SS Innovations International, Inc. 10-Q

Item 1. Financial Statements. AS OF June 2024 Dec 2023 ASSETS Restated Current Assets: Cash and cash equivalents $ 1,454,675 $ 2,022,276 Restricted cash 5,619,490 5,029,650 Accounts receivable, net of allowances 4,603,800 1,901,244 Inventory 6,443,067 6,447,131 Prepaids and other current assets 4,501,398 3,890,017 Total Current Assets 22,622,430 19,290,319 Non- Current Assets: Property, plant, and equipment, net 2,023,645 706,405 Right of use asset 2,448,918 2,657,554 Long Term Receivable 5,265,908 2,365,013 Restricted cash (Non current) 327,012 35,919 Loans & Advances (Related Party) 1,297,410 1,567,559 Prepaids and other non current assets 4,332,081 4,322,444 Total Non-Current Assets 15,694,975 11,654,894 Total Assets 38,317,405 30,945,213 LIABILITIES AND STOCKHOLDERS' (DEFICIT) EQUITY Current Liabilities Bank Overdraft Facility 7,707,534 6,018,926 Notes payable 4,450,000 - Right of use liability, current portion 428,705 396,784 Accounts payable 1,295,003 901,550 Other accrued liabilities 3,844,064 577,040 Total Current Liabilities 17,725,305 7,894,300 Right of use liability, non current portion 2,125,906 2,351,113 Long term Liabilities 544,122 544,122 Other accrued liabilities (Non- Current) 939,150 939,150 3,609,178 3,834,385 Total Liabilities 21,334,483 11,728,685 Commitments and contingencies Stockholders’ (deficit) equity : Common stock, 250,000,000 shares authorized, $ 0.0001 par value, 170,738,194 shares and 170,710,694 shares issued and outstanding as of June 30, 2024 and December 31, 2023 respectively 17,073 17,071 Minority Interest - Preferred stock, $ 0.0001 par value per share; authorized 5,000,000 shares of Series A Non-Convertible Preferred Stock, 5000 shares and 5000 shares issued and outstanding as of June 30, 2024 and December 31, 2023 1 1 Translation adjustment ( 378,165 ) ( 374,087 ) Additional Paid in Capital 48,455,054 45,104,889 Capital Reserve 899,917 899,917 Accumulated deficit ( 32,010,958 ) ( 26,431,263 ) Total stockholders’ (deficit) equity 16,982,922 19,216,528 Total liabilities and stockholders’ (deficit) equity $ 38,317,405 $ 30,945,213 See accompanying notes to unaudited Condensed Consolidated Financial Statements. 1 SS INNOVATIONS INTERNATIONAL, INC. CONSOLIDATED STATEMENTS OF OPERATIONS Three Month ended Six Month ended June June June June 2024 2023 2024 2023 REVENUES System Sales $ 4,175,755 1,537,224 $ 11,312,947 3,028,534 Instruments Sale 182,088 - 266,785 - Warranty Sales 28,207 38,082 37,278 58,151 Cost of revenue ( 3,345,560 ) ( 1,351,143 ) ( 7,499,849 ) ( 2,351,347 ) GROSS (LOSS) PROFIT 1,040,491 224,163 4,117,163 735,339 OPERATING EXPENSES: Research & Development 30,068 - 426,118 Selling, general and administrative 3,777,479 1,983,053 9,102,278 3,400,013 TOTAL OPERATING EXPENSES 3,807,546 1,983,053 9,528,396 3,400,014 Loss from operations ( 2,767,056 ) ( 1,758,890 ) ( 5,411,234 ) ( 2,664,675 ) OTHER INCOME (EXPENSE): Interest Expenses ( 229,521 ) - ( 399,004 ) - Finance Income 64,741 127,600 Interest and other income, net 2 ( 91,533 ) 102,943 ( 173,791 ) TOTAL OTHER (EXPENSE) INCOME ( 164,778 ) ( 91,533 ) ( 168,461 ) ( 173,791 ) NET LOSS ( 2,931,834 ) ( 1,850,423 ) ( 5,579,695 ) ( 2,838,466 ) Net loss attributable to SS Innovations International Inc. $ ( 2,931,834 ) $ ( 1,850,423 ) ( 5,579,695 ) ( 2,838,466 ) Net loss per share - basic and diluted ( 0.02 ) ( 0.01 ) ( 0.03 ) ( 0.03 ) Weighted average 170,738,204 133,791,407 170,738,204 98,172,406 June June June June 2024 2023 2024 2023 NET LOSS ( 2,931,834 ) ( 1,850,423 ) ( 5,579,695 ) ( 2,838,466 ) OTHER COMPREHENSIVE INCOME (LOSS) Foreign currency translation ( 1,689 ) - ( 4,078 ) - COMPREHENSIVE LOSS ( 2,933,523 ) ( 1,850,423 ) ( 5,583,773 ) ( 2,838,466 ) See accompanying notes to unaudited Condensed Consolidated Financial Statements. 2 SS INNOVATIONS INTERNATIONAL, INC. CONDENSED CONSOLIDATED STATEMENTS OF STOCKHOLDERS’ EQUITY (DEFICIT) Common Stock Additional Additional Accumulated Total Preferred Stock Common Stock Common Stock to be Issued Paid-In Paid-In Accumulated other Capital Stockholders' Number Amount Number Amount Number Amount Number Amount Capital Capital Deficit comprehensive Reserve Deficit BALANCE AT DECEMBER 31, 2023 (Restated) 5,000 1 170,710,694 17,071 12,500 4,849,280 40,255,609 ( 26,431,263 ) ( 374,087 ) 899,917 19,216,528 Stock based compensation expense - - 1,937,202 - 1,937,202 Common stock issued 12,500 1 ( 12,500 ) ( 50,000 ) 49,999 - Stock issued for services 15,000 1 101,250 101,251 Translation adjustment ( 2,389 ) ( 2,389 ) Net loss - - - - - ( 2,647,861 ) ( 2,647,861 ) BALANCE AT March 31, 2024 5,000 1 - - 170,738,194 17,073 - 6,736,482 - 40,406,858 ( 29,079,124 ) ( 376,476 ) 899,917 18,604,731 Stock based compensation expense 1,311,714 1,311,714 Translation adjustment ( 1,689 ) ( 1,689 ) Net loss ( 2,931,834 ) ( 2,931,834 ) BALANCE AT June 30,2024 5,000 1 - - 170,738,194 17,073 - 8,048,196 - 40,406,858 ( 32,010,958 ) ( 378,165 ) 899,917 16,982,922 BALANCE AT DECEMBER 31, 2022 53,887,738 5,388 11,005,896 ( 10,691,071 ) 320,213 Stock issued for services 432,672 432,672 Stock based compensation expense - - 1,597,693 - 1,597,693 Common stock issued 11,555,599 1,156 1,156 Translation adjustment - - Accumulated other comprehensive income (loss) ( 2,004,320 ) ( 2,004,320 ) Net loss - - - - - - - BALANCE AT March 31, 2023 65,443,337 6,544 - - 13,036,261 ( 12,695,391 ) 347,414 Recapitalization ( 65,443,337 ) ( 6,544 ) 6,544,334 654.00 ( 13,036,261 ) 13,042,151 - Conversion of Notes Payable to equity 7,709,871 771 6,137,770 6,138,541 Recapitalization 131,917,051 13,191 ( 13,191 ) ( 4,556,208 ) ( 4,556,208 ) Accumulated other Comprehensive income (loss) 742,271 742,271.00 Net loss ( 1,850,423 ) ( 1,850,423 ) BALANCE AT June 30, 2023 - - 146,171,256 14,616 - - - 19,166,730 ( 19,102,022 ) 742,271 821,595 See accompanying notes to unaudited Condensed Consolidated Financial Statements. 