UNITED STATES
SECURITIES AND EXCHANGE
COMMISSION
Washington, D.C. 20549
FORM 10-Q
(Mark One)
☒
QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934
For the quarterly period
ended March 31, 2026
OR
☐
TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934
For the transition period
from _______ to ______
Commission File No.
001-41177
PROFUSA, INC.
(Exact name of registrant
as specified in its charter)
Delaware 86-3437271
(State or other jurisdiction of
incorporation or organization) (I.R.S. Employer
Identification No.)
626 Bancroft Way ,
Suite A Berkeley , CA 94710
(Address of principal executive offices) (Zip Code)
(925) 997-6925
(Registrant’s telephone
number, including area code)
(Former name, former
address and former fiscal year, if changed since last report)
Securities registered
pursuant to Section 12(b) of the Act:
Title of each class Trading Symbol(s) Name of each exchange on which registered
Common Stock, $0.0001 par value per share PFSA The Nasdaq Stock Market LLC
Indicate by check mark whether the registrant
(1) has filed all reports required to be filed by Section 13 or 15(d) of the Securities Exchange Act of 1934 during the preceding 12
months (or for such shorter period that the registrant was required to file such reports), and (2) has been subject to such filing requirements
for the past 90 days. Yes ☒ No ☐
Indicate by check mark whether the registrant
has submitted electronically every Interactive Data File required to be submitted pursuant to Rule 405 of Regulation S-T (§232.405
of this chapter) during the preceding 12 months (or for such shorter period that the registrant was required to submit such files). Yes
☒ No ☐
Indicate by check mark whether the registrant
is a large accelerated filer, an accelerated filer, a non-accelerated filer, a smaller reporting company, or an emerging growth company.
See the definitions of “large accelerated filer,” “accelerated filer,” “smaller reporting company,”
and “emerging growth company” in Rule 12b-2 of the Exchange Act.
Large accelerated filer ☐ Accelerated filer ☐
Non-accelerated filer ☒ Smaller reporting company ☒
Emerging growth company ☒
If an emerging growth company, indicate by check
mark if the registrant has elected not to use the extended transition period for complying with any new or revised financial accounting
standards provided pursuant to Section 13(a) of the Exchange Act. ☐
Indicate by check mark whether the registrant
is a shell company (as defined in Rule 12b-2 of the Exchange Act): Yes ☐ No ☒
As of May 13, 2026, there were 4,660,268 shares
of common stock, $0.0001 par value outstanding.
Table of Contents
Page
PART I - FINANCIAL INFORMATION
Item 1.
Financial Statements
(Unaudited)
1
Condensed Consolidated Balance
Sheets as of March 31, 2026 (unaudited) and December 31, 2025
1
Condensed
Consolidated Statements of Operations for the Three Months Ended March 31, 2026 and 2025 (Unaudited)
2
Condensed
Consolidated Statements of Convertible Preferred Stock and Stockholders’ Deficit for the Three Months Ended March 31, 2026
and 2025 (Unaudited)
3
Condensed
Consolidated Statement of Cash Flows for the Three Months Ended March 31, 2026 and 2025 (Unaudited)
4
Notes to the Condensed Consolidated
Financial Statements (Unaudited)
5
Item 2.
Management’s Discussion
and Analysis of Financial Condition and Results of Operations
27
Item 3.
Quantitative and Qualitative
Disclosures About Market Risk
38
Item 4.
Control and Procedures
38
PART II - OTHER INFORMATION
Item 1.
Legal Proceedings
40
Item 1A.
Risk Factors
40
Item 2.
Unregistered Sales of Equity
Securities and Use of Proceeds
40
Item 3.
Defaults Upon Senior Securities
40
Item 4.
Mine Safety Disclosures
40
Item 5.
Other Information
4 0
Item 6.
Exhibits
41
SIGNATURES
42
i
PART I. FINANCIAL INFORMATION
Item 1. Financial Statements.
PROFUSA, INC.
CONDENSED CONSOLIDATED BALANCE SHEETS
(IN THOUSANDS, EXCEPT SHARE AND PER SHARE AMOUNTS)
(UNAUDITED)
March 31,
2026
December 31,
2025
Assets
Current assets:
Cash
$ 375
$ 1,778
Prepaid expenses and other current assets
287
541
Digital assets
—
1,445
Total current assets
662
3,764
Property and equipment, net
13
8
Other non-current assets
41
3
Right-of-use asset
146
—
Total assets
$ 862
$ 3,775
Liabilities and Stockholders’ Deficit
Current liabilities:
Accounts payable
$ 8,309
$ 7,345
Excise tax payable
1,953
1,953
Accrued expenses and other current liabilities
6,180
5,981
Due to related party
41
41
Convertible notes payable and loans payable at fair value
7,020
42
Promissory notes and other
710
946
Convertible and promissory notes payable to related parties
4,807
4,560
PPP loan
—
1,390
Total current liabilities
29,020
22,258
Warrant liabilities at fair value
40
298
Loans payable at fair value
—
7,877
Total liabilities
29,060
30,433
Commitments and contingencies (Note 6)
Stockholders’ Deficit:
Undesignated preferred stock: $ 0.0001 par value – 1,000,000 shares authorized, 0 shares issued and outstanding at March 31, 2026 and December 31, 2025
—
—
Common stock: $ 0.0001 par value – 600,000,000 authorized shares at March 31, 2026 and December 31, 2025; 2,380,023 and 1,232,052 shares issued and outstanding at March 31, 2026 and December 31, 2025, respectively
—
—
Additional paid-in capital
136,039
134,123
Accumulated deficit
( 164,237 )
( 160,781 )
Total stockholders’ deficit
( 28,198 )
( 26,658 )
Total liabilities and stockholders’ deficit
$ 862
$ 3,775
The accompanying notes are
an integral part of these condensed consolidated financial statements.
1
PROFUSA, INC.
CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS
(IN THOUSANDS, EXCEPT SHARE AND PER SHARE AMOUNTS)
(UNAUDITED)
Three Months Ended
March 31,
2026
2025
Operating expenses:
Research and development
$ 1,146
$ 434
General and administrative
2,860
990
Total operating expenses
4,006
1,424
Loss from operations
( 4,006 )
( 1,424 )
Other income (expenses)
Loss on change in the fair value of convertible notes
( 797 )
( 156 )
Gain on change in fair value of warrant liabilities
258
—
Loss on disposal of digital assets
( 295 )
—
Interest expense (including related parties amounts of $ 5 and $ 609 for the three months ended March 31, 2026 and 2025, respectively)
( 18 )
( 1,135 )
Gain on extinguishment of PPP loan
1,391
—
Financing costs
( 60 )
—
Other income (expense)
71
( 1 )
Total other income (expense), net
550
( 1,292 )
Net loss
$ ( 3,456 )
$ ( 2,716 )
Net loss per share, basic and diluted
$ ( 2.05 )
$ ( 105.09 )
Weighted-average common shares outstanding, basic and diluted
1,688,107
25,844
The accompanying notes are
an integral part of these condensed consolidated financial statements.
2
PROFUSA, INC.
CONDENSED CONSOLIDATED STATEMENTS OF CONVERTIBLE PREFERRED STOCK AND STOCKHOLDERS’ DEFICIT
(IN THOUSANDS, EXCEPT SHARE AMOUNTS)
(UNAUDITED)
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, 2026
—
$ —
—
$ —
—
$ —
1,232,052
$ —
$ 134,123
$ ( 160,781 )
$ ( 26,658 )
Issuance of shares in connection with exercise of ELOC
—
—
—
—
—
—
321,439
—
469
—
469
Issuance of shares in connection with the conversion of
the PIPE note
—
—
—
—
—
—
826,532
—
1,260
—
1,260
Stock-based compensation expense
—
—
—
—
—
—
—
—
187
—
187
Net loss
—
—
—
—
—
—
—
—
—
( 3,456 )
( 3,456 )
Balance at March 31, 2026
—
$ —
—
$ —
—
$ —
2,380,023
$ —
$ 136,039
$ ( 164,237 )
$ ( 28,198 )
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 )
Stock-based compensation expense
—
—
—
—
—
—
—
—
5
—
5
Net loss
—
—
—
—
—
—
—
—
—
( 2,716 )
( 2,716 )
Balance at March 31, 2025
4,350,314
$ 5,231
5,293,175
$ 13,701
8,220,445
$ 46,217
25,844
$ —
$ 5,758
$ ( 127,674 )
$ ( 121,916 )
The accompanying notes are an integral part of
these condensed consolidated financial statements.
3
PROFUSA, INC.
CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS
(IN THOUSANDS)
(UNAUDITED)
Three Months Ended
March 31,
2026
2025
Cash flows from operating activities
Net loss
$ ( 3,456 )
$ ( 2,716 )
Adjustments to reconcile net loss to net cash used in operating activities:
Noncash interest expense
18
1,135
Gain on extinguishment of debt
( 1,392 )
—
Loss on change in fair value of convertible notes
797
156
Stock-based compensation expense
187
5
Gain on change in fair value of warrant liabilities
( 258 )
—
Loss on disposal of digital assets
295
—
Changes in assets and liabilities:
Prepaid expenses and other current assets
254
( 18 )
Other non-current assets
( 50 )
1
Accounts payable
964
764
Accrued expenses and other current liabilities
65
136
Net cash used in operating activities
( 2,576 )
( 537 )
Cash flows from investing activities
Sale of digital assets
1,150
—
Purchase of property, plant and equipment
( 5 )
—
Net cash provided by investing activities
1,145
—
Cash flows from financing activities
Proceeds from ELOC
469
—
Repayment on convertible notes, promissory notes and loans payable
( 441 )
—
Proceeds from issuance of senior notes
—
750
Payment of deferred offering costs
—
( 385 )
Net cash provided by financing activities
28
365
Net decrease in cash
( 1,403 )
( 172 )
Cash at the beginning of the period
1,778
191
Cash at the end of the period
$ 375
$ 19
Supplemental disclosures of non-cash investing and financing information:
Conversion of debt to equity
$ 1,260
$ —
Operating lease right-of-use assets obtained in exchange for operating lease liabilities
$ 244
$ —
Unpaid deferred offering costs
$ —
$ 328
The accompanying notes are an integral part of
these condensed consolidated financial statements.
4
PROFUSA, INC.
