UNITED
STATES
SECURITIES
AND EXCHANGE COMMISSION
Washington,
D.C. 20549
FORM
10-Q
(Mark
One)
☒
QUARTERLY
REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934
For
the quarterly period ended September 30. 2025
or
☐
TRANSITION
REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934
For
the transition period from ________________ to ________________
Commission
file number 001-41775
NEURAXIS,
INC.
(Exact
name of registrant as specified in its charter)
Delaware
45-5079684
(State
or other jurisdiction of
incorporation
or organization)
(I.
R. S. Employer
Identification
No.)
11611
N. Meridian Street , Suite 330
Carmel ,
IN
46032
(Address
of principal executive offices)
(Zip
Code)
(812)
689-0791
(Registrant’s
telephone number, including area code)
Securities
registered pursuant to Section 12(b) of the Act:
Title
of each class
Trading
Symbol(s)
Name
of each exchange on which registered
Common
Stock
NRXS
NYSE
American LLC
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 every Interactive Data File required to be submitted pursuant to Rule
405 of Regulation S-T (§232.405 of this 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 ☐
Accelerated
filer ☐
Non-accelerated
filer ☒
Smaller
reporting company ☒
Emerging
growth company ☒
If
an emerging growth company, indicate by check mark if the registrant has elected not to use the extended transition period for complying
with any new or revised financial accounting standards provided to Section 7(a)(2)(B) of the Securities Act. ☒
Indicate
by check mark whether the registrant is a shell company (as defined in rule 12b-2 of the Exchange Act). Yes ☐ No ☒
The
number of shares of the registrant’s common stock outstanding as of November 7, 2025 was 10,652,812
shares.
TABLE
OF CONTENTS
PART I
3
ITEM
1:
FINANCIAL STATEMENTS
3
Condensed Balance Sheets as of September 30, 2025 (Unaudited) and December 31, 2024
3
Condensed Statements of Operations for the Three and Nine Months Ended September 30, 2025 and 2024 (Unaudited)
4
Condensed Statements of Stockholders’ Equity (Deficit) for the Three and Nine Months Ended September 30, 2025 and 2024 (Unaudited)
5
Condensed Statements of Cash Flows for the Nine Months Ended September 30, 2025 and 2024 (Unaudited)
7
Notes to Condensed Financial Statements (Unaudited)
8
ITEM
2:
MANAGEMENT’S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF OPERATION
23
ITEM
3:
QUANTITATIVE AND QUALITATIVE DISCLOSURE ABOUT MARKET RISK
26
ITEM
4:
CONTROLS AND PROCEDURES
27
PART II
28
ITEM
1:
LEGAL PROCEEDINGS
28
ITEM
1A:
RISK FACTORS
28
ITEM
2:
UNREGISTERED SALES OF EQUITY SECURITIES AND USE OF PROCEEDS
29
ITEM
3:
DEFAULTS UPON SENIOR SECURITIES
29
ITEM
5:
OTHER INFORMATION
29
ITEM
6:
EXHIBITS
30
SIGNATURES
31
2
PART
I
ITEM
1. FINANCIAL STATEMENTS
NeurAxis,
Inc.
Condensed
Balance Sheets
September
30,
2025
December
31,
2024
(Unaudited)
Assets
Current
Assets:
Cash
and cash equivalents
$ 4,377,109
$ 3,696,870
Accounts
receivable, net of credit losses of $ 7,200 and $ 5,000 as of September 30, 2025 and December 31, 2024, respectively
108,504
244,618
Inventories,
net of reserves of $ 28,793 and $ 4,454 as of September 30, 2025 and December 31, 2024, respectively
110,256
44,328
Prepaids
and other current assets
391,913
280,367
Total
current assets
4,987,782
4,266,183
Property
and equipment, at cost:
376,603
464,402
Less
- accumulated depreciation
( 291,130 )
( 374,420 )
Property
and equipment, net
85,473
89,982
Other
Assets:
Operating
lease right of use asset, net
277,219
284,656
Intangible
assets, net
283,062
96,588
Other
non-current assets
142,827
20,163
Total
Assets
$ 5,776,363
$ 4,757,572
Liabilities
Current
Liabilities:
Accounts
payable
$ 886,399
$ 596,946
Accrued
expenses
1,955,938
1,577,780
Current
portion of operating lease payable
62,834
62,754
Notes
payable
195,658
154,152
Customer
deposits
37,160
32,527
Warrant
liabilities
9,194
9,166
Total
current liabilities
3,147,183
2,433,325
Non-Current
Liabilities:
Operating
lease payable, net of current portion
219,933
256,499
Other
non-current liabilities
124,306
—
Total
non-current liabilities
344,239
256,499
Total
liabilities
3,491,422
2,689,824
Commitments
and Contingencies (see note 16)
—
—
Stockholders’
Equity
Convertible Series
B Preferred stock, $ 0.001 par value; 5,000,000 shares authorized; 3,896,907 and 4,280,939 shares issued and outstanding as of September
30, 2025 and December 31, 2024
3,897
4,281
Common stock, $ 0.001
par value; 100,000,000 shares authorized; 9,886,294 and 6,990,227 shares issued and outstanding as of September 30, 2025 and December
31, 2024, respectively
9,886
6,990
Additional
paid in capital
65,162,668
58,856,089
Accumulated
deficit
( 62,891,510 )
( 56,799,612 )
Total
stockholders’ equity
2,284,941
2,067,748
Total
Liabilities and Stockholders’ Equity
$ 5,776,363
$ 4,757,572
The
accompanying notes are an integral part of these unaudited condensed financial statements
3
NeurAxis,
Inc.
Condensed
Statements of Operations (Unaudited)
2025
2024
2025
2024
For
the Three Months Ended
September
30,
For
the Nine Months Ended
September
30,
2025
2024
2025
2024
Net
Sales
$ 811,414
$ 666,625
$ 2,601,155
$ 1,924,760
Cost
of Goods Sold
135,487
97,050
421,265
256,949
Gross
Profit
675,927
569,575
2,179,890
1,667,811
Selling
Expenses
762,548
338,523
1,694,354
1,012,920
Research
and Development
130,850
126,247
347,433
295,188
General
and Administrative
1,882,614
1,756,078
6,251,143
6,049,928
Operating
Loss
( 2,100,085 )
( 1,651,273 )
( 6,113,040 )
( 5,690,225 )
Other
Income (Expense):
Financing
charges
( 30,240 )
—
( 30,240 )
( 230,824 )
Interest
expense
( 29,661 )
( 64,676 )
( 45,333 )
( 171,934 )
Change
in fair value of warrant liability
( 1,740 )
( 6,726 )
( 28 )
( 8,434 )
Amortization
of debt discount and issuance cost
—
( 40,888 )
—
( 126,387 )
Other
income
38,930
17,072
96,743
20,032
Other
expense
—
( 8,743 )
—
( 585,824 )
Total
other income (expense), net
( 22,711 )
( 103,961 )
21,142
( 1,103,371 )
Net
Loss
( 2,122,796 )
( 1,755,234 )
( 6,091,898 )
( 6,793,596 )
Preferred
stock dividends
( 198,707 )
( 44,820 )
( 619,715 )
( 44,820 )
Net
Loss Available to Common Stockholders
$ ( 2,321,503 )
$ ( 1,800,054 )
$ ( 6,711,613 )
$ ( 6,838,416 )
Per-Share
Data
Basic
and diluted loss per share
$ ( 0.24 )
$ ( 0.25 )
$ ( 0.78 )
$ ( 1.01 )
Weighted
Average Shares Outstanding
Basic
and diluted
9,878,020
7,172,229
8,569,055
6,800,810
The
accompanying notes are an integral part of these unaudited condensed financial statements
4
NeurAxis,
Inc.
Condensed
Statements of Stockholders’ Equity (Deficit) (Unaudited)
Shares
Amount
Shares
Amount
Capital
Deficit
(Deficit)
For
the Three and Nine Months Ended September 30, 2024
Convertible
Series B
Preferred
Stock
Common
Stock
Additional
Paid
In
Accumulated
Stockholder’s
Equity
Shares
Amount
Shares
Amount
Capital
Deficit
(Deficit)
Balances
at January 1, 2024
-
$ -
6,508,897
$ 6,509
$ 47,148,361
$ ( 48,558,111 )
$ ( 1,403,241 )
Warrants
exercised
-
-
11,000
11
26,169
-
26,180
Additional
paid in capital from warrants issued under advisory agreement
-
-
-
-
15,543
-
15,543
Additional
paid in capital from warrants issued as debt discount
-
-
-
-
97,465
-
97,465
Common
stock issued from agreements
-
-
75,000
75
200,175
-
200,250
Net
loss
-
-
-
-
-
( 2,120,651 )
( 2,120,651 )
Balances
at March 31, 2024
-
-
6,594,897
6,595
47,487,713
( 50,678,762 )
( 3,184,454 )
Additional
paid in capital from warrants issued under consulting agreement
-
-
-
-
44,853
-
44,853
Common
stock issued from agreements
-
-
246,724
247
798,682
-
798,929
Net
loss
-
-
-
-
-
( 2,917,710 )
( 2,917,710 )
Balances
at June 30,2024
-
-
6,841,621
6,842
48,331,248
( 53,596,472 )
( 5,258,382 )
Additional
paid in capital from warrants issued under consulting agreement
-
-
-
-
65,426
-
65,426
Common
stock issued from agreements
-
-
138,606
138
384,694
-
384,832
Debt
discount on mandatory conversion of convertible promissory notes to Series B Preferred Stock
-
-
-
-
( 165,577 )
-
( 165,577 )
Conversion
of convertible promissory notes to Series B Preferred Stock
2,073,524
2,074
-
-
4,932,929
-
4,935,003
Net
loss
-
-
-
-
-
( 1,755,234 )
( 1,755,234 )
Balances
at September 30, 2024
2,073,524
$ 2,074
6,980,227
$ 6,980
$ 53,548,720
$ ( 55,351,706 )
$ ( 1,793,932 )
5
NeurAxis,
Inc.
Condensed
Statements of Stockholders’ Equity (Deficit) (Unaudited)
For
the Three and Nine Months Ended September 30, 2025
Convertible
Series B
Preferred
Stock
Common
Stock
Additional
Paid In
Accumulated
Stockholder’s
Equity
Shares
Amount
Shares
Amount
Capital
Deficit
(Deficit)
Balances
at January 1, 2025
4,280,939
$ 4,281
6,990,227
$ 6,990
$ 58,856,089
$ ( 56,799,612 )
$ 2,067,748
Warrants
exercised
-
-
186,166
186
( 186 )
-
-
Common
stock issued from agreements
-
-
39,471
40
112,453
-
112,493
Vesting
of restricted stock awards
-
-
-
-
356,922
-
356,922
Net
loss
-
-
-
-
-
( 2,278,684 )
( 2,278,684 )
Balances
at March 31, 2025
4,280,939
4,281
7,215,864
7,216
59,325,278
( 59,078,296 )
258,479
Warrants
exercised
-
-
720,359
720
1,002,271
-
1,002,991
Coversion
of Series B Preferred Stock to common stock
( 384,032 )
( 384 )
384,032
384
-
-
-
Issuance
of common stock pursuant to shelf registration statement
-
-
1,538,461
1,539
4,998,460
-
4,999,999
Offering
costs
-
-
-
-
( 490,799 )
-
( 490,799 )
Vesting
of restricted stock units
-
-
-
-
173,042
-
173,042
Net
loss
-
-
-
-
-
( 1,690,418 )
( 1,690,418 )
Balances
at June 30, 2025
3,896,907
3,897
9,858,716
9,859
65,008,252
( 60,768,714 )
4,253,294
Balance
3,896,907
$ 3,897
9,858,716
$ 9,859
$ 65,008,252
$ ( 60,768,714 )
$ 4,253,294
Common
stock issued from agreements
-
-
13,518
13
33,900
-
33,913
Offering
costs
-
-
-
-
( 40,335 )
-
( 40,335 )
Issuance
of restricted stock units
-
-
14,060
14
( 14 )
-
-
Vesting
of restricted stock units
-
-
-
-
160,865
-
160,865
Net
loss
-
-
-
-
-
( 2,122,796 )
( 2,122,796 )
Balances
at September 30, 2025
3,896,907
$ 3,897
9,886,294
$ 9,886
$ 65,162,668
$ ( 62,891,510 )
$ 2,284,941
Balance
3,896,907
$ 3,897
9,886,294
$ 9,886
$ 65,162,668
$ ( 62,891,510 )
$ 2,284,941
The
accompanying notes are an integral part of these unaudited condensed financial statements
6
NeurAxis,
Inc.
