10-Q 1 smti_10q.htm QUARTERLY REPORT
U.S. SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
FORM 10-Q
(Mark One)
☒ QUARTERLY REPORT UNDER SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934
For the quarterly period ended: March 31, 2020
or
☐ TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934
Commission File No. 0-11808
SANARA MEDTECH INC.
(Exact name of registrant as specified in its charter)

Texas |  | 59-2219994
(State or other jurisdiction of incorporation or organization) |  | (I.R.S. Employer Identification Number)

1200 Summit Ave, Suite 414, Fort Worth, Texas 76102
(Address of principal executive offices)
(817) 529-2300
(Registrant’s telephone number, including area code)
Securities registered pursuant to Section 12(b) of the Act: None

Title of each class | Trading Symbol(s) | Name of each exchange on which registered

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, a smaller reporting company, or an emerging growth company. See the definitions of “large accelerated filer,” “accelerated filer”, “smaller reporting company” and "emerging growth company" in Rule 12b-2 of the Exchange Act. (Check one):

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

If an emerging growth company, indicate by check mark if the registrant has elected not to use the extended transition period for complying with any new or revised financial accounting standards provided pursuant to Section 13(a) of the Exchange Act. ☐
Indicate by check mark whether the registrant is a shell company (as defined in Rule 12b-2 of the Exchange Act). Yes ☐ No ☒
As of May 12, 2020, the Company had 6,203,402 shares of Common Stock, $.001 par value per share outstanding.
SANARA MEDTECH INC. AND SUBSIDIARIES
Form 10-Q
Quarter Ended March 31, 2020

|  | Page
Part I – Financial Information |  |
ITEM 1. Financial Statements |  | 3
Unaudited Consolidated Balance Sheets as of March 31, 2020 and December 31, 2019 |  | 3
Unaudited Consolidated Statements of Operations for the Three Months Ended March 31, 2020 and 2019 |  | 4
Unaudited Consolidated Statements of Changes in Shareholders’ Equity for the Three Months Ended March 31, 2020 and 2019 |  | 5
Unaudited Consolidated Statements of Cash Flows for the Three Months Ended March 31, 2020 and 2019 |  | 6
Notes to Unaudited Consolidated Financial Statements |  | 7
ITEM 2. Management’s Discussion and Analysis of Financial Condition and Results of Operations |  | 18
ITEM 3. Quantitative and Qualitative Disclosures about Market Risk |  | 21
ITEM 4. Controls and Procedures |  | 21
Part II. Other Information |  |
ITEM 1. Legal Proceedings |  | 22
ITEM 1A Risk Factors |  | 22
ITEM 2. Unregistered Sales of Equity Securities and Use of Proceeds |  | 22
ITEM 3. Defaults upon Senior Securities |  | 22
ITEM 4. Mine Safety Disclosures |  | 22
ITEM 5. Other Information |  | 22
ITEM 6. Exhibits |  | 22
Signatures |  | 23

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Part I – Financial Information
Item 1. Financial Statements
Sanara MedTech Inc. and Subsidiaries
Consolidated Balance Sheets

| (Unaudited) |
| March 31, | December 31,
Assets | 2020 | 2019
Current assets |  |
Cash | $4,022,453 | $6,611,928
Accounts receivable, net of allowance for bad debt of $79,465 and $60,012 | 1,196,654 | 1,285,165
Royalty receivable | 49,344 | 50,250
Inventory, net of allowance for obsolescence of $58,574 and $43,650 | 1,009,213 | 746,519
Prepaid other - related party | 200,000 | -
Prepaid and other assets | 311,852 | 161,902
Total current assets | 6,789,516 | 8,855,764
Long-term assets |
Property, plant and equipment, net of accumulated depreciation of $75,754 and $60,694 | 245,402 | 204,953
Right of use assets – operating leases | 556,533 | 585,251
Intangible assets, net of accumulated amortization of $641,323 and $603,580 | 1,933,452 | 1,471,194
Total long-term assets | 2,735,387 | 2,261,398
Total assets | $9,524,903 | $11,117,162
Liabilities and shareholders' equity |  |
Current liabilities |  |
Accounts payable | $289,505 | $337,504
Accounts payable – related party | 206,849 | 68,668
Accrued royalties and expenses | 675,442 | 528,060
Accrued bonus and commissions | 1,225,486 | 1,588,056
Operating lease liability - current | 120,121 | 117,533
Total current liabilities | 2,517,403 | 2,639,821
Long-term liabilities |  |
Operating lease liability – long term | 450,461 | 481,384
Convertible notes payable – related party | - | 1,500,000
Accrued interest - related party | - | 103,557
Total long-term liabilities | 450,461 | 2,084,941
Total liabilities | 2,967,864 | 4,724,762
Shareholders' equity |  |
Series F Convertible Preferred Stock: $10 par value, 1,200,000 shares authorized; none issued and outstanding as of March 31, 2020 and 1,136,815 issued and outstanding as of December 31, 2019 | - | 11,368,150
Common Stock: $0.001 par value, 20,000,000 shares authorized; 6,203,832 issued and outstanding as of March 31, 2020 and 3,571,001 issued and outstanding as of December 31, 2019 | 6,204 | 3,571
Additional paid-in capital | 11,289,339 | (2,081,829)
Accumulated deficit | (4,512,759) | (2,675,802)
Total Sanara MedTech shareholders' equity | 6,782,784 | 6,614,090
Equity attributable to noncontrolling interest | (225,745) | (221,690)
Total shareholders' equity | 6,557,039 | 6,392,400
Total liabilities and stockholders' equity | $9,524,903 | $11,117,162

The accompanying notes are an integral part of these unaudited consolidated financial statements.
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Sanara MedTech Inc. and Subsidiaries
Consolidated Statements of Operations (unaudited)

| Three Months Ended
| March 31,
| 2020 | 2019
Revenues | $3,524,331 | $2,486,896
Cost of goods sold | 330,188 | 289,340
Gross profit | 3,194,143 | 2,197,556
Operating expenses |  |
Selling, general and administrative expenses | 4,906,538 | 2,350,363
Depreciation and amortization | 53,505 | 4,340
Bad debt expense | 30,000 | -
Total operating expenses | 4,990,043 | 2,354,703
Operating loss | (1,795,900) | (157,147)
Other expense |  |
Other expense | (36,758) | -
Interest expense | (8,354) | (5,425)
Total other expense | (45,112) | (5,425)
Net loss | (1,841,012) | (162,572)
Less: Net loss attributable to noncontrolling interest | (4,055) | -
Net loss attributable to Sanara MedTech common shareholders | $(1,836,957) | $(162,572)
Basic loss per share of Common stock | $(0.39) | $(0.39)
Diluted loss per share of Common stock | $(0.39) | $(0.39)
Weighted average number of common shares outstanding basic | 4,751,941 | 420,698
Weighted average number of common shares outstanding diluted | 4,751,941 | 420,698

The accompanying notes are an integral part of these unaudited consolidated financial statements.
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Sanara MedTech Inc. and Subsidiaries
Consolidated Statements of Changes in Shareholders’ Equity (Deficit)
(unaudited)

| Preferred Stock Series F | Common Stock | Additional |  |  | Accumulated |  | Total Shareholders'
| $10 par value | $0.001 par value | Paid-In | Treasury Stock | Income/ | Noncontrolling | Equity
| Shares | Amount | Shares | Amount | Capital | Shares | Amount | (Deficit) | Interest | (Deficit)
Balance at December 31, 2018 | 1,136,815 | $11,368,150 | - | $- | $(10,919,639) | - | $- | $138,286 | $- | $586,797
Reverse recapitalization | - | - | 2,366,465 | 2,366 | (1,159,929) | (41) | - | - | - | (1,157,563)
Net loss | - | - | - | - |  | - | - | (162,572) | - | (162,572)
Balance at March 31, 2019 | 1,136,815 | $11,368,150 | 2,366,465 | $2,366 | $(12,079,568) | (41) | $- | $(24,286) | $- | $(733,338)

| Preferred Stock Series F | Common Stock | Additional |  |  | Accumulated |  | Total Shareholders'
| $10 par value | $0.001 par value | Paid-In | Treasury Stock | Income/ | Noncontrolling | Equity
| Shares | Amount | Shares | Amount | Capital | Shares | Amount | (Deficit) | Interest | (Deficit)
Balance at December 31, 2019 | 1,136,815 | $11,368,150 | 3,571,001 | $3,571 | $(2,081,829) | - | $- | $(2,675,802) | $(221,690) | $6,392,400
Conversion of Preferred Shares to Common | (1,136,815) | (11,368,150) | 2,273,630 | 2,274 | 11,365,876 | - | - | - | - | -
Conversion of Promissory Note to Common | - | - | 179,101 | 179 | 1,611,732 | - | - | - | - | 1,611,911
Stock Grants | - | - | 180,100 | 180 | (180) | - | - | - | - | -
Share-based compensation | - | - | - | - | 393,740 | - | - | - | - | 393,740
Net loss | - | - | - | - |  | - | - | (1,836,957) | (4,055) | (1,841,012)
Balance at March 31, 2020 | - | $- | 6,203,832 | $6,204 | $11,289,339 | - | $- | $(4,512,759) | $(225,745) | $6,557,039