NOTES TO THE CONDENSED CONSOLIDATED FINANCIAL STATEMENTS
(UNAUDITED)
Note 1 — Organization, Description of Business,
Going Concern and Significant Risks and Uncertainties
Description of Business
Profusa, Inc. (the “Company”), originally
incorporated in California on May 11, 2009 , develops biointegrated sensors designed to provide continuous, clinical-grade monitoring
of body chemistry for personal and medical use.
The Company’s first offering in the European
Union, the Lumee™ Oxygen Platform, monitors tissue oxygen levels and is intended for applications such as peripheral artery disease,
chronic wounds (including diabetic ulcers and pressure sores), and reconstructive surgery. The Company’s research and development
efforts are primarily focused on the Lumee™ Glucose Platform, a continuous glucose monitor (“CGM”) consisting of a
biocompatible gel injected under the skin that monitors interstitial glucose levels for several months from a single injection, offering
an alternative to traditional finger-stick glucometers and short-term needle-type CGMs.
On July 11, 2025 (the “Closing Date”),
NorthView Acquisition Corporation (“Northview”) consummated its business combination (the “Business Combination”)
with Profusa, Inc., a California corporation (“Legacy Profusa”), pursuant to the Merger Agreement and Plan of Reorganization,
dated November 7, 2022 (as amended, the “Merger Agreement”), among Northview, Legacy Profusa, and NV Profusa Merger Sub Inc.,
a wholly-owned Delaware subsidiary of Northview (“Merger Sub”). At closing, Merger Sub merged with and into Legacy Profusa
(the “Merger”), with Legacy Profusa surviving as a wholly-owned subsidiary of Northview. In connection with the closing,
Northview changed its name to “Profusa, Inc.”
Going Concern
The Company has incurred significant net operating
losses from operations. As of March 31, 2026, the Company had a working capital deficit of approximately $ 28.4 million. For the
three months ended March 31, 2026, the Company incurred a net loss of $ 3.5 million and used $ 2.6 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, revenue 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”). Subsequent to March 31, 2026, the
Company amended the remaining borrowing capacity under the PIPE Subscription Agreement to $ 12.2 million in principal, and issued $ 1.7
million of Ascent PIPE Notes. As of the issuance date of these condensed consolidated financial statements, the Company has $ 10.5 million
of principal available for draw down under the PIPE Subscription Agreement subject to certain conditions.
5
On July 28, 2025 (the “effective date”),
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. During the three months ended March 31, 2026, approximately $ 0.5 million in shares of the Company’s common stock were 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. During April and May 2026, the Company issued 360,000 shares of common stock to Ascent in exchange for
$ 0.4 million under the Committed Equity Facility. As of the issuance date of these condensed consolidated financial statements, the
Company has $ 88.9 million of common stock available for issuance to Ascent under the Committed Equity Facility.
Lumee Oxygen received regulatory approval in
Europe through the attainment of a CE mark, which subsequently lapsed in 2020. The Company is working to obtain a renewed CE Mark for
commercialization in Europe in order to generate revenues in 2026. In addition to management’s focus on commercialization, additional
financing is available through the ELOC Purchase Agreement and executing remaining tranches 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.
On September 11, 2025, the Company received two
deficiency notices from Nasdaq for failing to maintain (i) a $ 50.0 million market value of listed securities under Listing Rule 5450(b)(2)(A)
(the “MVLS Requirement”) and (ii) a minimum bid price of $ 1.00 per share under Listing Rule 5450(a)(1) (the “Minimum
Bid Price Requirement”). The Company was provided 180 days, through March 10, 2026, to regain compliance.
On March 11, 2026, Nasdaq notified the Company
that it had not regained compliance with either the Minimum Bid Price Requirement or the MVLS Requirement by the March 10, 2026 deadline,
and that its securities were therefore subject to delisting from The Nasdaq Global Market on both grounds. The Company appealed the delisting
determination, and on March 19, 2026, Nasdaq notified the Company that the delisting action had been stayed pending the appeal. The Company
attended its hearing before the Nasdaq Hearings Panel on April 21, 2026. The Nasdaq Hearings Panel represents an independent hearings
panel of The Nasdaq Stock Market LLC that reviews, upon a company’s timely request, certain determinations by Nasdaq’s Listing
Qualifications Department, including a staff delisting determination, denial of a listing application, or public reprimand letter, and
may issue a decision granting continued listing relief or affirming delisting. See Note 13 for further details over the Nasdaq Hearings
Panel’s decision which granted the Company a continued listing relief.
The Company’s condensed 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 March 31, 2026, 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 condensed consolidated financial statements are issued. The condensed consolidated financial statements do not contain any adjustments
that might result from the outcome of this uncertainty.
6
Note 2 — Summary of Significant Accounting Policies
Basis of Presentation
The Company’s condensed consolidated financial
statements include the accounts of Profusa and its wholly-owned subsidiary. The accompanying unaudited condensed consolidated financial
statements have been prepared in accordance with accounting principles generally accepted in the United States of America (“GAAP”)
for interim financial information and the instructions to Form 10-Q and Rule 10-01 of Regulation S-X. The financial statements include
all adjustments (consisting only of normal recurring adjustments) that management believes are necessary for the fair statement of the
Company’s financial information. These interim results are not necessarily indicative of results to be expected for the full fiscal
year or any future interim period. The condensed consolidated balance sheet as of March 31, 2026 has been derived from the audited
financial statements at that date but does not include all of the information and footnotes required by GAAP for complete financial statements.
The interim condensed financial statements should be read in conjunction with the audited financial statements and notes thereto contained
in the Company’s Form 10-K for the year ended December 31, 2025, as filed with the Securities and Exchange Commission.
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 condensed consolidated financial
statements in conformity with 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 condensed consolidated
financial statements and accompanying notes. The Company regularly assesses these estimates, including those related to accrued liabilities,
valuation of the convertible notes payable and loans payable at fair value, warrants, valuation allowance for deferred tax assets, incremental
borrowing rate, 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.
7
Reclassification of Prior Period Presentation
Certain prior period amounts have been reclassified
to conform to the current period presentation. The reclassification had no impact on loss from operations, net loss, net loss per share,
total assets, total liabilities, stockholders’ deficit, or cash flows.
During the three months ended March 31, 2026,
the Company reclassified amounts previously presented as interest expense related to the Company’s convertible debt held at fair
value to change in fair value of convertible notes in the condensed consolidated statements of operations. The Company also reclassified
related party note payables from convertible notes and loans payable at fair value and promissory notes and other into convertible and
promissory notes payable to related parties on the condensed consolidated balance sheets. These reclassification were not material to
the condensed consolidated financial statements.
Leases
The Company determines if an arrangement is or
contains a lease at inception by evaluating various factors, including if the contract conveys the right to control the use of an identified
asset for a period of time in exchange for consideration and other facts and circumstances. Lease classification is determined at the
lease commencement date. Lease liabilities and their corresponding right-of-use (“ROU”) assets are recognized at commencement
date and recorded based on the present value of lease payments over the expected lease term. The implicit rates within the Company’s
operating leases are generally not determinable and therefore the Company estimates the incremental borrowing rate at the lease commencement
date to determine the present value of lease payments. The determination of the incremental borrowing rate requires judgment. The Company
determines the incremental borrowing rate for each lease using an estimated borrowing rate, adjusted for various factors including level
of collateralization and term to align with the terms of the lease. The ROU asset also might include lease prepayments, offset by lease
incentives. Certain leases include options to extend or terminate the lease. Lease terms include options to extend or terminate the lease
when it is reasonably certain we will exercise that option.
The Company has made accounting policy elections
to (i) not recognize ROU assets or lease liabilities for short-term leases (leases with lease terms of 12 months or less); and (ii) combine
lease and non-lease components. Variable lease payments are recognized in the condensed consolidated statements of operations when incurred
and include certain non-lease components, such as maintenance and other services provided by the lessor to the extent the charges are
variable. The cash flow impact from the change in operating lease right-of-use asset and the operating lease liability during the three
months ended March 31, 2026 is presented within the change in accrued expenses and other current liabilities on the condensed consolidated
statements of cash flows.
ELOC
On July 28, 2025, the Company entered into the
ELOC Purchase Agreement and a related registration rights agreement with Ascent. Subject to the terms and conditions of the ELOC Purchase
Agreement, the Company has the right, but not the obligation, to sell up to $ 100.0 million of shares of its common stock to Ascent from
time to time at a discount to the lowest daily volume-weighted average price (“VWAP”) of the Company’s common stock,
subject to specified caps and limitations.
The ELOC comprises
a purchased put option and a forward share issuance that do not qualify for equity classification. Accordingly, the ELOC is measured
at fair value, with changes between the put date and settlement date recognized in earnings. During the three months ended March 31,
2026 , ELOC puts were settled within the same day, and the resulting changes in fair value were not
material. Proceeds received upon the Company’s draws under the ELOC and the related share issuances are recognized in equity based
on the gross proceeds received.
The Company issued warrants to purchase up to
12,000 shares of common stock (the “ELOC Warrants”) on July 20, 2025 in consideration for Ascent’s commitment. The
ELOC Warrants were determined to be equity-classified and were expensed as financing fees along with other issuance costs associated
with the ELOC. The ELOC Warrants were fair valued at $ 0.9 million and were not remeasured after the initial issuance.
8
Fair Value of Financial Instruments
The Company’s financial instruments consist
of accounts payable, warrant liabilities, 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. See Note 3 for instruments valued under Level 3.
Ascent PIPE Notes
In connection with the Business Combination,
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.
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
are 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 three months ended March 31, 2026, the Company did not record
any changes in fair value to other comprehensive income. As of March 31, 2026, the Ascent PIPE Notes are included in convertible
notes payable and loans payable at fair value within the condensed consolidated balance sheets.
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.
9
Recent Accounting Pronouncements
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 condensed
consolidated financial statements taken as a whole.
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 condensed
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
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.
Recently adopted accounting standards
In November 2024, the FASB issued ASU No. 2024-04,
Debt—Debt with Conversion and Other Options (Subtopic 470-20): Induced Conversions of Convertible Debt Instruments. The guidance
in ASU 2024-04 clarifies the requirements related to accounting for the settlement of a debt instrument as an induced conversion when
changes are made to conversion features as part of an offer to settle the instrument. This ASU is effective for annual periods beginning
after December 15, 2025, with early adoption permitted. The amendments may be applied either (1) prospectively to any settlements of
convertible debt instruments that occur after the effective date of this ASU or (2) retrospectively to all prior periods presented in
the financial statements, with a cumulative adjustment-effect adjustment to equity. The Company adopted ASU 2024-04 as of January 1,
2026 on a prospective basis, which did not have a material impact on the condensed consolidated financial statements.
