EX-99.2 3 tm2411514d1_ex99-2.htm EXHIBIT 99.2

 

Exhibit 99.2

 

Condensed Interim Consolidated Financial Statements

(Expressed in U.S. dollars)

 

Greenbrook TMS Inc.

 

Three months ended March 31, 2023 and 2022

(Unaudited)

 

 

 

 

NOTICE TO READER

 

Under National Instrument 51-102, Part 4, subsection 4.3(3)(a), if an auditor has not performed a review of the condensed interim consolidated financial statements, they must be accompanied by a notice to this effect. The accompanying unaudited condensed interim consolidated financial statements of Greenbrook TMS Inc. have been prepared by, and are the responsibility of management of Greenbrook TMS Inc.

 

Greenbrook TMS Inc.’s independent auditor has not audited, reviewed or otherwise attempted to verify the accuracy or completeness of the accompanying condensed interim consolidated financial statements. Readers are cautioned that these financial statements may not be appropriate for their intended purposes.

 

1

 

 

Greenbrook TMS Inc.

Condensed Interim Consolidated Balance Sheets

(Expressed in U.S. dollars, unless otherwise stated)

(Unaudited)

 

 

   March 31,   December 31, 
   2023   2022 
Assets            
Current assets:          
Cash  $7,050,994   $1,623,957 
Restricted cash   1,000,000    1,000,000 
Accounts receivable, net (note 20(b))   7,615,156    7,348,846 
Prepaid expenses and other   2,800,584    2,520,676 
Total current assets   18,466,734    12,493,479 
           
Property, plant and equipment (note 6)   3,974,221    3,719,621 
Intangible assets (note 7)   671,701    688,249 
Goodwill        
Finance right-of-use assets (note 8(a))   14,291,596    19,348,091 
Operating right-of-use assets (note 8(b))   33,702,706    34,890,554 
Total assets  $71,106,958   $71,139,994 
           
Liabilities and Shareholders’ Deficit          
           
Current liabilities:          
Accounts payable and accrued liabilities (note 9)  $17,617,584   $20,271,624 
Current portion of loans payable (note 10(a))   3,547,992    2,200,892 
Current portion of finance lease liabilities (note 8(a))   3,803,614    6,532,175 
Current portion of operating lease liabilities (note 8(b))   4,580,721    4,591,216 
Current portion of shareholder loan (note 11)   330,320    46,995 
Other payables (note 12)   282,522    629,381 
Non-controlling interest loans (note 10(b))   96,510    94,136 
Provisions (note 13)   48,926     
Deferred and contingent consideration (note 14)   1,000,000    1,000,000 
Total current liabilities   31,308,189    35,366,419 
           
Loans payable (note 10(a))   61,738,001    51,017,743 
Finance lease liabilities (note 8(a))   7,869,804    10,449,725 
Operating lease liabilities (note 8(b))   30,308,112    31,352,506 
Shareholder loan (note 11)   3,392,834    2,065,443 
Total liabilities   134,616,940    130,251,836 
           
Shareholders’ deficit:          
Common shares (note 15)   120,259,624    114,120,362 
Contributed surplus (note 16)   4,674,801    4,552,067 
Deficit    (185,716,506)   (175,007,144
Total shareholders’ deficit excluding non-controlling interest   (60,782,081)   (56,334,715)
Non-controlling interest (note 24)   (2,727, 901)   (2,777,127)
Total shareholders’ deficit   (63,509,982)   (59,111,842)
           
Basis of preparation and going concern (note 2(a))          
Contingencies (note 17)          
Total liabilities and shareholders’ deficit  $71,106,958   $71,139,994 

 

See accompanying notes to condensed interim consolidated financial statements.

 

2

 

 

Greenbrook TMS Inc.

Condensed Interim Consolidated Statements of Comprehensive Loss

(Expressed in U.S. dollars, unless otherwise stated)

(Unaudited)

 

 

    Three months ended  
    March 31,     March 31,  
    2023     2022  
Revenue:            
Service revenue   $ 19,304,461     $ 13,264,849  
                 
Expenses:                
Direct center and patient care costs     13,758,220       8,563,252  
Other regional and center support costs (note 25)     5,078,698       5,192,715  
Depreciation (notes 6 and note 8)     965,048       695,231  
      19,801,966       14,451,198  
                 
Regional operating income (loss)     (497,505 )     (1,186,349 )
                 
Center development costs     112,191       159,446  
Corporate, general and administrative expenses (note 25)     7,278,571       5,123,618  
Share-based compensation (note 16)     62,948       249,322  
Amortization (note 7)     16,548       207,500  
Interest expense     2,692,418       764,392  
Interest income     (45 )     (2,287 )
                 
Loss before income taxes     (10,660,136 )     (7,688,340 )
Income tax expense (note 19)            
Loss for the period and comprehensive loss   $ (10,660,136 )   $ (7,688,340 )
Non-controlling interest (note 24)     (68,826 )     (116,486 )
Loss for the period and comprehensive loss attributable to Greenbrook   $ (10,591,310 )   $ (7,571,854 )
                 
Net loss per share (note 23):                
Basic   $ (0.34 )   $ (0.43 )
Diluted     (0.34 )     (0.43 )

 

See accompanying notes to condensed interim consolidated financial statements.

 

3

 

 

Greenbrook tms Inc.

Condensed Interim Consolidated Statements of Changes in Equity (Deficit)

(Expressed in U.S. dollars, unless otherwise stated)

(Unaudited)

 

 

                            Non-     Total  
    Common shares     Contributed           controlling     equity  
Three months ended March 31, 2022   Number     Amount     surplus     Deficit     interest     (deficit)  
Balance, December 31, 2021     17,801,885     $ 98,408,917     $ 4,204,280     $ (87,332,687 )   $ (1,325,406 )   $ 13,955,104  
Net comprehensive loss for the period                       (7,571,854 )     (116,486 )     (7,688,340 )
Share-based compensation (note 16)                 249,322                   249,322  
Balance, March 31, 2022     17,801,885     $ 98,408,917     $ 4,453,602     $ (94,904,541 )   $ (1,441,892 )   $ 6,516,086  

 

                   Non-   Total 
   Common shares   Contributed       controlling   equity 
Three months ended March 31, 2023  Number   Amount   surplus   Deficit   interest   (deficit) 
Balance, December 31, 2022   29,436,545   $114,120,362   $4,552,067   $(175,007,144)  $(2,777,127)  $(59,111,842)
Net comprehensive loss for the period               (10,591,310)   (68,826)   (10,660,136)
Share-based compensation (note 16)           62,948            62,948 
Issuance of common shares (note 15)   11,363,635    6,139,262                6,139,262 
Issuance of lender warrants           59,786            59,786 
Acquisition of subsidiary non-controlling interest (note 24)               (118,052)   118,052     
Balance, March 31, 2023   40,800,180   $120,259,624   $4,674,801   $(185,716,506)  $(2,727,901)  $(63,509,982)

 

See accompanying notes to condensed interim consolidated financial statements.

 

4

 

 

Greenbrook TMS Inc.

Condensed Interim Consolidated Statements of Cash Flows

(Expressed in U.S. dollars, unless otherwise stated)

(Unaudited)

 

 

    Three months ended  
    March 31,     March 31,  
    2023     2022  
Cash provided by (used in)                
                 
Operating activities:                
Loss for the period   $ (10,660,136 )   $ (7,688,340 )
Adjusted for:                
Amortization     16,548       207,500  
Depreciation     965,048       695,231  
Operating lease expense     2,094,852       1,222,692  
Interest expense     2,692,418       764,392  
Interest income     (45 )     (2,287 )
Share-based compensation     62,948       249,322  
Gain on lender warrants     (6,567 )     (9,544 )
Gain on deferred share units     (299,191 )     (22,361 )
Gain on performance share units     (41,100 )     (10,434 )
Change in non-cash operating working capital:                
Accounts receivable     (266,310 )     130,464  
Prepaid expenses and other     (279,908 )     (72,706 )
Accounts payable and accrued liabilities     3,345,961       1,488,877  
Provision     48,926         
Interest paid     (2,065,190 )     (682,993 )
Interest received     45       2,287  
Payment of operating lease liabilities     (2,000,115 )     (1,208,341 )
      (6,391,816 )     (4,936,241 )
Financing activities:                
Net proceeds on issuance of common shares (note 15)     6,139,262        
Financing costs incurred     (647,471 )      
Loans payable advanced (note 10(a))     6,000,000        
Loans payable and promissory notes repaid (note 10(a))     (93,869 )     (52,300 )
Promissory notes advanced (note 10(a) and note 11)     1,750,000        
Principal repayment of finance lease liabilities     (1,322,753 )     (1,009,652 )
Net non-controlling interest loans advanced     2,374       2,148  
      11,827,543       (1,059,804 )
Investing activities:                
Change in restricted cash           250,000  
Deferred and contingent consideration paid (note 14)           (250,000 )
Purchase of property, plant and equipment     (8,690 )      
      (8,690 )      
                 
Increase (decrease) in cash     5,427,037       (5,996,045 )
Cash, beginning of period     1,623,957       10,699,679  
Cash, end of period   $ 7,050,994     $ 4,703,634  

 

See accompanying notes to condensed interim consolidated financial statements.

