Item 1. Financial Statements
Item 1. Financial Statements
PAVMED INC.
and SUBSIDIARIES
CONDENSED CONSOLIDATED BALANCE SHEETS
(in thousands except number of shares and per share
data - unaudited)
March 31, 2025
December 31, 2024
Assets:
Current assets:
Cash
$ 2,700
$ 1,185
Accounts receivable
9
18
Prepaid expenses, deposits, and other current assets
929
961
Total current assets
3,638
2,164
Fixed assets, net
114
151
Operating lease right-of-use assets
2,379
2,500
Equity method investment - at fair value
46,641
25,637
Other assets
51
208
Total assets
$ 52,823
$ 30,660
Liabilities, Mezzanine Equity and Stockholders’ Equity (Deficit)
Current liabilities:
Accounts payable
$ 369
$ 657
Accrued expenses and other current liabilities
2,284
5,176
Operating lease liabilities, current portion
528
513
Senior Secured Convertible Notes - at fair value
6,600
29,100
Total current liabilities
9,781
35,446
Operating lease liabilities, less current portion
2,110
2,247
Total liabilities
11,891
37,693
Commitments and contingencies (Note 8)
-
-
Mezzanine Equity
Preferred stock, $ 0.001 par value. Authorized, 20,000,000 shares; Series C Convertible Preferred Stock,
stated value $ 1,016 at March 31, 2025, and issued and outstanding of 1,969 shares at March 31, 2025 and no shares
issued and outstanding as of December 31, 2024
2,000
—
Stockholders’ Equity (Deficit):
Preferred stock, $ 0.001
par value. Authorized, 20,000,000
shares; Series B Convertible Preferred Stock, par value $ 0.001 ,
issued and outstanding of 1,441,135
shares at March 31, 2025 and 1,412,865
shares at December 31, 2024
3,400
3,316
Preferred stock, $ 0.001
par value. Authorized, 20,000,000 shares;
Series C Convertible Preferred Stock, stated value $ 1,016
at March 31, 2025, and issued and outstanding of 22,511 shares
at March 31, 2025 and no
shares issued and outstanding as of December 31, 2024
22,878
—
Preferred stock, value
22,878
—
Common stock, $ 0.001 par value. Authorized, 250,000,000 shares (Note 13); 16,769,619 and 11,198,977 shares outstanding as of March 31, 2025 and December 31, 2024, respectively
17
11
Additional paid-in capital
255,967
249,143
Accumulated deficit
( 237,268 )
( 254,965 )
Total PAVmed Inc. Stockholders’ Equity (Deficit)
44,994
( 2,495 )
Noncontrolling interests
( 6,062 )
( 4,538 )
Total Stockholders’ Equity (Deficit)
38,932
( 7,033 )
Total Liabilities, Mezzanine Equity and Stockholders’ Equity (Deficit)
$ 52,823
$ 30,660
See accompanying notes to
the unaudited condensed consolidated financial statements.
1
PAVMED
INC.
and SUBSIDIARIES
CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS
(in thousands except number of shares and per share
data - unaudited)
2025
2024
Three Months Ended
March 31,
2025
2024
Revenue
$ 8
$ 1,010
Operating expenses:
Cost of revenue
36
1,744
Sales and marketing
247
4,311
General and administrative
4,384
6,678
Amortization of acquired intangible assets
—
372
Research and development
787
1,941
Total operating expenses
5,454
15,046
Operating loss
( 5,446 )
( 14,036 )
Other income (expense):
Interest income
8
72
Interest expense
( 4 )
( 16 )
Change in fair value - equity method investment
21,004
—
Change in fair value - Senior Secured Convertible Notes
( 49 )
( 2,163 )
Debt extinguishments loss - Senior Secured Convertible Notes
( 58 )
( 369 )
Debt modification expense
—
( 2,000 )
Management fee income
3,150
—
Grant income
18
—
Other income (expense), net
24,069
( 4,476 )
Income (loss) before provision for income tax
18,623
( 18,512 )
Provision for income taxes
—
—
Net income (loss) before noncontrolling interests
18,623
( 18,512 )
Net loss attributable to the noncontrolling interests
345
3,300
Net income (loss) attributable to PAVmed Inc.
18,968
( 15,212 )
Less: Series B Convertible Preferred Stock dividends earned
( 86 )
( 80 )
Less: Series C Convertible Preferred Stock dividends earned
( 398 )
—
Less: Deemed dividend on Series C Convertible Preferred Stock
( 789 )
—
Less: Deemed dividend on Subsidiary Preferred Stock attributable to the noncontrolling interests
—
( 7,496 )
Net income (loss) attributable to PAVmed Inc. common stockholders
$ 17,695
$ ( 22,788 )
Per share information:
Net income (loss) per share attributable to PAVmed Inc. common stockholders – basic
$ 1.28
$ ( 2.62 )
Net income (loss) per share attributable to PAVmed Inc. common stockholders – diluted
$ 0.34
$ ( 2.62 )
Weighted average common shares outstanding, basic
13,876,165
8,694,904
Weighted average common shares outstanding, diluted
52,496,401
8,694,904
See accompanying notes to the unaudited condensed consolidated
financial statements.
2
PAVMED INC.
and SUBSIDIARIES
CONDENSED CONSOLIDATED STATEMENT OF CHANGES IN STOCKHOLDERS’
EQUITY (DEFICIT)
for the THREE MONTHS ENDED March 31, 2025
(in thousands, except number of shares and per share
data - unaudited)
Shares
Amount
Shares
Amount
Shares
Amount
Capital
Deficit
Interest
Total
Mezzanine Equity
PAVmed Inc. Stockholders’ Equity (Deficit)
Series C Convertible Preferred Stock
Series B Convertible Preferred Stock
Series C Convertible Preferred Stock
Common Stock
Additional Paid-In
Accumulated
Non controlling
Shares
Amount
Shares
Amount
Shares
Amount
Shares
Amount
Capital
Deficit
Interest
Total
Balance - December 31, 2024
—
$
—
1,412,865
$ 3,316
—
$ —
11,198,977
$ 11
$ 249,143
$ ( 254,965 )
$ ( 4,538 )
$ ( 7,033 )
Dividends declared - Series B Convertible Preferred Stock
—
—
28,270
84
—
—
—
—
—
( 84 )
—
—
Issue common stock - PAVM ATM Facility
—
—
—
—
—
—
1,216,565
1
840
—
—
841
Vest - restricted stock awards
—
—
—
—
—
—
1,016
—
—
—
—
—
Conversions - Senior Secured Convertible Note
—
—
—
—
—
—
401,303
1
259
—
—
260
Impact of subsidiary equity transactions
—
—
—
—
—
—
—
—
2,420
—
( 2,420 )
—
Issuance - vendor service agreement
—
—
—
—
—
—
77,408
—
50
—
—
50
Issuance - common stock private placement offering with pre-funded warrants and Veris Health common stock issuance, net of issuance costs
—
—
—
—
—
—
2,574,350
3
1,419
—
948
2,370
Issuance through debt exchange - Series C Convertible Preferred Stock, net of financing fees
—
—
—
—
22,347
22,347
—
—
( 109 )
—
—
22,238
Issuance through unsecured debt obligation cancellation - Series C Convertible Preferred Stock
—
—
—
—
2,653
2,653
—
—
—
—
—
2,653
Conversions - Series C Convertible Preferred Stock
—
—
—
—
( 520 )
( 520 )
1,300,000
1
519
—
—
—
Initial reclassification of Series C Convertible Preferred Stock from permanent equity to Mezzanine Equity due to
partial redemption feature
2,000
2,000
—
—
( 2,000
)
( 2,000 )
—
—
—
—
—
( 2,000 )
Reclassification of Series C Convertible Preferred Stock to permanent equity from Mezzanine Equity due to increase
in stated value due to dividend capitalization
( 31
)
—
—
—
31
—
—
—
—
—
—
—
Dividends earned - Series C Convertible Preferred Stock
—
—
—
—
—
398
—
—
—
( 398 )
—
—
Deemed dividend on Series C Convertible Preferred Stock
—
—
—
—
—
—
—
—
789
( 789 )
—
—
Stock-based compensation - PAVmed Inc.
—
—
—
—
—
—
—
—
637
—
—
637
Stock-based compensation - subsidiaries
—
—
—
—
—
—
—
—
—
—
293
293
Deconsolidation of subsidiary
—
—
—
—
—
—
—
—
—
—
—
—
Net income (loss)
—
—
—
—
—
—
—
—
—
18,968
( 345 )
18,623
Balance - March 31, 2025
1,969
$
2,000
1,441,135
$ 3,400
22,511
$ 22,878
16,769,619
$ 17
$ 255,967
$ ( 237,268 )
$ ( 6,062 )
$ 38,932
See accompanying notes to the unaudited condensed consolidated
financial statements.
3
PAVMED INC.
and SUBSIDIARIES
CONDENSED CONSOLIDATED STATEMENT OF CHANGES IN STOCKHOLDERS’
EQUITY (DEFICIT)
for the THREE MONTHS ENDED March 31, 2024
(in thousands, except number of shares and per share
data - unaudited)
Shares
Amount
Shares
Amount
Capital
Deficit
Interest
Total
PAVmed Inc. Stockholders’ Equity (Deficit)
Series B Convertible Preferred Stock
Common Stock
Additional Paid-In
Accumulated
Non controlling
Shares
Amount
Shares
Amount
Capital
Deficit
Interest
Total
Balance - December 31, 2023
1,305,213
$ 2,993
8,578,505
$ 9
$ 237,600
$ ( 294,433 )
$ 29,813
$ ( 24,018 )
Balance
1,305,213
$ 2,993
8,578,505
$ 9
$ 237,600
$ ( 294,433 )
$ 29,813
$ ( 24,018 )
Dividends declared - Series B Convertible Preferred Stock
26,123
78
—
—
—
( 78 )
—
—
Issue common stock - PAVM ATM Facility
—
—
133,299
—
495
—
—
495
Conversions - Senior Secured Convertible Note
—
—
112,461
—
307
—
—
307
Conversions - subsidiary common stock - Senior Secured Convertible Note
—
—
—
—
—
—
687
687
Exercise - stock options of subsidiary
—
—
—
—
—
—
4
4
Purchase - Employee Stock Purchase Plan
—
—
34,332
—
62
—
—
62
Purchase - subsidiary common stock - Employee Stock Purchase Plan
—
—
—
—
—
—
353
353
Impact of subsidiary equity transactions
—
—
—
—
( 1,734 )
—
1,734
—
Issuance - subsidiary preferred stock (Series A-1)
—
—
—
—
—
—
5,670
5,670
Exchange - subsidiary preferred stock (Series A and Series A-1)
—
—
—
—
—
—
( 24,295 )
( 24,295 )
Issuance through exchange - subsidiary preferred stock (Series B and Series B-1)
—
—
—
—
—
—
31,790
31,790
Issuance through sale - subsidiary preferred stock (Series B and Series B-1)
—
—
—
—
—
—
12,495
12,495
Subsidiary deemed dividends on preferred stock attributable to noncontrolling interests
—
—
—
—
—
—
( 7,495 )
( 7,495 )
Stock-based compensation - PAVmed Inc.
—
—
—
—
934
—
—
934
Stock-based compensation - subsidiaries
—
—
—
—
199
—
749
948
Net Loss
—
—
—
—
—
( 15,212 )
( 3,300 )
( 18,512 )
Net income (loss)
—
—
—
—
—
( 15,212 )
( 3,300 )
( 18,512 )
Balance - March 31, 2024
1,331,336
$ 3,071
8,858,597
$ 9
$ 237,863
$ ( 309,723 )
$ 48,205
$ ( 20,575 )
Balance
1,331,336
$ 3,071
8,858,597
$ 9
$ 237,863
$ ( 309,723 )
$ 48,205
$ ( 20,575 )
See accompanying notes to the unaudited condensed consolidated
financial statements.
