SS Innovations International, Inc. 10-K/A

UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 FORM 10-K/A Amendment No. 2 to Form 10-K ANNUAL REPORT PURSUANT TO SECTIONS 13 OR 15 (d) OF THE SECURITIES AND EXCHANGE ACT OF 1934 For the fiscal year ended December 31 , 2023 Commission file number: 000-56608 SS INNOVATIONS INTERNATIONAL, INC. (Exact name of registrant as specified in its charter) Florida 47-3478854 (State or Other Jurisdiction of (I.R.S. Employer Incorporation or Organization) Identification No.) 405, 3 rd Floor , iLabs Info Technology Centre Udyog Vihar, Phase III Gurugram, Haryana 122016 , India (Address of Principal Executive Offices) Registrant’s telephone number, including area code: +91 73375 53469 Securities registered under Section 12(b) of the Act: Title of each class Trading Symbol(s) Name of each exchange on which registered None N/A N/A Securities registered under Section 12(g) of the Act: Common Stock, $0.0001 par value (Title of class) Indicate by check mark if the registrant is a well-known seasoned issuer, as defined by Rule 405 of the Securities Act. Yes ☐ No ☒ Indicate by check mark if the registrant is not required to file reports pursuant to Section 13 or Section 15(d) of the Exchange Act. Yes ☒ No ☐ 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 (ss.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 if disclosure of delinquent filers pursuant to Item 405 of Regulation S-K is not contained herein, and will not be contained, to the best of registrant’s knowledge, in definitive proxy or information statements incorporated by reference in Part III of this Form 10-K or any amendment to this Form 10-K. ☒ 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 has filed a report on and attestation to its management’s assessment of the effectiveness of its internal control over financial reporting under Section 404(b) of the Sarbanes-Oxley Act (15 U.S.C. 7262(b)) by the registered public accounting firm that prepared or issued its audit report. ☐ If securities are registered pursuant to Section 12(b) of the Act, indicate by check mark whether the consolidated financial statements of the registrant included in the filing reflect the correction of an error to previously issued financial statements. ☒ Indicate by check mark whether any of those error corrections are restatements that required a recovery analysis of incentive-based compensation received by any of the registrant’s executive officers during the relevant recovery period pursuant to §240.10D-1(b). ☐ Indicate by check mark whether the registrant is a shell company (as defined in Rule 12b-2 of the Exchange Act). Yes ☐ No ☒ State the aggregate market value of the voting and non-voting common equity held by non-affiliates computed by reference to the price at which the common equity was sold, or the average bid and asked prices of such common equity as of the last business day of the registrant’s most recently completed second fiscal quarter: $ 384,536,354 . The number of shares outstanding of the issuer’s common stock, $0.0001 par value, as of December 19, 2024 was 170,864,381 shares. DOCUMENTS INCORPORATED BY REFERENCE: No documents are incorporated by reference into this Report except those Exhibits so incorporated as set forth in the Exhibit index. Unless the context otherwise requires, the terms “ SSi, ” “ the Company ,” “ we, ” “ us, ” and “ our ” refer to SS Innovations International, Inc., and where appropriate, our subsidiaries. This Form 10-K/A, Amendment No. 2 to Annual Report on Form 10-K (this “ Amendment ”) should be read in conjunction with the Company’s Annual Report on Form 10-K for the year ended December 31, 2023 filed with the Securities and Exchange Commission (the “ SEC ”) on March 22, 2024 (the “ Original Filing ”) and the Company’s form 10-K/A Amendment No. 1 to the Original Filing, filed with the SEC on December 6, 2024 (“ Amendment No. 1 ”). FORWARD LOOKING STATEMENTS This Amendment contains certain statements that constitute forward-looking statements. Any and all statements contained in this Reports that are not statements of historical fact may be deemed forward-looking statements. Terms such as “ may ,” “ might ,” “ would ,” “ should ,” “ could ,” “ project ,” “ estimate ,” “ pro-forma ,” “ predict ,” “ potential, ” “ strateg y,” “ anticipate ,” “ attempt ,” “ develop ,” “ plan ,” “ help ,” “ believe ,” “ continue ,” “ intend ,” “ expect ,” “ future ” and terms of similar import (including the negative of any of the foregoing) may be intended to identify forward-looking statements. However, not all forward-looking statements may contain one or more of these identifying terms. Those statements appear in this Report, and include statements regarding the intent, belief or current expectations of our Company and management that are subject to known and unknown risks, uncertainties and assumptions and other factors that could cause actual results and the timing of certain events to differ materially from future results expressed or implied by such forward-looking statements. Factors that could cause or contribute to such differences include, but are not limited to, those discussed in “ Item 1. Business ” and “ Item 7. Management’s Discussion and Analysis of Financial Condition and Results of Operations .” In the Original Filing, as amended by Amendment No. 1 and this Amendment (the “ Amended Form 10-K ”). Forward-looking statements in the Amended Form 10-K may include, without limitation, statements regarding: (i) the plans and objectives of management for future operations, including plans or objectives relating to the marketing of our surgical robotic systems both in and out of India; (ii) the timing or likelihood of regulatory filing, approvals and required licenses for marketing our surgical robotic systems in the U.S., the European Union (the “ EU ”) and in other countries outside of India; (iii) our ability to adequately protect our intellectual property rights and enforce such rights to avoid violation of the intellectual property rights of others; (iv) the timing, costs and other aspects of our surgical robotic systems; (v) our estimates regarding the market opportunity, clinical utility, potential advantages and market acceptance of our surgical robotic systems; (vi) the impact of government laws and regulations; (vii) our ability to recruit and retain qualified research and development personnel; (viii) difficulties in maintaining commercial scale manufacturing capacity and capability and our ability to generate growth; (ix) uncertainty in industry demand; (x) general economic conditions and market conditions in our industry; (xi) a projection of income (including income/loss), earnings (including earnings/loss) per share, capital expenditures, dividends, capital structure or other financial items; (xii) our future financial performance, including any such statement contained in a discussion and analysis of financial condition by management or in the results of operations included pursuant to the rules and regulations of the Securities and Exchange Commission (the “ SEC ”); and (xiii) Changes resulting from the restatement of our consolidated financial statements in this Report. These statements are not guarantees of future performance and are subject to numerous risks, uncertainties, and assumptions that are difficult to predict. Because forward-looking statements are inherently subject to risks and uncertainties, some of which cannot be predicted or quantified, you should not rely upon forward-looking statements as predictions of future events. The events and circumstances reflected in the forward-looking statements may not be achieved or occur and actual results could differ materially from those projected in the forward-looking statements. Except as required by applicable law, including the securities laws of the United States and the rules and regulations of the SEC, we do not assume any obligation to update any forward-looking statement. We disclaim any intention or obligation to update or revise any forward-looking statement contained herein, whether as a result of new information, future events or otherwise. EXPLANATORY NOTE The sole purpose of this Amendment is to correct a typographical error in the legal name of our independent registered public accounting firm set forth in their Report dated December 6, 2024 included in “ Item 8. Financial Statements and Supplementary Data ” of Amendment No. 1. Item 8. Financial Statements and Supplementary Data. PART IV INDEX TO CONSOLIDATED FINANCIAL STATEMENTS Page Report of Independent Registered Public Accounting Firm ( BDO India LLP ; Mumbai, India ; PCAOB ID# 6074 ) F-2 Consolidated Balance Sheets as of December 31, 2023 and December 31, 2022 F-4 Consolidated Statements of operations and comprehensive loss for the years ended December 31, 2023 and December 31, 2022 F-5 Consolidated Statements of cash flows for the years ended December 31, 2023 and December 31, 2022 F-6 Consolidated Statements of changes in equity for the years ended December 31, 2023 and December 31, 2022 F-7 Notes to Consolidated Financial Statements F-8 F- 1 REPORT OF INDEPENDENT REGISTERED PUBLIC ACCOUNTING FIRM Shareholders and Board of Directors SS Innovations International Inc. 405, 3rd Floor, iLabs Info Technology Centre Udyog Vihar, Phase III Gurugram, Haryana 122016, India Opinion on the Consolidated Financial Statements We have audited the accompanying consolidated balance sheets of SS Innovations International Inc. (the “Company”) as of December 31, 2023 and 2022, the related consolidated statements of operations and comprehensive loss, consolidated statements of changes in equity, and cash flows for each of the years then ended, and the related notes (collectively referred to as the “consolidated financial statements”). In our opinion, the consolidated financial statements present fairly, in all material respects, the financial position of the Company at December 31, 2023 and 2022, and the results of its operations and its cash flows for the years then ended, in conformity with accounting principles generally accepted in the United States of America. Substantial Doubt about the Company’s Ability to Continue as a Going Concern The accompanying consolidated financial statements have been prepared assuming that the Company will continue as a going concern. As discussed in Note 1 to the consolidated financial statements, the Company has suffered recurring losses from operations and has negative cash flows from operating activities during the year ended December 31, 2023. The Company is dependent on further funding to meet its obligations to sustain its operations. These conditions raise substantial doubt about the Company’s ability to continue as a going concern. Management’s plans in regard to these matters are also described in Note 1 to the consolidated financial statements. These consolidated financial statements do not include any adjustments that might result from the outcome of this uncertainty. Emphasis of Matter - Restatement of Consolidated Financial Statements As discussed in Note 1 to the consolidated financial statements, the accompanying consolidated financial statements as of December 31, 2023 and 2022 and for each of the years then ended, have been restated to correct misstatements. Basis for Opinion These consolidated financial statements are the responsibility of the Company’s management. Our responsibility is to express an opinion on the Company’s consolidated financial statements based on our audits. We are a public accounting firm registered with the Public Company Accounting Oversight Board (United States) (“PCAOB”) and are required to be independent with respect to the Company in accordance with the U.S. federal securities laws and the applicable rules and regulations of the Securities and Exchange Commission and the PCAOB. We conducted our audits in accordance with the standards of the PCAOB. Those standards require that we plan and perform the audit to obtain reasonable assurance about whether the consolidated financial statements are free of material misstatement, whether due to error or fraud. The Company is not required to have, nor were we engaged to perform, an audit of its internal control over financial reporting. As part of our audits we are required to obtain an understanding of internal control over financial reporting but not for the purpose of expressing an opinion on the effectiveness of the Company’s internal control over financial reporting. Accordingly, we express no such opinion. Our audits included performing procedures to assess the risks of material misstatement of the consolidated financial statements, whether due to error or fraud, and performing procedures that respond to those risks. Such procedures included examining, on a test basis, evidence regarding the amounts and disclosures in the consolidated financial statements. Our audits also included evaluating the accounting principles used and significant estimates made by management, as well as evaluating the overall presentation of the consolidated financial statements. We believe that our audits provide a reasonable basis for our opinion. F- 2 Critical Audit Matter The critical audit matter communicated below is a matter arising from the current period audit of the consolidated financial statements that was communicated or required to be communicated to the Board of Directors and that: (1) relates to accounts or disclosures that are material to the consolidated financial statements and (2) involved our especially challenging, subjective, or complex judgments. The communication of critical audit matter does not alter in any way our opinion on the consolidated financial statements, taken as a whole, and we are not, by communicating the critical audit matter below, providing separate opinion on the critical audit matter or on the accounts or disclosures to which it relates. Determination of the accounting acquirer in the merger transaction As disclosed in Notes 1 and 4 to the consolidated financial statements, on April 14, 2023, SS Innovations International, Inc. consummated the acquisition of CardioVentures Inc., a Delaware corporation (“CardioVentures”) pursuant to a merger agreement (“the Merger Agreement”), with CardioVentures becoming a wholly-owned subsidiary of AVRA, which was renamed as SS Innovations International, Inc. The Company accounted for the transaction as a reverse recapitalization and concluded that CardioVentures was the accounting acquirer based upon the terms of the Merger Agreement and evaluation of a number of indicative factors. We identified the evaluation of the Company’s determination of the accounting acquirer as a critical audit matter due to subjective management’s judgments required in evaluating the relative importance of the indicative factors, including the post-combination voting rights, composition of the board of directors and management, the relative size of the entities, ongoing operations post-combination and the minority voting rights. Auditing management’s judgments involved especially challenging and subjective auditor judgment due to the nature and extent of audit effort required to address these matters. The primary procedures we performed to address this critical audit matter included: 1. Reviewing relevant sections of the Merger Agreement and relevant supporting evidences to evaluate the reasonableness of management’s judgments around the composition of the board of directors and senior management of the combined Company after the merger, the relative size of the entities, post-combination ongoing operations and voting rights held by the former shareholder groups to conclude the determination of accounting acquirer. 2. Evaluating the appropriateness of disclosures in the financial statements is in accordance with ASC 805 – Accounting for business combinations. (Signed BDO India LLP) We have served as the Company's auditor since 2024. Gurugram, India December 06, 2024 F- 3 SS INNOVATIONS INTERNATIONAL, INC. CONSOLIDATED BALANCE SHEETS As of December 31, Notes 2023 (As Restated) 2022 (As Restated) ASSETS Current Assets: Cash and cash equivalents 6 2,022,276 217,177 Restricted cash 6 5,029,650 57,448 Accounts receivable, net 5 1,901,244 156,857 Receivable from related party 14 1,567,559 1,628,839 Inventory, net 7,017,913 904,103 Prepaids and other current assets 7 3,890,017 1,130,811 Total Current Assets 21,428,659 4,095,235 Non- Current Assets: Property, plant, and equipment, net 3 706,405 417,014 Right of use asset 15 2,657,554 1,498,109 Accounts receivable, net 5 2,365,013 886,263 Restricted cash 6 35,919 - Prepaids and other non-current assets 7 4,322,444 83,912 Total Non-Current Assets 10,087,335 2,885,298 Total Assets 31,515,994 6,980,533 LIABILITIES AND STOCKHOLDERS’ (DEFICIT) EQUITY Current Liabilities Bank overdraft facility 10 6,018,926 3,123,046 Notes payable 9 - 3,000,000 Current maturities of long-term debt 11 510,189 120,880 Current portion of operating lease liabilities 15 396,784 181,900 Accounts payable 8 901,552 165,477 Payable to related party 14 - 675,013 Deferred revenue 12 156,330 1,776 Other accrued liabilities 8 489,939 498,097 Total Current Liabilities 8,473,720 7,766,189 Operating lease liabilities, less current portion 15 2,351,113 1,371,097 Deferred revenue 12 939,150 42,141 Other accrued liabilities 8 33,933 10,626 Long-term borrowings, less current portion 11 - 469,017 Total Non-Current Liabilities 3,324,196 1,892,881 Total Liabilities 11,797,916 9,659,070 Stockholders’ (deficit) equity: Preferred stock, authorized 5,000,000 shares of Series A, Non-Convertible Preferred Stock, $ 0.0001 par value per share; 5,000 shares and nil shares issued and outstanding as of December 31, 2023 and December 31, 2022 respectively 13 1 - Common stock, 250,000,000 shares authorized, $ 0.0001 par value, 170,711,880 shares and 128,161,013 shares issued and outstanding as of December 31, 2023 and December 31, 2022 respectively 13 17,072 12,817 Non-controlling interest 13 - - Accumulated other comprehensive income (loss) ( 195,499 ) 54,599 Common stock to be issued, 12,500 shares 13 50,000 - Additional paid in capital 13 43,457,937 ( 12,812 ) Capital reserve 899,917 899,917 Accumulated deficit ( 24,511,350 ) ( 3,633,058 ) Total stockholders’ (deficit) equity 19,718,078 ( 2,678,537 ) Total liabilities and stockholders’ (deficit) equity 31,515,994 6,980,533 The accompanying notes are an integral part of these consolidated financial statement F- 4 SS