Item 9A. Controls and Procedures
ITEM
9A. CONTROLS AND PROCEDURES
Evaluation
of Disclosure Controls and Procedures
Disclosure
controls are procedures that are designed with the objective of ensuring that information required to be disclosed in our reports filed
under the Exchange Act, such as this Report, is recorded, processed, summarized, and reported within the time period specified in the
SEC’s rules and forms. Disclosure controls are also designed with the objective of ensuring that such information is accumulated
and communicated to our management, including the chief executive officer and chief financial officer, as appropriate to allow timely
decisions regarding required disclosure. Our management evaluated, with the participation of our principal executive officer and principal
financial officer (our “Certifying Officers”), the effectiveness of our disclosure controls and procedures as of December
31, 2025, pursuant to Rule 13a-15(b) under the Exchange Act. Based upon that evaluation, our Certifying Officers concluded that, as of
December 31, 2025, our disclosure controls and procedures were not effective.
We do not expect
that our disclosure controls and procedures will prevent all errors and all instances of fraud. Disclosure controls and procedures, no
matter how well conceived and operated, can provide only reasonable, not absolute, assurance that the objectives of the disclosure controls
and procedures are met. Further, the design of disclosure controls and procedures must reflect the fact that there are resource constraints,
and the benefits must be considered relative to their costs. Because of the inherent limitations in all disclosure controls and procedures,
no evaluation of disclosure controls and procedures can provide absolute assurance that we have detected all our control deficiencies
and instances of fraud, if any. The design of disclosure controls and procedures also is based partly on certain assumptions about the
likelihood of future events, and there can be no assurance that any design will succeed in achieving its stated goals under all potential
future conditions.
Management’s
Report on Internal Controls Over Financial Reporting
Management
is responsible for establishing and maintaining adequate internal control over financial reporting, as such term is defined in Rule 13a-15(f)
under the Exchange Act. Internal control over financial reporting is a process designed to provide reasonable assurance regarding the
reliability of financial reporting and the preparation of consolidated financial statements for external purposes in accordance with
accounting principles generally accepted in the United States. Because of its inherent limitations, internal control over financial reporting
may not prevent or detect misstatements. Also, projections of any evaluation of effectiveness to future periods are subject to the risk
that controls may become inadequate because of changes in conditions or because the degree of compliance with policies or procedures
may deteriorate.
Under
the supervision and with the participation of our management, including our principal executive officer and principal financial officer,
we conducted an evaluation of the effectiveness of our internal control over financial reporting as of December 31, 2025, as such term
is defined in Rules 13a-15(f) and 15d-15(f) under the Exchange Act. Based upon their evaluation, our principal executive officer and
principal financial officer, concluded that our internal control over financial reporting (as defined in Rules 13a-15(f) and 15d-15(f)
under the Exchange Act) were not effective as of December 31, 2025 due to the existence of material weaknesses. Our internal controls
did not detect an error in (i) segregation of duties in the financial statement close process, (ii) lack of review controls and expertise
to ensure accurate valuations and accounting of financial instruments, and (iii) lack of technical accounting expertise and internal
controls to ensure accurate preparation of its financial statements in accordance with U.S. GAAP including complex debt and equity instruments.
We
do not expect that our disclosure controls and procedures will prevent all errors and all instances of fraud. Disclosure controls and
procedures, no matter how well conceived and operated, can provide only reasonable, not absolute, assurance that the objectives of the
disclosure controls and procedures are met. Further, the design of disclosure controls and procedures must reflect the fact that there
are resource constraints, and the benefits must be considered relative to their costs. Because of the inherent limitations in all disclosure
controls and procedures, no evaluation of disclosure controls and procedures can provide absolute assurance that we have detected all
our control deficiencies and instances of fraud, if any. The design of disclosure controls and procedures also is based partly on certain
assumptions about the likelihood of future events, and there can be no assurance that any design will succeed in achieving its stated
goals under all potential future conditions.
This
Annual Report does not include an attestation report of our registered public accounting firm due to a transition period established
by rules of the SEC for an “emerging growth company,” as defined in Section 2(a) of the Securities Act of 1933, as amended,
or the Securities Act, as modified by the Jumpstart Our Business Startups Act of 2012.
Changes
in Internal Controls over Financial Reporting
There
have been no changes in our internal controls over financial reporting that occurred during the year ended December 31, 2025, that have
materially affected, or are reasonably likely to materially affect, or are reasonably likely to materially affect, our internal control
over financial reporting, other than as described above.
ITEM
9B. OTHER INFORMATION
None .
ITEM
9C. DISCLOSURE REGARDING FOREIGN JURISDICTIONS THAT PREVENT INSPECTIONS
None.
100
PART
III
ITEM
10. DIRECTORS, EXECUTIVE OFFICERS AND CORPORATE GOVERNANCE
Directors
and Executive Officers
The
following table sets forth the names and ages of all of our directors and executive officers as of April 14, 2026. Our officers are appointed
by, and serve at the pleasure of, the Company’s board of directors (the “Board”).
Name
Age
Position
Ben
C. Hwang, Ph.D.
58
Chairman
of the Board; Chief Executive Officer
Fred
Knechtel
65
Chief
Financial Officer
Rajesh
Asorpota
59
Director
Lauren
Chung
53
Director
Peter
O’Rourke
53
Lead
Independent Director
Jack
Stover
73
Director
Bill
McMillan
75
Co-founder,
Chief Scientific Officer, and Head of Research
The
following is information about the experience and attributes of the members of our Board and senior executive officers as of the date
of this Annual Report. The experience and attributes of our directors discussed below provide the reasons that these individuals were
selected for Board membership, as well as why they continue to serve in such positions.
Ben
C. Hwang, Ph.D . — Dr. Hwang has served as Profusa’s Chairman of the board and Chief Executive Officer since January 2012.
Prior to Profusa, Dr. Hwang served in a variety of leadership roles at Life Technologies Corp. (acquired by Thermo Fisher Scientific,
Inc.), including President of the Asia Pacific Region and Head of the qPCR Division. Prior to joining Life Technology, Dr. Hwang was
a consultant with McKinsey & Company. Dr. Hwang received his M.A. in Biology and Ph.D. in Biology from The Johns Hopkins University.
We believe that Dr. Hwang is well-qualified to serve as a director of the Company based on his familiarity with Profusa’s business,
his experience in the life science industry, and his educational background.
Fred
Knechtel — Fred Knechtel has served as our Chief Financial Officer since July 2025, and was the Co-Founder, Director and CFO
of Northview Acquisition Corporation between August 2023 through the closing of the Business Combination in July 2025. From August 2022
to August 2023, Mr. Knechtel served as chief financial officer of DiamiR Biosciences. From January 2020 to January 2021, Mr. Knechtel
served as chief financial officer of Interpace Biosciences, Inc. From June 2018 to December 2018, Mr. Knechtel served as chief financial
officer of GENEWIZ, Inc. From November 2014 to November 2017, Mr. Knechtel served as group chief financial officer of Sims Metal Management.
From November 2009 to October 2014, Mr. Knechtel served as chief financial officer of Remy International, Inc. Mr. Knechtel received
a Bachelor of Engineering from Stony Brook University and a M.B.A in Finance from Hofstra University. We believe that Mr. Knechtel is
well-qualified to serve as a director of the Company based on Mr. Knechtel’s experience holding high level executive positions
in the life sciences industry, and his financial and accounting experience.
Rajesh
Asarpota — Rajesh Asarpota has served as a director since July 2025. Mr. Asarpota is currently the chief financial officer
at Augmedics, a company that has pioneered cutting-edge augmented reality technologies to improve surgical outcomes for spine surgery.
Prior to Augmedics, from September 2020 to October 2021, he served at ApiJect as executive vice president, chief financial officer and
head of technology. ApiJect is a medical technology company that seeks to revolutionize how medicines and vaccines are filled, finished
and delivered. Prior to ApiJect, from August 2017 to September 2020, Asarpota served as executive vice president and chief financial
officer with NuVasive, a global public company and leader in minimally invasive, procedurally integrated spine solutions. Prior to NuVasive,
he spent two years in the private equity space at Imaging Advantage and Cole Parmer as executive vice president and chief financial officer.
Imaging Advantage was acquired by Envision in 2015. In 2014, he served as the executive vice president and chief financial officer for
Questcor Pharmaceuticals which was acquired by Mallinckrodt in a $5.6B transaction. Mr. Asarpota also spent a decade at Life Technologies,
a global life sciences company where he was responsible for helping scale the organization, driving growth through organic and M&A
channels. During his tenure, the company revenue grew from approximately $1B to more than $4B in 2014, leading to the company’s
sale to Thermo Fisher for $13.6 billion that year. Prior to Life Technologies, Mr. Asarpota spent 11 years at GE in several finance leadership
roles. Mr. Asarpota holds a M.B.A. from Marquette University and a Bachelor of Commerce from the University of Bombay. We believe that
Mr. Asarpota is well-qualified to serve as a director of the Company based on his healthcare focused experience.
101
Lauren
Chung — Lauren Chung has served as a director since July 2025. Since November 2019, Dr. Chung has served as chief executive
officer of MINLEIGH LLC, identifying, evaluating and partnering with companies for investments and strategic, operational, and commercial
opportunities, and venture partner at Yozma Group. From May 2017 to November 2019, Dr. Chung was an Equity Research Managing Director
at WestPark Capital. From August 2016 to April 2017, Dr. Chung as in equity research at Maxim Group. Previously, Dr. Chung founded and
served as chief operating officer and chief compliance officer of Tokum Capital Management, a global healthcare investment fund. Prior
to that, she managed healthcare investment portfolios at institutional investment firms. Dr. Chung serves as director of Todos Medical
Ltd. Dr. Chung previously served as director of Cure Pharmaceutical Holding Corp from August 2019 until November 2021, UltraSight, Inc
from December 2020 to December 2021, and AdiTxt, Inc. from June 2021 until December 2021. Dr. Chung holds a Ph.D. in Neuropathology from
Columbia University-College of Physicians & Surgeons, an M.B.A from Columbia Business School, and a BA with honors in Biochemistry
and Economics from Wellesley College. We believe that Dr. Chung is well-qualified to serve as a director of the Company based on Dr.
Chung’s extensive corporate board and investment analysis experience.
Peter
O’Rourke — Peter O’Rourke has served as Lead Independent Director since July 2025. Since December 2018, Mr. O’Rourke
has served as Managing Partner at TCI Partners, a consulting firm focused on healthcare, aerospace and the public sector. From November
2020-August 2022, Mr. O’Rourke was President and Director for Western Magnesium, where he created the U.S. operations strategy
and team during the successful technology pilot phase of the company, and led enterprise and defense business development, government
affairs, and communications. From January 2017 to December 2018, Mr. O’Rourke served as the Acting Secretary and Chief of Staff
of the Department of Veteran Affairs. From May 2015 to July 2016, Mr. O’Rourke served as a principal of Calibre Systems, Inc.,
a consulting firm. Mr. O’Rourke also served in both the U.S. Navy and Air Force. Mr. O’Rourke served as Director for AXIM
Biotechnologies from July 2020 to present. AXIM is a vertically integrated research and development company focused on improving the
landscape for the diagnosis of ophthalmological conditions such as Dry Eye Disease (DED) through rapid diagnostic tests. Mr. O’Rourke
received a Bachelor of Arts in Political Science from the University of Tennessee in Knoxville as well as a Master of Science in Logistics
and Supply Chain Management from the United States Air Force’s Institute of Technology. We believe that Mr. O’Rourke is well-qualified
to serve as a director of the Company based on Mr. O’Rourke’s leadership and consulting experience in the healthcare industry.
Jack
Stover — Jack Stover has served as a director since July 2025. Since November 2018, Mr. Stover has been director, member of
the compensation committee, chairman of the audit committee, chairman of the special deal committee and recently Lead Independent Director
of Traws Pharma Inc. (TRAW) (formerly Onconova Therapeutics, Inc. (ONTX)) a Nasdaq-based novel small molecule anti-viral and oncology
therapeutics company with products in various clinical trials. Mr. Stover has also been a member of the board of directors of Stero Therapeutics,
Inc., a private medical company, since February 2024. Mr. Stover was appointed to the board of directors and chairman of the audit committee
of PharmaCyte Biotech, Inc. (PMBC) effective August 15, 2022 and resigned from the board effective November 1, 2022. From June 2016 to
November 2020, Mr. Stover served as president, chief executive officer and director of Interpace Biosciences, Inc., (IDXG) a publicly-traded
small cap life sciences company providing complex molecular analysis for the early diagnosis and treatment of cancer and supporting the
development of targeted therapeutics and previously from December 2015 until June 2016, served as interim president and chief executive
officer of IDXG. Mr. Stover was also on the board of directors of IDXG from August 2005 until November 2020, and was chairman of the
audit committee from August 2005 until December 2015. From June 2016 to December 2016, Mr. Stover was chairman of the audit committee
and a member of the board of directors of Viatar CTC Solutions, Inc. From 2004 to 2008, he served as chief executive officer, president
and director of Antares Pharma, Inc., a publicly held specialty pharmaceutical company then listed on the American Stock Exchange. In
addition to other relevant experience, Mr. Stover was also formerly a partner with PricewaterhouseCoopers (then Coopers and Lybrand),
working in the bioscience industry division in Pennsylvania and New Jersey. Mr. Stover received his B.A. in Accounting from Lehigh University
and is a Certified Public Accountant. We believe that Mr. Stover is well-qualified to serve as a director of the Company based on Mr.
Stover’s experience holding senior leadership positions in the life sciences industry, and his specific experience and skills in
the areas of general operations, financial operations and administration.
102
Bill
McMillan — Bill McMillan was the initial driving force to start Profusa — he built the company road map, enlisted top
talent and secured seed funding. As a co-inventor of Profusa’s biologically integrated sensor and optical reader, Bill McMillan
is a biotech pioneer whose career has spanned more than three decades in the development of next-generation diagnostic and medical device
technologies and products, the last 20 years as an entrepreneur. He was the co-founder and Senior Vice President of Research and development
at Cepheid, Inc. (NASDAQ: CPHD), a global leader in developing and commercializing easy-to-use molecular diagnostic products. He earned
a B.S. in Chemistry and an M.S. in Microbiology from San Jose State University and later became a certified public health microbiologist
before moving to the medical technology industry.
No
director is related to any other director or executive officer of the Company or any of our subsidiaries, and, there are no arrangements
or understandings between a director and any other person pursuant to which such person was elected as director.
Corporate
Governance
Classification
of Board of Directors
Our
board of directors consists of five members, divided into three classes of directors that serve staggered three-year terms. At each annual
meeting of stockholders, a class of directors is elected for a three-year term to succeed the same class whose term is then expiring.
As a result, only one class of directors is elected at each annual meeting of our stockholders, with the other classes continuing for
the remainder of their respective three-year terms. Our directors are divided among the three classes as follows:
● the
Class I director is Lauren Chung, and her term will expire at the first annual meeting of
stockholders;
● the
Class II directors are Jack Stover and Peter O’Rourke, and their terms will expire
at the second annual meeting of stockholders; and
● the
Class III directors are Ben Hwang and Rajesh Asarpota, and their terms will expire at the
third annual meeting of stockholders.
Dr.
Hwang serves as both Chairman of the board and Chief Executive Officer, and Mr. O’Rourke serves as the Lead Independent Director.
Our board believes that this strikes an appropriate balance between strong Company leadership with deep knowledge of our business through
a combined Chairman of the board and Chief Executive Officer role, and independent oversight through a Lead Independent Director position.
More specifically, our Board believes that the Lead Independent Director position helps maintain an appropriate level of independent
checks and balances, enables independent oversight of management and encourages objective oversight of management’s performance,
reinforcing the independence of the board as a whole and enhancing its overall effectiveness. In the role of Lead Independent Director,
Mr. O’Rourke will (i) preside over Board meetings at which the Chairman of the board is not present, (ii) preside over executive
sessions of the independent directors, (iii) serve as a liaison between the independent directors and the Chairman of the board, (iv)
be authorized to call meetings of the independent directors, (v) lead the board in discussions concerning our Chief Executive Officer’s
performance and succession, (vi) consult with the Chairman of the board regarding meeting agendas and meeting schedules for the board,
(vii) be available for consultation and direct communication if requested by major stockholders and (viii) perform such other duties
as requested by the board.
103
While
the board has concluded that this leadership structure is appropriate for us at this time, the Nominating and Corporate Governance Committee
will be charged with periodically reviewing the board’s leadership structure. With the committee’s support, the board will
continue to regularly evaluate its leadership structure and may exercise its discretion to make changes designed to ensure an appropriate
and effective framework of governance and accountability, taking into consideration the needs of our business and the long-term interests
of our stockholders.
Each
director’s term continues until the election and qualification of his or her successor, or his or her earlier death, resignation
or removal. Our certificate of incorporation and bylaws authorize only our board of directors to fill vacancies on the board of directors.
Any increase or decrease in the number of directors will be distributed among the three classes so that, as nearly as possible, each
class will consist of one-third of the directors. This classification of our board of directors may have the effect of delaying or preventing
changes in control.
Independence
of our Board of Directors
Four
(4) of our five (5) directors are independent directors and our board consists of an independent audit committee, nominating committee
and compensation committee. Jack Stover, Peter O’Rourke, Rajesh Asorpota, and Lauren Chung are “independent directors,”
as defined in Nasdaq listing standards and applicable SEC rules.
Board
Committees
Audit
Committee
Our
audit committee is responsible for, among other things:
● appointing,
compensating, retaining, evaluating, terminating and overseeing our independent registered
public accounting firm;
● discussing
with our independent registered public accounting firm their independence from management;
● reviewing,
with our independent registered public accounting firm, the scope and results of their audit;
● approving
all audit and permissible non-audit services to be performed by our independent registered
public accounting firm;
● overseeing
the financial reporting process and discussing with management and our independent registered
public accounting firm the annual financial statements that we file with the SEC;
104
● overseeing
our financial and accounting controls and compliance with legal and regulatory requirements;
● reviewing
our policies on risk assessment and risk management;
● reviewing
related person transactions; and
● establishing
procedures for the confidential anonymous submission of concerns regarding questionable accounting,
internal controls or auditing matters.
Our
audit committee consists of Lauren Chung (Chair), Rajesh Asarpota and Peter O’Rourke each of whom qualify as independent directors
according to the rules and regulations of the SEC and Nasdaq with respect to audit committee membership. In addition, all of the audit
committee members meet the requirements for financial literacy under applicable SEC and Nasdaq rules and qualify as an “audit committee
financial expert,” as such term is defined in Item 407(d) of Regulation S-K. Our Board has adopted a written charter for the audit
committee, which is be available on our website. The reference to our website address in this Annual Report does not include or incorporate
by reference the information on our website into this Annual Report.
Compensation
Committee
Our
compensation committee is responsible for, among other things:
● reviewing
and approving the corporate goals and objectives, evaluating the performance of and reviewing
and approving, (either alone or, if directed by the board of directors, in conjunction with
a majority of the independent members of the board of directors) the compensation of our
Chief Executive Officer;
● overseeing
an evaluation of the performance of and reviewing and setting or making recommendations to
our board of directors regarding the compensation of our other executive officers;
● reviewing
and approving or making recommendations to our board of directors regarding our incentive
compensation and equity-based plans, policies and programs;
● reviewing
and approving all employment agreement and severance arrangements for our executive officers;
● making
recommendations to our board of directors regarding the compensation of our directors; and
● retaining
and overseeing any compensation consultants.
Our
compensation committee consists of Rajesh Asarpota (Chair), Lauren Chung, and Peter O’Rourke, each of whom qualify as independent
directors according to the rules and regulations of the SEC and Nasdaq with respect to compensation committee membership, including the
heightened independence standards for members of a compensation committee. Our board adopted a written charter for the compensation committee,
which is available on our website. The reference to our website address in this Annual Report does not include or incorporate by reference
the information on our website into this Annual Report.
105
Nominating
Committee
Our
nominating committee is responsible for, among other things:
● identifying
individuals qualified to become members of our board of directors, consistent with criteria
approved by our board of directors;
● overseeing
succession planning for our Chief Executive Officer and other executive officers;
● periodically
reviewing our board of directors’ leadership structure and recommending any proposed
changes to our board of directors;
● overseeing
an annual evaluation of the effectiveness of our board of directors and its committees; and
● developing
and recommending to our board of directors a set of corporate governance guidelines.
Our
nominating committee consists of Peter O’Rourke (Chair), Jack Stover and Lauren Chung, each of whom qualify as independent directors
according to the rules and regulations of the SEC and Nasdaq with respect to nominating committee membership. Our board adopted a written
charter for the nominating committee, which is available on our website after adoption. The reference to our website address in this
Annual Report does not include or incorporate by reference the information on our website into this Annual Report.
Risk
Oversight
Our
board of directors is responsible for overseeing our risk management process. Our board of directors focuses on our general risk management
strategy, the most significant risks facing us, and oversees the implementation of risk mitigation strategies by management. Our audit
committee is also responsible for discussing our policies with respect to risk assessment and risk management. Our board of directors
believes its administration of its risk oversight function has not negatively affected our board of directors’ leadership structure.
Code
of Ethics
Our
board adopted a Code of Ethics applicable to our directors, executive officers and team members that complies with the rules and regulations
of Nasdaq and the SEC. The Code of Ethics is available on our website. In addition, we intends to post on the Corporate Governance section
of our website all disclosures that are required by law or Nasdaq listing standards concerning any amendments to, or waivers from, any
provision of the Code of Ethics. The reference to our website address in this Annual Report does not include or incorporate by reference
the information on our website into this Annual Report.
Delinquent
Section 16(a) Reports
Section
16(a) of the Exchange Act requires the Company’s directors, executive officers and persons who beneficially own more than 10% of
the Company’s common stock (collectively, “Reporting Persons”) to file with the SEC reports regarding their ownership
and changes in our ownership of our securities. We believe that, during 2025, all Reporting Persons complied with all Section 16(a) filing
requirements.
106
ITEM
11. EXECUTIVE COMPENSATION
We
have opted to comply with the executive compensation disclosure rules applicable to emerging growth companies, as we are an emerging
growth company. The scaled down disclosure rules are those applicable to “smaller reporting companies,” as such term is defined
in the rules promulgated under the Securities Act. Such rules require compensation disclosure for Profusa’s principal executive
officer and its two most highly compensated executive officers other than the principal executive officer whose total compensation for
2025 exceeded $100,000, who were serving as the Company’s executive officers as of December 31, 2025. We refer to these individuals
as the Company’s “named executive officers.” For 2025, Ben Hwang, Chief Executive Officer and Chairman, and Fred Knechtel,
Chief Financial Officer were Profusa’s “named executive officers.”
Compensation
of Named Executive Officers
Cash
Compensation
Base
salaries are intended to provide a level of compensation sufficient to attract and retain an effective management team, when considered
in combination with the other components of the executive compensation program. In general, Profusa provides a base salary level designed
to reflect the executive officer’s scope of responsibility and accountability. While cash bonuses have been provided on a discretionary
basis in prior years, Dr. Hwang and Mr. Knechtel received a cash bonus for respective amounts as shown below in the summary compensation
table with respect to 2025.
Equity
Awards
While
Profusa maintains an equity compensation plan, during 2025, Dr. Hwang and Mr. Knechtel did not receive any equity awards with respect
to Profusa and, as of December 31, 2025, Dr. Hwang and Mr. Knechtel did not hold any outstanding equity awards with respect to Profusa.
