NOTE 2 – LIQUIDITY AND PLAN OF
OPERATIONS
The Company’s ability to continue
to operate is dependent mainly on its ability to successfully market and sell its products and the receipt of additional financing
until profitability is achieved. The Company currently incurs and historically has incurred losses from operations and expects
to do so in the foreseeable future. As a result, the Company will not have sufficient resources to fund its operations for the
next twelve months from the date of this filing. These conditions raise substantial doubt about the Company’s ability to
continue as a going concern. During the next twelve months management expects that the Company will need to raise additional capital
to finance its losses and negative cash flows from operations and may continue to be dependent on additional capital raising as
long as its products do not reach commercial profitability. Management’s plans include the continued commercialization of
the Company’s products and raising capital through the sale of additional equity securities, debt or capital inflows from
strategic partnerships. There are no assurances, however, that the Company will be successful in obtaining the level of financing
needed for its operations. If the Company is unsuccessful in commercializing its products and raising capital, it will need to
reduce activities, curtail or cease operations. The financial statements do not include any adjustments with respect to the carrying
amounts of assets and liabilities and their classification that might be necessary should the Company be unable to continue as
a going concern.
NOTE 3 – SUMMARY OF SIGNIFICANT
ACCOUNTING POLICIES
Basis of presentation and principles
of consolidation
The Company’s unaudited consolidated
financial statements have been prepared in accordance with accounting principles generally accepted in the United States of America
(“US GAAP”) for the interim financial information and with instructions to Form 10-Q and Article 10 of Regulation S-X.
The unaudited consolidated financial statements include the accounts of all subsidiaries in which the Company holds a controlling
financial interest as of the financial statement date.
The unaudited consolidated financial statements
include the accounts of the Company and its wholly-owned subsidiaries. The terms “we,” “us,” “our,”
and the “Company” refer to NanoVibronix, Inc. and its wholly-owned subsidiary. All intercompany accounts and transactions
have been eliminated in consolidation.
Unaudited interim financial information
In the opinion of management, the accompanying
unaudited interim consolidated financial statements reflect all adjustments, which include only normal recurring adjustments, necessary
to state fairly the financial position and results of operations of the Company. These consolidated financial statements and notes
thereto are unaudited and should be read in conjunction with the Company’s audited financial statements for the year ended
December 31, 2018, as found in the Company’s Annual Report on Form 10-K filed with the Securities and Exchange Commission
on April 15, 2019.
The balance sheet for December 31, 2018 was derived from the Company’s audited financial statements
for the year ended December 31, 2018. The results of operations for the periods presented are not necessarily indicative of results
that could be expected for the entire fiscal year due to seasonality and other factors. Certain information and footnote disclosures
normally included in the consolidated financial statements in accordance with U.S. GAAP have been omitted in accordance with the
rules and regulations of the SEC for interim reporting.
NANOVIBRONIX, INC.
Notes to Consolidated Financial Statements (Unaudited)
Amounts in thousands (except share and
per share data)
Use of estimates
The
preparation of the consolidated financial statements in conformity with U.S. GAAP requires management to make estimates, judgments
and assumptions. The Company believe that the estimates, judgments and assumptions used are reasonable based upon information
available at the time they are made. These estimates, judgments and assumptions can affect the reported amounts of assets and
liabilities and disclosure of contingent assets and liabilities at the dates of the financial statements, and the reported amounts
of revenue and expenses during the reporting period. Actual results could differ from those estimates.
Foreign currency translation and transaction
Non-U.S. dollar denominated transactions
and balances have been re-measured to U.S. dollars. All transaction gains and losses from re-measurement of monetary balance sheet
items denominated in non-U.S. dollar currencies are reflected in the statements of operations as financial income or expenses,
as appropriate.
Revenue recognition
The
Company generate revenues from the sale of our products to distributors and patients. Revenues from those products are recognized
in accordance with Accounting Standards Codification (“ASC”) 606, Revenue from Contracts with Customers), in
which its core principle of Accounting Standards Update (“ASU”) 2014-09 is to recognize revenues when promised goods
or services are transferred to customers in an amount that reflects the consideration that is expected to be received for those
goods or services. ASU 2014-09 defines a five-step process to achieve this core principle and, in doing so, it is possible more
judgment and estimates may be required within the revenue recognition process than are required under existing GAAP, including
identifying performance obligations in a contract, estimating the amount of variable consideration to include in the transaction
price and allocating the transaction price to each separate performance obligation.
Revenues from sales to distributors are
recognized at the time the products are delivered to the distributors (“sell-in”). The Company does not grant rights
of return, credits, rebates, price protection, or other privileges on its products to distributors.
