Item 7. Management’s Discussion and Analysis
Item
7. Management's Discussion and Analysis of Financial Condition and Results of Operations
Certain
statements contained in this section are not historical facts, including statements about our strategies and expectations about new and
existing products, market demand, acceptance of new and existing products, technologies and opportunities, market and industry segment
growth, and return on investments in products and markets. These statements are forward looking statements within the meaning of the
Private Securities Litigation Reform Act of 1995 and involve substantial risks and uncertainties that may cause actual results to differ
materially from those indicated by the forward looking statements. All forward looking statements in this section are based on information
available to us on the date of this document, and we assume no obligation to update such forward looking statements. Readers of this
Form 10-K are strongly encouraged to review the section entitled “Risk Factors” .
Outlook
Installed
Base of AEM Monitoring Equipment . We believe that we are gaining more awareness in medico-legal circles and publications and from
presentations at medical meetings. We believe that improvement in the quality of sales representatives carrying our AEM products line,
along with increased marketing efforts and the introduction of new products, may provide the basis for increased sales and continuing
profitable operations. However, these measures, or any others that we may adopt, may not result in either increased sales or continuing
profitable operations.
Possibility
of Operating Losses. We have an accumulated deficit of $22,617,329 at March 31, 2024. We have made significant strides toward improving
our operating results. However, due to the ongoing need to develop new products, the need to develop, optimize and train our sales distribution
network and the need to increase sustained sales to a level adequate to cover fixed and variable operating costs, we may operate at a
net loss in future periods.
Sales
Growth . We expect to generate increased sales in the U.S. from sales to new hospital customers and to grow AEM instrumentation sales
to existing accounts. In fiscal year 2024, we will focus on growing our AEM franchise through a campaign focused on the clinical, economic
and safety benefits of AEM technology, a medico-legal initiative and our new AEM products. In addition, prior years’ efforts in
vertical integration have given us three core competencies – electrosurgery, instrument design, and manufacturing – which
we expect will allow us to increase sales from our strategic partnership initiatives. Our goal is to offer our customers an AEM disposable
counterpart for each AEM reusable instrument.
Gross
Margin. We believe that if our fiscal year 2024 revenues increase, then our fiscal year 2024 gross profit and gross margin, as a
percentage of revenue, will increase due to a higher gross margin on product revenue as a result of an increase in product produced.
Sales
and Marketing Expenses. We continue our efforts to expand domestic and international distribution capability, and we
believe that sales and marketing expenses will need to be maintained at a healthy level in order to expand our market visibility and
optimize the field sales capability of converting new hospital customers to AEM technology .
Sales and marketing expenses are expected to increase as we increase our marketing efforts to support our direct sales representatives.
In fiscal year 2024, we expect to have six direct sales managers. Each direct sales manager also manages a separate territory.
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Manufacturing .
We believe that we will be able to achieve cost reductions, and provide better control over
quality and consistency, by producing products on our own. We manufacture our own disposable scissor inserts and are exploring other
products that we may manufacture internally.
Research
and Development Expenses . Research and development expenses are expected to increase to support
expansion to our AEM product line, which will further expand the instrument options for the
surgeon. New refinements to AEM product lines are planned for introduction in fiscal year 2025.
Results
of Operations
Net
Product revenue. Net
product revenue for the fiscal year ended March 31, 2024 (“FY24”) was $6,431,969, and for the fiscal year ended March 31,
2023 (“FY23”), net revenue was $6,885,158, or a decrease of 7%. Product revenue for the fiscal year ended March 31, 2024
decreased primarily because of the decrease in non-essential surgical procedures performed during this period.
Net
Service revenue . Net
service revenue for FY24 was $153,913, and for FY23 net service revenue was $463,356. Net service revenue for FY23 was for engineering
services performed under a Master Services Agreement with Auris Health, Inc. (“Auris Health”). Auris Health is a part of
the Johnson & Johnson family of companies. Under the agreement, we collaborated on the integration of AEM technology into monopolar
instrumentation produced by Auris Health for advanced surgical applications.
Gross
profit. Gross profit in FY24 was $3,135,962, which represented a decrease of $896,571, or 22%, from gross profit in FY23 of $4,032,533.
