Filed 2025-05-23 · Period ending 2024-12-31 · 40,149 words · SEC EDGAR
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# ETHEMA HEALTH Corp (GRST) — 10-K **Filed:** 2025-05-23 **Period ending:** 2024-12-31 **Accession:** 0001903596-25-000296 **Source:** [SEC EDGAR](https://www.sec.gov/Archives/edgar/data/792935/000190359625000296/) **Origin leaf:** 03adba8bfb07ae606f3d376ab24e042191d8d1fa39c7fa702f4ca1ecae4f9a1c **Words:** 40,149 --- **UNITED STATES** **SECURITIES AND EXCHANGE COMMISSION** **Washington, D.C. 20549** **** **FORM10-K** **** **ANNUAL REPORT UNDER SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934** **** For the fiscal year ended:**December 31, 2024** **** or **TRANSITION REPORT UNDER SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934** **** For the transition period from ______to _________ Commission file number:**000-15078** **** **Ethema Health Corporation** **** (Exact name of registrant as specified in its charter) **Colorado84-1227328** (State or other jurisdiction of incorporation or organization) (I.R.S. Employer Identification No.) **950 Evernia Street** **West Palm Beach,Florida33401** (Address of principal executive offices) **(416)500 0020** (Registrants telephone number, including area code) **** | Securities registered under Section 12(b) of the Exchange Act: | | | | | | Title of each class | Name of each exchange on which registered | | | | | | | None | N/A | | **** Securities registered under Section 12(g) of the Act: **Common Stock, $0.01 par value per share** (Title of class) Indicate by check mark if the registrant is a well-known seasoned issuer, as defined in Rule 405 of the Securities Act. YesNo Indicate by check mark if the registrant is not required to file reports pursuant to Section 13 or Section 15(d) of the Act. YesNo Indicate by check mark whether the issuer: (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.YesNo Indicate by check mark whether the registrant has submitted electronically and posted on its corporate website, if any, every interactive data file required to be submitted and posted pursuant to Rule 405 of Regulation S-T (section 232.405 of this chapter) during the preceding 12 months (or for such shorter period that the registrant was required to submit and post such files).YesNo Indicate by check mark if disclosure of delinquent filers pursuant to Item 405 of Regulation S-K is not contained herein, and will not be contained, to the best of issuers knowledge, in definitive proxy or information statements incorporated by reference in Part III of this Form 10-K or any amendment to this Form 10-K. Indicate by check mark whether any of those error corrections are restatements that required a recovery analysis of incentive-based compensation received by any of the registrants executive officers during the relevant recovery period pursuant to 240.10D.1(b). Indicate by check mark whether the registrant is a large accelerated filer, an accelerated file, a non-accelerated file, 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 | (Do not check if a smaller reporting company) | 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). YesNo The aggregate market value of the registrants common stock held by non-affiliates of the registrant as of June 28, 2024, based on a closing share price of $0.0007 was approximately $2,489,683. As of May 21, 2025, the registrant had7,726,283,805shares of its common stock, par value $0.01 per share, outstanding. **** **ETHEMA HEALTH CORPORATION** **YEAR ENDED DECEMBER 31, 2024** **TABLE OF CONTENTS** | | | PAGE | | | PART I. | | | | | Item 1. | Business | 1 | | | Item 1A. | Risk Factors | 4 | | | Item 1B. | UnresolvedStaff Comments | 4 | | | Item 2. | Properties | 4 | | | Item 3. | Legal Proceedings | 4 | | | Item 4. | Mine Safety Disclosures | 4 | | | | | | PART II. | | | | | Item 5. | Market for Registrants Common Equity Related Stockholder Matters and Issuer Purchases of Equity Securities | 5 | | | Item 6. | Reserved | 6 | | | Item 7. | Managements Discussion and Analysis of Financial Condition and Results ofOperations | 6 | | | Item 8. | Financial Statements andSupplementary Data | 11 | | | Item 9. | Changes in and Disagreements with Accountants on Accounting and Financial Disclosure | 12 | | | Item 9A. | Controls and Procedures | 12 | | | Item 9B. | Other Information | 13 | | | Item 9C. | Disclosure Regarding Foreign Jurisdictions that Prevent Inspections | 13 | | | | | | | | PART III | | | | | Item 10. | Directors, Executive Officers and Corporate Governance | 14 | | | Item 11. | ExecutiveCompensation | 15 | | | Item 12. | Security Ownership of Certain Beneficial Owners and Management and Related Stockholder Matters | 16 | | | Item 13. | Certain Relationships and Related Transactions, and Director Independence | 17 | | | Item 14. | Principal Accountant Fees and Services | 18 | | | Part IV. | | | | | Item 15. | Exhibits and Financial Statements Schedules | 19 | | | SIGNATURES | 20 | | **** **PART I** **** **Special Note Regarding Forward-Looking Statements** ** *Many of the matters discussed within this Annual Report contain forward-looking statements within the meaning of Section 21E of the Securities Exchange Act of 1934, as amended (the Exchange Act) on our current expectations and projections about future events. In some cases, you can identify forward-looking statements by terminology such as may, should, potential, continue, expects, anticipates, intends, plans, believes, estimates, and similar expressions. These statements are based on our current beliefs, expectations, and assumptions and are subject to a number of risks and uncertainties, many of which are difficult to predict and generally beyond our control, that could cause actual results to differ materially from those expressed, projected or implied in or by the forward-looking statements. Such risks and uncertainties include the risks noted under Item 7, Managements Discussion and Analysis of Financial Condition and Results of Operations, but are also contained elsewhere. We do not undertake any obligation to update any forward looking statements. Unless the context requires otherwise, references to we, us, our, and Ethema, refer to Ethema Health Corporation and its subsidiaries.* ** *Furthermore, if our forward-looking statements prove to be inaccurate, the inaccuracy may be material. In light of the significant uncertainties in these forward-looking statements, you should not regard these statements as a representation or warranty by us or any other person that we will achieve our objectives and plans in any specified time frame, or at all. We do not undertake any obligation to update any forward-looking statements.* **** **Item 1. Business.** **** **Company History** Ethema Health Corporation (the Company or Ethema), a Colorado corporation was incorporated under the laws of the State of Colorado on April 1, 1993, and is the surviving company of a merger, effective February 1, 1995, between the Company and Nova Natural Resources Corporation, a Delaware corporation (Nova Delaware). The merger was effectuated solely for the purpose of changing the Companys domicile from Delaware to Colorado. At all times prior to 2001, the Company was engaged in the oil and gas exploration business. Nova Delaware was the successor entity to Nova Petroleum Corporation, a Delaware corporation, and Power Resources Corporation, a Delaware corporation, which merged in 1986 (the 1986 Merger). Prior to the 1986 Merger, Nova Petroleum Corporation and Power Resources Corporation had operated since 1979 and 1972, respectively. In 2001, the Company entered into the electronics business and this business was active in 2001 and 2002, as part of the Torita Group. After 2002, the Company continued with various stages of development in this business until 2010. On April 1, 2010, the Company changed its principal operations from development stage electronics to healthcare services. On March 29, 2010, the Company entered into a one year consulting agreement with Greenstone Clinic Inc., a Canadian corporation (Greenestone Clinic), whereby Greenestone Clinic provided consulting services for the Companys development and operation of medical clinics in the province of Ontario, Canada. Specifically, Greenestone Clinic provided medical and business expertise in the initial startup of private clinics and technical assistance to ensure that the clinics were in compliance with governmental policy and procedure requirements as well as any operational requirements. At the time of entering into this consulting agreement, Greenestone Clinic operated a clinic at the Muskoka property housing its addiction treatment clinic and provided endoscopy services. The Company started offering medical services in June 2010, offering various medical services, including endoscopy, cardiology and executive medicals, which services were subsequently sold. During December 2016, the Company obtained a license to operate and provide addiction treatment healthcare services in Florida, USA. The company commenced operations under this license with effect from January 2017. On February 14, 2017, the Company completed a series of transactions (referred to collectively as the Restructuring Transactions), including a Share Purchase Agreement (theSPA)whereby the Company acquired 100% of the stock of Cranberry Cove Holdings Ltd. (CCH) from Leon Developments Ltd. (Leon Developments), a company wholly owned by Shawn E. Leon, who is the President, CEO, and CFO of the Company, for an assignment to Leon Developments of CDN$659,918 owing to the Company and the issuance of 60,000,000 shares of the Companys common stock valued at $2,184,000. CCH held the real estate on which the Companys Greenstone Muskoka operated. The Company entered into an Asset Purchase Agreement (theAPA)whereby theassets of Greenstone Muskoka were sold by Greenstone Muskoka, to Canadian Addiction Residential Treatment LP (the Purchaser or CART), for a total consideration of CDN$10,000,000. The company also entered into a lease agreement whereby the Company leased the real estate to Cart for an initial 5 year period with three 5 year renewal options. On February 14, 2017, immediately after closing on the sale of the assets of Greenstone Muskoka, the Company closed on the acquisition of the business and real estate assets of Seastone Delray pursuant to certain real estate and asset purchase agreements through its wholly owned subsidiary, Addiction Recovery Institute of America, LLC (ARIA). The purchase price for the ARIA assets was US$6,070,000. | 1 | | | | | On April 4, 2017 the Company changed its Corporate name from Greenestone Healthcare Corporation to Ethema Health Corporation. On November 2, 2017, the Company entered into an Agreement to purchase certain buildings in West Palm Beach, Florida, totaling approximately 80,000 square feet, on which the Company planned to operate a substance abuse treatment center. The purchase price of the Property was $20,530,000. The Company made a series of nonrefundable down payments totaling $2,940,546 in 2017 and 2018. On May 23, 2018, the Company converted the agreement to purchase the buildings from the Landlord into a real property lease agreement with a purchase option. The lease was for an initial 10 years and provided for two additional 10 year extensions. In June 2018, the Company moved its ARIA operations into the West Palm Beach properties and in September 2018 received a license to operate in-patient detoxification and residential treatment services. On December 20, 2019, the Company entered into an agreement with the landlord to terminate the lease agreement on January 31, 2020. On April 2, 2019, the Company disposed of the real estate assets in ARIA located at 801 Andrews Avenue, Delray Beach for gross proceeds of $3,500,000, and on October 10, 2019, the Company transferred the remaining real estate asset located at 810 Andrews Avenue, Delray Beach, Florida to Leonite Capital, LLC, for net proceeds of $1,398,510, which proceeds were offset against the convertible loan owing to Leonite. On June 30, 2020, the Company entered into an agreement (the Stock Purchase Agreement), whereby the Company agreed to acquire 51% of American Treatment Holdings, Inc. (ATHI) from The Q Global Trust (Seller) and Lawrence B Hawkins (Hawkins), which owned 100% of Evernia Health Services LLC. (Evernia), which operates drug rehabilitation facilities. The consideration for the acquisition was a loan to be provided by the Company to Evernia in the amount of $500,000. The Company has an option to acquire an additional 24% of ATHI for 100,000,000 shares of common stock and $50,000, on the condition that a probationary license was approved by the Florida Department of Family and Child Services, which was received on June 30, 2021, upon which the Company exercised its option to acquire the additional 24% of ATHI, resulting in a 75% ownership of ATHI. On May 15, 2024, the Company entered into a Stock Purchase Agreement whereby it acquired the remaining 25% of ATHI representing 5,000,000 shares from the minority stockholder for gross proceeds of $1,100,000. On December 30, 2022, the company entered into two agreements whereby it sold two non-operating subsidiaries, Greenstone Muskoka and ARIA to the Company Chairman and CEO for gross proceeds of $0, after Greenstone Muskoka forgave its intercompany receivable owing from the Company of $6,690,381 and the Company forgave its intercompany balance owing from ARIA of $9,605,315. On June 30, 2023, the Company entered into an exchange agreement with Leonite Capital, LLC, whereby it exchanged 400,000 Series B shares with a value of $400,000 plus accrued dividends thereon of $61,184 for its entire shareholding in its property owning subsidiary, CCH. The Series B shares were cancelled upon consummation of the transaction. On October 3, 2022 the Company entered into a purchase and sale agreement with Evernia Station Limited Partnership for the purchase of 950 Evernia Street, West Palm Beach, Florida (950), the property in which it operates its treatment center, for gross proceeds of $5,500,000 (Purchase Agreement). The closing was originally scheduled for February 1, 2023, however through a series of 6 addendums to the Purchase Agreement requiring the payment of a total $180,000 in extension fees, the Closing was extended to August 3, 2023. Simultaneously with the closing of the purchase and sale agreements, on August 4, 2023, the Company entered into a long term lease for 950 with an initial term of twenty years, and two ten year extension options. The lessor is Pontus EHC Palm Beach, LLC , a Delaware limited liability company and a portfolio company of Pontus Net Lease Advisors, LLC. The lease is absolutely net and the lease cost for the initial year is $748,000 paid monthly. The lease increases at a rate of 2.75% per year for a total term lease obligation of $19,595,653 over the initial twenty-year term. On March 22, 2024, the Company executed a LOI to acquire certain assets, including furniture, equipment, inventory and supplies of Boca Cove Detox, LLC, along with the assignment of lease and sub-lease for premises located at 899 Meadow Avenue, Boca Raton, Florida. On May 1, 2024 the Company, through its subsidiary Evernia Health Center LLC, entered into a Definitive Agreement whereby the Company assumed the lease for suites 100,101, 201, 202 and 203 located at 899 Meadows Road, Boca Raton, Florida (the Leased Premises) and the furniture, fixtures and equipment located therein, upon the assignment of the lease from the property owner. The lease was assigned on June 10, 2024 and the Company entered into a Bill of Sale to give effect to the Definitive Agreement. The purchase price was $240,000 which was settled by a deposit of $20,000 and a cash payment of $220,000 and the payment to the Seller of $83,393 for the assumption of the security deposit held by the landlord of the Leased Premises located at 899 Meadows Road. | 2 | | | | | **** **Corporate Structure** **** The Company consists of the following entities: | | Ethema Health Corporation (Parent company); | | Ethema is the publicly traded investment holding company, registered in Colorado, U.S. and owns the following entities: | | American Treatment Holdings, Inc, a US registered company (100% owned); | | ATHI owns 100% of the members interest of Evernia Health Center LLC. | | Evernia Health Center LLC, a US registered company; | | Evernia operates a treatment center in West Palm Beach Florida and is a wholly owned subsidiary of ATHI which was acquired by Ethema effective July 1, 2021. The Company has been actively involved in the operation of this treatment center since June 30, 2020. | | Delray Andrews RE, LLC (DARE), a US registered company (100% owned and dormant); | | DARE has remained dormant since inception. | | PB Billing LLC (PB Bill), a US registered company (100% owned); | | PB Billing performs the function of billing and collection for Evernia. | | ARIA Kentucky LLC (Aria Kentucky), a US registered company (100% owned); | | Aria Kentucky was established during the current year as the acquisition subsidiary for the business of Edgewater Recovery, which was closed on January 9, 2025, see subsequent events. | 3 | | | | | **** **Employees** **** As of December 31, 2024, Ethema had70employees and 14 part-time contractors. **** **Marketing** **** The addiction treatment business in the USA operates as an insured healthcare service. Our marketing efforts are long-term processes of establishing relationships with relevant professionals and our treatment staff.Weuse industry specific conferences and functions to network with these professionals. Through Evernia, the Company has an in-network relationship with several health care providers and the majority of the Companys clients are sourced from these health care providers. **** **Competition** **** There are a significant amount of treatment facilities in the United States, we compete with these clinics for patients who are typically covered by insured healthcare services. **Environmental Regulations** **** The Company is not currently subject to any pending administrative or judicial enforcement proceedings arising under environmental laws or regulations. Environmental laws and regulations may be adopted in the future which may have an impact upon the Companys operations. **Item 1A. Risk Factors.** **** Not applicable because we are a smaller reporting company. **Item 1B. Unresolved Staff Comments** None. **Item 2. Properties.** **** **Ethema Executive Offices** The Companys executive offices are located at 950 Evernia Street, West Palm Beach, Florida, 33406. **West Palm Beach Treatment Operations** The Company, through its acquisition of ATHI, effectively acquired an initial 75% of the Evernia treatment facility located at 950 Evernia Street, West Palm Beach Florida. On May 15, 2024, the Company acquired the remaining 25% of ATHI. The Company has been actively involved in the operation of the Evernia treatment facility since June 2020. On March 22, 2024, the Company through its subsidiary Evernia Health Center LLC, entered into a Definitive Agreement whereby the Company assumed the lease for suites 100, 101, 201, 202 and 203, located at 899 Meadows Road, Boca Raton, Florida (the Boca Leased Premises). The company began operating a treatment facility at the Boca Lease Premises during January 2025. **Item 3. Legal Proceedings.** We are currently not involved in any litigation that we believe could have a material adverse effect on our financial condition or results of operations. There is no action, suit, proceeding, inquiry or investigation before or by any court, public board, government agency, self-regulatory organization or body pendingor,to the knowledge of the executive officers of our company or any of our subsidiaries, threatened against or affecting our company, our common stock, any of our subsidiaries or of our companies or our subsidiaries officers or directors in their capacities as such, in which an adverse decision could have a material adverse effect. **** **Item 4. Mine Safety Disclosures.** **** None. **** | 4 | | | | | **** **PART II** **** **Item 5. Market for Registrants Common Equity, Related Stockholder Matters and Issuer Purchases of Equity Securities** The Companys common stock is quoted on the Over-the-counter Market (the OTC PINK) under the symbol GRST. The Company was sponsored by the market maker Wilson Davis & Co. from Salt LakeCity,Utah, which filed a Form 15c2-11 application with the Financial Industry Regulatory Authority (FINRA) for the Company in 2011. This application was approved by FINRA in February 2012, and Wilson Davis & Co. first quoted the stock in March 2012. From March 2012 to January 2020, our common stock had been traded on the OTCQB markets under the symbol GRST. In January 2020, the stock was downgraded to the OTC Pink Sheets market. The last reported sale price of our common stock on the OTC Pink on May 21, 2025 was $0.0004 per share. As of May 21, 2025, there were approximately 152 holders of record of our common stock. **** **Dividend Policy** We have not paid any cash dividends on our common stock to date, and we have no intention of paying cash dividends in the foreseeable future. Whether we declare and pay dividends is determined by our Board of Directors at their discretion, subject to certain limitations imposed under Colorado corporate law. The timing, amount and form of dividends, if any, will depend on, among other things, our results of operations, financial condition, cash requirements and other factors deemed relevant by our Board of Directors. **Equity Compensation Plan Information** See Item11 - Executive Compensation for equity compensation plan information. **Recent Sales of Unregistered Securities** Other than as set forth below or as previously disclosed in our filings with the Securities and Exchange Commission, we did not sell any equity securities during the year ended December31,2024 in transactions that were not registered under the Securities Act. On July 12, 2024, the Company issued a total of 3,000,000,000 shares of common stock to Mr. Shawn Leon, the company CEO for the conversion of $1,500,000 of related party payables and a further 1,000,000,000 shares to his spouse, Ms. Eileen Greene, for the conversion of $500,000 of related parties payables. On September 27, 2024, we issued 600,000 shares of Series A Preferred stock to Mr. Shawn Leon for the conversion of $6,000 of related party payables. On November 17, 2024, 165,000 shares of Series A Preferred stock was sold to a relative of Mr. Leon for gross proceeds of $1,650. P**enny Stock** **** The U.S. Securities and Exchange Commission (the SEC) has adopted rules that regulate broker dealer practices in connection with transactions in penny stocks. Penny stocks are generally equity securities with a market price of less than $5.00, other than securities registered on certain national securities exchanges or quoted on the NASDAQ system, provided that current price and volume information with respect to transactions in such securities is provided by the exchange or system. The penny stock rules require a broker dealer, prior to a transaction in a penny stock, to deliver a standardized risk disclosure document prepared by the SEC, that: (a) contains a description of the nature and level of risk in the market for penny stocks in both public offerings and secondary trading (b) contains a description of the brokers or dealers duties to the customer and of the rights and remedies available to the customer with respect to a violation of such duties or other requirements of the securities laws. (c) contains a brief, clear, narrative description of a dealer market, including bid and ask prices for penny stocks and the significance of the spread between the bid and ask price (d) contains a toll-free telephone number for inquiries on disciplinary actions (e) defines significant terms in the disclosure document or in the conduct of trading in penny stocks and (f) contains such other information and is in such form, including language, type size and format, as the SEC shall require by rule or regulation. The broker dealer also must provide, prior to effecting any transaction in a penny stock, the customer with (a) bid and offer quotations for the penny stock (b) the compensation of the broker dealer and its salesperson in the transaction (c) the number of shares to which such bid and ask prices apply, or other comparable information relating to the depth and liquidity of the market for such stock and (d) a monthly account statement showing the market value of each penny stock held in the customers account. | 5 | | | | | In addition, the penny stock rules require that prior to a transaction in a penny stock not otherwise exempt from those rules, the broker dealer must make a special written determination that the penny stock is a suitable investment for the purchaser and receive the purchasers written acknowledgment of the receipt of a risk disclosure statement, a written agreement as to transactions involving penny stocks, and a signed and dated copy of a written suitability statement. These disclosure requirements may have the effect of reducing the trading activity for our common stock. Therefore, stockholders may have difficulty selling our securities. **Issuer Purchases of Equity Securities** **** There were no issuer purchases of equity securities during the fiscal year ended December31,2024. **** **Item 6. Reserved** **** **Item 7. Managements Discussion and Analysis of Financial Condition and Results of Operations.** *The following discussion and analysis should be read in conjunction with, and is qualified in its entirety by, our audited annual financial statements and the related notes thereto, each of which appear elsewhere in this Annual Report. This discussion contains certain forward-looking statements that involve risks and uncertainties in this Annual Report. Actual results could differ materially from those projected in the forward-looking statements. The Management Discussion and Analysis of Financial Condition and Results of Operations below is based upon only the financial performance of Ethema Health Corporation.* Our consolidated financial statements are prepared in accordance with accounting principles generally accepted in the United States (GAAP). These accounting principles require us to make certain estimates, judgments, and assumptions. We believe that the estimates, judgments and assumptions upon which we rely are reasonable based upon information available to us at the time that these estimates, judgments, and assumptions are made. These estimates, judgments, and assumptions can affect the reported amounts of assets and liabilities as of the date of the consolidated financial statements as well as the reported amounts of revenues and expenses during the periods presented. Our consolidated financial statements would be affected to the extent there are material differences between these estimates. This discussion and analysis should be read in conjunction with the companys consolidated financial statements and accompanying notes to the consolidated financial statements for the year ended December 31, 2024. **Results of operations for the year ended December 31, 2024 and the year ended December 31, 2023.