Recently
issued accounting pronouncements not yet adopted
In
February 2016, the FASB issued ASU 2016-02, Leases (Topic 842). ASU 2016-02 requires that a lessee recognize the assets and liabilities
that arise from operating leases. A lessee should recognize in the statement of financial position a liability to make lease payments
(the lease liability) and a right of use asset representing its right to use the underlying asset for the lease term. For leases
with a term of 12 months or less, a lessee is permitted to make an accounting policy election by class of underlying asset not
to recognize lease assets and lease liabilities. In transition, lessees and lessors are required to recognize and measure leases
at the beginning of the earliest period presented using a modified retrospective approach. Public business entities should apply
the amendments in ASU 2016-02 for fiscal years beginning after December 15, 2018, including interim periods within those fiscal
years. Early application is permitted for all public business entities and all nonpublic business entities upon issuance. The Company (as an EGC) that is taking advantage of the extended transition period offered to private entities would
apply this for fiscal years beginning after December 15, 2019. The Company is currently evaluating the impact of adopting ASU
2016-02 on its consolidated financial statements.
NANOVIBRONIX, INC.
Notes to Consolidated Financial Statements (Unaudited)
Amounts in thousands (except share and
per share data)
Recently adopted accounting standards
In July 2017, the FASB issued ASU No. 2017-11, “Earnings Per Share (Topic 260); Distinguishing
Liabilities from Equity (Topic 480); Derivatives and Hedging (Topic 815)” (“ASU 2017-11”), which addresses
the complexity of accounting for certain financial instruments with down round features. Down round features are features of certain
equity-linked instruments (or embedded features) that result in the strike price being reduced on the basis of the pricing of future
equity offerings. Current accounting guidance creates cost and complexity for entities that issue financial instruments (such as
warrants and convertible instruments) with down round features that require fair value measurement of the entire instrument or
conversion option. The Company adopted ASU 2017-11 on January 1, 2019 and as a result, the down round feature of equity instruments
that were issued in the first quarter of 2019 were not considered when determining the derivative liability of those instruments.
SEC Disclosure Update and
Simplification
In August
2018, the SEC adopted the final rule under SEC Release No. 33-10532, Disclosure Update and Simplification, amending certain disclosure
requirements that were redundant, duplicative, overlapping, outdated or superseded. In addition, the amendments expanded the disclosure
requirements on the analysis of stockholders' equity for interim financial statements. Under the amendments, an analysis of changes
in each caption of stockholders' equity presented in the balance sheet must be provided in a note or separate statement. The analysis
should present a reconciliation of the beginning balance to the ending balance of each period for which a statement of comprehensive
income is required to be filed. This final rule was effective on November 5, 2018. The first presentation of the changes in shareholders’
equity in accordance with the new guidance is included in this Form 10-Q for the quarter ended March 31, 2019.
NOTE 4 – STOCKHOLDERS’ EQUITY
Share based compensation
During the three-month period ended March 31, 2019 and 2018 the Company recorded share-based compensation
in a total amount of $1.3 million and $0.1 million, respectively. There were 275,000 shares of common stock issued for services
in the three-month period ended March 31, 2019. Additionally, 120,000 options were issued during the three-month period ended March
31, 2019. The options were recorded at a fair value of $265 and vest immediately.
The
fair value for options granted in 2019 is estimated at the date of grant using a Black-Scholes-Merton options pricing model with
the following underlying assumptions:
Price at valuation
|
|
$
|
3.40
|
|
Exercise price
|
|
$
|
3.40
|
|
Risk free interest
|
|
|
2.79
|
%
|
Expected term (in years)
|
|
|
5
|
|
Volatility
|
|
|
48
|
%
|
The
total stock based expense recognized in the financial statements for services received from employees and non-employees is shown
in the following table.
|
|
Three Months Ended
March 31,
|
|
|
|
2019
|
|
|
2018
|
|
|
|
|
|
|
|
|
Research and development
|
|
$
|
—
|
|
|
$
|
7
|
|
Selling and marketing
|
|
|
11
|
|
|
|
4
|
|
General and administrative
|
|
|
1,324
|
|
|
|
98
|
|
|
|
|
|
|
|
|
|
|
Total
|
|
$
|
1,335
|
|
|
$
|
109
|
|
As of March 31, 2019, the total unrecognized
estimated compensation cost related to non-vested stock options granted prior to that date was $488, which is expected to be recognized
over a weighted average period of approximately 1.5 years.
Warrant modification
On February 5, 2019, the Company entered into amendments to its two-year warrants (the “Warrant
Amendment”) to purchase an aggregate of 266,667 shares of common stock at an exercise price of $3.00 per share (the “$3.00
Warrants”) and warrants to purchase an aggregate of 420,000 shares of common stock at an exercise price of $6.00 per share
(the “$6.00 Warrants”), issued in January and February 2015, to extend the expiration date of the warrants for two
additional years. The warrants were previously extended for two years in January 2017. In addition, the Warrant Amendment amended
the exercise price with respect to the $3.00 Warrants from $3.00 per share to $3.35 per share. The exercise price of the $6.00
Warrants was unchanged. Pursuant to the Warrant Amendment, warrants to purchase 266,667 shares of common stock at $3.35 per share
and warrants to purchase 266,667 shares of common stock at $6.00 per share will expire on January 29, 2021, and warrants to purchase
140,000 shares of common stock at $6.00 per share will expire on February 10, 2021, and warrants to purchase 13,333 shares of common
stock at $6.00 per share will expire on February 23, 2021. The Warrant Amendment is effective as of January 29, 2019. All other
terms of the original warrants remain the same.