Summary
Compensation Table
The
following table shows information regarding the compensation of Dr. Hwang and Mr. Knechtel, our named executive officers, for services
performed in the years ended December 31, 2025 and 2024.
Name
and Principal Position
Year
Salary
($)
Bonus ($)
All
other compensation ($)
Total
($)
Ben Hwang, Chief
Executive Officer
2024
470,000
—
—
470,000
2025
300,000
2,000,000
—
2,300,000
Fred Knechtel, Chief Financial
Officer
2025
165,801
520,000
—
685,801
Additional
Narrative Disclosure
Severance
Arrangements
Profusa
generally executes an offer of employment before an executive joins Profusa. This offer describes the basic terms of the executive’s
employment, including his or her start date, starting salary, annual incentive target (if any) and equity awards. Profusa does not maintain
a general severance policy. However, Dr. Hwang’s offer letter, dated January 1, 2013, provides that, upon a termination of employment
by Profusa without cause, Profusa will pay him six months’ base salary plus a pro-rata portion of any earned bonus payment (in
a lump sum payment), as well as pay his monthly COBRA premiums for up to six months, subject to Dr. Hwang’s execution of a release
of claims in favor of Profusa.
401(k)
Plan
Profusa
maintains a qualified 401(k) savings plan which allows participants to defer a portion of their compensation to the 401(k) savings plan
on a before-tax and after-tax basis. Profusa provides discretionary profit sharing contributions on behalf of its eligible participants.
Profusa did not make any profit sharing contributions in 2025.
Director
Compensation
Profusa’s
historical director compensation program has consisted of equity awards. However, in 2025, Profusa did not grant any equity awards to
its non-employee directors. In 2026, we entered into a director’s agreement with each of our non-employee directors, and a total
of $110,000 was paid out for 2025 compensation. See table below for summary of annual cash retainers for non-employee directors.
107
As
of December 31, 2025, the non-employee directors held outstanding options to purchase Profusa shares as follows: Joan Braddi - 80,000
shares. Mr. Knechtel and Dr. Hwang, as Profusa’s Chief Financial Officer and Chief Executive Officer, respectively, did not receive
any additional compensation for their service on the Profusa board of directors. Please see the Summary Compensation Table for the compensation
paid or awarded to Dr. Hwang and Mr. Knechtel in 2025.
Annual retainer
for nonemployee
directors
Board of Directors:
Members
$ 35,000
Lead director
$ 50,000
Audit Committee
Member
$ 7,500
Chairperson
$ 15,000
Compensation Committee
Member
$ 5,000
Chairperson
$ 10,000
Nominating and Corporate
Governance Committee
Member
$ 3,750
Chairperson
$ 7,500
Granting
of Certain Equity Awards Close in Time to the Release of Material Nonpublic Information
We
do not grant equity awards in anticipation of the release of material nonpublic information that is likely to result in changes to the
price of our Common Stock, and do not time the public release of such information based on award grant dates. During the last completed
fiscal year, we have not made awards to any named executive officer or director during the period beginning four business days before
and ending one business day after the filing of a period report on Form 10-Q or Form 10-K or the filing or furnishing of a current report
on Form 8-K, and we have not timed the disclosure of material nonpublic information for the purpose of affecting the value of executive
compensation.
ITEM
12. SECURITY OWNERSHIP OF CERTAIN BENEFICIAL OWNERS AND MANAGEMENT AND RELATED STOCKHOLDER MATTERS
The
following table sets forth information, as of April 14, 2026, regarding beneficial ownership of our common stock by:
● each
of our directors;
● each
of our named executive officers;
● all
directors and executive officers as a group; and
● each
person, or group of affiliated persons, known by us to beneficially own more than five percent
of our shares of common stock.
Beneficial
ownership is determined according to the rules of the SEC, which generally provide that a person has beneficial ownership of a security
if he, she or it possesses sole or shared voting or investment power over that security, including options, warrants and certain other
derivative securities that are currently exercisable or will become exercisable within 60 days.
The
percentage of beneficial ownership is based on 4,410,268 shares of Common Stock issued and outstanding as of April 14, 2026.
In
accordance with SEC rules, shares of our Common Stock which may be acquired upon exercise of stock options or warrants which are currently
exercisable or which become exercisable within 60 days of the date hereof are deemed beneficially owned by the holders of such options
and warrants and are deemed outstanding for the purpose of computing the percentage of ownership of such person, but are not treated
as outstanding for the purpose of computing the percentage of ownership of any other person.
108
Unless
otherwise indicated, the business address of each of the entities, directors and executives in this table is 626 Bancroft Way, Suite
A, Berkeley, CA 94710. Unless otherwise indicated and subject to community property laws and similar laws, the Company believes that
all parties named in the table below have sole voting and investment power with respect to all shares of Common Stock beneficially owned
by them.
Beneficial
Ownership Table
Name of Beneficial Owner
Executive
Officers and Directors:
Shares
Percentage
Ben Hwang, Ph.D.
(1)
8,858
*
Fred Knechtel
14,764
*
Rajesh Asarpota
—
—
Lauren Chung
400
*
Peter O’Rourke
1,436
*
Jack Stover
7,382
*
All directors and executive
officers as a group (six individuals) (1)
32,840
*
* Indicates
beneficial ownership of less than 1% of the outstanding common stock.
(1) Includes
2,494 shares held by Samantha Chiu, the spouse of Ben Hwang, Ph.D.
Equity
Compensation Plans
The
following table discloses the number of outstanding options, warrants and rights granted to participants by the Company under its equity
compensation plans, as well as the number of securities remaining available for future issuance under these plans as of December 31,
2025. The table provides this information separately for equity compensation plans that have and have not been approved by security holders.
Additional information regarding stock incentive plans is presented within Note 9 and Note 10 of the Company’s audited consolidated
financial statements included in Item 8 of this Annual Report.
Number
of securities to be issued upon exercise of outstanding options, warrants and rights
Weighted-average
exercise price of outstanding options, warrants and rights
Number
of securities remaining available for future issuance under equity compensation plans (excluding securities reflected in column (a))
Equity
compensation plans approved by security holders
246,349
$ 855.54
100,386
Equity
compensation plans not approved by security holders
—
—
—
Total
246,349
$ 855.54
100,386
109
ITEM
13. CERTAIN RELATIONSHIPS AND RELATED TRANSACTIONS, AND DIRECTOR INDEPENDENCE
Tasly
Convertible Note
In
June 2023, Profusa entered into a short-term loan agreement with Tasly, a shareholder of Profusa, which it may borrow up to $1.6 million,
of which $1.0 million was borrowed on June 26, 2023, and the remainder was available to be borrowed by August 31, 2023. The loan bears
interest at a rate of 12% per annum and matured on December 31, 2023, subject to the parties’ decision to extend. Upon occurrence
of certain events of default by Profusa, including failure to repay in full the amounts owed at maturity, the lender will have an option
to convert the entire outstanding balance and accrued but unpaid interest under the Tasly Convertible Note into senior unsecured promissory
notes on substantially the same terms as the outstanding Senior Notes as of December 31, 2025. In the event Profusa fails to repay
the Tasly Convertible Note, the lender will have an option to convert the entire outstanding balance and accrued but unpaid interest
under the Tasly Convertible Note into either (i) senior unsecured promissory notes on substantially the same terms as the outstanding
Senior Notes as of December 31, 2025, or (ii) the Common Stock at a conversion price of $144 per share.
Profusa
elected to apply the fair value option to account for the Tasly Convertible Note. Accordingly, no features of the Tasly Convertible Note
are bifurcated and separately accounted for. The fair value of the Tasly Convertible Note was $1.6 million at issuance and $2.3 million
as of December 31, 2025. Accrued stated interest on the Tasly Convertible Note was $0.4 million for the year ended December 31,
2025.
Equity
Grants to Executive Officers and Directors
Profusa
has granted stock options to its executive officers and certain directors, as more fully described in Item 11.
Director
and Executive Officer Compensation
Please
see Item 11 for information regarding the compensation of Profusa’s executive officers and directors.
Severance
Arrangements
Profusa
has entered into severance arrangements with certain of its executive officers. For more information regarding these agreements, see
Item 11.
Indemnification
Agreements
We
entered into new indemnification agreements with each of our directors and executive officers that are not already party to indemnification
agreements. The indemnification agreements, our amended and restated certificate of incorporation and our amended and restated bylaws
require us to indemnify our directors to the fullest extent not prohibited by Delaware law. Subject to certain limitations, our amended
and restated bylaws also require us to advance expenses incurred by our directors and officers.
NorthView
Related Party Transactions Pre-Business Combination
On
April 27, 2023, the Company signed a Convertible Working Capital Promissory Note (“the Note”) with the Sponsor for $1.2 million.
The Note is non-interest bearing and is due the earlier of the consummation of a business combination or the date of liquidation. The
Sponsor may elect to convert all or any portion of the unpaid principal balance of this Note into warrants, at a price of $75 per warrant.
On January 10, 2024, the Company’s board of directors approved, and the Company amended the Note to increase the principal amount
of the Note that could be drawn on to $1.5 million. The amended and restated Note also allows for the conversion of the outstanding principal
balance of the Note to be repaid in shares of Common Stock at a price of $166.50 per share at the election of the Sponsor. On May 31,
2024, the Company’s board of directors approved and the Company entered into a second amendment of the Note to increase the principal
amount of the Note that could be drawn on to $2.5 million. The second amended and restated Note also allows for the conversion of the
outstanding principal balance of the Note to be repaid in shares of Common Stock at a price of $166.50 per share at the election of the
Sponsor. As of December 31, 2025, the Company had principal outstanding of $1.9 million and is presenting the Note at fair value
on its balance sheet at December 31, 2025 in the amount of $1.9 million. As of December 31, 2025, this note was due on July 11,
2025, and on March 20, 2026, we amended the Note to extend the maturity date to December 31, 2026. In addition, on April 6, 2026, the
Company amended the Note to update the conversion price to $0.76 per share and concurrently approved the conversion of the entire outstanding
principal balance of $1.9 million into 2,460,257 shares of its common stock to the holders.
110
Procedures
for Approval of Related Party Transactions
A
“related party transaction” is any actual or proposed transaction, arrangement or relationship or series of similar transactions,
arrangements or relationships, including those involving indebtedness not in the ordinary course of business, to which we or our subsidiaries
were or are a party, or in which we or our subsidiaries were or are a participant, in which the amount involved exceeded or exceeds the
lesser of (i) $120,000 or (ii) one percent of the average of our total assets at year-end for the last two completed fiscal years and
in which any related party had or will have a direct or indirect material interest. A “related party” includes:
● any
person who is, or at any time during the applicable period was, one of our executive officers
or one of our directors;
● any
person who beneficially owns more than 5% of our Common Stock;
● any
immediate family member of any of the foregoing; or
● any
entity in which any of the foregoing is a partner or principal or in a similar position or
in which such person has a 10% or greater beneficial ownership interest.
Our
audit committee is responsible for reviewing and approving in advance any related party transactions.
ITEM
14. PRINCIPAL ACCOUNTANT FEES AND SERVICES
Fees
Billed to the Company in fiscal years 2025 and 2024
Marcum LLP (“Marcum”) served as our independent registered
public accounting firm for the year ended December 31, 2024. On November 1, 2024, CBIZ CPAs P.C. (“CBIZ”) acquired the attestation
business of Marcum LLP (“Marcum”). On April 30, 2025, Marcum resigned as our independent registered public accounting firm,
and on the same day, with the approval of our audit committee, we engaged CBIZ as our independent registered public accounting firm for
the year ending December 31, 2025.
The
following table summarizes the fees for professional services rendered by CBIZ and Marcum (collectively, “Auditors”), which
have been the Company’s independent registered public accounting firm for the years ended December 31, 2025 and 2024, respectively.
Year ended December 31,
2025
2024
Audit fees (1)
$ 664,135
$ 568,040
Audit related fees (2)
—
—
Tax fees (3)
—
—
All other fees (4)
—
—
Total fees
$ 664,135
$ 568,040
(1) Audit fees represent fees for professional services provided
in connection with the audit of our annual financial statements and the review of our quarterly financial statements and those services
normally provided in connection with statutory or regulatory filings or engagements including comfort letters, consents and other services
related to SEC matters. This information is presented as of the latest practicable date for this annual report.
(2) Audit-related fees represent fees for assurance and related
services that are reasonably related to the performance of the audit or review of our financial statements and not reported above under
“Audit Fees.”
(3) During the years ended December 31, 2025 and 2024, our independent
registered public accounting firm did not render services to us for tax compliance, tax advice and tax planning.
(4) All
other fees include fees billed by our independent auditors for products or services other than as described in the immediately preceding
three categories. No such fees were incurred during the fiscal years ended December 31, 2025 or 2024.
Audit
Committee Audit and Non-Audit Services Pre-approval Policy
Our
audit committee has adopted policies and procedures relating to the approval of all audit and non-audit services that are to be performed
by our independent registered public accounting firm. This policy provides that we will not engage our independent registered public
accounting firm to render audit or non-audit services unless the service is specifically approved in advance by our audit committee or
the engagement is entered into pursuant to the pre-approval procedure described below.
From
time to time, our audit committee may pre-approve specified types of services that are expected to be provided to us by our independent
registered public accounting firm during the next 12 months. Any such pre-approval details the particular service or type of services
to be provided and is also generally subject to a maximum dollar amount. During our 2025 and 2024 fiscal years, no services were provided
to us by CBIZ or Marcum other than in accordance with the pre-approval policies and procedures described above.
111
PART
IV
ITEM
15. EXHIBITS AND FINANCIAL STATEMENT SCHEDULES
a) The
following documents are filed as part of this Form 10-K:
(1) Consolidated
Financial Statements:
Report
of Independent Registered Public Accounting Firm (CBIZ CPAs P.C., PCAOB ID No. 199)
F-2
Report
of Independent Registered Public Accounting Firm (Marcum LLP, PCAOB ID No. 688)
F-3
Consolidated
Financial Statements:
Consolidated
Balance Sheets
F-4
Consolidated
Statements of Operations
F-5
Consolidated
Statements of Convertible Preferred Stock and Stockholders’ Deficit
F-6
Consolidated
Statements of Cash Flows
F-7
Notes
to Consolidated Financial Statements
F-8
(2) Financial
Statement Schedules:
Financial
statement schedules have been omitted in this report because they are not applicable, not required under the instructions, or the information
requested is set forth in the consolidated financial statements or related notes thereto.
(3) Exhibits:
See “Index to Exhibits” for a description of our exhibits.
EXHIBIT
INDEX
Exhibit
Number
Description
2.1†
Merger
Agreement and Plan of Reorganization, dated as of November 7, 2022, by and among the Company, Legacy Profusa and Merger Sub (incorporated
by reference to Exhibit 2.1 to the Current Report on Form 8-K, filed on November 10, 2022).
2.2
Amendment
No. 1 to Merger Agreement, dated September 12, 2023 (incorporated by reference to Exhibit 2.2 to the Current Report on Form 8-K,
filed on September 13, 2023)
2.3
Amendment
No. 2 to Merger Agreement, dated January 12, 2024 (incorporated by reference to Exhibit 2.2 to the Current Report on Form 8-K, filed
on January 22, 2024).
2.4
Amendment
No. 3 to Merger Agreement, dated March 4, 2024 (incorporated by reference to Exhibit 2.2 to the Current Report on Form 8-K, filed
on March 14, 2024).
2.5
Amendment
No. 4 to Merger Agreement, dated February 11, 2025 (incorporated by reference to Exhibit 2.1 to the Current Report on Form 8-K, filed
on February 19, 2025).
2.6
Amendment
No. 5 to Merger Agreement, dated April 2, 2025 (incorporated by reference to Exhibit 2.6 to the Registration Statement on Form S-4
filed on May 13, 2025).
3.1
Amended
and Restated Certificate of Incorporation (incorporated by reference to Exhibit 3.1 of the Current Report on Form 8-K filed December
23, 2021).
3.2
Amendment
to the Amended and Restated Certificate of Incorporation of NorthView Acquisition Corp., dated March 10, 2023 (incorporated by reference
to Exhibit 3.1 of the Current Report on Form 8-K filed on March 13, 2023).
3.3
Amended
and Restated Certificate of Incorporation (incorporated by reference to Annex B to the Registration Statement on Form S-4 filed on
May 13, 2025)
3.4
Amendment
to the Amended and Restated Certificate of Incorporation (incorporated by reference to Exhibit 3.1 to the Current Report on Form
8-K filed on October 21, 2025).
3.5
Certificate
of Amendment to the Amended and Restated Certificate of Incorporation (incorporated by reference to Exhibit 3.1 to the Current Report
on Form 8-K filed on February 5, 2026).
3.6
Amended
and Restated Bylaws (incorporated by reference to Annex E to the Registration Statement on Form S-4 filed on May 13, 2025).
4.1
Form
of Commitment Warrant (incorporated by reference to Exhibit 4.1 to the Current Report on Form 8-K filed on July 28, 2025).
10.1+
2025
Equity and Incentive Plan (incorporated by reference to Annex C to the Registration Statement on Form S-4 filed on May 13, 2025).
10.2
Binding
Term Sheet for APAC Joint Venture, between Legacy Profusa, Carbis Bay Limited, BC Sensor Limited and Tasly (International) Healthcare
Capital Company Limited (incorporated by reference to Exhibit 10.5 to the Registration Statement on Form S-4 filed on May 13, 2025)
10.3
Form
of Securities Purchase Agreement, dated February 11, 2025, between the Company and Ascent Partners Fund LLC (incorporated by reference
to Exhibit 10.9 to the Registration Statement on Form S-4 filed on May 13, 2025).
10.4
Amendment
No. 1, dated August 25, 2025, to the Securities Purchase Agreement, dated February 11, 2025, between the Company and Ascent Partners
Fund LLC (incorporated by reference to Exhibit 10.1 to the Current Report on Form 8-K filed on August 26, 2025).
10.5
Amendment
No. 3, dated December 29, 2025, to the Securities Purchase Agreement, dated February 11, 2025, between the Company and Ascent Partners
Fund LLC (incorporated by reference to Exhibit 10.1 to the Current Report on Form 8-K filed on December 30, 2025).
10.6
Amendment No. 4, dated as of April 2, 2026, to the Securities Purchase Agreement, dated as of February 11, 2025, and the Pledge Agreement, dated as of July 11, 2025 (incorporated by reference to Exhibit 10.1 to the Current Report on Form 8-K filed on April 6, 2026).
10.7
Senior
Convertible Promissory Note Purchase Agreement (incorporated by reference to Exhibit 10.10 to the Registration Statement on Form
S-4 filed on May 13, 2025).
112
10.8
Senior
Secured Convertible Promissory Note (incorporated by reference to Exhibit 10.6 to the Current Report on Form 8-K filed on July 18,
2025).
10.9
Form
of Senior Secured Convertible Promissory Note (incorporated by reference to Exhibit 10.15 to the Registration Statement on Form S-4
filed on May 13, 2025).
10.10
Amendment
No. 1, dated August 25, 2025, to the Senior Secured Convertible Promissory Note issued by the Company on February 11, 2025, for the
benefit of Ascent Partners Fund LLC (incorporated by reference to Exhibit 10.2 to the Current Report on Form 8-K filed on August
26, 2025).
10.11
Form
of Amended Senior Secured Convertible Promissory Note (incorporated by reference to Exhibit 10.3 to the Current Report on Form 8-K
filed on August 26, 2025).
10.12
Amendment
No. 2, dated December 22, 2025, to the Senior Secured Convertible Promissory Note issued by the Company on February 11, 2025, for
the benefit of Ascent Partners Fund LLC (incorporated by reference to Exhibit 10.2 to the Current Report on Form 8-K filed on December
23, 2025).
10.13
Loan
Agreement between Legacy Profusa and Tasly, dated June 15, 2023 (incorporated by reference to Exhibit 10.12 to the Registration Statement
on Form S-4 filed on May 13, 2025).
10.14
Amendment
No. 1 to Loan Agreement between Legacy Profusa and Tasly (incorporated by reference to Exhibit 10.14 to the Registration Statement
on Form S-4 filed on May 13, 2025).
10.15
Henry
Jackson Foundation Subaward Agreement to Profusa (incorporated by reference to Exhibit 10.13 to the Registration Statement on Form
S-4 filed on May 13, 2025).
10.16#
Form
of APAC Joint Venture License Agreement (incorporated by reference to Exhibit 10.17 to the Registration Statement on Form S-4 filed
on May 13, 2025).
10.17
Form
of Shareholders Agreement for APAC Joint Venture (incorporated by reference to Exhibit 10.18 to the Registration Statement on Form
S-4 filed on May 13, 2025).
10.18
Form
of Share Purchase Agreement for APAC Joint Venture (incorporated by reference to Exhibit 10.19 to the Registration Statement on Form
S-4 filed on May 13, 2025).
10.19
Security
Agreement, dated as of July 11, 2025, between the Company and the PIPE Investors (incorporated by reference to Exhibit 10.9 to the
Current Report on Form 8-K filed on July 18, 2025).
10.20
Guaranty,
dated as of July 11, 2025, between the Company, Legacy Profusa, and its subsidiaries (incorporated by reference to Exhibit 10.10
to the Current Report on Form 8-K filed on July 18, 2025).
10.21
Securities
Purchase Agreement, dated as of July 28, 2025 between the Company and Ascent Partners Fund LLC (incorporated by reference to Exhibit
10.1 to the Current Report on Form 8-K filed on July 28, 2025).
10.22
Amendment
No. 1, dated December 22, 2025, to the Securities Purchase Agreement dated July 28, 2025, between the Company and Ascent Partners
Fund LLC (incorporated by reference to Exhibit 10.1 to the Current Report on Form 8-K filed on December 23, 2025).
10.23
Registration
Rights Agreement dated as of July 28, 2025 between the Company and Ascent Partners Fund LLC (incorporated by reference to Exhibit
10.2 to the Current Report on Form 8-K filed on July 28, 2025).
10.24
Form
of Lock-Up Agreement (incorporated by reference to Exhibit 10.3 to the Current Report on Form 8-K filed on November 10, 2022).
10.25#
Know-How
License Agreement between Mayo Foundation for Medical Education and Research and the Company, dated as of February 11, 2026 (incorporated
by reference to Exhibit 10.27 to the Registration Statement on Form S-1 filed on February 13, 2026).
10.26*
Amended and Restated Promissory Note, issued by the Company on May 31, 2024 to NorthView Sponsor I LLC.
10.27
Amendment,
dated March 20, 2026, to Amended and Restated Promissory Note, issued by the Company on May 31, 2024 to NorthView Sponsor I LLC (incorporated
by reference to Exhibit 10.1 to the Current Report on Form 8-K filed on March 26, 2026)
10.28
Senior Secured Convertible Promissory Note, dated April 2, 2026, issued to Ascent Partners Fund LLC (incorporated by reference to Exhibit 10.2 to the Current Report on Form 8-K filed on April 6, 2026)
19.1*
Insider
Trading Policy.
19.2*
Clawback
Policy.
21.1*
List
of Subsidiaries.
31.1*
Rule
13a-14(a) Certification of Principal Executive Officer.
31.2*
Rule
13a-14(a) Certification of Principal Financial Officer.