** **** **Revenue** Revenue was $6,017,204 and $5,344,976 for the years ended December 31, 2024 and 2023, respectively, an increase of $672,228 or 12.6%. Revenue from patient treatment was $6,017,204 and $5,164,454 for the years ended December 31, 2024 and 2023, respectively, an increase of $852,750 or 16.5%. The increase is due to organic growth in the number of in-network patients at the facility and an increase in advertising spend to attract patients to the facility. Revenue from rental income was $0 and $180,522 for the years ended December 31, 2024 and 2023, respectively, a decrease of $180,522 or 100.0%. The Company disposed of its real property owning subsidiary, Cranberry Cove Holdings, to a related party, Leonite Capital, LLC on June 30, 2023. **Operating Expenses** **** Operating expenses was $7,350,333 and $5,886,896 for the years ended December 31, 2024 and 2023, respectively, an increase of $1,463,437 or 24.9%. The increase in operating expenses is attributable to: | | General and administrative expenses was $1,550,799 and $1,041,501 for the years ended December 31, 2024 and 2023, respectively, an increase of $509,298 or 48.9%.The increase is primarily attributable to due to an increase in advertising and marketing costs of $228,767, we spent more funds on advertising to attract new patients to our West Palm Beach facility during the current year,and increases in general operating expenses resulting from the increased patient count, including an increase in food costs of $47,739, an increase in small equipment purchases of $37,596, an increase in client supplies of $20,248, an increase in utilities of $35,450 and an increase in travel costs of $34,160, in addition, property taxes increased by $73,082 due to the increased propertyvalue in West Palm Beach and, the balance of $38,256 consisting of increase in numerous individually insignificant costs, related to the increase in the number of patients passing through the facility during the current period. | | | | | | | | Rent expense was $1,304,127 and $614,793 for the years ended December 31, 2024 and 2023 an increase of $689,334 or 112.1%. The increase is primarily due to an increase in rental which arose on the acquisition of the west Palm Beach building in August 2023 from our landlord and the immediate disposal of the building to a third party, resulting in the cancellation of the old lease which expired in January 2027 and entering into a new 20 year lease expiring in August 2043, at an increased rental expense of $410,204 over the prior year, including a significant rent smoothing adjustment of $223,851 during the current year, in addition, we acquired the business of Boca Cove Detox during the current year and incurred a rental expense of $221,275 for the use of this facility. We only began generating revenue from this facility in January 2025, after obtaining the necessary licensing and approval from the health care insurance providers. | | | 6 | | | | | | | Management fees were $0 and $368,003 for the years ended December 31, 2024 and 2023, respectively, a decrease of $368,003 or 100.0%. In the prior year management fees included a once off charge of $185,503 related to a fee charged by Leon Developments to Cranberry Cove prior to its disposal to a related party, Leonite Capital on June 30, 2023. In addition, the Company paid management fees of $182,500 to the minority stockholder of ATHI during the prior year. | | | | | | | | Professional fees were $955,801 and $707,413 for the years ended December 31, 2024 and 2023, respectively, anincrease of $248,388 or 35.1%. The increase is primarily due to an increase in contractor fees incurred by our in-house billing company of $182,434 during the current year as we bolster this department to improve our collections from insurance providers. In addition we incurred professional fees related to corporate activity on closing the acquisition of Boca Cove Detox and the acquisition of the business of Edgewater Recovery in Kentucky which closed on January 7, 2025. | | | | | | | | Salaries and wages were $3,072,654 and $2,656,267 for the years ended December 31, 2024 and 2023, respectively, an increase of $416,387 or 15.7%. The increase is due to acquisition of Boca Cove Detox which was fully staffed in anticipation of receiving our licenses and approvals from healthcare providers in the third quarter of 2024, this was only obtained in January 2025. In addition we increased our headcount due to the increased patient count during the current year. | | | | | | | | Depreciation and amortization expense was $466,952 and $498,919 for the years ended December 31, 2024 and 2023, respectively, a decrease of $31,967 or 6.4%. The decrease is primarily due to the disposal of Cranberry Cove Holdings to Leonite Capital, a related party, on June 30, 2023. Cranberry Cove assets included buildings and leasehold improvements which were being depreciated prior to disposal. | | **Operating loss** **** The operating loss was $1,333,129 and $541,920 for the years ended December 31, 2024 and 2023, respectively, an increase in loss of $791,209 or 146.0%. The increase in loss is due to the increase in operating expenses of $1,463,437, discussed in detail above, offset by the increase in revenue of $672,228, discussed in detail above. **** **Other income** **** Other income was $110,000 and $0 for the years ended December 31, 2024 and 2023, respectively. Other income consisted of management fees provided to Edgewater Recovery, prior to acquisition by the Company. **Other expense** Other expense was $1,160 and $0 for the years ended December 31, 2024 and 2023, respectively, an increase of $1,160 or 100.0%. **Gain on disposal of property** **** Gain on disposal of property was $0 and $2,484,172 for the years ended December 31, 2024 and 2023, respectively, a decrease of $2,484,172 or 100.0%. In the prior year, the Company exercised its option to acquire the property located at 950 Evernia Street, West Palm Beach, Florida, in which its treatment center operations are located, and subsequently disposed of the property to a third party, realizing a profit on disposal of $2,484,172, after transaction costs. **Loss on debt extinguishment** **** Loss on debt extinguishment was $0 and $277,175 for the years ended December 31, 2024 and 2023, respectively, a decrease of $277,175 or 100.0%. In the prior year, the loss on debt extinguishment was related primarily to replacement warrants issued to Leonite Capital as part of the debt settlement agreement reached with Leonite. **Extension fee on property purchase** **** The extension fee on the property purchase was $0 and $140,000 for the years ended December 31, 2024 and 2023, respectively, a decrease of $140,000 or 100%. In the prior year, the extension fee was levied by the landlord of our West Palm Beach facility to afford us additional time to structure the acquisition of the facility, which we in turn disposed of to a third party lender. **Penalty on convertible notes** **** The penalty on convertible notes was $0 and $34,688 for the years ended December 31, 2024 and 2023, respectively, a decrease of $34,688 or 100.0%. In the prior year, the penalty on convertible note was agreed upon with one of our lenders whose notes were in default and was subsequently settled after June 30, 2023.** ** **Interest income** Interest income was $2,292 and $676 for the years ended December 31, 2024 and 2023 respectively. Interest income represent interest earned on positive bank balances. **** | 7 | | | | | **** **Interest expense** **** Interest expense was $565,343 and $500,226 for the years ended December 31, 2024 and 2023, respectively, an increase of $65,117 or 13.0%, primarily due to theincrease in short term note funding of $1,912,000 less repayments of $752,680, the additional funds were raised to fund the acquisition of Boca Cove Detox and for general working capital purposes. **Debt discount** **** Debt discount was $416,120 and $281,354 for the years ended December 31, 2024 and 2023, respectively, an increase of $134,766 or 47.9%.The increase is primarily due to the increase in short term note funding issued at a discount and the increased utilization of receivables funding during the current year resulting in increased amortization of debt discount associated with this funding. **** **Foreign exchange movements** Foreign exchange movements were $37,523 and $(95,032) for the years ended December 31, 2024 and 2023, respectively. Foreign exchange movements represents the realized exchange gains and (losses) on monetary assets and liabilities settled during the current year as well as mark to market unrealized gains and losses on monetary assets and liabilities reflected on the balance sheet and denominated in Canadian Dollars. **Net (loss) income before income taxes** **** Net (loss) income before income taxes was $(2,165,937) and $614,453 for the years ended December 31, 2024 and 2023, respectively, an increase of $2,780,390 or 452.5%.The increase is primarily due to the increase in operating loss as discussed above, the increase in interest expense and debt discount, the prior period gain on sale of property, offset by the other income earned for managing the Edgewater facility, a decrease in the prior year loss on debt extinguishment and the prior year extension fee on the property purchase, all discussed in detail above. **Income taxes** Income taxes were $0 and $391,962 for the years ended December 31, 2024 and 2023, respectively a decrease of $391,962 or 100.0%.Losses were made in the current year, resulting in an increase in the NOL valuation allowance. In the prior year, we completed tax returns for our operating subsidiaries, which resulted in the reversal of previously provided for income taxes, primarily related to accelerated depreciation allowances on property and equipment and the reversal of the deferred tax liability related to intangible assets. **Net (loss) income** **** Net (loss) income was $(2,165,937) and $1,006,415 for the years ended December 31, 2024 and 2023, respectively, an increase of $3,172,352 or 315.2%. The increase is due to the increase in loss before income taxes and the prior period reversal of income tax charges and deferred tax balances, discussed above. **** **Liquidity and Capital Resources** **** Cash used in operating activities was $0.46 million and $0.53 million forthe years ended December 31, 2024 and 2023, respectively a decrease of $0.07 million or 13.2%. The decrease is primarily due to the following: | | The increasein net loss of $(3.2) million, as discussed above; | | | | | | | | The decrease in non-cash movements of $2.5 million, primarily due to the prior year gain on disposal of property of $2.5 million, as discussed above; | | | | | | | | The decrease in working capital movements of $0.8 million, primarily due to an increase in the movement of accounts receivable of $0.1 million, increase in the movement of accounts payable and accrued liabilities of $0.2 million, the increase in movement of operating lease liabilities of $0.3 million, and the increase in the movement of taxes payable of $0.2 million due to the reversal of tax provisions in the prior year. | | Cash used in investing activities was $1.0 million and cash provided by investing activities was $2.5 million for the years ended December 31, 2024 and 2023, respectively. In the current year, the Company acquired the business of the Boca Cove detox facility for $0.2 million and the payment of property deposits related to this facility of $0.1 million, we also acquired the minority stockholders interest in ATHI for a cash payment of $0.6 million and purchased additional property and equipment of $0.1 million at our west Palm Beach facility. In the prior year, the Company exercised its option to acquire 950 Evernia Street, where it conducts its treatment facility for net proceeds of $5.2 million, net of $0.4 million of deposits previously paid. Upon acquisition, we immediately sold the property for net proceeds of $8.1 million, after fees and expenses related to the disposal, and paid a rental deposit of $0.4 million related to the lease entered into on the property disposed of. | 8 | | | | | Cash provided by financing activities was $1.7 million and cash used in financing activities was $(2.1) million and for the years ended December 31, 2024 and 2023, respectively. In the current year, we raised $1.9 million in short term notes, and repaid $0.8 million, realizing a net $1.1 million, We repaid $0.1 million on the promissory note due on the acquisition of ATHI, we received subscription receipts of $0.2 million, we also raised a total of $0.7 million and repaid $0.6 million in receivables funding, we received a net advance from related parties of $0.2 million, these proceeds were used to acquire Boca Cove Detox and the minority stockholders interest and for general working capital purposes. In the prior year, the net proceeds realized on the acquisition and immediate sale of the property, discussed under investing activities was used to repay convertible notes of $(1.0) million, the net repayment of promissory notes of $(0.1) million and the payment of third party loans of $(0.3) million. The Company also repaid net receivables funding of $(0.4) million, mortgage loans of $(0.1) million and related party loans of $(0.2) million during the prior year. Over the next twelve months we estimate that the company will require approximately $3.8 million in funding to repay its obligations other than convertible notes. We will need funding for working capital as we continue to seek additional opportunities for addiction treatment in the US markets. There is no assurance that the Company will be successful with future financing ventures, and the inability to secure such financing may have a material adverse effect on the Companys financial condition. In the opinion of management, the Companys liquidity risk is assessed as high. **Going Concern** The accompanying consolidated financial statements have been prepared on a going-concern basis, which contemplates the realization of assets and the satisfaction of liabilities in the normal course of business. For the year ended December 31, 2024, we incurred operating losses of $1.3 million and had a negative cash flow from operating activities of 0.5 million. As of December 31, 2024, we had an accumulated deficit of $44.4 million, working capital deficiency of $9.1million and total liabilities in excess of total assets of $7.5million. These matters raise substantial doubt about our ability to continue as a going concern. Management believes that current available resources will not be sufficient to fund our planned expenditures over the next 12 months. Accordingly, we will be dependent upon the raising of additional capital through placement of common shares, and/or debt financing in order to implement our business plan and generating sufficient revenue in excess of costs. If we raise additional capital through the issuance of equity securities or securities convertible into equity, stockholders will experience dilution, and such securities may have rights, preferences or privileges senior to those of the holders of common stock or convertible senior notes. If we raise additional funds by issuing debt, we may be subject to limitations on our operations, through debt covenants or other restrictions. If we obtain additional funds through arrangements with collaborators or strategic partners, we may be required to relinquish its rights to certain geographical areas, or techniques that it might otherwise seek to retain. There is no assurance that we will be successful with future financing ventures, and the inability to secure such financing may have a material adverse effect on our financial condition. Based on the uncertainties described above, we believe our business plan does not alleviate the existence of substantial doubt about our ability to continue as a going concern within one year from the date of the issuance of these consolidated financial statements. The accompanying consolidated financial statements do not include any adjustments to the amounts and classifications of assets and liabilities that might be necessary should we be unable to continue as a going concern. **Critical accounting policies** **Revenue recognition** **** We recognize revenue in terms of ASC 606 which requires us to exercise more judgment and recognize revenue using a five-step process as described under our accounting policies in note 2 to the consolidated financial statements. We derive substantially all of our revenue from payors that receive discounts from established billing rates. The various managed care contracts under which these discounts must be calculated are complex, subject to interpretation and adjustment, and may include multiple reimbursement mechanisms for different types of services provided in the Companys inpatient facilities and cost settlement provisions. Management estimates the transaction price on a payor-specific basis given its interpretation of the applicable regulations or contract terms. The services authorized and provided and related reimbursement are often subject to interpretation that could result in payments that differ from the Companys estimates. Additionally, updated regulations and contract renegotiations occur frequently, necessitating regular review and assessment of the estimation process by management. Settlements with third-party payors are estimated and recorded in the period in which the related services are rendered and are adjusted in future periods as final settlements are determined. In the opinion of management, adequate provision has been made for any adjustments and final settlements. **Allowance for credit losses** **** In conjunction with Revenue recognition, we recognize revenue based on historical collections received from healthcare providers, recognizing only a percentage of revenues actually billed. Effectively recognizing revenue net of any expected billing differentials. Based on our collection experience, the percentage of revenue recognized is adjusted on a periodic basis, thereby taking into account expected credit losses in the revenue recognition process. The revenue we recognize is already net of expected credit losses. | 9 | | | | | **** **Leases** We account for leases in terms of ASC 842. In terms of ASC 842, the Company assesses whether any asset based leases entered into for periods longer than twelve months meet the definition of financial leases or operation leases, by evaluating the terms of the lease, including the following; the duration of the lease; the implied interest rate in the lease; the cash flows of the lease; and whether the Company intends to retain ownership of the asset at the end of the lease term. Leases which imply that we will not acquire the asset at the end of the lease term are classified as operating leases, our right to use the asset is reflected as a non-current right of use asset with a corresponding operational lease liability raised at the date of lease inception. The right of use asset and the operational lease liability are amortized over the right of use period using the effective interest rate implied in the operating lease agreement. **** **Long Lived Assets** The Company evaluates the carrying value of its long-lived assets for impairment by comparing the expected undiscounted future cash flows of the assets to the net book value of the assets when events or circumstances indicate that the carrying amount of a long-lived asset may not be recoverable. If the expected undiscounted future cash flows are less than the net book value of the assets, the excess of the net book value over the estimated fair value will be charged to earnings. Fair value is based upon discounted cash flows of the assets at a rate deemed reasonable for the type of asset and prevailing market conditions, appraisals, and, if appropriate, current estimated net sales proceeds from pending offers. **Critical Accounting Estimates** Preparation of our consolidated financial statements in accordance with U.S. generally accepted accounting principles (GAAP) requires us to make estimates and assumptions that affect the reported amounts of certain assets, liabilities, revenues and expenses, as well as related disclosure of contingent assets and liabilities. Our estimates are based on our historical experience, information received from third parties and on various other factors that we believe are reasonable under the circumstances, the results of which form the basis for making judgments about the carrying value of assets and liabilities that are not readily apparent from other sources. Actual results may differ from these estimated under different assumption or conditions. Significant accounting policies are fundamental to understanding our financial condition and results as they require the use of estimates and assumptions which affect the financial statements and accompanying notes. See Note 2 - Summary of Significant Accounting Policies of the Notes to the Consolidated Financial Statements included in Part II, Item 8 of this Annual Report for further information. The Critical accounting policies that involved significant estimation include the following: **Revenue recognition** Management constantly monitors the level of billings and collections on those billings and makes an estimation of the percentage of billings that will ultimately be recorded as revenue.The various managed care contracts under which these discounts must be calculated are complex, subject to interpretation and adjustment, and may include multiple reimbursement mechanisms for different types of services provided in the Companys inpatient facilities and cost settlement provisions. Management estimates the transaction price on a payor-specific basis given its interpretation of the applicable regulations or contract terms. The services authorized and provided and related reimbursement are often subject to interpretation that could result in payments that differ from the Companys estimates. Since we already make adjustments for expected collections we are constantly taking into account any expected credit losses. **Leases** On August 4, 2023, we entered into an acquisition and immediate disposal transaction with two unrelated third parties for the building which we currently operate our West Palm Beach treatment facility, see note 5 to the consolidated financial statements. Simultaneously with the acquisition and disposal, on August 4, 2023, we entered into a long term lease for 950 Evernia Street, West Palm Beach, Florida with an initial term of twenty years, and two ten year extension options. The lease is absolutely net and the lease cost for the initial year is $748,000 paid monthly. The lease increases at a rate of 2.75% per year for a total term lease obligation of $19,655,717 over the initial twenty-year term. Due to the initial lease term of twenty years, we are not certain that the extension periods will be exercised at this point in time and accordingly, these have been excluded from the present value of the minimum future lease payments. | 10 | | | | | To determine the present value of minimum future lease payments for operating leases at August 4, 2023, we were required to estimate a rate of interest that we would have to pay to borrow on a collateralized basis over a similar term in a similar economic environment (the "incremental borrowing rate" or "IBR"). Wey determined the appropriate IBR by identifying a reference rate and making adjustments that take into consideration financing options and certain lease-specific circumstances. For the reference rate, the Company used the Fannie Mae, in excess of $3,000,000 rate based on an 80% value to loan ratio, averaging the 15 and 30 year indicative rates, resulting in a rate of 7.70%. We determined that7.70% per annum was an appropriate incremental borrowing rate to apply to its real estate operating lease. The present value of the future minimum lease payments was valued at $9,333,953on August 4, 2023. On May 1, 2024 the Company, through its subsidiary Evernia Health Center LLC, entered into a Definitive Agreement whereby the Company would assume the lease for suites 100,101, 201, 202 and 203 located at 899 Meadows Road, Boca Raton, Florida (the Leased Premises) upon the assignment of the lease from the property owner. The lease was assigned on June 10, 2024. The assigned lease has a remaining term of 3 years, expiring on June 30, 2027, with an initial monthly lease cost of $21,843 from July 1, 2024 to December 31, 2024, escalating by 2.9% per annum, each annual period being a calendar year. To determine the present value of minimum future lease payments for operating leases at June 10, 2024, the Company was required to estimate a rate of interest that it would have to pay to borrow on a collateralized basis over a similar term in a similar economic environment (the "incremental borrowing rate" or "IBR"). The Company determined the appropriate IBR by identifying a reference rate and making adjustments that take into consideration financing options and certain lease-specific circumstances. For the reference rate, the Company used the Bank rate 3/1 adjustable-rate mortgage which represents the average rate for several mortgage lenders in the market of 6.36%. The Company determined that6.36% per annum was an appropriate incremental borrowing rate to apply to its real estate operating lease. The present value of the future minimum lease payments was valued at $744,256 on June 10, 2024. **** **Long-lived assets** We have significant long-lived assets, including property and equipment, intangible assets, right-of-use assets and deposits. The Company evaluates the carrying value of its long-lived assets for impairment by comparing managements estimates of undiscounted future cash flows of the assets to the net book value of the assets when events or circumstances indicate that the carrying amount of a long-lived asset may not be recoverable. This requires significant estimation of future revenue streams, based on managements understanding of the business which may not be accurate and may require re-estimation at a future date. If the expected undiscounted future cash flows are less than the net book value of the assets, the excess of the net book value over the estimated fair value will be charged to earnings. Fair value is based upon discounted cash flows of the assets at a rate deemed by management to be reasonable for the type of asset and prevailing market conditions, appraisals, and, if appropriate, current estimated net sales proceeds from pending offers. **** **Item 8. Financial Statements and Supplementary Data.