0001493152-26-022384.txt : 20260512 0001493152-26-022384.hdr.sgml : 20260512 20260512070050 ACCESSION NUMBER: 0001493152-26-022384 CONFORMED SUBMISSION TYPE: 10-Q PUBLIC DOCUMENT COUNT: 79 CONFORMED PERIOD OF REPORT: 20260331 FILED AS OF DATE: 20260512 DATE AS OF CHANGE: 20260512 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Neuraxis, INC CENTRAL INDEX KEY: 0001933567 STANDARD INDUSTRIAL CLASSIFICATION: ELECTROMEDICAL & ELECTROTHERAPEUTIC APPARATUS [3845] ORGANIZATION NAME: 08 Industrial Applications and Services EIN: 455079684 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 10-Q SEC ACT: 1934 Act SEC FILE NUMBER: 001-41775 FILM NUMBER: 26965812 BUSINESS ADDRESS: STREET 1: 11611 N. MERIDIAN ST STREET 2: SUITE 330 CITY: CARMEL STATE: IN ZIP: 46032 BUSINESS PHONE: (812) 689-0791 MAIL ADDRESS: STREET 1: 11611 N. MERIDIAN ST STREET 2: SUITE 330 CITY: CARMEL STATE: IN ZIP: 46032 10-Q 1 form10-q.htm 10-Q
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UNITED STATES

SECURITIES AND EXCHANGE COMMISSION

Washington, D.C. 20549

 

FORM 10-Q

 

(Mark One)

 

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

 

For the quarterly period ended March 31, 2026

 

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 001-41775

 

NEURAXIS, INC.

(Exact name of registrant as specified in its charter)

 

Delaware   45-5079684

(State or other jurisdiction of

incorporation or organization)

 

(I. R. S. Employer

Identification No.)

 

11611 N. Meridian Street, Suite 330

Carmel, IN

  46032
(Address of principal executive offices)   (Zip Code)

 

(812) 689-0791

(Registrant’s telephone number, including area code)

 

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

 

Title of each class   Trading Symbol(s)   Name of each exchange on which registered
Common Stock   NRXS   NYSE American LLC

 

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 (§232.405 of this chapter) during the preceding 12 months (or for such shorter period that the registrant was required to submit and post such files). Yes ☒ No ☐

 

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

 

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

 

If an emerging growth company, indicate by check mark if the registrant has elected not to use the extended transition period for complying with any new or revised financial accounting standards provided to Section 7(a)(2)(B) of the Securities Act. ☒

 

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

 

The number of shares of the registrant’s common stock outstanding as of May 8, 2026 was 12,384,405 shares.

 

 

 

 

 

 

TABLE OF CONTENTS

 

PART I   3
     
ITEM 1: FINANCIAL STATEMENTS 3
  Condensed Balance Sheets as of March 31, 2026 (Unaudited) and December 31, 2025 3
  Condensed Statements of Operations for the Three Months Ended March 31, 2026 and 2025 (Unaudited) 4
  Condensed Statements of Stockholders’ Equity for the Three Months Ended March 31, 2026 and 2025 (Unaudited) 5
  Condensed Statements of Cash Flows for the Three Months Ended March 31, 2026 and 2025 (Unaudited) 6
  Notes to Condensed Financial Statements (Unaudited) 7
ITEM 2: MANAGEMENT’S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF OPERATION 23
ITEM 3: QUANTITATIVE AND QUALITATIVE DISCLOSURE ABOUT MARKET RISK 26
ITEM 4: CONTROLS AND PROCEDURES 27
     
PART II   28
     
ITEM 1: LEGAL PROCEEDINGS 28
ITEM 1A: RISK FACTORS 29
ITEM 2: UNREGISTERED SALES OF EQUITY SECURITIES AND USE OF PROCEEDS 29
ITEM 3: DEFAULTS UPON SENIOR SECURITIES 29
ITEM 4: MINE SAFETY DISCLOSURES 29
ITEM 5: OTHER INFORMATION 29
ITEM 6: EXHIBITS 29
SIGNATURES 30

 

2

 

 

PART I

 

ITEM 1. FINANCIAL STATEMENTS

 

NeurAxis, Inc.

Condensed Balance Sheets

 

  

March 31, 2026

  

December 31, 2025

 
   (Unaudited)     
Assets          
           
Current Assets:          
Cash and cash equivalents  $7,078,659   $4,965,072 
Accounts receivable, net of credit losses of $7,220 and $7,326 as of March 31, 2026 and December 31, 2025, respectively   385,009    195,703 
Inventories, net of reserves of $28,048 and $34,524 as of March 31, 2026 and December 31, 2025, respectively   238,282    257,132 
Prepaids and other current assets   441,075    315,283 
Total current assets   8,143,025    5,733,190 
           
Property and Equipment, at Cost   382,465    382,465 
Less - accumulated depreciation   (314,935)   (306,901)
Property and equipment, net   67,530    75,564 
           
Other Assets:          
Operating lease right of use asset, net   245,350    261,565 
Intangible assets, net   266,494    274,778 
Other non-current assets   23,307    58,939 
Total Assets  $8,745,706   $6,404,036 
           
Liabilities          
           
Current Liabilities:          
Accounts payable  $305,296   $139,365 
Accrued expenses   2,261,447    2,393,229 
Current portion of operating lease payable   68,789    65,752 
Notes payable   100,735    148,293 
Customer deposits   29,585    28,660 
Warrant liabilities   48,306    16,800 
Total current liabilities   2,814,158    2,792,099 
           
Non-Current Liabilities:          
Operating lease payable, net of current portion   183,998    202,566 
Other non-current liabilities   —    9,999 
Total liabilities   2,998,156    3,004,664 
           
Commitments and contingencies (see note 15)        
           
Stockholders’ Equity          
Convertible Series B Preferred stock, $0.001 par value; 5,000,000 shares authorized, 3,796,907 shares issued and outstanding as of March 31, 2026 and December 31, 2025   3,797    3,797 
Common stock, $0.001 par value; 100,000,000 shares authorized; 11,450,045 and 10,652,812 shares issued and outstanding as of March 31, 2026 and December 31, 2025, respectively   11,450    10,653 
Additional paid in capital   72,093,902    67,985,089 
Accumulated deficit   (66,361,599)   (64,600,167)
           
Total stockholders’ equity   5,747,550    3,399,372 
           
Total Liabilities and Stockholders’ Equity  $8,745,706   $6,404,036 

 

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

 

3

 

 

NeurAxis, Inc.

Condensed Statements of Operations (Unaudited)

 

   2026   2025 
  

For the Three Months Ended

March 31,

 
   2026   2025 
         
Net Sales  $1,607,883   $895,655 
Cost of Goods Sold   218,366    139,475 
           
Gross Profit   1,389,517    756,180 
           
Selling Expenses   824,336    500,119 
Research and Development   99,567    117,867 
General and Administrative   2,206,293    2,433,292 
           
Operating Loss   (1,740,679)   (2,295,098)
           
Other Income (Expense):          
Interest expense   (26,189)   (2,237)
Change in fair value of warrant liability   (31,506)   1,831 
Other income   36,942    16,820 
Total other (expense) income, net   (20,753)   16,414 
           
Net Loss   (1,761,432)   (2,278,684)
Preferred stock dividends   (189,399)   (213,543)
Net Loss Available to Common Stockholders  $(1,950,831)  $(2,492,227)
           
Per-Share Data          
Basic and diluted loss per share  $(0.18)  $(0.33)
           
Weighted Average Common Shares Outstanding          
Basic and diluted   10,948,121    7,463,578 

 

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

 

4

 

 

NeurAxis, Inc.

Condensed Statements of Stockholders’ Equity (Unaudited)

 

    Shares     Amount     Shares     Amount     Capital     Deficit     Equity  
   

Convertible Series B

Preferred Stock

    Common Stock    

Additional

Paid In

    Accumulated    

Stockholder’s

 
    Shares     Amount     Shares     Amount     Capital     Deficit     Equity  
Balances at January 1, 2025   4,280,939   $4,281    6,990,227   $6,990   $58,856,089   $(56,799,612)  $   2,067,748 
Warrants exercised   -    -    186,166    186    (186)   -    - 
Common stock issued from agreements   -    -    39,471    40    112,453    -    112,493 
Stock-based compensation   -    -    -    -    105,811    -    105,811 
Additional paid in capital from restricted stock units   -    -    -    -    251,111    -    251,111 
Net loss   -    -    -    -    -    (2,278,684)   (2,278,684)
Balances at March 31, 2025   4,280,939   $4,281    7,215,864   $7,216   $59,325,278   $(59,078,296)  $258,479 
                                    
Balances at January 1, 2026   3,796,907   $3,797    10,652,812   $10,653   $67,985,089   $(64,600,167)  $3,399,372 
Warrants exercised   -    -    213,040    213    506,822    -    507,035 
Common stock issued from agreements   -    -    86,392    86    399,909    -    399,995 
Issuance of common stock pursuant to shelf registration statement   -    -    495,456    495    2,989,866    -    2,990,361 
Offering costs   -    -    -    -    (110,431)   -    (110,431)
Common stock issued under the 2022 Omnibus Securities and Incentive Plan   -    -    2,345    3    (6,787)   -    (6,784)
Stock-based compensation   -    -    -    -    329,434    -    329,434 
Net loss   -    -    -    -    -    (1,761,432)   (1,761,432)
Balances at March 31, 2026   3,796,907   $3,797    11,450,045   $11,450   $72,093,902   $(66,361,599)  $5,747,550 

 

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

 

5

 

 

NeurAxis, Inc.

Condensed Statements of Cash Flows (Unaudited)

 

   2026   2025 
  

For the Three Months Ended

March 31,

 
   2026   2025 
Cash Flows from Operating Activities          
Net Loss  $(1,761,432)  $(2,278,684)
Adjustments to reconcile net loss to net cash used by operating activities:          
Depreciation and amortization   16,317    6,356 
Provisions for losses on accounts receivable   (106)   — 
Provisions for losses on inventory   (6,476)   — 
Loss on disposal of property and equipment   —    533 
Non-cash lease expense   16,215    13,719 
Stock-based compensation   329,434    105,811 
Issuance of common stock for non-cash consideration   50,001    — 
Change in fair value of warrant liabilities   31,506    (1,831)
Changes in operating assets and liabilities:          
Accounts receivable   (189,200)   910 
Inventory   25,326    6,907 
Prepaids and other current assets   39,119    25,840 
Accounts payable   165,932    (61,931)
Accrued expenses   68,213    156,784 
Customer deposits   925    5,157 
Operating lease liability   (15,531)   (14,823)
Other non-current liabilities   —    431,597 
Net cash used in operating activities   (1,229,757)   (1,603,655)
           
Cash Flows from Investing Activities          
Additions to property and equipment   —    (18,000)
Net cash used in investing activities   —    (18,000)
           
Cash Flows from Financing Activities          
Proceeds from issuance of common stock   2,990,361    — 
Proceeds from exercised warrants   507,035    — 
Offering costs paid   (89,711)   — 
Principal payments on notes payable   (57,557)   (69,845)
Taxes paid related to net share settlement of restricted stock units   (6,784)   — 
Net cash provided by (used in) financing activities   3,343,344    (69,845)
           
Net Increase (Decrease) in Cash and Cash Equivalents   2,113,587    (1,691,500)
           
Cash and Cash Equivalents at Beginning of Period   4,965,072    3,696,870 
           
Cash and Cash Equivalents at End of Period  $7,078,659   $2,005,370 
           
Supplemental Disclosure of Operating Activities          
Cash paid for interest  $2,573   $2,237 
Cash paid for income taxes   —    — 
Supplemental Schedule of Non-Cash Investing and Financing Activities          
Common stock issued for services  $399,995   $112,493 
Common stock issued upon cashless exercise of warrants   —    186 
Share settlement of restricted stock units, net of shares withheld for payment of payroll taxes   3    — 
Deferred offering costs reclassified to additional paid in capital upon completion of stock offering   20,720    — 

 

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

 

6

 

 

1. Basis of Presentation, Organization and Other Matters

 

NeurAxis, Inc. (“we,” “us,” the “Company,” or “NeurAxis”) was established in 2011 and incorporated in the state of Indiana in 2012 under the name of Innovative Health Solutions, Inc. The name was changed to NeurAxis, Inc. in 2022 when the Company filed a Certificate of Conversion and became a Delaware corporation.

 

The Company is headquartered in Carmel, Indiana, and specializes in the development, production, and sale of medical neuromodulation devices. The Company has developed four FDA cleared products: (i) the IB-STIM (DEN180057, 2019), (ii) the Rectal Expulsion Device (“RED”) (K242304,2024), (iii) the NSS-2 Bridge (DEN170018, 2017) and (iv) the original 510(K) clearance (K140530, 2014).

 

  ● The IB-STIM is a percutaneous electrical nerve field stimulator (PENFS) device that is indicated in patients 8-21 years of age with functional abdominal pain associated with irritable bowel syndrome and in patients 8 years and older with functional abdominal pain associated with functional dyspepsia and related nausea symptoms.
     
  ● RED is indicated to evaluate the neuromuscular function of a patient’s ability to expel its contents from the rectum and as a qualitative test for rectal hypersensitivity patients who experience desire or urge to defecate at lower volumes of distention. RED is intended to be used in a clinical setting by trained health care providers in adult populations.
     
  ● The NSS-2 Bridge is a percutaneous nerve field stimulator (PNFS) device indicated for use in the reduction of the symptoms of opioid withdrawal and was licensed to Masimo Corporation (“Masimo”). Masimo marketed and sold this product as its Masimo Bridge. On July 1, 2025, the Company terminated the NSS-2 Bridge license with Masimo in exchange for $200,000 of consideration payable in equal installments on December 31, 2025 and June 30, 2026. The termination agreement allowed the Company to recapture its rights to the trademark (U.S. Registration No. 7,394,465) and two patent applications (Application No. 18/821,225 and Application No. 29/960,608) that were licensed to Masimo on April 9, 2020.
     
  ● The original 510(K) device was an Electroacupuncture Device (“EAD”), now called NeuroStim. The EAD is no longer being manufactured, sold or distributed but reserved only for research purposes.

 

The Company’s financial statements have been prepared in accordance with accounting principles generally accepted in the United States of America (“U.S. GAAP”) and following the requirements of the U.S. Securities and Exchange Commission (“SEC”) for interim reporting. As permitted under those rules, certain footnotes or other financial information that are normally required by U.S. GAAP can be condensed or omitted. These interim financial statements have been prepared on the same basis as the Company’s annual financial statements and, in the opinion of management, reflect all adjustments which are necessary for a fair presentation of the Company’s financial information. These unaudited interim results are not necessarily indicative of the results to be expected for the year ending December 31, 2026, or any other interim period or for any other future year. These unaudited financial statements should be read in conjunction with the Company’s audited financial statements and the notes thereto for the year ended December 31, 2025.

 

7

 

 

2. Summary of Significant Accounting Policies

 

Use of Estimates and Critical Accounting Estimates and Assumptions

 

The preparation of financial statements in conformity with U.S. GAAP requires management to make estimates and assumptions that 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 revenues and expenses during the reporting periods.

 

These significant accounting estimates or assumptions bear the risk of change due to uncertainties attached to these estimates or assumptions, and certain estimates or assumptions are difficult to measure or value.

 

Management bases its estimates on historical experience and on various assumptions that are believed to be reasonable in relation to the financial statements taken as a whole under the circumstances, the results of which form the basis for making judgments about the carrying values of assets and liabilities that are not readily apparent from other sources.

 

Management regularly evaluates the key factors and assumptions used to develop the estimates utilizing currently available information, changes in facts and circumstances, historical experience and reasonable assumptions. After such evaluations, if deemed appropriate, those estimates are adjusted accordingly. The Company uses estimates in accounting for, among other items, revenue recognition, allowance for credit losses, stock-based compensation, income tax provisions, excess and obsolete inventory reserve, impairment of property and equipment and intellectual property. Actual results could differ from those estimates.

 

Reclassification of Prior Year Amounts

 

Certain prior year amounts have been reclassified to conform to current period presentation. The Company reclassified $366,165 of general and administrative expenses to selling expenses in the Condensed Statements of Operations for the three months ended March 31, 2025. The Company also reclassified $57,311 of general and administrative expenses to research and development expenses in the Condensed Statements of Operations for the three months ended March 31, 2025. These reclassifications had no impact on previously reported net loss, total assets, total liabilities or total equity.

 

Accounts Receivable and Allowance for Credit Losses

 

Trade accounts receivable is stated at the amount management expects to collect from outstanding balances, net of an allowance for credit losses. Management evaluates many factors when determining the collectability of specific customer accounts, including, but not limited to, creditworthiness, past transaction and payment history, current economic industry trends and changes in payment terms. Management used assumptions and judgment based on the best available facts and circumstances to estimate and record an allowance. The Company monitors accounts receivable and estimates the allowance for lifetime expected credit losses. Estimates of expected credit losses are based on historical collection experience, aging schedule and other factor, including those related to current and forecasted market conditions and events. The allowance for credit losses was $7,220 and $7,326 as of March 31, 2026 and December 31, 2025, respectively. The Company recorded no credit loss expense for the three months ended March 31, 2026 and 2025.

 

Inventories

 

Inventories are valued at the lower of cost or net realizable value. Cost is determined using the weighted average method. The inventory is comprised of finished medical devices on hand. Certain components within the devices have an expiration date that are removed from current inventory and expensed at the date of expiration. The Company has reserved for expired inventory as charges to cost of goods sold of $758 and $0 for the three months ended March 31, 2026 and 2025, respectively. There was no reserve for research devices recorded as charges to research and development expenses for the three months ended March 31, 2026 and 2025, respectively. Inventory reserves totaled $28,048 and $34,524 as of March 31, 2026 and December 31, 2025, respectively.