32.1**
Certification
of Chief Executive Officer pursuant to 18 U.S.C. Section 1350, as adopted pursuant to Section 906 of the Sarbanes-Oxley Act of 2002.
32.2**
Certification
of Chief Financial Officer pursuant to 18 U.S.C. Section 1350, as adopted pursuant to Section 906 of the Sarbanes-Oxley Act of 2002.
101.INS*
Inline XBRL Instance Document.
101.SCH*
Inline XBRL Taxonomy Extension Schema Document.
101.CAL*
Inline XBRL Taxonomy Extension Calculation Linkbase Document.
101.DEF*
Inline XBRL Taxonomy Extension Definition Linkbase Document.
101.LAB*
Inline XBRL Taxonomy Extension Label Linkbase Document.
101.PRE*
Inline XBRL Taxonomy Extension Presentation Linkbase Document.
104*
Cover Page Interactive Data File (formatted as Inline XBRL and contained
in Exhibit 101).
*
Filed herewith.
**
Furnished herewith
+
Management contract or
compensatory plan, contract or arrangement.
#
Portions of the exhibit
have been excluded because it is both not material and is the type of information that the registrant treats as private or confidential.
ITEM
16. FORM 10-K SUMMARY
None.
113
SIGNATURES
Pursuant
to the requirements of Section 13 or 15(d) of the Securities Exchange Act of 1934, the registrant has duly caused this Annual Report
to be signed on its behalf by the undersigned, thereunto duly authorized.
PROFUSA,
INC.
By:
/s/
Ben Hwang
Name:
Ben
Hwang
Title:
Chairman
of the Board and Chief Executive Officer (Principal Executive Officer)
Dated:
April 15, 2026
Pursuant
to the requirements of the Securities and Exchange Act of 1934, this report has been signed below by the following persons on behalf
of the registrant and in the capacities and on the dates indicated.
Signature
Title
Date
/s/
Ben Hwang
Director and Chief Executive Officer
April 15, 2026
Ben Hwang
(Principal Executive Officer)
/s/ Fred Knechtel
Chief Financial Officer
April 15, 2026
Fred Knechtel
(Principal Financial and Accounting Officer)
/s/ Peter
O’ Rourke
Director
April 15, 2026
Peter O’ Rourke
/s/ Lauren
Chung
Director
April 15, 2026
Lauren Chung
/s/ Jack Stover
Director
April 15, 2026
Jack Stover
/s/ Rajesh
Asorpota
Director
April 15, 2026
Rajesh Asorpota
114
INDEX
TO CONSOLIDATED FINANCIAL STATEMENTS
Page
Profusa, Inc. Consolidated Financial Statements as of and for the years ended December 31, 2025 and 2024
Report of Independent Registered Public Accounting Firm (CBIZ CPAs P.C., PCAOB ID No. 199) F-2
Report of Independent Registered Public Accounting Firm (Marcum LLP, PCAOB ID No. 688 ) F-3
Consolidated Financial Statements:
Consolidated Balance Sheets F-4
Consolidated Statements of Operations F-5
Consolidated Statements of Convertible Preferred Stock and Stockholders’ Deficit F-6
Consolidated Statements of Cash Flows F-7
Notes to Consolidated Financial Statements F-8
F- 1
REPORT
OF INDEPENDENT REGISTERED PUBLIC ACCOUNTING FIRM
To the Stockholders and Board of Directors of
Profusa, Inc.
Opinion on the Financial Statements
We have audited the accompanying consolidated
balance sheet of Profusa, Inc. (the “Company”) as of December 31, 2025, the related consolidated statements
of operations, convertible preferred stock and stockholders’ deficit and cash flows for the year ended December 31, 2025, and the
related notes (collectively referred to as the “financial statements”). In our opinion, based on our audit, the financial
statements present fairly, in all material respects, the financial position of the Company as of December 31, 2025, and the results of
its operations and its cash flows for the year ended December 31, 2025, in conformity with accounting principles generally accepted in
the United States of America.
Explanatory Paragraph – Going Concern
The accompanying consolidated financial statements
have been prepared assuming that the Company will continue as a going concern. As more fully described in Note 1, the Company has a significant
working capital deficit, has incurred significant losses and needs to raise additional funds to meet its obligations and sustain its operations.
These conditions raise substantial doubt about the Company’s ability to continue as a going concern. Management’s plans in regard to these
matters are also described in Note 1. The consolidated financial statements do not include any adjustments that might result from the
outcome of this uncertainty.
Basis for Opinion
These financial statements are the responsibility
of the Company’s management. Our responsibility is to express an opinion on the Company’s financial statements based on our audit. We
are a public accounting firm registered with the Public Company Accounting Oversight Board (United States) (“PCAOB”) and are
required to be independent with respect to the Company in accordance with the U.S. federal securities laws and the applicable rules and
regulations of the Securities and Exchange Commission and the PCAOB.
We conducted our audit in accordance with the
standards of the PCAOB. Those standards require that we plan and perform the audit to obtain reasonable assurance about whether the financial
statements are free of material misstatement, whether due to error or fraud. The Company is not required to have, nor were we engaged
to perform, an audit of its internal control over financial reporting. As part of our audit we are required to obtain an understanding
of internal control over financial reporting but not for the purpose of expressing an opinion on the effectiveness of the Company’s internal
control over financial reporting. Accordingly, we express no such opinion.
Our audit included performing procedures to assess
the risks of material misstatement of the financial statements, whether due to error or fraud, and performing procedures that respond
to those risks. Such procedures included examining, on a test basis, evidence regarding the amounts and disclosures in the financial statements.
Our audit also included evaluating the accounting principles used and significant estimates made by management, as well as evaluating
the overall presentation of the financial statements. We believe that our audit provides a reasonable basis for our opinion.
/s/ CBIZ CPAs P.C.
CBIZ CPAs P.C.
We have served as the Company’s auditor
since 2021 (such date takes into account the acquisition of the attest business of Marcum llp
by CBIZ CPAs P.C. effective November 1, 2024).
San Francisco, CA
April 15, 2026
F- 2
REPORT
OF INDEPENDENT REGISTERED PUBLIC ACCOUNTING FIRM
To
the Stockholders and Board of Directors of
Profusa, Inc.
Opinion on the Financial Statements
We have audited
the accompanying c onsolidated balance sheet of Profusa, Inc. (the “Company”) as of December
31, 2024, the related consolidated statements of operations , convertible preferred stock and stockholders’
deficit and cash flows for the year ended December 31, 2024, and the related notes (collectively referred to as the “financial statements”).
In our opinion, based on our audit, the financial statements present fairly, in all material respects, the financial position of the Company
as of December 31, 2024, and the results of its operations and its cash flows for the year ended December 31, 2024, in conformity with
accounting principles generally accepted in the United States of America.
Explanatory Paragraph – Going Concern
The accompanying financial statements have been
prepared assuming that the Company will continue as a going concern. As more fully described in Note 1, the Company has a significant
working capital deficit, has incurred significant losses and needs to raise additional funds to meet its obligations and sustain its operations.
These conditions raise substantial doubt about the Company’s ability to continue as a going concern. Management’s plans in regard to these
matters are also described in Note 1. The financial statements do not include any adjustments that might result from the outcome of this
uncertainty.
Basis for Opinion
These financial statements are the responsibility
of the Company’s management. Our responsibility is to express an opinion on the Company’s financial statements based on our audit. We
are a public accounting firm registered with the Public Company Accounting Oversight Board (United States) (“PCAOB”) and are
required to be independent with respect to the Company in accordance with the U.S. federal securities laws and the applicable rules and
regulations of the Securities and Exchange Commission and the PCAOB.
We conducted our audit in accordance with the
standards of the PCAOB. Those standards require that we plan and perform the audit to obtain reasonable assurance about whether the financial
statements are free of material misstatement, whether due to error or fraud. The Company is not required to have, nor were we engaged
to perform, an audit of its internal control over financial reporting. As part of our audit, we are required to obtain an understanding
of internal control over financial reporting but not for the purpose of expressing an opinion on the effectiveness of the Company’s internal
control over financial reporting. Accordingly, we express no such opinion.
Our audit included performing procedures to assess
the risks of material misstatement of the financial statements, whether due to error or fraud, and performing procedures that respond
to those risks. Such procedures included examining, on a test basis, evidence regarding the amounts and disclosures in the financial statements.
Our audit also included evaluating the accounting principles used and significant estimates made by management, as well as evaluating
the overall presentation of the financial statements. We believe that our audit provides a reasonable basis for our opinion.
/s/ Marcum LLP
Marcum llp
We have served as the Company’s auditor
from 2021 through 2025.
San Francisco, CA
April 3, 2025, except for the effect of the reverse recapitalization, as to which the date is January 28, 2026, and effects of the reverse
stock split, as to which date is February 13, 2026.
F- 3
PROFUSA,
INC.
CONSOLIDATED BALANCE SHEETS
(IN THOUSANDS, EXCEPT SHARE AND PER SHARE AMOUNTS)
December
31,
2025
2024
Assets
Current
assets:
Cash
$ 1,778
$ 191
Prepaid
expenses and other current assets
541
69
Digital
assets
1,445
—
Total
current assets
3,764
260
Deferred
offering costs
—
2,757
Property
and equipment, net
8
—
Other
non-current assets
3
56
Total
assets
$ 3,775
$ 3,073
Liabilities
and Stockholders’ Deficit
Current
liabilities:
Accounts
payable
$ 7,345
$ 4,954
Excise
tax payable
1,953
—
Accrued
expenses and other current liabilities
5,981
3,968
Due
to related party
41
—
Convertible notes payable (including notes payable to related parties of $ 4,160 and $ 25,056 as of December 31, 2025 and 2024, respectively)
4,202
45,921
Promissory notes and other (including notes payable to related parties of $ 400 and $ 850 as of December 31, 2025 and 2024, respectively)
1,346
910
PPP
loan
1,390
1,376
Total
current liabilities
22,258
57,129
Warrant
liabilities at fair value
298
—
Loans
payable at fair value
7,877
—
Total
liabilities
30,433
57,129
Commitments
and contingencies (Note 7)
Convertible
Preferred Stock:
Series A convertible preferred stock: $ 0.0001 par value – 0 shares authorized, issued and outstanding at December 31, 2025, and 4,350,314 shares authorized, issued and outstanding at December 31, 2024 (Liquidation preference $ 5,307 at December 31, 2024)
—
5,231
Series B convertible preferred stock: $ 0.0001 par value – 0 shares authorized, issued and outstanding at December 31, 2025, and 5,293,175 shares authorized, issued and outstanding at December 31, 2024 (Liquidation preference $ 13,815 at December 31, 2024)
—
13,701
Series C/C-1 convertible preferred stock: $ 0.0001 par value – 0 shares authorized, issued and outstanding at December 31, 2025, and 8,220,445 shares authorized, issued and outstanding at December 31, 2024 (Liquidation preference $ 45,062 at December 31, 2024)
—
46,217
Total
convertible preferred stock
—
65,149
Stockholders’
Deficit:
Undesignated preferred stock: $ 0.0001 par value – 1,000,000 shares authorized, 0 shares issued and outstanding at December 31, 2025 and 2024
—
—
Common stock: $ 0.0001 par value – 600,000,000 authorized shares at December 31, 2025 and 2024, and 1,232,052 and 25,844 shares issued and outstanding at December 31, 2025 and 2024, respectively
—
—
Additional
paid-in capital
134,123
5,753
Accumulated
deficit
( 160,781 )
( 124,958 )
Total
stockholders’ deficit
( 26,658 )
( 119,205 )
Total
liabilities and stockholders’ deficit
$ 3,775
$ 3,073
The
accompanying notes are an integral part of these consolidated financial statements.
F- 4
PROFUSA,
INC.
CONSOLIDATED STATEMENTS OF OPERATIONS
(IN THOUSANDS, EXCEPT SHARE AND PER SHARE AMOUNTS)
Year
Ended December 31,
2025
2024
Government
grant revenue
$ —
$ 100
Operating
expenses:
Research
and development
2,804
1,608
General
and administrative
24,902
2,992
Total
operating expenses
27,706
4,600
Loss
from operations
( 27,706 )
( 4,500 )
Other
income (expenses)
Loss on change in the fair value of convertible notes (1)
( 3,378 )
( 311 )
Gain
on the change in fair value of warrant liabilities
895
—
Loss
on the change in fair value of digital assets
( 555 )
—
Interest expense (including related parties amounts of $ 1,330 and $ 2,400 for the years ended December 31, 2025 and 2024, respectively)
( 2,521 )
( 4,424 )
Financing
costs
( 2,574 )
—
Other
income
16
5
Total
other expense, net
( 8,117 )
( 4,730 )
Net
loss
$ ( 35,823 )
$ ( 9,230 )
Net
loss per share, basic and diluted
$ ( 107.01 )
$ ( 357.14 )
Weighted-average
common shares outstanding, basic and diluted
334,762
25,844
(1) Loss on change in the fair value of convertible notes comprises of $3.1 million in aggregate loss on the change in fair value of loans payable, Tasly convertible notes and convertible promissory notes, and $0.3 million in cash interest paid on the Company’s loans payable for the year ended December 31, 2025.
The
accompanying notes are an integral part of these consolidated financial statements.
F- 5
PROFUSA,
INC.
CONSOLIDATED STATEMENTS OF CONVERTIBLE PREFERRED STOCK AND STOCKHOLDERS’
DEFICIT FOR THE YEARS ENDED DECEMBER 31, 2025 AND 2024
(IN THOUSANDS, EXCEPT SHARE AMOUNTS)
Series
A
Convertible
Preferred Stock
Series
B
Convertible
Preferred Stock
Series
C/C-1
Convertible
Preferred Stock
Common
Stock
Additional
Paid-In
Accumulated
Total
Stockholders’
Shares
Amount
Shares
Amount
Shares
Amount
Shares
Amount
Capital
Deficit
Deficit
Balance
at January 1, 2024
4,350,314
$ 5,231
5,293,175
$ 13,701
8,220,445
$ 46,217
25,844
$ —
$ 5,732
$ ( 115,728 )
$ ( 109,996 )
Stock-based
compensation expense
—
—
—
—
—
—
—
—
21
—
21
Net
loss
—
—
—
—
—
—
—
—
—
( 9,230 )
( 9,230 )
Balance
at December 31, 2024
4,350,314
5,231
5,293,175
13,701
8,220,445
46,217
25,844
—
5,753
( 124,958 )
( 119,205 )
Balance at January 1, 2025
4,350,314
5,231
5,293,175
13,701
8,220,445
46,217
25,844
—
5,753
( 124,958 )
( 119,205 )
Conversion
of preferred stock into common stock
( 4,350,314 )
( 5,231 )
( 5,293,175 )
( 13,701 )
( 8,220,445 )
( 46,217 )
82,377
—
65,149
—
65,149
Common
stock issued to employees
—
—
—
—
—
—
6,363
—
428
—
428
Stock-based
compensation expense
—
—
—
—
—
—
—
463
—
463
Conversion
of debt to common shares in connection with the merger
—
—
—
—
—
—
197,098
—
46,891
—
46,891
Issuance
of common stock in connection with the merger and assumption of net liabilities of Northview
—
—
—
—
—
—
86,432
—
( 8,400 )
—
( 8,400 )
Issuance
of inducement shares to related party in connection with the merger
—
—
—
—
—
—
38,691
—
7,254
—
7,254
Issuance
in shares in connection with exercise of ELOC
—
—
—
—
—
—
513,859
—
10,276
—
10,276
Issuance
of warrants in connection with exercise of ELOC Warrants
—
—
—
—
—
—
—
—
982
—
982
Issuance
in shares in connection with exercise of ELOC Warrants
—
—
—
—
—
—
12,000
—
—
—
—
Issuance
of warrants to financial advisor in connection with the merger
—
—
—
—
—
—
—
—
330
—
330
Issuance
of shares in connection with the conversion of the PIPE note
—
—
—
—
—
—
266,055
—
4,497
—
4,497
Issuance
of shares for settlement of merger transaction costs
—
—
—
—
—
—
3,333
—
500
—
500
Net
loss
—
—
—
—
—
—
—
—
—
( 35,823 )
( 35,823 )
Balance
at December 31, 2025
—
$ —
—
$ —
—
$ —
1,232,052
$ —
$ 134,123
$ ( 160,781 )
$ ( 26,658 )
The
accompanying notes are an integral part of these consolidated financial statements.
F- 6
PROFUSA,
INC.
CONSOLIDATED STATEMENTS OF CASH FLOWS
(IN THOUSANDS)
Year
Ended December 31,
2025
2024
Cash flows from operating activities
Net loss
$ ( 35,823 )
$ ( 9,230 )
Adjustments to reconcile net
loss to net cash used in operating activities:
Noncash interest
expense
2,504
4,424
Noncash loss on change in fair value of convertible notes
3,108
311
Noncash issuance
of inducement shares and in connection with the merger
7,254
—
Noncash issuance
of warrants to financial advisor
330
—
Noncash issuance
of warrants associated for ELOC Warrants
982
—
Loss on disposition
of property and equipment, net
—
2
Stock-based compensation
expenses
891
21
Gain on change
in fair value of warrant liabilities
( 895 )
—
Loss on change
in fair value of digital assets
555
—
Noncash merger
transaction costs
500
—
Changes in assets
and liabilities:
Other receivables
—
45
Prepaid expenses
and other current assets
211
77
Other non-current
assets
53
( 25 )
Accounts payable
3,560
645
Accrued expenses
and other current liabilities
522
1,664
Net cash used in operating activities
( 16,248 )
( 2,066 )
Cash flows
from investing activities
Purchase of digital
assets
( 2,000 )
—
Purchase of property,
plant and equipment
( 8 )
—
Net cash used in investing activities
( 2,008 )
—
Cash flows
from financing activities
Proceeds from
issuance of notes
1,450
3,210
Proceeds from
ELOC
10,276
—
Proceeds from
issuance of loans payable
11,000
—
Proceeds from
issuance of convertible loan
—
16
Net cash received
from the reverse recapitalization
2
—
Repayment of
convertible notes, senior notes, promissory notes and other
( 2,885 )
( 150 )
Payment of deferred
offering costs
—
( 961 )
Net cash provided by financing
activities
19,843
2,115
Net increase in cash
1,587
49
Cash at the beginning of the
period
191
142
Cash at the end of the period
$ 1,778
$ 191
Supplemental
disclosures of non-cash investing and financing information:
Assumption of net liabilities
of Northview
$ 8,400
$ —
Increase in unpaid deferred offering
costs
$ —
$ 269
Conversion of preferred stock
into common stock
$ 65,149
$ —
Conversion of debt to equity
$ 51,388
$ —
Financing of D&O insurance
premium
$ 657
$ —
Supplemental
disclosure of cash flow information:
Cash paid for interest
$ 296
$ —
Cash paid for taxes
$ 1
$ —
The
accompanying notes are an integral part of these consolidated financial statements
F- 7
PROFUSA,
INC.
NOTES TO THE CONSOLIDATED FINANCIAL STATEMENTS
Note 1
— Organization, Description of Business, Going Concern and Significant Risks and Uncertainties
Description
of Business
Profusa,
Inc. (the “Company”) was incorporated in the state of California on May 11, 2009 . The Company engaged in the development
of a new generation of biointegrated sensors that potentially empowers the individual with the ability to monitor their unique body chemistry.
The
Company’s technology enables the development of bioengineered sensors that are designed to become one with the body to detect and
continuously transmit actionable, clinical-grade data for personal and medical use. The Company’s first offering in the European
Union, the Lumee™ Oxygen Platform, is designed to report reliable tissue oxygen levels at various regions of interest, both acutely
and long-term. The Lumee™ Oxygen Platform has been designed for use in applications where monitoring of compromised tissue is beneficial,
such as peripheral artery disease that results in narrowing of blood vessels and reduced blood flow to the lower limbs; chronic wounds
(diabetic ulcers, pressure sores) that do not heal properly; and reconstructive surgery.
The
Company’s research and development efforts are primarily focused on its Lumee™ Glucose Platform which is a system designed
to monitor glucose levels in interstitial fluid, continuously and long-term. A tiny, biocompatible gel injected under the skin acts as
a continuous glucose monitor (CGM) for several months. The ability of Lumee™ Glucose to provide continuous glucose monitoring
with only an initial single injection, is an attractive alternative for people with diabetes to manage their disease without the need
for frequent finger sticks required by standard glucometers, or the need for weekly sensor replacement as required by current short-term
needle-type CGMs.
On
July 11, 2025 (the “Closing Date”), NorthView Acquisition Corporation (“Northview”), consummated its previously
announced business combination (the “Business Combination”) with Profusa, Inc., a California corporation (“Legacy Profusa”),
pursuant to that certain Merger Agreement and Plan of Reorganization, dated as of November 7, 2022 (as the same has been amended, supplemented
or otherwise modified from time to time, the “Merger Agreement”), between Northview, Legacy Profusa, and NV Profusa Merger
Sub Inc., a Delaware corporation and a direct, wholly-owned subsidiary of Northview (“Merger Sub” and, collectively, the
“Parties”). The consummation of the Business Combination involved the merger of Merger Sub with and into Legacy Profusa (the
“Merger”), pursuant to which, at the closing of the transactions contemplated by the Merger Agreement (the “Closing”),
the separate corporate existence of Merger Sub ceased, with Legacy Profusa as the surviving corporation becoming a wholly-owned subsidiary
of Northview, pursuant to the terms of the Merger Agreement. As a result of the Business Combination, Northview owns 100 % of the outstanding
common stock of Legacy Profusa. In connection with the closing of the Business Combination, Northview changed its name from “NorthView
Acquisition Corporation” to “Profusa, Inc.”
Going
Concern
The
Company has incurred significant net operating losses from operations. As of December 31, 2025, the Company has a working capital
deficit of approximately $ 18.5 million. For the year ended December 31, 2025, the Company incurred a net loss of approximately $ 35.8
million and used approximately $ 16.2 million of cash in operating activities. Management expects to continue to incur additional substantial
losses in the foreseeable future as a result of research and development activities. The Company has been able to finance its operations
primarily with the proceeds from the issuance of equity and debt instruments and to a lesser extent, revenues from government grants.
Additional funds may be necessary to maintain current operations and will be required for successful product commercialization efforts.
On
February 11, 2025, Northview executed a Securities Purchase Agreement (the “PIPE Subscription Agreement”) with Ascent Partners
Fund LLC (“Ascent” or together with any party who may become party to the PIPE Subscription Agreement, the “PIPE Investors”).
At
the Closing and pursuant to the PIPE Subscription Agreement, Profusa issued an Ascent PIPE Note in the principal amount of $ 10.0 million
(the “Initial Note”) for a purchase price of $ 9.0 million, reflecting a 10 % Original Issuance Discount (“OID”).
F- 8
On
July 28, 2025, the Company entered into the Equity Line of Credit (“ELOC”) Securities Purchase Agreement (the “ELOC
Purchase Agreement”) and the ELOC Registration Rights Agreement (the “ELOC Registration Rights Agreement”) with Ascent
(the “Committed Equity Facility”). Upon the terms and subject to the satisfaction of the conditions contained in the PIPE
Subscription Agreement, from and after the effective date, the Company will have the right, in its sole discretion, to sell to Ascent
up to $ 100.0 million of shares of the Company’s common stock, subject to certain limitations set forth in the ELOC Purchase Agreement,
from time to time during the term of the ELOC Purchase Agreement. Sales of common stock under the ELOC Purchase Agreement, and the timing
of any such sales, are solely at the Company’s option, and the Company is under no obligation to sell any securities to Ascent
under the ELOC Purchase Agreement. As of December 31, 2025, approximately $ 10.3 million in shares of the Company’s common
stock was sold pursuant to the ELOC Purchase Agreement. The Company has entered into this strategic Committed Equity Facility in order
to continue to fund its operating cash flows.