** **** **** **ETHEMA HEALTH CORPORATION** **** **INDEX TO THE CONSOLIDATED FINANCIAL STATEMENTS** (Expressed in US$ unless otherwise indicated) **** | | PAGE | | | Report of Independent Registered Public Accounting Firm(PCAOB ID 587) | F-1 | | | Consolidated Balance Sheets as of December 31, 2024 and 2023 | F-3 | | | Consolidated Statements of Operations for the years ended December 31, 2024 and 2023 | F-4 | | | Consolidated Statements of Changes in Stockholders Deficit for the years ended December 31, 2024 and 2023 | F-5 | | | Consolidated Statements of Cash Flows for the years ended December 31, 2024 and 2023 | F-6 | | | Notes to the Consolidated Financial Statements | F-7 | | | 11 | | | | | | | | New York Office: 805 Third Avenue New York, NY 10022 212.838-5100 | | **REPORT OF INDEPENDENT REGISTERED PUBLIC ACCOUNTING FIRM** To the Board of Directors and Stockholders of Ethema Health Corporation and subsidiaries West Palm Beach, FL 33401 **Opinion on the Consolidated Financial Statements** We have audited the accompanying consolidated balance sheets of Ethema Health Corporation and subsidiaries (collectively, the Company) as of December 31, 2024 and 2023, and the related consolidated statements of operations, stockholders deficit and cash flows for each of the two years in the period ended December 31, 2024, and the related notes (collectively referred to as the consolidated financial statements). In our opinion, the consolidated financial statements present fairly, in all material respects, the financial position of the Company as of December 31, 2024 and 2023, and the results of its operations and its cash flows for each of the two years in the period ended December 31, 2024, in conformity with accounting principles generally accepted in the United States of America. **The Company's Ability to Continue as a Going Concern** **** The accompanying consolidated financial statements have been prepared assuming the Company will continue as a going concern. As discussed in Note 3 to the consolidated financial statements, the Company has suffered recurring losses from operations, generated negative cash flows from operating activities, has working capital deficiency and accumulated deficit. These conditions raise substantial doubt about the Companys ability to continue as a going concern. Management's evaluation of the events and conditions and managements plans in regarding these matters are also described in Note 3. The consolidated financial statements do not include any adjustments that may result from the outcome of this uncertainty. Our opinion is not modified with respect to that matter. **** **Basis for Opinion** These consolidated financial statements are the responsibility of the Companys management. Our responsibility is to express an opinion on the Companys consolidated financial statements based on our audits. We are a public accounting firm registered with the Public Company Accounting Oversight Board (United States) (PCAOB) and are required to be independent with respect to the Company in accordance with the U.S. federal securities laws and the applicable rules and regulations of the Securities and Exchange Commission and the PCAOB. We conducted our audits in accordance with the standards of the PCAOB. Those standards require that we plan and perform the audit to obtain reasonable assurance about whether the consolidated financial statements are free of material misstatement, whether due to error or fraud. The Company is not required to have, nor were we engaged to perform, an audit of its internal control over financial reporting. As part of our audits, we are required to obtain an understanding of internal control over financial reporting, but not for the purpose of expressing an opinion on the effectiveness of the Companys internal control over financial reporting. Accordingly, we express no such opinion. Our audits included performing procedures to assess the risks of material misstatement of the consolidated financial statements, whether due to error or fraud, and performing procedures that respond to those risks. Such procedures included examining, on a test basis, evidence regarding the amounts and disclosures in the consolidated financial statements. Our audits also included evaluating the accounting principles used and significant estimates made by management, as well as evaluating the overall presentation of the consolidated financial statements. We believe that our audits provide a reasonable basis for our opinion. **Critical Audit Matters** Critical audit matters are matters arising from the current period audit of the consolidated financial statements that were communicated or are required to be communicated to the audit committee and that (i) relate to accounts or disclosures that are material to the consolidated financial statements and (ii) involved our especially challenging, subjective, or complex judgments. We determined that there are no critical audit matters. /s/*RBSM LLP* We have served as the Companys auditor since 2023. New York, NY May 23, 2025 PCAOP ID Number 587 New York, NY Washington DC Mumbai & Pune, India Boca Raton, FL Houston, TX San Francisco, CA Las Vegas, NV Beijing, China Athens, Greece Member: ANTEA International with affiliated offices worldwide | F-1 | | | | | **** **** **ETHEMA HEALTH CORPORATION** **CONSOLIDATED BALANCE SHEETS** | | | | | | | | | | | | | | December 31, 2024 | | December 31, 2023 | | | ASSETS | | | | | | | | | | | | Current assets | | | | | | | | | | | Cash | | $ | 244,771 | | | $ | 68,573 | | | | Accounts receivable, net | | | 260,841 | | | | 313,338 | | | | Prepaid expenses | | | 23,146 | | | | 18,159 | | | | Other current assets | | | | | | | 3,030 | | | | Total current assets | | | 528,758 | | | | 403,100 | | | | Non-current assets | | | | | | | | | | | Property and equipment, net | | | 699,688 | | | | 508,401 | | | | Intangible assets, net | | | 536,971 | | | | 894,952 | | | | Right of use assets | | | 9,920,592 | | | | 9,323,723 | | | | Deposits paid | | | 472,393 | | | | 389,000 | | | | Total non-current assets | | | 11,629,644 | | | | 11,116,076 | | | | Total assets | | $ | 12,158,402 | | | $ | 11,519,176 | | | | | | | | | | | | | | | LIABILITIES AND STOCKHOLDERS DEFICIT | | | | | | | | | | | | | | | | | | | | | | Current liabilities | | | | | | | | | | | Accounts payable and accrued liabilities | | $ | 764,255 | | | $ | 352,101 | | | | Convertible notes, net of discounts | | | 3,973,245 | | | | 4,419,927 | | | | Short-term notes, net | | | 2,575,123 | | | | 680,672 | | | | Promissory note | | | 405,000 | | | | | | | | Receivables funding, net | | | 516,247 | | | | 211,961 | | | | Related party advance, net | | | 264,966 | | | | | | | | Government assistance loans | | | 15,088 | | | | 14,962 | | | | Operating lease liability | | | 299,102 | | | | 38,563 | | | | Finance lease liability | | | 9,829 | | | | 8,426 | | | | Related party payables | | | 633,318 | | | | 2,572,292 | | | | Stock subscription liability | | | 198,600 | | | | | | | | Total current liabilities | | | 9,654,773 | | | | 8,298,904 | | | | Non-current liabilities | | | | | | | | | | | Government assistance loans | | | 6,149 | | | | 20,520 | | | | Operating lease liability | | | 9,949,454 | | | | 9,383,557 | | | | Finance lease liability | | | 6,593 | | | | 16,475 | | | | Total non-current liabilities | | | 9,962,196 | | | | 9,420,552 | | | | Total liabilities | | | 19,616,969 | | | | 17,719,456 | | | | | | | | | | | | | | | Stockholders deficit | | | | | | | | | | | Preferred stock - Series A; $0.01par value,10,000,000authorized,4,765,000 and 4,000,000shares issued and outstanding as of December 31, 2024 and 2023, respectively. | | | 47,650 | | | | 40,000 | | | | Common stock - $0.01par value,10,000,000,000shares authorized; 7,729,053,805 and 3,729,053,805shares issued and outstanding as of December 31, 2024 and December 31, 2023, respectively. | | | 77,290,539 | | | | 37,290,539 | | | | Additional paid-in capital | | | 24,986,083 | | | | 26,187,925 | | | | Discount for shares issued below par value | | | (65,363,367 | ) | | | (27,363,367 | ) | | | Accumulated deficit | | | (44,419,472 | ) | | | (42,355,377 | ) | | | Total stockholders deficit | | | (7,458,567 | ) | | | (6,200,280 | ) | | | Total liabilities and stockholders deficit | | $ | 12,158,402 | | | $ | 11,519,176 | | | The accompanying notes are an integral part of the consolidated financial statements | F-2 | | | | | **ETHEMA HEALTH CORPORATION** **CONSOLIDATED STATEMENTS OF OPERATIONS** **** | | | | | | | | | | | | | | Year ended December 31, 2024 | | Year ended December 31, 2023 | | | | | | | | | | Revenues | | $ | 6,017,204 | | | $ | 5,344,976 | | | | | | | | | | | | | | | Operating expenses | | | | | | | | | | | General and administrative | | | 1,550,799 | | | | 1,041,501 | | | | Rent expense | | | 1,304,127 | | | | 614,793 | | | | Management fees | | | | | | | 368,003 | | | | Professional fees | | | 955,801 | | | | 707,413 | | | | Salaries and wages | | | 3,072,654 | | | | 2,656,267 | | | | Depreciation and amortization | | | 466,952 | | | | 498,919 | | | | Total operating expenses | | | 7,350,333 | | | | 5,886,896 | | | | | | | | | | | | | | | Operating loss | | | (1,333,129 | ) | | | (541,920 | ) | | | | | | | | | | | | | | Other (expense) income | | | | | | | | | | | Other income | | | 110,000 | | | | | | | | Other expense | | | (1,160 | ) | | | | | | | Gain on sale of property | | | | | | | 2,484,172 | | | | Loss on debt extinguishment | | | | | | | (277,175 | ) | | | Extension fee on property purchase | | | | | | | (140,000 | ) | | | Penalty on notes and convertible notes | | | | | | | (34,688 | ) | | | Interest income | | | 2,292 | | | | 676 | | | | Interest expense | | | (565,343 | ) | | | (500,226 | ) | | | Debt discount | | | (416,120 | ) | | | (281,354 | ) | | | Foreign exchange movements | | | 37,523 | | | | (95,032 | ) | | | Net (loss) income before income taxes | | | (2,165,937 | ) | | | 614,453 | | | | Income taxes | | | | | | | 391,962 | | | | Net (loss) income | | | (2,165,937 | ) | | | 1,006,415 | | | | Net loss attributable to non-controlling stockholders interest | | | 101,842 | | | | 170,184 | | | | Net (loss) income attributable to Ethema Health Corporation Stockholders | | | (2,064,095 | ) | | | 1,176,599 | | | | Preferred stock dividend | | | | | | | (47,225 | ) | | | Net (loss) income available to common stockholders of Ethema Health Corporation | | | (2,064,095 | ) | | | 1,129,374 | | | | | | | | | | | | | | | Basic (loss) income per common share | | $ | (0.00 | ) | | $ | 0.00 | | | | Diluted (loss) income per common share | | $ | (0.00 | ) | | $ | 0.00 | | | | Weighted average common shares outstanding Basic | | | 5,608,835,226 | | | | 3,729,053,805 | | | | Weighted average common shares outstanding Diluted | | | 5,608,835,226 | | | | 3,903,671,684 | | | The accompanying notes are an integral part of the consolidated financial statements **** | F-3 | | | | | **ETHEMA HEALTH CORPORATION** **CONSOLIDATED STATEMENTS OF CHANGES IN STOCKHOLDERS DEFICIT** | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | Series A Preferred | | Common | | Additional Paid | | Discount | | Comprehensive | | Accumulated | | Non- controlling stockholders | | | | | | | Shares | | Amount | | Shares | | Amount | | in Capital | | to par value | | Income | | Deficit | | Interest | | Total | | | Balance as of December 31, 2022 | | | 4,000,000 | | | $ | 40,000 | | | | 3,729,053,805 | | | $ | 37,290,539 | | | $ | 23,419,917 | | | $ | (27,363,367 | ) | | $ | (5,065 | ) | | $ | (43,484,751 | ) | | $ | 870,184 | | | $ | (9,232,543 | ) | | | Disposal of subsidiary to related party | | | | | | | | | | | | | | | | | | | 2,034,885 | | | | | | | | | | | | | | | | (700,000 | ) | | | 1,334,885 | | | | Deemed extinguishment of debt by related party | | | | | | | | | | | | | | | | | | | 461,184 | | | | | | | | | | | | | | | | | | | | 461,184 | | | | Fair value of warrants issued on debt extinguishment | | | | | | | | | | | | | | | | | | | 271,939 | | | | | | | | | | | | | | | | | | | | 271,939 | | | | Foreign currency translation | | | | | | | | | | | | | | | | | | | | | | | | | | | 5,065 | | | | | | | | | | | | 5,065 | | | | Net income | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | 1,176,599 | | | | (170,184 | ) | | | 1,006,415 | | | | Dividends accrued | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | (47,225 | ) | | | | | | | (47,225 | ) | | | Balance as of December 31, 2023 | | | 4,000,000 | | | $ | 40,000 | | | | 3,729,053,805 | | | $ | 37,290,539 | | | $ | 26,187,925 | | | $ | (27,363,367 | ) | | $ | | | | $ | (42,355,377 | ) | | $ | | | | $ | (6,200,280 | ) | | | Acquisition of minority stockholders interest | | | | | | | | | | | | | | | | | | | (1,201,842 | ) | | | | | | | | | | | | | | | 101,842 | | | | (1,100,000 | ) | | | Conversion of related party payable to Series A preferred shares | | | 600,000 | | | | 6,000 | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | 6,000 | | | | Subscription for Series A preferred A shares | | | 165,000 | | | | 1,650 | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | 1,650 | | | | Conversion of related party payables to common shares | | | | | | | | | | | 4,000,000,000 | | | | 40,000,000 | | | | | | | | (38,000,000 | ) | | | | | | | | | | | | | | | 2,000,000 | | | | Net loss | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | (2,064,095 | ) | | | (101,842 | ) | | | (2,165,937 | ) | | | Balance as of December 31, 2024 | | | 4,765,000 | | | $ | 47,650 | | | | 7,729,053,805 | | | $ | 77,290,539 | | | $ | 24,986,083 | | | $ | (65,363,367 | ) | | $ | | | | $ | (44,419,472 | ) | | $ | | | | $ | (7,458,567 | ) | | The accompanying notes are an integral part of the consolidated financial statement | F-4 | | | | | **ETHEMA HEALTH CORPORATION** **CONSOLIDATED STATEMENTS OF CASH FLOWS** | | | | | | | | | | | | | | Year ended December 31, 2024 | | Year ended December 31, 2023 | | | Operating activities | | | | | | | | | | | Net (loss) income | | $ | (2,165,937 | ) | | $ | 1,006,415 | | | | Adjustment to reconcile net (loss) income to net cash used in operating activities: | | | | | | | | | | | Depreciation and amortization | | | 466,952 | | | | 498,919 | | | | Amortization of debt discount | | | 416,120 | | | | 281,354 | | | | Gain on disposal of property | | | | | | | (2,484,172 | ) | | | Loss on debt extinguishment | | | | | | | 277,175 | | | | Penalty on notes and convertible notes | | | | | | | 34,688 | | | | Amortization of right of use asset | | | 147,387 | | | | 177,220 | | | | Deferred taxation movement | | | | | | | (217,451 | ) | | | Changes in operating assets and liabilities | | | | | | | | | | | Accounts receivable | | | 183,137 | | | | 78,037 | | | | Prepaid expenses | | | (4,987 | ) | | | 26,562 | | | | Other current assets | | | 3,030 | | | | 5,513 | | | | Accounts payable and accrued liabilities | | | 416,414 | | | | 201,978 | | | | Operating lease liabilities | | | 82,180 | | | | (179,184 | ) | | | Taxes payable | | | | | | | (237,211 | ) | | | Net cash used in operating activities | | | (455,704 | ) | | | (530,157 | ) | | | | | | | | | | | | | | Investing activities | | | | | | | | | | | Acquisition of real property, net of $400,000deposit paid | | | | | | | (5,209,276 | ) | | | Proceeds on disposal of real property | | | | | | | 8,093,448 | | | | Purchaseof property and equipment | | | (60,259 | ) | | | (40,602 | ) | | | Acquisition of property | | | (240,000 | ) | | | | | | | Acquisition of minority stockholders interest | | | (625,000 | ) | | | | | | | Investment in deposits | | | (83,393 | ) | | | (389,000 | ) | | | Net cash (used in) provided by investing activities | | | (1,008,652 | ) | | | 2,454,570 | | | | | | | | | | | | | | | Financing activities | | | | | | | | | | | Repayment of mortgage | | | | | | | (58,320 | ) | | | Proceeds from convertible notes | | | | | | | 150,000 | | | | Repayment of convertible notes | | | | | | | (1,153,666 | ) | | | Proceeds from short term notes | | | 1,912,000 | | | | 447,000 | | | | Repayment of short term notes | | | (752,680 | ) | | | (568,325 | ) | | | Repayment of promissory notes | | | (70,000 | ) | | | | | | | Proceeds from receivables funding | | | 690,000 | | | | 580,646 | | | | Repayment of receivables funding | | | (586,752 | ) | | | (994,483 | ) | | | Proceeds from advances related party | | | 250,000 | | | | | | | | Repayment of advances related party | | | (11,538 | ) | | | | | | | Repayment of government assistance loans | | | (14,250 | ) | | | (14,579 | ) | | | Proceeds from (repayment of) third party loans | | | | | | | (283,746 | ) | | | Repayment of finance leases | | | (8,478 | ) | | | (7,943 | ) | | | Proceeds from stock subscription liability | | | 198,600 | | | | | | | | Proceeds from Series A preferred subscriptions | | | 1,650 | | | | | | | | (Repayment) proceedsof related party notes | | | 67,026 | | | | (174,012 | ) | | | Net cash provided by (used in ) financing activities | | | 1,675,578 | | | | (2,077,428 | ) | | | | | | | | | | | | | | Effect of exchange rate on cash | | | (35,024 | ) | | | 80,831 | | | | | | | | | | | | | | | Net change in cash | | | 176,198 | | | | (72,184 | ) | | | Beginning cash balance | | | 68,573 | | | | 140,757 | | | | Ending cash balance | | $ | 244,771 | | | $ | 68,573 | | | | | | | | | | | | | | | Supplemental cash flow information | | | | | | | | | | | Cash paid for interest | | $ | 355,443 | | | $ | 425,117 | | | | Cash paid for income taxes | | $ | | | | $ | | | | | | | | | | | | | | | | Non-cash investing and financing activities | | | | | | | | | | | Fair value of warrant issued on debt extinguishment | | $ | | | | $ | 271,939 | | | | Disposal of subsidiary to related party | | $ | | | | $ | 1,334,885 | | | | Deemed extinguishment of debt by related party | | $ | | | | $ | 461,184 | | | | Promissory note issued to acquire minority stockholders interest | | $ | 475,000 | | | $ | | | | | Exchange of Series N convertible notes for Series R promissory notes | | $ | 450,000 | | | $ | | | | | Conversion of related party payables to common shares | | $ | 2,000,000 | | | $ | | | | | Conversion of related party payable to Series A preferred stock | | $ | 6,000 | | | $ | | | | | Present value of operating lease liability and operating lease right-of-use asset recognized in connection with lease commencement | | $ | 744,256 | | | $ | | | | **** The accompanying notes are an integral part of the consolidated financial statements **** | F-5 | | | | | **ETHEMA HEALTH CORPORATION** **NOTES TO THE CONSOLIDATED FINANCIAL STATEMENTS** **** | 1. | Nature of business | | **** Since 2010, the Company has operated addiction treatment centers. Initially the Company operated an addiction treatment center in Ontario Canada under its Greenestone Muskoka clinic, which was sold on February 14, 2017. Simultaneously with this sale the Company purchased buildings and operated an addiction treatment center in Delray Beach Florida under its Addiction recovery Institute of America subsidiary with a license obtained in December 2016, initially though owned properties in Delray Beach and subsequently though leased properties in West Palm Beach, Florida. Since June 30, 2020, the Company has been actively involved in the management of a treatment center operated by Evernia in West Palm Beach Florida. On July 1, 2021, the Company closed on the acquisition of 75% of ATHI, which owns 100% of Evernia, once the probationary approval of a license was obtained from the Department of Children and Family Services of Florida. The Company sold its real estate on which its Greenstone Muskoka clinic operated during the prior year. **Acquisition of minority stockholders interest in ATHI** On May 15, 2024, the Company entered into a Stock Purchase Agreement whereby it acquired the remaining 25% of ATHI representing 5,000,000 shares from the minority stockholder for gross proceeds of $1,100,000. The Company paid an initial deposit of $25,000 and on closing an additional $600,000. The Company issued a non-interest-bearing promissory note for the remaining balance of $475,000, which promissory note is repayable in installments of $10,000 a month on each monthly anniversary date of the agreement for months one to eight (eight installments) and months ten through seventeen (eight installments), and payments of $157,500 on month nine and month eighteen, for a total of $475,000. **Acquisition of assets and assignment of lease and sub-lease for Boca cove Detox Center** On March 22, 2024, the Company executed a LOI to acquire certain assets, including furniture, equipment inventory and supplies of Boca Cove Detox, LLC, along with the assignment of lease and sub-lease for premises located at 899 Meadow Avenue, Boca Raton, Florida. On May 1, 2024 the Company, through its subsidiary Evernia Health Center LLC, entered into a Definitive Agreement whereby the Company would assume the lease for suites 100, 101, 201, 202 and 203 located at 899 Meadows Road, Boca Raton, Florida (the Leased Premises) and the furniture, fixtures and equipment located therein, upon the assignment of the lease from the property owner. The lease was assigned on June 10, 2024 and the Company entered into a Bill of Sale to give effect to the Definitive Agreement. The purchase price was $240,000 which was settled by a deposit of $20,000 and a cash payment of $220,000 and the payment to the Seller of $83,393 for the assumption of the security deposit held by the landlord of the Leased Premises located at 899 Meadows Road. | 2. | Summary of significant accounting policies | | **Financial Reporting** **** The Company prepares its consolidated financial statements in conformity with accounting principles generally accepted in the United States of America (US GAAP). Management further acknowledges that it is solely responsible for adopting sound accounting practices, establishing and maintaining a system of internal accounting control and preventing and detecting fraud. The Companys system of internal accounting control is designed to assure, among other items, that i) recorded transactions are valid; ii) valid transactions are recorded; and iii) transactions are recorded in the proper period in a timely manner to produce financial statements which present fairly the financial condition, results of operations and cash flows of the Company for the respective periods being presented. **a)**** Use of Estimates** **** The preparation of consolidated financial statements in conformity with U.S. GAAP requires management to make estimates and assumptions, which are evaluated on an ongoing basis, that affect the amounts reported in the consolidated financial statements and accompanying notes. Management bases its estimates on historical experience and on various other assumptions that it believes are reasonable under the circumstances, the results of which form the basis for making judgments about the carrying values of assets and liabilities and the amounts of revenues and expenses that are not readily apparent from other sources. Actual results could differ from those estimates and judgments. In particular, significant estimates and judgments include those related to, the estimated useful lives of long lived assets, the fair value of long-lived assets including impairment analysis, estimates in revenue recognition, allowance for credit losses, estimates in the fair value of warrants and stock options granted for services or compensation, estimates in convertible debt, borrowing rate consideration for right-of-use (ROU) lease assets including related lease liability, and the valuation allowance for deferred tax assets due to continuing operating losses. Making estimates requires management to exercise significant judgment. It is at least reasonably possible that the estimate of the effect of a condition, situation or set of circumstances that existed at the date of the consolidated financial statements, which management considered in formulating its estimate could change in the near term due to one or more future confirming events. Accordingly, the actual results could differ significantly from our estimates. | F-6 | | | | | **** **ETHEMA HEALTH CORPORATION** **NOTES TO THE CONSOLIDATED FINANCIAL STATEMENTS** | 2. | Summary of significant accounting policies (continued) | | | b) | Principals of consolidation and foreign currency translation | | **** The accompanying consolidated financial statements include the accounts of the Company and all of its subsidiaries. All intercompany transactions and balances have been eliminated on consolidation. Certain of the Companys previous subsidiaries functional currency was the Canadian dollar, while the Companys reporting currency is the U.S. dollar. All transactions initiated in Canadian dollars are translated into US dollars in accordance with ASC 830, Foreign Currency Translation as follows: | | | Monetary assets and liabilities at the rate of exchange in effect at the balance sheet date. | | | | | | | | | Certain non-monetary assets and liabilities and equity at historical rates. | | | | | | | | | | Revenue and expense items and cash flows at the average rate of exchange prevailing during the year. | | Adjustments arising from such translations were deferred until realization and were included as a separate component of stockholders deficit as a component of accumulated other comprehensive income or loss. Therefore, translation adjustments were not included in determining net income (loss) but reported as other comprehensive income (loss). For foreign currency transactions, the Company translates these amounts to the Companys functional currency at the exchange rate effective on the invoice date. If the exchange rate changes between the time of purchase and the time actual payment is made, a foreign exchange transaction gain or loss results which is included in determining net income for the year. On June 30, 2023, the Company disposed on Cranberry Cove Holdings whose functional currency was Canadian Dollars, all remaining subsidiaries have the U.S. dollar as a functional currency. The relevant translation rates are as follows: For the year ended December 31, 2023, a closing rate of CDN$1 equals US$0.7561 and an average exchange rate of CDN$1 equals US$0.7409. **** | c) | Business Combinations | | The Company allocates the fair value of purchase consideration to the tangible and intangible assets acquired and liabilities assumed for business combinations with third parties based on their estimated fair values. The excess of the fair value of purchase consideration over the fair values of these identifiable assets and liabilities is recorded as goodwill. Such valuations require management to make significant estimates and assumptions, especially with respect to intangible assets. Significant estimates in valuing certain intangible assets include, but are not limited to, future expected cash flows from acquired users, acquired technology, and trade names from a market participant perspective, useful lives and discount rates. Management's estimates of fair value are based upon assumptions believed to be reasonable, but which are inherently uncertain and unpredictable and, as a result, actual results may differ from estimates. | d) | Cash and cash equivalents | | **** For purposes of the statements of cash flows, the Company considers all highly liquid instruments purchased with a maturity of three months or less and money market accounts to be cash equivalents. The Company maintains cash and cash equivalents with several financial institution in the USA and Canada. There werenocash equivalents at December 31, 2024 and 2023. The Company primarily places cash balances in the USA with high-credit quality financial institutions located in the United States which are insured by the Federal Deposit Insurance Corporation up to a limit of $250,000per institution. | F-7 | | | | | **ETHEMA HEALTH CORPORATION** **NOTES TO THE CONSOLIDATED FINANCIAL STATEMENTS** | 2. | Summary of significant accounting policies (continued) | | **e)**** Accounts receivable** Accounts receivable primarily consists of amounts due from third-party payors (non-governmental) and private pay patients and is recorded net of allowances for doubtful accounts and contractual discounts. The Companys ability to collect outstanding receivables is critical to its results of operations and cash flows. Accordingly, accounts receivable reported in the Companys consolidated financial statements is recorded at the net amount expected to be received. The Companys primary collection risks are (i)the risk of overestimating net revenues at