4
PAVMED INC.
and SUBSIDIARIES
CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS
(in thousands, except number of shares and per share
data - unaudited)
2025
2024
Three Months Ended March 31,
2025
2024
Cash flows from operating activities
Net income (loss) - before noncontrolling interest (“NCI”)
$ 18,623
$ ( 18,512 )
Adjustments to reconcile net income (loss) - before NCI to net cash used in operating activities
Depreciation and amortization expense
43
586
Stock-based compensation
930
1,882
Change in fair value - equity method investment
( 21,004 )
—
Amortization of common stock payment for vendor service agreement
50
23
Change in fair value - Senior Secured Convertible Notes
49
2,163
Debt extinguishment loss - Senior Secured Convertible Note
58
369
Non-cash lease expense
( 2 )
2
Changes in operating assets and liabilities:
Accounts receivable
8
( 6 )
Prepaid expenses, deposits and current and other assets
190
531
Accounts payable
( 286 )
( 301 )
Accrued expenses and other current liabilities
( 240 )
154
Net cash flows used in operating activities
( 1,581 )
( 13,109 )
Cash flows from investing activities
Purchase of equipment
( 6 )
( 42 )
Net cash flows used in investing activities
( 6 )
( 42 )
Cash flows from financing activities
Proceeds – issue of preferred stock - subsidiary
—
18,165
Proceeds – issue of common stock and pre-funded warrants
2,370
—
Payment – financing costs – debt exchange
( 109 )
—
Payment – Senior Secured Convertible Note – acceleration floor payments
—
( 322 )
Proceeds – issue of common stock - At-The-Market Facility
841
786
Proceeds – issue common stock – Employee Stock Purchase Plan
—
62
Proceeds – subsidiary common stock – Employee Stock Purchase Plan
—
353
Proceeds – exercise of stock options issued under equity plan of subsidiary
—
4
Net cash flows provided by financing activities
3,102
19,048
Net increase (decrease) in cash
1,515
5,897
Cash, beginning of period
1,185
19,639
Cash, end of period
$ 2,700
$ 25,536
See accompanying notes to the unaudited condensed consolidated
financial statements.
5
PAVMED INC.
and SUBSIDIARIES
NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS
(amounts in these accompanying notes are presented
in thousands, except number of shares and per-share amounts.)
Note 1 — The Company
Description of the Business
PAVmed Inc. (“PAVmed”
or the “Company”) is structured to be a multi-product life sciences company organized to advance a pipeline of innovative
healthcare technologies. Led by a team of highly skilled personnel with a track record of bringing innovative products to market, PAVmed
is focused on innovating, developing, acquiring, and commercializing novel products that target unmet medical needs with large addressable
market opportunities. Leveraging our corporate structure—a parent company that will establish distinct subsidiaries for each financed
asset—we have the flexibility to raise capital at the PAVmed level to fund product development, or to structure financing directly
into each subsidiary in a manner tailored to the applicable product, the latter of which is our current strategy given prevailing market
conditions.
Our current focus is multi-fold.
We continue to support the commercial expansion and execution of EsoGuard, which is the flagship product of our subsidiary Lucid Diagnostics
Inc. (Nasdaq: LUCD) (“Lucid” or “Lucid Diagnostics”), of which we remain the shareholder with the largest voting
interest. In addition, through a separate majority-owned subsidiary, Veris Health (“Veris” or “Veris Health”),
we are focused in the immediate term on entering into strategic partnership opportunities with leading academic oncology systems to expand
access to the Veris Cancer Care Platform, while concurrently developing an implantable physiological monitor, designed to be implanted
alongside a chemotherapy port, which will interface with the Veris Cancer Care Platform. In terms of other existing products and technologies,
we have adopted an incubator-type platform where we are looking to obtain financing on a product-by-product basis as necessary to advance
each asset to a meaningful inflection point along its path to commercialization. Finally, as resources permit, we will continue to explore
external innovations that fulfill our project selection criteria without limiting ourselves to any target sector, specialty or condition.
Note 2 — Liquidity and Going Concern
The Company’s management is
required to assess the Company’s ability to continue as a going concern for the one year period following the date of the financial
statements being issued. In each reporting period, including interim periods, an entity is required to assess conditions known and reasonably
knowable as of the financial statement issuance date to determine whether it is probable an entity will not meet its financial obligations
within one year from the financial statement issuance date. Substantial doubt about an entity’s ability to continue as a going concern
exists when conditions and events, considered in the aggregate, indicate it is probable the entity will be unable to meet its financial
obligations as they become due within one year after the date the financial statements are issued.
The Company has financed its operations
principally through public and private issuances of its common stock, preferred stock, common stock purchase warrants, and debt. The Company
is subject to all of the risks and uncertainties typically faced by medical device and diagnostic companies that devote substantially
all of their efforts to the commercialization of their initial product and services and ongoing research and development activities and
conducting clinical trials. The Company generated less than $ 0.1 million of revenue for the three months ended March 31, 2025, and
the Company expects to continue to experience recurring losses and to generate negative cash flows from operating activities in the near
future.
The Company realized net income
attributable to PAVmed common stockholders of approximately $ 17.7 million and had net cash flows used in operating activities of
approximately $ 1.6 million for the three months ended March 31, 2025. As of March 31, 2025, the Company had negative working capital of
approximately $ 6.1 million, with such working capital inclusive of the Senior Secured Convertible Notes classified as a current liability
of an aggregate of approximately $ 6.6 million and approximately $ 2.7 million of cash.
The
Company’s ability to continue operations 12 months beyond the issuance of the financial statements, will depend upon its
ability to control its operating costs within the limits of the amounts collected from its management service contracts with its
non-consolidated subsidiaries, to substantially increase its revenues from the Veris Cancer Care platform, and to raise additional
capital through various potential sources including equity or debt financings or refinancing or restructuring existing debt
obligations. These factors raise substantial doubt about the Company’s ability to continue as a going concern within one year
after the date the accompanying unaudited condensed consolidated financial statements are issued.
6
Note 3 — Summary of Significant Accounting
Policies
Significant Accounting Policies
The Company’s significant
accounting policies are as disclosed in the Company’s Annual Report on Form 10-K for the year ended December 31, 2024 as filed with
the SEC on March 24, 2025, except as otherwise noted herein below.
Basis of Presentation
The accompanying unaudited condensed
consolidated financial statements of PAVmed and those of its wholly owned subsidiaries and majority-owned subsidiaries entities have been prepared
in accordance with accounting principles generally accepted in the United States of America (“U.S. GAAP”), and applicable
rules and regulations of the United States Securities and Exchange Commission (“SEC”). All intercompany transactions and balances
have been eliminated in consolidation. The Company has a controlling financial interest in Veris Health Inc., with the corresponding noncontrolling
interest included as a separate component of consolidated stockholders’ equity (deficit), including the recognition in the unaudited
condensed consolidated statement of operations of a net loss attributable to the noncontrolling interest based on the respective minority-interest
equity ownership of each subsidiary. As of September 10, 2024, PAVmed ceased to have a controlling financial interest in Lucid Diagnostics
and therefore PAVmed’s consolidated results of operations include Lucid Diagnostics’ results of operations only through that
date. PAVmed accounts for its investment in Lucid Diagnostics using the equity method and the fair
value option. See below and Note 4, Equity Method Investment for a discussion on the impact of the deconsolidation of Lucid Diagnostics.
See Note 14, Noncontrolling Interest , for a discussion of each of the subsidiaries noted above. The Company manages its operations
as a single operating segment for the purposes of assessing performance and making operating decisions.
As permitted under SEC rules, certain
footnotes or other financial information normally required by U.S. GAAP have been condensed or omitted. The balance sheet as of December
31, 2024 has been derived from audited consolidated financial statements at such date. The accompanying unaudited condensed consolidated
financial statements have been prepared on the same basis as the Company’s annual consolidated financial statements, and in the
opinion of management, include all adjustments, consisting only of routine recurring adjustments, necessary for a fair statement of the
Company’s unaudited condensed consolidated financial information.
The unaudited condensed consolidated
results of operations for the three months ended March 31, 2025 are not necessarily indicative of the consolidated results to be expected
for the year ending December 31, 2025 or for any other interim period or for any other future periods. The accompanying unaudited condensed
consolidated financial statements and related unaudited condensed consolidated financial information should be read in conjunction with
the Company’s audited consolidated financial statements and related notes thereto as of and for the year ended December 31, 2024
included in the Company’s Annual Report on Form 10-K as filed with the SEC on March 24, 2025.
All amounts in the accompanying
unaudited condensed consolidated financial statements and the notes thereto are presented in thousands of dollars, if not otherwise noted
as being presented in millions of dollars, except for shares and per share amounts.
Cash
The Company maintains its cash at
a major financial institution with high credit quality. At times, the balance of its cash deposits may exceed federally insured limits.
The Company has not experienced losses on deposits with commercial banks and financial institutions which exceed federally insured limits.
Included in the Company’s
cash as of March 31, 2025 and December 31, 2024 is $ 299 related to a restricted deposit account for a standby letter of credit associated
with our corporate headquarters which has a lease maturity date in 2030.
Use of Estimates
In preparing the unaudited condensed
consolidated financial statements in conformity with U.S. GAAP, management is required to make estimates and assumptions that affect the
reported amounts of assets and the determination of corresponding carrying value reserve, if any, and liabilities and the disclosure of
contingent losses, as of the date of the unaudited condensed consolidated financial statements, as well as the reported amounts of revenue
and expenses during the reporting period. Significant estimates in these unaudited condensed consolidated financial statements include
those related to the estimated fair value of debt obligations, stock-based equity awards, and common stock purchase
warrants. Other significant estimates include the estimated incremental borrowing rate, the provision or benefit for income taxes and
the corresponding valuation allowance on deferred tax assets. Additionally, management’s assessment of the Company’s ability
to continue as a going concern involves the estimation of the amount and timing of future cash inflows and outflows. On an ongoing basis,
the Company evaluates its estimates and assumptions. The Company bases its estimates on historical experience and on various other assumptions
believed to be reasonable. Due to inherent uncertainty involved in making estimates, actual results reported in future periods may be
affected by changes in these estimates.
7
Note 3 — Summary of Significant Accounting
Policies - continued
Revenue Recognition
Revenues
are recognized when the satisfaction of the performance obligation occurs, in an amount that reflects the consideration the Company expects
to collect in exchange for those services. Until September 10, 2024, the date of deconsolidation of Lucid Diagnostics’ operations from the Company’s, the Company’s revenue was primarily generated by Lucid’s laboratory testing services
utilizing its EsoGuard Esophageal DNA tests. The services were completed upon release of a patient’s test result to the ordering
healthcare provider. Revenue recognized is inclusive of both variable consideration in connection with an individual patient’s third-party
insurance coverage policy and fixed consideration in connection with a contracted services arrangement with an unrelated third party legal
entity. To determine revenue recognition for the arrangements that the Company determines are within the scope of ASC 606, Revenue from
Contracts with Customers, the Company performs the following five steps: (1) identify the contract(s) with a customer, (2) identify the
performance obligations in the contract, (3) determine the transaction price, (4) allocate the transaction price to the performance obligations
in the contract and (5) recognize revenue when (or as) the entity satisfies a performance obligation. Presently, the Company’s revenue is primarily derived from the Veris Cancer Care Platform and contracts with
hospitals and cancer care centers. Similarly, ASC 606 five-step principles are equally applicable in determining recognized revenues for
the period.
The
key aspects considered by the Company include the following:
Contracts —The
Company’s customer is primarily the patient, a hospital, or cancer care center, but the Company does not enter into a formal
reimbursement contract with a patient. The Company establishes a contract with a patient in accordance with other customary business
practices, which is the point in time an order is received from a provider and a patient specimen has been returned to the
laboratory for testing. Patient payment terms are a function of a patient’s existing insurance benefits, including the impact of
coverage decisions with Center for Medicare & Medicaid Services (“CMS”) and applicable reimbursement contracts
established between the Company and payers. However, when a patient is considered self-pay, the Company requires payment from the
patient prior to the commencement of the Company’s performance obligations. The Company’s consideration can be deemed
variable or fixed depending on the structure of specific payer contracts, and the Company considers collection of such consideration
to be probable to the extent that it is unconstrained.
