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 June 30, 2022

OR

☐
TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934

For the transition period from ____________to____________

Commission file number: 001-40492
Femasys Inc.

(Exact Name of Registrant as Specified in its Charter)
 
Delaware
11-3713499
(State or other jurisdiction of incorporation or organization)
(IRS Employer Identification No.)
 
 
3950 Johns Creek Court, Suite 100
 
Suwanee, GA  30024
(770) 500-3910
(Address of principal executive offices, including zip code)
(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 every Interactive Data File required to be submitted pursuant to Rule 405 of Regulation S-T during the preceding 12 months (or for such shorter period that the registrant was required to submit such files). Yes ☑  No ☐

Indicate by check mark whether the registrant is a large accelerated filer, an accelerated filer, a non-accelerated filer, or a smaller reporting company, or an emerging growth company. See the definitions of “large accelerated filer,” “accelerated filer” and “smaller reporting company” and “emerging growth company” in Rule 12b-2 of the Exchange Act.

Large accelerated filer ☐ Accelerated filer ☐
Non-accelerated filer ☑ Smaller reporting company ☑
Emerging growth company ☑

If an emerging growth company, indicate by check mark if the registrant has elected not to use the extended transition period for complying with any new or revised financial accounting standards provided pursuant to Section 13(a) of the Exchange Act. ☑

Indicate by check mark whether the registrant is a shell company (as defined in Rule 12b-2 of the Exchange Act).  Yes ☐ No ☑

Securities registered pursuant to Section 12(b) of the Act:

 
Title of each class
Trading symbol
Name of each exchange on which
registered
 
Common stock, $0.001 par value
FEMY
The Nasdaq Capital Market

The Registrant had 11,813,610 shares of common stock, $0.001 par value, outstanding as of August 5, 2022.
 
TABLE OF CONENTS

 
 
 Page
 
 Part I. Financial Information
 
Item 1
4
 
4
 
6
 
7
 
8
 
9
 
10
Item 2
16
Item 3
20
Item 4
20
 
Part II. Other Information
 
Item 1
20
Item 1A
20
Item 2
20
Item 3
21
Item 4
21
Item 5
21
Item 6
21
22

2
SPECIAL NOTE REGARDING FORWARD-LOOKING STATEMENTS

This Quarterly Report on Form 10-Q contains forward-looking statements. All statements other than statements of historical facts contained in this Quarterly Report on Form 10-Q are forward-looking statements. In some cases, you can identify forward-looking statements by terms such as “may,” “will,” “should,” “expect,” “plan,” “anticipate,” “could,” “intend,” “target,” “project,” “contemplate,” “believe,” “estimate,” “predict,” “potential” or “continue” or the negative of these terms or other similar expressions, although not all forward-looking statements contain these words. Forward-looking statements include, but are not limited to, statements concerning:

•
our ability to develop and advance our current product candidates and programs into, and successfully initiate and complete, clinical trials;
•
the ability of our clinical trials to demonstrate safety and effectiveness of our product candidates and other positive results;
•
estimates regarding the total addressable market for our product candidates;
•
our ability to enroll subjects in the clinical trials for our product candidates in order to advance the development thereof on a timely basis;
•
our ability to obtain additional financing to fund the clinical development of our products and fund operations;
•
competitive companies and technologies in our industry;
•
our ability to obtain U.S Food and Drug Administration (FDA) approval for our permanent birth control system, ability to gain FDA grant of a de novo classification request for our intrauterine insemination system, expand sales of our women-specific medical products and develop and commercialize additional products;
•
our ability to commercialize or obtain regulatory approvals, grants of de novo classification requests or 510(k) clearance for our product candidates, or the effect of delays in commercializing or obtaining regulatory authorizations;
•
our business model and strategic plans for our products, technologies and business, including our implementation thereof;
•
commercial success and market acceptance of our product candidates;
•
our ability to achieve and maintain adequate levels of coverage or reimbursement for our FemBloc system or any future products we may seek to commercialize;
•
our ability to manufacture our products and product candidates in compliance with applicable laws, regulations and requirements and to oversee third-party suppliers, service providers and vendors in the performance of any contracted activities in accordance with applicable laws, regulations and requirements;
•
the impact of the COVID-19 pandemic on our business, financial condition, results of operations, and prospects;
•
our ability to accurately forecast customer demand for our product candidates, and manage our inventory;
•
our ability to build, manage and maintain our direct sales and marketing organization, and to market and sell our permanent birth control system, artificial insemination system and women-specific medical products in markets in and outside of the United States (U.S.);
•
our ability to hire and retain our senior management and other highly qualified personnel;
•
FDA or other U.S. or foreign regulatory actions affecting us or the healthcare industry generally, including healthcare reform measures in the U.S. and international markets;
•
the timing or likelihood of regulatory filings and approvals or clearances;
•
our ability to establish and maintain intellectual property protection for our product candidates and our ability to avoid claims of infringement;
•
the volatility of the trading price of our common stock; and
•
our expectations about market trends.
 
The forward-looking statements in this Quarterly Report on Form 10-Q are only predictions and are based largely on our current expectations and projections about future events and financial trends that we believe may affect our business, financial condition and results of operations. These forward-looking statements speak only as of the date of this Quarterly Report on Form 10-Q and are subject to a number of known and unknown risks, uncertainties and assumptions, including those described under the sections in this Quarterly Report on Form 10-Q entitled “Risk Factors” and “Management’s Discussion and Analysis of Financial Condition and Results of Operations” and elsewhere in this Quarterly Report on 10-Q. Because forward-looking statements are inherently subject to risks and uncertainties, some of which cannot be predicted or quantified and some of which are beyond our control, you should not rely on these forward-looking statements as predictions of future events. The events and circumstances reflected in our forward-looking statements may not be achieved or occur and actual results could differ materially from those projected in the forward-looking statements. Moreover, we operate in an evolving environment. New risk factors and uncertainties may emerge from time to time, and it is not possible for management to predict all risk factors and uncertainties. You should read this Quarterly Report on Form 10-Q and the documents that we reference in this Quarterly Report on Form 10-Q and have filed with the Securities and Exchange Commission as exhibits hereto completely and with the understanding that our actual future results may be materially different from any future results expressed or implied by these forward-looking statements. Except as required by applicable law, we do not plan to publicly update or revise any forward-looking statements contained herein, whether as a result of any new information, future events, changed circumstances or otherwise. The forward-looking statements contained in this Quarterly Report on 10-Q are excluded from the safe harbor protection provided by the Private Securities Litigation Reform Act of 1995 and Section 27A of the Securities Act of 1933, as amended.
3
PART I. FINANCIAL INFORMATION

ITEM I. 
Financial Statements

FEMASYS INC.
Balance Sheets
(unaudited)

Assets
  
June 30,
2022
    
December 31,
2021
  
Current assets:
            
Cash and cash equivalents
  
$
19,116,419
      
24,783,029
  
Accounts receivable, net
    
113,960
      
84,258
  
Inventory, net
    
244,181
      
208,270
  
Other current assets
    
854,962
      
555,853
  
Total current assets
    
20,329,522
      
25,631,410
  
Property and equipment, at cost:
                
Leasehold improvements
    
1,195,637
      
1,155,332
  
Office equipment
    
99,344
      
99,344
  
Furniture and fixtures
    
424,947
      
424,947
  
Machinery and equipment
    
2,434,524
      
2,261,793
  
Construction in progress
    
461,735
      
379,713
  
     
4,616,187
      
4,321,129
  
Less accumulated depreciation
    
(2,985,367
)
    
(2,722,117
)
Net property and equipment
    
1,630,820
      
1,599,012
  
Long-term assets:
                
Lease right-of-use assets, net
    
486,926
      
665,747
  
Intangible assets, net of accumulated amortization
    
10,601
      
25,093
  
Other long-term assets
    
663,083
      
655,418
  
Total long-term assets
    
1,160,610
      
1,346,258
  

               
Total assets
  
$
23,120,952
      
28,576,680
  

(continued)

4
FEMASYS INC.
Balance Sheets
(unaudited)

Liabilities and Stockholders’ Equity  
June 30,
2022
    
December 31,
2021
  
Current liabilities:
            