the time of billing that may result in the Company receiving less than the recorded receivable, (ii)the risk of non-payment as a result of commercial insurance companies denying claims, (iii)the risk that patients will fail to remit insurance payments to the Company when the commercial insurance company pays out-of-network claims directly to the patient, (iv)resource and capacity constraints that may prevent the Company from handling the volume of billing and collection issues in a timely manner, (v)the risk that patients do not pay the Company for their self-pay balances (including co-pays, deductibles and any portion of the claim not covered by insurance) and (vi)the risk of non-payment from uninsured patients. **f)**** Allowance for Doubtful Accounts** **** The Company derives the majority of its revenues from commercial payors at in-network rates. The Company recognizes revenue based on historical collections received from healthcare providers, recognizing only a percentage of revenues actually billed. Effectively recognizing revenue net of any expected billing differentials. Based on the Companys collection experience, the percentage of revenue recognized is adjusted on a periodic basis, thereby taking into account expected credit losses in the revenue recognition process. The revenue we recognize is already net of expected credit losses, therefore management does not maintain a separate allowance for doubtful accounts, contractual and other discounts. Management also takes into consideration the age of accounts, creditworthiness and current economic trends when evaluating the percentage of revenue to be recognized. **g)**** Leases** The Company accounts for leases in terms of ASC 842. In terms of ASC 842, the Company assesses whether any asset based leases entered into for periods longer than twelve months meet the definition of financial leases or operation leases, by evaluating the terms of the lease, including the following; the duration of the lease; the implied interest rate in the lease; the cash flows of the lease; and whether the Company intends to retain ownership of the asset at the end of the lease term. Leases which imply that the Company will retain ownership at the end of the lease term are classified as financial leases, are included in property and equipment with a corresponding financial liability raised at the date of lease inception. Interest incurred on financial leases are expensed using the effective interest rate method. Leases which imply that the Company will not acquire the asset at the end of the lease term are classified as operating leases, the Companys right to use the asset is reflected as a non-current right of use asset with a corresponding operational lease liability raised at the date of lease inception. The right of use asset and the operational lease liability are amortized over the right of use period using the effective interest rate implied in the operating lease agreement. **** **h)**** Property and equipment** Property and equipment is recorded at cost. Depreciation is calculated on the straight line basis over the estimated life of the asset. **** **i)**** Long Lived Assets** The Company evaluates the carrying value of its long-lived assets for impairment by comparing the expected undiscounted future cash flows of the assets to the net book value of the assets when events or circumstances indicate that the carrying amount of a long-lived asset may not be recoverable. If the expected undiscounted future cash flows are less than the net book value of the assets, the excess of the net book value over the estimated fair value will be charged to earnings. Fair value is based upon discounted cash flows of the assets at a rate deemed reasonable for the type of asset and prevailing market conditions, appraisals, and, if appropriate, current estimated net sales proceeds from pending offers. **** | F-8 | | | | | **** **ETHEMA HEALTH CORPORATION** **NOTES TO THE CONSOLIDATED FINANCIAL STATEMENTS** | 2. | Summary of significant accounting policies (continued) | | **** | j) | Intangible assets | | Intangible assets are stated at acquisition cost less accumulated amortization, if applicable, less any adjustments for impairment losses. Amortization is charged on a straight-line basis over the estimated remaining useful lives of the individual intangibles. Where intangibles are deemed to be impaired the Company recognizes an impairment loss measured as the difference between the estimated fair value of the intangible and its book value. Licenses to provide substance abuse rehabilitation services are amortized over the expected life of the contract, including any anticipated renewals. The Company expects its licenses to remain in operation for a period of five years. **** | k) | Derivatives | | The Company evaluates embedded conversion features within convertible debt under ASC 815 Derivatives and Hedging to determine whether the embedded conversion feature should be bifurcated from the host instrument and accounted for as a derivative at fair value with changes in fair value recorded in earnings. The Company previously used a Black Scholes Option Pricing model to estimate the fair value of convertible debt conversion features at the end of each applicable reporting period. Changes in the fair value of these derivatives during each reporting period were included in the statements of operations. Inputs into the Black Scholes Option Pricing model require estimates, including such items as estimated volatility of the Companys stock, risk free interest rate and the estimated life of the financial instruments being fair valued. If the conversion feature does not require derivative treatment under ASC 815, the instrument is evaluated under ASC 470-20 Debt with Conversion and Other Options for consideration of any beneficial conversion feature. **** | l) | Financial instruments | | **** The Company initially measures its financial assets and liabilities at fair value, except for certain non-arms length transactions. The Company subsequently measures all its financial assets and financial liabilities at amortized cost. Financial assets measured at amortized cost include cash and accounts receivable. Financial liabilities measured at amortized cost include bank indebtedness, accounts payable and accrued liabilities, taxes payable, convertible notes payable, promissory notes, receivables funding, loans payable and related party notes. Financial assets measured at cost are tested for impairment when there are indicators of impairment. The amount of the write-down is recognized in net income. The previously recognized impairment loss may be reversed to the extent of the improvement, directly or by adjusting the allowance account, provided it is no greater than the amount that would have been reported at the date of the reversal had the impairment not been recognized previously. The amount of the reversal is recognized in net income. The Company recognizes its transaction costs in net income in the period incurred. However, financial instruments that will not be subsequently measured at fair value are adjusted by the transaction costs that are directly attributable to their origination, issuance or assumption. FASB ASC 820 defines fair value, establishes a framework for measuring fair value in accordance with generally accepted accounting principles, and expands disclosures about fair value measurements. ASC 820 establishes a three tier fair value hierarchy, which prioritizes the inputs used in measuring fair value as follows: | | | Level 1. Observable inputs such as quoted prices in active markets; | | | | | Level 2. Inputs, other than the quoted prices in active markets, that are observable either directly or indirectly; and | | | | | Level 3. Unobservable inputs in which there is little or no market data, which requires the reporting entity to develop its own assumptions. | | The Company measures its convertible debt and any derivative liabilities associated therewith at fair value. These liabilities are revalued periodically and the resultant gain or loss is realized through the consolidatedStatement of Operations and Comprehensive Loss. | F-9 | | | | | **** **ETHEMA HEALTH CORPORATION** **NOTES TO THE CONSOLIDATED FINANCIAL STATEMENTS** | 2. | Summary of significant accounting policies (continued) | | **m****)**** Related parties** Parties are considered to be related to the Company if the parties directly or indirectly, through one or more intermediaries, control, are controlled by, or are under common control with the Company. Related parties also include principal owners of the Company, its management, members of the immediate families of principal owners of the Company and its management and other parties with which the Company may deal if one party controls or can significantly influence the management or operating policies of the other to an extent that one of the transacting parties might be prevented from fully pursuing its own separate interests. The Company discloses all related party transactions. All transactions are recorded at fair value of the goods or services exchanged. **n****)**** Revenue recognition** **** ASC 606 requires companies to exercise more judgment and recognize revenue using a five-step process. The Companys provision for doubtful accounts are recorded as a direct reduction to revenue instead of being presented as a separate line item on the consolidated statements of operations and comprehensive loss. As our performance obligations relate to contracts with a duration of one year or less, the Company elected the optional exemption in ASC 606-10-50-14(a). Therefore, the Company is not required to disclose the transaction price for the remaining performance obligations at the end of the reporting period or when the Company expects to recognize the revenue. The Company has minimal unsatisfied performance obligations at the end of the reporting period as our patients typically are under no obligation to remain admitted in our facilities. The Company receives payments from the following sources for services rendered in our U.S. Facility: (i)commercial insurers; and (ii)individual patients and clients. As the period between the time of service and time of payment is typically one year or less, the Company elected the practical expedient under ASC 606-10-32-18 and does not adjust for the effects of a significant financing component. The Company derives a significant portion of its revenue from payors that receive discounts from established billing rates. The various managed care contracts under which these discounts must be calculated are complex, subject to interpretation and adjustment, and may include multiple reimbursement mechanisms for different types of services provided in the Companys inpatient facilities and cost settlement provisions. Management estimates the transaction price on a payor-specific basis given its interpretation of the applicable regulations or contract terms. The services authorized and provided and related reimbursement are often subject to interpretation that could result in payments that differ from the Companys estimates. Additionally, updated regulations and contract renegotiations occur frequently, necessitating regular review and assessment of the estimation process by management. Settlements with third-party payors are estimated and recorded in the period in which the related services are rendered and are adjusted in future periods as final settlements are determined. In the opinion of management, adequate provision has been made for any adjustments and final settlements. However, there can be no assurance that any such adjustments and final settlements will not have a material effect on the Companys financial condition or results of operations. The Companys receivables were $260,841 and $313,338at December 31, 2024 and December 31, 2023, respectively. Management believes that these receivables are properly stated and are not likely to be settled for a significantly different amount. The Companys revenues are recognized when control of the promised goods or services are transferred to a customer, in an amount that reflects the consideration that the Company expects to receive in exchange for those services. The Company derives its revenues from the sale of its services. The Company appliesthe following five steps in order to determine the appropriate amount of revenue to be recognized as it fulfills its obligations under each of its revenue transactions: | | i. | identify the contract with a customer; | | | | ii. | identify the performance obligations in the contract; | | | | iii. | determine the transaction price; | | | | iv. | allocate the transaction price to performance obligations in the contract; and | | | | v. | recognize revenue as the performance obligation is satisfied. | | | F-10 | | | | | **** **ETHEMA HEALTH CORPORATION** **NOTES TO THE CONSOLIDATED FINANCIAL STATEMENTS** | 2. | Summary of significant accounting policies (continued) | | **o****)**** Income taxes** The Company accounts for income taxes under the provisions of ASC Topic 740,*Income Taxes.*Under ASC Topic 740, deferred tax assets and liabilities are recognized for the future tax consequences attributable to differences between the consolidated financial statement carrying amounts of existing assets and liabilities and their respective tax bases. Deferred income taxes are provided using the liability method. Under this method, deferred income taxes are recognized for the tax consequences of temporary differences by applying enacted statutory rates applicable to future years to differences between the financial statement carrying amounts and the tax bases of existing assets and liabilities. The tax basis of an asset or liability is the amount attributed to that asset or liability for tax purposes. The effect on deferred taxes of a change in tax rates is recognized in income in the period of change. A valuation allowance is provided to reduce the amount of deferred tax assets if it is considered more likely than not that some portion of, or all of, the deferred tax assets will not be realized. ASCTopic 740 contains a two-step approach to recognizing and measuring uncertain tax positions taken or expected to be taken in a tax return. The first step is to determine if the weight of available evidence indicates that it is more likely than not that the tax position will be sustained in an audit, including resolution of any related appeals or litigation processes. The second step is to measure the tax benefit as the largest amount that is more than 50% likely to be realized upon ultimate settlement. The Company recognizes interest and penalties accrued on unrecognized tax benefits within general and administrative expense. To the extent that accrued interest and penalties do not ultimately become payable, amounts accrued will be reduced and reflected as a reduction in general and administrative expenses in the period that such determination is made. The tax returns for fiscal 2020, through 2023 are subject to audit or review by the US tax authorities, whereas fiscal 2011 through 2023 are subject to audit or review by the Canadian tax authority. **p****)**** Net (loss) income per Share** **** Basic net (loss) income per share is computed on the basis of the weighted average number of common stock outstanding during the year. Diluted net (loss) income per share is computed on the basis of the weighted average number of common stock and common stock equivalents outstanding. Dilutive securities having an anti-dilutive effect on diluted net (loss) income per share are excluded from the calculation. Dilution is computed by applying the treasury stock method for options and warrants. Under this method, in-the money options and warrants are assumed to be exercised at the beginning of the period (or at the time of issuance, if later), and as if funds obtained thereby were used to purchase common stock at the average market price during the period. Dilution is computed by applying the if-converted method for convertible preferred stocks. Under this method, convertible preferred stock is assumed to be converted at the beginning of the period (or at the time of issuance, if later), and preferred dividends (if any) will be added back to determine income applicable to common stock. The shares issuable upon conversion will be added to weighted average number of common stock outstanding. Conversion will be assumed only if it reduces earnings per share (or increases loss per share). **q****)**** Stock based compensation** Stock based compensation cost is measured at the grant date, based on the estimated fair value of the award and is recognized as expense over the employees requisite service period or vesting period on a straight-line basis. Share-based compensation expense recognized in the consolidated statements of operations for the year ended December 31, 2024 and 2023 is based on awards ultimately expected to vest and has been reduced for estimated forfeitures. This estimate will be revised in subsequent periods if actual forfeitures differ from those estimates. We have no awards with performance conditions and no awards dependent on market conditions. | F-11 | | | | | **ETHEMA HEALTH CORPORATION** **NOTES TO THE CONSOLIDATED FINANCIAL STATEMENTS** | 2. | Summary of significant accounting policies (continued) | | **r****)**** Financial instruments Risks** **** The Company is exposed to various risks through its financial instruments. The following analysis provides a measure of the Companys risk exposure and concentrations at the balance sheet date, December 31, 2024 and 2023. | | i. | Credit risk | | **** Credit risk is the risk that one party to a financial instrument will cause a financial loss for the other party by failing to discharge an obligation. Financial instruments that subject the Company to credit risk consist primarily of accounts receivable. Credit risk associated with accounts receivable is mitigated as only a percentage of the revenue billed to health insurance companies is recognized as income until such time as the actual funds are collected. The revenue is concentrated amongst several health insurance companies located in the US. In the opinion of management, credit risk with respect to accounts receivable is assessed as low. | | ii. | Liquidity risk | | **** Liquidity risk is the risk the Company will not be able to meet its financial obligations as they fall due. The Company is exposed to liquidity risk through its working capital deficiency of approximately $9.1million, and an accumulated deficit of approximately $44.4 million. The Company is dependent upon the raising of additional capital in order to implement its business plan. There is no assurance that the Company will be successful with future financing ventures, and the inability to secure such financing may have a material adverse effect on the Companys financial condition. In the opinion of management, liquidity risk is assessed as high, material and remains unchanged from that of the prior year. | | iii. | Market risk | | **** Market risk is the risk that the fair value or future cash flows of a financial instrument will fluctuate because of changes in market prices. Market risk comprises of three types of risk: interest rate risk, currency risk, and other price risk. The Company is exposed to interest rate risk and currency risk. | | a. | Interest rate risk | | **** Interest rate risk is the risk that the fair value or future cash flows of a financial instrument will fluctuate because of changes in market interest rates. The Company is exposed to interest rate risk on its convertible debt, promissory notes, short term loans, receivables funding third party loans and government assistance loans as of December 31, 2024. In the opinion of management, interest rate risk is assessed as moderate. | | b. | Currency risk | | **** Currency risk is the risk that the fair value or future cash flows of a financial instrument will fluctuate because of changes in foreign exchange rates. The Company has limited exposure to assets and liabilities denominated in foreign currencies. The Company has not entered into any hedging agreements to mitigate this risk. In the opinion of management, currency risk is assessed as low, immaterial and remains unchanged from that of the prior year. | | c. | Other price risk | | **** Other price risk is the risk that the fair value or future cash flows of a financial instrument will fluctuate because of changes in market prices (other than those arising from interest rate risk or currency risk), whether those changes are caused by factors specific to the individual financial instrument or its issuer, or factors affecting all similar financial instruments traded in the market. In the opinion of management, the Company is not exposed to this risk and remains unchanged from the prior year. | | d. | Concentration of customers | | During the years ended December 31, 2024 and 2023, the Company derived approximately 100% of its in-patient revenues from a group of commercial healthcare insurers. Any adverse change in policy towards the treatment of substance abuse patients adopted by a majority of the group of commercial healthcare insurers will have a significant impact on the Company. **s****)**** Recent accounting pronouncements** **** The Financial Accounting Standards Board (FASB) issued additional updates during the year ended December 31, 2024. None of these standards are either applicable to the Company or require adoption at a future date and none are expected to have a material impact on the Companys consolidated financial statements upon adoption. **t) Comprehensive income (loss)** **** Comprehensive income is defined as the change in equity of a company during a period from transactions and other events and circumstances excluding transactions resulting from investments from owners and distributions to owners. The Company does not have any comprehensive income (loss) for the periods presented. **u)****Segment information** The Companys Chief Executive Officer and President (CEO) is our chief operating decision maker (CODM) and evaluates performance and makes operating decisions about allocating resources based on financial data presented on a consolidated basis. Because our CODM evaluates financial performance on a consolidated basis, the Company has determined that it operates as a single reportable segment composed of the financial results of Ethema Health Corporation. | F-12 | | | | | **** **ETHEMA HEALTH CORPORATION** **NOTES TO THE CONSOLIDATED FINANCIAL STATEMENTS** **** | 3. | Going concern | | **** The accompanying consolidated financial statements have been prepared on a going-concern basis, which contemplates the realization of assets and the satisfaction of liabilities in the normal course of business. For the year ended December 31, 2024, the Company incurred operating losses of $1.3 million and had a negative cash flow from operating activities of 0.5 million. As of December 31, 2024, the Company had an accumulated deficit of $44.4 million, working capital deficiency of $9.1million and total liabilities in excess of total assets of $7.5million. These matters raise substantial doubt about Companys ability to continue as a going concern. Management believes that current available resources will not be sufficient to fund the Companys planned expenditures over the next 12 months. Accordingly, the Company will be dependent upon the raising of additional capital through placement of common shares, and/or debt financing in order to implement its business plan and generating sufficient revenue in excess of costs. If the Company raises additional capital through the issuance of equity securities or securities convertible into equity, stockholders will experience dilution, and such securities may have rights, preferences or privileges senior to those of the holders of common stock or convertible senior notes. If the Company raises additional funds by issuing debt, the Company may be subject to limitations on its operations, through debt covenants or other restrictions. If the Company obtains additional funds through arrangements with collaborators or strategic partners, the Company may be required to relinquish its rights to certain geographical areas, or techniques that it might otherwise seek to retain. There is no assurance that the Company will be successful with future financing ventures, and the inability to secure such financing may have a material adverse effect on the Companys financial condition. Based on the uncertainties described above, the Company believes its business plan does not alleviate the existence of substantial doubt about its ability to continue as a going concern within one year from the date of the issuance of these consolidated financial statements. The accompanying consolidated financial statements do not include any adjustments to the amounts and classifications of assets and liabilities that might be necessary should the Company be unable to continue as a going concern. | 4. | Disposal of subsidiary | | On June 30, 2023, the Company entered into an exchange agreement with Leonite Capital, LLC, whereby it exchanged the 400,000 Series B shares with a value of $400,000 plus accrued dividends thereon of $61,184 for its entire shareholding in its property owning subsidiary, Cranberry Cove Holdings. The Series B shares were cancelled upon consummation of the transaction. Immediately prior to the disposal of Cranberry Cove Holdings, the Company assumed the loan owed to a third party of $779,005 and the loan owing to Leon Developments of $1,973,837, Leon developments, a related party, owned by the Companys CEO, Shawn Leon. In addition, the Company forgave the intercompany debt owing by Cranberry Cove Holdings of $4,566,848. The assets and liabilities disposed of were as follows: | Schedule of assets and liabilities Disposal | | Net book value | | | Assets | | | | | | | Other receivable | | $ | 12,015 | | | | Property and equipment | | | 2,420,499 | | | | | | | 2,432,514 | | | | Liabilities | | | | | | | Accounts payable and accrued liabilities | | | (196,859 | ) | | | Government assistance loans | | | (45,317 | ) | | | Mortgage loan | | | (3,525,223 | ) | | | | | | (3,767,399 | ) | | | | | | | | | | Disposal of subsidiary to related party recorded as additional paid in capital | | $ | (1,334,885 | ) | | The minority stockholders interest related to the Series A preferred stock in Cranberry Cove Holdings of $700,000 was recorded as a deemed contribution to the Company and credited to additional paid in capital, resulting in a total credit to additional paid in capital of $2,034,885. The cancellation of the Series B shares, which were owned by Leonite Capital, a related party, was deemed to be an extinguishment of debt by a related party and recorded as a credit to additional paid in capital of $461,184. | F-13 | | | | | **ETHEMA HEALTH CORPORATION** **NOTES TO THE CONSOLIDATED FINANCIAL STATEMENTS** | 5. | Acquisition of minority stockholders interest in ATHI | | **** On May 15, 2024, the Company entered into a Stock Purchase Agreement whereby it acquired the remaining 25% of ATHI representing 5,000,000 shares from the minority stockholder for gross proceeds of $1,100,000. The Company paid an initial deposit of $25,000 and on closing an additional $600,000. The Company issued a non-interest-bearing promissory note for the remaining balance of $475,000, which promissory note is repayable in installments