Performance
obligations —A performance obligation is a promise in a contract to transfer a distinct good or service (or a bundle of goods
or services) to the customer. The Company’s contracts have a single performance obligation, which is satisfied upon rendering of
services, which culminates in the release of a patient’s test result to the ordering healthcare provider. The Company elects the
practical expedient related to the disclosure of unsatisfied performance obligations, as the duration of time between providing testing
supplies, the receipt of a sample, and the release of a test result to the ordering healthcare provider is far less than one year.
Transaction
price —The transaction price is the amount of consideration that the Company expects to collect in exchange for transferring
promised goods or services to a customer, excluding amounts collected on behalf of third parties (for example, some sales taxes). The
consideration expected to be collected from a contract with a customer may include fixed amounts, variable amounts, or both.
If the consideration derived from
the contracts is deemed to be variable, the Company estimates the amount of consideration to which it will be entitled in exchange for
the promised goods or services. The Company limits the amount of variable consideration included in the transaction price to the unconstrained
portion of such consideration. In other words, the Company recognizes revenue up to the amount of variable consideration that is not subject
to a significant reversal until additional information is obtained or the uncertainty associated with the additional payments or refunds
is subsequently resolved.
When the Company does not have significant
historical experience or that experience has limited predictive value, the constraint over estimates of variable consideration may result
in no revenue being recognized upon delivery of patient EsoGuard test results to the ordering healthcare provider. As such, the Company
recognizes revenue up to the amount of variable consideration not subject to a significant reversal until additional information is obtained
or the uncertainty associated with additional payments or refunds, if any, is subsequently resolved. Differences between original estimates
and subsequent revisions, including final settlements, represent changes in estimated expected variable consideration, with the change
in estimate recognized in the period of such revised estimate. With respect to a contracted service arrangement, the fixed consideration
revenue is recognized on an as-billed basis upon delivery of the laboratory test report with realization of such fixed consideration deemed
probable based upon actual historical experience.
Allocate
transaction price —The transaction price is allocated entirely to the performance obligation contained within the contract with
a customer on the basis of the relative standalone selling prices of each distinct good or service.
Practical
Expedients —The Company does not adjust the transaction price for the effects of a significant financing component, as at contract
inception, the Company expects the collection cycle to be one year or less.
8
Note 3 — Summary of Significant Accounting
Policies - continued
Equity Method Investments
Businesses that are not consolidated,
but over which PAVmed exercises significant influence, are accounted for under the equity method of accounting. The determination as to
whether or not PAVmed exercises significant influence with respect to a company depends on an evaluation of several factors, including,
among others, representation on the company’s board of directors and equity ownership level, which is generally between a 20 % and
a 50 % interest in the voting securities of an equity method business, as well as voting rights associated with PAVmed’s holdings
in common stock in that company. PAVmed accounts for Lucid Diagnostics as an equity method investment beginning on September 10, 2024,
and through the period ended March 31, 2025.
Fair Value Option (“FVO”) Election
Under a Securities Purchase Agreement
dated March 31, 2022, the Company issued a Senior Secured Convertible Note dated April 4, 2022, referred to herein as the “April
2022 Senior Convertible Note”, and a Senior Secured Convertible Note dated September 8, 2022, referred to herein as the “September
2022 Senior Convertible Note”, which are accounted under the “fair value option election” as discussed below.
Under a Securities Purchase Agreement
dated March 13, 2023, Lucid Diagnostics issued a Senior Secured Convertible Note dated March 21, 2023, referred to herein as the “Lucid
March 2023 Senior Convertible Note”, which is accounted under the “fair value option election”, through September 10,
2024, the date of Lucid’s deconsolidation from PAVmed’s results of operations, as discussed below.
Under Financial Accounting Standards
Board (“FASB”) Accounting Standards Codification (“ASC”) Topic 815, Derivative and Hedging , (“ASC
815”), a financial instrument containing embedded features and/or options may be required to be bifurcated from the financial instrument
host and recognized as separate derivative asset or liability, with the bifurcated derivative asset or liability initially measured at
estimated fair value as of the transaction issue date and then subsequently remeasured at estimated fair value as of each reporting period
balance sheet date.
Alternatively, FASB ASC Topic 825,
Financial Instruments , (“ASC 825”) provides for the “fair value option” (“FVO”) election. In
this regard, ASC 825-10-15-4 provides for the FVO election (to the extent not otherwise prohibited by ASC 825-10-15-5) to be afforded
to financial instruments, wherein the financial instrument is initially measured at estimated fair value as of the transaction issue date
and then subsequently remeasured at estimated fair value as of each reporting period balance sheet date, with changes in the estimated
fair value recognized as other income (expense) in the statement of operations. The estimated fair value adjustment of the April 2022
Senior Convertible Note, the September 2022 Senior Convertible Note and (through September 10, 2024, Lucid’s deconsolidation date)
the Lucid March 2023 Senior Convertible Note, including the component related to accrued interest, is presented in a single line item
within other income (expense) in the accompanying unaudited condensed consolidated statement of operations (as provided for by ASC 825-10-50-30(b)).
Further, as required by ASC 825-10-45-5, to the extent a portion of the fair value adjustment is attributed to a change in the instrument-specific
credit risk, such portion would be recognized as a component of other comprehensive income (“OCI”) (for which there was no
such adjustment with respect to the April 2022 Senior Convertible Note, the September 2022 Senior Convertible Note or (through September
10, 2024, Lucid’s deconsolidation date) the Lucid March 2023 Senior Convertible Note).
See Note 9, Financial Instruments
Fair Value Measurements , with respect to the FVO election; and Note 10, Debt , for a discussion of the April 2022 Senior Convertible
Note, the September 2022 Senior Convertible Note and the Lucid March 2023 Senior Convertible Note.
From and after September 10, 2024,
the date of Lucid’s deconsolidation from PAVmed’s results of operation, the Company’s investment in Lucid is treated
as an equity method investment accounted for using the fair value option. Shares of Lucid Diagnostics common stock have a readily determinable
fair value classified as Level 1, in which the fair value is determined based upon quoted market prices in an active market.
Recently Adopted Accounting Pronouncements
In December 2023, the FASB issued
ASU No. 2023-09, Income Taxes (Topic 740)—Improvements to Income Tax Disclosures (“ASU 2023-09”), which is intended to
enhance the transparency and decision usefulness of income tax disclosures. The amendments in ASU 2023-09 provide for enhanced income
tax information primarily through changes to the rate reconciliation and income taxes paid information. ASU 2023-09 is effective for the
Company prospectively to all annual periods beginning after December 15, 2024. Early adoption is permitted. The guidance was adopted by
the Company effective January 1, 2025, on a prospective basis. The Company does not expect the standard
to have a significant impact on its consolidated financial statements in the 2025 Annual Report on Form 10-K.
Recent Accounting Standards Updates
Not Yet Adopted
In November 2024, the FASB issued
ASU No. 2024-03, Income Statement – Reporting Comprehensive Income – Expense Disaggregation Disclosures (Subtopic 220-40):
Disaggregation of Income Statement Expenses. This update enhances financial statement disclosures by requiring public business entities
to disclose specified information about certain costs and expenses including the amounts of (a) purchases of inventory, (b) employee compensation,
(c) depreciation, and (d) intangible asset amortization included in each relevant expense caption. The update also requires disclosure
of certain amounts that are already required to be disclosed under current GAAP, disclosure of a qualitative description of the amounts
remaining in relevant expense captions that are not separately disaggregated quantitatively, and disclosure of the total amount of selling
expenses and, in annual reporting periods, an entity’s definition of selling expenses. The amendments in this update may be applied
either prospectively or retrospectively and are effective for annual reporting periods beginning after December 15, 2026, and interim
reporting periods beginning after December 15, 2027. Early adoption is permitted. The Company is currently evaluating the potential impact
of this guidance on its unaudited condensed consolidated financial statements.
In
October 2023, the FASB issued ASU No. 2023-06, Disclosure Improvements: Codification Amendments in Response to the SEC’s Disclosure
Update and Simplification Initiative. This update modifies the disclosure or presentation requirements of a variety of topics in the Accounting
Standards Codification to conform with certain SEC amendments in Release No. 33-10532, Disclosure Update and Simplification. The amendments
in this update should be applied prospectively, and the effective date for each amendment will be the date on which the SEC’s removal
of that related disclosure from Regulation S-X or S-K becomes effective. However, if the SEC has not removed the related disclosure from
its regulations by June 30, 2027, the amendments will be removed from the Codification and not become effective. Early adoption is prohibited.
The Company is currently evaluating the impact this update will have on its unaudited condensed consolidated financial statements and
disclosures.
9
Note 4 — Equity Method Investment
After the Company’s deconsolidation
of Lucid, the Company accounts for its investment in Lucid as an equity method investment with the election of the fair value option.
Due to the Company’s continuing involvement and significant influence over operating and financial policies, Lucid is considered
a related party of the Company.
The following presents summarized
financial information related to Lucid accounted for under the equity method as of March 31, 2025. This aggregate information has been
compiled from the financial statements of Lucid.
Schedule
of Aggregate Information From the Financial Statements
March 31, 2025
Cash
$ 25,238
Other current assets
2,299
Non-current assets
5,258
Total assets
32,795
Current liabilities
36,569
Non-current liabilities
1,603
Shareholders’ deficit
( 5,377 )
Total liabilities and stockholders’ deficit
$ 32,795
Three Months ended
March 31, 2025
Revenue
$ 828
Net income (loss)
$ ( 36,018 )
Lucid was consolidated and included
in PAVmed’s consolidated results for the period of January 1, 2024 through September 10, 2024. The amounts from September 11, 2024
through December 31, 2024 were not included in PAVmed’s consolidated results.
At
March 31, 2025 and December 31, 2024, the fair value of the Company’s investment in Lucid was $ 46.6
million and $ 25.6
million, respectively, with the Company recognizing an unrealized gain on its investment in Lucid of $ 21.0
million in the accompanying unaudited condensed consolidated statements of operations for the three months ended March 31, 2025. The
fair value of shares of Lucid’s common stock held by the Company was determined using the closing price of Lucid’s common
stock per share on March 31, 2025 and December 31, 2024 of $ 1.49
and $ 0.819 ,
respectively. At March 31, 2025 and December 31, 2024, PAVmed held approximately 31 %
and 40 %,
respectively of Lucid’s common stock voting interest.
Lucid - Management Services Agreement
Lucid’s
daily operations are also managed in part by personnel employed by the Company, for which the Company records management fee income,
referred to as the “MSA Fee”, according to the provisions of a Management Services Agreement (“MSA”) with
Lucid. The MSA does not have a termination date, but may be terminated by Lucid. The MSA Fee is charged on a monthly basis and is
subject to periodic adjustment corresponding with changes in the services provided by the Company’s personnel to Lucid, with
any such change in the MSA Fee being subject to approval of the boards of directors of each of the Company and Lucid. The respective
companies’ boards of directors approved an amendment to the MSA to increase the MSA Fee to $ 833
per month, effective January 1, 2024. In August 2024, the respective companies’ boards of directors approved the Company to
enter into a ninth amendment to the MSA. Under this amendment, the monthly fee due to the Company from Lucid was increased from
$ 833
to $ 1,050 ,
effective July 1, 2024. During the period following the deconsolidation of Lucid from the Company’s results of operations,
i.e., from September 11, 2024 through December 31, 2024, MSA fee income was $ 3,850 . During the three months ended March 31, 2025, the MSA fee income was $ 3,150 .
In connection with the Exchange, the September 2022
Senior Convertible Note was amended to provide that MSA Fees will be paid in cash, and that the Company will be required to set aside
50% of such payments received after January 31, 2025, unless certain conditions are met (the “MSA Reserve Requirement”). As
of February 18, 2025, the Company and the holder entered into a waiver, pursuant to which, among other things, the holder agreed to waive
the MSA Reserve Requirement through March 31, 2025.
10
Note 5 — Revenue from Contracts with Customers
Revenue Recognized
The
Company recognized less than $ 0.1
million in each of the three months ended March 31, 2025 and 2024, in each case from subscription revenue derived from its Veris
Health Cancer Care Platform. In addition, the Company’s revenue for the three months ended March 31, 2024 was $ 1,010 ,
primarily resulting from the delivery of patient EsoGuard test results. Revenue recognized from customer contracts deemed to include
a variable consideration transaction price is limited to the unconstrained portion of the variable consideration.