10
Note 3 — Fair Value Measurement
Assets and liabilities recorded at fair value
on a recurring basis in the condensed 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.
The Company measures certain financial instruments
at fair value using valuation techniques that require the use of observable and unobservable inputs and assumptions, including, as applicable,
risk-free interest rates, expected terms, expected volatility, credit risk, market yields, conversion or exercise prices, the fair value
of the Company’s common stock, and other instrument-specific terms and market inputs. The risk-free interest rate for each applicable
financial instrument is based on the U.S. Treasury yield curve in effect as of the valuation date for a term commensurate with the expected
term, contractual term, or estimated settlement period of the instrument, as applicable. Expected volatility, when applicable, may differ
among financial instruments due to differences in expected terms, contractual maturities, settlement provisions, conversion or exercise
features, valuation methodologies, market inputs, and the historical periods used to estimate volatility.
11
As of March 31, 2026 and December 31,
2025, the Company’s financial assets and liabilities measured at fair value on a recurring basis, were as follows (in thousands):
As of March 31, 2026
Level 1
Level 2
Level 3
Total
Liabilities:
Convertible notes due to related parties held at fair value
$ —
$ —
$ 4,402
$ 4,402
Loans payable at fair value
—
—
6,977
6,977
Warrant liabilities - Private Placement Warrants
—
—
37
37
Warrant liabilities - Representative’s Warrants
—
—
3
3
Total liabilities measured at fair value
$ —
$ —
$ 11,419
$ 11,419
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 at fair value
—
—
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
The key inputs into the Monte Carlo simulation
model for the warrant liabilities, as affected by the Reverse Stock Split, were as follows at March 31, 2026 and December 31,
2025:
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 number of warrants that
in the aggregate equal a whole number of shares may be exercised at a given time by a warrant holder. No fractional warrants will be
issued and only whole warrants will trade.
March 31,
2026
December 31,
2025
Input
Risk-free interest rate
3.88 %
3.79 %
Expected term (years)
4.28
4.53
Expected volatility
57.80 %
139.20 %
Exercise price
$ 862.50
$ 862.50
Fair value of Common stock
$ 0.51
$ 7.86
12
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 three months ended March 31, 2026 (in thousands):
Private
Placement
Warrants
Representative’s
Warrants
Total Level 3
Warrant
liabilities
Fair value at January 1, 2026
$ 277
$ 21
$ 298
Gain in fair value of warrant liabilities
( 240 )
( 18 )
( 258 )
Fair value at March 31, 2026
$ 37
$ 3
$ 40
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 March 31, 2026 was $ 0 for
the Related Party Convertible Notes Payable. As of March 31, 2026, 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 March 31,
2026, 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 three months ended March 31,
2026 and 2025 (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, 2026
$ 2,290
$ 1,870
$ 4,160
Loss on change in the fair value of related party convertible debt
242
—
242
Fair value as of March 31, 2026
$ 2,532
$ 1,870
$ 4,402
Tasly Convertible Note - Related
Party
Fair value as of January 1, 2025
$ 2,234
Loss on change in the fair value of related party convertible notes
156
Fair value as of March 31, 2025
$ 2,390
13
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 March 31, 2026 and December 31, 2025:
March 31,
2026
December 31,
2025
Input
Risk-free interest rate
3.70 %
3.48 %
Expected term (years)
0.78
1.03
Expected volatility
69.10 %
68.30 %
Fair value of Common stock
$ 0.51
$ 7.86
The following table provides a summary of the
changes in the fair value of the Company’s Level 3 Loans Payable for the three months ended March 31, 2026 (in thousands):
Loans Payable
Fair value as of January 1, 2026
$ 7,877
Repayments of debt
( 195 )
Conversion of debt to equity
( 1,260 )
Loss on change in the fair value of loans payable
555
Fair value as of March 31, 2026
$ 6,977
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 condensed 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. As of March 31, 2026, the Loans Payable is due within 12 months
of the balance sheet date and is therefore recorded in convertible notes payable and loans payable at fair value on the condensed consolidated
balance sheets.
Digital Asset
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. During the three months ended March 31, 2026, the Company sold 16.51
Bitcoins for an aggregate amount of $ 1.2 million, resulting in realized losses of $ 0.3 million included in the condensed consolidated
statements of operations. As of March 31, 2026 and December 31, 2025, digital assets were $ 0 and $ 1.4 million, respectively.
14
Note 4 — Balance Sheet Components
Prepaid expenses and other current assets
(in thousands):
March 31,
2026
December 31,
2025
Prepaid insurance
$ 120
$ 441
Prepaid expenses
167
100
$ 287
$ 541
Accrued Liabilities (in thousands):
March 31,
2026
December 31,
2025
Accrued compensation
$ ( 4,151 )
$ ( 4,066 )
Accrued other liabilities
( 2,029 )
( 1,915 )
$ ( 6,180 )
$ ( 5,981 )
Note 5 — Debt
The following table sets forth a summary of the
debt instruments and their changes during the three months ended March 31, 2026 and 2025 (in thousands):
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, 2026 $ 7,877 $ 2,290 $ 1,870 $ 42 $ 1,049 $ 1,390 $ 297
Debt repayments ( 195 ) —
—
—
( 24 ) —
( 222 )
Change in fair value 555 242 —
—
—
—
—
Conversion of debt to equity ( 1,260 ) —
—
—
—
—
—
Debt forgiven —
—
—
—
—
( 1,392 )
Accrued stated interest —
—
—
1 15 2 —
Balance at March 31, 2026; Current debt $ 6,977 $ 2,532 $ 1,870 $ 43 $ 1,040 $ —
$ 75
Accounting basis Fair value option Fair value option Fair value option Effective interest method Simple interest method Compounding Interest Simple interest method
Interest rate 10 % 24 % —
0 %- 12 % 0 %- 12 % 1 % 7 %
Conversion price(s) per share various $ 37.50
$75.00 and $166.50 $37.50, $166.50, and $300.00 —
— —
Maturity 1/11/2027 3/31/2024 12/31/2026 7/11/2025 various —
4/11/2026
15
Junior Convertible Notes
Tasly Convertible Note - Related
Party
Senior Notes
Promissory Notes
PPP Loan
Balance at January 1, 2025
$ 18,419
$ 2,234
$ 25,268
$ 910
$ 1,376
Issuance of debt
—
—
750
—
—
Change in fair value
—
156
—
—
—
Stated interest
545
—
572
15
3
Amortization of debt discount and
issuance costs
1
—
( 1 )
—
—
Balance at March
31, 2025; Current debt
$ 18,965
$ 2,390
$ 26,589
$ 925
$ 1,379
Convertible Notes
Loans Payable
As of March 31, 2026, the Company had issued
an aggregate principal of $ 12.2 million of Ascent PIPE Notes. The outstanding Ascent PIPE Notes bear 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 Ascent PIPE Notes 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 of 9.99 %.
During the three months ended March 31, 2026,
the Company repaid $ 0.2 million of principal on the Ascent PIPE Notes and Ascent converted an aggregate of $ 1.1 million of principal
and accrued interest balance into 826,532 shares of the Company’s common stock. The shares of common stock issued had a fair value
of $ 1.3 million at conversion.
The Company elected to apply the fair value option
to account for the Ascent PIPE Notes and as such, no features of the Ascent PIPE Notes are bifurcated and separately accounted for. As
of March 31, 2026, the loans payable had a fair value of $ 7.0 million and it was reclassified from non-current liabilities into
Convertible notes and loans payable at fair value on the condensed consolidated balance sheets, as the loan is due within 12 months from
the balance sheet date. As of December 31, 2025, the loans payable was fair valued at $ 7.9
million and was classified as long-term in the condensed consolidated balance sheets under Loans payable at fair value. As of March 31,
2026 and December 31, 2025, the Company had accrued interest of $ 0.5 million and $ 0.7 million on the loans payable.
Tasly Convertible Note - Related Party
In June 2023, the Company entered into a short-term
loan agreement with a related party for borrowings of up to $ 1.6 million, the full amount of which had been drawn by 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 an event of default, the interest rate increases to 24 % per annum until the payment date. The lender
has the 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, or (ii) the Company’s common
stock at a conversion price of $ 144.00 per share, as adjusted for the Reverse Stock Split.
16
The Company elected to apply the fair value option
to account for the Tasly Convertible Note and as such, no features of the Tasly Convertible Note are bifurcated and separately accounted
for. The fair value of the Tasly Convertible Note was $ 2.5 million and $ 2.3 million, as of March 31, 2026 and December 31,
2025. There was accrued interest of $ 0.9 million and $ 0.7 million as of March 31, 2026 and December 31, 2025, respectively,
on the Tasly Convertible Note.
The intrinsic conversion value as of March 31,
2026 and December 31, 2025 was $ 0 , because 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
under convertible notes payable and promissory notes payable to related parties on the condensed consolidated balance sheets.
Convertible Promissory Note – Related
Party
The Company now holds the convertible working
capital promissory note which was previously held by Northview Acquisition Corporation with NorthView Sponsor I, LLC, the sponsor of NorthView
(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. 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. 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. The Company elected to apply the fair value option to account for the convertible promissory note and as such, no features of
the convertible promissory note are bifurcated and separately accounted for. As of March 31, 2026 and December 31, 2025, the
convertible promissory note fair value of $ 1.9 million was classified under convertible notes payable and promissory notes payable to
related parties on the condensed consolidated balance sheets.
Junior Convertible Notes
The annual effective interest rate for the junior
convertible notes was estimated between 12.61 % to 12.15 % per year for the three months ended March 31, 2025. The interest expense for
the three months ended March 31, 2025 was $ 0.5 million. The junior convertible notes were converted into 37,356 shares of the Company’s
common stock based on $ 19.6 million of principal and accrued interest as of the Closing Date, as adjusted for the Reverse Stock Split.
Senior Notes
As of March 31, 2026, 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 under convertible notes payable and loans payable at fair value on the condensed
consolidated balance sheets. As of March 31, 2025, $ 9.7 million of the $ 26.6 million of Senior Notes is outstanding with related parties.
The annual effective interest rate of Senior Notes was estimated from 0% to 12.15 % for the three months ended March 31, 2025. The annual
effective interest rate on the Senior Notes for the three months ended March 31, 2026 was not meaningful due to the immaterial outstanding
balance. The interest expense for the three months ended March 31, 2026 and 2025 was not material and $ 0.6 million, respectively.