 

8

 

 

Selling Expenses

 

Selling expenses consist primarily of advertising, marketing and promotion of the Company’s products including salaries and related personnel costs and travel expenses. Advertising expenses are expensed as incurred and amounted to $29,821 and $85,348 for the three months ended March 31, 2026 and 2025, respectively.

 

Research and Development

 

Research and development expenses consist primarily of clinical research studies, new product development, costs of materials and supplies used in research and development activities and salaries and related personnel costs for employees engaged in research and development activities to have our IB-Stim and RED devices cleared by the FDA for other indications. Research and development costs are expensed as incurred.

 

Intangible Assets

 

Intangible assets consist of software, patents, a trademark and a license. Intangible assets are stated at their historical cost and amortized on a straight-line basis over their expected useful lives. Capitalized patent costs, net of accumulated amortization, includes legal costs incurred for patent applications. In accordance with ASC 350, once a patent is granted, we amortize the capitalized patent costs over the remaining life of the patent using the straight-line method. If the patent is not granted, we write off any capitalized patent costs at that time.

 

The Company purchased a trademark related to the Company’s name for $50,000. The trademark does not have a determinate life and therefore the cost is not being amortized.

 

On July 1, 2025, the Company terminated the NSS-2 Bridge license with Masimo in exchange for $200,000 of consideration payable in equal installments on December 31, 2025, and June 30, 2026. The termination agreement allowed the Company to recapture the rights to the trademark (U.S. Registration No. 7,394,465) and two patent applications (Application No. 18/821,225 and Application No. 29/960,608) that were licensed to Masimo on April 9, 2020 for use in the reduction of the symptoms of opioid withdrawal. The intellectual property is amortized over its remaining trademark life of approximately nine years.

 

Fair Value Measurements

 

The Company accounts for financial instruments in accordance with Accounting Standards Codification (“ASC”) 820, Fair Value Measurements and Disclosures, which establishes a fair value hierarchy that prioritizes the inputs to valuation techniques used to measure fair value. The hierarchy gives the highest priority to unadjusted quoted prices in active markets for identical assets or liabilities (Level 1 measurements) and the lowest priority to unobservable inputs (Level 3 measurements). The three levels of the fair value hierarchy under ASC 820 are described as follows:

 

Level 1 – Quoted prices (unadjusted) for identical unrestricted assets or liabilities in active markets that the reporting entity has the ability to access as of the measurement date.

 

Level 2 – Significant other observable inputs other than Level 1 prices such as quoted prices for similar assets or liabilities, quoted prices in markets that are not active or financial instruments for which all significant inputs are observable or can be corroborated by observable market data, either directly or indirectly.

 

Level 3 – Unobservable inputs that are supported by little or no market activity and that are significant to the fair value of the assets or liabilities. These unobservable inputs reflect that reporting entity’s own assumptions about what market participants would use in pricing the asset or liability. Level 3 assets and liabilities include financial instruments whose value is determined using pricing models, discounted cash flow methodologies, or similar techniques, as well as instruments for which the determination of fair value require significant management judgment or estimation.

 

Management believes the estimated fair value of certain accounts including cash, accounts receivable, account payable and other current assets on March 31, 2026, and December 31, 2025, approximate their carrying value as reflected in the balance sheets due to the short-term nature of these instruments or the use of market interest rates for debt instruments.

 

9

 

 

The Company’s Level 3 accounts include warrant liabilities and the floating lookback option provision in the Neuraxis, Inc. Employee Stock Purchase Plan. Inputs to determine fair value are generally unobservable and typically reflect management’s estimates of assumptions that market participants would use in pricing the asset or liability. The fair values are therefore determined using model-based techniques, including option pricing and discounted cash flow models. The valuation techniques involve management’s estimates and judgment based on unobservable inputs. The fair value estimates may not be indicative of the amounts that would be realized in a market exchange. Additionally, there may be inherent uncertainties or changes in the underlying assumptions used, which could significantly affect the current or future fair value estimates. Unobservable inputs used in the models are significant to the fair values of the assets and liabilities.

 

There were no transfers between any of the levels during the three months ended March 31, 2026 and 2025. In addition to assets and liabilities that are recorded at fair value on a recurring basis, the Company had no assets that were measured on a nonrecurring basis as of March 31, 2026 and December 31, 2025.

 

Basic and Diluted Net Income (Loss) per Share

 

Basic earnings or loss per share (“EPS”) is computed by dividing net income (loss), net of preferred stock dividends, by the weighted average number of common shares outstanding during the period. Diluted EPS is determined using the weighted average number of common shares outstanding during the period, adjusted for the dilutive effect of common stock equivalents that were outstanding for the periods presented. In periods when losses are reported, which is the case for the three month periods ended March 31, 2026 and 2025 presented in these financial statements, the weighted average number of common shares outstanding excludes common stock equivalents because their inclusion would be anti-dilutive. Preferred stock dividends (neither declared nor paid) were $1,215,264 and $1,025,865 as of March 31, 2026 and December 31, 2025, respectively.

 

The Company had the following potentially dilutive common stock equivalents:

 

   2026   2025 
   March 31, 
   2026   2025 
         
Options   1,319,394    1,319,394 
Restricted Stock Units   1,265,443    842,214 
Warrants   1,166,484    2,139,883 
Series B Preferred Stock   3,796,907    4,280,939 
Undeclared Cumulative Series B Preferred Stock Dividends   510,615    178,492 
Totals   8,058,843    8,760,922 

 

The following table presents the calculation of the basic and diluted net loss per share and the effect of preferred stock dividends:

 

   2026   2025 
  

Three Months Ended

March 31,

 
   2026   2025 
Numerator:        
Net loss  $(1,761,432)  $(2,278,684)
Preferred stock dividends   (189,399)   (213,543)
Net loss available to common stockholders   (1,950,831)   (2,492,227)
Denominator:          
Weighted average shares of common stock outstanding - basic and diluted   10,948,121    7,463,578 
Basic and diluted net loss per share  $(0.18)  $(0.33)

 

10

 

 

Stock-Based Compensation

 

The Company accounts for all stock-based awards at fair value. The Company recognizes its stock-based compensation expense using the straight-line method. Compensation cost is not adjusted for estimated forfeitures, but instead is adjusted upon actual forfeiture.

 

The Company accounts for the granting of stock options and restricted stock units to employees and non-employees using the fair value method whereby all awards are measured at fair value on the date of the grant. The fair value of all employee stock options and restricted stock units is expensed over the requisite service period with a corresponding increase to additional paid-in capital. Upon exercise of stock options, the consideration paid by the option holder is recorded in additional paid-in capital, while the par value of the shares received is reclassified from additional paid-in-capital to common stock. Upon vesting of restricted stock units, the par value of the shares issued are reclassified from additional paid-in-capital to common stock.

 

Stock-based awards to non-employees are measured based on the fair value of the equity instrument issued. Compensation expense for non-employee stock awards is recognized over the requisite service period following the measurement of the fair value on the grant date.

 

The Company uses the Black-Scholes option-pricing model to calculate the fair value of stock options and the Monte Carlo simulation model to calculate the fair value of the floating lookback option with the Neuraxis, Inc. 2025 Employee Stock Purchase Plan. The use of these option-pricing models requires management to make assumptions with respect to the expected term of the option, the expected volatility of the common stock consistent with the expected term of the option, risk-free interest rates, the value of the common stock and expected dividend yield of the common stock. Changes in these assumptions can materially affect the fair value estimate.

 

Revenue Recognition

 

In accordance with ASC 606, Revenue from Contracts with Customers, the Company recognizes revenue when its customer obtains control of promised goods or services, in an amount that reflects the consideration which the Company expects to be entitled in exchange for those goods or services. To determine revenue recognition for arrangements that the Company determines are within the scope of ASC 606, it (i) identifies the contract(s) with a customer, (ii) identifies the performance obligations in the contract, (iii) determines the transaction price, (iv) allocates the transaction price to the performance obligations in the contract and (v) recognizes revenue when (or as) the entity satisfies a performance obligation.

 

The Company applies the five-step model to contracts when it determines that it is probable it will collect substantially all the consideration it is entitled to in exchange for the goods or services it transfers to the customer. At contract inception, once the contract is determined to be within the scope of ASC 606, the Company assesses the goods or services promised within each contract and determines those that are performance obligations and assesses whether each promised good or service is distinct. The Company then recognizes as revenue the amount of the transaction price, after consideration of variability and constraints, if any, that is allocated to the respective performance obligation when the performance obligation is satisfied.

 

The Company offers a patient assistance program for patients without insurance coverage for IB-Stim. This program extends potential self-pay discounts for IB-Stim devices, based upon household income and size.

 

Certain economic factors affect the nature, amount, timing, and uncertainty of the Company’s revenue and cash flows. All of the Company’s products are sold to healthcare customers including hospitals, clinics and physician offices. Sales to healthcare customers lack seasonality and have a mild correlation with economic cycles. All of the Company’s sales are to customers located within the United States. Sales contracts consist of purchase orders that are short-term (i.e., less than or equal to one year).

 

11

 

 

The Company typically satisfies its performance obligations for goods at a point in time as they are received at the customer’s destination (rather than over time). Goods are shipped by common carrier to customers under FOB destination terms. As such, ownership of goods in transit is transferred to the customer upon receipt as the Company bears the associated risks (e.g., loss, damage or delay). Management typically relies on shipping information from common carriers to evaluate when the customer has obtained control of the goods. Shipping and handling costs are recorded as cost of goods sold in the Condensed Statements of Operations.

 

The Company’s contracts with customers typically do not involve variable consideration. The information that the Company uses to determine the transaction price for a contract is similar to the information that the Company’s management uses in establishing the prices of goods to be sold.

 

Orders may not be cancelled after shipment. Customers may return devices within 10 days of delivery if the goods are found to be defective, nonconforming, or otherwise do not meet the stated technical specifications. At the option of the customer, the Company shall either:

 

  ● Refund the price paid for any defective or nonconforming products.
  ● Supply and deliver to the customer replacement conforming products.
  ● Reimburse the customer for the cost of repairing any defective or nonconforming products.

 

At the time revenue is recognized, the Company estimates expected returns and excludes those amounts from revenue. The Company also maintains appropriate accounts to reflect the effects of expected returns on the Company’s financial position and periodically adjusts those accounts to reflect its actual return experience. Estimated returns totaled $33,261 and $13,824 as of March 31, 2026 and December 31, 2025, respectively.

 

Payment for goods sold by the Company is typically due after an invoice is sent to the customer, within 30 days. The Company does not offer discounts if the customer pays some or all of an invoiced amount prior to the due date. None of the Company’s contracts have a significant financing component.

 

Medical devices that the Company contracts to sell and transfer to customers are manufactured by two third-party manufacturers located in Indiana and Michigan. In no case does the Company act as an agent (i.e., the Company does not provide a service of arranging for another party to transfer goods to the customer).

 

Going Concern

 

As of March 31, 2026, the Company had stockholders’ equity of $5,747,550 and short-term outstanding borrowings of $100,735. Additionally, the Company had cash of $7,078,659 and a working capital surplus of $5,328,867 as of March 31, 2026. However, we have incurred losses and negative cash flows from operations since inception and have funded our operations primarily with a combination of sales, debt, and proceeds from the issuance of capital stock.

 

Our future capital requirements will depend upon many factors, including progress with developing, manufacturing, and marketing our technologies, the time and costs involved in preparing, filing, prosecuting, maintaining, and enforcing patent claims and other proprietary rights, our ability to establish collaborative arrangements, marketing activities and competing technological and market developments, including regulatory changes and overall economic conditions in our target markets. Our ability to generate revenue and achieve profitability requires us to successfully market and secure purchase orders for our products from customers currently identified in our sales pipeline and to new customers as well. The primary activity that will drive all customers and revenues is the adoption of insurance coverage by commercial insurance carriers nationally, which is a top priority of the Company. These activities, including our planned research and development efforts, will require significant uses of working capital through the rest of 2026 and beyond.

 

12

 

 

Management evaluates whether there are conditions or events that raise substantial doubt about the Company’s ability to continue as a going concern for a period of one year from the date the financial statements are issued.

 

While the Company believes in the viability of its strategy to further implement its business plan and generate sufficient revenues and in its ability to raise additional funds by way of a public or private offering of its debt or equity securities, there can be no assurance that it will be able to do so on reasonable terms, or at all. The ability of the Company to continue as a going concern is dependent upon its ability to further implement its business plan and generate sufficient revenues and its ability to raise additional funds by way of a public or private offering. Neither future cash generated from operating activities, nor management’s contingency plans to mitigate the risk and extend cash resources through the evaluation period, are considered probable. As a result, substantial doubt is deemed to exist about the Company’s ability to continue as a going concern. As the Company continue to incur losses, the transition to profitability is dependent upon achieving a level of revenues adequate to support its cost structure. We may never achieve profitability, and unless and until doing so, we intend to fund future operations through additional dilutive or nondilutive financing. There can be no assurances, however, that additional funding will be available on terms acceptable to us, if at all.

 

The financial statements do not include any adjustments related to the recoverability and classification of recorded asset amounts or the amounts and classification of liabilities that might be necessary should the Company be unable to continue as a going concern.

 

Recently Adopted Accounting Standards

 

In July 2025, the FASB issued ASU 2025-05, Financial Instruments—Credit Losses (Topic 326), which allows registrants to elect a practical expedient when estimating expected credit losses on accounts receivable. Under the practical expedient, an entity may assume that the current conditions as of the balance sheet date persist for the remaining life of the asset, thereby removing the requirement to generate forward-looking forecasts. All entities are required to adopt the standard prospectively for fiscal years beginning after December 15, 2025, and interim periods within those annual reporting periods. The Company adopted the provisions of ASU 2025-05 as of January 1, 2026, on a prospective basis. The Company did not elect the practical expedient and the adoption of the standard did not have a material impact on the Company’s financial statements.

 

In December 2023, the FASB issued ASU 2023-09, Income Taxes (Topic 740): Improvements to Income Tax Disclosures, which requires the enhancement of income tax disclosures to provide better insight into how an entity’s operations and related tax risks, planning and opportunities affect its tax rate and prospects for future cash flows. The enhanced disclosures require (i) specific categories in a tabular rate reconciliation including both amounts and percentages and (ii) additional information for reconciling items and income tax paid that meet a quantitative threshold. Public business entities are required to adopt the standard for annual periods beginning after December 15, 2024. The Company adopted the disclosure provisions of ASU 2023-09 as of December 31, 2025, on a prospective basis. The adoption of this standard did not have a material impact on the Company’s financial statements.

 

Recently Issued Accounting Standards

 

In December 2025, the FASB issued ASU 2025-11, Interim Reporting (Topic 270), which provides a comprehensive list of interim disclosures that are required by U.S. GAAP to provide clarity on current requirements. Public business entities are required to adopt the standard for interim periods within annual reporting periods beginning after December 15, 2027. The adoption is not expected to have a material impact on the Company’s financial statements.

 

In September 2025, the FASB issued ASU 2025-06, Intangibles—Goodwill and Other—Internal-Use Software (Subtopic 350-40): Targeted Improvement to the Accounting for Internal-Use Software, which replaces project stage milestones with required capitalization when management has authorized and committed to funding the software project and it is probably that the project will be completed and the software will be used to perform the function intended. Depreciation expense and accumulated depreciation for internal-use software are also required to be disclosed for all periods presented. All entities are required to adopt the standard for fiscal years beginning after December 15, 2027 and interim periods within those annual reporting periods. Early adoption is permitted as of the beginning of an annual reporting period. The adoption is not expected to have a material impact on the Company’s financial statements.

 

In November 2024, the FASB issued ASU 2024-03, Income Statement—Reporting Comprehensive Income—Expense Disaggregation Disclosures (Subtopic (220-40): Disaggregation of Income Statement Expenses, which requires disclosures that disaggregate, in a tabular presentation, each relevant expense caption on the face of the income statement that includes inventory purchases, employee compensation, depreciation and intangible amortization expense. Additional disclosures are also required to provide a qualitative description of the amounts in an expense caption that are not separately disaggregated quantitatively and the total amount of selling expenses including a definition. Public business entities are required to adopt the standard for fiscal years beginning after December 15, 2026 and interim periods within fiscal years beginning after December 15, 2027. Disclosures are required for all prior periods presented in the financial statements. Although the standard requires enhanced disclosures, the adoption is not expected to have a material impact on the Company’s financial statements.