Condensed
Statements of Cash Flows (Unaudited)
2025
2024
For
the Nine Months Ended
September
30,
2025
2024
Cash
Flows from Operating Activities
Net
Loss
$ ( 6,091,898 )
$ ( 6,793,596 )
Adjustments
to reconcile net loss to net cash used by operating activities:
Amortization
of debt discount and issuance cost
—
126,387
Provision
for losses on inventory
24,339
2,030
Depreciation
and amortization
35,446
30,980
Provisions
for losses on accounts receivable
2,200
23,156
Loss
on disposal of property and equipment
7,878
—
Non-cash
lease expense
7,438
29,098
Stock-based
compensation
439,716
227,000
Issuance
of common stock for non-cash consideration
( 546 )
1,103,124
Issuance
of warrants for non-cash consideration
—
125,824
Finance
charges
30,240
230,824
Change
in fair value of warrant liabilities
28
8,434
Changes
in operating assets and liabilities:
Accounts
receivable
133,914
( 2,583 )
Inventory
( 90,267 )
( 3,268 )
Prepaids
and other current assets
155,124
19,767
Accounts
payable
289,451
( 242,112 )
Accrued
expenses
545,982
768,686
Customer
deposits
4,633
9,565
Operating
lease liability
( 36,486 )
( 3,413 )
Other
non-current assets and liabilities
44,124
—
Net
cash used in operating activities
( 4,498,684 )
( 4,340,097 )
Cash
Flows from Investing Activities
Additions
to property and equipment
( 25,288 )
( 27,776 )
Net
cash used in investing activities
( 25,288 )
( 27,776 )
Cash
Flows from Financing Activities
Offering
costs paid
( 573,616 )
—
Proceeds
from issuance of common shares
4,999,999
—
Proceeds
from exercised warrants
1,002,991
26,180
Principal
payments on notes payable
( 225,163 )
( 216,482 )
Proceeds
from convertible notes, net of fees
—
4,740,500
Net
cash provided by financing activities
5,204,211
4,550,198
Net
Increase in Cash and Cash Equivalents
680,239
182,325
Cash
and Cash Equivalents at Beginning of Period
3,696,870
78,560
Cash
and Cash Equivalents at End of Period
$ 4,377,109
$ 260,885
Supplemental
Disclosure of Operating Activities
Cash
paid for interest
$ 8,761
$ 30,756
Cash
refunded for income taxes
13,140
—
Supplemental
Schedule of Non-Cash Investing and Financing Activities
Recognition
of right of use asset
$ 37,970
$ 284,339
Derecognition
of right of use asset
29,014
—
Conversion
of convertible promissory notes to Series B preferred stock
—
4,935,000
Common
stock issued upon cashless exercise of warrants
186
—
Common
stock issued upon cashless conversion of Series B Preferred Stock
384
—
Common
stock issued for services
112,493
—
Common stock issued upon settlement of certain
claims
3,673
—
Fair
value of warrants from debt discount in convertible notes classified as additional paid in capital
—
97,465
Write-off
of debt discount on convertible notes classified as additional paid in capital
—
165,777
Issuance
of note payable to financing company for insurance premiums and software subscription
292,253
216,110
Offering costs included in accounts payable
51,700
—
Intangible asset purchase included in accrued expenses
200,000
—
The
accompanying notes are an integral part of these unaudited condensed financial statements
7
1.
Basis of Presentation, Organization and Other Matters
NeurAxis,
Inc. (“we,” “us,” the “Company,” or “NeurAxis”) was established in 2011 and incorporated
in the state of Indiana in 2012 under the name of Innovative Health Solutions, Inc. The name was changed to NeurAxis, Inc. in 2022 when
the Company filed a Certificate of Conversion and became a Delaware corporation.
The
Company is headquartered in Carmel, Indiana, and specializes in the development, production, and sale of medical neuromodulation devices.
The Company has developed four FDA cleared products: (i) the IB-STIM (DEN180057, 2019), (ii) the Rectal Expulsion Device (“RED”)
(K242304,2024), (iii) the NSS-2 Bridge (DEN170018, 2017) and (iv) the original 510(K) clearance (K140530, 2014).
●
The
IB-STIM is a percutaneous electrical nerve field stimulator (PENFS) device that is indicated in patients 8-21 years of age with functional
abdominal pain associated with irritable bowel syndrome and in patients 8 years and older with functional abdominal pain associated with functional dyspepsia and related nausea symptoms.
●
RED
is indicated to evaluate the neuromuscular function of a patient’s ability to expel its contents from the rectum and as a qualitative
test for rectal hypersensitivity patients who experience desire or urge to defecate at lower volumes of distention. RED is intended
to be used in a clinical setting by trained health care providers in adult populations.
●
The
NSS-2 Bridge is a percutaneous nerve field stimulator (PNFS) device indicated for use in the reduction of the symptoms of opioid
withdrawal and was licensed to Masimo Corporation (“Masimo”). Masimo marketed and sold this product as its Masimo Bridge.
On July 1, 2025, the Company terminated the NSS-2 Bridge license with Masimo in exchange for $ 200,000 of consideration payable in
equal installments on December 31, 2025 and June 30, 2026. The termination agreement allowed the Company to recapture the rights
to the trademark (U.S. Registration No. 7,394,465) and two patent applications (Application No. 18/821,225 and Application No. 29/960,608)
that were licensed to Masimo on April 9, 2020.
●
The
original 510(K) device was an Electroacupuncture Device (“EAD”), now called NeuroStim. The EAD is no longer being manufactured,
sold or distributed but reserved only for research purposes.
The
Company’s financial statements have been prepared in accordance with accounting principles generally accepted in the United States
of America (“U.S. GAAP”) and follow the requirements of the U.S. Securities and Exchange Commission (“SEC”) for
interim reporting. As permitted under those rules, certain footnotes or other financial information that are normally required by U.S.
GAAP can be condensed or omitted. These interim financial statements have been prepared on the same basis as the Company’s annual
financial statements and, in the opinion of management, reflect all adjustments which are necessary for a fair presentation of the Company’s
financial information. These unaudited interim results are not necessarily indicative of the results to be expected for the year ending
December 31, 2025, or any other interim period or for any other future year. These unaudited financial statements should be read in conjunction
with the Company’s audited financial statements and the notes thereto for the year ended December 31, 2024.
8
2.
Summary of Significant Accounting Policies
Use
of Estimates and Critical Accounting Estimates and Assumptions
The
preparation of financial statements in conformity with U.S. GAAP requires management to make estimates and assumptions that affect the
reported amounts of assets and liabilities and disclosure of contingent assets and liabilities at the dates of the financial statements
and the reported amounts of revenues and expenses during the reporting periods.
These
significant accounting estimates or assumptions bear the risk of change due to the fact that there are uncertainties attached to these
estimates or assumptions, and certain estimates or assumptions are difficult to measure or value.
Management
bases its estimates on historical experience and on various assumptions that are believed to be reasonable in relation to the financial
statements taken as a whole 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.
Management
regularly evaluates the key factors and assumptions used to develop the estimates utilizing currently available information, changes
in facts and circumstances, historical experience, and reasonable assumptions. After such evaluations, if deemed appropriate, those estimates
are adjusted accordingly. The Company uses estimates in accounting for, among other items, revenue recognition, allowance for credit
losses, stock-based compensation, income tax provisions, excess and obsolete inventory reserve, and impairment of property and equipment,
and intellectual property. Actual results could differ from those estimates.
Reclassification
of Prior Year Amounts
Certain
prior year amounts have been reclassified to conform to current period presentation. The Company reclassified $ 243,093
and $ 786,546
of General and Administrative Expenses to Selling Expenses in the Condensed Statements of Operations for the three and nine months
ended September 30, 2024, respectively. The Company also reclassified $ 53,825
and $ 164,396
of General and Administrative Expenses to Research and Development Expenses in the Condensed Statements of Operations for the three
and nine months ended September 30, 2024, respectively. These reclassifications had no impact on previously reported net loss, total assets,
total liabilities or total equity (deficit).
Accounts
Receivable and Allowance for Credit Losses
Trade
accounts receivable is stated at the amount management expects to collect from outstanding balances, net of an allowance for credit losses.
Management evaluates many factors when determining the collectability of specific customer accounts, including, but not limited to, creditworthiness,
past transaction and payment history, current economic industry trends and changes in payment terms. Management used assumptions and
judgment based on the best available facts and circumstances to estimate and record an allowance. The Company estimates credit losses
on accounts receivable by utilizing an aging schedule. The allowance for credit losses was $ 7,200 and $ 5,000 as of September 30, 2025
and December 31, 2024, respectively. The Company recorded credit losses of $ 2,717 and $ 1,085 for the three months ended September 30,
2025 and 2024, respectively, and $ 2,717 and $ 35,044 for the nine months ended September 30, 2025 and 2024, respectively.
Inventories
Inventories
are valued at the lower of cost or net realizable value. Cost is determined using the weighted average method. The inventory is comprised
of finished medical devices on hand. Certain components within the devices have an expiration date that are removed from current inventory
and expensed at the date of expiration. The Company recorded expired and other inventory charges of $ 11,598 and $ 2,030 for the three
months ended September 30, 2025 and 2024, respectively, and $ 24,339 add $ 2,030 for the nine months ended September 30, 2025 and 2024,
respectively. Inventory reserves totaled $ 28,793 and $ 4,454 as of September 30, 2025 and December 31, 2024, respectively.
Selling
Expenses
Selling
expenses consist primarily of advertising, marketing and promotion of the Company’s products including salaries and related personnel
costs and travel expenses. Advertising expenses are expensed as incurred and amounted to $ 292,678 and $ 34,468 for the three months ended
September 30, 2025 and 2024, respectively, and $ 414,134 and $ 154,299 for the nine months ended September 30, 2025 and 2024, respectively.
Research
and Development
Research
and development expenses consist primarily of clinical research studies, new product development, costs of materials and supplies used
in research and development activities and salaries and related personnel costs for employees engaged in research and development activities
to have our IB-Stim and RED devices cleared by the FDA for other indications. Research and development costs are expensed as incurred.
Intangible
Assets
Intangible
assets consist of software, patents, a trademark and a license. Intangible assets are stated at their historical cost and amortized on
a straight-line basis over their expected useful lives. Capitalized patent costs, net of accumulated amortization, includes legal costs
incurred for patent applications. In accordance with ASC 350, once a patent is granted, we amortize the capitalized patent costs over
the remaining life of the patent using the straight-line method. If the patent is not granted, we write off any capitalized patent costs
at that time.
The
Company purchased a trademark related to the Company’s name for $ 50,000 . The trademark does not have a determinate life and therefore
the cost is not being amortized.
The
Company entered into an option agreement on April 12, 2023 to bring an optionor’s invention to commercialization via a royalty-bearing
licensing agreement. The agreement required an initial payment of $ 1,000 and was fully amortized in the year ended December 31, 2024.
On
July 1, 2025, the Company terminated the NSS-2 Bridge license with Masimo in exchange for $ 200,000 of consideration payable in equal
installments on December 31, 2025, and June 30, 2026. The termination agreement allowed the Company to recapture the rights to the trademark
(U.S. Registration No. 7,394,465) and two patent applications (Application No. 18/821,225 and Application No. 29/960,608) that were licensed
to Masimo on April 9, 2020 for use in the reduction of the symptoms of opioid withdrawal. The intellectual property will be amortized
over its remaining trademark life of approximately nine years.
Fair
Value Measurements
The
Company accounts for financial instruments in accordance with ASC 820, Fair Value Measurements and Disclosures (“ASC 820”).
ASC 820 establishes a fair value hierarchy that prioritizes the inputs to valuation techniques used to measure fair value. The hierarchy
gives the highest priority to unadjusted quoted prices in active markets for identical assets or liabilities (Level 1 measurements) and
the lowest priority to unobservable inputs (Level 3 measurements). The three levels of the fair value hierarchy under ASC 820 are described
below:
Level
1 – Quoted prices (unadjusted) for identical unrestricted assets or liabilities in active markets that the reporting entity has
the ability to access as of the measurement date.
Level
2 – Significant other observable inputs other than Level 1 prices such as quoted prices for similar assets or liabilities: quoted
prices in markets that are not active; or financial instruments for which all significant inputs are observable or can be corroborated
by observable market date, either directly or indirectly.
Level
3 – Unobservable inputs that are supported by little or no market activity and that are significant to the fair value of the assets
or liabilities. These unobservable inputs reflect that reporting entity’s own assumptions about assumptions that market participants
would use in pricing the asset or liability. Level 3 assets and liabilities include financial instruments whose value is determined using
pricing models, discounted cash flow methodologies, or similar techniques, as well as instruments for which the determination of fair
value require significant management judgment or estimation.
The
Company’s Level 1 accounts include cash, accounts receivable, accounts payable, prepaids, and other current assets. Management
believes the estimated fair value of these accounts on September 30, 2025 approximate their carrying value as reflected in the balance
sheets due to the short-term nature of these instruments or the use of market interest rates for debt instruments.
9
The
Company’s Level 3 accounts include warrant liabilities. Inputs to determine fair value are generally unobservable and typically
reflect management’s estimates of assumptions that market participants would use in pricing the asset or liability. The fair values
are therefore determined using model-based techniques, including option pricing models and discounted cash flow models. The valuation
techniques involve management’s estimates and judgment based on unobservable inputs. The fair value estimates may not be indicative
of the amounts that would be realized in a market exchange. Additionally, there may be inherent uncertainties or changes in the underlying
assumptions used, which could significantly affect the current or future fair value estimates. Unobservable inputs used in the models
are significant to the fair values of the assets and liabilities.
There
were no transfers between any of the levels during the periods ended September 30, 2025 and December 31, 2024. In addition to assets
and liabilities that are recorded at fair value on a recurring basis, the Company had no assets that were measured on a nonrecurring
basis as of September 30, 2025 and December 31, 2024.
Basic
and Diluted Net Income (Loss) per Share
Basic
earnings or loss per share (“EPS”) is computed by dividing net income (loss), net of preferred stock dividends, by the weighted
average number of common shares outstanding during the period. Diluted EPS is determined using the weighted average number of common
shares outstanding during the period, adjusted for the dilutive effect of common stock equivalents that were outstanding for the periods
presented. In periods when losses are reported, which is the case for the three and nine month periods ended September 30, 2025 and 2024,
respectively, presented in these financial statements, the weighted average number of common shares outstanding excludes common stock
equivalents because their inclusion would be anti-dilutive.