Accounts payable
  
$
428,325
      
445,522
  
Accrued expenses
    
551,828
      
603,787
  
Clinical holdback – current portion
    
36,238
      
18,947
  
Note payable – current portion
    
417,841
      
181,123
  
Lease liabilities – current portion
    
394,518
      
406,674
  
Other – current
    
36,037
      
36,037
  
Total current liabilities
    
1,864,787
      
1,692,090
  
Long-term liabilities:
                
Clinical holdback – long-term portion
    
109,139
      
149,791
  
Lease liabilities – long-term portion
    
209,098
      
402,417
  
Total long-term liabilities
    
318,237
      
552,208
  
Total liabilities
    
2,183,024
      
2,244,298
  
Commitments and contingencies
            
Stockholders’ equity:
                
Common stock, $0.001 par, 200,000,000 authorized, 11,930,833 shares issued and 
11,813,610 outstanding as of June 30,2022; and 11,921,388 shares issued
11,804,165 outstanding as of December 31, 2021
    
11,931
      
11,921
  
Treasury stock, 117,223 shares
    
(60,000
)
    
(60,000
)
Warrants
    
567,972
      
702,492
  
Additional paid-in-capital
    
108,675,491
      
108,418,304
  
Accumulated deficit
    
(88,257,466
)
    
(82,740,335
)
Total stockholders’ equity
    
20,937,928
      
26,332,382
                 
Total liabilities and stockholders’ equity
  
$
23,120,952
      
28,576,680
  
 
The accompanying notes are an integral part of these unaudited financial statements.

5
FEMASYS INC.
Statements of Comprehensive Loss
(unaudited)

   
Three Months Ended June 30,
    
Six Months Ended June 30,
  
   
2022
    
2021
    
2022
    
2021
  
Sales
  
$
303,113
      
326,006
      
624,518
      
655,781
  
Cost of sales
    
102,353
      
107,627
      
225,028
      
200,669
  
Gross margin
    
200,760
      
218,379
      
399,490
      
455,112
  
Operating expenses:
                                
Research and development
    
1,472,924
      
894,868
      
2,893,987
      
1,889,890
  
Sales and marketing
    
63,177
      
21,828
      
132,040
      
44,647
  
General and administrative
    
1,181,938
      
1,051,399
      
2,629,293
      
1,943,386
  
Depreciation and amortization
    
142,684
      
151,359
      
286,883
      
304,812
  
Total operating expenses
    
2,860,723
      
2,119,454
      
5,942,203
      
4,182,735
  
Loss from operations
    
(2,659,963
)
    
(1,901,075
)
    
(5,542,713
)
    
(3,727,623
)
Other income (expense):
                                
Interest income, net
    
26,745
      
144
      
29,199
      
308
  
Other income
    
—
      
821,515
      
—
      
821,515
  
    Interest expense     (883 )     (3,643 )     (3,617 )     (7,491 )
Other income, net
     25,862       818,016       25,582       814,332  
                                 
Net loss
  
$
(2,634,101
)
    
(1,083,059
)
    
(5,517,131
)
    
(2,913,291
)
                                 
Net loss attributable to common stockholders, basic and diluted
  
$
(2,634,101
)
    
(1,083,059
)
    
(5,517,131
)
    
(2,913,291
)
                                 
Net loss per share attributable to common stockholders, basic and diluted
  
$
(0.22
)
    
(0.52
)
    
(0.47
)
    
(1.89
)
Weighted-average shares used in computing net loss per share attributable to common stockholders, basic and diluted
    
11,812,988
      
2,076,516
      
11,808,601
      
1,538,780
  

The accompanying notes are an integral part of these unaudited financial statements.

6
FEMASYS INC.
Statements of Stockholders’ Equity
(unaudited)

                                 
   
    Total  
   
Common stock
    
Treasury stock
         Additional     Accumulated     stockholders’  
    Shares
    Amount     Shares     Amount     Warrants     paid-in capital     deficit     Equity  
THREE MONTHS ENDED JUNE 30, 2022                                                
                                                                 
Balance at March 31, 2022
    
11,921,388
    
$
11,921
      
117,223
    
$
(60,000
)
  
$
702,492
    
$
108,462,663
    
$
(85,623,365
)
  
$
23,493,711
  
                                                                 
Expiration of warrant
                                     (134,520 )     134,520               —  
Issuance of common stock for cash upon exercise of options
     9,445       10       —       —       —       16,141       —       16,151  
Share-based compensation expense
    
—
      
—
      
—
      
—
      
—
      
62,167
      
—
      
62,167
  
Net loss
    
—
      
—
      
—
      
—
      
—
      
—
      
(2,634,101
)
    
(2,634,101
)
                                                                 
Balance at June 30, 2022
    
11,930,833
    
$
11,931
      
117,223
    
$
(60,000
)
  
$
567,972
    
$
108,675,491
    
$
(88,257,466
)
  
$
20,937,928
  
                                                                 
SIX MONTHS ENDED JUNE 30, 2022
                                                                
                                                                 
Balance at December 31, 2021
    
11,921,388
    
$
11,921
      
117,223
    
$
(60,000
)
  
$
702,492
    
$
108,418,304
    
$
(82,740,335
)
  
$
26,332,382
  
                                                                 
Expiration of warrant
                                     (134,520 )     134,520               —  
Issuance of common stock for cash upon exercise of options
    
9,445
      
10
      
—
      
—
      
—
      
16,141
      
—
      
16,151
  
Share-based compensation expense
    
—
      
—
      
—
      
—
      
—
      
106,526
      
—
      
106,526
  
Net loss
    
—
      
—
      
—
      
—
      
—
      
—
      
(5,517,131
)
    
(5,517,131
)
                                                                 
Balance at June 30, 2022
    
11,930,833
    
$
11,931
      
117,223
    
$
(60,000
)
  
$
567,972
    
$
108,675,491
    
$
(88,257,466
)
  
$
20,937,928
  

The accompanying notes are an integral part of these unaudited financial statements.

7
FEMASYS INC.
Statements of Stockholders’ Equity (Deficit)
(unaudited)
 
   
Series B and Series C
Redeemable Convertible
                                        
         
Total
  
   
Preferred stock
    
Common stock
    
Treasury stock
    
Preferred stock
         Additional     Accumulated     stockholders’  
   
Shares
    
Amount
    
Shares
    
Amount
    
Shares
    
Amount
    
Shares
    
Amount
    
Warrants
    
paid-in capital
    
deficit
    
Equity (Deficit)
  
THREE MONTHS ENDED JUNE 30, 2021
                                                                        

                                                                       
Balance at March 31, 2021
    
55,835,833
    
$
55,343,686
      
1,112,431
    
$
1,112
      
117,223
    
$
(60,000
)
    
17,210,609
    
$
17,211
    
$
702,492
    
$
22,808,487
    
$
(77,032,722
)
  
$
(53,563,420
)
                                                                                                 
Issuance of common stock for cash upon exercise of options
    
—
      
—
      
38,169
      
38
      
—
      
—
      
—
      
—
      
—
      
102,057
      
—
      
102,095
  
Issuance of common stock in connection with IPO, net
     —       —       2,650,000       2,650       —       —       —       —       —       30,019,707       —       30,022,357  
Automatic conversion of preferred stock in connection with IPO
     (55,835,833 )     (55,343,686 )     8,116,343       8,116       —       —       (17,210,609 )     (17,211 )     —       55,352,781       —       55,343,686  
Share-based compensation expense
    
—
      
—
      
—
      
—
      
—
      
—
      
—
      
—
      
—
      
58,046
      
—
      
58,046
  
Net loss
    
—
      
—
      
—
      
—
      
—
      
—
      
—
      
—
      
—
      
—
      
(1,083,059
)
    
(1,083,059
)
                                                                                                 
Balance at June 30, 2021
    
—
    
$
—
      
11,916,943
    
$
11,916
      
117,223
    
$
(60,000
)
    
—
    
$
—
    
$
702,492
    
$
108,341,078
    
$
(78,115,781
)
  