Gross profit margin was 48% of net product revenue for FY24 and 55% of net product revenue for FY 23. Gross profit decreased in FY24
from FY23 due principally to higher product vendor costs and increased inventory reserves. In FY23 we had high margin service revenue.
Our product revenue from GPOs in FY23 was approximately
79% of our total product revenue. In FY24 , we had increased product vendor costs that were not allowed
to be passed on to our GPO customers for the fiscal year and resulted in a compressed gross profit margin.
Sales
and marketing expenses. Sales and marketing expenses were $1,634,124 in FY24, a decrease of $398,291, or 20%, from $2,032,415 in
FY23. The decrease was because of decreased commissions on decreased revenue.
General
and administrative expenses. General and administrative expenses were $1,520,727 in FY24, an increase of $33,931 or 2%, from $1,486,796
in FY23. The increase was because of increased regulatory fees.
Research
and development expenses. Research and development expenses were $621,894 in FY24, a decrease of $196,225 or 24%, from $816,119 in
FY23. The decrease was the result of decreased compensation and outside services.
Other
(expense), net. Other (expense), net of $51,000 for FY24 was primarily for interest expense of $62,373.
Net
(loss). Net (loss) in FY24 of $691,783 represented a loss in crease
of $367,838 compared to FY23 net loss of $323,945. The net loss increase was principally because
of lower product and service revenue and was partially offset by decreased operating expenses.
Liquidity
and Capital Resources
To
date, operating funds have been provided primarily by issuances of our common stock and warrants, the exercise of stock options to purchase
our common stock, loans and, in some years, by operating profits. To date, common stock and additional paid in capital totaled $24,371,795
from our inception through March 31, 2024. Our operations provided $144,389 and used $861,485 of cash in FY24 and FY23, respectively,
on net revenue of $6,585,882 and $7,348,514 in FY24 and FY23, respectively. Working capital was $1,206,252 at March 31, 2024 compared
to $1,993,777 at March 31, 2023. The decrease in working capital was primarily caused by the FY24 net loss and decreased inventories.
Current liabilities were $1,220,022 at March 31, 2024 compared to $1,130,826 at March 31, 2023.
On
November 15, 2022, we entered into a loan and security agreement with Pathward, N.A. The loan is due on demand and has no financial covenants.
Under the agreement, we were provided with a line of credit that is not to exceed the lesser of $1,000,000 or 85% of eligible accounts
receivable. The interest rate is prime rate plus 0.5%, with a floor of 6.75%, plus a monthly maintenance fee of 0.4%, based on the average
monthly loan balance. Interest is charged on a minimum loan balance of $300,000, a loan fee of 0.5% at closing and annually, and an exit
fee of 3%, 2% and 1% during years one, two and three, respectively.
We
believe that the unique performance of AEM technology and our breadth of independent endorsements provide an opportunity for market share
growth. We believe that the market awareness of AEM technology and its endorsements is continually improving and that this will benefit
revenue efforts in FY 25. We believe that we enter FY 25 having achieved improvements in the clinical credibility of our technology.
Our FY 25 operating plan is focused on growing revenue, increasing gross profits, increasing research and development costs while increasing
profits and positive cash flows. We cannot predict with certainty the expected revenue, gross profit, net income or loss and usage of
cash, cash equivalents and restricted cash for FY 25. We believe that cash resources and borrowing capacity will be sufficient to fund
our operations for at least the next twelve months under our current operating plan. If we are unable to manage business operations in
line with our budget expectations, it could have a material adverse effect on business viability, financial position, results of operations
and cash flows. Further, if we are not successful in sustaining profitability and remaining at least cash flow break-even, additional
capital may be required to maintain ongoing operations.
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We
have explored and are continuing to explore options to provide additional financing to fund future operations as well as other possible
courses of action. Such actions include, but are not limited to, securing a larger credit facility, sales of debt or equity securities
(which may result in dilution to existing shareholders), licensing of technology, strategic alliances and other similar actions. There
can be no assurance that we will be able to obtain additional funding (if needed) through a sale of our common stock or loans from financial
institutions or other third parties or through any of the actions discussed above on terms acceptable to us or at all. If we cannot sustain
profitable operations and additional capital is unavailable, lack of liquidity could have a material adverse effect on our business viability,
financial position, results of operations and cash flows.
