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 June 30, 2026
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 13(a) of the Exchange 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 August 6, 2026 was 12,557,765
shares.
TABLE
OF CONTENTS
PART I
3
ITEM
1:
FINANCIAL STATEMENTS
3
Condensed Balance Sheets as of June 30, 2026 (Unaudited) and December 31, 2025
3
Condensed Statements of Operations for the Three and Six Months Ended June 30, 2026 and 2025 (Unaudited)
4
Condensed Statements of Stockholders’ Equity for the Three and Six Months Ended June 30, 2026 and 2025 (Unaudited)
5
Condensed Statements of Cash Flows for the Six Months Ended June 30, 2026 and 2025 (Unaudited)
6
Notes to Condensed Financial Statements (Unaudited)
7
ITEM
2:
MANAGEMENT’S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF OPERATIONS
23
ITEM
3:
QUANTITATIVE AND QUALITATIVE DISCLOSURES ABOUT MARKET RISK
26
ITEM
4:
CONTROLS AND PROCEDURES
27
PART II
28
ITEM
1:
LEGAL PROCEEDINGS
28
ITEM
1A:
RISK FACTORS
29
ITEM
2:
UNREGISTERED SALES OF EQUITY SECURITIES AND USE OF PROCEEDS
29
ITEM
3:
DEFAULTS UPON SENIOR SECURITIES
29
ITEM
4:
MINE SAFETY DISCLOSURES
29
ITEM
5:
OTHER INFORMATION
29
ITEM
6:
EXHIBITS
29
SIGNATURES
30
2
PART
I
ITEM
1. FINANCIAL STATEMENTS
NeurAxis,
Inc.
Condensed
Balance Sheets
June 30, 2026
December 31, 2025
(Unaudited)
Assets
Current Assets:
Cash and cash equivalents
$ 8,322,258
$ 4,965,072
Accounts receivable, net of credit losses of $ 19,019 and $ 7,326 as of June 30, 2026 and December 31, 2025, respectively
432,925
195,703
Inventories, net of reserves of $ 10,926 and $ 34,524 as of June 30, 2026 and December 31, 2025, respectively
277,308
257,132
Prepaids and other current assets
381,654
315,283
Total current assets
9,414,145
5,733,190
Property and Equipment, at Cost:
388,768
382,465
Less - accumulated depreciation
( 323,305 )
( 306,901 )
Property and equipment, net
65,463
75,564
Other Assets:
Operating lease right of use asset, net
228,545
261,565
Intangible assets, net
258,214
274,778
Other non-current assets
29,793
58,939
Total Assets
$ 9,996,160
$ 6,404,036
Liabilities
Current Liabilities:
Accounts payable
$ 791,587
$ 139,365
Accrued expenses
2,113,097
2,393,229
Current portion of operating lease payable
71,942
65,752
Notes payable
42,726
148,293
Customer deposits
31,174
28,660
Warrant liabilities
45,857
16,800
Total current liabilities
3,096,383
2,792,099
Non-Current Liabilities:
Operating lease payable, net of current portion
164,724
202,566
Other non-current liabilities
—
9,999
Total liabilities
3,261,107
3,004,664
Commitments and contingencies (see note 15)
-
-
Stockholders’ Equity
Convertible Series B Preferred stock, $ 0.001 par value; 5,000,000 shares authorized, 3,796,907 shares issued and outstanding as of June 30, 2026 and December 31, 2025
3,797
3,797
Common stock, $ 0.001 par value; 100,000,000 shares authorized; 12,468,059 and 10,652,812 shares issued and outstanding as of June 30, 2026 and December 31, 2025, respectively
12,468
10,653
Additional paid in capital
76,381,397
67,985,089
Accumulated deficit
( 69,662,609 )
( 64,600,167 )
Total stockholders’ equity
6,735,053
3,399,372
Total Liabilities and Stockholders’ Equity
$ 9,996,160
$ 6,404,036
The
accompanying notes are an integral part of these unaudited condensed financial statements
3
NeurAxis,
Inc.
Condensed
Statements of Operations (Unaudited)
2026
2025
2026
2025
For the Three Months Ended
June 30,
For the Six Months Ended
June 30,
2026
2025
2026
2025
Net Sales
$ 1,928,695
$ 894,086
$ 3,536,578
$ 1,789,741
Cost of Goods Sold
272,573
146,643
490,939
286,118
Gross Profit
1,656,122
747,443
3,045,639
1,503,623
Selling Expenses
861,387
534,013
1,685,724
1,034,131
Research and Development
274,344
115,197
373,911
222,201
General and Administrative
2,645,103
1,816,091
4,851,395
4,260,246
Operating Loss
( 2,124,712 )
( 1,717,858 )
( 3,865,391 )
( 4,012,955 )
Other Income (Expense):
Interest expense
( 19,794 )
( 13,434 )
( 45,983 )
( 15,672 )
Change in fair value of warrant liability
2,449
( 119 )
( 29,057 )
1,712
Other income
56,311
40,993
93,253
57,813
Total other income, net
38,966
27,440
18,213
43,853
Loss Before Income Taxes
( 2,085,746 )
( 1,690,418 )
( 3,847,178 )
( 3,969,102 )
Income tax expense (benefit)
-
-
-
-
Net Loss
( 2,085,746 )
( 1,690,418 )
( 3,847,178 )
( 3,969,102 )
Preferred stock dividends
( 191,503 )
( 207,465 )
( 380,902 )
( 421,008 )
Net Loss Available to Common Stockholders
$ ( 2,277,249 )
$ ( 1,897,883 )
$ ( 4,228,080 )
$ ( 4,390,110 )
Per-Share Data
Basic and diluted loss per share
$ ( 0.19 )
$ ( 0.22 )
$ ( 0.37 )
$ ( 0.56 )
Weighted Average Common Shares Outstanding
Basic and diluted
12,119,822
8,520,596
11,537,209
7,903,716
The
accompanying notes are an integral part of these unaudited condensed financial statements
4
NeurAxis,
Inc.