17
Promissory Notes
The carrying value of the promissory notes as
of March 31, 2026 and December 31, 2025 was $ 1.0 million representing past due amounts because the maturity dates of the promissory
notes has passed. As of March 31, 2026 and December 31, 2025, outstanding balance of promissory notes due to related parties
was $ 0.4 million, and are classified under convertible notes payable and promissory notes payable to related parties and the remainder
is classified under promissory notes and other on the condensed consolidated balance sheets. Interest expense on the Company’s promissory
notes was less than $ 0.1 million for three months ended March 31, 2026 and 2025.
Paycheck Protection Program (“PPP”)
The Company applied for forgiveness of the 2nd
PPP Loan in December 2025 and was notified in February 2026 that the loan had been forgiven. The Company recognized a gain on the extinguishment
of the 2nd PPP Loan of $ 1.4 million within Gain on extinguishment of PPP loan in the condensed consolidated statements of operations
during the three months ended March 31, 2026. Interest expense on the PPP loan for the three months ended March 31, 2026 and 2025 was
not material.
Director and Officer (D&O) Insurance
Financing
During the three months ended March 31, 2026,
the Company made aggregate payments of $ 0.2 million against the obligation and recognized approximately $ 0.3 million of insurance expense
and an immaterial amount of interest expense. As of March 31, 2026 and December 31, 2025, the remaining financing obligation
was $ 0.1 million and $ 0.3 million, respectively, which is recorded under promissory notes and other on the Company’s condensed
consolidated balance sheets.
Minimum Future Payments for the Company’s
Outstanding Borrowings
As of March 31, 2026, the contractual future
minimum payments for the Company’s outstanding borrowing arrangements were as follows (in thousands):
Remaining nine months of 2026
2027
Total
Tasly convertible note - related party
$ 2,532
$ —
$ 2,532
Convertible promissory note - related party
1,870
—
1,870
Loans payable
—
6,977
6,977
Senior notes
43
—
43
Promissory notes
1,040
—
1,040
D&O financing
75
—
75
Total contractual obligations
$ 5,560
$ 6,977
$ 12,537
18
Note 6 — Commitments and Contingencies
Operating Lease Obligations
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. The
incremental borrowing rate estimated at the lease commencement date was determined to be 11.45 %. The lease terminates at the end of February
2027. Concurrently, the Company executed sublease agreements with sublessees for a six month period for a portion of the leased space.
For the three months ended March 31, 2026, operating
lease expense and sublease income was $ 0.1 million and $ 0.1 million, respectively. Variable lease expense for the same period was not
material. Sublease income was recorded in other income (expense) on the condensed consolidated statements of operations.
For the three months ended March 31, 2025, the
Company recognized an aggregate of $ 0.2 million in lease expense for $ 0.1 million in short-term lease expense and variable lease costs
respectively.
As of March 31, 2026, the operating lease
right-of-use asset of $ 0.1 million was recognized within right-of-use asset on the Company’s condensed consolidated balance sheets.
As of March 31, 2026, the operating lease liability of $ 0.2 million is recognized within accrued expenses and other current liabilities
on the Company’s condensed consolidated balance sheets.
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.
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 March 31, 2026 and 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 as of March 31, 2026 and December 31, 2025. The letter demands payment and states that litigation may be initiated
if the matter is not resolved.
Mayo Clinic License Agreement
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”).
Pursuant to the License Agreement, Mayo granted the Company an exclusive, worldwide license, with the right to sublicense, under certain
patent rights that may arise during the term of the License Agreement, and a non-exclusive, worldwide license, with the right to sublicense,
to certain know-how, in each case in the fields of continuous oxygen measurement and critical limb-threatening ischemia. Mayo retains
certain customary reserved rights, including rights related to educational, research and clinical programs.
19
Under the License Agreement, beginning with the
first commercial sale of a licensed product, the Company is required to pay Mayo earned royalties on net sales of licensed products.
The applicable royalty rates vary based on the licensed field and the type of intellectual property coverage applicable to the licensed
product. The Company is also obligated to make nonrefundable milestone payments to Mayo upon the first achievement of specified commercial,
regulatory and clinical events for each licensed product and to pay Mayo a percentage of certain sublicense income received by the Company.
As of March 31, 2026, no commercial sales, milestone events or sublicense income had occurred under the License Agreement, and no
amounts were due to Mayo.
The License Agreement contains customary provisions
regarding diligence, confidentiality, use of name, representations and warranties, disclaimers, indemnification, insurance, compliance
with applicable laws and termination rights. Unless earlier terminated, the License Agreement expires upon the later of the expiration
of the last-to-expire licensed foreground patent right or the fifteenth anniversary of the first commercial sale of the last launched
licensed product. Upon expiration of the Company’s obligation to pay earned royalties, and subject to the Company’s compliance
with its obligations, the Company will have a fully paid-up license.
Note 7 - Stockholders’ Deficit
Preferred Stock
There were no shares of preferred stock issued
and outstanding at March 31, 2026 and December 31, 2025.
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 March 31, 2026, no dividends have been declared
to date.
The Company reserved shares of common stock,
as adjusted for the recapitalization and for the Reverse Stock Split, on an as-converted basis, for future issuance as follows:
March 31,
2026
December 31,
2025
Outstanding options under 2025 Plan
27,061
12,527
Issuance of options under the 2025 Plan
85,852
100,386
Outstanding common stock warrants
233,822
233,822
Issuance of earnout shares (1)
38,750
38,750
385,485
385,485
(1) These earnout shares exclude 12,916 shares allocated to Milestone III, as Milestone III expired as of December 31, 2025. Milestone III represents an operational milestone for the Company’s consummation of a joint venture, for which management has decided to not purse the joint venture.
Note 8 - Common Stock Warrants
As of March 31, 2026 and December 31,
2025, the Company had 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
20
Note 9 — 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. 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. As of March 31, 2026, the total authorized
and issuable shares under the 2025 Plan available for grant was 85,852 shares, as adjusted for the Reverse Stock Split.
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
Balances at December 31, 2025
12,527
$ 231.81
Options granted
14,648
5.35
Options cancelled
( 114 )
505.27
Balances at March 31, 2026
27,061
$ 164.48
Stock-Based Compensation Expense by Function
The following table is a summary of stock compensation
expense by function recognized for the three months ended March 31, 2026 and 2025 (in thousands):
Three Months Ended
March 31,
2026
2025
General and administrative
$ 155
$ 2
Research and development
32
3
Total stock-based compensation
$ 187
$ 5
Increase in stock based compensation for the
three months ended March 31, 2026 is due to incremental grants issued subsequent to March 31, 2025.
21
Note 10 — 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):
Related Party Nature of relationship Description of investment or transaction March 31,
2026 December 31,
2025
Tasly Shareholder Convertible note held at fair value (1) $ 2,532 $ 2,290
NVAC Sponsor I, LLC Shareholder Convertible note held at fair value (1) $ 1,870 $ 1,870
The founders Shareholder Promissory notes (1) $ 405 $ 400
NVAC Sponsor I, LLC Shareholder Due to Related Party (2) $ 41 $ 41
For the three months ended March 31, 2026 and
2025, related party interest expense was $ 5 thousand and $ 0.6 million, respectively.
(1) See Note 5 for full disclosures on debt, including the convertible notes payable, loans payable and promissory notes.
(2) As of March 31, 2026 and 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.
Note 11 — 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 and loans payable, 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):
Three Months Ended
March 31,
2026
2025
Numerator:
Net loss
$ ( 3,456 )
$ ( 2,716 )
Denominator:
Weighted average shares used to
compute basic and diluted net loss per share
1,688,107
25,844
Net loss per share attributable to common stockholders - basic and diluted:
$ ( 2.05 )
$ ( 105.09 )
22
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:
Three Months Ended
March 31,
2026
2025
Convertible preferred stock
—
82,377
Convertible notes payable
—
216,331
Related party convertible notes payable at fair value (1)
28,814
64
Loans payable - held at fair value (2)
15,461,496
—
Warrants
233,822
—
Options to purchase common stock
27,061
13,705
Earnout shares (3)
38,750
—
Total
15,789,943
312,477
(1) Includes the assumed issuance of 17,583 shares of common stock for the conversion of 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 15,461,496 shares of common stock at the conversion price of $ 0.45 per share for the Ascent PIPE Notes, taking 95 % of the lowest closing share price in the 10 trading days preceding March 31, 2026.
(3) These earnout shares exclude 12,916 shares allocated to Milestone III, as Milestone III expired as of December 31, 2025.
Note 12 — 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 condensed 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 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 condensed 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 expense, loss on change in fair value of convertible notes, gain on change in fair value of warrant liabilities, loss
on disposal of digital assets, gain on extinguishment of PPP loan, financing costs and other income (expense). See the condensed consolidated
financial statements for other financial information regarding the Company’s operating segment.
23
Three Months Ended
March 31,
2026
2025
Operating expenses:
Research personnel compensation costs, including
stock-based compensation
$ 297
$ 338
Contract research organization and regulatory costs
635
—
Administrative personnel compensation costs, including
stock-based compensation
699
335
Rent and office costs
127
200
Legal and accounting costs
1,220
539
Other
expenses (1)
1,028
12
Total segment expenses
4,006
1,424
Loss from operations
( 4,006 )
( 1,424 )
Other income (expense):
Loss on change in the fair value of convertible notes
( 797 )
( 61 )
Gain on change in fair value of warrant liabilities
258
—
Loss on disposal of digital assets
( 295 )
—
Interest expense (including related parties amounts of $ 5 and $ 609 for the three months ended March 31, 2026 and 2025, respectively)
( 18 )
( 1,230 )
Gain on extinguishment of PPP loan
1,391
—
Financing costs
( 60 )
—
Other income (expense)
71
( 1 )
Total other income (expense), net
550
( 1,292 )
Net loss
$ ( 3,456 )
$ ( 2,716 )
(1) Other expenses includes public relations costs, insurance costs, third party professional services and consulting costs and small balances of research materials and supplies.
The Company has no significant long-lived assets
recognized on the condensed consolidated balance sheets. The measure of segment assets is reported on the condensed consolidated balance
sheets as total consolidated assets.
Note 13 — Subsequent Events
The Company has evaluated its subsequent events
as of March 31, 2026, through the date these condensed consolidated financial statements were issued and has determined that there
are no subsequent events requiring disclosure in these condensed consolidated financial statements other than the items noted below.