Income
Taxes
As
of March 31, 2024, net operating loss carryforwards totaling approximately $8.9 million were available to reduce taxable income in the
future. The net operating loss carryforwards expire, if not previously utilized, at various dates beginning in fiscal year 2025. We have
not paid income taxes since our inception. The Tax Reform Act of 1986 and other income tax regulations contain provisions which may limit
the net operating loss carryforwards available to be used in any given year if certain events occur, including changes in our ownership.
We have established a valuation allowance for the entire amount of our deferred tax asset since inception due to our history of losses.
Should we achieve sufficient, sustained income in the future, we may conclude that some or all of the valuation allowance should be reversed.
Off-Balance
Sheet Financing Arrangements
We
do not utilize variable interest entities or other off-balance sheet financial arrangements.
Contractual
Obligations
Effective
November 9, 2017, we extended our noncancelable lease agreement through July 31, 2024, and further extended it through October 31, 2026,
for our facilities at 6797 Winchester Circle, Boulder, Colorado. Lease expense was $357,503 for the fiscal year ended March 31, 2024
and $329,255 for the fiscal year ended March 31, 2023. The minimum future lease payment, by fiscal year, as of March 31, 2024 is as follows:
Fiscal
Year
Amount
2025
$ 370,377
2026
430,398
2027
266,212
Total
$ 1,066,987
On
August 4, 2020, we received $150,000 in loan funding from the U.S. Small Business Administration (“SBA”) under the Economic
Injury Disaster Loan (“EIDL”) program administered by the SBA, which program was expanded pursuant to the CARES Act. The
EIDL is evidenced by a promissory note, dated August 1, 2021 in the original principal amount of $150,000 with the SBA, the lender. Under
the terms of the Note, interest accrues on the outstanding principal at the rate of 3.75% per annum. The term of the Note is thirty years,
though it may be payable sooner upon an event of default under the Note.
The
minimum future EIDL payment, by fiscal year, as of March 31, 2024 is as follows:
Fiscal
Year
Amount
2025
$ 3,208
2026
3,331
2027
3,457
2028
3,587
Thereafter
146,689
Total
$ 156,685
During
June 2020, we entered into a note agreement with U.S. Bank for $92,000. The note is for five years at a 5% interest rate and the proceeds
were used to purchase equipment. The note is secured by the equipment.
The
minimum future U.S. Bank payment, by fiscal year, as of March 31, 2024 is as follows:
Fiscal
Year
Amount
2024
18,400
2025
13,800
Total
$ 32,200
During
September 2022, we entered into a note agreement with U.S. Bank for $115,004. The note is for five years at a 6% interest rate and the
proceeds were used to purchase equipment. The note is secured by the equipment.
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The
minimum future principal U.S. Bank payment, by fiscal year, as of December 31, 2023 is as follows:
Fiscal
Year
Amount
2025
23,794
2026
23,794
2027
23,794
2028
5,949
Total
$ 77,331
Payment due by period
Contractual obligations
Totals
Less
than 1 year
1-3
years
3-5
Years
More
than 5 Years
Lease obligations
$ 1,141,875
$ 415,667
$ 726,208
$ —
$ —
EIDL note
156,685
3,208
6,788
7,174
139,515
U.S. Bank note
32,200
18,400
13,800
—
—
U.S. Bank note
77,331
23,794
47,588
5,949
—
Totals
$ 1,408,091
$ 461,069
$ 794,384
$ 13,123
$ 139,515
Aside
from the operating lease, we do not have any material contractual commitments requiring settlement in the future.
Critical
Accounting Policies and Estimates
Our
discussion and analysis of our financial condition and results of operations are based upon our financial statements, which have been
prepared in accordance with accounting principles generally accepted in the United States .