The Warrant Amendment was accounted for in warrant modification expense, which was measured at the amount
equal to the incremental value reflecting the change in the fair value of the warrants before and after the Warrant Amendment.
Accordingly, warrant modification expense in the amount of $412 was recorded with a corresponding increase in the additional paid-in
capital.
In estimating the warrants’ fair value, the Company used the
following assumptions:
Risk free interest
|
|
|
2.56
|
%
|
|
Dividend yield
|
|
|
0
|
%
|
|
Volatility
|
|
|
55.6% – 56.5
|
%
|
|
Expected term (in years)
|
|
|
2
|
|
|
NANOVIBRONIX, INC.
Notes to Consolidated Financial Statements (Unaudited)
Amounts in thousands (except share and
per share data)
NOTE
5 – CONVERTIBLE DEBT
On
March 29, 2019, the Company completed a bridge financing, pursuant to which the Company issued to two accredited investors convertible
notes on the aggregate principal amount of $225,000 (the “Notes”) and seven-year warrants (the “Warrant”)
to purchase an aggregate of 90,000 shares of the Company’s common stock or series C preferred stock at an exercise price
of the
lesser
of: (a) 80% (
i.e
., a 20% discount) of the exercise price per share of the warrants to purchase
shares of the Company’s capital stock issued in the first equity financing of the Company following the date of issuance,
or (b) $4.80, with a stipulation that in no event will the exercise price be less than $3.00 per warrant share.
The
principal amount and all accrued but unpaid interest on the Notes are due and payable on the date (the “Maturity Date”)
that is the earlier of the (i) 5-year anniversary of the date of issuance, or (ii) the date the Company completes an equity financing
pursuant to which the Company issues and sells shares of capital stock resulting in aggregate proceeds of at least $2,000,000
(a “Qualified Financing”). The Notes bear interest at a rate of 6% per annum, payable on the Maturity Date. To the
extent not previously converted, on the Maturity Date, the investors will receive, at the option of each the investor, either
(a) cash equal to the original principal amount of the Note and interest then accrued and unpaid thereon, or (b) shares of common
stock or series C convertible preferred stock of the Company, at a price per share equal to the lesser of: (x) 80% of the amount
equal to the quotient obtained by dividing (i) the estimated value of the Company as of the Maturity Date, as determined
in good faith by the Company’s board of directors, by (ii) the aggregate number of outstanding shares of the Company’s
common stock, as of the Maturity Date on a fully diluted basis, and (y) $5.90 per share, as such amount may be adjusted for any
stock split, stock dividend, reclassification or similar events affecting the capital stock of the Company. Upon consummation
of a Qualified Financing, each investor may elect to have the outstanding principal and accrued but unpaid interest thereon converted
into (a) shares of the same class and series of equity securities sold in such Qualified Financing, (b) shares of series C convertible
preferred stock or (c) common stock, at a price per share equal to the lesser of: (a) 80% of the price per share at which such
securities are sold in such Qualified Financing and (b) $4.00 per share, as such amount may be adjusted for any stock split, stock
dividend, reclassification or similar events affecting the Company’s capital stock.
In
no event will the number of shares to be issued upon (i) exercise of this Warrants, (ii) conversion of the Notes exceed, in the
aggregate, 9.9% of the total shares outstanding or the voting power outstanding on the date immediately preceding the date of
issuance.
|
|
March
31, 2019
|
|
Convertible Notes:
|
|
|
|
|
Principal value of 6% convertible note at March 31, 2019, due March 29, 2024
|
|
$
|
225
|
|
Fair value of derivative liability of convertible notes
|
|
|
86
|
|
Debt discount
|
|
|
(225
|
)
|
Total long-term carrying value of convertible notes
|
|
$
|
86
|
|
NOTE 6 – DERIVATIVE LIABILITIES
On
March 29, 2019 (“Issuance Date”) the Company issued 90,000 warrants in conjunction with the issuance of convertible
debt. The warrants have an exercise price equal to the lesser of: (a) 80% (i.e., a 20% discount) of the exercise price per warrant
share of the warrants to purchase shares of capital stock of the Company issued in the first Equity Financing of the Company following
the Issuance Date, or (b) $4.80, which is subject to down round adjustments. In April 2019, the warrants were modified to include
that in no event will the exercise price be less than $3.00 per warrant share.