3 SS INNOVATIONS INTERNATIONAL, INC. CONSOLIDATED STATEMENTS OF CASH FLOW For the Six Months ended June, 2024 June, 2023 Cash flows from operating activities: Net loss $ ( 5,579,695 ) $ ( 2,838,466 ) Adjustments to reconcile net loss to net cash used in operating activities: Depreciation & amortization 379,608 310,897 Operating lease liability net 149,215 Non cash lease expense Stock compensation expense 3,248,916 - Accounts receivable ( 2,702,556 ) - Inventory 4,064 - Prepaid and other current assets ( 902,474 ) ( 10,626,023 ) Accounts payable and accured expenses 3,660,476 2,632,123 Prepaids and other non current assets ( 9,637 ) - Lease Payments ( 342,501 ) - Other Net cash used in operating activities ( 2,094,584 ) ( 10,521,468 ) Cash flows from investing activities: Notes Receivables - Acquisition - 3,000,000 Purchase of property ( 1,488,212 ) ( 736,006 ) Long Term Receivable ( 2,900,895 ) ( 3,771,547 ) Long Term Receivable- Related Party 270,149 - Net cash used in investing activities ( 4,118,959 ) ( 1,507,552 ) Cash flows from financing activities: Acquisition of common stock - Repayment of Notes - ( 2,775,000 ) Proceeds from Notes payable 4,450,000 - Net Proceeds of Demand Notes Payable (Bank Overdraft) 1,688,608 4,963,385 Accumulated other comprehensive income (loss) - 899,917 Proceed from securities offering 101,252 8,170,061 Net cash provided by financing activities 6,239,860 11,258,363 Net change in cash 26,318 ( 770,657 ) Effect of exchange rate on cash ( 4,080 ) ( 157,645 ) Cash at beginning of year 7,051,927 1,351,364 Cash at end of year $ 7,074,165 $ 423,062 See accompanying notes to unaudited Condensed Consolidated Financial Statements. 4 SS INNOVATIONS INTERNATIONAL, INC. F/K/A AVRA MEDICAL ROBOTICS, INC. NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS NOTE 1 – COMPANY AND BASIS OF PRESENTATION Organization SS Innovations International, Inc. (the “ Company ” or “ SSII ”) was incorporated as AVRA Surgical Microsystems, Inc. in the State of Florida on February 4, 2015 . Effective November 5, 2015, the Company’s corporate name was changed to Avra Medical Robotics, Inc. The Company was established and is continuing to develop advanced medical and surgical robotic systems. On April 14, 2023, a wholly owned subsidiary of the Company merged with Cardio Ventures, Inc., a Delaware corporation (“ CardioVentures ”), which is the indirect parent of Sudhir Srivastava Innovations Pvt. Ltd., an Indian private limited company engaged in the business of developing innovative surgical robotic technologies. As a result of such a transaction, a “ change in control ” of the Company took place. In addition, among other matters, the Company changed its name to “ SS Innovations International, Inc. ” and implemented a one for ten reverse stock split. The financial statements, financial information and share and per share information contained in this report reflect the operations of the newly formed merged entity and Cardio Ventures and give pro forma effect to the reverse stock split. The significant accounting policies of SSII were described in Note 1 to the audited financial statements included in the Company’s Annual Report on Form 10-K for the year ended December 31, 2023. There has been an internal review and revision of some of the Company’s accounting policies retrospectively and accordingly some of the financial statement balances as of December 31, 2023 are restated while for the quarterly period ended June 30, 2024, the revised accounting policies have been applied. Going Concern The accompanying consolidated financial statements have been prepared on a going concern basis which implies the Company will continue to meet its obligations for the next 12 months as of the date these financial statements are issued. The Company had a working capital surplus of US$ 4.90 Million and an accumulated deficit of $ 32.01 Million as of June 30, 2024. The Company incurred a net loss of $ 5.57 Million for the six months ended June 30, 2024 and $ 2.93 Million for the three months ended June 30,2024 The Company launched the commercial sale of its “SSI Mantra” surgical robotic system in India in the last quarter of 2022 and sold three systems in 2022. During the year ended 2023, the Company sold 12 more surgical robotic systems which included its first export sale to Dubai, UAE and also installed 4 systems on pay-per-use basis. During the six months period ended June 30, 2024 , the Company has further sold 17 systems (including one system exported to Nepal) and installed another system on revenue share basis in a leading training robotic training center in India. As of June 30, 2024, the Company has sold 32 systems and has installed 5 systems on pay-per-use/revenue share basis. During the same period as above, there has also been an intra-group sale of one system which has been exported by SSI India to its parent company, SSII USA and the same system is being currently utilized for demonstration purposes only and not for any clinical use in USA. For the purpose of reporting consolidated financial statements, this intra-group sale of one surgical robotic system has been eliminated. As of June 30, 2024, the Company also had two systems installed at two of the prominent hospital chains in India for clinical evaluation purposes. As such, as of June 30, 2024, the Company had an overall installed basis of 40 systems. 5 As of June 30, 2024, a total of 1464 surgical robotic procedures have been successfully completed in India on the surgical robotic systems installed by the Company with Urology and General surgery procedures constituted 71 % of the total procedures. There has been a consistent increase in system utilization resulting in gradual increase in recurring revenues from the sale of surgical robotic instruments and allied accessories. As the installed base of Company’s surgical robotic systems increases in the coming years, these recurring revenues are also likely to grow further. In order to augment its working capital resources to keep its production and its sales momentum going, during the six months period ended June 30, 2024, the Company has raised short term funds to the extent of $ 4.45 Million which comprise of US$ 2.45 Million through issuances of 7 % One-year Convertible Promissory Notes (CPNs) to five investors including US$ 1.0 Million from Sushruta Pvt Ltd. (“ SPL ”), the Bahamian holding company owned by Dr. Sudhir Srivastava, our Chairman, Chief Executive Officer and principal shareholder. The principal amount of these CPNs along with accrued interest @ 7 % p.a. thereon would be repayable one year from the date of their respective issuances. The CPN holders also have the option to convert these CPNs into common shares of the Company at US$ 4.45 per share any time prior to their respective maturity dates. During April 2024, the Company also raised an additional US$ 2 Million