of $10,000 a month on each monthly anniversary date of the agreement for months one to eight (eight installments) and months ten through seventeen (eight instalments), and payments of $157,500 on month nine and month eighteen, for a total of $475,000. The acquisition of the minority stockholders interest was accounted for in terms of ASC 810, Consolidation. | Schedule of acquisition | | | | | | | | | Amount | | | | Purchase price | | | | | | | Cash | | $ | 625,000 | | | | Promissory note | | | 475,000 | | | | Total | | | 1,100,000 | | | | Allocation of purchase price | | | | | | | Minority stockholders interest | | | 101,842 | | | | Additional paid in capital | | | (1,201,842 | ) | | | Total | | $ | (1,100,000 | ) | | | 6. | Acquisition of Boca Cove Detox | | **** On March 22, 2024, the Company executed a LOI to acquire certain assets, including furniture, equipment inventory and supplies of Boca Cove Detox, LLC, along with the assignment of lease and sub-lease for premises located at 899 Meadow Avenue, Boca Raton, Florida. On May 1, 2024 the Company, through its subsidiary Evernia Health Center LLC, entered into a Definitive Agreement whereby the Company would assume the lease for suites 100,101, 201, 202 and 203 located at 899 Meadows Road, Boca Raton, Florida (the Leased Premises) and the furniture, fixtures and equipment located therein, upon the assignment of the lease from the property owner. The lease was assigned on June 10, 2024 and the Company entered into a Bill of Sale to give effect to the Definitive Agreement. The purchase price was $240,000 which was settled by a deposit of $20,000 and a cash payment of $220,000 and the payment to the Seller of $83,393 for the assumption of the security deposit held by the landlord of the Leased Premises located at 899 Meadows Road. | Schedule of acquisition of boca cove detox | | | | | | | | | Amount | | | Purchase price | | | | | | | Cash | | $ | 323,393 | | | | Allocation of purchase price | | | | | | | Property and equipment | | | 240,000 | | | | Deposit assumed on leased premises | | | 83,393 | | | | Total | | $ | 323,393 | | | | 7. | Property and equipment | | **** **Acquisition and simultaneous disposition of property** **** On October 3, 2022 the Company entered into a purchase and sale agreement with Evernia Station Limited Partnership for the purchase of 950 Evernia Street, West Palm Beach, Florida (950), the property in which it operates its treatment center, for gross proceeds of $5,500,000. (Purchase Agreement). The closing was originally scheduled for February 1, 2023, however through a series of 6 addendums to the Purchase Agreement requiring the payment of a total $180,000 in extension fees, the Closing was extended to August 3, 2023. On February 27, 2023 the Company signed a listing agreement with Stream Capital Partners listing 950 for sale at a price of $9,568,000 with the intention of identifying a buyer that would purchase and then potentially enter into a lease agreement with the Company. | F-14 | | | | | **ETHEMA HEALTH CORPORATION** **NOTES TO THE CONSOLIDATED FINANCIAL STATEMENTS** | 7. | Property and equipment (continued) | | **** **Acquisition and simultaneous disposition of property (continued)** On May 4, 2023 the Company signed a Letter of Intent with Pontus Net Lease Advisers, LLC to sell 950 for $8,500,000 and lease the property to the Company for a term of twenty years with two ten year extensions. On May 19, 2023, the Company signed a purchase and sale agreement with Pontus Net Lease Advisors to sell 950 for $8,500,000. On August 4, 2023, the Company completed both the purchase of 950 from Evernia Station Limited Partnership and the subsequent sale of 950 to Pontus Net Lease Advisors, LLC. Simultaneously with the closing of the purchase and sale agreements, on August 4, 2023, the Company entered into a long term lease for 950 with an initial term of twenty years, and two ten year extension options. The lessor is Pontus EHC Palm Beach, LLC, a Delaware limited liability company and a portfolio company of Pontus Net Lease Advisors, LLC. The lease is absolutely net and the lease cost for the initial year is $748,000 paid monthly. The lease increases at a rate of 2.75% per year for a total term lease obligation of $19,595,653 over the initial twenty-year term. The Lease is personally guaranteed by the Company President and the guarantee may be released after 5 years based on certain financial and performance metrics being met. The Company paid gross proceeds of $1,449,000 to Leonite Capital and Leonite Fund I, LP in settlement of all amounts outstanding to both entities. In addition, $65,450 was paid to Ed Blasiak to settle the convertible promissory note owing to him, $179,474 was paid to Joshua Bauman to settle a convertible promissory note owing to him and $260,548 was paid to Mirage Realty, LLC to settle the senior secured promissory note owing to them. The details of the property purchase and subsequent sale are as follows: | Schedule of property purchase and subsequent sale | | | | | | | | | Amount | | | Purchase of 950 Evernia Street property | | | | | | | Purchase price | | $ | 5,500,000 | | | | Fees and expenses related to property purchase | | | 109,276 | | | | Total acquisition cost | | | 5,609,276 | | | | | | | | | | | Proceeds on sale | | | 8,500,000 | | | | Fees and expenses related to disposal of the property | | | (406,552 | ) | | | Net proceeds on disposal of property | | | 8,093,448 | | | | | | | | | | | Gain on sale of property | | $ | 2,484,172 | | | **** **Acquisition of Boca Cove Detox** On May 1, 2024 the Company, through its subsidiary Evernia Health Center LLC, entered into a Definitive Agreement whereby the Company would assume the lease for suites 100,101, 201, 202 and 203 located at 899 Meadows Road, Boca Raton, Florida (the Leased Premises) and the furniture, fixtures and equipment located therein, upon the assignment of the lease from the property owner. The lease was assigned on June 10, 2024 and the Company entered into a Bill of Sale to give effect to the Definitive Agreement. The purchase price of the assets was $240,000. Property and equipment consists of the following: | Schedule of property and equipment | | | | | | | | | | | | | | | | | | | | | | | December 31, 2024 | | December 31, 2023 | | | | Useful lives | | Cost | | Accumulated depreciation | | Net book value | | Net book value | | | Leasehold improvements | Life of lease | | $ | 513,375 | | | $ | (137,330 | ) | | $ | 376,045 | | | $ | 371,308 | | | | Furniture and fittings | 6 years | | | 396,711 | | | | (93,282 | ) | | | 303,429 | | | | 104,715 | | | | Vehicles | 5 years | | | 55,949 | | | | (40,250 | ) | | | 15,699 | | | | 26,889 | | | | Computer equipment | 3 years | | | 9,372 | | | | (4,857 | ) | | | 4,515 | | | | 5,489 | | | | | | | $ | 975,407 | | | $ | (275,719 | ) | | $ | 699,688 | | | $ | 508,401 | | | Depreciation expense for the year ended December 31, 2024 and 2023 was $108,971 and $140,938, respectively. | F-15 | | | | | **** **ETHEMA HEALTH CORPORATION** **NOTES TO THE CONSOLIDATED FINANCIAL STATEMENTS** | 8. | Intangibles | | Intangible assets consist of the Companys estimate of the fair value of intangibles acquired with the acquisition of ATHI. The Company allocated the excess over the tangible assets acquired, less the liabilities assumed to the contract provided to the Company by a health care service provider. Intangible assets consist of the following: | Schedule of intangible assets | | | | | | | | | | | | | | | | | | | | | | | | | December 31, 2024 | | December 31, 2023 | | | | | Useful lives | | Cost | | Accumulated amortization | | Net book value | | Net book value | | | Health care Provider license | | 5 Years | | $ | 1,789,903 | | | $ | (1,252,932 | ) | | $ | 536,971 | | | $ | 894,952 | | | | | | | | | | | | | | | | | | | | | | | | The Company evaluates intangible assets for impairment on an annual basis during the last month of each year and at an interim date if indications of impairment exist. Intangible asset impairment is determined by comparing the fair value of the asset to its carrying amount with an impairment being recognized only when the fair value is less than carrying value and the impairment is deemed to be permanent in nature. The Company recorded $357,981in amortization expense for finite-lived assets for the years ended December 31, 2024 and 2023. Estimated future amortization expense is as follows: | Schedule of future amortization expense | | | | | | | | | | | | Amount | | | | 2025 | | | $ | 357,981 | | | | 2026 | | | | 178,990 | | | | Total estimated amortization expense | | | $ | 536,971 | | | | 9. | Leases | | **** The Company acquired ATHI on July 1, 2021, ATHIs wholly owned subsidiary had entered into an operating lease agreement for certain real property located at950 Evernia Street, West Palm Beach,Florida, with effect from February 1, 2019 for a period of three years, expiring on 1 February 2022. Under the terms of the lease agreement, the lease was extended during October 2021 for a further 5-year period until February 1, 2027. On October 3, 2022 the Company entered into a purchase and sale agreement with Evernia Station Limited Partnership for the purchase of 950 Evernia Street, West Palm Beach, Florida, the property in which it operates its treatment center, for gross proceeds of $5,500,000. On August 3, 2023, after 6 addendums to the agreement, the Company closed on the acquisition of the property. This resulted in the termination of the lease with Evernia station, resulting in the reversal of the remaining right-of-use asset of $1,226,080 and the associated operating lease liability of $1,328,803, which liability included $102,723 of accrued rental, which was offset against the rental expense. On August 4, 2023, the Company entered into a long-term lease for 950 Evernia Street, West Palm Beach, Florida with an initial term of twenty years, and two ten-year extension options. The lessor is Pontus EHC Palm Beach, LLC, a Delaware limited liability company and a portfolio company of Pontus Net Lease Advisors, LLC. The lease is absolutely net and the lease cost for the initial year is $748,000 paid monthly. The lease increases at a rate of 2.75% per year for a total term lease obligation of $19,595,653 over the initial twenty-year term. The Lease is personally guaranteed by the Company President and the guarantee may be released after 5 years based on certain financial and performance metrics being met. Due to the initial lease term of twenty years, the Company is not certain that the extension periods will be exercised at this point in time and accordingly, these have been excluded from the present value of the minimum future lease payments. To determine the present value of minimum future lease payments for operating leases at August 4, 2023, the Company was required to estimate a rate of interest that it would have to pay to borrow on a collateralized basis over a similar term in a similar economic environment (the "incremental borrowing rate" or "IBR"). The Company determined the appropriate IBR by identifying a reference rate and making adjustments that take into consideration financing options and certain lease-specific circumstances. For the reference rate, the Company used the Fannie Mae, in excess of $3,000,000 rate based on an 80% value to loan ratio, averaging the 15- and 30-year indicative rates, resulting in a rate of 7.70%. The Company determined that7.70% per annum was an appropriate incremental borrowing rate to apply to its real estate operating lease. The present value of the future minimum lease payments was valued at $9,333,953 on August 4, 2023. | F-16 | | | | | **** **ETHEMA HEALTH CORPORATION** **NOTES TO THE CONSOLIDATED FINANCIAL STATEMENTS** | 9. | Leases (continued) | | **** On May 1, 2024 the Company, through its subsidiary Evernia Health Center LLC, entered into a Definitive Agreement whereby the Company would assume the lease for suites 100, 101, 201, 202 and 203 located at 899 Meadows Road, Boca Raton, Florida (the Leased Premises) and the furniture, fixtures and equipment located therein, upon the assignment of the lease from the property owner. The lease was assigned on June 10, 2024 and the Company entered into a Bill of Sale to give effect to the Definitive Agreement. The assigned lease has a remaining term of 3 years, expiring on June 30, 2027, with an initial monthly lease cost of $21,843 from July 1, 2024 to December 31, 2024, escalating by 2.9% per annum, each annual period being a calendar year. To determine the present value of minimum future lease payments for operating leases at June 10, 2024, the Company was required to estimate a rate of interest that it would have to pay to borrow on a collateralized basis over a similar term in a similar economic environment (the "incremental borrowing rate" or "IBR"). The Company determined the appropriate IBR by identifying a reference rate and making adjustments that take into consideration financing options and certain lease-specific circumstances. For the reference rate, the Company used the Bank rate 3/1 adjustable-rate mortgage which represents the average rate for several mortgage lenders in the market of 6.36%. The Company determined that6.36% per annum was an appropriate incremental borrowing rate to apply to its real estate operating lease. The present value of the future minimum lease payments was valued at $744,256 on June 10, 2024. Right of use assets are included in the consolidated balance sheet are as follows: | Schedule of right of use assets are included in the consolidated balance | | | | | | | | | | | | | December 31, 2024 | | December 31, 2023 | | | Non-current assets | | | | | | | | | | | Right-of-use assets finance leases, net of depreciation, included in Property and equipment | | $ | 15,699 | | | $ | 26,889 | | | | Right-of-use assets - operating leases, net of amortization | | $ | 9,920,592 | | | $ | 9,323,723 | | | Lease costs consists of the following: | Schedule of lease costs | | | | | | | | | Year ended December 31, | | | | | 2024 | | 2023 | | | Finance lease cost: | | | | | | | | | | | Amortization of right-of-use assets | | $ | 11,190 | | | $ | 11,190 | | | | Interest expense on finance lease liabilities | | | 1,402 | | | | 1,938 | | | | Total finance lease cost | | | 12,592 | | | | 13,128 | | | | | | | | | | | | | | | Operating lease cost | | $ | 1,304,127 | | | $ | 598,336 | | | | LeaLease costse cost | | $ | 1,316,719 | | | $ | 611,464 | | | **** Other lease information: | Schedule of other lease | | | | | | | | | | | | | Year ended December 31, | | | | | 2024 | | 2023 | | | Cash paid for amounts included in the measurement of lease liabilities | | | | | | | Operating cash flows from finance leases | | $ | (1,402 | ) | | $ | (1,938 | ) | | | Operating cash flows from operating leases | | | (999,883 | ) | | | (600,299 | ) | | | Financing cash flows from finance leases | | | (8,478 | ) | | | (7,943 | ) | | | Cash paid for amounts included in the measurement of lease liabilities | | $ | (1,009,763 | ) | | $ | (610,180 | ) | | | | | | | | | | | | | | Weighted average lease term finance leases | | | 1 years and ten months | | | | 2 years and ten months | | | | Weighted average remaining lease term operating leases | | | 17 years and 8 months | | | | 19 years and 8 months | | | | | | | | | | | | | | | Discount rate finance leases | | | 6.60 | % | | | 6.60 | % | | | Discount rate operating leases | | | 7.61 | % | | | 7.70 | % | | **** | F-17 | | | | | **** **ETHEMA HEALTH CORPORATION** **NOTES TO THE CONSOLIDATED FINANCIAL STATEMENTS** | 9. | Leases (continued) | | **** **Maturity of Leases** **** **Finance lease liability** The amount of future minimum lease payments under finance leases as of December 31, 2023 is as follows: | Schedule of future minimum lease payments under finance leases | | | | | | | | | Amount | | | 2025 | | $ | 9,829 | | | | 2026 | | | 6,195 | | | | 2027 | | | 1,707 | | | | Total finance lease | | | 17,731 | | | | Imputed interest | | | (1,309 | ) | | | Total finance lease liability | | $ | 16,422 | | | | Disclosed as: | | | | | | | Current portion | | $ | 9,829 | | | | Non-Current portion | | | 6,593 | | | | Lease liability | | $ | 16,422 | | | **Operating lease liability** The amount of future minimum lease payments under operating leases are as follows: | Schedule of future minimum lease payments under operating leases | | | | | | | | | Amount | | | | | | | | 2025 | | $ | 1,045,192 | | | | 2026 | | | 1,074,288 | | | | 2027 | | | 961,526 | | | | 2028 | | | 841,379 | | | | 2029 and thereafter | | | 15,358,663 | | | | Total undiscounted minimum future lease payments | | | 19,281,048 | | | | Imputed interest | | | (9,032,492 | ) | | | Total operating lease liability | | $ | 10,248,556 | | | | | | | | | | | Disclosed as: | | | | | | | Current portion | | $ | 299,102 | | | | Non-Current portion | | | 9,949,454 | | | | Lease liability | | $ | 10,248,556 | | | | 10. | Short-term Convertible Notes | | The short-term convertible notes consist of the following: | Schedule of short-term convertible notes | | | | | | | | | | | | | | | | | | | | | | | | | | | Interest rate | | Maturity Date | | Principal | | Interest | | December 31, 2024 | | December 31, 2023 | | | | | | | | | | | | | | | | | | | | | | | | | | | | Auctus Fund, LLC | | | 0.0 | % | | On Demand | | $ | 70,000 | | | $ | | | | $ | 70,000 | | | $ | 70,000 | | | | | | | | | | | | | | | | | | | | | | | | | | | | | Joshua Bauman | | | 10.0 | % | | August 9, 2024 | | | 120,776 | | | | 13,068 | | | | 133,844 | | | | 121,766 | | | | | | | | | | | | | | | | | | | | | | | | | | | | | Series N convertible notes | | | 6.0 | % | | December 31, 2024 to December 31, 2025 | | | 2,779,000 | | | | 990,401 | | | | 3,769,401 | | | | 4,228,161 | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | $ | 2,969,776 | | | $ | 1,003,469 | | | $ | 3,973,245 | | | $ | 4,419,927 | | | **** | F-18 | | | | | **** **ETHEMA HEALTH CORPORATION** **NOTES TO THE CONSOLIDATED FINANCIAL STATEMENTS** | 10. | Short-term Convertible Notes (continued) | | **Auctus Fund, LLC** On August 7, 2019, the Company, entered into a Securities Purchase Agreement with Auctus Fund, LLC, pursuant to which the Company issued a Convertible Promissory Note in the aggregate principal amount of $225,000. The Note had a maturity date ofMay 7, 2020and bore interest at the rate of ten percent per annum from the date on which the Note was issued until the same became due and payable, whether at maturity or upon acceleration or by prepayment or otherwise. The Company had the right to prepay the Note in terms of agreement. The outstanding principal amount of the Note is convertible at any time and from time to time at the election of Auctus Fund, LLC during the period beginning on the date that is 180 days following the issue date into shares of the Companys common stock at a conversion price equal to 60% of the lowest closing bid price of the Companys common stock for the thirty trading days prior to conversion. On June 15, 2020, The Company entered into an amended agreement with Auctus whereby the Company agreed to discharge the principal amount of the note by nine equal monthly installments of $25,000commencing in October 2020. During the year ended December 31, 2021, the Company repaid Auctus the principal sum of $50,000. During March 2022, the Company paid $20,000 of principal on the convertible note, thereby reducing the principal outstanding to $80,000. During February 2023, the Company paid $10,000 of principal on the convertible note, thereby reducing the principal outstanding to $70,000. The note matured May 7, 2020, Auctus Fund LLC has not declared a default and we are in constant discussion with the lender on settling the note.**** **Joshua Bauman** On August 9, 2023, the Company issued a convertible promissory note to Mr. Bauman, in the aggregate principal amount of $150,000. The note bears interest at10.0% per annum and matures on August 9, 2024. The note is convertible into shares of common stock at a conversion price at the option of the holder at $0.001 per share, adjusted for anti-dilution provisions. The note is convertible into common stock at the option of the holder after the expiration of six months from the issuance date, in addition, should the note reach its maturity date, August 9, 2024, the note will automatically convert into shares of common stock at the conversion price, subject to anti-dilution provisions. The note was not automatically converted into shares of common stock upon maturity and remains outstanding, although the note is in technical default, a default has not been declared and we are negotiating with the note holder on amending the terms or repaying the note. During November 2023 and December 2023, the company repaid $29,224 and $4,597 in principal and interest, respectively. No repayments were made during the year ended December 31, 2024. **** **Series N convertible notes** Between January 28, 2019 and June 11, 2020, the Company closed several tranches of Series N Convertible notes in which it raised $3,229,000 in principal from accredited investors through the issuance to the investors of the Companys Series N convertible notes, in the total original principal amount of $3,229,000, which Notes are convertible into the Companys common stock at a conversion price of $0.08per share together with three year warrants to purchase up to a total of52,237,500shares of the Companys common stock at an exercise price of $0.12per share. Both the conversion price under the Notes and the exercise price under the warrants are subject to standard adjustment mechanisms. The notes matured one year from the date of issuance. The maturity dates of the Series N convertible notes were extended to December 31, 2024, with the exception of 5 series N convertible notes issued to one investor with an aggregate principal outstanding of $1,273,000, which was extended to December 31, 2025. No consideration was provided to the investors for the maturity date extensions. Between April 30, 2024 and May 10, 2024, three series N convertible note holders, converted principal of $450,000 into Series R promissory notes after the repayment of $151,475 of accrued interest. During the current year, the Company repaid $33,750 of accrued interest to certain Series N convertible note holders. | F-19 | | | | | **** **ETHEMA HEALTH CORPORATION** **NOTES TO THE CONSOLIDATED FINANCIAL STATEMENTS** | 11. | Short-term Notes | | The short term notes consist of the following: | Schedule of short-term notes | | | | | | | | | | | | | | | | | | | | | | | | | | | | | Description | | Interest Rate | | Maturity date | | Principal | | Accrued Interest | | Unamortized debt discount | | December 31, 2024 Amount | | December 31, 2023 Amount | | | LXR Biotech | | | 6.0 | % | | On Demand | | $ | 92,522 | | | $ | 31,787 | | | $ | | | | $ | 124,309 | | | $ | 129,184 | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | Mirage Realty | | | 10.0 | % | | March 15, 2024 | | | | | | | | | | | | | | | | | | | 236,421 | | | | | | | 6.0to18.0 | % | | November 15, 2024 | | | 600,000 | | | | 13,500 | | | | | | | | 613,500 | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | Third Party | | | 12.0 | % | | On demand | | | 239,474 | | | | 12,425 | | | | | | | | 251,899 | | | | 315,067 | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | Revolving line of credit | | | 60.0 | % | | May 1,2024 | | | | | | | | | | | | | | | | | | | | | | | | | | 60.0 | % | | May 14, 2024 | | | | | | | | | | | | | | | | | | | | | | | | | | 60.0 | % | | May 12, 2024 | | | | | | | | | | | | | | | | | | | | | | | | | | 60.0 | % | | July 14, 2024 | | | | | | | | | | | | | | | | | | | | | | | | | | 120.0 | % | | August 13, 2024 | | | 101,000 | | | | 61,576 | | | | | | | | 162,576 | | | | | | | | | | | 120.0 | % | | September 30, 2024 | | | 181,000 | | | | 77,589 | | | | | | | | 258,589 | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | Series R Promissory notes | | | 7.5 | % | | March 31, 2025 | | | 1,155,000 | | | | 38,447 | | | | (29,197 | ) | | | 1,164,250 | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | Totalconvertiblenotes payable | | | | | | | | $ | 2,368,996 | | | $ | 235,324 | | | $ | (29,197 | ) | | $ | 2,575,123 | | | $ | 680,672 | | | **** **LXR Biotech** On April 12, 2019, the Company, entered into a secured promissory note in the aggregate principal amount of CDN$133,130. The Note had a maturity date ofApril 11, 2020and bears interest at the rate of six percent per annum from the date on which the Note was issued. This note has not been repaid, is in default and remains outstanding. **Mirage Realty, LLC** On November 15, 2023, the Company, entered into a senior secured promissory note in the aggregate principal amount of $250,000for net proceeds of $223,500 after an original issue discount and fees of $26,500. The note earned interest at 10% per annum and originally matured on March 15, 2024. The maturity date was extended to April 15, 2024, with no change to the terms of the note or any additional consideration paid to the noteholder. On May 13, 2024, the Company repaid principal of $250,000 and accrued interest thereon of $15,000, thereby extinguishing the debt. On May 15, 2024, the Company, entered into a senior secured promissory note in the aggregate principal amount of $600,000. The note earns interest at 6% per annum for the first two months and 9% per annum for the following two months and 18% for the next two months. The note matured on November 15, 2024. The proceeds of the note were used to acquire the minority stockholder interest in ATHI, refer note 5 above. On October 29, 2024, the maturity date of the note was extended to January 2025 with interest accruing thereon at 18% per annum. On February 13, 2025, we received a further extension on this note to May 15, 2025 with interest thereon remaining at 18% per annum. **Third party note** On April 12, 2019, Eileen Greene, a related party, assigned CDN$1,000,000of the amount owed by the Company to her, to a third party. The loan bears interest at 12% per annum which the Company agreed to pay. During April and May 2023, the Company made interest repayments of CDN$35,000 (approximately $25,970) on the third-party loan. Between August 9 and August 10, 2023, the Company made principal repayments of CDN$345,890 ($257,775) and interest repayments of CDN$104,110 (approximately $77,515). On August 1, 2024, the Company repaid CDN$100,000 ($72,223) of which CDN$53,418 ($38,580) was allocated to principal and CDN$46,582 ($33,643) was allocated to interest repayment. **** | F-20 | | | | | **** **ETHEMA HEALTH CORPORATION** **NOTES TO THE CONSOLIDATED FINANCIAL STATEMENTS** | 11. | Short-term Notes (continued) | | **Revolving line of credit** On February 1, 2024 Ethema Health Corporation, American Treatment Holdings Inc, and Evernia Health Center LLC entered into a secured revolving line of credit agreement (Agreement) with Testing 123, LLC. The draw under the is limited to a maximum of 80% of the Receivables balance as provided to the Lender, subject to the maximum borrowing under the Term Loan Agreement of $1,000,000. The interest on the term loan is 5% per month and the default interest rate is 10% per month. The revolving credit line is valid for a period of two years and each draw will have a maturity date that is two months from the draw date, with an origination fee of $1,000 per draw. Each loan may be prepaid at any time without penalty. The Company will pay a commitment fee of $40,000 to the borrower