Condensed
Statements of Stockholders’ Equity (Unaudited)
Shares
Amount
Shares
Amount
Capital
Deficit
Equity
Convertible Series B
Preferred Stock
Common Stock
Additional Paid In
Accumulated
Stockholders’
Shares
Amount
Shares
Amount
Capital
Deficit
Equity
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
Stock-based compensation
-
-
-
-
105,811
-
105,811
Additional paid in capital from restricted stock units
-
-
-
-
251,111
-
251,111
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
Conversion 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 )
Stock-based compensation
-
-
-
-
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
Balances at January 1, 2026
3,796,907
$ 3,797
10,652,812
$ 10,653
$ 67,985,089
$ ( 64,600,167 )
3,399,372
Warrants exercised
-
-
213,040
213
506,822
-
507,035
Common stock issued from agreements
-
-
86,392
86
399,909
-
399,995
Issuance of common stock pursuant to shelf registration statement
-
-
495,456
495
2,989,866
-
2,990,361
Offering costs
-
-
-
-
( 110,431 )
-
( 110,431 )
Common stock issued under the 2022 Omnibus Securities and Incentive Plan
-
-
2,345
3
( 6,787 )
-
( 6,784 )
Stock-based compensation
-
-
-
-
329,434
-
329,434
Net loss
-
-
-
-
-
( 1,761,432 )
( 1,761,432 )
Balances at March 31, 2026
3,796,907
3,797
11,450,045
11,450
72,093,902
( 66,361,599 )
5,747,550
Balance
3,796,907
3,797
11,450,045
11,450
72,093,902
( 66,361,599 )
5,747,550
Warrants exercised
-
-
183,586
184
436,751
-
436,935
Issuance of common stock pursuant to declaration of Series B Preferred Stock dividends
-
-
510,605
511
1,214,728
( 1,215,264 )
( 25 )
Issuance of common stock pursuant to the 2025 Employee Stock Purchase Plan
-
-
43,885
44
85,971
-
86,015
Issuance of common stock pursuant to shelf registration statement
-
-
252,455
252
2,070,405
-
2,070,657
Offering costs
-
-
-
-
( 66,133 )
-
( 66,133 )
Common stock issued under the 2022 Omnibus Securities and Incentive Plan
-
-
27,483
27
( 94,030 )
-
( 94,003 )
Stock-based compensation
-
-
-
-
639,803
-
639,803
Net loss
-
-
-
-
-
( 2,085,746 )
( 2,085,746 )
Balances at June 30, 2026
3,796,907
$ 3,797
12,468,059
$ 12,468
$ 76,381,397
$ ( 69,662,609 )
$ 6,735,053
Balance
3,796,907
$ 3,797
12,468,059
$ 12,468
$ 76,381,397
$ ( 69,662,609 )
$ 6,735,053
The
accompanying notes are an integral part of these unaudited condensed financial statements
5
NeurAxis,
Inc.
Condensed
Statements of Cash Flows (Unaudited)
2026
2025
For the Six Months Ended
June 30,
2026
2025
Cash Flows from Operating Activities
Net Loss
$ ( 3,847,178 )
$ ( 3,969,102 )
Adjustments to reconcile net loss to net cash used in operating activities:
Depreciation and amortization
32,968
19,241
Provisions for losses on accounts receivable
13,036
—
Provisions for losses on inventory
4,015
12,174
Loss on disposal of property and equipment
—
168
Non-cash lease expense
33,020
28,001
Stock-based compensation
969,237
278,854
Issuance of common stock for non-cash consideration
100,002
—
Change in fair value of warrant liabilities
29,057
( 1,712 )
Changes in operating assets and liabilities:
Accounts receivable
( 250,258 )
116,100
Inventory
( 24,191 )
( 99,278 )
Prepaids and other current assets
38,040
32,295
Accounts payable
652,222
( 132,430 )
Accrued expenses
19,863
407,812
Customer deposits
2,514
( 600 )
Operating lease liability
( 31,652 )
( 30,208 )
Other non-current liabilities
—
267,540
Net cash used in operating activities
( 2,259,305 )
( 3,071,145 )
Cash Flows from Investing Activities
Additions to property and equipment
( 6,303 )
( 25,288 )
Net cash used in investing activities
( 6,303 )
( 25,288 )
Cash Flows from Financing Activities
Proceeds from issuance of common stock
5,061,018
4,999,999
Proceeds from exercised warrants
943,970
1,002,991
Proceeds from Employee Stock Purchase Plan common stock issuance
86,015
—
Fractional shares of preferred dividends declared settled in cash
( 25 )
—
Offering costs paid
( 151,831 )
( 459,999 )
Principal payments on notes payable
( 115,566 )
( 154,972 )
Repayment of license acquisition payable
( 100,000 )
—
Taxes paid related to net share settlement of restricted stock units
( 100,787 )
—
Net cash provided by financing activities
5,622,794
5,388,019
Net Increase in Cash and Cash Equivalents
3,357,186
2,291,586
Cash and Cash Equivalents at Beginning of Period
4,965,072
3,696,870
Cash and Cash Equivalents at End of Period
$ 8,322,258
$ 5,988,456
Supplemental Disclosure of Operating Activities
Cash paid for interest
$ 4,691
$ 3,701
Cash paid for federal income taxes
—
—
Cash refunded for state income taxes
—
12,977
Supplemental Schedule of Non-Cash Investing and Financing Activities
Issuance of common stock pursuant to declaration of Series B Preferred Stock dividends
$ 1,215,239
$ —
Common stock issued for services
399,995
112,493
Common stock issued upon cashless exercise of warrants
—
186
Common stock issued upon vesting of restricted stock units, net of shares withheld for
payment of payroll taxes
30
—
Deferred offering costs reclassified to additional paid in capital upon completion of stock offering
24,733
—
The
accompanying notes are an integral part of these unaudited condensed financial statements
6
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 paid in equal installments on December 31, 2025 and June 30, 2026. The termination agreement allowed the Company to
recapture its 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 following 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, 2026, 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, 2025.
7
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 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, allowance for sales returns, warrant liabilities, stock-based compensation, income tax provisions, excess and
obsolete inventory reserve, impairment of property and equipment and intellectual property. There were no material changes to the
Company’s critical accounting estimates disclosed in the 2025 Form 10-K. 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 $ 391,760
and $ 757,925
of general and administrative expenses to selling expenses in the Condensed Statements of Operations for the three and six months
ended June 30, 2025, respectively. The Company also reclassified $ 56,878
and $ 114,189
of general and administrative expenses to research and development expenses in the Condensed Statements of Operations for the three
and six months ended June 30, 2025, respectively. These reclassifications had no impact on previously reported net loss, total assets, total
liabilities or total equity.
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 monitors accounts receivable and estimates the allowance for lifetime expected credit losses. Estimates of expected
credit losses are based on historical collection experience, aging schedule and other factors, including those related to current
and forecasted market conditions and events. The allowance for credit losses was $ 19,019
and $ 7,326
as of June 30, 2026 and December 31, 2025, respectively. The Company recorded $ 13,036
and $ 0
credit loss expense for the three months ended June 30, 2026 and 2025, respectively, and $ 13,036 and $ 0 for the six months ended
June 30, 2026 and 2025, 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 has reserved for expired inventory as charges to cost of goods sold of $ 2,092 and
$ 6,633 for the three months ended June 30, 2026 and 2025, respectively, and $ 2,850 and $ 6,633 for the six months ended June 30, 2026
and 2025, respectively. The Company has reserved for research devices recorded as charges to research and development expenses of $ 1,165
and $ 5,541 for the three months ended June 30, 2026 and 2025, respectively, and $ 1,165 and $ 5,541 for the six months ended June 30, 2026
and 2025, respectively. Inventory reserves totaled $ 10,926 and $ 34,524 as of June 30, 2026 and December 31, 2025, respectively.
8
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 $ 15,872 and $ 77,108 for the three months ended
June 30, 2026 and 2025, respectively, and $ 45,693 and $ 162,456 for the six months ended June 30, 2026 and 2025, 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, and a trademark. 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 tests for impairment annually or upon the occurrence of an impairment indicator.
On
July 1, 2025, the Company terminated the NSS-2 Bridge license with Masimo in exchange for $ 200,000
of consideration paid 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 is amortized over its remaining trademark life of approximately nine years.
Fair
Value Measurements
The
Company accounts for financial instruments in accordance with Accounting Standards Codification (“ASC”) 820, Fair Value
Measurements and Disclosures , which 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 as follows:
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 data, 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 what 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 requires
significant management judgment or estimation.
Management
believes the estimated fair value of certain accounts including cash, accounts receivable, accounts payable and other current assets on
June 30, 2026, and December 31, 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 and the floating lookback option provision in the NeurAxis, Inc. Employee
Stock Purchase Plan. 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 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 June 30, 2026 and December 31, 2025. 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 June
30, 2026 and December 31, 2025.