through 7 % One-Year Promissory Notes issued to SPL. These 7 % One-Year Promissory Notes are not convertible and mature for payment of principal with interest on their respective due dates in April 2025. The management of the Company is making efforts to raise further funding to scale up operations and meet its longer-term capital needs. While management of the Company believes that it will be successful in its capital formation and planned expansion of its operating activities, there can be no assurance that the Company will be able to raise additional equity capital or be successful in generating additional revenues and ultimately achieving profitability. The accompanying financial statements do not include any adjustments to reflect the possible future effects on the recoverability and classification of assets or the amounts and classification of liabilities that may result from the possible inability of the Company to continue as a going concern. Basis of Presentation The accompanying unaudited condensed financial statements of the Company have been prepared in conformity with accounting principles generally accepted in the United States (“GAAP”) for interim financial information and in accordance with the rules and regulations of the Securities and Exchange Commission. Therefore, they do not include all information and footnotes normally included in annual consolidated financial statements and should be read in conjunction with the consolidated financial statements and notes thereto included in the Company’s Annual Report on Form 10-K for the year ended December 31, 2023, In the opinion of the Company’s management, the accompanying unaudited condensed financial statements contain all the adjustments necessary (consisting only of normal recurring accruals) to present the financial position of the Company as of June 30, , 2024 and the results of operations and cash flows for the periods presented. The results of operations for the quarterly period ended June 30, , 2024, are not necessarily indicative of the operating results for the full fiscal year or any future period. NOTE 2 – SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES Use of Estimates The preparation of financial statements in conformity with GAAP requires management to make estimates and assumptions that affect the reported amounts of assets, liabilities, and expenses. The Company regularly evaluates estimates and assumptions that affect the reported amounts of assets and liabilities and disclosure of contingent assets and liabilities at the date of the financial statements and the reported amounts of revenues and expenses during the reporting period. Actual results could differ from those estimates made by management. Cash and Cash Equivalents The Company considers all cash on hand, cash accounts not subject to withdrawal restrictions or penalties, and all highly liquid investment with a maturity of three months or less to be cash and cash equivalents. All cash accounts/bank deposits which are subject to withdrawal restrictions are classified as Restricted Cash. 6 Accounts Receivable The Company’s account receivables are due from customers relating to contracts to supply surgical robotic systems, instruments, and accessories and to provide post sales warranty/maintenance services. The Company also sells surgical robotic systems under deferred payment arrangement and in such cases, the amounts due and recoverable beyond one year period at the balance sheet date are classified as long-term receivables. Collateral is currently not required. The Company also maintains allowances for doubtful accounts for estimated losses resulting from the inability of the Company’s customers to make payments. The Company periodically reviews these estimated allowances, including an analysis of the customers’ payment history and creditworthiness, the age of the trade receivable balances and current economic conditions that may affect a customer’s ability to make payments as well as historical collection trends for its customers as a whole. Based on this review, the Company specifically reserves for those accounts deemed uncollectible or likely to become uncollectible. When receivables are determined to be uncollectible, principal amounts of such receivables outstanding are deducted from the allowance. The allowance for doubtful accounts as of, June 30, 2024, and December 31, 2023, amounted to $ NIL and $ NIL respectively. Foreign Currency Translation The Company’s reporting currency is U.S. Dollars. The accounts of one of the Company’s subsidiaries are maintained using the appropriate local currency, Indian Rupees (“INR”) as the functional currency. All assets and liabilities are translated into U.S. Dollars at balance sheet date, shareholders’ equity is translated at historical rates and revenue and expense accounts are translated at the average exchange rate for the year or the reporting period. The translation adjustments are reported as a separate component of stockholders’ equity, captioned as accumulated other comprehensive (loss) gain. Transaction gains and losses arising from exchange rate fluctuations on transactions denominated in a currency other than the functional currency are included in the statements of operations as foreign currency exchange variance. The relevant translation rates are as follows: for the three months ended June 30, 2024, closing rate at INR 83.36 to one US$ and average rate at 83.33 INR to one US$ Inventory The Company’s inventory consists of (a) finished goods in the form of fully assembled and tested surgical robotic systems in stock in Company’s finished goods store, its branches/overseas offices or at hospital locations under clinical evaluation and (b) fully assembled and tested instruments and accessories (b) semi-finished goods in the form of instruments and various sub-systems of the surgical robotic systems in various stages of assembly and manufacturing and (c) raw material in the form of various mechanical, electrical, and other material components, parts, motors, encoders etc. which are in raw material stores, not yet issued for assembly/manufacturing. The inventory is valued at the lower of cost (first-in, first-out basis) or estimated net realizable value. As of June 30, 2024, the Company valued the inventory at $ 6,443,067 Concentration of Credit Risk Financial instruments that potentially subject the Company to concentrations of credit risk consist principally of cash. The Company maintains its principal cash balance in United States financial institutions, where deposits are insured by the Federal Deposit Insurance Corporation (“FDIC”) up to $ 250,000 . The Company also maintains cash balances maintained with banks in India, where balances are insured by Deposit Insurance and Credit Guarantee Corporation of India (DICGC) to the extent of approximately US$ 6,100 per account and in the Bahamas, where deposits are insured by the Deposit Insurance Corporation of Bahamas insures deposits up to US$ 50,000 per account. As at June 30, 2024, deposits of $ 214,879 were in excess of overall insurance coverage limits. 