amegy Bank.

On December 18, 2019, we executed the Fourth Amendment to the RLOC with Amegy Bank. Pursuant to the Fourth Amendment, Amegy Bank (i) waived our events of default under the RLOC, (ii) reduced the aggregate limit of the RLOC to $2,750,000, (iii) reduced and limited the annual salary of our Chairman of the Board and President, Mr. Brooks, to not exceed $550,000, (iv) amended the financial covenants to state that we will not permit EBITDA to be less than $600,000 for the fiscal quarter ending December 31, 2019 and $125,000 for the fiscal quarter ending March 31, 2020, (v) extended the termination date of the RLOC to May 4, 2020, and (vi) provides for our Chairman of the Board and President to personally guarantee one-hundred percent (100%) of the outstanding RLOC amount.

 

On May 21, 2020, we executed the Fifth Amendment to our RLOC with Amegy Bank. Pursuant to the Fifth Amendment, Amegy Bank (i) waived our events of default under the RLOC, (ii) amended the financial covenants to state that we will not permit EBITDA to be less than $25,000 for the trailing six months ended September 30, 2020, and (iii) extended the termination date of our RLOC until November 4, 2020.

In conjunction with obtaining the Fifth Amendment, we obtained an additional $200,000 in capital in the form of subordinated debt from affiliates of Messrs. Brooks and Reeg. Specifically, on May 6, 2020, we borrowed $180,000 from NC 143, a limited partnership controlled by Mr. Brooks, and $20,000 from RMI, a company owned and controlled by Mr. Reeg, in exchange for two promissory notes which are unsecured and bear interest at 0.25% per annum until May 6, 2022, the maturity date, and 10.0% per annum after the maturity date.  Principal and interest are due and payable on the maturity date, provided, however, any payment of principal and interest on the loans is subordinated to payment of all indebtedness under the RLOC.  

On November 12, 2020 we executed a Sixth Amendment to the RLOC with Amegy Bank, which extended the termination date of our RLOC to May 4, 2021.

We were not in compliance with the trailing twelve months minimum quarterly EBITDA requirement of $600,000 as of March 31, 2021. On April 30, 2021, we obtained a waiver from Amegy Bank with respect to the event of default. On May 4, 2021, we executed the Seventh Amendment to the RLOC with Amegy Bank, extending the termination date of the RLOC until November 4, 2021. (See Note 5, “Senior Secured Revolving Credit Facility” and Note 13, “Subsequent Events” of our accompanying interim unaudited condensed consolidated notes to our Financial Statements, beginning on page F-1).

We rely on our RLOC for capital expenditures and other day-to-day Working Capital needs. As of May 6, 2021, we had approximately $1,613,049 in available cash, and $335,299 available on our RLOC for borrowing (subject to certain borrowing base limitations). Borrowings on our RLOC are repaid from cash generated from our operations.

 

Payroll Protection Program

On April 15, 2020, we received a PPP Loan of approximately $361,400 under the PPP of the CARES Act. Proceeds from the PPP Loan were used to cover documented payroll, mortgage interest, rent, and utility costs over a twenty-four (24) week period. The PPP Loan is eligible to be forgiven under the terms of the PPP Loan under certain circumstances. The PPP Loan matures April 11, 2022 with interest accruing at 1%. There are no collateral requirements or prepayment penalties associated with the PPP Loan. We have applied for forgiveness and expect the PPP Loan to be forgiven during 2021

EIDL Loan

On May 12, 2020, we executed the EIDL Loan in light of the impact of the COVID-19 pandemic on the Company’s business. Pursuant to the SBA Loan Agreement, the principal amount of the EIDL Loan was $150,000, with proceeds to be used for working capital purposes. Interest accrues at the rate of 3.75% per annum. Installment payments, including principal and interest, are due monthly beginning May 12, 2021 (twelve months from the date of the SBA Loan Agreement) in the amount of $731. The balance of principal and interest is payable thirty years from the date of the SBA Loan Agreement. The EIDL Loan is reflected in long term liabilities in our accompanying interim unaudited condensed consolidated balance sheets. In connection therewith, we received a $10,000 advance, which does not have to be repaid and is reflected as an offset in Selling, General, Administrative and Other Expenses in our accompanying interim unaudited condensed consolidated statements of operations.

Our strategic growth plan provides for the capital investment in new product launches, private label branding, and the upgrade of our financial systems which support our infrastructure. We deem these investments essential to support our growth and expansion objectives. We estimate the range of this type of investment to be approximately $2 million to $3 million and anticipate these investments to occur primarily during first and second quarters of calendar year 2021. We expect sources of capital for these investments to be derived from cash from operations and additional debt and/or equity financing.

9


 

Capital Expenditures

For the three months ended March 31, 2021, we had no material commitments for capital expenditures.

Off-Balance Sheet Arrangements

For the three months ended March 31, 2021, we had no off-balance sheet arrangements.

Cautionary Note Regarding Forward-Looking Statements

This report includes forward-looking statements including statements regarding liquidity.

The words “believe,” “may,” “estimate,” “continue,” “anticipate,” “intend,” “should,” “plan,” “could,” “target,” “potential,” “is likely,” “will,” “expect”, and similar expressions, as they relate to us, are intended to identify forward-looking statements. We have based these forward-looking statements largely on our current expectations and projections about future events and financial trends that we believe may affect our financial condition, results of operations, business strategy, and financial needs.

