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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: September 30, 2022 

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 or 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 November 5, 2022, 72,895,793 shares of the registrant’s common stock, $0.01 par value, were outstanding.

 

 

 

 


 

 

 

FUSE MEDICAL, INC.

FORM 10-Q

INDEX

 

 

 

 

PAGE

PART I. FINANCIAL INFORMATION

Item 1.

Financial Statements

 

F-1

 

Condensed Consolidated Balance Sheets at September 30, 2022 (Unaudited) and December 31, 2021

 

F-1

 

Condensed Consolidated Statements of Operations for the Three months and Nine months Ended September 30, 2022 and 2021 (Unaudited)

 

F-2

 

Condensed Consolidated Statements of Changes in Stockholders’ Equity for the Three months and Nine months Ended September 30, 2022 and 2021 (Unaudited)

 

F-3

 

Condensed Consolidated Statements of Cash Flows for the Nine months Ended September 30, 2022 and 2021 (Unaudited) 

 

F-4

 

Notes to Unaudited Condensed Consolidated Financial Statements

 

F-5

Item 2.

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

 

2

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

 

 

 

1


 

 

PART I. FINANCIAL INFORMATION 

Item 1. Condensed Consolidated Financial Statements

FUSE MEDICAL, INC.

CONDENSED CONSOLIDATED BALANCE SHEETS

(in dollars, except share data)

 

 

 

 

September 30,

2022

 

 

December 31,

2021

 

 

 

(Unaudited)

 

 

 

 

 

Assets

 

 

 

 

 

 

 

 

Current assets:

 

 

 

 

 

 

 

 

Cash

 

$

505,989

 

 

$

553,190

 

Accounts receivable, net of allowance of $392,135 and $498,261, respectively

 

 

2,625,949

 

 

 

3,528,992

 

Inventories

 

 

9,850,682

 

 

 

8,736,474

 

Prepaid expenses and other current assets

 

 

33,712

 

 

 

5,921

 

Total current assets

 

 

13,016,332

 

 

 

12,824,577

 

Property and equipment, net

 

 

399,948

 

 

 

7,251

 

Long term accounts receivable, net of allowance of $3,937,568 and $3,355,391, respectively

 

 

2,570,554

 

 

 

2,182,437

 

Intangible assets, net

 

 

1,223,695

 

 

 

1,317,341

 

Goodwill

 

 

1,972,886

 

 

 

1,972,886

 

Total assets

 

$

19,183,415

 

 

$

18,304,492

 

Liabilities and Stockholders' Equity (Accumulated Deficit)

 

 

 

 

 

 

 

 

Current liabilities:

 

 

 

 

 

 

 

 

Accounts payable

 

$

4,822,278

 

 

$

4,461,641

 

Accrued expenses

 

 

4,244,400

 

 

 

2,898,068

 

Convertible notes payable - related parties

 

 

150,000

 

 

 

150,000

 

Notes payable - related parties

 

 

200,000

 

 

 

200,000

 

Senior secured revolving credit facility

 

 

2,044,606

 

 

 

2,432,770

 

Total current liabilities

 

 

11,461,284

 

 

 

10,142,479

 

Earn-out liability

 

 

11,593,832

 

 

 

11,593,832

 

Total liabilities

 

 

23,055,116

 

 

 

21,736,311

 

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, 72,895,793 shares issued and outstanding as of June 30, 2022 and December 31, 2021

 

 

728,958

 

 

 

728,958

 

Additional paid-in capital

 

 

1,476,516

 

 

 

1,455,422

 

Accumulated deficit

 

 

(6,077,175

)

 

 

(5,616,199

)

Total stockholders' equity (accumulated deficit)

 

 

(3,871,701

)

 

 

(3,431,819

)

Total liabilities and stockholders' equity (accumulated deficit)

 

$

19,183,415

 

 

$

18,304,492

 

 

See notes to interim unaudited condensed consolidated financial statements.

 

 

F-1


 

 

FUSE MEDICAL, INC.

CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS

(unaudited)

(in dollars, except share data)

 

 

For the Three Months Ended September 30,

 

 

For the Nine Months Ended September 30,

 

 

2022

 

 

2021

 

 

2022

 

 

2021

 

Net revenues

$

4,536,595

 

 

$

4,250,554

 

 

$

13,759,223

 

 

$

14,356,328

 

Cost of revenues

 

1,481,648

 

 

 

1,861,620

 

 

 

4,830,480

 

 

 

5,935,093

 

Gross profit

 

3,054,947

 

 

 

2,388,934

 

 

 

8,928,743

 

 

 

8,421,235

 

Operating expenses:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Selling, general, administrative and other

 

1,708,543

 

 

 

1,559,708

 

 

 

4,840,852

 

 

 

5,016,594

 

Commissions

 

1,219,311

 

 

 

1,495,720

 

 

 

4,188,841

 

 

 

4,894,845

 

Depreciation and amortization

 

82,199

 

 

 

14,493

 

 

 

226,243

 

 

 

46,751

 

Total operating expenses

 

3,010,053

 

 

 

3,069,921

 

 

 

9,255,936

 

 

 

9,958,190

 

Operating (loss) profit

 

44,894

 

 

 

(680,987

)

 

 

(327,193

)

 

 

(1,536,955

)

Other (income) expense:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Interest expense

 

46,992

 

 

 

12,512

 

 

 

116,477

 

 

 

47,561

 

Gain on Payroll Protection Loan extinguishment

 

-

 

 

 

-

 

 

 

-

 

 

 

(361,400

)

Total other (income) expense

 

46,992

 

 

 

12,512

 

 

 

116,477

 

 

 

(313,839

)

Net loss before income tax

 

(2,098

)

 

 

(693,499

)

 

 

(443,670

)

 

 

(1,223,116

)

Income tax expense

 

7,278

 

 

 

3,537

 

 

 

17,305

 

 

 

12,723

 

Net loss

$

(9,376

)

 

$

(697,036

)

 

$

(460,975

)

 

$

(1,235,839

)

Net loss per common share - basic

$

(0.00

)

 

$

(0.01

)

 

$

(0.01

)

 

$

(0.02

)

Weighted average number of common shares outstanding - basic

 

70,321,566

 

 

 

70,221,566

 

 

 

70,321,566

 

 

 

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

 

 

Retained

Earnings/

 

 

 

 

 

 

 

Shares

 

 

Amount

 

 

Capital

 

 

(Deficit)

 

 

Total

 

Balance, December 31, 2021

 

 

72,895,793

 

 

$

728,958

 

 

$

1,455,422

 

 

$

(5,616,199

)

 

$

(3,431,819

)

Stock compensation expense

 

 

-

 

 

 

-

 

 

 

12,844

 

 

 

-

 

 

 

12,844

 

Net loss

 

 

-

 

 

 

-

 

 

 

-

 

 

 

(358,281

)

 

 

(358,281

)

Balance, March 31, 2022

 

 

72,895,793

 

 

 

728,958

 

 

 

1,468,266

 

 

 

(5,974,480

)

 

 

(3,777,256

)

Stock compensation expense

 

 

-

 

 

 

-

 

 

 

4,102

 

 

 

-

 

 

 

4,102

 

Net loss

 

 

-

 

 

 

-

 

 

 

-

 

 

 

(93,319

)

 

 

(93,319

)

Balance, June 30, 2022

 

 

72,895,793

 

 

 

728,958

 

 

 

1,472,368

 

 

 

(6,067,799

)

 

 

(3,866,473

)

Stock compensation expense

 

 

-

 

 

 

-

 

 

 

4,148

 

 

 

-

 

 

 

4,148

 

Net loss

 

 

-

 

 

 

-

 

 

 

-

 

 

 

(9,376

)

 

 

(9,376

)

Balance, September 30, 2022

 

 

72,895,793

 

 

$

728,958

 

 

$

1,476,516

 

 

$

(6,077,175

)

 

$

(3,871,701

)

 

 

 

 

 

Common Stock

 

 

Additional

Paid-In

 

 

Retained

Earnings/

 

 

 

 

 

 

 

Shares

 

 

Amount

 

 

Capital

 

 

(Deficit)

 

 

Total

 

Balance, December 31, 2020

 

 

73,124,458

 

 

$

731,245

 

 

$

1,184,222

 

 

$

(4,028,308

)

 

$

(2,112,841

)

Stock compensation expense

 

 

-

 

 

 

-

 

 

 

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

)

Stock compensation expense

 

 

-

 

 

 

-

 