On
September 30, 2025, the Company met the requirements for the second tranche of the PIPE Subscription Agreement and Ascent purchased convertible
notes in the aggregate principal amount of $ 2.2 million for a purchase price of $ 2.0 million, reflecting a 10 % OID (“Second Purchase”).
The
Company is currently working towards meeting regulatory requirements in Europe in order to commercialize the Lumee Oxygen reader in order
to generate revenues in early 2026. In addition to management’s focus on commercialization, additional financing is available through
the ELOC Purchase Agreement and executing tranches three and four of the PIPE Subscription Agreement which would provide an aggregate
of up to an additional $ 10.0 million in cash for operating expenses to further the product research and development.
The
Company received two Nasdaq deficiency notices on September 11, 2025: one for failing to maintain a $ 50.0 million market value of listed
securities (Rule 5450(b)(2)(A)) and another for its common stock’s bid price falling below $ 1.00 (Rule 5450(a)(1)). The Company
was given 180 days, until March 10, 2026, to regain compliance. If compliance is not regained within the allowed periods, the stock may
be subject to delisting, with appeal rights. The Company received a staff determination letter from Nasdaq informing the Company that
it has not regained compliance as of March 10, 2026, see Note 15 for details.
The
Company’s consolidated financial statements have been prepared on a going-concern basis, which contemplates the realization of
assets and the satisfaction of liabilities in the normal course of business. The Company has reviewed the relevant conditions and events
surrounding its ability to continue as a going concern including among others: historical losses, projected future results, increased
tariffs, cash requirements for the upcoming year, funding capacity, net working capital deficit, and future access to capital.
As
of December 31, 2025, there continues to be factors which raise substantial doubt about the Company’s ability to continue as a
going concern within one year from the date the consolidated financial statements are issued. The consolidated financial statements do
not contain any adjustments that might result from the outcome of this uncertainty.
Significant
Risks and Uncertainties
The
Company operates in a dynamic and highly competitive industry and believes that changes in any of the following areas could have a material
adverse effect on the Company’s future financial position, results of operations, or cash flows: ability to obtain future financing;
advances and trends in new technologies and industry standards; results of clinical trials; regulatory approval and market acceptance
of the Company’s products; development of sales channels; certain strategic relationships; litigation or claims against the Company
based on intellectual property, patent, product, regulatory, or other factors; and the Company’s ability to attract and retain
employees necessary to support its growth.
Products
developed by the Company require approvals from the U.S. Food and Drug Administration (“FDA”) or other international regulatory
agencies prior to commercial sales. There can be no assurance that the products will receive the necessary approvals. If the Company
is denied approval, approval is delayed or the Company is unable to maintain approval, it could have a materially adverse impact on the
Company.
The
Company has expended and will continue to expend substantial funds to complete the research, development and clinical testing of product
candidates. The Company also will be required to expend additional funds to establish commercial-scale manufacturing arrangements and
to provide for the marketing and distribution of products that receive regulatory approval. As of December 31, 2025, the Company
may be required to seek additional equity or debt financing to commercialize its products. If adequate funds are unavailable on a timely
basis from operations or additional sources of financing, the Company may have to delay, reduce the scope of or eliminate one or more
of its research or development programs which would materially and adversely affect its business, financial condition and results of
operations.
F- 9
Inflation,
Monetary Response, and Economic Impacts
The
world economy is experiencing stubbornly high inflation, a challenge not faced for decades. Following the global financial crisis, with
inflationary pressures muted, interest rates were extremely low for years and investors became accustomed to low volatility. The resulting
easing of financial conditions supported economic growth, but it also contributed to a buildup of financial vulnerabilities. With inflation
at multi-decade highs, monetary authorities in advanced economies are accelerating the pace of policy normalization. Policymakers have
continued to tighten policy against a backdrop of rising inflation and currency pressures, albeit with notable differences across regions.
Global financial conditions have tightened notably this year, leading to capital outflows. Amid heightened economic and geopolitical
uncertainties, investors have aggressively pulled back from risk-taking and adjusted their investment preferences generally. Key gauges
of systemic risk, such as higher dollar funding costs and counterparty credit spreads, have risen. There is a risk of a disorderly tightening
of financial conditions that may be amplified by vulnerabilities built over the years.
In
addition, our business, growth, financial condition or results of operations could be materially adversely affected by instability or
changes in a country’s or region’s economic conditions; inflation; changes in laws or regulations or in the interpretation
of existing laws or regulations, whether caused by a change in government or otherwise; increased difficulty of conducting business in
a country or region due to actual or potential political or military conflict; or action by the U.S. or foreign governments that may
restrict our ability to transact business in a foreign country or with certain foreign individuals or entities. A possible slowdown in
global trade caused by increasing tariffs or other restrictions could decrease consumer or corporate confidence and reduce consumer,
government and corporate spending in countries inside or outside the U.S., which could adversely affect our operations. Climate-related
events, including extreme weather events and natural disasters and their effect on critical infrastructure in the U.S. or internationally,
could have similar adverse effects on our operations, users, or third-party suppliers.
Note 2
— Summary of Significant Accounting Policies
Basis
of Presentation
The
accompanying consolidated financial statements have been prepared in conformity with accounting principles generally accepted in the
United States of America (“U.S. GAAP”) and pursuant to applicable rules and regulations of the Securities and Exchange
Commission (“SEC”) and include all adjustments necessary for the fair presentation of the Company’s financial position
as of December 31, 2025 and 2024, and the results of operations and cash flows for the years then ended. The accompanying consolidated
financial statements include the accounts of Profusa Inc. and its wholly owned subsidiary, Profusa Asia Pacific Pte. Ltd (“APAC”). All
intercompany balances and transactions have been eliminated in consolidation.
The
Business Combination consummated on July 11, 2025 was accounted for as a reverse recapitalization, with Profusa, Inc. considered the
accounting acquirer and predecessor entity. Accordingly, all historical financial information prior to the Business Combination represents
the operations of Profusa, Inc. In connection with the Merger, the Company retroactively applied the recapitalization of the Company’s
equity structure including the consolidated statements of convertible preferred stock and stockholders’ deficit from January 1,
2024 to December 31, 2024 and the weighted average common shares outstanding, basic and diluted for the year ended December 31, 2024.
The retroactive application reflects the equivalent number of shares of Profusa common stock, $ 0.0001 par value per share, issued to
the Company’s stockholders in connection with the Merger at the applicable exchange ratio of 0.345854 (the “Exchange Ratio”).
F- 10
Reverse
Stock Split
On
February 9, 2026, the Company effected a 1-for-75 reverse stock split of its common stock (the “Reverse Stock Split”). The
Reverse Stock Split did not change the par value of the common stock or the authorized number of shares of common stock. All share and
per share information has been retroactively adjusted to reflect the Reverse Stock Split for all periods presented.
Use
of Estimates
The
preparation of consolidated financial statements in conformity with U.S. GAAP requires management to make estimates and assumptions
that affect the reported amounts of assets and liabilities, disclosure of contingent assets and liabilities and the reported amounts
of revenue and expenses in the consolidated financial statements and accompanying notes. The Company’s management regularly assesses
these estimates, including those related to including those related to accrued liabilities, valuation of the convertible notes, senior
notes, warrants, milestone based earn-outs, valuation allowance for deferred tax assets, and valuation of stock-based awards. Actual
results could differ from these estimates, and such differences could be material to the Company’s financial position and results
of operations.
Segment
Information
ASC
280, “Segment Reporting” (“ASC 280”), defines operating segments as components of an enterprise where discrete
financial information is available that is evaluated regularly by the chief operating decision-maker (“CODM”) in deciding
how to allocate resources and in assessing performance. The Company operates as a single operating segment. The Company’s CODM
is the chief executive officer, who has ultimate responsibility for the operating performance of the Company and the allocation of resources.
The CODM uses cash flows as the primary measure to manage the business and does not segment the business for internal reporting or decision
making.
Concentration
of Credit Risk
Financial
instruments that potentially subject the Company to a concentration of credit risk consist of cash. Substantially all of the Company’s
cash is held by one financial institution. Such deposits may, at times, exceed federally insured limits. The Company has not experienced
any losses on its cash.
Cash
The
Company considers all highly liquid investments purchased with an original maturity of three months or less to be cash equivalents.
As of December 31, 2025 and 2024, cash consisted of cash on deposit with a bank denominated in U.S. dollars.
F- 11
Digital
Assets
As
a result of the adoption of ASU 2023-08, Intangibles-Goodwill and Other-Crypto Assets (Subtopic 350-60): Accounting for and Disclosure
of Crypto Assets (“ASU 2023-08”), digital assets are measured at fair value as of each reporting period. The fair value of
digital assets is measured using the period-end closing price from Coinbase, in accordance with ASC 820. Since the digital assets are
traded on a 24-hour period, the Company utilizes the price as of midnight UTC time. Changes in fair value are recognized in gain (loss)
on fair value of digital assets, on the consolidated statements of operations. When the Company sells digital assets, gains or losses
from such transactions are measured as the difference between the cash proceeds and the carrying basis of the digital assets as determined
on a First In-First Out basis and are also recorded within gain (loss) on fair value of digital assets.
The
Company holds all digital assets with BitGo for custodial services, who were selected based on various factors, including their financial
strength and industry reputation. Custodian risk refers to the potential loss, theft, or misappropriation of the Company’s digital
assets due to operational failures, cybersecurity breaches, or financial difficulties experienced by these third parties. Although the
Company periodically monitors the financial health, insurance coverage, and security measures of its custodians, reliance on such third
parties inherently exposes the Company to risks that it cannot fully mitigate.
During
the year ended December 31, 2025, the Company maintained a buy-and-hold investment Bitcoin strategy and purchased 16.51 coins for an
aggregate cost of $ 2.0 million. Subsequent to December 31, 2025, the Company terminated the Bitcoin buy-and-hold strategy in light
of current market conditions and the Company’s evaluation of its capital allocation priorities. See Note 15 for further details.
Deferred
Offering Costs
Specific
incremental costs, consisting of legal, accounting and other fees and costs,
directly attributable to a proposed or actual offering of securities are deferred and charged against the gross proceeds of the offering.
To the extent that deferred offering costs exceed the gross proceeds of the related offering, the excess is expensed to general and administrative
expenses in the consolidated statements of operations.
Offering
costs capitalized as of December 31, 2024 was $ 2.8 million, which exceeded the total gross proceeds of the offering due to significant
and unexpected delays. During the year ended December 31, 2025, the Company settled $ 0.3 million of the previously capitalized deferred
offering costs against gross proceeds of the share issuance, reducing additional paid-in capital in the consolidated statements of convertible
preferred stock and stockholders’ deficit (presented as a separate line item in the table below). The remaining $ 2.5 million of deferred
offering costs, representing the excess of capitalized costs over gross proceeds, was expensed to general and administrative expenses
in the consolidated statements of operations. In total, during the year ended December 31, 2025, the Company expensed $ 14.5 million of
transaction costs to general and administrative expenses, of which $ 2.5 million related to the previously capitalized deferred offering
costs described above.
Deferred
Offering Costs
Balance as
of December 31, 2023
$ 1,527
Additions
in the period
1,230
Balance as of December
31, 2024
2,757
Charged against additional
paid-in capital
( 283 )
Charged
against transaction costs
( 2,474 )
Balance
as of December 31, 2025
$ —
F- 12
ELOC
On
July 28, 2025, the Company entered into the ELOC Purchase Agreement and the ELOC Registration Rights Agreement with Ascent. Upon the
terms and subject to the satisfaction of the conditions contained in the ELOC Purchase Agreement, from and after the Effective Date,
the Company will have the right, in its sole discretion, to sell to Ascent up to $ 100.0 million of shares of its common stock, subject
to certain limitations set forth in the ELOC Purchase Agreement, from time to time during the term of the ELOC Purchase Agreement. The
ELOC is an equity-linked instrument for which the Company has the right, but not the obligation, to sell the Company’s common stock
to Ascent over a specified period at a discount to the lowest daily volume-weighted average price per share (“VWAP”) of the
Company’s Common Stock and subject to certain caps and limits. The ELOC comprise of a purchased put option and a forward share
issuance that do not qualify for equity classification. The ELOC is measured at fair value with changes recognized in earnings for the
difference between the fair value of the put option at put date and settlement date. During the year ended December 31, 2025, the respective
ELOC puts were settled within the same day and therefore changes in fair value during the period was not material.
As
consideration for Ascent’s commitment to purchase shares of common stock at the Company’s direction upon the terms and subject
to the conditions set forth in the ELOC Purchase Agreement, upon the execution of the term sheet relating to the ELOC Purchase Agreement,
the Company issued Ascent warrants (the “ELOC Warrants”) to purchase up to 12,000 shares of Common Stock (the “Commitment
Warrant Shares”). The warrants were determined to be indexed to the Company’s own stock, settlement was in shares only, and
the terms met the fixed-for-fixed condition (fixed number of shares for fixed price), therefore are concluded to be equity classified
warrants. Warrants are recorded at their fair value on grant date which was $ 0.9 million and were expensed to financing fees. Issuance
fees such as warrant costs associated to the ELOC were expensed upfront. The associated equity classified warrants were not remeasured
after initial issuance.
When
the Company draws on the ELOC and issues shares, it recognizes the proceeds in equity. The amount recorded is based on the gross proceeds
received, as this is clearly measurable and traceable.
Merger
with Northview Acquisition Corporation
The
Company accounted for the merger with Northview as a reverse recapitalization. A reverse recapitalization occurs when the legal acquirer
(the public shell company) issues shares to the shareholders of the legal acquiree (the operating company), and the operating company’s
shareholders obtain control of the combined entity. Because the public shell company does not meet the definition of a business under
ASC 805, the transaction is not accounted for as a business combination. Instead, the transaction is accounted for as a capital transaction;
that is, as a recapitalization of the operating company.
The
historical financial statements are those of Legacy Profusa. The December 31, 2025 financial statements are those of Profusa Inc.,
with the assets and liabilities of Northview recognized at their carrying amounts as of the acquisition date, except for any assets or
liabilities that must be measured at fair value. The equity structure, including the number and type of shares issued and outstanding
reflects that of Legacy Profusa, and includes the equity instruments issued to effect the Merger.
Any
contingent consideration is measured at fair value at the acquisition date. For contingent consideration that does not meet all the criteria
for equity classification, such contingent consideration is required to be recorded at its initial fair value at the acquisition date,
and on each balance sheet date thereafter. Changes in the estimated fair value of liability-classified contingent consideration are recognized
on the consolidated statements of operations in the period of change.
F- 13
Accrued
Liabilities
The
Company recognizes accrued liabilities for expenses that have been incurred but not yet paid as of the reporting date. Accruals are recorded
when (i) an obligation has been incurred, (ii) the amount is reasonably estimable, and (iii) the related goods or services have been
received. Accrued liabilities primarily consist of compensation-related expenses (including salaries, bonuses, payroll taxes and benefits),
professional fees, operating costs, and other incurred but unpaid obligations.
Management
evaluates all known and estimated obligations at each reporting period and updates accruals based on the best available information.
Accrued liabilities are classified as current when the Company expects to settle the obligation within one year. Changes in estimates
are recognized in the period in which such changes become known.
Due
to Related Parties
Amounts
due to related parties represent liabilities arising from transactions with entities or individuals that meet the definition of a related
party under ASC 850, Related Party Disclosures . Such balances generally consist of short-term, non-interest-bearing payables for
advances, expense reimbursements, shared services, or other operating costs incurred on behalf of the Company. These amounts are recorded
at their carrying value, which approximates fair value due to their short-term nature.
The
Company recognizes related party payables when the underlying transaction has occurred, and the amount is fixed or determinable. Settlements
of related party balances typically occur in cash; however, amounts may also be settled through offsets or other non-cash arrangements
when appropriate.
Management
evaluates related party balances each reporting period to ensure proper classification, measurement, and disclosure. Amounts expected
to be repaid within one year are classified as current liabilities. All related party transactions are conducted on terms the Company
believes approximate those that would be obtained in arm’s-length transactions; however, because such arrangements are with related
parties, the terms may differ from those obtainable from unrelated third parties.
Fair
Value of Financial Instruments
The
Company’s financial instruments consist of accounts payable, warrant liabilities, earnout, promissory notes, loans payable, convertible
promissory notes and senior notes. The Company states accounts payable, promissory notes and senior notes at their carrying value, which
approximates fair value due to the short time to the expected payment. The earnouts were equity classified and fair valued at inception,
and are not required to be remeasured subsequently. See “Earnout Arrangements” below for further detail on valuation inputs.
See Note 4 for instruments valued under Level 3.
Ascent
PIPE Notes
In connection with the Business Combination (see Note 3 — Reverse
Recapitalization), the Company assumed the rights and obligations under the PIPE Subscription Agreement, which provides for the issuance
of Senior Secured Convertible Promissory Notes (the “Ascent PIPE Notes”) in an aggregate principal amount of up to $ 22.2 million. At Closing Date, the Company elected the fair value option (“FVO”) under
ASC 825, Financial Instruments to recognize the issued Ascent PIPE Notes. Accordingly, no features of the Ascent PIPE Notes are bifurcated and separately accounted
for. For the year ended December 31, 2025, the Company issued an aggregate
principal amount of $ 12.2 million of Ascent PIPE Notes under the PIPE Subscription Agreement.
In accordance with ASC 825, the FVO is applied to all outstanding Ascent PIPE Notes as a single unit, and is irrevocable once elected.
At each reporting date, the Ascent PIPE Notes is measured at fair value, with changes in fair value recognized in earnings,
except for the portion attributable to instrument-specific credit risk, which is presented in other comprehensive income. During the year
ended December 31, 2025, the Company did not record any changes in fair value to other comprehensive income. The Ascent PIPE Notes is presented as loans payable at fair value on the consolidated balance sheets.
Earnout
Arrangements
In
connection with the Business Combination, the Company entered into earnout arrangements that provide for the issuance of additional shares
of the Company’s common stock to certain pre-Business Combination holders upon the achievement of specified post-closing share-price
or operational milestones. The earnout agreement allows for settlement solely in shares of Profusa’s common stock and does not
permit settlement in cash or other assets. See Note 3 for further detail on the earnout arrangements.
The
Company evaluated the earnout arrangements within the context of a de-SPAC transaction accounted for as a reverse recapitalization, which
is a capital transaction under U.S. GAAP. The transaction was accounted for in accordance with SEC guidance (FRM Topic 12) and interpretations
of ASC 805, Business Combinations , and the classification guidance under ASC 480, Distinguishing Liabilities from Equity. If
the earnout arrangement does not require liability classification under ASC 480, it is then further evaluated under the indexation guidance
ASC 815-40-15, and the equity classification guidance in ASC 815-40-25 to determine whether it should be classified as a liability or
equity. Milestone I, II, III, and IV do not require the liability classification under ASC 480; accordingly, the Company evaluated each
under the indexation guidance and equity classification guidance.
F- 14
Under
ASC 815-40, an earnout must meet specific indexation criteria to be considered indexed to the entity’s own stock and qualify for
equity classification. An earnout is considered indexed to the entity’s own stock when (i) it is based solely on observable market
data or inputs consistent with the entity’s own stock (e.g., stock price, strike price, or number of shares), and (ii) it does
not contain provisions that could require settlement in a manner inconsistent with equity classification. Milestones I and II satisfy
these criteria and are therefore considered indexed to the Company’s own stock. Milestone III does not meet the indexation guidance
as it is based on an event occurring to achieve $ 6 million in funding, which is not a market data or input. Milestone IV qualifies for
the scope exception in ASC 815-10-15-59(d) from derivative accounting because payments are based on revenue. Accordingly, Milestone IV
meets the “own equity” scope exception in ASC 815-10-15-74(a) and is classified as equity, with no subsequent remeasurement
unless modified. Milestone III does not qualify for the “own equity” scope exception and is therefore classified as a liability,
initially measured at fair value on the Closing Date with subsequent changes in fair value recognized in earnings.
Milestones
I, II, and IV meet the equity classification requirements of ASC 815-40, as there is no obligation to net cash settle, the number of
shares is fixed, settlement occurs exclusively in shares, and there are no provisions that protect the holder from declines in share
price.
These
earnouts were measured at fair value on the Closing Date and are not subject to subsequent remeasurement. Milestone III was also measured
at fair value on the Closing Date and determined to have a value of $ 0 due to improbability of achievement. As of December 31, 2025,
the Milestone III earnout expired and was not met.
On
the Closing Date, Milestones I and II had an aggregate fair value of $ 1.7 million, while Milestone IV had a fair value of $0 , reflecting
its low probability of achievement. The fair value of the Milestones I, II and IV were estimated using the Monte Carlo simulation model.
In determining the fair value of Milestones I and II, the Company utilized the following assumptions: volatility of 92.5 %, risk free
rate of 3.90 % and a term of two years. In determining the fair value of Milestone IV, the Company utilized the following assumptions:
revenue volatility of 40.4 %, risk free rate of 4.13 %, revenue projections for the fiscal years 2025 and 2026, risk adjusting discount
rate of 16.5 % applied to forecasted revenues.
Common
Stock Warrants
The
Company accounts for warrants for shares of the Company’s common stock that are not indexed to its own stock as liabilities at
fair value on the balance sheet. Liability-classified common stock warrants are subject to remeasurement to fair value as of each subsequent
balance sheet date and as of any respective exercise date, with changes in fair value recorded in the Company’s consolidated statements
of operations. For common stock warrants that meet all of the criteria for equity classification, the common stock warrants are recorded
as a component of additional paid-in capital and are not remeasured to fair value in subsequent reporting periods.
The
Company’s publicly traded common stock warrants (the “Public Warrants”) are equity-classified instruments because they
are deemed indexed to the Company’s own common stock and did not contain any provision that could require net cash settlement unless
the holders of the underlying shares would also receive the same form of consideration as the holders of public warrants. The Company’s
Private Placement Warrants and Representative’s Warrants are liability-classified instruments because they contain provisions that
preclude these warrants from being indexed to the Company’s stock. See Note 3 and Note 8 for further detail on the warrants.
Legal
costs incurred in connection with the issuance of equity-classified warrants are capitalized as a reduction to additional paid-in capital
if the warrants are issued in conjunction with an equity financing or equity-linked arrangement, and expensed immediately only if the
costs are not directly attributable to the issuance. Legal and professional fees incurred in connection with the issuance of liability-classified
warrants, including those failing equity classification under ASC 815-40 are expensed immediately to the income statement as incurred.
Stock-Based
Compensation
Stock-based
compensation expense related to stock options granted to employees and non-employees is recognized based on the grant date estimated
fair values using the Black Scholes option pricing model. The value of the portion of the award that is ultimately expected to vest is
recognized as expense ratably over the requisite service period. The Company accounts for forfeitures as they occur. Option valuation
models, including the Black-Scholes option-pricing model, require the input of highly subjective assumptions, and changes in the assumptions
used can materially affect the grant-date fair value of an award. These assumptions include the risk-free rate of interest, expected
dividend yield, expected volatility, and the expected life of the award. Since the Company did not have sufficient historical information
to develop reasonable expectations about future exercise behavior, the expected term for options issued to employees was calculated as
the mean of the option vesting period and contractual term (the “Simplified Method”). The expected term for options issued
to non-employees is the contractual term.