 

5

 

 

Greenbrook TMS Inc.

Notes to Condensed Interim Consolidated Financial Statements

(Expressed in U.S. dollars, unless otherwise stated)

 

Three months ended March 31, 2023 and 2022

(Unaudited)

 

 

1.            Reporting entity:

 

Greenbrook TMS Inc. (the “Company”), an Ontario corporation along with its subsidiaries, controls and operates a network of outpatient mental health services centers that specialize in the provision of Transcranial Magnetic Stimulation (“TMS”) therapy and other treatment modalities for the treatment of depression and related psychiatric services.

 

Our head and registered office is located at 890 Yonge Street, 7th Floor, Toronto, Ontario, Canada M4W 3P4. Our United States corporate headquarters is located at 8401 Greensboro Drive, Suite 425, Tysons Corner, Virginia, USA, 22102.

 

2.Basis of preparation:

 

(a)Going concern:

 

These condensed interim consolidated financial statements for the three months ended March 31, 2023 have been prepared in accordance with generally accepted accounting principles in the United States of America ("U.S. GAAP") and applicable rules and regulations of the Securities and Exchange Commission (“SEC”) and the basis of presentation outlined in note 2(b) on the assumption that the Company is a going concern and will continue in operation for the foreseeable future and will be able to realize its assets and discharge its liabilities and commitments in the normal course of business.

 

The Company has experienced losses since inception and has negative cash flow from operating activities of $6,391,816 for the three months ended March 31, 2023 ($4,936,241 – three months ended March 31, 2022). The Company’s cash balance, excluding restricted cash, as at March 31, 2023 was $7,050,994 ($1,623,957 as at December 31, 2022) and negative working capital as at March 31, 2023 was $12,819,662 (negative working capital of $5,100,477 as at December 31, 2022).

 

On December 31, 2020, the Company entered into a credit and security agreement, which was amended on October 29, 2021, for a $30,000,000 secured credit facility (the “Oxford Credit Facility”) with Oxford Finance LLC (“Oxford”). The Oxford Credit Facility funded the $15,000,000 term loan at closing on December 31, 2020. On July 14, 2022, the Company entered into a credit agreement (the “Madryn Credit Agreement”) for a $75,000,000 secured credit facility (the “Madryn Credit Facility”) with Madryn Asset Management, LP (“Madryn”) and its affiliated entities. Upon closing of the Madryn Credit Facility, the Company drew a $55,000,000 term loan under the Madryn Credit Facility. In addition, the Madryn Credit Facility permits the Company to draw up to an additional $20,000,000 in a single draw at any time on or prior to December 31, 2024 for purposes of funding future mergers and acquisition activity. On July 14, 2022, the Company used $15,446,546 of the proceeds from the Madryn Credit Facility to repay in full the outstanding balance owing under the Oxford Credit Facility and also used $15,154,845 of the proceeds from the Madryn Credit Facility to repay various loans previously held by Success TMS (as defined below).

 

 

 

Greenbrook TMS Inc.

Notes to Condensed Interim Consolidated Financial Statements (continued)

(Expressed in U.S. dollars, unless otherwise stated)

 

Three months ended March 31, 2023 and 2022

(Unaudited)

 

 

2.Basis of preparation (continued):

 

During the three months ended March 31, 2023, the Company received an aggregate of $7,750,000 in debt financings from Madryn, certain significant shareholders and management of the Company, in order to satisfy short-term cash requirements, and the amendments to the Madryn Credit Facility were also effected to amend the Company’s minimum liquidity covenant. See note 10 and note 11.

 

The terms of the Madryn Credit Facility require the Company to satisfy various financial covenants including a minimum liquidity and minimum consolidated revenue amounts that became effective on July 14, 2022 and September 30, 2022, respectively. A failure to comply with these covenants, or failure to obtain a waiver for any non-compliance, would result in an event of default under the Madryn Credit Agreement and would allow Madryn to accelerate repayment of the debt, which could materially and adversely affect the business, results of operations and financial condition of the Company. On February 21, 2023 and March 20, 2023, the Company received waivers from Madryn with respect to the Company’s non-compliance with the minimum liquidity covenant until March 27, 2023. As at March 31, 2023, the Company was in compliance with the financial covenants of the Madryn Credit Agreement.

 

On March 23, 2023, the Company completed a non-brokered private placement (“Private Placement”), for aggregate gross proceeds to the Company of approximately $6,250,000. The Private Placement included investments by Madryn, together with certain of the Company’s other major shareholders, including Greybrook Health Inc. (“Greybrook Health”) and affiliates of Masters Special Situations LLC (“MSS”). See note 15.

 

Although the Company believes it will become cash flow positive in the future, the timing of this is uncertain and is also dependant on the execution of the Restructuring Plan (as defined below) (see note 13). The Company will require additional financing in order to fund its operating and investing activities, including making timely payments to certain vendors, landlords, lenders (including shareholders) and similar other business partners. The delay in such payments may result in potential defaults under the terms of the agreements the Company has with various parties. As such, additional financing is required in order for the Company to repay its short-term obligations. The Company has historically been able to obtain financing from supportive shareholders, its lenders and other sources when required; however, the Company may not be able to access further equity or debt financing when needed. As such, there can be no assurance that the Company will be able to obtain additional liquidity when needed or under acceptable terms, if at all. If additional financing is not obtained, the Company will need to obtain additional amendments from Madryn in order to remain compliant with the covenants or waivers from Madryn to waive its rights to accelerate repayment of the debt; however, there can be no assurances that such amendments or waivers will be obtained.

 

 

 

Greenbrook TMS Inc.

Notes to Condensed Interim Consolidated Financial Statements (continued)

(Expressed in U.S. dollars, unless otherwise stated)

 

Three months ended March 31, 2023 and 2022

(Unaudited)

 

 

2.Basis of preparation (continued):

 

The existence of the above-described conditions indicate substantial doubt as to the Company’s ability to continue as a going concern as at March 31, 2023.

 

These condensed interim consolidated financial statements do not reflect adjustments that would be necessary if the going concern assumptions were not appropriate. If the going concern basis was not appropriate for these condensed interim consolidated financial statements, then adjustments would be necessary to the carrying value of assets and liabilities, the reported expenses, and the condensed interim consolidated balance sheets classification used, and these adjustments may be material.

 

(b)Basis of measurement:

 

These condensed interim consolidated financial statements have been prepared on a historic cost basis except for financial instruments classified as fair value through profit or loss, which are stated at their fair value. Other measurement bases are described in the applicable notes.

 

Presentation of the condensed interim consolidated balance sheet differentiates between current and non-current assets and liabilities. The condensed interim consolidated statements of comprehensive loss are presented using the function classification of expense.

 

Regional operating income (loss) presents regional operating income (loss) on an entity-wide basis and is calculated as total service revenue less direct center and patient care costs, other regional and center support costs, and depreciation. These costs encapsulate all costs (other than incentive compensation such as share-based compensation granted to senior regional employees) associated with the center and regional management infrastructure, including the cost of the delivery of TMS treatments to patients and the cost of the Company’s regional patient acquisition strategy.

 

 

 

Greenbrook TMS Inc.

Notes to Condensed Interim Consolidated Financial Statements (continued)

(Expressed in U.S. dollars, unless otherwise stated)

 

Three months ended March 31, 2023 and 2022

(Unaudited)

 

 

3.Material accounting policies:

 

These condensed interim consolidated financial statements have been prepared using the material accounting policies consistent with those applied in the Company’s December 31, 2022 audited consolidated financial statements.