A
summary of quantitative information with respect to valuation methodology and significant unobservable inputs used for the Company’s
common stock purchase warrants that are categorized within Level 3 of the fair value hierarchy for the three months ended March
31, 2019 is as follows:
|
|
|
|
|
|
Three Months Ended
March 31, 2019
|
|
Stock price
|
|
$
|
4.05
|
|
Exercise price
|
|
$
|
4.80
|
|
Contractual term (in years)
|
|
|
7
|
|
Volatility (annual)
|
|
|
57.8%
|
|
Risk-free rate
|
|
|
2.23
|
%
|
Dividend yield (per share)
|
|
|
0
|
%
|
The
foregoing assumptions are reviewed quarterly and are subject to change based primarily on management’s assessment of the
probability of the events described occurring. Accordingly, changes to these assessments could materially affect the valuations.
NANOVIBRONIX, INC.
Notes to Consolidated Financial Statements (Unaudited)
Amounts in thousands (except share and
per share data)
Financial
Liabilities Measured at Fair Value on a Recurring Basis
Financial liabilities measured at fair value
on a recurring basis are summarized below and disclosed on the balance sheet under Derivative liability – warrants and derivative
liabilities:
|
|
Fair value measured at March 31, 2019
|
|
|
|
Quoted prices in active
|
|
|
Significant other
|
|
|
Significant
|
|
|
|
|
|
|
markets
|
|
|
observable inputs
|
|
|
unobservable inputs
|
|
|
Fair value at
|
|
|
|
(Level 1)
|
|
|
(Level 2)
|
|
|
(Level 3)
|
|
|
March 31, 2019
|
|
Derivative liability - warrants
|
|
$
|
—
|
|
|
$
|
—
|
|
|
$
|
151
|
|
|
$
|
151
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Embedded conversion feature derivative liability
|
|
$
|
—
|
|
|
$
|
—
|
|
|
$
|
86
|
|
|
$
|
86
|
|
Total
|
|
$
|
—
|
|
|
$
|
—
|
|
|
$
|
237
|
|
|
$
|
237
|
|
The
fair value accounting standards define fair value as the amount that would be received to sell an asset or paid to transfer a
liability in an orderly transaction between market participants. As such, fair value is determined based upon assumptions that
market participants would use in pricing an asset or liability. Fair value measurements are rated on a three-tier hierarchy as
follows:
|
●
|
Level
1 inputs: Quoted prices (unadjusted) for identical assets or liabilities in active markets;
|
|
●
|
Level
2 inputs: Inputs, other than quoted prices included in Level 1, that are observable either directly or indirectly; and
|
|
●
|
Level
3 inputs: Unobservable inputs for which there is little or no market data, which require the reporting entity to develop its
own assumptions.
|
There
were no transfers between Level 1, 2 or 3 during the three months ended March 31, 2019.
The
following table presents changes in Level 3 liabilities measured at fair value for the three months ended March 31, 2019:
|
|
Derivative
Liability -
-Warrants
|
|
|
Embedded
Conversion
Feature
Derivative
Liability
|
|
|
Total
Derivative
Liabilities
|
|
Balance - January 1, 2019
|
|
$
|
—
|
|
|
$
|
—
|
|
|
$
|
—
|
|
Liabilities
|
|
|
149
|
|
|
|
83
|
|
|
|
232
|
|
Change in fair value of warrant liability
|
|
|
2
|
|
|
|
3
|
|
|
|
5
|
|
Balance – March 31, 2019
|
|
$
|
151
|
|
|
$
|
86
|
|
|
$
|
237
|
|
NOTE 7 – LOSS PER SHARE APPLICABLE
TO COMMON SHAREHOLDER
Basic
net loss per common share (“Basic EPS”) is computed by dividing net loss available to common
shareholders by the weighted average number of common shares outstanding during the period. All outstanding share options and
warrants for the three months ended March 31, 2019 and 2018 have been excluded from the calculation of the diluted net loss per
share because all such securities are anti-dilutive for all periods presented.
The
following table summarizes the Company’s securities, in common share equivalents, which have been excluded from the calculation
of dilutive loss per share as their effect would be anti-dilutive:
|
|
March 31,
2019
|
|
|
December 31,
2018
|
|
Series D Preferred Shares
|
|
|
303,782
|
|
|
|
303,782
|
|
Stock Options - employee and non-employee
|
|
|
854,756
|
|
|
|
734,756
|
|
Warrants
|
|
|
266,667
|
|
|
|
266,667
|
|
Total
|
|
|
1,425,205
|
|
|
|
1,305,205
|
|
NANOVIBRONIX, INC.
Notes to Consolidated Financial Statements (Unaudited)
Amounts in thousands (except share and
per share data)
The diluted loss per share equals
basic loss per share in the three months ended March 31, 2019 and 2018 because the Company had a net loss and the impact of the
assumed exercise of stock options and the vesting of restricted stock would have been anti-dilutive.