 

13

 

 

3. Related Party Transactions

 

The Company has two demand notes receivable from shareholders related to the sale of common stock on January 1, 2016. Both notes’ principal balances are $506,400, with interest calculated monthly based on applicable federal rates. No payments have been received on the notes. Since repayment is not assured, the Company has fully reserved for the entire balance of principal and interest. The current allowance is $1,250,388 and $1,241,559 as of March 31, 2026 and December 31, 2025, respectively. The current loan balances are as follows:

 

   March 31, 2026   December 31, 2025 
   Loan   Interest   Interest   Loan   Interest   Interest 
   Receivable   Receivable   Income   Receivable   Receivable   Income 
Shareholder 1  $506,400   $118,861   $4,414   $506,400   $114,447   $20,096 
Shareholder 2   506,400    118,727    4,414    506,400    114,312    20,096 
Principal balance   1,012,800    237,588    8,828    1,012,800    228,759    40,192 
Allowance for collection risk   (1,012,800)   (237,588)   (8,828)   (1,012,800    (228,759)   (40,192)
Net balance  $—   $—   $—   $—   $—   $— 

 

The Company has loans payable to shareholders related to funding needs for operations. The current loan details for all related party loans are as follows:

  

              Interest &     
      Interest   Loan   Service Fee   Interest 
March 31, 2026  Due Date  Rate   Balance   Accrued   Paid 
Other Convertibles  Various   5.0%   —    66,648    — 
Total          $—   $66,648   $— 

 

              Interest &     
      Interest   Loan   Service Fee   Interest 
December 31, 2025  Due Date  Rate   Balance   Accrued   Paid 
Other Convertibles  Various   5.0%   —    66,648    — 
Total          $—   $66,648   $— 

 

The Company was granted an exclusive, worldwide non-transferable, royalty-free license for the auricular portion of certain patents owned by a limited liability company in which the Company’s President and Chief Executive Officer and Chief Regulatory, Compliance and Privacy Officer both maintain an ownership interest. The license allows for the development, marketing and sales of electro-therapy treatments by stimulation of cranial nerves, cranial nerve branches, auricular nerves, auricular nerve branches, auricular nerve bundles and auricular anatomical structures in human patients. The exclusive license agreement expires on October 18, 2037, may be terminated by either party upon 60 days prior written notice and requires the Company to pay costs associated with the maintenance, prosecution and continuation of patent filings. The Company’s Board of Directors pre-approved the reimbursement of up to $20,000 for the year ending December 31, 2026. License costs totaled $453 and $1,317 for the three months ended March 31, 2026 and 2025, respectively. The Company owed the limited liability company $453 and $0 that are included in accounts payable in the Condensed Balance Sheets as of March 31, 2026 and December 31, 2025, respectively.

 

From time to time, a member of the Company’s Board of Directors purchases NeuroStim devices from the Company at cost to conduct research and development activities. The Company’s Board of Directors pre-approved the sale of these NeuroStim devices up to $20,000 for the year ended December 31, 2026. The Company sold NeuroStim devices totaling $1,515 and $1,957 for the three months ended March 31, 2026 and 2025, respectively, under this program.

 

4. Prepaids and Other Current Assets

 

Prepaids and other current assets consisted of the following:

  

   March 31, 2026   December 31, 2025 
Prepaid insurance  $85,680   $141,299 
Prepaid software subscriptions   89,103    103,390 
Other   266,292    70,594 
Total prepaids and other current assets  $441,075   $315,283 

 

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5. Other Non-Current Assets

 

Other non-current assets consisted of the following

 

    March 31, 2026     December 31, 2025  
Security deposit   $ 20,163     $ 20,163  
Deferred offering costs     3,144       23,864  
Prepaid software subscriptions     —       14,912  
Total other non-current assets   $ 23,307     $ 58,939  

 

6. Accrued Expenses

 

Accrued expenses consisted of the following:

 

   March 31, 2026   December 31, 2025 
Compensation and benefits  $1,232,230   $1,359,993 
Settled litigation   528,799    692,683 
NSS-2 Bridge lease termination fee   100,000    100,000 
Legal fees   78,550    65,714 
Interest   66,648    66,648 
Research and development fees   61,204    2,143 
Audit fees   52,500    — 
Tariffs   50,447    32,000 
Other   91,069    74,048 
Total accrued expenses  $2,261,447   $2,393,229 

 

7. Notes Payable

 

On August 9, 2025, the Company entered into a $170,000 note payable to finance the premiums of a business insurance policy, bearing interest at an annual interest rate of 7.45% and maturing on June 9, 2026, to replace the $210,000 note payable entered into on August 9, 2024, with an annual interest rate of 7.40% that matured on June 9, 2025 in conjunction with the annual renewal period. On May 26, 2025, the Company also entered into a note payable with a principal balance of $122,253 to finance subscription fees on certain software arrangements maturing on March 1, 2027. The outstanding principal was $100,735 and $148,293 as of March 31, 2026 and December 31, 2025, respectively.

 

Interest expense totaled $26,189 and $2,237 for the three months ended March 31, 2026 and 2025, respectively. The Company’s accrued interest totaled $66,648 as of March 31, 2026 and December 31, 2025.

 

8. Leases

 

The Company’s leases are comprised of operating leases for office space. At the inception of the lease, the Company determines whether the lease contract conveys the right to control the use of identified property for a period of time in exchange for consideration. Leases are classified as operating or finance leases at the commencement date of the lease. Operating leases are recorded as operating lease right-of-use assets, other current liabilities, and operating lease liabilities in the Condensed Balance Sheets. The Company did not have any finance leases at March 31, 2026 and December 31, 2025.

 

The Company has two leases consisting of office space in Batesville and Carmel, Indiana. The lease in Batesville, Indiana commenced on August 1, 2025, and has an initial term of three years, with automatic one-year renewals subject to an annual 4% rent escalation, unless 60-day notice of vacating is given. On May 19, 2025, the Company terminated its prior lease in Versailles, Indiana, with a monthly lease payment of $1,800, effective July 31, 2025, without penalty due to relocation of the office space to Batesville, Indiana, with the same landlord. The current monthly lease payment is $2,000 with no escalations during the initial lease term. On June 13, 2025, the Company prepaid $25,200 towards the monthly lease payments which will be amortized over the initial lease term. The lease in Carmel, Indiana commenced January 1, 2024, with an initial term of five years and five months. The monthly lease payment started at $6,721 with an annual increase of 2.5%. The Company was only obligated to pay an amount equal to 50% of the monthly base rent for the first 10 months of the term.

 

The Company recognized operating lease expense of $26,116 and $25,523 for the three months ended March 31, 2026 and 2025, respectively, including short-term lease expense and variable lease costs.

 

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The following table presents information related to the Company’s operating leases:

  

  

March 31,

2026

  

December 31,

2025

 
Operating lease right of use asset, net  $245,350   $261,565 
           
Current portion of operating lease payable   68,789    65,752 
Operating lease payable, net of current portion   183,998    202,566 
Total operating lease payable  $252,787   $268,318 
           
Weighted-average remaining lease term (in years)   3.07    3.31 
Weighted-average discount rate   15.0%   15.0%

 

As of March 31, 2026, the maturities of the Company’s operating lease liabilities were as follows:

  

     
Remainder of 2026  $75,261 
2027  102,456 
2028   98,127 
2029   38,025 
Total lease payments   313,869 
Less: imputed interest   (61,082)
Total present value of lease payments  $252,787 

 

9. Common Stock and Warrants

 

The Company has authorized 100,000,000 shares of common stock, of which 11,450,045 and 10,652,812 shares were issued and outstanding as of March 31, 2026 and December 31, 2025, respectively.

 

On January 22, 2026, the Company issued 43,196 shares of common stock with a fair value of $199,995 to its Board of Directors for their services for the year ending December 31, 2026. The Company recorded $50,000 as general and administrative expense in the Condensed Statements of Operations for the three months ended March 31, 2026 and $149,995 as prepaids and other current assets in the Condensed Balance Sheet as of March 31, 2026.

 

On January 22, 2026, the Company issued another 43,196 shares of common stock with a fair value of $200,000 to its Board of Directors for their service during the year ended December 31, 2025. The Company recorded $50,000 as general and administrative expense in the Condensed Statements of Operations for the three months ended March 31, 2025.

 

During the three months ended March 31, 2026, pursuant to the August 2025 At The Market Offering Agreement, the Company issued 495,456 shares of common stock to investors for gross proceeds of $2,990,361 with such shares registered pursuant to the Company’s effective Registration Statement on Form S-3 (File No. 333-283798), previously filed with the Securities and Exchange Commission (“SEC”) on December 13, 2024, and declared effective on February 11, 2025, and the related prospectus supplements filed with the SEC on August 29, 2025, and on October 23, 2025.

 

Additionally, during the three months ended March 31, 2026, the Company issued (i) 213,040 common shares upon the exercise of warrants and (ii) 2,345 common shares pursuant to the 2022 Omnibus Securities and Incentive Plan.

 

During the three months ended March 31, 2025, the Company issued (i) 39,471 shares of common stock with a fair value of $112,493 to its Board of Directors for their service from April 1, 2024 through December 31, 2024, which was recorded as general and administrative expense in the Condensed Statements of Operations and (ii) 186,166 shares of common stock to an investor in exchange for 502,647 warrants in a cashless exercise transaction with $186 reclassified from additional paid in capital to common stock in the Condensed Statements of Stockholders’ Equity.

 

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The following is a summary of warrant activity for common stock during the three months ended March 31, 2026 and year ended December 31, 2025:

  

   Number of   Weighted-Avg.   Weighted-Avg. 
   Warrants for   Exercise   Remaining 
   Common Stock   Price   Contractual Life 
Outstanding as of January 1, 2025   2,642,530   $2.41    2.93 
Exercised   (1,263,006)   1.82    2.12 
Outstanding as of December 31, 2025   1,379,524    2.44    2.26 
Exercised   (213,040)   2.38    1.94 
Outstanding as of March 31, 2026   1,166,484   $2.45    2.04 

 

The following table summarizes the Company’s warrants outstanding and exercisable as of March 31, 2026:

 

   Number of        
   Warrants   Exercise   Expiration
   Outstanding   Price   Date
Investor Warrant   12,852   $8.76   September 18, 2028
2022 Convertible Notes   160,960   $2.38   Various in 2027
2023 Convertible Notes   861,790   $2.38   Various in 2028
Underwriter Warrants   54,370   $2.38   August 8, 2028
Advisory Agreement Warrants   76,512   $2.38   Various in 2029
    1,166,484         

 

10. Preferred Stock

 

The Company’s shareholders authorized 5,000,000 shares of preferred stock of which 5,000,000 shares were designated as $0.001 par value Series B Preferred Stock with 3,796,907 shares issued and outstanding as of March 31, 2026 and December 31, 2025. Series B Preferred Stock shareholders vote with Common Stock shareholders on an as-converted basis and not as a separate class. Cumulative dividends accrue at 8.5% per annum and are due and payable in either cash for common shares as the Company’s discretion on a quarterly basis through December 31, 2026. Series B Preferred Stock converts to common stock on a 1:1 basis, subject to adjustments for stock dividends, splits, combinations and similar events as well as unpaid dividends thereon, solely at the election of the holder at any time.

 

Upon any liquidation, dissolution or winding up of the Company, whether voluntary or involuntary, the Series B Preferred Stock shareholders maintain priority preference over all other classes of capital stock. A merger or consolidation (other than one in which stockholders of the Company own a majority by voting power of the outstanding shares of the surviving or acquiring corporation) and a sale, lease, transfer, exclusive license or other disposition of all or substantially all of the assets of the Company will be treated as a liquidation event, thereby triggering payment of the liquidation preferences.

 

As of March 31, 2026 and December 31, 2025, there were no preferred stock dividends declared or paid. Series B Preferred Stock undeclared cumulative dividends totaled $1,215,264 and $1,025,865 as of March 31, 2026 and December 31, 2025, respectively.

 

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11. Stock-Based Compensation

 

Restricted Stock Units

 

Pursuant to the NeurAxis, Inc. 2022 Omnibus Securities and Incentive Plan, the Company initiated grants of restricted stock units (“RSUs”) to certain employees as follows:

  

   Three Months Ended March 31, 
   2026   2025 
   Number of RSUs   Weighted Average Fair Value  

Number of RSUs

   Weighted Average Fair Value 
Outstanding as of Beginning of Period   831,346   $2.32    —   $— 
Granted   437,431    4.63    852,214    2.31 
Vested   (3,334)   2.36    —    — 
Outstanding as of End of Period   1,265,443   $3.12    852,214   $2.31 

 

The RSUs granted during the three months ended March 31, 2026 are subject to a pro rata annual vesting period over 3 years whereas the RSUs granted during the three months ended March 31, 2025 are subject to a three-year cliff vesting period. The RSUs are payable in shares of the Company’s common stock and fully vest upon (i) death or disability or (ii) change of control. Dividend equivalents accrue on RSUs and are paid upon vesting; there were no accrued dividends on unvested RSUs as of March 31, 2026.

 

Total stock-based compensation expense related to RSUs is classified in the Company’s Condensed Statements of Operations as general and administrative expense and amounted to $329,434 and $105,811 for the three months ended March 31, 2026 and 2025, respectively. As of March 31, 2026, total unrecognized stock-compensation expense relating to unvested stock awards granted under the Company’s share-based compensation plans amounted to $2,864,172.

 

Stock Options

 

The following is a summary of the Company’s outstanding stock options as of March 31, 2026 and December 31, 2025:

 

   Number of Options   Weighted Avg. Remaining Contractual Life (in years)   Weighted Avg. Exercise Price   Aggregate Intrinsic Value 
Outstanding as of December 31, 2025   1,319,394    3.69   $6.94   $— 
Outstanding as of March 31, 2026   1,319,394    3.44   $6.94   $— 
Vested and Exercisable as of March 31, 2026   1,319,394    3.44   $6.94   $— 

 

There was no stock-based compensation expense related to stock options recorded for the three months ended March 31, 2026 and 2025.

 

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Employee Stock Purchase Plan

 

On July 1, 2025, the Compensation Committee of the Board of Directors (“Board”) of the Company adopted the NeurAxis, Inc. 2025 Employee Stock Purchase Plan (the “ESPP”), effective as of the same date and subject to Shareholder approval by July 1, 2026. The purpose of the ESPP is to provide eligible employees an opportunity to acquire common stock of the Company at a 15% discount using payroll deductions. The maximum number of shares of the Company’s common stock that may be issued under the ESPP is 100,000, subject to an annual increase on January 1st of each year from 2026 through 2035 by the lesser of (i) 1% of the Company’s outstanding capital stock as of the prior December 31st or (ii) 100,000 shares. The Board may reduce or eliminate this annual increase before February 1st of any given year. Total stock-based compensation expense includes $37,329 and $0 relating to the ESPP for the three months ended March 31, 2026 and 2025, respectively. Employee withholdings of $96,604 and $13,611 are included in accounts payable in the Condensed Balance Sheets as of March 31, 2026 and December 31, 2025, respectively.

 

12. Warrant Liabilities

 

The Company has evaluated financial instruments arising from warrants that are issued and outstanding as of March 31, 2026 and December 31, 2025. The Company utilizes a Black-Scholes option-pricing model to compute the fair value of the liability and to mark to market the fair value of the warrant at each balance sheet date. The inputs utilized in the application of the Black-Scholes option-pricing model included (i) an exercise price of $8.76 per share, (ii) an expected remaining term of each warrant based on the remaining contractual maturity of the each warrant, (iii) estimated volatility ranging from 89.1% to 94.7% based on historical stock prices of comparable companies with a look back period commensurate with the period to maturity, (iv) a risk-free interest rate ranging from 3.72% to 3.96% based on the interest rates of U.S. Treasury Notes consistent with the expected remaining contract term and (v) a 0% expected dividend yield as the Company has not paid dividends to date and does not anticipate declaring dividends in the near future.

 

The following are the changes in the warrant liabilities during the three months ended March 31, 2026 and year ended December 31, 2025:

 

   Level 3 
Warrant liabilities as of January 1, 2025  $9,166 
Changes in fair value of warrant liabilities   7,634 
Warrant liabilities as of December 31, 2025   16,800 
Changes in fair value of warrant liabilities   31,506 
Warrant liabilities as of March 31, 2026  $48,306 

 

13. Segment Information

 

The Company evaluates the following factors to identify its reportable segments: (i) nature of products and services, (ii) type of customer for the products and services, (iii) sales, production and distribution methods of the products and services and (iv) the nature of the regulatory environment, if applicable. Based on an evaluation of these factors, management concluded that the Company’s operations are managed through one reportable segment, IB-STIM, that derives its revenues in the United States from a PENFS device that is used to treat patients 8-21 years of age with functional abdominal pain associated with irritable bowel syndrome and in patients 8 years and older with functional abdominal pain associated with functional dyspepsia and related nausea symptoms. The accounting policies of the IB-STIM segment are the same as those described in the Summary of Significant Accounting Policies (see Footnote 2). The Chief Operating Decision Maker (“CODM”) regularly evaluates the performance of the IB-STIM segment for the purpose of allocating resources based on net sales and operating loss, both of which are reported in the Condensed Statements of Operations. The CODM uses net sales to evaluate IB-STIM’s adoption and utilization by insurance carriers and physicians. As Neuraxis is an emerging growth company, operating loss is used to monitor the Company’s cost structure in order to achieve future segment profitability. Both net sales and operating loss are measured against the budget on a periodic basis to assess achievement toward annual compensation incentive targets. The Company’s CODM is its Chief Executive Officer.

 

19

 

 

The following reconciles the reportable segment net sales and operating loss to the Company’s reported net loss:

  

   2026   2025 
   Three months ended March 31, 
   2026   2025 
Net Revenue  $1,607,883   $895,655 
COGS   218,366    139,475 
Gross Profit   1,389,517    756,180 
Selling Expenses (a)   824,336    500,119 
Research & Development (a)   99,567    117,867 
Compensation and Benefits (a)   1,412,665    1,075,244 
Professional Services (a)   436,303    406,716 
Legal Settlement   -    619,097 
Depreciation   8,034    3,735 
Amortization   8,284    2,621 
Other Operating Expenses (a) (b)   341,007    325,879 
Segment Operating Loss   (1,740,679)   (2,295,098)
Interest Expense   (26,189)   (2,237)
Change in Fair Value of Warrant Liability   (31,506)   1,831 
Other Income   36,942    16,820 
Total Other (Expense) Income, Net   (20,753)   16,414 
Net Loss  $(1,761,432)  $(2,278,684)

 

  (a) The significant expense categories and amounts align with the segment-level information provided on a regular basis to the CODM.
  (b) Other operating expenses include rent and utilities, insurance, travel, software subscription fees, board fees and bad debt expense.