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 six month periods ended June 30, 2026 and 2025 presented
in these financial statements, the weighted average number of common shares outstanding excludes common stock equivalents because their
inclusion would be anti-dilutive.
Pursuant
to the Company’s Board of Directors declaration of dividends on Series B Preferred Stock to holders of record as of April 21,
2026, the Company issued 510,605 shares
of common stock on April 28, 2026, based on the 8.5 %
per annum cumulative dividend rate.
The
Company had the following potentially dilutive common stock equivalents:
Schedule of Dilutive Common Stock Equivalents
2026
2025
June 30,
2026
2025
Options
1,319,394
1,319,394
Restricted Stock Units
1,265,443
852,214
Warrants
982,898
1,419,524
Series B Preferred Stock
3,796,907
3,896,907
Undeclared Cumulative Series B Preferred Stock Dividends
80,456
265,662
Totals
7,445,098
7,753,701
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
2026
2025
2026
2025
Three Months Ended
June 30,
Six Months Ended
June 30,
2026
2025
2026
2025
Numerator:
Net loss
$ ( 2,085,746 )
$ ( 1,690,418 )
$ ( 3,847,178 )
$ ( 3,969,102 )
Preferred stock dividends
( 191,503 )
( 207,465 )
( 380,902 )
( 421,008 )
Net loss available to common stockholders
( 2,277,249 )
( 1,897,883 )
( 4,228,080 )
( 4,390,110 )
Denominator:
Weighted average shares of common stock outstanding - basic
and diluted (retroactively adjusted to January 1, 2025)
12,119,822
8,520,596
11,537,209
7,903,716
Basic and diluted net loss per share
$ ( 0.19 )
$ ( 0.22 )
$ ( 0.37 )
$ ( 0.56 )
10
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 and the Monte Carlo simulation model
to calculate the fair value of the floating lookback option with the NeurAxis, Inc. 2025 Employee Stock Purchase Plan. The use of these
option-pricing models 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.
Revenue
Recognition
In
accordance with ASC 606, Revenue from Contracts with Customers , the Company recognizes revenue when its customer obtains control
of promised goods, in an amount that reflects the consideration which the Company expects to be entitled in exchange for
those goods. To determine revenue recognition for arrangements that the Company determines are within the scope of ASC 606,
it (i) identifies the contract(s) with a customer, (ii) identifies the performance obligations in the contract, (iii) determines the
transaction price, (iv) allocates the transaction price to the performance obligations in the contract and (v) recognizes 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 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 promised within each contract and determines those that
are performance obligations and assesses whether each promised good 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.
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 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).
11
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 or 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 Condensed 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 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. Estimated returns totaled $ 24,147 and $ 13,824 as of June 30, 2026 and December 31,
2025, 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.
Customer
deposits are contract liabilities under ASC 606. As of June 30, 2026 and December 31, 2025, the Company had customer deposits of
$ 31,174 and $ 28,660 , respectively.
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 June 30, 2026, the Company had stockholders’ equity of $ 6,735,053 and short-term outstanding borrowings of $ 42,726 . Additionally,
the Company had cash of $ 8,322,258 and a working capital surplus of $ 6,317,762 as of June 30, 2026. 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
proceeds from the issuance 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 2026 and beyond.
12
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 the Company continues to incur losses, the 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
Adopted Accounting Standards
In
July 2025, the FASB issued ASU 2025-05, Financial Instruments—Credit Losses (Topic 326) , which allows registrants to elect
a practical expedient when estimating expected credit losses on accounts receivable. Under the practical expedient, an entity may assume
that the current conditions as of the balance sheet date persist for the remaining life of the asset, thereby removing the requirement
to generate forward-looking forecasts. All entities are required to adopt the standard prospectively for fiscal years beginning after
December 15, 2025, and interim periods within those annual reporting periods. The Company adopted the provisions of ASU 2025-05 as of
January 1, 2026, on a prospective basis. The Company did not elect the practical expedient and the adoption of the standard did not 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. The Company adopted the disclosure provisions of ASU 2023-09 as of December 31, 2025, on a prospective basis.
The adoption of this standard did not have a material impact on the Company’s financial statements.
Recently
Issued Accounting Standards
In
December 2025, the FASB issued ASU 2025-11, Interim Reporting (Topic 270), which provides a comprehensive list of interim disclosures
that are required by U.S. GAAP to provide clarity on current requirements. Public business entities are required to adopt the standard
for interim periods with annual reporting periods beginning after December 15, 2027. The adoption is not expected to have a material
impact on the Company’s financial statements.
In
September 2025, the FASB issued ASU 2025-06, Intangibles—Goodwill and Other—Internal-Use Software (Subtopic 350-40): Targeted
Improvement to the Accounting for Internal-Use Software , which replaces project stage milestones with required capitalization when
management has authorized and committed to funding the software project and it is probable that the project will be completed and the
software will be used to perform the function intended. Depreciation expense and accumulated depreciation for internal-use software are
also required to be disclosed for all periods presented. All entities are required to adopt the standard for fiscal years beginning after
December 15, 2027 and interim periods within those annual reporting periods. Early adoption is permitted as of the beginning of an annual
reporting period. The 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, with prospective or retrospective
adoption, including disclosures, at the Company’s election. Although the standard requires enhanced disclosures, the adoption is not expected to have a material impact on the
Company’s financial statements.
13
3.
Related Party Transactions
The
Company has two demand notes receivable from shareholders related to the sale of common stock on January 1, 2016. The total note
principal balance is $ 1,012,800
as of June 30, 2026, and December 31, 2025, respectively, with interest calculated monthly based on applicable federal rates. The
total interest receivable balance is $ 247,039
and $ 228,759 as
of June 30, 2026, and December 31, 2025, respectively. No payments have been received on the notes. Since repayment is not assured,
the Company has fully reserved for the entire balance of principal and interest. The current allowance is $ 1,259,839
and $ 1,241,559
as of June 30, 2026, and December 31, 2025, respectively.
The
Company also has interest payable to certain shareholders related to the issuance of convertible notes in 2017, which have since
been converted into common stock. The interest payable totaled $ 66,648
as of June 30, 2026, and December 31, 2025, and is included in accrued expenses in the Condensed Balance Sheets.
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 patients. 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 $ 20,000 for the year ending December
31, 2026. License costs totaled $ 2,929 and $ 0 for the three months ended June 30, 2026 and 2025, respectively, and $ 3,382 and $ 1,317
for the six months ended June 30, 2026 and 2025, respectively. The Company owed the limited liability company $ 2,929 and $ 0 that are
included in accounts payable in the Condensed Balance Sheets as of June 30, 2026 and December 31, 2025, respectively.
From
time to time, a member of the Company’s Board of Directors purchases NeuroStim devices from the Company at cost to conduct research
and development activities. The Company’s Board of Directors pre-approved the sale of these NeuroStim devices up to $ 20,000 for
the year ended December 31, 2026. The Company sold NeuroStim devices totaling $ 3,030 and $ 4,394 for the three months ended June 30, 2026
and 2025, respectively, and $ 4,545 and $ 6,351 for the six months ended June 30, 2026 and 2025, respectively, under this program.
4.