Cost of Revenue
Until September 10, 2024, the date of deconsolidation of Lucid Diagnostics from PAVmed’s consolidated results,
the cost of revenues principally
includes the costs related to the Company’s laboratory operations (excluding estimated costs associated with research activities),
the costs related to the EsoCheck cell collection device, cell sample mailing kits and license royalties. Presently, cost of revenues of $ 36 are principally from amounts incurred
in the delivery of patient services including web hosting costs, patient devices, and compensation costs.
The
Company recognized less than $ 0.1 million in each of the three months ended March 31, 2025 and 2024, in each case from costs associated
subscription revenue. The Company’s cost of revenue for the three months ended March 31, 2024 was $ 1,744 ,
primarily related to costs for our laboratory operations and EsoCheck device supplies.
Note 6 — Prepaid Expenses, Deposits, and Other Current Assets
Prepaid expenses and other current assets consisted of
the following as of:
Schedule
of Prepaid Expenses and Other Current Assets
March 31, 2025
December 31, 2024
Advanced payments to service providers and suppliers
$ 211
$ 115
Prepaid insurance
110
233
Deposits
345
347
Veris Box supplies
263
266
Total prepaid expenses, deposits and other current assets
$ 929
$ 961
Note 7 — Leases
The Company’s future lease
payments as of March 31, 2025, which are presented as operating lease liabilities, current portion and operating lease liabilities, less
current portion on the Company’s unaudited condensed consolidated balance sheets are as follows:
Schedule of Future Minimum Lease Payments for Operating Leases
2025 (remainder of year)
$ 534
2026
724
2027
594
2028
471
2029
481
Thereafter
367
Total lease payments
$ 3,171
Less: imputed interest
( 533 )
Present value of lease liabilities
$ 2,638
11
Note 7 — Leases - continued
Supplemental disclosure of cash
flow information related to the Company’s cash and non-cash activities with its leases are as follows:
Schedule of Supplemental Balance Sheet Information Related to Cash and Non-cash Activities with Leases
2025
2024
Three Months Ended March 31,
2025
2024
Cash paid for amounts included in the measurement of lease liabilities
Operating cash flows from operating leases
$ 175
$ 476
Non-cash investing and financing activities
Right-of-use assets obtained in exchange for new operating lease liabilities
$ —
$ 22
Weighted-average remaining lease term - operating leases (in years)
4.82
4.60
Weighted-average discount rate - operating leases
7.875 %
7.875 %
As
of March 31, 2025 and December 31, 2024, the Company’s right-of-use assets from operating leases were $ 2,379
and $ 2,500 , respectively, which are
reported in operating lease right-of-use assets in the unaudited condensed consolidated balance sheets. As of March 31, 2025 and December
31, 2024, the Company had outstanding operating lease obligations of $ 2,638
and $ 2,760 , respectively, of which $ 528
and $ 513 , respectively, are reported
in operating lease liabilities, current portion and $ 2,110
and $ 2,247 , respectively, are reported
in operating lease liabilities less current portion in the Company’s unaudited condensed consolidated balance sheets. The Company
calculates its incremental borrowing rates for specific lease terms, used to discount future lease payments, as a function of the financing
terms the Company would likely receive on the open market.
Note 8 — Commitment and Contingencies
Other Matters
In the ordinary course of PAVmed
business, particularly as it begins commercialization of its products, the Company may be subject to certain other legal actions and claims,
including product liability, consumer, commercial, tax and governmental matters, which may arise from time to time. The Company is not
aware of any such pending legal or other proceedings that are reasonably likely to have a material impact on the Company. Notwithstanding,
legal proceedings are subject-to inherent uncertainties, and an unfavorable outcome could include monetary damages, and excessive verdicts
can result from litigation, and as such, could result in a material adverse impact on the Company’s business, financial position,
results of operations, and /or cash flows. Additionally, although the Company has specific insurance for certain potential risks, the
Company may in the future incur judgments or enter into settlements of claims which may have a material adverse impact on the Company’s
business, financial position, results of operations, and /or cash flows.
12
Note 9 — Financial Instruments Fair Value
Measurements
Recurring Fair Value Measurements
The fair value hierarchy table for
the periods indicated is as follows:
Schedule of Financial Assets and Liabilities Measured at Fair Value on Recurring Basis
Fair Value Measurement on a Recurring Basis at Reporting Date Using 1
Level-1 Inputs
Level-2 Inputs
Level-3 Inputs
Total
March 31, 2025
Assets:
Investment in Lucid Diagnostics, Inc common stock
$ 46,641
$ —
$ —
$ 46,641
Total assets at fair value
$ 46,641
$ —
$ —
$ 46,641
Liabilities:
Senior Secured Convertible Note - September 2022
—
—
6,600
6,600
Total liabilities at fair value
$ —
$ —
$ 6,600
$ 6,600
Level-1 Inputs
Level-2 Inputs
Level-3 Inputs
Total
December 31, 2024
Assets:
Investment in Lucid Diagnostics, Inc common stock
$ 25,637
$ —
$ —
$ 25,637
Total assets at fair value
$ 25,637
$ —
$ —
$ 25,637
Liabilities:
Senior Secured Convertible Note - April 2022
$ —
$ —
$ 20,300
$ 20,300
Senior Secured Convertible Note - September 2022
—
—
8,800
8,800
Total liabilities at fair value
$ —
$ —
$ 29,100
$ 29,100
1 There were no transfers between the respective Levels during the period ended March 31, 2025.
As discussed in Note 10, Debt ,
the Company issued Senior Secured Convertible Notes dated April 4, 2022 and September 8, 2022, with an initial $ 27.5 million face value
principal (“April 2022 Senior Convertible Note”) and an initial $ 11.25 million face value principal (“September 2022
Senior Convertible Note”), respectively. Both convertible notes are accounted for under the ASC 825-10-15-4 fair value option (“FVO”)
election, wherein, the financial instrument is initially measured at its issue-date estimated fair value and subsequently remeasured at
estimated fair value on a recurring basis at each reporting period date.
As discussed in Note 10, Debt,
Lucid Diagnostics issued a Senior Secured Convertible Note dated March 21, 2023, with an initial $ 11.1 million face value principal
(“Lucid March 2023 Senior Convertible Note”). From and after September 10, 2024, the
date of Lucid’s deconsolidation from PAVmed’s results of operation, the Company’s investment in Lucid has been accounted
for as an equity method investment. For the periods prior to the deconsolidation, Lucid’s convertible note is presented in
PAVmed’s balance sheets and is also accounted for under the ASC 825-10-15-4 fair value option (“FVO”) election, wherein,
the financial instrument is initially measured at its issue-date estimated fair value and subsequently remeasured at estimated fair value
on a recurring basis at each reporting period date.
The estimated fair value of the
financial instruments classified within the Level 3 category was determined using both observable inputs and unobservable inputs. Unrealized
gains and losses associated with liabilities within the Level 3 category include changes in fair value attributable to both observable
(e.g., changes in market interest rates) and unobservable (e.g., changes in unobservable long- dated volatilities) inputs.
13
Note 9 — Financial Instruments Fair Value
Measurements - continued
The estimated fair value of the
September 2022 Senior Convertible Note as of March 31, 2025 and the estimated fair value of the April 2022 Senior Convertible Note and
the September 2022 Senior Convertible Note as of December 31, 2024, were computed using a Monte Carlo simulation of the present value
of its cash flows using a synthetic credit rating analysis and a required rate-of-return, using the following assumptions:
Schedule of Fair Value Assumption Used
September 2022 Senior
Convertible Note:
March 31, 2025
Fair Value
$ 6,600
Face value principal payable
$ 6,579
Required rate of return
9.500 %
Conversion Price
$ 1.07
Value of common stock
$ 0.72
Expected term (years)
0.75
Volatility
110.00 %
Risk free rate
4.05 %
Dividend yield
— %
April 2022 Senior
Convertible Note:
December 31, 2024
September 2022 Senior
Convertible Note:
December 31, 2024
Fair Value
$ 20,300
$ 8,800
Face value principal payable
$ 17,602
$ 7,627
Required rate of return
9.100 %
8.900 %
Conversion Price
$ 75.00
$ 75.00
Value of common stock
$ 0.63
$ 0.63
Expected term (years)
0.04 - 0.26
0.69
Volatility
160.00 %
160.00 %
Risk free rate
4.27 % - 4.31 %
4.12 %
Dividend yield
— %
— %
The
estimated fair values recognized utilized PAVmed’s common stock price, along with certain Level 3 inputs (as presented in the
respective tables above), in the development of Monte Carlo simulation models, discounted cash flow analyses, and /or Black-Scholes
valuation models. The estimated fair values are subjective and are affected by changes in inputs to the valuation models and
analyses, including the respective common stock prices, as compared to the floor price on conversions, the dividend yields, the
risk-free rates based on U.S. Treasury security yields, and certain other Level-3 inputs including, probability weighting on the
likelihood as of December 31, 2024 of shareholder approval of the then-pending exchange of the April 2022 Senior Convertible Note
and a portion of the September 2022 Senior Convertible Note for shares of the Company’s Series C Preferred Stock
(which exchange was approved and consummated in January 2025), assumptions regarding the estimated volatility in the value of the
respective common stock prices. Changes in these assumptions can materially affect the recognized estimated fair values.
14
Note 10 — Debt
The fair value and face value principal
outstanding of the Senior Convertible Notes as of the dates indicated are as follows:
Summary of Outstanding Debt
Contractual
Maturity Date
Stated Interest Rate
Conversion Price
per Share
Face Value
Principal Outstanding
Fair Value
September 2022 Senior Convertible Note
December
31, 2025
7.875 %
$ 1.068
6,579
6,600
Balance as of March 31, 2025
$ 6,579
$ 6,600
Contractual
Maturity Date
Stated Interest Rate
Conversion Price
per Share
Face Value
Principal Outstanding
Fair Value
April 2022 Senior Convertible Note
April 4, 2025
7.875 %
$ 75.00
$ 17,602
$ 20,300
September 2022 Senior Convertible Note
September 8, 2025
7.875 %
$ 75.00
7,627
8,800
Balance as of December 31, 2024
$ 25,229
$ 29,100
The changes in the fair value of debt during the three
months ended March 31, 2025 is as follows:
Schedule of Changes in Fair Value of Debt
April 2022
Senior
Convertible Note
September 2022
Senior
Convertible Note
Sum of Balance
Sheet Fair Value
Components
Other Income
(expense)
Fair Value - December 31, 2024
$ 20,300
$ 8,800
$ 29,100
$ —
Face value principal – issue date
Fair value adjustment – issue date
Installment repayments – common stock
—
( 176 )
( 176 )
—
Non-installment payments – common stock
—
( 26 )
( 26 )
—
Principal paydown through exchange
( 17,602 )
( 871 )
( 18,473 )
—
Non-installment payment through exchange
( 2,772 )
( 1,102 )
( 3,874 )
—
Change in fair value
74
( 25 )
49
( 49 )
Fair Value at March 31, 2025
$ —
$ 6,600
$ 6,600
—
Other Income (Expense) - Change in fair value – three months ended March 31, 2025
$ ( 49 )
The changes in the fair value of debt during the three
months ended March 31, 2024 is as follows:
April 2022
Senior
Convertible Note
September 2022
Senior
Convertible Note
Lucid March 2023
Senior
Convertible Note
Sum of
Balance Sheet
Fair Value
Components
Other Income
(expense)
Fair Value - December 31, 2023
$ 19,000
$ 11,250
$ 13,950
$ 44,200
$ —
Fair Value - Beginning of Period
$ 19,000
$ 11,250
$ 13,950
$ 44,200
$ —
Installment repayments – common stock
—
( 280 )
( 83 )
( 363 )
—
Non-installment payments – common stock
—
( 24 )
( 436 )
( 460 )
—
Change in fair value
( 200 )
2,654
( 291 )
2,163
( 2,163 )
Fair Value at March 31, 2024
$ 18,800
$ 13,600
$ 13,140
$ 45,540
—
Fair Value - Ending of Period
$ 18,800
$ 13,600
$ 13,140
$ 45,540
—
Other Income (Expense) - Change in fair value – three months ended March 31, 2024
$ ( 2,163 )
15
Note 10 — Debt - continued
PAVmed - Senior Secured Convertible Notes
The
Company issued a Senior Secured Convertible Note dated April 4, 2022, referred to herein as the “April 2022 Senior Convertible
Note”, with such note having a $ 27.5
million face value principal, a 7.875 %
annual stated interest rate, a contractual conversion price of $ 75.00
per share of the Company’s common stock (subject to standard adjustments in the event of any stock split, stock dividend,
stock combination, recapitalization or other similar transaction), and a contractual maturity date of April
4, 2024 , which maturity
date the investor agreed to extend by one year, to April 4, 2025. On November 15, 2024, the Company entered into an Exchange
Agreement (the “Debt Exchange Agreement”) with the holder of the April 2022 Senior Convertible Note and the September
2022 Senior Convertible Note (as defined below). As described below, the April 2022 Senior Convertible Note was satisfied in full in
connection with the consummation in January 2025 of the transactions contemplated by the Debt Exchange Agreement.