 

4.Recent accounting pronouncements:

 

Recent accounting pronouncements adopted:

 

The SEC has issued the following amendments to the existing standards that became effective for periods beginning on or after January 1, 2023:

 

(i)Accounting Standards Update 2023-07—Segment Reporting (Topic 280): Improvements to Reportable Segment Disclosures. The amendments were adopted on January 1, 2023.

 

The adoption of the amendments to the existing standards did not have a material impact on these consolidated financial statements.

 

The SEC has issued the following amendment to the existing standard that will become effective for periods beginning on or after January 1, 2024:

 

(i)Accounting Standards Update 2023-09—Income Taxes (Topic 740): Improvements to Income Tax Disclosures. This standard introduces improvements to income tax disclosures primarily related to the rate reconciliation and income taxes paid information.

 

5.Business acquisition:

 

Acquisition of Success TMS:

 

On July 14, 2022, the Company, through its wholly-owned U.S. subsidiary, TMS NeuroHealth Centers Inc., completed the acquisition of all of the issued and outstanding equity interests in Check Five LLC, a Delaware limited liability company (doing business as “Success TMS”) (“Success TMS”) from its parent company, Success Behavioral Holdings LLC (the “Success TMS Acquisition”) pursuant to a Membership Interest Purchase Agreement dated as of May 15, 2022 (the “Purchase Agreement”), by and among the Company, Success TMS and its direct and indirect owners, including Success Behavioral Holdings, LLC, Theragroup LLC, The Bereke Trust U/T/A Dated 2/10/03, Batya Klein and Benjamin Klein (collectively, the “Seller Parties”).

 

 

 

Greenbrook TMS Inc.

Notes to Condensed Interim Consolidated Financial Statements (continued)

(Expressed in U.S. dollars, unless otherwise stated)

 

Three months ended March 31, 2023 and 2022

(Unaudited)

 

 

5.Business acquisition (continued):

 

As consideration for the purchase of Success TMS, the Seller Parties received, in the aggregate, 8,725,995 common shares of the Company valued at $11,783,584, and an additional 2,908,665 common shares of the Company, valued at $3,927,861, have been held back and deposited with an escrow agent, to be released to Benjamin Klein or the Company, as applicable, upon satisfaction of customary working capital and certain other adjustments, including to satisfy any indemnity claims against the Seller Parties (such common shares issued as consideration to the Seller Parties, including the common shares deposited in escrow, collectively, the “Consideration Shares”).

 

The purchase price consideration was determined based on the pro forma revenue contribution of the two companies and was fixed at an amount equal to approximately 40% of the total issued and outstanding common shares of the Company on a post-acquisition basis and subject to adjustments, as described above.

 

The Success TMS Acquisition represented the addition of 47 new Treatment Centers (as defined below), with a new presence in additional states, including Illinois, New Jersey, Nevada and Pennsylvania.

 

10 

 

 

Greenbrook TMS Inc.

Notes to Condensed Interim Consolidated Financial Statements (continued)

(Expressed in U.S. dollars, unless otherwise stated)

 

Three months ended March 31, 2023 and 2022

(Unaudited)

 

 

5.Business acquisition (continued):

 

The Success TMS Acquisition was accounted for using the acquisition method of accounting. The allocation of the purchase price consideration for the Success TMS Acquisition is preliminary, and is comprised as follows:

 

Purchase consideration    
     
Share issuance   $11,783,584  
Share issuance, held in escrow   3,927,861 
    15,711,445 
Net assets acquired     
Cash acquired   688,958 
Accounts receivable, net   3,728,255 
Prepaid expenses and other   804,416 
Property, plant and equipment   829,049 
Software   363,424 
Management services agreements   15,850,000 
Finance right-of-use assets   7,314,499 
Operating right-of-use assets   16,336,366 
Accounts payable and accrued liabilities   (4,890,405)
Deferred grant income   (225,559)
Loans payable   (14,836,324)
Shareholder loan   (2,078,979)
Finance lease liabilities   (7,314,499)
Operating lease liabilities   (16,185,975)
    383,226 
Goodwill  $15,328,219 

 

As part of the Success TMS Acquisition, the Company acquired five management services agreements (the “Success TMS MSAs”) between Success TMS and professional entities owned by Success TMS physicians, under which it provides management, administrative, financial and other services in exchange for a fee. The Success TMS MSAs are the key intangible assets identified as part of the Success TMS Acquisition and drives the value of the business. The Success TMS MSAs are valued using the multi-period excess earnings method. The multi-period excess earnings method considers the present value of net cash flows expected to be generated by the Success TMS MSAs by excluding any cash flows related to contributory assets.

 

11 

 

 

Greenbrook TMS Inc.

Notes to Condensed Interim Consolidated Financial Statements (continued)

(Expressed in U.S. dollars, unless otherwise stated)

 

Three months ended March 31, 2023 and 2022

(Unaudited)

 

 

5.Business acquisition (continued):

 

Goodwill is primarily attributable to the ability to expand the Company’s national footprint and the synergies expected to result from combining Success TMS’ operations with the Company, and is allocated to the Success TMS cash generating unit. Goodwill is deductible for tax purposes.

 

6.Property, plant and equipment:

 

   Furniture and   Leasehold         
   equipment   improvements   TMS devices   Total 
Cost                    
                     
Balance, December 31, 2022  $115,604   $344,336   $4,656,273   $5,116,213 
Additions   -    8,690    445,522    454,212 
Balance, March 31, 2023  $115,604   $353,026   $5,101,795   $5,570,425 
                     
Accumulated depreciation                    
                     
Balance, December 31, 2022  $103,474   $95,541   $1,197,577   $1,396,592 
Depreciation   5,780    14,785    179,047    199,612 
Balance, March 31, 2023  $109,254   $110,326   $1,376,624   $1,596,204 
                     
Net book value                    
                     
Balance, December 31, 2022  $12,130   $248,795   $3,458,696   $3,719,621 
Balance, March 31, 2023   6,350    242,700    3,725,171    3,974,221 

 

7.Intangible assets:

 

   Management   Covenants not         
   services agreements   to compete   Software   Total 
Cost                    
                     
Balance, December 31, 2022  $2,792,178   $355,238   $39,646   $3,187,062 
Additions                
Balance, March 31, 2023  $2,792,178   $355,238   $39,646   $3,187,062 
                     
Accumulated amortization                    
                     
Balance, December 31, 2022  $2,119,306   $339,861   $39,646   $2,498,813 
Amortization   14,333    2,215        16,548 
Balance, March 31, 2023  $2,133,639   $342,076   $39,646   $2,515,361 
                     
Net book value                    
                     
Balance, December 31, 2022  $672,872   $15,377   $   $688,249 
Balance, March 31, 2023   658,539    13,162        671,701 

 

12 

 

 

Greenbrook TMS Inc.

 

Notes to Condensed Interim Consolidated Financial Statements (continued)

(Expressed in U.S. dollars, unless otherwise stated)

 

Three months ended March 31, 2023 and 2022

(Unaudited)

 

 

8.Right-of-use assets and lease liabilities:

 

The Company enters into lease agreements related to TMS devices and mental health treatment centers (“Treatment Centers”). These lease agreements range from one year to seven years in length.

 

Right-of-use assets are initially measured at cost, which is comprised of the initial amount of the lease liability adjusted for any lease payments made at or before the commencement date, plus any initial direct costs incurred.

 

Lease liabilities have been measured by discounting future lease payments using a rate implicit in the lease or the Company’s incremental borrowing rate. The Company’s incremental borrowing rate during the period ended March 31, 2023 is 12% (December 31, 2022 – 12%).

 

(a)Finance leases:

 

Finance leases include lease agreements relating to TMS devices.

 

    March 31,  
    2023  
Finance right-of-use assets, beginning of the year   $ 19,348,091  
Impact of lease additions, disposals and/or modifications     (3,845,537 )
Exercise of buy-out options into property, plant and equipment     (445,522 )
Depreciation on right-of-use assets     (765,436 )
         
Finance right-of-use assets, end of the period   $ 14,291,596  

 

13 

 

 

Greenbrook TMS Inc.