in common shares on the completion of a public offering, unless no such offering takes place within a year, whereby the outstanding principal will be increased by $40,000. The revolving credit line is secured by all assets, tangible and intangible of the Company and its direct and indirect subsidiaries, American Treatment Holdings, Inc. and Evernia Health Center, LLC. **Series R senior secured promissory notes** **** Between April 15, 2024 and May 10, 2024, the Company entered into securities purchase agreements with accredited investors whereby the Company issued 6 senior secured promissory notes with an aggregate issue price of $660,000 for gross proceeds of $600,000. The promissory notes bear interest at 7.5% per annum, interest is payable quarterly at an increasing rate of 3%, 6%, 9% and 12% of the principal outstanding. The notes mature on March 31, 2025. Between May 2, 2024 and May 10, 2024, the company entered into exchange agreements with three investors, whereby the investors exchanged three series N notes with a principal amount outstanding of $450,000 for senior secured Series R promissory notes with an aggregate issue price of $495,000. The promissory notes bear interest at 7.5% per annum, interest is payable quarterly at an increasing rate of 3%, 6%, 9% and 12% of the principal outstanding. The notes mature on March 31, 2025. **** | 12. | Promissory Note | | On May 15, 2024, the Company entered into a Stock Purchase Agreement whereby it acquired the remaining 25% of ATHI representing5,000,000shares from the minority stockholder for gross proceeds of $1,100,000. The Company paid an initial deposit of $25,000and on closing an additional $600,000. The Company issued a non-interest bearing promissory note for the remaining balance of $475,000, which promissory note is repayable in instalments of $10,000a month on each monthly anniversary date of the agreement for months one to eight (eight instalments) and months ten through seventeen (eight instalments), and payments of $157,500 on month nine and month eighteen, for a total of $475,000. | Schedule of promissory note | | | | | | | | | | | | | December 31, 2024 | | December 31, 2023 | | | | | | | | | | Promissory note issued | | $ | 475,000 | | | $ | | | | | Repayments | | | (70,000 | ) | | | | | | | | | $ | 405,000 | | | $ | | | | | Disclosed as: | | | | | | | | | | | Current portion | | $ | 405,000 | | | $ | | | | | 13. | Receivables funding | | **June 2, 2023 Funding** On June 2, 2023, the Company through its subsidiary, Evernia Health Center, LLC entered into a Receivables Sale Agreement with Bizfund.com (Bizfund), whereby $198,000 of the Receivables of Evernia were sold to Bizfund, for gross proceeds of $150,000, made up of a cash payment to the Company of $75,750 and the transfer of $74,250 of the January 19, 2023, outstanding principal to the June 2, 2023 funding agreement. The Company is obliged to pay 15.0% of the receivables until the amount of $198,000 is paid in full, with periodic repayments of $4,950 per week. The guarantor of the funding was the previous minority stockholder in ATHI. The Company made weekly cash payments of $4,950totaling $198,000by March 12, 2024, thereby extinguishing the debt. | F-21 | | | | | **** **ETHEMA HEALTH CORPORATION** **NOTES TO THE CONSOLIDATED FINANCIAL STATEMENTS** | 13. | Receivables funding (continued) | | **September 15, 2023 Funding**** On September 15, 2023, the Company, through its subsidiary, Evernia Health Center, LLC entered into a Receivables Sale Agreement with Itria Ventures LLC (Itria), whereby $320,000 of the Receivables of Evernia were sold to Itria, for gross proceeds of $250,000. The Company also incurred fees of $3,000, resulting in net proceeds of $247,500. The Company was obliged to pay $6,667 per week until the amount of $320,000 was paid in full. The guarantor of the funding was the previous minority stockholder in ATHI. The Company made weekly cash payments of $6,667totaling $320,000by August 10, 2024, thereby extinguishing the debt. **May 30, 2024 Funding** On May 30, 2024, the Company, through its subsidiary, Evernia Health Center, LLC entered into a Receivables Sale Agreement with Fortunate Sons (Fortunate), whereby $375,000of the Receivables of Evernia were sold to Fortunate for gross proceeds of $300,000. The Company also incurred fees of $5,000, resulting in net proceeds of $295,000. The Company is obliged to pay $10,750per week commencing 4 weeks after the agreement was entered into until the amount of $375,000is paid in full. The proceeds of the receivables funding was used to acquire the assets of Boca Cove Detox. The Company has repaid $118,250and the balance outstanding as of December 31, 2024 was $247,998, net of unamortized debt discount of $8,752. **August 30, 2024 Funding**** On August 30, 2024, the Company, through its subsidiary, Evernia Health Center, LLC entered into a Receivables Sale Agreement with Itria Ventures LLC (Itria), whereby $312,500of the Receivables of Evernia were sold to Itria, for gross proceeds of $150,000. The Company also incurred fees of $2,000, resulting in net proceeds of $148,000. The Company is obliged to pay $4,808per week until the amount of $187,500is paid in full. The Company made weekly cash payments of $8,013totaling $136,218and the balance outstanding as of December 31, 2024 was $153,877, net of unamortized debt discount of $22,405. **October 9, 2024 Funding**** On October 9, 2024, the Company, through its subsidiary, Evernia Health Center, LLC entered into a Receivables Sale Agreement with Itria Ventures LLC (Itria), whereby $187,500of the Receivables of Evernia were sold to Itria, for gross proceeds of $150,000. The Company also incurred fees of $2,000, resulting in net proceeds of $148,000. The Company is obliged to pay $4,808per week until the amount of $187,500is paid in full. The Company made weekly cash payments of $4,808totaling $52,885and the balance outstanding as of December 31, 2024 was $114,372, net of unamortized debt discount of $20,243. | 14. | Government assistance loans | | On May 3, 2021, ARIA was granted a government assistance loan in the aggregate principal amount of $157,367. The loan is forgivable if the Company demonstrates that the proceeds were used for expenses such as employee costs during the pandemic. Should the loan not be forgiven, interest is payable on the loan at the rate of 1% per annum and the principal is repayable and interest is payable over an 18-month period. On September 21, 2022, ARIA received partial forgiveness of the government assistance loan of $104,368, the balance of the loan plus accrued interest is due and payable. On December 30, 2022, the Company sold ARIA to its Chairman and CEO and agreed to assume the repayment of the government assistance loan. As of December 31, 2024, the balance outstanding, including interest thereon was $21,237. | F-22 | | | | | **** **** **ETHEMA HEALTH CORPORATION** **NOTES TO THE CONSOLIDATED FINANCIAL STATEMENTS** | 15. | Related party payables | | | Schedule of related party payable | | | | | | | | | | | | | December 31, | | December 31, | | | | | 2024 | | 2023 | | | Related party payables | | | | | | | | | | | Shawn E. Leon | | $ | 144,353 | | | $ | 61,267 | | | | Leon Developments Ltd. | | | | | | | 1,092,701 | | | | Eileen Greene | | | 488,965 | | | | 1,418,324 | | | | Total related party payables | | $ | 633,318 | | | $ | 2,572,292 | | | | | | | | | | | | | | | Related party advance | | | | | | | | | | | Eileen Greene | | | | | | | | | | | Principal outstanding | | $ | 285,000 | | | $ | | | | | Repayments | | | (11,539 | ) | | | | | | | | | | 273,461 | | | | | | | | | | | | | | | | | | | Debt discount at inception | | | (35,000 | ) | | | | | | | Amortization of debt discount | | | 26,505 | | | | | | | | | | | (8,495 | ) | | | | | | | | | | | | | | | | | | Total Related party advances | | $ | 264,966 | | | $ | | | | **Shawn E. Leon** **** At December 31, 2024 and December 31, 2023, the Company had a payable to Shawn Leon of $144,353and$61,267, respectively. Mr. Leon is a director and CEO of the Company. The balances receivable and payable are non-interest bearing and have no fixed repayment terms. During the years ended December 31, 2024 and 2023, Mr. Leon forfeited management fees due to him. During July 2024, the related party payable of $1,092,701owing to Leon Developments and $500,000 of the related party payable to Eileen Greene was assigned by the respective parties to Mr. Leon. On July 12, 2024, Mr. Leon converted $1,500,000 of the related party payable into 3,000,000,000 shares of common stock at a conversion price of $0.0005 per share. On September 27, 2024, Mr. Leon converted $6,000 of the related party payable into 600,000 shares of Series A Preferred stock at a conversion price of $0.01 per share. **Leon Developments, Ltd.** **** Leon Developments is owned by Shawn Leon, the Companys CEO and director. As of December 31, 2024 and December 31, 2023, the Company owed Leon Developments, Ltd., $0and $1,092,701, respectively. During July 2024, the related party payable of $1,092,701owing to Leon Developments was assigned by Leon Developments to Mr. Leon. **Eileen Greene** **** During July 2024, Ms. Greene assigned $500,000 of the Related party payable to her to Mr. Leon. On July 12, 2024, Ms. Greene converted $500,000 of the related party payable into 1,000,000,000 shares of common stock at a conversion price of $0.0005 per share. On July 4, 2024, Ms. Greene advanced the Company $250,000 with an original issue discount of $35,000, totaling $285,000. The amount is being repaid in instalments of $5,769 as and when the Company has the cash flow to make the payments, the loan is expected to be fully repaid in June 2025 or earlier depending on cash flow. At December 31, 2024, the Company owed Eileen Greene, the spouse of its CEO, Shawn Leon, related party payables of $488,965and related party advances of $264,966, net of unamortized debt discount of $8,495. At December 31, 2023, The Company owed Eileen Greene, related party payables of $1,418,324. The amounts owing to Ms. Greene are non-interest bearing and has no fixed repayment terms. | F-23 | | | | | ETHEMA HEALTH CORPORATION NOTES TO THE CONSOLIDATED FINANCIAL STATEMENTS | 15. | Related party payables (continued) | | **Leonite Capital, LLC and Leonite Fund I, LLP** **** Leonite Capital is considered a related party due to its previous investment of $700,000 in Series A Preferred stock interest in CCH, which was previously a wholly owned subsidiary of the Company, and its previous investment of $400,000 in Series B Preferred stock of the Company, as of December 31, 2022. Prior to the disposal of CCH to Leonite Capital on June 30, 2023, and the simultaneous cancellation of the Series B Preferred stock as discussed below, the accrued dividends on the CCH Series A Preferred shares was $184,545 and the accrued dividends on the Series B Preferred shares was $61,184. On June 30, 2023, the Company entered into an exchange agreement with Leonite Capital whereby it exchanged the 400,000 Series B shares with a value of $400,000 plus accrued dividends thereon of $61,184 for its entire stockholding in its property owning subsidiary, Cranberry Cove Holdings. The Series B shares and the accrued dividends thereon were extinguished and cancelled upon consummation of the transaction. Due to the related party nature of the transaction, the net result of the disposal of $1,334,885 and the $700,000 of the CCH Series A Preferred shares, totaling $2,034,885, was recorded as a credit to additional paid-in-capital. In addition, due to the related party nature of the transaction, the cancellation of the Series B Preferred stock, of $400,000 and the dividends thereon of $61,184, totaling $461,184, was recorded as an extinguishment of debt reflected in additional paid-in-capital. On August 4, 2023, the company repaid Leonite Capital $1,449,000 consisting of repayments of short-term convertible notes of $995,257, promissory notes of $420,069, additional penalty on settlement of $5,236 and a personal loan by Leonite to Shawn Leon of $28,438, which repayment reduced the related party payable to Shawn Leon, as disclosed above. All related party transactions occur in the normal course of operations and in terms of agreements entered into between the parties. | 16. | Stockholders deficit | | | | a. | Common shares | | **Authorized and outstanding** The Company has authorized10,000,000,000shares with a par value of $0.01per share.The company has issued 7,729,053,805 and 3,729,053,805 shares of common stock at December 31, 2024 and December 31, 2023, respectively. On July 12, 2024, the Company issued 4,000,000,000 shares of common stock to Mr. Shawn Leon, the company CEO and his spouse, Ms. Eileen Greene, both related parties, for the conversion of $2,000,000 of related party payables, see note 15 above. On November 17, 2024, the Company entered into a subscription agreement with a party related to Shawn Leon, whereby 165,000,000 shares of common stock were subscribed for at $0.0012 per share, for gross proceeds of $198,000. These shares have not been issued yet and the proceeds of $198,000 is recorded as a Share subscription liability until such time as the common shares are issued. | | b. | Series A Preferred shares | | **** **Authorized, issued and outstanding** The Company has authorized10,000,000Series A preferred shares with a par value of $0.01per share.The company has issued and outstanding4,765,000 and 4,000,000 Series A Preferred shares at December 31, 2024 and December 31, 2023, respectively. On September 27, 2024, the Company issued 600,000 shares of Series A Preferred stock to Mr. Shawn Leon for the conversion of $6,000 of related party payables, see note 15 above. On November 17, 2024, 165,000 shares of Series A Preferred stock was sold to a relative of Mr. Leon for gross proceeds of $1,650. | | c. | Series B Preferred shares | | Authorized and outstanding The Company has authorized 400,000 Series B preferred shares with a par value of $1.00 per share.The company has no issued and outstandingSeries B Preferred shares at December 31, 2024 and December 31, 2023. The Series B preferred shares were senior secured and were mandatorily redeemable by the Company on July 1, 2021, and were originally classified as mezzanine debt. These Series B preferred shares meet the definition of liabilities in terms of ASC 480- debt and are no longer contingently convertible, due to the fact that the redemption date has passed. On June 30, 2023, the Company entered into an exchange agreement with Leonite Capital whereby it exchanged the shares in its wholly owned subsidiary, CCH for the return and cancellation of the Series B preferred shares, together with the dividends accrued thereon. Refer to note 4 above. | F-24 | | | | | ETHEMA HEALTH CORPORATION NOTES TO THE CONSOLIDATED FINANCIAL STATEMENTS | 16. | Stockholders deficit (continued) | | | | d. | Stock options | | Our board of directors adopted the Greenstone Healthcare Corporation 2013 Stock Option Plan (the Plan) to promote our long-term growth and profitability by (i) providing our key directors, officers and employees with incentives to improve stockholder value and contribute to our growth and financial success and (ii) enable us to attract, retain and reward the best available persons for positions of substantial responsibility. A total of10,000,000shares of our common stock have been reserved for issuance upon exercise of options granted pursuant to the Plan. The Plan allows us to grant options to our employees, officers and directors and those of our subsidiaries, provided that only our employees and those of our subsidiaries may receive incentive stock options under the Plan.Wehave no issued options at December 31, 2024 under the Plan. | | e. | Warrants | | All of the warrants have cashless exercise terms whereby in-the-money warrants may be exercised by reducing the number of shares issued in terms of the warrant exercise to offset the proceeds due on the exercise. All of the warrants have price protection features whereby any securities issued subsequent to the date of the warrant issuance date, were issued at a lower price, or have conversion features that are lower than the current exercise price, or were converted at a lower price, or are exercisable at a lower price, to the current warrant exercise price, will result in the exercise price of the warrant being set to the lower issue, conversion or exercise price. **Warrant exchange agreement** On June 28, 2023 the Company entered into a Warrant Exchange Agreement with Leonite that exchanged a Warrant outstanding to Leonite originally issued on June 12, 2020 for a new Warrant dated June 30, 2023. The substantial changes to the warrant affect the number of shares in the warrant, the exercise price and the term. The original warrant provided for Leonite to have a continuing right to purchase a 20% share of the outstanding common shares until it expired on June 12, 2025 which was originally set at 326,286,847 shares. The new warrant is exercisable for 745,810,761 shares, 20% of the current number of common shares outstanding, with no allowance for adjustment, except normal adjustments due to splits or consolidations, until the new expiry date of June 30, 2027. The exercise price in the original warrant was $0.10, with allowance for adjustments, which when applied resulted in an exercise price of $0.0004 per share. The exercise price on the new warrant is $0.001 and is only adjustable if the Company issues any shares at a price less than the exercise price during the warrant period except for any issuance of shares to the Companys president or related parties on any debt outstanding to those parties as of June 30, 2023, and limited to a conversion price of $0.0005 per share. The Warrant Exchange agreement was conditional on Leonite receiving a full payment of all of its outstanding loans originally set as by July 20, 2023. This date was extended and all of the notes were repaid on August 4, 2023. Leonite held several notes at June 30, 2023, some of which were convertible into shares at variable rates, see notes 9 and 10 above. The total amount repaid to settle all of the outstanding liabilities was $1,449,000. The replacement warrants were valued effective June 30, 2023, the effective date of issuance of the warrants, as the difference between the fair value of the original warrant exercisable for 326,286,847 shares of common stock and the fair value of the replacement four-year warrant exercisable for 745,810,861 shares of common stock at an exercise price of $0.001 per share. The warrants were valued using a Black-Scholes valuation model. The following assumptions were used in the valuation model: | Schedule of assumptions | | | | | | | | | Year ended December 31, 2023 | | | Exercise price | | $ | 0.001 | | | | Risk free interest rate | | | 4.31to4.87 | % | | | Expected life of options | | | 2to4years | | | Expected volatility of underlying stock | | | 205.5to243.0 | % | | | Expected dividend rate | | | 0 | % | | | F-25 | | | | | ETHEMA HEALTH CORPORATION NOTES TO THE CONSOLIDATED FINANCIAL STATEMENTS | 16. | Stockholders deficit (continued) | | | | e. | Warrants(continued) | | A summary of the Companys warrant activity during the period from January 1, 2023 to December 31, 2024 is as follows: | Schedule of warrant activity | | | | | | | | | | | | | | | | | No. of shares | | Exercise price pershare | | Weighted average exercise price | | | | | | | | | | | | Outstanding as of January 1, 2023 | | | 602,852,506 | | | | $0.000675to $0.00205 | | | $ | 0.001306 | | | | Granted | | | 745,810,761 | | | | 0.001 | | | | 0.001 | | | | Forfeited/cancelled | | | (326,286,847 | ) | | | 0.000675 | | | | 0.000675 | | | | Exercised | | | | | | | | | | | | | | | Outstanding as of December 31, 2023 | | | 1,022,376,420 | | | | $0.001to $0.00205 | | | $ | 0.0012840 | | | | Granted | | | | | | | | | | | | | | | Forfeited/cancelled | | | | | | | | | | | | | | | Exercised | | | | | | | | | | | | | | | Outstanding as of December 31, 2024 | | | 1,022,376,420 | | | | $0.001to $0.00205 | | | $ | 0.0012840 | | | The following table summarizes information about warrants outstanding at December 31, 2024: | Schedule of warrants outstanding | Schedule of warrants outstanding | | | | | | | | | | | | | | | | | | | | | | | | | | | Warrants outstanding | | | Warrants exercisable | | | | Exercise price | | | No. of shares | | | Weighted average remaining years | | | Weighted average exercise price | | | No. of shares | | | Weighted average exercise price | | | | | | | | | | | | | | | | | | | | | | | $0.001 | | | | 745,810,761 | | | | 2.50 | | | $ | 0.001000 | | | | 745,810,761 | | | $ | 0.001000 | | | | $0.002050 | | | | 276,565,659 | | | | 1.01 | | | | 0.002050 | | | | 276,565,659 | | | | 0.002050 | | | | | | | | 1,022,376,420 | | | | 2.09 | | | $ | 0.001284 | | | | 1,022,376,420 | | | $ | 0.001284 | | | All of the warrants outstanding at December 31, 2024 are vested. The warrants outstanding at December 31, 2024 have an intrinsic value of $0. | 17. | Segment information | | The Company operates and manages its business as one reportable and operating segment, since the disposal of CCH on June 30, 2023, the Company only provides rehabilitation services to customers, these services are provided to customers at its Evernia, Addiction Recovery Institute of America facility. Prior to that date, the Company had two reportable segments and also derivedrental income from the property owned by its CCH subsidiary. The Companys CODM reviews financial information presented and decides how to allocate resources based on net operating income (loss). Net income (loss) is used for evaluating financial performance. Significant segment expenses include Salaries and wages, rent expense, professional fees, management fees, food expenses, marketing and advertising expenses, insurance expenses and depreciation and amortization expenses. Other operating expenses include all remaining costs necessary to operate our business, which primarily include other administrative expenses. The following table presents the significant segment expenses and other segment items regularly reviewed by our CODM: | F-26 | | | | | ETHEMA HEALTH CORPORATION NOTES TO THE CONSOLIDATED FINANCIAL STATEMENTS | 17. | Segment information (continued) | | The segment operatingresults of the one reportable segment for the year ended December 31, 2024 is disclosed as follows: | Schedule of segment information | | | | | | | | Year ended December 31, 2024 | | | | In Patient Services | | | | | | | | | | Revenue | | $ | 6,017,204 | | | | | | | | | | | Salaries and wages | | | 3,072,654 | | | | Rent expense | | | 1,304,127 | | | | Professional fees | | | 955,801 | | | | Management fees | | | | | | | Food expenses | | | 308,660 | | | | Marketing and advertising expenses | | | 371,229 | | | | Insurance expenses | | | 146,357 | | | | Depreciation and amortization expense | | | 466,952 | | | | Other operating expenses | | | 724,553 | | | | | | | | | | | Operating loss | | | (1,333,129 | ) | | | | | | | | | | Other (expense) income | | | | | | | Other income | | | 110,000 | | | | Other expense | | | (1,160 | ) | | | Interest income | | | 2,292 | | | | Interest expense | | | (565,343 | ) | | | Amortization of debt discount | | | (416,120 | ) | | | Foreign exchange movements | | | 37,523 | | | | Net (loss) before income taxes | | $ | (2,165,937 | ) | | | | | | | | | | The segment operatingresults of the reportable segments for the year ended December 31, 2023 is disclosed as follows: | | | | | | | | | | | | | | | | | | Year ended December 31, 2023 | | | | | Rental Operations | | In-Patient services | | Total | | | | | | | | | | | | Revenue | | $ | 180,522 | | | $ | 5,164,454 | | | $ | 5,344,976 | | | | | | | | | | | | | | | | | | | Salaries and wages | | | | | | | 2,656,267 | | | | 2,656,267 | | | | Rent expense | | | | | | | 614,793 | | | | 614,793 | | | | Professional fees | | | | | | | 707,413 | | | | 707,413 | | | | Management fees | | | 185,503 | | | | 182,500 | | | | 368,003 | | | | Food expenses | | | | | | | 260,921 | | | | 260,921 | | | | Marketing and advertising expenses | | | | | | | 142,462 | | | | 142,462 | | | | Insurance expenses | | | | | | | 150,478 | | | | 150,478 | | | | Depreciation and amortization expense | | | 59,921 | | | | 438,998 | | | | 498,919 | | | | Other operating expenses | | | 103 | | | | 487,537 | | | | 487,640 | | | | | | | | | | | | | | | | | | | Operating loss | | | (65,005 | ) | | | (476,915 | ) | | | (541,920 | ) | | | | | | | | | | | | | | | | | | Other (expense) income | | | | | | | | | | | | | | | Intercompany gain (loss) on debt forgiveness | | | 3,481,332 | | | | (3,481,332 | ) | | | | | | | Gain on disposal of property | | | | | | | 2,484,172 | | | | 2,484,172 | | | | Loss on debt extinguishment | | | | | | | (277,175 | ) | | | (277,175 | ) | | | Extension fee on property purchase | | | | | | | (140,000 | ) | | | (140,000 | ) | | | Penalty on convertible notes | | | | | | | (34,688 | ) | | | (34,688 | ) | | | Interest income | | | | | | | 676 | | | | 676 | | | | Interest expense | | | (95,464 | ) | | | (404,762 | ) | | | (500,226 | ) | | | Amortization of debt discount | | | | | | | (281,354 | ) | | | (281,354 | ) | | | Foreign exchange movements | | | (81,033 | ) | | | (13,999 | ) | | | (95,032 | ) | | | Net income (loss) before taxes | | $ | 3,239,830 | | | $ | (2,625,377 | ) | | $ | 614,453 | | | | F-27 | | | | | ETHEMA HEALTH CORPORATION NOTES TO THE CONSOLIDATED FINANCIAL STATEMENTS | 18. | Net (loss) income per common share | | For the year ended December 31, 2024, the following warrants exercisable for shares and convertible securities convertible into a number of shares were excluded from the computation of diluted net loss per share as the results would have been anti-dilutive. | Schedule of diluted net loss per share | | | | | | | | | Year ended December 31, 2024 | | | | | | | | Shares issuable upon exercise of warrants | | | 1,022,376,420 | | | | Shares issuable on conversion of convertible notes | | | 180,960,977 | | | | | | | 1,203,337,397 | | | For the year ended December 31, 2023, the computation of basic and diluted earnings per share is calculated as follows: | Schedule of earnings per share basic and diluted | | | | Number of | | Per share | | | | | Amount | | shares | | amount | | | | | | | | | | | | Basic earnings per share | | | | | | | | | | | | | | | Net income per share available for common stockholders | | $ | 1,129,374 | | | | 3,729,053,805 | | | $ | 0.00 | | | | | | | | | | | | | | | | | | | Effect of dilutive securities | | | | | | | | | | | | | | | Warrants | | | | | | | | | | | | | | | Convertible debt | | | 198,684 | | | | 174,617,879 | | | | 0.00 | | | | | | | | | | | | | | | | | | | Diluted earnings per share | | | | | | | | | | | | | | | Net income per share available for common stockholders | | $ | 1,328,058 | | | | 3,903,671,684 | | | $ | 0.00 | | | | F-28 | | | | | ETHEMA HEALTH CORPORATION NOTES TO THE CONSOLIDATED FINANCIAL STATEMENTS | 19. | Commitments and contingencies | | | | a. | Options granted to purchase shares in ATHI | | On July 12, 2020, the Company entered into a five year option agreement with Leonite Capital LLC (Leonite) and other investors (collectively the Transferees). The Company agreed to sell to Leonite a portion of the total outstanding shares of ATHI from the shares of ATHI held by the company. The Company provided Leonite an option to purchase 4,000,000 shares of ATHI from