The
Company had the following potentially dilutive common stock equivalents:
Schedule of Dilutive Common Stock Equivalents
2025
2024
September
30,
2025
2024
Options
1,319,394
1,319,394
Pre-Funded
Warrants for Common Stock
—
289,779
Restricted
Stock Units
834,680
—
Warrants
1,419,524
1,613,217
Series
B Preferred Stock
3,896,907
2,073,524
Undeclared
Cumulative Series B Preferred Stock Dividends
349,152
—
Totals
7,819,657
5,295,914
The
following table presents the calculation of the basic and diluted net loss per share and the effect of preferred stock dividends:
Schedule of Basic and Diluted Net Loss Per Share
2025
2024
2025
2024
Three
Months Ended
September
30,
Nine
Months Ended
September
30,
2025
2024
2025
2024
Numerator:
Net
loss
$ ( 2,122,796 )
$ ( 1,755,234 )
$ ( 6,091,898 )
$ ( 6,793,596 )
Preferred
stock dividends
( 198,707 )
( 44,820 )
( 619,715 )
( 44,820 )
Net
loss available to common stockholders
( 2,321,503 )
( 1,800,054 )
( 6,711,613 )
( 6,838,416 )
Denominator:
Weighted
average shares of common stock outstanding - basic and diluted
9,878,020
7,172,229
8,569,055
6,800,810
Basic
and diluted net loss per share
$ ( 0.24 )
$ ( 0.25 )
$ ( 0.78 )
$ ( 1.01 )
Stock-Based
Compensation
The
Company accounts for all stock-based awards at fair value. The Company recognizes its stock-based compensation expense using the straight-line
method. Compensation cost is not adjusted for estimated forfeitures, but instead is adjusted upon actual forfeiture.
The
Company accounts for the granting of stock options and restricted stock units to employees and non-employees using the fair value method
whereby all awards are measured at fair value on the date of the grant. The fair value of all employee stock options and restricted stock
units is expensed over the requisite service period with a corresponding increase to additional paid-in capital. Upon exercise of stock
options, the consideration paid by the option holder is recorded in additional paid-in capital, while the par value of the shares received
is reclassified from additional paid-in-capital to common stock. Upon vesting of restricted stock units, the par value of the shares
issued are reclassified from additional paid-in-capital to common stock.
Stock-based
awards to non-employees are measured based on the fair value of the equity instrument issued. Compensation expense for non-employee stock
awards is recognized over the requisite service period following the measurement of the fair value on the grant date.
The
Company uses the Black-Scholes option-pricing model to calculate the fair value of stock options. The use of the Black-Scholes option-pricing
model requires management to make assumptions with respect to the expected term of the option, the expected volatility of the common
stock consistent with the expected term of the option, risk-free interest rates, the value of the common stock and expected dividend
yield of the common stock. Changes in these assumptions can materially affect the fair value estimate.
10
Revenue
Recognition
In
accordance with FASB’s ASC 606, Revenue from Contracts with Customers, (“ASC 606”), the Company recognizes revenue
when its customer obtains control of promised goods or services, in an amount that reflects the consideration which the Company expects
to be entitled in exchange for those goods or services. To determine revenue recognition for arrangements that the Company determines
are within the scope of ASC 606, it performs the following five steps:
(i)
identify
the contract(s) with a customer;
(ii)
identify
the performance obligations in the contract;
(iii)
determine
the transaction price;
(iv)
allocate
the transaction price to the performance obligations in the contract; and
(v)
recognize
revenue when (or as) the entity satisfies a performance obligation.
The
Company applies the five-step model to contracts when it determines that it is probable it will collect substantially all the consideration
it is entitled to in exchange for the goods or services it transfers to the customer. At contract inception, once the contract is determined
to be within the scope of ASC 606, the Company assesses the goods or services promised within each contract and determines those that
are performance obligations and assesses whether each promised good or service is distinct. The Company then recognizes as revenue the
amount of the transaction price, after consideration of variability and constraints, if any, that is allocated to the respective performance
obligation when the performance obligation is satisfied.
The
Company offers a Patient Assistance Program for patients without insurance coverage for IB-Stim. This program extends potential self-pay
discounts for IB-Stim devices, based upon household income and size.
Also,
the Company offers providers an opt-in program to address adequate insurance claim payments on IB-Stim devices. This program may extend
a rebate or invoice credit where the insurance payment and patient responsibility (i.e., deductible, co-payment, and/or co-insurance
amounts required by the Payer) are less than the acquisition cost of the IB-Stim device. The Company recognizes revenue at such a time
that collection of the amount due is assured.
Certain
economic factors affect the nature, amount, timing, and uncertainty of the Company’s revenue and cash flows. All of the Company’s
products are sold to healthcare customers including hospitals, clinics and physician offices. Sales to healthcare customers generally
lack seasonality and have a mild correlation with economic cycles. All of the Company’s sales are to customers located within the
United States. Sales contracts consist of purchase orders that are short-term (i.e., less than or equal to one year).
The
Company typically satisfies its performance obligations for goods at a point in time as they are received at the customer’s destination
(rather than over time). Goods are shipped by common carrier to customers under FOB destination terms. As such, ownership of goods in
transit is transferred to the customer upon receipt as the Company bears the associated risks (e.g., loss, damage, delay). Management
typically relies on shipping information from common carriers to evaluate when the customer has obtained control of the goods. Shipping
and handling costs are recorded as Cost of Goods Sold in the Statements of Operations.
The
Company’s contracts with customers typically do not involve variable consideration. The information that the Company uses to determine
the transaction price for a contract is similar to the information that the Company’s management uses in establishing the prices
of goods to be sold.
Orders
may not be cancelled after shipment. Customers may return devices within 10 days of delivery if the goods are found to be defective,
nonconforming, or otherwise do not meet the stated technical specifications. At the option of the customer, the Company shall either:
●
Refund
the price paid for any defective or nonconforming products.
●
Supply
and deliver to the customer replacement conforming products.
●
Reimburse
the customer for the cost of repairing any defective or nonconforming products.
At
the time revenue is recognized, the Company estimates expected returns and excludes those amounts from revenue. The Company also maintains
appropriate accounts to reflect the effects of expected returns on the Company’s financial position and periodically adjusts those
accounts to reflect its actual return experience. The estimated returns reserve totaled $ 8,714 and $ 5,000 as of September 30, 2025 and
December 31, 2024, respectively.
Payment
for goods sold by the Company is typically due after an invoice is sent to the customer, within 30 days. The Company does not offer discounts
if the customer pays some or all of an invoiced amount prior to the due date. None of the Company’s contracts have a significant
financing component.
Medical
devices that the Company contracts to sell and transfer to customers are manufactured by two third-party manufacturers located in Indiana
and Michigan. In no case does the Company act as an agent (i.e., the Company does not provide a service of arranging for another party
to transfer goods to the customer).
Going
Concern
As
of September 30, 2025, we had stockholders’ equity of $ 2,284,941 and short-term outstanding borrowings of $ 195,658 . Additionally,
we had cash of $ 4,377,109 and a working capital surplus of $ 1,840,599 as of September 30, 2025. However, we have incurred losses and
negative cash flows from operations since inception and have funded our operations primarily with a combination of sales, debt, and the
sale of capital stock.
Our
future capital requirements will depend upon many factors, including progress with developing, manufacturing, and marketing our technologies,
the time and costs involved in preparing, filing, prosecuting, maintaining, and enforcing patent claims and other proprietary rights,
our ability to establish collaborative arrangements, marketing activities and competing technological and market developments, including
regulatory changes and overall economic conditions in our target markets. Our ability to generate revenue and achieve profitability requires
us to successfully market and secure purchase orders for our products from customers currently identified in our sales pipeline and to
new customers as well. The primary activity that will drive all customers and revenues is the adoption of insurance coverage by commercial
insurance carriers nationally, which is a top priority of the Company. These activities, including our planned research and development
efforts, will require significant uses of working capital through the rest of 2025 and beyond.
11
Management
evaluates whether there are conditions or events that raise substantial doubt about the Company’s ability to continue as a going
concern for a period of one year from the date the financial statements are issued.
While
the Company believes in the viability of its strategy to further implement its business plan and generate sufficient revenues and in
its ability to raise additional funds by way of a public or private offering of its debt or equity securities, there can be no assurance
that it will be able to do so on reasonable terms, or at all. The ability of the Company to continue as a going concern is dependent
upon its ability to further implement its business plan and generate sufficient revenues and its ability to raise additional funds by
way of a public or private offering. Neither future cash generated from operating activities, nor management’s contingency plans
to mitigate the risk and extend cash resources through the evaluation period, are considered probable. As a result, substantial doubt
is deemed to exist about the Company’s ability to continue as a going concern. As we continue to incur losses, our transition to
profitability is dependent upon achieving a level of revenues adequate to support its cost structure. We may never achieve profitability,
and unless and until doing so, we intend to fund future operations through additional dilutive or nondilutive financing. There can be
no assurances, however, that additional funding will be available on terms acceptable to us, if at all.
The
financial statements do not include any adjustments related to the recoverability and classification of recorded asset amounts or the
amounts and classification of liabilities that might be necessary should the Company be unable to continue as a going concern.
Recently
Issued Accounting Pronouncements
In
July 2025, the Financial Accounting Standards Board (“FASB”) issued Accounting Standards Update (“ASU”) 2025-05,
Financial Instruments—Credit Losses (Topic 326): Measurement of Credit Losses for Accounts Receivable and Contract Assets ,
which allows the election of a practical expedient when developing reasonable and supportable forecasts as part of estimating expected
credit losses that assumes conditions present at the balance sheet date do not change for the remaining life of the asset. All entities
that elect the practical expedient should apply the provisions prospectively for annual reporting periods beginning after December 15,
2025, and interim reporting periods within the annual reporting periods. Early adoption is permitted. Adoption is not expected to have
a material impact on the Company’s financial statements.
In
November 2024, the FASB issued ASU 2024-03, Income Statement—Reporting Comprehensive Income—Expense Disaggregation Disclosures
(Subtopic (220-40): Disaggregation of Income Statement Expenses , which requires disclosures that disaggregate, in a tabular presentation,
each relevant expense caption on the face of the income statement that includes inventory purchases, employee compensation, depreciation
and intangible amortization expense. Additional disclosures are also required to provide a qualitative description of the amounts in
an expense caption that are not separately disaggregated quantitatively and the total amount of selling expenses including a definition.
Public business entities are required to adopt the standard for fiscal years beginning after December 15, 2026 and interim periods within
fiscal years beginning after December 15, 2027. Disclosures are required for all prior periods presented in the financial statements.
Although the standard requires enhanced disclosures, the adoption is not expected to have a material impact on the Company’s financial
statements.
In
December 2023, the FASB issued ASU 2023-09, Income Taxes (Topic 740): Improvements to Income Tax Disclosures , which requires the
enhancement of income tax disclosures to provide better insight into how an entity’s operations and related tax risks, planning
and opportunities affect its tax rate and prospects for future cash flows. The enhanced disclosures require (i) specific categories in
a tabular rate reconciliation including both amounts and percentages and (ii) additional information for reconciling items and income
tax paid that meet a quantitative threshold. Public business entities are required to adopt the standard for annual periods beginning
after December 15, 2024. All other entities are required to adopt the standard for annual periods beginning after December 15, 2025.
The adoption of the standard is not expected to have a material impact on the Company’s financial statements.
3.
Related Party Transactions
The
Company has two demand notes receivable from shareholders related to the sale of common stock on January 1, 2016. Both notes’ principal
balances are $ 506,400 , with interest calculated monthly based on applicable federal rates. No payments have been received on the notes.
Since repayment is not assured, the Company provided an allowance for the entire balance of principal and interest as of December 31,
2019. The current allowance is $ 1,012,800 as of September 30, 2025. The current loan balances are as follows:
Schedule of Related Party Transactions
September
30, 2025
December
31, 2024
Loan
Interest
Interest
Loan
Interest
Interest
Receivable
Receivable
Income
Receivable
Receivable
Income
Shareholder
1
$ 506,400
$ 109,775
$ 15,424
$ 506,400
$ 94,351
$ 23,413
Shareholder
2
506,400
109,640
15,424
506,400
94,216
23,413
Principal
balance
1,012,800
219,415
30,848
1,012,800
188,567
46,826
Allowance
for collection risk
( 1,012,800 )
( 219,415 )
( 30,848 )
( 1,012,800 )
( 188,567 )
( 46,826 )
Net
balance
$ —
$ —
$ —
$ —
$ —
$ —
The
Company was granted an exclusive, worldwide non-transferable, royalty-free license for the auricular portion of certain patents owned
by a limited liability company in which the Company’s President and Chief Executive Officer and Chief Regulatory, Compliance and
Privacy Officer both maintain an ownership interest. The license allows for the development, marketing and sales of electro-therapy treatments
by stimulation of cranial nerves, cranial nerve branches, auricular nerves, auricular nerve branches, auricular nerve bundles and auricular
anatomical structures in human patient. The exclusive license agreement expires on October 18, 2037, may be terminated by either party
upon 60 days prior written notice and requires the Company to pay costs associated with the maintenance, prosecution and continuation
of patent filings. The Company’s Board of Directors pre-approved the reimbursement of up to $ 10,000 for the year ending December
31, 2025. License costs incurred were $ 118 and $ 1,893 for the three months ended September 30, 2025 and 2024, respectively, and $ 1,435
and $ 1,893 for the nine months ended September 30, 2025 and 2024, respectively. The Company owed the limited liability company $ 118 and
$ 0 as of September 30, 2025 and December 31, 2024, respectively.