F- 15
Convertible
Preferred Stock
The
Company records all shares of convertible preferred stock at their respective fair values on the dates of issuance, net of issuance costs.
The convertible preferred stock is recorded outside of permanent equity because while it is not mandatorily redeemable, in certain events
considered not solely within the Company’s control, such as a merger, acquisition, or sale of all or substantially all of the Company’s
assets (each, a “deemed liquidation event”), the convertible preferred stock will become redeemable at the option of the
holders of at least a majority of the then outstanding preferred shares. The Company has not adjusted the carrying values of the convertible
preferred stock to its liquidation preference because a deemed liquidation event obligating the Company to pay the liquidation preferences
to holders of shares of convertible preferred stock is not probable of occurring. Subsequent adjustments to the carrying values to the
liquidation preferences will be made only when it becomes probable that such a deemed liquidation event will occur. On Closing Date of
the merger, all outstanding convertible preferred stock converted into shares of the Company’s common stock.
Government
Grants
The
Company receives payments from government entities under non-refundable grants in support of the Company’s product development
programs. The grants received fall within two categories:
a. Expense
Reimbursement Grants — grants in which the Company is entitled to claim from
a government entity reimbursement of certain qualified expenses incurred to date. The nature
and amount of such expenses are determined by each respective grant;
b. Fixed
Fee Grants — grants in which the total amount of the grant is fixed and the
disbursements are made based on submission to the grantor of specified deliverables.
Under
these grants the Company receives milestone payments from the government agencies upon our submission and approval by the government
of agreed upon deliverables, consisting primarily of the documented results of the specific research and development programs.
The
Company has concluded that all government grants received are outside the scope of ASC 606 Revenue from Contracts with Customers ,
because such grants do not involve a reciprocal transfer in which each party receives and sacrifices approximately commensurate value.
Therefore, the grants meet the definition of a contribution and are non-exchange transactions. The Company has further concluded that
Subtopic 958-605, Not-for-Profit-Entities-Revenue Recognition does not apply to the government grants received, as we are
a business entity, and the grants are with governmental agencies or units.
In
absence of explicit U.S. GAAP guidance on contributions received by business entities, the Company made a policy decision to apply by
analogy recognition and measurement guidance in International Accounting Standard 20 Accounting for Government Grants and Disclosure
of Government Assistance (“IAS 20”). Under this approach the Company recognize grants at fair value only when there is
reasonable assurance that the Company will comply with the conditions attaching to them, and that the grants will be received. The Company
recognizes as income the amounts received or receivable from expense reimbursement grants to the extent, and in the period in which,
the qualifying costs have been incurred. The Company recognizes as income the amounts received or receivable from fixed fee grants by
applying the proportional performance method. Under this method the Company recognizes grant income using the same proportion as the
costs incurred to date to the total expected cost of the project, but limiting the income to be recognized to the amount to which it
is entitled based on the submitted deliverables.
F- 16
Research
and Development
Research
and development expenses consist of costs related to employee compensation and benefits, costs for contract manufacturing organizations
(“CMOs”), costs for contract research organizations (“CROs”), costs for sponsored research, costs for clinical
trials, consultant services, laboratory supplies, product licenses, facility-related expenses and depreciation. All research and development
costs are charged to research and development expenses within the statements of operations as incurred. Payments associated with licensing
agreements to acquire exclusive licenses to develop, use, manufacture and commercialize products that have not reached technological
feasibility and do not have alternate commercial use are also expensed as incurred. Payments made to third parties under these arrangements
in advance of the performance of the related services by the third parties are recorded as prepaid expenses until the services are rendered.
Income
Taxes
The
Company accounts for income taxes using the asset and liability method whereby deferred tax asset and liability accounts are determined
based on differences between financial reporting and tax bases of assets and liabilities and are measured using the enacted tax rates
and laws that are for the year in which the differences are expected to affect taxable income. Valuation allowances are established where
necessary to reduce deferred tax assets to the amounts expected to be realized.
The
Company accounts for uncertain tax positions by assessing all material positions taken in any assessment or challenge by relevant taxing
authorities. Assessing an uncertain tax position begins with the initial determination of the position’s sustainability and is
measured at the largest amount of benefit that is greater than fifty percent likely of being realized upon ultimate settlement. The Company’s
policy is to recognize interest and penalties related to the underpayment of income taxes as a component of income tax expense or benefit.
The Company recognizes interest and penalties related to unrecognized tax benefits within the income tax expense line. Accrued interest
and penalties are included within the Accrued liabilities in the balance sheets. To date, there have been no interest or penalties charged
in relation to the unrecognized tax benefits.
Excise
Tax Payable
The
Inflation Reduction Act of 2022, enacted in August 2022, imposed a 1 % non-deductible excise tax on net repurchases of shares by domestic
corporations whose stock is traded on an established securities market.
F- 17
Net
Loss per Share Attributable to Common Stockholders
Basic
net loss per common share is calculated by dividing the net loss attributable to common stockholders by the weighted-average number of
shares of common stock outstanding during the period, without consideration of potentially dilutive securities. Diluted net loss per
share is computed by dividing the net loss attributable to common stockholders by the weighted-average number of shares of common stock
and potentially dilutive securities outstanding for the period. For purposes of the diluted net loss per share calculation, the convertible
preferred stock, common stock subject to repurchase and stock options are considered to be potentially dilutive securities. Basic and
diluted net loss attributable to common stockholders per share is presented in conformity with the two-class method required for participating
securities as the convertible preferred stock is considered a participating security. The Company’s participating securities do
not have a contractual obligation to share in the Company’s losses. As such, the net loss is attributed entirely to common stockholders.
Because the Company has reported a net loss for the reporting periods presented, the diluted net loss per common share is the same as
basic net loss per common share for those periods.
Recent
Accounting Pronouncements
Recently
adopted accounting standards
In
December 2023, the Financial Accounting Standards Board (“FASB”) issued Accounting Standards Update (“ASU”) 2023-08,
Accounting for and Disclosure of Crypto Assets (Subtopic 350-60) (“new crypto assets standard”). The new crypto assets standard
requires certain crypto assets to be measured at fair value separately on the balance sheet with changes reported in the statement of
operations each reporting period. The new crypto assets standard also enhances the other intangible asset disclosure requirements by
requiring the name, cost basis, fair value, and number of units for each significant crypto asset holding. The Company adopted the new
crypto assets standard effective the third quarter of 2025 when the Company made its initial purchase of crypto assets. Refer to Note
2 and Note 4 for the inclusion of new disclosures required.
In
December 2023, the FASB issued ASU 2023-09, Improvements to Income Tax Disclosures (Topic 740). The ASU requires disaggregated information
about a reporting entity’s effective tax rate reconciliation as well as additional information on income taxes paid. The Company
adopted this ASU on a prospective basis effective January 1, 2025. Refer to Note 13 for the inclusion of new disclosures required.
Recently
issued accounting standards not yet adopted
In
November 2024, the FASB issued ASU 2024-03, Disaggregation of Income Statement Expenses (“DISE”). ASU 2024-03 requires disaggregated
disclosure of income statement expenses for public business entities. ASU 2024-03 does not change the expense captions an entity presents
on the face of the income statement; rather, it requires disaggregation of certain expense captions into specified categories in disclosures
within the footnotes to the financial statements. As revised by ASU No. 2025-01, Income Statement—Reporting Comprehensive Income—Expense
Disaggregation Disclosures, the provisions of ASU 2024-03 are effective for fiscal years beginning after December 15, 2026, and interim
periods within fiscal years beginning after December 15, 2027, with early adoption permitted. With the exception of expanding disclosures
to include more granular income statement expense categories, the Company does not expect the adoption of ASU 2024-03 to have a material
effect on its consolidated financial statements taken as a whole.
F- 18
In
December 2025, the FASB issued ASU 2025-10, Government Grants (Topic 832): Accounting for Government Grants Received by Business Entities.
ASU 2025-10 established authoritative guidance for the accounting for a government grant received by a business entity, including guidance
for a grant related to an asset and a grant related to income. This guidance is effective for annual reporting periods beginning after
December 15, 2028, and interim reporting periods within those annual reporting periods. The Company is currently evaluating the impact
of the guidance on its consolidated financial statements.
In
December 2025, the FASB issued ASU 2025-11, Interim Reporting (Topic 270): Narrow-Scope Improvements. ASU 2025-11 clarifies the applicability
of interim reporting guidance under U.S. GAAP, provides a comprehensive list of interim disclosure requirements within Topic 270, and
introduces a disclosure principle requiring entities to provide information about events and changes occurring after the end of the most
recent annual reporting period that have a material impact on the entity. The ASU does not change the fundamental nature of interim reporting
or expand or reduce existing interim disclosure requirements. ASU 2025-11 is effective for interim reporting periods within annual reporting
periods beginning after December 15, 2027 for public business entities, with early adoption permitted. The Company is currently evaluating
the impact of this guidance on its interim financial reporting and related disclosures.
Note
3 — Recapitalization
On
July 11, 2025, the Company consummated the Business Combination. The consummation of the Business Combination involved the merger of
Merger Sub with and into Legacy Profusa, pursuant to which, at the Closing, the separate corporate existence of Merger Sub ceased, with
Legacy Profusa as the surviving corporation becoming a wholly-owned subsidiary of the Company. As a result of the Business Combination,
the Company owns 100 % of the outstanding common stock of Legacy Profusa. In connection with the closing of the Business Combination,
the Company changed its name from “NorthView Acquisition Corporation” to “Profusa, Inc.”
More
specifically, at the Effective Time of the Merger:
● each share of issued and outstanding Legacy Profusa Common Stock, including shares converted from convertible notes and convertible preferred stock, was converted into a number of shares of Company common stock, based on the Exchange Ratio that reflects an equity valuation of Legacy Profusa of $ 155.0 million (as adjusted for the Incentive Equity Value, the Private Placement Value and the Aggregate Company Incentive Amount (as such terms are defined in the Merger Agreement)), divided by an assumed value of Common Stock of $ 750.00 per share, after giving effect for the Reverse Stock Split.
● each
option to purchase Legacy Profusa Common Stock was converted into an option to purchase Common
Stock based on the Exchange Ratio, and
● each
warrant to purchase Legacy Profusa Common Stock was converted into a warrant to purchase
Common Stock based on the Warrant Ratio (as defined in the Merger Agreement).
PIPE
Transaction
On
February 11, 2025, NorthView executed the PIPE Subscription Agreement with the PIPE Investors. Pursuant to the PIPE Subscription Agreement,
the PIPE Investors are expected, subject to the conditions relating to such purchase set forth in the PIPE Subscription Agreement, to
purchase from NorthView Ascent PIPE Notes in an aggregate principal amount of up to $ 22.2 million for a purchase price of up to $ 20.0
million, after 10 % OID.
At
Closing, the Company issued an Ascent PIPE Note in the principal amount of $ 10.0 million (the “Initial Note”), reflecting
a 10 % OID. The Initial Note matures on the date that is 18 -months from Closing (the “Maturity Date”) and is convertible at
any time at the holder’s option at the lower of $ 750.00 per share, as adjusted for the Reverse Stock Split, or 95 % of the lowest
daily volume-weighted average price per share (“VWAP”) of Common Stock in the 10 trading days prior to the original issue
date for each PIPE Convertible and shall be adjusted, without limitation, based on down-round and most-favored nation (“MFN”)
price and terms protections (the “Conversion Price”). The Ascent PIPE
Notes is accounted for under the fair value option and recorded in loans payable at fair value on the consolidated
balance sheets.
Junior
Convertible Notes and Senior Notes
The
outstanding principal balance and accrued and unpaid interest of the junior convertible notes and senior notes was $ 19.6 million and
$ 27.3 million as of the Closing Date, respectively. The senior notes comprise of the Senior Convertible Notes, Senior Convertible Bridge
Notes and the Senior Secured Convertible Notes. The junior convertible notes and senior notes converted into Legacy Profusa Common Stock,
and was exchanged for an aggregate of 197,098 shares of the Company’s common stock, respectively, as adjusted for the Reverse Stock
Split. See Note 6 for further detail.
F- 19
Earnout
Arrangements
Upon
Closing, the former holders of Legacy Profusa’s common stock, senior convertible notes, junior convertible notes and vested in-the-money
options (the “Participating Securityholders”) received certain rights, under which in the future the Company may issue to
the Participating Securityholders an aggregate of 51,666 shares of Common Stock (the “Milestone Earnout Shares”) during the
respective earnout periods in equal quarterly installments upon achievement of the following four Milestone Events. All milestones below
have been adjusted for the Reverse Stock Split:
● Milestone I Earnout Rights: share price of Common Stock is equal to or greater than $ 937.50 for any 20 trading days during any 30 days trading period or consummation of a Subsequent Transaction (as defined in the Merger Agreement) where the stockholders of Profusa will receive a consideration of at least $ 937.50 for each share of Common Stock (“Milestone Event I”). The Milestone I period will commence on the 18-month anniversary and end on the two-year anniversary of the Closing Date (“Milestone Event I Period”);
● Milestone II Earnout Rights: share price of Common Stock is equal to or greater than $ 1,087.50 for any 20 trading days during any 30 days trading period or consummation of a Subsequent Transaction where the stockholders of Profusa will receive a consideration of at least $ 1,087.50 for each share of Common Stock (“Milestone Event II”). The Milestone II period will commence on the 360-day anniversary and end on the two-year anniversary of the Closing Date (“Milestone Event II Period”); provided that such 30 days trading period does not overlap with the 30 days trading period used to satisfy the requirements of Milestone Event I; provided, further, that in the event that such 30 days trading period could satisfy either Milestone Event I or Milestone Event II, then Milestone Event II shall be deemed to be satisfied first;
● Milestone III Earnout Rights: the closing of the APAC Joint Venture, as described below in this Report, and the Companies receipt of the related $ 6 million funding, during the fiscal year ended December 31, 2025 (“Milestone Event III”);
● Milestone IV Earnout Rights: achievement of revenue of $ 11.9 million for the fiscal year ended December 31, 2026 (“Milestone Event IV,” and, together with Milestone Event I, Milestone Event II and Milestone Event III, the “Milestone Events”). Milestone I Earnout Rights, Milestone II Earnout Rights, Milestone III Earnout Rights and Milestone IV Earnout Rights are further referred to collectively as “Milestone Earnout Rights”.
In
the event the above milestones are achieved, the issuance of shares under the earnout arrangements will dilute the ownership interests
of existing shareholders. As of December 31, 2025, Milestone III has expired and the milestone was not met.
Reverse
recapitalization
The
Business Combination was accounted for as a reverse recapitalization in accordance with U.S. GAAP. Accordingly, Legacy Profusa was deemed
the accounting acquirer (and legal acquiree) and Northview was treated as the accounting acquiree (and legal acquirer).
Under
this method of accounting, the reverse recapitalization was treated as the equivalent of Legacy Profusa issuing stock for the net assets
(liabilities) of Northview, accompanied by a recapitalization. The net assets of Northview are stated at historical cost, with no goodwill
or other intangible assets recorded. The consolidated assets, liabilities, and results of operations prior to the Business Combination
are those of Legacy Profusa. All periods prior to the Business Combination have been retrospectively adjusted in accordance with the
Business Combination Agreement for the equivalent number of common shares outstanding immediately after the Business Combination to effect
the reverse recapitalization. The number of shares for all periods prior to the Closing Date have been retrospectively decreased using
the Exchange Ratio.
F- 20
The
earn-outs are considered to be part of the overall reverse recapitalization as it was negotiated between NorthView Sponsor I, LLC, the
sponsor of NorthView (the “Sponsor”), and the selling shareholders. As such, it is represented as an equity restructuring
that is accounted for as a reduction in additional paid-in capital. As this is an equity classified transaction the contingent consideration
creates a reduction to the additional paid in capital account of $ 1.7 million, with an offset to additional paid in capital -Earn-out
equity instrument. This accounting results in no impact on the consolidated statements of convertible preferred stock and stockholders’
deficit until all necessary conditions to issue such shares have been satisfied by the end of the period. Once these contingently issuable
shares are deemed issuable, they will also be included in earnings per share.
The
following table reconciles the elements of the Business Combination to the consolidated statements of cash flows and the consolidated
statements of convertible preferred stock and stockholders’ deficit:
Cash-Trust
Account, net of redemptions
$ 1,276
Less:
transaction costs and professional fees, paid directly from Trust Account
1,274
Net proceeds
received from Trust
2
Less:
private and representative warrant liabilities
( 1,193 )
Less:
related party notes
( 41 )
Less:
related party notes - working capital loan
( 2,162 )
Less:
excise tax payable
( 1,953 )
Less:
accounts payable and accrued expenses
( 3,053 )
Reverse
recapitalization, net
$ ( 8,400 )
The
number of shares of Common Stock to be issued following the consummation of the Business Combination were, as adjusted for the Reverse
Stock Split:
Class
A Common Stock
NVAC
Public Shares, outstanding prior to the Business Combination
1,357
Less:
Redemption of NVAC Class A common stock
( 5 )
Public shares of NVAC
1,352
NVAC Founder
Shares, outstanding prior the Business Combination
53,780
NVAC Representative
Shares converted to Class A Common shares
6,000
NVAC Shares
from Rights converted to Class A common shares
25,300
Business
Combination shares
Profusa Shares
114,584
Issuance
of shares in connection with Ascent Private Note
38,691
Conversion
of notes into shares
197,098
Common
Stock immediately after the Business Combination
436,805
F- 21
The
number of Profusa Shares was determined as follows, as adjusted for the Reverse Stock Split:
Legacy
Profusa Shares
Profusa
Shares after conversion ratio
Preferred
Stock
17,863,934
82,377
Class
A Common Stock
74,728
32,209
Total
17,938,662
114,586
Transaction
costs
During
the year ended December 31, 2025, the Company expensed $ 14.5 million for transaction costs incurred in connection with the Business Combination,
of which $ 8.1 million in transaction costs was settled for in shares and warrants, and the remaining $ 6.4 million in cash. The transaction
costs primarily represented fees incurred for financial advisory, legal and other professional services that were directly related to
the Business Combination. See below for breakout of costs.
Amount
Inducement share costs
$ 7,254
Advisory and brokers
3,930
Accounting
1,529
Legal
1,230
HCW warrant costs
330
Printers and operating
fees
210
$ 14,483
The
Company allocated transaction costs in accordance with ASC 340-10 and SEC SAB Topic 5.A.
Equity
issuance costs that were direct and incremental to issuing equity instruments in the Business Combination were recorded as a reduction
of additional paid-in capital (“APIC”), up to net proceeds received. Transaction costs in excess of equity proceeds, and
costs not directly attributable to issuing equity, were expensed as incurred and recorded within general and administrative expense in
the Company’s consolidated statements of operations.
Transaction
costs were also allocated to the related instruments issued (or assumed) in the Business Combination based on their relative fair values
on the Closing Date. Costs allocated to equity-classified instruments were recorded to APIC, up to net proceeds. To the extent any costs
were allocable to liability-classified instruments, such amounts were expensed in the period incurred and recorded within general and
administrative expense in the Company’s consolidated statements of operations.
F- 22
Public
and private placement warrants
The
9,487,500 warrants (the “Public Warrants”) issued in Northview’s initial public offering (the “IPO”), 7,347,500
warrants issued in connection with private placement at the time of the IPO (the “Private Placement Warrants”) and 569,250
warrants issued to the representative of the underwriters in the IPO (the “Representative’s Warrants”) remained outstanding
and became warrants for the Company. The Public Warrants qualify for equity classification upon Closing, and were fair value adjusted
with no future gains or losses on fair value adjustment being recorded in future periods. The Private Placement Warrants and Representative’s
Warrants contain provisions that preclude these warrants from being indexed to the Company’s stock, the settlement amount depending
on who holds the instrument, and the holder is not an input to the fair value of a fixed-for-fixed option or forward on equity shares.
As such, this provision would cause the warrants to fail Step 2 of the indexation guidance. The Private Placement and Representative’s
Warrants remained liability classified with fair value adjustments recorded to earnings at each period.
Note 4
— Fair Value Measurement
Assets
and liabilities recorded at fair value on a recurring basis in the consolidated balance sheets are categorized based upon the level of
judgment associated with the inputs used to measure their fair values. Fair value represents the price that would be received to sell
an asset or paid to transfer a liability in an orderly transaction between market participants at the measurement date. Valuation techniques
used to measure fair value must maximize the use of observable inputs and minimize the use of unobservable inputs. The authoritative
guidance on fair value measurements establishes a three-tier fair value hierarchy for disclosure of fair value measurements as follows:
Level
1 —
Inputs
are unadjusted, quoted prices in active markets for identical assets or liabilities at the
measurement date;
Level
2 —
Inputs
are observable, unadjusted quoted prices in active markets for similar assets or liabilities,
unadjusted quoted prices for identical or similar assets or liabilities in markets that are
not active, or other inputs that are observable or can be corroborated by observable market
data for substantially the full term of the related assets or liabilities; and
Level
3 —
Unobservable
inputs that are significant to the measurement of the fair value of the assets or liabilities
that are supported by little or no market data.
In
determining fair value, the Company utilizes valuation techniques that maximize the use of observable inputs and minimize the use of
unobservable inputs to the extent possible as well as considers counterparty credit risk in its assessment of fair value.
Assets
and liabilities measured at fair value are classified in their entirety based on the lowest level of input that is significant to the
fair value measurement. The Company’s assessment of the significance of a particular input to the fair value measurement in its
entirety requires management to make judgments and consider factors specific to the asset or liability.
F- 23
As
of December 31, 2025 and 2024, the Company’s financial assets and liabilities measured at fair value on a recurring basis,
were as follows (in thousands):
As
of December 31, 2025
Level
1
Level
2
Level
3
Total
Assets:
Digital assets
(Bitcoin)
$ 1,445
$ —
$ —
$ 1,445
Liabilities:
Convertible notes due to
related parties held at fair value
$ —
$ —
$ 4,160
$ 4,160
Loans payable
—
—
7,877
7,877
Warrant liabilities - Private
Placement Warrants
—
—
277
277
Warrant
liabilities - Representative’s Warrants
—
—
21
21
Total
liabilities measured at fair value
$ —
$ —
$ 12,335
$ 12,335
As
of December 31, 2024
Level
1
Level
2
Level
3
Total
Liabilities:
Convertible
notes due to related party held at fair value
$ —
$ —
$ 2,234
$ 2,234
Total
liabilities measured at fair value
$ —
$ —
$ 2,234
$ 2,234
The
Private Placement Warrants and the Representative’s Warrants are accounted for as liabilities in accordance with ASC 815-40 and
are presented within liabilities on the consolidated balance sheets. The warrant liabilities are measured at fair value at inception
and on a recurring basis, with changes in fair value presented within change in fair value of warrant liabilities in the consolidated
statements of operations.