The accompanying notes are an integral part of these unaudited consolidated financial statements.
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Sanara MedTech Inc. and Subsidiaries
Consolidated Statements of Cash Flows (unaudited)

| Three Months Ended
| March 31,
| 2020 | 2019
Cash flows from operating activities: |  |
Net loss | $(1,841,012) | $(162,572)
Adjustments to reconcile net income to net cash used in operating activities |  |
Depreciation and amortization | 53,505 | 4,340
Interest expense on convertible debt | 8,354 | 3,255
Loss on disposal of asset | 1,244 | 7,500
Bad debt expense | 30,000 | -
Share-based compensation | 393,740 | -
Changes in assets and liabilities: |  |
(Increase) decrease in accounts receivable | 59,416 | (147,790)
(Increase) decrease in inventory | (262,694) | 119,354
(Increase) decrease in prepaid - related parties | (200,000) | -
(Increase) decrease in prepaid and other assets | (121,231) | (506,118)
Increase (decrease) in accounts payable | (47,999) | 14,279
Increase (decrease) in accounts payable related parties | 138,181 | 38,670
Increase (decrease) in accrued royalties and expenses | 147,382 | 53,449
Increase (decrease) in accrued liabilities | (390,905) | 139,490
Net cash used in operating activities | (2,032,019) | (436,143)
Cash flows from investing activities: |  |
Purchase of property and equipment | (57,456) | (6,794)
Cash received in reverse acquisition | - | 508,973
Purchase of intangible assets | (500,000) | -
Net cash flows provided by (used in) investing activities | (557,456) | 502,179
Cash flows from financing activities: |  |
Draw on line of credit | - | 500,000
Net cash provided by financing activities | - | 500,000
Net increase (decrease) in cash | (2,589,475) | 566,036
Cash and cash equivalents, beginning of period | 6,611,928 | 176,421
Cash and cash equivalents, end of period | $4,022,453 | $742,457
Cash paid during the period for: |  |
Interest | $- | $2,170
Income taxes | - | -
Supplemental non-cash investing and financing activities: |  |
Common stock issued for conversion of Series F Preferred Stock | 11,368,150 | -
Common stock issued for conversion of Related Party debt and interest | 1,611,911 | -
Common stock issued in reverse capitalization; less cash received of $508,973 | - | 1,666,537

The accompanying notes are an integral part of these unaudited consolidated financial statements.
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Sanara MedTech Inc. and Subsidiaries
Notes to Unaudited Consolidated Financial Statements
NOTE 1 – SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES
Background and Basis of Presentation
The terms “Sanara MedTech,” “we,” “the Company,” “SMTI,” “our,” and “us” as used in this report refer to Sanara MedTech Inc. and its subsidiaries. The accompanying unaudited consolidated balance sheet as of March 31, 2020, and unaudited consolidated statements of operations for the three-months ended March 31, 2020 and 2019, have been prepared in accordance with generally accepted accounting principles for interim financial information and with the instructions to Form 10-Q and Article 10 of Regulation S-X. Accordingly, they do not include all of the information and footnotes required by U.S. generally accepted accounting principles for complete financial statements. In the opinion of management of the Company, all adjustments (consisting of normal recurring accruals) considered necessary for a fair presentation have been included. Operating results for the three-month period ended March 31, 2020, are not necessarily indicative of the results that may be expected for the year ending December 31, 2020, or any other period. These financial statements and notes should be read in conjunction with the financial statements for each of the two years ended December 31, 2019, and December 31, 2018, included in the Company’s Annual Report on Form 10-K.
On August 28, 2018, the Company consummated definitive agreements that continued the Company’s operations to market its principal products, CellerateRX® Surgical Activated Collagen® Peptides and CellerateRX® Hydrolyzed Collagen wound fillers (CellerateRX), through a 50% ownership interest in a newly formed Texas limited liability company, Cellerate, LLC which began operations on September 1, 2018. The remaining 50% ownership interest was held by an affiliate of The Catalyst Group, Inc. (Catalyst), which acquired an exclusive world-wide license to distribute CellerateRX products. Cellerate, LLC conducts operations with an exclusive sublicense from the Catalyst affiliate to distribute CellerateRX products into the wound care and surgical markets in the United States, Canada and Mexico.
On March 15, 2019, the Company acquired Catalyst’s 50% interest in Cellerate, LLC (the Cellerate Acquisition) in exchange for 1,136,815 shares of the Company’s newly created Series F Convertible Preferred Stock. Each share of Series F Convertible Preferred Stock was convertible at the option of the holder, at any time, into 2 shares of common stock, adjusted for the 1-for-100 reverse stock split of the Company’s common stock which became effective on May 10, 2019. Additionally, each holder of Series F Convertible Preferred Stock was entitled to vote on all matters submitted for a vote of the Company’s shareholders with votes equal to the number of shares of common stock into which such holder’s Series F shares could then be converted. Based on the closing price of the Company’s common stock on March 15, 2019 and the conversion ratio of the Series F Preferred Stock, the fair value of the preferred shares issued to Catalyst was approximately $12.5 million. Following the closing of this transaction, Mr. Ronald T. Nixon, Founder and Managing Partner of Catalyst, was elected to the Company’s Board of Directors effective March 15, 2019.
The Cellerate Acquisition was accounted for as a reverse merger and recapitalization because, immediately following the completion of the transaction, Catalyst could obtain effective control of the Company upon exercise of its convertible preferred stock and promissory note, both of which could occur at Catalyst’s option. Additionally, Cellerate, LLC’s officers and senior executive positions continued on as management of the combined entity after consummation of the Cellerate Acquisition. For accounting purposes, Cellerate, LLC was deemed to be the accounting acquirer in the transaction and, consequently, the transaction was treated as a recapitalization of Sanara MedTech. As part of the reverse merger and recapitalization, the net liabilities existing in the Company as of the date of the merger totaling approximately $1,666,537, which included $508,973 of cash, were converted to equity as part of this transaction. No step-up in basis or intangible assets or goodwill was recorded in this transaction.
On May 9, 2019, the Company organized Sanara Pulsar, LLC, a Texas limited liability company, which is owned 60% by the Company’s wholly owned subsidiary Cellerate, LLC, and 40% owned by Wound Care Solutions, Limited, an unaffiliated company registered in the United Kingdom (WCS). Net profits and losses and distributions are shared by the members in proportion to their respective membership interests. The Company consolidates the operations and financial position of Sanara Pulsar.
Principles of Consolidation
The unaudited consolidated financial statements include the accounts of Sanara MedTech Inc. and its wholly owned subsidiaries Wound Care Innovations, LLC a Nevada limited liability company, and Cellerate, LLC a Texas limited liability company. The consolidated financial statements also include the accounts of Sanara Pulsar, LLC, a Texas limited liability company which is owned 60% by the Company’s wholly owned subsidiary Cellerate, LLC, and 40% owned by Wound Care Solutions, Limited, an unaffiliated company registered in the United Kingdom (WCS).
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Revenue Recognition
The Company recognizes revenue in accordance with Accounting Standards Codification (“ASC”) Topic 606, Revenue from Contracts with Customers, which was adopted on January 1, 2018 using the modified retrospective method. Revenues are recognized when control of the promised goods or services is transferred to the customer in an amount that reflects the consideration the Company expects to be entitled to receive in exchange for transferring those goods or services. Revenue is recognized based on the following five step model:
- Identification of the contract with a customer
- Identification of the performance obligations in the contract
- Determination of the transaction price
- Allocation of the transaction price to the performance obligations in the contract
- Recognition of revenue when, or as, the Company satisfies a performance obligation
Details of this five-step process are as follows:
Identification of the contract with a customer
Customer purchase orders are generally considered to be contracts under ASC 606. Purchase orders typically identify specific terms of products to be delivered, create the enforceable rights and obligations of both parties, and result in commercial substance. No other forms of contract revenue recognition, such as the completed contract or percentage of completion methods, were utilized by the Company in either 2019 or 2020.
Performance obligations
The Company’s performance obligation is generally limited to delivery of the requested items to its customers at the agreed upon quantities and prices.
Determination and allocation of the transaction price
The Company has established prices for its products. These prices are effectively agreed to when customers place purchase orders with the Company. Rebates and discounts, if any, are recognized in full at the time of sale as a reduction of net revenue. Allocation of transaction prices is not necessary where one performance obligation exists.
Recognition of revenue as performance obligations are satisfied
Product revenues are recognized when the products are delivered, and title passes to the customer.
Disaggregation of Revenue
Revenue streams from product sales and royalties are summarized below for the three months ended March 31, 2020 and 2019. All revenue was generated in the United States; therefore, no geographical disaggregation is necessary.