 

Notes to Condensed Interim Consolidated Financial Statements (continued)

(Expressed in U.S. dollars, unless otherwise stated)

 

Three months ended March 31, 2023 and 2022

(Unaudited)

 

 

8.            Right-of-use assets and lease liabilities (continued):

 

   March 31, 
   2023 
Finance lease liabilities, beginning of the year  $16,981,900 
Impact of lease additions, disposals and/or modifications   (3,985,729)
Interest expense on lease liabilities   336,599 
Payments of lease liabilities   (1,659,352)
      
Finance lease liabilities, end of the period  $11,673,418 
      
Less current portion of finance lease liabilities   3,803,614 
      
Long term portion of finance lease liabilities  $7,869,804 

 

(b)Operating leases:

 

Operating leases include lease agreements relating to Treatment Centers.

 

   March 31, 
   2023 
Operating right-of-use assets, beginning of the year  $34,890,554 
Impact of lease additions, disposals and/or modifications   34,600 
Impairment of right-of-use assets    
Right-of-use asset lease expense   (1,222,448)
      
Operating right-of-use assets, end of the period  $33,702,706 

 

14 

 

 

Greenbrook TMS Inc.

Notes to Condensed Interim Consolidated Financial Statements (continued)

(Expressed in U.S. dollars, unless otherwise stated)

 

Three months ended March 31, 2023 and 2022

(Unaudited)

 

 

8.            Right-of-use assets and lease liabilities (continued):

 

   March 31, 
   2023 
Operating lease liabilities, beginning of the year  $35,943,722 
Impact of lease additions, disposals and/or modifications   72,822 
Lease liability expense   872,404 
Payments of lease liabilities   (2,000,115)
      
Operating lease liabilities, end of the period   34,888,833 
      
Less current portion of operating lease liabilities   4,580,721 
      
Long term portion of operating lease liabilities  $30,308,112 

 

9.             Accounts payable and accrued liabilities:

 

The accounts payable and accrued liabilities are as follows:

 

   March 31,   December 31, 
   2023   2022 
Accounts payable  $13,782,627   $16,808,558 
Accrued liabilities   3,834,957    3,463,066 
Total  $17,617,584   $20,271,624 

 

15 

 

 

 

Greenbrook TMS Inc.

Notes to Condensed Interim Consolidated Financial Statements (continued)

(Expressed in U.S. dollars, unless otherwise stated)

 

Three months ended March 31, 2023 and 2022

(Unaudited)

 

 

10.Loans Payable:

 

(a)Borrowings:

 

   TMS                 
   Device   Credit   Promissory   Neuronetics     
   Loans (i)   Facility (ii)   notes (iii)   Note (iv)   Total 
Short Term  $126,373   $2,263,399   $30,920   $1,127,300   $3,547,992 
Long Term   37,446    56,805,113    201,784    4,693,658    61,738,001 
Total, net  $163,819   $59,068,512   $232,704   $5,820,958   $65,285,993 
Unamortized capitalized financing costs       2,364,136            2,364,136 
Total, March 31, 2023  $163,819   $61,432,648   $232,704   $5,820,958   $67,650,129 

 

(i)TMS Device Loans:

 

During the year ended December 31, 2022, the Company assumed loans as part of the Success TMS Acquisition from three separate financing companies for the purchase of TMS devices. These TMS device loans bear an average interest rate of 9.3% with average monthly blended interest and capital payments of $1,538 and mature during the years ending December 31, 2023 to December 31, 2025. There are no covenants associated with these loans.

 

During the three months ended March 31, 2023, the Company repaid TMS device loans totalling $41,612 (March 31, 2022 – $14,800).

 

(ii)Credit Facility:

 

On July 14, 2022, the Company entered into the Madryn Credit Agreement in respect of the Madryn Credit Facility. The Madryn Credit Facility provided the Company with a $55,000,000 term loan (the “Existing Loan”) that was funded at closing on July 14, 2022, with an option to draw up to an additional $20,000,000 in a single draw at any time on or prior to December 31, 2024 for the purposes of funding future mergers and acquisition activity. As at December 31, 2022, all amounts borrowed under the Madryn Credit Facility bore interest at a rate equal to the three-month London Interbank Offered Rate (“LIBOR”) plus 9.0%, subject to a minimum three-month LIBOR floor of 1.5%. The Madryn Credit Facility matures over 63 months and provides for four years of interest-only payments. The initial principal balance of $55,000,000 is due in five equal 3 month installments beginning on September 30, 2026. The Company has granted general security over all assets of the Company in connection with the performance and prompt payment of all obligations of the Madryn Credit Facility.

 

16 

 

 

Greenbrook TMS Inc.

Notes to Condensed Interim Consolidated Financial Statements (continued)

(Expressed in U.S. dollars, unless otherwise stated)

 

Three months ended March 31, 2023 and 2022 

(Unaudited)

 

 

10.Loans payable (continued):

 

On February 1, February 21, March 20 and March 24, 2023, the Company entered into amendments to the Madryn Credit Facility, whereby Madryn extended four additional tranches of debt financing to the Company in an aggregate principal amount of $6,000,000, each of which were fully funded at closing of the applicable tranche (the “New Loans”). The terms and conditions of the New Loans are consistent with the terms and conditions of the Existing Loan.

 

In addition, the Madryn Credit Facility was amended on February 21, 2023 to provide that, commencing March 31, 2023, all advances under the Madryn Credit Facility (including the New Loans) will cease to accrue interest using the LIBOR benchmark and instead will accrue interest using the 3-month Term Secured Overnight Financing Rate (“SOFR”) benchmark plus 0.10%.

 

The carrying amount of the Madryn Credit Facility as at March 31, 2023 is $ 59,068,512 (December 31, 2022 – $52,850,965). Financing costs of $3,307,459 were incurred and are deferred over the term of the Madryn Credit Facility, of which $233,000 was incurred during the three-month period associated with the various amendments. Amortization of deferred financing costs for the three months ended March 31, 2023 was $153,804 (three months ended March 31, 2022 – nil) at an effective interest rate of 1.12% (December 31, 2022 – 1.14%) and were included in interest expense.

 

In accordance with the terms of the Madryn Credit Agreement, the Company has issued conversion instruments (each, a “Conversion Instrument”) to Madryn and certain of its affiliated entities that provide the holders thereof with the option to convert up to $5,000,000 of the outstanding principal amount of the Madryn Credit Facility into common shares of the Company at a price per share equal to $1.90, subject to customary anti-dilution adjustments. The New Loans provide the holders with the option to convert up to $546,000 of the outstanding principal amount of the New Loans into common shares of the Company at a price per share equal to $1.90, subject to customary anti-dilution adjustments. The instrument is convertible into up to 2,631,579 common shares. The conversion instruments have been recorded utilizing the no proceeds allocated method, which results in all proceeds allocated to the financial liability.

 

The terms of the Madryn Credit Agreement require the Company to satisfy various affirmative and negative covenants and to meet certain financial tests, including but not limited to, consolidated minimum revenue and minimum liquidity covenants that became effective September 30, 2022 and July 14, 2022, respectively. In addition, the Madryn Credit Agreement contains affirmative and negative covenants that limit, among other things, the Company’s ability to incur additional indebtedness outside of what is permitted under the Madryn Credit Agreement, create certain liens on assets, declare dividends and engage in certain types of transactions. The Madryn Credit Agreement also includes customary events of default, including payment and covenant breaches, bankruptcy events and the occurrence of a change of control. The Madryn Credit Facility also requires the Company to deliver to Madryn annual audited financial statements that do not contain any going concern note, however the Company has obtained waivers from Madryn with respect to such obligation for fiscal 2022. As at March 31, 2023, the Company was in compliance with all covenants of the Madryn Credit Agreement.

 

17 

 

 

 

Greenbrook TMS Inc.

Notes to Condensed Interim Consolidated Financial Statements (continued)

(Expressed in U.S. dollars, unless otherwise stated)

 

Three months ended March 31, 2023 and 2022

(Unaudited)

 

 

10. Loans payable (continued):

 

Pursuant to the Private Placement completed on March 23, 2023, Madryn is now also a shareholder of the Company. See note 15.

 

(iii)Promissory notes:

 

On July 14, 2022, the Company assumed two promissory notes in connection with the Success TMS Acquisition totaling $200,000. The promissory notes bear interest at a rate of 5% per annum and have a maturity date of December 31, 2025. Upon acquisition, the two promissory notes were fair valued using an interest rate of 12%.