NOTE 8 – GEOGRAPHIC INFORMATION
AND MAJOR CUSTOMER DATA
Summary information about geographic areas:
The Company manages its business on the
basis of one reportable segment and derives revenues from selling its products directly to patients as well as through distributor
agreements. The following is a summary of revenues within geographic areas:
|
|
Three Months Ended
March
31,
|
|
|
|
2019
|
|
|
2018
|
|
|
|
|
|
|
|
|
United States
|
|
$
|
68
|
|
|
$
|
67
|
|
Europe
|
|
|
10
|
|
|
|
3
|
|
Israel
|
|
|
1
|
|
|
|
4
|
|
India
|
|
|
—
|
|
|
|
3
|
|
|
|
$
|
79
|
|
|
$
|
77
|
|
During the three-month period ended March
31, 2019 and 2018, revenues from distributors accounted for 82% and 8% of total revenues, respectively.
The Company’s long-lived assets are
all located in Israel.
NOTE 9 – COMMITMENTS AND CONTINGENCIES
Leases
The Company leases office facilities and
motor vehicles under operating leases, which expire on various dates, the latest of which is 2020.
Year ended December 31,
|
|
|
Operating leases
|
|
|
|
|
|
|
2019
|
|
|
$
|
32
|
|
2020
|
|
|
|
29
|
|
Total
|
|
|
$
|
61
|
|
NANOVIBRONIX, INC.
Notes to Consolidated Financial Statements (Unaudited)
Amounts in thousands (except share and
per share data)
The Company leases motor vehicles under
cancelable lease agreements. The Company has an option to be released from this lease agreement, which may result in penalties
in a maximum amount of approximately $5.
Rent and related expenses were $12 and $7 for
the years ended March 31, 2019 and 2018, respectively.
NOTE 10 – SUBSEQUENT EVENTS
Between April and May 2019, the Company
completed multiple bridge financings, pursuant to which the Company issued to two accredited investors convertible notes on the
aggregate principal amount of $250,000 and seven-year warrants to purchase an aggregate of 100,000 shares of the Company’s
common stock or series C preferred stock at an exercise price of the
lesser
of: (a) 80% (
i.e
., a 20% discount)
of the exercise price per share of the warrants to purchase shares of the Company’s capital stock issued in the first equity
financing of the Company following the date of issuance, or (b) $4.80, with a stipulation that in no event will the exercise price
be less than $3.00 per warrant share.
ITEM 2. MANAGEMENT’S DISCUSSION AND ANALYSIS OF FINANCIAL
CONDITION AND RESULTS OF OPERATIONS
You should read
the following discussion and analysis of financial condition and results of operations in conjunction with our consolidated financial
statements and the related notes thereto included elsewhere in this Quarterly Report on Form 10-Q.
Unless the context
requires otherwise, references in this Form 10-Q to the “Company,” “NanoVibronix,” “we,” “our”
and “us” refer to NanoVibronix, Inc., a Delaware corporation, and its subsidiaries.
Cautionary Note Regarding Forward-Looking Statements
This Quarterly Report
on Form 10-Q contains “forward-looking statements,” which include information relating to future events, future financial
performance, financial projections, strategies, expectations, competitive environment and regulation. Words such as “may,”
“should,” “could,” “would,” “predicts,” “potential,” “continue,”
“expects,” “anticipates,” “future,” “intends,” “plans,” “believes,”
“estimates,” and similar expressions, as well as statements in future tense, identify forward-looking statements. Forward-looking
statements should not be read as a guarantee of future performance or results and may not be accurate indications of when such
performance or results will be achieved. Forward-looking statements are based on information we have when those statements are
made or management’s good faith belief as of that time with respect to future events, and are subject to risks and uncertainties
that could cause actual performance or results to differ materially from those expressed in or suggested by the forward-looking
statements. Important factors that could cause such differences include, but are not limited to:
|
●
|
Our ability to continue as a going concern.
|
|
|
|
|
●
|
The timing of clinical studies and eventual U.S. Food and Drug Administration approval of WoundShield™ and our other product candidates.
|
|
|
|
|
●
|
Regulatory actions that could adversely affect the price of or demand for our approved products.
|
|
|
|
|
●
|
Market acceptance of existing and new products.
|
|
|
|
|
●
|
Favorable or unfavorable decisions about our products from government regulators, insurance companies or other third-party payers.
|
|
|
|
|
●
|
Our ability to regain compliance with the continued listing requirements of the Nasdaq Capital Market and the risk that our common stock will be delisted if we cannot do so.
|
|
|
|
|
●
|
Our intellectual property portfolio.
|
|
|
|
|
●
|
Our ability to recruit and retain qualified regulatory and research and development personnel.
|
|
|
|
|
●
|
Unforeseen changes in healthcare reimbursement for any of our approved products.
|
|
|
|
|
●
|
Lack of financial resources to adequately support our operations.
|
|
|
|
|
●
|
Difficulties in maintaining commercial scale manufacturing capacity and capability.
|
|
|
|
|
●
|
Our ability to generate internal growth.
|
|
●
|
Changes in our relationship with key collaborators.
|
|
|
|
|
●
|
Changes in the market valuation or earnings of our competitors or companies viewed as similar to us.
|
|
|
|
|
●
|
Our failure to comply with regulatory guidelines.
|
|
|
|
|
●
|
Uncertainty in industry demand and patient wellness behavior.