INNOVATIONS INTERNATIONAL, INC. CONSOLIDATED STATEMENTS OF OPERATIONS AND COMPREHENSIVE LOSS FOR THE YEAR ENDED DECEMBER 31, Year ended December 31, Notes 2023 (As Restated) 2022 (As Restated) REVENUES System sales 12 5,225,777 1,394,824 Instruments sale 12 647,766 41,323 Warranty sales 12 1,771 - Total revenue 5,875,314 1,436,147 Cost of revenue ( 5,149,786 ) ( 1,375,570 ) GROSS PROFIT 725,528 60,577 OPERATING EXPENSES: Research & development expense 1,058,660 987,443 Stock compensation expense 2(n) 9,723,492 - Depreciation and amortization expense 3 152,738 96,577 Selling, general and administrative expense 10,064,622 1,935,149 TOTAL OPERATING EXPENSES 20,999,512 3,019,169 Loss from operations ( 20,273,984 ) ( 2,958,592 ) OTHER INCOME (EXPENSE): Interest expenses ( 894,621 ) ( 265,522 ) Interest and other income, net 290,313 10,232 TOTAL OTHER INCOME (EXPENSE), NET ( 604,308 ) ( 255,290 ) LOSS BEFORE INCOME TAXES ( 20,878,292 ) ( 3,213,882 ) Income tax expense 16 - - NET LOSS ( 20,878,292 ) ( 3,213,882 ) Net loss per share - basic and diluted 2(p) ( 0.14 ) ( 0.03 ) Weighted average- Basic Shares 2(p) 144,866,674 128,157,040 Weighted average- Diluted Shares 2(p) 152,069,825 128,157,040 CONSOLIDATED STATEMENTS OF OTHER COMPREHENSIVE LOSS 2023 2022 NET LOSS ( 20,878,292 ) ( 3,213,882 ) OTHER COMPREHENSIVE LOSS Foreign currency translation gain/(loss) ( 243,089 ) 46,794 Retirement benefit (net of tax) 17 ( 7,009 ) 2,583 TOTAL COMPREHENSIVE LOSS ( 21,128,390 ) ( 3,164,505 ) The accompanying notes are an integral part of these consolidated financial statements. F- 5 SS INNOVATIONS INTERNATIONAL, INC. CONSOLIDATED STATEMENTS OF CASH FLOWS FOR THE YEAR ENDED DECEMBER 31, Year ended December 31, 2023 (As restated) 2022 (As restated) Cash flows from operating activities: Net loss ( 20,878,292 ) ( 3,213,882 ) Adjustments to reconcile net loss to net cash used in operating activities: Depreciation & amortization 152,738 96,577 Operating lease expense 35,902 30,573 Interest expense (net) 604,308 255,290 Shares issue to investor and advisors 5,063,799 - Stock compensation expense 9,723,492 - Changes in operating assets and liabilities: Accounts receivable, net ( 3,071,640 ) ( 1,044,912 ) Inventory, net ( 6,113,810 ) ( 780,683 ) Receivables from / payable to related parties ( 613,733 ) ( 1,202,408 ) Deferred revenue 1,051,563 43,917 Prepaids and other current assets ( 1,920,495 ) ( 514,558 ) Accounts payable 736,075 128,835 Prepaids and other non current assets ( 155,950 ) ( 1,332 ) Other accrued liabilities 15,149 208,108 Net cash used in operating activities ( 15,370,894 ) ( 5,994,475 ) Cash flows from investing activities: Purchase of / proceeds from sale of property, plant and equipment ( 444,077 ) 240,818 Net cash (used in) / provided by investing activities ( 444,077 ) 240,818 Cash flows from financing activities: Proceeds from issuance of common stock against warrant and options 412,056 - Proceeds from issuance of convertible notes to principal shareholder 16,980,000 - Proceeds from / (repayment of) term loan ( 126,505 ) 286,531 Proceeds from issuance of convertible notes to other investors 3,000,000 3,000,000 Proceeds from bank overdraft facility (net) 2,480,735 2,609,630 Proceeds from warrant exercised pending allotment 50,000 - Net cash provided by financing activities 22,796,286 5,896,161 Net change in cash 6,981,315 142,504 Effect of exchange rate on cash ( 168,095 ) 44,412 Cash at beginning of year¹ 274,625 87,709 Cash at end of year¹ 7,087,845 274,625 1 For cash and cash equivalents and restricted cash, refer Note 6 Supplemental disclosure of non-cash transactions: Conversion of convertible notes into common stock 23,117,903 - F- 6 SS INNOVATIONS INTERNATIONAL, INC. CONSOLIDATED STATEMENTS OF CHANGES IN EQUITY FOR THE YEAR ENDED DECEMBER 31, Preferred Stock Common Stock Common Stock to be Issued Additional Paid-In Accumulated Capital Accumulated other comprehensive Non Controlling Interest Total Stockholders’ Notes Number Amount Number Amount Number Amount Capital Deficit Reserve income (loss) Amount Equity BALANCE AT DECEMBER 31, 2021 - - 100,000 10 - - 99,990 ( 419,176 ) 899,917 5,222 ( 352 ) 585,611 Retroactive application of recapitalization 4 - - 128,156,013 12,816 - - ( 12,816 ) - - - - - Shares redeemed 14 - - ( 100,000 ) ( 10 ) - - ( 99,990 ) - - - 352 ( 99,648 ) Common stock issued 14 - - 5,000 1 - - 4 - - - - - Stock issued for services - - - - - - - - - - - - Common stock issued - - - - - - - - - - - - Net loss - - - - - - - ( 3,213,882 ) - 49,377 - ( 3,164,505 ) BALANCE AT DECEMBER 31, 2022 - - 128,161,013 12,817 - - ( 12,812 ) ( 3,633,058 ) 899,917 54,599 - ( 2,678,537 ) Preferred stock issued 4 5,000 1 - - - - ( 1 ) - - - - - Reverse recapitalization 4 - - 6,545,531 655 - - ( 655 ) - - - - - Conversion of notes payable to equity 9&4 - - 30,593,816 3,059 - - 23,114,844 - - - - 23,117,903 Stock issued for services 14 - - 4,562,451 456 - - 10,630,075 - - - - 10,630,531 Common stock issued against exercise of warrants 14 - - 90,514 9 12,500 50,000 362,046 - - - - 412,055 Common stock issued against exercise of options 14 - - 50,000 5 - - 49,995 - - - - 50,000 Stock grants 14 - - 718,555 72 - - 5,575,914 - - - - 5,575,986 Share cancellation 14 - - ( 10,000 ) ( 1 ) - - 1 - - - - - Stock compensation 2(n) - - - - - - 3,738,530 - - - - 3,738,530 Net loss - - - - - - - ( 20,878,292 ) - ( 250,098 ) - ( 21,128,390 ) BALANCE AT DECEMBER 31, 2023 5,000 1 170,711,880 17,072 12,500 50,000 43,457,937 ( 24,511,350 ) 899,917 ( 195,499 ) - 19,718,078 F- 7 SS INNOVATIONS INTERNATIONAL, INC. NOTES TO FINANCIAL STATEMENTS NOTE 1 – FINANCIAL STATEMENTS 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. On April 14, 2023, a wholly owned subsidiary of the Company, AVRA-SSI Merger Corporation (Merger Sub) merged with CardioVentures, Inc., a Delaware corporation (“CardioVentures”), 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 the 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, share and per share information contained in this report reflect the operations of both the Company and CardioVentures and give actual effect to the reverse stock split. The Transaction (Note 4) was accounted for as a reverse recapitalization in accordance with GAAP (the “Reverse Recapitalization”). Under this method, AVRA was treated as the “acquired” company (“Accounting Acquiree”) and Cardio Ventures Inc., (the accounting acquirer), was assumed to have issued stock for the net assets of AVRA, accompanied by a recapitalization. Accordingly, for the year ended December 31, 2022 CardioVentures has been considered the ultimate holding company. Basis of Presentation The consolidated financial statements have been prepared in conformity with United States generally accepted accounting principles (“U.S. GAAP”). The accompanying financial statements have been prepared on a consolidated basis and reflect the financial statements of SS Innovations International, Inc. and all of its subsidiaries (“Group”). The standalone financial statements of subsidiaries are fully consolidated on a line-by-line basis. Intra-group balances and transactions, and gains and losses arising from intra-group transactions, are eliminated while preparing consolidated financial statements. Accounting policies of the respective individual subsidiaries are aligned wherever necessary, so as to ensure consistency with the accounting policies that are adopted by the Company under U.S. GAAP. Restatement of Previously Issued Financial Statements for Correction of Errors The Company restated the accompanying consolidated balance sheets, consolidated statements of operations and comprehensive loss, consolidated statement of cash flows for the years ended December 31, 2023 and December 31, 2022, as previously reported in its Form 10-K to reflect the correction of errors arising out of: i. Accounting for the merger transaction ii. Functional / other reclassification iii. Recognition of revenue in case of deferred payment sales iv. Recognition of right of use of certain assets and liabilities v. Errors / Adjustments F- 8 Restatement in 2023 Summary of restatements made in Consolidated Balance Sheets, Consolidated Statements of operations and comprehensive loss and Consolidated Statements of cash flows as of December 31, 2023 and for the year ended 2023 are as follows: Consolidated Balance Sheets: Particulars As Previously Reported As Restated Changes Accounting for the merger transaction¹ Functional / Other reclassification² Recognition of revenue in case of deferred payment sales³ Recognition of right of use of certain assets and liabilities³ Errors / Adjustments⁴ ASSETS Current Assets: Cash and cash equivalents 2,022,276 2,022,276 - - - - - - Restricted cash 5,010,725 5,029,650 18,925 - 18,925 - - - Accounts receivable, net 1,647,274 1,901,244 253,970 - 275,328 ( 555,157 ) - 533,799 Receivable from related party - 1,567,559 1,567,559 - 1,466,463 - - 101,096 Inventory, net 6,327,256 7,017,913 690,657 - - - - 690,657 Prepaid and other current assets 3,375,168 3,890,017 514,849 ( 8,678 ) ( 300,033 ) - - 823,560 Total Current Assets 18,382,702 21,428,659 3,045,957 ( 8,678 ) 1,460,683 ( 555,157 ) - 2,149,112 Non- Current Assets Property, plant, and equipment, net 790,164 706,405 ( 83,759 ) ( 2,283 ) ( 277 ) - - ( 81,199 ) Right of use asset 2,199,418 2,657,554 458,136 - - - 458,136 - Accounts receivable, net 2,640,341 2,365,013 ( 275,328 ) - ( 275,328 ) - - - Restricted cash - 35,919 35,919 - 35,919 - - - Receivable from related party 1,466,463 - ( 1,466,463 ) - ( 1,466,463 ) - - - Prepaids and other non current assets - 4,322,444 4,322,444 - 241,881 - - 4,080,563 Total Non-Current Assets 7,096,386 10,087,335 2,990,949 ( 2,283 ) ( 1,464,268 ) - 458,136 3,999,364 Total Assets 25,479,088 31,515,994 6,036,906 ( 10,961 ) ( 3,585 ) ( 555,157 ) 458,136 6,148,476 LIABILITIES AND STOCKHOLDERS’ EQUITY / (DEFICIT) Current Liabilities: Bank overdraft facility 6,018,926 6,018,926 - - - - - - Current maturities of long-term debt - 510,189 510,189 - - - - 510,189 Current portion of operating lease liabilities 288,988 396,784 107,796 - - - 107,796 - Accounts payable 900,903 901,552 649 - - - - 649 Deferred tax liability 20,482 - ( 20,482 ) - - - - ( 20,482 ) Deferred revenue - 156,330 156,330 - - 156,330 - - Other accrued liabilities 2,041,372 489,939 ( 1,551,433 ) ( 5,700 ) ( 939,150 ) ( 728,996 ) - 122,413 Total Current Liabilities 9,270,671 8,473,720 ( 796,951 ) ( 5,700 ) ( 939,150 ) ( 572,666 ) 107,796 612,769 Operating lease liabilities, less current portion 1,910,432 2,351,113 440,681 - - - 440,681 - Deferred revenue - 939,150 939,150 - 939,150 - - - Other accrued liabilities - 33,933 33,933 - - - - 33,933 1,910,432 3,324,196 1,413,764 - 939,150 - 440,681 33,933 Total Liabilities 11,181,103 11,797,916 616,813 ( 5,700 ) - ( 572,666 ) 548,477 646,702 Stockholders’ (deficit) equity: Preferred stock, authorized 5,000,000 shares of Series A, Non-Convertible Preferred Stock, $ 0.0001 par value per share; 5,000 shares and nil shares issued and outstanding as of December 31, 2023 and December 31, 2022 respectively 1 1 - - - - - - Common stock, 250,000,000 shares authorized, $ 0.0001 par value, 170,711,880 shares issued and outstanding as of December 31, 2023 17,072 17,072 - - - - - - Accumulated other comprehensive income (loss) ( 329,100 ) ( 195,499 ) 133,601 - 162,384 - - ( 28,783 ) Common stock to be issued, 12,500 shares 50,000 50,000 - 50,000 - - - Additional paid in capital 49,039,341 43,457,937 ( 5,581,404 ) ( 13,042,805 ) ( 50,000 ) - - 7,511,402 Capital reserve 899,917 899,917 - - - - - - Accumulated deficit ( 35,329,246 ) ( 24,511,350 ) 10,817,896 13,037,544 ( 165,970 ) 17,509 ( 90,341 ) ( 1,980,845 ) Total stockholders’ (deficit) equity 14,297,985 19,718,078 5,420,093 ( 5,261 ) ( 3,586 ) 17,509 ( 90,341 ) 5,501,774 Total liabilities and stockholders’ (deficit) equity 25,479,088 31,515,994 6,036,906 ( 10,961 ) ( 3,586 ) ( 555,157 ) 458,136 6,148,476 F- 9 Consolidated Statements of operations and comprehensive loss: Particulars As Previously Reported As Restated Changes Accounting for the merger transaction¹ Functional / Other reclassification² Recognition of revenue in case of deferred payment sales³ Recognition of right of use of certain assets and liabilities³ Errors / Adjustments⁴ REVENUE: System sales 5,692,721 5,225,777 ( 466,944 ) - ( 647,766 ) 180,822 - - Instrument sales - 647,766 647,766 - 647,766 - - - Warranty sales 186,989 1,771 ( 185,218 ) - - ( 185,218 ) - - Total revenue 5,879,710 5,875,314 ( 4,396 ) - - ( 4,396 ) - - Cost of revenue ( 5,166,263 ) ( 5,149,786 ) 16,477 - ( 258,422 ) - ( 212,639 ) 487,538 GROSS PROFIT 713,447 725,528 12,081 - ( 258,422 ) ( 4,396 ) ( 212,639 ) 487,538 OPERATING EXPENSES: Research & development expense 576,168 1,058,660 482,492 - 343,400 - 139,092 - Stock compensation expense 13,425,319 9,723,492 ( 3,701,827 ) ( 1,592,309 ) - - - ( 2,109,518 ) Depreciation and amortization expense - 152,738 152,738 - 153,507 - - ( 769 ) Selling, general and administrative expense 5,164,713 10,064,622 4,899,909 ( 874,991 ) 844,497 - 214,101 4,716,302 Salaries & payroll expenses 2,215,620 - ( 2,215,620 ) - ( 2,215,620 ) - - - TOTAL OPERATING EXPENSES 21,381,820 20,999,512 ( 382,308 ) ( 2,467,300 ) ( 874,216 ) - 353,193 2,606,015 Loss from operations ( 20,668,373 ) ( 20,273,984 ) 394,389 2,467,300 615,794 ( 4,396 ) ( 565,832 ) ( 2,118,477 ) OTHER INCOME (EXPENSE): Interest expenses ( 523,356 ) ( 894,621 ) ( 371,265 ) - ( 214,164 ) - - ( 157,101 ) Origination fees 120,000 - ( 120,000 ) - - - - ( 120,000 ) Interest and other income, net 129,758 290,313 160,555 ( 827 ) 9,885 151,497 - - TOTAL OTHER INCOME (EXPENSE), NET ( 273,598 ) ( 604,308 ) ( 330,710 ) ( 827 ) ( 204,279 ) 151,497 - ( 277,101 ) LOSS BEFORE INCOME TAXES ( 20,941,971 ) ( 20,878,292 ) 63,679 2,466,473 411,515 147,101 ( 565,832 ) ( 2,395,578 ) Income tax expense - - - - - - - - NET LOSS ( 20,941,971 ) ( 20,878,292 ) 63,679 2,466,473 411,515 147,101 ( 565,832 ) ( 2,395,578 ) Consolidated statements of other comprehensive loss NET LOSS ( 20,941,971 ) ( 20,878,292 ) 63,679 2,466,473 411,515 147,101 ( 565,832 ) ( 2,395,578 ) Foreign currency translation gain/(loss) ( 344,621 ) ( 243,089 ) 101,532 101,532 Retirement benefit (net of tax) - ( 7,009 ) ( 7,009 ) ( 7,009 ) TOTAL COMPREHENSIVE LOSS ( 21,286,592 ) ( 21,128,390 ) 158,202 2,466,473 411,515 147,101 ( 565,832 ) ( 2,301,055 ) F- 10 Consolidated statement of cash flows: Particular As Previously Reported As Restated Changes Accounting for the merger transaction 1 Functional / Other reclassification 2 Recognition of revenue in case of deferred payment sales 3 Recognition of right of use of certain assets and liabilities 3 Errors / Adjustments 4 Cash flows from operating activities: Net loss ( 20,941,971 ) ( 20,878,292 ) 63,679 2,466,473 411,515 147,101 ( 565,832 ) ( 2,395,578 ) Adjustments to reconcile net loss to net cash used in operating activities: Depreciation & amortization 162,624 152,738 ( 9,886 ) - - - - ( 9,886 ) Operating lease expense - 35,902 35,902 - - - 35,902 - Interest expense (net) 138,541 604,308 465,767 - 421,217 - - 44,550 Shares issue to investor and advisors 600,000 5,063,799 4,463,799 - - - - 44,63,799 Stock compensation expense 13,430,704 9,723,492 ( 3,707,212 ) ( 1,592,309 ) - - - ( 2,114,903 ) Changes in operating assets and liabilities: Accounts receivable, net ( 1,054,961 ) ( 3,071,640 ) ( 2,016,679 ) - ( 2,488,844 ) 468,691 - 3,474 Inventory, net ( 5,471,479 ) ( 6,113,810 ) ( 642,331 ) - - - - ( 642,331 ) Receivables from / payable to related parties - ( 613,733 ) ( 613,733 ) - ( 512,637 ) - - ( 101,096 ) Deferred revenue - 1,051,563 1,051,563 - - 1,051,563 - - Prepaids and other current assets - ( 1,920,495 ) ( 1,920,495 ) - ( 2,987,486 ) - - 1,066,991 Accounts payable 282,051 736,075 454,023 - 453,376 - - 647 Deferred tax liability ( 115 ) - 115 - - - - 115 Prepaids and other non current assets ( 2,674,248 ) ( 155,950 ) 2,518,298 - ( 684,542 ) - - 3,202,840 Lease payment 288,982 - ( 288,982 ) - - - ( 288,982 ) - Other accrued liabilities 1,787,995 15,149 ( 1,772,846 ) 45,529 ( 1,234,668 ) (728,99 ) - 145,289 Net cash used in operating activities ( 13,451,877 ) ( 15,370,894 ) ( 1,919,016 ) - - - - - Cash flows from investing activities: Notes receivables - acquisition 3,000,000 - ( 3,000,000 ) ( 3,000,000 ) - - - - Long term receivable ( 2,640,341 ) - 2,640,341 - 2,640,341 - - - Receivable from related party 104,371 ( 104,371 ) - ( 162,376 ) - - 58,005 Purchase of / proceeds from sale of property, plant and equipment ( 2,763,385 ) ( 444,077 ) 2,319,308 9,116 - - - 2,310,192 Sale of fixed Assets - - - - - - - - Net cash used in investing activities ( 2,299,355 ) ( 444,077 ) 1,855,278 - - - - - Cash flows from financing activities: Proceed from issuance of common stock against warrant and options - 412,056 412,056 - 50,000 - - 362,056 Proceeds of Bank overdraft Facility (net) ( 2,051,353 ) - 2,051,353 - - - - 2,051,353 Repayment of term loan ( 120,880 ) ( 126,505 ) ( 5,625 ) - 1,131 - - ( 6,756 ) Proceeds from securities offering 808,244 - ( 808,244 ) - - - - ( 808,244 ) Repayment of warrants ( 12,360 ) - 12,360 - - - - 12,360 Proceeds from issuance of convertible notes to principal shareholder 22,980,000 16,980,000 ( 6,000,000 ) ( 6,000,000 ) - - - - Proceeds from issuance of convertible notes to other investors - 3,000,000 3,000,000 3,000,000 - - - - Proceeds from warrant exercised pending allotment 100,000 50,000 ( 50,000 ) - ( 50,000 ) - - - Repayments of Notes payable ( 7,000,000 ) - 7,000,000 7,000,000 - - - - Proceed from bank overdraft facility (net) - 2,480,735 2,480,735 - - - - 2,480,735 Right of use liability, non current portion 1,910,432 - ( 1,910,432 ) - - - - ( 1,910,432 ) Net cash provided by financing activities 16,614,083 22,796,286 6,182,203 Net change in cash 862,849 6,981,315 6,118,466 Effect of exchange rate on cash ( 344,621 ) ( 168,095 ) 176,527 Cash at beginning of year 1,504,049 274,625 ( 1,229,424 ) Cash at end of year 2,022,277 7,087,845 5,065,568 F- 11 Restatements in 2022 Summary of restatements made in Consolidated Balance Sheets, Consolidated Statements of operations and comprehensive loss and Consolidated Statements of cash flows as of December 31, 2022 and for the year ended 2022 are as follows: Consolidated balance sheet: Particulars As Previously Reported As Restated Changes Accounting for the merger transaction¹ Functional / Other reclassification² Recognition of revenue in case of deferred payment sales³ Recognition of right of