Item 7. Management’s Discussion and Analysis
Item
7. Management’s Discussion and Analysis of Financial Condition and Results of Operations.
Prospective
investors should read the following discussion and analysis of our financial condition and results of operations together with our financial
statements and the related notes and other financial information included elsewhere in this report. Some of the information contained
in this discussion and analysis or set forth elsewhere in this report, including information with respect to our plans and strategy for
our business and related financing, includes forward-looking statements that involve risks and uncertainties. You should review the “Risk
Factors” section of this report for a discussion of important factors that could cause actual results to differ materially from
the results described in or implied by the forward-looking statements contained in the following discussion and analysis .
Overview
We
are a medical device company focused on the design, development and commercialization of non-invasive glucose monitoring devices for
use by people with diabetes. Integrity Israel was founded in 2001 with a mission to develop, produce and market non-invasive glucose
monitors for home use by diabetics. We have developed a non-invasive blood glucose monitor, GlucoTrack®, which is designed to help
people with diabetes obtain blood glucose level readings without the pain, inconvenience, cost and difficulty of conventional (invasive)
spot finger stick devices. Our first generation product, GlucoTrack® 1.0 utilizes a patented combination of ultrasound, electromagnetic
and thermal technologies to obtain blood glucose measurements in less than one minute via a small sensor that is clipped onto one’s
earlobe and connected to a small, handheld control and display unit, all without drawing blood. Our next generation product, GlucoTrack®
2.0 which is currently under development, utilizes substantially identical underlying sensor technology, and is expected to be a completely
wireless sensor to be clipped on the earlobe. GlucoTrack eliminates the handheld unit and will transmit results directly to a user’s
smartphone.
We
may be at risk as a result of the current COVID-19 pandemic. Risks that could affect our business include the duration and scope of the
COVID-19 pandemic and the impact on the demand for our products; actions by governments, businesses and individuals taken in response
to the pandemic; the length of time of the COVID-19 pandemic and the possibility of its reoccurrence; the timing required to develop
effective treatments and a vaccine in the event of future outbreaks; the eventual impact of the pandemic and actions taken in response
to the pandemic on global and regional economies; and the pace of recovery when the COVID-19 pandemic subsides.
Critical
Accounting Policies
This
Management’s Discussion and Analysis of Financial Condition and Results of Operations discuss our financial statements, which have
been prepared in accordance with accounting principles generally accepted in the United States of America (“U.S. GAAP”).
In connection with the preparation of our financial statements, we are required to make assumptions and estimates about future events,
and apply judgments that affect the reported amounts of assets, liabilities, revenue, expenses and the related disclosures. We base our
assumptions, estimates and judgments on historical experience, current trends and other factors that management believes to be relevant
at the time our consolidated financial statements are prepared. On a regular basis, management reviews the accounting policies, assumptions,
estimates and judgments to ensure that our financial statements are presented fairly and in accordance with U.S. GAAP. However, because
future events and their effects cannot be determined with certainty, actual results could differ from our assumptions and estimates,
and such differences could be material.
Our
significant accounting policies are discussed in Note 2, Summary of Significant Accounting Policies, of the Notes to Consolidated Financial
Statements included elsewhere in this report.
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Critical accounting estimates.
Our discussion and analysis of our financial condition
and results of operations are based upon our consolidated financial statements, which have been prepared in accordance with USGAAP. The
preparation of our consolidated financial statements and related disclosures requires us to make estimates, assumptions and judgments
that affect the reported amounts of assets, liabilities, net sales, costs and expenses and related disclosures. management believes that
there are no critical accounting estimates in these financial statements.
Recent
Accounting Pronouncements
In June
2016, the FASB issued ASU 2016-13, “Financial Instruments - Credit Losses (Topic 326): Measurement of Credit Losses on Financial
Instruments” (“ASU 2016-13”), which changes the impairment model for most financial assets and certain other instruments.
For trade and other receivables, held-to-maturity debt securities, loans, and other instruments, entities will be required to use a new
forward-looking “expected loss” model that generally will result in the earlier recognition of allowances for losses. The
guidance also requires increased disclosures. For the Company, the amendments in the update were originally effective for fiscal years
beginning after December 15, 2019, including interim periods within those fiscal years. In November 2019, the FASB issued ASU No. 2019-10,
which delayed the effective date of ASU 2016-13 for smaller reporting companies (as defined by the SEC) and other non-SEC reporting entities
to fiscal years beginning after December 15, 2022, including interim periods within those fiscal periods. Early adoption is permitted.
As the company is eligible to considered as smaller
reporting company ASU 2016-13 is effective for fiscal years beginning after December 15, 2022, including interim periods within those
fiscal years. The adoption of this standard is not expected to result in a material impact to the Company’s financial statements.
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Results
of Operations
The
following discussion of our operating results explains material changes in our results of operations for the years ended December 31,
2021 and December 31, 2020. The discussion should be read in conjunction with the financial statements and related notes included elsewhere
in this report.