Prepaids and Other Current Assets
Prepaids
and other current assets consisted of the following:
Schedule of Prepaids and Other Current Assets
June 30, 2026
December 31, 2025
Prepaid software subscriptions
$ 115,142
$ 103,390
Prepaid insurance
30,061
141,299
Other
236,451
70,594
Total prepaids and other current assets
$ 381,654
$ 315,283
14
5.
Other Non-Current Assets
Other
non-current assets consisted of the following:
Schedule of Other Non-Current Assets
June 30, 2026
December 31, 2025
Security deposit
$ 20,163
$ 20,163
Deferred offering costs
9,630
23,864
Prepaid software subscriptions
—
14,912
Total other non-current assets
$ 29,793
$ 58,939
6.
Accrued Expenses
Accrued
expenses consisted of the following:
Schedule of Accrued Expenses
June 30, 2026
December 31, 2025
Compensation and benefits
$ 1,313,405
$ 1,359,993
Settled litigation
358,975
692,683
Legal fees
150,244
65,714
Interest
66,648
66,648
Research and development fees
59,242
2,143
Tariffs
57,802
32,000
NSS-2 Bridge lease termination fee
-
100,000
Other
106,781
74,048
Total accrued expenses
$ 2,113,097
$ 2,393,229
7.
Notes Payable
On
August 9, 2025, the Company entered into a $ 170,000
note payable to finance the premiums of a business insurance policy, bearing interest at an annual interest rate of 7.45 %
and maturing on June
9, 2026 , to replace the $ 210,000
note payable 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 note payable with a
principal balance of $ 122,253
to finance subscription fees on certain software arrangements maturing on March 1, 2027. The outstanding principal was $ 42,726
and $ 158,292 ,
of which $0 and $ 9,999
is included in other non-current liabilities in the Condensed Balance Sheets, as of June 30, 2026 and December 31, 2025,
respectively.
Interest
expense totaled $ 19,794
and $ 13,434 for the
three months ended June 30, 2026 and 2025, respectively, and $ 45,983
and $ 15,672 for the
six months ended June 30, 2026 and 2025, respectively. The Company’s accrued interest totaled $ 66,648
and $ 66,648 as of June 30, 2026 and December 31, 2025, respectively.
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 Condensed Balance Sheets. The Company did not
have any finance leases at June 30, 2026 and December 31, 2025.
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. 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 $ 26,116 and $ 25,558 for the three months ended June 30, 2026 and 2025, respectively, and
$ 52,231 and $ 51,082 for the six months ended June 30, 2026 and 2025, respectively, including short-term lease expense and variable lease
costs.
15
The
following table presents information related to the Company’s operating leases:
Schedule of Operating Leases
June 30,
2026
December 31,
2025
Operating lease right of use asset, net
$ 228,545
$ 261,565
Current portion of operating lease payable
71,942
65,752
Operating lease payable, net of current portion
164,724
202,566
Total operating lease payable
$ 236,666
$ 268,318
Weighted-average remaining lease term (in years)
2.82
3.31
Weighted-average discount rate
15.0 %
15.0 %
As
of June 30, 2026, the maturities of the Company’s operating lease liabilities were as follows:
Schedule of Maturities
Operating Lease Liabilities
Remainder of 2026
$ 50,173
2027
102,456
2028
98,127
2029
38,025
Total lease payments
288,781
Less: imputed interest
( 52,115 )
Total present value of lease payments
$ 236,666
9.
Common Stock and Warrants
The
Company has authorized 100,000,000 shares of common stock, of which 12,468,059 and 10,652,812 shares were issued and outstanding as of
June 30, 2026 and December 31, 2025, respectively.
On
January 22, 2026, the Company issued 43,196
shares of common stock with a fair value of $ 199,995
to its Board of Directors for their services for the year ending December 31, 2026. The Company recorded $ 50,000
and $ 100,000
as general and administrative expense in the Condensed Statements of Operations for the three and six months ended June 30, 2026,
respectively, and $ 99,995
as prepaids and other current assets in the Condensed Balance Sheets as of June 30, 2026.
On
January 22, 2026, the Company issued another 43,196 shares of common stock with a fair value of $ 200,000 to its Board of Directors for
their service during the year ended December 31, 2025. The Company recorded $ 50,000 and $ 100,000 as general and administrative expense
in the Condensed Statements of Operations for the three and six months ended June 30, 2025, respectively.
On
April 10, 2026, the Company’s Board of Directors declared a dividend on the Series B Preferred Stock. Holders of record of the
Company’s Series B Preferred Stock as of the record date of April 21, 2026 received a stock dividend on April 28, 2026, of the
Company’s par value $ 0.001 common stock for every share of Series B Preferred Stock. The Company issued 510,605 shares of common
stock based on the 8.5 % per annum cumulative dividend rate.
Additionally,
during the six months ended June 30, 2026, the Company issued (i) 747,911 shares
of common stock to investors pursuant to the 2025 At The Market Offering Agreement for
gross proceeds of $ 5,061,018 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, October 23, 2025, and April 21,
2026, (ii) 396,626 common
shares upon the exercise of warrants for gross proceeds of $ 943,970 (iii) 29,828 common
shares pursuant to the 2022 Omnibus Securities and Incentive Plan and (iv) 43,885 common
shares pursuant to the NeurAxis Inc. 2025 Employee Stock Purchase Plan for gross proceeds of $ 86,015 .
During
the six months ended June 30, 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 (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 (iii) 720,359
common shares upon the exercise of warrants for gross proceeds of $ 1,002,991
(iv) 384,032
common shares to certain investors upon conversion of an equivalent amount of Series B Preferred Stock and (v) 1,538,461
common shares pursuant to a securities purchase agreement with certain institutional investors for gross proceeds of $ 4,999,999
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.
16
The
following is a summary of warrant activity for common stock during the six months ended June 30, 2026 and year ended December 31, 2025:
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, 2025
2,642,530
$ 2.41
2.93
Exercised
( 1,263,006 )
1.82
2.12
Outstanding as of December 31, 2025
1,379,524
2.44
2.26
Exercised
( 396,626 )
2.38
1.93
Outstanding as of June 30, 2026
982,898
$ 2.46
1.79
The
following table summarizes the Company’s warrants outstanding and exercisable as of June 30, 2026:
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
134,504
$ 2.38
Various in 2027
2023 Convertible Notes
742,510
$ 2.38
Various in 2028
Underwriter Warrants
16,520
$ 2.38
August 8, 2028
Advisory Agreement Warrants
76,512
$ 2.38
Various in 2029
982,898
10.
Preferred Stock
The
Company’s shareholders authorized 5,000,000
shares of preferred stock of which 5,000,000
shares were designated as $ 0.001
par value Series B Preferred Stock with 3,796,907
shares issued and outstanding as of June 30, 2026 and December 31, 2025, 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 or common shares at the Company’s discretion on a quarterly basis through
December 31, 2026. 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.
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.
Preferred
stock dividends of $ 1,215,264 and $ 0 were declared and issued as common stock as of June 30, 2026 and December 31, 2025, respectively.
Series B Preferred Stock undeclared cumulative dividends totaled $ 191,503 and $ 1,025,865 as of June 30, 2026 and December 31, 2025, respectively.
Pursuant
to the Company’s Board of Directors declaration of dividends on Series B Preferred Stock to holders of record as of July 21,
2026 and April 21 2026, the Company issued 80,456
and 510,605
shares of common stock on July 29, 2026, and April 28, 2026, respectively, based on the 8.5 %
per annum cumulative dividend rate.