|
|
|
|
|
●
|
General economic conditions and market conditions in the medical device industry.
|
|
|
|
|
●
|
Future sales of large blocks of our common stock, which may adversely impact our stock price.
|
|
|
|
|
●
|
Depth of the trading market in our common stock.
|
The
foregoing does not represent an exhaustive list of matters that may be covered by the forward-looking statements contained herein
or risk factors that we are faced with that may cause our actual results to differ from those anticipated in our forward-looking
statements. For a discussion of these and other risks that relate to our business and financial performance, you should carefully
review the risks and uncertainties described under the heading “Item 1A. Risk Factors” and elsewhere in this Quarterly
Report on Form 10-Q and in our Annual Report on Form 10-K for the fiscal year ended December 31, 2018, and those described from
time to time in our future reports filed with the Securities and Exchange Commission. Moreover, new risks regularly emerge and
it is not possible for us to predict or articulate all risks we face, nor can we assess the impact of all risks on our business
or the extent to which any risk, or combination of risks, may cause actual results to differ from those contained in any forward-looking
statements. All forward-looking statements included in this Form 10-Q are based on information available to us on the date of
this prospectus. Except to the extent required by applicable laws or rules, we undertake no obligation to publicly update or revise
any forward-looking statement, whether as a result of new information, future events or otherwise.
Overview
We are a medical device
company focusing on noninvasive biological response-activating devices that target wound healing and pain therapy and can be administered
at home, without the assistance of medical professionals. Our WoundShield, PainShield and UroShield products are backed by novel
technology which relates to ultrasound delivery through surface acoustic waves.
Implications of being an Emerging
Growth Company
We
are an “emerging growth company,” as defined in Section 2(a) of the Securities Act of 1933, or the Securities Act,
as modified by the Jumpstart Our Business Startups Act of 2012, or the JOBS Act. As such, we are eligible to take advantage of
certain exemptions from various reporting requirements applicable to other public companies that are not “emerging growth
companies” including, but not limited to:
●
being permitted to present only two years of audited financial statements and only two years of related disclosure in “Management’s
Discussion and Analysis of Financial Condition and Results of Operations” in this prospectus;
●
being permitted to provide less extensive narrative disclosure than other public companies including not being required to comply
with the auditor attestation requirements of Section 404 of the Sarbanes-Oxley Act of 2002 and reduced disclosure obligations
regarding executive compensation in our periodic reports, proxy statements and registration statements;
●
being permitted to utilize exemptions from the requirements of holding a nonbinding advisory vote on executive compensation and
stockholder approval of any golden parachute payments not previously approved;
●
being permitted to defer complying with certain changes in accounting standards; and
●
being permitted to use test-the-waters communications with qualified institutional buyers and institutional accredited investors.
We
intend to take advantage of these and other exemptions available to “emerging growth companies.” We could remain an
“emerging growth company” until the earliest of (a) the last day of our fiscal year following the fifth anniversary
of the closing of this offering, (b) the last day of the first fiscal year in which our annual gross revenues exceed $1.07 billion,
(c) the last day of our fiscal year in which we are deemed to be a “large accelerated filer” as defined in Rule 12b-2
under the Securities Exchange Act of 1934, or Exchange Act (which would occur if the market value of our equity securities that
is held by non-affiliates exceeds $700 million as of the last business day of our most recently completed second fiscal quarter),
or (d) the date on which we have issued more than $1 billion in nonconvertible debt during the preceding three-year period.
The
JOBS Act permits an “emerging growth company” like us to take advantage of an extended transition period to comply
with new or revised accounting standards applicable to public companies. This means that an “emerging growth company”
can delay the adoption of certain accounting standards until those standards would otherwise apply to private companies. We have
elected to delay such adoption of new or revised accounting standards.
Recent Events
Our
common stock is currently listed for trading on the NASDAQ Capital Market.
On
September 14, 2018, we received a letter from the Listing Qualifications Staff (the “Staff”) of The Nasdaq Stock Market
LLC notifying the Company that it was no longer in compliance with the minimum stockholders’ equity requirement for continued
listing on the NASDAQ Capital Market. On October 26, 2018, November 23, 2018 and January 9, 2019, we submitted a plan and supporting
documentation to regain compliance with the minimum stockholders’ equity requirement and was granted an extension through
March 13, 2019 to comply with this requirement.
The
Staff notified us by letter dated March 14, 2019 that it determined that we did not meet the terms of the extension because we
were unable to complete an equity financing and evidence compliance with the minimum $2.5 million stockholders’ equity requirement
for continued listing on the NASDAQ Capital Market by March 13, 2019, and our common stock would be subject to delisting from
the NASDAQ Capital Market unless the Company timely requests a hearing before the Nasdaq Hearings Panel (the “Panel”).
We
timely requested a hearing before the Panel, which request stayed any delisting action by the Staff. The hearing occurred on May 2, 2019. At the hearing, we presented
our plan to evidence compliance with the minimum stockholders’ equity requirement for continued listing on the NASDAQ Capital
Market, and request an extension of time within which to do so. As of the date of this Report, we have not received a decision
from the Panel.