$
30,879,705
  
                                                                                                 
SIX MONTHS ENDED JUNE 30, 2021
                                                                                                
                                                                                                 
Balance at December 31, 2020
    
55,835,833
    
$
55,343,686
      
1,110,347
    
$
1,110
      
117,223
    
$
(60,000
)
    
17,210,609
    
$
17,211
    
$
702,492
    
$
22,725,949
    
$
(75,202,490
)
  
$
(51,815,728
)
                                                                                                 
Issuance of common stock for cash upon exercise of options
    
—
      
—
      
40,253
      
40
      
—
      
—
      
—
      
—
      
—
      
112,105
      
—
      
112,145
  
Issuance of common stock in connection with IPO, net
     —       —       2,650,000       2,650       —       —       —       —       —       30,019,707       —       30,022,357  
Automatic conversion of preferred stock in connection with IPO
     (55,835,833 )     (55,343,686 )     8,116,343       8,116       —       —       (17,210,609 )     (17,211 )     —       55,352,781       —       55,343,686  
Share-based compensation expense
    
—
      
—
      
—
      
—
      
—
      
—
      
—
      
—
      
—
      
130,536
      
—
      
130,536
  
Net loss
    
—
      
—
      
—
      
—
      
—
      
—
      
—
      
—
      
—
      
—
      
(2,913,291
)
    
(2,913,291
)
                                                                                                 
Balance at June 30, 2021
    
—
    
$
—
      
11,916,943
    
$
11,916
      
117,223
    
$
(60,000
)
    
—
    
$
—
    
$
702,492
    
$
108,341,078
    
$
(78,115,781
)
  
$
30,879,705
  

The accompanying notes are an integral part of these unaudited financial statements.

8
FEMASYS INC.
Statements of Cash Flows
(unaudited)

   
Six Months Ended June 30,
  
   
2022
    
2021
  
Cash flows from operating activities:
            
Net loss
  
$
(5,517,131
)
    
(2,913,291
)
Adjustments to reconcile net loss to net cash used in operating activities:
                
Depreciation
    
272,391
      
281,928
  
Amortization
    
14,492
      
22,884
  
Amortization of right-of-use assets
    
169,680
      
193,290
  
Share-based compensation expense
    
106,526
      
130,536
  
Loan and accrued interest forgiveness on note payable
     —       (821,515 )
Inventory reserve
     2,900       —  
Changes in operating assets and liabilities:
                
Accounts receivable
    
(29,702
)
    
(33,047
)
Inventory
    
(38,811
)
    
(15,501
)
Other assets
    
255,271
      
329,461
  
Accounts payable
    
(74,957
)
    
165,789
  
Accrued expenses and other
    
(76,959
)
    
(1,017,803
)
Lease liabilites
    
(194,235
)
    
(210,045
)
Other liabilities
    
(23,361
)
    
5,933
  
                 
Net cash used in operating activities
    
(5,133,896
)
    
(3,881,381
)
Cash flows from investing activities:
                
Purchases of property and equipment
    
(295,058
)
    
(12,512
)
                 
Net cash used in investing activities
    
(295,058
)
    
(12,512
)
Cash flows from financing activities:
                
Proceeds from issuance of common stock
     16,151       31,725,645  
Payments of deferred offering costs
    
(13,905
)
    
(1,243,960
)
Repayment of note payable
    
(228,662
)
    
(40,980
)
Payments under lease obligations
    
(11,240
)
    
(10,170
)
                 
Net cash (used in) provided by in financing activities
    
(237,656
)
    
30,430,535
  
                 
Net change in cash and cash equivalents
    
(5,666,610
)
    
26,536,642
  
Cash and cash equivalents:
                
Beginning of period
    
24,783,029
      
3,322,226
  
                 
End of period
  
$
19,116,419
      
29,858,868
  
                 
Supplemental cash flow information
                
Cash paid for:
                
Interest
  
$
3,617
      
4,130
  
Income taxes
  
$
800
      
800
  
Non-cash financing activities:
                
Prepaid insurance financed with promissory notes
   $ 417,841       470,556  
Deferred offering costs included in accounts payable and accrued expenses
  
$
82,760
      
334,683
  
 Conversion of convertible preferred stock to common stock
   $
—       55,360,897  

The accompanying notes are an integral part of these unaudited financial statements.

9
FEMASYS INC.
Notes to Financial Statements
(unaudited)
(1)
Organization, Nature of Business, and Liquidity
 
Organization and Nature of Business
 
Femasys Inc. (the Company or Femasys) was incorporated in Delaware on February 19, 2004 and is headquartered in Suwanee, Georgia. The Company is a biomedical company focused on transforming women’s healthcare by developing novel solutions and next-generation advancements providing significant clinical impact to address severely underserved areas. Our mission is to provide women worldwide with superior minimally-invasive, non-surgical product technologies, accessible in the office, improving patient care and overall health economics. The Company currently operates as one segment and is primarily focused on servicing the reproductive health needs for those seeking permanent birth control or solutions for infertility issues.
 
Femasys has an expansive intellectual property portfolio which covers both design and utility patents in the U.S. and significant ex-U.S. markets for each product initiative. Femasys has taken concepts internally conceived and protected through development, including domestic and foreign regulatory approvals, and production, through in-house manufacturing. FemBloc® (FemBloc), the Company’s solution for permanent birth control, is based on the Company’s non-surgical platform technology and is presently completing a validation study under an approved Investigational Device Exemption (IDE) from the U.S. Food and Drug Administration (FDA). FemaSeed® (FemaSeed), a solution which enables directed intrauterine insemination to improve on traditional intrauterine insemination (IUI) and provides a lower cost option to in vitro fertilization methods, received approval in April 2021 from the FDA on its IDE and the clinical study was initiated in July 2021. FemVue® (FemVue), a solution that enables fallopian tube assessment with ultrasound as an alternative to the radiologic approach (hysterosalpingogram) for the diagnosis of infertility, is approved for sale in the U.S., Europe, Japan, and Canada. FemChec® (FemChec), allows for fallopian tube evaluation after a FemBloc procedure to confirm occlusion (or procedure success) and is part of the FemBloc validation study. FemCerv® (FemCerv) is a solution for complete tissue sampling with minimal contamination of the endocervical canal as an alternative to the single biopsy method, and is approved for sale in the U.S. and Europe.    FemCath™ (FemCath), allows for selective evaluation of an individual fallopian tube as an alternative to the traditional intrauterine catheter that is undirected, is approved for sale in the U.S.
Basis of Presentation
 

The Company has prepared the accompanying financial statements pursuant to the rules and regulations of the U.S. Securities and Exchange Commission (SEC). Certain information and footnote disclosures normally included in the annual financial statements prepared in accordance with accounting principles generally accepted in the United States of America (U.S. GAAP) have been condensed or omitted pursuant to these rules and regulations. These financial statements should be read in conjunction with the Company’s audited financial statements and footnotes related thereto for the year ended December 31, 2021 included in our Annual Report on Form 10K filed with the SEC on March 24, 2022 (the Annual Report). Except as noted below, there have been no material changes to the Company’s significant accounting policies described in Note 2 to the financial statements included in the Annual Report.

 

In the opinion of management, the unaudited financial statements include all adjustments (consisting only of normal recurring adjustments) necessary to present fairly the Company’s financial position and the results of its operations and cash flows at the dates for periods presented. The results of operations for such interim periods are not necessarily indicative of the results to be expected for the full year.
Use of Estimates

The preparation of financial statements in conformity with U.S. GAAP requires the Company to make estimates and assumptions that affect the reported amounts of assets and liabilities and disclosure of contingent assets and liabilities at the date of the financial statements, and the reported amounts of revenue and expense during the reporting periods. The most significant estimates used in these financial statements include the valuation of stock options, warrants, useful lives of property and equipment, intangible assets, and the pre-initial public offering (IPO) valuation of our common stock and preferred stock. Estimates for these and other items are subject to change and are reassessed by management in accordance with U.S. GAAP. Actual results could differ from those estimates.