The
Company issued an additional Senior Secured Convertible Note dated September 8, 2022, referred to herein as the “September
2022 Senior Convertible Note”, with such note having a $ 11.25
million face value principal, a 7.875 %
annual stated interest rate, a contractual conversion price of $ 75.00
per share (which conversion price, in connection with the Exchange, was reduced to $ 1.068 per share as of January 17, 2025) of the
Company’s common stock (subject to standard adjustments in the event of any stock split, stock dividend, stock combination,
recapitalization or other similar transaction), and a contractual maturity date of September
6, 2024 , which maturity
date has been extended to December 31, 2025. The September 2022 Senior Convertible Note may be
converted into shares of common stock of the Company at the Holder’s election.
The Company is subject to financial
covenants requiring: (i) a minimum of $8.0 million of available cash at all times; (ii) the ratio of (a) the outstanding principal amount
of the total senior convertible notes outstanding, accrued and unpaid interest thereon and accrued and unpaid late charges to (b) the
Company’s average market capitalization over the prior ten trading days, to not exceed 30% (the “Debt to Market Cap Ratio
Test”); and (iii) the Company’s market capitalization to at no time be less than $75 million (the “Market Cap Test”
and, together with the Debt to Market Cap Ratio Test, the “Financial Tests”). From time to time from and after September 1,
2024 through November 11, 2024, the Company was not in compliance with the Financial Tests. As of November 1, 2024, the Investor agreed
to waive any such non-compliance during such time period and thereafter through December 31, 2024, which period the Investor agreed to extend, as of January 17, 2025 in connection with
the consummation of the Exchange, through December 31, 2025.
The
April 2022 Senior Convertible Note (until its satisfaction in full in connection with the Exchange) and September 2022 Senior
Convertible Note installment payments may be made in shares of PAVmed common stock at a conversion price that is the lower of the
contractual conversion price and 82.5 %
of the two lowest VWAPs during the last 10 trading days preceding the date of conversion, subject to a conversion price floor of
$ 2.70
(which floor price, in connection with the Exchange, was reduced to $ 0.2136 per share as of January 17, 2025). The notes are also subject to certain provisions that may require redemption upon the occurrence of certain events, including an
event of default, a change of control, or certain equity issuances. As of March 31, 2025, there were no further installment payments due under the September 2022 Convertible Note.
In the three months ended March
31, 2025, approximately $ 176 , of principal repayments along with approximately $ 26 of interest expense thereon, were settled through the
issuance of 401,303 , shares of common stock of the Company, with such shares having a fair value of approximately $ 260 , (with such fair
value measured as the respective conversion date quoted closing price of the common stock of the Company). The conversions resulted in
debt extinguishment losses of $ 58 in the three months ended March 31, 2025.
On December 31, 2024, the Company
agreed to reduce temporarily, and the Investor consented to reducing temporarily, the contractual conversion price under the April 2022
Senior Convertible Note and the September 2022 Senior Convertible Note to equal to 82.5 % of the two lowest VWAPs during the last 10 trading
days preceding the date of conversion, subject to a conversion floor price of $ 0.40 , during the period from December 31, 2024 through
January 15, 2025; provided that the aggregate amount of conversions under the April 2022 Senior Convertible Note and the September 2022
Senior Convertible Note during such period at such price could not exceed 3 million shares.
16
Note 10 — Debt - continued
Debt Exchange Agreement
On November 15, 2024, the Company
entered into the Debt Exchange Agreement with the holder of the April
2022 Senior Convertible Note and the September 2022 Senior Convertible Note. The Debt Exchange Agreement provided for the exchange of
$ 22.3 million in principal amount of the April 2022 Senior Convertible Note and the September 2022 Senior Convertible Note and interest
thereon for 22,347 shares of Series C Convertible Preferred Stock, par value $ 0.001 per share (the “Series C Preferred Stock”),
of the Company.
On
November 20, 2024, the Company entered into a Securities Purchase Agreement (the “Series C Securities Purchase Agreement”)
with the Holder. The Series C Securities Purchase Agreement provided for the purchase of 2,653 shares of Series C Preferred Stock at
a price of $ 1,000 per share, with the purchase price to be satisfied through the cancellation of $ 2.6 million of certain unsecured debt
obligations owed by the Company to the Holder (the “Purchase”). On January 24, 2025, after satisfaction of all conditions
to closing, the parties consummated the Purchase.
On
January 17, 2025, the parties consummated the transactions contemplated by the Debt Exchange Agreement. Following consummation of
the transactions contemplated by the Debt Exchange Agreement, the April 2022 Senior Convertible Note was satisfied in full, and the
outstanding principal balance of the remaining September 2022 Senior Convertible Note was approximately $ 6.6 million.
Under the Debt Exchange Agreement discussed above, effective as of consummation on the Exchange as of January 17,
2025, the Company also agreed to certain amendments and modifications to the September 2022 Convertible Note, including, without limitation,
that the conversion price thereunder was reset to $ 1.068 ; that the maturity date was extended to December 31, 2025; that any change of
control or disposition by the Company of its shares of Lucid common stock would require the prior written consent of the Required Holders
(as defined in the September 2022 Convertible Note); certain other terms and conditions regarding payments under the MSA and the application
of the same (including that all MSA payments from Lucid must be made in cash); that the Company waives its right to redeem the September
2022 Convertible Note so long as any shares of Series C Preferred Stock are outstanding; that the Holder waives, until December 31, 2025,
the financial covenants under the September 2022 Convertible Note requiring that (i) the amount of the Company’s available cash
equal or exceed $ 8.0 million at all times, (ii) the ratio of (a) the outstanding principal amount of the September 2022 Convertible Note,
accrued and unpaid interest thereon and accrued and unpaid late charges to (b) the Company’s average market capitalization over
the prior ten trading days, not exceed 30%, and (iii) that the Company’s market capitalization shall at no time be less than $ 75
million; and that so long as any shares of Series C Preferred Stock remain outstanding, the Holder will be entitled to exchange all, or
any portion, of the September 2022 Convertible Note (including any interest that would accrue thereon through the maturity date thereof)
into shares of Lucid common stock held by the Company, at an exchange price per share of Lucid common stock equal to $ 0.85 per share (as
adjusted for stock splits, stock dividends, stock combinations, recapitalizations and similar events), subject to certain beneficial ownership
limitations.
Lucid Diagnostics - Senior Secured Convertible
Note
Following
the deconsolidation of Lucid, the Lucid March 2023 Senior Convertible Note is no longer reflected in the Company’s consolidated
balance sheets.
During the three months ended March
31, 2025, the Company recognized debt extinguishment losses in total of approximately $ 58 , in connection with the Company issuing shares
of its common stock for principal repayments on convertible debt mentioned above. During the three months ended March 31, 2024, the Company
recognized debt extinguishment losses in total of approximately $ 369 , in connection with the Company or Lucid (as applicable) issuing
shares of its common stock for principal repayments on convertible debt mentioned above.
See Note 9, Financial Instruments
Fair Value Measurements , for a further discussion of fair value assumptions.
17
Note 11 — Stock-Based Compensation
PAVmed Inc. 2014 Long-Term Incentive Equity Plan
The PAVmed Inc. 2014 Long-Term Incentive
Equity Plan (the “PAVmed 2014 Equity Plan”) is designed to enable PAVmed to offer employees, officers, directors, and consultants,
as defined, an opportunity to acquire shares of common stock of PAVmed. The types of awards that may be granted under the PAVmed 2014
Equity Plan include stock options, stock appreciation rights, restricted stock, and other stock-based awards subject to limitations under
applicable law. All awards are subject to approval by the PAVmed compensation committee.
A total of 2,412,140 shares of common
stock of PAVmed are reserved for issuance under the PAVmed 2014 Equity Plan, with 1,314,633 shares available for grant as of March 31,
2025. The share reservation is not diminished by a total of 61,146 PAVmed stock options and restricted stock awards granted outside the
PAVmed 2014 Equity Plan as of March 31, 2025. In January 2025, the number of shares available for grant was increased by 576,170 in accordance
with the evergreen provisions of the plan.
PAVmed Stock Options
PAVmed stock options granted under
the PAVmed 2014 Equity Plan and stock options granted outside such plan are summarized as follows:
Schedule
of Summarizes Information About Stock Options
Number of Stock Options
Weighted Average
Exercise Price
Remaining Contractual
Term (Years)
Intrinsic Value (2)
Outstanding stock options at December 31, 2024
1,065,319
$ 25.50
6.5
$ 341
Granted (1)
—
$ —
Exercised
—
$ —
Forfeited
( 496,928 )
$ 23.28
Outstanding stock options at March 31, 2025 (3)
568,391
$ 27.45
5.6
$ —
Vested and exercisable stock options at March 31, 2025
495,463
$ 30.83
5.2
$ —
(1)
Stock options granted under the PAVmed 2014 Equity Plan and those granted outside such plan generally vest one-third in one year then ratably over the next eight quarters, and have a ten-year contractual term from date-of-grant.
(2)
The intrinsic value is computed as the difference between the quoted price of the PAVmed common stock on each of March 31, 2025 and December 31, 2024 and the exercise price of the underlying PAVmed stock options, to the extent such quoted price is greater than the exercise price.
(3)
The outstanding stock options presented in the table above are inclusive of 54,480 and 60,054 stock options granted outside the PAVmed 2014 Equity Plan, as of March 31, 2025 and December 31, 2024, respectively.
In January 2025, the Company accepted
from employees the voluntary forfeiture of approximately 494,202 of previously granted PAVmed stock options, each with an exercise price
greater than $ 4.00 per share and collectively with a weighted average exercise price of $ 23.38 per share. None of the forfeitures were
from officers or board members.
18
Note 11 — Stock-Based Compensation - continued
PAVmed Restricted Stock Awards
PAVmed restricted stock awards granted under the PAVmed
2014 Equity Plan and restricted stock awards granted outside such plan are summarized as follows:
Schedule
of Restricted Stock Award Activity
Number of Restricted
Stock Awards
Weighted Average
Grant Date Fair Value
Unvested restricted stock awards as of December 31, 2024
324,431
$ 9.80
Granted
—
—
Vested
( 1,016 )
5.79
Forfeited
—
—
Unvested restricted stock awards as of March 31, 2025
323,415
$ 9.80
Lucid Diagnostics Inc. 2018 Long-Term Incentive Equity Plan
The Lucid Diagnostics Inc. 2018
Long-Term Incentive Equity Plan (“Lucid Diagnostics 2018 Equity Plan”) is separate and apart from the PAVmed 2014 Equity Plan
discussed above. The Lucid Diagnostics 2018 Equity Plan is designed to enable Lucid Diagnostics to offer employees, officers, directors,
and consultants, an opportunity to acquire shares of common stock of Lucid Diagnostics. The types of awards that may be granted under
the Lucid Diagnostics 2018 Equity Plan include stock options, stock appreciation rights, restricted stock, and other stock-based awards
subject to limitations under applicable law. All awards are subject to approval by the Lucid Diagnostics compensation committee.