the Company for a purchase consideration of $0.0001 per share (a total consideration of $400), based on the advances that Leonite made to the Company totaling $396,000. Leonite shall share in all distributions by ATHI to the Company, on an as exercised basis, equal to the advances made by Leonite to the Company, thereafter the option will be reduced to 50% of the shares exercisable under the option. On September 14, 2020, the Company entered into a five year option agreement with Ed Blasiak (Blasiak) whereby the Company agreed to sell to Blasiak a portion of the total outstanding shares of ATHI. The Company provided Blasiak an option to purchase 571,428 shares of ATHI from the Company for a purchase consideration of $0.0001 per share (a total consideration of $57), based on the advances that Blasiak made to the Company totaling $50,000. Blasiak shall share in all distributions by ATHI to the Company, on an as exercised basis, equal to the advances made by Blasiak to the Company, thereafter the option will be reduced to 50% of the shares exercisable under the option. On October 29, 2020, the Company entered into a five year option agreement with First Fire whereby the Company agreed to sell to First Fire a portion of the total outstanding shares of ATHI. The Company provided First Fire an option to purchase 1,428,571 shares of ATHI from the Company for a purchase consideration of $0.0001 per share (a total consideration of $143), based on the advances that First Fire made to the Company totaling $120,000. First Fire shall share in all distributions by ATHI to the Company, on an as exercised basis, equal to the advances made by First Fire to the Company, thereafter the option will be reduced to 50% of the shares exercisable under the option. On October 29, 2020, the Company entered into a five year option agreement entered into with Bauman, so that the Company agreed to sell to Bauman a portion of the total outstanding shares of ATHI. The Company provided Bauman an option to purchase 1,428,571 shares of ATHI from the Company for a purchase consideration of $0.0001 per share (a total consideration of $143), based on the advances that Bauman made to the Company totaling $120,000. Bauman shall share in all distributions by ATHI to the Company, on an as exercised basis, equal to the advances made by Bauman to the Company, thereafter the option will be reduced to 50% of the shares exercisable under the option. | | b. | Other | | The Company has principal and interest payment commitments under the Convertible notes disclosed under Note 10 above. Conversion of these notes are at the option of the investor, if not converted these notes may need to be repaid. From time to time, the Company and its subsidiaries enter into legal disputes in the ordinary course of business. The Company believes there are no material legal or administrative matters pending that are likely to have, individually or in the aggregate, a material adverse effect on its business or results of operations. | 20. | Income taxes | | The Company is current in its US and Canadian tax filings as of December 31, 2022, tax filings are due for the Company as of December 31, 2023 and 2024. The Companys operations are based in the US and currently enacted tax laws in the US are used in the calculation of income taxes. | F-29 | | | | | ETHEMA HEALTH CORPORATION NOTES TO THE CONSOLIDATED FINANCIAL STATEMENTS | 20. | Income taxes (continued) | | **Federal Income Tax - United States** On December 22, 2017, the Tax Cuts and Jobs Act (the TCJA), which significantly modified U.S. corporate income tax law, was signed into law by President Trump.The TCJA contains significant changes to corporate income taxes, including but not limited to the reduction of the corporate income tax rate from a top marginal rate of35% to a flat rate of21%, limitation of the tax deduction for interest expense to30% of earnings (except for certain small businesses), limitation of the deduction for net operating losses to80% of current year taxable income and generally eliminating net operating loss carrybacks, allowing net operating losses to carryforward without expiration, one-time taxation of offshore earnings at reduced rates regardless of whether they are repatriated, elimination of U.S. tax on foreign earnings (subject to certain important exceptions), immediate deductions for certain new investments instead of deductions for depreciation expense over time, and modifying or repealing many business deductions and credits (including changes to the orphan drug tax credit and changes to the deductibility of research and experimental expenditures that will be effective in the future).Notwithstanding the reduction in the corporate income tax rate, the overall impact of the new federal tax law is uncertain, including to what extent various states will conform to the newly enacted federal tax law. Income taxes are computed using the asset and liability method. Under the asset and liability method, deferred income tax assets and liabilities are determined based on the differences between the financial reporting and tax bases of assets and liabilities and are measured using the currently enacted tax rates and laws. A full valuation allowance is provided for the amount of deferred tax assets that, based on available evidence, are not expected to be realized. It is the Companys policy to classify interest and penalties on income taxes as interest expense or penalties expense. As of December 31, 2024 and 2023, there have been no interest or penalties incurred on income taxes. The provision for income taxes consists of the following: | Schedule of provision for income taxes | | | | | | | | | | | | | Year ended December31, 2024 | | Year ended December31, 2023 | | | Current | | | | | | | | | | | Federal | | $ | | | | $ | 174,511 | | | | State | | | | | | | | | | | Foreign | | | | | | | | | | | Current, Total | | $ | | | | $ | 174,511 | | | | Deferred | | | | | | | | | | | Federal | | $ | | | | $ | 217,451 | | | | State | | | | | | | | | | | Foreign | | | | | | | | | | | Deferred, Total | | $ | | | | $ | 217,451 | | | | Tax Benefit | | $ | | | | $ | 391,962 | | | The income tax provision/ (benefit) is different from that which would be obtained by applying the statutory Federal income tax rate of21% and applicable state tax rates of 5.5% to income before income tax expense. The items causing this difference for the years ended December 31, 2024 and 2023 are as follows: | Schedule of items causing deference | | | | | | | | | | | | | Year ended December 31, 2024 | | Year ended December 31, 2023 | | | | | | | | | | Taxation credit (charge) at the federal and state statutory rate | | $ | 454,847 | | | $ | (129,035 | ) | | | State taxation | | | 79,277 | | | | 55,679 | | | | Prior year over provision | | | | | | | 174,511 | | | | Permanent differences | | | | | | | (257,015 | ) | | | Foreign tax rate differential | | | | | | | (181,036 | ) | | | Prior year net operating loss true up | | | | | | | 571,391 | | | | Forfeiture of net operating loss on disposal of subsidiary | | | | | | | (178,608 | ) | | | Valuation allowance | | | (534,124 | ) | | | 336,075 | | | | Net tax benefit (expense) | | $ | | | | $ | 391,962 | | | | F-30 | | | | | ETHEMA HEALTH CORPORATION NOTES TO THE CONSOLIDATED FINANCIAL STATEMENTS | 20. | Income taxes (continued) | | Deferred income taxes reflect the net tax effect of temporary differences between the carrying amount of assets and liabilities for financial reporting purposes and the amounts used for income tax purposes. Significant components of deferred tax assets and liabilities at December 31, 2024 and 2023 are as follows: | Schedule of components of deferred tax assets and liabilities | | | | | | | | | | | | | December 31, 2024 | | December 31, 2023 | | | | | | | | | | Property and equipment | | $ | (121,881 | ) | | $ | (105,801 | ) | | | Intangible assets | | | 221,352 | | | | 158,108 | | | | Net operating losses | | | 6,620,694 | | | | 6,192,106 | | | | Other | | | 83,365 | | | | 24,993 | | | | Gross deferred income tax assets (liabilities) | | | 6,803,530 | | | | 6,269,406 | | | | Valuation allowance | | | (6,803,530 | ) | | | (6,269,406 | ) | | | Net deferred income tax assets (liabilities) | | $ | | | | $ | | | | The Company has established a valuation allowance against its gross deferred tax assets sufficient to bring its net deferred tax assets to zero due to the uncertainty surrounding the realization of such assets. Management has determined it is more likely than not that the net deferred tax assets are not realizable due to the Companys historical loss position. The valuation allowance for the year ended December 31, 2024 increased by a total of $534,124. As of December 31, 2024, the prior four tax years remain open for examination by the federal or state regulatory agencies for purposes of an audit for tax purposes. As of December 31, 2024, the Company had available for income tax purposes approximately $31.2million in federal and $2.3 million in state net operating loss carry forwards, which may be available to offset future taxable income.$8.1 million of the net operating losses will begin to expire in2034and $23.1million has an indefinite life.Due to the uncertainty of the utilization and recoverability of the loss carryforwards and other deferred tax assets, Management has determined a full valuation allowance for the deferred tax assets since it is more likely than not that the deferred tax assets will not be realizable. Pursuant to the Internal Revenue Code of 1986, as amended (IRC), 382, the Companys ability to use its net operating loss carry forwards to offset future taxable income is limited if the Company experiences a cumulative change in ownership of more than 50% within a three-year period. | 21. | Subsequent events | | **Acquisition of Edgewater Recovery Centers, LLC** As previously disclosed, on October 22, 2024, ARIA Kentucky LLC (ARIA Kentucky), a wholly owned subsidiary of the Company, Edgewater Recovery Centers, LLC (ERC) and John Elam (the Seller), entered into an Asset Purchase Agreement (APA) pursuant to which ARIA Kentucky agreed to acquire and ERC agreed to sell to ARIA Kentucky on the closing date (the Acquisition) , the addiction treatment operations owned by ERC and located in Morehead and Paducah, Kentucky through a purchase of the assets of ERC (the Acquired Assets), including; all assets of ERC used in the business of ERC (except for certain specified assets), including but not limited to all current assets existing at the time of closing, all cash balances and rights to receive cash, all equipment, machinery, all warranties related to the business and acquired assets, all intangible personal property, intellectual property, all business inventories, all property leases associated with the business, all assumed contracts, all governmental authorizations; and all information and records, including patient records, as defined in the APA. Certain of the real property associated with the operations of ERC (the Real Property) is fully leveraged and requires credit and personal guarantees which the Company is unable to provide. The entities owning the real property were acquired in a separate transaction by BH Properties Fund LLC (BH Properties), a company controlled by Mr. Shawn Leon, the Companys CEO and therefore a related party. BH Properties through its acquired subsidiaries then entered into lease agreements with ARIA Kentucky on an arms-length basis, at market related rates. On January 9, 2025, ARIA Kentucky consummated the Acquisition of the Acquired Assets of ERC. Pursuant to the terms of the APA, at closing ARIA Kentucky paid the Seller $250,000 and assumed certain liabilities related to the Acquired Assets, including trade payables andliabilities under assumed contracts and certain specifically identified liabilities, including a settlement agreement with the United States government and the State of Kentucky and certain obligations as a borrower or guarantor related to banking obligations. On January 9, 2025, in. a separate transaction, BH Properties acquired ERC Investments, LLC (ERCI), New Journey LLC (NJ) and, JDE Properties, LLC (JDE) which separately own certain Real Property on which ARIA Kentucky operates and which was subsequently leased to ARIA Kentucky. | F-31 | | | | | ETHEMA HEALTH CORPORATION NOTES TO THE CONSOLIDATED FINANCIAL STATEMENTS | 21. | Subsequent events (continued) | | **Lease agreements entered into by ARIA Kentucky.** All lease agreements are effective January 1, 2025: **ERC Investments LLC Related Party, wholly owned by BH Properties** | | Five year real property lease for property located at 425 Clinic Drive, Morehead, Kentucky, for an initial annual rental of $312,000, with annual escalations of 1.5% for a total lease obligation of $1,607,507. | | | | Five year real property lease for property located at 445 Clinic Drive, Morehead, Kentucky for an initial annual rental of $120,000, with annual escalations of 1.5% for a total lease obligation of $618,272. | | | | | Five year real property lease for property located at 1111 US 60, Morehead, Kentucky for an initial annual rental of $480,000, with annual escalations of 1.5% for a total lease obligation of $2,473,088. | | **New Journey LLC Related Party, wholly owned by BH Properties** | | Five year real property lease for property located at 189 Edgewater Road, Morehead, Kentucky for an initial annual rental of $96,000, with annual escalations of 1.5% for a total lease obligation of $494,618. | | | | Five year real property lease for property located at 795 Cranston Road, Morehead, Kentucky, for an initial annual rental of $96,000, with annual escalations of 1.5% for a total lease obligation of $494,618. | | | | Five year real property lease for property located at 2180 US 60, Morehead, Kentucky for an initial annual rental of $36,000, with annual escalations of 1.5% for a total lease obligation of $185,482. | | | | Five year real property lease for property located at 721 White Street, Morehead, Kentucky for an initial annual rental of $30,000, with annual escalations of 1.5% for a total lease obligation of $154,568. | | **JDE Properties, LLC Related Party, wholly owned by BH Properties** | | Five year real property lease for property located at 166 Maple Drive, Morehead, Kentucky for an initial annual rental of $60,000, with annual escalations of 1.5% for a total lease obligation of $309,136. | | | | Five year real property lease for property located at 214 Jackson Drive, Morehead, Kentucky for an initial annual rental of $30,000, with annual escalations of 1.5% for a total lease obligation of $154,568. | | | | Five year real property lease for property located at 1135 Rodburn Hollow Drive, Morehead, Kentucky for an initial annual rental of $30,000, with annual escalations of 1.5% for a total lease obligation of $154,568. | | **Trent Developments LLC Unrelated third party** On January 9, 2025, ARIA Kentucky executed a five year real property lease with Trent Developments for property located at 141, 141.5 and 143 East Main Street, Morehead, Kentucky for an initial annual rental of $138,000 per annum, escalating at 1.5% per annum after the second year, for a total lease obligation of $702,545. **MAT Properties, LLC Unrelated third party assignment of lease** On January 9, 2025, ARIA Kentucky executed a three year real property assignment of lease agreement with ERC and MAT Properties for property located at 154 S Owens Road, Morehead, Kentucky, for an initial annual rental of $180,000 per annum, with no escalations, for a total lease obligation of $540,000. | F-32 | | | | | ETHEMA HEALTH CORPORATION NOTES TO THE CONSOLIDATED FINANCIAL STATEMENTS | 22. | Subsequent events (continued) | | **Amendment to articles of incorporation** In terms of a resolution of the Companys board of directors proposing amendments to the articles of incorporation, on January 22, 2025, in term of a Definitive 14C information statement, the company obtained the written consent of the holders of a majority of voting power of the outstanding common stock and a majority of the voting power of the outstanding Series A Preferred stock, to amend and restate the articles of incorporation as follows: | | The number of authorized shares of preferred stock was increased from 10,400,000 shares of preferred stock, with a par value of $0.01 per share, designated as 10,000,000 Series A preferred stock, and 400,000 designated as Series B Preferred stock which are no longer outstanding or authorized to 30,000,000 shares of Preferred Stock. | | The effect of the adoption of Authorized Increase is that the Board of Directors has the authority to issue shares of Preferred Stock in one or more series, with such rights, preferences and designations, as it deems necessary or advisable without any additional action by our stockholders, unless otherwise required by law or any quotation system or exchange upon which our securities are listed and trade. With regard to such proposed blank check preferred stock, the Board of Directors authority to determine the terms of any such shares of Preferred Stock would include, but not be limited to: (i) the designation of each class or series and the number of shares that will constitute each such class or series; (ii) the dividend rate for each class or series; (iii) the price at which, and the terms and conditions on which, the shares of each class or series may be redeemed, if such shares are redeemable; (iv) the terms and conditions, if any, upon which shares of each class or series may be converted into shares of other classes or series of shares, or other securities; and (v) the voting rights for each class or series. | | To effect a reverse stock split of the Companys issued and outstanding shares of common stock at a ratio between 1 for 1,000 and 1 for 5,000, with the ratio to be determined at the discretion of the board of directors, subject to the authority of the board of directors to abandon the reverse stock split amendment. | | The Reverse Stock Split Amendment will have the effect of reducing the outstanding number of shares of Common Stock. If the Board of Directors does not implement an approved Reverse Stock Split prior to the one-year anniversary of the date of approval of the stockholders of the Reverse Stock Split, this vote will be of no further force and effect the Board of Directors will seek stockholder approval before implementing any reverse stock split after that time. The Board of Directors may abandon the proposed amendment to effect the Reverse Stock Split at any time prior to its effectiveness. Fractional shares will be paid in cash. Our Common Stock is listed on the OTC Markets under the symbol GRST and will continue to be listed on the OTC Markets under the same trading symbol following the Reverse Stock Split. New Shares will be fully paid and non-assessable. The New Shares will have the same voting rights and rights to dividends and distributions and will be identical in all other respects to the Old Shares. | | To delete Article XIII, which required the vote or the consent of the holders of a majority of the outstanding shares of the Company to approve any action by the Companys stockholders. | | The effect of the adoption of the Article XIII Amendment is that, instead of requiring the vote or concurrence of the holders of a majority of the outstanding shares of the Company entitled to vote to approve any action by the Companys stockholders, the vote or concurrence of the holders of a majority of the outstanding shares of the Company cast by the Companys stockholders at a duly called meeting at which a quorum was present for the transaction of business shall be sufficient to approve any action by the Companys stockholders, **Receivables Funding** **January 6, 2025 Funding** On January 6, 2025, the Company, through its subsidiary, Evernia Health Center, LLC entered into a Receivables Sale Agreement with Itria Ventures, LLC (Itria), whereby $307,500of the Receivables of Evernia were sold to Itria for gross proceeds of $250,000. The Company also incurred fees of $3,000 resulting in net proceeds of $247,000. The Company is obliged to pay $7,885per week until the amount of $307,500is paid in full. **February 13, 2025 Funding** On February 13, 2025, the Company, through its subsidiary, Evernia Health Center, LLC entered into a Receivables Sale Agreement with CFG Merchant Solutions, LLC (CFG), whereby $166,250of the Receivables of Evernia were sold to CFG, for gross proceeds of $125,000. The Company also incurred fees of $625 resulting in net proceeds of $124,375. The Company is obliged to pay $3,778per week until the amount of $166,250is paid in full. **February 18, 2025 Funding** On February 18, 2025, the Company, through its subsidiary, Evernia Health Center, LLC entered into a Receivables Sale Agreement with Purpletree Funding, LLC (Purpletree), whereby $99,750of the Receivables of Evernia were sold to Purpletree for gross proceeds of $75,000. The Company also incurred fees of $750 resulting in net proceeds of $74,250. The Company is obliged to pay $3,563per week until the amount of $99,750is paid in full. | F-33 | | | | | **Item 9. Changes in and Disagreements with Accountants on Accounting and Financial Disclosure.** None. **Item 9A. Controls and Procedures** **Annual Evaluation of Disclosure Controls and Procedures** We have adopted and maintain disclosure controls and procedures (as such term is defined in Exchange Act Rules 13a-15(e) and 15d-15(e) under the Exchange Act), that are designed to ensure that information required to be disclosed in our reports under the Exchange Act, is recorded, processed, summarized and reported within the time periods required under the SECs rules and forms and that the information is gathered and communicated to our management, including our Chief Executive Officer (Principal Executive Officer) and Chief Financial Officer (Principal Financial Officer), to allow for timely decisions regarding required disclosure. As required by Exchange Act Rule 13a-15, our Chief Executive Officer and Chief Financial Officer carried out an evaluation of the effectiveness of the design and operation of our disclosure controls and procedures pursuant to Exchange Act Rule 13a-15 as of the end of the period covered by this report. Based on the foregoing evaluation, our Chief Executive Officer and Chief Financial Officer concluded that due to our limited resources our disclosure controls and procedures are not effective in providing material information required to be included in our periodic SEC filings on a timely basis and to ensure that information required to be disclosed in our periodic SEC filings is accumulated and communicated to our management, including our Chief Executive Officer and Chief Financial Officer, to allow timely decisions regarding required disclosure about our internal control over financial reporting discussed below. **Managements Annual Report on Internal Control Over Financial Reporting** Our management is responsible for establishing and maintaining adequate internal control over financial reporting for our company. Our internal control system was designed to, in general, provide reasonable assurance to our management and board regarding the preparation and fair presentation of published financial statements, but because of its inherent limitations, internal control over financial reporting may not prevent or detect misstatements. Also, projections of any evaluation of effectiveness to future periods are subject to the risk that controls may become inadequate because of changes in conditions, or that the degree of compliance with the policies or procedures may deteriorate. Our management assessed the effectiveness of our internal control over financial reporting as of December 31, 2024. The framework used by management in making that assessment was the criteria set forth in the document entitled Internal Control Integrated Framework issued by the Committee of Sponsoring Organizations (COSO) of the Treadway Commission in Internal Control-Integrated Framework (2013). Based on that assessment, our management has determined that as of December 31, 2024, our internal control over financial reporting was not effective due to material weaknesses related to a limited segregation of duties due to our limited resources and the small number of employees. Management has determined that this control deficiency constitutes a material weakness which could result in material misstatements of significant accounts and disclosures that could result in a material misstatement to our interim or annual financial statements that would not be prevented or detected. In addition, due to limited staffing, we are not always able to detect minor errors or omissions in reporting. This Annual Report does not include an attestation report of our independent registered public accounting firm regarding managements assessment of our internal control over financial reporting pursuant to temporary rules of the SEC. **Evaluation of Disclosure Controls and Procedures** In designing and evaluating the disclosure controls and procedures, management recognized that any controls and procedures, no matter how well designed and operated, can provide only reasonable and not absolute assurance of achieving the desired control objectives. In reaching a reasonable level of assurance, management necessarily was required to apply its judgment in evaluating the cost-benefit relationship of possible controls and procedures. In addition, the design of any system of controls also is based in part upon certain assumptions about the likelihood of future events, and there can be no assurance that any design will succeed in achieving its stated goals under all potential future conditions. Over time, a control may become inadequate because of changes in conditions or the degree of compliance with policies or procedures may deteriorate. Because of the inherent limitations in a cost-effective control system, misstatements due to error or fraud may occur and not be detected. As required by the SEC Rules 13a-15(b) and 15d-15(b), we carried out an evaluation under the supervision and with the participation of our management, including our principal executive officer and principal financial officer, of the effectiveness of the design and operation of our disclosure controls and procedures as of the end of the period covered by this report. Based on the foregoing, our principal executive officer and principal financial officer concluded that our disclosure controls and procedures were not effective at the reasonable assurance level due to material weaknesses in internal controls over financial reporting (as described below). | 12 | | | | | **Deficiencies and Significant Deficiencies** A material weakness is a deficiency, or a combination of deficiencies, within the meaning of Public Company Accounting Oversight Board (PCAOB) Audit Standard No. 5, in internal control over financial reporting, such that there is a reasonable possibility that a material misstatement of the Companys annual or interim financial statements will not be prevented or detected on a timely basis. Management has identified the following material weaknesses which have caused management to conclude that as of December 31, 2024, our internal controls over financial reporting were not effective at the reasonable assurance level: | | 1. | We do not have sufficient written documentation of our internal control policies and procedures. Written