The results anticipated by any of these forward-looking statements might not occur. Important factors that could cause actual results to differ from those in the forward-looking statements include; the conditions of the capital markets, particularly for smaller companies; the willingness of doctors and facilities to purchase the products that we sell; certain regulatory issues adversely affecting our margins; insurance companies denying reimbursement to facilities who use the products that we sell; and our ability to sell products. We undertake no obligation to publicly update or revise any forward-looking statements, whether as the result of new information, future events, or otherwise.

ITEM 3. QUANTITATIVE AND QUALITATIVE DISCLOSURES ABOUT MARKET RISK. 

As a “smaller reporting company” as defined by Rule 12b-2 of the Exchange Act, we are not required to provide the information required by this item.

ITEM 4. CONTROLS AND PROCEDURES.

We maintain disclosure controls and procedures that are designed to ensure that information required to be disclosed in our reports, that are filed or submitted under the Exchange Act, is recorded, processed, summarized, and reported within the time periods specified in the SEC’s rules and forms. Our disclosure controls and procedures include, without limitation, controls and procedures designed to ensure that this information is accumulated and communicated to management, including the principal executive and principal financial officers, or persons performing similar functions, as appropriate, to allow timely decisions regarding required disclosure.

We conducted an evaluation (pursuant to Rule 13a-15(b) promulgated under the Exchange Act), under the supervision and with the participation of management, including our Chief Executive and Chief Financial Officers, of the effectiveness of our disclosure controls and procedures (as defined in Rule 13a- 15(e) promulgated under the Exchange Act) as of March 31, 2021.

Based on our evaluation, our Chief Executive Officer and Chief Financial Officer have concluded that these disclosure controls and procedures were effective as of March 31, 2021.

 

10


 

 

PART II - OTHER INFORMATION

ITEM 5. OTHER INFORMATION. 

 

We were not in compliance with the trailing twelve months minimum quarterly EBITDA requirement of $600,000 as of March 31, 2021. On April 30, 2021, we obtained a waiver from Amegy Bank with respect to the event of default. On May 4, 2021, we executed the Seventh Amendment to the RLOC with Amegy Bank, extending the termination date of the RLOC until November 4, 2021. (See Note 5, “Senior Secured Revolving Credit Facility” and Note 13, “Subsequent Events” of our accompanying interim unaudited condensed consolidated notes to our Financial Statements, beginning on page F-1).

ITEM 6. EXHIBITS.

See the exhibits listed in the accompanying “Exhibit Index”.

11


 

EXHIBIT INDEX

 

Exhibit No.

 

Description

 

 

 

 

 

 

3.1

 

Amended and Restated Certificate of Incorporation of the Company (filed as Exhibit 3.1 to our Current Report on Form 8-K, filed on September 15, 2014 and incorporated herein by reference).

 

 

 

3.2

 

Amended and Restated Bylaws of Fuse Medical, Inc., incorporated herein by reference to Exhibit 3.1 to the Company’s Current Report on Form 8-K filed with the SEC on March 21, 2019.

 

 

 

10.1*

 

Limited Waiver and Seventh Amendment to Amended and Restated Business Loan Agreement dated May 4, 2021, by and between Zions Bancorporation, N.A. (dba Amegy Bank) and Fuse Medical, Inc. and CPM Medical Consultants, LLC.

 

 

 

10.2*

 

Amendment to the Stocking and Subdistribution Agreement dated April 22, 2021, by and between Texas Overlord, LLC and CPM Medical Consultants, LLC.

 

 

 

31.1* 

 

Certification of the Chief Executive Officer Pursuant to Section 302 of the Sarbanes-Oxley Act of 2002. 

 

 

 

 

 

 

31.2* 

 

Certification of the Chief Financial Officer Pursuant to Section 302 of the Sarbanes-Oxley Act of 2002. 

 

 

 

 

 

 

32.1**

 

Certification of the Chief Executive Officer and the Chief Financial Officer Pursuant to Section 906 of the Sarbanes-Oxley Act of 2002. 

 

 

 

 

 

 

101.INS * 

 

XBRL Instance Document 

 

 

 

101.SCH * 

 

XBRL Taxonomy Extension Schema Document 

 

 

 

 

 

 

101.CAL * 

 

XBRL Taxonomy Extension Calculation Linkbase Document 

 

 

 

 

 

 

101.DEF * 

 

XBRL Taxonomy Extension Definition Linkbase Document 

 

 

 

 

 

 

101.LAB * 

 

XBRL Taxonomy Extension Label Linkbase Document 

 

 

 

 

 

 

101.PRE * 

 

XBRL Taxonomy Extension Presentation Linkbase Document 

 

*

Filed herewith. 

**

Furnished herewith

 

12


 

 

SIGNATURES

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

 

 

FUSE MEDICAL, INC. 

 

 

 

 

 

Date: May 12, 2021

By:

/s/ Christopher C. Reeg

 

 

 

Christopher C. Reeg

 

 

 

Chief Executive Officer and Director

(Principal Executive Officer)

 

 

Date: May 12, 2021

By:

/s/ William E. McLaughlin, III

 

 

 

William E. McLaughlin, III

 

 

 

Senior Vice President, Chief Financial Officer and Director

(Principal Financial Officer)

 

 

 

13