7 Revenue Recognition The Company recognizes revenue in accordance with Accounting Standards Codification, or ASC606, the core principle of which is that an entity should recognize revenue to depict the transfer of promised goods or services to customers in an amount that reflects the consideration to which the entity expects to be entitled to receive in exchange for those goods or services. To achieve this core principle, five basic criteria must be met before revenue can be recognized: ● Identification of a contract with a customer or placement of a purchase order by the customer. ● Identification of the performance obligations in the contract or the purchase order as the case may be. ● Determination of the transaction price which is reflected in the purchase order placed by the customer. ● Allocation of the transaction price to the performance obligations in the contract; and ● Recognition of revenue when or as the performance obligations are satisfied as per the terms of the purchase order received from the customer. The Company accounts for revenues when both parties to the contract have approved the contract, the rights and obligations of the parties are identified, payment terms are identified, and collectability of consideration is probable. Product type and payment terms vary by client. i. System Sales: The Company recognizes revenue when the “transfer of control” occurs, which typically takes place upon the delivery of the system to the customer. In cases where a deferred payment arrangement exists, revenue is recognized at the present value of the consideration receivable, adjusted by the present value of any extended warranty obligations. Key Terms of Customer Contracts The Company enters into binding contracts with customers through either an agreement or a sales order, with all terms and conditions mutually agreed upon by both parties. The key terms and conditions include: 1. Finalization of Product and Price: Agreement on the specific model of the “SSI Mantra” system and its selling price. 2. Payment Terms: Determination of payment terms, which may involve either a deferred payment arrangement or a one-time payment upon delivery and installation of the system at the customer’s premises. 3. Deferred Payment Model: For deferred payments, customers typically pay an advance amount before the dispatch of the system. The remaining balance is payable in yearly installments over a period of 3 to 5 years. 4. Warranty Services: Instead of negotiating the sales price, the Company provides a warranty service that includes a 1-year assurance warranty and an extended warranty for an additional 3 to 5 years. The exact terms are mutually agreed upon with the customer. 5. Delivery, Installation, and Training: The Company is responsible for delivering and installing the system at the customer’s premises. Post-installation, the Company provides free training to surgeons and surgical staff to enable them to operate the system effectively. 6. Transfer of Risk and Rewards: The risks and rewards associated with the system are transferred to the customer upon delivery to their premises. ii. Instrument and accessories Sales: We also sell instruments for use by surgeons in conjunction with the use of our surgical robotic systems. These instruments are consumable items for our hospital customers, and we recognize the revenues from the sale of instruments as and when the instruments are dispatched to the customer. iii. Warranty and Annual Maintenance Contract Sales: Under ASC 606, the portion of the equipment sales value attributable to annual maintenance contracts is recorded separately as Warranty sales, which are recognized at their present value. Once the warranty periods expire, the maintenance contracts commence, and the revenue generated from these maintenance contracts is recognized as a distinct revenue stream. 8 Unrealized Deferred Revenue: The revenues attributable to the warranty is recognized over the period to which it relates. In three months’, period ended June 30, 2024, we have sold ten surgical robotic systems. The revenues attributable to warranty for the agreed warranty period in respect of each of the sales contract is deferred for recognition over the period to which it relates. In case of systems sold on deferred payment basis, the present value of the invoiced system sales realizable over the deferred payment period is recognized as systems sales while the difference between invoiced system sales and the present value as recognized above is reflected as interest earned under other incomes. Due to application of ASC606, as of June 30, 2024, the sum of US $3,275,174stands transferred to unrealized deferred revenue and due to this adjustment, the Non-GAAP revenues and profitability for six-month period ended June 30, 2024, is reflected less to the extent of $ 2,445,239 Property Plant & Equipment Property Plant & Equipment is recorded at cost and depreciated using the straight-line method at rates determined as per estimated useful lives of the assets. The estimated useful lives used in in calculating depreciation are as follows: Years Office furniture and fixtures 5 Plant and equipment 4 - 8 Motor vehicles 5 Computer & Peripherals’ 3 Long-lived Assets In accordance with ASC 360, “ Property Plant and Equipment ”, the Company tests long-lived assets or asset groups for recoverability when events or changes in circumstances indicate that their carrying amount may not be recoverable. Circumstances which could trigger a review include, but are not limited to : significant decreases in the market price of the asset; significant adverse changes in the business climate or legal factors; accumulation of costs