From
time to time, a member of the Company’s Board of Directors purchases IB-STIM devices from the Company at cost to conduct research
and development activities. The Company’s Board of Directors pre-approved the sale of these IB-STIM devices up to $ 16,000 for the
year ended December 31, 2025. The Company sold IB-STIM devices for a total of $ 1,515 and $ 0 for the three months ended September 30,
2025 and 2024, respectively, and $ 7,865 and $ 978 for the nine months ended September 30, 2025 and 2024, respectively.
The
Company’s former Chief Financial Officer was contracted for services through a third-party public accounting firm. He was the firm’s
managing partner and majority shareholder. The firm is engaged by the Company to provide accounting and tax services on a continuous
basis. The services totaled $ 6,778 and $ 23,467 for the three months ended September 30, 2025 and 2024, respectively, and $ 38,457 and
$ 114,635 for the nine months ended September 30, 2025 and 2024, respectively. The Company owed the firm $ 2,500 and $ 4,173 as of September
30, 2025 and December 31, 2024, respectively, that is included in accounts payable in the Condensed Balance Sheets. On June 28, 2024,
the Company also issued 20,000 common shares with a fair value $ 55,600 to the former Chief Financial Officer for services rendered during
the IPO process.
4.
Prepaids and Other Current Assets
Prepaids
and other current assets consisted of the following:
Schedule of Prepaids and Other Current Assets
September
30,
2025
December
31,
2024
Prepaid
insurance
$ 155,078
$ 186,028
Prepaid
software subscriptions
103,146
39,834
Other
133,689
54,505
Total
prepaids and other current assets
$ 391,913
$ 280,367
5.
Other Non-Current Assets
Other
non-current assets consisted of the following:
Schedule of Other Non-Current Assets
September 30,
2025
December 31,
2024
Deferred offering costs
$ 94,182
$ -
Prepaid software subscription
28,482
-
Security deposit
20,163
20,163
Total other non - current assets
$ 142,827
$ 20,163
12
6.
Accrued Expenses
Accrued
expenses consisted of the following:
Schedule of Accrued Expenses
September
30,
2025
December
31,
2024
Compensation
and benefits
$ 996,238
$ 1,261,317
Settled
litigation
562,500
-
NSS
Bridge Lease Termination Fee
200,000
-
Legal
fees
92,782
43,891
Interest
66,648
66,648
Advisory
fees
-
176,750
Other
37,770
29,174
Total
accrued expenses
$ 1,955,938
$ 1,577,780
7.
Notes Payable
Promissory
Notes
On
August 9, 2025, the Company entered into a $ 170,000 promissory
note to finance the premiums of a business insurance policy, bearing interest at an annual rate of 7.45 %
and maturing on June
9, 2026 , to replace the $ 210,000 promissory
note entered into on August 9, 2024, with an annual interest rate of 7.40 %
that matured on June
9, 2025 in conjunction with the annual
renewal period. On May 26, 2025, the Company also entered into a promissory note with a principal balance of $ 122,253 to
finance subscription fees on certain software arrangements maturing on March
1, 2027 . The outstanding principal was
$ 215,324 ,
of which $ 19,666
is included in other non-current liabilities, and
$ 154,152 as
of September 30, 2025 and December 31, 2024, respectively.
2024
Convertible Notes
On
November 8, 2023, the Company entered into a Securities Purchase Agreement (“SPA”) with a shareholder for the issuance 1,260,504
shares of Series B Convertible Preferred Stock, par value $ 0.001 per share (the “Series B Preferred Stock”), for an aggregate
purchase price of $ 3,000,000 paid in 15 monthly installments of $ 200,000 each, commencing on the later of January 10, 2024 or a date
after stockholder approval of an amendment to the Company’s Certificate of Incorporation to authorize the creation of the Series
B Preferred Stock. The Series B Preferred Stock was convertible at any time into shares of common stock of the Company without any further
consideration. Following the issuance of the Series B Preferred Stock, it would rank senior to the common stock with respect to payments
upon the liquidation, dissolution and winding up of the Company. Due to a delay in the stockholder approval, the Company amended the
SPA on February 12, 2024 to issue a convertible promissory note, due and payable on the earlier of 15 months or 12 months if the Series
B Preferred Stock has not been authorized, convertible into Series B Convertible Preferred Stock with identical funding amounts and terms
(the “$ 3,000,000 Convertible Promissory Note”). The shareholder funded $ 800,000 of the $ 3,000,000 commitment in 2024.
The
Company then proceeded to enter into a series of incremental convertible promissory notes with other investors totaling $ 1,135,000 with
terms identical to the $ 3,000,000 Convertible Promissory Note (collectively referred to as the “Original 2024 Convertible Promissory
Notes”) for an aggregate principal amount of $ 1,935,000 .
The
2024 Original Convertible Promissory Notes earned interest at 8.5 % per annum payable quarterly in either cash or common stock at the
election of the Company. At any time following the date of shareholder approval to authorize the creation of Series B Preferred Stock
prior to the maturity date, the investor may elect to convert all or part of the principal into the Company’s Series B Preferred
Stock at a conversion price per share equal to $ 2.38 . Without limiting the foregoing, all principal amounts outstanding on the maturity
date will automatically convert into the Company’s Series B Preferred Stock. The Series B Preferred Stock is entitled to cumulative
dividends at 8.5 % per annum (whether or not declared) payable quarterly in either cash or common stock at the $ 2.38 conversion price
at the election of the Company. Upon conversion to Series B Preferred Stock, the investor may elect, at its option at any time, to convert
all or part of the Series B Preferred Stock plus accrued but unpaid dividends into an equivalent amount of common stock at the $ 2.38
conversion price.
13
Subsequently,
the Company entered into three convertible promissory notes with related institutional accredited investors with terms similar to the
Original 2024 Convertible Promissory Notes (collectively referred to as the “Amended 2024 Convertible Promissory Notes”)
for an additional principal amount of $ 3,000,000 . Certain provisions to the SPA and Certificate of Designation previously issued on February
12, 2024 changed, including (i) the number of shares of preferred stock to be designated as Series B Preferred Stock was increased to
4,000,000 shares, (ii) the stated value of the Series B Preferred Stock was changed to $ 2.38 per share, (iii) the right to receive dividends
will expire automatically on June 30, 2025, (iv) the liquidation rights will automatically expire on June 30, 2025, and (v) the number
of shares of the common stock that a holder of Series B Preferred Stock is entitled to receive shall not exceed the maximum percentage
chosen by the holder, which is initially set at between 4.99 % and 19.99 % until shareholder approval is obtained, of the number of outstanding
shares of the common stock at the time of the conversion of the Series B Preferred Stock shares.
The
maturity date was on the earlier of (i) June 21, 2025, (ii) upon written demand occurring on or after March 21, 2025 in the event that
the Series B Preferred Stock has not been duly authorized on or before such date, or (iii) immediately upon the occurrence of an event
of default. Automatic conversion into shares of Series B Preferred Stock (at a conversion price of $ 2.38 per share) would occur following
the date of shareholder approval. In the event the Company failed to obtain shareholder approval before August 15, 2024, rights existed
to convert the outstanding amount into shares of the common stock, at a price per share of $ 2.38 .
As
of August 15, 2024, the Company received $ 4,935,000 of the principal amount of the Amended 2024 Convertible Notes with the remainder
due in monthly installments through March of 2025 resulting in an effective interest rate of 12.5 %. On August 15, 2024, the Company’s
shareholders authorized 5,000,000 shares of preferred stock of which 4,000,000 shares were designated as $ 0.001 par value Series B preferred
stock. Pursuant to the terms of the Amended 2024 Convertible Promissory Notes, the outstanding principal balance of $ 4,935,000 was mandatorily
converted into 2,073,524 Series B Preferred Shares at a conversion price of $ 2.38 on August 15, 2024. Amortization of the debt discount
on the Amended 2024 Convertible Notes totaled $ 40,888 and $ 126,387 for the three and nine months ended September 30, 2024. There was
no amortization of the debt discount for the three and nine months ended September 30, 2025 as the unamortized debt discount of $ 165,577
was reclassified to Additional Paid-In-Capital in the Statements of Stockholders’ Equity (Deficit) on August 15, 2024 upon mandatory
conversion.
Interest
expense totaled $ 29,661 and $ 64,676 for the three months ended September 30, 2025 and 2024, respectively, and $ 45,333 and $ 171,934 for
the nine months ended September 30, 2025 and 2024, respectively. The Company’s accrued interest totaled $ 66,648 as of September
30, 2025 and December 31, 2024.
8.
Leases
The
Company’s leases are comprised of operating leases for office space. At the inception of the lease, the Company determines whether
the lease contract conveys the right to control the use of identified property for a period of time in exchange for consideration. Leases
are classified as operating or finance leases at the commencement date of the lease. Operating leases are recorded as operating lease
right-of-use assets, other current liabilities, and operating lease liabilities in the Balance Sheets. The Company did not have any finance
leases as of September 30, 2025 and December 31, 2024.
The
Company has two leases consisting of office space in Batesville and Carmel, Indiana. The
lease in Batesville, Indiana commenced on August 1, 2025, and has an initial term of three years, with automatic one year renewals
subject to an annual 4% rent escalation, unless 60 day notice of vacating is given. On May 19, 2025, the Company terminated its
prior lease in Versailles, Indiana, with a monthly lease payment of $ 1,800 ,
effective July 31, 2025, without penalty due to relocation of the office space to Batesville, Indiana, with the same landlord. The
current monthly lease payment is $ 2,000
with no escalations during the initial lease term. During the three months ended September 30, 2025, the Company derecognized the
right of use asset and operating lease liabilities of $ 29,014
and $ 29,286 ,
respectively, related to the terminated lease in Versailles, Indiana. Correspondingly, the Company recognized a right of use asset
and operating lease liabilities of $ 63,170
and $ 37,970 ,
respectively, during the three months ended September 30, 2025, related to the new lease in Batesville, Indiana. On June 13, 2025,
the Company prepaid $ 25,200 towards the monthly lease payments which will be amortized over the initial lease term. The lease in
Carmel, Indiana commenced January 1, 2024, with an initial term of five years and five months. The monthly lease payment started at
$ 6,721
with an annual increase of 2.5 %.
The Company was only obligated to pay an amount equal to 50% of the monthly base rent for the first 10 months of the
term.
The
Company recognized operating lease expense of $ 24,193 and $ 27,891 for the three months ended September 30, 2025 and 2024, respectively,
and $ 75,275 and $ 74,314 for the nine months ended September 30, 2025 and 2024, respectively, including short-term lease expense and variable
lease costs.
14
The
following table presents information related to the Company’s operating leases:
Schedule of Operating Leases
September
30,
2025
December
31,
2024
Operating
lease right-of-use assets
$ 277,219
$ 284,656
Other
current liabilities
62,834
62,754
Operating
lease liabilities
219,933
256,499
Total
$ 282,767
$ 319,253
Weighted-average
remaining lease term (in years)
3.56
2.75
Weighted-average
discount rate
15.0 %
15.0 %
As
of September 30, 2025, the maturities of the Company’s operating lease liabilities were as follows:
Schedule of Maturities Operating Lease Liabilities
2026
$ 99,827
2027
101,929
2028
101,485
2029
60,282
Total
lease payments
363,523
Less:
imputed interest
( 80,756 )
Total
present value of lease payments
$ 282,767
9.
Common Stock and Warrants
The
Company authorized 100,000,000 shares of common stock, of which 9,886,294 and 6,990,227 shares were issued and outstanding as of September
30, 2025 and December 31, 2024, respectively.
On
September 8, 2025, the Company issued 1,518 shares of common stock to a pre-IPO Series A Preferred Stock shareholder to settle certain
claims with a fair value of $ 3,674 .
On
August 19, 2025, the Company issued 14,060 shares of common stock, net of taxes, upon the acceleration of 17,534 restricted stock units
to three prior employees.
On
June 30, 2025, the Company issued 289,779 shares of common stock to an investor upon the exercise of an equivalent amount of common stock
warrants for gross proceeds of $ 29 .
On
June 26, 2025, the Company issued 12,000 shares to an existing shareholder to settle a dispute with a fair value of $ 30,240 .
On
June 9, 2025, the Company issued 42,016 shares of common stock to an investor upon conversion of an equivalent amount of Series B Preferred
Stock.
On
May 22, 2025, the Company issued 1,538,461
shares of common stock for gross proceeds totaling $ 4,999,999
pursuant to a securities purchase agreement with certain institutional investors at a purchase price of $ 3.25
per share of common stock. The common shares were offered by the Company pursuant to its shelf registration statement on Form S-3
(File No. 333-283798) which was declared effective by the Securities and Exchange Commission on February 11, 2025, a base prospectus
dated February 11, 2025 and a prospectus supplement dated May 20, 2025. The placement agent fees and other offering expenses totaled
$ 0 and $ 490,799
for the three and nine months ended September 30, 2025, respectively.
On
May 21, 2025, the Company issued 430,580 shares of common stock to certain investors upon the exercise of an equivalent amount of common
stock warrants for gross proceeds of $ 1,002,962 .
On
May 20, 2025, the Company issued 342,016 shares of common stock to certain investors upon conversion of an equivalent amount of Series
B Preferred Stock.
On
January 17, 2025, the Company issued (i) 39,471 shares of common stock with a fair value of $ 112,493 to its Board of Directors for their
service from April 1, 2024 through December 31, 2024, which was recorded as general and administrative expense in the Condensed Statements
of Operations and (ii) 186,166 shares of common stock to an investor in exchange for 502,647 warrants in a cashless exercise transaction
with $ 186 reclassified from additional paid in capital to common stock in the Condensed Statements of Stockholders’ Equity (Deficit).