use of certain assets and liabilities³ Errors / Adjustments⁴ ASSETS Current Assets: Cash and cash equivalents 1,504,049 217,177 ( 1,286,872 ) ( 1,351,364 ) 63,492 - - 1,000 Restricted cash 63,492 57,448 ( 6,044 ) - ( 6,044 ) - - - Accounts receivable, net 592,313 156,857 ( 435,456 ) - ( 886,263 ) ( 86,467 ) - 537,274 Receivable from related party - 1,628,839 1,628,839 - 1,628,839 - - - Notes receivable 3,000,000 - ( 3,000,000 ) ( 3,000,000 ) - - - - Inventory, net 855,777 904,103 48,326 - - - - 48,326 Prepaid and other current assets 700,920 1,130,811 429,891 ( 8,678 ) 384,509 - - 54,060 Total Current Assets 6,716,551 4,095,235 ( 2,621,316 ) ( 4,360,042 ) 1,184,533 ( 86,467 ) - 640,660 Non-Current Assets Property, plant, and equipment, net 388,820 417,014 28,194 ( 11,399 ) ( 2,233 ) - - 41,826 Right of use asset - 1,498,109 1,498,109 - - - 1,498,109 - Accounts receivable, net - 886,263 886,263 - 886,263 - - - Receivable from related party 1,570,833 - ( 1,570,833 ) - ( 1,628,838 ) - - 58,005 Prepaids and other non current assets - 83,912 83,912 - 90,754 - - ( 6,842 ) Total Non-Current assets 1,959,653 2,885,298 925,645 ( 11,399 ) ( 654,054 ) - 1,498,109 92,989 Total assets 8,676,204 6,980,533 ( 1,695,671 ) ( 4,371,441 ) 530,479 ( 86,467 ) 1,498,109 733,649 LIABILITIES AND STOCKHOLDERS’ (DEFICIT) EQUITY Current liabilities: Bank overdraft facility 3,123,046 3,123,046 - - - - - - Notes payable 7,000,000 3,000,000 ( 4,000,000 ) ( 4,000,000 ) - - - - Current maturities of long-term debt 120,880 120,880 - - - - - - Current portion of operating lease liabilities - 181,900 181,900 - - - ( 181,900 ) - Accounts payable 618,852 165,477 ( 453,376 ) - 453,376 - - - Payable to related party - 675,013 ( 675,013 ) - 675,013 - - - Deferred tax liability 20,597 - ( 20,597 ) - - - - ( 20,597 ) Deferred revenue - 1,776 1,776 - - 1,776 - - Other accrued liabilities 253,377 498,097 244,720 ( 51,228 ) 295,518 - - 430 Total current liabilities 11,136,752 7,766,189 ( 3,370,564 ) ( 4,051,228 ) 517,155 1,776 181,900 ( 20,167 ) Operating lease liabilities, less current portion - 1,371,097 1,371,097 - - - 1,371,097 - Deferred revenue - 42,141 42,141 - 42,141 - - - Other accrued liabilities - 10,626 10,626 - - - - 10,626 Long-term borrowings, less current portion - 469,017 469,017 - 642 - - 468,374 - 1,892,881 1,892,881 - 42,783 - 1,371,097 479,000 Total liabilities 11,136,752 9,659,070 ( 1,477,683 ) ( 4,051,228 ) 559,938 1,776 1,552,997 458,833 Stockholders’ (deficit) equity: Common stock, 250,000,000 shares authorized, $ 0.0001 par value, 128,161,013 shares issued and outstanding as of December 31, 2022 5,389 12,817 7,427 ( 5,389 ) - - - 12,816 Accumulated other comprehensive income (loss) 15,521 54,599 39,078 - 34,573 - - 4,505 Additional paid in capital 11,005,895 ( 12,812 ) ( 11,018,707 ) ( 11,005,895 ) - - - ( 12,812 ) Capital reserve 899,917 899,917 - - - - - - Accumulated deficit ( 14,387,269 ) ( 3,633,058 ) 10,754,212 10,691,071 ( 64,032 ) ( 88,243 ) 54,888 270,305 Total stockholders’ (deficit) equity ( 2,460,547 ) ( 2,678,537 ) 217,989 ( 320,213 ) ( 29,459 ) ( 88,243 ) 54,888 274,814 Total liabilities and stockholders’ (deficit) equity 8,676,205 6,980,533 ( 1,695,672 ) ( 4,371,441 ) 530,479 ( 86,467 ) 1,498,109 733,649 Consolidated Statements of operations and comprehensive loss REVENUES: System sales 1,438,969 1,394,824 ( 44,145 ) - ( 41,323 ) ( 2,822 ) - - Instrument sales - 41,323 41,323 - 41,323 - - - Warranty sales 19,346 - ( 19,346 ) - - ( 19,346 ) - - Total revenue 1,458,315 1,436,147 ( 22,168 ) - - ( 22,168 ) - - Cost of revenue ( 968,721 ) ( 1,375,570 ) ( 406,849 ) - ( 245,073 ) - ( 89,182 ) ( 72,594 ) GROSS PROFIT 489,594 60,577 ( 429,017 ) - ( 245,073 ) ( 22,168 ) ( 89,182 ) ( 72,594 ) OPERATING EXPENSES: Research & development expense 83,282 987,443 904,161 ( 72,959 ) 854,238 - 122,882 - Stock compensation expense 1,135,468 - ( 1,135,468 ) ( 1,135,468 ) - - - - Depreciation and amortization expense - 96,577 96,577 - 92,287 - - 4,291 Selling, general and administrative expense 3,251,794 1,935,149 ( 1,316,645 ) ( 1,239,179 ) ( 264,487 ) - 181,497 5,524 Salaries & payroll expense 1,698,283 - ( 1,698,283 ) - ( 1,698,283 ) - - - TOTAL OPERATING EXPENSES 6,168,827 3,019,169 ( 3,149,658 ) ( 2,447,606 ) ( 1,016,245 ) - 304,379 9,815 Loss from operations ( 5,679,233 ) ( 2,958,592 ) 2,720,641 2,447,606 771,172 ( 22,168 ) ( 393,561 ) ( 82,409 ) OTHER INCOME (EXPENSE): Interest expenses ( 161,999 ) ( 265,522 ) ( 103,523 ) - ( 104,844 ) - - 1,321 Interest and other income, net 239,728 10,232 ( 229,496 ) ( 234,594 ) - - 2,994 2,104 LOSS BEFORE INCOME TAXES ( 5,601,504 ) ( 3,213,882 ) 2,387,622 2,213,012 666,328 ( 19,174 ) ( 393,561 ) ( 78,984 ) Income tax expense - - - - - - - - NET LOSS ( 5,601,504 ) ( 3,213,882 ) 2,387,622 2,213,012 666,328 ( 19,174 ) ( 393,561 ) ( 78,984 ) Consolidated statement of other comprehensive loss: NET LOSS ( 5,601,504 ) ( 3,213,882 ) 2,387,622 2,213,012 666,328 ( 19,174 ) ( 393,561 ) ( 78,984 ) OTHER COMPREHENSIVE LOSS Foreign currency translation gain /(loss) 15,521 46,794 31,273 31,273 Retirement benefit (net of tax) - 2,583 2,583 2,583 TOTAL COMPREHENSIVE LOSS ( 5,585,983 ) ( 3,164,505 ) 2,421,478 2,213,012 666,328 ( 19,174 ) ( 393,561 ) ( 45,128 ) F- 12 Consolidated statement of cash flows: Particular As Previously Reported As Restated Changes Accounting for the merger transaction 1 Functional / Other reclassification 2 Recognition of revenue in case of deferred payment sales 3 Recognition of right of use of certain assets and liabilities 3 Errors / Adjustments 4 Cash flows from operating activities: Net loss ( 5,601,504 ) ( 3,213,882 ) 2,387,622 2,213,012 666,328 ( 19,174 ) ( 393,561 ) ( 78,984 ) Adjustments to reconcile net loss to net cash used in operating activities: Depreciation and amortization 128,901 96,577 ( 32,324 ) - - - - ( 32,324 ) Operating lease expense - 30,573 30,573 - - - 3,93,561 (3,62,988 ) Interest expenses (net) - 255,290 255,290 - 255,290 - - - Stock compensation expense 865,468 - ( 865,468 ) - - - - ( 865,468 ) Changes in operating assets and liabilities: Accounts receivable, net ( 1,044,912 ) ( 1,044,912 ) - - - - ( 1,044,912 ) Inventory, net ( 780,683 ) ( 780,683 ) - - - - ( 780,683 ) Receivables from / payable to related parties - ( 1,202,408 ) ( 1,202,408 ) - ( 1,114,968 ) - - ( 87,440 ) Deferred revenue - 43,917 43,917 - - - - 43,917 Prepaids and other current assets - ( 514,558 ) ( 514,558 ) - - - - ( 514,558 ) Accounts payable - 128,835 128,835 - - - - 128,835 Prepaids and other non current assets - ( 1,332 ) ( 1,332 ) - - - - ( 1,332 ) Prepaid expenses and other assets ( 1,054,302 ) - 1,054,302 - - - - 1,054,302 Accounts payable and other accrued liabilities 106,093 - ( 106,093 ) - - - - ( 106,093 ) Other accrued liabilities - 208,108 208,108 - - - - 208,108 Net cash used in operating activities ( 5,555,344 ) ( 5,994,475 ) ( 439,131 ) Cash flows from investing activities: Notes receivables - acquisition ( 3,000,000 ) - 3,000,000 - - - - 3,000,000 Sale of fixed assets 484,510 - ( 484,510 ) - - - - ( 484,510 ) Purchase of / proceeds from sale of property, plant and equipment ( 220,324 ) 240,818 461,142 - - - - 461,142 Net cash provided by investing activities ( 2,735,814 ) 240,818 2,976,633 Cash flows from financing activities: Repayment of promissory note ( 145,000 ) - 145,000 - - - - 145,000 Proceeds of bank overdraft facility 2,583,798 2,609,630 25,832 - 25,832 - - - Proceeds from / (Repayment of) term loan - 286,531 286,531 - 303,828 - - ( 17,297 ) Proceeds from securities offering 1,500,431 - ( 1,500,431 ) - - - - ( 1,500,431 ) Proceeds from 7% convertible Promissory note 4,000,000 - ( 4,000,000 ) - - - - ( 4,000,000 ) Treasury stock 26,000 - ( 26,000 ) - - - - 26,000 Proceeds from issuance of convertible notes to other investors 3,000,000 3,000,000 - - - - - -- Repayments of loan (related party) ( 1,670,834 ) - 1,670,834 - - - - 1,670,834 Net cash provided by financing activities 9,294,395 5,896,161 ( 3,398,234 ) Net change in cash 1,003,236 142,504 ( 860,733 ) Effect of exchange rate on cash 69,189 44,412 ( 24,776 ) Cash at beginning of year 431,624 87,709 ( 343,915 ) Cash at end of year 1,504,049 274,625 ( 1,229,424 ) F- 13 Restatement in 2021 Summary of restatements made in Consolidated stockholder’s equity as at December 31, 2021 are as follows: Particulars As previously reported As restated Changes Accounting for the merger transaction 1 Functional / Other reclassification 2 Recognition of revenue in case of deferred payment sales 3 Recognition of right of use of certain assets and liabilities 3 Errors / Adjustments 4 Common stock, 100,000 shares authorized, $ 1 par value, 100,000 shares issued and outstanding as of December 31, 2021 100,000 100,000 - - - - - - Non-controlling interest - ( 352 ) 352 - - - - 352 Translation adjustment ( 3,390 ) 5,222 ( 8,612 ) - - - ( 8,612 ) Short provision for income tax ( 779 ) - ( 779 ) - ( 779 ) - - - Retained earnings ( 357,205 ) ( 419,176 ) 61,971 - 29,023 32,948 Capital reserve 899,917 899,917 - - - - - - Total stockholders’ (deficit) equity 638,544 585,611 52,932 - ( 779 ) - 29,023 24,688 F- 14 (1) Accounting for merger transaction Background On April 14, 2023, SSII (earlier known as ‘AVRA Medical Robotics Inc’ or ‘AVRA’) consummated the acquisition of Cardio Ventures, Inc., a Delaware corporation (“Cardio Ventures”), 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”), Cardio Ventures and Dr. Sudhir Srivastava, who, through his holding company, owned a controlling interest in Cardio Ventures. Pursuant to the Merger Agreement, at Closing, Merger Sub merged with and into Cardio Ventures (the “Cardio Ventures Merger”). Further, the Company changed its name to “SS Innovations International, Inc.,” effected a one-for-ten reverse stock split and increased its authorized common stock to 250,000,000 shares. Before In the previously filed financial statements 10K for the year ended December 31, 2023, the Merger transaction was referred as being accounted for as a reverse-merger in the nature of recapitalization in accordance with ASC 805. As per the Note 1 of Form 10K originally filed, SSII was treated as the acquirer and AVRA was the acquired company. In the previous financial statements, the opening balance incorrectly included the combined assets and liabilities of both AVRA and Cardio Ventures for year ended December 31, 2022. Consequently, the assets and liabilities and operations presented in the comparative financial statements prior to the merger were consolidated assets and liabilities of AVRA and SSII recorded at historical cost basis. After Upon review of merger agreements and related technical accounting guidance available in ASC 805, it was determined that AVRA’s assets and liabilities should have been recorded at their fair value as of the date of merger and comparative balances for the year ended December 31, 2022 should be considered only for Cardio Ventures at historical cost basis, being the accounting acquirer in the merger transaction. The fair value of assets and liabilities of AVRA was assessed as nil at the time of the merger. This revaluation resulted in a change in the recorded amounts for the acquired assets, which has now been appropriately reflected in the restated financial statements. Additionally, the amount recognized as issued equity interests in the consolidated financial statements was determined by considering the equity interests of Cardio Ventures outstanding immediately before the business combination. In accordance with ASC 805, the equity structure (the number and type of equity interests issued) reflects that of AVRA, including the equity interests issued by AVRA to effect the merger as reverse recapitalization. As a result, the equity structure of Cardio Ventures (the accounting acquirer) has been restated using the exchange ratio established in the acquisition agreement to reflect the number of shares issued by the legal parent (AVRA, the accounting acquiree) in the merger. Impact on restated consolidated financial statements for year ended December 31, 2023 The Company identified that fair value of assets and liabilities of AVRA was assessed as nil at the time of merger. Additionally, the Company excluded Accumulated deficit and Additional paid in Capital pertaining to AVRA as per ASC 805. Further, Selling, general and administrative expenses and stock compensation expenses amounting to $ 874,991 and $ 1,592,309 respectively were excluded as they relate to the expenses incurred by AVRA before merger and the same is not to be included in the consolidated statement of operations and comprehensive loss subsequent to merger as per the guidance of ASC-805 reverse recapitalization. Impact on restated consolidated financial statements for year ended December 31, 2022 The Company identified that as per ASC 805, balances pertaining to AVRA as at and for the year ended December 31, 2022 should not have been included in the consolidated financial statements for the Company. Accordingly, the Company excluded all such balances of AVRA in the restated consolidated financial statements. This led to exclusion in the balances of cash and cash equivalents $ 1,351,364 , prepaid and other current assets $ 8,678 , notes receivable $ 3,000,000 , property, plant, and equipment $ 11,399 , notes payable to related Party $ 4,000,000 and other accrued liabilities $ 51,229 . Additionally, the Company excludes previously reported common stock, Accumulated deficit and additional paid in capital pertaining to AVRA as per ASC 805. Subsequently, the Company recorded common stock pertaining to Cardio Ventures and duly adjusted the effect of reverse recapitalization as per ASC 805. Further, Selling, general and administrative expense, Research and development expense, Stock compensation expense and Interest and other income, net amounting to $ 1,239,179 , $ 72,959 , $ 1,135,468 and $ 234,594 respectively were not included as they relate to the expenses incurred by AVRA before merger and the same is not to be included in the consolidated statement of operations and comprehensive loss subsequent to merger as per the guidance of ASC-805 reverse recapitalization. Differential impact of above adjustments has been corrected in the consolidated statement of cash flows for the year ended December 31, 2023 and December 31, 2022. F- 15 (2) Functional / Other reclassifications In 2023, the Company conducted an in-depth review of its functional expense classification and other reclassifications resulting in more appropriate allocation of costs based on their specific business functions. The following adjustments have been implemented: 1. Reclassification of lease expenses related to Production (COGS) and Research & Development (R&D) from Sales General & Administration cost (SG&A) Previously, lease expenses related to production and R&D activities were grouped under SG&A expenses. As a result of the review, these costs have now been reclassified to more accurately reflect their functional relationship with core business activities. Lease expenses for production-related activities are now included under cost of revenue, as they are directly tied to the production process. Lease expenses for R&D activities are now classified under R&D expenses, ensuring that these costs are appropriately aligned with innovative efforts and accurately allocated based on the proper assumptions regarding their direct contribution to the Company’s research and development initiatives. This reclassification provides a clearer picture of how the Company allocates resources toward both operational production and future product development. 2. Salaries and Related Expenses in COGS, R&D and SG&A Previously, salaries and related expenses were shown directly as a separate line in the statement of Income and Other comprehensive loss. Following further evaluation, these expenses have been reclassified between COGS, R&D and SG&A. Salaries and benefits for production staff are now included under COGS, aligning them more accurately with the Company’s production costs. This enhances the calculation of gross profit margins and ensures the expenses are matched with the corresponding revenue. Salaries for R&D personnel have been classified exclusively in R&D expenses, properly attributing costs to the development of new products and technologies and reflecting the Company’s ongoing investment in innovation. These changes improve the functional categorization of expenses and provide a more accurate depiction of the Company’s operating performance. 3. Other reclassifications in consolidated balance sheet and consolidated statement of cash flows We noted that there are reclassifications required in the consolidated balance sheets and consolidated statements of cash flows to - correct current/non-current positions - correct classification basis nature of receivable/payable 4. Reclassifications in Stockholders’ (deficit) equity: - The difference in Short Provision for Income Tax of $ 779 relates to tax payable wrongly classified earlier, now reclassified to other accrued liability. F- 16 Impact on restated consolidated financial statements for year ended December 31, 2023 and 2022 (A) Reclassifications in consolidated balance sheet and consolidated statements of cash flows Reclassifications were of below nature: 1. Cash and cash equivalent: As at December 31, 2022, reclassification of $ 63,492 from prepaid and other current asset to cash and cash equivalents, being short term fixed deposits. 2. Restricted Cash: - 1. Fixed deposits against Bank guarantee of $ 43,094 earlier classified under Prepaid and other current assets have now been reclassified to Restricted Cash Current, 2. Fixed Deposits against Credit card facility of $ 16,685 was reclassified to Restricted Cash Non-Current, 3. Fixed Deposits with no withdrawal restrictions amounting to $ 7,483 was reclassified under Prepaid and other non-current assets. (As at December 31, 2022, Amount of $ 6,044 relates to fixed deposits which are not on lien, hence reclassified to Prepaid and other non-current assets.) 3. Accounts receivable of $ 275,328 are reclassified from non-current to current based on their due date of collection as per contract with customers. (As at December 31, 2022, $ 886,263 relates to balance which would be receivable over more than 1 year, accordingly the present value of the balance receivable is reclassified under Accounts receivables (non-current assets). 