 

Total segment assets for IB-STIM amounted to $8,745,706 and $6,404,036 as of March 31, 2026 and December 31, 2025, respectively. Total segment capital expenditures for IB-STIM amounted to $0 and $18,000 for the three months ended March 31, 2026 and 2025, respectively. Total segment depreciation and amortization amounted to $16,317 and $6,356 for the three months ended March 31, 2026 and 2025, respectively.

 

Significant segment non-cash charges settled in common stock include (i) consulting and advisory fees totaling $399,995 and $112,493 for the three months ended March 31, 2026 and 2025, respectively, and (ii) hiring grants totaling $5,534 and $0 for the three months ended March 31, 2026 and 2025, respectively.

 

14. Settled Litigation

 

On February 6, 2019, plaintiff Ritu Bhambhani, M.D., initiated a lawsuit against Innovative Health Solutions, Inc. and others in the United States District Court for the District of Maryland. Plaintiffs Bhambhani and Sudhir Rao subsequently amended the complaint, with the Third Amended Complaint (“Complaint”) containing the most recent set of allegations. The Complaint asserted claims under the RICO Act, as well as of fraudulent misrepresentation, intentional misrepresentation by concealment, and civil conspiracy and sought compensatory damages in excess of $5 million, pre-judgment interest, punitive damages, attorney’s fees, court costs and designation of the case as a class action. The Complaint stated that the Company, distributors of the Company’s product, and medical billing and coding consultants allegedly made misrepresentations to the plaintiffs that the Company’s NeuroStim device and related procedures could be billed to, and reimbursed by, Medicare and other insurance payors as a surgically implantable neurostimulator. Plaintiffs claim to have suffered damages when Medicare administrative contractors declined to pay plaintiffs for their use of the device.

 

On February 11, 2022, the Company filed a motion for summary judgment based upon the plaintiffs not being proper parties to assert claims against the Company. On June 14, 2022, the Court granted the Company’s motion for summary judgment and dismissed the Complaint.

 

On July 14, 2022, plaintiffs Ritu Bhambhani and Sudhir Rao filed a notice of appeal with the Fourth Circuit Court of Appeals. On June 3, 2024, the Fourth Circuit denied the plaintiff’s appeal and entered judgment against the plaintiffs. On June 25, 2024, the Fourth Circuit entered its mandate declaring that its judgment against the plaintiffs took effect that day. The plaintiffs did not seek any further review or appeal of that judgment.

 

20

 

 

Also on July 14, 2022, plaintiffs Ritu Bhambhani, LLC; Box Hill Surgery Center, LLC; Pain and Spine Specialists of Maryland, LLC; and SimCare ASC, LLC initiated a lawsuit against the Company and others in the United States District Court for the District of Maryland. The plaintiffs in this lawsuit are business entities owned or partially owned by the plaintiffs that initiated the litigation described above. The Complaint asserted claims under the RICO Act, as well as fraudulent misrepresentation, intentional misrepresentation by concealment, and civil conspiracy and seeks compensatory damages in excess of $75,000, pre-judgment interest, punitive damages, attorney’s fees, and court costs. The Complaint states that the Company, distributors of the Company’s product, and medical billing and coding consultants allegedly made misrepresentations to the plaintiffs that the Company’s NeuroStim device and related procedures could be billed to, and reimbursed by, Medicare and other insurance payors as a surgically implantable neurostimulator. Plaintiffs claim to have suffered damages when Medicare administrative contractors declined to pay plaintiffs for their use of the device.

 

On September 28, 2022, the Company filed a motion to dismiss all claims. On May 25, 2023, the Court issued an Order and a Memorandum Opinion which dismissed the plaintiffs’ claims related to the RICO Act. The remaining claims are still pending, and no trial date has been set for the case. The Court has vacated its Scheduling Order at the parties’ request so that the parties could try to resolve the disputes in both cases through an independent third-party mediator.

 

On April 25, 2025, the parties reached a $750,000 settlement payable in 12 equal monthly installments that began in January of 2026. The Company recorded a charge of $619,097 classified as general and administrative expense in the Condensed Statements of Operations during the three months ended March 31, 2025, while interest expense was recorded as incurred. As of March 31, 2026, the Company maintained a liability of $528,799 classified as accrued expenses in the Condensed Balance Sheets.

 

15. Commitments and Contingencies

 

Manufacturing Services Agreement

 

The Company is party to two separate manufacturing services agreements for the manufacture and supply of the Company’s IB-Stim and RED devices based on the Company’s product specifications that expire in March and August, 2027, respectively, and automatically renew annually unless either party provides a written termination notice to the other party within 180 days prior to the end of the then-current term. The Company’s IB-Stim and RED devices are manufactured in Indiana and Michigan, respectively. The Company provides the necessary equipment to the manufacturers and retains ownership. The manufacturers bear the risk of loss of and damage to the equipment and consigned materials. Performance under the agreement is initiated by orders issued by the Company and accepted by the manufacturers. The Company also entered into quality agreements with the manufacturers to perform quality assurance services on product provided by the Company.

 

Executive Employment Agreements

 

The Company, as authorized by the board of directors, entered into employment agreements with certain employees to provide incentives to improve shareholder value and to contribute to the growth and financial success of the Company. The agreements had an employment start date of October 1, 2022, with initial terms from two to five years and optional one-year renewals.

 

There are nine key employees and two non-employees that have stock options of the Company totaling 1,319,394 shares. These key employees have a provision in their agreements whereas the Company will pay a special bonus equal to the aggregate of the strike price or exercise price of all their stock options plus a tax gross-up payment. The special bonus shall be paid in twenty percent (20%) installments starting January 2, 2024, and the same date each of the next four years. As a condition of the payment, the key employee must exercise at least 20% of their stated number of stock options. There are additional provisions to cover termination and change of control events. None of the key employees have exercised any of the stock options as of March 31, 2026.

 

21

 

 

In April 2023, the Company amended the employee agreements to, among other things, clarify that the special one-time incentive payment and the deferred bonus are contingent upon the effective date of the planned initial public offering. The amendment also sets forth a process for executives to exercise the stock options in accordance with the terms of the stock option agreement in effect as of the date of the employment agreement and to clarify that there is no modification to the stock option agreements.

 

The Company recorded the fair value of the stock options totaling $5,610,234 as compensation cost on the grant date. In addition, a $6,225,169 incremental tax gross up payment is contingent upon the employees exercising their deferred bonus provision which will be recorded when probable.

 

Threatened Litigation

 

From time to time, the Company may be involved in litigation relating to claims arising out of operations in the normal course of business. As of the date of issuance, other than those described below and in note 13, there were no pending or threatened legal proceedings that could reasonably be expected to have a material effect on the results of the Company’s operations. There are also no proceedings in which any of the Company’s directors, officers or affiliates is an adverse party to the Company or has a material interest adverse to the Company’s interest. Legal fees are expensed as incurred.

 

In January 2024, Dr. Arturo Taca served notice to the Company that asserted an interest in its U.S. Patent No. 10,413,719 valued at $2,000,000 based on his own work in neurostimulation. The Company denied both the neurostimulation patent and compensation claims. The case remains unresolved. While it is too early to predict the ultimate outcome of this matter, we believe the Company has meritorious defenses and intends to defend this matter vigorously.

 

16. Subsequent Events

 

On April 1, 2026, the Company issued 43,885 shares of common stock to eligible employees pursuant to the NeurAxis, Inc. 2025 Employee Stock Purchase Plan effective as of July 1, 2025 and subject to shareholder approval by July 1, 2026.

 

On April 9, 2026, the Company’s Board of Directors approved the cancelation of 1,319,394 stock options issued under the 2017 Innovative Health Solutions, Inc. 2017 Stock Compensation Plan and the grant of an equivalent amount of RSUs with immediate vesting under the NeurAxis, Inc. 2022 Omnibus Securities and Incentive Plan, subject to shareholder approval. The stock option cancelation and RSU grant will be treated as a modification under ASC 718, Compensation—Stock Compensation, whereby the Company will recognize incremental compensation cost as the excess of the fair value of the granted RSUs over the fair value of the stock options immediately before the exchange. The Company estimates $4,250,000 of incremental compensation cost will be recorded upon approval of the exchange by the shareholders.

 

On April 10, 2026, the Company’s Board of Directors declared a dividend on the Series B Preferred Stock. Holders of record of the Company’s Series B Preferred Stock as the record date of April 21, 2026, received a stock dividend on April 28, 2026, of the Company’s par value $0.001 Common Stock for every share of Series B Preferred Stock. The Company issued 510,605 shares of Common Stock based on the 8.5% per annum cumulative dividend rate.

 

On April 22, 2026, the Company granted 40,000 RSUs to an employee and issued 27,483 shares of common stock, net of taxes, upon vesting.

 

On May 7, 2026, the Company issued 72,282 shares of common stock to an investor upon conversion of an equivalent amount of Series B Preferred Stock.

 

In April and May of 2026, pursuant to the August 2025 At The Market Offering Agreement with Craig-Hallum Capital Group LLC, the Company issued 242,255 shares of common stock to investors for gross proceeds of $1,982,528 with such shares registered pursuant to the Company’s effective Registration Statement on Form S-3 (File No. 333-283798), previously filed with the Securities and Exchange Commission (“SEC”) on December 13, 2024, and declared effective on February 11, 2025, and the related prospectus supplements filed with the SEC on August 29, 2025, October 23, 2025, and April 21, 2026.

 

In April and May of 2026, the Company issued 37,850 shares of common stock upon exercise of an equivalent amount of common stock warrants for gross proceeds of $90,083.

 

The Company has evaluated subsequent events through the filing of this Quarterly Report on Form 10-Q and determined that there have been no other events that have occurred that would require adjustments to our disclosures in the condensed financial statements.

 

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ITEM 2: MANAGEMENT’S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF OPERATIONS

 

You should read the following discussion and analysis of our financial condition and results of operations together with our unaudited financial statements and the related notes appearing in this Quarterly Report on Form 10-Q. Some of the information contained in this discussion and analysis or set forth elsewhere in this Quarterly Report on Form 10-Q, including information with respect to our plans and strategy for our business and related financing, includes forward-looking statements that involve risks, uncertainties, and assumptions. You should read the “Cautionary Note Regarding Forward-Looking Statements” and “Risk Factors” sections of our Form 10-K for the period ended December 31, 2025 (the “2025 Annual Report”) for a discussion of important factors that could cause actual results to differ materially from the results described in or implied by the forward-looking statements contained in the following discussion and analysis.

 

Overview

 

We are a growth stage company focused on developing neuromodulation therapies to address chronic and debilitating conditions in children. Our mission is to advance drug-free neuromodulation therapies that improve patient outcomes and reduce medication burden in complex disorders, while expanding access to effective care for populations with significant unmet needs. Our IB-Stim device is a PENFS system with FDA indications for patients 8 years and older with functional abdominal pain associated with IBS, functional dyspepsia (FD) and associated FD nausea symptoms. Our RED device is an easy-to-use, office-based, point-of-care test that identifies patients with chronic constipation due to pelvic floor dyssynergia and has FDA market clearance for adults. Other indications in our pipeline are comprised of post-concussion syndrome, cyclic vomiting syndrome, post-operative pain and fibromyalgia pain.

 

Since our inception, we have incurred significant operating losses. Our net loss was $1,761,432 and $2,278,684 for the three months ended March 31, 2026 and 2025, respectively. Although we had stockholders’ equity of $5,747,550 as of March 31, 2026, our auditors have expressed substantial doubt about our ability to continue as a going concern in their audit opinion. We expect to incur significant expenses and operating losses for the foreseeable future as we continue to pursue widespread insurance coverage of our IB-Stim and RED devices and seek FDA clearance of our device for other indications. There are a number of milestones and conditions that we must satisfy before we are able to generate sufficient revenue to fund our operations, including FDA clearance of our IB-Stim device to treat future indications.

 

Factors Affecting our Business and Results of Operations

 

Revenue

 

Our revenue is derived from the sale of our IB-Stim device to healthcare companies, primarily hospitals and clinics. Sales generally are not seasonal and only mildly correlated with economic cycles. Our IB-Stim device sells for $1,195 per device, and each patient being treated for functional abdominal pain associated with IBS, functional dyspepsia (FD) and/or associated FD with nausea symptoms will use four devices.

 

Our sales typically are made on a purchase order basis rather than through long-term purchase commitments. We enter into sales agreements with customers for IB-Stim devices based on purchase orders and standard terms, which vary slightly based on the customer’s form, and conditions of sale. Standard payment terms generally are that payment is due within 30 days.

 

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Inflation did not have a material impact on our operations for any applicable period and we do not expect inflation to have a material impact on our operations for the foreseeable future.

 

Gross Profit and Gross Margin

 

Our management uses gross profit and gross margin to evaluate the efficiency of operations and as a key component to determining the effectiveness and allocation of resources. We calculate gross profit as net sales less cost of goods sold, and gross margin as gross profit divided by net sales. Our gross margin has been and will continue to be affected by a variety of factors, primarily the average selling price of our IB-Stim device, production volume, order flows, change in mix of customers, third-party manufacturing costs related to components of our devices, and cost-reduction strategies. We expect our gross profit to increase for the foreseeable future as our net sales grows, both through broader insurer acceptance of our IB-Stim device in the near term and approval of our technology for the treatment of other indications over the longer term. Our gross margin may fluctuate from quarter to quarter due to changes in average selling prices and the mix of patient healthcare coverage (e.g., discounts are provided to lower income patients without healthcare insurance), particularly as we introduce enhancements to our IB-Stim device and new products to address other indications, and as we adopt new manufacturing processes and technologies.

 

Expenses

 

We have four categories of expenses: cost of goods sold, selling, research and development (“R&D”), and general and administrative (“G&A”).

 

Costs of goods sold consist of costs paid for the IB-Stim and RED devices to our contract manufacturers along with shipping and handling costs and expired inventory charges. Expired inventory expense is related to the FDA clearance period from the date our devices are manufactured, and if the device is not sold in such period, a charge is recorded. Expired inventory charges totaled $758 and $0 for the three months March 31, 2026 and 2025, respectively. We have fixed-priced contracts with the manufacturers of our devices.

 

Our selling expenses primarily consist of advertising, marketing and promotion of the Company’s products including salaries, commissions and other related personnel costs including travel expenses. The Company reclassified $366,165 of general and administrative expenses to selling expenses in the Condensed Statements of Operations for the three months ended March 31, 2025, to conform to current year presentation.

 

Our research and development expenses primarily consist of clinical research studies, new product development, costs of materials and supplies used in research and development activities and salaries and other related personnel costs for employees engaged in research and development activities to have our IB-Stim and RED devices cleared by the FDA for other indications. The Company reclassified $57,311 of general and administrative expenses to research and development expenses in the Condensed Statements of Operations for the three months ended March 31, 2025, to conform to current year presentation. We expect future R&D expenses for other indications, such as post-concussion syndrome, cyclic vomiting syndrome, post-operative pain and fibromyalgia pain.

 

General and administrative expense primarily consists of wages and benefits, professional fees including legal and audit, insurance, investor relations, facility costs, utilities and travel.

 

Results of Operations

 

The following table presents our statements of operations for the three months ended March 31, 2026 and 2025, respectively:

 

   (Unaudited) 
   Three Months Ended March 31, 
   2026   2025 
         
Net sales  $1,607,883   $895,655 
Cost of goods sold   218,366    139,475 
Gross profit   1,389,517    756,180 
Selling expenses   824,336    500,119 
Research and development   99,567    117,867 
General and administrative   2,206,293    2,433,292 
Operating loss   (1,740,679)   (2,295,098)
Other (expense) income:          
Interest expense, net   (26,189)   (2,237)
Change in fair value of warrant liability   (31,506)   1,831 
Other income   36,942    16,820 
Total other (expense) income, net   (20,753)   16,414 
Net loss  $(1,761,432)  $(2,278,684)

 

24

 

 

Net Sales

 

Net sales increased $712,228, or 79.5%, from $895,655 for the three months ended March 31, 2025, to $1,607,883 for the three months ended March 31, 2026, due to volume growth from customers with full insurance reimbursement coverage that is a function of IB-Stim’s Category I CPT code effective date of January 1, 2026 and broader insurance coverage year over year.

 

Gross Profit and Gross Margin

 

Gross profit increased $633,337, or 83.8%, from $756,180 for the three months ended March 31, 2025, to $1,389,517 for the three months ended March 31, 2026, due to higher unit volume from customers with full insurance reimbursement coverage. The increase in gross margin from 84.4% for the three months ended March 31, 2025, to 86.4% for the three months ended March 31, 2026, was due to higher growth from the Company’s undiscounted full reimbursement customers compared to the Company’s financial assistance programs that are discounted to patients without insurance coverage, partially offset by higher device manufacturing costs.

 

Selling Expenses

 

Selling expenses increased $324,217, or 64.8%, from $500,119 for the three months ended March 31, 2025, to $824,336 for the three months ended March 31, 2026, due to commission from higher sales volume and additional sales reps and marketing personnel to facilitate growth resulting from the IB-Stim Category I CPT code and broader insurance coverage.

 

Research and Development

 

Research and development expenses declined $18,300, or 15.5%, from $117,867 for the three months ended March 31, 2025, to $99,567 for the three months ended March 31, 2026, due to non-recurring RED device development costs in 2025 and proceeds received for devices used in 2026 clinical research studies.