 

On February 3, 2023, the Company issued promissory notes to officers of the Company in an aggregate amount of $60,000. The promissory notes bear interest at a rate consistent with the Madryn Credit Facility and mature on the earlier of September 30, 2027, at the election of the noteholders upon a change of control, upon the occurrence of an event of default and acceleration by the noteholders, or the date on which the loans under the Madryn Credit Facility are repaid.

 

The carrying value of the promissory notes as at March 31, 2023 is $232,704 (December 31, 2022 – $166,325). Interest expense for the three months ended March 31, 2023 was $6,380 (three months ended March 31, 2022 – nil). During the three months ended March 31, 2023, the Company repaid promissory notes totalling nil (March 31, 2022 – nil).

 

18 

 

 

Greenbrook TMS Inc.

Notes to Condensed Interim Consolidated Financial Statements (continued)

(Expressed in U.S. dollars, unless otherwise stated)

 

Three months ended March 31, 2023 and 2022

(Unaudited)

 

 

10. Loans payable (continued):

 

(iv)Neuronetics Note:

 

On March 31, 2023, the Company entered into an agreement with Neuronetics to convert the Company’s outstanding account balance payable to Neuronetics of $5,883,644, together with Neuronetics’ out-of-pocket financing costs, into a $6,000,000 secured promissory note (the “Neuronetics Note”). All amounts borrowed under the Neuronetics Note will bear interest at a rate of SOFR plus 7.65%.

 

Pursuant to the terms of the Neuronetics Note, in the event of default under the Neuronetics Note, the Company will be required to issue common share purchase warrants (the “Neuronetics Warrants”) to Neuronetics equal to (i) 200% of the unpaid amount of any delinquent amount or payment due and payable under the Neuronetics Note, together with all outstanding and unpaid accrued interest, fees, charges and costs, divided by (ii) the exercise price of the Neuronetics Warrants, which will represent a 20% discount to the 30-day volume-weighted average closing price of the Company’s common shares traded on Nasdaq prior to the date of issuance (subject to any limitations required by Nasdaq). Under the Neuronetics Note, the Company has granted Neuronetics a security interest in all of the Company’s assets.

 

In connection with the entry into the Neuronetics Note, the Company concurrently entered into an amendment to the Madryn Credit Agreement pursuant to which the Company is permitted to incur the indebtedness under the Neuronetics Note.

 

The carrying value of the Neuronetics Note as at March 31, 2023 is $5,820,958 (December 31, 2022 – nil). Interest expense for the three months ended March 31, 2023 was nil (March 31, 2022 – nil). During the three months ended March 31, 2023, the Company repaid promissory notes totalling nil (March 31, 2022 – nil).

 

Financing costs of $179,042 were incurred and are deferred over the term of the Neuronetics Note. Amortization of deferred financing costs for the three months ended March 31, 2023 was nil (three months ended March 31, 2022 – nil).

 

19 

 

 

Greenbrook TMS Inc.

Notes to Condensed Interim Consolidated Financial Statements (continued)

(Expressed in U.S. dollars, unless otherwise stated)

 

Three months ended March 31, 2023 and 2022

(Unaudited)

 

 

10. Loans payable (continued):

 

(b)Non-controlling interest loans:

 

   March 31,   December 31, 
   2023   2022 
Non-controlling interest loans  $96,510   $94,136 

 

The non-controlling interest holder partners of the Company, from time to time, provide additional capital contributions in the form of capital loans to the Company’s subsidiaries. These loans bear interest at a rate of 10%, compounded on a monthly basis. The loans are unsecured and are repayable subject to certain liquidity and solvency requirements and are classified as current liabilities.

 

11.Shareholder loan:

 

(a) 2022 Promissory Note:

 

On July 14, 2022, in connection with the Success TMS Acquisition, the Company assumed the obligation of Success TMS to repay a promissory note (the “2022 Promissory Note”) to Benjamin Klein, who is a significant shareholder and director of the Company. The 2022 Promissory Note totals $2,090,264 and bears interest at a rate of 10% per annum and matures on May 1, 2024. Upon acquisition, the 2022 Promissory Note was fair valued using an interest rate of 12%.

 

(b) 2023 Promissory Notes:

 

On February 3, 2023, the Company issued promissory notes (the “2023 Promissory Notes”) to certain shareholders of the Company in an aggregate amount of $1,690,000. The 2023 Promissory Notes bear interest at a rate consistent with the Madryn Credit Facility and mature on the earlier of September 30, 2027, at the election of the noteholders upon a change of control, upon the occurrence of an event of default and acceleration by the noteholders, or the date on which the loans under the Madryn Credit Facility are repaid.

 

Financing costs of $30,000 were incurred and are deferred over the term of the 2023 Promissory Notes. Amortization of deferred financing costs for the three months ended March 31, 2023 was $662 (three months ended March 31, 2022 – nil) and was included in interest expense.

 

20 

 

 

Greenbrook TMS Inc.

Notes to Condensed Interim Consolidated Financial Statements (continued)

(Expressed in U.S. dollars, unless otherwise stated)

 

Three months ended March 31, 2023 and 2022

(Unaudited)

 

 

11.Shareholder loan (continued):

 

On February 28, 2023, the Company issued a promissory note to Greybrook Health, who is a significant shareholder of the Company. The promissory note totals $1,000,000 and bears interest at a rate consistent with the Madryn Credit Facility and matures on the earlier of September 30, 2027, at the election of the noteholder upon a change of control, upon the occurrence of an event of default and acceleration by the noteholder, or the date on which the loans under the Madryn Credit Facility are repaid. In conjunction with the issuance of the unsecured note to Greybrook Health, the Company granted Greybrook Health an option to convert up to $1,000,000 of the outstanding principal amount of the note held by Greybrook Health into common shares of the Company at a conversion price per share equal to 85.0% of the volume-weighted average trading price of the common shares of the Company on the Nasdaq for the five trading days immediately preceding the date of conversion, subject to customary anti-dilution adjustments and conversion limitations required by Nasdaq. As additional consideration for the Greybrook Health promissory note issued on February 28, 2023, the Company issued 135,870 common share purchase warrants to Greybrook Health, each exercisable for one common share of the Company at an exercise price of $1.84 per common share, subject to customary anti-dilution adjustments, expiring on February 28, 2028. There is a cashless exercise option associated with the warrants, available to Greybrook Health.

 

On February 28, 2023, the fair value of the lender warrants at grant date was $63,587. Per ASC 815, the lender warrants meet the applicable criteria to qualify for equity classification. The warrants are initially recognized according to their relative fair value as compared to the host financial liability. The relative fair value of the lender warrants on the date of inception has been deducted from the carrying value of the promissory note as a financing cost.

 

Financing costs of $59,786 were incurred and are deferred over the term of the promissory note. Amortization of deferred financing costs and deferred loss for the three months ended March 31, 2023 was $787 (three months ended March 31, 2022 – nil) and was included in interest expense.

 

The carrying value of the shareholder loan as at March 31, 2023 is $3,753,108 (December 31, 2022 – 2,112,438). Interest expense for the three months ended March 31, 2023 was $91,262 (March 31, 2022 – nil). During the three months ended March 31, 2023, the Company repaid $52,257 of the shareholder loan (March 31, 2022 – nil).

 

21 

 

 

Greenbrook TMS Inc.

Notes to Condensed Interim Consolidated Financial Statements (continued)

(Expressed in U.S. dollars, unless otherwise stated)

 

Three months ended March 31, 2023 and 2022

(Unaudited)

 

 

12.Other payables:

 

(a)Lender warrants:

 

   March 31,   December 31, 
   2023   2022 
Lender warrants  $   $6,567 

 

As consideration for providing the Oxford Credit Facility, the Company issued 51,307 common share purchase warrants to Oxford, each exercisable for one common share of the Company at an exercise price of C$11.20 per common share, expiring on December 31, 2025.

 

As the exercise price is denoted in a different currency than the Company’s functional currency, the Oxford lender warrants are recorded as a financial liability on the condensed interim consolidated balance sheet. As at March 31, 2023, the value of the Oxford lender warrants was nil (December 31, 2022 – $6,567).

 

The change in fair value of the Oxford lender warrants during the three months ended March 31, 2023 was a decrease of $6,567 (March 31, 2022 – decrease of $9,544) and was recorded in corporate, general and administrative expenses.