During the months April and May 2026, the Company
issued 360,000 shares of the Company’s common stock in exchange for $ 0.4 million under the ELOC Purchase Agreement; the Company issued
1,870,245 shares of the Company’s common stock for settlement of $ 0.8 million of principal and interest on the Company’s loans payable.
24
Related Party Convertible Promissory Note
Amendments
On April 6, 2026, the Company amended the related
party convertible promissory 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 April 24, 2026, the Company entered into a
Note Modification and Conversion Agreement with NorthView Sponsor I LLC, amending that certain Promissory Note to establish an outstanding
non-interest-bearing principal balance of $ 1.9 million, extend the maturity date to December 31, 2026, and provide the holder with the
option to convert the outstanding principal into shares of the Company’s common stock. Subsequently, on April 29, 2026, the Company
entered into Amendment No. 1 to the Note Modification and Conversion Agreement, adding a covenant that restricts the issuance of conversion
shares in excess of 19.99 % of the issued and outstanding common stock unless and until prior stockholder approval is obtained.
PIPE Notes and Warrants
On April 2, 2026, the Company entered into Amendment
No. 4 to our PIPE Subscription Agreement and related Pledge Agreement with Ascent (“Amendment No. 4”). 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 has agreed with Ascent 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 closings on
April 2, 2026 and April 20, 2026, the Company issued Ascent PIPE Notes with an aggregate principal amount of $ 0.6 million and $ 1.1 million,
respectively, and a warrant to purchase 3,333,333 shares of our common stock (“Ascent Warrant”) at an initial exercise price
of $ 0.50 per share is exercisable on a cash or cashless basis through April 20, 2031, and is subject to a 9.99 % beneficial ownership
limitation and customary anti-dilution adjustments. The notes mature on April 2, 2027 and April 20, 2027, respectively, and each bear
interest at 12 % per annum and is convertible into shares of our common stock, subject to the terms of the notes. The Ascent Warrant contains
customary terms and provisions for instruments of this nature.
In connection with the Ascent Warrant issuance,
the Company entered into a side letter agreement with Ascent pursuant to which Ascent waived certain defaults under the Purchase Agreement,
the number of shares issuable upon exercise of the Ascent Warrant was increased to 3,333,333 shares, and the Company agreed to provide
Ascent with demand and piggyback registration rights with respect to the underlying shares.
In connection with the Ascent Warrant issuance,
Ascent also entered into a lock-up agreement with the Company, dated as of April 20, 2026, pursuant to which Ascent agreed not to transfer
shares underlying the Ascent Warrant for 120 days (expiring August 22, 2026), subject to customary exceptions. Any permitted transferee
is required to execute a lock-up agreement on substantially similar terms.
On April 29, 2026, the Company and Ascent Partners
Fund LLC entered into an amendment for the Ascent Warrant, which eliminated the provisions relating to the automatic conversion or assumption
of the Ascent Warrant in connection with fundamental transactions.
25
Asset Purchase Agreement
On April 1, 2026, the Company entered into a
Letter of Intent (“LOI”) with Bio Insights LLC for the proposed acquisition of Bio Insight LLC’s PanOmics Assay. On
April 21, 2026, the Company entered into an Asset Purchase Agreement (the “Asset Purchase Agreement”) with Bio Insights LLC
(“Seller”), pursuant to which the Company agreed to acquire substantially all of the know-how assets related to Seller’s
PanOmics Assay, an integrated NGS multi-omics analysis platform used in drug discovery and precision medicine (the “Purchased Assets”).
The Purchased Assets include proprietary methodologies, data, processes, algorithms, software, databases, and related goodwill, but exclude
patent rights and biological samples (which remain with Seller, subject to an exclusive sample access license granted to the Company).
The aggregate purchase price is $ 30,000,000 ,
payable through issuance of Series A Convertible Preferred Stock (the “Preferred Stock”), convertible into common stock one
year following issuance based on the closing trading price of the Company’s common stock on the date preceding closing. Issuance
of the Preferred Stock and underlying conversion shares (collectively, the “Securities”) is subject to stockholder approval
as required by Nasdaq Listing Rules 5635(a) and 5635(d). The Securities are subject to a five-year lock-up, with one-fourth released
annually beginning on the first anniversary of issuance. Seller is also entitled to receive a royalty equal to 3 % of net revenue from
commercialization of the PanOmics Assay.
The Asset Purchase Agreement contains customary
representations, warranties, covenants, and indemnification provisions, including a five-year non-compete, 24-month transition assistance,
and a voting agreement. The closing is subject to customary conditions, and either party may terminate if the closing has not occurred
on or before September 30, 2026.
Nasdaq Letters
On April 28, 2026, Nasdaq notified the Company
that it had not regained compliance with Nasdaq Listing Rule 5450(b)(1)(C), which requires the Company to maintain a minimum market value
of publicly held shares of $ 15.0 million for continued listing on The Nasdaq Global Market (the “MVPHS Requirement”), by the
applicable compliance deadline of April 27, 2026. Nasdaq further notified the Company that the failure to regain compliance with the MVPHS
Requirement serves as an additional basis for delisting the Company’s securities from Nasdaq and that the Nasdaq Hearings Panel
will consider this additional deficiency in connection with its determination regarding the Company’s continued listing on The Nasdaq
Global Market. The Company intends to present its views with respect to this additional deficiency to the Nasdaq Hearings Panel within
the required timeframe. There can be no assurance that the Nasdaq Hearings Panel will grant the Company’s request for continued
listing, that the Company will regain compliance with the MVPHS Requirement within any extension period that may be granted, or that the
Company will otherwise maintain compliance with Nasdaq’s continued listing standards.
On May 6, 2026, Nasdaq notified the Company that
the Nasdaq Hearings Panel had granted the Company’s request for continued listing on Nasdaq, subject to certain conditions. The
Nasdaq Hearings Panel granted the Company an exception to cure its listing deficiencies, including noncompliance with Nasdaq Listing Rule
5550(a)(2), which requires a minimum bid price of $ 1.00 per share, and Nasdaq Listing Rule 5550(b)(2), which requires a minimum market
value of listed securities for continued listing on The Nasdaq Capital Market. As a condition to the exception, the Company is required
to: (i) on or before May 11, 2026, file an application with Nasdaq’s Listing Qualifications Staff to transfer its listing to The
Nasdaq Capital Market; (ii) on or before June 5, 2026, obtain stockholder approval for a reverse stock split and advise the Nasdaq Hearings
Panel within 24 hours if such approval is not obtained; (iii) on or before July 6, 2026, demonstrate compliance with the minimum bid price
requirement; and (iv) on or before July 6, 2026, demonstrate compliance with Nasdaq’s stockholders’ equity requirement by
filing a timely public disclosure describing the transactions undertaken by the Company to achieve compliance and demonstrate long-term
compliance with the equity requirement, and by providing an indication of its equity following such transactions. The Nasdaq Hearings
Panel also required the Company to provide prompt notification of any significant events that occur during the exception period that may
affect the Company’s compliance with Nasdaq requirements. The Nasdaq Hearings Panel reserved the right to reconsider the terms of
the exception based on any event, condition or circumstance that, in its opinion, would make continued listing of the Company’s
securities on Nasdaq inadvisable or unwarranted. There can be no assurance that the Company will timely satisfy the conditions of the
exception, regain compliance with Nasdaq’s continued listing standards, maintain compliance with Nasdaq’s continued listing
standards thereafter, or otherwise maintain the listing of its securities on Nasdaq.
On May 13, 2026, the Company received notice
that it will be transferred to The Capital Market as of May 15, 2026.
26
Item 2. Management’s Discussion and Analysis
of Financial Condition and Results of Operations
This discussion and analysis should be read in
conjunction with our financial statements and accompanying notes included elsewhere in this report. Operating results are not necessarily
indicative of results that may occur in future periods. This report includes forward-looking statements within the meaning of Section
27A of the Securities Act of 1933, as amended, and Section 21E of the Securities Exchange Act of 1934, as amended (the “Exchange
Act”). We have based these forward-looking statements on our current expectations and projections about future events. These forward-looking
statements are subject to known and unknown risks, uncertainties and assumptions about us that may cause our actual results, levels of
activity, performance or achievements to be materially different from any future results, levels of activity, performance or achievements
expressed or implied by such forward-looking statements. In some cases, you can identify forward-looking statements by terminology such
as “may,” “should,” “could,” “would,” “expect,” “plan,” “anticipate,”
“believe,” “estimate,” “continue,” or the negative of such terms or other similar expressions. Factors
that might cause or contribute to such a discrepancy include, but are not limited to, those described in our other Securities and Exchange
Commission (“SEC”) filings.
Business Overview
We are a clinical-stage digital health and medical
technology company focused on developing biosensing solutions to improve health outcome for patients in a variety of different diseases
and conditions. Our first product is Lumee Oxygen, which enables physicians to ascertain the extent of perfusion, or passage of blood
through the circulatory system to an organ or tissue, in patients with Critical Limb Ischemia (“CLI”) both during and after
endovascular revascularization procedures. Lumee Oxygen received regulatory approval in Europe through the attainment of a CE mark which
subsequently lapses in 2020. The Company is working to obtain a renewed CE Mark for commercialization in Europe. In addition, prior to
commercialization in the U.S., Lumee Oxygen must obtain FDA clearance or approval.
The latest version of Lumee Oxygen is called
Wireless Lumee Oxygen System. It has multiple components, one of which is a microsensor that is injected into the tissue of the patient
using a hypodermic needle. The sensor is designed so it does not need to be removed as it overcomes the foreign body response that usually
inhibits the ability of permanent implants to function. The sensor contains no electronics, utilizing luminescence to send a light signal
to a reader that is placed over the incision site, which in turn can send a signal to an app on a smartphone. We are in clinical trials
for Lumee Glucose, our sensing solution being developed for use in continuous glucose monitoring (“CGM”). This system targets
diabetics and pre-diabetics to allow them realtime access to their glucose data, at a price point that our management thinks is comparable
or lower to existing systems.
In 2024, we started to sell our oxygen sensor
for research use only applications, namely animal models and in vitro testing. Management is targeting the European market (those jurisdictions
that accept CE mark) for early launch for both Lumee Oxygen and Lumee Glucose. Lumee Oxygen’s launch in Europe occurred in 2023
and Lumee Glucose launch is expected to occur in 2026, subject to regulatory approval. We have access to key opinion leaders (“KOLs”)
in both Europe and the United States, who deal with peripheral arterial disease (“PAD”) and CLI.