 

 

70,075

 

 

 

-

 

 

 

70,075

 

Net loss

 

 

-

 

 

 

-

 

 

 

-

 

 

 

(85,480

)

 

 

(85,480

)

Balance, June 30, 2021

 

 

73,124,458

 

 

 

731,245

 

 

 

1,370,245

 

 

 

(4,567,111

)

 

 

(2,465,621

)

Stock compensation expense

 

 

-

 

 

 

-

 

 

 

35,945

 

 

 

-

 

 

 

35,945

 

Net loss

 

 

-

 

 

 

-

 

 

 

-

 

 

 

(697,036

)

 

 

(697,036

)

Balance, September 30, 2021

 

 

73,124,458

 

 

$

731,245

 

 

$

1,406,190

 

 

$

(5,264,147

)

 

$

(3,126,712

)

 

See notes to interim unaudited condensed consolidated financial statements.

F-3


 

FUSE MEDICAL, INC.

CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS

(unaudited)

 

 

 

For the Nine Months Ended September 30,

 

 

 

2022

 

 

2021

 

Cash flows from operating activities

 

 

 

 

 

 

 

 

Net loss

 

$

(460,976

)

 

$

(1,235,839

)

Adjustments to reconcile net loss to net cash provided by operating

      activities:

 

 

 

 

 

 

 

 

Depreciation and amortization

 

 

226,243

 

 

 

46,751

 

Stock based compensation

 

 

21,094

 

 

 

221,968

 

Provision for bad debts and discounts

 

 

(106,127

)

 

 

95,889

 

Provision for long term accounts receivable

 

 

582,175

 

 

 

578,503

 

Provision for slow moving inventory

 

 

(220,608

)

 

 

(486,611

)

Gain on Payroll Protection Program Loan extinguishment

 

 

-

 

 

 

(361,400

)

Changes in operating assets and liabilities:

 

 

 

 

 

 

 

 

Accounts receivable

 

 

1,009,170

 

 

 

1,872,936

 

Inventories

 

 

(893,600

)

 

 

(1,099,828

)

Prepaid expenses and other current assets

 

 

(27,791

)

 

 

(42,258

)

Long term accounts receivable

 

 

(970,292

)

 

 

(984,058

)

Accounts payable

 

 

360,637

 

 

 

1,172,261

 

Accrued expenses

 

 

1,346,332

 

 

 

453,165

 

Net cash provided by operating activities

 

 

866,257

 

 

 

231,479

 

 

 

 

 

 

 

 

 

 

Cash flows from investing activities

 

 

 

 

 

 

 

 

Purchase of property and equipment

 

 

(520,794

)

 

 

-

 

Net cash (used in) investing activities

 

 

(520,794

)

 

 

-

 

 

 

 

 

 

 

 

 

 

Cash flows from financing activities

 

 

 

 

 

 

 

 

Net payments on CNH senior secured revolving credit facility

 

 

(392,664

)

 

 

-

 

Payments from Economic Injury Disaster Loan, net

 

 

-

 

 

 

(3,655

)

Proceeds on Economic Injury Disaster Loan

 

 

-

 

 

 

350,000

 

Net cash (used in) financing activities

 

 

(392,664

)

 

 

346,345

 

 

 

 

 

 

 

 

 

 

Net increase (decrease) in cash

 

 

(47,201

)

 

 

577,824

 

Cash and cash equivalents - beginning of period

 

 

553,190

 

 

 

1,187,458

 

Cash and cash equivalents - end of period

 

$

505,989

 

 

$

1,765,282

 

Supplemental disclosure of cash flow information:

 

 

 

 

 

 

 

 

Cash paid for interest

 

$

94,978

 

 

$

32,091

 

 

See notes to interim unaudited condensed consolidated financial statements.

 

 

 

F-4


 

 

FUSE MEDICAL, INC.

