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UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington , D.C. 20549 Form 10 - K □ ANNUAL REPORT PURSUANT TO SECTION 13 OR 15 ( d ) OF THE SECURITIES EXCHANGE ACT OF 1934 For the Fiscal Year Ended December 31 , 2020 OR □ TRANSITION REPORT PURSUANT TO SECTION 13 OR 15 ( d ) OF THE SECURITIES EXCHANGE ACT OF 1934 Commission File Number : 000-53862 CLINIGENCE HOLDINGS , INC . ( Exact name of registrant as specified in its charter ) Delaware ( State or other jurisdiction of incorporation or organization ) 11-3363609 ( I.R.S. Employer Identification No. ) 501 1st Avenue N , Suite 901 St. Petersburg , Florida 33701 ( Address of Principal Executive Offices ) ( Zip Code ) ( 678 ) 607-6393 ( Issuer's Telephone Number , Including Area Code ) Securities registered under Section 12 ( b ) of the Exchange Act : Title of each class Common Stock , $ 0.001 par value Trading Symbol ( s ) CLNH Name of each exchange on which registered OTCMKTS Securities registered pursuant to Section 12 ( g ) of the Act : None Indicate by check mark if the registrant is a well - known seasoned issuer , as defined in Rule 405 of the Securities Act . Yes No Indicate by check mark if the registrant is not required to file reports pursuant to Section 13 or Section 15 ( d ) of the Exchange Act . Yes No Indicate by check mark whether the registrant : ( 1 ) has filed all reports required to be filed by Section 13 or 15 ( d ) of the Securities Exchange Act of 1934 during the preceding 12 months ( or for such shorter period that the registrant was required to file such reports ) , and ( 2 ) has been subject to such filing requirements for the past 90 days . Yes No ☐ Indicate by check mark whether the registrant has submitted electronically and posted on its corporate website , if any , every Interactive Date File required to be submitted and posted pursuant to Rule 405 of Regulation S - T ( Section 232.405 of the chapter ) during the preceding 12 months ( or for such shorter period that the registrant was required to submit and post such files ) . Yes No □ Indicate by check mark whether the registrant is a large accelerated filer , an accelerated filer , a non - accelerated filer , a smaller reporting company , or an emerging growth company . See the definitions of “ large accelerated filer , ” “ accelerated filer , ” “ smaller reporting company , " and " emerging growth company " in Rule 12b - 2 of the Exchange Act . | Large accelerated filer □ Non - accelerated filer ☑ Accelerated filer ☐ Smaller reporting company ☑ Emerging growth company ☐ Indicate by check mark whether the registrant has filed a report on and attestation to its management's assessment of the effectiveness of its internal control over financial reporting under Section 404 ( b ) of the Sarbanes - Oxley Act ( 15 U.S.C. 7262 ( b ) ) by the registered public accounting firm that prepared or issued its audit report . Indicate by check mark whether the registrant is a shell company ( as defined in Rule 126-2 of the act ) : Yes No ☑ The aggregate market value of the voting and non - voting common equity held by non - affiliates of the registrant as of June 30 , 2020 ( the last day of the registrant's most recently completed second fiscal quarter ) based on the closing sale price as reported on the OTCQB Market as approximately $ 4.88 million . For purposes of calculating the aggregate market value of shares held by non - affiliates , we have