4. Receivables from related parties of $ 1,466,463 (As at December 31, 2022, $ 1,628,839 ) reclassified from non-current to current based on their due date of collection. 5. Prepaids and other current assets: - 1. Security Deposit of $ 229,387 pertaining to long term lease earlier classified under Prepaid Current assets now reclassified to Prepaid non-current assets. 2. Bank Guarantee & EMD Tenders of $ 62,327 classified as Restricted cash current and Restricted cash noncurrent. (As at December 31, 2022 1. Reclassification of deposits with lien amounting to $ 57,448 to restricted cash (current), 2. Reclassification of amount $ 71,830 relating to security deposits to prepaid and other non-current assets, 3. Due to reclassification of advance from customer to other accrued liability amounting to $ 248,447 , 4. Reclassification of $ 275,694 from accounts payable relating to advances paid to vendors, 5. Reclassification of $ 14,542 relating to tax payable reclassified to other accrued liability.) 6 Property, plant, and equipment, net: - As at December 31, 2022, $ 2,233 amount relates to intangibles software which were capitalized now being reclassified in prepaid and other current assets. 7. Deferred revenue (non-current): - Separate disclosure of deferred revenue non-current by reclassifying it from other accrued liabilities amounting to $ 939,150 as at December 31, 2023. (As at December 31, 2022 deferred revenue non-current reclassified from other accrued liabilities amounting to $ 42,141 .) 8. Accounts payable: - As at December 31, 2022, 1. Reclassification of $ 675,013 to payable to related party as separate line item, 2. Amount of advance to vendors knocked off earlier amounting to $ 298,038 to prepaid and other current asset, 3. Salary payable of $ 75,006 reclassified to other accrued liability. 9. Other accrued liabilities: - As at December 31, 2022, 1. Due to reclassification of advance from customer from prepaid and other current assets amounting to $ 247,161 , 2. Reclassification of $ 14,542 relating to tax payable reclassified from prepaid and other current assets. Differential impact of above adjustments have been corrected in the consolidated statement of cash flows for the year ended December 31, 2023 and December 31, 2022. F- 17 (B) Reclassifications Consolidated Statements of operations and comprehensive loss Reclassifications were of below nature: (i) Functional classification 1. Operating expenses are now reclassified functionally, encompassing Cost of revenue, Selling, general and administrative expenses and Research and development expense. This reclassification has resulted in an increase in the Cost of Revenue by $ 258,422 , SG&A by $ 844,497 and R&D by $ 343,400 respectively (for the year ended December 31, 2022, Cost of Revenue by $ 245,073 , SG&A by $ 264,487 and R&D by $ 854,238 respectively). Also, depreciation expense now disclosed separately $ 152,738 (for the year ended December 31, 2022, 92,287 ). (ii) Other reclassifications 1. In the financial reporting structure, total revenue is now detailed into three categories: System Sales, Warranty Sales, and Instrument Sales. Earlier this year, Instrument Sales were not disclosed separately, which has been effected now. Consequently, in restated financial statements, System Sales is now reduced by $ 647,766 (for the year ended December 31, 2022 $ 41,323 ) and is disclosed as Instrument sales specifically to reflect this refined categorization. 2. Interest expenses related to credit notes and discounts on credit note have been reclassified from Selling, General, and Administrative Expenses to Interest Expense. This reclassification amounts to $ 214,164 (for the year ended December 31, 2022, $ 104,844 ), aligning the reporting with appropriate expense categorization standards. (3) Correction of accounting policies misapplications A. Revenue recognition Background The Company identified that it had inadvertently failed to apply some of the relevant provisions of ASC 606, “Revenue from Contacts,” accordingly, in the preparation of our revised financial statements for the year ended December 31, 2023, and December 31, 2022, we have revised our revenue recognition policy to incorporate discounting for the present value of expected revenue. Before In previously filed financial statements, our revenue was recognized at nominal values without considering the time value of money. Also, in previously filed financial statements, the Company recognized revenue from maintenance and warranty services starting in the first year following delivery. Further, the Company included deferred revenue within the accrued liabilities. After The decision to adopt a discounting approach arises from our commitment to providing stakeholders with a more precise representation of our revenue streams. By discounting future cash flows to their present value, we ensure that our revenue reflects the economic reality of our transactions, considering the timing of cash receipts. This adjustment aligns our financial statements with the best practices in revenue recognition and improves the comparability of our financial information across periods. F- 18 However, after management’s evaluation, it has been determined that the first year post-delivery is classified as a standard warranty period, with extended comprehensive maintenance and warranty services commencing in the second year. The services offered under the extended maintenance and warranty agreements are consumed by customers concurrently with the Company’s performance of those services. In line with ASC 606-10-25-27, revenue from maintenance and warranty services is to be recognized over the term of the comprehensive maintenance and warranty agreements. As a result, any advance revenue received will be recorded as deferred revenue until the related performance obligations are fulfilled. Also, deferred revenue has now been reclassified as a separate line item on the Balance Sheet, in accordance with U.S. GAAP guidelines. Additionally, deferred revenue has now been divided into short-term and long-term classifications based on when revenue is expected to be recognized. These adjustments provide more clarity and transparency. Moreover, the Company has now separated revenue into instrument sales and system sales. This differentiation enables a more detailed understanding of the revenue streams and their respective recognition patterns. Revenue from instrument sales and system sales will now be recorded separately on the consolidated statement of operation and comprehensive loss, reflecting the distinct performance obligations and timing of revenue recognition for each category. Impact on restated consolidated financial statements for year ended December 31, 2023 and 2022 The Company identified that revenue and accounts receivable were incorrectly recorded due to the financing component of trade receivables and deferred revenue, which is to be recovered and recognized after one year from the balance sheet date according to purchase order terms. In line with ASC 606, correction were made to reflect the financing component in accounts receivable and revenue. Long term account receivables balances were presented at gross basis in previously filed consolidated financial statements. However, as per ASC 606, revenue contract in which company have significant financing component in consideration receivable from customers, the net sales and related debtor balance should be accounted at the present value of the future cash flow and the interest component related to financing component should be recorded over the period of contract. Accordingly, the Company restated the account receivable balances on net level to provide impact of significant financing component and reduced trade receivable by $ 555,157 (as at December 31, 2022, $ 86,467 ). Also, warranty income is recognized once the performance obligation condition is fulfilled. To be in line with this provision, unrealized warranty income included in the revenue were reversed and recorded as Deferred revenue in Balance sheet till the time performance obligation relation to this is not fulfilled. Accordingly $ 1,095,480 (as at December 31, 2022, $ 43,917 ) was recorded as deferred revenue during the year and further the same was reclassed as current and non-current $ 156,330 and $ 939,150 , respectively (as at December 31, 2022, $ 1,776 and $ 42,141 , respectively) in these restated financial statements. Deferred revenue recorded earlier amounting to $ 728,996 in Other accrued liabilities was reversed as the same was not as per ASC 606 principles. Interest Income for the current period is related to unwinding of account receivable balances recorded as interest income of $ 151,497 which is adjusted with the net of System & Warranty sale of $ 4,396 (year ended December 31, 2022, $ 22,168 ) in consolidated statement of Income and other comprehensive income. B. Lease Before For the years ended December 31, 2023 and December 31, 2022, the Company identified that it had inadvertently failed to apply ASC 842, “Leases,” to certain operating lease arrangements. Upon further review, the Company also determined that similar issues impacted the consolidated financial statements for the years ended December 31, 2022 and December 31, 2021. During these periods, while preparing the consolidated financial statements, the Company inadvertently failed to apply ASC 842 to all of their lease agreements. This resulted in the exclusion of material lease liabilities and related right-of-use assets from the financial statements. F- 19 After In conjunction with the correction of the lease accounting, the Company has also updated its incremental borrowing rates used to measure lease liabilities and right-of-use assets. The revised rates are now more reflective of the Company’s current borrowing conditions and have been applied retrospectively to all affected lease arrangements. Impact on Financial Statements: The restatement is expected to primarily affect: Lease Liabilities: Previously unrecorded liabilities associated with the identified leases will be recognized. Right-of-Use Assets: Corresponding assets related to the identified lease arrangements will be recognized. Lease Expenses: Adjustments will be made to accurately reflect lease-related expenses, including interest and depreciation charges for the right-of-use assets. Impact on restated consolidated financial statements for the year ended December 31, 2023 and 2022 The Company identified that it had not applied principles of ASC 842 for the operating leases and had directly recorded lease payments as expenses in the consolidated statements of operations and comprehensive loss. As per ASC 842, if a Company enters into an operating lease contract for a specific period of time, it shall discount the future lease payments over the lease terms using incremental borrowing rate and consequently record the Right To Use Assets (ROU) and Lease liabilities. The ROU is amortized over the lease term and finance cost is recorded on lease liability over the lease terms. Accordingly, Restatement adjustment of $ 458,136 (as at December 31, 2022, $ 1,498,109 ) was recorded to correct the balances of ROU in line with the above provision of ASC 842. Classification of current and non-current amount of lease liability corrected by $ 107,796 and $ 440,681 respectively (as at December 31, 2022, $ 181,900 and $ 1,371,097 respectively). Further lease expenses were classified based on Functional classification as $ 214,101 as Selling, general and administrative expense, $ 212,639 as cost of revenue expense and $ 139,092 as Research and development expense (for the year ended December 31, 2022 lease expense classified amounting to $ 181,497 as Selling, general and administrative expense, $ 89,182 as cost of revenue expense and $ 122,882 as Research and development expense). Differential impact of above adjustments has been corrected in the consolidated statement of cash flows for the year ended December 31, 2023 and December 31, 2022. 4. Correction of other errors in measurement of income/expense/asset/liabilities. We also noted errors in measurement of income/expense/assets/liabilities throughout different financial statements captions which were corrected in the restated financial statements. Below are the major error corrections made: (i) Reinstatement of liability for letter of credit (with recourse): The Company had earlier netted off the liability pertaining to letter of credit against accounts receivables. However, as per the terms of the letter of credit, there was a recourse option available with bank to recover the amount in case of default by the customer. To rectify this, a correction adjustment was made to restate the accounts receivable balance and the impact of the financing component on the income statement. This was rectified by the grossing up the accounts receivables and long-term debt current and non-current in consolidated financial statements for year ended December 31, 2023 and 2022. Accounts receivable balance of $ 533,799 (as at December 31, 2022, $ 537,273 ) has been restated along with corresponding restatement of current maturities of long-term borrowings. (ii) Personal expenses pertaining to Director earlier recorded as business expense of the Company: The Company identified that legal expenses amounting to $ 101,096 (as at December 31, 2022, $ 58006 ) which were actually related to the personal expenses of Dr. Sudhir Prem Srivastava has been charged as business expense of the company. The expense has now been reversed and corresponding receivables from related party (Dr. Sudhir Prem Srivastava) has been recorded. F- 20 (iii) Stock compensation expenses: Included in Selling and administration expenses pertaining to non-employees: The Company identified that stock compensation expense was recorded incorrectly as it did not pertain to the current year. A correction entry was made, creating a prepaid expense to allow for proper amortization in the correct year. Consequently, a prepaid expense for stock compensation was recorded as at December 31, 2023 amounting to $ 4,090,131 in noncurrent assets and $ 1,066,991 in current assets. The Company identified that an additional issuance of advisory shares to Dr. Frederic Moll during the year ended December 31, 2023, recognizing his strategic knowledge and expertise within the industry to be recorded as selling, general and administration expense. This transaction has been classified under Selling, General, and Administrative (SG&A) expenses, totaling $ 4,463,799 . This classification underscores the strategic value Dr. Moll brings to the organization and aligns with our financial reporting standards. Included in Stock compensation expenses pertaining to employees: Amounting to $ 1,592,309 relating to stock compensation of AVRA which is being eliminated in the restated consolidated financial statements for the year ended December 31, 2023. Further, $ 3,057,917 was additionally recognized for (a) the grants and options which are vested immediately ( 20 %) which was earlier not recorded as expense, (b) correction of granted fair value. (iv) Advance to vendors: For the year ended December 31, 2023, the Company identified that an advance given to a vendor was not adjusted against respective capital and operating expenditures while the invoices were received by the Company. An adjustment was recorded to adjust the vendor advance against respective expenditure totaling $ 248,292 . (v) Incorrect useful life of PPE: The Company identified that property, plant, and equipment were previously recorded incorrectly, with depreciation charged based on estimated useful life determined by management. Following a thorough analysis, the asset lives were corrected, and depreciation was recalculated accordingly. As a result of this adjustment property, plant, and equipment was reduced by $ 81,198 as at December 31, 2023 (as at December 31, 2022, property, plant, and equipment was increased by $ 41,826 ). (vi) Incorrect valuation of Inventory: The Company identified that the inventory was previously recorded at incorrect valuation. As a result of this adjustment inventory is increased by $ 690,654 as at December 31, 2023 (as at December 31, 2022, inventory is increased by $ 48,326 ). Consequent to this adjustment, cost of revenue has been decreased by $ 487,538 for year ended December 31, 2023 (decrease in cost of revenue by $ 72,594 ). (vii) Cut off errors: The Company identified that professional fees were recorded based on payments made during the current year, though they pertained to 2022. To correct this, a reversal adjustment of $ 111,225 was made in the current year, and a provision for this amount has been recorded retroactively for 2022. Further the Company has identified that expense relating to origination fees has been recorded in its entirety as and when the convertible notes are issued and this expense needs to be amortized over the period of convertible notes, hence the Company has recorded the said expense to the extent it relates to current year and correspondingly recorded the differential amount in prepaid expense whose amount of amortization is $ 339,534 for December 31, 2023 (amount of amortization for December 31, 2022 is $ 60,466 ). (viii) Unrecognized Gratuity provision: The Company identified that the expense and provision for gratuity were never recorded. These were subsequently recorded from December 31, 2021, 2022, and 2023, with balances reconciled against the actuarial report. A gratuity liability recorded by $ $ 33,933 (as at December 31, 2022, $ 10,626 ) relates to non-current and $ 72 (as at December 31, 2022, $ 430 ) as current portion which was not accounted for earlier. (ix) Unrecognized accruals of expenses: The Company identified that there are some accruals which are not accounted for in books of accounts, as a result the accruals amounting to $ 122,413 has been recorded in December 31, 2023 (as at December 31, 2022, accruals of $ 431 ) (x) Discounting of Security deposits: The Company identified that discounting of security deposits was not initially performed. As a result, the discounting of security deposits has now been recorded, along with the corresponding prepaid security deposit. F- 21 (xi) Interest on FDRs: The Company identified that interest on fixed deposits was not recorded in alignment with the statutory 26AS report as per applicable Income Tax laws in India for the current period. To reconcile this, a correction was made to record the interest income on fixed deposits. (xii) Deferred tax liability: Since the Company has significant carried-forward tax losses hence earlier recorded deferred tax liability reversed $ 20,482 (as at December 31, 2022 : $ 20,597 ). Differential impact of above adjustments has been corrected in the consolidated statement of cash flows for the year ended December 31, 2023 and December 31, 2022. 