NOTES TO UNAUDITED CONDENSED CONSOLIDATED FINANCIAL STATEMENTS

(Unaudited)

Note 1. Nature of Operations

Overview

Fuse Medical, Inc., a Delaware corporation (the “Company”), is a manufacturer and national distributor of medical devices and surgical implants for the orthopedic market. The Company acquired CPM Medical Consultants, LLC (“CPM”) in December 2017 (the “CPM Acquisition”), in which the Company was the legal acquirer and CPM was deemed the accounting acquirer. In August 2018, the Company completed the acquisition of Palm Springs Partners, LLC d/b/a Maxim Surgical (“Maxim” and such transactions the “Maxim Acquisition”). CPM and, until its dissolution, Maxim survived as the Company’s wholly-owned subsidiaries and subsequent to the completion of each acquisition, CPM, Maxim and Company operations are consolidated. Maxim was subsequently dissolved and terminated on December 20, 2019.

Nature of Business

The Company is a manufacturer, distributor, and wholesaler of medical device implants, offering a broad portfolio of orthopedic implants and biologics including: (i) internal and external fixation products; (ii) upper and lower extremity plating and total joint reconstruction implants; (iii) soft tissue fixation and augmentation for sports medicine procedures; (iv) spinal implants for trauma, degenerative disc disease and deformity indications; and (v) a wide array of osteo-biologics and regenerative products, which include human allografts, substitute bone materials, tendons, and regenerative tissues. All of the Company’s medical devices are approved by the FDA for sale in the United States, and all of the Company’s Biologics suppliers are licensed tissue banks accredited by the American Association of Tissue Banks.

The Company’s broad portfolio of Orthopedic Implants and Biologics provide high-quality products to assist surgeons with positive patient outcomes and cost-effective solutions for its customers, which include hospitals, medical facilities, and sub-distributors. The Company operates under exclusive and non-exclusive agreements with certain vendors and supply partners in the geographic territories the Company serves.

The Company continuously reviews and expands its product lines to ensure that they offer a comprehensive, high-quality and cost-effective selection of Orthopedic Implants and Biologics so that the Company can be more relevant to its customer needs while continuing to grow its existing customer base. Additionally, the Company continues to grow its manufacturing operations, both by internal product development as well as the acquisition of existing FDA cleared devices.

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, 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 believes the disclosures are adequate to make the information presented not misleading.

The condensed consolidated balance sheet information as of December 31, 2021, was derived from the Company’s annual report on Form 10-K for the fiscal year ended December 31, 2021 (“2021 Annual Report”), filed with the SEC pursuant to Section 13 or 15(d) under the Securities Exchange Act of 1934, as amended (the “Exchange Act”), on March 31, 2022. These interim unaudited condensed consolidated financial statements should be read in conjunction with the 2021 Annual Report.

The results of operations for the three and nine months ended September 30, 2022 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.

F-5


FUSE MEDICAL, INC.

NOTES TO UNAUDITED CONDENSED CONSOLIDATED FINANCIAL STATEMENTS

(Unaudited)

 

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 subsidiary, CPM. Intercompany transactions have been eliminated in consolidation.

Use of Estimates

The preparation of the interim unaudited condensed consolidated financial statements in accordance with GAAP, requires the Company 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, 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 Codification (“ASC”) 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 CPM and, prior to its dissolution, Maxim. Accordingly, the Company has determined that it has one operating segment and, therefore, one reporting segment.

Reclassification

Medical instrument depreciation was previously reported as a component of cost of revenues in the Company’s accompanying consolidated statements of operations. Medical instruments are orthopedic devices that are utilized in all cases where our Orthopedic Implants are implanted. Subsequent to December 31, 2021, the Company began depreciating these medical instruments over 3 years and have now reclassed this depreciation expense to depreciation and amortization in the accompanying consolidated statements of operations.

 

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 nine months ended September 30, 2022 and 2021, the Company excluded the effects of outstanding stock options, convertible notes and, to the extent vested, 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).  

F-6


FUSE MEDICAL, INC.

NOTES TO UNAUDITED CONDENSED CONSOLIDATED FINANCIAL STATEMENTS

(Unaudited)

 

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;

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 is evaluated each reporting period and changes in its fair value are 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 up to $16,000,000 with an additional bonus payment up to $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 liability, which represents 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 reduced by $342,168 from $11,936,000 to $11,593,832 in 2021 and increased by $290,635 from $11,645,365 to $11,936,000 in 2020 and reflected as “Change in fair value of contingent purchase consideration” on our Consolidated Financial Statements.