During
the three months ended September 30, 2024, the Company issued (i) 10,145 shares of common stock to a vendor pursuant to a marketing agreement
with a fair value of $ 30,131 , (ii) 102,860 shares of common stock to pre-IPO Series A Preferred Stock shareholders to settle certain
claims with a fair value of $ 293,791 and (iii) 25,601 shares of common stock to holders of the Amended 2024 Convertible Promissory Notes
in lieu of $ 60,911 in cash payment for interest through August 22, 2024.
During
the three months ended June 30, 2024, the Company issued (i) 53,063 shares of common stock to an existing shareholder to settle a convertible
note dispute with a fair value of $ 230,823 , (ii) 90,032 shares of common stock to pre-IPO Series A Preferred Stock shareholders to settle
certain claims with a fair value of $ 286,458 , (iii) 33,454 shares of common stock to holders of the Amended 2024 Convertible Promissory
Notes in lieu of $ 79,588 in cash payments for interest through June 30, 2024, (iv) 24,343 shares of common stock to its Board of Directors
for their service from the Company’s IPO on August 9, 2023 through March 31, 2024 with a fair value of $ 67,672 , (v) 25,832 shares
of common stock to its previous Chief Financial Officer in accordance with a severance agreement at a fair value of $ 78,788 and (vi)
20,000 shares of common stock to it previous Chief Financial Officer for services provided during the IPO with a fair value of $ 55,600 .
During
the three months ended March 31, 2024, the Company issued (i) 11,000 shares of common stock upon the exercise of warrants for $ 26,180 ,
(ii) 75,000 shares of common stock as payment to a vendor for services with a fair value of $ 200,250 pursuant to a consulting agreement
related to the Company’s transition to a public company.
15
The
following is a summary of warrant activity for common stock during the nine months ended September 30, 2025 and year ended December 31,
2024:
Schedule of Warrant Activity for Common Stock
Number
of
Weighted-Avg.
Weighted-Avg.
Warrants
for
Exercise
Remaining
Common
Stock
Price
Contractual
Life
Outstanding
as of January 1, 2024
1,822,358
$ 4.69
3.05
Granted
861,424
2.38
3.49
Canceled
( 30,252 )
2.38
4.79
Exercised
( 11,000 )
2.38
3.61
Outstanding
as of December 31, 2024
2,642,530
2.41
2.93
Exercised
( 1,223,006 )
1.80
2.10
Outstanding
as of September 30, 2025
1,419,524
$ 2.44
2.52
The
following table summarizes the Company’s warrants outstanding and exercisable as of September 30, 2025:
Schedule of Warrants outstanding and Exercisable
Number
of
Warrants
Exercise
Expiration
Outstanding
Price
Date
Investor
Warrant
12,852
$ 8.76
September
18, 2028
2022
Convertible Notes
227,098
$ 2.38
Various
in 2027
2023
Convertible Notes
971,916
$ 2.38
Various
in 2028
Underwriter
Warrants
131,146
$ 2.38
August
8, 2028
Advisory
Agreement Warrants
76,512
$ 2.38
Various
in 2029
1,419,524
16
10.
Preferred Stock
On
August 15, 2024, the Company’s shareholders authorized 5,000,000
shares of preferred stock of which 4,000,000
shares were designated as $ 0.001
par value Series B Preferred Stock with 3,896,907
and 4,280,939 shares issued and outstanding as of September 30, 2025 and December 31, 2024, respectively. Series B Preferred Stock
shareholders vote with Common Stock shareholders on an as-converted basis and not as a separate class. Cumulative dividends accrue
at 8.5 %
per annum and are due and payable in either cash for common shares as the Company’s discretion on a quarterly basis through
September 30, 2025. Series B Preferred Stock converts to common stock on a 1:1 basis, subject to adjustments for stock dividends,
splits, combinations and similar events as well as unpaid dividends thereon, solely at the election of the holder at any
time.
Prior
to August 15, 2024 the Company had 1,000,000 and 120,000 shares authorized as Series A and Series Seed Preferred Stock, respectively,
of which zero shares are issued and outstanding for both classes of preferred stock as of December 31, 2023, respectively. The Series
A and Series Seed Preferred Stock (i) voted together with common stock on an as-converted basis, and not as separate classes and (ii)
converted 1:1 to common stock at any time at option of holder, subject to adjustments for stock dividends, splits, combinations, and
similar events. The Series A Preferred Stock carried an annual 8 % cumulative dividend, payable upon any liquidation, dissolution or winding
up of the Company. For any other dividends or distributions, the Series A Preferred Stock participated with common stock on an as-converted
basis. The Company’s 1,000,000 shares of Series A Preferred Stock and 120,000 shares of Series Seed Preferred Stock were retired
on August 15, 2024.
Pursuant
to the terms of the Amended 2024 Convertible Notes, the principal balance of $ 4,935,000
on August 15, 2024 was mandatorily converted into 2,073,524
Series B Preferred Shares at a conversion price of $ 2.38 .
On October 15, 2024, the Company then proceeded to issue 64,913
shares of Series B Preferred Stock to various investors for $ 154,500 .
On
November 11, 2024, the Company’s shareholders authorized (i) an increase in the number of designated Series B Preferred Stock
to 5,000,000
shares and (ii) an extension of the 8.5 %
per annum cumulative dividend period to December 31, 2026. On November 12, 2024 and November 14, 2024, the Company issued 2,100,840
shares of Series B Preferred Stock to a dedicated life sciences fund for $ 5,000,000
and 41,662
shares of Series B Preferred Stock to various investors for $ 99,164 , respectively.
On
May 20, 2025, the Company issued 342,016 shares of common stock to certain investors upon conversion of an equivalent amount of Series
B Preferred Stock.
On
June 9, 2025, the Company issued 42,016 shares of common stock to an investor upon conversion of an equivalent amount of Series B Preferred
Stock.
Upon
any liquidation, dissolution or winding up of the Company, whether voluntary or involuntary, the Series B Preferred Stock shareholders
maintain priority preference over all other classes of capital stock. A merger or consolidation (other than one in which stockholders
of the Company own a majority by voting power of the outstanding shares of the surviving or acquiring corporation) and a sale, lease,
transfer, exclusive license or other disposition of all or substantially all of the assets of the Company will be treated as a liquidation
event, thereby triggering payment of the liquidation preferences.
As
of September 30, 2025 and December 31, 2024, preferred stock dividends were neither declared nor paid. Series B Preferred Stock undeclared
cumulative dividends totaled $ 198,707 , or $ 0.02 per share, and $ 44,820 , or $ 0.01 per share, for the three months ended September 30, 2025
and 2024 respectively, and $ 619,715 , or $ 0.06 per share, and $ 44,820 , or $ 0.01 per share, for the nine months ended September 30, 2025
and 2024, respectively.
17
11.
Stock-Based Compensation
Restricted
Stock Units
Pursuant
to the NeurAxis, Inc. 2022 Omnibus Securities and Incentive Plan, the Company initiated grants of restricted stock units (“RSUs”)
on January 3, 2025, March 4, 2025 and May 15, 2025 to certain employees as follows:
Schedule of Restricted Stock Units
Number
of
RSUs
Weighted
Average Fair Value
Outstanding
as of December 31, 2024
—
$ —
Granted
852,214
2.32
Vested
( 20,868 )
2.31
Outstanding
as of September 30, 2025
831,346
$ 2.32
Vested
as of September 30, 2025
20,868
$ 2.31
The
RSUs are subject to a three-year cliff-vesting period and are payable in shares of the Company’s common stock. The RSUs fully
vest upon (i) death or disability or (ii) change of control. Dividend equivalents accrue on RSUs and are paid upon vesting; there
were no accrued dividends on unvested RSUs as of September 30, 2025. On August 19, 2025, 17,534
RSUs were issued as 14,060
shares of common stock, net of taxes. As of September 30, 2025, 3,334
RSUs are pending issuance and were subsequently issued on October 29, 2025 in accordance with the normal vesting schedule. No RSUs
were granted during the year ended December 31, 2024.
Total
stock-based compensation expense related to RSUs is classified in the Company’s Condensed Statements of Operations as general and
administrative expense and amounted to $ 160,865 and $ 0 for the three months ended September 30, 2025 and 2024, respectively, and $ 439,719
and $ 227,000 for the nine months ended September 30, 2025 and 2024, respectively. As of September 30, 2025, total unrecognized stock-compensation
expense relating to unvested stock awards granted under the Company’s share-based compensation plans amounted to $ 1,282,422 .
Stock
Options
The
following is a summary of the Company’s outstanding stock options as of September 30, 2025 and December 31, 2024:
Schedule of Stock Option Activity
Number
of Options
Weighted
Avg.
Remaining
Contractual
Life
(in years)
Weighted
Avg.
Exercise Price
Aggregate
Intrinsic
Value
Outstanding
as of December 31, 2024
1,319,394
4.69
$ 6.94
$ —
Outstanding
as of September 30, 2025
1,319,394
3.95
$ 6.94
$ —
Vested
and Exercisable as of September 30, 2025
1,319,394
3.95
$ 6.94
$ —
There
was no stock-based
compensation expense related to stock options recorded for the three and nine months ended September 30, 2025 and 2024.
18
12.
Warrant Liabilities
The
Company has evaluated financial instruments arising from warrants that are issued and outstanding as of September 30, 2025 and December
31, 2024. The Company utilizes a Black-Scholes option-pricing model to compute the fair value of the liability and to mark-to-market
the fair value of the warrant at each balance sheet date. The inputs utilized in the application of the Black-Scholes option-pricing
model included (i) an exercise price of $ 8.76 per share, (ii) an expected remaining term of each warrant based on the remaining contractual
maturity of the each warrant, (iii) estimated volatility ranging from 75.0 % to 89.9 % based on historical stock prices of comparable companies
with a look back period commensurate with the period to maturity, (iv) a risk-free interest rate ranging from 3.74 % to 4.38 % based on
the interest rates of U.S. Treasury Notes consistent with the expected remaining contract term and (v) a 0 % expected dividend yield as
the Company has not paid dividends to date and does not anticipate declaring dividends in the near future.
The
following are the changes in the warrant liabilities during the three and nine months ended September 30, 2025 and the year ended December
31, 2024:
Schedule of Changes in Warrant Liabilities
Level
3
Warrant
liabilities as of January 1, 2024
$ 8,225
Changes
in fair value of warrant liabilities
941
Warrant
liabilities as of December 31, 2024
9,166
Changes
in fair value of warrant liabilities
28
Warrant
liabilities as of September 30, 2025
$ 9,194
13.
Employee Benefits
On
July 1, 2025, the Compensation Committee of the Board of Directors (“Board”) of the Company adopted the NeurAxis, Inc. 2025
Employee Stock Purchase Plan (the “ESPP”), effective as of the same date and subject to Shareholder approval by July 1, 2026.
The purpose of the ESPP is to provide eligible employees an opportunity to acquire common stock of the Company at a 15 % discount using
payroll deductions. The maximum number of shares of the Company’s common stock that may be issued under the ESPP is 100,000, subject
to an annual increase on January 1st of each year from 2026 through 2035 by the lesser of (i) 1% of the Company’s outstanding capital
stock as of the prior December 31st or (ii) 100,000 shares. The Board may reduce or eliminate this annual increase before February 1st
of any given year.
14.
Segment Information
The
Company evaluates the following factors to identify its reportable segments: (i) nature of products and services, (ii) type of
customer for the products and services, (iii) sales, production and distribution methods of the products and services and (iv) the
nature of the regulatory environment, if applicable. Based on an evaluation of these factors, management concluded that the
Company’s operations are managed through one reportable segment, IB-STIM, that derives its revenues in the United States from
a PENFS device that is used to treat patients 8-21 years of age with functional abdominal pain associated with irritable bowel
syndrome. The accounting policies of the IB-STIM segment are the same as those described in the Summary of Significant Accounting
Policies (see Footnote 2). The Chief Operating Decision Maker (“CODM”) regularly evaluates the performance of the
IB-STIM segment for the purpose of allocating resources based on net sales and operating loss, both of which are reported in the
Condensed Statements of Operations. The CODM uses net sales to evaluate IB-STIM’s adoption and utilization by insurance
carriers and physicians. As NeurAxis is an emerging growth company, operating loss is used to monitor the Company’s cost
structure in order to achieve future segment profitability. Both net sales and operating loss are measured against the budget on a
periodic basis to assess achievement toward annual compensation incentive targets. The Company’s CODM is its President and
Chief Executive Officer.
