IMAC Holdings Reports Second Quarter 2021 Financial Results

Brentwood, Tennessee, UNITED STATES

IMAC reports 36% increase in revenues and 70% increase in patient visits as it invests in value-generating assets

BRENTWOOD, Tenn., Aug. 12, 2021 (GLOBE NEWSWIRE) -- IMAC Holdings, Inc. (Nasdaq: IMAC) (“IMAC” or the “Company”), a provider of innovative medical advancements and care specializing in regenerative rehabilitation orthopedic treatments without the use of surgery or opioids, today announces financial results for the second quarter ended June 30, 2021.

Financial Highlights from 2Q 2021 (all comparisons are for the quarter ended June 30, 2020, unless otherwise indicated):

  • Total revenue was $3.4 million, compared with $2.5 million, an increase of 36%
  • Patient visits were up 70% with more than 44,778 visits at IMAC Centers, compared to 26,335
  • Net loss was $2.5 million or $0.08 per share, compared with a net loss of $1.9 million or $0.20 per share
  • Cash as of June 30, 2021, was $13.6 million compared to $2.6 million as of December 31, 2020

Corporate Highlights in Q2 2021 and Year to Date:

  • Formed The Back Space, a wholly owned subsidiary, operating retail spine care centers within Walmart stores. The Back Space opened its first location in Murfreesboro, Tennessee, and announced a ten-store pilot to deliver chiropractic and spinal care services to alleviate neck and back pain.
  • Launched its dedicated acute injury service line as well as a toll-free hotline for around-the-clock access to schedule patients with acute sports, accident, and work-related injuries at IMAC Centers in Florida, Illinois, Kentucky, Missouri, and Tennessee.
  • Announced results from an extensive internal analysis of treatment outcomes for musculoskeletal conditions demonstrating 81% of IMAC patients show improved functional movement
  • Purchased Fort Pierce Chiropractic in Ft. Pierce Fla. and Active Medical Center in Naperville, Ill., a suburb of Chicago
  • Having successfully completed the first cohort, initiated the second cohort of its Phase 1 clinical trial for its investigational compound utilizing umbilical cord-derived allogenic mesenchymal stem cells for the treatment of bradykinesia due to Parkinson’s disease.

“The second quarter of 2021 was an important period in the evolution of IMAC. We began to utilize capital raised from our late Q1 offering as well as the full exercise of the overallotment option evidencing strong investor support during the second quarter. In alignment with our use of proceeds statement, we began investing the capital in multiple value-generating assets,” commented Jeff Ervin, CEO of IMAC. “As expected, these investments generated near-term expenditures during the two-quarter development and implementation phase which will serve as drivers of our future growth. Over the next few quarters, we are confident we will begin to see the benefits of those expenditures in each of our three business segments.

“Primarily, we invested in the founding and development of our new subsidiary, The Back Space, a retail chiropractic brand launching as a ten-store pilot program in select Walmart retail locations. The Back Space provides chiropractic adjustments, nerve and muscle stimulation, and percussion tool therapies for soft tissue recovery, muscle relaxation, and spinal wellness, and provides an essential solution to those who may have neglected spinal health and wellness because it was inconvenient or too costly. We continue to utilize our first store in Tennessee as an experimental center which we believe will improve execution of future stores.

“Concurrently, we acquired two clinics with recurring revenue and an established patient base. Coupled with the two Florida acquisitions during the last quarter, we expanded our presence within Florida, while also increasing our footprint in the Chicago suburbs. These investments strengthen our market presence in geographies near regions with an existing presence.

“We are encouraged by the strong growth in our patient visits which rose 70% compared to June 30, 2020 with 44,778 visits at IMAC Centers, compared to 26,335 for the same period in the prior year. Same store visits were up 47%, excluding 6,127 visits during the quarter from clinics acquired over the past 12 months.

“In the meantime, we continue to enroll patients in the second cohort of the Phase 1 clinical trial of our investigational compound utilizing umbilical cord-derived allogenic mesenchymal stem cells for the treatment of bradykinesia due to Parkinson’s disease.

“We look forward to continuing to develop and grow our business segments and fully believe in the potential for IMAC to emerge as a leader in this marketplace,” concluded Mr. Ervin.