 

General and Administrative

 

General and administrative expenses declined $226,999, or 9.3%, from $2,433,292 for the three months ended March 31, 2025, to $2,206,293 for the three months ended March 31, 2026, primarily due to a one-time, non-recurring charge in 2025 to settle a lawsuit partially offset by incremental stock compensation expense from the third year of a three-year vesting plan, higher benefit costs and consulting fees incurred to secure a Federal Supply Schedule agreement with the Veterans Administration.

 

Operating Loss

 

Our operating loss improved $554,419, or 24.2%, from $2,295,098 for the three months ended March 31, 2025, to $1,740,679 for the three months ended March 31, 2026, primarily due to higher sales volume and the corresponding gross profit and the absence of a one-time, non-recurring charge in 2025 to settle a lawsuit, partly offset by higher selling expenses.

 

Other (Expense) Income, Net

 

Other expense increased $37,167, or 226.4%, from $16,414 of income for the three months ended March 31, 2025, to $20,753 of expense for the three months ended March 31, 2026, primarily due to the change in fair value of warrants and interest expense associated with the settlement of the lawsuit.

 

Net Loss

 

Our net loss improved $517,252, or 22.7%, from $2,278,684 for the three months ended March 31, 2025, to $1,761,432 for the three months ended March 31, 2026, due to higher sales volume and the corresponding gross profit and the absence of a one-time, non-recurring charge in 2025 to settle a lawsuit, partly offset by higher selling expenses.

 

25

 

 

Liquidity and Capital Resources

 

We had cash on hand of $7,078,659 and $4,965,072 as of March 31, 2026, and December 31, 2025, respectively. We maintained a working capital surplus of $5,328,867 and $2,941,091 as of March 31, 2026, and December 31, 2025, respectively. The increase in working capital was primarily due to (i) proceeds from the issuance of common stock pursuant to the At The Market capital facility and the exercise of warrants and (ii) higher accounts receivable driven by IB-Stim device sales.

 

We have incurred losses since inception and have funded our operations primarily with a combination of sales, debt, and the sale of capital stock. As of March 31, 2026, we had stockholders’ equity of $5,747,550 and short-term borrowings of $100,735.

 

Our future capital requirements will depend upon many factors, including progress with developing, manufacturing, and marketing our technologies, the time and costs involved in preparing, filing, prosecuting, maintaining, and enforcing patent claims and other proprietary rights, our ability to establish collaborative arrangements, marketing activities and competing technological and market developments, including regulatory changes and overall economic conditions in our target markets. Our ability to generate revenue and achieve profitability requires us to successfully market and secure purchase orders for our products from customers currently identified in our sales pipeline and to new customers as well. The primary activity that will drive all customers and revenues is the adoption of insurance coverage by commercial insurance carriers nationally, so this is a top priority of the Company. These activities, including our planned research and development efforts, will require significant uses of working capital through the rest of 2026 and beyond.

 

Additionally, we have to meet all the financial disclosure and reporting requirements associated with being a publicly reporting company. Our management will have to spend additional time on policies and procedures to make sure it is compliant with various regulatory requirements, especially that of Section 404 of the Sarbanes-Oxley Act. This additional corporate governance time required of management could limit the amount of time our management has to implement our business plan and may delay our anticipated growth plans.

 

The following table summarizes our cash flow from operating, investing and financing activities for the three months ended March 31, 2026 and 2025:

 

   (Unaudited) 
   Three Months Ended March 31, 
   2026   2025 
Net cash used in operating activities  $(1,229,757)  $(1,603,655)
Net cash used in investing activities   -    (18,000)
Net cash provided by (used in) financing activities   3,343,344    (69,845)
Net increase (decrease) in cash and cash equivalents   2,113,587    (1,691,500)
Cash and cash equivalents at beginning of period   4,965,072    3,696,870 
Cash and cash equivalents at end of period  $7,078,659   $2,005,370 

 

Operating Activities – Net cash used in operating activities decreased $373,898, or 23.3%, for the three months ended March 31, 2026, compared to the three months ended March 31, 2025, primarily due to a lower operating loss attributable to growth from the Category I CPT code and increased payor coverage as well as more efficient working capital utilization during the three months ended March 31, 2026.

 

Investing Activities – Net cash used in investing activities decreased $18,000, or 100.0%, for the three months ended March 31, 2026 compared to the three months ended March 31, 2025, due to capital expenditures to manufacture the RED device in 2025 that did not recur in 2026 once the device was launched.

 

Financing Activities – Net cash provided by (used in) financing activities increased $3,413,189, or 4,886.8%, for the three months ended March 31, 2026 compared to the three months ended March 31, 2025, primarily due to proceeds from the issuance of common stock pursuant to the At The Market capital facility and the exercise of warrants during the three months ended March 31, 2026.

 

Critical Accounting Estimates

 

There have been no material changes to the critical accounting estimates previously described in our Form 10-K for fiscal year ended December 31, 2025. 

 

ITEM 3. QUANTITATIVE AND QUALITATIVE DISCLOSURES ABOUT MARKET RISK

 

Not applicable.

 

26

 

 

ITEM 4. CONTROLS AND PROCEDURES

 

Disclosure Controls and Procedures

 

We maintain “disclosure controls and procedures,” as that term is defined in Rule 13a-15(e), promulgated by the SEC pursuant to the Securities Exchange Act of 1934, as amended (the “Exchange Act”). Disclosure controls and procedures include controls and procedures designed to ensure that information required to be disclosed in our Company’s reports filed under the Exchange Act is recorded, processed, summarized and reported within the time periods specified in the SEC’s rules and forms, and that such information is accumulated and communicated to our management, including our principal executive officer and principal financial officer to allow timely decisions regarding required disclosure. Our management, with the participation of our principal executive officer and principal financial officer, evaluated our Company’s disclosure controls and procedures as of the end of the period covered by this Form 10-Q. Based on this evaluation, and in light of the material weaknesses in our internal control over financial reporting described below, our principal executive officer and principal financial officer concluded that as of March 31, 2026, our disclosure controls and procedures were not effective.

 

Evaluation of Internal Control Over Financial Reporting

 

Our management is responsible for establishing and maintaining adequate internal control over financial reporting, as defined in Rules 13a-15(f) of the Exchange Act. Under the supervision and with the participation of our principal executive officer and principal financial officer and oversight of the Audit Committee of the Board of Directors, we conducted an evaluation of the effectiveness of our internal control over financial reporting based on criteria established in the framework set forth in Internal Control—Integrated Framework (2013) issued by the Committee of Sponsoring Organizations of the Treadway Commission.

 

Our management, including our principal executive officer and principal financial officer, recognizes that internal controls over financial reporting, no matter how well designed and operated, can provide only reasonable assurance of achieving the desired control objectives. Because of the inherent limitations in all control systems, no evaluation of controls can provide absolute assurance that all control issues and instances of fraud, if any, have been detected. Additionally, controls can be circumvented by the individual acts of some persons, by collusion of two or more people, or by management override of the controls.

 

Based on our evaluation, management concluded that our internal control over financial reporting was not effective as of March 31, 2026.

 

The following material weaknesses in our internal control over financial reporting were identified:

 

  ● Ineffective approval processes governing (i) timely Board of Directors authorization and (ii) segregation of duties and roles and responsibilities configurations within the Company’s financial reporting system;
  ● Inadequate contract management process to capture all executed agreements prior to the commencement of services in order to ensure accuracy within the proper accounting period;
  ● Misapplication of U.S. GAAP; and
  ● Ineffective disclosure controls and procedures a result of (i) lack of segregation of duties, (ii) lack of internal control structure review and (iii) misapplication of U.S. GAAP.

 

In order to remediate the identified material weaknesses, management, with the oversight of the Audit Committee of the Board of Directors, undertook measures to enhance the Company’s internal control environment, including the (i) hiring of a principal financial officer and other accounting personnel to ensure the appropriate application of U.S. GAAP, (ii) hiring of a dedicated internal control manager who reports directly to the Audit Committee and whose sole responsibility is to develop, document, implement and maintain our internal control framework including walk throughs, narratives, flow charts, risk control matrices and independent testing of our financial and IT controls, (iii) documentation and communication of business policies such as a delegation of authority over company transactions as well as invoice and journal entry approvals, (iv) completion of a formal monthly close process including account reconciliations with supporting documentation, (v) engagement of a third-party firm that implemented controls to segregate duties and approvals with the proper assignment of roles and responsibilities within the Company’s financial system and (vi) the adoption and implementation of the Information System Audit and Control Association (“ISACA”) Control Objectives for Information and Related Technologies (“COBIT”) 2019 framework to design, develop, govern and manage enterprise IT. However, management has not fully implemented the remediation steps, in particular testing, and expects remediation efforts to continue through the remainder of fiscal year 2026.

 

While these remediation efforts are subject to ongoing management evaluation and will require validation and testing of the design and operating effectiveness of the Company’s internal controls over a sustained period of financial reporting cycles, management is committed to maintaining a strong internal control program over financial reporting and will take further actions and implement additional enhancements or improvements as necessary.

 

Changes in Internal Control Over Financial Reporting

 

Other than the remediation efforts described above, there were no changes in our internal controls over financial reporting, as defined in Rules 13a-15(f) of the Exchange Act, during the quarter ended March 31, 2026 that have materially affected, or are reasonably likely to materially affect, our internal control over financial reporting.

 

27

 

 

PART II - OTHER INFORMATION

 

ITEM 1: LEGAL PROCEEDINGS

 

From time to time, the Company may be involved in litigation relating to claims arising out of operations in the normal course of business. As of the date of issuance, other than those described below, there were no pending or threatened legal proceedings that could reasonably be expected to have a material effect on the results of the Company’s operations. There are also no proceedings in which any of the Company’s directors, officers or affiliates is an adverse party to the Company or has a material interest adverse to the Company’s interest. Legal fees are expensed as incurred.

 

On February 6, 2019, plaintiff Ritu Bhambhani, M.D., initiated a lawsuit against Innovative Health Solutions, Inc. and others in the United States District Court for the District of Maryland. Plaintiffs Bhambhani and Sudhir Rao subsequently amended the complaint, with the Third Amended Complaint (“Complaint”) containing the most recent set of allegations. The Complaint asserted claims under the RICO Act, as well as of fraudulent misrepresentation, intentional misrepresentation by concealment, and civil conspiracy and sought compensatory damages in excess of $5 million, pre-judgment interest, punitive damages, attorney’s fees, court costs and designation of the case as a class action. The Complaint stated that the Company, distributors of the Company’s product, and medical billing and coding consultants allegedly made misrepresentations to the plaintiffs that the Company’s NeuroStim device and related procedures could be billed to, and reimbursed by, Medicare and other insurance payors as a surgically implantable neurostimulator. Plaintiffs claim to have suffered damages when Medicare administrative contractors declined to pay plaintiffs for their use of the device.

 

On February 11, 2022, the Company filed a motion for summary judgment based upon the plaintiffs not being proper parties to assert claims against the Company. On June 14, 2022, the Court granted the Company’s motion for summary judgment and dismissed the Complaint.

 

On July 14, 2022, plaintiffs Ritu Bhambhani and Sudhir Rao filed a notice of appeal with the Fourth Circuit Court of Appeals. On June 3, 2024, the Fourth Circuit denied the plaintiff’s appeal and entered judgment against the plaintiffs. On June 25, 2024, the Fourth Circuit entered its mandate declaring that its judgment against the plaintiffs took effect that day. The plaintiffs did not seek any further review or appeal of that judgment.

 

Also on July 14, 2022, plaintiffs Ritu Bhambhani, LLC; Box Hill Surgery Center, LLC; Pain and Spine Specialists of Maryland, LLC; and SimCare ASC, LLC initiated a lawsuit against the Company and others in the United States District Court for the District of Maryland (the “2022 Lawsuit”). The plaintiffs in this lawsuit are business entities owned or partially owned by the plaintiffs that initiated the litigation described above. The Complaint asserted claims under the RICO Act, as well as fraudulent misrepresentation, intentional misrepresentation by concealment, and civil conspiracy and seeks compensatory damages in excess of $75,000, pre-judgment interest, punitive damages, attorney’s fees, and court costs. The Complaint states that the Company, distributors of the Company’s product, and medical billing and coding consultants allegedly made misrepresentations to the plaintiffs that the Company’s NeuroStim device and related procedures could be billed to, and reimbursed by, Medicare and other insurance payors as a surgically implantable neurostimulator. Plaintiffs claim to have suffered damages when Medicare administrative contractors declined to pay plaintiffs for their use of the device.

 

On September 28, 2022, the Company filed a motion to dismiss all claims. On May 25, 2023, the Court issued an Order and a Memorandum Opinion which dismissed the plaintiffs’ claims related to the RICO Act. The remaining claims are still pending, and no trial date has been set for the case. The Court has vacated its Scheduling Order at the parties’ request so that the parties could try to resolve the disputes in both cases through an independent third-party mediator.

 

On April 25, 2025, the parties reached a $750,000 settlement payable in 12 equal monthly installments that began in January of 2026 with remaining payments of $562,500 as of March 31, 2026.

 

In January 2024, Dr. Arturo Taca served notice to the Company that asserted an interest in its U.S. Patent No. 10,413,719 valued at $2,000,000 based on his own work in neurostimulation. The Company denied both the neurostimulation patent and compensation claims. The case remains unresolved. While it is too early to predict the ultimate outcome of this matter, we believe the Company has meritorious defenses and intends to defend this matter vigorously.

 

28

 

 

ITEM 1A: RISK FACTORS

 

For information regarding the risk factors that could affect the Company’s business, results of operations, financial condition and liquidity, see the information under Part I, Item 1A. “Risk Factors” in the Form 10-K, which is accessible on the SEC’s website at www.sec.gov. There have been no material changes to the risk factors previously disclosed in the Form 10-K.

 

ITEM 2: UNREGISTERED SALES OF EQUITY SECURITIES AND USE OF PROCEEDS

 

None.

 

ITEM 3: DEFAULTS UPON SENIOR SECURITIES.

 

None.

 

ITEM 4. MINE SAFETY DISCLOSURES

 

Not applicable.

 

ITEM 5: OTHER INFORMATION.

 

Insider Trading Arrangements and Policies

 

During the quarter ended March 31, 2026, no director or officer of the Company adopted or terminated any “Rule 10b5-1 trading arrangement” or “non-Rule 10b5-1 trading arrangement,” as each term is defined in Item 408(a) of Regulation S-K.

 

ITEM 6: EXHIBITS

 

Exhibit    
Number   Exhibit Description
31.1*   Certification pursuant to 18 U.S.C. Section 1350 Section 302 of the Sarbanes-Oxley Act of 2002 - Chief Executive Officer
31.2*   Certification pursuant to 18 U.S.C. Section 1350 Section 302 of the Sarbanes-Oxley Act of 2002 - Chief Financial Officer
32.1**   Certification pursuant to 18 U.S.C. Section 1350 Section 906 of the Sarbanes-Oxley Act of 2002 - Chief Executive Officer
32.2**   Certification pursuant to 18 U.S.C. Section 1350 Section 906 of the Sarbanes-Oxley Act of 2002 - Chief Financial Officer
101.INS*   Inline XBRL Instance Document
101.SCH*   Inline XBRL Taxonomy Extension Schema Document
101.CAL*   Inline XBRL Taxonomy Extension Calculation Linkbase Document
101.DEF*   Inline XBRL Taxonomy Extension Definition Linkbase Document
101.LAB*   Inline XBRL Taxonomy Extension Label Linkbase Document
101.PRE*   Inline XBRL Taxonomy Extension Presentation Linkbase Document
104*   Cover Page Interactive Data File (embedded within the Inline XBRL document)

 

* Filed herewith.

 

** Furnished herewith

 

29

 

 

SIGNATURES

 

Pursuant to the requirements of the Securities Exchange Act of 1934, the registrant has duly caused this report to be signed on its behalf by the undersigned, thereunto duly authorized.

 

  NEURAXIS, INC.
Date: May 12, 2026    
  By: /s/ Brian Carrico
    Brian Carrico
   

Chief Executive Officer

(Principal Executive Officer)

 

Date: May 12, 2026 /s/ Timothy Henrichs
  Timothy Henrichs
  Chief Financial Officer
  (Principal Financial and Principal Accounting Officer)

 

30

 

EX-31.1 2 ex31-1.htm EX-31.1

 

EXHIBIT 31.1

 

SECTION 302 CERTIFICATION

 

I, Brian Carrico, certify that:

 

1. I have reviewed this Quarterly Report on Form 10-Q for the period ended on March 31, 2026 of Neuraxis, Inc.;
   
2. Based on my knowledge, this report does not contain any untrue statement of a material fact or omit to state a material fact necessary to make the statements made, in light of the circumstances under which such statements were made, not misleading with respect to the period covered by this report;
   
3. Based on my knowledge, the financial statements, and other financial information included in this report, fairly present in all material respects the financial condition, results of operations and cash flows of the registrant as of, and for, the periods presented in this report;
   
4. The registrant’s other certifying officer(s) and I are responsible for establishing and maintaining disclosure controls and procedures (as defined in Exchange Act Rules 13a-15(e) and 15d-15(e)) and internal control over financial reporting (as defined in Exchange Act Rules 13a-15(f) and 15d-15(f)) for the registrant and have:

 

  a. Designed such disclosure controls and procedures, or caused such disclosure controls and procedures to be designed under our supervision, to ensure that material information relating to the registrant is made known to us by others within those entities, particularly during the period in which this report is being prepared;
     
  b. Designed such internal control over financial reporting, or caused such internal control over financial reporting to be designed under our supervision, to provide reasonable assurance regarding the reliability of financial reporting and the preparation of financial statements for external purposes in accordance with generally accepted accounting principles;
     
  c. Evaluated the effectiveness of the registrant’s disclosure controls and procedures and presented in this report our conclusions about the effectiveness of the disclosure controls and procedures, as of the end of the period covered by this report based on such evaluation; and
     
  d. Disclosed in this report any change in the registrant’s internal control over financial reporting that occurred during the registrant’s most recent fiscal quarter (the registrant’s fourth fiscal quarter in the case of an annual report) that has materially affected, or is reasonably likely to materially affect, the registrant’s internal control over financial reporting.