Liquidity
 
As of June 30, 2022, the Company has cash and cash equivalents of $19,116,419. The Company plans to finance its operations and development needs with its existing cash and cash equivalents, additional equity and/or debt financing arrangements, and revenue from the sale of FemVue to support the Company’s research and development activities, largely in connection with FemBloc and FemaSeed. There can be no assurance that the Company will be able to obtain additional financing on terms acceptable to the Company, on a timely basis, or at all. If the Company is not able to obtain sufficient funds on acceptable terms when needed, the Company’s business, results of operations, and financial condition could be materially adversely impacted.

For the six months ended June 30, 2022, the Company generated a net loss of $5,517,131. The Company expects such losses to increase over the next few years as the Company advances FemBloc and FemaSeed through clinical development until FDA approval is received and the products are available to be marketed.
 
The Company believes that its cash and cash equivalents as of June 30, 2022 will be sufficient to fund our ongoing operations at least 12 months from the date of filing these financial statements.

10
FEMASYS INC.
Notes to Financial Statements
(unaudited)
Recently Issued Accounting Pronouncements – Recently Adopted
 
On January 1, 2021, the Company adopted Accounting Standards Update (ASU) 2019-12, Income Taxes (Topic 740): Simplifying the Accounting for Income Taxes, which the Financial Accounting Standards Board (FASB) issued in December 2019. This guidance eliminates certain exceptions to the general approach to the income tax accounting model and adds new guidance to reduce the complexity in accounting for income taxes. This guidance was effective for annual periods after December 15, 2020, including interim periods within those annual periods. The Company’s adoption of this new guidance did not have a material impact on the Company’s financial statements and footnote disclosures (unaudited).
Recently Issued Accounting Pronouncements – Not Yet Adopted
 
In June 2016, the FASB issued ASU 2016-13, Financial Instruments—Credit Losses (Topic 326): Measurement of Credit Losses on Financial Instruments. The new standard changes the accounting for credit losses for financial assets and certain other instruments, including trade receivables and contract assets, that are not measured at fair value through net income. Under legacy standards, we recognize an impairment of receivables when it was probable that a loss had been incurred. Under the new standard, we are required to recognize estimated credit losses expected to occur over the estimated life or remaining contractual life of an asset (which includes losses that may be incurred in future periods) using a broader range of information including reasonable and supportable forecasts about future economic conditions. The guidance is effective for smaller reporting companies as defined by the SEC for fiscal years beginning after December 15, 2022, including interim periods within those fiscal years with early adoption permitted. We do not expect the adoption of the standard to have a significant impact on our results of operations, financial position, or cash flows as credit losses are not expected to be significant based on historical collection trends, the financial condition of payment partners, and external market factors.
 
No other new accounting pronouncement issued or effective has had, or is expected to have, a material impact on the Company’s financial statements.
 
(2)
Cash and Cash Equivalents
 
As of June 30, 2022 and December 31, 2021, money market funds included in cash and cash equivalents on the balance sheets were $18,733,783 and $24,388,443, respectively, which represent level 1 within the fair value hierarchy where there are quoted prices in active markets for identical assets.

(3)
Inventories
 
Inventory stated at cost, net of reserve, consisted of the following:

   
June 30,
2022
    
December 31,
2021
  
Materials
  
$
137,490
      
111,531
  
Work in progress
    
98,403
      
12,795
  
Finished goods
    
8,288
      
83,944
  
Inventory, net
  
$
244,181
      
208,270
  

The FemVue reserve for slow moving, obsolete, or unusable inventories was $1,292 and $850 as of June 30, 2022 and December 31, 2021, respectively.
 
(4)
Accrued Expenses
 
Accrued expenses consisted of the following:

   
June 30,
2022
    
December 31,
2021
  
Clinical trial costs
  
$
315,027
      
301,730
  
Compensation costs
    
132,888
      
98,272
  
Franchise taxes
     —       103,020  
Other
    
103,913
      
100,765
  
Accrued expenses
  
$
551,828
      
603,787
  

11
FEMASYS INC.
Notes to Financial Statements
(unaudited)
(5)
Clinical Holdback
 
The following table shows the activity within the clinical holdback liability accounts for the six months ended June 30, 2022:
 
Balance at December 31, 2021
  
$
168,738
  
Clinical holdback retained
    
10,660
  
Clinical holdback paid
    
(34,021
)
Balance at June 30, 2022
  
$
145,377
  
Less: clinical holdback - current portion
    
(36,238
)
Clinical holdback - long-term portion
  
$
109,139
  

(6)
Revenue Recognition
 
Revenue is recognized upon shipment of our goods based upon contractually stated pricing at standard payment terms ranging from 30 to 60 days. All revenue is recognized point in time and no revenue is recognized over time. For the three and six months ended June 30, 2022 and 2021, there was no revenue recognized from performance obligations satisfied or partially satisfied in prior periods, nor were there any unsatisfied performance obligations as of June 30, 2022 or 2021.
 
The majority of products sold directly to U.S customers are shipped via common carrier, and the customer pays for shipping and handling and assumes control Free on Board (FOB) shipping point. Products shipped to our international distributors are in accordance with their respective agreements; however, the shipping terms are generally EX-Works, reflecting that control is assumed by the distributor at the shipping point. Returns are only accepted with prior authorization from the Company. Items to be returned must be in original unopened cartons and are subject to a 30% restocking fee. Throughout the periods presented, the Company has not had a history of significant returns.
 
The following table summarizes our FemVue sales by geographic region as follows:

   
Three Months Ended June 30,
    
Six Months Ended June 30,
  
   
2022
    
2021
    
2022
    
2021
  
Primary geographical markets
                        
U.S.
  
$
303,113
      
268,019
      
566,473
      
539,749
  
International
    
—
      
57,987
      
58,045
      
116,032
  
Total
  
$
303,113
      
326,006
      
624,518
      
655,781
  

(7)
Commitments and Contingencies

Legal Claims
 
Occasionally, the Company may be a party to legal claims or proceedings of which the outcomes are subject to significant uncertainty. In accordance with Accounting Standards Codification (ASC) 450, Contingencies, the Company will assess the likelihood of an adverse judgment for any outstanding claim as well as ranges of probable losses. When it has been determined that a loss is probable and the amount can be reasonably estimated, the Company will record a liability. For both periods presented, there were no material legal contingencies requiring accrual or disclosure.

The Company, as permitted under Delaware law and in accordance with its bylaws, indemnifies its officers and directors for certain events or occurrences, subject to certain limits, while the officer or director is or was serving at the Company’s request in such capacity. The Company entered into employment agreements with its officers, which provides for indemnification protection in the executive’s capacity as an officer for actions taken within the scope of employment. The maximum amount of potential future indemnification is unlimited; however, the Company has obtained director and officer insurance that limits its exposure. The Company believes the fair value for these indemnification obligations is minimal. Accordingly, the Company has not recognized any liabilities relating to these obligations as of June 30, 2022 and December 31, 2021.

(8)
Notes Payable

AFCO Credit Corporation (AFCO)
 
In June 2022, the Company executed a promissory note with AFCO to finance certain insurance premiums totaling $465,380, requiring the Company to pay $47,539 in a down payment and make monthly installment payments. The annual interest rate is 5.71% and the monthly installment is $47,539, which represents principal and interest.

As of June 30, 2022 and December 31, 2021, the principal balance on the AFCO notes was $417,841 and $181,123, respectively and is included in Notes payable – current portion in the accompanying balance sheets. Interest expense in connection with the AFCO promissory notes was $86 and $946 for the three months ended June 30, 2022 and 2021, respectively; and interest expense was $1,882 and $1,324 for the six months ended June 30, 2022 and 2021

12
FEMASYS INC.
Notes to Financial Statements
(unaudited)
(9)
Redeemable Convertible Preferred Stock and Stockholders’ Equity
 
In June 2021, the Company issued 2,650,000 shares of common stock in connection with the Company’s IPO of its common stock at $13.00 per share. Net proceeds to the Company, after deducting underwriting discounts, commissions, and legal expenses, was $31,613,500. Offering costs incurred by the company were $2,016,143, which include legal expenses incurred and paid by our underwriters of $425,000. Immediately prior to the closing of the IPO, all our shares of our convertible Series A preferred stock and our redeemable convertible Series B and Series C preferred stock automatically converted into 8,116,343 shares of common stock.