Results of Operations for the Three Months Ended June 30, 2021 Compared to the Three Months Ended June 30, 2020

Net patient revenue increased 36% from $2.5 million in 2021 to $3.4 million in 2020. The increase in operating expenses from $4.2 million in 2020 to $5.8 million in 2021 was driven by increases in personnel, advertising and marketing expenses, and general and administrative expenses utilized in the implementation of our growth plan. Operating loss was $2.4 million in 2021 compared to a loss of $1.7 million in 2020. This also resulted in a net loss attributable to IMAC Holdings of $2.5 million in 2021 from $1.9 million in 2020 and was driven by the decline in total revenue and addition of expenses related to the launch of The Back Space and executing the second cohort of the clinical trial.

For the period ended June 30, 2021, the Company reported cash and cash equivalents of $13.6 million, compared with approximately $2.8 million as of June 30, 2020.

About IMAC Holdings, Inc.

IMAC was created in March 2015 to expand on the footprint of the original IMAC Regeneration Center, which opened in Kentucky in August 2000. IMAC Regeneration Centers combine life-science advancements with traditional medical care for movement restricting diseases and conditions. IMAC owns or manages more than 15 outpatient clinics that provide regenerative, orthopedic and minimally invasive procedures and therapies. It has partnered with several active and former professional athletes including Ozzie Smith, David Price, Mike Ditka and Tony Delk. IMAC’s outpatient medical clinics emphasize treating sports and orthopedic injuries and movement-restricting diseases without surgery or opioids. More information about IMAC Holdings, Inc. is available at

Safe Harbor Statement

This press release contains forward-looking statements. These forward-looking statements, and terms such as “anticipate,” “expect,” “believe,” “may,” “will,” “should” or other comparable terms, are based largely on IMAC's expectations and are subject to a number of risks and uncertainties, certain of which are beyond IMAC's control. Actual results could differ materially from these forward-looking statements as a result of, among other factors, risks and uncertainties associated with its ability to maintain and grow its business, the variability of its operating results, its ability to maintain and enhance its brand, its development and introduction of new products and services, the successful integration of acquired companies, technologies and assets, marketing and other business development initiatives, competition in the industry, general government regulation, economic conditions, dependence on key personnel, the ability to attract, hire and retain personnel who possess the skills and experience necessary to meet customers’ requirements, and its ability to protect its intellectual property. IMAC encourages you to review other factors that may affect its future results in its public filings with the Securities and Exchange Commission. In light of these risks and uncertainties, there can be no assurance that the forward-looking information contained in this press release will in fact occur. More information about IMAC Holdings, Inc. is available at

IMAC Press Contact:
Laura Fristoe

Bret Shapiro
(516) 222-2560

Financial Tables Follow




  June 30,
  December 31,
Current assets:        
Cash $13,621,610  $2,623,952 
Accounts receivable, net  1,340,343   1,513,683 
Deferred compensation, current portion  324,081   309,375 
Other assets  977,053   310,359 
Total current assets  16,263,087   4,757,369 
Property and equipment, net  1,868,732   1,777,042 
Other assets:        
Goodwill  2,040,696   2,040,696 
Intangible assets, net  6,718,964   6,611,551 
Deferred compensation, net of current portion  210,219   354,906 
Security deposits  400,756   388,407 
Right of use asset  5,029,827   3,816,035 
Total other assets  14,400,462   13,211,595 
Total assets $32,532,281  $19,746,006 
Current liabilities:        
Accounts payable and accrued expenses $1,383,137  $1,692,283 
Patient deposits  413,243   295,071 
Notes payable, current portion, net of deferred loan costs  1,863,849   2,527,324 
Finance lease obligation, current portion  18,641   18,242 
Liability to issue common stock, current portion  334,575   339,375 
Operating lease liability, current portion  1,424,662   1,078,107 
Total current liabilities  5,438,107   5,950,402 
Long-term liabilities:        
Notes payable, net of current portion  151,180   1,958,883 
Finance lease obligation, net of current portion  38,901   48,323 
Liability to issue common stock, net of current portion  233,285   468,760 
Operating lease liability, net of current portion  4,292,525   3,506,484 
Total liabilities  10,153,998   11,932,852 
Commitments and Contingencies – Note 14        
Stockholders’ equity:        
Preferred stock - $0.001 par value, 5,000,000 authorized, nil issued and outstanding at June 30, 2021 and December 31, 2020, respectively.  -   - 
Common stock - $0.001 par value, 30,000,000 authorized; 25,980,598 and 12,839,972 shares issued at June 30, 2021 and December 31, 2020, respectively; and 25,322,356 and 12,747,055 outstanding at June 30, 2021 and December 31, 2020, respectively.  25,323   12,747 
Additional paid-in capital  44,785,811   25,465,094 
Accumulated deficit  (19,031,862)  (15,045,783)
Non-controlling interest  (3,400,989)  (2,618,904)
Total stockholders’ equity  22,378,283   7,813,154 
Total liabilities and stockholders’ equity $32,532,281  $19,746,006 