Year Ended December 31, 2021 Compared to Year Ended December 31,
2020
Research
and development expenses
Research
and development expenses were $1,810 thousand for the year ended December 31, 2021, as compared to $1,532 thousand for
the prior-year period. The increase is attributable to expenses due to slow inventory write-off.
Research
and development expenses consist primarily of salaries and other personnel-related expenses, including stock-based compensation expenses,
materials, travel expenses, clinical trials and other expenses. We expect research and development expenses to increase in 2022 and beyond,
primarily due to hiring additional personnel and developing our product line, as well the development of GlucoTrack® 2.0; however,
we may adjust or allocate the level of our research and development expenses based on available financial resources and based on our
commercial needs, including the FDA registration process, specific requirements from customers, development of new GlucoTrack® models
and others.
Selling
and marketing expenses
Selling and marketing expenses were $139 thousand
for the year ended December 31, 2021, as compared to $415 thousand for the prior-year period. The decrease is primarily attributable
to the Company’s decision to reduce its business development expenses until the completion of the development of the GlucoTrack®
2.0.
Selling and marketing expenses
consist primarily of professional services, salaries, travel expenses and other related expenses.
General
and administrative expenses
General
and administrative expenses were $2,091 thousand for the year ended December 31, 2021, as compared to $1,185 thousand for
the prior-year period. The increase is primarily attributable to hiring of new and augmented personnel to move forward
our business agenda.
General
and administrative expenses consist primarily of professional services, salaries, travel expenses and other related expenses for executive,
finance and administrative personnel, including stock-based compensation expenses. Other general and administrative costs and expenses
include facility-related costs not otherwise included in research and development costs and expenses, and professional fees for legal
and accounting services.
Financing
Income, net
Financing
Income, net was $26 thousand for the year ended December 31, 2021, as compared to financing Income, net, of $98
thousand for the prior-year period. The decrease in the financing income is attributed to the decrease in interest income resulting
from the reduction in the company’s cash balance over the year.
Net
Loss
Net
loss was $4,067 thousand for the year ended December 31, 2021, as compared to a net loss of $2,696 thousand for the prior-year
period. The increase in net loss is attributable primarily to the increase in our general and administrative expenses and development expenses as described above.
Liquidity
and Capital Resources
As
of December 31, 2021, and December 31, 2020, cash on hand was $6,062 thousand and $9,823 thousand, respectively. During 2020,
we received $13,009 thousand from the issuance and sale of our common stocks, We do not anticipate that our income from operations will
be sufficient to sustain our operations in the next 12 months. Based on our current cash burn rate, strategy and operating plan, we believe
that our cash and cash equivalents will enable us to operate for a period of significantly more than one year from the date of this report
to cover our current operating needs and initial clinical trials.
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During
the years 2003-2004, Integrity Israel received loans from stockholders (four separate lenders) in a total amount of approximately $400
thousand. However, following the repayment of the entire balance to lender in 2015, the remaining balance as of December 31, 2021 is
approximately $210 thousand.
We
are required to pay royalties to the Office of the Chief Scientist at a rate ranging between 3-5% of the proceeds from the sale of the
Company’s products arising from the development plan up to an amount equal to $93 thousand, plus interest at LIBOR from the date
of grant. As of December 31, 2021, the contingent liability with respect to royalty payment on future sales equals to approximately $43
thousand, excluding interest.
Year
Ended December 31, 2021 Compared to Year Ended December 31, 2020
Net
Cash Used in Operating Activities for the Years Ended December 31, 2021 and December 31, 2020
Net
cash used in operating activities was $3,769 thousand and $3,501 thousand for the years ended December 31, 2021 and 2020, respectively.
Net cash used in operating activities primarily reflects the net loss for those periods of $4,067 thousand and $2,696 thousand,
respectively offset by the net changes in operating assets and liabilities that during the year ended December 31, 2021 increased
our net cash used in operating activities for the year ended December 31, 2021 by $981 thousand.
Net
Cash Used in Investing Activities for the Years Ended December 31, 2021 and December 31, 2020
Net
cash used in investing activities was $1 thousand and $53 thousand for the years ended December 31, 2021 and 2020, respectively,
mainly consisting of equipment purchases (such as computers, research and development and office equipment).
Net
Cash Provided by Financing Activities for the Years Ended December 31, 2021 and December 31, 2020
Net
cash provided by financing activities was $0 thousand and $13,009 thousand for the years ended December 31, 2021 and 2020,
respectively. Cash provided by financing activities for the years ended December 31, 2020 reflected net capital raised in February
2020 throughout issuance of 37.5 million common stocks.
Off-Balance
Sheet Arrangements
As
of December 31, 2021, we did not have any off-balance sheet arrangements as defined in Item 303(a)(4) of Regulation S-K.
Item
7A. Quantitative and Qualitative Disclosures About Market Risk.
Not
required for smaller reporting companies.
Item
8. Financial Statements and Supplementary Data.
The
financial statements required by this Item 8 are filed herewith commencing on page F-1 hereto and are incorporated herein by reference.
Item
9. Change in and Disagreements with Accountants on Accounting and Financial Disclosure.
None.
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