ENDRA Life Sciences Inc. - Quarter Report: 2017 March (Form 10-Q)
UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
FORM 10-Q
(Mark One)
☑
QUARTERLY REPORT PURSUANT TO
SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF
1934
FOR THE QUARTERLY PERIOD ENDED MARCH 31, 2017
OR
☐
TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE
SECURITIES EXCHANGE ACT OF 1934
COMMISSION FILE NUMBER 001-37969
ENDRA LIFE SCIENCES INC.
(Exact name of
registrant as specified in its charter)
Delaware
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26-0579295
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(State
of incorporation)
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(I.R.S.
Employer Identification No.)
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3600 Green Court, Suite 350, Ann Arbor, MI 48105-1570
(Address of principal executive office) (Zip code)
(734) 335-0468
(Registrant’s telephone number, including area
code)
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 and posted
on its corporate Web site, if any, every Interactive Data File
required to be submitted and posted pursuant to Rule 405 of
Regulation S-T (§232.405 of this chapter) during the preceding
12 months (or for such shorter period that the registrant was
required to submit and post such files).
Yes ☑ No ☐
Indicate by check
mark whether the registrant is a large accelerated filer, an
accelerated filer, a non-accelerated filer, 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 ☐
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Accelerated
filer ☐
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Non-accelerated
filer ☐ (Do not check if smaller
reporting
company)
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Smaller reporting
company ☑
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Emerging growth
company ☑
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If
an emerging growth company, indicate by check mark if the
registrant has elected not to use the extended transition period
for complying with any new or revised financial accounting
standards provided pursuant to Section 13(a) of the Exchange Act.
☐
Indicate by check mark whether the registrant is a
shell company (as defined in Rule 12b-2 of the Exchange
Act). Yes ☐ No ☑
As
of June 13, 2017, there were 3,907,027 shares of our Common Stock,
par value $0.0001 per share, outstanding.
ENDRA LIFE SCIENCES INC.
FORM 10-Q
FOR THE THREE MONTHS ENDED MARCH 31, 2017
INDEX
PART I - FINANCIAL
INFORMATION
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Item 2. Management’s Discussion and Analysis of Financial Condition and Results of Operations | |||||||
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PART II – OTHER
INFORMATION
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Item 2. Recent Sales of Unregistered Securities; Use of Proceeds from Registered Securities | |||||||
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PART
I - FINANCIAL INFORMATION
Item
1. Financial Statements
ENDRA Life Sciences
Inc.
Condensed Balance Sheets
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March
31,
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December
31,
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Assets
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2017
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2016
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(Unaudited)
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Assets
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Cash
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$133,679
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$144,953
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Prepaid
expenses
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1,139
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-
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Inventory
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40,237
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40,105
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Deferred offering
costs
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75,000
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-
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Other current
assets
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15,593
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10,535
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Total Current
Assets
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265,648
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195,593
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Other
Assets
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Fixed assets,
net
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279,478
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295,168
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Total
Assets
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$545,126
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$490,761
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Liabilities
and Stockholders’ Deficit
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Current
Liabilities:
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Accounts payable
and accrued liabilities
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$623,129
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$434,552
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Notes
payable
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50,000
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50,000
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Convertible notes
payable, related party, net of discount
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102,562
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99,804
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Convertible notes
payable, net of discount
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1,149,141
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800,172
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Total Current
Liabilities
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1,924,832
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1,384,528
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Total
Liabilities
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1,924,832
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1,384,528
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Stockholders’
Deficit
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Preferred stock,
$0.0001 par value; 10,000,000
shares authorized;
no shares issued or outstanding
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-
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-
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Common stock,
$0.0001 par value; 50,000,000
shares authorized;
723,335 and 723,335 shares
issued and
outstanding
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72
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72
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Stock
payable
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90,000
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81,000
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Additional paid in
capital
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11,790,318
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11,543,634
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Accumulated
deficit
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(13,260,096)
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(12,518,473)
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Total
Stockholders’ Deficit
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(1,379,706)
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(893,767)
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Total
Liabilities and Stockholders’ Deficit
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$545,126
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$490,761
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The
accompanying notes are an integral part of these unaudited
condensed financial
statements.
1
ENDRA Life Sciences
Inc.
Condensed Statements of Operations
(Unaudited)
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Three Months Ended
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Three Months Ended
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March 31,
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March 31,
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2017
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2016
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Operating Expenses
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Research
and development
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$95,814
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$95,237
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Sales
and marketing
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1,124
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4,433
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General
and administrative
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263,760
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273,786
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Total
operating expenses
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360,698
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373,456
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Operating
loss
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(360,698)
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(373,456)
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Other Expenses
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Loss
on warrant exercise
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-
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(5,823)
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Other
expense
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(380,926)
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(199)
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Total
other expenses
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(380,926)
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(6,022)
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Loss
from operations before income taxes
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(741,623)
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(379,478)
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Provision
for income taxes
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-
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-
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Net Loss
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$(741,623)
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$(379,478)
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Net loss per share – basic and diluted
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$(1.03)
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$(0.52)
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Weighted average common shares – basic and
diluted
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723,335
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723,335
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The
accompanying notes are an integral part of these unaudited
condensed financial
statements.
2
ENDRA Life Sciences
Inc.
Condensed Statements of Cash Flows
(Unaudited)
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Three Months Ended
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Three Months Ended
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March 31,
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March 31,
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2017
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2016
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Cash
Flows from Operating Activities
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Net
loss
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$(741,623)
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$(379,478)
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Adjustments to
reconcile net loss to net cash used in operating
activities:
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Depreciation and
amortization
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15,690
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16,181
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Common stock and
options issued for services
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29,697
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78,240
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Additional warrants
issued during exchange
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5,823
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Interest on
discount of convertible debt
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351,727
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Imputed interest on
promissory notes
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987
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Changes in
operating assets and liabilities:
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Increase in prepaid
expenses
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(1,139)
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Increase in
inventory
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(132)
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(3,781)
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Increase in
deferred offering costs
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(75,000)
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Increase in other
asset
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(5,058)
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Increase in
accounts payable and accrued liabilities
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188,577
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229,257
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Net cash used in
operating activities
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(236,274)
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(53,757)
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Cash
Flows from Investing Activities:
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Net cash used in
investing activities
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-
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-
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Cash
Flows from Financing Activities
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Proceeds from
issuance of common stock
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-
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5,000
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Proceeds from notes
payable
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-
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50,000
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Proceeds from
convertible notes
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225,000
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-
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Net cash provided
by financing activities
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225,000
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55,000
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Net
Increase/(Decrease) in cash
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(11,274)
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1,243
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Cash, beginning of
period
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144,953
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19,128
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Cash,
end of period
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$133,679
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$20,371
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Supplemental
disclosures:
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Interest
paid
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$-
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$-
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Income
tax paid
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$-
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$-
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Supplemental
disclosures of non-cash Items:
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Discount on
convertible notes
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$225,000
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$-
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Common shares to be
issued for accrued salaries - related parties
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$-
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$60,910
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The
accompanying notes are an integral part of these unaudited
condensed financial
statements.
3
ENDRA Life Sciences Inc.
Notes to Condensed Financial Statements
For the three months ended March 31, 2017 and 2016
(Unaudited)
Note 1 – Nature of the Business
ENDRA
Life Sciences Inc. (“ENDRA” or the
“Company”) was incorporated on July 18, 2007 as a
Delaware corporation.
ENDRA
is developing a medical imaging technology based on the
thermoacoustic effect that improves the sensitivity and specificity
of clinical ultrasound.
On May
8, 2017, the Company effected a one-for-3.5 reverse stock split
(the “Reverse Split”) of the Company’s common
stock, with no reduction in authorized capital stock. In the
Reverse Split, every 3.5 outstanding shares of common stock became
one share of common stock. See Note 9 below.
All
common stock and stock incentive plan information in these
financial statements has been restated to reflect the Reverse
Split.
Note 2 – Summary of Significant Accounting
Policies
Use of Estimates
The
preparation of the financial statements in conformity with
accounting principles generally accepted in the United States
requires management to make estimates and assumptions that affect
the reported amounts of assets and liabilities, and disclosure of
contingent liabilities at the date of the financial statements and
the reported amounts of expenses during the reporting period.
Actual results could differ from those estimates.
Management
makes estimates that affect certain accounts including deferred
income tax assets, accrued expenses, fair value of equity
instruments and reserves for any other commitments or
contingencies. Any adjustments applied to estimates are recognized
in the period in which such adjustments are
determined.
Basis of Presentation
The accompanying unaudited financial statements and related notes
have been prepared pursuant to the rules and regulations of the
Securities and Exchange Commission (the “SEC”).
Accordingly, certain information and footnote disclosures normally
included in financial statements prepared in accordance with
generally accepted accounting principles have been omitted pursuant
to such rules and regulations. In the opinion of management, all
adjustments (consisting of normal recurring accruals) considered
necessary for a fair presentation have been included. Operating
results for the three-month period ended March 31, 2017 are not
necessarily indicative of the results that may be expected for the
year ended December 31, 2017. The balance sheet at December 31,
2016 has been derived from the audited financial statements at such
date. For further information, refer to the financial statements
and footnotes thereto included in ENDRA Life Sciences Inc. annual
financial statements for the year ended December 31, 2016 included
in Amendment No. 10 to the Company’s Registration Statement
on Form S-1 filed with the SEC on May 1, 2017.
Cash and Cash Equivalents
The Company considers all cash on hand and in banks, including
accounts in book overdraft positions, certificates of deposit and
other highly-liquid investments with maturities of three months or
less, when purchased, to be cash and cash equivalents. As of March
31, 2017 and December 31, 2016, the Company had no cash
equivalents.
Inventory
The
Company's inventory is stated at the lower of cost or estimated
realizable value, with cost primarily determined on a
weighted-average cost basis on the first-in, first-out
(“FIFO”) method. The Company periodically determines
whether a reserve should be taken for devaluation or obsolescence
of inventory. As of March 31, 2017 and December 31, 2016 no such
reserve was taken.
4
Capitalization of Fixed Assets
The Company capitalizes expenditures related to property and
equipment, subject to a minimum rule, that have a useful life
greater than one year for: (1) assets purchased; (2) existing
assets that are replaced, improved or the useful lives have been
extended; or (3) all land, regardless of cost. Acquisitions of new
assets, additions, replacements and improvements (other than land)
costing less than the minimum rule in addition to maintenance and
repair costs, including any planned major maintenance activities,
are expensed as incurred.
Capitalization of Intangible Assets
The Company records the purchase of intangible assets not purchased
in a business combination in accordance with the ASC Topic
350.
Revenue Recognition
The
Company recognizes revenue in accordance with the requirements of
ASC 605-10-599, which directs that it should recognize revenue when
(1) persuasive evidence of an arrangement exists (contracts); (2)
delivery has occurred; (3) the seller’s price is fixed or
determinable (per the customer’s contract); and (4)
collectability is reasonably assured (based upon our credit
policy). For products sold to end users revenue is recognized when
title has passed to the customer and collectability is reasonably
assured; and no further efforts are required. Future revenue from
anticipated new products will follow this same policy.
Advertising Expense
The
cost of advertising is expensed as
incurred. Advertising expense for the three months ended
March 31, 2017 was approximately $93. Advertising expense for
the three months ended March 31, 2016 was approximately
$180.
Income Taxes
The
Company utilizes ASC 740, “Income Taxes,” which
requires the recognition of deferred tax assets and liabilities for
the expected future tax consequences of events that have been
included in the financial statements or tax returns. Under this
method, deferred tax assets and liabilities are determined based on
the difference between the tax basis of assets and liabilities and
their financial reporting amounts based on enacted tax laws and
statutory tax rates applicable to the periods in which the
differences are expected to affect taxable income. A valuation
allowance is recorded when it is “more likely-than-not”
that a deferred tax asset will not be realized.
The
Company generated a deferred tax asset through net operating loss
carry-forwards. However, a valuation allowance of 100% has been
established due to the uncertainty of the Company’s
realization of the net operating loss carry forward prior to its
expiration.
Research and Development Costs
The
Company follows ASC 730-10, “Research and Development”.
Research and development costs are charged to the statement of
operations as incurred. During the three months ended March 31,
2017 and 2016, the Company incurred $95,814 and $95,237 of expenses
related to research and development costs,
respectively.
5
Net Earnings (Loss) Per Common Share
The
Company computes earnings per share under ASC Subtopic 260-10,
Earnings Per Share (“ASC 260-10”). Basic earnings
(loss) per share is computed by dividing the net income (loss)
attributable to the common stockholders (the numerator) by the
weighted average number of shares of common stock outstanding (the
denominator) during the reporting periods. Diluted loss per
share is computed by increasing the denominator by the weighted
average number of additional shares that could have been
outstanding from securities convertible into common stock (using
the “treasury stock” method), unless their effect on
net loss per share is anti-dilutive. There were 1,526,005 and
1,346,441 potentially dilutive shares, which include outstanding
common stock options, warrants, and convertible notes, as of March
31, 2017 and December 31, 2016.
The
potential shares, which are excluded from the determination of
basic and diluted net loss per share as their effect is
anti-dilutive, are as follows:
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March 31,
2017
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December 31, 2016
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Options
to purchase common stock
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151,881
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151,881
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Warrants
to purchase common stock
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151,563
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152,812
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Convertible
notes
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1,222,561
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1,041,748
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Potential
equivalent shares excluded
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1,526,005
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1,346,441
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Fair Value Measurements
Disclosures about fair value of financial instruments require
disclosure of the fair value information, whether or not recognized
in our balance sheet, where it is practicable to estimate that
value. As of March 31, 2017 and December 31, 2016, the amounts
reported for cash, accrued liabilities and accrued interest
approximated fair value because of their short
maturities.
In accordance with ASC Topic 820, “Fair Value Measurements
and Disclosures,” we measure certain financial instruments at
fair value on a recurring basis. ASC Topic 820 defines fair value,
established a framework for measuring fair value in accordance with
accounting principles generally accepted in the United States, and
expands disclosures about fair value measurements.
Fair value is defined as the price that would be received to sell
an asset or paid to transfer a liability in an orderly transaction
between market participants at the measurement date. ASC Topic 820
established a three-tier fair value hierarchy, which prioritizes
the inputs used in measuring fair value. The hierarchy gives the
highest priority to unadjusted quoted prices in active markets for
identical assets or liabilities (level 1 measurements) and the
lowest priority to unobservable inputs (level 3 measurements).
These tiers include:
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Level
1, defined as observable inputs such as quoted prices for identical
instruments in active markets;
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Level
2, defined as inputs other than quoted prices in active markets
that are either directly or indirectly observable such as quoted
prices for similar instruments in active markets or quoted prices
for identical or similar instruments in markets that are not
active; and
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●
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Level
3, defined as unobservable inputs in which little or no market data
exists, therefore requiring an entity to develop its own
assumptions, such as valuations derived from valuation techniques
in which one or more significant inputs or significant value
drivers are unobservable.
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6
Share-based Compensation
The
Company’s 2016 Omnibus Incentive Plan, which has been
approved by its board of directors, permits the grant of share
options and shares to its employees, consultants and non-employee
members of the board of directors for up to 1,345,074 shares of
common stock, of which approximately 500,000 remain available to be
granted. The Company records share-based compensation in accordance
with the provisions of the Share-based Compensation Topic of the
FASB Codification. The guidance requires the use of option-pricing
models that require the input of highly subjective assumptions,
including the option’s expected life and the price volatility
of the underlying stock. The fair value of each option grant is
estimated on the date of grant using the Black-Scholes option
valuation model, and the resulting charge is expensed using the
straight-line attribution method over the vesting period. The
Company has elected to use the calculated value method to account
for the options it issued in 2017 and 2016. A nonpublic entity that
is unable to estimate the expected volatility of the price of its
underlying share may measure awards based on a “calculated
value,” which substitutes the volatility of appropriate
public companies (representative of the company’s size and
industry) as a bench mark for the volatility of the entity’s
own share price. Currently, there is no active market for the
Company’s common shares. The Company has used the historical
closing values of these companies to estimate volatility, which was
calculated to be 90%.