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 consolidated financial statements are issued. The Company has a working capital surplus of $ 12,954,939 and an accumulated deficit of $ 24,511,350 as of December 31, 2023. The Company also had a net loss of $ 20,878,292 for the year ended December 31, 2023, which was mainly on account of non-cash items like Stock Compensation expense of $ 9,723,492 , Depreciation of $ 152,738 and advisory share issue to Dr. Moll for $ 4,463,799 included in SG&A. In addition, the Company has been dependent on related parties to fund operations. These conditions raise substantial doubt about the Company’s ability to continue as a going concern within one year after the date that the consolidated financial statements are issued. Management recognizes that the Company must obtain additional resources to successfully implement its business plans. The Company has been able to augment its financial resources to further supplement its operations. On April 15, 2023, the Company executed a Convertible Promissory Note (the “Line of Credit Note”) with Sushruta Pvt Ltd. (“SPL”), the Bahamian holding company owned by Dr. Sudhir Srivastava, our Chairman, Chief Executive Officer and principal shareholder. Pursuant to the Line of Credit Note, SPL, in its discretion could make multiple advances to the Company through December 31, 2023 (the “Maturity Date”), in an aggregate amount of up to $ 20,000,000 for working capital purposes and the advances under the Line of Credit Note do not bear interest and are due and payable on or before the Maturity Date. SPL, at its option, could also convert the principal amount of any advance into shares of our common stock, at a conversion price of $ 0.74 per share. During the year ended December 31, 2023, SPL had advanced a total of $ 16,980,000 under the Line of Credit Note upon SPL exercising its option to convert, the outstanding balance of $ 16,980,000 of the Line of Credit Note was converted in full into 22,945,946 shares of our common stock at a conversion price of $ 0.74 per share. F- 22 This conversion of funds advanced under the Line of Credit Note and subsequently converted into equity has resulted in a significant improvement in the Company’s stockholders’ equity and working capital position. As of December 31, 2023, the Company had stockholders’ equity of $ 19,718,078 and a working capital surplus of $ 12,954,939 as compared to stockholders’ deficit of $ 2,678,537 and a working capital deficit of $ 3,670,954 as of December 31, 2022. However, the Company’s existing cash resources and income from operations, are not expected to provide sufficient funds to carry out the Company’s operations and business development through the next twelve (12) months. 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. NOTE 2 – SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES (a) Use of Estimates The preparation of consolidated 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 consolidated financial statements and the reported amounts of revenues and expenses during the reporting period. Actual results could differ from those estimates made by management. Significant estimates included discount rate for measuring significant financing component for deferred collections in revenue contracts, fair value of stock options, incremental borrowing rate for leases and useful life of property plant and equipment. (b) Cash and Cash Equivalents The Company considers all highly liquid investments purchased with original maturity of ninety days or less to be cash equivalents. (c) Restricted Cash Restricted cash includes any cash and cash equivalents that are legally restricted as to withdrawal or usage for the Company’s operations. For the purposes of the consolidated statement of cash flows, the Company includes in its cash and cash-equivalent balances those amounts that have been classified as restricted cash and restricted cash equivalents. (d) Accounts Receivable and Allowance for Expected Credit Losses 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 arrangements and in such cases, the amounts due and recoverable beyond the one year period at the balance sheet date are classified as long-term receivables. Collateral is currently not required. The Company also maintains credit loss allowance 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 December 31, 2023, and December 31, 2022 amounted to $ nil and $ nil respectively. F- 23 (e) Employee Benefits Contributions to defined contribution plans are charged to the Consolidated Statements of operations and comprehensive loss in the period in which services are rendered by the covered employees. Current service costs for defined benefit plans are recognized in the period to which they relate. The liability in respect of defined benefit plans is calculated annually by the Company using the projected unit credit method. The Company records annual amounts relating to its defined benefit plans based on calculations that incorporate various actuarial and other assumptions, including discount rates, mortality, future compensation increases and attrition rates. The Company reviews its assumptions on an annual basis and makes modifications to the assumptions based on current rates and trends when it is appropriate to do so. The effect of modifications to those assumptions is recorded in other comprehensive income (loss) (“OCI”) and amortized to net periodic benefit cost over the expected remaining period of service of the covered employees using the corridor method. The Company believes that the assumptions utilized in recording its obligations under its plans are reasonable based on its experience and market conditions. These assumptions may not be within the control of the Company and accordingly it is reasonably possible that these assumptions could change in future periods. The Company includes the service cost component of the net periodic benefit cost in the same line item or items as other compensation costs arising from services rendered by the respective employees during the period. The interest cost, expected return on plan assets and amortization of actuarial gains/loss, are included in “Other income/(expense), net.” Refer to Note 17 - Employee Benefit Plans to the consolidated financial statements for details. (f) Foreign Currency Translation The functional currency of each entity in the group is the currency of the primary economic environment in which it operates. Transactions in foreign currencies are initially recorded into functional currency at the rates of exchange prevailing on the date of the transaction. Monetary assets and liabilities denominated in foreign currencies are remeasured into functional currency at the rates of exchange prevailing at the balance sheet date. Non-monetary assets and liabilities are remeasured to the functional currency at exchange rates that prevailed on the date of inception of the transaction. All foreign exchange gains and losses arising on re-measurement are recorded in the Company’s Consolidated Statements of operations and comprehensive loss. The assets and liabilities of the subsidiaries for which the functional currency is other than the U.S. dollar are translated into U.S. dollars, the reporting currency, at the rate of exchange prevailing on the balance sheet date. Revenues and expenses are translated into U.S. dollars at the exchange rates prevailing on the last business day of each month, which approximates the average monthly exchange rate. Share capital and other equity items are translated at exchange rates that prevailed on the date of inception of the transaction. Resulting translation adjustments are included in “Accumulated other comprehensive income/(loss)” in the consolidated balance sheets. The relevant translation rates are as follows: for the year ended December 30, 2023, the closing rate at 83.19 USD/INR, average rate at 82.96 USD/INR. The relevant translation rates are as follows: for the year ended December 30, 2022, the closing rate at 82.73 USD/INR, average rate at 78.51 USD/INR. (g) Inventory The Company’s inventory consists of finished goods in the form of fully assembled and tested surgical robotic systems, semi-finished goods in the form of various sub-systems of the surgical robotic systems in various stages of assembly and manufacturing and raw material in the form of various mechanical, electrical, and other material components, parts, motors, encoders etc. which are not yet assembled/manufactured. The inventory is valued at the lower of cost (first-in, first-out) or estimated net realizable value. As of December 31, 2023, the Company’s inventory was valued at $ 7,017,913 . (h) Fair value measurements ASC Topic 820, Fair Value Measurements and Disclosures defines fair value as the price that would be received upon sale of an asset or paid upon transfer of a liability in an orderly transaction between market participants at the measurement date and in the principal or most advantageous market for that asset or liability. The fair value should be calculated based on assumptions that market participants would use in pricing the asset or liability as against assumptions specific to the entity. In addition, the fair value of liabilities should include consideration of non-performance risk, including the Company’s own credit risk. The fair value hierarchy consists of the following three levels: ● Level I — Quoted prices for identical instruments in active markets. ● Level II — Quoted prices for similar instruments in active markets; quoted prices for identical or similar instruments in markets that are not active; and model-derived valuations whose inputs are observable or whose significant value drivers are observable. ● Level III — Instruments whose significant value drivers are unobservable. F- 24 (i) Concentration of Credit Risk Financial instruments that potentially subject the Company to concentrations of credit risk consist principally of cash and cash equivalents, time deposits and accounts receivable. By their nature, all such financial instruments involve risks including the credit risks of non-performance by counterparties. The surplus funds are maintained as cash and cash equivalents and time deposits, placed with highly rated financial institutions to reduce its exposure to market risk with regard to these funds. The Company’s exposure to credit risk on account receivable is influenced mainly by the individual characteristic of each customer and the concentration of risk from the top few customers. To mitigate this risk the Company evaluates the creditworthiness of its customers in conjunction with its revenue recognition processes as well as through its ongoing collectability assessment processes for accounts receivable. The Company does not enter into or trade financial instruments, including derivative financial instruments, for speculative purposes. (j) Commitments and Contingencies Liabilities for loss contingencies arising from claims, assessments, litigation, fines and penalties, and other sources are recognized when it is probable that a liability has been incurred and the amount of the assessment and/or remediation can be reasonably estimated. A disclosure for a contingent liability is made when there is a possible obligation that may require an outflow of resources. When there is a possible obligation or a present obligation in respect of which the likelihood of outflow of resources is remote, no provision or disclosure is made. Legal costs incurred in connection with such liabilities are expensed as incurred. Capital commitments are disclosed in the financial statements. (k) 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. F- 25 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. Present value of deferred payment is calculated using the prevailing interest rate. 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 1 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 delivered 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. (l) Property Plant & Equipment Property and equipment are stated at cost, which is generally comprised of the purchase price for such property or equipment, non-refundable duties and taxes, Installation cost, freight, other associated costs, but excludes any discounts and/or rebates, less accumulated depreciation and impairment. The Company reviews property and equipment for impairment whenever events or changes in circumstances indicate that the related carrying amounts may not be recoverable. F- 26 Property Plant & Equipment 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 Computer & peripherals 3 Furniture 5 Leasehold improvement 4 - 9 Office equipment 5 Plant and machinery 4 - 8 R & D equipment 5 Server & networking 3 Vehicles 5 (m) 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. (n) Stock Compensation Expense Under the fair value recognition provisions of ASC Topic 718, Compensation-Stock Compensation, cost is measured at the grant date based on the fair value of the award and is amortized on a straight-line basis over the requisite service periods of the awards, which is generally the vesting period. Determining the fair value of stock-based awards at the grant date requires significant judgment, including estimating the expected term over which the stock awards will be outstanding before they are exercised and the expected volatility of our stock. As of December 31, 2023, the Company has issued two types of equity incentives: Stock Options : These provide employees with the right, but not the obligation, to purchase shares of the Company’s stock at a specified price, within a defined period, as per the terms of the stock option agreement. Stock-based compensation expense associated with AVRA 2016 Stock Incentive Plan is measured at fair-value using a Black-Scholes option-pricing model at commencement of each offering period and recognized over that offering period. Stock Units (Restricted Stock Units, or RSUs): These do not require the employee to exercise any options. Each stock unit automatically converts into a specified number of shares upon vesting. The Company uses last three month’s average share price of common stock on OTC exchange as grant date fair value for RSUs. The Company recognizes stock-based compensation expense in the Consolidated Statements of operations and comprehensive loss for both employees and non-employee directors based on the grant-date fair value of the awards. These costs are recognized on a straight-line basis over the requisite service period, or until the date at which the recipient becomes eligible for retirement, if shorter. Forfeitures of equity awards are accounted for as they occur. The Company accounts for equity instruments issued in exchange for goods or services from non-employees in accordance with ASC Topic 718 Stock Compensation. The costs associated with these equity instruments 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. F- 27 (o) Income Taxes The Company accounts for income taxes using the asset and liability method of accounting for income taxes. The Company calculates and provides income taxes in each of the tax jurisdictions in which it operates. The deferred tax assets and liabilities are recognized for future tax consequences attributable to temporary differences between the financial statement carrying values of existing assets and liabilities and their respective tax bases and all operating losses carried forward, if any. Deferred tax assets and liabilities are measured using tax rates expected to apply to taxable income in the years in which the applicable temporary differences are expected to be recovered or settled. The effect on deferred tax assets and liabilities of a change in tax rates or tax status is recognized in the statements of income in the period in which the change is identified. The Company releases (reclassifies) the tax effects from AOCI to the Consolidated Statements of operations and comprehensive loss for amortization of deferred actuarial gain/(loss) on retirement benefits. Deferred tax assets are reduced by a valuation allowance if, based on available evidence, it is more likely than not that some portion or all of the deferred tax assets will not be realized. The Company establishes provisions for uncertain tax provisions and related interest and penalties when the Company believes those tax positions are not more likely than not of being sustained, if challenged. (p) Basic and Diluted Loss per Share The following table sets forth the computation of basic and diluted earnings per share: Year ended December 31, 2023 2022 Net Loss ( 20,878,292 ) ( 3,213,882 ) Basic weighted average common shares outstanding (1) 144,866,674 128,157,040 Dilutive effect of stock-based awards 7,203,151 - Diluted weighted average common shares outstanding 152,069,825 128,157,040 Earnings per share attributable to SS INNOVATIONS INTERNATIONAL INC. stockholders: Basic and Diluted ( 0.14 ) ( 0.03 ) (1) Prior period information has been adjusted to reflect the 1-for-10 reverse stock split of the Company’s common stock effected in April 2023. Refer to Consolidated Statements of changes in equity to the consolidated financial statements for further details. Basic net loss per share is calculated by dividing the net loss attributable to SSII stockholders by the weighted-average number of shares of common stock outstanding for the period. The diluted net loss per share is computed by giving effect to all potentially dilutive securities outstanding for the period. For periods in which we report net losses, diluted net loss per share is the same as basic net loss per share because potentially dilutive common shares are not assumed to have been issued if their effect is anti-dilutive. F- 28 (q) 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 have alternative future use, research and development expenses are charged to operations as incurred. (r) 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. (s) Leases The Company determines if an arrangement is a lease at inception of the contract. The Company’s assessment is based on whether: (1) the contract involves the use of a distinct identified asset, (2) the