The Company filed an eleventh amended and restated certificate of incorporation (the Amended and Restated Certificate) with the Secretary of State of the State of Delaware in connection with the completion of the IPO on June 22, 2021. The Amended and Restated Certificate amends and restates the Company’s existing certificate of incorporation in its entirety to, among other things: (i) authorize 200,000,000 shares of common stock; (ii) eliminate all references to the previously-existing series of preferred stock (Series A, B and C); and (iii) authorize 10,000,000 shares of undesignated preferred stock that may be issued from time to time by the Board in one or more series.
 
As of June 30, 2022, the Company had 11,813,610 shares of common stock outstanding, and no dividends have been declared or paid.

(10)
Equity Incentive Plans

Stock-Based Awards


 		(a)
Stock Option Plans

In June 2021, in connection with the IPO, our 2021 Equity Incentive Plan (2021 Plan) became effective, which was adopted by our Board of Directors in February 2021 and our stockholders approved the 2021 Plan in March 2021. The 2021 Plan is administered by our compensation committee. Upon the effectiveness of the 2021 Plan, no new grants will be awarded under our 2015 Stock-Based Incentive Compensation Plan.

As of June 30, 2022, the total number of shares of common stock reserved for future awards under the 2021 Plan is 1,313,137.
 
Activity under the stock option plans was as follows:

   
Number of
options
    
Weighted
average
exercise price
    
Weighted
average
remaining
contracted
term in
years
    
Aggregate
intrinsic
value
  
Outstanding at December 31, 2021
    
689,995
    
$
3.58
           $ 683,531  
Granted
    
270,170
      
6.71
                
Expired
    
(3,334
)
    
27.00
                
Forfeited
    
(834
)
    
6.12
                
Outstanding at March 31, 2022
    
955,997
    
$
4.38
       6.47     $ 125,279  
Granted
     51,000       1.50                  
Exercised
     (9,445 )     1.71                  
Expired
     (278 )     27.00                  
Forfeited
     (46,668 )     3.27                  
Outstanding at June 30, 2022
     950,606     $ 4.30       6.55     $ 181,745  
                                 
Vested and exercisable at June 30, 2022
     476,941     $ 3.71       5.08     $ 57,557  

Options granted under our 2021 Plan for the six months ended June 30, 2022 to employees and nonemployees were 253,170 and 68,000, respectively, and the weighted average exercise prices were $6.96 and $1.88, respectively. Included in awards granted to employees are 140,000 of performance based options that vest on achieving certain clinical related milestones. The weighted-average fair values of the options granted to employees and nonemployees were $2.34 and $1.55, respectively and were estimated using the following weighted-average assumptions:

    Employee     Nonemployee  
Expected term (in years)
    
6.47
      
5.63
  
Risk‑free interest rate
    
1.74
%
    
2.67
%
Dividend yield
    
—
%
    
—
%
Expected volatility
    
107.23
%
    
109.67
%
 
13
FEMASYS INC.
Notes to Financial Statements
(unaudited)

The intrinsic value of options exercised during the six months ended June 30, 2022 was $3,306. The intrinsic value represents the dollar value of the exercised stock options whereby the fair market value of the underlying common stock exceeded the exercise price of the stock option as of the exercise date.


 		(b)
Inducement Grant

On February 28, 2022, the Company awarded, outside the 2021 Plan, our Chief Financial Officer a stock option grant for the right to purchase 100,000 shares of common stock at an exercise price of $2.97 per share (inducement grant), which was approved by the Compensation Committee. The inducement grant will vest in equal installments over four years provided the employee remains employed by the Company on the vesting date. The fair value of the inducement grant was $2.46 and was estimated using the following assumptions:

   
Inducement
  
Expected term (in years)
    
6.25
  
Risk‑free interest rate
    
1.76
%
Dividend yield
    
—
%
Expected volatility
    
106.76
%

As of June 30, 2022, 100,000 shares are outstanding, and none are exercisable.


 		(c) Share-Based Compensation Expense

The following table shows the share-based compensation expense related to vested stock option grants to employees and nonemployees by financial statement line item on the accompanying statement of comprehensive loss:
 
    Three Months Ended June 30,
     Six Months Ended June 30,  
   
2022
    
2021
     2022
     2021
  
Research and development
  
$
33,436
      
29,205
       62,575       64,702  
Sales and marketing
    
1,216
      
936
       2,342       1,861  
General and administrative
    
27,515
      
27,905
       41,609       63,973  
Total share-based compensation expense
  
$
62,167
      
58,046
       106,526       130,536  

As June 30, 2022, the remaining share-based compensation expense that is expected to be recognized in future periods for employees and nonemployees is $1,123,502, which includes $463,311 of compensation expense to be recognized upon achieving certain performance conditions. For service based awards, the $660,191 of unrecognized expense is expected to be recognized over a weighted average period of 3.0 years.
 

 		(d)
Employee Stock Purchase Plan
 
In June 2021, in connection with the IPO, our Employee Stock Purchase Plan (ESPP) became effective which was adopted by our Board of Directors in February 2021 and our stockholders approved the 2021 ESPP Plan in March 2021. The ESPP is administered by our compensation committee.
 
As of June 30, 2022, the total number of shares of common stock reserved for future awards under the ESPP Plan is 284,707, and no shares of our common stock have been purchased under the ESPP.

(11)
Net Loss per Share Attributable to Common Stockholders
 
The following table sets forth the computation of the basic and diluted net loss per share:

   
Three Months Ended June 30,
    
Six Months Ended June 30,
  
   
2022
    
2021
    
2022
    
2021
  

                       
Net loss attributable to common stockholders, basic & diluted
  
$
(2,634,101
)
    
(1,083,059
)
    
(5,517,131
)
    
(2,913,291
)
Weighted-average number of shares used in computing net loss per share attributable to common stockholders, basic and diluted
    
11,812,988
      
2,076,516
      
11,808,601
      
1,538,780
  
Net loss per share attributable to common stockholders, basic and diluted
  
$
(0.22
)
    
(0.52
)
    
(0.47
)
    
(1.89
)

14
FEMASYS INC.
Notes to Financial Statements
(unaudited)
The following potentially dilutive securities have been excluded from the computations of diluted weighted average shares outstanding because they would be anti-dilutive:
 
   
Three Months Ended June 30,
    
Six Months Ended June 30,
  

 
2022
    
2021
    
2022
    
2021
  
Options to purchase common stock
    
1,050,606
      
699,636
      
1,050,606
      
699,636
  
Warrants to purchase to common stock
    
233,460
      
244,572
      
233,460
      
244,572
  
Total potential shares
    
1,284,066
      
944,208
      
1,284,066
      
944,208
  



(12)
Subsequent Events



On July 1, 2022, the Company entered into an Equity Distribution Agreement (the “Equity Distribution Agreement”) with Piper Sandler & Co. (“Piper Sandler” or the “Sales Agent”) establishing an “at-the-market” facility, pursuant to which the Company may offer and sell shares of common stock having an aggregate offering price of up to $8,800,000 from time to time through the Sales Agent.



As of August 10, 2022, no shares had been sold under the Equity Distribution Agreement.

15
Item 2.
Management’s Discussion and Analysis of Financial Condition and Results of Operations

The following discussion and analysis of our financial condition and results of operations should be read in conjunction with our financial statements and related notes included elsewhere in this in this Quarterly Report on Form 10-Q and our Annual Report on Form 10-K filed with the U.S. Securities and Exchange Commission, or the SEC, on March 24, 2022. This Quarterly Report on 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, which are subject to the “safe harbor” created by those sections. Forward-looking statements are based on our management’s beliefs and assumptions and on information currently available to our management. In some cases, you can identify forward-looking statements by terms such as “may,” “will,” “should,” “could,” “goal,” “would,” “expect,” “plan,” “anticipate,” “believe,” “estimate,” “project,” “predict,” “potential” and similar expressions intended to identify forward-looking statements and reflect our beliefs and opinions on the relevant subject. Our actual results could differ materially from those discussed in the forward-looking statements. Factors that could cause or contribute to these differences include those discussed below and elsewhere in this Quarterly Report on Form 10-Q. The forward-looking statements included in this Quarterly Report on Form 10-Q are made only as of the date hereof. These statements are based upon information available to us as of the filing date of this Quarterly Report on Form 10-Q, and while we believe such information forms a reasonable basis for such statements, such information may be limited or incomplete, and our statements should not be read to indicate that we have conducted an exhaustive inquiry into, or review of, all potentially available relevant information. These statements are inherently uncertain, and investors are cautioned not to unduly rely upon these statements.