Stock
compensation expense recognized during the period is based on the
value of share-based awards that were expected to vest during the
period adjusted for estimated forfeitures. The estimated fair value
of grants of stock options and warrants to non-employees of the
Company is charged to expense, if applicable, in the financial
statements. These options vest in the same manner as the employee
options granted under each of the option plans as described
above.
Beneficial Conversion Feature
If the
conversion feature of conventional convertible debt provides for a
rate of conversion that is below market value, this feature is
characterized as a beneficial conversion feature
(“BCF”). A BCF is recorded by the Company as a debt
discount pursuant to ASC Topic 470-20 “Debt with Conversion
and Other Options.” In those circumstances, the convertible
debt is recorded net of the discount related to the BCF and the
Company amortizes the discount to interest expense over the life of
the debt using the effective interest method.
Debt Discount
The
Company determines if the convertible debenture should be accounted
for as liability or equity under ASC 480, Liabilities —
Distinguishing Liabilities from Equity. ASC 480 applies to certain
contracts involving a company’s own equity, and requires that
issuers classify the following freestanding financial instruments
as liabilities. Mandatorily redeemable financial instruments,
obligations that require or may require repurchase of the
issuer’s equity shares by transferring assets (e.g., written
put options and forward purchase contracts), and certain
obligations where at inception the monetary value of the obligation
is based solely or predominantly on:
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A fixed
monetary amount known at inception, for example, a payable
settleable with a variable number of the issuer’s equity
shares with an issuance date fair value equal to a fixed dollar
amount;
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Variations
in something other than the fair value of the issuer’s equity
shares, for example, a financial instrument indexed to the S&P
500 and settleable with a variable number of the issuer’s
equity shares; or
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●
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Variations
inversely related to changes in the fair value of the
issuer’s equity shares, for example, a written put that could
be net share settled.
If the entity
determined the instrument meets the guidance under ASC 480 the
instrument is accounted for as a liability with a respective debt
discount. The Company records debt discounts in connection with
raising funds through the issuance of promissory notes (see Note
6). These costs are amortized to noncash interest expense over the
life of the debt. If a conversion of the underlying debt occurs, a
proportionate share of the unamortized amounts is immediately
expensed.
|
7
Going Concern
The
Company’s financial statements are prepared using accounting
principles generally accepted in the United States ("U.S. GAAP")
applicable to a going concern, which contemplates the realization
of assets and liquidation of liabilities in the normal course of
business. The Company has a limited operating history and had a
cumulative net loss from inception to March 31, 2017 of
$13,260,096. The Company has a working capital deficit of
$1,659,184 as of March 31, 2017. The Company has not yet
established an ongoing source of revenue sufficient to cover its
operating costs and to allow it to continue as a going concern. The
accompanying financial statements for the period ended March 31,
2017, have been prepared assuming the Company will continue as a
going concern. The Company believes its cash resources are
insufficient to meet its anticipated needs during the next twelve
months. The Company will require additional financing to fund its
future planned operations, including research and development and
commercialization of its products.
The
ability of the Company to continue as a going concern is dependent
on the Company obtaining adequate capital to fund operating losses
until it establishes a revenue stream and becomes profitable.
Management’s plans to continue as a going concern include
raising additional capital through sales of equity securities and
borrowing. However, management cannot provide any assurances that
the Company will be successful in accomplishing any of its plans.
If the Company is not able to obtain the necessary additional
financing on a timely basis, the Company will be forced to delay or
scale down some or all of its development activities or perhaps
even cease the operation of its business. The ability of the
Company to continue as a going concern is dependent upon its
ability to successfully secure other sources of financing and
attain profitable operations. There is substantial doubt about the
ability of the Company to continue as a going concern within one
year after the date that the financial statements are issued. The
accompanying financial statements do not include any adjustments
that might be necessary if the Company is unable to continue as a
going concern.
Recent Accounting Pronouncements
In May
2014, the Financial Accounting Standards Board ("FASB") issued
Accounting Standards Update ("ASU") No. 2014-09, Revenue from
Contracts with Customers. ASU 2014-09 is a comprehensive revenue
recognition standard that will supersede nearly all existing
revenue recognition guidance under current U.S. GAAP and replace it
with a principle based approach for determining revenue
recognition. Under ASU 2014-09, revenue is recognized when a
customer obtains control of promised goods or services and is
recognized in an amount that reflects the consideration which the
entity expects to receive in exchange for those goods or services.
In addition, the standard requires disclosure of the nature,
amount, timing, and uncertainty of revenue and cash flows arising
from contracts with customers. The FASB has recently issued ASU
2016-08, ASU 2016-10, ASU 2016-11, ASU 2016-12, and ASU 2016-20,
all of which clarify certain implementation guidance within ASU
2014-09. ASU 2014-09 is effective for interim and annual periods
beginning after December 15, 2017. Early adoption is permitted only
in annual reporting periods beginning after December 15, 2016,
including interim periods therein. The standard can be adopted
either retrospectively to each prior reporting period presented
(full retrospective method), or retrospectively with the cumulative
effect of initially applying the guidance recognized at the date of
initial application (the cumulative catch-up transition method).
The Company is currently in the process of analyzing the
information necessary to determine the impact of adopting this new
guidance on its financial position, results of operations, and cash
flows. The Company plans to adopt the provisions of this statement
in the first quarter of fiscal 2018.
In
February 2016, the FASB issued ASU No. 2016-02, Leases. ASU 2016-02
requires a lessee to record a right of use asset and a
corresponding lease liability on the balance sheet for all leases
with terms longer than 12 months. ASU 2016-02 is effective for all
interim and annual reporting periods beginning after December 15,
2018. Early adoption is permitted. A modified retrospective
transition approach is required for lessees for capital and
operating leases existing at, or entered into after, the beginning
of the earliest period presented in the financial statements. The
Company is currently evaluating the expected impact that the
standard could have on its financial statements and related
disclosures.
Other
recent accounting pronouncements issued by the FASB, including its
Emerging Issues Task Force, the American Institute of Certified
Public Accountants, and the Securities and Exchange Commission did
not or are not believed by management to have a material impact on
the Company’s present or future financial
statements.
Note 3 – Inventory
As of
March 31, 2017 and 2016, inventory consisted of raw materials to be
used in the assembly of a Nexus 128 system. As of March 31, 2017
and 2016, no orders were pending for such units.
8
Note 4 – Fixed Assets
As of
March 31, 2017 and December 31, 2016, fixed assets consisted of the
following:
|
March
31,
2017
|
December 31,
2016
|
Computer equipment
and fixtures
|
$571,318
|
$571,318
|
Accumulated
depreciation
|
(291,840)
|
(276,150)
|
Fixed assets,
net
|
$279,478
|
$295,168
|
Depreciation
expense for the three months ended March 31, 2017 and 2016 was
$15,690 and $16,181, respectively.
Note 5 – Current Liabilities
As of
March 31, 2017 and December 31, 2016, current liabilities consisted
of the following:
|
March 31,
2017
|
December 31, 2016
|
Accounts
payable
|
$303,172
|
$227,744
|
Accrued
payroll
|
187,758
|
105,258
|
Accrued
employee benefits
|
32,063
|
29,552
|
Accrued
interest
|
100,136
|
71,998
|
Notes
payable
|
50,000
|
50,000
|
Convertible
notes, related party, net of discount
|
102,562
|
99,804
|
Convertible
notes, net of discount
|
1,149,141
|
800,172
|
Total
|
$1,924,832
|
$1,384,528
|
On
January 28, 2016, the Company entered into promissory notes with
three investors for a total amount of $50,000. The notes
matured one year from the issue date, accrue no interest and are
payable at maturity. The Company accounted for imputed interest of
$986 for the three months ended March 31, 2017, which was
calculated at a rate of 8% per annum, consistent with other notes
issued by the Company. During the period ending March 31, 2017 the
Company and the promissory note holders agreed to extend the
maturity date of all three notes to July 31, 2017, on the same
terms as previously agreed. Subsequent to the period ended March
31, 2017, the promissory notes were repaid in full to all
holders.
During
2016, the Company entered into convertible promissory notes with
approximately 60 investors for a total principal amount of
$1,386,448, $132,000 of which were purchased by related parties
(the “2016 Notes”). On March 15, 2017, the
Company extended the 2016 Notes offering by $250,000. The extension
was made available only to existing noteholders and obtained
subscriptions for $225,000. Pursuant to the terms of the 2016
Notes, noteholders holding a majority of the outstanding principal
amount of the 2016 Notes elected to convert the principal and
accrued interest on all outstanding 2016 Notes into shares of the
Company’s common stock at a conversion price of $1.40 per
share immediately prior to the Company’s initial public
offering. 1,232,859 shares of the Company’s common stock were
issued upon such conversion (see Note 9). In connection with the
issuance of the 2016 Notes, the Company recorded a debt discount at
an initial aggregate value of $1,611,448, of which $351,727 was
amortized during the three months ended March 31, 2017, resulting
in a debt discount balance of $359,745 as of March 31,
2017.
9
The
Company accrued interest expense of $28,138 for the period ended
March 31, 2017, $2,604 of which was payable for the notes due to
related parties.
Note 6 – Capital Stock
At
March 31, 2017, the authorized capital of the Company consisted of
60,000,000 shares of
capital stock, consisting of 50,000,000 shares of common stock with
a par value of $0.0001 per share, and 10,000,000 shares
of preferred stock with a par value of $0.0001 per share.
There
was $9,000 of stock to be issued during the three months ended
March 31, 2017 for services. There was $90,000 of stock payable as
of March 31, 2017.
As of
March 31, 2017, there were 732,335 shares of common stock issued
and outstanding (or 2,531,808, prior to taking into account the
Reverse Split (see Note 9)) and no preferred stock
outstanding.
Note 7 – Stock Options and Warrants
A
summary of option activity under the Company option plans as of
March 31, 2017, and changes during the period then ended is
presented below:
|
Number of
Options
|
Weighted
Average
Exercise
Price
|
Weighted
Average
Remaining
Contractual
Term
|
Balance outstanding
at December 31, 2016
|
151,881
|
$10.01
|
2.47
|
Granted
|
-
|
-
|
-
|
Exercised
|
-
|
-
|
-
|
Forfeited
|
-
|
-
|
-
|
Cancelled or
expired
|
-
|
-
|
-
|
Balance outstanding
at March 31, 2017
|
151,881
|
$10.01
|
2.22
|
Exercisable at
March 31, 2017
|
127,995
|
$10.01
|
2.03
|
The
following table summarizes all stock warrant activity for the three
months ended March 31, 2017:
|
Number of
Warrants
|
Weighted
Average
Exercise
Price
|
Weighted
Average
Remaining
Contractual
Term
|
Balance outstanding
at December 31, 2016
|
152,812
|
$18.94
|
3.30
|
Granted
|
-
|
-
|
-
|
Exercised
|
-
|
-
|
-
|
Forfeited
|
-
|
-
|
-
|
Expired
|
(1,249)
|
10.01
|
-
|
Balance outstanding
at March 31, 2017
|
151,563
|
$19.01
|
3.08
|
Exercisable at
March 31, 2017
|
151,563
|
$19.01
|
3.08
|
10
Note 8 – Commitments & Contingencies
From time to time the Company may become a party to litigation in
the normal course of business. Management believes that there are
no current legal matters that would have a material effect on the
Company’s financial position or results of
operations.
On
November 11, 2007, the Company entered into an at-will employment
agreement with its Chief Operating Officer (now its Chief
Technology Officer). The employment agreement required annual base
salary payments of $200,000 per year, with a bonus potential of 20%
of the then current base salary. In addition, the executive was
granted an option to purchase 29,429 shares of Company's common
stock exercisable at $10.01 per share, vesting in 3 equal annual
installments on each anniversary of its three year term. The
agreement also provided for severance compensation if terminated
other than for cause (as defined therein) of 6 months of the then
applicable base salary if the COO had been employed at least 6
months, and compensation equal to 12 months of the then applicable
base salary if employed over 12 months.
Effective
May 12, 2017, the Company and its Chief Technology Officer entered
into a new employment agreement (see Note 9).
On
August 28, 2014, the Company entered into a services agreement with
StoryCorp Consulting dba Wells Compliance Group ("StoryCorp") for
financial reporting and compliance services. David R. Wells is the
owner of this firm and is the Company’s Chief Financial
Officer. The services agreement called for monthly payments of
$5,000, and accrued an additional $3,000 per month in fees to be
paid by common stock at the time of a public offering. The accrued
balance due under the cash portion as of March 31, 2017 and
December 31, 2016 was $15,000 and $25,000 respectively, and the
accrued balance due under the stock portion was $90,000 and
$81,000, respectively.
Effective
May 12, 2017, the Company entered into a consulting agreement with
StoryCorp Consulting that superseded the services agreement (see
Note 9).
Effective
January 1, 2015, we entered into an office lease agreement with
Green Court, LLC, a Michigan limited liability company, for
approximately 3,657 rentable square feet of space, for the initial
monthly rent of $5,986, which commenced on January 1, 2015 for an
initial term of 60 months. Under the terms of the lease the Company
has an option on the same space for an additional 60-month term.
Future minimum payments under this lease are as
follows:
2017
|
$56,486
|
2018
|
77,348
|
2019
|
79,269
|
Total
|
$213,103
|
For the
three month periods ended March 31, 2017 and 2016, the Company
incurred rent expense of $18,968 and $18,165,
respectively.
On
April 16, 2015, the Company entered into an at-will employment
agreement with its Chief Executive Officer. The employment
agreement required annual base salary payments of $250,000 per year
with a bonus potential of 50% of the then current base salary. In
addition, the executive was granted an option to purchase 35,499
shares of Company's common stock exercisable at $10.01 per share,
vesting in 3 equal annual installments on each anniversary of its
three year term. The agreement also provided for severance
compensation if terminated other than for cause (as defined
therein) of 6 months of the then applicable base salary if the CEO
has been employed at least 6 months, and compensation equal to 12
months of the then applicable base salary if employed over 12
months.
Effective
May 12, 2017, the Company and its Chief Executive Officer entered
into a new employment agreement (see Note 9).
11
Note 9 – Subsequent Events
Reverse Stock Split
On May
8, 2017, the Company filed a certificate of amendment (the
“Certificate of Amendment”) to its certificate of
incorporation with the Secretary of State of the State of Delaware
to effect a one-for-3.5 reverse stock split (the “Reverse
Split”) of the Company’s common stock, with no
reduction in authorized capital stock. Pursuant to the terms of the
Certificate of Amendment, the Reverse Split became effective at
11:59 p.m. Eastern Time on May 8, 2017. In the Reverse Split, every
3.5 outstanding shares of common stock became one share of common
stock. No fractional shares were issued in connection with the
Reverse Split. Subject to the terms of the Certificate of
Amendment, stockholders who were otherwise entitled to receive a
fractional share of common stock received one whole share of common
stock.
The
Reverse Split was previously approved by holders of a majority of
the Company’s issued and outstanding common stock. All common
stock and stock incentive plan information in these financial
statements has been restated to reflect this split.