The
Company uses a Monte Carlo simulation model to value the Private Placement Warrants and the Representative’s Warrants. The Private
Placement Warrants and the Representative’s Warrants were classified within Level 3 of the fair value hierarchy due to the use
of unobservable inputs. Inherent in pricing models are assumptions related to expected share-price volatility, expected life and risk-free
interest rate. The Company estimates the volatility of its common stock based on historical volatility that matches the expected remaining
life of the warrants. The risk-free interest rate is based on the U.S. Treasury zero-coupon yield curve on the grant date for a maturity
similar to the expected remaining life of the warrants. The expected life of the warrants is assumed to be equivalent to their remaining
contractual term.
The
key inputs into the Monte Carlo simulation model for the warrant liabilities, as affected by the Reverse Stock Split, were as follows
at December 31, 2025 and July 11, 2025 (the “Closing Date”). Each warrant entitles the registered holder to purchase
one seventy-fifth (1/75) of one share of our common stock at a price of $ 862.50 per whole share. Pursuant to the warrant agreement, a
warrant holder may exercise its warrants only for a whole number of shares of common stock. This means only a whole warrant may be exercised
at a given time by a warrant holder. No fractional warrants will be issued and only whole warrants will trade.
December 31,
2025
July
11,
2025
Input
Risk-free interest
rate
3.79 %
4.00 %
Expected term (years)
4.53
5.00
Expected volatility
139.20 %
42.00 %
Exercise price
$ 862.50
$ 862.50
Fair value of Common stock
$ 7.86
$ 187.50
F- 24
Warrant
Liabilities
The
following table provides a summary of the changes in the fair value of the Company’s Level 3 warrant liabilities that are measured
at fair value on a recurring basis for the year ended December 31, 2025 (in thousands):
Private
Placement Warrants
Representative’s
Warrants
Total
Level 3 Warrant liabilities
Fair
value at January 1, 2025
$ —
$ —
$ —
Assumption
of warrant liabilities
1,107
86
1,193
Change
in fair value of warrant liabilities
( 830 )
( 65 )
( 895 )
Fair
value at December 31, 2025
$ 277
$ 21
$ 298
Convertible
notes payable, related party
The
Tasly convertible note and the Convertible Promissory Note - Related Party (collectively “Related Party Convertible Notes Payable”)
were valued using a Probability Weighted Expected Return Model to fair value the convertible note. The intrinsic conversion value as
of December 31, 2025 was $ 0 for the Related Party Convertible Notes Payable. As of December 31, 2025, the Tasly convertible
note has matured and is payable at the principal amounts plus accrued interest. Therefore, the fair value of the note is the face amount
of the debt, and as of December 31, 2025, the accrued interest was added to the liability balance.
The
following table provides a summary of the changes in the fair value of the Company’s Level 3 Related Party Convertible Notes Payable
for the years ended December 31, 2025 and 2024 (in thousands):
Tasly
Convertible Note - Related Party
Related
Party Convertible Promissory Note
Total
Level 3 Related Party Convertible Notes
Fair value
as of January 1, 2025
$ 2,234
$ —
$ 2,234
Assumption of related party
convertible note upon closing of the Business Combination
—
2,162
2,162
Loss (Gain) on change in
the fair value of related party convertible notes
56
( 242 )
( 186 )
Repayment of debt
—
( 50 )
( 50 )
Fair
value as of December 31, 2025
$ 2,290
$ 1,870
$ 4,160
Tasly
Convertible Note - Related Party
Fair value
as of January 1, 2024
$ 1,714
Issuance of Tasly Convertible
Notes
16
Accrued stated interest
193
Loss
on change in the fair value of Tasly convertible note
311
Fair
value as of December 31, 2024
$ 2,234
F- 25
Loans
Payable
The
Company uses a Monte Carlo simulation model to value the Loans Payable, which represents the issued Ascent PIPE Notes. The Loans Payable were classified within Level 3 of the fair value
hierarchy due to the use of unobservable inputs. Inherent in pricing models are assumptions related to expected share-price volatility,
expected life and risk-free interest rate. The Company estimates the volatility of its common stock based on historical volatility that
matches the expected remaining life of the loans payable. The risk-free interest rate is based on the U.S. Treasury zero-coupon yield
curve on the grant date for a maturity similar to the expected remaining life of the loans. The expected life of the loans are assumed
to be equivalent to their remaining contractual term.
The
key inputs into the Monte Carlo simulation model for the Loans Payable were as follows at December 31, 2025 and July 11, 2025:
December 31,
2025
July
11,
2025
Input
Risk-free
interest rate
3.48 %
4.00 %
Expected
term (years)
1.03
1.50
Expected
volatility
68.30 %
82.70 %
Fair value of Common stock
$ 0.10
$ 2.50
The
following table provides a summary of the changes in the fair value of the Company’s Level 3 loans payable for the year ended December
31, 2025 (in thousands):
Loans
Payable
Fair
value as of January 1, 2025
$ —
Proceeds
Received
11,000
Repayments of debt
( 1,920 )
Conversion
of debt to equity
( 4,497 )
Loss
on change in the fair value of convertible note
3,294
Fair
value as of December 31, 2025
$ 7,877
The
fair value of the Company’s loans payable settled through conversion was determined by multiplying the closing price of the Company’s
common stock on the applicable conversion date by the number of shares of common stock issued upon settlement.
Loss on change in the fair value of convertible notes on the consolidated statements of operations comprise of the change in fair value
of the Company’s convertible notes and its related accrued interest on the convertible notes.
Digital
Asset
As
of December 31, 2025, the Company held 16.51 units of Bitcoin with an aggregate cost basis of $ 2.0 million. The fair value of the Company’s
Bitcoin holdings was $ 1.4 million, resulting in a unrealized loss of approximately $ 0.6 million included in the consolidated statements
of operations. The Company did not have any Bitcoin holdings as of December 31, 2024.
F- 26
Note 5
— Balance Sheet Components
Prepaid
expenses and other current assets (in thousands):
As
of December 31,
2025
2024
Prepaid legal
$ —
$ 25
Prepaid insurance
441
37
Prepaid
expenses and other current assets
100
7
$ 541
$ 69
Accrued
Liabilities (in thousands):
As
of December 31,
2025
2024
Accrued compensation
$ ( 4,066 )
$ ( 3,472 )
Accrued
other liabilities
( 1,915 )
( 496 )
$ ( 5,981 )
$ ( 3,968 )
Note 6
— Debt
The
following table sets forth a summary of the debt instruments and their changes during the years ended December 31, 2025 and
2024 (in thousands):
Junior
Convertible
Notes
Loans
Payable
Tasly
Convertible
Note - Related
Party
Convertible
Promissory
Note - Related
Party
Senior
Notes
Promissory
Notes
PPP
Loan
D&O
Insurance
Financing
Balance at January 1, 2025
$ 18,419
$ —
$ 2,234
$ —
$ 25,268
$ 910
$ 1,376
$ —
Issuance of debt
—
11,000
—
—
1,350
100
—
657
Debt
repayments
—
( 1,920 )
—
( 50 )
( 555 )
—
( 360 )
Change
in fair value
—
3,294
56
( 242 )
—
—
—
—
Conversion
of debt to equity
( 19,612 )
( 4,497 )
—
—
( 27,279 )
—
—
—
Debt assumed in connection with reverse recapitalization
—
—
—
2,162
—
—
—
—
Accrued
stated interest
1,193
—
—
—
1,258
39
14
—
Balance
at December 31, 2025
$ —
$ 7,877
$ 2,290
$ 1,870
$ 42
$ 1,049
$ 1,390
$ 297
Less:
Current portion
$ —
$ —
$ 2,290
$ 1,870
$ 42
$ 1,049
$ 1,390
$ 297
Long
term debt
$ —
$ 7,877
$ —
$ —
$ —
$ —
$ —
$ —
Accounting basis Effective interest
method Fair value
option Fair value
option Fair value
option Effective interest
method Simple interest
method Compounding
Interest Simple interest
method
Interest rate 12 % 10 % 24 % — 0 %-12% 0 %-12% 1 % 7 %
Conversion price(s) per share $ 525.00 various $ 37.50 — $ 37.50 , $ 166.50 , and $ 300.00 — — —
Maturity 7/11/2025 1/11/2027 3/31/2024 7/11/2025 7/11/2025 various 5/25/2026 4/11/2026
F- 27
Junior
Convertible Notes
Tasly
Convertible Note - Related Party
Senior
Notes
Promissory
Notes
PPP
Loan
Balance
at January 1, 2024
$ 16,316
$ 1,714
$ 20,155
$ 849
$ 1,362
Issuance of debt
—
16
3,210
—
—
Debt repayments
—
—
( 150 )
—
—
Change
in fair value
—
311
—
—
—
Stated
interest
2,057
193
2,053
61
14
Amortization
of debt discount and issuance costs
46
—
—
—
—
Balance
at December 31, 2024
$ 18,419
$ 2,234
$ 25,268
$ 910
$ 1,376
Less:
Current portion
18,419
2,234
25,268
910
1,376
Long
term debt
$ —
$ —
$ —
$ —
$ —
Convertible
Notes
Junior
Convertible Notes
The
annual effective interest rate of Junior Convertible Notes was estimated from 12.54 % to 53.28 % per year for the years ended December 31,
2025 and 2024. The interest expense for the years ended December 31, 2025 and 2024 was $ 1.2 million and $ 2.1 million,
which includes the amortization of debt discount and issuance costs of $ 0 and $ 0.1 million, respectively.
Upon
Closing, the junior convertible notes were converted into Company common stock based on the principal and accrued interest as of July
11, 2025 (the Closing Date). Convertible Notes with an outstanding balance of $ 19.6 million in principal and accrued interest converted
into 37,356 shares of Company common stock at $ 525.00 /share, as adjusted for the Reverse Stock Split.
As
of December 31, 2025 and 2024, the outstanding balance of junior convertible notes includes related party convertible notes of $ 0
and $ 13.3 million, respectively.
Tasly
Convertible Note - Related Party Note
In
June 2023, the Company entered into a short-term loan agreement with a related party under which it may borrow up to $ 1.6 million,
of which $ 1.0 million was borrowed on June 26, 2023, $ 0.3 million was borrowed on July 20, 2023, $ 0.3 million
was borrowed on August 15, 2023 and the final $ 0.02 million was borrowed in February 2024.
The
loans bear interest at a rate of 12 % per annum and originally matured on December 31, 2023 . The original maturity date was extended to
March 31, 2024, subject to the parties’ decision to extend thereafter. Upon occurrence of certain events of default by the
Company, including failure to repay in full the amounts owed at maturity, the lender will have an option to convert the entire outstanding
balance and accrued but unpaid interest under the convertible note into senior unsecured promissory notes on substantially the same terms
as the outstanding Senior Notes. In the event the Company fails to complete the formation of the APAC Joint Venture or fail to repay
the amounts under the Tasly Convertible Note when they become due, the lender will have an option to convert the entire outstanding balance
and accrued but unpaid interest under the Tasly Convertible Note into either (i) senior unsecured promissory notes on substantially the
same terms as the outstanding Senior Notes as of December 31, 2025, or (ii) the Company’s Common Stock at a conversion price of
$ 144.00 per share, as adjusted for the Reverse Stock Split.
The
Company elected to apply the fair value option to account for the Tasly Convertible Note. Accordingly, no features of the Tasly Convertible
Note are bifurcated and separately accounted for. The fair value of the Tasly Convertible Note was $ 2.3 million as of December 31, 2025,
compared to $ 2.2 million as of December 31, 2024. There was accrued interest of $ 0.7 million and $ 0.3 million as of December 31,
2025 and 2024, respectively, on the Tasly Convertible Note.
On
December 31, 2025, the remaining time to complete the formation of the APAC Joint Venture was 0 months as the APAC Joint Venture
can effectively close now that the Closing has occurred. The intrinsic conversion value as of December 31, 2025 is $ 0 , and the note
is in default as the maturity date has passed. The fair value of the Tasly Convertible Note is the face amount of the debt plus accrued
interest which is recorded as a liability above the face amount of the debt and is recorded as a current liability on the consolidated
balance sheets.
F- 28
Senior
Notes
Senior
Notes were first issued in April 2021 and continued through the Closing. Senior Notes bear interest at 12 % per annum unless otherwise
specified.
On
November 3, 2022, all Senior Notes as of this date were amended as follows: 1) all unpaid interest and principal shall be due and payable
on the date which is five business days after the termination of the Merger prior to the occurrence of the Merger closing, 2) automatic
conversion to SPAC shares of at then outstanding all notes and accrued interest upon the Merger at $ 300.00 per share, 3) upon consummation
of the Merger, all noteholders will have a right to receive additional shares upon achievement by the combined company of certain share
price and sales milestones (the earnout shares). Senior Notes issued subsequent to the November 2022 amendment through September 2024
were issued on substantially the same terms as the amended Senior Notes.
In
2024 and 2025, the following Senior Notes were issued:
January-March
2024 Senior Notes — During the months January through March 2024, the Company issued additional Senior Notes to investors with
the principal amount of $ 0.7 million on substantially the same terms as the Senior Notes issued in 2022 (as amended in November 2022).
April-June
2024 Senior Notes — During the months April through June 2024, the Company issued additional Senior Notes to investors with
the principal amount of $ 0.4 million on substantially the same terms as the Senior Notes issued in 2022 (as amended in November 2022).
Additionally, the Company repaid $ 0.1 million of principal on Senior Notes with investors during the respective period.
July-September
2024 Senior Notes — During the months July through September 2024, the Company issued additional Senior Notes to investors
with the principal amount of $ 0.7 million on substantially the same terms as the Senior Notes issued in 2022 (as amended in November
2022). Additionally, during the months of July through September 2024, the Company issued a Senior Secured Convertible Note with the
principal amount of $ 0.3 million. This note was issued at the same 12 % interest terms as all of their other Senior Convertible Notes,
and has an 18 -month maturity. The Company repaid $ 0.04 million of principal on Senior Notes with investors during the respective period.
The remaining Notes converted into shares of Common Stock upon the Closing.
October-December
2024 Senior Notes — During the months October through December 2024, the Company issued two Senior Secured Convertible Notes
with a total principal amount of $ 1.1 million. These notes were issued at the same 12 % interest terms as all of their other Senior Convertible
Notes, and have an 18 -month maturity. The Notes converted into shares of Common Stock upon the Closing
January-March
2025 Senior Notes — During the months January through March 2025, the Company issued additional Senior Secured Convertible
Notes to investors with the principal amount of $ 0.8 million on substantially the same terms as the Senior Notes issued in 2022 (as amended
in November 2022). These notes were issued at the same 12 % interest terms as all of their other Senior Secured Convertible Notes, and
will convert into shares of the Company’s common stock at $ 37.50 per share.
F- 29
April-June
2025 Senior Notes — During the months April through June 2025, the Company issued additional Senior Secured Convertible Notes
to investors with the principal amount of $ 0.4 million issued on substantially the same terms as the Senior Notes issued in 2022 (as
amended in November 2022). These notes were issued at the same 12 % interest terms as all of their other Senior Secured Convertible Notes,
and will convert into shares of the Company’s common stock at $ 37.50 per share.
Upon
Closing, the following convertible notes were converted into the Company’s common stock based on the principal and accrued interest
as of July 11, 2025. Senior Convertible Notes with an outstanding balance of $ 21.7 million in principal and accrued interest converted
into 68,585 shares of Common Stock at $ 300.00 /share, Senior Convertible Bridge Notes of $ 3.1 million in principal and accrued interest
were repaid in cash in the amount of $ 0.2 million with the remaining $ 2.9 million converted into 17,261 shares of Common Stock at $ 166.50 /share,
Senior Secured Convertible Notes of $ 2.8 million in principal and accrued interest converted into 73,896 shares of Common Stock at $ 37.50 /share.
Of the 73,896 shares of Common Stock issued to Senior Secured Note holders, 9,469 shares were contributed by the Sponsor. As such, most
of these notes were converted into Common Stock upon the Closing.
As
of December 31, 2025, the outstanding balance of Senior Notes is less than $ 0.1 million, all of which is with unrelated parties. The
Company is currently in default; accordingly, the Company classified the entire outstanding amount as a current liability on the consolidated
balance sheets. As of December 31, 2024, the outstanding balance of senior notes totaled $ 25.3 million, of which $9.5 million is outstanding
with related parties and $ 15.8 million is outstanding with unrelated parties.
The
annual effective interest rate of Senior Notes was estimated from 0% to 12.15 % and 0% to 12.15 % per year for the years ended December 31,
2025 and 2024, respectively. The interest expense was $ 1.3
million and $ 2.1 million for the years ended December 31, 2025 and 2024.
Loans
Payable
On
February 11, 2025, NorthView executed the PIPE Subscription Agreement with the PIPE Investors. Pursuant to the PIPE Subscription Agreement,
the PIPE Investors are expected, subject to the conditions relating to such purchase set forth in the PIPE Subscription Agreement, to
purchase from NorthView senior secured convertible notes in an aggregate principal amount of up to $ 22.2 million for an aggregate purchase
price of up to $ 20.0 million, reflecting a 10 % OID.
F- 30
At
the Closing and pursuant to the PIPE Subscription Agreement, the Company issued the Initial Note in the principal amount of $ 10.0 million
for a purchase price of $ 9.0 million, reflecting a 10 % OID. The Initial Note matures on January 11, 2027 , which is 18-months from Closing
on July 11, 2025 (the “Maturity Date”) and is convertible at any time at the PIPE Investor’s option at a conversion
price equal to the lower of $ 750.00 per share or 95 % of the lowest daily VWAP of the Company’s common stock in the 10 trading days
prior to the original issue date of the Initial Note and shall be adjusted, without limitation, based on down-round and most-favored
nation (“MFN”) price and terms protections (the “Conversion Price”). The Company elected to account for the issued Ascent PIPE Notes at fair value, and the fair value is recorded in
loans payable at fair value on the consolidated balance sheets.
The
Initial Note bears interest at 10 % per annum on the outstanding unconverted principal balance. A minimum interest amount equal to 10 %
of the original principal is fully earned at issuance, reduced by interest subsequently accrued. Cash payments are subject to a 5 % fee.
Upon an event of default, the interest rate increases to 24 % per annum and a 10 % late fee applies to overdue amounts. The Initial Note
may be prepaid upon 10 business days’ prior notice (absent an event of default), subject to Ascent’s conversion rights, and
requires mandatory prepayment upon Subsequent Offerings, as defined by the PIPE Subscription Agreement.
Conversion
is subject to a beneficial ownership cap, initially set at 4.99 % of outstanding common stock. Ascent may adjust this cap with 61 days’
prior notice, provided it does not exceed 9.99 %. On August 1, 2025, the cap was increased to 9.99 % and the advance notice requirement
was waived by the Company.
The
PIPE Subscription Agreement and issued Ascent PIPE Notes were amended on three occasions to modify key financial terms:
Amendment
No. 1, effective August 25, 2025: Restructured the financing into four tranches totaling up to $ 22.2 million in aggregate principal,
comprised of $ 10.0 million, $ 2.2 million, $ 5.6 million, and $ 4.4 million, respectively, each subject to customary conditions including
registration effectiveness and Nasdaq listing compliance. The conversion price was revised to the lower of the then-current conversion
price or 95 % of the lowest daily VWAP over the 10 trading days preceding each conversion date, subject to a floor price of $ 7.50 per
share.
Amendment
No. 2, effective December 22, 2025: Reduced the floor price to $ 0.111 per share, applicable to up to 182,000 shares of common stock,
during a modification period ending upon the effectiveness of the Reverse Stock Split on February 9, 2026, reverting to $ 0.14 per share
thereafter.
Amendment
No. 3, effective December 29, 2025: Obligated Ascent to fund a third tranche of up to $ 5.6 million (or $ 3.3 million if a Nasdaq listing
deficiency exists) upon the Company’s request, contingent on full repayment or conversion of the first two outstanding tranches
and other conditions. Additionally, mandatory prepayment due to a Subsequent Offering that is an equity line of credit was established
at 33.3 % of net proceeds under the Company’s Form S-1 registration statement (File No. 333-290805), or 50.0 % of net proceeds under
any Form S-1 filed after this third amendment. As of December 31, 2025 and through date of filing, the third tranche was not met
as a result of the Company’s Nasdaq listing deficiency and tranches one and two of the loans payable have not yet been repaid or
converted.
During
the year ended December 31, 2025, the Company repaid $ 1.9 million of principal and $ 0.3 million in interest on the Ascent PIPE Notes
and Ascent converted an aggregate of $ 4.0 million of principal and accrued interest balance into 266,055 shares of the Company’s
common stock. The shares of common stock issued had a fair value of $ 4.5 million at conversion.
F- 31
As
of December 31, 2025, the loans payable was fair valued at $ 7.9 million which has been classified as long-term in the consolidated balance
sheets. As of December 31, 2025, the Company had accrued interest of $ 0.7 million on the loans payable.
Promissory
Notes
In
a series of transactions during 2010 and 2011, two of the Company’s founders provided $ 0.2 million to the Company to fund general
corporate purposes in exchange for promissory notes. The outstanding promissory notes accrue interest at 5 % and 12 % per annum, most of
which do not have a set maturity date. For any promissory notes that had an initial maturity date which has passed, the Company has verbally
agreed to pay off these loans subsequent to the consummation of the Business Combination. As of December 31, 2025, the Company is in
default; accordingly, the Company classified the entire outstanding amount as a current liability on the consolidated balance sheets.
During
the year ended December 31, 2023, two related parties provided the Company with short-term promissory notes in an aggregate principal
amount of $ 0.4 million, bearing interest at a rate of 12 % per annum. The notes were payable on demand at any time on or after December
31, 2023. As of December 31, 2024, these notes were classified as related party transactions and were not yet due by the noteholders.
These noteholders ceased to be related parties of the Company following the consummation of the merger. During the year ended December
31, 2025, the noteholders requested for repayment and as of December 31, 2025, the Company is in default.
During
the year ended December 31, 2025, a promissory note of $ 0.1 million for 0 % interest was issued to an unrelated party of the Company and
matured on the Closing Date. The Company did not make any repayments on the outstanding balance of the promissory notes during the year
ended December 31, 2025 and is currently in default.
Interest
expense on the Company’s promissory notes was less than $ 0.1 million for each of the years ended December 31, 2025
and 2024. The carrying value of the promissory notes as of December 31, 2025 and 2024 was $ 1.0 million and $ 0.9 million, respectively.
As of December 31, 2025 and 2024, outstanding balance of promissory notes due to related parties was $ 0.4 million and $ 0.9 million
respectively, and are classified as current liabilities on the consolidated balance sheets.
Paycheck
Protection Program
On
May 25, 2021, the Company borrowed $ 1.3 million under the Paycheck Protection Program (the “PPP Loan 2”). The Paycheck
Protection Program, established as part of the Coronavirus Aid, Relief, and Economic Security (“CARES”) Act, provides for
loans to qualifying businesses and is administered by the U.S. Small Business Administration (the “SBA”). The annual
interest rate on PPP Loan 2 is 1 %.
Under
the terms of PPP Loan 2, if the Company does not submit forgiveness application within 24 weeks the initial disbursement of the
loan (the “Covered Period”), the Company must begin to make equal monthly payments of principal and interest starting 10 months
from the end of the Covered Period until May 25, 2026. Interest on the loan continues to accumulate during any deferment period.