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”)
to certain employees as follows:
Schedule
of Restricted Stock Units
Six Months Ended June 30,
2026
2025
Number of RSUs
Weighted Average Fair Value
Number of RSUs
Weighted Average Fair Value
Outstanding as of Beginning of Period
831,346
$ 2.32
—
$ —
Granted
477,431
4.87
852,214
2.31
Vested
( 43,334 )
7.11
—
—
Outstanding as of End of Period
1,265,443
$ 3.12
852,214
$ 2.31
Of the RSUs granted during the six
months ended June 30, 2026, 437,431 are subject to a pro rata annual vesting period over three
years and 40,000 immediately vested whereas the RSUs granted during the six months
ended June 30, 2025 are subject to a three-year cliff vesting period. The RSUs are payable in shares of the Company’s common
stock and 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 June 30, 2026.
Total
stock-based compensation expense related to RSUs is classified in the Company’s Condensed Statements of Operations as (i)
selling expenses totaling $ 67,566 and $ 30,859 for the three months ended June 30, 2026 and 2025, respectively, and $ 129,022 and
$ 51,143 for the six months ended June 30, 2026 and 2025, respectively, and (ii) general and administrative expense totaling $ 552,304
and $ 142,183 for the three months ended June 30, 2026 and 2025, respectively, and $ 782,953 and $ 227,710 for the six months ended June
30, 2026 and 2025, respectively. As of June 30, 2026, total unrecognized stock-compensation expense relating to unvested stock awards granted
under the Company’s share-based compensation plans amounted to $ 2,544,703 .
Stock
Options
The
following is a summary of the Company’s outstanding stock options as of June 30, 2026 and December 31, 2025:
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, 2025
1,319,394
3.69
$ 6.94
$ —
Outstanding as of June 30, 2026
1,319,394
3.44
$ 6.94
$ —
Vested and Exercisable as of June 30, 2026
1,319,394
3.44
$ 6.94
$ —
On
April 9, 2026, the Company’s Board of Directors approved the cancelation of 1,319,394
stock options issued under the 2017 Innovative Health Solutions, Inc. Stock Compensation Plan and the grant of an equivalent amount
of RSUs with immediate vesting under the NeurAxis, Inc. 2022 Omnibus Securities and Incentive Plan which was approved by the
Company’s shareholders on June 10, 2026. The stock option cancelation and RSU grant will be treated as a modification under
ASC 718, Compensation—Stock Compensation , whereby the Company will recognize incremental compensation cost as the
excess of the fair value of the granted RSUs over the fair value of the stock options upon the exchange on July 24, 2026. The Company
estimates $ 3,400,000
of incremental compensation cost will be recorded upon execution of the stock option cancellation and RSU grant
agreements.
There
was no stock-based compensation expense related to stock options recorded for the three and six months ended June 30, 2026 and 2025.
18
Employee
Stock Purchase Plan
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”) subsequently approved by the Shareholders on June 10, 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. Total stock-based compensation expense related to the ESPP is
classified in the Company’s Condensed Statements of Operations as (i) selling expenses totaling $ 7,008 and $ 0 for the three months
ended June 30, 2026 and 2025, respectively, and $ 15,421 and $ 0 for the six months ended June 30, 2026 and 2025, respectively, and
(ii) general and administrative expense totaling $ 12,925 and $ 0 for the three months ended June 30, 2026 and 2025, respectively, and
$ 41,841 and $ 0 for the six months ended June 30, 2026 and 2025, respectively. Employee withholdings of $ 53,214 and
$ 13,611 are
included in accrued expenses in the Condensed Balance Sheets as of June 30, 2026 and December 31, 2025, respectively.
12.
Fair Value Measurement of Financial Instruments
Warrants
The Company utilizes a Black-Scholes
option-pricing model to compute the fair value of the warrant 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 each warrant, (iii)
estimated volatility ranging from 89.1 %
to 94.7 %
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 3.72 %
to 4.22 %
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 six months ended June 30, 2026 and year ended December 31, 2025:
Schedule
of Changes in Warrant Liabilities
Level 3
Warrant liabilities as of January 1, 2025
$ 9,166
Changes in fair value of warrant liabilities
7,634
Warrant liabilities as of December 31, 2025
16,800
Changes in fair value of warrant liabilities
29,057
Warrant liabilities as of June 30, 2026
$ 45,857
ESPP Floating Lookback Option
The Company utilizes a Monte Carlo simulation model
to compute the fair value of the ESPP floating lookback option which is expensed pro rata over each six-month offering period. The inputs
utilized in the application of the Monte Carlo simulation model included (i) a stock price ranging from $ 2.72 to $ 7.40 subject to a 15%
discount, (ii) an expected remaining term of 6 months, (iii) estimated volatility ranging from 89.1 % to 90.9 % based on historical stock
prices of comparable companies with a lookback period commensurate with the offering period, (iv) a risk-free interest rate ranging from
3.69 % to 3.94 % based on interest rates of U.S. Treasury Notes consistent with the offering period and (v) a 0 % expected dividend yield
as the Company has not paid dividends and does not anticipate declaring dividends in the near future.
The Company recorded the fair value of the ESPP floating
lookback option as stock-based compensation expense totaling $ 19,935 and $ 0 for the three months ended June 30, 2026 and 2025, respectively,
and $ 57,264 and $ 0 for the six months ended June 30, 2026 and 2025, respectively.
13 .
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
years of age and older with functional abdominal pain associated with irritable bowel syndrome and with functional abdominal pain
associated with functional dyspepsia and related nausea symptoms. 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 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
2026
2025
2026
2025
Three months ended June 30,
Six months ended June 30,
2026
2025
2026
2025
Net Sales
$ 1,928,695
$ 894,086
$ 3,536,578
$ 1,789,741
COGS
272,573
146,643
490,939
286,118
Gross Profit
1,656,122
747,443
3,045,639
1,503,623
Selling Expenses (a)
861,387
534,013
1,685,724
1,034,131
Research & Development (a)
274,344
115,197
373,911
222,201
Compensation and Benefits (a)
1,798,108
1,161,026
3,210,773
2,235,013
Professional Services (a) (b)
462,286
283,730
898,589
701,308
Legal Settlement
-
11,471
-
630,568
Depreciation
8,370
10,264
16,404
13,998
Amortization
8,280
2,621
16,564
5,243
Other Operating Expenses (a) (c)
368,059
346,979
709,065
674,116
Segment Operating Loss
( 2,124,712 )
( 1,717,858 )
( 3,865,391 )
( 4,012,955 )
Interest Expense
( 19,794 )
( 13,434 )
( 45,983 )
( 15,672 )
Change in Fair Value of Warrant Liability
2,449
( 119 )
( 29,057 )
1,712
Other Income
56,311
40,993
93,253
57,813
Total Other Income, Net
38,966
27,440
18,213
43,853
Net Loss
$ ( 2,085,746 )
$ ( 1,690,418 )
$ ( 3,847,178 )
$ ( 3,969,102 )
(a)
The
significant expense categories and amounts align with the segment-level information provided on a regular basis to the CODM.
(b)
Professional services include legal, audit, market access
and investor relations expenses.
(c)
Other
operating expenses include rent and utilities, insurance, travel, software subscription fees, board fees and bad debt expense.