Conversion of Convertible Notes
In
connection with the funding of the Company’s initial public
offering of its units (the “IPO”), on May 12, 2017, the
principal and interest due under the Company’s convertible
notes, in an aggregate amount of $1,726,079, was converted into
1,232,859 shares of the Company’s common stock. The
purchasers of the convertible notes are subject to lock-up
requirements with respect to the conversion shares for periods that
expire on May 9, 2018.
Initial Public Offering of Units
The
Company’s Registration Statement on Form S-1, as amended
(Reg. No. 333-214724), was declared effective by the Securities and
Exchange Commission (the “SEC”) on May 8, 2017, and the
Company’s Registration Statement on Form S-1 (Reg. No.
333-217788), which was filed on May 8, 2017 with the SEC pursuant
to Rule 462(b) of the Securities Act of 1933, as amended (the
“Securities Act”), became effective upon filing. These
registration statements registered the securities offered in the
IPO. In the IPO, the Company sold 1,932,000 units at a price to the
public of $5.00 per unit, including the full exercise of the
underwriters’ option to purchase additional units. The IPO
closed on May 12, 2017 and the underwriters exercised their
overallotment option as of May 22, 2017, as a result of which the
Company raised net proceeds of approximately $8.6 million after
deducting approximately $773,000 in underwriting discounts,
commissions and expenses and approximately $297,000 in offering
expenses payable by the Company. National Securities Corporation
and Dougherty & Company LLC were the underwriters of the IPO.
No payments were made by the Company to its directors or officers
or persons owning ten percent or more of its common stock or to
their associates, or to the Company’s affiliates, other than
payments in the ordinary course of business to officers for
salaries and to non-employee directors as compensation for board or
board committee service.
IPO Underwriters’ Warrants
In
connection with the closing of the IPO, the Company issued to the
underwriters and their designees warrants to purchase an aggregate
of 154,560 shares of the Company’s common stock (the
“Underwriters’ Warrants”) at an exercise price of
$6.25 per share with an expiration date of May 8, 2022. The
Underwriters’ Warrants become exercisable on November 8,
2017.
Employment and Consulting Agreements
Effective
as of May 12, 2017 upon the closing of the IPO, the Company entered
into amended and restated employment agreements with Francois
Michelon, its Chief Executive Officer and Chairman of its Board of
Directors, and Michael Thornton, its Chief Technology Officer. Mr.
Michelon’s employment agreement provides for an annual base
salary of $325,000 and eligibility for an annual cash bonus up to a
percentage of such base salary (in 2016, up to 35% of his base
salary then in effect). Mr. Thornton’s employment agreement
provides for an annual base salary of $245,000 and eligibility for
an annual cash bonus up to a percentage of such base salary (in
2016, up to 22% of his base salary then in effect). The employment
agreements also provide for eligibility to receive benefits
substantially similar to those of the Company’s other senior
executive officers.
12
Pursuant
to the employment agreements, Mr. Michelon and Mr. Thornton were
each granted stock options to purchase a number of shares of the
Company’s common stock, that, taken together with the number
of shares such officer already held, equal 5.0% of the
Company’s total issued and outstanding shares of common stock
on a fully diluted basis following the IPO and underwriters’
exercise of their overallotment option. The stock options have a
weighted average exercise price of approximately $4.96, and vest in
three equal annual installments beginning on May 12,
2019.
Effective
as of May 12, 2017, the Company entered into a consulting agreement
with StoryCorp, pursuant to which David Wells will continue to
provide services to the Company as its Chief Financial Officer.
Pursuant to the consulting agreement, the Company will pay to
StoryCorp a monthly fee of $9,000. Additionally, pursuant to the
consulting agreement, the Company granted to Mr. Wells a stock
option to purchase 15,000 shares of common stock in connection with
the closing of the IPO, having an exercise price per share equal to
$5.00 (the price per unit to the public in the IPO) and vesting in
twelve equal quarterly installments, and will grant to Mr. Wells a
stock option to purchase the same number of shares of common stock
with the same terms on each annual anniversary of the date of the
consulting agreement. The consulting agreement supersedes the
consulting agreement previously in effect between the Company and
StoryCorp.
13
Item
2. Management’s Discussion and
Analysis of Financial Condition and Results of
Operations
Forward-Looking Statements
As used
in this Quarterly Report on Form 10-Q (this “Form
10-Q”), unless the context otherwise requires, the terms
“we,” “us,” “our,”
“ENDRA” and the "Company" refer to ENDRA Life Sciences
Inc., a Delaware corporation. The following discussion and analysis
of our financial condition and results of operations should be read
in conjunction with our historical financial statements and related
notes thereto in this Form 10-Q. This Form 10-Q contains
forward-looking statements within the meaning of Section 27A of the
Securities Act of 1933, as amended, and Section 21E of the
Securities Exchange Act of 1934, as amended, that are intended to
be covered by the “safe harbor” created by those
sections. Forward-looking statements, which are based on certain
assumptions and describe our future plans, strategies and
expectations, can generally be identified by the use of
forward-looking terms such as “believe,”
“expect,” “may,” “will,”
“should,” “could,” “seek,”
“intend,” “plan,” “estimate,”
“anticipate” or other comparable terms. All statements
other than statements of historical facts included in this Form
10-Q regarding our strategies, prospects, financial condition,
operations, costs, plans and objectives are forward-looking
statements. Examples of forward-looking statements include, among
others, statements we make regarding expectations for revenues,
cash flows and financial performance, the anticipated results of
our development efforts and the timing for receipt of required
regulatory approvals and product launches. Forward-looking
statements are neither historical facts nor assurances of future
performance. Instead, they are based only on our current beliefs,
expectations and assumptions regarding the future of our business,
future plans and strategies, projections, anticipated events and
trends, the economy and other future conditions. Because
forward-looking statements relate to the future, they are subject
to inherent uncertainties, risks and changes in circumstances that
are difficult to predict and many of which are outside of our
control. Our actual results and financial condition may differ
materially from those indicated in the forward-looking statements.
Therefore, you should not rely on any of these forward-looking
statements. Important factors that could cause our actual results
and financial condition to differ materially from those indicated
in the forward-looking statements include, among others, the
following: our ability to develop a commercially feasible
technology; receipt of necessary regulatory approvals; our ability
to find and maintain development partners, market acceptance of our
technology, the amount and nature of competition in our industry;
our ability to protect our intellectual property; and the other
risks and uncertainties described in the Risk Factors and in
Management’s Discussion and Analysis of Financial Condition
and Results of Operations sections of this Form 10-Q. We undertake
no obligation to publicly update any forward-looking statement,
whether written or oral, that may be made from time to time,
whether as a result of new information, future developments or
otherwise.
Overview
We have
commercialized an enhanced ultrasound technology for the
pre-clinical research market and are leveraging that expertise to
develop technology for increasing the capabilities of clinical
diagnostic ultrasound, to broaden patient access to the safe
diagnosis and treatment of a number of significant medical
conditions in circumstances where expensive X-ray computed
tomography (“CT”) and magnetic resonance imaging
(“MRI”) technology is unavailable or
impractical.
Since
2010, we have marketed and sold our Nexus 128 system, which
combines light-based thermoacoustics and ultrasound, to address the
imaging needs of researchers studying disease models in
pre-clinical applications. Sales of the Nexus 128 system were
approximately $1.4 million in 2015 and $515,000 in 2016. Our Nexus
128 system is used in a number of leading global academic research
centers, including Stanford University, The University of Michigan,
Shanghai Jiao Tong University, and Purdue University. We expect to
continue to sell our Nexus 128 system to maintain a base level of
revenue, but believe the market potential for our clinical systems
is much higher.
Building
on our expertise in thermoacoustics, we developed a next-generation
technology platform — Thermo Acoustic Enhanced Ultrasound, or
TAEUS — which is intended to enhance the capability of
clinical ultrasound technology and support the diagnosis and
treatment of a number of significant medical conditions that
currently require the use of expensive CT or MRI imaging or where
imaging is not practical using existing technology.
Unlike
the near-infrared light pulses used in our Nexus 128 system, our
TAEUS technology uses radio frequency (“RF”) pulses to
stimulate tissues, using a small fraction of the energy transmitted
into the body during an MRI scan. The use of RF energy allows our
TAEUS technology to penetrate deep into tissue, enabling the
imaging of human anatomy at depths equivalent to those of
conventional ultrasound. The RF pulses are absorbed by tissue and
converted into ultrasound signals, which are detected by an
external ultrasound receiver and a digital acquisition system that
is part of the TAEUS system. The detected ultrasound is processed
into images using our proprietary algorithms and overlaid in real
time onto conventional gray-scale ultrasound images.
We
expect that the first-generation TAEUS application will be a
standalone ultrasound accessory designed to cost-effectively
quantify fat in the liver and stage progression of non-alcoholic
fatty liver disease, or ("NAFLD"), which can only be achieved today
with impractical surgical biopsies or MRI scans. Subsequent TAEUS
offerings are expected to be implemented via a second generation
hardware platform that can run multiple clinical software
applications that we will offer TAEUS users for a one-time
licensing fee – adding ongoing customer value to the TAEUS
platform and a growing software revenue stream for our
Company.
14
Each of
our TAEUS platform applications will require regulatory approvals
before we are able to sell or license the application. Based on
certain factors, such as the installed base of ultrasound systems,
availability of other imaging technologies, such as CT and MRI,
economic strength and applicable regulatory requirements, we intend
to seek initial approval of our applications for sale in the
European Union, followed by the United States and
China.
Financial Operations Overview
Revenue
To date
our revenue has been generated by the placement and sale of our
Nexus 128 system for use in pre-clinical applications.
Cost of Goods Sold
Our
cost of goods sold is related to our direct costs associated with
the development and shipment of our thermoacoustic imaging systems
placed in pre-clinical settings.
Research and Development Expenses
Our
research and development expenses primarily include wages, fees and
equipment for the development of our TAEUS technology platform and
our proposed applications. Additionally, we incur certain costs
associated with the protection of our products and inventions
through a combination of patents, licenses, applications and
disclosures.
Sales and Marketing Expenses
Sales
and marketing expenses consist primarily of advertising, marketing
and consulting expenses and headcount. Currently, our marketing
efforts for our pre-clinical business are through distributors in
China, the European Union, Australia, Korea and the United Kingdom,
our website, and attendance of key industry meetings. In connection
with the commercialization of our TAEUS applications, we expect to
build a small sales and marketing team to train and support global
ultrasound distributors, as well as execute traditional marketing
activities such as promotional materials, electronic media and
participation in industry conferences.
General and Administrative Expenses
General
and administrative expenses consist primarily of salaries and
related expenses for our management and personnel, and professional
fees, such as accounting, consulting and legal.
15
Critical Accounting Policies and Estimates
Use of Estimates
The
preparation of the financial statements in conformity with
accounting principles generally accepted in the United States
requires management to make estimates and assumptions that affect
the reported amounts of assets and liabilities, and disclosure of
contingent liabilities at the date of the financial statements and
the reported amounts of expenses during the reporting period.
Actual results could differ from those estimates.
Management
makes estimates that affect certain accounts including deferred
income tax assets, accrued expenses, fair value of equity
instruments and reserves for any other commitments or
contingencies. Any adjustments applied to estimates are recognized
in the period in which such adjustments are
determined.
Share-based Compensation
Our
2016 Omnibus Incentive Plan which has been approved by our board of
directors, permits the grant of share options and shares to our
employees, consultants and non-employee members of our board of
directors for up to 1,345,074 shares of common stock. We record
share-based compensation in accordance with the provisions of the
Share-based Compensation Topic of the FASB Codification. The
guidance requires the use of option-pricing models that require the
input of highly subjective assumptions, including the
option’s expected life and the price volatility of the
underlying stock. The fair value of each option grant is estimated
on the date of grant using the Black-Scholes option valuation model
which uses certain assumptions related to risk-free interest rates,
expected volatility, expected life of the common stock options, and
future dividends, and the resulting charge is expensed using the
straight-line attribution method over the vesting
period.
Stock
compensation expense recognized during the period is based on the
value of share-based awards that were expected to vest during the
period adjusted for estimated forfeitures. The estimated fair value
of grants of stock options and warrants to non-employees is charged
to expense, if applicable, in the financial
statements.
Recent Accounting Pronouncements
See
Note 2 of the financial statements for a discussion of recently
issued accounting standards.
Results of Operations
Three Months Ended March 31, 2017 and 2016
Revenues
We had
no revenue for the three months ended March 31, 2017, and March 31,
2016.
16
Research and Development
Research
and development expenses were $95,814 for the three months ended
March 31, 2017, as compared to $95,237 for the three months ended
March 31, 2016, an increase of $577, or 1%. The costs include
primary wages, fees and equipment for the development of our TAEUS
product line. Research and development expenses were unchanged from
the same period for the prior year and consisted mostly of wages
and employment related expenses.
Sales and Marketing
Sales
and marketing expenses were $1,124 for the three months ended March
31, 2017, as compared to $4,433 for the three months ended March
31, 2016, a decrease of $3,309, or 75%. The decrease was primarily
due to reduced commissions paid on the sale of our Nexus 128
system. Currently our marketing efforts for our pre-clinical
business are through distributors in China, the European Union,
Australia and the United Kingdom, our website and attendance of key
industry meetings. Our future clinical business will involve hiring
and training additional staff to support our sales efforts. As we
seek to complete the development and commercialization of our TAEUS
applications, we intend to build a small sales and marketing team
to train and support global ultrasound distributors, as well as
execute traditional marketing activities such as promotional
materials, electronic media and participation in industry
conferences.
General and Administrative
Our
general and administrative expenses for the three months ended
March 31, 2017 were $263,760, a decrease of $10,026, or 4%,
compared to $273,786 for the three months ended March 31, 2016.
General and administrative expenses decreased due to a decrease in
headcount, offset by one-time expenses related to the IPO.
Our wage and related
expenses for the three months ended March 31, 2017 were $126,766,
compared to $159,400 for the three months ended March 31, 2016.
Wage and related expenses in the three month period ended March 31,
2017 included $20,697 of stock compensation expense related to the
issuance and vesting of options, compared to $69,240 of stock
compensation expense for 2016. Our professional fees for the three
months ended March 31, 2017 were $72,472, compared to $56,425 for
the three months ended March 31, 2016. We expect that our general
and administrative expenses will increase significantly as a result
of our becoming a public company.
Net loss
As a
result of the foregoing, for the three months ended March 31, 2017,
we recorded a net loss of $741,623 compared to a net loss of
$379,478 for the three months ended March 31, 2016.
Liquidity and Capital Resources
To
date, we have generated only limited revenues from sales of our
Nexus 128 system. We have funded our operations to date through
private and public sales of our securities. As of March 31, 2017,
we had $133,679 in cash. In May 2017, we completed our initial
public offering (the “IPO”), raising net proceeds of
approximately $8.6 million after deducting offering expenses of
approximately $773,000 in underwriting discounts, commissions and
expenses and approximately $297,000 in offering expenses payable by
the Company.
The
financial statements included in this Form 10-Q have been prepared
assuming the Company will continue as a going concern, which
contemplates the realization of assets and the settlement of
liabilities and commitments in the normal course of business. As
reflected in the accompanying financial statements, during the
three months ended March 31, 2017, the Company incurred a net loss
of $741,623 used cash in operations of $236,274, and at March 31,
2017, the Company had a stockholders’ deficit of $1,379,706.
These and other factors raise substantial doubt about the
Company’s ability to continue as a going concern for one year
from the issuance of the financial statements. The financial
statements do not include any adjustments that might be necessary
should the Company be unable to continue as a going
concern.