  Three Months Ended June 30,  Six Months Ended June 30, 
  2021  2020  2021  2020 
Patient revenues, net $3,462,814  $2,572,580  $6,487,622  $5,881,649 
Other income  2,701   -   6,078   - 
Management fees  -   -   36,068   12,487 
Total revenue  3,465,515   2,572,580   6,529,768   5,894,136 
Operating expenses:                
Patient expenses  339,951   405,367   681,363   785,184 
Salaries and benefits  2,996,674   2,334,249   5,750,922   5,260,399 
Share-based compensation  123,169   121,945   233,776   203,029 
Advertising and marketing  315,529   174,350   581,077   416,167 
Grant funds  -   (415,978)  -   (415,978)
General and administrative  1,661,193   1,208,457   2,880,531   2,444,595 
Depreciation and amortization  441,804   453,651   864,005   904,146 
Total operating expenses  5,878,320   4,282,041   10,991,674   9,597,542 
Operating loss  (2,412,805)  (1,709,461)  (4,461,906)  (3,703,406)
Other income (expense):                
Interest income  -   39   -   39 
Other income  135   -   135   - 
Gain (loss) on extinguishment of debt  108   (109,544)  108   (109,544)
Gain (loss) on disposal of assets  49   (21,225)  (3,994)  (21,225)
Interest expense  (126,228)  (134,921)  (302,507)  (211,125)
Total other (expenses)  (125,936)  (265,651)  (306,258)  (341,855)
Net loss before income taxes  (2,538,741)  (1,975,112)  (4,768,164)  (4,045,261)
Income taxes  -   -   -   - 
Net loss  (2,538,741)  (1,975,112)  (4,768,164)  (4,045,261)
Net loss (income) attributable to the non-controlling interest  542,697   (55,576)  782,085   281,028 
Net loss attributable to IMAC Holdings, Inc. $(1,996,044) $(2,030,688) $(3,986,079) $(3,764,233)
Net loss per share attributable to common stockholders                
Basic and diluted $(0.08) $(0.20) $(0.20) $(0.38)
Weighted average common shares outstanding                
Basic and diluted  25,143,201   10,184,294   19,476,793   9,897,773 




  Six Months Ended
June 30,
  2021  2020 
Cash flows from operating activities:        
Net loss $(4,768,164) $(4,045,261)
Adjustments to reconcile net loss to net cash used in operating activities:        
Depreciation and amortization  864,005   904,146 
Share based compensation  233,776   203,030 
Loss on disposition of assets  3,994   (16,577)
(Increase) decrease in operating assets:        
Accounts receivable, net  173,340   (210,707)
Other assets  (630,626)  299,721 
Security deposits  (7,349)  48,204 
Increase (decrease) in operating liabilities:        
Accounts payable and accrued expenses  (317,776)  (329,056)
Patient deposits  118,172   161,451 
Net cash used in operating activities  (4,330,628)  (2,985,049)
Cash flows from investing activities:        
Purchase of property and equipment  (240,938)  (10,511)
Purchase of license fee  -   (243,750)
Brand development  (66,495)  - 
Acquisitions (Note 6)  (731,909)  (200,000)
Proceeds from sale of fixed assets  2,650   - 
Net cash used in investing activities  (1,036,692)  (454,261)
Cash flows from financing activities:        
Proceeds from issuance of common stock  19,005,323   3,774,617 
Proceeds from notes payable  -   2,891,520 
Payments on notes payable  (2,624,102)  (719,104)
Payments of debt issuance costs  -   (70,000)
Payments on finance lease obligation  (16,243)  (8,643)
Net cash provided by financing activities  16,364,978   5,868,390 
Net increase in cash  10,997,658   2,429,080 
Cash, beginning of period  2,623,952   373,689 
Cash, end of period $13,621,610  $2,802,769 
Supplemental cash flow information:        
Interest paid $183,849  $56,058 
Non cash financing and investing:        
Debt discount notes payable $-  $115,000