Following
the deconsolidation of Lucid, the Lucid Diagnostics 2018 Long-Term Equity Plan is no longer reflected in the Company’s
unaudited condensed consolidated statements of operations. Lucid continues to be responsible for administering its equity plan. See
Note 4, Equity Method Investment , for additional information on the deconsolidation of Lucid Diagnostics.
Consolidated Stock-Based Compensation Expense
The consolidated stock-based compensation
expense recognized by each of PAVmed and (through September 10, 2024, the date of PAVmed’s deconsolidation of Lucid) Lucid Diagnostics
for both the PAVmed 2014 Equity Plan and the Lucid Diagnostics 2018 Equity Plan, with respect to stock options and restricted stock awards
as discussed above, for the periods indicated, was as follows:
Schedule
of Stock-Based Compensation Expense
2025
2024
Three Months Ended
March 31,
2025
2024
Cost of revenue
$ —
$ 36
Sales and marketing expenses
45
403
General and administrative expenses
796
1,078
Research and development expenses
89
365
Total stock-based compensation expense
$ 930
$ 1,882
19
Note 11 — Stock-Based Compensation -
continued
Stock-Based Compensation Expense Recognized by Lucid Diagnostics
As noted, the consolidated stock-based
compensation expense presented above is inclusive of stock-based compensation expense recognized by Lucid Diagnostics (through September
10, 2024, the date of PAVmed’s deconsolidation of Lucid) inclusive of each of: stock options granted under the PAVmed 2014 Equity
Plan to the three physician inventors of the intellectual property underlying the Amended CWRU License Agreement; and stock options and
restricted stock awards granted to employees of PAVmed and non-employee consultants under the Lucid Diagnostics 2018 Equity Plan. The
stock-based compensation expense recognized by Lucid Diagnostics (through September 10, 2024, the date of PAVmed’s deconsolidation
of Lucid) for both the PAVmed 2014 Equity Plan and the Lucid Diagnostics 2018 Equity Plan, with respect to stock options and restricted
stock awards as discussed above, for the periods indicated, was as follows:
Schedule
of Stock-Based Compensation Expense
Three Months Ended
March 31,
2024
Lucid Diagnostics 2018 Equity Plan – cost of revenue
$ 25
Lucid Diagnostics 2018 Equity Plan – sales and marketing
271
Lucid Diagnostics 2018 Equity Plan – general and administrative
328
Lucid Diagnostics 2018 Equity Plan – research and development
120
PAVmed 2014 Equity Plan - cost of revenue
11
PAVmed 2014 Equity Plan - sales and marketing
79
PAVmed 2014 Equity Plan - general and administrative
2
PAVmed 2014 Equity Plan - research and development
97
Total stock-based compensation expense – recognized by Lucid Diagnostics
$ 933
Total stock-based compensation expense
$ 933
The consolidated unrecognized stock-based
compensation expense and weighted average remaining requisite service period with respect to stock options and restricted stock awards
issued under the PAVmed 2014 Equity Plan, as discussed above, is as follows:
Schedule
of Unrecognized Compensation Expense
Unrecognized Expense
Weighted Average
Remaining Service
Period (Years)
PAVmed 2014 Equity Plan
Stock Options
$ 241
1.3
Restricted Stock Awards
$ 319
1.7
Stock-based
compensation expense recognized with respect to stock options granted under the PAVmed 2014 Equity Plan was based on a weighted average
estimated fair value of such stock options of $ 1.46
per share during the three months ended March 31, 2024 calculated using the following weighted average Black-Scholes
valuation model assumptions below. The Company did not grant any stock options under the PAVmed 2014 Equity Plan during the three months ended
March 31, 2025.
Schedule
of Fair Values of Stock Options Granted Using Black-scholes Valuation Model Assumptions
Three Months Ended March 31,
2024
Expected term of stock options (in years)
5.8
Expected stock price volatility
90 %
Risk free interest rate
4.3 %
Expected dividend yield
— %
20
Note 11 — Stock-Based Compensation -
continued
Stock-based compensation expense
recognized with respect to stock options granted under the Lucid Diagnostics 2018 Equity Plan was based on a weighted average estimated
fair value of such stock options of $ 0.84 per share during the three months ended March 31, 2024 (through September 10, 2024, the date
of PAVmed’s deconsolidation of Lucid), calculated using the following weighted average Black-Scholes valuation model assumptions:
Schedule
of Fair Values of Stock Options Granted Using Black-scholes Valuation Model Assumptions
Three Months Ended March 31,
2024
Expected term of stock options (in years)
5.6
Expected stock price volatility
74 %
Risk free interest rate
3.9 %
Expected dividend yield
— %
PAVmed Inc. Employee Stock Purchase Plan (“PAVmed ESPP”)
Effective September 18, 2024, PAVmed’s
compensation committee temporarily suspended any participation in the PAVmed ESPP. Accordingly, no shares of common stock of the Company
have been purchased under the PAVmed ESPP since March 31, 2024.
A total of 34,332 shares of common
stock of the Company were purchased for proceeds of approximately $ 62 on March 31, 2024, under the PAVmed ESPP. The PAVmed ESPP has a
total reserve of 466,668 shares of common stock of PAVmed of which 306,530 shares are available for issue as of March 31, 2025. In January
2025, the number of shares available-for-issue was increased by 166,667 in accordance with the evergreen provisions of the plan.
21
Note 12 — Preferred Stock
As of March 31, 2025 and December
31, 2024, there were 1,441,135 and 1,412,865 shares of PAVmed Series B Convertible Preferred Stock, classified in permanent equity, issued
and outstanding, respectively.
PAVmed Series B Convertible Preferred Stock Dividends
The Series B Convertible Preferred
Stock is issued pursuant to the PAVmed Inc. Certificate of Designation of Preferences, Rights, and Limitations of Series B Convertible
Preferred Stock (“Series B Convertible Preferred Stock Certificate of Designation”), has a par value of $ 0.001 per share,
no voting rights, a stated value of $ 3.00 per share, and was immediately convertible upon its issuance. At the holders’ election,
fifteen shares of Series B Convertible Preferred Stock are currently convertible into one share of common stock of the Company, subject
to further adjustment for the effect of future stock dividends, stock splits or similar events affecting the Company’s common stock.
The Series B Convertible Preferred Stock shall not be redeemed for cash and under no circumstances shall the Company be required to net
cash settle the Series B Convertible Preferred Stock.
The PAVmed Inc. Series B Convertible
Preferred Stock dividends are 8.0 % per annum based on the $ 3.00 per share stated value of the Series B Convertible Preferred Stock, with
such dividends compounded quarterly, accumulate, and are payable in arrears upon being declared by the Company’s board of directors.
Such dividends may be settled, at the discretion of the board of directors, through any combination of the issue of additional shares
of Series B Convertible Preferred Stock, the issue shares of common stock of the Company, and /or cash payment.
PAVmed Series B Convertible Preferred Stock Dividends
Earned
The Series B Convertible Preferred
Stock dividends earned are included in the calculation of basic and diluted net loss attributable to PAVmed common stockholders for each
of the respective corresponding periods presented in the accompanying consolidated statement of operations, inclusive of $ 86 of such dividends
earned in the three months ended March 31, 2025; and $ 79 of such dividends earned in the three months ended March 31, 2024.
PAVmed Series B Convertible Preferred Stock Dividends
Declared
During the three months ended March
31, 2025, the Company’s board of directors declared an aggregate of approximately $ 85 of Series B Convertible Preferred Stock dividends,
earned as of December 31, 2024, with such dividends settled by the issue of an additional aggregate 28,270 shares of Series B Convertible
Preferred Stock.
During the three months ended March
31, 2024, the Company’s board of directors declared an aggregate of approximately $ 78 of Series B Convertible Preferred Stock dividends,
earned as of December 31, 2023, with such dividends settled by the issue of an additional aggregate 26,123 shares of Series B Convertible
Preferred Stock.
Subsequent
to March 31, 2025, on May 5, 2025, the Company’s board of directors declared a PAVmed Series B Convertible Preferred Stock
dividend, earned as of March 31, 2025, of $ 86 ,
to be settled by the issue of
28,834 additional shares of Series B Convertible Preferred Stock.
The PAVmed Series B Convertible
Preferred Stock dividends are recognized as a dividend payable liability only upon the dividend being declared payable by the Company’s
board of directors. Accordingly, the dividends declared payable subsequent to the date of the accompanying consolidated balance sheet
were not recognized as a dividend payable liability as the Company’s board of directors had not declared the dividends payable as
of each such date.
PAVmed Series C Convertible Preferred Stock
The
Series C Preferred Stock is issued pursuant to the PAVmed Inc. Certificate of Designation of Preferences, Rights, and Limitations of
Series C Convertible Preferred Stock (“Series C Convertible Preferred Stock Certificate of Designation”) and has a par value
of $ 0.001 per share. Each share of Series C Preferred Stock has a stated value of $ 1,000
(plus the amount of any dividends thereon that are capitalized), and entitles the holder thereof to a preferred dividend at a rate of
7.875 %
per annum, payable quarterly in arrears. The Series C Preferred Stock is entitled to vote with the holders of shares of Common Stock,
voting together as one class, on all matters in which the holders of the preferred shares are permitted to vote with the class of shares
of Common Stock pursuant to applicable law, on an as-converted basis (subject to certain limitations, including the beneficial ownership limitation described below).
The
Series C Preferred Stock is pari passu with the Series B Convertible Preferred Stock, and is senior to all of the Company’s
other equity securities.
22
Note
12 — Preferred Stock - continued
Upon
liquidation, a holder of Series C Preferred Stock will be entitled to receive in cash out of the assets of the Company, before any amount
would be paid to the holders of any of shares of the Company’s common stock, but pari passu with the holders of any Series B Preferred
Stock then outstanding, an amount per share equal to the greater of (A) the sum of (i) 110% of the stated value (plus any accrued and
unpaid dividends or other amounts then payable thereon) of such share of Series C Preferred Stock then outstanding and (ii) a ratable
portion of 100% of the stated value (plus any accrued and unpaid dividends or other amounts then payable thereon) of the Series B Preferred
Stock then outstanding and (B) the amount per share such holder would receive if such holder converted such share of Series C Preferred
Stock into the Company’s common stock immediately prior to the date of such payment.
Each
share of Series C Preferred Stock, plus accrued and unpaid dividends thereon, is convertible at any time, in whole or in part, at the
holder’s option, into shares of the Company’s common stock at an initial fixed conversion price of $ 1.068
per share, subject to certain adjustments.
At
any time following the occurrence of a Triggering Event (as defined below), a holder of shares of the Series C Preferred Stock has
the right to elect to convert shares of Series C Preferred Stock into the Company’s common stock at an alternate conversion
price equal to the lower of: (i) the fixed conversion price then in effect, and (ii) the lowest of (A) 80% of the VWAP of the
Company’s common stock as of the trading day immediately preceding the delivery or deemed delivery of the applicable notice of
conversion, (B) 80% of the VWAP of the Company’s common stock as of the trading day of the delivery or deemed delivery of the
applicable notice of conversion, and (C) 80% of the average VWAP of the Company’s common stock for each of the two trading
days with the lowest VWAP of the Company’s common stock during the ten consecutive trading day period ending and including the
trading day immediately prior to the delivery or deemed delivery of the applicable notice of conversion, but in the case of clause
(ii), not less than $0.2136 (as adjusted for stock splits, stock dividends, stock combinations, recapitalizations and similar
events) (such price, the “Alternate Conversion Price”). The term “Triggering Event” includes events that would constitute
an event of default under the September 2022 Senior Convertible Note, in addition to the failure of the Company to complete a
Qualified Company Optional Redemption (as defined below) by March 31, 2025 (the “QCOR Triggering Event”). The principal
consequence of a Triggering Event (other than a bankruptcy-related Triggering Event) is to give the holder the right to elect an
alternate conversion as described above. In addition, the occurrence of a Triggering Event (other than a QCOR Triggering Event) will
result in an increase to the dividend rate and limit the Company’s right to redeem the Series C Preferred Stock. A Triggering
Event (other than a bankruptcy-related Triggering Event) will not otherwise accelerate any financial or other obligation on the part
of the Company in respect of the Series C Preferred Stock.