Critical Accounting Policies
A critical accounting
policy is one that is both important to the portrayal of our financial condition and results of operation and requires management’s
most difficult, subjective or complex judgments, often as a result of the need to make estimates about the effect of matters that
are inherently uncertain. Our critical accounting policies are more fully described in both (i) “Item 7. Management’s
Discussion and Analysis of Financial Condition and Results of Operations” and (ii) Note 2 of the Notes to the Consolidated
Financial Statements included in our Annual Report on Form 10-K/A for the fiscal year ended December 31, 2018. There have not been
any material changes to such critical accounting policies since December 31, 2018.
The currency of the
primary economic environment in which our operations are conducted is the U.S. dollar (“$” or “dollar”).
Accordingly, our functional currency is the dollar.
Results of Operations
Three Months Ended March 31, 2019
Compared to Three Months Ended March 31, 2018
Revenues
. For
the three months ended March 31, 2019 and 2018, our revenues were approximately $79,000 and $77,000, respectively, an increase
of approximately 3%, or $2,000, between the periods. The increase was mainly attributable to increased sales to distributors in
the three months ended March 31, 2019.Our revenues may fluctuate as we add new consumers or when existing distributors or consumers
make large purchases of our products during one period and no purchases during another period. Our revenues may fluctuate from
quarter-to-quarter and any growth or decrease in revenues by quarter may not be linear or consistent.
For the three months
ended March 31, 2019, the percentage of revenues attributable to our products was: PainShield - 91% and UroShield - 9%. For the
three months ended March 31, 2018, the percentage of revenues attributable to our products was: PainShield - 81% and UroShield
- 19%. For the three months ended March 31, 2019 and 2018, the percentage of revenues attributable to our disposable products was
7% and 21%, respectively. For the three months ended March 31, 2019 and 2018, the portion of our revenues that was derived from
distributors was 82% and 8%, respectively.
Gross Profit
.
For the three months ended March 31, 2019 and 2018, gross profit was approximately $53,000 and $55,000, respectively, a decrease
of approximately 4%, or $2,000, mainly due to the increased sales to distributors that typically are sold at a lower margins than
sales that are direct to consumer.
Gross profit as a percentage
of revenues was approximately 67% and 71% for the three months ended March 31, 2019 and 2018, respectively. The decrease in gross
profit as a percentage is mainly due to the aforementioned increase in sales to distributors.
Research and Development
Expenses
. For the three months ended March 31, 2019 and 2018, research and development expenses were approximately $152,000
and $136,000, respectively, an increase of approximately 12%, or $16,000, between the periods. The increase was primarily due to
an increase in expenses related to our clinical trials.
Research and development
expenses as a percentage of total revenues were approximately 192% and 177% for the three months ended March 31, 2019 and 2018,
respectively. The decrease was due primarily to the increase in sales as well as the increase in expenses described above.
Our research and development
expenses consist mainly of payroll expenses to employees involved in research and development activities, stock-based compensation
expenses, expenses related to subcontracting, patents application and registration, clinical trial and facilities expenses associated
with and allocated to research and development activities.
Selling and Marketing
Expenses
. For the three months ended March 31, 2019 and 2018, selling and marketing expenses were approximately $321,000 and
$229,000, respectively, an increase of approximately 40%, or $92,000, between the periods. The increase was mainly due to an increase
in our sales staff, sales consultants, and marketing activities.
Selling and marketing
expenses as a percentage of total revenues were approximately 406% and 297% for the three months ended March 31, 2019 and 2018,
respectively. The increase was due primarily to the increase in expenses described above partially offset by the increase in revenues.
Selling and marketing
expenses consist mainly of payroll expenses to direct sales and marketing employees, stock-based compensation expenses, travel
expenses, advertising and marketing expenses, rent and facilities expenses associated with and allocated to selling and marketing
activities.
General and Administrative
Expenses
.
For the three months ended March 31, 2019 and 2018, general and administrative expenses were approximately $1,803,000 and $480,000,
respectively, an increase of approximately 276%, or $1,323,000, between the periods. The increase was mainly due to an additional
1,300,000 of non-cash compensation relating to restricted shares and options issued to professional consultants in 2019.
General and administrative expenses as a percentage of total revenues were approximately 2,282% and 623% for
the three months ended March 31, 2019 and 2018, respectively. The decrease was due primarily to the increase in revenues described
above offset somewhat by the decrease in expenses described above.
Our general and administrative
expenses consist mainly of payroll expenses for management and administrative employees, share-based compensation expenses, accounting,
legal and facilities expenses associated with general and administrative activities and costs associated with being a publicly
traded company.
Financial expenses,
net
. For the three months ended March 31, 2019 and
2018, financial income and (expenses), net was approximately ($32,000) compared to a $13,000, respectively, a decrease of approximately
$45,000, between the periods. The large decrease in 2019 was derived primarily from interest expense on the derivative liabilities.