Total
segment assets for IB-STIM amounted to $ 9,996,160 and $ 6,404,036 as of June 30, 2026 and December 31, 2025, respectively. Total segment
capital expenditures for IB-STIM amounted to $ 106,303 and $ 7,288 for the three months ended June 30, 2026 and 2025, respectively, and
$ 106,303 and $ 25,288 for the six months ended June 30, 2026 and 2025, respectively. Total segment depreciation and amortization amounted
to $ 16,650 and $ 12,885 for the three months ended June 30, 2026 and 2025, respectively, and $ 32,968 and $ 19,241 for the six months ended
June 30, 2026 and 2025, respectively.
Significant
segment non-cash charges settled in common stock include (i) consulting and advisory fees totaling $ 399,995 and $ 112,493 for the six
months ended June 30, 2026 and 2025, respectively, (ii) RSU grants totaling $ 300,400 and $ 0 for the three months ended June 30, 2026
and 2025, respectively, and $ 305,934 and $ 0 for the six months ended June 30, 2026 and 2025, respectively.
14.
Settled Litigation
On February 6, 2019, plaintiffs Ritu Bhambhani, M.D. and Sudhir Rao initiated a lawsuit against Innovative Health Solutions, Inc. and
others in the United States District Court for the District of Maryland, later as amended as the Third Amended Complaint (“Complaint”),
asserting claims under the RICO Act, as well as of fraudulent misrepresentation, intentional misrepresentation by concealment, and civil
conspiracy related to Medicare and insurance reimbursement of the Company’s NeuroStim device, seeking damages in excess of $ 5 million.
The Court granted the Company’s motion for summary judgment and dismissed the Complaint on June 14, 2022, and the Fourth Circuit Court
of Appeals affirmed the dismissal on June 3, 2024, with no further appeal sought by the plaintiffs.
On July 14, 2022, related entities
owned or partially owned by the same 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”), asserting the same claims and seeking damages in excess of $ 75,000 .
The Court dismissed the RICO claims on May 25, 2023, and the parties subsequently pursued mediation of the remaining claims. On
April 25, 2025, the parties reached a $ 750,000
settlement payable in 12 equal monthly installments beginning in January 2026, with $ 375,000
remaining as of June 30, 2026. The Company recorded a charge of $ 11,471
and $ 630,568
classified as general and administrative expense in the Condensed Statements of Operations during the three and six months ended
June 30, 2025, respectively, while interest expense was recorded as incurred. As of June 30, 2026, the Company maintained a
liability of $ 358,975
classified as accrued expenses in the Condensed Balance Sheets.
20
15 .
Commitments and Contingencies
Manufacturing
Services Agreement
The
Company is party to two separate manufacturing services agreements for the manufacture and supply of the Company’s IB-Stim and
RED devices based on the Company’s product specifications that expire in March and August, 2027, respectively, and automatically
renew 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’s IB-Stim and RED devices are manufactured in Indiana and Michigan, respectively. The Company provides the necessary
equipment to the manufacturers and retains ownership. The manufacturers bear the risk of loss of and damage to the equipment and consigned
materials. Performance under the agreement is initiated by orders issued by the Company and accepted by the manufacturers. The Company
also entered into quality agreements with the manufacturers to perform quality assurance services on product provided by the Company.
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 2 two to five years and optional one-year renewals .
There
are nine key employees and two non-employees that have stock options of the Company totaling 1,319,394 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. None
of the key employees have exercised any of the stock options as of June 30, 2026.
21
On
April 9, 2026, the Company’s Board of Directors approved the cancelation of 1,319,394
stock options issued under the 2017 Innovative Health Solutions,
Inc. Stock Compensation Plan and the grant of an equivalent amount of RSUs with immediate vesting under the NeurAxis, Inc. 2022
Omnibus Securities and Incentive Plan with shareholder approval received on June 10, 2026. The stock option cancelation and RSU grant
will be treated as a modification under ASC 718, Compensation—Stock Compensation , whereby the Company will recognize incremental
compensation cost as the excess of the fair value of the granted RSUs over the fair value of the stock options upon the exchange which
occurred on July 24, 2026. The Company estimates (i) $ 3,400,000
of incremental stock compensation expense will be recorded
upon execution of the stock option cancellation and RSU grant agreements and (ii) $ 3,000,000 of cash taxes paid related to net share issuance
of the RSUs.
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 below and in note 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 of claims asserting an interest in U.S. Patent No. 10,413,719 and seeking
compensation of approximately $2,000,000 based on his alleged contributions to certain neurostimulation technology. The Company
disputes both the asserted ownership interest and the related compensation claim and intends to defend the matter vigorously. The
Company does not believe that a material loss is probable, and accordingly, no liability has been recorded as of June 30, 2026.
Because the matter remains in its early stages, the ultimate outcome cannot be predicted.
16.
Subsequent Events
On
April 9, 2026, the Company’s Board of Directors approved the cancelation of 1,319,394
stock options issued under the 2017 Innovative Health Solutions,
Inc. Stock Compensation Plan and the grant of an equivalent amount of RSUs with immediate vesting under the NeurAxis, Inc. 2022
Omnibus Securities and Incentive Plan with shareholder approval received on June 10, 2026. The stock option cancelation and RSU grant
will be treated as a modification under ASC 718, Compensation—Stock Compensation , whereby the Company will recognize incremental
compensation cost as the excess of the fair value of the granted RSUs over the fair value of the stock options upon the exchange which
occurred on July 24, 2026. The Company estimates (i) $ 3,400,000
of incremental stock compensation expense will be recorded
upon execution of the stock option cancellation and RSU grant agreements and (ii) $ 3,000,000 of cash taxes paid related to net share issuance
of the RSUs.
On
July 9, 2026, the Company’s Board of Directors declared a dividend on the Series B Preferred Stock. Holders of record of the
Company’s Series B Preferred Stock as of the record date of July 21, 2026, received a stock dividend on July 29, 2026, of the
Company’s par value $ 0.001
common stock for every share of Series B Preferred Stock. The Company issued 80,456
shares of common stock based on the 8.5 %
per annum cumulative dividend rate.
On
July 16, 2026, the Company issued 9,250
shares of common stock upon exercise of an equivalent amount
of common stock warrants for gross proceeds of $ 22,015 .
On August 6, 2026, the Company’s
Compensation Committee approved the issuance of 142,345 RSUs to the Board of Directors and 833,958 RSUs to employees when granted pursuant
to the NeurAxis, Inc. 2022 Omnibus Securities and Incentive Plan, as amended on August 15, 2024, with varying vesting periods up to three
years .
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, 2025 (the “2025 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 advance drug-free neuromodulation therapies that improve patient outcomes and reduce medication burden in complex disorders,
while expanding access to effective care for populations with significant unmet needs. Our IB-Stim device is a PENFS system with FDA
indications for patients 8 years and older with functional abdominal pain associated with IBS, functional dyspepsia (FD) and associated
FD nausea symptoms. 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 post-concussion
syndrome, cyclic vomiting syndrome, post-operative pain and fibromyalgia pain.
Since
our inception, we have incurred significant operating losses. Our net loss was $2,085,746 and $1,690,418 for the three months ended June
30, 2026 and 2025, respectively, and $3,847,178 and $3,969,102 for the six months ended June 30, 2026 and 2025, respectively. Although
we had stockholders’ equity of $6,735,053 as of June 30, 2026, 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 and RED devices and seek FDA clearance of our device for
other indications. There are a number of milestones and conditions that we must satisfy before we are able to generate sufficient revenue
to fund our operations, including FDA clearance of our IB-Stim device to treat future indications and incremental payor coverage.