Overview
 
We are a biomedical company focused on transforming women’s healthcare by developing novel solutions and next-generation advancements providing significant clinical impact to address severely underserved areas. Our mission is to provide women worldwide with superior minimally-invasive, non-surgical product technologies, accessible in the office, improving patient care and overall health economics. We are a woman-founded and led company with an expansive, internally created intellectual property portfolio with over 150 patents globally, in-house chemistry, manufacturing, and controls (CMC) and device manufacturing capabilities and proven ability to develop and commercialize products. Our suite of products and product candidates address what we believe are multi-billion dollar global market segments in which there has been little advancement for many years, helping women avoid pharmaceutical solutions, implants and surgery that can be expensive and expose women to harm. With an initial focus in the area of reproductive health, our two lead product candidates offer solutions for two ends of the spectrum: FemBloc for permanent birth control and FemaSeed as an artificial insemination infertility treatment.
 
Results of Operations
 
Comparison of the Three Months Ended June 30, 2022 and 2021
 
The following table shows our results of operations for the three months ended June 30, 2022 and 2021:

   
Three Months Ended June 30,
              
   
2022
    
2021
    
Change
    
% Change
  
Sales
  
$
303,113
      
326,006
      
(22,893
)
    
-7.0
%
Cost of sales
    
102,353
      
107,627
      
(5,274
)
    
-4.9
%
Gross margin
    
200,760
      
218,379
      
(17,619
)
    
-8.1
%
Operating expenses:
                                
Research and development
    
1,472,924
      
894,868
      
578,056
      
64.6
%
Sales and marketing
    
63,177
      
21,828
      
41,349
      
189.4
%
General and administrative
    
1,181,938
      
1,051,399
      
130,539
      
12.4
%
Depreciation and amortization
    
142,684
      
151,359
      
(8,675
)
    
-5.7
%
Total operating expenses
    
2,860,723
      
2,119,454
      
741,269
      
35.0
%
Loss from operations
    
(2,659,963
)
    
(1,901,075
)
    
(758,888
)
    
39.9
%
Other income (expense):
                                
Interest income
    
26,745
      
144
      
26,601
      
18472.9
%
Other income
    
—
      
821,515
      
(821,515
)
    
-100.0
%
Interest expense
    
(883
)
    
(3,643
)
    
2,760
      
-75.8
%
Other income, net
    
25,862
      
818,016
      
(792,154
)
    
-96.8
%
Net loss
  
$
(2,634,101
)
    
(1,083,059
)
    
(1,551,042
)
    
143.2
%

Sales
 
Sales decreased by $22,893, or 7.0%, to $303,113 for the three months ended June 30, 2022 from $326,006 for the three months ended June 30, 2021. U.S. sales increased by $35,094, or 13.1%, for the three months ended June 30, 2022 as compared to the same period last year; however, there were no international sales for the three months ended June 30, 2022 as compared to $57,987 reported for the same period last year resulting in a net decrease of $22,893 in sales.  U.S. units sold increased by 12.6% for the three months ended June 30, 2022 as compared to the same period last year.
 
Cost of sales and gross margin percentage
 
Cost of sales decreased by $5,274, or 4.9%, to $102,353 for the three months ended June 30, 2022 from $107,627 for the three months ended June 30, 2021. The decrease in cost of sales was largely due to our sales mix as our U.S. sales have a higher gross margin as compared to our international sales.   Gross margin percentage was 66.2% for the three months ended June 30, 2022 as compared to 67.0% for the three months ended June 30, 2021. We expect to see improvement in our gross margin in the future as we are investing in equipment and tooling which will enable us to reduce labor in certain manufacturing processes and reduce material costs as well.
 
16
Research and development
The following table summarizes our R&D expenses incurred during the periods presented:
 
   
Three Months Ended June 30,
  
   
2022
    
2021
  
Compensation and related personnel costs
  
$
790,292
      
648,148
  
Clinical-related costs
    
377,058
      
143,385
  
Material and development costs
    
175,527
      
87,272
  
Professional and outside consultant costs
    
116,692
      
—
  
Other costs
    
13,355
      
16,063
  
Total research and development expenses
  
$
1,472,924
      
894,868
  
 
R&D expenses increased by $578,056, or 64.6%, to $1,472,924 for the three months ended June 30, 2022 from $894,868 for the three months ended June 30, 2021. The net increase of $578,056 largely consists of  an increase of $142,144 in compensation and related personnel costs primarily due to an increase in headcount, an increase of $233,673 in clinical-related costs, an increase of $88,255 in material and development costs, and an increase of $116,692 in professional and outside consultant costs, all to mainly support our clinical trials.
 
Sales and marketing
 
Sales and marketing expenses increased by $41,349, or 189.4%, to $63,177 for the three months ended June 30, 2022 from $21,828 for the three months ended June 30, 2021 largely due to an increase in compensation and related personnel costs due to an increase in headcount and additional marketing costs.
 
General and administrative
 
General and administrative expenses increased by $130,539, or 12.4%, to $1,181,938 for the three months ended June 30, 2022 from $1,051,399 for the three months ended June 30, 2021. The net increase was largely due to an increase in salaries and related personnel costs due to an increase in headcount, an increase in facility and other allocated overhead costs mainly for additional directors & officers insurance and offset by a decrease in professional costs for legal and accounting.
 
Depreciation and amortization
 
Depreciation and amortization expenses decreased by $8,675, or 5.7%, to $142,684 for the three months ended June 30, 2022 from $151,359 for the three months ended June 30, 2021 due to reduction of depreciation expense associated with the Company’s fixed assets and amortization expense associated with the Company’s intangible assets.
 
Other income (expense)
 
Other income, net decreased by $792,154, or 96.8%, to $25,862 for the three months ended June 30, 2022 from $818,016 for the three months ended June 30, 2021 mainly due to the Small Business Administration approval of our Paychex Protection Program loan forgiveness in June 2021.
 
Results of Operations
 
Comparison of the Six Months Ended June 30, 2022 and 2021
 
The following table shows our results of operations for the six months ended June 30, 2022 and 2021:
   
Six Months Ended June 30,
    
   
 
   
2022
    
2021
    
Change
    
% Change
  
Sales
  
$
624,518
      
655,781
      
(31,263
)
    
-4.8
%
Cost of sales
    
225,028
      
200,669
      
24,359
      
12.1
%
Gross margin
    
399,490
      
455,112
      
(55,622
)
    
-12.2
%
Operating expenses:
                                
Research and development
    
2,893,987
      
1,889,890
      
1,004,097
      
53.1
%
Sales and marketing
    
132,040
      
44,647
      
87,393
      
195.7
%
General and administrative
    
2,629,293
      
1,943,386
      
685,907
      
35.3
%
Depreciation and amortization
    
286,883
      
304,812
      
(17,929
)
    
-5.9
%
Total operating expenses
    
5,942,203
      
4,182,735
      
1,759,468
      
42.1
%
Loss from operations
    
(5,542,713
)
    
(3,727,623
)
    
(1,815,090
)
    
48.7
%
Other income (expense):
                                
Interest income
    
29,199
      
308
      
28,891
      
9380.2
%
Other income
    
—
      
821,515
      
(821,515
)
    
-100.0
%
Interest expense
    
(3,617
)
    
(7,491
)
    
3,874
      
-51.7
%
Other income, net
    
25,582
      
814,332
      
(788,750
)
    
-96.9
%
Net loss
  
$
(5,517,131
)
    
(2,913,291
)
    
(2,603,840
)
    
89.4
%

 
Sales decreased by $31,263, or 4.8%, to $624,518 for the six months ended June 30, 2022 from $655,781 for the six months ended June 30, 2021. The $31,263 net decrease was largely attributable to the increase in U.S. sales of $26,724 for the six months ended June 30, 2022 as compared to the same period last year, which were offset by the decrease of $57,987 in international sales for the six months ended June 30, 2022 as compared to the same period last year.   U.S. units sold increased by 4.1% for the six months ended June 30, 2022 as compared to the same period last year. International sales were $58,045 and $116,032 for both the six months ended June 30, 2022 and 2021, respectively.
 