| Three Months Ended
| March 31,
| 2020 | 2019
Product sales revenue | $3,474,081 | $2,478,521
Royalty revenue | 50,250 | 8,375
Total Revenue | $3,524,331 | $2,486,896

The Company recognizes royalty revenue from a licensing agreement between BioStructures, LLC and the Company. The Company records revenue each calendar quarter as earned per the terms of the agreement which stipulates the Company will receive quarterly royalty payments of at least $50,250. Under the terms of the development and license agreement the Company executed with BioStructures, LLC in 2011, royalties of 2.0% are recognized on sales of products containing the Company’s patented resorbable bone hemostasis. The minimum annual royalty due to the Company is $201,000 per year throughout the life of the patent which expires in 2023. These royalties are payable in quarterly installments of $50,250. To date, royalties related to this licensing agreement have not exceeded the annual minimum of $201,000 ($50,250 per quarter).
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Contract Assets and Liabilities
The Company does not have any contract assets or contract liabilities.
Inventories
Inventories are stated at the lower of cost or net realizable value, with cost computed on a first-in, first-out basis. Inventories consist of finished goods and related packaging components. The Company recorded inventory obsolescence expense of $20,116 for the three months ended March 31, 2020, compared to $38,837 for the three months ended March 31, 2019. The allowance for obsolete and slow-moving inventory had a balance of $58,574 at March 31, 2020, and $43,650 at December 31, 2019. The Company considered the impact of COVID-19 on its recorded value of inventory and determined no adjustment was necessary.
Allowance for Doubtful Accounts
The Company establishes an allowance for doubtful accounts to ensure accounts receivable are not overstated due to uncollectible accounts. The Company recorded bad debt expense of $30,000 during the three months ended March 31, 2020, and zero during the three months ended March 31, 2019. The allowance for doubtful accounts at March 31, 2020 was $79,465 and $60,012 at December 31, 2019. Bad debt reserves are maintained based on a variety of factors, including the length of time receivables are past due and a detailed review of certain individual customer accounts. If circumstances related to customers change, estimates of the recoverability of receivables would be further adjusted. The Company considered the impact of COVID-19 in its analysis of receivables and determined that allowance for doubtful accounts was appropriate at March 31, 2020.
Use of Estimates
The preparation of financial statements in conformity with generally accepted accounting principles requires management to make estimates and assumptions that affect the amounts reported in the financial statements and accompanying notes. The extent to which the COVID-19 pandemic may directly or indirectly impact our business, financial condition, and results of operations is highly uncertain and subject to change. We considered the potential impact of the COVID-19 pandemic on our estimates and assumptions and there was not a material impact to our consolidated financial statements as of and for the three months ended March 31, 2020; however, actual results could differ from those estimates and there may be changes to our estimates in future periods.
Impairment of Long-Lived Assets
Long-lived assets and certain identifiable intangibles to be held and used by the Company are reviewed for impairment whenever events or changes in circumstances indicate that the carrying amount of an asset may not be recoverable. The Company continuously evaluates the recoverability of its long-lived assets based on estimated future cash flows and the estimated liquidation value of such long-lived assets and provides for impairment if such undiscounted cash flows are insufficient to recover the carrying amount of the long-lived assets. If impairment exists, an adjustment is made to write the asset down to its fair value, and a loss is recorded as the difference between the carrying value and fair value. Fair values are determined based on quoted market values, undiscounted cash flows or internal and external appraisals, as applicable. Assets to be disposed of are carried at the lower of carrying value or estimated net realizable value. There was no impairment recorded during the three months ended March 31, 2020 and 2019.
Fair Value Measurements
As defined in ASC Topic 820, fair value is the price that would be received to sell an asset or paid to transfer a liability in an orderly transaction between market participants at the measurement date (exit price). The Company utilizes market data or assumptions that market participants would use in pricing the asset or liability, including assumptions about risk and the risks inherent in the inputs to the valuation technique. These inputs can be readily observable, market corroborated, or generally unobservable. ASC 820 establishes a fair value hierarchy that prioritizes the inputs used to measure fair value. The hierarchy gives the highest priority to unadjusted quoted prices in active markets for identical assets or liabilities (level 1 measurement) and the lowest priority to unobservable inputs (level 3 measurement). This fair value measurement framework applies at both initial and subsequent measurement.
The three levels of the fair value hierarchy defined by ASC Topic 820 are as follows:
Level 1 – Quoted prices are available in active markets for identical assets or liabilities as of the reporting date. Active markets are those in which transactions for the asset or liability occur in sufficient frequency and volume to provide pricing information on an ongoing basis. Level 1 primarily consists of financial instruments such as exchange-traded derivatives, marketable securities and listed equities.
9
Level 2 – Pricing inputs are other than quoted prices in active markets included in Level 1, which are either directly or indirectly observable as of the reported date. Level 2 includes those financial instruments that are valued using models or other valuation
methodologies. These models are primarily industry-standard models that consider various assumptions, including quoted forward prices for commodities, time value, volatility factors, and current market and contractual prices for the underlying instruments, as well as other relevant economic measures. Substantially all of these assumptions are observable in the marketplace throughout the full term
of the instrument, can be derived from observable data or are supported by observable levels at which transactions are executed in the marketplace. Instruments in this category generally include non-exchange-traded derivatives such as commodity swaps, interest rate swaps, options and collars.
Level 3 – Pricing inputs include significant inputs that are generally less observable from objective sources. These inputs may be used with internally developed methodologies that result in management’s best estimate of fair value.
Our intangible assets have been valued using the fair value accounting treatment. A description of the methodology used, including the valuation category, is described in Note 8 – Intangible Assets.
Income Per Share
The Company computes income per share in accordance with ASC Topic 260, “Earnings per Share,” which requires the Company to present basic and dilutive income per share when the effect is dilutive. Basic income per share is computed by dividing income available to common shareholders by the weighted average number of common shares outstanding. Diluted income per share is computed similar to basic income per share except that the denominator is increased to include the number of additional common shares that would have been outstanding if the potential common shares had been issued and if the additional common shares were dilutive. All convertible instruments were excluded from the current and prior period calculations as their inclusion would have been anti-dilutive during the three months ended March 31, 2020 and March 31, 2019.
Recently Issued Accounting Pronouncements
In February 2016, the FASB issued ASC Topic 842 Leases which is to be effective for reporting periods beginning after December 15, 2018. The Company adopted the pronouncement effective January 1, 2019. In accordance with the transition guidance of ASC 842, such arrangements are included in our balance sheet as of January 1, 2019. All other leases are short-term leases for which out of practical expediency the Company has elected to not recognize lease assets and lease liabilities. See Note 4 below for more information regarding the Company’s leases.
On June 20, 2018, the FASB issued Accounting Standards Update (ASU) 2018-07, which simplifies the accounting for share-based payments granted to nonemployees for goods and services. Under the ASU, most of the guidance on such payments to nonemployees would be aligned with the requirements for share-based payments granted to employees. The Company adopted the pronouncement effective January 1, 2019 and the adoption did not have a material impact on the Company’s financial position, operations or cash flows.
NOTE 2 – NOTES PAYABLE
Convertible Notes Payable - Related Parties
As part of the aforementioned transaction with Catalyst to form Cellerate, LLC, the Company issued a 30-month convertible promissory note to Catalyst in the principal amount of $1,500,000, bearing interest at a 5% annual interest rate, compounded quarterly. Interest was payable quarterly but could be deferred at the Company’s election to the maturity of the promissory note. Outstanding principal and interest were convertible at Catalyst’s option into shares of the Company’s Common Stock at a conversion price of $9.00 per share.
On February 7, 2020, Catalyst converted its promissory note, including accrued interest of $111,911, into 179,101 shares of the Company’s common stock. As of March 31, 2020, there were no promissory notes or accrued interest outstanding.
NOTE 3 – COMMITMENTS AND CONTINGENCIES
LICENSE AGREEMENTS AND ROYALTIES
CellerateRX® Activated Collagen®
The Company has an exclusive sublicense to distribute CellerateRX® Activated Collagen® products into the wound care and surgical markets in the United States, Canada and Mexico. The Company pays specified royalties to Applied Nutritionals, LLC based on annual net sales of CellerateRX. The term of the sublicense extends through August 2028, with automatic one-year renewals through December 31, 2049, subject to termination at the end of any renewal term by either party on six months' notice. The Company pays royalties based on its annual net sales of CellerateRX consisting of 3% of all collected net sales each year up to $12,000,000, 4% of all collected net sales each year that exceed $12,000,000 up to $20,000,000, and 5% of all collected net sales each year that exceed $20,000,000. Minimum royalties of $400,000 per year are payable for the first five years of the sublicense agreement.
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BIAKŌS™ Antimicrobial Barrier Film and Curashield™ No Sting Skin Protectant
On October 1, 2019, the Company executed an additional license agreement with Rochal Industries, LLC (“Rochal”) whereby the Company acquired an exclusive world-wide license to market, sell and further develop certain antimicrobial barrier film and skin protectant products for use in the human health care market utilizing certain Rochal patents and pending patent applications (the “ABF License Agreement”). Currently, the products covered by the ABF License Agreement are BIAKŌS™ Antimicrobial Barrier Film and Curashield™ No Sting Skin Protectant. The Executive Chairman of the Company is also a director of Rochal, and indirectly a significant shareholder of Rochal, and through the potential exercise of warrants a majority shareholder of Rochal. Another Company director is also a director and significant shareholder of Rochal.
Future commitments under the terms of the ABF License Agreement include:
1.
Subject to the occurrence of specified Company financing conditions in 2020, Sanara will also pay Rochal $500,000, which at Rochal’s option may be in cash or the Company’s Common Stock; or a combination of cash and Sanara Common Stock.
2. The Company will pay Rochal a royalty of:
a.
4% of net sales of licensed products in countries in which patents are registered
b.
2% of net sales of licensed products in countries without patent protection.
The minimum annual royalty due to Rochal will be $50,000 beginning with the first full calendar year following the year in which first commercial sales of the products occur (the “First Revenue Year”). The annual minimum royalty will increase by 10% each subsequent calendar year up to a maximum amount of $75,000.
3.
Sanara will pay additional royalty annually based on specific net profit targets from sales of the licensed products, subject to a maximum of $500,000 during any calendar year.
Unless previously terminated or extended by the parties, the ABF License Agreement will terminate upon expiration of the last U.S. patent in October 2033.
The foregoing summary of the ABF License Agreement does not purport to be complete and is qualified in its entirety by reference to the ABF License Agreement. The Company filed a copy of the ABF License Agreement as an exhibit to its Quarterly Report on Form 10-Q filed on November 14, 2019.
BIAKŌS™ Antimicrobial Wound Gel and BIAKŌS™ Antimicrobial Skin and Wound Cleanser
On July 7, 2019, the Company executed a license agreement with Rochal Industries, LLC (“Rochal”) whereby the Company acquired an exclusive world-wide license to market, sell and further develop antimicrobial products for the prevention and treatment of microbes on the human body utilizing certain Rochal patents and pending patent applications (the “License Agreement”). Currently, the products covered by the License Agreement are BIAKŌS™ Antimicrobial Wound Gel, and FDA cleared BIAKŌS™ Antimicrobial Skin and Wound Cleanser. The Executive Chairman of the Company is also a director of Rochal, and indirectly a significant shareholder of Rochal, and through the potential exercise of warrants a majority shareholder of Rochal. Another Company director is also a director and significant shareholder of Rochal.
Future commitments under the terms of the License Agreement include:
1.
Subject to the occurrence of specified Sanara financing conditions by the end of 2022, Sanara will also pay Rochal $750,000, which at Sanara’s option, may be in cash or Sanara Common Stock; or a combination of cash and Sanara Common Stock.
2.
The Company will pay Rochal a royalty of:
a.
4% of net sales of licensed products in countries in which patents are registered
b.
2% of net sales of licensed products in countries without patent protection.
The minimum annual royalty due to Rochal will be $100,000 beginning with calendar year 2020. The annual minimum royalty will increase by 10% each subsequent calendar year up to a maximum amount of $150,000.
3.
Sanara will pay additional royalty annually based on specific net profit targets from sales of the licensed products, subject to a maximum of $1,000,000 during any calendar year.
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Unless previously terminated by the parties, the License Agreement will expire with the related patents in December 2031.
The foregoing summary of the License Agreement does not purport to be complete and is qualified in its entirety by reference to the License Agreement. The Company filed a copy of the License Agreement as an exhibit to its Quarterly Report on Form 10-Q filed on August 14, 2019.
Resorbable Bone Hemostat
The Company acquired a patent in 2009 for a resorbable bone hemostat and delivery system for orthopedic bone void fillers. This patent is not part of the Company’s long-term strategic focus. The Company subsequently licensed the patent to a third party to market a bone void filler product for which the Company receives a 3% royalty on product sales over the life of the patent, which expires in 2023 with annual minimum royalties of $201,000. The Company pays two unrelated third parties a combined royalty equal to eight percent (8%) of the Company’s net revenues or minimum royalties generated from products that utilize the Company's acquired patented bone hemostat and delivery system. To date, royalties received by the Company related to this licensing agreement have not exceeded the annual minimum of $201,000 ($50,250 per quarter). Therefore, the Company’s annual royalty obligation under the terms of the license agreement has been $16,080 ($4,020 per quarter).
OTHER COMMITMENTS
At the time of the formation of Sanara Pulsar, it and WCS entered into a supply agreement whereby Sanara Pulsar became the exclusive distributor in the United States of certain wound care products that utilize intellectual property developed and owned by WCS. In 2019, the Company advanced to WCS $200,000 and recorded the payment as a reduction of non-controlling interests. All distributions made by Sanara Pulsar to its members, not including tax distributions, will be made exclusively to Cellerate, LLC until such time as Cellerate, LLC has received an amount of distributions equal to such advances. In the event WCS’s Form K-l from Sanara Pulsar for the year 2020 does not allocate to WCS net income of at least $200,000 ("Target Net Income"), then Cellerate. LLC will, within 30 days after such determination, pay WCS the amount of funds representing the difference between Target Net Income and the actual amount of net income shown on WCS’s Form K-1 for the year 2020. For the years 2021 through 2024 Target Net Income will increase by 10% each year and in the event WCS’s Form K-1 for any of those years does not allocate to WCS net income in an amount at least equal to Target Net Income for such year, then Cellerate, LLC will, within 30 days after such determination, pay WCS the amount of funds representing the difference between Target Net Income and the actual amount of net income shown on WCS’s Form K-1 for the applicable year.
NOTE 4 – LEASES
The Company periodically enters into operating lease contracts for office space and equipment. Arrangements are evaluated at inception to determine whether such arrangements constitute a lease. In accordance with the transition guidance of ASC 842, such arrangements are included in our balance sheet as of January 1, 2019.
Right of use assets, which we refer to as “ROU assets,” represent the right to use an underlying asset for the lease term, and lease liabilities represent the obligation to make lease payments arising from the lease. Operating lease ROU assets and liabilities were recognized at the transition date based on the present value of lease payments over the respective lease term, with the office space ROU asset adjusted for deferred rent liability.
The Company has two operating leases: an office space lease with a remaining lease term of 51 months and a copier lease with a remaining lease term of 16 months as of March 31, 2020. In accordance with the transition guidance of ASC 842, such arrangements are included in our balance sheet as of January 1, 2019. All other leases are short-term leases for which out of practical expediency the Company has elected to not recognize lease assets and lease liabilities.
In March 2017, and as amended in March 2018, the Company executed a new office lease effective April 1, 2019 for office space located at 1200 Summit Ave., Suite 414, Fort Worth, TX 76102. On July 1, 2019, the Company amended the office lease agreement which became effective on August 22, 2019 upon completion by the landlord of certain leasehold improvements. Under the terms of the amended lease agreement, the Company leased an additional 1,682 rentable square feet of office space which brought the total square footage leased to 5,877. The amended lease agreement extends the original term of the lease for a period of 36 months through June 30, 2024. The monthly base rental payments under the amended lease agreement are as follows:

|  | Monthly
From | Through | Base Rental
August 22, 2020 | June 30, 2020 | $12,243.75
July 1, 2020 | June 30, 2021 | $12,488.63
July 1, 2021 | June 30, 2022 | $12,488.63
July 1, 2022 | June 30, 2023 | $12,733.50
July 1, 2023 | June 30, 2024 | $12,978.38

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As the implicit rate in the leases is not determinable, the discount rate applied to determine the present value of lease payments is the Company’s incremental borrowing rate of 6.25%. The office space lease agreement contains no renewal terms, so no lease liability is recorded beyond the termination date. The copier lease can be automatically renewed but no lease liability is recorded beyond the initial termination date as exercising this option is not reasonably certain.
In accordance with ASC 842, the Company has recorded lease assets of $556,533 and a related lease liability of $570,582 as of March 31, 2020. Cash paid for amounts included in measurement of operating lease liabilities as of March 31, 2020 was $37,354 . The present value of our operating lease liabilities is shown below.
Maturity of Operating Lease Liabilities

| March 31, 2020
Remainder of 2020 | $113,532
2021 | 151,317
2022 | 151,333
2023 | 154,271
2024 | 77,870
Thereafter | -
Total lease payments | 648,323
Less imputed interest | (77,741)
Present value of lease liabilities | $570,582

As of March 31, 2020, our operating leases have a weighted average remaining lease term of 4.2 years and a weighted average discount rate of 6.25%.
NOTE 5 – PROPERTY & EQUIPMENT
Property and equipment are stated at cost, less accumulated depreciation. Depreciation is recorded using the straight-line method over the estimated useful lives of the related assets, ranging from three to ten years. A summary is as follows:

| March 31, | December 31,
| 2020 | 2019
Computers | $87,928 | $87,310
Office equipment | 22,597 | 22,312
Furniture and fixtures | 208,601 | 153,995
Leasehold improvements | 2,030 | 2,030
| 321,156 | 265,647
Less accumulated depreciation | (75,754) | (60,694)
Property and equipment, net | $245,402 | $204,953

Depreciation expense related to property and equipment was $15,762 for the three months ended March 31, 2020, and $1,631 for the three months ended March 31, 2019.
The Company considered the impact COVID-19 may have had on the carrying value of its property and equipment and determined that no impairment loss had occurred. We will continue to assess COVID-19's impact on our business including any indicators of impairment of property and equipment.
NOTE 6 – SHAREHOLDERS’ EQUITY
Preferred Stock
On March 13, 2019, the Company established a new series of preferred stock consisting of 1,200,000 shares of Series F Convertible Preferred Stock, par value of $10.00 per share. After proportionally adjusting to reflect a subsequent 1 for 100 reverse stock split of the Common Stock, each share of Series F Convertible Preferred Stock was convertible at the option of the holder, at any time, into 2 shares of Common Stock. Additionally, each holder of Series F Convertible Preferred Stock was entitled to vote on all matters submitted for a vote of the Company’s shareholders with votes equal to the number of shares of Common Stock into which such holder’s Series F Preferred shares could then be converted. The Series F Convertible Preferred Stock ranked senior to the Company’s Common Stock as to the payment of dividends (if any) and the distribution of assets. Upon liquidation of the Company, holders of Series F Convertible Preferred Stock were entitled to a liquidation preference of $5 per share.
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On February 7, 2020, Catalyst Group converted its entire holdings of Sanara MedTech Inc.’s 30-month $1,500,000 convertible promissory note and Series F Convertible Preferred Stock into shares of Sanara Common Stock. The Company issued an aggregate of 2,452,731 shares of Common Stock in the conversions. After the conversions, Catalyst controls the voting of a total of 3,416,587 shares of Common Stock, which represents 55.1% of the 6,203,832 shares of Common Stock currently outstanding. As of March 31, 2020, there were no shares of the Series F Preferred stock issued and outstanding.
Common Stock
On May 10, 2019 the Company effected a 1-for-100 reverse stock split of the Company’s issued and outstanding shares of Common Stock. Concurrent with the reverse stock split, the Company changed its corporate name from Wound Management Technologies, Inc. to Sanara MedTech Inc.
The reverse stock split was previously approved by a majority of shareholders of the Company’s outstanding voting stock on March 21, 2019. On May 10, 2019, the Company’s Common Stock began trading on the OTCQB market under the symbol “WNDMD” and traded under that symbol until June 6, 2019, at which time the Company changed its trading symbol to “SMTI”. The post-split Common Stock is traded under a new CUSIP number 79957L100. In connection with the reverse stock split, the Company also made a corresponding adjustment to the Company’s authorized capital stock to reduce the authorized Common Stock to 20,000,000 shares and the authorized preferred stock to 2,000,000 shares, effective May 10, 2019.
The reverse stock split did not change a shareholder’s ownership percentage of the Company's Common Stock, except for the small effect where the reverse stock split would result in a shareholder owning a fractional share. No fractional shares were issued as a result of the reverse split. Shareholders who were otherwise entitled to receive a fractional share received a cash payment based on the market price of a share of the common stock on May 13, 2019.
On October 15, 2019, Company closed a private placement offering of 1,204,820 shares of its common stock at a price of $8.30 per share. All shares sold by the Company were newly issued shares. The purchasers in the offering were related party entities to three members of the Company’s Board of Directors.
On February 21, 2020, the Company filed a Form S-8 registration statement which registered an aggregate of 2,000,000 shares of common stock, par value $0.001 per share (the “Common Stock”), that may be issued under the Sanara MedTech Inc. 2014 Omnibus Long-Term Incentive Plan. Pursuant to Rule 416 of the Securities Act of 1933, as amended, this registration statement also covers such additional and indeterminate number of securities as may become issuable pursuant to the provisions of the plan relating to adjustments for changes resulting from a share dividend, share split or similar change.
Restricted Stock Awards
During the first quarter of 2020, the Company issued a total of 180,100 shares of restricted common stock to Company employees, directors, and certain consultants of the Company. The restricted share awards were issued under the Company’s 2014 Long Term Incentive Plan and are subject to certain vesting provisions and other terms and conditions set forth in each recipient’s restricted stock agreement.
The fair value of each award is based on the closing price of the Company’s common stock on the respective grant dates. The Company recognizes compensation expense for stock awards on a straight-line basis over the vesting period of the award. Share-based compensation expense of $304,897 was recognized in selling, general and administrative expenses during the three months ended March 31, 2020. No share-based expense was recognized during the three months ended March 31, 2019.
Below is a summary of restricted stock activity for the three months ended March 31, 2020:

| For the Three Months Ended
| March 31, 2020
|  | Weighted Average
| Shares | Grant Date Fair Value
Non-vested at beginning of period | - | -
Granted | 180,100 | $11.50
Vested | (15,497) | 11.15
Forfeited | - | -
Non-vested at March 31, 2020 | 164,603 | $11.54