We will sell directly to facilities based on
the endorsement of these KOLs. In Germany, Austria and France, some KOLs have already used Lumee Oxygen on a trial basis. We have worked
with reimbursement consultants to develop potential Category I Current Procedural Terminology (“CPT”) codes for Lumee Oxygen
use. Additionally, we have entered into commercial and clinical collaboration agreements with practitioners and hospital departments
in Austria, Belgium and France.
Regarding Lumee Glucose, if and when we obtain
marketing authorization, we plan to embark on a dual strategy of both direct to hospital sales, for our professional-use and personal-use
CGM product, and direct to pharmacy sales for our personal use product only, thereby maximizing flexibility for the consumer. By aiming
for coverage under a user’s pharmacy benefit, we believe we can diversify our user base, while accounting for any risk related
to unlikely delay of attainment of a category I CPT code for sensor insertion. We feel a difference between other insertable or implantable
CGMs and Lumee Glucose, is that the latter can be simply inserted with a hypodermic needle and does not require a surgical implantation,
similar to how pharmacists use these needles to administer flu shots and other vaccines. At the same time, physicians can still leverage
existing CPT codes related to interpretation of CGM data and we have, in parallel, initiated steps for CPT codes related to our sensor
insertion. We will target both public and private payors for coverage.
27
Since our launch, we have devoted significantly
all of our resources to research and development, as well as all clinical study activities related but not limited to Lumee Oxygen, Lumee
Glucose and prototypes for sensors of at least eight other analytes. We have also invested, on a smaller scale, in making sales of Lumee
Oxygen for research- use only clients, which include entities working with animal models. Furthermore, we also performed research and
development under government grants.
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 March 31, 2026, 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.
Recent Developments
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.
28
Nasdaq Continued Listing and Reverse Stock Split
As previously disclosed, on September 11, 2025,
we received written notice from the staff at Nasdaq (the “Staff”) stating that we were not in compliance with the Minimum
Bid Price Requirement and the MVLS Requirement. The Staff provided us an initial compliance period of 180 calendar days, or until March
10, 2026, to regain compliance with each of the Minimum Bid Price Requirement and the MVLS Requirement.
On February 9, 2026, we effected a 1-for-75 reverse
stock split of our 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.
Also as previously disclosed, on October 27,
2025, we received a letter from the Staff notifying us that, for the previous 30 consecutive business days, the market value of our publicly
held shares was below the Market Value Requirement. The Staff provided us with an initial period of 180 calendar days, or until April
27, 2026, to regain compliance with the Market Value Requirement.
On March 11, 2026, we were notified by Nasdaq
of our continued non-compliance with both the Minimum Bid Price Requirement and the MVLS Requirement by the March 10, 2026 deadline,
and that our securities were therefore subject to delisting from The Nasdaq Global Market on both grounds. We appealed the delisting
determination, and attended the hearing before the Nasdaq Hearings Panel on April 21, 2026.
On April 28, 2026, Nasdaq notified us that we
had not regained compliance with Nasdaq Listing Rule 5450(b)(1)(C), which requires us to maintain a minimum market value of publicly held
shares of $15.0 million for continued listing on The Nasdaq Global Market (the “MVPHS Requirement”), by the applicable compliance
deadline of April 27, 2026. Nasdaq further notified us that the failure to regain compliance with the MVPHS Requirement serves as an additional
basis for delisting our securities from Nasdaq and that the Nasdaq Hearings Panel will consider this additional deficiency in connection
with its determination regarding the our continued listing on The Nasdaq Global Market. We intend to present our views with respect to
this additional deficiency to the Nasdaq Hearings Panel within the required timeframe. There can be no assurance that the Nasdaq Hearings
Panel will grant our request for continued listing, that the we will regain compliance with the MVPHS Requirement within any extension
period that may be granted, or that we will otherwise maintain compliance with Nasdaq’s continued listing standards.
On May 6, 2026, Nasdaq notified us that the Nasdaq
Hearings Panel had granted our request for continued listing on Nasdaq, subject to certain conditions. The Nasdaq Hearings Panel granted
us an exception to cure our listing deficiencies, including noncompliance with Nasdaq Listing Rule 5550(a)(2), which requires a minimum
bid price of $1.00 per share, and Nasdaq Listing Rule 5550(b)(2), which requires a minimum market value of listed securities for continued
listing on The Nasdaq Capital Market. As a condition to the exception, we are required to: (i) on or before May 11, 2026, file an application
with Nasdaq’s Listing Qualifications Staff to transfer our listing to The Nasdaq Capital Market; (ii) on or before June 5, 2026,
obtain stockholder approval for a reverse stock split and advise the Nasdaq Hearings Panel within 24 hours if such approval is not obtained;
(iii) on or before July 6, 2026, demonstrate compliance with the minimum bid price requirement; and (iv) on or before July 6, 2026, demonstrate
compliance with Nasdaq’s stockholders’ equity requirement by filing a timely public disclosure describing the transactions
undertaken by us to achieve compliance and demonstrate long-term compliance with the equity requirement, and by providing an indication
of our equity following such transactions. The Nasdaq Hearings Panel also required us to provide prompt notification of any significant
events that occur during the exception period that may affect our compliance with Nasdaq requirements. The Nasdaq Hearings Panel reserved
the right to reconsider the terms of the exception based on any event, condition or circumstance that, in its opinion, would make continued
listing of our securities on Nasdaq inadvisable or unwarranted. There can be no assurance that we will timely satisfy the conditions of
the exception, regain compliance with Nasdaq’s continued listing standards, maintain compliance with Nasdaq’s continued listing
standards thereafter, or otherwise maintain the listing of our securities on Nasdaq. On May 13, 2026, we received notice that we will
be transferred to The Capital Market as of May 15, 2026.
29
Mayo Clinic License Agreement
On February 11, 2026, we entered into a know-how
License Agreement (the “License Agreement”) with Mayo Foundation for Medical Education and Research (“Mayo”),
pursuant to which Mayo granted us an exclusive license to certain patent rights, which the parties plan to file for and obtain during
the term of the License Agreement, and a non-exclusive license to specified know-how in the fields of continuous oxygen measurement and
critical limb-threatening ischemia, with the right to sublicense such rights. Mayo retains customary reserved rights for educational,
research and clinical programs of Mayo.
As consideration, beginning with the first commercial
sale of a licensed product, we are required to pay royalties on net sales of licensed products in amounts that vary depending on the
applicable field and intellectual property coverage. We are also obligated to make milestone payments upon the achievement of specified
commercial, regulatory and clinical events.
In connection with the License Agreement, we
will collaborate with Mayo to investigate high impact clinical applications of our technologies for new product development and commercialization.
The License Agreement contains customary provisions
regarding confidentiality, representations, warranties, disclaimers and indemnifications, and termination rights. The term of the License
Agreement extends for a period tied to the life of the licensed patent rights and a post-commercialization period, unless earlier terminated.
Paycheck Protection Program (“PPP”) Loan Forgiveness
We applied for loan forgiveness for the remaining
PPP loan in December 2025. On February 11, 2026, we received approval for forgiveness from the Small Business Administration for the
full $1.4 million principal loan balance. We recognized a gain on the extinguishment of the PPP Loan of $1.4 million within Gain on extinguishment
of PPP loan during the three months ended March 31, 2026.
Sale of Digital Assets
On March 11, 2026, we made the determination
to terminate our Bitcoin treasury reserve strategy in light of current market conditions and our capital allocation priorities. During
the three months ended March 31, 2026, we sold 16.51 Bitcoins for an aggregate amount of $1.2 million, resulting in realized losses of
$0.3 million.
Amendments on Related-party Convertible Promissory Note
On March 20, 2026, we entered into an amendment
for our related-party promissory note to extend the maturity date from January 11, 2026 to December 31, 2026. On April 6, 2026, we 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 our common stock to the holders.
30
On April 24, 2026, the Company entered into a
Note Modification and Conversion Agreement with NorthView Sponsor I LLC, amending that certain Promissory Note to establish an outstanding
non-interest-bearing principal balance of $1.9 million, extend the maturity date to December 31, 2026, and provide the holder with the
option to convert the outstanding principal into shares of the Company’s common stock. Subsequently, on April 29, 2026, the Company
entered into Amendment No. 1 to the Note Modification and Conversion Agreement, adding a covenant that restricts the issuance of conversion
shares in excess of 19.99% of the issued and outstanding common stock unless and until prior stockholder approval is obtained.
Amendment No. 4 on the PIPE Subscription Agreement
On April 2, 2026, we entered into Amendment No.
4 to our PIPE Subscription Agreement and related Pledge Agreement with Ascent. Under Amendment No. 4, we 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, we have agreed with Ascent 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 closings on
April 2, 2026 and April 20, 2026, we issued Ascent PIPE Notes with an aggregate principal amount of $0.6 million and $1.1 million, respectively,
and a warrant to purchase 3,333,333 shares of our common stock at an initial exercise price of $0.50 per share (the “Warrant”)
that is exercisable on a cash or cashless basis through April 20, 2031, and is subject to a 9.99% beneficial ownership limitation and
customary anti-dilution adjustments. The notes mature on April 2, 2027 and April 20, 2027, respectively, and each bear interest at 12%
per annum and is convertible into shares of our common stock, subject to the terms of the notes. The warrant contains customary terms
and provisions for instruments of this nature.
In connection with the Warrant issuance, the
Company entered into a side letter agreement with Ascent pursuant to which Ascent waived certain defaults under the Purchase Agreement,
the number of shares issuable upon exercise of the Warrant was increased to 3,333,333 shares, and the Company agreed to provide Ascent
with demand and piggyback registration rights with respect to the underlying shares.
In connection with the Warrant issuance, Ascent
also entered into a lock-up agreement with the Company, dated as of April 20, 2026, pursuant to which Ascent agreed not to transfer shares
underlying the Warrant for 120 days (expiring August 22, 2026), subject to customary exceptions. Any permitted transferee is required
to execute a lock-up agreement on substantially similar terms.
On April 29, 2026, the Company and Ascent Partners
Fund LLC entered into an amendment to an existing Warrant to Purchase Shares of common stock, which eliminated the provisions relating
to the automatic conversion or assumption of the warrant in connection with Fundamental Transactions.
Subsequent to March 31, 2026 and through
the date of filing, we issued 360,000 shares of our common stock in exchange for $0.4 million under the ELOC Purchase Agreement and
issued 1,870,245 shares of our common stock for the settlement of $0.8 million of principal and interest on the Ascent PIPE Notes.