 

5. The registrant’s other certifying officer(s) and I have disclosed, based on Neuraxis, Inc.’s most recent evaluation of internal control over financial reporting, to the registrant’s auditors and the audit committee of the registrant’s board of directors (of persons performing the equivalent functions):

 

  a. All significant deficiencies and material weaknesses in the design or operation of internal control over financial reporting which are reasonably likely to adversely affect the registrant’s ability to record, process, summarize and report financial information; and
     
  b. Any fraud, whether or not material, that involves management or other employees who have a significant role in the registrant’s internal control over financial reporting.

 

Date: May 12, 2026 By: /s/ Brian Carrico
    Brian Carrico
    Chief Executive Officer

 

 

 

EX-31.2 3 ex31-2.htm EX-31.2

 

EXHIBIT 31.2

 

SECTION 302 CERTIFICATION

 

I, Timothy Henrichs, certify that:

 

1. I have reviewed this Quarterly Report on Form 10-Q for the period ended on March 31, 2026 of Neuraxis, Inc.;
   
2. Based on my knowledge, this report does not contain any untrue statement of a material fact or omit to state a material fact necessary to make the statements made, in light of the circumstances under which such statements were made, not misleading with respect to the period covered by this report;
   
3. Based on my knowledge, the financial statements, and other financial information included in this report, fairly present in all material respects the financial condition, results of operations and cash flows of the registrant as of, and for, the periods presented in this report;
   
4. The registrant’s other certifying officer(s) and I are responsible for establishing and maintaining disclosure controls and procedures (as defined in Exchange Act Rules 13a-15(e) and 15d-15(e)) and internal control over financial reporting (as defined in Exchange Act Rules 13a-15(f) and 15d-15(f)) for the registrant and have:

 

  a. Designed such disclosure controls and procedures, or caused such disclosure controls and procedures to be designed under our supervision, to ensure that material information relating to the registrant is made known to us by others within those entities, particularly during the period in which this report is being prepared;
     
  b. Designed such internal control over financial reporting, or caused such internal control over financial reporting to be designed under our supervision, to provide reasonable assurance regarding the reliability of financial reporting and the preparation of financial statements for external purposes in accordance with generally accepted accounting principles;
     
  c. Evaluated the effectiveness of the registrant’s disclosure controls and procedures and presented in this report our conclusions about the effectiveness of the disclosure controls and procedures, as of the end of the period covered by this report based on such evaluation; and
     
  d. Disclosed in this report any change in the registrant’s internal control over financial reporting that occurred during the registrant’s most recent fiscal quarter (the registrant’s fourth fiscal quarter in the case of an annual report) that has materially affected, or is reasonably likely to materially affect, the registrant’s internal control over financial reporting.

 

5. The registrant’s other certifying officer(s) and I have disclosed, based on Neuraxis, Inc.’s most recent evaluation of internal control over financial reporting, to the registrant’s auditors and the audit committee of the registrant’s board of directors (of persons performing the equivalent functions):

 

  a. All significant deficiencies and material weaknesses in the design or operation of internal control over financial reporting which are reasonably likely to adversely affect the registrant’s ability to record, process, summarize and report financial information; and
     
  b. Any fraud, whether or not material, that involves management or other employees who have a significant role in the registrant’s internal control over financial reporting.

 

Date: May 12, 2026 By: /s/ Timothy Henrichs
    Timothy Henrichs
    Chief Financial Officer

 

 

 

EX-32.1 4 ex32-1.htm EX-32.1

 

EXHIBIT 32.1

 

CERTIFICATION PURSUANT TO

18 U.S.C. SECTION 1350,

AS ADOPTED PURSUANT TO

SECTION 906 OF THE SARBANES-OXLEY ACT OF 2002

 

In connection with the Quarterly Report of Neuraxis, Inc. (the “Company”) on Form 10-Q for the period ended March 31, 2026 (the “Report”) I, Brian Carrico, Chief Executive Officer of the Company, certify, pursuant to 18 USC Section 1350, as adopted pursuant to Section 906 of the Sarbanes-Oxley Act of 2002, that to the best of my knowledge and belief:

 

  (1) The Report fully complies with the requirements of Section 13(a) or 15(d) of the Securities Exchange Act of 1934; and
     
  (2) The information contained in the Report fairly presents, in all material respects, the financial condition and results of operations of the Company.

 

Date: May 12, 2026 By: /s/ Brian Carrico
    Brian Carrico
    Chief Executive Officer

 

This certification accompanies the Report pursuant to Section 906 of the Sarbanes-Oxley Act of 2002 and shall not, except to the extent required by the Sarbanes-Oxley Act of 2002, be deemed filed by the Company for purposes of Section 18 of the Securities Exchange Act of 1934, as amended.

 

 

 

EX-32.2 5 ex32-2.htm EX-32.2

 

EXHIBIT 32.2

 

CERTIFICATION PURSUANT TO

18 U.S.C. SECTION 1350,

AS ADOPTED PURSUANT TO

SECTION 906 OF THE SARBANES-OXLEY ACT OF 2002

 

In connection with the Quarterly Report of Neuraxis, Inc. (the “Company”) on Form 10-Q for the period ended March 31, 2026 (the “Report”) I, Timothy Henrichs, Chief Financial Officer of the Company, certify, pursuant to 18 USC Section 1350, as adopted pursuant to Section 906 of the Sarbanes-Oxley Act of 2002, that to the best of my knowledge and belief:

 

  (1) The Report fully complies with the requirements of Section 13(a) or 15(d) of the Securities Exchange Act of 1934; and
     
  (2) The information contained in the Report fairly presents, in all material respects, the financial condition and results of operations of the Company.

 

Date: May 12, 2026 By: /s/ Timothy Henrichs
    Timothy Henrichs
    Chief Financial Officer

 

This certification accompanies the Report pursuant to Section 906 of the Sarbanes-Oxley Act of 2002 and shall not, except to the extent required by the Sarbanes-Oxley Act of 2002, be deemed filed by the Company for purposes of Section 18 of the Securities Exchange Act of 1934, as amended.

 

 

 

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Cover - shares
3 Months Ended
Mar. 31, 2026
May 08, 2026
Cover [Abstract]    
Document Type 10-Q  
Amendment Flag false  
Document Quarterly Report true  
Document Transition Report false  
Document Period End Date Mar. 31, 2026  
Document Fiscal Period Focus Q1  
Document Fiscal Year Focus 2026  
Current Fiscal Year End Date --12-31  
Entity File Number 001-41775  
Entity Registrant Name NEURAXIS, INC.  
Entity Central Index Key 0001933567  
Entity Tax Identification Number 45-5079684  
Entity Incorporation, State or Country Code DE  
Entity Address, Address Line One 11611 N. Meridian Street  
Entity Address, Address Line Two Suite 330  
Entity Address, City or Town Carmel  
Entity Address, State or Province IN  
Entity Address, Postal Zip Code 46032  
City Area Code (812)  
Local Phone Number 689-0791  
Title of 12(b) Security Common Stock  
Trading Symbol NRXS  
Security Exchange Name NYSEAMER  
Entity Current Reporting Status Yes  
Entity Interactive Data Current Yes  
Entity Filer Category Non-accelerated Filer  
Entity Small Business true  
Entity Emerging Growth Company true  
Elected Not To Use the Extended Transition Period true  
Entity Shell Company false  
Entity Common Stock, Shares Outstanding   12,384,405
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Condensed Balance Sheets - USD ($)
Mar. 31, 2026
Dec. 31, 2025
Current Assets:    
Cash and cash equivalents $ 7,078,659 $ 4,965,072
Accounts receivable, net of credit losses of $7,220 and $7,326 as of March 31, 2026 and December 31, 2025, respectively 385,009 195,703
Inventories, net of reserves of $28,048 and $34,524 as of March 31, 2026 and December 31, 2025, respectively 238,282 257,132
Prepaids and other current assets 441,075 315,283
Total current assets 8,143,025 5,733,190
Property and Equipment, at Cost 382,465 382,465
Less - accumulated depreciation (314,935) (306,901)
Property and equipment, net 67,530 75,564
Other Assets:    
Operating lease right of use asset, net 245,350 261,565
Intangible assets, net 266,494 274,778
Other non-current assets 23,307 58,939
Total Assets 8,745,706 6,404,036
Current Liabilities:    
Accounts payable 305,296 139,365
Accrued expenses 2,261,447 2,393,229
Current portion of operating lease payable 68,789 65,752
Notes payable 100,735 148,293
Customer deposits 29,585 28,660
Warrant liabilities 48,306 16,800
Total current liabilities 2,814,158 2,792,099
Non-Current Liabilities:    
Operating lease payable, net of current portion 183,998 202,566
Other non-current liabilities 9,999
Total liabilities 2,998,156 3,004,664
Stockholders’ Equity    
Convertible Series B Preferred stock, $0.001 par value; 5,000,000 shares authorized, 3,796,907 shares issued and outstanding as of March 31, 2026 and December 31, 2025 3,797 3,797
Common stock, $0.001 par value; 100,000,000 shares authorized; 11,450,045 and 10,652,812 shares issued and outstanding as of March 31, 2026 and December 31, 2025, respectively 11,450 10,653
Additional paid in capital 72,093,902 67,985,089
Accumulated deficit (66,361,599) (64,600,167)
Total stockholders’ equity 5,747,550 3,399,372
Total Liabilities and Stockholders’ Equity $ 8,745,706 $ 6,404,036
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Condensed Balance Sheets (Parenthetical) - USD ($)
Mar. 31, 2026
Dec. 31, 2025
Accounts receivable, net of credit losses $ 7,220 $ 7,326
Inventories, net of reserves $ 28,048 $ 34,524
Common stock, par value $ 0.001 $ 0.001
Common stock, shares authorized 100,000,000 100,000,000
Common stock, shares issued 11,450,045 10,652,812
Common stock, shares outstanding 11,450,045 10,652,812
Convertible Series B Preferred Stock [Member]    
Preferred stock, par value $ 0.001 $ 0.001
Preferred stock, shares authorized 5,000,000 5,000,000
Preferred stock, shares issued 3,796,907 3,796,907
Preferred stock, shares outstanding 3,796,907 3,796,907
XML 15 R4.htm IDEA: XBRL DOCUMENT v3.26.1
Condensed Statements of Operations (Unaudited) - USD ($)
3 Months Ended
Mar. 31, 2026
Mar. 31, 2025
Income Statement [Abstract]    
Net Sales $ 1,607,883 $ 895,655
Cost of Goods Sold 218,366 139,475
Gross Profit 1,389,517 756,180
Selling Expenses 824,336 500,119
Research and Development 99,567 117,867
General and Administrative 2,206,293 2,433,292
Operating Loss (1,740,679) (2,295,098)
Other Income (Expense):    
Interest expense (26,189) (2,237)
Change in fair value of warrant liability (31,506) 1,831
Other income 36,942 16,820
Total other (expense) income, net (20,753) 16,414
Net Loss (1,761,432) (2,278,684)
Preferred stock dividends (189,399) (213,543)
Net Loss Available to Common Stockholders $ (1,950,831) $ (2,492,227)
Per-Share Data    
Basic loss per share $ (0.18) $ (0.33)
Diluted loss per share $ (0.18) $ (0.33)
Weighted Average Common Shares Outstanding    
Basic 10,948,121 7,463,578
Diluted 10,948,121 7,463,578
XML 16 R5.htm IDEA: XBRL DOCUMENT v3.26.1
Condensed Statements of Stockholders' Equity (Unaudited) - USD ($)
Convertible Series B Preferred Stock [Member]
Preferred Stock [Member]
Common Stock [Member]
Additional Paid-in Capital [Member]
Retained Earnings [Member]
Total
Balance at Dec. 31, 2024 $ 4,281 $ 6,990 $ 58,856,089 $ (56,799,612) $ 2,067,748
Balance, shares at Dec. 31, 2024 4,280,939 6,990,227      
Warrants exercised $ 186 (186)
Warrants exercised, shares   186,166      
Common stock issued from agreements $ 40 112,453 112,493
Common stock issued from agreements, shares   39,471      
Stock-based compensation 105,811 105,811
Additional paid in capital from restricted stock units 251,111 251,111
Net loss (2,278,684) (2,278,684)
Balance at Mar. 31, 2025 $ 4,281 $ 7,216 59,325,278 (59,078,296) 258,479
Balance, shares at Mar. 31, 2025 4,280,939 7,215,864      
Balance at Dec. 31, 2025 $ 3,797 $ 10,653 67,985,089 (64,600,167) 3,399,372
Balance, shares at Dec. 31, 2025 3,796,907 10,652,812      
Warrants exercised $ 213 506,822 507,035
Warrants exercised, shares   213,040      
Common stock issued from agreements $ 86 399,909 399,995
Common stock issued from agreements, shares   86,392      
Stock-based compensation 329,434 329,434
Net loss (1,761,432) (1,761,432)
Issuance of common stock pursuant to shelf registration statement $ 495 2,989,866 2,990,361
Issuance of common stock pursuant to shelf registration statement, shares   495,456      
Offering costs (110,431) (110,431)
Common stock issued under the 2022 Omnibus Securities and Incentive Plan $ 3 (6,787) (6,784)
Common stock issued under the 2022 Omnibus Securities and Incentive Plan, shares   2,345      
Balance at Mar. 31, 2026 $ 3,797 $ 11,450 $ 72,093,902 $ (66,361,599) $ 5,747,550
Balance, shares at Mar. 31, 2026 3,796,907 11,450,045      
XML 17 R6.htm IDEA: XBRL DOCUMENT v3.26.1
Condensed Statements of Cash Flows (Unaudited) - USD ($)
3 Months Ended 12 Months Ended
Mar. 31, 2026
Mar. 31, 2025
Dec. 31, 2025
Cash Flows from Operating Activities      
Net Loss $ (1,761,432) $ (2,278,684)  
Adjustments to reconcile net loss to net cash used by operating activities:      
Depreciation and amortization 16,317 6,356  
Provisions for losses on accounts receivable (106)  
Provisions for losses on inventory (6,476)  
Loss on disposal of property and equipment 533  
Non-cash lease expense 16,215 13,719  
Stock-based compensation 329,434 105,811  
Issuance of common stock for non-cash consideration 50,001  
Change in fair value of warrant liabilities 31,506 (1,831)  
Changes in operating assets and liabilities:      
Accounts receivable (189,200) 910  
Inventory 25,326 6,907  
Prepaids and other current assets 39,119 25,840  
Accounts payable 165,932 (61,931)  
Accrued expenses 68,213 156,784  
Customer deposits 925 5,157  
Operating lease liability (15,531) (14,823)  
Other non-current liabilities 431,597  
Net cash used in operating activities (1,229,757) (1,603,655)  
Cash Flows from Investing Activities      
Additions to property and equipment (18,000)  
Net cash used in investing activities (18,000)  
Cash Flows from Financing Activities      
Proceeds from issuance of common stock 2,990,361  
Proceeds from exercised warrants 507,035  
Offering costs paid (89,711)  
Principal payments on notes payable (57,557) (69,845)  
Taxes paid related to net share settlement of restricted stock units (6,784)  
Net cash provided by (used in) financing activities 3,343,344 (69,845)  
Net Increase (Decrease) in Cash and Cash Equivalents 2,113,587 (1,691,500)  
Cash and Cash Equivalents at Beginning of Period 4,965,072 3,696,870 $ 3,696,870
Cash and Cash Equivalents at End of Period 7,078,659 2,005,370 $ 4,965,072
Supplemental Disclosure of Operating Activities      
Cash paid for interest 2,573 2,237  
Cash paid for income taxes  
Supplemental Schedule of Non-Cash Investing and Financing Activities      
Common stock issued for services 399,995 112,493  
Common stock issued upon cashless exercise of warrants 186  
Share settlement of restricted stock units, net of shares withheld for payment of payroll taxes 3  
Deferred offering costs reclassified to additional paid in capital upon completion of stock offering $ 20,720  
XML 18 R7.htm IDEA: XBRL DOCUMENT v3.26.1
Pay vs Performance Disclosure - USD ($)
3 Months Ended
Mar. 31, 2026
Mar. 31, 2025
Pay vs Performance Disclosure [Table]    
Net Income (Loss) $ (1,761,432) $ (2,278,684)
XML 19 R8.htm IDEA: XBRL DOCUMENT v3.26.1
Insider Trading Arrangements
3 Months Ended
Mar. 31, 2026
Insider Trading Arrangements [Line Items]  
Rule 10b5-1 Arrangement Adopted false
Non-Rule 10b5-1 Arrangement Adopted false
Rule 10b5-1 Arrangement Terminated false
Non-Rule 10b5-1 Arrangement Terminated false
XML 20 R9.htm IDEA: XBRL DOCUMENT v3.26.1
Basis of Presentation, Organization and Other Matters
3 Months Ended
Mar. 31, 2026
Accounting Policies [Abstract]  
Basis of Presentation, Organization and Other Matters

1. Basis of Presentation, Organization and Other Matters

 

NeurAxis, Inc. (“we,” “us,” the “Company,” or “NeurAxis”) was established in 2011 and incorporated in the state of Indiana in 2012 under the name of Innovative Health Solutions, Inc. The name was changed to NeurAxis, Inc. in 2022 when the Company filed a Certificate of Conversion and became a Delaware corporation.