If
the Company grants, issues or sells (or enters into any agreement to grant, issue or sell) or is deemed to have granted, issued or sold,
any shares of common stock, for consideration per share less than the fixed conversion price then in effect, then immediately after such
issuance, the fixed conversion price shall be reduced to an amount equal to such lower price.
The
Company has the right to redeem all, but not less than all, of the shares of Series C Preferred Stock at a redemption price equal
to 132.5 % of the aggregate stated value of the Series C Preferred Stock plus all accrued and unpaid dividends and other amounts then
payable thereon. The Company also has an additional one-time right to redeem a portion of the shares of Series C Preferred Stock
with an aggregate stated value of at least $ 5 million at the same redemption price (a “Qualified Company Optional Redemption”).
23
Note
12 — Preferred Stock - continued
Upon
a Change of Control (as defined in the Series C Convertible Preferred Stock Certificate of Designation), a holder of the Series C
Preferred Stock has the right to require the Company to redeem all, or any portion, of the holder’s shares of Series C
Preferred Stock at a price equal to 132.5 %
of the stated value of the Series C Preferred Stock (plus any accrued and unpaid dividends or other amounts then payable thereon)
or, if greater, an amount determined pursuant to the Series C Convertible Preferred Stock Certificate of Designation based on the
then-current market price or the consideration payable in the Change of Control transaction, whichever is higher.
A
holder may not convert any of the shares of Series C Preferred Stock, to the extent that, after giving effect to such
conversion, such holder (together with certain of its affiliates and other related parties) would beneficially own in excess of 9.99 %
of the shares of the Company’s common stock outstanding immediately after giving effect to such conversion (the “Maximum
Percentage”). The Holder may from time to time increase or decrease the Maximum Percentage; provided that in no event could the
Maximum Percentage exceed 9.99 %, provided, further, that any such increase would not be effective until the 61st day after delivery of
a notice to the Company of such increase.
The
Company and its subsidiaries (other than Lucid) are subject to certain customary affirmative and negative covenants regarding the
rank of the Series C Preferred Stock, the incurrence of indebtedness, the existence of liens, the repayment of indebtedness and the making
of investments, the payment of cash in respect of dividends, distributions or redemptions, the transfer of assets, the maturity of other
indebtedness, transactions with affiliates and the ability to complete stock splits, among other customary matters. The Company also
is subject to a financial covenant requiring that it maintain its cash flow on a break-even basis.
On
February 18, 2025, the Company and the holder of the Series C Preferred Stock entered into a waiver agreement (the “Q1 2025
Waiver”), pursuant to which, among other things, the holder granted certain waivers related to the Series C Preferred Stock,
including waivers necessary to permit the Company and Veris to consummate the Offering (as described in Note 13, Common Stock and
Common Stock Purchase Warrants ). In consideration of such waivers, the Company agreed to reduce temporarily, and the holder of
the Series C Preferred Stock consented to reducing temporarily, the contractual conversion price under the Series C Preferred Stock
to $ 0.40 ,
during the period through March 31, 2025; provided that the aggregate amount of conversions under the Series C Preferred Stock at
such conversion price during such period did not exceed 1 million
shares (the “Q1 2025 Conversion Price Reduction”). In addition, pursuant to the Q1 2025 Waiver, the Company granted the
holder of the Series C Preferred Stock the right, exercisable through March 31, 2025, to elect to exchange up to $ 2.0 million of Series C Preferred Stock for an equivalent increase in the principal amount of the September
2022 Senior Convertible Note (although no exchanges elections were made under this provision during the waiver period) (the
“Q1 2025 Exchange Right”).
On
March 18, 2025, the Company and the holder of the Series C Preferred Stock agreed to modify the terms of the Q1 2025 Conversion Price Reduction by increasing the maximum number of shares that could
be converted at the reduced conversion price of $ 0.40 through March 31, 2025 from 1 million to 2 million (the
“Q1 2025 Conversion Price Reduction Adjustment”).
The
Company recognized the incremental value associated with the Q1 2025 Conversion Price Reduction as a deemed dividend charge of
$ 434 and
as an increase of net loss available to common stockholders on the unaudited condensed consolidated statements of operations for the
three months ended March 31, 2025. The incremental value associated with the Series C Preferred Stock modification was determined
using Monte Carlo simulation models based on the adjusted conversion price of $ 0.40 for
the value of 1 million
shares of the Company’s common stock when converted from the Series C Preferred Stock with the following assumptions: required
rate of return of 14.5 %,
dividend yield of 0 %,
volatility of 40 %,
and a risk-free rate of 4.30 %, compared to the fair value of the 1 million
shares converted of the Company’s common stock on the date immediately preceding the modification with a $ 1.068 conversion
price, utilizing the following assumptions: required rate of return of 14.5 %,
dividend yield of 0 %,
volatility of 40 %,
and a risk-free rate of 4.30 %.
The
Company also recognized incremental value associated with the Q1 2025 Conversion Price Reduction Adjustment as an additional deemed
dividend charge of $ 355 and
as an increase of net loss available to common stockholders on the unaudited condensed consolidated statements of operations in the
three months ended March 31, 2025. The incremental value associated with this adjustment was determined using Monte Carlo simulation
models using the adjusted conversion price of $ 0.40 for
the value of the additional 1 million
shares of the Company’s common stock when converted from the Series C Preferred Stock with the following assumptions: required
rate of return of 14.5 %,
dividend yield of 0 %,
volatility of 40 %,
and a risk-free rate of 3.98 %, compared to the fair value of the additional 1 million
shares converted of the Company’s common stock on the date immediately preceding the modification with a $ 1.068 conversion
price, utilizing the following assumptions: required rate of return of 14.5 %,
dividend yield of 0 %,
volatility of 40 %,
and a risk-free rate of 3.98 %.
The Q1 2025 Exchange Right granted pursuant to the Q1 2025 Waiver provided the holder with a substantive redemption
feature outside of the Company’s control during the waiver period. As a result, the affected Series C Preferred Stock no longer
met the criteria for classification as permanent equity. Accordingly, the Company reclassified $ 2.0 million of Series C Preferred Stock
from permanent equity to mezzanine equity on the unaudited condensed consolidated balance sheet as of March 31, 2025.
On
March 31, 2025, the Company elected to capitalize the Series C Preferred Stock dividend earned as of March 31, 2025 of $ 398 ,
and as a result, the stated value of the Series C Preferred Stock was adjusted from $ 1,000
to $ 1,016 .
In
the three months ended March 31, 2025, the Company has issued 1,300,000
shares of our common stock in connection with the conversion of 520
shares of Series C Preferred Stock. Subsequent to March 31, 2025 ,
as of May 12 , 2025, the Company has issued 450,000
shares of our common stock in connection with the conversion of 180
shares of Series C Preferred Stock.
Subsequent to March 31, 2025, on
April 21, 2025, the Company and the holder of the Series C Preferred Stock entered into another waiver agreement (the “Q2 2025 Waiver”),
pursuant to which the holder granted certain waivers related to the Series C Preferred Stock, including the waiver of any QCOR Triggering
Event through the earlier of June 30, 2025 and the date on which the holder can no longer convert the Series C Preferred Stock at $ 0.40 .
In consideration of such waivers, the Company agreed to reduce temporarily, and the holder of the Series C Preferred Stock consented to
reducing temporarily, the contractual conversion price under the Series C Preferred Stock to $ 0.40 , during the period through June 30,
2025; provided that the aggregate amount of conversions under the Series C Preferred Stock at such conversion price during such period
did not exceed 1 million shares (the “Q2 2025 Conversion Price Reduction”). In addition, pursuant to the Q2 2025 Waiver, the
Company granted the holder of the Series C Preferred Stock the right, exercisable through June 30, 2025, to elect to exchange up to $2.0
million of Series C Preferred Stock for an equivalent increase in the principal amount of the September 2022 Senior Convertible Note (although
no exchanges elections were made under this provision during through the date hereof). On May 14, 2025, the Company and the holder of the Series C Preferred Stock agreed to increase the maximum number
of shares that could be converted at the reduced conversion price of $0.40 through June 30, 2025 from 1 million to 2 million.
24
Note 13 — Common Stock and Common Stock Purchase
Warrants
Common Stock
On March 7, 2024, the Company
received a notice from the Listing Qualifications Department of The Nasdaq Stock Market (“Nasdaq”) stating that, for the prior
30 consecutive business days (through March 6, 2024), the market value of the Company’s listed securities had been below the minimum
of $35 million required for continued inclusion on the Nasdaq Capital Market under Nasdaq Listing Rule 5550(b)(2). The Company was provided
180 calendar days, or until September 3, 2024, to regain compliance with the rule. The Company did not regain compliance with the rule
during the allotted time period. Accordingly, on September 10, 2024, the Company received a staff determination letter from the Nasdaq
Listing Qualifications Department, stating that unless the Company timely requested a hearing before a Nasdaq Hearings Panel (the “Panel”)
to appeal the staff determination, the Company’s securities would be subject to suspension and delisting. The Company timely requested
a hearing before the Panel, which was held on October 29, 2024.
On November 8, 2024, the Panel granted
the Company an extension, until January 31, 2025, to regain compliance with the Nasdaq continued listing standards.
On February 14, 2025, the Company
received a notification letter from the Listing Qualifications Department of The Nasdaq Stock Market LLC (“Nasdaq”), stating
that the Company had regained compliance with the Nasdaq continued listing standard under Nasdaq Listing Rule 5550(b)(1), which requires,
among other things, that the Company maintain at least $ 2.5 million in stockholders’ equity. The Company achieved compliance through
(1) the Exchange, which was consummated on January 17, 2025, (2) the issuance of shares of Series C Preferred Stock for an aggregate purchase
price of $ 2.653 million, which was consummated on January 24, 2025, and (3) a reduction in operating expenses as a result of the Company’s
completed deconsolidation of Lucid from its balance sheet, each of which transactions was previously disclosed. As a result, the Company
met the terms of the Panel’s decision.
Separately, on January 23, 2025,
the Company received a notice from the Listing Qualifications Department of Nasdaq stating that, for the prior 30 consecutive business
days (through January 22, 2025), the closing bid price of the Company’s common stock had been below the minimum of $1 per share
required for continued listing on the Nasdaq Capital Market under Nasdaq Listing Rule 5550(a)(2). The notification letter stated that
the Company would be afforded 180 calendar days (until July 22, 2025) to regain compliance. In order to regain compliance, the closing
bid price of the Company’s common stock must be at least $ 1 for a minimum of ten consecutive business days. The notification letter
also stated that, in the event the Company does not regain compliance within the initial 180-day period, the Company may be eligible for
an additional 180-day period. If the Company is not eligible for the additional 180-day period, or if it appears to the Nasdaq staff that
the Company will not be able to cure the deficiency, the Nasdaq Listing Qualifications Department will provide notice after the end of
the initial 180-day period that the Company’s securities will be subject to delisting. The Nasdaq notification has no effect at
this time on the listing of the Company’s common stock or Series Z warrants, and the common stock and Series Z warrants will continue
to trade uninterrupted under the symbol “PAVM” and “PAVMZ,” respectively.
In the three months ended March
31, 2025, 401,303 shares of the Company’s common stock were issued upon conversion, at the election of the holder, of the September
2022 Senior Convertible Note, for $ 176 face value principal repayments, as discussed in Note 10, Debt .
In the three months ended March
31, 2025, the Company sold 1,216,565 shares through their at-the-market equity facility for net proceeds of approximately $ 841 , after
payment of 3 % commissions.
25
Note 13 — Common Stock and Common Stock Purchase
Warrants - continued
In the three months ended March
31, 2025, the Company issued 77,408 shares of common stock to vendors in exchange for $ 50 of agreed upon services, which is included in
general and administrative operating expenses on the Company’s unaudited condensed consolidated statement of operations.