 

(b)Deferred share units:

 
   March 31,   December 31, 
   2023   2022 
Deferred share units  $278,870   $578,061 

 

On May 6, 2021, the Company adopted a deferred share unit plan (the “DSU Plan”) for non-employee directors (each, a “Non-Employee Director”). Each Non-Employee Director is required to take at least 50% of their annual retainer (other than annual committee Chair retainers) in deferred share units (“DSUs”) and may elect to take additional amounts in the form of DSUs. Discretionary DSUs may also be granted to Non-Employee Directors under the DSU Plan. The DSUs granted vest immediately.

 

22 

 

 

Greenbrook TMS Inc.

Notes to Condensed Interim Consolidated Financial Statements (continued)

(Expressed in U.S. dollars, unless otherwise stated)

 

Three months ended March 31, 2023 and 2022

(Unaudited)

 

 

12. Other payables (continued):

 

Following a Non-Employee Director ceasing to hold all positions with the Company, the Non-Employee Director will receive a payment in cash at the fair market value of the common shares represented by the Non-Employee Director’s DSUs generally within ten days of the Non-Employee Director’s elected redemption date.

 

As the DSUs are cash-settled, the DSUs are recorded as cash-settled share-based payments and a financial liability has been recognized on the condensed interim consolidated balance sheets. During the three months ended March 31, 2023, nil DSUs were granted (March 31, 2022 – nil). As at March 31, 2023, the value of the financial liability attributable to the DSUs was $278,870 (December 31, 2022 – $578,061). For the three months ended March 31, 2023, the Company recognized a recovery of $299,191 (March 31, 2022 – $22,361) in corporate, general and administrative expenses related to the DSUs.

 

(c)Performance share units:

 
   March 31,   December 31, 
   2023   2022 
Performance share units  $3,653   $44,753 

 

On May 6, 2021, the Company’s Equity Incentive Plan was amended and restated to permit the Company to grant performance share units (“PSUs”) and restricted share units (“RSUs”), in addition to stock options. Under the Equity Incentive Plan, the Company pays equity instruments of the Company, or a cash payment equal to the fair market value thereof, as consideration in exchange for employee and similar services provided to the Company. The Equity Incentive Plan is open to employees, directors, officers and consultants of the Company and its affiliates; however, Non-Employee Directors are not entitled to receive grants of PSUs.

 

On August 5, 2021, 38,647 PSUs were granted under the Equity Incentive Plan. The performance period in respect of this award is August 5, 2021 to December 31, 2023. The PSUs will vest on December 31, 2023 (the “Vesting Date”) subject to the attainment of certain performance vesting conditions. Subject to all terms and conditions of the Equity Incentive Plan and the terms of the grant agreement, any vested and outstanding PSUs will be settled following the Vesting Date and, in any event, no later than March 15, 2024. Pursuant to the grant agreement, upon satisfaction of the performance vesting conditions, the PSUs will be settled in cash.

 

23 

 

 

Greenbrook TMS Inc.

Notes to Condensed Interim Consolidated Financial Statements (continued)

(Expressed in U.S. dollars, unless otherwise stated)

 

Three months ended March 31, 2023 and 2022

(Unaudited)

 

 

12. Other payables (continued):

 

Based on future projections with respect to the performance vesting conditions of the PSUs, the Company estimates that 3,865 PSUs will vest on the Vesting Date (December 31, 2022 – 23,188).

 

As at March 31, 2023, the value of the financial liability attributable to the PSUs is $-----3,653 (December 31, 2022 – $44,753).

 

As at March 31, 2023, the Company has not issued any RSUs under the Equity Incentive Plan (December 31, 2022 – nil).

 

13.Provisions:

 

On March 6, 2023, the Company announced that it is embarking on a comprehensive restructuring plan (the “Restructuring Plan”) that aims to strengthen the Company by leveraging its scale to further reduce complexity, streamlining its operating model and driving operational efficiencies to achieve profitability.

 

As part of this Restructuring Plan, the Company is decreasing its operating footprint. The remaining Treatment Centers will continue clinical TMS offerings and a select and growing number of Treatment Centers will continue offering Spravato® (esketamine nasal spray) therapy.

 

During the period ended March 31, 2023, the Company provided for $48,926 in corporate, general and administrative expenses related to the Restructuring Plan (March 31, 2022 – nil).

 

14. Deferred and contingent consideration:

 

   March 31,   December 31, 
   2023   2022 
Deferred and contingent consideration  $1,000,000   $1,000,000 

 

The deferred and contingent consideration payable balance related to the acquisition of Achieve TMS East, LLC and Achieve TMS Central, LLC (the “Achieve TMS East/Central Acquisition”) as at December 31, 2021 was $1,250,000, made up of an estimated nil earn-out payable and $1,250,000 in restricted cash that was held in an escrow account, subject to finalization of the escrow conditions. During the year ended December 31, 2022, $250,000 of the restricted cash held in escrow was released to the vendors in accordance with the terms of the agreement.

 

24 

 

 

Greenbrook TMS Inc.

Notes to Condensed Interim Consolidated Financial Statements (continued)

(Expressed in U.S. dollars, unless otherwise stated)

 

Three months ended March 31, 2023 and 2022

(Unaudited)

 

 

14. Deferred and contingent consideration (continued):

 

As at March 31, 2023, the deferred and contingent consideration in relation to the of Achieve TMS East/Central Acquisition was $1,000,000 (December 31, 2022 – $1,000,000).

 

15. Common shares:

 

The Company is authorized to issue an unlimited number of common shares and an unlimited number of preferred shares, issuable in series. As at March 31, 2023 and December 31, 2022, there were nil preferred shares issued and outstanding.

 

       Total 
   Number   amount 
December 31, 2022   29,436,545   $114,120,362 
Issuance of common shares – Private Placement   11,363,635    6,139,262 
March 31, 2023   40,800,180   $120,259,624 

  

On March 23, 2023, the Company completed a non-brokered private placement of Common Shares. Pursuant to the Private Placement, an aggregate of 11,363,635 Common Shares were issued at a price of $0.55 per Common Share, for aggregate gross proceeds to the Company of $6,250,000. The Company incurred financing costs of $110,738 which was recorded as a reduction in equity. The Private Placement included investments by Madryn, together with certain of the Company’s other major shareholders, including Greybrook Health and affiliates of MSS. In connection with the Private Placement, Greybrook Health, Madryn and MSS each received customary resale, demand and “piggy-back” registration rights pursuant to a registration rights agreement entered into among the parties on closing of the Private Placement (the “Registration Rights Agreement”).

 

16.Contributed surplus:

 

Contributed surplus is comprised of share-based compensation and lender warrants.

 

(a)Share-based compensation - options

 

Stock options granted under the Equity Incentive Plan are equity-settled. The fair value of the grant of the options is recognized as an expense in the condensed interim consolidated statements of comprehensive loss. The total amount to be expensed is determined by the fair value of the options granted. The total expense is recognized over the vesting period which is the period over which all of the service vesting conditions are satisfied. The vesting period is determined at the discretion of the Board and has ranged from immediate vesting to over three years.

 

25 

 

 

Greenbrook TMS Inc.

Notes to Condensed Interim Consolidated Financial Statements (continued)

(Expressed in U.S. dollars, unless otherwise stated)

 

Three months ended March 31, 2023 and 2022

(Unaudited)

 

16.Contributed surplus (continued):

 

The maximum number of common shares reserved for issuance, in the aggregate, under the Equity Incentive Plan is 10% of the aggregate number of common shares outstanding, provided that the maximum number of RSUs and PSUs shall not exceed 5% of the aggregate number of common shares outstanding. As at March 31, 2023, this represented 4,080,009 common shares (December 31, 2022 – 2,943,655).

 

As at March 31, 2023, 730,834 stock options are outstanding (December 31, 2022 – 764,667). The stock options have an expiry date of ten years from the applicable date of issue. The Company has not issued any RSUs or equity-settled PSUs under the Equity Incentive Plan.

 

   March 31, 2023   December 31, 2022 
   Number
of stock
options
   Weighted
average
exercise
price
   Number
of stock
options
   Weighted
average
exercise
price
 
Outstanding, beginning of period   764,667   $8.15    897,500   $8.66 
Forfeited   (33,833)   6.11    (132,833)   (11.59)
Outstanding, end of period   730,834   $8.24    764,667   $8.15 

 

The weighted average contractual life of the outstanding options as at March 31, 2023 was 4.4 years (December 31, 2022 – 4.8 years).