Cost of sales and gross margin percentage
 
Cost of sales increased by $24,359, or 12.1%, to $225,028 for the six months ended June 30, 2022 from $200,669 for the six months ended June 30, 2021. The increase in cost of sales was mainly due to increased production personnel labor and overhead costs applied to our cost of sales for the six months ended June 30, 2022 as compared to the same period last year. Gross margin percentage was 64.0% for the six months ended June 30, 2022 as compared to 69.4% for the six months ended June 30, 2021. We expect to see improvement in our gross margin in the future as we are investing in equipment and tooling which will enable us to reduce labor in certain manufacturing processes and reduce material costs as well.
 
Research and development
The following table summarizes our R&D expenses incurred during the periods presented:
 
   
Six Months Ended June 30,
  
   
2022
    
2021
  
Compensation and related personnel costs
  
$
1,555,084
      
1,324,694
  
Clinical-related costs
    
821,028
      
316,859
  
Material and development costs
    
306,977
      
201,390
  
Professional and outside consultant costs
    
185,356
      
6,826
  
Other costs
    
25,542
      
40,121
  
Total research and development expenses
  
$
2,893,987
      
1,889,890
  
 
R&D expenses increased by $1,004,097, or 53.1%, to $2,893,987 for the six months ended June 30, 2022 from $1,889,890 for the six months ended June 30, 2021. The net increase of $1,004,097 largely consists of an increase of $230,390 in compensation and related personnel costs primarily due to an increase in headcount, an increase of $504,169 in clinical-related costs, an increase of $105,587 in material and development costs and an increase of $178,530 in professional and outside consultant costs mainly to support our clinical trials.
 
Sales and marketing
 
Sales and marketing expenses increased by $87,393, or 195.7%, to $132,040 for the six months ended June 30, 2022 from $44,647 for the six months ended June 30, 2021 largely due to an increase in compensation and related personnel costs due to an increase in headcount and additional marketing costs mainly associated with our FemVue social media campaign earlier this year.
 
General and administrative
 
General and administrative expenses increased by $685,907, or 35.3%, to $2,629,293 for the six months ended June 30, 2022 from $1,943,386 for the six months ended June 30, 2021. The increase was largely due to various additional costs associated with being a public company including an increase in salaries and related personnel costs due to an increase in headcount and an increase in facility and other allocated overhead costs mainly for additional directors & officers insurance.
 
Depreciation and amortization
 
Depreciation and amortization expenses decreased by $17,929, or 5.9%, to $286,883 for the six months ended June 30, 2022 from $304,812 for the six months ended June 30, 2021 due to reduction of depreciation expense associated with the Company’s fixed assets and amortization expense associated with the Company’s intangible assets.
 
Other income (expense)
 
Other income, net decreased by $788,750, or 96.9%, to $25,582 for the six months ended June 30, 2022 from $814,332 for the six months ended June 30, 2021 mainly due to the Small Business Administration approval of our Paychex Protection Program loan forgiveness in June 2021.
 
Liquidity and Capital Resources
 
Sources of liquidity
 
Since our inception through June 30, 2022, our operations have been financed primarily by net proceeds from the sale of our common stock and convertible preferred stock, indebtedness and, to a lesser extent, product revenue. As of June 30, 2022, we had $19,116,419 of cash and cash equivalents and an accumulated deficit of $88,257,466.
 
On June 22, 2021, we closed on our IPO in which we issued and sold 2,650,000 shares of our authorized common stock. Net proceeds received, after deducting underwriting discounts, commissions, and legal expenses, were $31,613,500.
 
On July 1 2022, we entered into an Equity Distribution Agreement (the “Equity Distribution Agreement”) with Piper Sandler & Co. (“Piper Sandler” or the “Sales Agent”) establishing an “at-the-market” facility, pursuant to which we may offer and sell shares of our common stock having an aggregate offering price of up to $8,800,000 from time to time through the Sales Agent. As of August 10, 2022, no shares had been sold under the Equity Distribution Agreement.

Funding requirements
 
Based on our current operating plan, our current cash and cash equivalents are expected to be sufficient to fund our ongoing operations at least 12 months from the date of filing these financial statements. Our estimate as to how long we expect the net proceeds from this offering, together with our existing cash and cash equivalents, to be able to continue to fund our operations is based on assumptions that may prove to be wrong, and we could use our available capital resources sooner than we currently expect. Changing circumstances, some of which may be beyond our control, could cause us to consume capital significantly faster than we currently anticipate, and we may need to seek additional funds sooner than planned.

18
Our cash and cash equivalents as of June 30, 2022 will not be sufficient to fund all of our product candidates through regulatory approval, and we anticipate needing to raise additional capital to complete the development and commercialization of our product candidates.  However, we can give no assurances that we will be able to secure additional sources of funds to support our operations, or if such funds will be available to us, that such additional financing will be sufficient to meet our needs or be on terms acceptable to us. This risk may increase if economic and market conditions deteriorate. If we are unable to obtain additional financing when needed, we may need to terminate, significantly modify, or delay the development of our product candidates, or we may need to obtain funds through collaborations or otherwise on terms that may require us to relinquish rights to our technologies or product candidates that we might otherwise seek to develop or commercialize independently. If we are unable to raise adequate additional capital as and when required in the future, we could be forced to cease development activities and terminate our operations, and you could experience a complete loss of your investment

Cash Flows
 
Comparison of the Six Months Ended June 30, 2022 and 2021
The following table summarizes our cash flows for the six months ended June 30, 2022 and 2021:
 
   
Six Months Ended June 30,
  
   
2022
    
2021
  
Net cash used in operating activities
  
$
(5,133,896
)
    
(3,881,381
)
Net cash used in investing activities
    
(295,058
)
    
(12,512
)
Net cash (used in) provided by financing activities
    
(237,656
)
    
30,430,535
  
Net change in cash and cash equivalents
  
$
(5,666,610
)
    
26,536,642
  

Operating activities
 
For the six months ended June 30, 2022, cash used in operating activities was $5,133,896, attributable to a net loss of $5,517,131, a net change in our net operating assets and liabilities of $182,754 and offset partially by non-cash charges of $565,989. Non-cash charges largely consisted of $286,883 in depreciation and amortization, $169,680 in right-of-use amortization, and $106,526 in stock-based compensation.  The change in our net operating assets and liabilities was primarily due to a decrease of $151,916 in accounts payable and accrued expenses, a decrease of $194,235 in lease liabilities, which were offset partially offset by a decrease in other assets of $255,271.
 
For the six months ending June 30, 2021, cash used in operating activities was $3,881,381, attributable to a net loss of $2,913,291, a net change in our net operating assets and liabilities of $775,213, and non-cash charges of $192,877. Net non-cash charges consisted of $821,515 in PPP loan forgiveness offset by $130,536 in stock-based compensation, $304,812 in depreciation and amortization, and $193,290 in right-of-use amortization. The change in our net operating assets and liabilities was primarily due to a net decrease in accounts payable and accrued expenses of $852,014, a decrease of $210,045 in lease liabilities, and offset by a decrease in other assets of $329,461.
 
Investing activities
 
For the six months ended June 30, 2022, cash used in investing activities for the purchase of property and equipment was $295,058.
 
For the six months ended June 30, 2021, cash used in investing activities for the purchase of property and equipment was $12,512.
 
Financing activities
 
For the six months ended June 30, 2022, cash used in financing activities was $237,656, attributable to repayments on notes payable of $228,662, payments under lease obligations of $11,240, a deferred offering cost payment of $13,905, and offset by proceeds from the exercise of a stock option of $16,151.
 