F- 32
As
of December 31, 2025 and 2024, the Company was in default on PPP Loan 2 due to the non-payment of minimal repayment amounts required
by the terms of PPP Loan 2. Accordingly, the Company classified the entire amount outstanding under the PPP Loan 2 as current and accrued
respective late penalties for the total amount of less than $ 0.1 million as of December 31, 2025 and 2024, respectively. The
total past due amount of PPP Loan 2 repayments as of December 31, 2025 and 2024 was $ 1.4 million and $ 0.8 million, respectively.
The
Company applied for forgiveness of PPP Loan 2 in December 2025 and was notified in February 2026 that the loan had been forgiven.
D&O
Insurance Financing
On
July 11, 2025, the Company financed the purchase of the Company’s Directors and Officers (“D&O”) insurance premium, resulting
in a financing obligation at inception of $ 0.7 million. During the year ended December 31, 2025, the Company made aggregate payments
of $ 0.4 million against the obligation and recognized approximately $ 0.4 million of insurance expense and an immaterial amount of interest
expense. As of December 31, 2025, the remaining financing obligation was $ 0.3 million.
Convertible
Promissory Note – Related Party at Fair Value
The
Company now holds the convertible working capital promissory note which was previously held by Northview Acquisition Corporation with
the Sponsor for up to $ 2.5 million. The related party convertible promissory note is non-interest bearing and became convertible on the
Closing Date, July 11, 2025. The Sponsor may elect to convert all or any portion of the unpaid principal balance of this Note into warrants,
at a price of $ 75.00 per warrant. The note also allows for the conversion of the outstanding principal balance to be repaid in shares
of the Company’s common stock at a price of $ 166.50 per share at the election of the Sponsor, as adjusted for the Reverse Stock
Split. As of December 31, 2025, the Company was in default in the repayment of the loan with principal outstanding of $ 1.9 million
classified as a current liability on the consolidated balance sheets.
Minimum
Future Payments for the Company’s Outstanding Borrowings
As
of December 31, 2025, the contractual future minimum payments for the Company’s outstanding borrowing arrangements were as
follows (in thousands):
2026
2027
Total
Tasly
convertible note - related party
$ 2,290
$ —
$ 2,290
Convertible
promissory note - related party
1,870
—
1,870
Loans
payable
—
7,877
7,877
Senior
notes
42
—
42
Promissory
notes
1,049
—
1,049
PPP
loan
1,390
—
1,390
Total
contractual obligations
$ 6,641
$ 7,877
$ 14,518
F- 33
Note 7
— Commitments and Contingencies
Operating
Lease Obligations
On
August 1, 2022 the Company entered into a new lease agreement (the “Amended Lease”) whereby the Company agreed to rent its
office and lab facilities under month-to-month tenancy. The monthly rent payable under the Amended Lease was $ 25 thousand. This month-to-month
lease ended effective August 15, 2024.
Beginning
in October 2024, the Company entered into a new lease agreement whereby the Company agreed to rent its office and lab facilities under
month-to-month tenancy. The monthly rent payable under the new lease is also $ 25 thousand. This month-to-month lease automatically renews
every four months, unless written termination is provided. This lease agreement was terminated in November 2025.
In
December 2025, the Company was in negotiations with the landlord for its office and lab facilities (“Leased Premises”). The
new lease agreement was executed in January 2026 with a termination date of February 28, 2027 with monthly payments of $ 33 thousand per
month through May 2026 and $ 10 thousand per month for the remaining nine months of the lease. Concurrently, the Company entered into
several sublease agreements effective in December 2025 for a portion of the Leased Premises in exchange for $ 22 thousand per month. These
sublease agreements are for six months.
The
Company’s short-term lease expense was $ 0.5 million and $ 0.3 million for the years ended December 31, 2025 and 2024, respectively
and had immaterial sublease income in the year ended December 31, 2025.
Contingencies
and Indemnifications
From
time to time, the Company may have certain contingent liabilities that arise in the ordinary course of its business activities. The Company
accrues a liability for such matters when it is probable that future expenditures will be made and that such expenditures can be reasonably
estimated. Significant judgment is required to determine both probability and the estimated amount.
Under
an advisory agreement with The Benchmark Company, LLC, the Company may be required to pay up to an additional $ 0.3 million in advisory
fees. As of the balance sheet date, this amount represents a contingent commitment that has not been recorded as a liability, as the
amount payable is currently not estimable, as it may be reduced by future services performed under the agreement.
F- 34
In
the normal course of business, the Company enters into contracts and agreements that contain a variety of representations and warranties
and provide for general indemnifications. The Company’s exposure under these agreements is unknown because it involves claims that
may be made against the Company in the future, but that have not yet been made. To date, the Company has not paid any claims; however,
the Company may record charges in the future as a result of these indemnification obligations.
In
December 2025, the Company received a Notice of Entry of Judgment in connection with litigation brought by a vendor with claims for breach
of contract, which was ruled in favor of the vendor. As of December 31, 2025, the Company had accrued approximately $ 0.1 million related
to the matter.
In
February 2026, the Company received a demand letter from counsel for a former employee for unpaid wages of approximately $ 0.2 million,
including statutory penalties, and the amount has been accrued for as of December 31, 2025. The letter demands payment and states
that litigation may be initiated if the matter is not resolved.
Note
8 — Stockholders’ Deficit
On
October 20, 2025, the Company amended its amended and restated certificate of incorporation to authorize 600,000,000 shares of common
stock, par value of $ 0.0001 per share and 1,000,000 shares of preferred stock, par value of $ 0.0001 per share.
Common
Stock
Each
share of common stock is entitled to one vote. The holders of common stock are also entitled to receive dividends whenever funds are
legally available and when declared by the Board of Directors, subject to prior rights of the preferred stockholders. As of December 31,
2025, no dividends have been declared to date.
The
Company reserved shares of common stock, as adjusted for the recapitalization (see Note 3) and for the Reverse Stock Split, on an as-converted
basis, for future issuance as follows:
December
31,
2025
2024
Conversion of Series A preferred
stock
—
20,060
Conversion of Series B preferred stock
—
24,408
Conversion of Series C/C-1 preferred stock
—
37,907
Outstanding options under 2025 Plan
12,527
13,705
Issuance of options under the 2025 Plan
100,386
7,194
Outstanding common stock warrants
233,822
—
Issuance of earnout shares
(1)
38,750
—
385,485
103,274
(1) These earnout shares exclude 12,916 shares allocated to Milestone III, as Milestone III expired as of December 31, 2025.
Convertible
Preferred Stock
Immediately
prior to the completion of the Company’s Business Combination, all of the Company’s then-outstanding shares of convertible
preferred stock were automatically converted into shares of Legacy Profusa common stock and, in connection with the Business Combination,
all shares of Legacy Profusa common stock underlying the convertible preferred stock were exchanged for shares of the Company’s
common stock.
F- 35
Convertible
preferred stock as of December 31, 2024 consisted of the following:
Shares
Authorized
Share
Issued and Outstanding
Liquidation
Preference
Carrying
Amount
Original
Issue Price
Series A
4,350,314
4,350,314
$ 5,307
$ 5,231
$ 1.22
Series B
5,293,175
5,293,175
13,815
13,701
2.61
Series C
7,358,151
6,670,703
37,623
37,476
5.64
Series C-1
1,549,742
1,549,742
7,439
8,741
$ 4.80
18,551,382
17,863,934
$ 64,184
$ 65,149
The
significant features of the convertible preferred stock were as follows:
Voting
Rights
The
holders of convertible preferred stock shares are entitled to vote on all matters on which the common stockholders are entitled to vote.
Each holder of convertible preferred stock is entitled to the number of votes equal to the number of common stock shares into which the
shares held by such holder could be converted as of the Record Date. Holders of convertible preferred stock and common stock generally
vote as a single class.
Dividends
Holders
of convertible preferred stock are entitled to receive dividends, when, as and if declared by the board of directors, at the annual rate
of 8 % of the original issue price, payable in preference and priority to any declaration or payment of any distribution on common stock
of the Company in such calendar year. No distributions may be made with respect to the common stock unless dividends on the convertible
preferred stock have been declared and all declared dividends on the convertible preferred stock have been paid or set aside for payment
to the holders of the convertible preferred stock. Dividends are noncumulative, and none were declared from inception to the Closing
Date.
Liquidation
Preference
In
the event of any liquidation, dissolution, or winding up of the Company, the holders of Series C/C-1 convertible preferred stock shall
be entitled to receive, prior and in preference to any distribution of any of the assets of the Company to the holders of the Series
B convertible preferred stock, the Series A convertible preferred stock or common stock, an amount per share for each share of Series
C/C-1 convertible preferred stock held by them equal to the sum of the liquidation preference amount of respective original issue price
per share, as adjusted for any stock dividend, stock split, combination of shares, reorganization, recapitalization, reclassification
or other similar event (“anti-dilution adjustments”) plus all declared but unpaid dividends on such shares. Should the Company’s
legally available assets be insufficient to satisfy the liquidation preferences, the funds will be distributed with equal priority and
pro rata among the holders of Series C/C-1 convertible preferred stock in proportion to the preferential amount each holder is otherwise
entitled to receive.
F- 36
After
full payment to holders of the Series C/C-1 convertible preferred stock, payment should be made to the holders of Series B convertible
preferred stock, in preference to the holders of the Series A convertible preferred stock or common stock, in the amount per share for
each share of Series B convertible preferred stock held by them equal to the original issue price of such share, adjusted for any anti-dilution
adjustments, plus all declared and unpaid dividends on such shares. Should the Company’s legally available assets be insufficient
to satisfy the liquidation preferences, the funds will be distributed with equal priority and pro rata among the holders of Series B
convertible preferred stock in proportion to the preferential amount each holder is otherwise entitled to receive.
After
full payment to holders of the Series B convertible preferred stock, payment should be made to the holders of Series A convertible preferred
stock, in preference to the holders of the common stock, in the amount per share for each share of Series A convertible preferred stock
held by them equal to the original issue price of such share, adjusted for any anti-dilution adjustments, plus all declared and unpaid
dividends on such shares. Should the Company’s legally available assets be insufficient to satisfy the liquidation preferences,
the funds will be distributed with equal priority and pro rata among the holders of Series A convertible preferred stock in proportion
to the preferential amount each holder is otherwise entitled to receive.
After
the payment to the holders of convertible preferred stock of the full preferential amounts specified above, the entire remaining assets
of the Company legally available for distribution by the Company shall be distributed with equal priority and pro rata among the holders
of the common stock and holders of convertible preferred stock as-if-converted to common stock basis in proportion to the number of shares
of common stock held by them.
Conversion
Each
share of convertible preferred stock is convertible, at the option of the holder, into the number of fully-paid and non-assessable shares
of common stock that result from dividing the applicable original issue price per share by the applicable conversion price per share
at the time of conversion, as adjusted for any anti-dilution adjustments or recapitalizations. If, after the issuance date of convertible
preferred stock, the Company issues or sells, or is deemed to have sold, additional shares of common stock at a price lower than the
original issuance price, except for certain exceptions allowed, the conversion price of convertible preferred stock would be adjusted.
As of December 31, 2024, the Company’s convertible preferred stock was convertible into the Company’s shares of common stock
as adjusted for the Exchange Ratio and the Reverse Stock Split.
Each
share of convertible preferred stock is convertible into common stock automatically upon the earlier of (i) immediately upon the closing
of a firmly underwritten public offering pursuant to an effective registration statement under the Securities Act of 1933, as amended,
covering the offer and sale of any class or security of the Company in which (a) the gross offering price per share reflects a pre-offering
valuation of the Company of not less than $ 200 million, calculated on a fully-diluted and as-converted basis before giving effect to
the issuance of the securities to be sold in such public offering, and (b) the cash proceeds to the Company (net of underwriting discounts
and commissions) are at least $ 50 million (a “Qualified IPO”); or (ii) the Company’s receipt of a written request for
such conversion from at least a majority of holders of the then outstanding shares of convertible preferred stock, voting as a single
class on an as-if-converted basis.
F- 37
Balance
Sheet Classification
Convertible
preferred stock was recorded in mezzanine equity because while it was not mandatorily redeemable, it became redeemable at the option
of the stockholders upon the occurrence of certain deemed liquidation events that are considered not solely within the Company’s
control.
Note
9 — Common Stock Warrants
As
of December 31, 2025, the Company has four classes of warrants totaling 17,536,750 , consisting of 9,487,500 Public Warrants, 7,347,500
Private Placement Warrants, 569,250 Representative’s Warrants, and 132,500 HCW Warrants. Each warrant is exercisable into 1/75
of a share, but only whole shares of common stock can be issued.
Exercise price Expiration date Number of shares underlying warrants
Public Warrants $ 862.50 7/11/2030 126,500
Private Placement Warrants $ 862.50 7/11/2030 97,966
Representative’s Warrants $ 862.50 7/11/2030 7,590
HCW Warrants $ 0.75 7/11/2030 1,766
233,822
The
following table summarizes the warrant activity for the year ended December 31, 2025:
Number
of common stock warrants
Weighted
average exercise price
Average
remaining contractual term
(Years)
Aggregate
intrinsic value
Outstanding January 1, 2025
—
$ —
—
—
Assumption of
warrants as part of reverse recapitalization
17,404,250
862.50
Issuance of warrants
1,032,500
0.75
Exercise of warrants
( 900,000 )
0.75
Outstanding December
31, 2025
17,536,750
$ 855.99
4.50
—
Prior
to the Closing Date, the Company did not have any common stock warrants outstanding.
F- 38
Northview
Warrants
As
part of Northview’s IPO, Northview issued the Public Warrants to third-party investors, where the exercise of 75 warrants entitled
the holder to purchase one share of the Company’s common stock at an exercise price of $ 862.50 per whole share. Simultaneously
with the closing of the IPO, Northview completed the private sale of 7,347,500 Private Placement Warrants where the exercise of 75 warrants
entitled the holder to purchase one share of the Company’s common stock at an exercise price of $ 862.50 per whole share. Additionally,
Northview granted underwriters 569,250 warrants where the exercise of 75 warrants entitled the holder to purchase one share of the Company’s
common stock at an exercise price of $ 862.50 per whole share at the closing of the IPO. The shares underlying these common stock warrants
have been adjusted for the Reverse Stock Split. No fractional shares are to be issued for the exercise of these Northview Warrants.
The
Public Warrants became exercisable 30 days after the consummation of the Business Combination.
The
Private Placement Warrants and Representative’s Warrants are non-redeemable in certain circumstances so long as they are held by
the initial purchasers or their permitted transferees. The Private Placement and Representative’s Warrants may also be exercised
by the initial purchasers or their permitted transferees for cash or on a cashless basis, but are otherwise similar to the Public Warrants
underlying the Units sold in the IPO, as the Private Placement Warrants and Representative Share Warrants, along with the Common Stock
issuable upon the exercise of the Private Placement Warrants and Representative Share Warrants also became transferable, assignable,
or saleable 30 days after the completion of the Business Combination, which was during the period ended December 31, 2025.
The
Public Warrants were initially classified as a derivative liability instrument. Upon the closing of the Business Combination, the Public
Warrants in accordance with the guidance contained in ASC 815 are no longer precluded from equity classification as they meet the “own
equity” scope exception in ASC 815-10-15-74(a), allowing these financial instruments to be classified as equity with no subsequent
remeasurement. The Public Warrants are indexed to the Company’s Common Stock as they meet both steps in the criteria under ASC
815-40-15-7, as they are not contingently exercisable and they are now considered indexed to equity, as the contingent settlement provisions
are no longer applicable subsequent to the Close. The Public Warrants strike price and the number of shares used to calculate the settlement
amount are fixed, so the instrument can be considered indexed to an entity’s own stock (as the only variables that could affect
the settlement amount would be inputs to the fair value of a fixed-for-fixed forward or option on equity shares).
The
Private Warrants and Representative Warrants are not considered indexed to an entity’s own stock, and fails Step 2 of ASC 815-40-15-7.
As such, the Company continues to recognize the Private Placement Warrants and Representative Share Warrants as liabilities at fair value
as of the Closing Date, with an offsetting entry to additional paid-in capital and adjusts the carrying value of the instruments to fair
value through other income (expense) on the consolidated statement of operations at each reporting period until they are exercised. See
Note 4 for further detail.
F- 39
HCW
Warrants
HCW
acted as Profusa’s financial advisor in connection with the Business Combination and received a transaction fee in connection therewith
of $ 1,000,000 , payable in cash and 132,500 warrants to acquire an aggregate of 1,766 shares of New Profusa Common Stock at an exercise
price of $ 0.75 per share. The Company accounts for the HCW warrants in accordance with the guidance contained in ASC 815. Such guidance
provides that the HCW warrants are not precluded from equity classification. Equity-classified contracts are initially measured at fair
value. Subsequent changes in fair value are not recognized as long as the contracts continue to be classified in equity. The Company
determined the initial fair value using a Black Scholes pricing model. The initial fair value was $ 0.3 million.
The
fair value of the HCW Warrants was estimated using the following assumptions in the Black-Scholes option pricing model:
Expected
volatility
84.1 %
Risk-free
interest rate
4.0 %
Expected
term (in years)
7
Expected
dividend yield
— %
ELOC
On
July 28, 2025, the Company entered into the Purchase Agreement and the ELOC Registration Rights Agreement with Ascent. Upon the terms
and subject to the satisfaction of the conditions contained in the Purchase Agreement, from and after the Effective Date, the Company
will have the right, in its sole discretion, to sell to Ascent up to $ 100.0 million of shares of its Common Stock, subject to certain
limitations set forth in the Purchase Agreement, from time to time during the term of the Purchase Agreement. Sales of Common Stock by
the Company to Ascent under the Purchase Agreement, and the timing of any such sales, are solely at the Company’s option, and the
Company is under no obligation to sell any securities to Ascent under the Purchase Agreement. As of December 31, 2025, approximately
$ 10.3 million in shares of its Common Stock was sold pursuant to the Purchase Agreement.
Under
the Purchase Agreement, the Company has the right, but not the obligation, from time to time at its sole discretion for a period of up
to 36 months, unless the Purchase Agreement is earlier terminated, to direct Ascent to purchase up to a specified maximum amount of shares
of Common Stock in one or more purchases as set forth in the Purchase Agreement, by delivering a written notice, if any, to Ascent in
accordance with the Purchase Agreement on any trading day we select.
As
consideration for Ascent’s commitment to purchase shares of Common Stock at the Company’s direction upon the terms and subject
to the conditions set forth in the Purchase Agreement, upon our execution of the term sheet relating to the Purchase Agreement, the Company
issued Ascent warrants (the “ELOC Warrants”) to purchase up to 12,000 shares of Common Stock (the “ELOC Warrant Shares”).
The ELOC Warrants have an exercise price of $ 0.75 per shares and can be cashless exercised. The warrants were equity classified prior
to their exercise due to the terms of the warrant which was indexed to the Company’s own stock, settlement was in shares only,
and the terms met the fixed-for-fixed condition (fixed number of shares for fixed price). These warrants were recorded at their fair
value on grant date which was $ 0.9 million and were expensed to financing fees in accordance with U.S. GAAP accounting for standby equity
purchase agreements (“SEPA”).
F- 40
The
fair value of the ELOC Warrants was estimated using the following assumptions in the Black-Scholes option pricing model:
Expected volatility
85.1 %
Risk-free interest rate
4.0 %
Expected term (in years)
5
Expected dividend yield
— %
The
ELOC warrants were determined to not meet the Step 2 indexation criteria in ASC 815-40-15-7 and are therefore liability classified. Accordingly,
issuance fees associated with the SEPA or ELOC, including warrant-related costs, are expensed upfront. The associated equity classified
warrants were not remeasured after initial issuance, and as of December 31, 2025, these warrants were exercised and all 12,000 shares
of common stock were issued, as adjusted for the Reverse Stock Split.
When
the Company draws on the ELOC and issues shares, it recognizes the proceeds in equity. The amount recorded is based on the fair value
of the shares issued or the cash received, whichever is more reliably measurable. The Company records the actual cash received for each
draw, as this is clearly measurable and traceable.
Note 10
— Stock Option Plan
In
2010, Legacy Profusa adopted the 2010 Equity Incentive Plan (the “2010 Plan”) under which 26,666 shares, as adjusted for
the Reverse Stock Split, of the Company’s common stock have been initially reserved for issuance to employees, directors and consultants.
The number of reserved shares that had been increased over the years equaled 61,819 shares, as adjusted for the Reverse Stock Split,
at the time of the Business Combination. In October 2025, the Company adopted the 2025 Equity Incentive Plan (the “2025 Plan”),
that will replace the 2010 Plan. All previously issued options under the 2010 Plan will be held under the new plan, with no additional
impact to the option holders. Options granted under the 2025 Plan may be either incentive stock options (“ISO”) or nonqualified
stock options (“NSO”). ISOs may be granted only to Company employees, including officers and directors who are also employees.
NSOs may be granted to Company employees, consultants and advisors. As of December 31, 2025, the total authorized and issuable shares
under the 2025 Plan available for grant was 100,386 shares, as adjusted for the Reverse Stock Split.
Upon
the Closing, all outstanding Legacy Profusa options converted into options exercisable for shares of Common Stock with the same terms
except for the number of shares exercisable and the exercise price, each of which was adjusted using the Exchange Ratio of approximately
0.346 . The mechanism of conversion resulted in the fair value of each option prior to the Closing equal to the fair value of each option
after. All stock option activity presented in these statements has been retrospectively adjusted to reflect the conversion and the Reverse
Stock Split.
A
person who owns (or is deemed to own) stock possessing more than ten percent ( 10 %) of the total combined voting power of all classes
of stock of the Company will not be granted an ISO unless the exercise price of such option is at least one hundred ten percent ( 110 %)
of the Fair Market Value on the date of grant and the option is not exercisable after the expiration of five years from the date of grant.
Options granted generally vest over four years .
F- 41
Activity
under the Plan, as adjusted for the recapitalization and Reverse Stock Split is set forth below:
Options Outstanding
Stock Option Activity Number of Options Weighted-Average Exercise Price Per Share Weighted-Average
Remaining
Contractual Term
(in years)
Balances at December 31, 2024 13,705 $ 87.00 3.00
Options granted 7,194 273.47
Options expired ( 933 ) 49.92
Options cancelled/forfeited ( 1,076 ) 194.45
Options settled for promissory note ( 6,363 ) $ 67.30
Balances at December 31, 2025 12,527 $ 231.81 6.94
Exercisable at December 31, 2025 9,906 $ 244.91 5.45
Vested and expected to vest at December 31, 2025 12,527 $ 231.81 6.94
The
fair value of the stock options granted was estimated using the following assumptions in the Black-Scholes option pricing model:
Expected volatility 78.9 %
Risk-free interest rate 4.4 %
Expected term (in years) 10
Expected dividend yield — %
No
options were exercised during the years ended December 31, 2025 and 2024. Intrinsic values are calculated as the difference between
the exercise price of the underlying options and the fair value of the common stock for the options that had exercise prices that were
lower than the fair value per share of the common stock on the date of exercise.
The
total fair value of options vested for the years ended December 31, 2025 and 2024 was $ 0.2 million and less than $ 0.1 million,
respectively.
As
of December 31, 2025, the total unrecognized stock-based compensation expense for stock options was $ 2.7 million which is expected
to be recognized over a weighted-average period of 3.9 years. On the grant date, the Company estimates the fair value of stock options
using the Black Scholes option-pricing model. The fair value of stock options is being recognized on a straight-line basis over the requisite
service period of the awards.