Operating Activities
During
the three months ended March 31, 2016, the Company used $53,757 of
cash in operating activities primarily as a result of its net loss
of $379,478, offset in part by net changes in operating assets and
liabilities of $225,477, $16,181 in depreciation and amortization
expense, $78,240 in non-cash stock compensation expense, and
additional warrants issued during the warrant exchange program of
$5,823.
17
During
the three months ended March 31, 2017, the Company used $236,274 of
cash in operating activities primarily as a result of its net loss
of $741,623, offset by amortization of discount of convertible debt
of $351,727, share-based compensation of $29,697, $15,690 in
depreciation and amortization expenses, and net changes in
operating assets and liabilities of $107,247.
Investing Activities
There
were no investing activities for the three months ended March 31,
2017 and 2016.
Financing Activities
During
the three months ended March 31, 2016, financing activities
provided $55,000, including $5,000 from common stock issued for
cash, and $50,000 in proceeds from notes payable.
During
the three months ended March 31, 2017, financing activities
provided $225,000 in proceeds from issuance of convertible
notes.
Funding Requirements
We have
not completed development of our TAEUS technology platform
applications. We expect to continue to incur significant expenses
for the foreseeable future. We anticipate that our expenses will
increase substantially as we:
●
advance the
engineering design and development of our NAFLD TAEUS
application;
●
prepare
applications required for marketing approval of our NAFLD TAEUS
application in the European Union and the United
States;
●
seek to hire a
small internal marketing team to engage and support channel
partners and clinical customers for our NAFLD TAEUS
application;
●
commence marketing
of our NAFLD TAEUS application;
●
advance development
of our other TAEUS applications; and
●
add operational,
financial and management information systems and personnel,
including personnel to support our product development, planned
commercialization efforts and our operation as a public
company.
We
believe that our existing cash, taking into account the net
proceeds of our IPO, will be sufficient for us to fund the
development and regulatory approval and to prepare for the
commercialization of our NAFLD TAEUS application in the European
Union. It is possible that we will not achieve the progress that we
expect because the actual costs and timing of completing the
development and regulatory approvals for a new medical device are
difficult to predict and are subject to substantial risks and
delays. We have no committed external sources of funds. We do not
expect that our existing cash will be sufficient for us to complete
the commercialization of our NAFLD TAEUS application or to complete
the development of any other TAEUS application and we will need to
raise substantial additional capital for those purposes. As a
result, we will need to finance our future cash needs through
public or private equity offerings, debt financings, corporate
collaboration and licensing arrangements or other financing
alternatives. Our forecast of the period of time through which our
financial resources will be adequate to support our operations is a
forward-looking statement and involves risks and uncertainties, and
actual results could vary as a result of a number of factors,
including the factors discussed in the section entitled “Risk
Factors” and elsewhere in this Form 10-Q. We have based this
estimate on assumptions that may prove to be wrong, and we could
utilize our available capital resources sooner than we currently
expect.
Until
we can generate a sufficient amount of revenue from our TAEUS
platform applications, if ever, we expect to finance future cash
needs through public or private equity offerings, debt financings
or corporate collaborations and licensing arrangements. Additional
funds may not be available when we need them on terms that are
acceptable to us, or at all. If adequate funds are not available,
we may be required to delay, reduce the scope of or eliminate one
or more of our research or development programs or our
commercialization efforts. To the extent that we raise additional
funds by issuing equity securities, our stockholders may experience
additional dilution, and debt financing, if available, may involve
restrictive covenants. To the extent that we raise additional funds
through collaborations and licensing arrangements, it may be
necessary to relinquish some rights to our technologies or
applications or grant licenses on terms that may not be favorable
to us. We may seek to access the public or private capital markets
whenever conditions are favorable, even if we do not have an
immediate need for additional capital at that time.
18
Off Balance Sheet Transactions
We do
not have any off balance sheet transactions.
Item 3. Quantitative and Qualitative
Disclosure About Market Risk
The
information required by Item 3 is not required to be provided by
issuers that satisfy the definition of “smaller reporting
company” under Securities and Exchange Commission
rules.
Item 4. Controls and
Procedures
Evaluation of Disclosure Controls and Procedures
As of the end of the period covered by this Form 10-Q, management
performed, with the participation of our principal executive
officer and principal financial officer, an evaluation of the
effectiveness of our disclosure controls and procedures as defined
in Rules 13a-15(e) and 15d-15(e) of the Securities and Exchange Act
of 1934, as amended (the “Exchange Act”). Our
disclosure controls and procedures are designed to ensure that
information required to be disclosed in the reports we file or
submit under the Exchange Act is recorded, processed, summarized,
and reported within the time periods specified in the Securities
and Exchange Commission’s forms, and that such information is
accumulated and communicated to our management, including our
principal executive officer and principal financial officer, to
allow timely decisions regarding required disclosures. Based on the
evaluation, our principal executive officer and principal financial
officer concluded that, as of March 31, 2017, our disclosure
controls and procedures were not effective.
A material weakness is a deficiency, or a combination of
deficiencies, in internal control over financial reporting, such
that there is a reasonable possibility that a material misstatement
of our annual or interim financial statements will not be prevented
or detected on a timely basis. We identified the following material
weakness as of March 31, 2017: insufficient personnel resources
within the accounting function to segregate the duties over
financial transaction processing and reporting.
To remediate our internal control weaknesses, management intends to
implement the following measures, as finances allow:
●
We will add
sufficient accounting personnel or outside consultants to properly
segregate duties and to effect a timely, accurate preparation of
the financial statements.
●
Upon the hiring of
additional accounting personnel or outside consultants, we will
develop and maintain adequate written accounting policies and
procedures.
The
additional hiring is contingent upon our efforts to obtain
additional funding and the results of our operations. Management
expects to secure funds in the coming fiscal year but provides no
assurances that it will be able to do so.
Changes in Internal Control over Financial Reporting
There
was no change to our internal controls or in other factors that
could affect these controls during the three month period ended
March 31, 2017 that has materially affected, or is reasonably
likely to materially affect, our internal control over financial
reporting. However, our management is currently seeking resolutions
to improve our controls and procedures in an effort to remediate
the deficiency described above.
19
PART II
– OTHER INFORMATION
We are
not currently a party to any pending legal proceedings that we
believe will have a material adverse effect on our business or
financial conditions. We may, however, be subject to various claims
and legal actions arising in the ordinary course of business from
time to time.
Item 1A. Risk Factors
Investing in our securities involves a high degree of risk. You
should carefully consider the following risks and all other
information contained in this Quarterly Report on Form 10-Q,
including our financial statements and the related notes, before
investing in our securities. The risks and uncertainties described
below supplement, or to the extent inconsistent, supersede those
disclosed in our final Prospectus for our initial public offering
as filed with the Securities and Exchange Commission on May 10,
2017. The risks and uncertainties described below are not the only
ones we face, but include the most significant factors currently
known by us that make investing in our securities speculative or
risky. Additional risks and uncertainties that we are unaware of,
or that we currently believe are not material, also may become
important factors that affect us. If any of the following risks
materialize, our business, financial condition and results of
operations could be materially harmed. In that case, the trading
price of our common stock could decline, and you may lose some or
all of your investment.
Risks Related to Our Business
We have a history of operating losses, and we may never achieve or
maintain profitability.
We have a limited operating history upon which investors may
evaluate our prospects. We have only generated limited revenues to
date and have a history of losses from operations. As of March 31,
2017, we had an accumulated deficit of approximately $1,379,706. We
will require additional capital to complete the commercialization
of our planned TAEUS applications and to meet our growth and
profitability targets. We expect to expend significant resources on
hiring of personnel, payroll and benefits, continued scientific and
potential product research and development, potential product
testing and pre-clinical and clinical investigations, intellectual
property development and prosecution, marketing and promotion,
capital expenditures, working capital, and general and
administrative expenses. We also expect to incur costs and expenses
related to consulting, laboratory development, hiring of scientists
and other operational personnel, and expenses associated with the
development of relationships with strategic partners.
Our Thermo Acoustic Enhanced Ultrasound, or ("TAEUS"), technology
is still in development and we do not have any applications for our
TAEUS technology approved for sale. Applications for our TAEUS
technology may never be approved, generate significant revenue or
become commercially viable. Our ability to generate significant
revenues and, ultimately, achieve profitability will depend on
whether we can obtain additional capital when we need it, complete
the development of our technology, receive required regulatory
approvals for our TAEUS applications and find customers who will
purchase our future products or strategic partners that will
incorporate our technology into their products. Even if we develop
commercially viable applications for our TAEUS technology, which
may include licensing, we may never recover our research and
development expenses and we may never be able to produce material
revenues or operate on a profitable basis.
Our efforts may never result in the successful development of
commercial applications based on
our TAEUS technology.
Due to the limited tissue penetration capability of light-based
thermoacoustic technology, we believe that there is a limited
clinical market for our current Nexus 128 product, which is focused
on laboratory specimen analysis. As a result, we are currently
focused on the development of products based on our TAEUS
technology. We have not yet completed the development of any
applications based on such technology. Our research and development
efforts remain subject to all of the risks associated with the
development of new products based on emerging technologies,
including, without limitation, unanticipated technical or other
problems, the inability to develop a product that may be sold at an
acceptable price point and the possible insufficiency of funds
needed in order to complete development of these products.
Technical problems may result in delays and cause us to incur
additional expenses that would increase our losses. If we cannot
complete, or if we experience significant delays in developing
applications based on, our TAEUS technology, particularly after
incurring significant expenditures, our business may
fail.
20
Our success is substantially dependent on the success of
applications for our TAEUS platform.
To date we have generated only limited sales of our existing Nexus
128 product and our ability to generate meaningful revenues in the
future will depend on the successful development and
commercialization of our TAEUS platform applications. The
commercial success of our TAEUS platform applications and our
ability to generate revenues will depend on many factors, including
the following:
●
our
successful development of applications for our TAEUS technology,
such as those we intend to pursue for the diagnosis of Non-Alcohol
Fatty Liver Disease, or ("NAFLD"), and the monitoring of thermal
ablation surgery, and the acceptance in the marketplace by
physicians and patients of such applications;
●
the
successful design and manufacturing of a device or devices which
enable the use of our TAEUS technology by physicians on their
patients;
●
receipt
of necessary regulatory approvals;
●
sufficient
coverage or reimbursement by third-party payors;
●
our
ability to successfully market our products;
●
our
ability to demonstrate that our TAEUS applications have
advantages over competing products and procedures;
●
the
amount and nature of competition from competing or alternative
imaging products; and
●
our
ability to establish and maintain commercial manufacturing,
distribution and sales force capabilities.
We have limited data regarding the efficacy of our TAEUS platform
applications. If our applications do not perform in accordance with
our expectations, we are unlikely to successfully commercialize our
applications, even if they receive regulatory
approval.
Our success depends in large part on the medical and third-party
payor community’s acceptance of our TAEUS applications. As a
result, even if we receive regulatory approval for our
applications, we believe that we will need to obtain additional
clinical data from users of our applications to persuade medical
professions to use our applications. We may conduct post-approval
clinical testing to obtain such additional data. Clinical testing
is expensive, can take a significant amount of time to complete and
can have uncertain outcomes. We have not yet conducted any clinical
studies and there can be no assurance that the results of any such
studies will be positive. Our failure to conduct successful
clinical studies could have a material, adverse impact on our
business.
Our limited operating history makes it difficult to evaluate our
business, predict our future results or forecast our financial
performance and growth.
We were incorporated in 2007 and began commercializing our initial
pre-clinical Nexus 128 product in 2010. Our limited operating
history makes it difficult to evaluate our business, predict our
future results or forecast our financial performance and growth. If
our assumptions regarding the risks and uncertainties we face,
which we use to plan our business, are incorrect or change due to
circumstances in our business or our markets, or if we do not
address these risks successfully, our operating and financial
results could differ materially from our expectations and our
business could suffer.
21
We may not remain commercially viable if there is an inadequate
level of reimbursement by governmental programs and other
third-party payors.
Medical imaging products are purchased principally by hospitals,
physicians and other healthcare providers around the world that
typically bill various third-party payors, including governmental
programs (e.g., Medicare and Medicaid in the United States),
private insurance plans and managed care programs, for the services
provided to their patients.
Third-party payors and governments may approve or deny coverage for
certain technologies and associated procedures based on
independently determined assessment criteria. Reimbursement
decisions by payors for these services are based on a wide range of
methodologies that may reflect the services’ assessed
resource costs, clinical outcomes and economic value. These
reimbursement methodologies and decisions confer different, and
sometimes conflicting, levels of financial risk and incentives to
healthcare providers and patients, and these methodologies and
decisions are subject to frequent refinements. Third-party payors
are also increasingly adjusting reimbursement rates, often
downwards, indirectly challenging the prices charged for medical
products and services. There can be no assurance that our products
will be covered by third-party payors, that adequate reimbursement
will be available or, even if payment is available, that
third-party payors’ coverage policies will not adversely
affect our ability to sell our products profitably.
We will depend on third parties to design, manufacture and seek
regulatory approval of our TAEUS applications. If any third party
fails to successfully design, manufacture and gain regulatory
approval of our TAEUS applications, our business will be materially
harmed.
We currently intend to outsource the design and manufacturing of
applications utilizing our TAEUS technology rather than manufacture
our TAEUS applications ourselves. We will have limited control over
the efforts and resources that any third-party original equipment
manufacturer ("OEM"), will devote to developing and manufacturing
our TAEUS applications. In addition, we currently expect to depend
on OEMs to acquire CE marks for the device or devices that they
develop and manufacture which are necessary to permit marketing of
those devices in the European Union.
An OEM may not be able to successfully design and manufacture the
products it develops based on our TAEUS technology, may not devote
sufficient time and resources to support these efforts or may fail
in gaining the required regulatory approvals of our TAEUS
applications. The failure by an OEM in its efforts to design,
manufacture or gain regulatory approval of our TAEUS applications
could substantially harm the value of our TAEUS technology, brand
and business.
If we are unable to manage the anticipated growth of our business,
our future revenues and operating results may be
harmed.
Because of our small size, growth in accordance with our business
plan, if achieved, will place a significant strain on our
financial, technical, operational and management resources. As we
expand our activities, there will be additional demands on these
resources. The failure to continue to upgrade our technical,
administrative, operating and financial control systems or the
occurrence of unexpected expansion difficulties, including issues
relating to our research and development activities and retention
of experienced scientists, managers and technicians, could have a
material adverse effect on our business, financial condition and
results of operations and our ability to timely execute our
business plan. If we are unable to implement these actions in a
timely manner, our results may be adversely affected.
Competition in the medical imaging market is intense and we may be
unable to successfully compete.
In general, competition in the medical imaging market is very
significant and characterized by extensive research and development
and rapid technological change. Competitors in this market include
very large companies with significantly greater resources than we
have. To successfully compete in this market we will need to
develop TAEUS applications for particular applications that offer
significant advantages over alternative imaging products and
procedures for such applications.
Developments by other medical imaging companies of new or improved
products, processes or technologies may make our products or
proposed products obsolete or less competitive. Alternative medical
imaging devices may be more accepted or cost-effective than our
products. Competition from these companies for employees with
experience in the medical imaging industry could result in higher
turnover of our employees. If we are unable to respond to these
competitive pressures, we could experience delayed or reduced
market acceptance of our products, higher expenses and lower
revenue. If we are unable to compete effectively with current or
new entrants to these markets, we will be unable to generate
sufficient revenue to maintain our business.
22
Changes in the healthcare industry could result in a reduction in
the size of the market for our products or may require us to
decrease the selling price for our products, either of which could
have a negative impact on our financial performance.