31
Asset Acquisition
On April 1, 2026, we entered into a Letter of
Intent (“LOI”) with Bio Insights LLC for the proposed acquisition of Bio Insight LLC’s PanOmics Assay. On April 21,
2026, we entered into an Asset Purchase Agreement (the “Asset Purchase Agreement”) with Bio Insights LLC (“Seller”),
pursuant to which we agreed to acquire substantially all of the know-how assets related to Seller’s PanOmics Assay, an integrated
NGS multi-omics analysis platform used in drug discovery and precision medicine (the “Purchased Assets”). The Purchased Assets
include proprietary methodologies, data, processes, algorithms, software, databases, and related goodwill, but exclude patent rights
and biological samples (which remain with Seller, subject to an exclusive sample access license granted to the Company).
The aggregate purchase price is $30.0 million
payable through the issuance of Series A Convertible Preferred Stock (the “Preferred Stock”), convertible into common stock
one year following issuance based on the closing trading price of the Company’s common stock on the date preceding closing. Issuance
of the Preferred Stock and underlying conversion shares (collectively, the “Securities”) is subject to stockholder approval
as required by Nasdaq Listing Rules 5635(a) and 5635(d). The Securities are subject to a five-year lock-up, with one-fourth released
annually beginning on the first anniversary of issuance. Seller is also entitled to receive a royalty equal to 3% of net revenue from
commercialization of the PanOmics Assay.
The Asset Purchase Agreement contains customary
representations, warranties, covenants, and indemnification provisions, including a five-year non-compete, 24-month transition assistance,
and a voting agreement. The closing is subject to customary conditions, and either party may terminate if the closing has not occurred
on or before September 30, 2026.
Principles of Accounting and Consolidation
The accompanying condensed consolidated financial
statements have been prepared in conformity with GAAP and pursuant to applicable rules and regulations of the SEC and include all adjustments
necessary for the fair presentation of our financial position as of March 31, 2026 and 2025 and the results of operations and cash
flows for the periods then ended. The accompanying condensed 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.
Components of Results of Operations
Research and Development Expenses
Research and development expenses consist primarily
of personnel expenses, including salaries, benefits, and stock-based compensation, costs of consulting, supplies, depreciation and amortization
and allocations of facility-related expenses. We expect our research and development expenses to increase as we increase staffing to
support product development, continue our clinical trials, build prototypes, and continue to explore and develop next generation technologies.
32
General and Administrative Expenses
General and administrative expenses consist of
personnel expenses, including salaries, benefits, and stock-based compensation, related to executive management, finance, legal, human
resource functions, and business development, contractor and professional services fees, audit and compliance expenses, insurance costs
and general corporate expenses, including merger transaction costs incurred, allocated facility-related expenses and information technology
costs.
Loss on Change in the Fair Value of Convertible Notes
We elected to apply the fair value option to
account for (i) the convertible notes issued between June 2023 and March 2024 (the “Tasly Convertible Note”), (ii) the Ascent
PIPE Notes issued during the year ended December 31, 2025 and (iii) the Northview Sponsor working capital promissory note. Loss on change
in the fair value of convertible notes comprise of the change in fair value of the Company’s convertible notes and its related
accrued interest on the convertible notes. These abovementioned notes were recorded at fair value at inception and are subject to remeasurement
to fair value at each balance sheet date, with the change in fair value reflected in our condensed consolidated statements of operations.
Gain on Change in Fair Value of Warrant Liabilities
The change in fair value of our private and representatives
warrant liabilities that we acquired as a result of our Business Combination is reflected in this financial statement line item.
Loss on Disposal of Digital Assets
The change in fair value of Bitcoins that we held during the respective
periods is reflected in this financial statement line item.
Interest Expense
Interest expense consists primarily of the interest
on our senior notes, promissory notes, and PPP Loans.
Gain on Extinguishment of PPP Loan
The gain on the extinguishment of our PPP loan
is reflected in this financial statement line item.
Financing Costs
Financing costs consists of costs in relation
to the issuance of shares under the ELOC Purchase Agreement.
Other Income (Expense)
Other income (expense) consists primarily of
interest income earned from our operating cash account and a short-term sublease of a portion of our facilities.
33
Results of Operations
Comparison of the three months ended March
31, 2026 and 2025
The following table sets forth our condensed
consolidated statements of operations for the periods indicated (in thousands):
Three Months Ended
March 31,
Change
2026
2025
$
%
Operating expenses:
Research and development
$ 1,146
$ 434
$ 712
164 %
General and administrative
2,860
990
1,870
189 %
Total operating expenses
4,006
1,424
2,582
181 %
Loss from operations
(4,006 )
(1,424 )
(2,582 )
181 %
Other income (expenses)
Loss on change in the fair value of convertible notes
(797 )
(156 )
(641 )
411 %
Gain on change in fair value of warrant liabilities
258
—
258
100 %
Loss on disposal of digital assets
(295 )
—
(295 )
100 %
Interest expense (including related parties amounts of
$5 and $609 for the three months ended March 31, 2026 and 2025, respectively)
(18 )
(1,135 )
1,117
(98 )%
Gain on extinguishment of PPP loan
1,391
—
1,391
100 %
Financing costs
(60 )
—
(60 )
100 %
Other income (expense)
71
(1 )
72
(7200 )%
Total other income (expense), net
550
(1,292 )
1,842
(143 )%
Net loss
$ (3,456 )
$ (2,716 )
$ (740 )
27 %
Research and
Development – Research and development expenses increased by $0.7 million, or 164%, to $1.1 million during the three months
ended March 31, 2026 from $0.4 million during the three months ended March 31, 2025. The increase was driven primarily by the increase
in regulatory and contract research organization (“CRO”) costs of $0.6 million and third-party consultant services of $0.1
million , respectively, which is in line with our focus on research and development to complete device
functionality and reach the point of commercialization in the near future.
General and Administrative – General
and administrative expenses increased by $1.9 million, or 189%, to $2.9 million during the three months ended March 31, 2026 from $1.0
million during the three months ended March 31, 2025. The increase was driven primarily by an increase in legal, accounting and other
third party professional services of $1.1 million, personnel costs of $0.4 million, and an increase to insurance fees of $0.3 million.
Loss on Change in the Fair Value of Convertible
Notes – Loss on change in the fair value of convertible notes increased by $0.6 million, or 411%, to $0.8 million during the
three months ended March 31, 2026 from a loss of $0.2 million during the three months ended March 31, 2025. The loss recognized during
the three months ended March 31, 2026 was driven by the losses on the remeasurement of the Ascent PIPE Notes of approximately $0.6 million.
During the three months ended March 31, 2025, the entirety of the loss on change in the fair value of convertible notes was due to the
remeasurement of the Tasly Convertible Note.
34
Gain on Change in Fair Value of Warrant Liabilities
– Gain on change in the fair value of warrant liabilities was $0.3 million during the three months ended March 31, 2026 due
to the decline in our stock price during the same period. We acquired the warrant liabilities as a result of the Business Combination
and therefore the change in fair value of warrant liabilities is only reflected in the three months ended March 31, 2026.
Loss on Disposal of Digital Assets –
Loss on disposal of digital assets was $0.3 million during the three months ended March 31, 2026. We did not have any Bitcoin during
the three months ended March 31, 2025.
Interest Expense – Interest expense
decreased by $1.1 million, or 98%, to $18 thousand during the three months ended March 31, 2026, from $1.1 million during the three months
ended March 31, 2025. The decrease was primarily due to the conversion of the entirety of our junior convertible debt and a significant
portion of our senior notes at the closing of our Business Combination.
Gain on extinguishment of PPP loan –
Gain on extinguishment of PPP loan increased by $1.4 million, or 100%, due to the forgiveness of our PPP loan of $1.4 million in the
three months ended March 31, 2026.
Financing Costs – Increased by $0.1
million in relation to the issuance of shares under the ELOC Purchase Agreement during the three months ended March 31, 2026.
Other Income (Expense) – Other income
(expense) increased by $72 thousand during the three months ended March 31, 2026 primarily due to sublease income recognized in the period.
Liquidity and Capital Resources
Sources of Liquidity
Since inception, we have incurred recurring annual
losses from operations, and we expect to continue to incur losses and negative operating cash flows for the foreseeable future until
we successfully commence sustainable commercial operations. For the three months ended March 31, 2026 and 2025, we incurred a net loss
of $3.5 million and $2.7 million, respectively. During the three months ended March 31, 2026 and 2025, we have used $2.6 million and
$0.5 million, respectively, of cash in our operating activities. We have $12.5 million of notes, loans payable and interest due within
twelve months from March 31, 2026.
We have been able to finance our operations primarily
with the proceeds from the issuance of equity and debt instruments. For the three months ended March 31, 2026, we obtained net cash from
financing activities of $28.0 thousand, compared to $0.4 million for the same period during 2025. We held cash of $0.4 million and
$1.8 million as of March 31, 2026 and December 31, 2025, respectively. Additional funds may be necessary to maintain current
operations and will be required for successful product commercialization efforts. Conditions exist that raise substantial doubt about
our ability to continue as a going concern within one year from the date the condensed consolidated financial statements as of and for
the three months ended March 31, 2026 are issued.
35
Our condensed 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. We have reviewed the relevant conditions and events surrounding its ability to continue as a going concern
including among others: historical losses, projected future results, cash requirements for the upcoming year, funding capacity, net working
capital, total stockholders’ deficit and future access to capital.
It is our expectation to continue to make substantial
investments in building our European and United States commercial infrastructure and enhancing existing products and developing new ones.
Furthermore, we aim to continue discussions with potential partners in Asia.
We expect that we will require additional financing
to fund our operations and planned growth. We may seek to raise any additional capital through equity offerings or debt financings, additional
credit or loan facilities or a combination of one or more of these funding sources. In the scenario that we are unable to acquire sufficient
financing or financing on terms satisfactory to our management or Board of Directors, our ability to continue to pursue our business
objectives and to respond to business opportunities, challenges or unforeseen circumstances could be significantly limited, and our business,
financial condition and results of operations could be materially adversely affected. For the current period and for twelve months following
the issuance of these financial statements, our risk of going concern has been mitigated but not fully alleviated by the issuance of
additional Ascent PIPE Notes with an aggregate principal amount of $1.7 million subsequent to the balance sheet date, remaining
borrowing capacity on the PIPE Subscription Agreement and remaining funds available under the ELOC. As of and for the three months
ended March 31, 2026, there continue to be factors which raise substantial doubt about our ability to continue as a going concern.