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At March 31, 2020 there was $1,677,875 of total unrecognized share-based compensation expense related to unvested share-based equity awards. Unrecognized share-based compensation expense is expected to be recognized over a weighted-average period of 2.6 years.
.
Stock Options
On December 31, 2017, the Company granted a total of 11,500 options to five employees. The aggregate fair value of the awards was determined to be $61,322 and was to be expensed over a three-year vesting period. On April 13, 2018, the Company granted a total of 2,000 options to one employee and one contractor. The aggregate fair value of the awards was determined to be $8,943 and was to be expensed over a three-year vesting period. The aggregate fair value of the awards was determined to be $16,405 and was to be expensed over a three-year vesting period.
The Company’s stock option agreements include a provision whereby all outstanding options vest immediately if the Company consummates a transaction resulting in a change in control of the Company, as defined in the stock option agreements. The Cellerate Acquisition on March 15, 2019 (see Note 1 for more information) represented a change in control of the Company for purposes of the stock option agreements. Accordingly, all outstanding stock options fully vested on March 15, 2019.
A summary of the status of the stock options at March 31, 2020 and changes during the three-month period then ended is presented below:

| For the Three Months Ended March 31, 2020
| Options | Weighted Average Exercise Price | Weighted Average Remaining Contract Life
Outstanding at beginning of period | 11,500 | $6.00 |
Granted | - | - |
Exercised | - | - |
Forfeited | - | - |
Expired | - | - |
Outstanding at March 31, 2020 | 11,500 | $6.00 | 2.8
Exercisable at March 31, 2020 | 11,500 | $6.00 | 2.8

NOTE 7 – DEBT AND CREDIT FACILITIES
In December 2018, Cellerate, LLC executed agreements with Cadence Bank, N.A. (“Cadence”) which provided Cellerate, LLC access to a revolving line of credit up to a maximum principal amount of $1,000,000. The line of credit supports short-term working capital requirements of Cellerate, LLC. The line of credit is secured by substantially all of the assets of Cellerate, LLC. The interest rate per annum under this loan is the “Prime Rate” as it varies from time to time and designated in the “Money Rates” section of the Wall Street Journal plus 0.75%.
On June 21, 2019, the Company modified the Cadence revolving line of credit to increase the maximum principal amount from $1,000,000 to $2,500,000. Most terms of the modification agreement, including security and interest rate, were unchanged from the original loan agreement. Significant changes under the terms of the modification agreement include extending the maturity date from December 16, 2019 to June 19, 2020, and the addition of a financial covenant requiring the Company to sell additional equity securities in an amount of at least $5,000,000 no later than December 31, 2019.
On October 16, 2019, the Company paid down the entire $2,200,000 balance of the revolving line of credit with cash proceeds received through a private placement stock offering. The total outstanding line of credit balance and accrued interest was $0 at March 31, 2020.
NOTE 8 – INTANGIBLE ASSETS
The carrying values of the Company’s finite-lived intangible assets are as follows:

| March 31, 2020 | December 31, 2019
|  | Accumulated |  |  | Accumulated |
| Cost | Amortization | Net | Cost | Amortization | Net
Patent | $510,310 | $(510,310) | $- | $510,310 | $(510,310) | $-
License | 2,000,000 | (84,744) | 1,915,256 | 1,500,000 | (48,876) | 1,451,124
Software and Other | 64,464 | (46,268) | 18,196 | 64,464 | (44,394) | 20,070
Total | $2,574,774 | $(641,322) | $1,933,452 | $2,074,774 | $(603,580) | $1,471,194

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During the first quarter of 2020, the Company paid a $500,000 milestone payment to Rochal Industries, LLC (“Rochal”) upon FDA clearance of BIAKŌS™ Antimicrobial Wound Gel pursuant to the terms of the July 8, 2019 license agreement with Rochal. The milestone payment was recorded as an addition to intangible assets.
As of March 31, 2020, the weighted-average amortization period for all intangible assets is 12.0 years. Amortization expense related to intangible assets was $37,742 for the three months ended March 31, 2020 and $2,709 for the three months ended March 31, 2019. The estimated remaining amortization expense as of March 31, 2020 is as follows:

Remainder of 2020 | $123,717
2021 | 164,956
2022 | 162,541
2023 | 157,461
2024 | 157,461
Thereafter | 1,167,316
Total | $1,933,452