significantly in excess of the amount originally expected for the acquisition or construction of the asset; current cash flow or operating losses combined with a history of losses or a forecast of continuing losses associated with the use of the asset and current expectation that the asset will more than likely not be sold or disposed significantly before the end of its estimated useful life. Recoverability is assessed based on the carrying amount of the asset and its fair value which is generally determined based on the sum of the discounted cash flows expected to result from the use and the eventual disposal of the asset, as well as specific appraisal in certain circumstances. An impairment loss is recognized when the carrying amount is not recoverable and exceeds fair value. Stock Compensation Expense The Company accounts for equity instruments issued in exchange for the receipt of goods or services from other than employees in accordance with Accounting Standards Codification (“ASC”) Topic 505, “Equity.” Costs are measured at the estimated fair market value of the consideration received or the estimated fair value of the equity instruments issued, whichever is more reliably measurable. The value of equity instruments issued for consideration other than employee services is determined on the earlier of a performance commitment or completion of performance by the provider of goods or services as defined by ASC Topic 505. Income Taxes The Company accounts for income taxes pursuant to ASC Topic 740 “ Income Taxes. ” Under ASC Topic 740, deferred tax assets and liabilities are determined based on temporary differences between the bases of certain assets and liabilities for income tax and financial reporting purposes. The deferred tax assets and liabilities are classified according to the financial statement classification of the assets and liabilities generating the differences. A valuation allowance is recorded when it is more likely than not that some or all of the deferred tax assets will not be realized. 9 The Company applies the provisions of ASC Topic 740-10-05 “ Accounting for Uncertainty in Income Taxes .” The ASC clarifies the accounting for uncertainty in income taxes recognized in an enterprise’s financial statements. The ASC prescribes a recognition threshold and measurement attribute for the financial statement recognition and measurement of a tax position taken or expected to be taken in a tax return. The ASC provides guidance on de-recognition, classification, interest and penalties, accounting in interim periods, disclosure, and transition. Basic and Diluted Loss per Share In accordance with ASC Topic 260 “ Earnings Per Share, ” basic loss per common share is computed by dividing net loss available to common stockholders by the weighted average number of common shares outstanding during the period. Diluted loss per common share gives effect to dilutive convertible securities, options, warrants and other potential common stock outstanding during the period, only in periods in which such effect is dilutive. The Company has stock options, warrants, and convertible promissory notes that may be converted to outstanding potential common shares. Research and Development Costs In accordance with ASC Topic 730 “Research and Development”, with the exception of intellectual property that is purchased from another enterprise and has alternative future use, research and development expenses are charged to operations as incurred. Fair Value of Financial Instruments Our financial instruments consist principally of accounts receivable, amounts due to related parties and promissory notes payable. The carrying amounts of cash and cash equivalents and promissory notes approximate fair value because of the short-term nature of these items. Recent Accounting Pronouncements Compensation—Stock Compensation In May 2017, the FASB issued ASU 2017-09, “Compensation—Stock Compensation (Topic 718): Scope of Modification Accounting,” that provides guidance about which changes to the terms or conditions of a share-based payment award require an entity to apply modification accounting. The new guidance became effective for the Company on January 1, 2018, and was applied on a prospective basis, as required. The adoption of this standard did not have an impact on the financial statements or the related disclosures. Leases In February 2016, the FASB issued ASU 2016-02, “Leases (Topic 842)” (“ASU 2016-02”). The FASB issued ASU 2016-02 to increase transparency and comparability among organizations recognizing lease assets and lease liabilities on the balance sheet and disclosing key information about leasing arrangements. Under ASU 2016-02, lessors will account for leases using an approach that is substantially equivalent to existing GAAP for sales-type leases, direct financing leases and operating leases. Unlike current guidance, however, a lease with collectability uncertainties may be classified as a sales-type lease. If collectability of lease payments, plus any amount necessary to satisfy a lessee residual value guarantee, is not probable, lease payments received will be recognized as a deposit liability and the underlying assets will not be derecognized until collectability of the remaining amounts becomes probable. ASU 2016-02 is effective for interim and annual periods beginning after December 15, 2018, with early adoption permitted, and must be adopted using a modified retrospective transition. The Company did not adopt the standard effective January 1, 2019, utilizing the lessor practical expedient. On November 15, 2019, the FASB issued ASU 2019-10 which amended the effective dates for ASC 842, to give implementation relief. Under the FASB’s new framework, two “buckets” were defined, bucket 1 includes public companies that are SEC filers but excludes “Small Reporting Companies” (SRC’s). Bucket 2 includes all other entities, including SRC’s. Bucket 2 entities have to apply ASC 842 for fiscal years beginning after December 15, 2020, and interim periods within fiscal years beginning after December 15, 2021. 