Trends toward managed care, healthcare cost containment, and other
changes in government and private sector initiatives in Europe, the
United States and China are placing increased emphasis on lowering
the cost of medical services, which could adversely affect the
demand for or the prices of our products. For example:
●
major
third-party payors of hospital and non-hospital based healthcare
services could revise their payment methodologies and impose
stricter standards for reimbursement of imaging procedures charges
and/or a lower or more bundled reimbursement;
●
there
has been a consolidation among healthcare facilities and purchasers
of medical devices who prefer to limit the number of suppliers from
whom they purchase medical products, and these entities may decide
to stop purchasing our products or demand discounts on our
prices;
●
there
is economic pressure to contain healthcare costs in markets
throughout the world; and
●
there
are proposed and existing laws and regulations in international and
domestic markets regulating pricing and profitability of companies
in the healthcare industry.
These trends could lead to pressure to reduce prices for our
products and could cause a decrease in the demand for our products
in any given market that could adversely affect our revenue and
profitability, which could harm our business.
We have limited selling, marketing and manufacturing resources,
which may restrict our success in commercializing our TAEUS
technology.
We currently do not have a sales, marketing, customer support or
manufacturing team dedicated to our TAEUS clinical applications. To
grow our business as planned, we must expand our sales, marketing,
customer support and manufacturing capabilities. We must also
establish satisfactory arrangements for the manufacture and
distribution of our TAEUS applications, which will involve the
development of our commercial infrastructure and/or collaborative
commercial arrangements and partnerships. We may be unable to
attract, retain and manage the specialized workforce and
collaborative manufacturing and distribution arrangements necessary
to successfully commercialize our products. In addition, developing
these functions is time consuming and expensive. We intend to
partner with others to assist us with some or all of these
functions. However, we may be unable to find appropriate third
parties with whom to enter into these arrangements. Furthermore, if
we do enter into these arrangements, these third parties may not
perform as expected.
If we experience problems in our relationships with our
distributors, our ability to sell our products could be
limited.
Because we are a small company with limited resources, we expect to
depend on distributors to help promote market acceptance and demand
for our products. Distributors that are in the business of selling
other medical products may not devote a sufficient level of
resources and support required to generate awareness of our
products and grow or maintain product sales. If our distributors
are unwilling or unable to market and sell our products, or if they
do not perform to our expectations, we could experience delayed or
reduced market acceptance and sales of our products. In addition,
disagreements with our distributors or non-performance by these
third parties could lead to costly and time-consuming litigation or
arbitration and disrupt distribution channels for a period of time
and require us to re-establish a distribution channel.
We have and may in the future form or seek additional strategic
alliances, collaborations or enter into licensing arrangements, and
we may not realize the benefits of such alliances, collaborations
or licensing arrangements.
On April 22, 2016, we entered into a Collaborative Research
Agreement with GE Healthcare under which GE Healthcare has agreed
to support our efforts to commercialize our TAEUS technology for
use in an NAFLD application by, among other things, providing
equipment and technical advice and facilitating introductions to GE
Healthcare clinical ultrasound customers. This agreement does not
commit GE Healthcare to a long-term relationship and it may
disengage with us at any time. This agreement has a term of one
year and is subject to termination by either party upon not less
than 60 days’ notice. On April 21, 2017, we and GE Healthcare
entered into an amendment to our agreement, extending its term by
one year to April 22, 2018.
23
We intend in the future to form or seek additional strategic
alliances, create joint ventures or collaborations or enter into
licensing arrangements with third parties that we believe will
complement or augment our development and commercialization efforts
with respect to our technologies and applications.
Any of these relationships may require us to incur non-recurring
and other charges, increase our near- and long-term expenditures,
issue securities that dilute our existing stockholders or disrupt
our management and business. In addition, we face significant
competition in seeking appropriate strategic partners and the
negotiation process is time-consuming and complex. If we license
technologies or applications, we may not be able to realize the
benefit of such transactions. Further, strategic alliances and
collaborations are subject to numerous risks, which may include the
following:
●
collaborators
have significant discretion in determining the efforts and
resources that they will apply to a collaboration;
●
collaborators
may not pursue development and commercialization of our
technologies and applications or may elect not to continue or renew
development or commercialization programs based on clinical trial
results, changes in their strategic focus due to the acquisition of
competitive products, availability of funding, or other external
factors, such as a business combination that diverts resources or
creates competing priorities;
●
collaborators
may delay clinical trials, provide insufficient funding for a
clinical trial, stop a clinical trial, abandon the development of
an application, repeat or conduct new clinical trials, or require a
new formulation of an application for clinical
testing;
●
collaborators
could independently develop, or develop with third parties,
products that compete directly or indirectly with our applications
and technologies;
●
a
collaborator with marketing and distribution rights to one or more
applications may not commit sufficient resources to their marketing
and distribution;
●
collaborators
may not properly maintain or defend our intellectual property
rights or may use our intellectual property or proprietary
information in a way that gives rise to actual or threatened
litigation that could jeopardize or invalidate our intellectual
property or proprietary information or expose us to potential
liability;
●
disputes
may arise between us and a collaborator that cause the delay or
termination of the research, development or commercialization of
our technologies and applications, or that result in costly
litigation or arbitration that diverts management attention and
resources;
●
collaborations
may be terminated and, if terminated, may result in a need for
additional capital to pursue further development or
commercialization of the applicable applications or technologies;
and
●
collaborators
may own or co-own intellectual property covering our products that
results from our collaborating with them, and in such cases, we
would not have the exclusive right to commercialize such
intellectual property.
As a result, if we enter into collaboration agreements and
strategic partnerships or license our applications or technologies,
we may not be able to realize the benefit of such transactions if
we are unable to successfully integrate them with our existing
operations and company culture, which could delay our timelines or
otherwise adversely affect our business. We also cannot be certain
that, following a strategic transaction or license, we will achieve
the revenue or specific net income that justifies such transaction.
Any delays in entering into new strategic partnership agreements
related to our applications could delay the development and
commercialization of our technologies and applications in certain
geographies or for certain applications, which would harm our
business prospects, financial condition and results of
operations.
24
We intend to market our TAEUS applications, if approved, globally,
in which case we will be subject to the risks of doing business
outside of the United States.
Because we intend to market our TAEUS applications, if approved,
globally, our business may be subject to risks associated with
doing business globally. Accordingly, our business and financial
results in the future could be adversely affected due to a variety
of factors, including:
●
changes
in a specific country’s or region’s political and
cultural climate or economic condition;
●
unexpected
changes in laws and regulatory requirements in local
jurisdictions;
●
difficulty
of effective enforcement of contractual provisions in local
jurisdictions;
●
inadequate
intellectual property protection in certain countries;
●
trade-protection
measures, import or export licensing requirements such as Export
Administration Regulations promulgated by the United States
Department of Commerce and fines, penalties or suspension or
revocation of export privileges;
●
effects
of applicable local tax structures and potentially adverse tax
consequences; and
●
significant
adverse changes in currency exchange rates.
We depend on our senior management team and the loss of one or more
key employees or an inability to attract and retain highly skilled
employees could harm our business.
Our success largely depends upon the continued services of our
executive management team and key employees and the loss of one or
more of our executive officers or key employees could harm us and
directly impact our financial results. Our employees may terminate
their employment with us at any time. Our executive management team
has significant experience and knowledge of medical devices and
ultrasound systems, and the loss of any team member could impair
our ability to design, identify, and develop new intellectual
property and new scientific or product ideas. Additionally, if we
lose the services of any of these persons, we would likely be
forced to expend significant time and money in the pursuit of
replacements, which may result in a delay in the implementation of
our business plan and plan of operations. We can give no assurance
that we could find satisfactory replacements for these individuals
on terms that would not be unduly expensive or burdensome to
us.
To execute our growth plan, we must attract and retain highly
qualified personnel. Competition for skilled personnel is intense,
especially for engineers with high levels of experience in
designing and developing medical devices and for sales executives,
especially with industry expertise. We may experience difficulty in
hiring and retaining employees with appropriate qualifications.
Many of the companies with which we compete for experienced
personnel have greater resources than we have. In addition, we
invest significant time and expense in training our employees,
which increases their value to competitors who may seek to recruit
them. If we fail to attract new personnel or fail to retain and
motivate our current personnel, our business and future growth
prospects would be harmed.
25
Our employees, independent contractors, consultants, commercial
partners and vendors may engage in misconduct or other improper
activities, including noncompliance with regulatory standards and
requirements.
We are exposed to the risk of fraud, misconduct or other illegal
activity by our employees, independent contractors, consultants,
commercial partners and vendors. Misconduct by these parties could
include intentional, reckless and negligent conduct that fails to:
comply with the U.S. Food, Drug and Cosmetics Act, or the FD&C
Act, and similar laws of other countries, and rules and regulations
of the U.S. Food and Drug Administration, or the FDA, and other
similar foreign regulatory bodies; provide true, complete and
accurate information to the FDA and other similar foreign
regulatory bodies; comply with manufacturing standards we
establish; comply with healthcare fraud and abuse laws in the
United States and similar foreign fraudulent misconduct laws; or
report financial information or data accurately or to disclose
unauthorized activities to us. If we obtain European, Chinese or
FDA approval of any of our products and begin commercializing those
products in Europe, China or the United States, respectively, our
potential exposure under such laws will increase significantly, and
our costs associated with compliance with such laws are also likely
to increase. In particular, the promotion, sales and marketing of
healthcare items and services, as well as certain business
arrangements in the healthcare industry, are subject to extensive
laws designed to prevent fraud, kickbacks, self-dealing and other
abusive practices. These laws and regulations may restrict or
prohibit a wide range of pricing, discounting, marketing and
promotion, structuring and commissions, certain customer incentive
programs and other business arrangements generally. It is not
always possible to identify and deter misconduct by employees and
other parties, and the precautions we take to detect and prevent
this activity may not be effective in controlling unknown or
unmanaged risks or losses or in protecting us from governmental
investigations or other actions or lawsuits stemming from a failure
to comply with these laws or regulations. If any such actions are
instituted against us, and we are not successful in defending
ourselves or asserting our rights, those actions could have a
significant impact on our business, including the imposition of
significant fines or other sanctions.
Misdiagnosis, warranty and other claims initiated against us and
product field actions could increase our costs, delay or reduce our
sales and damage our reputation, adversely affecting our financial
condition.
Our business exposes us to the risk of malpractice, warranty or
product liability claims inherent in the sale and support of
medical device products, including those based on claims that the
use or failure of one of our products resulted in a misdiagnosis or
harm to a patient. Such claims may cause financial loss, damage our
reputation by raising questions about our products’ safety
and efficacy, adversely affect regulatory approvals and interfere
with our efforts to market our products. Although to date we have
not been involved in any medical malpractice or product liability
litigation, we may incur significant liability if such litigation
were to occur. We may also face adverse publicity resulting from
product field actions or regulatory proceedings brought against us.
Claims could also be asserted under state consumer protection acts.
If we cannot successfully defend ourselves against product
liability or related claims, we may incur substantial liabilities
or be required to limit distribution of our products. Even a
successful defense would require significant financial and
management resources. Regardless of the merits or eventual outcome,
liability claims may result in:
●
decreased
demand for our products;
●
injury
to our reputation and negative media attention;
●
initiation
of investigations by regulators;
●
costs
to defend the related litigation;
●
a
diversion of management’s time and our
resources;
●
substantial
monetary awards to trial participants or
patients;
●
product
recalls, withdrawals or labeling, marketing or promotional
restrictions;
●
loss
of revenue;
●
exhaustion
of any available insurance and our capital
resources;
●
the
inability to commercialize a product at all or for particular
applications; and
●
a
decline in the price of our securities.
26
Although we currently maintain liability insurance in amounts we
believe are commercially reasonable, any liability we incur may
exceed our insurance coverage. Our insurance policies may also have
various exclusions, and we may be subject to a claim for which we
have no coverage. Liability insurance is expensive and may cease to
be available on acceptable terms, if at all. A malpractice,
warranty, product liability or other claim or product field action
not covered by our insurance or exceeding our coverage could
significantly impair our financial condition. In addition, a
product field action or a liability claim against us could
significantly harm our reputation and make it more difficult to
obtain the funding and commercial relationships necessary to
maintain our business.
Our internal computer systems, or those used by third-party
manufacturers or other contractors or consultants, may fail or
suffer security breaches.
Despite the implementation of security measures, our internal
computer systems and those of our future manufacturers and other
contractors and consultants are vulnerable to damage from computer
viruses and unauthorized access. Although to our knowledge we have
not experienced any such material system failure or security breach
to date, if such an event were to occur and cause interruptions in
our operations, it could result in a material disruption of our
development programs and our business operations. To the extent
that any disruption or security breach were to result in a loss of,
or damage to, our data or applications, or inappropriate disclosure
of confidential or proprietary information, we could incur
liability and the further development and commercialization of our
products could be delayed.
Unfavorable economic conditions may have an adverse impact on our
business.
Unfavorable changes in economic conditions, including inflation,
recession, or other changes in economic conditions, may result in
lower consumer healthcare spending as well as physician and
hospital spending and availability of credit. If demand for medical
devices or budgets for capital improvements decline, our revenue
could be adversely affected. Additionally, if our suppliers face
challenges in obtaining credit, in selling their products or
otherwise in operating their businesses, they may become unable to
continue to offer the materials we use to manufacture our products,
which could result in sales disruption.
We may face significant challenges if global economic conditions
remain unstable or worsen, including reduced demand for our
products and services, increased order cancellations, longer sales
cycles and slower adoption of new technologies; increased
difficulty in collecting accounts receivable and increased risk of
excess and obsolete inventories; increased price competition in our
served markets; increased prices in components as a result of
higher commodities prices; supply chain interruptions, which could
disrupt our ability to produce our products; and increased risk of
impairment of investments, goodwill and intangible and long-lived
assets.
The United Kingdom’s vote to leave the European Union will
have uncertain effects and could adversely affect us.
The United Kingdom held a referendum on June 23, 2016 in which a
majority of voters voted to exit the European Union, commonly
referred to as “Brexit”. Negotiations are expected to
commence to determine the future terms of the United
Kingdom’s relationship with the European Union, including,
among other things, the terms of trade between the United Kingdom
and the European Union. The effects of Brexit will depend on any
agreements the United Kingdom makes to retain access to E.U.
markets either during a transitional period or more permanently.
Brexit could adversely affect European and worldwide economic and
market conditions and could contribute to instability in global
financial and foreign exchange markets, including volatility in the
value of the Sterling and Euro. In addition, Brexit could lead to
legal uncertainty and potentially divergent national laws and
regulations as the United Kingdom determines which E.U. laws to
replace or replicate. Any of these effects of Brexit, and others we
cannot anticipate, could adversely affect our business, results of
operations, financial condition and cash flows.
Risks Related to Intellectual Property and Other Legal
Matters
If we are unable to protect our intellectual property, then our
financial condition, results of operations and the value of our
technology and products could be adversely affected.
Much of our value arises out of our proprietary technology and
intellectual property for the design, manufacture and use of
medical imaging systems, including development of our TAEUS
applications. We rely on patent, copyright, trade secret and
trademark laws to protect our proprietary technology and limit the
ability of others to compete with us using the same or similar
technology. Third parties may infringe or misappropriate our
intellectual property, which could harm our business.
27
We currently maintain a patent portfolio consisting of one current
granted patent and twelve pending patent applications in the United
States and foreign jurisdictions relating to our technology. In
addition, we currently license eight granted patents and three
pending patent applications in the United States and foreign
jurisdictions. We or our licensor may fail to maintain these
patents, may determine not to pursue litigation against entities
that are infringing upon these patents, or may pursue such
enforcement less aggressively than we ordinarily
would.