 

The Company is headquartered in Carmel, Indiana, and specializes in the development, production, and sale of medical neuromodulation devices. The Company has developed four FDA cleared products: (i) the IB-STIM (DEN180057, 2019), (ii) the Rectal Expulsion Device (“RED”) (K242304,2024), (iii) the NSS-2 Bridge (DEN170018, 2017) and (iv) the original 510(K) clearance (K140530, 2014).

 

  ● The IB-STIM is a percutaneous electrical nerve field stimulator (PENFS) device that is indicated in patients 8-21 years of age with functional abdominal pain associated with irritable bowel syndrome and in patients 8 years and older with functional abdominal pain associated with functional dyspepsia and related nausea symptoms.
     
  ● RED is indicated to evaluate the neuromuscular function of a patient’s ability to expel its contents from the rectum and as a qualitative test for rectal hypersensitivity patients who experience desire or urge to defecate at lower volumes of distention. RED is intended to be used in a clinical setting by trained health care providers in adult populations.
     
  ● The NSS-2 Bridge is a percutaneous nerve field stimulator (PNFS) device indicated for use in the reduction of the symptoms of opioid withdrawal and was licensed to Masimo Corporation (“Masimo”). Masimo marketed and sold this product as its Masimo Bridge. On July 1, 2025, the Company terminated the NSS-2 Bridge license with Masimo in exchange for $200,000 of consideration payable in equal installments on December 31, 2025 and June 30, 2026. The termination agreement allowed the Company to recapture its rights to the trademark (U.S. Registration No. 7,394,465) and two patent applications (Application No. 18/821,225 and Application No. 29/960,608) that were licensed to Masimo on April 9, 2020.
     
  ● The original 510(K) device was an Electroacupuncture Device (“EAD”), now called NeuroStim. The EAD is no longer being manufactured, sold or distributed but reserved only for research purposes.

 

The Company’s financial statements have been prepared in accordance with accounting principles generally accepted in the United States of America (“U.S. GAAP”) and following the requirements of the U.S. Securities and Exchange Commission (“SEC”) for interim reporting. As permitted under those rules, certain footnotes or other financial information that are normally required by U.S. GAAP can be condensed or omitted. These interim financial statements have been prepared on the same basis as the Company’s annual financial statements and, in the opinion of management, reflect all adjustments which are necessary for a fair presentation of the Company’s financial information. These unaudited interim results are not necessarily indicative of the results to be expected for the year ending December 31, 2026, or any other interim period or for any other future year. These unaudited financial statements should be read in conjunction with the Company’s audited financial statements and the notes thereto for the year ended December 31, 2025.

 

 

XML 21 R10.htm IDEA: XBRL DOCUMENT v3.26.1
Summary of Significant Accounting Policies
3 Months Ended
Mar. 31, 2026
Accounting Policies [Abstract]  
Summary of Significant Accounting Policies

2. Summary of Significant Accounting Policies

 

Use of Estimates and Critical Accounting Estimates and Assumptions

 

The preparation of financial statements in conformity with U.S. GAAP requires management to make estimates and assumptions that 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 revenues and expenses during the reporting periods.

 

These significant accounting estimates or assumptions bear the risk of change due to uncertainties attached to these estimates or assumptions, and certain estimates or assumptions are difficult to measure or value.

 

Management bases its estimates on historical experience and on various assumptions that are believed to be reasonable in relation to the financial statements taken as a whole under the circumstances, the results of which form the basis for making judgments about the carrying values of assets and liabilities that are not readily apparent from other sources.

 

Management regularly evaluates the key factors and assumptions used to develop the estimates utilizing currently available information, changes in facts and circumstances, historical experience and reasonable assumptions. After such evaluations, if deemed appropriate, those estimates are adjusted accordingly. The Company uses estimates in accounting for, among other items, revenue recognition, allowance for credit losses, stock-based compensation, income tax provisions, excess and obsolete inventory reserve, impairment of property and equipment and intellectual property. Actual results could differ from those estimates.

 

Reclassification of Prior Year Amounts

 

Certain prior year amounts have been reclassified to conform to current period presentation. The Company reclassified $366,165 of general and administrative expenses to selling expenses in the Condensed Statements of Operations for the three months ended March 31, 2025. The Company also reclassified $57,311 of general and administrative expenses to research and development expenses in the Condensed Statements of Operations for the three months ended March 31, 2025. These reclassifications had no impact on previously reported net loss, total assets, total liabilities or total equity.

 

Accounts Receivable and Allowance for Credit Losses

 

Trade accounts receivable is stated at the amount management expects to collect from outstanding balances, net of an allowance for credit losses. Management evaluates many factors when determining the collectability of specific customer accounts, including, but not limited to, creditworthiness, past transaction and payment history, current economic industry trends and changes in payment terms. Management used assumptions and judgment based on the best available facts and circumstances to estimate and record an allowance. The Company monitors accounts receivable and estimates the allowance for lifetime expected credit losses. Estimates of expected credit losses are based on historical collection experience, aging schedule and other factor, including those related to current and forecasted market conditions and events. The allowance for credit losses was $7,220 and $7,326 as of March 31, 2026 and December 31, 2025, respectively. The Company recorded no credit loss expense for the three months ended March 31, 2026 and 2025.

 

Inventories

 

Inventories are valued at the lower of cost or net realizable value. Cost is determined using the weighted average method. The inventory is comprised of finished medical devices on hand. Certain components within the devices have an expiration date that are removed from current inventory and expensed at the date of expiration. The Company has reserved for expired inventory as charges to cost of goods sold of $758 and $0 for the three months ended March 31, 2026 and 2025, respectively. There was no reserve for research devices recorded as charges to research and development expenses for the three months ended March 31, 2026 and 2025, respectively. Inventory reserves totaled $28,048 and $34,524 as of March 31, 2026 and December 31, 2025, respectively.

 

 

Selling Expenses

 

Selling expenses consist primarily of advertising, marketing and promotion of the Company’s products including salaries and related personnel costs and travel expenses. Advertising expenses are expensed as incurred and amounted to $29,821 and $85,348 for the three months ended March 31, 2026 and 2025, respectively.

 

Research and Development

 

Research and development expenses consist primarily of clinical research studies, new product development, costs of materials and supplies used in research and development activities and salaries and related personnel costs for employees engaged in research and development activities to have our IB-Stim and RED devices cleared by the FDA for other indications. Research and development costs are expensed as incurred.

 

Intangible Assets

 

Intangible assets consist of software, patents, a trademark and a license. Intangible assets are stated at their historical cost and amortized on a straight-line basis over their expected useful lives. Capitalized patent costs, net of accumulated amortization, includes legal costs incurred for patent applications. In accordance with ASC 350, once a patent is granted, we amortize the capitalized patent costs over the remaining life of the patent using the straight-line method. If the patent is not granted, we write off any capitalized patent costs at that time.

 

The Company purchased a trademark related to the Company’s name for $50,000. The trademark does not have a determinate life and therefore the cost is not being amortized.

 

On July 1, 2025, the Company terminated the NSS-2 Bridge license with Masimo in exchange for $200,000 of consideration payable in equal installments on December 31, 2025, and June 30, 2026. The termination agreement allowed the Company to recapture the rights to the trademark (U.S. Registration No. 7,394,465) and two patent applications (Application No. 18/821,225 and Application No. 29/960,608) that were licensed to Masimo on April 9, 2020 for use in the reduction of the symptoms of opioid withdrawal. The intellectual property is amortized over its remaining trademark life of approximately nine years.

 

Fair Value Measurements

 

The Company accounts for financial instruments in accordance with Accounting Standards Codification (“ASC”) 820, Fair Value Measurements and Disclosures, which establishes a fair value hierarchy that prioritizes the inputs to valuation techniques used to measure fair value. The hierarchy gives the highest priority to unadjusted quoted prices in active markets for identical assets or liabilities (Level 1 measurements) and the lowest priority to unobservable inputs (Level 3 measurements). The three levels of the fair value hierarchy under ASC 820 are described as follows:

 

Level 1 – Quoted prices (unadjusted) for identical unrestricted assets or liabilities in active markets that the reporting entity has the ability to access as of the measurement date.

 

Level 2 – Significant other observable inputs other than Level 1 prices such as quoted prices for similar assets or liabilities, quoted prices in markets that are not active or financial instruments for which all significant inputs are observable or can be corroborated by observable market data, either directly or indirectly.

 

Level 3 – Unobservable inputs that are supported by little or no market activity and that are significant to the fair value of the assets or liabilities. These unobservable inputs reflect that reporting entity’s own assumptions about what market participants would use in pricing the asset or liability. Level 3 assets and liabilities include financial instruments whose value is determined using pricing models, discounted cash flow methodologies, or similar techniques, as well as instruments for which the determination of fair value require significant management judgment or estimation.

 

Management believes the estimated fair value of certain accounts including cash, accounts receivable, account payable and other current assets on March 31, 2026, and December 31, 2025, approximate their carrying value as reflected in the balance sheets due to the short-term nature of these instruments or the use of market interest rates for debt instruments.

 

 

The Company’s Level 3 accounts include warrant liabilities and the floating lookback option provision in the Neuraxis, Inc. Employee Stock Purchase Plan. Inputs to determine fair value are generally unobservable and typically reflect management’s estimates of assumptions that market participants would use in pricing the asset or liability. The fair values are therefore determined using model-based techniques, including option pricing and discounted cash flow models. The valuation techniques involve management’s estimates and judgment based on unobservable inputs. The fair value estimates may not be indicative of the amounts that would be realized in a market exchange. Additionally, there may be inherent uncertainties or changes in the underlying assumptions used, which could significantly affect the current or future fair value estimates. Unobservable inputs used in the models are significant to the fair values of the assets and liabilities.

 

There were no transfers between any of the levels during the three months ended March 31, 2026 and 2025. In addition to assets and liabilities that are recorded at fair value on a recurring basis, the Company had no assets that were measured on a nonrecurring basis as of March 31, 2026 and December 31, 2025.

 

Basic and Diluted Net Income (Loss) per Share

 

Basic earnings or loss per share (“EPS”) is computed by dividing net income (loss), net of preferred stock dividends, by the weighted average number of common shares outstanding during the period. Diluted EPS is determined using the weighted average number of common shares outstanding during the period, adjusted for the dilutive effect of common stock equivalents that were outstanding for the periods presented. In periods when losses are reported, which is the case for the three month periods ended March 31, 2026 and 2025 presented in these financial statements, the weighted average number of common shares outstanding excludes common stock equivalents because their inclusion would be anti-dilutive. Preferred stock dividends (neither declared nor paid) were $1,215,264 and $1,025,865 as of March 31, 2026 and December 31, 2025, respectively.

 

The Company had the following potentially dilutive common stock equivalents:

 

   2026   2025 
   March 31, 
   2026   2025 
         
Options   1,319,394    1,319,394 
Restricted Stock Units   1,265,443    842,214 
Warrants   1,166,484    2,139,883 
Series B Preferred Stock   3,796,907    4,280,939 
Undeclared Cumulative Series B Preferred Stock Dividends   510,615    178,492 
Totals   8,058,843    8,760,922 

 

The following table presents the calculation of the basic and diluted net loss per share and the effect of preferred stock dividends:

 

   2026   2025 
  

Three Months Ended

March 31,

 
   2026   2025 
Numerator:        
Net loss  $(1,761,432)  $(2,278,684)
Preferred stock dividends   (189,399)   (213,543)
Net loss available to common stockholders   (1,950,831)   (2,492,227)
Denominator:          
Weighted average shares of common stock outstanding - basic and diluted   10,948,121    7,463,578 
Basic and diluted net loss per share  $(0.18)  $(0.33)

 

 

Stock-Based Compensation

 

The Company accounts for all stock-based awards at fair value. The Company recognizes its stock-based compensation expense using the straight-line method. Compensation cost is not adjusted for estimated forfeitures, but instead is adjusted upon actual forfeiture.

 

The Company accounts for the granting of stock options and restricted stock units to employees and non-employees using the fair value method whereby all awards are measured at fair value on the date of the grant. The fair value of all employee stock options and restricted stock units is expensed over the requisite service period with a corresponding increase to additional paid-in capital. Upon exercise of stock options, the consideration paid by the option holder is recorded in additional paid-in capital, while the par value of the shares received is reclassified from additional paid-in-capital to common stock. Upon vesting of restricted stock units, the par value of the shares issued are reclassified from additional paid-in-capital to common stock.

 

Stock-based awards to non-employees are measured based on the fair value of the equity instrument issued. Compensation expense for non-employee stock awards is recognized over the requisite service period following the measurement of the fair value on the grant date.

 

The Company uses the Black-Scholes option-pricing model to calculate the fair value of stock options and the Monte Carlo simulation model to calculate the fair value of the floating lookback option with the Neuraxis, Inc. 2025 Employee Stock Purchase Plan. The use of these option-pricing models requires management to make assumptions with respect to the expected term of the option, the expected volatility of the common stock consistent with the expected term of the option, risk-free interest rates, the value of the common stock and expected dividend yield of the common stock. Changes in these assumptions can materially affect the fair value estimate.

 

Revenue Recognition

 

In accordance with ASC 606, Revenue from Contracts with Customers, the Company recognizes revenue when its customer obtains control of promised goods or services, in an amount that reflects the consideration which the Company expects to be entitled in exchange for those goods or services. To determine revenue recognition for arrangements that the Company determines are within the scope of ASC 606, it (i) identifies the contract(s) with a customer, (ii) identifies the performance obligations in the contract, (iii) determines the transaction price, (iv) allocates the transaction price to the performance obligations in the contract and (v) recognizes revenue when (or as) the entity satisfies a performance obligation.

 

The Company applies the five-step model to contracts when it determines that it is probable it will collect substantially all the consideration it is entitled to in exchange for the goods or services it transfers to the customer. At contract inception, once the contract is determined to be within the scope of ASC 606, the Company assesses the goods or services promised within each contract and determines those that are performance obligations and assesses whether each promised good or service is distinct. The Company then recognizes as revenue the amount of the transaction price, after consideration of variability and constraints, if any, that is allocated to the respective performance obligation when the performance obligation is satisfied.

 

The Company offers a patient assistance program for patients without insurance coverage for IB-Stim. This program extends potential self-pay discounts for IB-Stim devices, based upon household income and size.

 

Certain economic factors affect the nature, amount, timing, and uncertainty of the Company’s revenue and cash flows. All of the Company’s products are sold to healthcare customers including hospitals, clinics and physician offices. Sales to healthcare customers lack seasonality and have a mild correlation with economic cycles. All of the Company’s sales are to customers located within the United States. Sales contracts consist of purchase orders that are short-term (i.e., less than or equal to one year).

 

 

The Company typically satisfies its performance obligations for goods at a point in time as they are received at the customer’s destination (rather than over time). Goods are shipped by common carrier to customers under FOB destination terms. As such, ownership of goods in transit is transferred to the customer upon receipt as the Company bears the associated risks (e.g., loss, damage or delay). Management typically relies on shipping information from common carriers to evaluate when the customer has obtained control of the goods. Shipping and handling costs are recorded as cost of goods sold in the Condensed Statements of Operations.

 

The Company’s contracts with customers typically do not involve variable consideration. The information that the Company uses to determine the transaction price for a contract is similar to the information that the Company’s management uses in establishing the prices of goods to be sold.

 

Orders may not be cancelled after shipment. Customers may return devices within 10 days of delivery if the goods are found to be defective, nonconforming, or otherwise do not meet the stated technical specifications. At the option of the customer, the Company shall either:

 

  ● Refund the price paid for any defective or nonconforming products.
  ● Supply and deliver to the customer replacement conforming products.
  ● Reimburse the customer for the cost of repairing any defective or nonconforming products.

 

At the time revenue is recognized, the Company estimates expected returns and excludes those amounts from revenue. The Company also maintains appropriate accounts to reflect the effects of expected returns on the Company’s financial position and periodically adjusts those accounts to reflect its actual return experience. Estimated returns totaled $33,261 and $13,824 as of March 31, 2026 and December 31, 2025, respectively.

 

Payment for goods sold by the Company is typically due after an invoice is sent to the customer, within 30 days. The Company does not offer discounts if the customer pays some or all of an invoiced amount prior to the due date. None of the Company’s contracts have a significant financing component.

 

Medical devices that the Company contracts to sell and transfer to customers are manufactured by two third-party manufacturers located in Indiana and Michigan. In no case does the Company act as an agent (i.e., the Company does not provide a service of arranging for another party to transfer goods to the customer).

 

Going Concern

 

As of March 31, 2026, the Company had stockholders’ equity of $5,747,550 and short-term outstanding borrowings of $100,735. Additionally, the Company had cash of $7,078,659 and a working capital surplus of $5,328,867 as of March 31, 2026. However, we have incurred losses and negative cash flows from operations since inception and have funded our operations primarily with a combination of sales, debt, and proceeds from the issuance of capital stock.

 

Our future capital requirements will depend upon many factors, including progress with developing, manufacturing, and marketing our technologies, the time and costs involved in preparing, filing, prosecuting, maintaining, and enforcing patent claims and other proprietary rights, our ability to establish collaborative arrangements, marketing activities and competing technological and market developments, including regulatory changes and overall economic conditions in our target markets. Our ability to generate revenue and achieve profitability requires us to successfully market and secure purchase orders for our products from customers currently identified in our sales pipeline and to new customers as well. The primary activity that will drive all customers and revenues is the adoption of insurance coverage by commercial insurance carriers nationally, which is a top priority of the Company. These activities, including our planned research and development efforts, will require significant uses of working capital through the rest of 2026 and beyond.