19
The
following reconciles the reportable segment net sales and operating loss to the Company’s reported net loss:
Schedule of Reconciles the Company’s Net Sales and Operating Loss
2025
2024
2025
2024
Three
months ended
September 30,
Nine
months ended
September 30,
2025
2024
2025
2024
Net
Revenue
$ 811,414
$ 666,625
$ 2,601,155
$ 1,924,760
Cost
of Goods Sold
135,487
97,050
421,265
256,949
Gross
Profit
675,927
569,575
2,179,890
1,667,811
Selling
Expenses (a)
762,548
338,523
1,694,354
1,012,920
Research
and Development (a)
130,850
126,247
347,433
295,188
Compensation
and Benefits (a)
1,166,175
1,007,553
3,456,406
3,384,112
Professional
Services (a)
287,993
459,151
989,301
1,651,595
Other
Operating Expenses (a) (b)
428,446
289,374
1,805,436
1,014,221
Segment
Operating Loss
( 2,100,085 )
( 1,651,273 )
( 6,113,040 )
( 5,690,225 )
Financing
Charges
( 30,240 )
-
( 30,240 )
( 230,824 )
Interest
Expense
( 29,661 )
( 64,676 )
( 45,333 )
( 171,934 )
Change
in Fair Value of Warrant Liability
( 1,740 )
( 6,726 )
( 28 )
( 8,434 )
Amortization
of Debt Discount and Issuance Cost
-
( 40,888 )
-
( 126,387 )
Other
Income
38,930
17,072
96,743
20,032
Other
Expense
-
( 8,743 )
-
( 585,824 )
Total
Other (Expense) Income, Net
( 22,711 )
( 103,961 )
21,142
( 1,103,371 )
Net
Loss
$ ( 2,122,796 )
$ ( 1,755,234 )
$ ( 6,091,898 )
$ ( 6,793,596 )
(a)
The
significant expense categories and amounts align with the segment-level information provided on a regular basis to the CODM.
(b)
Other
operating expenses include rent and utilities, insurance, depreciation and amortization, travel, software subscription fees, board
fees and bad debt expense.
Total
segment assets for IB-STIM amounted to $ 5,776,363 and $ 4,757,572 as of September 30, 2025 and December 31, 2024, respectively. Total
segment capital expenditures for IB-STIM amounted to $ 0 and $ 4,368 for the three months ended September 30, 2025 and 2024, respectively,
and $ 25,288 and $ 27,776 for the nine months ended September 30, 2025 and 2024, respectively. Total segment depreciation and amortization
amounted to $ 16,205 and $ 9,273 for the three months ended September 30, 2025 and 2024, respectively, and $ 35,446 and $ 30,980 for the
nine months ended September 30, 2025 and 2024, respectively.
Significant
segment non-cash charges settled in common stock include consulting and advisory fees and settlement of certain claims totaling
$ 33,913 and $ 384,832 for the three months ended September 30, 2025 and 2024, respectively, Significant segment non-cash charges
settled in common stock include consulting and advisory fees and settlement of certain claims totaling $ 146,406
and $ 1,384,011
for the nine months ended September 30, 2025 and 2024, respectively.
15.
Settled Litigation
On
February 6, 2019, plaintiff Ritu Bhambhani, M.D., initiated a lawsuit against Innovative Health Solutions, Inc. and others in the United
States District Court for the District of Maryland. Plaintiffs Bhambhani and Sudhir Rao subsequently amended the complaint, with the
Third Amended Complaint (“Complaint”) containing the most recent set of allegations. The Complaint asserted claims under
the RICO Act, as well as of fraudulent misrepresentation, intentional misrepresentation by concealment, and civil conspiracy and sought
compensatory damages in excess of $ 5,000,000 , pre-judgment interest, punitive damages, attorney’s fees, court costs and designation
of the case as a class action. The Complaint stated that the Company, distributors of the Company’s product, and medical billing
and coding consultants allegedly made misrepresentations to the plaintiffs that the Company’s NeuroStim device and related procedures
could be billed to, and reimbursed by, Medicare and other insurance payors as a surgically implantable neurostimulator. Plaintiffs claim
to have suffered damages when Medicare administrative contractors declined to pay plaintiffs for their use of the device.
On
February 11, 2022, the Company filed a motion for summary judgment based upon the plaintiffs not being proper parties to assert claims
against the Company. On June 14, 2022, the Court granted the Company’s motion for summary judgment and dismissed the Complaint.
On
July 14, 2022, plaintiffs Ritu Bhambhani and Sudhir Rao filed a notice of appeal with the Fourth Circuit Court of Appeals. On June 3,
2024, the Fourth Circuit denied the plaintiff’s appeal and entered judgment against the plaintiffs. On June 25, 2024, the Fourth
Circuit entered its mandate declaring that its judgment against the plaintiffs took effect that day. The plaintiffs did not seek any
further review or appeal of that judgment.
20
Also
on July 14, 2022, plaintiffs Ritu Bhambhani, LLC; Box Hill Surgery Center, LLC; Pain and Spine Specialists of Maryland, LLC; and SimCare
ASC, LLC initiated a lawsuit against the Company and others in the United States District Court for the District of Maryland. The plaintiffs
in this lawsuit are business entities owned or partially owned by the plaintiffs that initiated the litigation described above. The Complaint
asserted claims under the RICO Act, as well as fraudulent misrepresentation, intentional misrepresentation by concealment, and civil
conspiracy and seeks compensatory damages in excess of $ 75,000 , pre-judgment interest, punitive damages, attorney’s fees, and court
costs. The Complaint states that the Company, distributors of the Company’s product, and medical billing and coding consultants
allegedly made misrepresentations to the plaintiffs that the Company’s NeuroStim device and related procedures could be billed
to, and reimbursed by, Medicare and other insurance payors as a surgically implantable neurostimulator. Plaintiffs claim to have suffered
damages when Medicare administrative contractors declined to pay plaintiffs for their use of the device.
On
September 28, 2022, the Company filed a motion to dismiss all claims. On May 25, 2023, the Court issued an Order and a Memorandum Opinion
which dismissed the plaintiffs’ claims related to the RICO Act. The remaining claims are still pending, and no trial date has been
set for the case. The Court has vacated its Scheduling Order at the parties’ request so that the parties could try to resolve the
disputes in both cases through an independent third-party mediator.
On
April 25, 2025, the parties reached a tentative $ 750,000 settlement payable in 12 equal monthly installments beginning in January of
2026 as filed with the United States District Court for the District of Maryland with the settlement agreement duly executed on May 15,
2025. The Company recorded a charge of $ 0 and $ 630,568 for the three and nine months ended September 30, 2025, respectively, in the Condensed
Statements of Operations classified as general and administrative expense, while interest expense will be recorded as incurred. As of
September 30, 2025, the Company accrued $ 562,500 as accrued expenses and $ 104,640 as other non-current liabilities in the Condensed Balance
Sheets.
16.
Commitments and Contingencies
Manufacturing
Services Agreement
The
Company is party to a manufacturing services agreement for the manufacture and supply of the Company’s IB-STIM device based on
the Company’s product specifications that automatically renews annually unless either party provides a written termination notice
to the other party within 180 days prior to the end of the then-current term. The Company provides the necessary equipment to the manufacturer
and retains ownership. The manufacturer bears the risk of loss and damage to the equipment and consigned materials. Performance under
the agreement is initiated by orders issued by the Company and accepted by the manufacturer.
Advisory
Agreement
On
March 18, 2024, the Company terminated its private placement services agreement and entered into an advisory agreement for debt, equity
and public securities market services for one year. The advisory agreement included a monthly fee of $ 30,000 and 7,563 common stock warrants
to be issued monthly at an exercise price of $ 2.38 with a term of five years. On December 31, 2024, the Company and the financial advisor
terminated the advisory agreement subject to the cancelation of 30,252 common stock warrants issued after July 2024 and the payment for
services rendered totaling $ 180,000 during the three months ended March 31, 2025.
Settlement
Agreements
The
Company issued 12,000 and 0 common shares for the three months ended September 30, 2025 and 2024, respectively, and 12,000 and 53,063
common shares for the nine months ended September 30, 2025 and 2024, respectively, to settle certain 2023 convertible note and warrant
disputes with an existing shareholder. The Company recorded the fair value of the settlements totaling $ 30,240 and $ 0 for the three months
ended September 30, 2025 and 2024, respectively, and $ 30,240 and $ 230,824 for the nine months ended September 30, 2025 and 2024, respectively,
as Financing Charges in the Condensed Statements of Operations.
The
Company issued 1,518 and 102,860 shares of common stock for the three months ended September 30, 2025 and 2024, respectively, and 1,518
and 192,892 shares of common stock for the nine months ended September 30, 2025 and 2024, respectively, to various pre-IPO Series A Preferred
Stock shareholders to settle certain claims. The Company recorded the fair value of the settlements totaling $ 7,841 and $ 580,249 for
the three and nine months ended September 30, 2024, respectively, as Other Expense in the Condensed Statements of Operations. The Company
did not record a charge for the issuance of the 1,518 common shares for the three and nine months ended September 30, 2025 as they were
previously authorized for settlement with a fair value of $ 3,674 that was recorded as Other Expense in the Condensed Statements of Operations
for the three and nine months ended September 30, 2024.
Executive
Employment Agreements
The
Company, as authorized by the board of directors, entered into employment agreements with certain employees to provide incentives to
improve shareholder value and to contribute to the growth and financial success of the Company. The agreements had an employment start
date of October 1, 2022, with initial terms from two 2 to five years and optional one-year renewals .
There
are seven key employees that have stock options of the Company totaling 1,238,712 shares. These key employees have a provision in their
agreements whereas the Company will pay a special bonus equal to the aggregate of the strike price or exercise price of all their stock
options plus a tax gross-up payment. The special bonus shall be paid in twenty percent ( 20 %) installments starting January 2, 2024, and
the same date each of the next four years. As a condition of the payment, the key employee must exercise at least 20 % of their stated
number of stock options. There are additional provisions to cover termination and change of control events.
21
In
April 2023, the Company amended the employee agreements to, among other things, clarify that the special one-time incentive payment and
the deferred bonus are contingent upon the effective date of the planned initial public offering. The amendment also sets forth a process
for executives to exercise the stock options in accordance with the terms of the stock option agreement in effect as of the date of the
employment agreement and to clarify that there is no modification to the stock option agreements.
The
Company recorded the fair value of the stock options totaling $ 8,596,661 on the grant date. In addition, a $ 6,225,169 incremental tax
gross up payment is contingent upon the employees exercising their special bonus provision which will be recorded when paid.
On
April 10, 2024, the employment of the Company’s Chief Operating Officer was terminated. Pursuant to the employment agreement, the
Company (i) made salary continuation payments based on an annual salary of $ 275,000 through October 10, 2024, (ii) issued 25,832 shares
of common stock at a fair value of $ 78,788 and (iii) made a $ 41,980 one-time payment in lieu of the exercise of 13,764 stock options
that expired on January 2, 2024. The Company is contracted to provide health care coverage through October 2025 and has accrued for that
obligation totaling $ 4,284 and $ 21,418 classified as Accrued Expenses in the Condensed Balance Sheets as of September 30, 2025 and December
31, 2024, respectively.
Threatened
Litigation
From
time to time, the Company may be involved in litigation relating to claims arising out of operations in the normal course of business.
As of the date of issuance, other than those described above (see Footnote 14), there were no pending or threatened legal proceedings
that could reasonably be expected to have a material effect on the results of the Company’s operations. There are also no proceedings
in which any of the Company’s directors, officers or affiliates is an adverse party to the Company or has a material interest adverse
to the Company’s interest. Legal fees are expensed as incurred.
In
January 2024, Dr. Arturo Taca served notice to the Company that asserted an interest in its U.S. Patent No. 10,413,719 valued at $ 2,000,000
based on his own work in neurostimulation. The Company denied both the neurostimulation patent and compensation claims. The case remains
unresolved. While it is too early to predict the ultimate outcome of this matter, we believe the Company has meritorious defenses and
intends to defend this matter vigorously.
17.
Subsequent Events
On
October 22, 2025, the Company issued 100,000 shares of common stock to certain investors upon conversion of an equivalent amount of
Series B Preferred Stock.
On
October 27, 2025, pursuant to the August 2025 At The Market Offering Agreement with Craig-Hallum Capital Group LLC, the Company
issued 623,184
shares of common stock to investors for gross proceeds of $ 2,728,424
with such shares registered pursuant to the Company’s effective Registration Statement on Form S-3 (File No.
333-283798), previously filed with the Securities and Exchange Commission (“SEC”) on December 13, 2024, and declared
effective on February 11, 2025, and the related prospectus supplements filed with the SEC on August 29, 2025, and on October 23,
2025.
On October 28, 2025, the Company issued 40,000 shares of common stock
to certain investors upon the exercise of an equivalent amount of common stock warrants for gross proceeds of $ 95,200 .
On October 29, 2025, the Company issued 3,334 shares of common stock to an employee upon the
vesting of RSUs.
The
Company has evaluated subsequent events through the filing of this Quarterly Report on Form 10-Q and determined that there have been
no other events that have occurred that would require adjustments to our disclosures in the condensed financial statements.
22
ITEM
2: MANAGEMENT’S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF OPERATIONS
You
should read the following discussion and analysis of our financial condition and results of operations together with our unaudited financial
statements and the related notes appearing in this Quarterly Report on Form 10-Q. Some of the information contained in this discussion
and analysis or set forth elsewhere in this Quarterly Report on Form 10-Q, including information with respect to our plans and strategy
for our business and related financing, includes forward-looking statements that involve risks, uncertainties, and assumptions. You should
read the “Cautionary Note Regarding Forward-Looking Statements” and “Risk Factors” sections of our Form 10-K
for the period ended December 31, 2024 (the “2024 Annual 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 growth stage company focused on developing neuromodulation therapies to address chronic and debilitating conditions in children.
Our mission is to provide solutions that create value and provide better and safer patient outcomes. Our IB-Stim device is a PENFS system
intended to be used in patients 8-21 years of age with functional abdominal pain associated with IBS and has market clearance from FDA
for functional abdominal pain associated with IBS in children. Our RED device is an easy-to-use, office-based, point-of-care test that
identifies patients with chronic constipation due to pelvic floor dyssynergia and has FDA market clearance for adults. Other indications
in our pipeline are comprised of functional nausea in children, post-concussion syndrome in children, cyclic vomiting syndrome in children
and functional abdominal pain associated with IBS in adults.