Policing unauthorized use of our intellectual property is
difficult, costly and time-intensive. We may fail to stop or
prevent misappropriation of our technology, particularly in
countries where the laws may not protect our proprietary rights to
the same extent as do the laws of the United States. Proceedings to
enforce our patent and other intellectual property rights in
non-U.S. jurisdictions could result in substantial costs and divert
our efforts and attention from other aspects of our business. If we
cannot prevent other companies from using our proprietary
technology or if our patents are found invalid or otherwise
unenforceable, we may be unable to compete effectively against
other manufacturers of ultrasound systems, which could decrease our
market share. In addition, the breach of a patent licensing
agreement by us may result in termination of a patent
license.
If we are unable to protect the confidentiality of our proprietary
information and know-how, the value of our technology and products
could be adversely affected.
In addition to our patent activities, we rely upon, among other
things, unpatented proprietary technology, processes, trade secrets
and know-how. Any involuntary disclosure to or misappropriation by
third parties of our confidential or proprietary information could
enable competitors to duplicate or surpass our technological
achievements, potentially eroding our competitive position in our
market. We seek to protect confidential or proprietary information
in part by confidentiality agreements with our employees,
consultants and third parties. While we require all of our
employees, consultants, advisors and any third parties who have
access to our proprietary know-how, information and technology to
enter into confidentiality agreements, we cannot be certain that
this know-how, information and technology will not be disclosed or
that competitors will not otherwise gain access to our trade
secrets or independently develop substantially equivalent
information and techniques. These agreements may be terminated or
breached, and we may not have adequate remedies for any such
termination or breach. Furthermore, these agreements may not
provide meaningful protection for our trade secrets and know-how in
the event of unauthorized use or disclosure. To the extent that any
of our staff was previously employed by other pharmaceutical,
medical technology or biotechnology companies, those employers may
allege violations of trade secrets and other similar claims in
relation to their former employee’s therapeutic development
activities for us.
We may in the future be a party to intellectual property litigation
or administrative proceedings that could be costly and could
interfere with our ability to sell our TAEUS
applications.
The medical device industry has been characterized by extensive
litigation regarding patents, trademarks, trade secrets, and other
intellectual property rights, and companies in the industry have
used intellectual property litigation to gain a competitive
advantage. It is possible that U.S. and foreign patents and pending
patent applications or trademarks controlled by third parties may
be alleged to cover our products, or that we may be accused of
misappropriating third parties’ trade secrets. Other medical
imaging market participants, many of which have substantially
greater resources and have made substantial investments in patent
portfolios, trade secrets, trademarks, and competing technologies,
may have applied for or obtained or may in the future apply for or
obtain, patents or trademarks that will prevent, limit or otherwise
interfere with our ability to make, use, sell and/or export our
products or to use product names. We may become a party to patent
or trademark infringement or trade secret claims and litigation as
a result of these and other third party intellectual property
rights being asserted against us. The defense and prosecution of
these matters are both costly and time consuming. Vendors from whom
we purchase hardware or software may not indemnify us in the event
that such hardware or software is accused of infringing a third
party’s patent or trademark or of misappropriating a third
party’s trade secret.
Further, if such patents, trademarks, or trade secrets are
successfully asserted against us, this may harm our business and
result in injunctions preventing us from selling our products,
license fees, damages and the payment of attorney fees and court
costs. In addition, if we are found to willfully infringe
third-party patents or trademarks or to have misappropriated trade
secrets, we could be required to pay treble damages in addition to
other penalties. Although patent, trademark, trade secret, and
other intellectual property disputes in the medical device area
have often been settled through licensing or similar arrangements,
costs associated with such arrangements may be substantial and
could include ongoing royalties. We may be unable to obtain
necessary licenses on satisfactory terms, if at all. If we do not
obtain necessary licenses, we may not be able to redesign our TAEUS
applications to avoid infringement.
Similarly, interference or derivation proceedings provoked by third
parties or brought by the U.S. Patent and Trademark Office, or
USPTO, may be necessary to determine the priority of inventions or
other matters of inventorship with respect to our patents or patent
applications. We may also become involved in other proceedings,
such as re-examination, inter partes review, or opposition
proceedings, before the USPTO or other jurisdictional body relating
to our intellectual property rights or the intellectual property
rights of others. Adverse determinations in a judicial or
administrative proceeding or failure to obtain necessary licenses
could prevent us from manufacturing and selling our TAEUS
applications or using product names, which would have a significant
adverse impact on our business.
28
Additionally, we may need to commence proceedings against others to
enforce our patents or trademarks, to protect our trade secrets or
know-how, or to determine the enforceability, scope and validity of
the proprietary rights of others. These proceedings would result in
substantial expense to us and significant diversion of effort by
our technical and management personnel. We may not prevail in any
lawsuits that we initiate and the damages or other remedies
awarded, if any, may not be commercially meaningful. We may not be
able to stop a competitor from marketing and selling products that
are the same or similar to our products or from using product names
that are the same or similar to our product names, and our business
may be harmed as a result.
Intellectual property rights may not provide adequate protection,
which may permit third parties to compete against us more
effectively.
In order to remain competitive, we must develop and maintain
protection of the proprietary aspects of our technologies. We rely
on a combination of patents, copyrights, trademarks, trade secret
laws and confidentiality and invention assignment agreements to
protect our intellectual property rights. Any patents issued to us
may be challenged by third parties as being invalid, or third
parties may independently develop similar or competing technology
that avoids our patents. Should such challenges be successful,
competitors might be able to market products and use manufacturing
processes that are substantially similar to ours. We may not be
able to prevent the unauthorized disclosure or use of our technical
knowledge or other trade secrets by consultants, vendors or former
or current employees, despite the existence generally of
confidentiality agreements and other contractual restrictions.
Monitoring unauthorized use and disclosure of our intellectual
property is difficult, and we do not know whether the steps we have
taken to protect our intellectual property will be adequate. In
addition, the laws of many foreign countries will not protect our
intellectual property rights to the same extent as the laws of the
United States. Consequently, we may be unable to prevent our
proprietary technology from being exploited abroad, which could
affect our ability to expand to international markets or require
costly efforts to protect our technology. To the extent our
intellectual property protection is incomplete, we are exposed to a
greater risk of direct competition. In addition, competitors could
purchase our products and attempt to replicate some or all of the
competitive advantages we derive from our development efforts or
design around our protected technology. Our failure to secure,
protect and enforce our intellectual property rights could
substantially harm the value of our TAEUS platform, brand and
business.
Risks Related to Government Regulation
Failure to comply with laws and regulations could harm our
business.
Our business is or in the future may be subject to regulation by
various federal, state, local and foreign governmental agencies,
including agencies responsible for monitoring and enforcing
employment and labor laws, workplace safety, environmental laws,
consumer protection laws, anti-bribery laws, import/export
controls, securities laws and tax laws and regulations. In certain
jurisdictions, these regulatory requirements may be more stringent
than those in the United States. Noncompliance with applicable
regulations or requirements could subject us to investigations,
sanctions, mandatory recalls, enforcement actions, adverse
publicity, disgorgement of profits, fines, damages, civil and
criminal penalties or injunctions and administrative actions. If
any governmental sanctions, fines or penalties are imposed, or if
we do not prevail in any possible civil or criminal litigation, our
business, operating results and financial condition could be
harmed. In addition, responding to any action will likely result in
a significant diversion of management's attention and our resources
and substantial costs. Enforcement actions and sanctions could
further harm our business, operating results and financial
condition.
29
If we fail to obtain and maintain necessary regulatory clearances
or approvals for our TAEUS applications, or if clearances or
approvals for future applications and indications are delayed or
not issued, our commercial operations will be harmed.
The medical devices that we manufacture and market are subject to
regulation by numerous worldwide regulatory bodies, including the
FDA and comparable international regulatory agencies. These
agencies require manufacturers of medical devices to comply with
applicable laws and regulations governing development, testing,
manufacturing, labeling, marketing and distribution of medical
devices. Devices are generally subject to varying levels of
regulatory control, based on the risk level of the device.
Governmental regulations specific to medical devices are
wide-ranging and govern, among other things:
●
product
design, development and manufacture;
●
laboratory,
pre-clinical and clinical testing, labeling, packaging storage and
distribution;
●
premarketing
clearance or approval;
●
record
keeping;
●
product
marketing, promotion and advertising, sales and distribution;
and
●
post-marketing
surveillance, including reporting of deaths or serious injuries and
recalls and correction and removals.
In the European Union, we will be required to comply with
applicable medical device directives (including the Medical Devices
Directive and the Active Implantable Medical Devices Directive) and
obtain CE mark certification in order to market medical devices.
The CE mark is applied following approval from an independent
notified body or declaration of conformity. It is an international
symbol of adherence to quality assurance standards and compliance
with applicable European Medical Devices Directives. We believe
that our TAEUS applications will qualify for sale in the European
Union as Class IIa medical devices. Existing regulations do not
require clinical trials to obtain CE marks for Class IIa medical
devices. However, in 2012 the European Commission proposed a new
regulatory scheme that, if implemented, will impose significant
additional obligations on medical device companies. Expected
changes include stricter requirements for clinical evidence and
pre-market assessment of safety and performance, new
classifications to indicate risk levels, requirements for third
party testing by government accredited groups for some types of
medical devices, and tightened and streamlined quality management
system assessment procedures. It is anticipated that this new
regulatory scheme may be implemented prior to receipt of the CE
mark for our NAFLD TAEUS application but we believe that applicable
transition rules should allow us to avoid their application in that
case. However, such new rules could impose additional requirements,
such as a requirement to conduct clinical trials, on future CE mark
applications we make.
We are also required to comply with the regulations of each other
country where we commercialize products, such as the requirement
that we obtain approval from the FDA and the China Food and Drug
Administration before we can launch new products in the United
States and China, respectively.
International sales of medical devices manufactured in the United
States that are not approved by the FDA for use in the United
States, or that are banned or deviate from lawful performance
standards, are subject to FDA export requirements. Exported devices
are subject to the regulatory requirements of each country to which
the device is exported. Frequently, regulatory approval may first
be obtained in a foreign country prior to application in the United
States due to differing regulatory requirements; however, other
countries, such as China for example, require approval in the
country of origin first.
30
Before a new medical device or a new intended use for an existing
product can be marketed in the United States, a company must first
submit and receive either 510(k) clearance or premarketing
approval, or PMA, from the FDA, unless an exemption applies. The
typical duration to receive a 510(k) approval is approximately nine
to twelve months from the date of the initial 510(k) submission and
the typical duration to receive a PMA approval is approximately two
years from the date of submission of the initial PMA application,
although there is no guarantee that the timing will not be
longer.
We expect all of our products to be classified as Class II medical
devices that may be approved by means of a 510(k) clearance. In the
past, the 510(k) pathway for product marketing has required only
proof of substantial equivalence in technology for a given
indication with a previously cleared device. Recently, there has
been a trend of the FDA requiring additional clinical work to prove
efficacy in addition to technological equivalence and basic safety.
Whether clinical data is provided or not, the FDA may decide to
reject the substantial equivalence argument we present. If that
happens, the device is automatically designated as a Class III
device. The device sponsor must then fulfill more rigorous PMA
requirements, or can request a risk-based classification
determination for the device in accordance with the “de
novo” process, which may determine that the new device is of
low to moderate risk and that it can be appropriately be regulated
as a Class I or II device. Thus, although at this time we do not
anticipate that we will be required to do so, it is possible that
one or more of our other products may require approval through the
510(K) de novo process or by means of a PMA.
We may not be able to obtain the necessary clearances or approvals
or may be unduly delayed in doing so, which could harm our
business. Furthermore, even if we are granted regulatory clearances
or approvals, they may include significant limitations on the
indicated uses for the product, which may limit the market for the
product. Therefore, even if we believe we have successfully
developed our TAEUS technology, we may not be permitted to market
TAEUS applications in the United States if we do not obtain FDA
regulatory clearance to market such applications. Delays in
obtaining clearance or approval could increase our costs and harm
our revenues and growth.
In addition, we are required to timely file various reports with
the FDA, including reports required by the medical device reporting
regulations that require us to report to certain regulatory
authorities if our devices may have caused or contributed to a
death or serious injury or malfunctioned in a way that would likely
cause or contribute to a death or serious injury if the malfunction
were to recur. If these reports are not filed timely, regulators
may impose sanctions and sales of our products may suffer, and we
may be subject to product liability or regulatory enforcement
actions, all of which could harm our business.
If we initiate a correction or removal for one of our devices to
reduce a risk to health posed by the device, we would be required
to submit a publically available Correction and Removal report to
the FDA and, in many cases, similar reports to other regulatory
agencies. This report could be classified by the FDA as a device
recall which could lead to increased scrutiny by the FDA, other
international regulatory agencies and our customers regarding the
quality and safety of our devices. Furthermore, the submission of
these reports has been and could be used by competitors against us
in competitive situations and cause customers to delay purchase
decisions or cancel orders and would harm our
reputation.
The FDA and the Federal Trade Commission, or FTC, also regulate the
advertising and promotion of our products to ensure that the claims
we make are consistent with our regulatory clearances, that there
are adequate and reasonable data to substantiate the claims and
that our promotional labeling and advertising is neither false nor
misleading in any respect. If the FDA or FTC determines that any of
our advertising or promotional claims are misleading, not
substantiated or not permissible, we may be subject to enforcement
actions, including warning letters, and we may be required to
revise our promotional claims and make other corrections or
restitutions.
31
The FDA and state authorities have broad enforcement powers. Our
failure to comply with applicable regulatory requirements could
result in enforcement action by the FDA or state agencies, which
may include any of the following sanctions:
●
adverse
publicity, warning letters, fines, injunctions, consent decrees and
civil penalties;
●
repair,
replacement, refunds, recall or seizure of our
products;
●
operating
restrictions, partial suspension or total shutdown of
production;
●
refusing
our requests for 510(k) clearance or premarket approval of new
products, new intended uses or modifications to existing
products;
●
withdrawing
510(k) clearance or premarket approvals that have already been
granted; and
●
criminal
prosecution.
If any of these events were to occur, our business and financial
condition would be harmed.
Our TAEUS applications may require recertification or new
regulatory clearances or premarket approvals and we may be required
to recall or cease marketing our TAEUS applications until such
recertification or clearances are obtained.
Most countries outside of the United States require that product
approvals be recertified on a regular basis, generally every five
years. The recertification process requires that we evaluate any
device changes and any new regulations or standards relevant to the
device and, where needed, conduct appropriate testing to document
continued compliance. Where recertification applications are
required, they must be approved in order to continue selling our
products in those countries.
In the United States, material modifications to the intended use or
technological characteristics of our TAEUS applications will
require new 510(k) clearances or premarket approvals or require us
to recall or cease marketing the modified devices until these
clearances or approvals are obtained. Based on FDA published
guidelines, the FDA requires device manufacturers to initially make
and document a determination of whether or not a modification
requires a new approval, supplement or clearance; however, the FDA
can review a manufacturer’s decision. Any modification to an
FDA-cleared device that would significantly affect its safety or
efficacy or that would constitute a major change in its intended
use would require a new 510(k) clearance or possibly a premarket
approval.
We may not be able to obtain recertification or additional 510(k)
clearances or premarket approvals for our applications or for
modifications to, or additional indications for, our TAEUS
technology in a timely fashion, or at all. Delays in obtaining
required future governmental approvals would harm our ability to
introduce new or enhanced products in a timely manner, which in
turn would harm our future growth. If foreign regulatory
authorities or the FDA require additional approvals, we may be
required to recall and to stop selling or marketing our TAEUS
applications, which could harm our operating results and require us
to redesign our applications. In these circumstances, we may be
subject to significant enforcement actions.