 

The total number of stock options exercisable as at March 31, 2023 was 688,633 (December 31, 2022 – 642,466).

 

During the three months ended March 31, 2023, the Company recorded a total share-based options compensation expense of $62,948 (March 31, 2022 – $249,322).

 

There were no stock options granted during the three months ended March 31, 2023 and the year ended December 31, 2022.

 

As at March 31, 2023, the total compensation cost not yet recognized related to options granted is approximately $100,717 (December 31, 2022 – $190,536) and will be recognized over the remaining average vesting period of 0.41 years (December 31, 2022 – 0.69 years).

 

26 

 

 

Greenbrook TMS Inc.

Notes to Condensed Interim Consolidated Financial Statements (continued)

(Expressed in U.S. dollars, unless otherwise stated)

 

Three months ended March 31, 2023 and 2022

(Unaudited)

 

16.Contributed surplus (continued):

 

(b)Lender Warrants

 

As consideration for the purchase of the Greybrook Health promissory note issued on February 28, 2023, the Company issued 135,870 common share purchase warrants to Greybrook Health. Each Greybrook lender warrant will be exercisable for one Common Share at an exercise price of $1.84, subject to customary anti-dilution adjustments. The Greybrook lender warrants will expire five years from the date of issuance. Per ASC 815, the Greybrook lender warrants meet the applicable criteria to qualify for equity classification and therefore are included in contributed surplus.

 

The fair value of the Greybrook lender warrants was estimated to be $0.47 per warrant using the Black-Scholes option pricing model based on the following assumptions: volatility of 48.86% calculated based on a comparable company; remaining life of 5.0 years; expected dividend yield of 0%; forfeiture rate of 0% and an annual risk-free interest rate of 4.18%.

 

17.Contingencies:

 

The Company may be involved in certain legal matters arising from time to time in the normal course of business. The Company records provisions that reflect management’s best estimate of any potential liability relating to these matters.

 

18.Pensions:

 

The Company has adopted a defined contribution pension plan for its employees whereby the Company matches contributions made by participating employees up to a maximum of 3.5% of such employees’ annual salaries. During the three months ended March 31, 2023, contributions, which were recorded as expenses within direct center and patient care costs, other regional and center support costs and corporate, general and administrative expenses, amounted to $195,764 (March 31, 2022 – $118,417).

 

19.Income taxes:

 

During the three months ended March 31, 2023, there were no significant changes to the Company’s tax position.

 

27 

 

 

Greenbrook TMS Inc.

Notes to Condensed Interim Consolidated Financial Statements (continued)

(Expressed in U.S. dollars, unless otherwise stated)

 

Three months ended March 31, 2023 and 2022

(Unaudited)

 

20.Risk management arising from financial instruments:

 

In the normal course of business, the Company is exposed to risks related to financial instruments that can affect its operating performance. These risks, and the actions taken to manage them, are as follows:

 

(a)Fair value:

 

The Company has Level 1 financial instruments which consists of cash, restricted cash, accounts receivable and accounts payable and accrued liabilities which approximate their fair value given their short-term nature. The Company also has lender warrants, DSUs and PSUs that are considered Level 2 financial instruments (see note 12). The Company has deferred and contingent consideration that are considered Level 3 financial instruments.

 

The carrying value of the loans payable, shareholder loan and finance lease obligations approximates their fair value given the difference between the discount rates used to recognize the liabilities in the condensed interim consolidated balance sheet and the market rates of interest is insignificant.

 

Financial instruments are classified into one of the following categories: financial assets or financial liabilities.

 

(b)Credit risk:

 

Credit risk arises from the potential that a counterparty will fail to perform its obligations. The Company is exposed to credit risk from patients and third-party payors including federal and state agencies (under the Medicare programs), managed care health plans and commercial insurance companies. The Company’s exposure to credit risk is mitigated in large part due to the majority of the accounts receivable balance being receivable from large, creditworthy medical insurance companies and government-backed health plans.

 

28 

 

 

Greenbrook TMS Inc.

Notes to Condensed Interim Consolidated Financial Statements (continued)

(Expressed in U.S. dollars, unless otherwise stated)

 

Three months ended March 31, 2023 and 2022

(Unaudited)

 

20.Risk management arising from financial instruments (continued):

 

The Company’s aging schedule in respect of its accounts receivable balance as at March 31, 2023 and December 31, 2022 is provided below:

 

Days since service delivered  March 31,
2023
   December 31,
2022
 
0-90  $6,402,624   $6,163,429 
91-180   896,709    884,061 
181-270   282,340    257,187 
270+   33,483    44,169 
Total accounts receivable  $7,615,156   $7,348,846 

  

Based on the Company’s industry, none of the accounts receivable in the table above are considered “past due”. Furthermore, the payors have the ability and intent to pay, but price lists for the Company’s services are subject to the discretion of payors. As such, the timing of collections is not linked to increased credit risk. The Company continues to collect on services rendered in excess of 24 months from the date such services were rendered.

 

(c)Liquidity risk:

 

Liquidity risk is the risk that the Company may encounter difficulty in raising funds to meet its financial commitments or can only do so at excessive cost. The Company ensures there is sufficient liquidity to meet its short-term business requirements, taking into account its anticipated cash flows from operations, its holdings of cash and its ability to raise capital from existing or new investors and/or lenders (see note 2(a)).

 

(d)Currency risk:

 

Currency risk is the risk to the Company’s earnings that arises from fluctuations in foreign exchange rates and the degree of volatility of those rates. The Company has minimal exposure to currency risk as substantially all of the Company’s revenue, expenses, assets and liabilities are denominated in U.S. dollars. The Company pays certain vendors and payroll costs in Canadian dollars from time to time, but due to the limited size and nature of these payments it does not give rise to significant currency risk.

 

29 

 

 

Greenbrook TMS Inc.

Notes to Condensed Interim Consolidated Financial Statements (continued)

(Expressed in U.S. dollars, unless otherwise stated)

 

Three months ended March 31, 2023 and 2022

(Unaudited)

 

20.Risk management arising from financial instruments (continued):

 

(e)Interest rate risk:

 

Interest rate risk is the risk that the fair value of future cash flows of a financial instrument will fluctuate because of changes in market interest rates. The Company is exposed to changes in interest rates on its cash and long-term debt. Certain loans payable and shareholder loans (see note 10 and note 11) bear interest at a rate equal to 3-month Term Secured Overnight Financing Rate plus 9.1% or at a rate equal to 3-month Term Secured Overnight Financing Rate plus 7.65%. A 1% increase in interest rates would result in a $2,909,937 increase to interest expense on the condensed interim consolidated statements of comprehensive loss over the term of the loans payable and shareholder loans.

 

21.Capital management:

 

The Company’s objective is to maintain a capital structure that supports its long-term growth strategy, maintains creditor and customer confidence, and maximizes shareholder value.

 

The capital structure of the Company consists of its shareholders’ equity, including contributed surplus and deficit, as well as loans payable.

 

The Company’s primary uses of capital are to finance operations, finance new center start-up costs, increase non-cash working capital, capital expenditures and finance service debt obligations. The Company’s objectives when managing capital are to ensure the Company will continue to have enough liquidity so it can provide its services to its customers and returns to its shareholders. The Company, as part of its annual budgeting process and on an ongoing basis, periodically evaluates its estimated cash requirements to fund working capital requirements of existing operations. Based on this and taking into account its anticipated cash flows from operations and its holdings of cash, the Company validates whether it has the sufficient capital or needs to obtain additional capital.

 

22.Related party transactions:

 

(a) Transactions with significant shareholder – Greybrook Health

 

As at March 31, 2023, $1,365 is included in accounts payable and accrued liabilities for amounts payable for management services rendered and other overhead costs incurred by Greybrook Health in the ordinary course of business (December 31, 2022 – nil). These amounts were recorded at their exchange amount, being the amount agreed to by the parties.

 

30 

 

 

Greenbrook TMS Inc.

Notes to Condensed Interim Consolidated Financial Statements (continued)

(Expressed in U.S. dollars, unless otherwise stated)

 

Three months ended March 31, 2023 and 2022

(Unaudited)

 

22.Related party transactions (continued):

 

During the three months ended March 31, 2023, the Company recognized $1,556 in corporate, general and administrative expenses (March 31, 2022 – $323) related to transactions with Greybrook Health.