10 NOTE 3 - PROPERTY AND EQUIPMENT The Company’s property and equipment relating to continuing operations consisted of the following: June 30, 2024 Dec 31, 2023 Restated Machinery and equipment 267,194 175,978 Mantra Systems 1,158,335 - Land & Building 228,387 154,651 Furniture and Fittings 209,941 175,282 Computer and office equipment 385,028 282,781 Motor Vehicle 183,203 183,577 R & D Equipments 136,035 119,809 Server & Networking 34,096 21,926 Leasehold improvements - - Property and equipment at cost 2,602,218 1,114,006 Less - accumulated depreciation ( 578,573 ) ( 407,601 ) Property and equipment, net $ 2,023,645 $ 706,405 Depreciation expenses for the six months ended June 30, 2024, and 2023 amounted to $ 170,972 and $ 310,897 respectively. NOTE 4 – ACCOUNTS RECEIVABLE Accounts receivable consisted of the following as of June 30, 2024 and December 31, 2023: June 30, 2024 Dec 31, 2023 Restated Accounts receivable, net of allowances $ 4,603,800 $ 1,901,244 Long Term Receivable 5,265,908 2,365,013 Accounts receivable, net $ 9,869,708 $ 4,266,257 The Company performed an analysis of the trade receivables related to SSI India and as of June 30,2024, determined, based on the deferred payment terms of the contracts, that $ 5,265,908 may not be due and collectible within one year and thus company classified these receivables as long-term Receivable. 11 NOTE 5 – RESTRICTED CASH We have reclassified Fixed Deposits (FDs), which are subject to withdrawal restrictions, as Restricted Cash. Additionally, Time Deposits with a maturity of over one year have been reclassified as non-current. Restricted cash (Current) & (Non-Current) consisted of the following as of June 30, 2024 and December 31, 2023: June 30, 2024 Dec 31, 2023 Restated Restricted cash (Current) 5,619,490 5,029,650 Restricted Cash (Non- current) 327,012 35,919 Total Restricted Cash 5,946,502 5,065,569 NOTE 6 – PREPAID, CURRENT AND NON- CURRENT ASSETS Prepaid, Current and Non-Current Assets consisted of the following as of June 30, 2024 and December 31, 2023: June 30, 2024 Dec 31, 2023 Restated Prepaid & Other Current Assets 4,501,398 3,890,017 Prepaid and Non current Assets 4,332,081 4,322,444 Total Prepaid, Current and Non Current Assets 8,833,479 8,212,461 NOTE 7 – ACCOUNTS PAYABLE AND ACCRUED EXPENSES Accounts payable and accrued expenses consisted of the following as of June 30, 2024, and December 31, 2023: June 30, 2024 Dec 31, 2023 Restated Accounts Payable $ 1,295,003 $ 901,550 Other accrued liabilities 3,844,064 577,040 Other accrued liabilities- Non Current 939,150 939,150 Total accounts payable and accrued expenses $ 6,078,216 $ 2,417,740 NOTE 8 - NOTES PAYABLE In the month of April 2024, the Company raised $ 2.00 million through 7 % One-Year Promissory Notes (“Notes”) from Sushruta Pvt Ltd., the Bahamian holding company owned by Dr. Sudhir Srivastava, our Chairman, Chief Executive Officer and principal shareholder. to finance its ongoing working capital requirements. The principal amounts of these Notes along with the interest accrued thereon, are payable in full after 12 months from the respective date of issuance of these Notes. In the month of February 2024, through February 2024, the Company raised $ 2.45 million through 7 % One-Year Convertible Promissory Notes (“Notes”) from two affiliates ($ 1,000,000 each) and $ 450,000 from other investors to finance its ongoing working capital requirements. These Notes are payable in full after 12 months from the respective date of issuance of these Notes and are convertible at the election of noteholder at any time through the maturity date at a per share price of $ 4.45 . 12 NOTE 9 – BANK OVERDRAFT Bank Overdraft consisted of the following as of June 30, 2024, and December 31, 2023. June 30, Dec 31, 2024 2023 Restated HDFC WCDL-027LN01240320001 $ 2,159,309 - HDFC WCDL(FDOD) -027LN01240520001 5,548,225 - HDFC Bank Limited OD AC 50200060619790 - 4,756,389 HDFC Bank Ltd 50200072074161 - 1,262,537 Bank Overdraft $ 7,707,534 $ 6,018,926 The HDFC Bank OD against FDs of US$ 5,548,225 is secured by Fixed Deposits of US$ 5,552,203 provided by the Company. The HDFC Bank WCOD is secured by all the current assets of the Company. Both HDFC Bank OD against FDs as well as HDFC Bank WCOD facilities are additionally secured by personal guarantees provided by Dr Sudhir Srivastava. NOTE 10 – MERGER On 14 April 2023 (“Closing”), Cardio Ventures, Inc. (referred to as “Cardio”), a Delaware Corporation, completed a reverse merger with AVRA Medical Robotics, Inc. (referred to as “AVRA”), a public shell company, pursuant to a Merger Agreement dated November 7, 2022 (the “ Merger Agreement ”), by and among the Company, a wholly owned subsidiary of the Company (“ Merger Sub ”), CardioVentures and Dr. Sudhir Srivastava, who, through his holding company, owned a controlling interest in CardioVentures.. Through this merger, Cardio gained access to public markets. Under the terms of the merger, Cardio issued shares to AVRA’s shareholders, resulting in Cardio owning 95 % of the equity in the merged entity, with AVRA shareholders holding the remaining 5 %. In terms of the Merger Agreement, the name of the merged entity was changed to SS Innovations International Inc. Cardio, through a subsidiary, owns a controlling interest in Sudhir Srivastava Innovations Pvt. Ltd., an Indian private limited company (“ SSI-India ”). Based in Haryana, India, SSI-India is engaged in the business of developing innovative surgical robotic technologies with a vision to make the benefits of robotic surgery affordable and accessible to a larger part of the global population. SSII’s product range includes its proprietary “SSI Mantra” surgical robotic system and a wide range of surgical instruments capable of supporting a variety of cardiac and other surgical procedures. The Company now intends to focus on the business of SSI-India and has plans to globally expand the presence of its technologically advanced, user-friendly, and cost-effective surgical robotic solutions. Accounting Treatment As AVRA does not meet the definition of a business under ASC 805, the transaction has been accounted for as a capital transaction or recapitalization rather than a business combination. Consequently, the merger is treated as the issuance of stock by Cardio in exchange for the net monetary assets, of AVRA, followed by a recapitalization. Net Monetary Assets of AVRA As part of the merger, Cardio acquired the net monetary assets of AVRA. These assets, which primarily consist of fixed asset, have been recorded at their fair value as of the merger date. The net monetary assets acquired were valued at 0 and this value has been reflected in the consolidated balance sheet of the merged entity. 