If we or our suppliers fail to comply with the FDA’s Quality
System Regulations or other regulatory bodies’ equivalent
regulations, our manufacturing operations could be delayed or shut
down and TAEUS platform sales could suffer.
Our manufacturing processes and those of our third party suppliers
will be required to comply with the FDA’s Quality System
Regulations and other regulatory bodies’ equivalent
regulations, which cover the procedures and documentation of the
design, testing, production, control, quality assurance, labeling,
packaging, storage and shipping of our TAEUS applications. We will
also be subject to similar state requirements and licenses. In
addition, we must engage in extensive recordkeeping and reporting
and must make available our manufacturing facilities and records
for periodic unannounced inspections by governmental agencies,
including the FDA, state authorities and comparable agencies in
other countries. If we fail such an inspection, our operations
could be disrupted and our manufacturing interrupted. Failure to
take adequate corrective action in response to an adverse
inspection could result in, among other things, a shut-down of our
manufacturing operations, significant fines, suspension of
marketing clearances and approvals, seizures or recalls of our
products, operating restrictions and criminal prosecutions, any of
which would cause our business to suffer. Furthermore, our key
component suppliers may not currently be or may not continue to be
in compliance with applicable regulatory requirements, which may
result in manufacturing delays for our product and cause our
results of operations to suffer.
32
Our TAEUS applications may in the future be subject to product
recalls that could harm our reputation.
Governmental authorities in Europe, the United States and China
have the authority to require the recall of commercialized products
in the event of material regulatory deficiencies or defects in
design or manufacture. A government-mandated or voluntary recall by
us could occur as a result of component failures, manufacturing
errors or design or labeling defects. Recalls of our TAEUS
applications would divert managerial attention, be expensive, harm
our reputation with customers and harm our financial condition and
results of operations. A recall announcement would negatively
affect the price of our securities.
Healthcare reform measures could hinder or prevent our planned
products' commercial success.
There have been, and we expect there will continue to be, a number
of legislative and regulatory changes to the healthcare system in
ways that could harm our future revenues and profitability and the
future revenues and profitability of our potential customers. In
the European Union, although there have not been any recent
amendments to the relevant regulatory legislation, there are
ongoing discussions regarding amending the current regulatory
framework for medical devices. Moreover, because the Medical
Devices Directive requires only minimum harmonization in the
European Union, member countries may alter their enforcement of the
directives or amend their national regulatory rules. We cannot
predict what healthcare initiatives, if any, will be implemented by
the European Union or E.U. member countries, or the effect any
future legislation or regulation will have on
us.
In the United States, federal and state lawmakers regularly propose
and, at times, enact legislation that would result in significant
changes to the healthcare system, some of which are intended to
contain or reduce the costs of medical products and services. For
example, one of the most significant healthcare reform measures in
decades, the Patient Protection and Affordable Care Act, as amended
by the Health Care and Education Affordability Reconciliation Act,
or Affordable Care Act, was enacted in 2010. The Affordable Care
Act contains a number of provisions, including those governing
enrollment in federal healthcare programs, reimbursement changes
and fraud and abuse measures, all of which will impact existing
government healthcare programs and will result in the development
of new programs. The Affordable Care Act, among other things,
imposes an excise tax of 2.3% on the sale of most medical devices,
including ours, and any failure to pay this amount could result in
the imposition of an injunction on the sale of our products, fines
and penalties.
It remains unclear whether changes will be made to the Affordable
Care Act, or whether it will be repealed or materially modified. We
cannot assure you that the Affordable Care Act, as currently
enacted or as amended or discontinued in the future, will not harm
our business and financial results and we cannot predict how future
federal or state legislative or administrative changes relating to
healthcare reform will affect our business.
There likely will continue to be legislative and regulatory
proposals at the federal and state levels directed at containing or
lowering the cost of healthcare. We cannot predict the initiatives
that may be adopted in the future or their full impact. The
continuing efforts of the government, insurance companies, managed
care organizations and other payors of healthcare services to
contain or reduce costs of healthcare may harm:
●
our
ability to set a price that we believe is fair for our
products;
●
our
ability to generate revenues and achieve or maintain profitability;
and
●
the
availability of capital.
33
If we fail to comply with healthcare regulations, we could face
substantial penalties and our business, operations and financial
condition could be adversely affected.
Even though we do not and will not control referrals of healthcare
services or bill directly to Medicare, Medicaid or other third
party payors, certain federal and state healthcare laws and
regulations pertaining to fraud and abuse and patients’
rights are and will be applicable to our business. We could be
subject to healthcare fraud and abuse and patient privacy
regulation by both the federal government and the states in which
we conduct our business. Other jurisdictions such as the European
Union have similar laws. The regulations that will affect how we
operate include:
●
the
federal healthcare program Anti-Kickback Statute, which prohibits,
among other things, any person from knowingly and willfully
offering, soliciting, receiving or providing remuneration, directly
or indirectly, in exchange for or to induce either the referral of
an individual for, or the purchase, order or recommendation of, any
good or service for which payment may be made under federal
healthcare programs, such as the Medicare and Medicaid
programs;
●
the
federal False Claims Act, which prohibits, among other things,
individuals or entities from knowingly presenting, or causing to be
presented, false claims, or knowingly using false statements, to
obtain payment from the federal government;
●
federal
criminal laws that prohibit executing a scheme to defraud any
healthcare benefit program or making false statements relating to
healthcare matters;
●
the
federal Physician Payment Sunshine Act, created under the
Affordable Care Act, and its implementing regulations, which
require manufacturers of drugs, medical devices, biologicals and
medical supplies for which payment is available under Medicare,
Medicaid, or the Children’s Health Insurance Program to
report annually to the U.S. Department of Health and Human
Services, or HHS, information related to payments or other
transfers of value made to physicians and teaching hospitals, as
well as ownership and investment interests held by physicians and
their immediate family members;
●
HIPAA,
as amended by the Health Information Technology for Economic and
Clinical Health Act, which governs the conduct of certain
electronic healthcare transactions and protects the security and
privacy of protected health information; and
●
state
law equivalents of each of the above federal laws, such as
anti-kickback and false claims laws which may apply to items or
services reimbursed by any third-party payor, including commercial
insurers.
The Affordable Care Act, among other things, amends the intent
requirement of the Federal Anti-Kickback Statute and criminal
healthcare fraud statutes. A person or entity no longer needs to
have actual knowledge of this statute or specific intent to violate
it. In addition, the Affordable Care Act provides that the
government may assert that a claim including items or services
resulting from a violation of the Federal Anti-Kickback Statute
constitutes a false or fraudulent claim for purposes of the False
Claims Act.
Efforts to ensure that our business arrangements will comply with
applicable healthcare laws may involve substantial costs. It is
possible that governmental and enforcement authorities will
conclude that our business practices do not comply with current or
future statutes, regulations or case law interpreting applicable
fraud and abuse or other healthcare laws and regulations. If any
such actions are instituted against us, and we are not successful
in defending ourselves or asserting our rights, those actions could
have a significant impact on our business, including the imposition
of civil, criminal and administrative penalties, damages,
disgorgement, monetary fines, possible exclusion from participation
in Medicare, Medicaid and other federal and similar foreign
healthcare programs, contractual damages, reputational harm,
diminished profits and future earnings, and curtailment of our
operations, any of which could harm our ability to operate our
business and our results of operations.
34
Compliance with environmental laws and regulations could be
expensive. Failure to comply with environmental laws and
regulations could subject us to significant liability.
Our research and development and manufacturing operations may
involve the use of hazardous substances and are subject to a
variety of federal, state, local and foreign environmental laws and
regulations relating to the storage, use, discharge, disposal,
remediation of, and human exposure to, hazardous substances and the
sale, labeling, collection, recycling, treatment and disposal of
products containing hazardous substances. In addition, our research
and development and manufacturing operations produce biological
waste materials, such as human and animal tissue, and waste
solvents, such as isopropyl alcohol. These operations are permitted
by regulatory authorities, and the resultant waste materials are
disposed of in material compliance with environmental laws and
regulations. Liability under environmental laws and regulations can
be joint and several and without regard to fault or negligence.
Compliance with environmental laws and regulations may be expensive
and non-compliance could result in substantial liabilities, fines
and penalties, personal injury and third part property damage
claims and substantial investigation and remediation costs.
Environmental laws and regulations could become more stringent over
time, imposing greater compliance costs and increasing risks and
penalties associated with violations. We cannot assure you that
violations of these laws and regulations will not occur in the
future or have not occurred in the past as a result of human error,
accidents, equipment failure or other causes. The expense
associated with environmental regulation and remediation could harm
our financial condition and operating results.
35
Risks Related to Owning Our Securities, Our Financial Results and
Our Need for Financing
Our quarterly and annual results may fluctuate significantly, may
not fully reflect the underlying performance of our business and
may result in decreases in the price of our
securities.
Our operating results will be affected by numerous factors such
as:
●
variations
in the level of expenses related to our proposed
products;
●
status
of our product development efforts;
●
execution
of collaborative, licensing or other arrangements, and the timing
of payments received or made under those arrangements;
●
intellectual
property prosecution and any infringement lawsuits to which we may
become a party;
●
regulatory
developments affecting our products or those of our
competitors;
●
our
ability to obtain and maintain FDA clearance and approval from
foreign regulatory authorities for our products, which have not yet
been approved for marketing;
●
market
acceptance of our TAEUS applications;
●
the
availability of reimbursement for our
TAEUS applications;
●
our
ability to attract new customers and grow our business with
existing customers;
●
the
timing and success of new product and feature introductions by us
or our competitors or any other change in the competitive dynamics
of our industry, including consolidation among competitors,
customers or strategic partners;
●
the
amount and timing of costs and expenses related to the maintenance
and expansion of our business and operations;
●
changes
in our pricing policies or those of our competitors;
●
general
economic, industry and market conditions;
●
the
hiring, training and retention of key employees, including our
ability to expand our sales team;
●
litigation
or other claims against us;
●
our
ability to obtain additional financing; and
●
advances
and trends in new technologies and industry standards.
36
Any or all of these factors could adversely affect our cash
position, requiring us to raise additional capital which may be on
unfavorable terms and result in substantial dilution.
If we are unable to implement and maintain effective internal
control over financial reporting, investors may lose confidence in
the accuracy and completeness of our financial reports and the
market price of our securities may decrease.
As a public company, we are be required to maintain internal
control over financial reporting and to report any material
weaknesses in such internal controls. Section 404 of the
Sarbanes-Oxley Act of 2002, (the "Sarbanes-Oxley Act"), requires
that we evaluate and determine the effectiveness of our internal
control over financial reporting and, beginning with our annual
report for the year ending December 31, 2018, provide a
management report on our internal control over financial reporting,
which must be attested to by our independent registered public
accounting firm to the extent we are no longer an “emerging
growth company,” as defined by the Jumpstart Our Businesses
Act of 2012 (the "JOBS Act").
Currently, we have material weaknesses in our internal control over
financial reporting and, as a result, we may not detect errors on a
timely basis and our financial statements may be materially
misstated. We are in the process of designing and implementing our
internal control over financial reporting, which process will be
time consuming, costly and complicated. However, we are a small
organization with limited management resources. In addition to
serving as our Chief Financial Officer, David Wells provides
financial consulting services to several other companies. These
other consulting services could prevent Mr. Wells from dedicating
sufficient time and attention to us, which could limit our ability
to maintain effective internal controls over financial
reporting.
Until such time as we are no longer an “emerging growth
company” or a smaller reporting company, our auditors will
not be required to attest as to our internal control over financial
reporting. If we continue to identify material weaknesses in our
internal control over financial reporting, if we are unable to
comply with the requirements of Section 404 in a timely
manner, if we are unable to assert that our internal control over
financial reporting is effective or, once required, if our
independent registered public accounting firm is unable to attest
that our internal control over financial reporting is effective,
investors may lose confidence in the accuracy and completeness of
our financial reports and the market price of our securities could
decrease. We could also become subject to stockholder or other
third-party litigation as well as investigations by the stock
exchange on which our securities are listed, the Securities and
Exchange Commission (the "SEC"), or other regulatory authorities,
which could require additional financial and management resources
and could result in fines, trading suspensions or other
remedies.
We may not be able to secure financing on favorable terms, or at
all, to meet our future capital needs and our failure to obtain
financing when needed could force us to delay, reduce or eliminate
our product development programs and commercialization
efforts.
We believe that our current cash, including the net proceeds from
our initial public offering, and expected revenues from operations
will be sufficient for us to fund the development and regulatory
approval and to initiate the commercialization of our NAFLD TAEUS
application in the European Union. However, , we expect that we
will need to finance the full commercialization of this application
in the European Union and to complete the development of any other
TAEUS application through public or private equity offerings, debt
financings, corporate collaboration and licensing arrangements or
other financing alternatives.
37
To date, we have financed our operations primarily through sales of
our Nexus 128 system and net proceeds from the issuance of
securities. We do not know when or if our operations will generate
sufficient cash to fund our ongoing operations. In the future, we
may require additional capital in order to (i) continue to
conduct research and development activities; (ii) conduct
clinical studies; (iii) fund the costs of seeking regulatory
approval of TAEUS applications; (iv) expand our sales and
marketing infrastructure; (v) acquire complementary business
technology or products; or (vi) respond to business
opportunities, challenges, increased regulatory obligations or
unforeseen circumstances. Our forecast of the period of time
through which our financial resources will be adequate to support
our operations is a forward-looking statement and involves risks
and uncertainties, and actual results could vary as a result of a
number of factors, including the factors discussed elsewhere in
this “Risk Factors” section. We have based this
estimate on assumptions that may prove to be wrong, and we could
utilize our available capital resources sooner than we currently
expect. Our future funding requirements will depend on many
factors, including, but not limited to:
●
the
costs, timing and outcomes of regulatory reviews associated with
our future products, including
TAEUS applications;
●
the
costs and expenses of expanding our sales and marketing
infrastructure;
●
the
costs and timing of developing variations of our
TAEUS applications and, if necessary, obtaining
regulatory clearance of such variations;
●
the
degree of success we experience in commercializing our products,
particularly our TAEUS applications;
●
the
extent to which our TAEUS applications are adopted by
hospitals for use by primary care physicians, hepatologists,
radiologists and oncologists for diagnosis of fatty liver disease
and the thermal ablation of lesions;
●
the
number and types of future products we develop and
commercialize;
●
the
costs of preparing, filing and prosecuting patent applications and
maintaining, enforcing and defending intellectual property-related
claims;
●
the
extent and scope of our general and administrative
expenses;
●
the
progress, timing, scope and costs of our clinical trials, including
the ability to timely enroll patients in our planned and potential
future clinical trials;
●
the
outcome, timing and cost of regulatory approvals, including the
potential that the FDA or comparable regulatory authorities may
require that we perform more studies than those that we currently
expect;
●
the
amount of sales and other revenues from technologies and products
that we may commercialize, if any, including the selling prices for
such potential products and the availability of adequate
third-party reimbursement;
●
selling
and marketing costs associated with our potential products,
including the cost and timing of expanding our marketing and sales
capabilities;
●
the
terms and timing of any potential future collaborations, licensing
or other arrangements that we may establish;
●
cash
requirements of any future acquisitions and/or the development of
other products;
●
the
costs of operating as a public company;
●
the
cost and timing of completion of commercial-scale, outsourced
manufacturing activities; and
●
the
time and cost necessary to respond to technological and market
developments.