Since
our inception, we have incurred significant operating losses. Our net loss was $2,122,796 and $1,755,234 for the three months ended September
30, 2025 and 2024, respectively, and $6,091,898 and $6,793,596 for the nine months ended September 30, 2025 and 2024, respectively. Although
we had stockholders’ equity of $2,284,941 as of September 30, 2025, our auditors have expressed substantial doubt about our ability
to continue as a going concern in their audit opinion. We expect to incur significant expenses and operating losses for the foreseeable
future as we continue to pursue widespread insurance coverage of our IB-Stim device and seek FDA clearance of our device for other indications
as we also fund selling and marketing efforts to expand the adoption of RED. There are a number of milestones and conditions that we
must satisfy before we will be able to generate sufficient revenue to fund our operations, including FDA clearance of our IB-Stim device
to treat future indications.
Factors
Affecting our Business and Results of Operations
Revenue
Our
revenue is derived from the sale of our IB-Stim device to healthcare companies, primarily hospitals and clinics. Sales generally are
not seasonal and only mildly correlated with economic cycles. Our IB-Stim device sells for $1,195 per device, and each child being treated
for functional abdominal pain associated with IBS will use three to four devices. Potential patients with future indications are expected
to use four to six or more devices per patient. In an effort to treat all patients, the Company provides devices at a discount to lower
income patients without healthcare insurance.
Our
sales typically are made on a purchase order basis rather than through long-term purchase commitments. We enter into sales agreements
with customers for IB-Stim devices based on purchase orders and standard terms, which vary slightly based on the customer’s form,
and conditions of sale. Standard payment terms generally are that payment is due within 30 days.
Given
the current economic environment, we cannot predict whether inflation will have a material impact on our operations for the foreseeable
future.
23
Gross
Profit and Gross Margin
Our
management uses gross profit and gross margin to evaluate the efficiency of operations and as a key component to determining the effectiveness
and allocation of resources. We calculate gross profit as net sales less cost of goods sold, and gross margin as gross profit divided
by net sales. Our gross margin has been and will continue to be affected by a variety of factors, primarily the average selling price
of our IB-Stim and RED devices, production volume, order flows, change in mix of customers, third-party manufacturing costs related to
components of our devices and cost-reduction strategies. We expect our gross profit to increase for the foreseeable future as our net
sales grows, both through broader insurer acceptance of our IB-Stim device in the near term and approval of our technology for the treatment
of other indications over the longer term. Our gross margin may fluctuate from quarter to quarter due to changes in average selling prices
and the mix of patient healthcare coverage (e.g. discounts are provided to lower income patients without healthcare insurance), particularly
as we introduce enhancements to our IB-Stim device and new products to address other indications, and as we adopt new manufacturing processes
and technologies.
Expenses
We
have four categories of expenses: cost of goods sold, selling, research and development, and general and administrative.
Costs
of goods sold consist of costs paid for the IB-Stim and RED devices to our contract manufacturers along with shipping and handling costs
and expired inventory charges. Expired inventory expense is related to the FDA clearance period from the date our devices are manufactured,
and if the device is not sold in such period, a reserve is recorded. Expired and other inventory charges totaled $11,598 and $2,030 for
the three months ended September 30, 2025 and 2024, respectively, and $24,339 and $2,030 for the nine months ended September 30, 2025
and 2024, respectively. We have fixed-price contracts with the manufacturers of our devices.
Our
selling expenses primarily consist of advertising, marketing and promotion of the Company’s products including salaries and related
personnel costs and travel expenses. The Company reclassified $243,093 and $786,546 of General and Administrative Expenses to Selling
Expenses in the Condensed Statements of Operations for the three and nine months ended September 30, 2024, respectively, to conform to
current period presentation.
Research
and development expenses consist primarily of clinical research studies, new product development, costs of materials and supplies used
in research and development activities and salaries and related personnel costs for employees engaged in research and development activities
to have our IB-Stim and RED devices cleared by the FDA for other indications. The Company reclassified $53,825 and $164,396 of General
and Administrative Expenses to Research and Development Expenses in the Condensed Statements of Operations for the three and nine months
ended September 30, 2024, respectively, to conform to current period presentation. We expect to incur future research
and development expenses for other indications, such as post-concussion syndrome and cyclic vomiting syndrome in children.
General
and administrative expense primarily consists of wages and benefits, professional fees, including legal, audit, insurance, investor relations,
facility costs, utilities and travel costs.
Results
of Operations
The
following table presents our statements of operations for the three and nine months ended September 30, 2025 and 2024, respectively:
(Unaudited)
(Unaudited)
Three
Months Ended
September 30,
Nine
Months Ended
September 30,
2025
2024
2025
2024
Net
sales
$ 811,414
$ 666,625
$ 2,601,155
$ 1,924,760
Cost
of goods sold
135,487
97,050
421,265
256,949
Gross
profit
675,927
569,575
2,179,890
1,667,811
Selling
expenses
762,548
338,523
1,694,354
1,012,920
Research
and development
130,850
126,247
347,433
295,188
General
and administrative
1,882,614
1,756,078
6,251,143
6,049,928
Operating
loss
(2,100,085 )
(1,651,273 )
(6,113,040 )
(5,690,225 )
Other
(expense) income:
Financing
charges
(30,240 )
-
(30.240 )
(230,824 )
Interest
expense, net
(29,661 )
(64,676 )
(45,333 )
(171,934 )
Change
in fair value of warrant liability
(1,740 )
(6,726 )
(28 )
(8,434 )
Amortization
of debt discount and issuance costs
-
(40,888 )
-
(126,387 )
Other
income
38,930
17,072
96,743
20,032
Other
expense
-
(8,743 )
-
(585,824 )
Total
other (expense) income, net
(22,711 )
(103,961 )
21,142
(1,103,371 )
Net
loss
$ (2,122,796 )
$ (1,755,234 )
$ (6,091,898 )
$ (6,793,596 )
24
Net
Sales
Net
sales increased $144,789, or 21.7%, from $666,625 for the three months ended September 30, 2024, to $811,414 for the three months ended
September 30, 2025, and increased $676,395, or 35.1%, from $1,924,760 for the nine months ended September 30, 2024, to $2,601,155 for
the nine months ended September 30, 2025. The increases were due to volume growth from (i) customers with full health insurance reimbursement
coverage and those participating in our financial assistance programs that provide discounts to patients without insurance coverage and
(ii) device sales from the Company’s launch of its RED product in 2025. Unit growth from the discounted financial assistance programs
outpaced the full health insurance reimbursement programs.
Gross
Profit and Gross Margin
Gross
profit increased $106,352, or 18.7%, from $569,575 for the three months ended September 30, 2024, to $675,927 for the three months ended
September 30, 2025, due to higher sales volume. Despite the increase in sales volume, the decrease in gross margin from 85.4% for the
three months ended September 30, 2024, to 83.3% for the three months ended September 30, 2025, was due to higher discounting in the Company’s
financial assistance programs provided to patients without health insurance coverage, a higher unit growth rate of the discounted financial
assistance programs compared to the full health insurance reimbursement programs and expired RED inventory.
Gross
profit increased $512,079, or 30.7%, from $1,667,811 for the nine months ended September 30, 2024, to $2,179,890 for the nine months
ended September 30, 2025, due to higher sales volume. Despite the increase in sales volume, gross margin decreased from 86.7% for the
nine months ended September 30, 2024, to 83.8% for the nine months ended September 30, 2025, due to higher discounting in the Company’s
financial assistance programs provided to patients without health insurance coverage, a higher unit growth rate of the discounted financial
assistance programs compared to the full health insurance reimbursement programs and expired RED inventory.
Selling
Expenses
Selling
expenses increased $424,025, or 125.3%, from $338,523 for the three months ended September 30, 2024, to $762,548 for the three
months ended September 30, 2025, and increased $681,434, or 67.3%, from $1,012,920 for the nine months ended September 30, 2024, to
$1,694,354 for the nine months ended September 30, 2025. The increases were due to higher commissions from sales volume, a temporary
commission structure to facilitate growth and adoption in new states, incremental sales and marketing headcount and increased
advertising and marketing costs targeting patients and health insurance carriers as IB-Stim’s new Current Procedural
Terminology (CPT) Category I code becomes effective January 1, 2026.
Research
and Development
Research
and development expenses increased $4,603, or 3.6%, from $126,247 for the three months ended September 30, 2024, to $130,850 for the
three months ended September 30, 2025, and increased $52,245, or 17.7%, from $295,188 for the nine months ended September 30, 2024 to
$347,433 for the nine months ended September 30, 2025. The increases were due to higher year-over-year spending on a medical research
project, improved IB-Stim design features and costs to develop the RED device.
General
and Administrative
General
and administrative expenses increased $126,536, or 7.2%, from $1,756,078 for the three months ended September 30, 2024, to $1,882,614
for the three months ended September 30, 2025, primarily due to the introduction of annual short-term and long-term incentive plans in
2024 that were not outstanding for the full fiscal year and headcount and related costs incurred to enhance the Company’s internal
control environment and financial operations, partially offset by the absence of certain one-time, non-recurring severance, consulting
and advisory costs incurred in 2024.
General
and administrative expenses increased $201,215, or 3.3%, from $6,049,928 for the nine months ended September 30, 2024, to $6,251,143
for the nine months ended September 30, 2025, primarily due to a one-time, non-recurring charge to settle a lawsuit, headcount and related
costs incurred to enhance the Company’s internal control environment and the introduction of annual short-term and long-term incentive
plans in 2024 that were not outstanding for the full fiscal year, partially offset by the absence of certain one-time, non-recurring
severance, hiring, consulting and advisory costs incurred in 2024 and lower legal, accounting, investor relations and insurance costs
as new hires in 2024 have internally absorbed certain services.
Operating
Loss
Our
operating loss increased $448,812, or 27.2%, from $1,651,273 for the three months ended September 30, 2024, to $2,100,085 for the three
months ended September 30, 2025, primarily due to higher selling and general and administrative expenses, partially offset by higher
sales volume.
Our
operating loss increased $422,815, or 7.4%, from $5,690,225 for the nine months ended September 30, 2024, to $6,113,040 for the nine
months ended September 30, 2025, primarily due to higher selling and general and administrative expenses including a one-time non-recurring
settlement of a lawsuit, partially offset by higher sales volume.
Other
(Expense) Income, Net
Other
expense decreased $81,250 or 78.2%, from $103,961 for the three months ended September 30, 2024, to $22,711 for the three months ended
September 30, 2025, primarily due to the conversion of convertible notes into Series B Preferred Stock in 2024 which eliminated any related
debt discount and interest charges, partially offset by the settlement of certain shareholder claims.
Other
expense decreased $1,124,513, or 101.9% from $1,103,371 of expense for the nine months ended September 30, 2024, to $21,142 of income
for the nine months ended September 30, 2025, primarily due to the absence of one-time, non-recurring 2024 settlements relating to a
2023 convertible note dispute and certain pre-IPO Series A Preferred Stock shareholder claims and the conversion of convertible notes
into Series B Preferred Stock in 2024 which eliminated any related debt discount and interest charges.
Net
Loss
Our
net loss increased $367,562, or 20.9%, from $1,755,234 for the three months ended September 30, 2024, to $2,122,796 for the three months
ended September 30, 2025, due to higher selling and general and administrative expenses, partially offset by higher sales volume and
the conversion of convertible notes into Series B Preferred Stock in 2024 which eliminated any related debt discount and interest charges.
Our
net loss decreased $701,698, or 10.3%, from $6,793,596 for the nine months ended September 30, 2024, to $6,091,898 for the nine months
ended September 30, 2025, primarily due to higher sales volume and the absence of one-time, non-recurring 2024 settlements relating to
a 2023 convertible note dispute and certain pre-IPO Series A Preferred Stock shareholder claims, partially offset by higher selling expenses
and the one-time, non-recurring settlement of a lawsuit in 2025.
25
Liquidity
and Capital Resources
We
had cash on hand of $4,377,109 and $3,696,870 as of September 30, 2025, and December 31, 2024, respectively. We maintained a working
capital surplus of $1,840,599 and $1,832,858 as of September 30, 2025, and December 31, 2024, respectively. The increase in working
capital was primarily due to proceeds from the issuance of common stock and the exercise of common stock warrants partially offset
by liabilities incurred to settle a lawsuit and purchase the NSS-2 Bridge trademark during the nine months ended September 30,
2025.
We
have incurred losses since inception and have funded our operations primarily with a combination of sales, debt, and the sale of capital
stock. As of September 30, 2025, we had stockholders’ equity of $2,284,941 and short-term borrowings of $195,658.
Our
future capital requirements will depend upon many factors, including progress with developing, manufacturing, and marketing our technologies,
the time and costs involved in preparing, filing, prosecuting, maintaining, and enforcing patent claims and other proprietary rights,
our ability to establish collaborative arrangements, marketing activities and competing technological and market developments, including
regulatory changes and overall economic conditions in our target markets. Our ability to generate revenue and achieve profitability requires
us to successfully market and secure purchase orders for our products from customers currently identified in our sales pipeline and to
new customers as well. The primary activity that will drive all customers and revenues is the adoption of insurance coverage by commercial
insurance carriers nationally, so this is a top priority of the Company. These activities, including our planned research and development
efforts, will require significant uses of working capital through the rest of 2025 and beyond.