 

(b)Loan from shareholder – Greybrook Health

 

On February 3, 2023 and February 28, 2023, the Company received loans from and issued promissory notes to Greybrook Health, who is a significant shareholder of the Company. The promissory notes for the loans total $1,437,604 and bear interest at a rate consistent with the Madryn Credit Facility and mature on the earlier of September 30, 2027, at the election of Greybrook Health upon a change of control, upon the occurrence of an event of default and acceleration by Greybrook Health, or the date on which the loans under the Madryn Credit Facility are repaid. In conjunction with the issuance of the unsecured notes to Greybrook Health the Company granted Greybrook Health an option to convert up to $1,000,000 of the outstanding principal amount of the Greybrook Health promissory notes held by Greybrook Health into common shares of the Company at a conversion price per share equal to 85.0% of the volume-weighted average trading price of the common shares of the Company on the Nasdaq for the five trading days immediately preceding the date of conversion, subject to customary anti-dilution adjustments and conversion limitations required by Nasdaq. As additional consideration for the Greybrook Health promissory note issued on February 28, 2023, the Company issued 135,870 common share purchase warrants to Greybrook Health, each exercisable for one common share of the Company at an exercise price of $1.84 per common share, subject to customary anti-dilution adjustments, expiring on February 28, 2028. See note 11(b) and note 16.

 

During the three months ended March 31, 2023, the Company recognized $22,140 in interest expense (March 31, 2022 – nil) related to the Greybrook Health promissory notes.

 

(c)Transactions with the significant shareholder and director – Benjamin Klein

 

During the three months ended March 31, 2023, the Company recognized $94,215 in corporate, general and administrative expenses (December 31, 2022 – $10,801) for amounts payable for employment services rendered and other related costs incurred by Benjamin Klein in the ordinary course of business.

 

As at March 31, 2023, $19,397 is included in accounts payable and accrued liabilities for amounts payable for travel expenses and other related costs incurred by Benjamin Klein in the ordinary course of business.

 

31 

 

 

Greenbrook TMS Inc.

Notes to Condensed Interim Consolidated Financial Statements (continued)

(Expressed in U.S. dollars, unless otherwise stated)

 

Three months ended March 31, 2023 and 2022

(Unaudited)

 

22.Related party transactions (continued):

 

(d)Loan from significant shareholder and director – Benjamin Klein

 

On July 14, 2022, in connection with the Success TMS Acquisition, the Company assumed the obligation to repay a promissory note to Benjamin Klein, who is a significant shareholder and director of the Company. The promissory note totals $2,090,264 and bears interest at a rate of 10% per annum and matures on May 1, 2024. See note 11(a).

 

During the three months ended March 31, 2023, the Company recognized $62,885 in interest expense (March 31, 2022 – nil) related to this promissory note.

 

(e)Loans from shareholders and officers

 

On February 3, 2023, the Company received loans from and issued promissory notes to shareholders and officers of the Company. The promissory notes for the loans total $312,396 and bear interest at a rate consistent with the Madryn Credit Facility and mature on the earlier of September 30, 2027, at the election of the noteholders upon a change of control, upon the occurrence of an event of default and acceleration by the noteholders, or the date on which the loans under the Madryn Credit Facility are repaid. See note 10(a) and note 11(b).

 

During the three months ended March 31, 2023, the Company recognized $6,977 in interest expense (March 31, 2022 – nil) related to these promissory notes.

 

(f)Loan from significant shareholder – Madryn

 

On July 14, 2022, the Company entered into a credit agreement in respect of the Madryn Credit Facility, which was subsequently amended in the three months ended March 31, 2023, for a total principal balance of $61,000,000. Pursuant to the Private Placement completed on March 23, 2023, Madryn is now a significant shareholder of the Company. See note 10(a) and note 15.

 

During the three months ended March 31, 2023, the Company recognized $2,248,639 in interest expense (March 31, 2022 – nil) related to the Madryn Credit Facility.

 

32 

 

 

Greenbrook TMS Inc.

Notes to Condensed Interim Consolidated Financial Statements (continued)

(Expressed in U.S. dollars, unless otherwise stated)

 

Three months ended March 31, 2023 and 2022

(Unaudited)

 

23.Basic and diluted loss per share:

 

   Three months ended 
   March 31,   March 31, 
   2023   2022 
Net loss attributable to the shareholders of:        
Greenbrook TMS  $(10,591,310)  $(7,571,854)
Weighted average common shares outstanding:          
Basic and diluted   30,825,434    17,801,885 
Loss per share:          
Basic and diluted  $(0.34)  $(0.43)

 

For the three months ended March 31, 2023, the effect of 730,834 options (March 31, 2022 – 894,500) and 187,177 lender warrants (March 31, 2022 – 51,307) have been excluded from the diluted calculation because this effect would be anti-dilutive.

 

24.Non-controlling interest:

 

As a result of operating agreements with non-wholly owned entities, the Company has control over these entities under U.S. GAAP, as the Company has power over all significant decisions made by these entities and thus 100% of the financial results of these subsidiaries are included in the Company’s consolidated financial results.

 

On February 27, 2023, the Company acquired a portion of the non-controlling ownership interest in Greenbrook TMS Connecticut LLC for the release of liabilities and losses. As at March 31, 2023, the Company has an ownership interest of 100% of Greenbrook TMS Connecticut LLC.

 

33 

 

 

Greenbrook TMS Inc.

Notes to Condensed Interim Consolidated Financial Statements (continued)

(Expressed in U.S. dollars, unless otherwise stated)

 

Three months ended March 31, 2023 and 2022

(Unaudited)

 

24.Non-controlling interest (continued):

 

The following table summarizes the aggregate financial information for the Company’s non-wholly owned entities as at March 31, 2023 and December 31, 2022:

 

   March 31,   December 31, 
   2023   2022 
Cash  $777,329   $580,057 
Accounts receivable, net   2,349,204    2,087,763 
Prepaid expenses and other   506,834    483,082 
Property, plant and equipment   1,094,733    1,085,006 
Finance right-of-use assets   2,045,268    2,349,699 
Operating right-of-use assets   7,278,836    7,566,048 
Accounts payable and accrued liabilities   2,037,471    1,666,756 
Provisions   11,486     
Finance lease liabilities   1,848,195    2,089,999 
Operating lease liabilities   7,640,237    7,918,347 
Loans payable   15,027,418    15,066,552 
Shareholder’s deficit attributable to the shareholders of Greenbrook TMS   (8,266,570)   (9,812,872)
Shareholder’s deficit attributable to non - controlling interest   (5,686,475)   (3,282,610)
Distributions paid to non-controlling interest      (320,250)
Partnership buyout   118,052    (496,659)
Subsidiary investment by non-controlling interest        
Historical subsidiary investment by non-controlling interest   1,322,392    1,322,392 

 

The following table summarizes the aggregate financial information for the Company’s non-wholly owned entities for the three months ended March 31, 2023 and March 31, 2022:

 

   March 31,   March 31, 
   2023   2022 
Revenue  $6,413,787   $5,963,443 
Net loss attributable to the shareholders of Greenbrook TMS   (549,361)   (1,014,419)
Net loss attributable to non-controlling interest   (68,826)   (116,486)

 

34 

 

 

Greenbrook TMS Inc.

Notes to Condensed Interim Consolidated Financial Statements (continued)

(Expressed in U.S. dollars, unless otherwise stated)

 

Three months ended March 31, 2023 and 2022

(Unaudited)

 

25.Expenses by nature:

 

The components of the Company’s other regional and center support costs include the following:

 

   Three months ended 
   March 31,   March 31, 
   2023   2022 
Salaries and bonuses  $4,665,645   $3,475,551 
Marketing expenses   413,053    1,717,164 
Total  $5,078,698   $5,192,715 

 

The components of the Company’s corporate, general and administrative expenses include the following:

 

   Three months ended 
   March 31,   March 31, 
   2023   2022 
Salaries and bonuses  $4,141,089   $3,617,860 
Professional and legal fees   1,049,505    653,361 
Computer supplies and software   775,960    369,333 
Marketing expenses   5,322    134,954 
Insurance   213,453    179,712 
Financing costs   235,094     
Restructuring expense   301,839     
Other   556,309    168,398 
Total  $7,278,571   $5,123,618 

 

35