The preparation of these financial statements requires us to make estimates and judgments that affect the reported amounts of assets,
liabilities, sales and expenses, and related disclosure of contingent assets and liabilities. On an on-going basis, we evaluate our estimates,
including those related to bad debts, inventories, sales returns, warranty, contingencies
and litigation. We base our estimates on historical experience and on various other assumptions that are believed to be reasonable under
the circumstances, the results of which form the basis for making judgments about the carrying values of assets and liabilities that
are not readily apparent from other sources. Actual results may differ from these estimates under different assumptions or conditions.
We believe the following critical accounting policies affect the more significant judgments and estimates used in the preparation of
our financial statements.
We
record revenue at a single point in time, when control is transferred to the customer, which is consistent with past practice. We will
continue to apply our current business processes, policies, systems and controls to support recognition and disclosure. Our shipping
policy is FOB Shipping Point. We recognize revenue from sales to stocking distributors when there is no right of return, other than for
normal warranty claims. We have no ongoing obligations related to product sales, except for normal warranty obligations. We evaluated
the requirement to disaggregate product revenue, and concluded that substantially all of its revenue comes from multiple products within
a line of medical devices. Our engineering service contracts are billed on a time and materials basis and revenue is recognized over
time as the services are performed
We
maintain allowances for doubtful accounts for estimated losses resulting from the inability of our customers to make required payments.
If the financial condition of our customers were to deteriorate, resulting in an impairment
of their ability to make payments, additional allowances would be required, which would increase
our expenses during the periods in which any such allowances were made. The amount recorded as a provision for bad debts in each period
is based upon our assessment of the likelihood that we will be paid on our outstanding receivables, based on customer-specific as well
as general considerations. To the extent that our estimates prove to be too high, and we ultimately collect a receivable previously determined
to be impaired, we may record a reversal of the provision in the period of such determination.
We
provide for the estimated cost of product warranties at the time sales are recognized. While we engage in extensive product quality programs
and processes, including actively monitoring and evaluating the quality of our component
suppliers, we have experienced some costs related to warranty. The warranty accrual is based upon
historical experience and is adjusted based on current experience. Should actual warranty experience differ from our estimates, revisions
to the estimated warranty liability would be required.
We
reduce inventory for estimated obsolete or unmarketable inventory equal to the difference between the cost of inventory and the estimated
market value based upon assumptions about future demand and market conditions. If a ctual
market conditions are less favorable than those projected by management, additional inventory write-downs may be required. Any write-downs
of inventory would reduce our reported net income during the period in which such write-downs were applied.
We
recognize deferred income tax assets and liabilities for the expected future income tax consequences, based on enacted tax laws, of temporary
differences between the financial reporting and tax bases of assets and liabilities. Deferred tax assets are then reduced, if deemed
necessary, by a valuation allowance for the amount of any tax benefits which, more likely than not based on current circumstances, are
not expected to be realized. Should we achieve sufficient, sustained income in the future, we may conclude that all or some of the valuation
allowance should be reversed.
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Property
and equipment are stated at cost, with depreciation computed over the estimated useful lives of the assets, generally three to seven
years. We use the straight-line method of depreciation for property and equipment. Leasehold improvements are depreciated over the shorter
of the remaining lease term or the estimated useful life of the asset. Maintenance and repairs are expensed as incurred and major additions,
replacements and improvements are capitalized.
We
amortize our patent costs over their estimated useful lives, which is typically the remaining statutory life. From time to time, we may
be required to adjust these lives based on advances in technology, competitor actions, and the like .
We review the recorded amounts of patents at each period end to determine if their carrying amount is still recoverable based on our
expectations regarding sales of related products. Such an assessment, in the future, may result in a conclusion that the assets are impaired,
with a corresponding charge against earnings.
Stock-based
compensation is presented in accordance with the guidance of Financial Accounting Standards Board (“FASB”) Accounting Standards
Codification (“ASC”) Topic 718, Compensation – Stock Compensation (“ASC 718 ”).
Under the provisions of ASC 718, companies are required to estimate the fair value of share-based payment awards made to employees and
directors including employee stock options based on estimated fair values on the date of
grant using an option-pricing model. The value of the portion of the award that is ultimately expected to vest is recognized as expense
over the requisite service periods in our statements of operations.
Item
7A. Quantitative and Qualitative Disclosures About Market Risk
Not
required.
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