Company obtains the right to substantially all the economic benefit from the use of the asset throughout the term of the contract, and (3) the Company has the right to direct the use of the asset. A lease is classified as a finance lease if any one of the following criteria are met: (1) the lease transfers ownership of the asset by the end of the lease term, (2) the lease contains an option to purchase the asset that is reasonably certain to be exercised, (3) the lease term is for a major part of the remaining useful life of the asset or (4) the present value of the lease payments equals or exceeds substantially all of the fair value of the asset. Operating leases are presented within “Right-of-use assets, operating lease” “Current portion of operating lease liabilities” and “Operating lease liabilities, less current portion” in the Company’s consolidated balance sheets. Right-of-use assets (ROU) assets represent the Company’s right to use an underlying asset during the lease term and lease liabilities represent the Company’s obligation to make lease payments arising from the lease arrangement. Lease liabilities are recognized at commencement date based on the present value of lease payments over the lease term. Operating lease ROU assets are recognized at commencement date in an amount equal to lease liability, adjusted for any lease prepayments, initial direct costs, and lease incentives. For leases in which the rate implicit in the lease is not readily determinable, the Company uses its incremental borrowing rate based on the information available at commencement date. The Company determines the incremental borrowing rate by adjusting the benchmark reference rates with appropriate financing spreads applicable to the respective geographies where the leases are entered and lease specific adjustments for the effects of collateral, if applicable. Lease terms includes the effects of options to extend or terminate the lease when it is reasonably certain at commencement of the lease that the Company will exercise that option. Lease expense for operating lease arrangements is recognized on a straight-line basis over the lease term reflecting single operating lease cost. The Company evaluates lease agreements to determine lease and non-lease components, which are accounted for separately. Lease payments that depend on factors other than an index or rate are considered variable lease payments and are excluded from the operating lease assets and liabilities and are recognized as expense in the period in which the obligation is incurred. Lease payments include payments for common area maintenance, utilities such as electricity, heating and water, among others, and property taxes, and other similar payments paid to the landlord, which are treated as non-lease component. The Company accounts for lease-related concessions in accordance with guidance in Topic 842, Leases, to determine, on a lease-by-lease basis, whether the concession provided by lessor should be accounted for as a lease modification. The Company accounts for a modification as a separate contract when it grants an additional right of use not included in the original lease and the increase is commensurate with the standalone price for the additional right of use, adjusted for the circumstances of the particular contract. Modifications which are not accounted for as a separate contract are reassessed as of the effective date of the modification based on its modified terms and conditions and the facts and circumstances as of that date. Upon modification, the Company remeasures the lease liability to reflect changes to the remaining lease payments and discount rates and recognizes the amount of the remeasurement of the lease liability as an adjustment to the ROU assets. However, if the carrying amount of the ROU assets is reduced to zero as a result of modification, any remaining amount of the remeasurement is recognized as an expense in Consolidated Statements of operations and comprehensive loss. F- 29 The Company reviews ROU assets for impairment whenever events or changes in circumstances indicate that the related carrying amount may not be recoverable. (t) Segment reporting The Company operates in one segment. The chief operating decision maker regularly reviews the operating results of the Company on a consolidated basis as part of making decisions for allocating resources and evaluating performance. As of both December 31, 2023, and 2022, 100 % of long-lived assets were in India. Revenue from external customers is attributed to individual countries based on customer location. (u) Recent Accounting Pronouncements In March 2023, the Financial Accounting Standard Board (“FASB”) issued Accounting Standard Update (“ASU”) No. 2023-01, Leases (“Accounting Standards Codification (“ASC”) Topic 842”): Common Control Arrangements. This ASU provides guidance in ASC Topic 842 that leasehold improvements associated with common control leases should be (i) amortized by the lessee over the useful life of the leasehold improvements to the common control group, regardless of the lease term, as long as the lessee controls the use of the underlying asset through a lease, and (ii) accounted for as a transfer between entities under common control through an adjustment to equity if and when the lessee no longer controls the use of the underlying asset. The ASU is effective for fiscal years beginning after December 15, 2023. Early adoption is permitted for both interim and annual financial statements that have not yet been issued. When adopted in an interim period, it must be adopted from the beginning of the year that includes that interim period. The Company does not have any lease arrangements with entities under common control and the adoption of this ASU is not expected to have a material impact on its consolidated financial statements. In October 2023, the FASB issued ASU 2023-06, Disclosure Improvements: Codification Amendments in Response to the SEC’s Disclosure Update and Simplification Initiative. This ASU modifies the disclosure or presentation requirements of a variety of Topics in the Codification. Certain of the amendments represent clarifications to or technical corrections of the current requirements. For entities subject to the SEC’s existing disclosure requirements and for entities required to file or furnish consolidated financial statements with or to the SEC in preparation for the sale of or for purposes of issuing securities that are not subject to contractual restrictions on transfer, the effective date for each amendment will be the date on which the SEC’s removal of that related disclosure from Regulation S-X or Regulation S-K becomes effective, with early adoption prohibited. The amendments in this ASU should be applied prospectively. For all entities, if by June 30, 2027, the SEC has not removed the applicable requirement from Regulation S-X or Regulation S-K, the pending content of the related amendment will be removed from the Codification and will not become effective for any entity. The adoption of this ASU will not have a material impact on the Company’s consolidated financial statements. The Company will continue to monitor SEC action, and plan accordingly for adoption. In November 2023, FASB issued ASU No. 2023-07, Segment Reporting (“ASC Topic 280”): Improvements to Reportable Segment Disclosures. This ASU improves reportable segment disclosure requirements on an annual and interim basis for all public entities by requiring disclosure of significant segment expenses that are regularly reviewed by the chief operating decision maker (“CODM”) and included within each reported measure of segment profit or loss, an amount and description of its composition for other segment items, and interim disclosures of a reportable segment’s profit or loss and assets. The ASU also allows, in addition to the measure that is most consistent with U.S. GAAP, the disclosure of additional measures of segment profit or loss that are used by the CODM in assessing segment performance and deciding how to allocate resources. The ASU is effective for fiscal years beginning after December 15, 2023, and interim periods within fiscal years beginning after December 15, 2024, with early adoption permitted. The Company is currently evaluating the impact of this ASU on its consolidated financial statements. In December 2023, FASB issued ASU No. 2023-09, Income Taxes (“ASC Topic 740”), Improvements to Income Tax Disclosures. This ASU expands disclosures relating to the entity’s income tax rate reconciliation, income taxes paid and certain other disclosures related to income taxes. The ASU will be effective for annual periods beginning after December 15, 2024. The Company is currently evaluating the impact of this ASU on its consolidated financial statements. F- 30 NOTE 3 – PROPERTY AND EQUIPMENT The Company’s property and equipment consisted of the following: 2023 2022 Gross Amount Computer & peripherals 180,009 80,532 Furniture 175,707 89,044 Leasehold improvement 154,651 - Office equipment 103,371 68,059 Plant and machinery 128,498 49,331 R & D equipment 90,434 120,480 Server & networking 21,999 8,761 Vehicles 183,577 153,619 Machine CWIP - 48,000 Accumulated depreciation ( 331,841 ) ( 200,812 ) Total 706,405 417,014 Depreciation and amortization expenses for the year ended December 31, 2023, and 2022 amounted to $ 152,738 and $ 96,577 respectively. NOTE 4 – REVERSE RECAPITALIZATION The Transaction On April 14, 2023 (“Closing”), the Company consummated the acquisition of CardioVentures, Inc., a Delaware corporation (“CardioVentures”), pursuant to a Merger Agreement dated November 7, 2022 (the “Merger Agreement”). This agreement was executed among AVRA-SSI Merger Corporation, 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. At Closing, Merger Sub merged with and into CardioVentures (the “Merger”), with CardioVentures being determined as the accounting acquirer for financial reporting purposes in accordance with ASC 805. The transaction was accounted for as a reverse recapitalization, with AVRA being treated as the accounting acquiree. This determination was based on several factors: ● CardioVentures’ stockholders obtained the largest portion of voting rights in the post-combination company. ● The Board and management of the combined entity are primarily composed of individuals associated with CardioVentures. ● CardioVentures had a larger entity size based on historical operations, assets, revenues, and workforce. ● The ongoing operations, post-combination, are those of CardioVentures. F- 31 Merger Consideration and Share Issuance: As part of the Merger, holders of CardioVentures’ outstanding common stock, including certain parties who provided interim convertible financing, were issued 135,808,884 shares of SSII common stock, representing approximately 95 % of the issued and outstanding shares of SSII post-merger, while the existing SSII shareholders retained approximately 5 % ( 6,545,531 shares) of the post-merger issued shares. Pursuant to the Merger Agreement, the holders of CardioVentures’ common stock also received 5,000 shares of newly designated Series A Non-Convertible Preferred Stock (the “Series A Preferred Shares”). These shares: ● Vote together with SSII common stock as a single class, except as required by law. ● Entitle holders to exercise 51 % of the total voting power of the Company. ● Are not convertible into common stock, have no dividend rights, and carry a nominal liquidation preference. ● Include protective provisions requiring the majority vote of Series A Preferred Shares to amend their rights. ● Are subject to automatic redemption for nominal consideration if holders own less than 50 % of the shares received in the Merger. Restructuring and Capital Contributions: Concurrent with the Merger: ● The Company changed its name to “SS Innovations International, Inc.,” effected a one-for-ten reverse stock split, and increased its authorized common stock to 250,000,000 shares. ● Dr. Sudhir Srivastava, through his holding company, assigned patents, trademarks, and other intellectual property related to its surgical robotic systems to a wholly owned subsidiary of SSII. ● Dr. Frederic Moll and Andrew Economos provided interim financing during 2022, contributing $ 3,000,000 each. As a result, Dr. Moll received 7 % of SSII’s post-merger issued and outstanding common stock on a fully diluted basis, with 4 % treated as stock compensation expenses for strategic value. Economos received 2.86 % of SSII’s post-merger issued shares. Reverse Recapitalization Impact: As part of the reverse recapitalization, CardioVentures acquired the net assets of AVRA at fair value at Closing. The fair value of AVRA’s net assets was assessed to be zero by management, resulting in a recognized loss of $ 5,000,000 in additional paid-in capital. This loss was due to the difference between the fair value of the shares issued ( 5 % of the total) and AVRA’s net assets. For comparative periods, the assets and liabilities of CardioVentures (the accounting acquirer) were recognized at their pre-combination carrying amounts, with retained earnings and equity balances carried forward. The equity structure reflects that of AVRA (the legal parent) using the exchange ratio established in the Merger Agreement. NOTE 5 – ACCOUNTS RECEIVABLE, NET Accounts receivable and long-term receivable for the year ended December 31, 2023, and December 31, 2022 consisted of: 2023 2022 Accounts receivable, net (current) 1,901,244 156,857 Accounts receivable, net (non-current) 2,365,013 886,263 Total Accounts receivable, net 4,266,257 1,043,120 F- 32 The Company performed an analysis of the trade receivables related to SSI-India and determined, based on the deferred payment terms of the contracts, that a $ 2,365,013 may not be due and collectible in the next one year and thus the Company classified these receivables as non-current. Details of customers which accounted for 10% or more of total revenues or 10% or more of total accounts receivables during the years ended December 31, 2023 and 2022: Percentage of Revenue Percentage of For Years ended Accounts Receivable December 31, December 31, 2023 2022 2023 2022 Customer A 7 % - 12 % - Customer B 2 % 37 % 13 % 52 % Customer C 18 % - - - Customer D - 26 % - 43 % Customer E - 37 % - 5 % NOTE 6 – CASH, CASH EQUIVALENTS AND RESTRICTED CASH For the purpose of consolidated statement of cash flows, cash, cash equivalents and restricted cash (Current) & (Non-Current) consisted of the following as of December 31, 2023, and December 31, 2022: 2023 2022 Cash and cash equivalents 2,022,276 217,177 Fixed Deposit Lien Against Overdraft Facility 4,962,515 42,942 Lien Against Letter of Credit 24,041 - Lien Against Bank Guarantee 43,094 - Lien against Credit card facility - 14,506 Restricted cash (Current) 5,029,650 57,448 Fixed Deposit Lien Against Bank Guarantee 19,233 - Lien against Credit card facility 16,686 - Restricted Cash (Non- current) 35,919 - Total Cash, cash equivalents and restricted cash 7,087,845 274,625 We have classified fixed deposits (FDs), which are subject to withdrawal restrictions, as Restricted cash. Additionally, time deposits with a maturity of over one year have been classified as non-current. The Company has secured a bank overdraft facility from HDFC Bank, collateralized by fixed deposits held with HDFC Bank. This facility includes a withdrawal restriction tied to the fixed deposit. (Refer Note 10 – Bank Overdraft.) F- 33 NOTE 7 – PREPAID, CURRENT AND NON- CURRENT ASSETS Prepaid, Current and Non-Current Assets consisted of the following as of December 31, 2023, and December 31, 2022: 2023 2022 Receivables from statutory authorities 1,904,859 706,817 Prepaid expense - stock compensation current 1,066,991 - Security deposit 299,540 7,796 Other Prepaid- current assets 618,627 416,198 Prepaid and Other Current Assets 3,890,017 1,130,811 Prepaid expense - stock compensation non current 4,090,131 - Security deposits 225,488 77,048 Other Prepaid- non current Asset 6,825 6,864 Prepaid and Other Non Current Assets 4,322,444 83,912 Total Prepaid, Current and Non Current Assets 8,212,461 1,214,723 Prepaid expenses – stock compensation represents unamortized portion of common stock granted to advisors for services to be rendered by them in future. Refer note 19. NOTE 8 – ACCOUNTS PAYABLE AND ACCRUED EXPENSES Accounts payable and accrued current and non-current expenses consisted of the following as of December 31, 2023, and December 31, 2022: 2023 2022 Accounts Payable 901,552 165,477 Payable to statutory authorities 35,149 14,515 Salary payable 310,789 136,501 Other accrued liabilities 144,001 347,081 Other accrued liabilities 489,939 498,097 Provision for Gratuity Long term 33,933 10,626 Other accrued liabilities- Non Current 33,933 10,626 Total accounts payable, accrued current and non-current expenses 1,425,424 674,200 Accounts payable of $ 901,552 as of December 31, 2023, reflect the amounts due to various vendors of supplies and services in the normal course of business operations. Other accrued liabilities of $ 144,001 as of December 31, 2023, mainly include $ 78,017 provision for expense and $ 49,160 as advance from customers. F- 34 NOTE 9 – NOTES PAYABLE On April 15, 2023, the Company executed a Convertible Promissory Note (the “Line of Credit Note”) with Sushruta Pvt Ltd. (“Sushruta”), the Bahamian holding company owned by Dr. Sudhir Srivastava, our Chairman, Chief Executive Officer, and principal shareholder. Pursuant to the Line of Credit Note, SPL, in its discretion may make multiple advances to the Company through December 31, 2023 (the “Maturity Date”), in an aggregate amount of up to $ 20,000,000 for working capital purposes. The advances under the Line of Credit Note do not bear interest and are due and payable on or before the Maturity Date. Sushruta may, at its option, convert the principal amount of any advance into shares of our common stock, at a conversion price of $ 0.74 per share. During the year ended December 31, 2023 $ 16,980,000 in advances that were outstanding under the Line of Credit Note, were converted into 22,945,945 shares issued to Sushruta at the conversion price of $ 0.74 per share and as of December 31, 2023, there were no further advances convertible under the Line of Credit Note. The Company entered into an Agreement with Andrew Economos and Dr. Frederic Moll for issuing a convertible redeemable note in the principal amount of $ 3,000,000 each. The note may be