For the six months ended June 30, 2021, cash provided by financing activities was $30,430,535, attributable to net proceeds from our IPO of $30,369,540, exercise of stock options totaling $112,145, and offset by repayments on notes payable of $40,980 and payments under lease obligations of $10,170.
 
Government Regulation
 
De Novo Classification
 
Medical device types that the FDA has not previously classified as Class I, II or III are automatically classified into Class III regardless of the level of risk they pose. The Food and Drug Administration Modernization Act of 1997 established a new route to market for low to moderate risk medical devices that are automatically placed into Class III due to the absence of a predicate device, called the “Request for Evaluation of Automatic Class III Designation,” or the de novo classification procedure. This procedure allows a manufacturer whose novel device is automatically classified into Class III to request de novo classification of its medical device into Class I or Class II on the basis that the device presents low or moderate risk, and that general controls alone, or general and special controls, provide reasonable assurance of safety and effectiveness for the intended use and that the probable benefits of the device outweigh the probable risks.
 
FDA has issued several guidance documents addressing the de novo classification process and the contents of de novo classification requests and, on October 5, 2021, the FDA published a final rule to establish regulations for the de novo classification process. The regulation defines the requirements for the de novo classification process, including requirements related to the format and content of de novo requests, as well as processes and criteria for accepting, granting, declining and withdrawing de novo requests.
 
19
Under the Food and Drug Administration Safety and Innovation Act (FDASIA) and the final rule, the FDA is required to issue an order classifying the device within 120 days following receipt of the de novo request or receipt of additional information that results in the de novo request being accepted, but in practice the time for FDA review of de novo classification requests has historically been significantly longer. Under the Food and Drug Administration Reauthorization Act (FDARA), Congress implemented user fees for de novo classification requests and FDA committed to performance goals for their review.
 
If the manufacturer seeks de novo classification into Class II, the manufacturer must include, among other information, a draft proposal for special controls that are necessary to provide a reasonable assurance of the safety and effectiveness of the medical device. In addition, the FDA may decline the de novo classification request if it identifies a legally marketed predicate device or otherwise determines the device has already been classified, or determines that general controls or general and special controls are insufficient to provide reasonable assurance of safety and effectiveness of the device, among other reasons for declining a de novo request listed in the final rule. Devices that are classified into class I or class II in response to a de novo classification request may be marketed and used as predicates for future premarket notification 510(k) submissions.
 
Item 3.
Quantitative and Qualitative Disclosures About Market Risk

Not applicable.

Item 4.
Controls and Procedures

Evaluation of Disclosure Controls and Procedures

Our management, with the participation of our Chief Executive Officer (principal executive officer) and Chief Financial Officer (principal financial officer), has evaluated the effectiveness of our disclosure controls and procedures (as defined in Rules 13a-15(e) and 15d-15(e) under the Securities Exchange Act of 1934, as amended) as of the end of the period covered by this Quarterly Report on Form 10-Q. Based on such evaluation, our management has concluded that our disclosure controls and procedures were not effective at a reasonable assurance level as of June 30, 2022 due to the material weakness as disclosed in our Annual Report on Form 10-K, under Part II, Item 9A. Controls and Procedures, filed with the SEC on March 24, 2022.

Changes in Internal Control over Financial Reporting

There were no changes in our internal control over financial reporting identified in connection with the evaluation required by Rule 13a-15(d) and 15d-15(d) of the Exchange Act that occurred during the three and six months ended June 30, 2022 that have materially affected, or are reasonably likely to materially affect, our internal control over financial reporting.

Inherent Limitations on Effectiveness of Controls

Our management, including our Chief Executive Officer and Chief Financial Officer (Principal Financial and Accounting Officer), does not expect that our disclosure controls and procedures or internal control over financial reporting will prevent all errors and all fraud. A control system, no matter how well designed and implemented, can provide only reasonable, not absolute, assurance that the control system’s objectives will be met. Further, the design of a control system must reflect the fact that there are resource constraints, and the benefits of controls must be considered relative to their costs. Because of the inherent limitations in all control systems, no evaluation of controls can provide absolute assurance that all control issues within a company are detected. The inherent limitations include the realities that judgments in decision-making can be faulty and that breakdowns can occur because of simple errors or mistakes. Controls can also be circumvented by the individual acts of some persons, by collusion of two or more people, or by management override of the controls. Also, projections of any evaluation of effectiveness to future periods are subject to the risk that controls may become inadequate because of changes in conditions or that the degree of compliance with the policies or procedures may deteriorate. Because of the inherent limitations in a cost-effective control system, misstatements due to error or fraud may occur and may not be detected.

PART II OTHER INFORMATION

Item 1.
Legal Proceedings

From time to time we may be involved in legal proceedings arising in connection with our business. Based on information currently available, we believe that the amount, or range, of reasonably possible losses in connection with any pending actions against us in excess of established reserves, in the aggregate, is not material to our consolidated financial condition or cash flows. However, losses may be material to our operating results for any particular future period, depending on the level of income for such period.

Item 1A.
Risk Factors

You should carefully review and consider the information regarding certain risks and uncertainties facing us that could have a material adverse effect on our business prospects, financial condition, results of operations, liquidity and available capital resources set forth in Part I, Item 1A. Risk Factors, of the Company’s Annual Report on Form 10-K filed with the SEC on March 24, 2022.

Item 2.
Unregistered Sales of Equity Securities and Use of Proceeds

None.

20
Item 3.
Defaults Upon Senior Securities

Not applicable.

Item 4.
Mine Safety Disclosures

Not applicable.

Item 5.
Other Information

Not applicable.

Item 6.
Exhibits
 
     
Incorporated by Reference
Exhibit
      
File
    
Number
  
Description of Document
Schedule/Form
Number
Exhibit
Filing Date
             
 
Certification of Principal Executive Officer Pursuant to Securities Exchange Act Rules 13a-14(a), as adopted Pursuant to Section 302 of the Sarbanes-Oxley Act of 2002
        
 
 
 
        
 
Certification of Principal Financial Officer Pursuant to Securities Exchange Act Rules 13a-14(a), as adopted Pursuant to Section 302 of the Sarbanes-Oxley Act of 2002
        
 
 
 
        
 
Certification of Principal Executive Officer Pursuant to 18 U.S.C. Section 1350, as adopted Pursuant to Section 906 of the Sarbanes-Oxley Act of 2002
        
 
 
 
        
 
Certification of Principal Financial Officer Pursuant to 18 U.S.C. Section 1350, as adopted Pursuant to Section 906 of the Sarbanes-Oxley Act of 2002
        
 
 
 
        
101.INS
 
Inline XBRL Instance Document (the instance document does not appear in the Interactive Data File because its XBRL tags are embedded within the Inline XBRL document)
        
 
 
 
        
101.SCH
 
Inline XBRL Taxonomy Extension Schema Document
        
 
 
 
        
101.CAL
 
Inline XBRL Taxonomy Extension Calculation Linkbase Document
        
 
 
 
        
101.DEF
 
Inline XBRL Taxonomy Definition Linkbase Document
        
 
 
 
        
101.LAB
 
Inline XBRL Taxonomy Extension Label Linkbase Document
        
 
 
 
        
101.PRE
 
Inline XBRl Taxonomy Extension Presentation Linkbase Document
        
 
 
 
        
104
 
Cover Page Interactive Data File (formatted as inline XBRL and contained in Exhibit 101)
        

*
Filed herewith

21
SIGNATURES

Pursuant to the requirements of the Securities Act, the registrant has duly caused this registration statement to be signed on its behalf by the undersigned, thereunto duly authorized, in the City of Suwanee, State of Georgia, on this 10th day of August 2022.

FEMASYS INC.

Dated: August 10, 2022
By: /s/ Kathy Lee-Sepsick
  
 
Kathy Lee-Sepsick
  
 
Chief Executive Officer and President
  
     
 
By: /s/ Dov Elefant
  
  Dov Elefant  
 
Chief Financial Officer
  
 
(Principal financial and accounting officer)
  

 
22
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