We may raise funds in equity or debt financings or enter into
credit facilities in order to access funds for our capital needs.
Any debt financing obtained by us in the future would cause us to
incur debt service expenses and could include restrictive covenants
relating to our capital raising activities and other financial and
operational matters, which may make it more difficult for us to
obtain additional capital and pursue business opportunities. If we
raise additional funds through issuances of equity or convertible
debt securities, our existing stockholders could suffer significant
dilution in their percentage ownership of our Company, and any new
equity securities we issue could have rights, preferences and
privileges senior to those of holders of our common stock. General
market conditions or the market price of our common stock may not
support capital raising transactions such as a public or private
offering of our common stock or other securities. If we are unable
to obtain adequate financing or financing on terms satisfactory to
us when we require it, we may terminate or delay the development of
one or more of our products, or delay establishment of sales and
marketing capabilities or other activities necessary to
commercialize our products. In addition, if we raise additional
funds through collaborations, strategic alliances or marketing,
distribution or licensing arrangements with third parties, we may
have to relinquish valuable rights to our technologies, future
revenue streams or products or to grant licenses on terms that may
not be favorable to us.
38
If we are unable to raise capital when needed, we may be required
to curtail the development of our technology or materially curtail
or reduce our operations. We could be forced to sell or dispose of
our rights or assets. Any inability to raise adequate funds on
commercially reasonable terms could have a material adverse effect
on our business, results of operation and financial condition,
including the possibility that a lack of funds could cause our
business to fail and liquidate with little or no return to
investors.
We may be subject to securities litigation, which is expensive and
could divert management attention.
The price of our securities may be volatile, and in the past
companies that have experienced volatility in the market price of
their securities have been subject to an increased incidence of
securities class action litigation. We may be the target of this
type of litigation in the future. Securities litigation against us
could result in substantial costs and divert our management’s
attention from other business concerns, which could seriously harm
our business.
We are an “emerging growth company” under the JOBS Act
and we cannot be certain if the reduced disclosure requirements
applicable to emerging growth companies will make our securities
less attractive to investors.
We are an “emerging growth company,” as defined in the
Jumpstart Our Business Startups Act of 2012, or the JOBS Act, and
we may take advantage of certain exemptions from various reporting
requirements that are applicable to other public companies that are
not “emerging growth companies” including, but not
limited to, not being required to comply with the auditor
attestation requirements of section 404 of the Sarbanes-Oxley Act,
reduced disclosure obligations regarding executive compensation in
our periodic reports and proxy statements, and exemptions from the
requirements of holding a nonbinding advisory vote on executive
compensation and stockholder approval of any golden parachute
payments not previously approved. We cannot predict if
investors will find our securities less attractive because we may
rely on these exemptions. If some investors find our
securities less attractive as a result, there may be a less active
trading market for our securities and the price of our securities
may be more volatile.
We will remain an “emerging growth company” for up to
five years after the date of our initial public offering, although
we will lose that status sooner if our annual revenues exceed $1
billion, if we issue more than $1 billion in non-convertible debt
in a three year period, or if the market value of our common stock
that is held by non-affiliates exceeds $700 million as of any June
30.
If securities or industry analysts do not publish research reports
about our business, or if they issue an adverse opinion about our
business, the price of our securities and trading volume could
decline.
The trading market for our securities is influenced by the research
and reports that industry or securities analysts publish about us
or our business. We do not currently have and may never obtain
research coverage by securities and industry analysts. If no or few
analysts commence research coverage of us, or one or more of the
analysts who cover us issues an adverse opinion about our company,
the price of our securities would likely decline. If one or more of
these analysts ceases research coverage of us or fails to regularly
publish reports on us, we could lose visibility in the financial
markets, which in turn could cause the price of our securities or
trading volume to decline.
We have not paid dividends in the past and have no immediate plans
to pay dividends.
We plan to reinvest all of our earnings, to the extent we have
earnings, in order to further develop our technology and potential
products and to cover operating costs. We do not plan to
pay any cash dividends with respect to our securities in the
foreseeable future. We cannot assure you that we will,
at any time, generate sufficient surplus cash that would be
available for distribution to the holders of our common stock as a
dividend.
Concentration of ownership among our existing executive officers,
directors and significant stockholders may prevent new investors
from influencing significant corporate decisions.
All decisions with respect to the management of the Company will be
made by our board of directors and our officers, who beneficially
own approximately 6.3% of our common stock, as calculated in
accordance with Rule 13d-3 promulgated under the Securities
Exchange Act of 1934, as amended (the "Exchange Act"). This
control could have the effect of delaying or preventing a change of
control of the Company or changes in management, which in turn
could have a material adverse effect on the market price of the
Company’s securities or prevent stockholders from realizing a
premium over the market price for their securities.
39
We incur significant costs as a result of becoming a public company
that reports to the SEC and our management is required to devote
substantial time to meet compliance obligations.
As a public company listed in the United States, we incur
significant legal, accounting and other expenses. We are
subject to reporting requirements of the Exchange Act and the
Sarbanes-Oxley Act, as well as rules subsequently implemented by
the SEC and Nasdaq that impose significant requirements on public
companies, including requiring the establishment and maintenance of
effective disclosure and financial controls and changes in
corporate governance practices. In addition, in 2010,
the Dodd-Frank Wall Street Reform and Protection Act, or the
Dodd-Frank Act, was enacted. There are significant
corporate governance and executive compensation-related provisions
in the Dodd-Frank Act that contribute to our legal and financial
compliance costs, make some activities more difficult,
time-consuming or costly and also place undue strain on our
personnel, systems and resources. Our management and
other personnel need to devote a substantial amount of time to
these compliance initiatives. In addition, these rules
and regulations may make it more difficult and more expensive for
us to obtain director and officer liability insurance, and we may
be required to accept reduced policy limits and coverage or incur
substantially higher costs to obtain the same or similar
coverage. As a result, it may be more difficult for us
to attract and retain qualified people to serve on our board of
directors, our board committees or as executive
officers.
A significant portion of our total outstanding shares of common
stock is restricted from immediate resale but may be sold into the
market in the near future. This could cause the market price of our
securities to drop significantly, even if our business is doing
well.
Sales of a substantial number of shares of our common stock in the
public market could occur in the future. These sales, or the
perception in the market that the holders of a large number of
securities intend to sell shares, could reduce the market price of
our common stock. We currently have outstanding 3,907,027 shares of
common stock. Of these outstanding shares, approximately
1,975,027 are restricted under securities laws or as a result of
lock-up agreements but will be able to be resold in the near
future. We also intend to register all shares of common stock that
we may issue under our equity compensation plans. Once we register
these shares, they can be freely sold in the public market upon
issuance and once vested, subject to 180- and 365-day lock-up
periods under certain lock-up agreements.
Future sales and issuances of our common stock or rights to
purchase common stock, including pursuant to our equity incentive
plan, could result in dilution of the percentage ownership of our
stockholders and could cause the price of our securities to
fall.
We expect that significant capital will be needed in the future to
continue our planned operations. To the extent we raise capital by
issuing common stock, convertible securities or other equity
securities, our stockholders may experience substantial dilution,
and new investors could gain rights superior to our existing
stockholders.
Our charter documents and Delaware law may inhibit a takeover that
stockholders consider favorable.
Certain provisions of our Fourth Amended and Restated Certificate
of Incorporation (our “Certificate of Incorporation”)
and bylaws and applicable provisions of Delaware law may delay or
discourage transactions involving an actual or potential change in
control or change in our management, including transactions in
which stockholders might otherwise receive a premium for their
shares, or transactions that our stockholders might otherwise deem
to be in their best interests. The provisions in our
Certificate of Incorporation and bylaws:
●
authorize
our board of directors to issue preferred stock without stockholder
approval and to designate the rights, preferences and privileges of
each class; if issued, such preferred stock would increase the
number of outstanding shares of our capital stock and could include
terms that may deter an acquisition of us;
●
limit
who may call stockholder meetings;
●
do
not provide for cumulative voting rights; and
●
provide
that all vacancies may be filled by the affirmative vote of a
majority of directors then in office, even if less than a
quorum.
40
In addition, section 203 of the Delaware General Corporation Law
limits our ability to engage in any business combination with a
person who beneficially owns 15% or more of our outstanding voting
stock unless certain conditions are satisfied. This
restriction lasts for a period of three years following any such
person’s share acquisition. These provisions may
have the effect of entrenching our management team and may deprive
stockholders of the opportunity to sell their shares to potential
acquirers at a premium over prevailing prices. This
potential inability to obtain a control premium could reduce the
price of our common stock.
Our disclosure controls and procedures may not prevent or detect
all errors or acts of fraud.
We are subject to the periodic reporting requirements of the
Exchange Act. Our disclosure controls and procedures are designed
to reasonably assure that information required to be disclosed by
us in reports we file or submit under the Exchange Act is
accumulated and communicated to management, and recorded,
processed, summarized and reported within the time periods
specified by the rules and forms of the SEC. We believe that any
disclosure controls and procedures or internal controls and
procedures, no matter how well conceived and operated, can provide
only reasonable, not absolute, assurance that the objectives of the
control system are met.
These inherent limitations include the realities that judgments in
decision-making can be faulty, and that breakdowns can occur
because of simple error or mistake. Additionally, controls can be
circumvented by the individual acts of some persons, by collusion
of two or more people or by an unauthorized override of the
controls. Accordingly, because of the inherent limitations in our
control system, misstatements due to error or fraud may occur and
not be detected.
Convertible Notes
In
March 2017, we extended our 2016 offering of convertible promissory
notes by $250,000. The extension was made available only to
existing noteholders and $225,000 of the offering was subscribed.
The class of promissory notes converted into shares of our common
stock immediately prior to the completion of our initial public
offering at an effective conversion price of $1.40 per share, after
the one-for-3.5 reverse stock split that the Company effected on
May 8, 2017 (the “Reverse Split”). Except as otherwise
noted in this Quarterly Report on Form 10-Q, all share numbers are
presented on a post Reverse Split basis. In connection with the
issuances of the foregoing securities, the Company relied on the
exemption from registration provided by Section 4(a)(2) of the
Securities Act of 1933, as amended, for transactions not involving
a public offering. We used the funds received from the issuance of
these convertible notes for working capital.
Use of Proceeds from Offering of Registered Securities
On May
8, 2017, our Registration Statement on Form S-1, as amended (Reg.
No. 333-193522) was declared effective by the SEC and, on May 8,
2017, our Registration Statement on Form S-1 (Reg. No. 333-217788)
became effective upon filing with the SEC each such Registration
Statement was filed in connection with our initial public offering,
pursuant to which we sold 1,932,000 units, each consisting of one
share of our common stock and a warrant to purchase one share of
our common stock, at a price to the public of $5.00 per unit, which
amount includes the full exercise of the underwriters’ option
to purchase additional units. The common stock and warrants
comprising each unit are not immediately separable and will begin
trading separately on July 10, 2017, which is the first day
following the 60th day after the date of the final prospectus filed
with the SEC pursuant to Rule 424(b) under the Securities Act on
May 10, 2017 (the “Prospectus”), or such earlier date
as may be determined by National Securities Corporation, as
representative of the underwriters of the offering. Each warrant is
exercisable for a share of our common stock at a price of $6.25 per
share. The offering closed on May 12, 2017 and the underwriters
exercised their overallotment option as of May 22, 2017, as a
result of which we raised net proceeds of approximately $8.6
million after deducting approximately $773,000 in underwriting
discounts, commissions and expenses and approximately $297,000 in
offering expenses payable by us. National Securities Corporation
and Dougherty & Company LLC were the underwriters for the
offering. No payments were made by us to directors, officers or
persons owning ten percent or more of our common stock or to their
associates, or to our affiliates, other than payments in the
ordinary course of business to officers for salaries and to
non-employee directors as compensation for board or board committee
service.
There
has been no material change in the planned use of proceeds from our
initial public offering as described in the
Prospectus.
41
Not
applicable.
Item
4. Mine Safety
Disclosures
Not
applicable.
Not
applicable.
Item
6. Exhibits
The
exhibits required to be filed as a part of this report are listed
in the Exhibit Index.
42
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.
|
ENDRA LIFE SCIENCES INC.
|
|
|
(Registrant)
|
|
|
|
|
|
|
|
Date:
June 21, 2017
|
By:
|
/s/ Francois Michelon
|
|
|
Name:
Francois Michelon
|
|
|
Title:
Chief Executive Officer and Chairman
(Principal
Executive Officer)
|
|
|
|
43
EXHIBIT INDEX
Exhibit Number
|
Description
|
3.1
|
Fourth
Amended and Restated Certificate of Incorporation of the Registrant
(incorporated by reference to Exhibit 3.2 to the Registrant’s
Current Report on Form 8-K filed on May 12, 2017)
|
3.2
|
Amended
and Restated Bylaws of the Registrant (incorporated by reference to
Exhibit 3.4 to the Registrant’s Registration Statement on
Form S-1 (File No. 333-214724), as amended, originally filed on
November 21, 2016)
|
4.1
|
Specimen
Certificate representing shares of common stock of the Registrant
(incorporated by reference to Exhibit 4.1 to the Registrant’s
Registration Statement on Form S-1 (File No. 333-214724), as
amended, originally filed on November 21, 2016)
|
4.2
|
Form of
Warrant Agreement and Warrant comprising a part of the
Registrant’s units issued in its initial public offering
(incorporated by reference to Exhibit 4.2 to the Registrant’s
Registration Statement on Form S-1 (File No. 333-214724), as
amended, originally filed on November 21, 2016)
|
4.3
|
Form of
Underwriters’ Warrant issued to certain designees of the
underwriters in the Registrant’s 2017 initial public offering
(incorporated by reference to Exhibit 4.3 to the Registrant’s
Registration Statement on Form S-1 (File No. 333-214724), as
amended, originally filed on November 21, 2016)
|
4.4
|
Form of
Unit Certificate (incorporated by reference to Exhibit 4.10 to the
Registrant’s Registration Statement on Form S-1 (File No.
333-214724), as amended, originally filed on November 21,
2016)
|
4.5
|
Form of
Convertible Promissory Note (incorporated by reference to Exhibit
4.8 to the Registrant’s Registration Statement on Form S-1
(File No. 333-214724), as amended, originally filed on November 21,
2016)
|
31.1
|
Certification
of Periodic Report by Chief Executive Officer pursuant to Rule
13a-14(a)/15d-14a and pursuant to Section 302 of the Sarbanes-Oxley
Act of 2002 (filed herewith)
|
31.2
|
Certification
of Periodic Report by Chief Financial Officer pursuant to Rule
13a-14(a)/15d-14a and pursuant to Section 302 of the Sarbanes-Oxley
Act of 2002 (filed herewith)
|
32.1
|
Certification
of Periodic Report by Chief Executive Officer and Chief Financial
Officer pursuant to U.S.C. Section 1350, as adopted pursuant to
Section 906 of the Sarbanes-Oxley Act of 2002 (filed
herewith)
|
101.INS
|
XBRL
Instance Document (filed herewith)
|
101.SCH
|
XBRL
Taxonomy Schema (filed herewith)
|
101.CAL
|
XBRL
Taxonomy Extension Calculation Linkbase (filed
herewith)
|
101.DEF
|
XBRL
Taxonomy Extension Definition Linkbase (filed
herewith)
|
101.LAB
|
XBRL
Taxonomy Extension Label Linkbase (filed herewith)
|
101.PRE
|
XBRL
Taxonomy Extension Presentation Linkbase (filed
herewith)
|
44