During the first quarter of 2020, the Company reviewed the carrying value of intangible assets due to the events and circumstances surrounding the COVID-19 pandemic. The Company does not believe the impact of the COVID-19 has created an impairment loss on the Company’s intangible assets. Accordingly, no there was no impairment loss recognized on the Company’s intangible assets during the three months ended March 31, 2020.
NOTE 9 –RELATED PARTIES
Payables to Related Parties
The Company had outstanding payables to related parties totaling $206,849 at March 31, 2020, and $68,668 at December 31, 2019.
Prepaid other - related party
In the normal course of business, the Company may advance payments to its suppliers, inclusive of Rochal, a related party. As of March 31, 2020, the Company paid $200,000 to Rochal as a deposit towards the initial payment of a pending product license agreement. In the event this license agreement is not executed by the end of the 2020 calendar year, Rochal will be obligated to refund the advance deposit payments of $200,000 to Sanara. At December 31, 2019, there were no prepaid balances to related parties.
NOTE 10 – SUBSEQUENT EVENTS
Promissory Note - Paycheck Protection Program
On April 22, 2020, the Company executed an unsecured promissory note to Cadence Bank, N.A. (the “Loan”) pursuant to the Paycheck Protection Program (the “PPP”) under Division A, Title I of the federal Coronavirus Aid, Relief, and Economic Security (“CARES”) Act. The Company plans to use the Loan proceeds for covered payroll costs in accordance with the relevant terms and conditions of the CARES Act.
The Loan is in the principal amount of $583,000, bears interest at a fixed rate of 1.00% per annum and matures on April 22, 2022. The Loan requires monthly payments of principal and interest in the amount of $24,546 commencing on November 2, 2020 with a final payment of $174,115 due on April 22, 2022. The Loan may be prepaid at any time prior to maturity without penalty. Under the terms of the PPP, the Company may apply for forgiveness of the amount due on the Loan equal to the sum of payroll costs, covered rent and covered utility payments incurred during the 8-week period commencing on the loan funding date of April 24, 2020.The foregoing summary is qualified in its entirety by reference to the promissory note which is attached as Exhibit 10.1 to the Company’s Form 8-K filed on April 29, 2020.
New Product License Agreement
On May 4, 2020, the Company executed a product license agreement (the “License Agreement”) with Rochal Industries, LLC (“Rochal”) whereby Sanara acquired an exclusive world-wide license to market, sell and further develop certain products for human medical use to enhance skin condition or treat or relieve skin disorders, excluding uses primarily for beauty, cosmetic, or toiletry purposes. The Executive Chairman of the Company is also a director of Rochal, and indirectly a significant shareholder of Rochal, and through the potential exercise of warrants a majority shareholder of Rochal. Another Company director is also a director and significant shareholder of Rochal.
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Key terms of the License Agreement include:
1.
Sanara will pay to Rochal $600,000 in cash and $750,000 payable at Sanara’s option in cash, Sanara Common Stock, or a combination of cash and Sanara Common Stock.
2.
At the time Rochal issues a purchase order to its contract manufacturer for the first good manufacturing practice run of the licensed products Sanara will pay Rochal $600,000 in cash.
3.
Upon FDA clearance of the licensed products, Sanara will pay Rochal $500,000 in cash and $1,000,000, which at Sanara’s option, may be in cash or Sanara Common Stock, or a combination of cash and Sanara Common Stock.
4.
Sanara will pay Rochal a royalty of:
a.
4% of net sales of licensed products in countries in which patents are registered
b.
2% of net sales of licensed products in countries without patent protection.
c.
The minimum annual royalty due to Rochal will be $100,000 beginning with the first full calendar year following the year in which first commercial sales of the licensed products occur and increase by 10% each subsequent calendar year up to a maximum amount of $150,000.
d.
Sanara will pay additional royalty annually based on specific net profit targets from sales of the licensed products, subject to a maximum of $1,000,000 during any calendar year.
5.
The License Agreement will expire in 2034.
The foregoing summary of the License Agreement does not purport to be complete and is qualified in its entirety by reference to the License Agreement. See Exhibit 10.1 for a full copy of the License agreement.
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Item 2. Management’s Discussion and Analysis of Financial Condition and Results of Operations
The following discussion of our financial condition and results of operations should be read in conjunction with the “Management’s Discussion and Analysis of Financial Condition and Results of Operations” section and audited consolidated financial statements and related notes thereto included in our Annual Report on Form 10-K for the year ended December 31, 2018 and with the unaudited consolidated financial statements and related notes thereto presented in this Quarterly Report on Form 10-Q.
Forward-Looking Statements
This Form 10-Q Report contains forward-looking statements concerning the impact of COVID-19 among other matters. These statements may discuss expectations as to future trends, plans, events, results of operations or financial condition, or state other information relating to the Company. Forward-looking statements generally will be accompanied by words such as “anticipate,” “believe,” “could,” “estimate,” “expect,” “forecast,” “guidance,” “intend,” “may,” “possible,” “potential,” “predict,” “project” or other similar words, phrases or expressions. These statements should be used with caution and are subject to various risks and uncertainties, many of which are outside of the Company’s control. The following factors could cause actual results to differ materially from those in the forward-looking statements: unanticipated changes in the markets for the Company’s business; unanticipated downturns in business relationships with customers or their purchases from us; the potential effects on our businesses from natural disasters; the availability of credit to customers and suppliers; competitive pressures on sales and pricing; unanticipated changes in the cost of inventory and other operating costs; the introduction of competing products; unexpected technical or marketing difficulties; unexpected claims, charges, litigation or dispute resolutions; new laws and governmental regulations; stock market and currency fluctuations; war, civil or political unrest or terrorism; the course of the COVID-19 pandemic and government responses thereto, and unanticipated deterioration of economic and financial conditions in the United States and around the world. The Company does not assume any obligation to update these forward-looking statements.
The following discussion and analysis of our financial condition is as of March 31, 2020. The discussion of our results of operations and cash flows should be read in conjunction with our unaudited financial statements and notes thereto included elsewhere in this report and the audited financial statements and the notes thereto included in our Form 10-K for the year ended December 31, 2019.
Impact of COVID-19
We have been actively monitoring the COVID-19 situation and its impact on the global economy and the Company. During the first quarter of 2020, the medical consequences of the virus and the associated suspension of elective surgical procedures had a moderate impact on the Company's business. With a large percentage of the Company's revenue derived from elective surgeries that have been or will be postponed, management is expecting a significant decline in revenue during the second quarter of 2020. We may also experience a slowing in our collections of outstanding accounts receivable from certain customers affected by the COVID-19 pandemic.
Our primary objectives during the pandemic have been supporting the safety of our team members and continued support of patients who need our products. The Company is proactively taking significant steps to cut costs, manage cash-flow, and continue to generate revenue from both its wound care and surgical businesses. The duration and severity of the impact from the COVID-19 virus is unclear, but management believes that elective surgical procedures currently being suspended will eventually be performed potentially leading to a significant increase in orders for the Company’s products. We will continue to closely monitor the COVID-19 pandemic in order to ensure the safety of our people and our ability to serve our customers and patients.
Business Overview
The Company was organized on December 14, 2001, as a Texas corporation under the name eAppliance Innovations, Inc. In June of 2002, MB Software Corporation, a public corporation formed under the laws of Colorado, merged with the Company and the Company changed its name to MB Software Corporation as part of the merger. In May of 2008, the Company changed its name to Wound Management Technologies, Inc. On May 10, 2019, the Company changed its name from Wound Management Technologies, Inc. to Sanara MedTech Inc.
The Company’s business is developing, marketing, and distributing wound and skin care products to physicians, hospitals, clinics and post-acute care settings. Our products are primarily sold in the North American advanced wound care and surgical tissue repair markets. Sanara MedTech products include CellerateRX® Surgical Activated Collagen® Adjuvant (CellerateRX); HYCOL™ Hydrolyzed Collagen (HYCOL); BIAKŌS™ Antimicrobial Skin & Wound Cleanser (BIAKŌS AWC); and PULSAR II™ Advanced Wound Irrigation System (AWI™).
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The Products
CellerateRX products are primarily purchased by hospitals and ambulatory surgical centers for use by surgeons on surgical wounds. HYCOL products are available through skilled nursing facilities, wound care clinics and other medical facilities, and are intended for the management of full and partial thickness wounds including pressure ulcers, venous and arterial leg ulcers and diabetic foot ulcers. HYCOL is currently approved for reimbursement under Medicare Part B. We believe CellerateRX and HYCOL products are unique in composition, superior to other products in clinical performance, and demonstrate the ability to reduce costs associated with the standards of care for their intended uses.
BIAKŌS AWC is an FDA cleared, patented product that effectively disrupts extracellular polymeric substances to eradicate biofilm microbes. BIAKŌS AWC also provides mechanical removal of debris, dirt, foreign materials, and microorganisms from wounds including stage I-IV pressure ulcers, diabetic foot ulcers, post-surgical wounds, first and second-degree burns as well as grafted and donor sites. BIAKŌS AWC is effective in killing free-floating microbes, immature, and mature bacterial biofilms and fungal biofilms. In addition, BIAKŌS AWC safety studies show that it is non-cytotoxic, non-irritating, and non-sensitizing to healthy skin and assists in the normal wound healing process. First sales of BIAKŌS AWC occurred in July 2019
PULSAR II™ Advanced Wound Irrigation System (AWI™) is a portable, no touch, painless, selective hydro-mechanical debridement system that effectively removes bacteria and necrotic tissue from wounds without disrupting healthy tissue.
New Products, Markets and Services
The Company received notification of FDA clearance for BIAKŌS™ Antimicrobial Wound Gel in February 2020 and expects to launch the product in 2020 to complement its BIAKŌS™ AWC. Both products are effective against planktonic microbes as well and immature and mature biofilms. When used together, the cleanser can be used initially to clean a wound and disrupt biofilms (removing 99% in 10 minutes). The gel can then be applied and will remain in the wound for up to 72 hours eliminating biofilms between normal dressing changes.