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 patient being
treated for functional abdominal pain associated with IBS, functional dyspepsia (FD) and/or associated FD with nausea symptoms will use
four devices.
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.
23
Inflation
did not have a material impact on our operations for any applicable period and we do not expect inflation to have a material impact on
our operations for the foreseeable future.
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 device, 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 (“R&D”), and general and administrative
(“G&A”).
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 charge is recorded. Expired inventory charges totaled $2,092 and $6,633 for the three
months ended June 30, 2026 and 2025, respectively, and $2,850 and $6,633 for the six months ended June 30, 2026 and 2025, respectively.
We have fixed-priced contracts with the manufacturers of our devices.
Our
selling expenses primarily consist of advertising, marketing and promotion of the Company’s products including salaries, commissions
and other related personnel costs including travel expenses. The Company reclassified $391,760 and $757,925 of general and administrative
expenses to selling expenses in the Condensed Statements of Operations for the three and six months ended June 30, 2025, respectively,
to conform to current year presentation.
Our
research and development expenses primarily consist of clinical research studies, new product development, costs of materials and supplies
used in research and development activities and salaries and other 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 $56,878 and $114,189
of general and administrative expenses to research and development expenses in the Condensed Statements of Operations for the three and
six months ended June 30, 2025, respectively, to conform to current year presentation. We expect future R&D expenses for other indications,
such as post-concussion syndrome, cyclic vomiting syndrome, post-operative pain and fibromyalgia pain.
General
and administrative expense primarily consists of wages and benefits, professional fees including legal and audit, insurance, investor
relations, market access, facility costs, utilities and travel.
Results
of Operations
The
following table presents our statements of operations for the three and six months ended June 30, 2026 and 2025,
respectively:
(Unaudited)
(Unaudited)
Three Months Ended June 30,
Six Months Ended June 30,
2026
2025
2026
2025
Net sales
$ 1,928,695
$ 894,086
$ 3,536,578
$ 1,789,741
Cost of goods sold
272,573
146,643
490,939
286,118
Gross profit
1,656,122
747,443
3,045,639
1,503,623
Selling expenses
861,387
534,013
1,685,724
1,034,131
Research and development
274,344
115,197
373,911
222,201
General and administrative
2,645,103
1,816,091
4,851,395
4,260,246
Operating loss
(2,124,712 )
(1,717,858 )
(3,865,391 )
(4,012,955 )
Other (expense) income:
Interest expense, net
(19,794 )
(13,434 )
(45,983 )
(15,672 )
Change in fair value of warrant liability
2,449
(119 )
(29,057 )
1,712
Other income
56,311
40,993
93,253
57,813
Total other income, net
38,966
27,440
18,213
43,853
Net loss
$ (2,085,746 )
$ (1,690,418 )
$ (3,847,178 )
$ (3,969,102 )
24
Net
Sales
Net
sales increased $1,034,609, or 115.7%, from $894,086 for the three months ended June 30, 2025, to $1,928,695 for the three months ended
June 30, 2026, and increased $1,746,837 or 97.6%, from $1,789,741 for the six months ended June 30, 2025, to $3,536,578 for the six months
ended June 30, 2026. The increases were due to unit volume growth from broader insurance coverage attributable to IB-Stim’s Category
I CPT code effective date of January 1, 2026 and an increase in the average selling price as more units were sold to patients with full
reimbursement insurance coverage compared to the Company’s discounted financial assistance program.
Gross
Profit and Gross Margin
Gross
profit increased $908,679, or 121.6%, from $747,443 for the three months ended June 30, 2025, to $1,656,122 for the three months ended
June 30, 2026, and increased $1,542,016, or 102.6%, from $1,503,623 for the six months ended June 30, 2025, to $3,045,639 for the six
months ended June 30, 2026. The increases were due to higher unit volume from more customers with full reimbursement insurance coverage.
Gross margin increased from 83.6% for the three months ended June 30, 2025, to 85.9% for the three months ended June 30, 2026, and increased
from 84.0% for six months ended June 30, 2025, to 86.1% for the six months ended June 30, 2026, due to higher growth from the Company’s
patients with full reimbursement insurance coverage compared to patients that pay through the Company’s discounted financial assistance
program, partially offset by higher device manufacturing costs.
Selling
Expenses
Selling
expenses increased $327,374, or 61.3%, from $534,013 for the three months ended June 30, 2025, to $861,387 for the three months ended
June 30, 2026, and increased $651,593 or 63.0%, from $1,034,131 for the six months ended June 30, 2025, to $1,685,724 for the six months
ended June 30, 2026. The increases were due to commissions from higher sales volume, additional sales reps and marketing personnel including
recruiting fees and higher travel expenses to facilitate growth resulting from the IB-Stim Category I CPT code and broader insurance
coverage.
Research
and Development
Research
and development expenses increased $159,147, or 138.2%, from $115,197 for the three months ended June 30, 2025, to $274,344 for the
three months ended June 30 2026, and increased $151,710, or 68.3%, from $222,201 for the six months ended June 30, 2025 to $373,911
for the six months ended June 30, 2026. The increases were due to more clinical research studies in 2026 as the Company continues
its expansion of IB-Stim’s FDA indications, partially offset by non-recurring RED device development costs in
2025.
General
and Administrative
General
and administrative expenses increased $829,012, or 45.6%, from $1,816,091 for the three months ended June 30, 2025, to $2,645,103 for
the three months ended June 30, 2026, primarily due to (i) incremental stock compensation expense from the third year of a three-year
vesting plan, (ii) higher market access advisory costs and additional headcount, including recruiting fees, as the Company pursues incremental
insurance payor coverage and (iii) higher benefit costs.
General
and administrative expenses increased $591,149, or 13.9%, from $4,260,246 for the six months ended June 30, 2025, to $4,851,395 for the
six months ended June 30, 2026, primarily due to (i) incremental stock compensation expense from the third year of a three-year vesting
plan, (ii) higher market access advisory costs and additional headcount, including recruiting fees, as the Company pursues incremental
insurance payor coverage, (iii) higher benefit costs and (iv) consulting fees incurred to secure a Federal Supply Schedule agreement
with the Veterans Administration, partly offset by a one-time non-recurring charge in 2025 to settle a lawsuit.
Operating
Loss
Our
operating loss increased $406,854, or 23.7%, from $1,717,858 for the three months ended June 30, 2025, to $2,124,712 for the three months
ended June 30, 2026, primarily due to higher operating expenses from selling costs that are a function of the higher sales, research
and development costs as the Company continues its pursuit of additional IB-Stim FDA indications and stock compensation expense, partly
offset by higher gross profit as the Company’s sales increased from the Category I CPT code and broader payor coverage.
Our
operating loss decreased $147,564, or 3.7%, from $4,012,955 for the six months ended June 30, 2025, to $3,865,391 for the six months
ended June 30, 2026, primarily due to higher gross profit as the Company’s sales increased due to the Category I CPT code and broader
payor coverage and the absence of a one-time non-recurring charge in 2025 to settle a lawsuit, partly offset by higher operating expenses
due to selling costs that are a function of the higher sales, research and development costs as the Company continues its pursuit of
additional IB-Stim FDA indications and stock compensation expense.