Warrant modification
expenses
. For the three months ended March 31, 2019 and 2018, warrant modification expense was approximately ($412,000) compared
to a $-, respectively, and was related to the incremental fair value of the warrants modified in January 2019.
Tax expenses.
For
the three months ended March 31, 2019 and 2018, tax expenses remained the same at approximately $12,000. The tax expense is computed
by multiplying income before taxes at our Israeli subsidiary by the appropriate tax rate.
Net loss.
Our net loss decreased by approximately $1,890,000, or 240%, to approximately $2,679,000 for the three
months ended March 31, 2019 from approximately $789,000 in the same period of 2018. The decrease in net loss resulted primarily
from the factors described above.
Liquidity and Capital Resources
We incurred losses
in the amount of $2,679,000 during the three month period ended March 31, 2019, and accumulated negative cash flow from operating
activities of $937,000 for the three month period ended March 31, 2019. We expect to continue to incur losses and negative cash
flows from operating activities and as a result, we will not have sufficient resources to fund our operation for the next twelve
months from the date of this filing. These conditions raise substantial doubt about our ability to continue as a going concern.
During the next twelve months management expects that we will need to raise additional capital to finance its losses and negative
cash flows from operations for the next twelve months and may continue to be dependent on additional capital raising as long as
our products do not reach commercial profitability.
During the three months
ended March 31, 2019, and through May 20, 2019, we met our short-term liquidity requirements from our existing cash reserves which
includes the proceeds from issuance of convertible debt in the amount of $475,000. Our future capital requirements and the adequacy
of our available funds will depend on many factors, including our ability to successfully commercialize our products, our development
of future products and competing technological and market developments. We have been using these proceeds to meet our short-term
liquidity requirements but may need to sell additional securities to advance our long-term plans. It is our current belief that
if we do not continue to see significant increases in revenues, or if we are unable to raise additional capital at a later time
in the next twelve months, we may need to reduce our operating budget as well as sales and marketing expenses which may impair
our ability to execute our business objectives. However, we may be unable to raise sufficient additional capital when we require
it or upon terms favorable to us. Delisting from NASDAQ would adversely affect our ability to raise additional financing through
the public or private sale of equity securities, would significantly affect the ability of investors to trade our securities and
would negatively affect the value and liquidity of our common stock. In addition, the terms of any securities we issue in future
financings may be more favorable to new investors and may include preferences, superior voting rights and the issuance of warrants
or other derivative securities, which may have a further dilutive effect on the holders of any of our securities then outstanding.
If we are unable to obtain adequate funds on reasonable terms, we may need to curtail operations significantly, including possibly
postponing anticipated clinical trials or entering into financing agreements with unattractive terms.
We do not have any material commitments
to capital expenditures as of March 31, 2019, and we are not aware of any material trends in capital resources that would impact
our business.
Three Months Ended March 31, 2019
Compared to Three Months Ended March 31, 2018
General
. As
of March 31, 2019, we had cash and cash equivalents of approximately $184,000, compared to approximately $3,491,000 as of March
31, 2018. The decrease is attributable to our net cash used in operating activities. We have historically met our cash needs through
a combination of issuance of equity, borrowing activities and sales. Our cash requirements are generally for product development,
research and development cost, marketing and sales activities, finance and administrative cost, capital expenditures and general
working capital.
Cash used in our operating
activities was approximately $937,000 for the three months ended March 31, 2019 and $867,000 for the same period in 2018. The increase
in our cash usage was mainly associated with the increase in our net operating loss, excluding non-cash items such as stock-based
compensation, for the three months ended March 31, 2019 compared to the three months ended March 31, 2018, for the reasons described
above.
Cash used in investing
activities was $- and $2,000 for the three month periods ended March 31, 2019 and 2018, respectively, and was related to purchases
of fixed assets.
Cash provided by financing
activities was approximately $225,000 for the three months ended March 31, 2019 derived from proceeds received from the issuance
of convertible debt, compared to $- for the three months ended March 31, 2018.
Off Balance Sheet Arrangements
Except as disclosed, as of March 31, 2019,
we have no off-balance sheet transactions, arrangements, obligations (including contingent obligations), or other relationships
with unconsolidated entities or other persons that have, or may have, a material effect on our financial condition, changes in
financial condition, revenues or expenses, results of operations, liquidity, capital expenditures or capital resources.
Factors That May Affect Future Operations
We believe that our
future operating results will continue to be subject to quarterly variations based upon a wide variety of factors, including the
ordering patterns of our distributors, timing of regulatory approvals, the implementation of various phases of our clinical trials
and manufacturing efficiencies due to the learning curve of utilizing new materials and equipment. Our operating results could
also be impacted by a weakening of the Euro and strengthening of the New Israeli Shekel, or NIS, both against the U.S. dollar.
Lastly, other economic conditions we cannot foresee may affect customer demand, such as individual country reimbursement policies
pertaining to our products.