The Company also expects to introduce BIAKŌS™ Antimicrobial Barrier Film (BIAKŌS ABF) in the latter part of 2020. BIAKŌS ABF is an FDA cleared, first in-class, antimicrobial spray-on wound dressing that kills microbes while protecting underlying tissue, helping to remediate damage and prevent further infection. This product can be used on macerated skin and wounds.
Marketing, Sales and Distribution
The Company’s CellerateRX Surgical products are attracting increased business from hospitals and surgery centers due to their recognized benefits including efficacy and economic value. The surgical products are used in specialty areas such as spine, orthopedics, trauma, vascular, general, plastic, podiatry and reconstructive surgeries. The surgical products are sold through a growing network of surgical specialty distributors and Company representatives who are credentialed to demonstrate the products in surgical settings.
The Company’s advanced wound care products are primarily distributed to the post-acute care settings including long-term care facilities, home health, wound care centers, and professional medical offices. We believe our products are unique in composition, superior to other products in clinical performance, and demonstrate the ability to reduce costs associated with standard wound management. Our wound care products are sold by Company representatives supplemented by major medical-surgical distributors, independent distributors, and durable medical equipment (DME) distributors.
Staffing
As of May 1, 2020, the Company has a staff of 38, consisting of 36 full-time employees and 2 part time employees.
Competition
The wound care market is served by a number of large, multi-product line companies as well as a number of small companies. Our products compete with primary dressings, advanced wound care products, collagen matrices and other biopharmaceutical products. Manufacturers and distributors of competitive products include Smith & Nephew plc, Acelity L.P. Inc., Medline Industries, Inc., ACell Inc., and Integra LifeSciences Holdings Corporation. Many of our competitors are significantly larger than we are and have greater financial and personnel resources. We believe, however, that our products outperform our competitors’ currently available products by improving efficacy, reducing the cost of patient care, and replacing numerous products with a single primary dressing.
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Liquidity and Capital Resources
Historically, we have financed our operations primarily from the sale of debt and equity securities. During 2019 and 2020, our principal sources of liquidity have been our cash generated from operations, cash provided through a bank line of credit, and a $10,000,000 private placement offering in October 2019. Cash consists of cash on deposit with banks.
During the first quarter of 2020, the COVID-19 pandemic had a moderate impact on the Company's business. With a large percentage of the Company's revenue derived from elective surgeries that have been or will be postponed, management is expecting a significant decline in revenue during the second quarter of 2020. In April 2020, the Company’s revenues were approximately 50% lower than revenue levels prior to the COVID-19 outbreak. During late April and early May 2020, we have seen a limited resumption of elective surgical procedures in the Company’s primary markets in Texas and the southeastern United States. In the absence of another widespread suspension of elective surgical procedures, we expect to see gradual improvement in revenues as markets in other areas of the country begin to reopen.
As a result of the COVID-19 situation, the Company has significantly reduced costs in areas such as payroll, consulting, business travel, and other discretionary spending. We will continue to monitor our cash flow and will make additional expenditure adjustments as necessary. If appropriate, we may pursue additional financing including issuing additional stock and incurring additional debt. Although we have successfully funded our past operations through additional bank debt and issuance of equity, there is no assurance that our capital raising efforts will be able to attract additional capital at prices attractive to the Company. If we are unable to obtain additional funding for operations at any time in the future, we may not be able to continue operations as currently planned which would require us to modify various aspects of our operations.
In December 2018, and as amended in June 2019, the Company executed agreements with Cadence Bank, N.A. which provided Cellerate, LLC access to a revolving line of credit up to a maximum principal amount of $2,500,000 which matures in June 2020. The line of credit is intended to provide the Company with additional working capital for its product pipeline, sales force expansion and other corporate purposes. At March 31, 2020, the Company had no outstanding balance on the line of credit.
For the three months ended March 31, 2020, net cash used in operating activities was $2,032,019 compared to $436,143 used in operating activities during the first three months of 2019. The higher use of cash in 2019 was due to investments in our sales force expansion and related sales support infrastructure, and higher inventory purchases.
For the three months ended March 31, 2020, net cash used in investing activities was $557,456 , compared to $502,179 provided by investing activities during the first three months of 2019. The cash used in investing activities during the first quarter of 2020 was primarily related to a $500,000 milestone payment to Rochal Industries, LLC (“Rochal”) upon FDA clearance of BIAKŌS™ Antimicrobial Wound Gel pursuant to the terms of the July 8, 2019 license agreement with Rochal.
For the three months ended March 31, 2020, net cash provided by financing activities was $0 as compared to $500,000 provided for the three months ended March 31, 2019.
Results of Operations
Revenues. The Company generated revenues of $3,524,331 for the three months ended March 31, 2020, compared to revenues of $2,486,896 for the three months ended March 31, 2019, representing a 42% increase in revenues from prior year. The higher revenues in 2020 were primarily due to the continued execution of the Company’s strategy to expand its sales force and independent distribution network in both new and existing U.S. markets.
Cost of goods sold. Cost of goods sold for the three months ended March 31, 2020, was $330,188, compared to costs of goods sold of $289,340 for the three months ended March 31, 2019. The increase over prior year was due to the higher sales volume.
Selling, general and administrative expenses (“SG&A"). SG&A expenses for the three months ended March 31, 2020, were $4,906,538, as compared to SG&A expenses of $2,350,363 for the three months ended March 31, 2019. The higher SG&A expenses in 2020 were primarily due to increased payroll costs resulting from sales force expansion and operational support, higher sales commission expense as a result of higher product sales, and increased marketing costs related to promotional activities for new and existing product lines. Direct selling costs represented the vast majority of the increase in total SG&A costs as we increased the size of our field sales organization from nine in March 2019 to eighteen in March of 2020.
The higher SG&A costs are consistent with the Company's strategy of building out a larger sales force and independent distribution network. New sales representatives generally take six to twelve months on average to begin generating significant revenue. The Company expects SG&A expenses to decline as a percentage of revenue in the next two years as the revenue generated by its new sales force begins to offset the cost of expanding the sales force.
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Interest expense. Interest expense was $8,354 for the three months ended March 31, 2020, as compared to $5,425 for the three months ended March 31, 2019.
Net income / loss. The Company had a net loss of $1,841,012 for the three months ended March 31, 2020, compared to net loss of $162,572 for the three months ended March 31, 2019. The net loss was due to higher SG&A costs described above, which were driven by the Company’s strategy to grow top-line revenue through significant investments in sales force expansion and related sales support infrastructure. The Company expects SG&A expenses to decline as a percentage of revenue in the next two years as the revenue generated by its new sales force begins to offset the cost of expanding the sales force.
Off-Balance Sheet Arrangements
None.
Item 3. Quantitative and Qualitative Disclosures About Market Risk
As a smaller reporting company, we are not required to provide this information.
Item 4. Controls and Procedures
Disclosure Controls and Procedures
We maintain disclosure controls and procedures that are designed to ensure that information required to be disclosed by us in the reports that we file or submit to the Securities and Exchange Commission under the Securities Exchange Act of 1934, as amended, is recorded, processed, summarized and reported within the time periods specified by the Securities and Exchange Commission’s rules and forms, and that information is accumulated and communicated to our management, including our principal executive and principal financial officers (whom we refer to in this periodic report as our Certifying Officer), as appropriate to allow timely decisions regarding required disclosure. Our management evaluated, with the participation of our Certifying Officer, the effectiveness of our disclosure controls and procedures as of March 31, 2020, pursuant to Rule 13a-15(b) under the Securities Exchange Act. Based on this assessment, management concluded that as of March 31, 2020, internal control over financial reporting was not effective due to the small size of the Company and limited segregation of duties. Management is currently evaluating the steps that would be necessary to eliminate this material weakness.
Changes in Internal Control over Financial Reporting
There were no changes in our internal control over financial reporting that occurred during our most recently completed fiscal quarter that have materially affected, or are reasonably likely to materially affect, our internal control over financial reporting. We will continue to evaluate the effectiveness of internal controls and procedures on an on-going basis.
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Part II — Other Information
Item 1. Legal Proceedings
As of March 31, 2020, and as of this filing date, the Company has no outstanding legal proceedings.
Item 1a. Risk Factors
The COVID-19 pandemic in the United States and other parts of the world may negatively impact our business, financial condition and results of operations.
An epidemic of COVID-19 is ongoing in the United States and most of the world. On January 30, 2020 the World Health Organization declared a global emergency, and since that time governments have instituted measures to attempt to contain spread of the virus, including temporary limitations on non-essential business activities and elective surgical procedures in medical facilities.
Because a majority of our revenue is currently generated from the sale of products in connection with surgical procedures, extensive limitations on those procedures and restrictions on our sales personnel from entering patient facilities would adversely affect our sales and operating results. Additionally, we obtain our products from manufacturers in the United States, and any disruptions in those manufacturing sites or the shipment of the products could impact our sales and operations. Similarly, interruptions in patient clinical studies and trials that are necessary to obtain FDA clearance of anticipated new products could delay expansion of our product portfolio.
The extent to which these events impact our business will depend on future developments regarding the rate of infection of the virus and the further or lessening of current or new restrictions put in place to contain the epidemic.
Item 2. Unregistered Sales of Equity Securities and Use of Proceeds
None.
Item 3. Defaults Upon Senior Securities
None.
Item 4. Mine Safety Disclosure
This item is not applicable.
Item 5. Other Information
None.
Item 6. Exhibits
The following documents are filed as part of this Report:

Exhibit No. |  | Description
10.1† |  | Product License Agreement effective May 4, 2020
31.1* |  | Certification of Principal Executive Officer in accordance with 18 U.S.C. Section 1350, as adopted by Section 302 of the Sarbanes-Oxley Act of 2002*
31.2* |  | Certification of Principal Financial Officer in accordance with 18 U.S.C. Section 1350, as adopted by Section 302 of the Sarbanes-Oxley Act of 2002*
32.1* |  | Certification of Principal Executive Officer in accordance with 18 U.S.C. Section 1350, as adopted by Section 906 of the Sarbanes-Oxley Act of 2002*
32.2* |  | Certification of Principal Financial Officer in accordance with 18 U.S.C. Section 1350, as adopted by Section 906 of the Sarbanes-Oxley Act of 2002*
101 |  | Interactive Data Files pursuant to Rule 405 of Regulation S-T.

* Filed herewith
† Portions of this exhibit, marked by brackets, have been omitted pursuant to Item 601(b)(10) of Regulation S-K under the Securities Act of 1933, as amended, because they are both (i) not material and (ii) would likely cause competitive harm to the registrant if publicly disclosed. The registrant undertakes to promptly provide an unredacted copy of the exhibit on a supplemental basis, if requested by the Commission or its staff.
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Signatures
Pursuant to the requirements of the Exchange Act of 1934, the registrant has caused this report to be signed on its behalf by the undersigned thereunto duly authorized.

| Sanara MedTech Inc. |
May 12, 2020 | By: | /s/ Michael McNeil |
|  | Michael McNeil |
|  | Chief Financial Officer |

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