Pavmed Inc. current report, 31 March 2022

Business Context and Reporting Period

This Form 8-K filing by Pavmed Inc. (PAVM) reports on events occurring on March 31, 2022, and April 4, 2022. The primary event is the entry into a Securities Purchase Agreement (SPA) for a registered direct offering of Senior Secured Convertible Notes. Additionally, the filing includes a Regulation FD disclosure regarding a clinical guideline update for its subsidiary, Lucid Diagnostics Inc.

Key Financial Metrics and Transaction Details

  • Transaction Type: Registered direct offering of Senior Secured Convertible Notes.
  • Total Principal Amount: Up to $50,000,000.
  • Initial Closing: $27,500,000 in principal amount, expected on or about April 4, 2022.
  • Purchase Price: $1,000 for each $1,100 in principal amount (approximately 90.9% of par).
  • Estimated Net Proceeds: Approximately $24.4 million from the initial closing and $20.4 million from potential additional closings (assuming full sale), after deducting estimated expenses.
  • Interest Rate: 7.875% per annum.
  • Maturity: Two years from issuance, subject to extension rights.
  • Conversion Price: Initial fixed price of $5.00 per share, subject to adjustments and alternate conversion mechanisms.
  • Financial Covenants:
    • Available cash must equal or exceed $8,000,000 at all times.
    • Debt-to-market capitalization ratio must not exceed 30%.
    • Market capitalization must not fall below $75 million.

Material Changes and Agreements

The filing details a material definitive agreement involving significant debt financing. Key structural changes include:

  • Amortization: Principal repayment occurs via monthly installments starting six months after issuance, payable in cash (at 115% of the installment amount) or shares (at 100% of the installment amount).
  • Security: Notes are secured by all existing and future assets, including 9.99% of the outstanding common stock of Lucid Diagnostics Inc.
  • Stockholder Approval: The Company must hold a stockholder meeting by July 31, 2022, to increase authorized shares from 150 million to 250 million to facilitate share issuance upon conversion.
  • Break-up Fee: A fee of $1,350,000 is payable to the Investor if the Company fails to complete additional closings or if the Investor cannot deliver a notice to require additional closings by March 31, 2024, due to specific limitations.
  • Participation Rights: The Investor receives participation rights in future equity or debt offerings for up to three years.

Outlook, Risks, and Management Commentary

Outlook and Commentary: The Company expects to consummate the initial closing on April 4, 2022. The proceeds are intended to fund operations and growth. The filing also highlights a positive development for its subsidiary, Lucid Diagnostics, noting that updated American College of Gastroenterology guidelines support the use of Lucid's EsoGuard DNA Test for esophageal precancer screening.

Risks and Contingencies:

  • Events of Default: Includes failure of key executives (CEO Lishan Aklog and CFO Dennis McGrath) to serve in their roles, breach of covenants, or failure to meet financial thresholds.
  • Dilution: Conversion of notes and installment payments may result in significant equity dilution, capped at 19.99% of outstanding shares without stockholder approval.
  • Market Conditions: Additional closings are subject to minimum price, volume, and market capitalization thresholds.
  • Regulatory: The Company is responding to a proposed Local Coverage Determination by Medicare regarding molecular testing for esophageal precancer.

Key Facts for Investor Verification

  • Verify the actual closing date and final net proceeds of the initial $27.5 million tranche.
  • Confirm the outcome of the stockholder vote required by July 31, 2022, to increase authorized shares.
  • Monitor the Company's compliance with the $8 million minimum cash covenant and the 30% debt-to-market cap ratio.
  • Assess the impact of the 7.875% interest rate and monthly amortization payments on future cash flow.
  • Review the status of the Medicare Administrative Contractor's Local Coverage Determination regarding Lucid's EsoGuard test.