Other
Income, Net
Other
income increased $11,526, or 42.0%, from $27,440 for the three months ended June 30, 2025, to $38,966 for the three months ended June
30, 2026, primarily due to higher interest income on the Company’s cash balances.
Other
income decreased $25,640, or 58.5%, from $43,853 for the six months ended June 30, 2025, to $18,213 for the six months ended June 30,
2026, primarily due to the change in fair value of warrants and higher interest expense associated with the settlement of the lawsuit,
partly offset by higher interest income on the Company’s cash balances.
Net
Loss
Our
net loss increased $395,328, or 23.4%, from $1,690,418 for the three months ended June 30, 2025, to $2,085,746 for the three months ended
June 30, 2026, due to a higher operating loss partly offset by higher interest income.
Our
net loss decreased $121,924, or 3.1%, from $3,969,102 for the six months ended June 30, 2025, to $3,847,178 for the six months ended
June 30, 2026, due to a lower operating loss partly offset by the change in fair value of warrants and higher interest expense.
25
Liquidity
and Capital Resources
We
had cash on hand of $8,322,258 and $4,965,072 as of June 30, 2026, and December 31, 2025, respectively. We maintained a working capital
surplus of $6,317,762 and $2,941,091 as of June 30, 2026, and December 31, 2025, respectively. The increase in working capital was primarily
due to (i) proceeds from the issuance of common stock pursuant to the At The Market capital facility and the exercise of warrants and
(ii) higher accounts receivable driven by IB-Stim device sales, partly offset by higher accounts payable related market access and clinical
research study costs incurred.
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 June 30, 2026, we had stockholders’ equity of $6,735,053 and short-term borrowings of $42,726.
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 2026 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 six months ended June 30, 2026 and
2025:
(Unaudited)
Six Months Ended June 30,
2026
2025
Net cash used in operating activities
$ (2,259,305 )
$ (3,071,145 )
Net cash used in investing activities
(6,303 )
(25,288 )
Net cash provided by financing activities
5,622,794
5,388,019
Net increase in cash and cash equivalents
3,357,186
2,291,586
Cash and cash equivalents at beginning of period
4,965,072
3,696,870
Cash and cash equivalents at end of period
$ 8,322,258
$ 5,988,456
Operating
Activities – Net cash used in operating activities decreased $811,840 or 26.4%, for the six months ended June 30, 2026, compared
to the six months ended June 30, 2025, primarily due to (i) a lower operating loss excluding non-cash stock compensation expense and
(ii) inventory purchased and market access advisory services rendered and accrued in June, partly offset by higher accounts receivable
resulting from sales growth due the Category I CPT code and increased payor coverage.
Investing
Activities – Net cash used in investing activities decreased $18,985 or 75.1%, for the six months ended June 30, 2026 compared
to the six months ended June 30, 2025, due to nonrecurring capital expenditures to manufacture the RED device in 2025.
Financing
Activities – Net cash provided by financing activities increased $234,775, or 4.4%, for the six months ended June 30, 2026
compared to the six months ended June 30, 2025, primarily due to lower offering costs from the issuance of common stock pursuant to the
At The Market capital facility and proceeds from the issuance of common stock subject to the Employee Stock Purchase Plan.
ITEM
3. QUANTITATIVE AND QUALITATIVE DISCLOSURES ABOUT MARKET RISK
Not
applicable.
26
ITEM
4. CONTROLS AND PROCEDURES
Disclosure
Controls and Procedures
We
maintain “disclosure controls and procedures,” as that term is defined in Rule 13a-15(e), promulgated by the SEC pursuant
to the Securities Exchange Act of 1934, as amended (the “Exchange Act”). Disclosure controls and procedures include controls
and procedures designed to ensure that information required to be disclosed in our Company’s reports filed under the Exchange Act
is recorded, processed, summarized and reported within the time periods specified in the SEC’s rules and forms, and that such information
is accumulated and communicated to our management, including our principal executive officer and principal financial officer to allow
timely decisions regarding required disclosure. Our management, with the participation of our principal executive officer and principal
financial officer, evaluated our Company’s disclosure controls and procedures as of the end of the period covered by this Form
10-Q. Based on this evaluation, and in light of the material weaknesses in our internal control over financial reporting described below,
our principal executive officer and principal financial officer concluded that as of June 30, 2026, our disclosure controls and procedures
were not effective.
Material Weaknesses in Internal Control
Over Financial Reporting
As previously disclosed in our Annual Report on Form 10-K for the fiscal year ended December 31, 2025, management identified the following
material weaknesses in our internal control over financial reporting, which continued to exist as of June 30, 2026:
●
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; 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.
During
the fiscal year ended December 31, 2025, and the three months ended March 31, 2026, management, with the oversight of the Audit
Committee, undertook measures to enhance the Company’s internal control environment by implementing numerous controls
previously disclosed in our Annual Report on Form 10-K to remediate the material weaknesses. During the three months ended June 30,
2026, management continued those remediation efforts by (i) implementing customer acceptance procedures, (ii) developing standard
vendor contract templates, (iii) enhancing disaster recovery and backup procedures and services on critical IT systems and (iv)
continuing independent control testing of the material weaknesses that is expected to continue through the remainder of
2026.
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 June 30, 2026 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, plaintiffs Ritu Bhambhani, M.D. and Sudhir Rao initiated a lawsuit against Innovative Health Solutions, Inc. and
others in the United States District Court for the District of Maryland, later as amended as the Third Amended Complaint (“Complaint”),
asserting claims under the RICO Act, as well as of fraudulent misrepresentation, intentional misrepresentation by concealment, and civil
conspiracy related to Medicare and insurance reimbursement of the Company’s NeuroStim device, seeking damages in excess of $5 million.
The Court granted the Company’s motion for summary judgment and dismissed the Complaint on June 14, 2022, and the Fourth Circuit Court
of Appeals affirmed the dismissal on June 3, 2024, with no further appeal sought by the plaintiffs.
On July 14, 2022, related entities owned or partially owned by the same 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”), asserting the same claims and seeking damages in excess
of $75,000. The Court dismissed the RICO claims on May 25, 2023, and the parties subsequently pursued mediation of the remaining claims.
On April 25, 2025, the parties reached a $750,000 settlement payable in 12 equal monthly installments beginning in January 2026, with
$375,000 remaining as of June 30, 2026.
In
January 2024, Dr. Arturo Taca asserted an interest in U.S. Patent No. 10,413,719 and sought compensation of approximately $2,000,000
based on his alleged contributions to certain neurostimulation technology. The Company disputes both the asserted ownership interest
and the related compensation claim and intends to defend the matter vigorously. Although the Company does not believe that a material
loss is probable, the matter remains in its early stages and the ultimate outcome cannot be predicted.
28
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.
ITEM
2: UNREGISTERED SALES OF EQUITY SECURITIES AND USE OF PROCEEDS
None.
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 June 30, 2026, 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.
ITEM
6: EXHIBITS
Exhibit
Number
Exhibit
Description
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
29
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:
August 11, 2026
By:
/s/
Brian Carrico
Brian
Carrico
Chief
Executive Officer
(Principal Executive Officer)
Date:
August 11, 2026
/s/
Timothy Henrichs
Timothy
Henrichs
Chief
Financial Officer
(Principal
Financial and Principal Accounting Officer)
30
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.