13 Recapitalization The merger has been accounted for as a recapitalization, reflecting the issuance of Cardio’s stock to AVRA’s shareholders. No goodwill or other intangible assets have been recognized, as AVRA did not qualify as a business under ASC 805. The equity section of the consolidated balance sheet has been adjusted to reflect the new capital structure following the merger. In accordance with the agreement between the parties, AVRA’s existing shareholders, who held 65,443,337 shares, through a reverse split, were issued shares at a ratio of 1-for-10, resulting in the issuance of 6,544,333 shares. The change in capital stock was adjusted by accounting for the difference in par value from additional paid-in capital. The fair value of the shares held by AVRA’s existing shareholders in the merged entity has been estimated at $ 5,000,000 , or $ 0.76 per share. Consequently, the new AVRA capital stock is valued at $ 654 based on 6,544,333 shares with a par value of $ 0.0001 per share, with additional paid-in capital recorded at $ 5,000,000 , and a loss from the acquisition of AVRA Medical Robotics recognized at $ 5,000,000 . In addition to the foregoing, following Closing, the Company issued 14,029,170 post-Merger shares of SSII common stock to Dr. Frederic Moll and one other accredited investor, who each provided $ 3,000,000 in interim financing to the Company pending consummation of the Merger. Pursuant to his investment agreement with the Company, dated April 7, 2023, which included his $ 3,000,000 investment, and which was described in and included as an Exhibit to the Company’s Report on Form 8-K, dated April 14, 2023, Dr. Moll received 7 % of SSI’s post-merger issued and outstanding common stock on a fully diluted basis or an aggregate of 10,149,232 SSI Shares. Pursuant to the Merger Agreement, at Closing, the holders of CardioVentures common stock also received shares of newly designated Series A Non-Convertible Preferred Stock (the “ Series A Preferred Shares ”). The Series A Preferred Shares vote together with shares of SSII common stock as a single class on all matters presented to a vote of shareholders, except as required by law, and entitle the holders of the Series A Preferred Shares to exercise 51.0 % of the total voting power of the Company. The Series A Preferred Shares are not convertible into common stock, do not have any dividend rights and have a nominal liquidation preference. The Series A Preferred Shares also have certain protective provisions, such as requiring the vote of a majority of Series A Preferred Shares to change or amend their rights, powers, privileges, limitations and restrictions. The Series A Preferred Shares will be automatically redeemed by the Company for nominal consideration at such time as the holders of the Series A Preferred Shares own less than 50 % of the shares of SSII common stock received in the Merger. As a result of the foregoing, a “ Change in Control ” of the Company occurred, with Dr. Sudhir Srivastava becoming the Company’s principal and controlling shareholder. Concurrent with consummation of the Merger, Dr. Sudhir Srivastava, through his holding company, assigned patents, trademarks and other intellectual property used in the development, commercialization, manufacturing and sale of its medical and surgical robotic systems and products (the “ SSII Intellectual Property ”) to a wholly owned subsidiary of SSII Comparative Balances The assets and liabilities of Cardio are recognized and measured at their pre-combination carrying amounts. The retained earnings and other equity balances of Cardio prior to the business combination will be carried forward in the consolidated financial statements. The amount recognized as issued equity interests in the consolidated financial statements is determined by adding the issued equity interest of the Cardio outstanding immediately before the business combination to the fair value of the AVRA, in accordance with the guidance applicable to business combinations. However, the equity structure (the number and type of equity interests issued) reflects the equity structure of AVRA, including the equity interests issued by the AVRA to effect the combination. Consequently, the equity structure of Cardio (the accounting acquirer) is restated using the exchange ratio established in the acquisition agreement to reflect the number of shares issued by the legal parent (accounting acquiree) in the reverse acquisition. NOTE 11 – STOCKHOLDERS’ EQUITY The Company is authorized to issue up to 250,000,000 shares of common stock, $ 0.0001 par value per share plus 5,000,000 shares of preferred stock, par value $ 0.0001 . On February 13, 2024, the Company granted 3,350,221 stock options to Dr Sudhir Prem Srivastava to purchase common stock of the Company under the Company’s Incentive Stock Plan. These options vested as of the grant date and can be exercised at a price of $ 5.00 per Share subject to adjustment pursuant to the terms of the Plan. The options to the extent vested and not exercised expire five years from the date of grant or earlier as provided for in the Incentive Stock Plan. 14 On March 1, 2024, the Company issued 15,000 shares of common stock to PCG Advisory Inc. in terms of their contract for advisory services to be rendered for a period of eight months commencing on March 1, 2024, and terminating on October 31, 2024. As of June 30, 2024, there were 170,739,381 issued and outstanding common shares. Holders of common stock are entitled to one vote for each share of common stock. NOTE 12 – COMMITMENTS Employment Agreements At closing of the Merger, Alen Sands York and Ettore Tomasetti resigned as directors of the Company and Barry F. Cohen, Dr. Ray Powers and Dr. Farhan Taghizadeh resigned as Chief Executive Officer and Acting Chief Financial Officer, Chief Operating Officer, and Chief Medical Officer of the Company, respectively. Mr. Cohen continues as a director of the Company and assumed the office of Chief Operating Officer–Americas and to this effect, an employment agreement effective April 14, 2023, was executed between the Company and Mr. Cohen. Mr. Cohen’s employment agreement is for a 36 -month period and provides for a base salary of US$ 15,000 per month. In addition to the above, Dr. Sudhir Srivastava became a director, Chairman and Chief Executive Officer of SSII, Dr. Vishwajyoti P. Srivastava, the son of Dr. Sudhir