converted into common shares (without any significant conversion premium on the debt) of the Company’s common stock at valuation of $ 100,000,000 . As on the date of merger, i.e. April 14, 2023, Andrew Economos converted $ 3,089,178 (comprising of US$ 3,000,000 of principal and $89,178 as interest) of his convertible note into 3,879,938 shares of common stock and Dr. Frederic Moll converted $ 3,049,364 (comprising of US$ 3,000,000 of principal and $49,364 as interest) of his convertible note into 3,767,933 shares of common stock. NOTE 10 – BANK OVERDRAFT FACILITY Bank overdraft facility consisted of the following as of December 31, 2023, and December 31, 2022. As of December 31, December 31, 2023 2022 HDFC Bank Limited Overdraft (with lien against fixed deposits) (OD1) 4,756,389 2,762,962 HDFC Bank Limited Overdraft (with personal guarantee of Dr. Sudhir Srivastava) (OD2) 1,262,537 360,084 Bank Overdraft 6,018,926 3,123,046 The HDFC Bank Overdraft (OD1) of $ 4,756,389 availed on the basis of lien on the fixed deposits of $ 4,962,515 provided by the Company. During the year ended December 31, 2023, the Company replaced the fixed deposits earlier provided by Dr. Sudhir Srivastava as security for this facility, by the fixed deposits out of its own funds, thereby improving the net working capital position of the Company. The HDFC Bank (OD2) is secured by all the current assets of the Company. Both above overdrafts are additionally secured by personal guarantees provided by Dr Sudhir Srivastava. As of December 31, 2023, and 2022, all financial and non-financial covenants under the bank overdraft facility agreement were complied with by the Company. HDFC Bank has sanctioned overdraft facilities subject to operational terms and conditions, including payment on demand, comprehensive insurance coverage against all risks of primary security, periodic inspections of the plant by the bank, and submission of monthly stock and financial records to the bank within 30 days after each month-end. Security for this facility includes current assets, plant and machinery, furniture and fixtures, and a personal guarantee from Mr. Sudhir Prem Shrivastava. The cash credit facility is sanctioned at an interest rate of 9.20 % per annum on the working capital overdraft limit, with interest payable monthly on the first day of the subsequent month. Overdraft facility against fixed deposits is sanctioned with an interest rate linked to HDFC Bank’s 3-year MCLR, payable at monthly intervals on the first day of the following month. NOTE 11 – BORROWINGS As part of our ongoing efforts to manage working capital and improve liquidity, we have arranged for Axis Bank to issue a Letter of Credit (LC) on behalf of one of our debtors, Indraprastha Cancer Society & Research Centre (RGCI), for $ 452,818 . This LC is valid for a period of 666 days. It is classified as a long-term obligation (including interest) for the year ended December 31, 2022, and as a short-term liability (including interest) for the year ended December 31, 2023 F- 35 In 2021, the Company received an offer for a term loan with a tenure of 24 months. The loan is structured with a half-yearly principal repayment schedule, and it carries an initial interest rate of 7.80 %. This rate is subject to variation as per the terms outlined in the loan schedule and is payable on a monthly rest basis. The primary securities provided against the loan include current assets, movable fixed assets, fixed deposits and plant and machinery. Additionally, the loan is backed by the personal guarantee of Dr. Sudhir Prem Shrivastava. This loan structure provides the company with a financing solution, secured by a comprehensive range of assets to support ongoing operational and capital needs. 2023 2022 Current maturities of long-term debt 510,189 120,880 Long-term borrowings, less current portion - 469,017 Total Borrowings 510,189 589,897 NOTE 12 – DEFERRED REVENUE Contract liabilities (deferred revenue) consist of advance billings and billing in excess of revenues recognized. Deferred revenue also includes the amount for which services have been rendered but other conditions of revenue recognition are not met, for example, where the Company does not have an enforceable contract. The revenues attributable to the warranty is recognized over the period to which it relates. During the year ended December 31, 2023, Company had sold 12 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 a deferred payment basis, the present value of the invoiced system sales, realizable over the deferred payment period, is recognized as system sales. The difference between the invoiced amount and its present value is adjusted (reduced) in the accounts receivable balance. This difference is recorded as interest income under other income, with a corresponding impact on accounts receivable over the collection period of contract. The Company recorded $ 151,497 and $ 2,994 as interest income on account of deferred financing component during the years ended December 31, 2023 and 2022 respectively. 2023 2022 Deferred revenue— beginning of period 43,917 - Additions 1,053,329 43,917 Net changes in liability for pre-existing contracts 1,097,246 - Revenue recognized 1,766 - Deferred revenue— end of period 1,095,480 43,917 2023 2022 Deferred revenue expected to be recognized in: One year or less 156,330 1,776 More than One year 939,150 42,141 1,095,480 43,917 F- 36 The following table disaggregates our revenue by major source: 2023 As Restated 2022 As Restated System Sales 5,225,777 1,394,824 Instruments Sale 647,766 41,323 Warranty Sales 1,771 - Total revenue 5,875,314 1,436,147 Revenues for each of the two years in the period ended December 31, 2023 and 2022 by geographic region (determined based upon customer domicile), were as follows: 2023 As Restated 2022 As Restated India 5,362,814 1,436,147 UAE 512,500 - 5,875,314 1,436,147 NOTE 13 – STOCKHOLDERS’ EQUITY Common stock The Company is authorized to issue up to 250,000,000 shares of common stock, $ 0.0001 par value per share. The Company has one class of common stock outstanding. Holders of the Company’s common stock are entitled to one vote per share. Upon the liquidation or dissolution of the Company, its common stockholders are entitled to receive a ratable share of the available net assets of the Company after payment of all debts and other liabilities. The Company’s shares of common stock have no preemptive, subscription, redemption or conversion rights. Preference shares The Company had issued 5,000 shares of preferred stock, par value $ 0.0001 during the year ended December 31, 2023. Common stock issued at the time of Merger At Closing of the Merger on April 14, 2023, 135,808,884 shares of our common stock and 5,000 Series A Preferred Shares were issued to Cardio Ventures. This includes common stock that was issued 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. Following the Merger an additional 3,818,028 shares of our common stock were issued to Dr. Frederic Moll per his interim financing agreement with the Company. Common Stock issued post-Merger During the year ended December 31, 2023, $ 16,980,000 in advances that were outstanding under the Line of Credit Note, were converted into 22,945,946 shares issued to Sushruta Pvt Ltd at the conversion price of $ 0.74 per share. During the year ended December 31, 2023, the Company converted warrants and issued 90,514 shares of our common stock to two accredited investors at $ 4.00 per share receiving $ 362,056 in total proceeds. In December 2023, the Company received $ 50,000 total proceeds in relation to the issuance of 12,500 shares of common stock upon the exercise of warrants previously sold to three accredited investors at an exercise price of $ 4.00 per share. These shares are formally issued to the accredited investor subsequent to the year end 31 December 2023. Company has disclosed 12,500 common stock in Consolidated Statements of changes in equity as “Common stock to be issued”. F- 37 During the year ended December 31, 2023, Farhan Taghizadeh exercised options and received 50,000 shares of common stock at a price of $ 1.00 per share. During the year ended on December 31, 2023, the Company issued 3,000 shares of common stock to Henry Gewanter in exchange for advisory services to be rendered over a 12-month period. The total fair value of such services is $ 24,450 . The value of services is calculated at the fair market value of shares as on date of contract. During the Year ended on December 31, 2023, the Company issued 50,000 shares of common stock to PCG Advisory, for investor and digital marketing services. The total value of such services is $ 100,000 . During the Year ended on December 31, 2023, the Company issued 75,000 shares of common stock to Seminars, Inc. that conducted online investment seminars in which the Company participated. The total value of services is $ 500,000 . During the year ended on December 31, 2023, the Company issued 116,348 shares of common stock to Somashekhar S P in exchange for advisory services to be rendered over a five-year period. Total fair value of such services is $ 1,045,968 . The value of services is calculated at fair market value of shares as on date of contract. During the year ended on December 31, 2023, the Company issued 477,084 shares of common stock to Dr. Sudhir Kumar Rawal (RSS & Co Ltd) in exchange for his advisory services to be rendered over a five-year period. The total fair value of such services is $ 4,288,985 . The value of services is calculated at fair market value of shares as on date of contract. During the year ended on December 31, 2023, the Company issued 13,816 shares of common stock to Dr. Van Praet Frank in terms of his contract for advisory services to be rendered over a five-year period. The total fair value of services is $ 124,207 . The value of services is calculated at fair market value of shares as on date of contract. During the year ended on December 31, 2023, the Company issued 1,860 shares of common stock to Dr. Amitabh Singh in terms of his contract for advisory services to be rendered over a five-year period. The total fair value of services is $ 16,721 . The value of services is calculated at fair market value of shares as on date of contract. During the year ended on December 31, 2023, the Company issued 1,480 shares of common stock to Dr. Ashish Khanna under the terms of his contract for advisory services to be rendered over a five-year period. The total fair value of services is $ 13,305 . The value of services is calculated at fair market value of shares as on date of contract. During the year ended on December 31, 2023, the Company issued 5,835 shares of common stock to Dr. Vivek Bindal under the terms of his contract for advisory services to be rendered over a five-year period. The total fair value of services is $ 52,456 . The value of services is calculated at fair market value of shares as on date of contract. On November 27, 2023, the Company issued 169,118 shares of common stock to Chief Financial Officer, Anup Kumar Sethi, which is 20 % of a total grant of 845,592 shares awarded to him pursuant to the Company’s 2016 Incentive Stock Plan. The balance of 80 % vests in four equal annual instalments subject to his remaining employed by the Company or its subsidiaries. On November 27, 2023, the Company issued 549,437 shares of common stock to ninety employees of the Company’s subsidiaries, which is 20 % of a total grant of 2,747,187 shares awarded to such employees pursuant to the Company’s 2016 Incentive Stock Plan. The balance 80 % vests in four equal annual instalments subject to such employees remaining employed by the Company or its subsidiaries. Holders of common stock are entitled to one vote for each share of common stock held. F- 38 NOTE 14 – RELATED PARTY TRANSACTIONS As of December 31, 2023, and December 31, 2022, there were amounts due from and due to related parties as mentioned below. The advances are unsecured, non-interest bearing and due on demand. December 31, December 31, 2023 2022 Receivable from Related party 1,567,559 1,628,839 Total 1,567,559 1,628,839 December 31, December 31, 2023 2022 Payable to Related party - ( 675,013 ) Total - ( 675,013 ) The receivable/payable balances from/to related parties is across the Company and its related entities in the normal course of business. All such receivable/payable balances are non-interest bearing and are receivable/repayable on demand. Receivable from related party amounting to $ 1,567,559 and $ 1,628,839 as at December 31, 2023 and 2022 respectively, represents proceeds of convertible promissory notes raised by the Company from the investors during the respective years, but collected by related entities on its behalf. Further, payable to related party amounting to $ 675,013 as at December 31, 2022 represents liability for expenses paid by related entities on behalf of the Company. On April 15, 2023, the Company executed a Convertible Promissory Note (the “Line of Credit Note”) with Sushruta Pvt Ltd. (“ SPL ”), the Bahamian holding company owned by Dr. Sudhir Srivastava, our Chairman, Chief Executive Officer, and principal shareholder. Pursuant to the Line of Credit Note, SPL, in its discretion may make multiple advances to the Company through December 31, 2023 (the “Maturity Date”), in an aggregate amount of up to $ 20,000,000 for working capital purposes. The advances under the Line of Credit Note do not bear interest and are due and payable on or before the Maturity Date. SPL may, at its option, convert the principal amount of any advance into shares of our common stock, at a conversion price of $ 0.74 per share. During the year ended December 31, 2023, $ 16,980,000 in advances that were outstanding under the Line of Credit Note, were converted into 22,945,946 shares issued to SPL at the conversion price of $ 0.74 per share and as of December 31, 2023, there were no further advances convertible under the Line of Credit Note. In April 2024, the Company raised $ 2,000,000 from Sushruta Pvt Ltd. by issuance of two 7 % One-Year Promissory note of $ 1,000,000 each, to meet certain working capital needs. In July 2024, the Company further raised $ 500,000 from Sushruta Pvt Ltd. by issuance of another One-Year 7 % One-Year Promissory notes to meet certain working capital needs. In October 2024, the Company borrowed $ 250,000 from Sushruta Pvt Ltd. to meet certain working capital needs evidenced by an additional One-Year 7 % Promissory Note in such principal amount. In October 2024, our SSI-India subsidiary’s working capital facilities from HDFC Bank were also increased by an additional $ 1,093,881 . NOTE 15 – LEASES The Company conducts its operations using facilities leased under operating lease agreements that expire at various dates. The following is a summary of operating lease assets and liabilities: 2023 2022 Operating leases Assets ROU operating lease assets 2,657,554 1,498,109 Liabilities Current portion of operating lease 396,784 181,900 Non Current portion of operating lease 2,351,113 1,371,097 Total lease liabilities 2,747,897 1,552,997 F- 39 2023 2022 Operating leases Weighted average remaining lease term (years) Ilabs Info Technology 3rd Floor 6.19 7.19 Village Chhatarpur-1257-1258-Farm - 1.97 Ilabs Info Technology Ground Floor 8.42 - Village Chhatarpur-1849-1852-Farm 1.58 - Weighted average discount rate Ilabs Info Technology 3rd Floor 12 % 12 % Village Chhatarpur-1257-1258-Farm - 10 % Ilabs Info Technology Ground Floor 12 % - Village Chhatarpur-1849-1852-Farm 10 % - Supplemental cash flow and other information related to leases are as follows: Year ended December 31 2023 2022 Cash payments for amounts included in the measurement of lease liabilities: Operating cash outflows for operating leases 524,766 362,988 F- 40 Maturities of lease liabilities as of December 31, 2023 were as follows: Operating Leases Fiscal Year Amount in $ 2024 694,377 2025 617,910 2026 499,437 2027 507,568 2028 516,106 2029 and thereafter 1,172,810 Total Lease Payment 4,008,207 Less: Imputed Interest 1,260,310 Present value of lease liabilities 2,747,897 Maturities of lease liabilities as of December 31, 2022 were as follows: Operating Leases Fiscal Year Amount in $ 2023 352,486 2024 376,245 2025 294,834 2026 294,834 2027 294,834 2028 and thereafter 638,807 Total Lease Payment 2,252,040 Less: Imputed Interest 699,043 Present value of lease liabilities 1,552,997 NOTE 16– INCOME TAX The Company has not recorded income tax benefits for the net operating losses incurred during the years ended December 31, 2023, and 2022 nor for other deferred tax assets generated, due to its uncertainty of realizing a benefit from those items . The components of income/(loss) before income taxes consist of the following: Year ended December 31, 2023 2022 Domestic - - Foreign ( 20,878,292 ) ( 3,213,882 ) Total ( 20,878,292 ) ( 3,213,882 ) The Company does not have federal and state net operating losses as of December 31, 2023, and 2022. The Company has not recorded any amounts for unrecognized tax benefits as of December 31, 2023, and 2022. The Company’s practice is to recognize interest and penalties related to income tax matters in income tax expense. The Company had no accrual of interest and penalties on the Company’s balance sheets and has not recognized interest and penalties in the consolidated statements of operations and comprehensive loss for the years ended December 31, 2023, and 2022. The Company is subject to taxation in the United States and India. The Company’s tax returns filed has no pending examinations in India and US. F- 41 The effective income tax rate differs from the amount computed by applying the income tax rate of India to Income/(Loss) before income taxes approximately as follows: Year ended December 31, 2023 2022 Accounting profit / (loss) before income tax ( 20,878,292 ) ( 3,213,882 ) Income tax expense (benefit) at federal statutory rate at 21 % ( 4,384,441 ) ( 674,915 ) Foreign tax rate differential ( 1,078,990 ) ( 166,093 ) Non-deductible expenses ( 23,494 ) ( 23,626 ) Excess tax expense/(benefit) on depreciation 18,621 14,271 Excess tax expense/(benefit) on Security deposit 10,826 305 Impact of unrecognized deferred tax asset on the loss of the year 5,457,478 850,058 Income tax expense/(benefit) - - The Company recorded Nil income tax expense for the years ended December 31, 2023, and 2022 due to losses in current year and prior year and it does not expect to recover the tax benefit on the losses incurred during the