There was no change in the Earn-Out liability for the nine months ended September 30, 2022, and there were no significant changes in the Level 3 inputs from those utilized at December 31, 2021. The required earnings thresholds have not been met from inception of the agreements through September 30, 2022, 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 September 30, 2022 and December 31, 2021.  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 September 30, 2022.  As of September 30, 2022 and December 31, 2021, there were deposits of $294,225 and $594,536, 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 factors considered by the Company. The Company generally does not require collateral or

F-7


FUSE MEDICAL, INC.

NOTES TO UNAUDITED CONDENSED CONSOLIDATED FINANCIAL STATEMENTS

(Unaudited)

 

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 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 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 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) which includes 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 (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 market 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

Medical instruments

 

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 UNAUDITED CONDENSED CONSOLIDATED FINANCIAL STATEMENTS

(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 of an asset 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.

 

ASC 350-30-35-18, “Intangible assets not subject to amortization,” 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 September 30, 2022.

 

The Company’s intangible assets subject to amortization consist primarily of acquired non-compete agreements, funds to secure the Company’s Credit and Security Agreement (the “Credit Agreement”) with CNH Finance Fund I, L.P., 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 set 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.

F-9


FUSE MEDICAL, INC.

NOTES TO UNAUDITED CONDENSED CONSOLIDATED FINANCIAL STATEMENTS

(Unaudited)

 

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

 

 

Nine Months Ended

 

 

 

September 30, 2022

 

 

September 30, 2021

 

 

September 30, 2022

 

 

September 30, 2021

 

Category

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Retail

 

$

4,333,053

 

 

$

3,930,073

 

 

$

13,127,909

 

 

$

13,069,663

 

Wholesale

 

 

203,542

 

 

 

320,481

 

 

 

631,314

 

 

 

1,286,665

 

Total

 

$

4,536,595

 

 

$

4,250,554

 

 

$

13,759,223

 

 

$

14,356,328

 

 

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) inventory shrink, and (v) 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 Accounting Standard Updates (“ASU”) issued, both effective and not yet effective.

Other recent accounting pronouncements issued by the Financial Accounting Standards Board, 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 to have a material impact on the Company's present or future consolidated financial statements.

F-10


FUSE MEDICAL, INC.

NOTES TO UNAUDITED CONDENSED CONSOLIDATED FINANCIAL STATEMENTS

(Unaudited)

 

Note 3. Property and Equipment

Property and equipment consisted of the following at September 30, 2022 and December 31, 2021:

 

 

 

September 30,

2022

 

 

December 31,

2021

 

Computer equipment and software

 

$

20,249

 

 

$

20,249

 

Medical instruments

 

 

520,794

 

 

 

-

 

Office equipment

 

 

-

 

 

 

-

 

Property and equipment costs

 

 

541,043

 

 

 

20,249

 

Less: accumulated depreciation

 

 

(141,095

)

 

 

(12,998

)

Property and equipment, net

 

$

399,948

 

 

$

7,251

 

 

Depreciation expense for the three months ended September 30, 2022 and 2021 was $49,484 and $1,861, respectively. Depreciation expense for the nine months ended September 30, 2022 and 2021 was $128,097 and $8,853, respectively.

Note 4. Goodwill and Intangible Assets

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

 

 

 

September 30,

2022

 

 

December 31,

2021

 

 

Amortization period

(years)

Intangible assets:

 

 

 

 

 

 

 

 

 

 

510(k) product technology

 

$

704,380

 

 

$

704,380

 

 

Indefinite

Customer relationships

 

 

555,819

 

 

 

555,819

 

 

11

CNH Credit Agreement

 

 

240,858

 

 

 

236,358

 

 

3

Total intangible assets

 

 

1,501,057

 

 

 

1,496,557

 

 

 

Less: accumulated amortization

 

 

(277,362

)

 

 

(179,216

)

 

 

Intangible assets, net

 

 

1,223,695

 

 

 

1,317,341

 

 

 

Goodwill

 

$

1,972,886

 

 

$

1,972,886

 

 

Indefinite

 

Amortization expense for the three months ended September 30, 2022 and 2021 was $32,715 and $12,632, respectively. Amortization expense for the nine months ended September 30, 2022 and 2021, was $98,146 and $37,898.

Company’s intangible assets subject to amortization consist primarily of acquired non-compete agreements, funds to secure the Credit Agreement with CNH Finance Fund I, L.P., 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 contained customary representation, warranties, covenants, events of default, and was 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.