documentation of key internal controls over financial reporting is a requirement of the Sarbanes-Oxley Act which is applicable to us for the year ended December 31, 2024. Management evaluated the impact of our failure to have sufficient written documentation of our internal controls and procedures on our assessment of our disclosure controls and procedures and has concluded that the control deficiency that resulted represented a material weakness. | | | | 2. | We do not have sufficient resources in our accounting function, which restricts the Companys ability to gather, analyze and properly review information related to financial reporting in a timely manner. In addition, due to our size and nature, segregation of all conflicting duties may not always be possible and may not be economically feasible. However, to the extent possible, the initiation of transactions, the custody of assets and the recording of transactions should be performed by separate individuals. Management evaluated the impact of our failure to have segregation of duties on our assessment of our disclosure controls and procedures and has concluded that the control deficiency that resulted represented a material weakness. | | We have taken steps to remediate some of the weaknesses described above and we are in discussions with the risk advisory departments of reputable accounting firms to assist us in the COSO framework documentation and testing of the internal controls. We intend to continue to address these weaknesses as resources permit, including the employment of new qualified employees. **Remediation of Deficiencies and Significant Deficiencies** To address these material weaknesses, management engaged financial consultants, performed additional analyses and other procedures to ensure that the financial statements included herein fairly present, in all material respects, our financial position, results of operations and cash flows for the periods presented. Additionally, we will continue to establish and implement proper processes and systems to remediate the deficiencies we have had, including preventive controls with the segregation of duties on main areas such as payroll, billing, cash recording, and IT control and detective controls involving account reconciliations on a monthly basis. **Changes in Internal Control Over Financial Reporting** There were no changes to our internal control over financial reporting (as defined in Rules 13a-15(f) and 15d-15(f) under the Exchange Act) that occurred during the quarter ended December 31, 2024 that have materially affected, or are reasonably likely to materially affect, our internal control over financial reporting. **Item 9B. Other Information** None. **Item 9C. Disclosure Regarding Foreign Jurisdictions that Prevent Inspections** None. | 13 | | | | | **PART III** **Item 10. Directors, Executive Officers and Corporate Governance** Our current directors and executive officers, their ages and their positions, as of the date of this Annual Report, as follows: | Name | | Position | | | Shawn E. Leon | 65 | Chief Executive Officer, Chief Financial Officer, President andDirector | | | | | | | | Gerald T Miller | 67 | Director | | Set forth below is a brief description of the background and business experience of each of our current executive officers and directors. **Shawn E. Leon, Chief Executive Officer, Chief Financial Officer, President and Director** Shawn E. Leon has been an officer and director of the Company since November 2010 and served as the President of the Companys subsidiaries at all times. In April 2011, Mr. Leon was appointed as the Companys Chief Executive Officer. Prior to joining the Company, Mr. Leon held the role of President of Greenestone Clinic Inc., Leon Developments Ltd, Port Carling Inn Developments Ltd., 1871 at the Locks Developments Ltd. and Leon Developments Ltd. Mr. Leon graduated with Honors in Business Administration from Wilfrid Laurier University in 1982. Mr. Leon was elected to the Board because of his prior management experience. **Gerald T. Miller, Director** Gerry Miller of Toronto, Ontario, Canada is the Managing Partner of the Law Firm Gardiner Miller Arnold LLP. Mr. Millers practice focuses on a comprehensive range of business, finance and real estate issues. In addition to managing the law firm. Mr. Millers runs the business law and real estate practice at Gardiner Miller Arnold LLP Law firm. He advises small to medium sized companies in manufacturing, investing and service related industries. Mr. Miller supervises all merger and acquisition transactions and institutional finance work. **CORPORATE GOVERNANCE** **Code of Business Conduct and Ethics** We have adopted a code of conduct that applies to all officers, directors and employees, including those officers responsible for financial reporting. If we make any substantive amendments to the code of conduct or grant any waiver from a provision of the code of conduct to any executive officer or director, we will promptly disclose the nature of the amendment or in a Current Report on Form 8-K to be filed with the SEC. **Our Board of Directors** Our Board currently consists of two members. Our Board judges the independence of its directors by the heightened standards established by the Nasdaq Stock Market. Accordingly, the Board of Directors has determined that our non-employee directors, Mr. Miller, meets the independence standards established by the Nasdaq Stock Market and the applicable independence rules and regulations of the SEC. Our Board considers a director to be independent when the director is not one of our or our subsidiaries officers or employees or director of our subsidiaries, does not have any relationship which would, or could reasonably appear to, materially interfere with the independent judgment of such director, and the director otherwise meets the independence requirements under the listing standards of the Nasdaq Stock Market and the rules and regulations of the SEC. **Board Committees** Our Board of Directors act as our Audit Committee, our Compensation Committee and our Nominating and Governance Committees. **Audit Committee** The primary purpose of the audit committee is to oversee the quality and integrity of our accounting and financial reporting processes and the audit of our financial statements. The audit committee is responsible for selecting, compensating, overseeing and terminating our independent registered public accounting firm. Specifically, the audit committees duties are to recommend to our Board of Directors the engagement of an independent registered public accounting firm to audit our financial statements and to review our accounting and auditing principles. The audit committee will review the scope, timing and fees for the annual audit and the results of audit examinations performed by the external auditors and independent registered public accounting firm, including their recommendations to improve the system of accounting and internal controls. | 14 | | | | | **Compensation Committee** The compensation committee is responsible for, among other things, reviewing and recommending to our Board the annual salary, bonus, stock compensation and other benefits of our executive officers, including our Chief Executive Officer and Chief Financial Officer; reviewing and providing recommendations regarding compensation and bonus levels of other members of senior management; reviewing and making recommendations to our Board on all new executive compensation programs; reviewing the compensation of our Board; and administering our equity incentive plans. The compensation committee may delegate any or all of its duties or responsibilities to a subcommittee of the compensation committee, to the extent consistent with the Companys organizational documents and all applicable laws, regulations and rules of markets in which our securities trade, as applicable. **Nominating and Governance Committee** The nominating and governance committee is responsible for, among other things, annually assessing the composition, skills, size and tenure of the Board of Directors in advance of annual meetings and whenever individual directors indicate that their status may change; annually considering new members for nomination to the Board of Directors; causing the Board of Directors to annually review the independence of directors; and developing and monitoring our general approach to corporate governance issues as they may arise. **Compliance with Section 16(A) of the Exchange Act** Section 16(a) of the Exchange Act requires the Companys directors, executive officers and persons who beneficially own 10% or more of a class of securities registered under Section 12 of the Exchange Act to file reports of beneficial ownership and changes in beneficial ownership with the SEC. Directors, executive officers and greater than 10% stockholders are required by the rules and regulations of the SEC to furnish the Company with copies of all reports filed by them in compliance with Section 16(a). Based solely on our review of certain reports filed with the SEC pursuant to Section 16(a) of the Securities Exchange Act of 1934, as amended, at December 31, 2024, our officers and directors or 10% stockholders were in compliance with Section 16(a). **Item 11. Executive Compensation.** There has been no annuity, pension or retirement benefits paid to our officers or directors during the past two fiscal years. We currently do not have an employment agreement with the Companys Chief Executive Officer. There is no compensation committee of the Board. The Board approved the terms of a certain management agreement with Greenestone Clinic, Inc., wholly owned by the Companys Chief Executive Officer,Shawn Leon, and with Shawn Leon, whereby a management agreement was initially for a term of one year and was for the development of medical clinics in Ontario, Canada. The agreement has been extended from year to year and has been expanded to include overall company management and the development of clinics in the United States. The management agreement allowed for a maximum compensation of $300,000 per year. **Summary Compensation Table** | Name and Principal Position | | Year | | | Salary ($) | | | Bonus ($) | | | Option Awards ($) | | | Non-Equity Plan Compensation ($) | | | Non-Qualified Deferred Compensation Earnings ($) | | | All Other Compensation ($) | | | Total ($) | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | Shawn E. Leon, President CEO, CFO | | | 2024 | | | $ | 20,000 | (1) | | $ | | | | $ | | | | $ | | | | $ | | | | $ | | | | $ | 20,000 | | | | | | | 2023 | | | $ | | | | $ | | | | $ | | | | $ | | | | $ | | | | $ | | | | $ | | | | | (1) | Represents a salary paid to Mr. Leon during the year ended December 31, 2024. | | **Outstanding Equity Awards at Fiscal Year End** There were no equity awards issued to executive officers during the fiscal year ended December 31, 2024 and there are no outstanding equity awards to named officers as of December 31, 2024. | 15 | | | | | **Information regarding equity compensations plans is set forth in the table below:** | | | Number of securities to be issued upon exercise of outstanding options | | Weighted average exercise price of outstanding options | | Number of securities remaining for future issuanceunder equity compensation plans | | | | | | | | | | | | Equity Compensation plans approved by the stockholders | | | | | | | | | | | | | | | 2013 Equity compensation plan | | | | | | $ | | | | | 10,000,000 | | | | Equity Compensation plans not approved by the stockholders | | | | | | | | | | | | | | | None | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | $ | | | | | 10,000,000 | | | **Directors Compensation** The following summary compensation table sets forth all compensation awarded to, earned by, or paid to the named directors by us during the year ended December 31, 2024. | Name | | Fees earned or paid in cash ($) | | | Stock awards ($) | | | Option awards ($) | | | Non-Equity Plan Compensation ($) | | | Non-Qualified Deferred Compensation Earnings ($) | | | All Other Compensation ($) | | | Total ($) | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | ShawnE. Leon | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | Gerald T Miller | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | **Item 12. Security Ownership of Certain Beneficial Owners and Management and Related Stockholder Matters.** | Name of beneficial owner | | Amount and nature of beneficial ownership, including common stock | | Percentage of common stock beneficially owned(1) | | | | | | | | | | Directors and Officers | | | | | | | | | | | Shawn E. Leon | | | 4,171,864,342 | | (2) | | 54.0 | % | | | Gerald T. Miller | | | 500,000 | | (3) | | * | | | | | | | | | | | | | | | All officers and directors as a group (2 persons) | | | 4,172,364,342 | | | | 54.0 | % | | * Less than 1% | (1) | Based on 7,726,283,805 shares of common stock outstanding as of May 21, 2025. | | | (2) | Includes 3,000,500,000 shares held by Mr. Leon, a further 2,687,300 shares held by Greenestone Clinic, a company controlled by Mr. Leon, a further 60,000,000 shares owned by Leon Developments, a company controlled by Mr. Leon, 1,008,677,042 shares owned by Eileen Greene, Mr. Leon's spouse and 100,000,000 shares owned by Mr. Leons son. | | | (3) | Includes 500,000 shares of common stock. | | | 16 | | | | | **Item 13. Certain Relationships and Related Party Transactions, and Director Independence** **Related Party Transactions** As of December 31, 2024 and 2023, amounts payable to executive officers or their affiliates for related party payables, as detailed in the below table: | | | December 31, | | | December 31, | | | | | | 2024 | | | 2023 | | | | Related party payables | | | | | | | | | | | Shawn E. Leon | | $ | 144,353 | | | $ | 61,267 | | | | Leon Developments Ltd. | | | | | | | 1,092,701 | | | | Eileen Greene | | | 488,965 | | | | 1,418,324 | | | | Total related party payables | | $ | 633,318 | | | $ | 2,572,292 | | | | | | | | | | | | | | | Related party advance | | | | | | | | | | | Eileen Greene | | | | | | | | | | | Principal outstanding | | $ | 285,000 | | | $ | | | | | Repayments | | | (11,539 | ) | | | | | | | | | | 273,461 | | | | | | | | | | | | | | | | | | | Debt discount at inception | | | (35,000 | ) | | | | | | | Amortization of debt discount | | | 26,505 | | | | | | | | | | | (8,495 | ) | | | | | | | | | | | | | | | | | | Total Related party advances | | $ | 264,966 | | | $ | | | | **Shawn E. Leon** At December 31, 2024 and December 31, 2023, we had a payable to Shawn Leon of $144,353and$61,267, respectively. Mr. Leon is a director and CEO of our company. The balances receivable and payable are non-interest bearing and have no fixed repayment terms. During July 2024, the related party payable of $1,092,701owing to Leon Developments and $500,000 of the related party payable to Eileen Greene was assigned by the respective parties to Mr. Leon. On July 12, 2024, Mr. Leon converted $1,500,000 of the related party payable into 3,000,000,000 shares of common stock at a conversion price of $0.0005 per share. On September 27, 2024, Mr. Leon converted $6,000 of the related party payable into 600,000 shares of Series A Preferred stock at a conversion price of $0.01 per share. **Leon Developments, Ltd.** Leon Developments is owned by Shawn Leon, the Companys CEO and director. As of December 31, 2024 and December 31, 2023, the Company owed Leon Developments, Ltd., $0and $1,092,701, respectively. During July 2024, the related party payable of $1,092,701owing to Leon Developments was assigned by Leon Developments to Mr. Leon. **Eileen Greene** During July 2024, Ms. Greene assigned $500,000 of the Related party payable to her to Mr. Leon. On July 12, 2024, Ms. Greene converted $500,000 of the related party payable into 1,000,000,000 shares of common stock at a conversion price of $0.0005 per share. On July 4, 2024, Ms. Greene advanced us $250,000 with an original issue discount of $35,000, totaling $285,000. The amount is being repaid in instalments of $5,769 as and when we have the cash flow to make the payments, the loan is expected to be fully repaid in June 2025 or earlier depending on cash flow. At December 31, 2024, we owed Eileen Greene, the spouse of its CEO, Shawn Leon, related party payables of $488,965and related party advances of $264,966, net of unamortized debt discount of $8,495. At December 31, 2023, we owed Eileen Greene, related party payables of $1,418,324. The amounts owing to Ms. Greene are non-interest bearing and has no fixed repayment terms. | 17 | | | | | On July 4, 2024, Ms. Greene advanced the Company $250,000 with an original issue discount of $35,000, totaling $285,000. The amount is being repaid in instalments of $5,769 as and when the Company has the cash flow to make the payments, the loan is expected to be fully repaid in the fiscal year 2025. **Leonite Capital, LLC and Leonite Fund I, LLP** Leonite Capital is considered a related party due to its previous investment of $700,000 in Series A Preferred stock interest in CCH, which was previously a wholly owned subsidiary of the Company, and its previous investment of $400,000 in Series B Preferred stock of the Company, as of December 31, 2022. Prior to the disposal of CCH to Leonite Capital on June 30, 2023, and the simultaneous cancellation of the Series B Preferred stock as discussed below, the accrued dividends on the CCH Series A Preferred shares was $184,545 and the accrued dividends on the Series B Preferred shares was $61,184. On June 30, 2023, the Company entered into an exchange agreement with Leonite Capital whereby it exchanged the 400,000 Series B shares with a value of $400,000 plus accrued dividends thereon of $61,184 for its entire shareholding in its property owning subsidiary, Cranberry Cove Holdings. The Series B shares and the accrued dividends thereon were extinguished and cancelled upon consummation of the transaction. Due to the related party nature of the transaction, the net result of the disposal of $1,334,885 and the $700,000 of the CCH Series A Preferred shares, totaling $2,034,885, was recorded as a credit to additional paid-in-capital. In addition, due to the related party nature of the transaction, the cancellation of the Series B Preferred stock, of $400,000 and the dividends thereon of $61,184, totaling $461,184, was recorded as an extinguishment of debt reflected in additional paid-in-capital. On August 4, 2023, the company repaid Leonite Capital $1,449,000 consisting of repayments of short-term convertible notes of $995,257, promissory notes of $420,069, additional penalty on settlement of $5,236 and a personal loan by Leonite to Shawn Leon of $28,438, which repayment reduced the related party payable to Shawn Leon, as disclosed above. All related party transactions occur in the normal course of operations and in terms of agreements entered into between the parties. **Directors Independence** **** The common stock of the Company is currently quoted on the OTC Pink, a quotation system which currently does not have director independence requirements. On an annual basis, each director and executive officer will be obligated to disclose any transactions with the Company in which a director or executive officer, or any member of his or her immediate family, have a direct or indirect material interest in accordance with Item 407(a) of Regulation S-K. Following completion of these disclosures, the Board will make an annual determination as to the independence of each director using the current standards for independence that satisfy the criteria for the NASDAQ Stock Market, Inc. As of December 31, 2024, the Board determined that Gerald T Miller is independent and that Mr. Leon is not independent under these standards. **Item 14. Principal Accountant Fees and Services.** RBSM LLP serves as our independent registered public accounting firm for the years ended December 31, 2024 and 2023. The following is a summary of the fees paid by us to Daszkal Bolton LLP and RBSM LLP the years ended December 31, 2024 and 2023 for professional services rendered: | | | Year ended December 31, 2024 | | Year ended December 31, 2023 | | | | | | | | | | Audit fees and expenses | | $ | 125,080 | | | $ | 86,500 | | | | Taxation preparation fees | | | | | | | | | | | Audit related fees | | | | | | | | | | | Other fees | | | | | | | | | | | | | $ | 125,080 | | | $ | 86,500 | | | **Audit Fees** Consists of fees billed for professional services rendered for the audit of our consolidated financial statements and review of interim condensed consolidated financial statements included in quarterly reports and services that are normally provided by RBSM, LLP in connection with statutory and regulatory filings or engagements in fiscal year ended December 31, 2024 and 2023. Audit Related Fees Consists of fees billed for accounting, assurance and related services that are reasonably related to the performance of the audit or review of our consolidated financial statements and are not reported under Audit Fees. **Tax Fees** Tax Fees consist of the aggregate fees billed for professional services rendered by our principal accounts for tax compliance, tax advice, and tax planning. These services include preparation for federal and state income tax returns. **All Other Fees** We did not incur any other fees billed by auditors for services rendered to our Company, other than the services listed above for the fiscal years ended December 31, 2024 and 2023, respectively. | 18 | | | | | **PART IV** **Item 15. Exhibits, Financial Statement Item 15.Exhibits and Financial Statement Schedules and Reports on Form 10-K** | (a) | (1) | The following financial statements are included in this Annual Report on Form 10-K for the fiscal year ended December 31, 2024 | | | | 1. | Independent Auditors Report | | | | 2. | Consolidated Balance Sheets as of December 31, 2024 and 2023 | | | | 3. | Consolidated Statements of Operations for the years ended December 31, 2024 and 2023 | | | | 4. | Consolidated Statements of Changes in Stockholders Deficit for the years ended December 31, 2024 and 2023 | | | | 5. | Consolidated Statements of Cash Flows for the years ended December 31, 2024 and 2023 | | | | 6. | Notes to Consolidated Financial Statements | | | | (2) | All financial statement schedules have been omitted as the required information is either inapplicable or included in the Consolidated Financial Statements or related notes. | | | (b) | | Exhibits | | | Exhibit No. | Description | Form | SEC File No. | Date | File Herewith | Filed by Reference | | | | | | | | | | | | 3.1 | Articles of Incorporation of NNRC, Inc. (as filed with the Secretary of State of Colorado on April 1, 1993) | 10-K | 000-15078 | March 28, 2013 | | X | | | | | | | | | | | | 3.2 | Articles of Amendment to the Articles of Incorporation of Nova Natural Resources, Inc. (as filed with the Secretary of State of Colorado on May 8, 2012) | 10-K | 000-15078 | March 28, 2013 | | X | | | | | | | | | | | | 3.3 | Articles of Amendment to the Articles of Incorporation of Greenestone Healthcare Corporation (as filed with the Secretary of State of Colorado on March 26, 2013) | 8-K | 000-15078 | March 29, 2013 | | X | | | | | | | | | | | | 3.4 | Amended and Restated Bylaws of Greenestone Healthcare Corporation | 8-K | 000-15078 | March 29, 2013 | | X | | | | | | | | | | | | 3.5 | Articles of Amendment to the Articles of Incorporation re: Name Change | 8-K | 000-15078 | April 10, 2017 | | X | | | | | | | | | | | | 3.6 | First amendment to Amended and Restated Bylaws | 8-K | 000-15078 | April 10, 2017 | | X | | | | | | | | | | | | 4.1 | Form of Series L Convertible Note and Warrant Agreement | 8-K | 000-15078 | 42740 | | X | | | | | | | | | | | | 4.2 | Form of LABRYS LP Convertible Note Agreement | 8-K | 000-15078 | February 2, 2017 | | X | | | | | | | | | | | | 10.1 | Stock Purchase Agreement I | 8-K | 000-15078 | March 29, 2013 | | X | | | | | | | | | | | | 10.2 | Form of Warrant I | 8-K | 000-15078 | December 30, 2013 | | X | | | | | | | | | | | | 10.3 | Form of Warrant II | 8-K | 000-15078 | December 30, 2013 | | X | | | | | | | | | | | | 10.4 | Stock Purchase AgreementII | 8-K | 000-15078 | December 30, 2013 | | X | | | | | | | | | | | | 10.5 | Share Purchase Agreement, dated as of December 16, 2014 by and between the Registrant and Jainheel Patekh Medical Professional Corporation | 8-K | 000-15078 | December 23, 2014 | | X | | | | | | | | | | | | 10.6 | Collateral Note, Dated December 16, 2014 | 8-K | 000-15078 | December 23, 2014 | | X | | | | | | | | | | | | 10.7 | Seastone of Delray Asset Purchase Agreement, Management Services Agreement and Commercial Real Estate Contract | 8-K | 000-15078 | May 23, 2016 | | X | | | | | | | | | | | | 10.8 | Stock Purchase Agreement re: Cranberry Cove Holdings Ltd. | 8-K | 000-15078 | February 17, 2017 | | X | | | 19 | | | | | | Exhibit No. | Description | Form | SEC File No. | Date | Filed Herewith | Filed by Reference | | | 10.9 | Asset Purchase Agreement re: Sale of Muskoka Clinic | 8-K | 000-15078 | February 17, 2017 | | X | | | | | | | | | | | | 10.10 | Lease of Muskoka Clinic | 8-K | 000-15078 | February 17 2017 | | X | | | | | | | | | | | | 16.1 | Letter from Jarvis Ryan Associates, LLP | 8-K | 000-15078 | July 19, 2014 | | X | | | | | | | | | | | | 31.1 | Certification of the Principal Executive Officer and Principal Financial Officer of the registrant pursuant to Section 302 of the Sarbanes Oxley Act of 2002 (Rule 13(a) -14(a) or Rule 15(d( - 14 (a) | | | | X | | | | | | | | | | | | | 32.1 | Certification of the Principal Executive Officer and Principal Financial Officer pursuant to Rule 18 U.S.C 1350 as adopted pursuant to Section 906 of the Sarbanes Oxley Act of 2002 | | | | X | | | | 32.1 | Certification of the Principal Executive Officer and Principal Financial Officer pursuant to Rule 18 U.S.C 1350 as adopted pursuant to Section 906 of the Sarbanes Oxley Act of 2002 | | | | X | | | | | | | | | | | | | 101.INS | Inline XBRL Instance Document | | | | X | | | | 101.SCH | Inline XBRL Taxonomy Extension Schema Document | | | | X | | | | 101.CAL | Inline Taxonomy Extension CAL XBRL Calculation Linkbase Document | | | | X | | | | 101.DEF | Inline XBRL Taxonomy Extension Definition Linkbase Document | | | | X | | | | 101.LAB | Inline XBRL Taxonomy Extension Label Linkbase Document | | | | X | | | | 101.PRE | Inline XBRL Taxonomy Extension Presentation Linkbase Document | | | | X | | | | 101 | Cover Page Interactive Data File (embedded within the Inline XBRL Document) | | | | | | | | 20 | | | | | **SIGNATURES** Pursuant to the requirements of Section 13 or 15(d) of the Exchange Act of 1934, the registrant has duly caused this report to be signed on its behalf by the undersigned, thereunto duly authorized. **ETHEMA HEALTH CORPORATION** Date: May 23, 2025 By: /s/Shawn E. Leon Name: Shawn E. Leon Title: Chief Executive Officer and Chief Financial Officer (Principal Executive Officer and Principal Financial Officer) Pursuant to the requirements of the Securities Exchange Act of 1934, this report has been signed below by the following persons on behalf of the registrant and in the capacities and on the dates indicated. | Name | Position | Date | | | | | | | | /s/Shawn E. Leon | Chief Executive Officer (Principal Executive Officer), | May 23, 2025 | | | Shawn Leon | Chief Financial Officer (Principal Financial Officer), President and Director | | | | | | | | | /s/ Gerald T. Miller | Director | May 23, 2025 | | | Gerald T. Miller | | | | | 21 | |