Long-Term Liquidity Requirements
We expect our cash on hand, remaining borrowing
capacity from the PIPE Investment, proceeds from the ELOC and Ascent PIPE Notes will provide sufficient funding to support initial commercial
operations. Until we generate sufficient operating cash flow to cover our operating expenses, working capital needs and planned capital
expenditures, or if circumstances evolve differently than anticipated, we expect to utilize a combination of equity and debt financing
to fund any future capital needs. If we raise funds by issuing equity securities, dilution to stockholders may result. Any equity securities
issued may also provide for rights, preferences, or privileges senior to those of holders of common stock. If we raise funds by issuing
debt securities, these debt securities may have rights, preferences, and privileges senior to those of common stockholders. The terms
of debt securities or borrowings could impose significant restrictions on our operations. The capital markets are currently experiencing,
and may continue to experience in the future, periods of upheaval that could impact the availability and cost of equity and debt financing.
Our principal uses of cash in recent periods
have been funding our research and development activities, legal and bank transaction fees, and other personnel cost. Near-term capital
requirements through March 31, 2027 leading to and supporting initial commercialization are estimated to total approximately $15.9 million
and include further research and development to enable us to obtain the required regulatory approvals, manufacturing, commercialization
and wide-scale marketing for our Lumee Oxygen and Lumee Glucose devices. Our future capital requirements will depend on many factors,
including our revenue growth rate, the timing and the amount of cash received from our customers, the expansion of sales and marketing
activities, the timing and extent of spending to support development efforts. In the future, we may enter into arrangements to acquire
or invest in complementary businesses, products, and technologies. For any periods after the twelve months subsequent to the filing of
these financial statements as of March 31, 2026, we may be required to seek additional equity or debt financing. In the event that
we require additional financing, we may not be able to raise such financing on acceptable terms or at all. If we are unable to raise
additional capital or generate cash flows necessary to continue our research and development and invest in continued innovation, we may
not be able to compete successfully, which would harm our business, results of operations, and financial condition. If adequate funds
are not available, we may need to reconsider our production investments, the pace of our production ramp-up, expansion plans or limit
our research and development activities, which could have a material adverse impact on our business prospects and results of operations.
36
Cash Flow Summary
The following table summarizes our cash flows for the periods presented
(in thousands):
Three months ended
March 31,
2026
2025
Change
Net cash provided by (used in):
Operating activities
$ (2,576 )
$ (537 )
$ (2,039 )
Investing activities
1,145
—
1,145
Financing activities
28
365
(337 )
Net decrease in cash
$ (1,403 )
$ (172 )
$ (1,231 )
Operating Activities
Cash used in operating activities for the three
months ended March 31, 2026 of $2.6 million was primarily driven by our net loss of $3.5 million, adjusted for non-cash charges of $0.4
million and net cash inflows of $1.2 million provided by changes in our operating assets and liabilities. Non-cash charges primarily
consisted of non-cash gain on extinguishment of our PPP loan of $(1.4) million, loss on fair value of convertible notes of $0.8 million,
stock-based compensation of $0.2 million, the loss on the disposal of digital assets of $0.3 million, offset by the gain on fair value
of warrant liabilities of $(0.3) million. The main driver of the cash inflows from the changes in operating assets and liabilities was
primarily related to an increase in accounts payable of $1.0 million and a decrease in prepaid expenses and other current assets of $0.3
million.
Investing Activities
Cash provided by investing activities was $1.1
million for the three months ended March 31, 2026 due to the sale of our Bitcoins. We did not have any investing activities in the three
months ended March 31, 2025.
Financing Activities
Cash provided by financing activities was not
material for the three months ended March 31, 2026, which consisted primarily of proceeds from the issuance of ELOC of $0.5 million,
offset by the repayment of borrowings of $(0.4) million.
Cash provided by financing activities was $0.4
million for the three months ended March 31, 2025, which consisted primarily of proceeds from the issuance of senior notes of $0.8 million,
offset by payment of deferred offering costs of $(0.4) million.
37
Contractual Obligations
The following table summarizes our contractual
obligations as of March 31, 2026, and the years in which these obligations are due (in thousands):
Remaining nine months of 2026
2027
Total
Tasly convertible note - related party
$ 2,532
$ —
$ 2,532
Convertible promissory note - related party
1,870
—
1,870
Loans payable
—
6,977
6,977
Senior notes
43
—
43
Promissory notes
1,040
—
1,040
D&O financing
75
—
75
Total contractual obligations
$ 5,560
$ 6,977
$ 12,537
Critical Accounting Estimates
The accounting policies that we consider to be
our most critical, that require our most subjective or complex judgments, are summarized in “Item 7 — Management’s
Discussion and Analysis of Financial Condition and Results of Operations — Critical Accounting Estimates” in our Annual Report
on the Form 10-K for the fiscal year ended December 31, 2025, filed with the SEC on April 15, 2026. There have been no material changes
to our critical accounting policies and significant estimates in the three months ended March 31, 2026.
ITEM 3. QUANTITATIVE AND
QUALITATIVE DISCLOSURES ABOUT MARKET RISK
We are a smaller reporting company as defined
by Rule 12b-2 of the Exchange Act and are not required to provide the information otherwise required under this item.
ITEM 4. 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 March 31, 2026, pursuant to Rule 13a-15(b) under the Exchange Act.
Based upon that evaluation, our Certifying Officers concluded that, as of March 31, 2026, our disclosure controls and procedures
were not effective due to the material weaknesses in internal control over financial reporting described below. As previously disclosed
in our Annual Report on Form 10-K for the year ended December 31, 2025, we identified material weaknesses in our internal control over
financial reporting. As of March 31, 2026, these material weaknesses have not been remediated.
38
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 condensed 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 Certifying Officers, we conducted an evaluation of the effectiveness of our internal control over financial
reporting as of March 31, 2026, as such term is defined in Rules 13a-15(f) and 15d-15(f) under the Exchange Act. Based on that evaluation,
our Certifying Officers have concluded that, as of March 31, 2026, our disclosure controls and procedures were not effective due
to the material weaknesses in internal control over financial reporting described below:
(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 GAAP including
complex debt and equity instruments.
Changes in Internal Controls over Financial
Reporting
There have been no changes in our internal controls
over financial reporting that occurred during the three months ended March 31, 2026, that have materially affected, or are reasonably
likely to materially affect, or are reasonably likely to materially affect, our internal controls over financial reporting, other than
as described above.
39
PART II - OTHER INFORMATION
Item 1. Legal Proceedings.
We are not currently subject to any material
legal proceedings.
Item 1A. Risk Factors.
There have been no material changes from the
risk factors previously discussed in “Part I, Item 1A. Risk Factors” in the Company’s Annual Report on Form 10-K for
the year ended December 31, 2025 (File No. 001-41177) filed with the SEC on April 15, 2026 and in the section titled “Risk Factors”
in the Company’s Registration Statement on Form S-1 (File No. 333-295364) effective as of May 4, 2026.
Item 2. Unregistered Sales
of Equity Securities and Use of Proceeds.
None.
Item 3. Defaults Upon Senior Securities.
None.
Item 4. Mine Safety Disclosures
Not applicable.
Item 5. Other Information.
During the period covered by this Quarterly Report,
none of the Company’s directors or executive officers have adopted or terminated a Rule 10b5-1 trading arrangement or a non-Rule
10b5-1 trading arrangement (each as defined in Item 408 of Regulation S-K under the Securities Exchange Act of 1934, as amended).
40
Item 6. Exhibits
EXHIBIT INDEX
Exhibit Number
Description
2.1
Asset
Purchase Agreement, dated as of April 21, 2026, by and between Profusa Inc. and Bio Insights LLC (incorporated by reference to Exhibit
2.1 to the Current Report on Form 8-K filed on April 27, 2026).
3.1
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).
10.1
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).
10.2#
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).
10.3
Amended and Restated Promissory Note, issued by the Company on May 31, 2024 to NorthView Sponsor I LLC (incorporated by reference to Exhibit 10.26 to the Annual Report filed on April 15, 2026)
10.4
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).
10.5
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).
10.6
Note
Modification and Conversion Agreement, dated as of April 24, 2026, by and between Profusa, Inc. and NorthView Sponsor I LLC (incorporated
by reference to Exhibit 10.1 to the Current Report on Form 8-K filed on April 29, 2026).
10.7
Amendment
No. 1 to Note Modification and Conversion Agreement, dated as of April 29, 2026, by and between Profusa, Inc. and NorthView Sponsor
I LLC (incorporated by reference to Exhibit 10.2 to the Current Report on Form 8-K filed on April 29, 2026).
10.8
Amendment
to Warrant to Purchase Shares of Common Stock, dated April 29, 2026, issued by Profusa, Inc. to Ascent Partners Fund LLC (incorporated
by reference to Exhibit 10.3 to the Current Report on Form 8-K filed on April 29, 2026).
10.9
Senior
Secured Convertible Promissory Note, dated April 20, 2026, issued by the Company to Ascent Partners Fund LLC (incorporated by reference
to Exhibit 10.1 to the Current Report on Form 8-K filed on April 24, 2026).
10.10
Warrant
to Purchase Shares of Common Stock, dated April 20, 2026, issued by the Company to Ascent Partners Fund LLC (incorporated by reference
to Exhibit 10.2 to the Current Report on Form 8-K filed on April 24, 2026).
10.11
Side
Letter Agreement, dated April 20, 2026, between the Company and Ascent Partners Fund LLC (incorporated by reference to Exhibit 10.3
to the Current Report on Form 8-K filed on April 24, 2026).
10.12
Lock-Up
Agreement dated as of April 20, 2026, between the Company and Ascent Partners Fund LLC (incorporated by reference to Exhibit 10.4
to the Current Report on Form 8-K filed on April 24, 2026).
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
# 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.
41
SIGNATURES
Pursuant to the requirements of the Securities
Exchange Act of 1934, the registrant has duly caused this report to be signed on its behalf by the undersigned thereunto duly authorized.
PROFUSA, INC.
Date: May 15, 2026
By:
/s/ Ben Hwang
Name:
Ben Hwang
Title:
Chief Executive Officer
Date: May 15, 2026
By:
/s/ Fred Knechtel
Name:
Fred Knechtel
Title:
Chief Financial Officer
42
Text extracted from the filing as submitted to EDGAR. Formatting, tables and exhibits are simplified for reading; the original document is authoritative for anything you rely on.