Srivastava, became a director and President and Chief Operating Officer–South Asia and Anup Sethi became Chief Financial Officer of the Company. The Company, through Otto Pvt. Ltd., a wholly owned subsidiary, is also party to employment agreements with each of Dr. Sudhir Srivastava, Dr. Vishwajyoti P. Srivastava and Anup Sethi. Dr. Sudhir Srivastava’s employment agreement is for a five (5) year period expiring in September 2026 and provides for an annual base salary of US$ 600,000 . Dr. Vishwajyoti P. Srivastava’s employment agreement is for a five ( 5 ) year period expiring in September 2026 and provides for an annual base salary of US$ 200,000 . Mr. Sethi’s employment agreement is for a five ( 5 ) year period expiring in January 2028 and provides for an annual base salary of US$ 175,000 . Each of the employment agreements contain customary confidentiality, assignment of proprietary rights, non-competition, and non- solicitation provisions. Lease The Company occupies office and laboratory space in Orlando, Florida under a lease agreement that expired on July 31, 2018 . Effective August 1, 2018, and expiring July 31, 2019 , the Company signed a new agreement, with monthly payments of $ 1,829.25 plus applicable sales tax. Effective August 1, 2019, the Company signed a year lease agreement, providing that the Company pay insurance, maintenance, and taxes with a monthly lease expense of $ 2,454.75 plus applicable sales tax. Effective January 15, 2020, the Company amended its August 1, 2019, lease agreement reducing its monthly lease payment to $ 2,223 plus applicable sales tax. the Company signed a lease that was effective August 1, 2020, through July 31, 2021, which provides that the Company pay insurance, maintenance, and taxes with a monthly lease expense of $ 1,474.17 plus applicable sales tax. Effective November 1, 2022, the Company signed an amendment which further modified the August 1, 2020, agreement, reducing the monthly lease expense to $ 404.68 including applicable sales tax. Either party may cancel the agreement at any time with 30 days’ notice. On July 31, 2023, the Company relocated its Orlando facility to a new location at 11583 University Blvd, Orlando FL 32817. The Company occupies that space on a month-to-month basis at a cost of $ 194 per month. The Company, through its SSI-India subsidiary, occupies office, manufacturing, and assembly space in Gurugram, Haryana (India) under a lease agreement entered into in March 2021, with monthly payments of US$ 16,528 plus applicable taxes. This lease expires in March 2030 . Effective June 01, 2023, SSI-India subsidiary signed another lease agreement for occupying an additional space of 21,600 sq ft on the ground floor of the same building where its current facility is located, to further expand its manufacturing and assembly capacity. This lease provides for a monthly payment of US$ 12,033 plus taxes and expires on May 31, 2032, subject to further renewal on mutually acceptable terms. In December 2020, SSI India had leased a house to provide residential accommodation to Dr Sudhir Srivastava pursuant to the terms of his employment agreement. This lease agreement has since been terminated and effective August 1, 2023, SSI India leased another house to provide residential accommodation to Dr Sudhir Srivastava. This lease provides for a monthly payment of US$ 16,349 plus taxes. 15 On June 26, 2024, the Company has leased a space on 17 State Street for an initial period of 3 months starting from July 1, 2024 to September 30, 2024 at a monthly rental rate of $ 7,000 plus taxes. This space is being mainly used to showcase Company’s latest generation surgical robotic system, Mantra 3, for demonstration purpose only and not for any clinical purposes whatsoever. NOTE 13 – RELATED PARTY TRANSACTIONS As of June 30, 2024, and December 31, 2023, there was $ 1,297,410 and $ 1,567,559 in amounts due from related parties, respectively. The advances are unsecured, non-interest bearing and due on demand. June 30, 2024 December 31, 2023 Restated Loan payable 1,297,410 1,567,559 Loan payable $ 1,297,410 $ 1,567,559 In addition to the net balances resulting from transactions between various related parties during the normal course of business, the following additional transactions took place as related party transactions: Effective February 14, 2024, the Company sold $ 2,450,000 in principal amount of 7 % Convertible One-Year Promissory Notes (the “ Bridge Notes ”) to five investors in a private transaction, one of whom was Sushruta, who subscribed for a $ 1,000,000 Bridge Note. Interest on the Bridge Notes accrues at the rate of 7 % per annum and is payable together with the principal amount on the maturity date, which is one year from issuance. At the option of the noteholder, the Bridge Notes may be converted at any time prior to maturity into shares of our common stock at a conversion price of $ 4.45 per share, subject to adjustment for stock splits, stock dividends and similar recapitalization events. In April 2024, the Company issued $ 2,000,000 in principal amount of 7 % One-Year Promissory Notes to Sushruta Pvt Ltd. (the “Promissory Notes” ). Interest on the Promissory Notes accrues at the rate of 7 % per annum and is payable together with the principal amount on the maturity date, which is one year from issuance. 16 NOTE 14 – LEASES The following is a summary of operating lease assets and liabilities: June 30, 2024 Dec 31, 2023 Operating leases Restated Assets ROU operating lease assets $ 2,448,918 $ 2,657,554 Liabilities Current portion of operating lease 428,705 396,784 Non Current portion of operating lease 2,125,906 2,351,113 Total long term liablities $ 2,554,611 $ 2,747,897 June 30, 2024 Dec 31, 2023 Operating leases Restated Weighted average remaining lease term (years) Ilabs Info Technoogy 3rd Floor 5.69 6.19 Ilabs Info Technoogy Ground Floor 7.92 8.42 Village Chhatarpur-1849-1852-Farm 1.08 1.58 Weighted average discount rate Ilabs Info Technoogy 3rd Floor 12 % 12 % Ilabs Info Technoogy Ground Floor 12 % 12 % Village Chhatarpur-1849-1852-Farm 10 % 10 % June 30, 2024 Futre Minimum Payments 3,658,372 Less: Imputed interest ( 1,103,760 ) Total Lease obligations 2,554,611 NOTE 15 – SUBSEQUENT EVENTS In July 2024, the Company further raised $ 500,000 from Sushruta Pvt Ltd. by issuance of another One-Year 7 % Promissory Note to meet certain working capital needs. 17