Additionally,
we have to meet all the financial disclosure and reporting requirements associated with being a publicly reporting company. Our management
will have to spend additional time on policies and procedures to make sure it is compliant with various regulatory requirements, especially
that of Section 404 of the Sarbanes-Oxley Act. This additional corporate governance time required of management could limit the amount
of time our management has to implement our business plan and may delay our anticipated growth plans.
The
following table summarizes our cash flow from operating, investing and financing activities for the nine months ended September 30, 2025
and 2024:
(Unaudited)
Nine
Months Ended
September 30,
2025
2024
Net
cash used in operating activities
$ (4,498,684 )
$ (4,340,097 )
Net
cash used in investing activities
(25,288 )
(27,776 )
Net
cash provided by financing activities
5,204,211
4,550,198
Net
increase in cash and cash equivalents
680,239
182,325
Cash
and cash equivalents at beginning of period
3,696,870
78,560
Cash
and cash equivalents at end of period
$ 4,377,109
$ 260,885
Operating
Activities – Net cash used in operating activities increased $158,587, or 3.7%, for the nine months ended September 30, 2025, compared
to the nine months ended September 30, 2024, primarily due to higher inventory purchases to support current sales growth and readiness
for the January 1, 2026 effective date for the IB-Stim Category I CPT code and the 2025 payment of the 2024 short-term incentive program,
partially offset by increased cash collections.
Investing
Activities – Net cash used in investing activities decreased $2,488, or 9.0%, for the nine months ended September 30, 2025, compared
to the nine months ended September 30, 2024, due to lower office equipment purchases partially offset by expenditures to manufacture
the RED device.
Financing
Activities – Net cash provided by financing activities increased $654,013, or 14.4%, for the nine months ended September 30, 2025,
compared to the nine months ended September 30, 2024, primarily due to proceeds received from the issuance of common stock and the exercise
of common stock warrants in 2025 compared to the issuance of convertible notes in 2024.
ITEM
3. QUANTITATIVE AND QUALITATIVE DISCLOSURES ABOUT MARKET RISK
Not
applicable.
26
ITEM
4. CONTROLS AND PROCEDURES
Evaluation
of Internal Control Over Financial Reporting
Our
management is responsible for establishing and maintaining adequate internal control over financial reporting, as defined in Rules 13a-15(f)
of the Exchange Act. Under the supervision and with the participation of our principal executive officer and principal financial officer
and oversight of the Audit Committee and the Board of Directors, we conducted an evaluation of the effectiveness of our internal control
over financial reporting based on criteria established in the framework set forth in Internal Control—Integrated Framework (2013)
issued by the Committee of Sponsoring Organizations of the Treadway Commission.
Our
management, including our principal executive officer and principal financial officer, recognizes that internal controls over financial
reporting, no matter how well designed and operated, can provide only reasonable assurance of achieving the desired control objectives.
Because of the inherent limitations in all control systems, no evaluation of controls can provide absolute assurance that all control
issues and instances of fraud, if any, have been detected. Additionally, controls can be circumvented by the individual acts of some
persons, by collusion of two or more people, or by management override of the controls.
Based
on our evaluation, management identified material weaknesses in our internal control over financial reporting as of September 30, 2025,
as set forth below:
●
Ineffective
approval processes governing (i) timely Board of Directors authorization and (ii) segregation of duties and roles and responsibilities
configurations within the Company’s financial reporting system;
●
Inadequate
contract management process to capture all executed agreements prior to the commencement of services in order to ensure accuracy
within the proper accounting period;
●
Misapplication
of U.S. GAAP as evidenced by the restatement of our unaudited financial statements as of and for the three and nine months ended
September 30, 2023; and
●
Ineffective
disclosure controls and procedures a result of (i) lack of segregation of duties, (ii) lack of internal control structure review
and (iii) misapplication of U.S. GAAP.
In
order to remediate the identified material weaknesses, management, with the oversight of the Audit Committee of the Board of Directors,
undertook measures to enhance the Company’s internal control environment, including the (i) hiring of a principal financial officer
and other accounting personnel to ensure the appropriate application of U.S. GAAP including the annual required completion of a minimum
number of continuing professional education hours, (ii) hiring of a dedicated internal control manager that reports directly to the Audit
Committe and whose sole responsibility is to develop, document, implement and maintain our internal control framework and program including
walkthroughs, narratives, flow charts and independent testing of our financial and IT controls, (iii) documentation and communication
of business policies such as a delegation of authority over company transactions including the Board of Directors and invoice approvals,
(iv) completion of a formal monthly close process including account reconciliations with supporting documentation and (v) engagement
of a third-party firm that implemented controls to segregate duties and approvals along with the proper assignment of roles and responsibilities
within the Company’s financial system. However, management has not fully implemented the remediation steps and expects remediation
efforts, including testing, to continue in fiscal year 2025.
While
these remediation efforts are subject to ongoing management evaluation and will require validation and testing of the design and operating
effectiveness of the Company’s internal controls over a sustained period of financial reporting cycles, management is committed
to maintaining a strong internal control program over financial reporting and will take further actions and implement additional enhancements
or improvements as necessary.
Changes
in Internal Control Over Financial Reporting
Other
than the remediation efforts described above, there were no changes in our internal controls over financial reporting, as defined in
Rules 13a-15(f) of the Exchange Act, during the quarter ended September 30, 2025 that have materially affected, or are reasonably likely
to materially affect, our internal control over financial reporting.
27
PART
II - OTHER INFORMATION
ITEM
1: LEGAL PROCEEDINGS
From
time to time, the Company may be involved in litigation relating to claims arising out of operations in the normal course of business.
As of the date of issuance, other than those described below, there were no pending or threatened legal proceedings that could reasonably
be expected to have a material effect on the results of the Company’s operations. There are also no proceedings in which any of
the Company’s directors, officers or affiliates is an adverse party to the Company or has a material interest adverse to the Company’s
interest. Legal fees are expensed as incurred.
On
February 6, 2019, plaintiff Ritu Bhambhani, M.D., initiated a lawsuit against Innovative Health Solutions, Inc. and others in the United
States District Court for the District of Maryland. Plaintiffs Bhambhani and Sudhir Rao subsequently amended the complaint, with the
Third Amended Complaint (“Complaint”) containing the most recent set of allegations. The Complaint asserted claims under
the RICO Act, as well as of fraudulent misrepresentation, intentional misrepresentation by concealment, and civil conspiracy and sought
compensatory damages in excess of $5 million, pre-judgment interest, punitive damages, attorney’s fees, court costs and designation
of the case as a class action. The Complaint stated that the Company, distributors of the Company’s product, and medical billing
and coding consultants allegedly made misrepresentations to the plaintiffs that the Company’s NeuroStim device and related procedures
could be billed to, and reimbursed by, Medicare and other insurance payors as a surgically implantable neurostimulator. Plaintiffs claim
to have suffered damages when Medicare administrative contractors declined to pay plaintiffs for their use of the device.
On
February 11, 2022, the Company filed a motion for summary judgment based upon the plaintiffs not being proper parties to assert claims
against the Company. On June 14, 2022, the Court granted the Company’s motion for summary judgment and dismissed the Complaint.
On
July 14, 2022, plaintiffs Ritu Bhambhani and Sudhir Rao filed a notice of appeal with the Fourth Circuit Court of Appeals. On June 3,
2024, the Fourth Circuit denied the plaintiff’s appeal and entered judgment against the plaintiffs. On June 25, 2024, the Fourth
Circuit entered its mandate declaring that its judgment against the plaintiffs took effect that day. The plaintiffs did not seek any
further review or appeal of that judgment.
Also
on July 14, 2022, plaintiffs Ritu Bhambhani, LLC; Box Hill Surgery Center, LLC; Pain and Spine Specialists of Maryland, LLC; and SimCare
ASC, LLC initiated a lawsuit against the Company and others in the United States District Court for the District of Maryland (the “2022
Lawsuit”). The plaintiffs in this lawsuit are business entities owned or partially owned by the plaintiffs that initiated the litigation
described above. The Complaint asserted claims under the RICO Act, as well as fraudulent misrepresentation, intentional misrepresentation
by concealment, and civil conspiracy and seeks compensatory damages in excess of $75,000, pre-judgment interest, punitive damages, attorney’s
fees, and court costs. The Complaint states that the Company, distributors of the Company’s product, and medical billing and coding
consultants allegedly made misrepresentations to the plaintiffs that the Company’s NeuroStim device and related procedures could
be billed to, and reimbursed by, Medicare and other insurance payors as a surgically implantable neurostimulator. Plaintiffs claim to
have suffered damages when Medicare administrative contractors declined to pay plaintiffs for their use of the device.
On
September 28, 2022, the Company filed a motion to dismiss all claims. On May 25, 2023, the Court issued an Order and a Memorandum Opinion
which dismissed the plaintiffs’ claims related to the RICO Act. The remaining claims are still pending, and no trial date has been
set for the case. The Court has vacated its Scheduling Order at the parties’ request so that the parties could try to resolve the
disputes in both cases through an independent third-party mediator.
On
May 15, 2025, the parties executed a $750,000 settlement agreement payable in 12 equal monthly installments beginning in January of 2026.
In
January 2024, Dr. Arturo Taca served notice to the Company that asserted an interest in its U.S. Patent No. 10,413,719 valued at $2,000,000
based on his own work in neurostimulation. The Company denied both the neurostimulation patent and compensation claims. The case remains
unresolved. While it is too early to predict the ultimate outcome of this matter, we believe the Company has meritorious defenses and
intends to defend this matter vigorously.
ITEM
1A: RISK FACTORS
For
information regarding the risk factors that could affect the Company’s business, results of operations, financial condition and
liquidity, see the information under Part I, Item 1A. “Risk Factors” in the Form 10-K, which is accessible on the SEC’s
website at www.sec.gov. There have been no material changes to the risk factors previously disclosed in the Form 10-K.
28
ITEM
2: UNREGISTERED SALES OF EQUITY SECURITIES AND USE OF PROCEEDS
Unregistered
Sales of Equity Securities
On
September 9, 2025, the Company issued 1,518 shares of common stock to a pre-IPO Series A Preferred Stock shareholder to settle certain
claims with a fair value of $3,674.
On
August 19, 2025, the Company issued 14,060 shares of common stock, net of taxes, upon the acceleration of 17,534 restricted stock units
to three prior employees.
Unless
otherwise stated above, the issuances of these securities were made in reliance upon exemptions provided by Section 4(a)(2) of the Securities
Act, Regulation D promulgated thereunder, or Securities Act Rule 701 for the offer and sale of securities not involving a public offering.
ITEM
3: DEFAULTS UPON SENIOR SECURITIES.
None.
ITEM
4. MINE SAFETY DISCLOSURES
Not
applicable.
ITEM
5: OTHER INFORMATION.
Insider
Trading Arrangements and Policies
During
the quarter ended September 30, 2025, no director or officer of the Company adopted or terminated any “Rule 10b5-1 trading arrangement”
or “non-Rule 10b5-1 trading arrangement,” as each term is defined in Item 408(a) of Regulation S-K.
29
ITEM
6: EXHIBITS
Exhibit
Number
Exhibit
Description
10.1
At The Market Offering Agreement, dated August 29, 2025, by and between Neuraxis, Inc. and Craig-Hallum Capital Group LLC (incorporated by reference to exhibit 1.1 to current report on Form 8-K, filed with the SEC on September 2, 2025)
10.2
Termination Agreement, dated July 1, 2025, by and between Neuraxis, Inc. and Masimo Corporation (incorporated by reference to exhibit 10.1 to current report on Form 8-K, filed with the SEC on July 3, 2025)
10.3
Neuraxis, Inc. 2025 Employee Stock Purchase Plan (incorporated by reference to exhibit 10.2 to current report on Form 8-K, filed with the SEC on July 3, 2025)
31.1*
Certification pursuant to 18 U.S.C. Section 1350 Section 302 of the Sarbanes-Oxley Act of 2002 - Chief Executive Officer
31.2*
Certification pursuant to 18 U.S.C. Section 1350 Section 302 of the Sarbanes-Oxley Act of 2002 - Chief Financial Officer
32.1**
Certification pursuant to 18 U.S.C. Section 1350 Section 906 of the Sarbanes-Oxley Act of 2002 - Chief Executive Officer
32.2**
Certification pursuant to 18 U.S.C. Section 1350 Section 906 of the Sarbanes-Oxley Act of 2002 - Chief Financial Officer
101.INS*
Inline
XBRL Instance Document
101.SCH*
Inline
XBRL Taxonomy Extension Schema Document
101.CAL*
Inline
XBRL Taxonomy Extension Calculation Linkbase Document
101.DEF*
Inline
XBRL Taxonomy Extension Definition Linkbase Document
101.LAB*
Inline
XBRL Taxonomy Extension Label Linkbase Document
101.PRE*
Inline
XBRL Taxonomy Extension Presentation Linkbase Document
104*
Cover
Page Interactive Data File (embedded within the Inline XBRL document)
*
Filed herewith.
**
Furnished herewith
30
SIGNATURES
Pursuant
to the requirements of the Securities Exchange Act of 1934, the registrant has duly caused this report to be signed on its behalf by
the undersigned, thereunto duly authorized.
NEURAXIS,
INC.
Date:
November 10, 2025
By:
/s/
Brian Carrico
Brian
Carrico
Chief
Executive Officer
(Principal
Executive Officer)
Date:
November 10, 2025
/s/
Timothy Henrichs
Timothy
Henrichs
Chief
Financial Officer
(Principal
Financial and Principal Accounting Officer)
31
Text extracted from the filing as submitted to EDGAR. Formatting, tables and exhibits are simplified for reading; the original document is authoritative for anything you rely on.