years ended December 31, 2023, and 2022. The components of the deferred tax balances were as follows: December 31, 2023 December 31, 2022 Deferred tax assets: Net operating loss carry forwards 763,591 93,772 Net operating loss 4,360,270 669,819 Lease payments 18,976 11,527 Others 23,754 1,533 5,166,591 776,651 Valuation allowance ( 5,145,040 ) ( 768,324 ) Deferred tax assets 21,551 8,327 Deferred tax liabilities: Depreciation and amortization 16,763 929 Others 4,788 7,398 Deferred tax liabilities 21,551 8,327 Net deferred tax assets/Liability - - Deferred tax assets and liabilities are recognized for future tax consequences attributable to temporary differences between the financial statement carrying values of assets and liabilities and their respective tax bases and operating loss carry forwards. The Company performed an analysis of the realizability of deferred tax assets as of December 31, 2023, and 2022, and recorded a valuation allowance of $ 5,145,040 and $ 768,324 , respectively. NOTE 17 – EMPLOYEE BENEFIT PLAN The Company’s Gratuity Plan in India provides for a lump sum payment to vested employees on retirement or upon termination of employment in an amount based on the respective employee’s salary and years of employment with the Company. Liabilities under this plan are determined by actuarial valuation using the projected unit credit method. Current service costs for these plans are accrued in the year to which they relate. Actuarial gains or losses or prior service costs, if any, resulting from amendments to the plans, are recognized and amortized over the remaining period of service of the employees. F- 42 The Gratuity Plan is unfunded, and the company does not make contributions to the plan assets. The benefit obligation has been measured as of December 31, 2023, and 2022. The following table sets forth the activity and the amounts recognized in the Company’s consolidated financial statements at the end of the relevant periods: Year ended December 31, Change in projected benefit obligation 2023 2022 Projected benefit obligation as of January 1 10,655 8,118 Service cost 15,707 5,719 Interest cost 759 408 Benefits paid - - Actuarial gain (1) 7,009 ( 2,583 ) Effect of exchange rate changes ( 125 ) ( 1,007 ) Projected benefit obligation as of December 31 34,005 10,655 Unfunded status as of December 31 34,005 10,655 Unfunded amount recognized in the consolidated balance sheets Non-current liability (included under other non-current liabilities) 33,933 10,626 Current liability (included under accrued employee costs) 72 29 Total accrued liability 34,005 10,655 Accumulated benefit obligation as of December 31 15,508 4,390 (1) During the years ended December 31, 2023, and 2022 , actuarial gain was driven by changes in actuarial assumptions, offset by experience adjustments on present value of benefit obligations. Components of net periodic benefit costs recognized in Consolidated Statements of operations and comprehensive loss and actuarial (gain)/loss reclassified from AOCI, were as follows: Year ended December 31, 2023 2022 Service cost 15,707 5,719 Interest cost 759 408 Expected return on plan assets - - Amortization of actuarial (gain)/loss, gross of tax - - Net gratuity cost 16,465 6,127 F- 43 The components of retirement benefits included in AOCI, excluding tax effects, were as follows: Year ended December 31, 2023 2022 Net actuarial gain/(loss) ( 7,009 ) 2,583 Net prior service cost - - Amount recognized in AOCI, excluding tax effects ( 7,009 ) 2,583 The weighted average actuarial assumptions used to determine benefit obligations and net gratuity cost were: 2023 2022 Discount rate 7.08 % 7.14 % Rate of increase in compensation levels 15 % 15 % Expected long-term rate of return on plan assets per annum - - The Company evaluates these assumptions annually based on its long-term plans of growth and industry standards. The discount rates are either based on current market yields on government securities or yields on government securities adjusted for a suitable risk premium, if available. Expected benefit payments during the year ending December 31, 2024 6,181 2025 6,277 2026 6,087 2027 4,561 2028 – 2032 28,519 ii) Mortality Table IALM (2012 – 14) iii) Ages Withdrawal Rate (%) Withdrawal Rate (%) Withdrawal Rate (%) Up to 30 Years 30.00 30.00 30.00 From 31 to 44 years 30.00 30.00 30.00 Above 44 years 30.00 30.00 30.00 NOTE 18 – FAIR VALUE MEASUREMENT – FINANCIAL INSTRUMENTS Assets and liabilities recorded at fair value are measured using the fair value hierarchy, which prioritizes the inputs used in measuring fair value. The levels of the fair value hierarchy are: ● Level 1: observable inputs such as quoted prices in active markets. ● Level 2: inputs other than quoted prices in active markets that are either directly or indirectly observable; and ● Level 3: unobservable inputs for which little or no market data exists, therefore requiring the Company to develop its own assumptions. F- 44 The company’s financial assets which are set out below in the table is measured at fair value by considering the level III inputs. The company does not have financial assets which are measured using Level I or Level II inputs. Carrying value and fair value of Level III Financial assets and liabilities: Carrying Value Fair value December 31, 2023 December 31, 2022 December 31, 2023 December 31, 2022 Financial Assets Account receivables net (1) 2,365,013 886,263 2,365,013 886,263 Other non-current financial assets (2) 171,146 63,266 171,146 63,266 Total 2,536,159 949,529 2,536,159 949,529 Financial Liabilities Borrowings (3) - 469,017 - 469,017 Lease liabilities (4) 2,351,113 1,371,097 2,351,113 1,371,097 Other non-current financial liabilities (5) 33,933 10,626 33,933 10,626 Total 2,385,046 1,850,740 2,385,046 1,850,740 (1) Account receivable net of allowance represent the long-term debtors of the company in relation to the sales made during the year. The Company has presented the receivable balances account after reducing the significant financing component included using the discount rate of 10%. (2) Other non-current assets include security deposits and long-term fixed deposits with banks. Company has calculated the fair value of security deposit at present value of future receipt using discount rate of 10% and fair value of long-term fixed deposit with banks are carried at cost which is approximate to the fair value. (3) Long term borrowing includes a loan from the Axis bank in prior year period only. The Company has carried the loan balance at cost which is approximate to the fair value. (4) The Company has long term lease liabilities in relation to office properties which is carried at cost using the discount rate (Refer Note 15 Lease). (5) Other non-current financial liabilities include provision for gratuity which is carried at a cost which is approximate to its fair value (Refer Note 19 Employee benefit plans). The Company has assessed that the financial instruments that are not carried at fair value consist primarily of cash and cash equivalents, restricted cash, receivable from related party, prepaid and other current assets, note payable, Bank overdraft facility, account payable, and payable to related party for which fair values approximate their carrying amounts due to the short-term maturities of these instruments. NOTE 19 – STOCK COMPENSATION EXPENSES Stock options to Employees: Company grants share of the company’s common stock, par value $ 0.0001 . The price at which the Grantee shall be entitled to purchase the Shares upon the exercise of the Option (the “Option Price”) shall be US $ 5.00 per Share. The Shares shall vest as to twenty percent ( 20 %) of the shares covered thereunder as of the Grant Date, with the balance of the shares covered thereunder vesting in four equal annual installments on the first, second, third and fourth anniversaries of the Grant Date provided that the Grantee remains in the Continuous Employment of the Company or any of its subsidiaries or affiliates, as defined and provided for in the Plan. The Options, to the extent vested and not exercised, shall expire five ( 5 ) years from the Grant Date. Restricted Stock Award to Employees : Company grants restricted share of the company’s common stock, $ 0.0001 per value under the company’s 2016 stock incentive plan. The grant of restricted share is made in consideration of services to be rendered by the Grantee to the company. The Restricted Stock Award shall vest as to twenty percent ( 20 %) of the Restricted Shares covered thereunder as of the Grant Date, with the balance of the Restricted Shares covered thereunder vesting in four equal annual installments on the first, second, third and fourth anniversaries of the Grant Date, subject to the Grantee’s continued employment by the Company, as provided for in the Plan. Unvested portions of the Restricted Stock Award may not be transferred at any time, except to the extent provided for in the Plan. Until the Restricted Stock Award granted under this Agreement vests in accordance with the terms hereof, the Grantee shall have no rights as a shareholder (including, without limitation, voting and dividend rights) with respect to any of the Restricted Shares covered by the Restricted Stock Award. F- 45 Stock Options issued to Doctors/Proctors as Advisors : Company issue common stock (“Advisory Share”) to retain the Advisor to perform the Services and in exchange for the compensation, which is issued in a phased manner as determined by the company. The “Services” includes (a) provide proctoring and medical advisory services, (b) advise the Company related to development of surgical robotics procedures and improvements in design and technology (c) participate in case observation and live surgery performance (d) disseminate information about Company’s products as speaker in various scientific meets/surgical robotic conferences globally. Stock Options Stock options activity for the year ended December 31, 2023, was as follows: Number of Shares Options Weighted average grant date fair value per share Unvested balance as of December 31, 2022 - - Granted 4,227,960 $ 3.41 Vested 924,359 $ 3.41 Forfeited - - Unvested balance as of December 31, 2023 3,303,601 $ 3.41 The aggregate fair value of the stock options vested was $ 3,152,066 and Nil during the year December 31, 2023 and 2022 respectively. The options vested during the year were not exercised at the end of the year December 31, 2023. Further there were no stock options issued during the year December 31, 2022. Restricted Stock Awards (RSA) Restricted Stock Awards activity for the year ended December 31, 2023, was as follows: Number of Shares RSAs Weighted average grant date fair value per share Unvested balance as of December 31, 2022 - - Granted 3,592,779 $ 7.76 Vested 785,490 $ 7.76 Forfeited - - Unvested balance as of December 31, 2023 2,807,289 $ 7.76 During the year ending December 31, 2023, 718,556 vested RSA were exercised and issued to the employees of total common stock of $ 5,575,994 . The aggregate vesting date fair value of RSAs vested was $ 6,095,401 and Nil during the years ended December 31, 2023, and 2022 respectively. There were no RSAs issued during the year December 31, 2022. Advisory shares: Common stock issued to consultants as advisory shares during the year as follows: Grant dates Fair value on grant date Total shares granted Option vested Unvested Option at year end 1-Jun-23 8.15 12,000 7,000 5,000 31-Oct-23 8.99 116,348 116,348 - 31-Oct-23 8.99 477,084 477,084 - 31-Oct-23 8.99 69,082 16,119 52,963 31-Oct-23 8.99 9,300 2,170 7,130 31-Oct-23 8.99 7,400 1,727 5,673 31-Oct-23 8.99 29,176 6,808 22,368 29-Sep-23 2.00 50,000 50,000 - 28-Jun-23 6.67 75,000 75,000 - Total 845,390 752,256 93,134 F- 46 The aggregate vesting date fair value of Advisory shares issued was $ 5,633,147 and Nil during the years ended December 31, 2023, and 2022 respectively Stock compensation expenses During the year ended December 31, 2023, the Company has recorded share compensation expense of $ 9,723,492 in relation to stock options, RSU and Advisory shares as follows (2022- no stock compensation expense was recorded): For the year ended December 31, 2023, Stock options 3,152,066 Restricted stock units (RSU) 6,095,401 Advisory shares 476,025 Total stock compensation expenses 9,723,492 Stock option model & assumptions The Black-Scholes-Merton option pricing model is used to estimate the fair value of stock options and RSU granted under the Company’s share-based compensation plans and the rights to acquire stock granted under the stock options plans. The weighted-average estimated fair values of stock options and the rights to acquire stock as well as the weighted-average assumptions used in calculating the fair values of stock options and the rights to acquire stock that were granted during the years ended December 31, 2023, and 2022, were as follows: Year ended December 31, 2023 Stock Options Restricted stock options Fair value on grant date $ 3.41 $ 7.76 Risk free interest rate 4.4 % 4.4 % Expected volatility 18.5 % 18.5 % Exercise prices $ 5.00 $ 0.0001 Share price on the grant date $ 7.76 $ 7.76 Expected term of vesting 4 years 4 years As share-based compensation expense recognized in the Consolidated Statements of operations and comprehensive loss during the years ended December 31, 2023, and 2022, is based on awards ultimately expected to vest, it has been reduced for estimated forfeitures, if any. As of December 31, 2023, there was $ 11,265,277 , $ 21,784,566 of total unrecognized compensation expense related to unvested stock options and restricted stock units to acquire common stock under the 2016 Inventive Stock plan respectively. The unrecognized compensation expense is expected to be recognized over a weighted-average period of 3 years for unvested stock options and restricted stock units for rights granted to acquire common stock under 2016 Incentive Stock Plan. F- 47 NOTE 20 – COMMITMENTS 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 $ 16,528 plus applicable taxes. This lease expires in March 2030 . Effective June 1, 2023, the SSI-India subsidiary signed another lease agreement to occupy 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 $ 12,033 plus taxes and expires on May 31, 2032 , subject to further renewal on mutually acceptable terms. NOTE 21 – SUBSEQUENT EVENTS 1. 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 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. 2. In the month of February 2024, through February 14, 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 . 3. In April 2024, the Company raised $ 2,000,000 from Sushruta Pvt Ltd. by issuance of two 7 % One-Year Promissory note of $ 1,000,000 each, to meet certain working capital needs. 4. In July 2024, the Company further raised $ 500,000 from Sushruta Pvt Ltd. by issuance of another One-Year 7 % One-Year Promissory notes to meet certain working capital needs. 5. In August 2024, the Company issued $ 125,000 shares to certain doctors/proctors for providing their proctoring/mentoring services. 6. In October 2024, the Company borrowed $ 250,000 from Sushruta Pvt Ltd. to meet certain working capital needs evidenced by an additional One-Year 7 % Promissory Note in such principal amount. In October 2024, our SSI-India subsidiary’s working capital facilities from HDFC Bank were also increased by an additional $ 1,093,881 . F- 48 Item 15. Exhibits, Financial Statement Schedules. (a) The following documents are filed as part of this Amendment: (1) Financial Statements . The following financial statements and the report of our independent registered public accounting firm are filed as “ Item 8. Financial Statements and Supplementary Data ” of this Amendment: Page Report of Independent Registered Public Accounting Firm (BDO India LLP; Mumbai, India; PCAOB ID#6074) F-2 Consolidated Balance Sheets as of December 31, 2023 and December 31, 2022 F-4 Consolidated Statements of operations and comprehensive loss for the years ended December 31, 2023 and December 31, 2022 F-5 Consolidated Statements of cash flows for the years ended December 31, 2023 and December 31, 2022 F-6 Consolidated Statements of changes in equity for the years ended December 31, 2023 and December 31, 2022 F-7 Notes to Consolidated Financial Statements F-8 2) Financial Statement Schedules. Financial Statement Schedules are omitted because the information required is not applicable or the required information is shown in the financial statements or notes thereto. 1 (3) Exhibits. Exhibit Number Description 3.1(i) Amended and Restated Articles of Incorporation (1) 3.1(ii) Articles of Amendment to Amended and Restated Articles of Incorporation (2) 3.2 By-Laws (1) 10.1 2016 Incentive Stock Plan (1)+ 10.2 Employment Agreement with Dr, Sudhir Srivastava (2) 10.3 Employment Agreement with Dr. Vishwajyoti P. Srivastava (2)+ 10.6 Employment Agreement with Anup Sethi (2)+ 10.7 Employment Agreement with Barry F. Cohen (3)+ 10.8 Promissory Note made in favor of Sushruta Pvt. Ltd. (3) 10.9 Form of Director Appointment Agreement (1)+ 10.10 Form of Indemnification Agreement (1)+ 14.1 Code of Ethical Conduct (1) 21.1 List of Subsidiaries (4) 31.1 Section 302 Certification by Chief Executive Officer (5) 31.2 Section 302 Certification by Chief Financial Officer (5) 32.1 Section 906 Certification by Chief Executive Officer (5) 32.2 Section 906 Certification by Chief Financial Officer (5) 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). (1) Filed as an exhibit to the Company’s Registration Statement on Form S-1 (File No. 333-216054) and incorporated herein by reference. (2) Filed as an exhibit to the Company’s Current Report on Form 8-K filed on April 19, 2023 and incorporated herein by reference. (3) Filed as an exhibit to the Company’s Current Quarterly Report on Form 10-Q for the quarter ended June 30, 2023 filed on August 8, 2023 and incorporated herein by reference. (4) Previously filed with Original Filing. (5) Filed herewith. + Indicates management contract or compensatory plan or arrangement. 2 SIGNATURES Pursuant to the requirements of Section 13 or 15(d) 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. SS INNOVATIONS INTERNATIONAL, INC. Dated: December 20, 2024 By: /s/ Sudhir Srivastava Sudhir Srivastava, M.D., Chairman, Chief Executive Officer and Director (Principal Executive Officer) Dated: December 20, 2024 By: /s/ Anup Sethi Anup Sethi, Chief Financial Officer (Principal Financial Officer and Principal Accounting Officer) 3