On
February 18, 2025, the Company and Veris, entered into subscription agreements (each, a “Subscription Agreement”) with certain
accredited investors (collectively, the “Investors”), pursuant to which the Company agreed to sell and the Investors agreed
to purchase (the “Offering”) 2,574,350
shares of the Company’s common stock and pre-funded warrants to purchase 756,734
shares of the Company’s common stock (the “Pre-Funded Warrants”), at a purchase price of $ 0.7115
per share or warrant share (as applicable). In addition, Veris agreed to issue to each Investor approximately 0.2033
shares of Veris’ common stock for each share or warrant share (as applicable) purchased by such Investor, for an aggregate of 677,143
shares of Veris’ common stock. On February 21, 2025, the Company consummated the Offering, generating gross proceeds to the Company
of $ 2.37 million.
The Pre-Funded Warrants are classified as equity in accordance as they are indexed to the Company’s own stock and meet the criteria
for equity classification. The proceeds received were recorded in additional paid-in capital with no subsequent remeasurement.
The Subscription Agreement contains
customary representations, warranties, covenants and indemnities of the Company and the Investors, as well as a covenant by the Company
to provide the Investors with protection against subsequent equity raises by the Company or Veris at a lower purchase price (solely to
the extent the Investors continue to hold the shares issued in the Offering), with such protection to be effected through the issuance
of additional shares of Veris’ common stock. In addition, the Company (i) agreed to solicit the affirmative vote of its stockholders
by no later than its next meeting of stockholders, which will be held no later than June 30, 2025, for approval, for the purposes of the
rules of The Nasdaq Stock Market LLC, of the issuance of all of the shares underlying the Pre-Funded Warrants, and to hold additional
meetings quarterly thereafter to the extent such approval is not obtained, (ii) granted the Investors a 100% participation right in future
offerings of equity securities of the Company or its majority-owned subsidiaries, subject to existing participation rights of the Company’s
debt holder, and (iii) agreed not to incur, and not to permit its majority-owned subsidiaries to incur, any indebtedness until August
18, 2026, subject to certain exceptions. In accordance with the Subscription Agreement, the Company also entered into a registration rights
agreement (the “Registration Rights Agreement”) with the Investors, pursuant to which the Company agreed to file a registration
statement covering the resale of the shares of the Company’s common stock issued in the Offering, including the shares underlying
the Pre-Funded Warrants.
The
Pre-Funded Warrants become exercisable upon the receipt of the stockholder approval described above, expire on February 18, 2030,
and have an exercise price of $ 0.001
per share, subject to adjustment as described below. The Pre-Funded Warrants may be exercised for cash, or on a cashless basis. In
the event the Pre-Funded Warrants are exercised on a cashless basis, the holder will be entitled to receive a number of shares of
the Company’s common stock equal to (x) the excess of the market value of a share of the Company’s common stock over the
exercise price, multiplied by (y) the number of shares as to which the Pre-Funded Warrant is being exercised, divided by (z) the
market value of a share of the Company’s common stock. The exercise price and number and type of securities or other property
issuable on exercise of the Pre-Funded Warrants may be adjusted in certain circumstances, including in the event of a stock split or
combination, stock dividend, or a recapitalization, reorganization, merger or similar transaction. In addition, a holder of the
Pre-Funded Warrants will be entitled to participate in rights offerings or pro rata distributions by the Company. However, there
will be no adjustment for issuances of shares of common stock at a price below the exercise price.
Common Stock Purchase Warrants
As of March 31, 2025 and December
31, 2024, Series Z Warrants outstanding totaled 11,937,450 representing the right to purchase 795,830 shares of the Company’s common
stock. The Series Z Warrants are now exercisable to purchase one whole share of common stock of the Company at an exercise price of $ 23.48
(previously $ 24.00 post reverse-split, decreased by $ 0.52 in connection with the special dividend distribution of Lucid common stock to
PAVmed stockholders, discussed above). There were no Series Z Warrants exercised during the three months ended March 31, 2025. On April
30, 2025, the Series Z Warrants contractually expired without further exercised amounts.
26
Note 14 — Noncontrolling Interest
The noncontrolling interest (“NCI”)
included as a component of consolidated total stockholders’ equity is summarized for the periods indicated as follows:
Schedule
of Noncontrolling Interest of Stockholders' Equity
March 31, 2025
NCI – equity - December 31, 2024
$ ( 4,538 )
Net loss attributable to NCI
( 345 )
Impact of subsidiary equity transactions
( 2,420 )
Veris Offering
948
Stock-based compensation expense - Veris Health 2021 Equity Plan
293
NCI – equity – March 31, 2025
$ ( 6,062 )
The consolidated NCI presented above
is with respect to the Company’s consolidated subsidiaries as a component of consolidated total stockholders’ equity as of
March 31, 2025 and December 31, 2024; and the recognition of a net loss attributable to the NCI in the unaudited condensed consolidated
statement of operations for the periods beginning on the acquisition date of the respective subsidiaries.
Lucid Diagnostics — Deconsolidation
On
September 10, 2024, following preferred equity transactions completed by Lucid earlier in 2024 and the termination of voting proxies
entered into between PAVmed and certain shareholders of Lucid, PAVmed’s voting interest in the Company was reduced to less than
50.0%, resulting in the loss of a controlling financial interest. However, PAVmed retains the ability to exercise significant influence
over Lucid . As of March 31, 2025, continues to hold 31,302,444
shares
of common stock of Lucid Diagnostics.
Lucid Diagnostics — Intercompany Obligation
Settlement; Special Distribution
On January 26, 2024, PAVmed elected
to receive payment of $ 4,675 of fees and reimbursements due from Lucid, through the issuance of 3,331,771 shares of Lucid Diagnostics
common stock. On February 15, 2024, the Company distributed by special dividend to the Company stockholders, as of the record date noted
above, 3,331,747 shares of Lucid Diagnostics common stock held by the Company.
Veris Health
As of March 31, 2025, there were
8,677,143 shares of common stock of Veris Health issued and outstanding, of which PAVmed holds an 73.69 % majority-interest ownership and
PAVmed has a controlling financial interest, with the remaining 26.31 % minority-interest ownership held by an unrelated third-party. Accordingly,
Veris Health is a consolidated majority-owned subsidiary of the Company, for which a provision of a noncontrolling interest (NCI) is included
as a separate component of consolidated stockholders’ equity in the accompanying unaudited condensed consolidated balance sheets.
27
Note 15 — Net Income (Loss) Per Share
The Net income (loss) per share
- attributable to PAVmed Inc. - basic and diluted and Net income (loss) per share - attributable to PAVmed Inc. common stockholders -
basic and diluted - for the respective periods indicated - is as follows:
Schedule
of Comparison of Basic and Fully Diluted Net Loss Per Share
2025
2024
Three Months Ended
March 31,
2025
2024
Numerator
Net income (loss) - before noncontrolling interest
$ 18,623
$ ( 18,512 )
Net income (loss) attributable to noncontrolling interest
345
3,300
Net income (loss) - as reported, attributable to PAVmed Inc.
$ 18,968
$ ( 15,212 )
Series B Convertible Preferred Stock dividends – earned
$ ( 86 )
$ ( 80 )
Series C Convertible Preferred Stock dividends - earned
$ ( 398 )
$ —
Deemed dividend on Series C Convertible Preferred Stock
$ ( 789 )
$ —
Deemed dividend on Subsidiary Preferred Stock attributable to the noncontrolling interests
$ —
$ ( 7,496 )
Net income (loss) attributable to PAVmed Inc. common stockholders used in basic EPS calculation
$ 17,695
$ ( 22,788 )
Fair Value Adjustment for diluted EPS calculation
$ —
$ —
Net income (loss) attributable to PAVmed Inc. common stockholders used in dilutive EPS calculation
$ 17,695
$ ( 22,788 )
Denominator
Weighted average common shares outstanding, basic
13,876,165
8,694,904
Add: Restricted stock awards
324,420
—
Add: PAVM Pre-Funded Warrants
353,143
—
Add: Senior Convertible Note
18,694,889
—
Add: Series B Convertible Preferred Stock
94,212
—
Add: Series C Convertible Preferred Stock
19,153,572
—
Weighted average common shares outstanding, diluted
52,496,401
8,694,904
Net income (loss) per share (1)
Net income (loss) per share attributable to PAVmed Inc. common
stockholders, basic (1)
$ 1.28
$ ( 2.62 )
Net income (loss) per share attributable to PAVmed Inc. common
stockholders, diluted (1)
$ 0.34
$ ( 2.62 )
(1) - Convertible preferred stock and restricted stock awards would potentially be considered
a participating security under the two-class method of calculating net income (loss) per share. For periods where losses are presented,
such holders are not contractually obligated to share in the losses, there is no impact on the Company’s net income (loss) per
share calculation for the periods indicated.
The common stock equivalents have
been excluded from the computation of diluted weighted average shares outstanding as their inclusion would be anti-dilutive, are as follows:
The Series B Convertible Preferred
Stock dividends earned as of each of the respective periods noted, are included in the calculation of basic and diluted net loss attributable
to PAVmed common stockholders for each respective period presented. Notwithstanding, the Series B Convertible Preferred Stock dividends
are recognized as a dividend payable only upon the dividend being declared payable by the Company’s board of directors.
28
Note 15 — Net Income (Loss) Per Share - continued
Basic weighted-average number of
shares of common stock outstanding for the three months ended March 31, 2025 and 2024 include the shares of the Company issued and outstanding
during such periods, each on a weighted average basis. The basic weighted average number of shares of common stock outstanding excludes
common stock equivalent incremental shares, while diluted weighted average number of shares outstanding includes such incremental shares.
However, as the Company was in a loss position for the three months ended March 31, 2024, basic and diluted weighted average shares outstanding
are the same, as the inclusion of the incremental shares would be anti-dilutive. The common stock equivalents excluded from the computation
of diluted weighted average shares outstanding are as follows:
Schedule
of Antidilutive Securities Excluded from Computation of Diluted Earnings Per Share
2025
2024
March 31,
2025
2024
Stock options
568,391
1,243,933
Restricted stock awards
—
460,527
Series Z Warrants
795,830
795,830
Series B Convertible Preferred Stock
—
88,756
Total
1,364,221
2,589,046
The total stock options are inclusive
of 54,480 and 60,054 stock options as of March 31, 2025 and 2024, respectively, granted outside the PAVmed 2014 Equity Plan.
Note 16 — Segment Information
PAVmed is structured to be a multi-product
life sciences company organized to advance a pipeline of innovative healthcare technologies. PAVmed is focused on innovating, developing,
acquiring, and commercializing novel products that target unmet medical needs with large addressable market opportunities. Leveraging
our corporate structure—a parent company that will establish distinct subsidiaries for each financed asset—we have the flexibility
to raise capital at the PAVmed level to fund product development, or to structure financing directly into each subsidiary in a manner
tailored to the applicable product, the latter of which is our current strategy given prevailing market conditions.
Our current focus is multi-fold.
We continue to support the commercial expansion and execution of EsoGuard, which is the flagship product of our subsidiary Lucid, of which
we remain the shareholder with the largest voting interest. In addition, through a separate majority-owned subsidiary, Veris Health we
are focused in the immediate term on entering into strategic partnership opportunities with leading academic oncology systems to expand
access to the Veris Cancer Care Platform, while concurrently developing an implantable physiological monitor, designed to be implanted
alongside a chemotherapy port, which will interface with the Veris Cancer Care Platform. The Company manages the business activities on
a consolidated basis and operates in one reportable segment.
PAVmed’s Chief Executive Officer
is the Chief Operating Decision Maker (“CODM”). The CODM uses consolidated net income(loss) to assess segment profit or loss,
allocate resources and assess performance. Further, the CODM reviews and utilizes functional expenses (cost of revenues, sales and marketing,
research and development, and general and administrative) at the consolidated level to manage the Company’s operations. The Company’s
significant segment expenses and other segment items align with the financial statements line items presented in its the consolidated
statements of operations.
During the three months ended March
31, 2025 and 2024 revenues resulting from subscription revenue or patient laboratory test results was concentrated in the United States. The measure
of segment assets is reported on the balance sheet as total consolidated assets, and concentrated in the United States.
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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.