F- 42
Nonrecourse
Promissory Notes to Early Exercise Stock Options
In
2018, one of the Company’s executives early exercised 6,363 of his stock options by issuing a promissory note to the Company. As
the promissory note is nonrecourse this exercise of stock options with a promissory note is not considered a substantive exercise for
accounting purposes. Therefore, no receivable for the promissory note was recorded on the Company’s balance sheet. This arrangement
was accounted for as modifications to the original stock options which were exercised by issuing a promissory note. Such modification
did not result in incremental stock-based compensation expense. As of December 31, 2024 these options were fully vested and upon
the closing of the Business Combination, these options were issued at the exchange ratio of . 3459 and as adjusted for the Reverse Stock
Split for 6,363 shares of common stock.
Stock-Based
Compensation Expense by Function
The
following table is a summary of stock compensation expense by function recognized for the year ended December 31, 2025 and 2024
(in thousands):
Year
Ended December 31,
2025
2024
General and
administrative
$ 765
$ 7
Research
and development
126
14
Total
stock-based compensation
$ 891
$ 21
Increase
in stock based compensation for the year ended December 31, 2025 is due to incremental grants in the year and the settlement of early
exercised options by an executive of the company as a result of the Business Combination.
Note 11
— Related Party Transactions
The
Company has funded its operations to date primarily through private sales of convertible preferred stock, convertible notes, loans payable
and promissory notes. These investments have included various related parties. The following table presents the various significant related
party transactions and investments in the Company for the periods presented (in thousands):
Nature of December 31,
Related Party relationship Description of investment or transaction 2025 2024
Tasly Shareholder Convertible note held at fair value (1) $ 2,290 $ 2,234
NVAC Sponsor I, LLC Shareholder Convertible note held at fair value (1) $ 1,870 $ —
The founders Shareholder Promissory notes (1) $ 400 $ 850
Various individuals and entities Shareholder Convertible note payable (1) $ — $ 22,822
NVAC Sponsor I, LLC Shareholder Due to from Related Party (2) $ 41 $ —
(1) See Note 6 for full disclosures on debt, including the convertible notes payable, loans payable and promissory notes.
(2) As of December 31, 2025, $ 41 thousand relating to an administrative service fee remains outstanding which originated from the net assets of the Northview balance sheet that was brought over at the time of the merger at fair value and has had no change.
F- 43
Note 12
— Net Loss per Share Attributable to Common Stockholders
Basic
net loss per share is computed by dividing net loss by the weighted-average number of shares of Common Stock outstanding during the period.
In periods of net loss, the two-class method requires that losses be allocated only to common shareholders. The computation of diluted
net loss per share does not include dilutive common stock equivalents in the weighted-average shares outstanding, as the inclusion of
common stock equivalents would be antidilutive. The common stock equivalents consist of stock options, convertible notes, warrants, and
earn-out shares. Accordingly, for the periods presented in which the Company incurred a net loss, basic and diluted EPS are the same.
The
following table sets forth the computation of basic and diluted net loss per share attributable to common stockholders (in thousands,
except share and per share data):
Year
Ended December 31,
2025
2024
Numerator:
Net
loss
$ ( 35,823 )
$ ( 9,230 )
Denominator:
Weighted
average shares used to computing basic and diluted net loss per share
334,762
25,844
Net loss per
share attributable to common stockholders - basic and diluted:
$ ( 107.01 )
$ ( 357.14 )
The
following outstanding shares of potentially dilutive securities, as adjusted for the recapitalization were excluded from the computation
of diluted net loss per share attributable to common stockholders for the periods presented because including them would have been antidilutive:
Year
Ended December 31,
2025
2024
Convertible
preferred stock
—
82,375
Convertible
notes payable
—
15,510
Related
party convertible notes payable at fair value (1)
27,134
—
Loans
payable - held at fair value (2)
1,625,800
—
Warrants
233,822
—
Options
to purchase common stock
12,527
13,705
Earnout
shares (3)
38,750
—
Total
1,938,033
111,590
(1) Includes the assumed issuance of 15,903 shares of common stock for the conversion of the related party Tasly Convertible Notes at $ 144.00 per share and assumed issuance of 11,231 shares of common stock for the conversion of the related party convertible promissory notes at $ 166.50 per share.
(2) Includes the assumed issuance of 1,625,800 shares of common stock at the conversion price of $ 4.85 per share for the Ascent PIPE Notes, taking 95 % of the lowest closing share price in the 10 trading days preceding December 31, 2025.
(3) These earnout shares exclude 12,916 shares allocated to Milestone III, as Milestone III expired as of December 31, 2025.
F- 44
Note 13
— Income Taxes
The
following table presents the principal reasons for the difference between the effective tax rate and the federal statutory income tax
rate (in thousands):
Year
Ended
December 31, 2025
Pretax
income (loss)
21.00 %
$ ( 6,588 )
State
tax, net of federal benefit
California
4.49
( 1,409 )
Permanent
differences
Stock-based
compensation
( 0.60 )
187
Transaction
costs
( 9.70 )
3,041
Unrealized
gain on warranty liability
0.60
( 188 )
Other
permanent differences
( 0.02 )
5
Prior
year true-up on deferred taxes
2.21
( 694 )
Tax credits
Research
and development tax credits
( 0.37 )
117
Change
of valuation allowance
( 17.61 )
5,529
Other
—
—
Effective
income tax rate
— %
$ —
The
reconciliation of the U.S. statutory income tax rate to our effective tax rate for Income from continuing operations, prior to the adoption
of ASU 2023-09 and as previously disclosed, follows:
Year
Ended
December 31, 2024
Pretax income/(Loss)
21.00 %
$ ( 1,941 )
State Tax, net of federal benefit
14.57
( 1,347 )
Permanent difference
( 0.06 )
6
PY true-up on deferred taxes
0.32
( 30 )
Change of Valuation Allowance
( 35.83 )
3,312
Other
—
—
Effective Income Tax Rate
— %
$ —
The
components of the provision for income taxes are as follows (in thousands):
Year
Ended
December 31,
2025
2024
Current:
Federal
$ —
$ —
State
—
—
—
—
Deferred:
Federal
( 3,745 )
( 1,607 )
State
and local
( 1,784 )
( 1,705 )
( 5,529 )
( 3,312 )
Less:
Change in valuation allowance
5,529
3,312
Income
tax provision
$ —
$ —
F- 45
Significant
components of the Company’s deferred tax assets as of December 31, 2025 and 2024 were as follows (in thousands):
Year
Ended
December 31,
2025
2024
Deferred tax assets:
Accrued
expenses and other
$ 402
$ 70
Book
over tax depreciation
7
7
Stock-based
compensation
52
52
Convertible
notes
( 201 )
93
Capitalized
R&D and trademarks
138
1,527
Unrealized
gain/loss oncrypto assets
155
—
Net
operating loss carryforward
38,143
32,195
R&D
credit carryforward
3,393
3,511
Capitalized
start-up costs
895
—
Other
—
—
42,984
37,455
Less:
Valuation allowance
( 42,984 )
( 37,455 )
Total
deferred tax assets:
$ —
$ —
No
income tax expense was recorded during the years ended December 31, 2025 and 2024.
As
of December 31, 2025, the Company has Federal and state net operating losses of approximately $ 137.8 million and $ 132.5 million, respectively.
The federal and state net operating loss carryforwards begin to expire in 2029. Federal net operating losses generated in tax years 2018
or thereafter have an indefinite carryforward period. The amount of Federal net operating loss that does not expire is $ 114.6 million.
As
of December 31, 2025, the Company has federal and state tax credit carryforwards of approximately $ 2.1 million and $ 1.8 million, respectively.
The federal tax credit carryforwards begin to expire in 2032. The state tax credit carryforwards carryforward indefinitely.
Management
believes that, based upon a number of factors, which include the Company’s historical operating performance and accumulated deficit,
it is more likely than not that the deferred tax assets will not be utilized. Therefore, the Company has recorded a full valuation allowance
against its deferred tax assets.
Internal
Revenue Code (IRC) section 382 limits the use of net operating loss and tax credit carryforwards in certain situations where changes
occur in stock ownership of a company. The annual limitation may result in the expiration of the Company’s net operating loss and
tax credit carryforwards prior to utilization. The Company has not completed an IRC section 382 study as of December 31, 2025.
No
liability related to uncertain tax positions is recorded in the consolidated financial statements.
F- 46
The
Company accrues for interest and penalties as part of income tax expense. As of December 31, 2025 and 2024, the Company has not accrued
interest and/or penalties.
The
Company files tax returns in the U.S. Federal, California and various states. Due to the Company’s net operating losses, its Federal
and state income tax returns remain subject to examination since inception. As of December 31, 2025, there are no ongoing tax examinations.
On
March 27, 2020, Congress passed the Coronavirus Aid, Relief, and Economic Security Act (“CARES Act”). The act contains many
tax incentives intended to assist companies and individuals during the COVID-19 outbreak. The Company received Paycheck Protection Program
Loans during the years ended December 31, 2021 and December 31, 2020 of $ 1.3 million and $ 1.2 million, respectively. The Company had
$ 1.4 million and $ 1.4 million of Paycheck Protection Program loans outstanding, inclusive of accrued interest, as of December 31, 2025
and 2024 respectively. The principal balance of the outstanding PPP Loan was $ 1.3 million as of December 31, 2025 and 2024.
The
Consolidated Appropriations Act, 2021, which was enacted on December 27, 2020, has expanded, extended, and clarified selected CARES Act
provisions, specifically on Paycheck Protection Program loans and Employee Retention Tax Credits, 100 % deductibility of business meals
as well as other tax extenders. The Consolidated Appropriations Act did not have a material impact on the Company’s tax provision
for the years ended December 31, 2025 or 2024.
On
August 16, 2022, the Inflation Reduction Act of 2022 (“IRA”) was signed into federal law. IRA, among other things, imposes
a nondeductible 1 % excise tax after December 31, 2022 on the fair market value of certain stock that is “repurchased” by
a publicly traded U.S. corporation or acquired by certain of its subsidiaries. The taxable amount is reduced by the fair market value
of certain issuances of stock throughout the year. The Company does not expect this tax law change to have a material impact on its consolidated
financial position; however, it will continue to evaluate its impact as further information becomes available. If average annual adjusted
financial statement income exceeds $ 1 billion over a 3-taxable-year period, IRA also imposes a 15 % corporate alternative minimum tax
on adjusted financial statement income for taxable years beginning after December 31, 2022. Registrant does not expect to incur this
tax in the foreseeable future.
On
July 4, 2025, the One Big Beautiful Bill Act (the “Act”) was signed into federal law. Among other things, the Act extends
or makes permanent several of the tax law changes enacted as part of the Tax Cuts and Jobs Act of 2017. The Act leaves the U.S. corporate
tax rate unchanged at 21 %. The Company continues to evaluate the provisions of the new tax law and the potential impact, on its financial
statements as the U.S. Treasury and the IRS issue further guidance. Registrant does not expect the Act to have a material impact on its
financial position, results of operations and/or cash flows.
F- 47
Note 14
— Segments
The
Company operates as one operating segment. The Company’s CODM is its Chief Executive Officer , Ben Hwang, who reviews financial
information presented on a consolidated net loss basis as reported on the consolidated statement of operations in order to make decisions
about allocating resources and assessing performance for the entire Company. The CODM also utilizes the Company’s long-range plan,
which includes product development roadmaps and long-range financial models, as a key input to resource allocation. The CODM function
approves of key operating and strategic decisions. The CODM function views the Company’s operations and manages its business on
a consolidated basis and as a single reportable operating segment.
The
CODM function is regularly provided with the following significant segment expenses. Significant expenses include research and development
and general and administrative expenses, which are each separately presented in the Company’s consolidated statements of operations.
The CODM reviews significant expenses within both the research and development and the general and administrative categories. Other segment
items within net loss include interest income, interest expense, gain (loss) on change in fair value of convertible notes, gain on the
change in fair value of warrant liabilities, loss on change in fair value of digital assets, financing costs and other income. See the
consolidated financial statements for other financial information regarding the Company’s operating segment.
Year
Ended December 31,
2025
2024
Government grant
revenue
$ —
$ 100
Operating expenses:
Research personnel
compensation costs, including stock-based compensation
1,427
1,350
CRO and regulatory
costs
837
36
Administrative
personnel compensation costs, including stock-based compensation
5,908
1,592
Rent and office
costs
631
279
Legal and accounting
costs
2,575
1,223
Transaction costs
14,483
—
Other expenses (1)
1,845
120
Total segment expenses
27,706
4,600
Loss from operations
( 27,706 )
( 4,500 )
Other income
(expense)
Gain (loss) on
change in the fair value of convertible notes
( 3,378 )
( 311 )
Gain on the change
in fair value of warrant liabilities
895
—
Loss on change
in fair value of digital assets
( 555 )
—
Interest expense (including related parties amounts of $ 1,330 and $ 2,400 for the years ended December 31, 2025 and 2024, respectively)
( 2,521 )
( 4,424 )
Financing costs
( 2,574 )
—
Other income
16
5
Total other expense, net
( 8,117 )
( 4,730 )
Net loss
$ ( 35,823 )
$ ( 9,230 )
(1) Other expenses includes public relations costs, insurance costs, accounting fees, and small balances of research materials and supplies.
The
Company has no significant long-lived assets recognized on the consolidated balance sheets. The measure of segment assets is reported
on the consolidated balance sheets as total consolidated assets.
Note 15
— Subsequent Events
The
Company has evaluated its subsequent events as of December 31, 2025, through the date these consolidated financial statements were
issued and has determined that there are no subsequent events requiring disclosure in these consolidated financial statements other than
the items noted below.
On
January 26, 2026, the Company granted 14,648 stock options to the Company’s Board of Directors, with a strike price of $ 26.25 ,
as adjusted by the Reverse Stock Split. A portion of these awards vest on the 1 year anniversary of the Closing Date, and the remaining
awards vest in three equal installments, with each installment vesting at the anniversary of the grant date over the next three years.
F- 48
On
January 27, 2026, the Company executed a 15 month lease agreement for its office and lab facilities for a total consideration of $ 0.3
million to be paid over the lease term.
On
February 11, 2026, the Company entered into a know-how license agreement (the “License Agreement”) with Mayo Foundation for
Medical Education and Research (“Mayo”). Under the License Agreement, Mayo granted the Company an exclusive, worldwide license
(with the right to sublicense) to certain patent rights and a non-exclusive license to related know-how in the fields of continuous oxygen
measurement tools and Critical Limb-Threatening Ischemia (“CLTI”), including use with the Company’s Lumee product and
future versions. The License Agreement has a term ending upon the later of the expiration of the last relevant patent or the 15th anniversary
of the first commercial sale of the last launched licensed product, after which the license becomes fully paid-up if the Company has
met its obligations.
Mayo
will provide reasonable access to its investigators to facilitate know-how transfer. Sublicensing requires Mayo’s prior written
approval and must meet specified conditions. Financial terms include royalties on net sales of licensed products, milestone payments
upon achievement of specified development and commercialization events, and a share of sublicense income. The Company is required to
provide regular royalty reports and maintain records subject to audit.
On
February 11, 2026, the Company was notified that the PPP Loan 2 had been forgiven. The Company will recognize a gain on the extinguishment
of the PPP Loan 2 in the first quarter of 2026.
On February 10, 2026, the Company sold 3 Bitcoins at a price of $ 69,222
per Bitcoin for an aggregate amount of $ 0.2 million. On February 17, 2026, the Company sold 5.5 Bitcoins at a price of $ 67,156 per Bitcoin
for an aggregate amount of $ 0.4 million. On March 11, 2026, the Company’s management made the determination to terminate the Company’s
Bitcoin treasury reserve strategy in light of current market conditions and the Company’s evaluation of its capital allocation priorities.
On March 13, 2026, the Company sold the remaining balance of 8.01 Bitcoins, at a price of $ 71,457 per Bitcoin for an aggregate amount
of $ 0.6 million.
In
February 2026, the Company received a demand letter from counsel for a former employee for unpaid wages of approximately $ 0.2 million,
including statutory penalties, and the amount has been accrued for as of December 31, 2025. The letter demands payment and states
that litigation may be initiated if the matter is not resolved.
During the months February through April 2026,
the Company issued 481,439 shares of the Company’s common stock in exchange for $ 0.8 million under the ELOC Purchase Agreement; the Company
issued 2,696,907 shares of the Company’s common stock for settlement of $ 1.9 million of principal and interest on the Company’s loans payable,
and cancelled 130 shares of common stock due to the settlement of fractional share issuances.
On March 20, 2026, the related party convertible promissory note was
amended to extend the maturity date from January 11, 2026 to December 31, 2026. On April 6, 2026, the Company amended the note to update
the conversion price to $ 0.76 per share and concurrently approved the conversion of the entire outstanding principal balance of $ 1.9 million
into 2,460,257 shares of its common stock to the holders.
On
March 11, 2026, the Company received a staff determination letter from Nasdaq indicating that Profusa has not regained compliance with
the Minimum Bid Price Requirement. Nasdaq previously provided a 180-day compliance period that expired on March 10, 2026; the Company
did not regain compliance by that date. As a result, the Company’s securities are subject to delisting from The Nasdaq Global Market.
In addition, Nasdaq indicated in its March 11, 2026 letter that the Company also did not regain compliance with the MVLS Requirement
by March 10, 2026. Nasdaq stated that this MVLS deficiency is an additional basis for delisting. The Company exercised its right to appeal
the delisting decision, and was notified on March 19, 2026 that the delisting action has been stayed. Profusa’s hearing with the
Nasdaq Hearings Panel is scheduled for April 21, 2026.
On April 2, 2026, the Company entered into Amendment No. 4 to its PIPE Subscription Agreement and related Pledge Agreement with Ascent.
Under Amendment No. 4, the Company may request additional funding with an aggregate principal amount of up to $ 12.2 million, subject to
the terms and conditions of the amended agreements.
Amendment No. 4 also modified certain terms of the related Pledge Agreement, including revising the release condition to provide that
the applicable release condition will be satisfied upon payment in full, whether in cash or through conversion, of an aggregate principal
amount of $ 1.7 million of notes issued in the additional closings expected to occur on or shortly after April 2, 2026. In addition, the
Company and Ascent agreed that any mandatory prepayment amounts received under the notes will first be applied to obligations related
to such additional notes and thereafter to certain previously issued secured convertible promissory notes.
In connection with the additional closing on April 2, 2026, the Company issued as Ascent PIPE Note with an aggregate principal amount
of $ 0.6 million and a warrant to purchase 1,111,111 shares of the Company’s common stock at an initial exercise price of $ 0.50 per
share. The note matures on April 2, 2027, bears interest at 12 % per annum and is convertible into shares of the Company’s common
stock, subject to the terms of the note. The warrant contains customary terms and provisions for instruments of this nature.
On March 31, 2026 (as amended and restated on April 3, 2026), the Company entered into a non-binding letter of intent
with Bio Insights LLC (“Bio Insights”) to acquire certain assets, including the PanOmics assay and related know-how, for aggregate
consideration of $ 30.0 million, payable entirely through the issuance of equity securities of the Company, including common stock and
convertible preferred stock. In connection with the proposed transaction, Bio Insights would be entitled to receive royalty payments equal
to 3 % of net revenues, payable annually following completion of audited financial statements. The proposed transaction remains subject
to the execution of definitive agreements, stockholder approval, and other customary closing conditions.
F- 49
Note 16 — Revision of Third Quarter 2025 - Unaudited
The Company identified certain misstatements in the accounting for
the reverse recapitalization transaction with Northview in the third quarter of 2025 that were reflected in the Company’s Form 10-Q
filed for the period ended September 30, 2025. Specifically, the Company (i) incorrectly recognized a liability of $ 3.9 million for the
PIPE Subscription Agreement as of the Closing Date, and (ii) omitted the extinguishment of a $ 49 thousand liability related to a pre-existing
short-term related party loan between Profusa and Northview. The PIPE Subscription Agreement represents a loan commitment issuable at
the Company’s discretion and therefore qualifies for the scope exception under ASC 815, Derivatives and Hedging . As a result
of the incorrectly recognized liability for the PIPE Subscription Agreement at closing of the Business Combination, the change in fair
value of the Ascent PIPE Notes for the reporting period was incorrectly determined. The fair value adjustment method was correct under
the accounting model applied, however the change in fair value was incorrect as a result of the incorrect balance recorded at when recognizing
the Business Combination.
The Company evaluated the materiality of these errors on the prior
period unaudited consolidated financial statements in accordance with SEC Staff Accounting Bulletin (“SAB”) No. 99 (Topic
1M), “Materiality,” and SAB No. 108 (Topic 1N), “Considering the Effects of Prior Year Misstatements when Quantifying
Misstatements in Current Year Financial Statements,” and concluded that the related impacts were not material to the three and nine
months ended September 30, 2025. The Company will reflect this correction in the third quarter of 2025 comparative financial statements
presented in the Company’s third quarter 2026 filing.
The following tables present the effects of the
aforementioned revisions on the Company’s condensed consolidated balance sheets as of September 30, 2025:
September 30, 2025
As previously
reported
Adjustment
As
corrected
Accounts payable
$ 6,982
$ ( 49 )
$ 6,933
Total current liabilities
23,540
( 49 )
23,491
Total liabilities
38,210
( 49 )
38,161
Additional paid-in capital
118,254
3,947
122,201
Accumulated deficit
( 152,214 )
( 3,898 )
( 156,112 )
Total stockholders’ deficit
$ ( 33,960 )
$ 49
$ ( 33,911 )
The following tables present the effects of the
aforementioned revisions on the Company’s condensed consolidated statements of operations and comprehensive loss for the three and nine
months ended September 30, 2025:
Three months ended
September 30, 2025
Nine months ended
September 30, 2025
As previously
reported
Adjustment
As corrected
As previously
reported
Adjustment
As
corrected
Gain (loss) on change in the fair value of related party convertible debt
$ 258
$ ( 3,898 )
$ ( 3,640 )
$ ( 52 )
$ ( 3,898 )
$ ( 3,950 )
Total other expense, net
( 483 )
( 3,898 )
( 4,381 )
( 3,120 )
( 3,898 )
( 7,018 )
Net loss and comprehensive loss
( 22,192 )
( 3,898 )
( 26,090 )
( 27,256 )
( 3,898 )
( 31,154 )
Net loss per share, basic and diluted
$ ( 52.45 )
$ ( 9.22 )
$ ( 61.67 )
$ ( 171.70 )
$ ( 24.56 )
$ ( 196.26 )
The following tables present the effects of the
aforementioned revisions on the Company’s condensed consolidated statements of changes in stockholders’ deficit for the three and nine
months ended September 30, 2025:
Three and nine months ended
September 30, 2025
As previously
reported
Adjustment
As
corrected
Issuance of common stock to Northview stockholders as a result of the merger
$ ( 12,346 )
$ 3,946
$ ( 8,400 )
The following tables present the effects of the
aforementioned revisions on the Company’s condensed consolidated statements of cash flows for the nine months ended September 30, 2025:
Nine months ended
September 30, 2025
As previously
reported
Adjustment
As corrected
Net loss
$ ( 27,256 )
$ ( 3,898 )
$ ( 31,154 )
(Gain) Loss on change in fair value of related party convertible debt
( 198 )
3,898
3,700
Supplemental noncash financing information: Assumption of net liabilities of Northview
$ ( 12,346 )
$ 3,946
$ ( 8,400 )
F-50