 

 

Management evaluates whether there are conditions or events that raise substantial doubt about the Company’s ability to continue as a going concern for a period of one year from the date the financial statements are issued.

 

While the Company believes in the viability of its strategy to further implement its business plan and generate sufficient revenues and in its ability to raise additional funds by way of a public or private offering of its debt or equity securities, there can be no assurance that it will be able to do so on reasonable terms, or at all. The ability of the Company to continue as a going concern is dependent upon its ability to further implement its business plan and generate sufficient revenues and its ability to raise additional funds by way of a public or private offering. Neither future cash generated from operating activities, nor management’s contingency plans to mitigate the risk and extend cash resources through the evaluation period, are considered probable. As a result, substantial doubt is deemed to exist about the Company’s ability to continue as a going concern. As the Company continue to incur losses, the transition to profitability is dependent upon achieving a level of revenues adequate to support its cost structure. We may never achieve profitability, and unless and until doing so, we intend to fund future operations through additional dilutive or nondilutive financing. There can be no assurances, however, that additional funding will be available on terms acceptable to us, if at all.

 

The financial statements do not include any adjustments related to the recoverability and classification of recorded asset amounts or the amounts and classification of liabilities that might be necessary should the Company be unable to continue as a going concern.

 

Recently Adopted Accounting Standards

 

In July 2025, the FASB issued ASU 2025-05, Financial Instruments—Credit Losses (Topic 326), which allows registrants to elect a practical expedient when estimating expected credit losses on accounts receivable. Under the practical expedient, an entity may assume that the current conditions as of the balance sheet date persist for the remaining life of the asset, thereby removing the requirement to generate forward-looking forecasts. All entities are required to adopt the standard prospectively for fiscal years beginning after December 15, 2025, and interim periods within those annual reporting periods. The Company adopted the provisions of ASU 2025-05 as of January 1, 2026, on a prospective basis. The Company did not elect the practical expedient and the adoption of the standard did not have a material impact on the Company’s financial statements.

 

In December 2023, the FASB issued ASU 2023-09, Income Taxes (Topic 740): Improvements to Income Tax Disclosures, which requires the enhancement of income tax disclosures to provide better insight into how an entity’s operations and related tax risks, planning and opportunities affect its tax rate and prospects for future cash flows. The enhanced disclosures require (i) specific categories in a tabular rate reconciliation including both amounts and percentages and (ii) additional information for reconciling items and income tax paid that meet a quantitative threshold. Public business entities are required to adopt the standard for annual periods beginning after December 15, 2024. The Company adopted the disclosure provisions of ASU 2023-09 as of December 31, 2025, on a prospective basis. The adoption of this standard did not have a material impact on the Company’s financial statements.

 

Recently Issued Accounting Standards

 

In December 2025, the FASB issued ASU 2025-11, Interim Reporting (Topic 270), which provides a comprehensive list of interim disclosures that are required by U.S. GAAP to provide clarity on current requirements. Public business entities are required to adopt the standard for interim periods within annual reporting periods beginning after December 15, 2027. The adoption is not expected to have a material impact on the Company’s financial statements.

 

In September 2025, the FASB issued ASU 2025-06, Intangibles—Goodwill and Other—Internal-Use Software (Subtopic 350-40): Targeted Improvement to the Accounting for Internal-Use Software, which replaces project stage milestones with required capitalization when management has authorized and committed to funding the software project and it is probably that the project will be completed and the software will be used to perform the function intended. Depreciation expense and accumulated depreciation for internal-use software are also required to be disclosed for all periods presented. All entities are required to adopt the standard for fiscal years beginning after December 15, 2027 and interim periods within those annual reporting periods. Early adoption is permitted as of the beginning of an annual reporting period. The adoption is not expected to have a material impact on the Company’s financial statements.

 

In November 2024, the FASB issued ASU 2024-03, Income Statement—Reporting Comprehensive Income—Expense Disaggregation Disclosures (Subtopic (220-40): Disaggregation of Income Statement Expenses, which requires disclosures that disaggregate, in a tabular presentation, each relevant expense caption on the face of the income statement that includes inventory purchases, employee compensation, depreciation and intangible amortization expense. Additional disclosures are also required to provide a qualitative description of the amounts in an expense caption that are not separately disaggregated quantitatively and the total amount of selling expenses including a definition. Public business entities are required to adopt the standard for fiscal years beginning after December 15, 2026 and interim periods within fiscal years beginning after December 15, 2027. Disclosures are required for all prior periods presented in the financial statements. Although the standard requires enhanced disclosures, the adoption is not expected to have a material impact on the Company’s financial statements.

 

 

XML 22 R11.htm IDEA: XBRL DOCUMENT v3.26.1
Related Party Transactions
3 Months Ended
Mar. 31, 2026
Related Party Transactions [Abstract]  
Related Party Transactions

3. Related Party Transactions

 

The Company has two demand notes receivable from shareholders related to the sale of common stock on January 1, 2016. Both notes’ principal balances are $506,400, with interest calculated monthly based on applicable federal rates. No payments have been received on the notes. Since repayment is not assured, the Company has fully reserved for the entire balance of principal and interest. The current allowance is $1,250,388 and $1,241,559 as of March 31, 2026 and December 31, 2025, respectively. The current loan balances are as follows:

 

   March 31, 2026   December 31, 2025 
   Loan   Interest   Interest   Loan   Interest   Interest 
   Receivable   Receivable   Income   Receivable   Receivable   Income 
Shareholder 1  $506,400   $118,861   $4,414   $506,400   $114,447   $20,096 
Shareholder 2   506,400    118,727    4,414    506,400    114,312    20,096 
Principal balance   1,012,800    237,588    8,828    1,012,800    228,759    40,192 
Allowance for collection risk   (1,012,800)   (237,588)   (8,828)   (1,012,800    (228,759)   (40,192)
Net balance  $—   $—   $—   $—   $—   $— 

 

The Company has loans payable to shareholders related to funding needs for operations. The current loan details for all related party loans are as follows:

  

              Interest &     
      Interest   Loan   Service Fee   Interest 
March 31, 2026  Due Date  Rate   Balance   Accrued   Paid 
Other Convertibles  Various   5.0%   —    66,648    — 
Total          $—   $66,648   $— 

 

              Interest &     
      Interest   Loan   Service Fee   Interest 
December 31, 2025  Due Date  Rate   Balance   Accrued   Paid 
Other Convertibles  Various   5.0%   —    66,648    — 
Total          $—   $66,648   $— 

 

The Company was granted an exclusive, worldwide non-transferable, royalty-free license for the auricular portion of certain patents owned by a limited liability company in which the Company’s President and Chief Executive Officer and Chief Regulatory, Compliance and Privacy Officer both maintain an ownership interest. The license allows for the development, marketing and sales of electro-therapy treatments by stimulation of cranial nerves, cranial nerve branches, auricular nerves, auricular nerve branches, auricular nerve bundles and auricular anatomical structures in human patients. The exclusive license agreement expires on October 18, 2037, may be terminated by either party upon 60 days prior written notice and requires the Company to pay costs associated with the maintenance, prosecution and continuation of patent filings. The Company’s Board of Directors pre-approved the reimbursement of up to $20,000 for the year ending December 31, 2026. License costs totaled $453 and $1,317 for the three months ended March 31, 2026 and 2025, respectively. The Company owed the limited liability company $453 and $0 that are included in accounts payable in the Condensed Balance Sheets as of March 31, 2026 and December 31, 2025, respectively.

 

From time to time, a member of the Company’s Board of Directors purchases NeuroStim devices from the Company at cost to conduct research and development activities. The Company’s Board of Directors pre-approved the sale of these NeuroStim devices up to $20,000 for the year ended December 31, 2026. The Company sold NeuroStim devices totaling $1,515 and $1,957 for the three months ended March 31, 2026 and 2025, respectively, under this program.

 

XML 23 R12.htm IDEA: XBRL DOCUMENT v3.26.1
Prepaids and Other Current Assets
3 Months Ended
Mar. 31, 2026
Prepaids And Other Current Assets  
Prepaids and Other Current Assets

4. Prepaids and Other Current Assets

 

Prepaids and other current assets consisted of the following:

  

   March 31, 2026   December 31, 2025 
Prepaid insurance  $85,680   $141,299 
Prepaid software subscriptions   89,103    103,390 
Other   266,292    70,594 
Total prepaids and other current assets  $441,075   $315,283 

 

 

XML 24 R13.htm IDEA: XBRL DOCUMENT v3.26.1
Other Non-Current Assets
3 Months Ended
Mar. 31, 2026
Deferred Costs, Capitalized, Prepaid, and Other Assets Disclosure [Abstract]  
Other Non-Current Assets

5. Other Non-Current Assets

 

Other non-current assets consisted of the following

 

    March 31, 2026     December 31, 2025  
Security deposit   $ 20,163     $ 20,163  
Deferred offering costs     3,144       23,864  
Prepaid software subscriptions     —       14,912  
Total other non-current assets   $ 23,307     $ 58,939  

 

XML 25 R14.htm IDEA: XBRL DOCUMENT v3.26.1
Accrued Expenses
3 Months Ended
Mar. 31, 2026
Payables and Accruals [Abstract]  
Accrued Expenses

6. Accrued Expenses

 

Accrued expenses consisted of the following:

 

   March 31, 2026   December 31, 2025 
Compensation and benefits  $1,232,230   $1,359,993 
Settled litigation   528,799    692,683 
NSS-2 Bridge lease termination fee   100,000    100,000 
Legal fees   78,550    65,714 
Interest   66,648    66,648 
Research and development fees   61,204    2,143 
Audit fees   52,500    — 
Tariffs   50,447    32,000 
Other   91,069    74,048 
Total accrued expenses  $2,261,447   $2,393,229 

 

XML 26 R15.htm IDEA: XBRL DOCUMENT v3.26.1
Notes Payable
3 Months Ended
Mar. 31, 2026
Debt Disclosure [Abstract]  
Notes Payable

7. Notes Payable

 

On August 9, 2025, the Company entered into a $170,000 note payable to finance the premiums of a business insurance policy, bearing interest at an annual interest rate of 7.45% and maturing on June 9, 2026, to replace the $210,000 note payable entered into on August 9, 2024, with an annual interest rate of 7.40% that matured on June 9, 2025 in conjunction with the annual renewal period. On May 26, 2025, the Company also entered into a note payable with a principal balance of $122,253 to finance subscription fees on certain software arrangements maturing on March 1, 2027. The outstanding principal was $100,735 and $148,293 as of March 31, 2026 and December 31, 2025, respectively.

 

Interest expense totaled $26,189 and $2,237 for the three months ended March 31, 2026 and 2025, respectively. The Company’s accrued interest totaled $66,648 as of March 31, 2026 and December 31, 2025.

 

XML 27 R16.htm IDEA: XBRL DOCUMENT v3.26.1
Leases
3 Months Ended
Mar. 31, 2026
Leases  
Leases

8. Leases

 

The Company’s leases are comprised of operating leases for office space. At the inception of the lease, the Company determines whether the lease contract conveys the right to control the use of identified property for a period of time in exchange for consideration. Leases are classified as operating or finance leases at the commencement date of the lease. Operating leases are recorded as operating lease right-of-use assets, other current liabilities, and operating lease liabilities in the Condensed Balance Sheets. The Company did not have any finance leases at March 31, 2026 and December 31, 2025.

 

The Company has two leases consisting of office space in Batesville and Carmel, Indiana. The lease in Batesville, Indiana commenced on August 1, 2025, and has an initial term of three years, with automatic one-year renewals subject to an annual 4% rent escalation, unless 60-day notice of vacating is given. On May 19, 2025, the Company terminated its prior lease in Versailles, Indiana, with a monthly lease payment of $1,800, effective July 31, 2025, without penalty due to relocation of the office space to Batesville, Indiana, with the same landlord. The current monthly lease payment is $2,000 with no escalations during the initial lease term. On June 13, 2025, the Company prepaid $25,200 towards the monthly lease payments which will be amortized over the initial lease term. The lease in Carmel, Indiana commenced January 1, 2024, with an initial term of five years and five months. The monthly lease payment started at $6,721 with an annual increase of 2.5%. The Company was only obligated to pay an amount equal to 50% of the monthly base rent for the first 10 months of the term.

 

The Company recognized operating lease expense of $26,116 and $25,523 for the three months ended March 31, 2026 and 2025, respectively, including short-term lease expense and variable lease costs.

 

 

The following table presents information related to the Company’s operating leases:

  

  

March 31,

2026

  

December 31,

2025

 
Operating lease right of use asset, net  $245,350   $261,565 
           
Current portion of operating lease payable   68,789    65,752 
Operating lease payable, net of current portion   183,998    202,566 
Total operating lease payable  $252,787   $268,318 
           
Weighted-average remaining lease term (in years)   3.07    3.31 
Weighted-average discount rate   15.0%   15.0%

 

As of March 31, 2026, the maturities of the Company’s operating lease liabilities were as follows:

  

     
Remainder of 2026  $75,261 
2027  102,456 
2028   98,127 
2029   38,025 
Total lease payments   313,869 
Less: imputed interest   (61,082)
Total present value of lease payments  $252,787 

 

XML 28 R17.htm IDEA: XBRL DOCUMENT v3.26.1
Common Stock and Warrants
3 Months Ended
Mar. 31, 2026
Equity [Abstract]  
Common Stock and Warrants

9. Common Stock and Warrants

 

The Company has authorized 100,000,000 shares of common stock, of which 11,450,045 and 10,652,812 shares were issued and outstanding as of March 31, 2026 and December 31, 2025, respectively.

 

On January 22, 2026, the Company issued 43,196 shares of common stock with a fair value of $199,995 to its Board of Directors for their services for the year ending December 31, 2026. The Company recorded $50,000 as general and administrative expense in the Condensed Statements of Operations for the three months ended March 31, 2026 and $149,995 as prepaids and other current assets in the Condensed Balance Sheet as of March 31, 2026.

 

On January 22, 2026, the Company issued another 43,196 shares of common stock with a fair value of $200,000 to its Board of Directors for their service during the year ended December 31, 2025. The Company recorded $50,000 as general and administrative expense in the Condensed Statements of Operations for the three months ended March 31, 2025.

 

During the three months ended March 31, 2026, pursuant to the August 2025 At The Market Offering Agreement, the Company issued 495,456 shares of common stock to investors for gross proceeds of $2,990,361 with such shares registered pursuant to the Company’s effective Registration Statement on Form S-3 (File No. 333-283798), previously filed with the Securities and Exchange Commission (“SEC”) on December 13, 2024, and declared effective on February 11, 2025, and the related prospectus supplements filed with the SEC on August 29, 2025, and on October 23, 2025.

 

Additionally, during the three months ended March 31, 2026, the Company issued (i) 213,040 common shares upon the exercise of warrants and (ii) 2,345 common shares pursuant to the 2022 Omnibus Securities and Incentive Plan.

 

During the three months ended March 31, 2025, the Company issued (i) 39,471 shares of common stock with a fair value of $112,493 to its Board of Directors for their service from April 1, 2024 through December 31, 2024, which was recorded as general and administrative expense in the Condensed Statements of Operations and (ii) 186,166 shares of common stock to an investor in exchange for 502,647 warrants in a cashless exercise transaction with $186 reclassified from additional paid in capital to common stock in the Condensed Statements of Stockholders’ Equity.

 

 

The following is a summary of warrant activity for common stock during the three months ended March 31, 2026 and year ended December 31, 2025:

  

   Number of   Weighted-Avg.   Weighted-Avg. 
   Warrants for   Exercise   Remaining 
   Common Stock   Price   Contractual Life 
Outstanding as of January 1, 2025   2,642,530   $2.41    2.93 
Exercised   (1,263,006)   1.82    2.12 
Outstanding as of December 31, 2025   1,379,524    2.44    2.26 
Exercised   (213,040)   2.38    1.94 
Outstanding as of March 31, 2026   1,166,484   $2.45    2.04 

 

The following table summarizes the Company’s warrants outstanding and exercisable as of March 31, 2026:

 

   Number of        
   Warrants   Exercise   Expiration
   Outstanding   Price   Date
Investor Warrant   12,852   $8.76   September 18, 2028
2022 Convertible Notes   160,960   $2.38   Various in 2027
2023 Convertible Notes   861,790   $2.38   Various in 2028
Underwriter Warrants   54,370   $2.38   August 8, 2028
Advisory Agreement Warrants   76,512   $2.38   Various in 2029
    1,166,484         

 

XML 29 R18.htm IDEA: XBRL DOCUMENT v3.26.1
Preferred Stock
3 Months Ended
Mar. 31, 2026
Equity [Abstract]  
Preferred Stock

10. Preferred Stock

 

The Company’s shareholders authorized 5,000,000 shares of preferred stock of which 5,000,000 shares were designated as $0.001 par value Series B Preferred Stock with 3,796,907 shares issued and outstanding as of March 31, 2026 and December 31, 2025. Series B Preferred Stock shareholders vote with Common Stock shareholders on an as-converted basis and not as a separate class. Cumulative dividends accrue at 8.5% per annum and are due and payable in either cash for common shares as the Company’s discretion on a quarterly basis through December 31, 2026. Series B Preferred Stock converts to common stock on a 1:1 basis, subject to adjustments for stock dividends, splits, combinations and similar events as well as unpaid dividends thereon, solely at the election of the holder at any time.

 

Upon any liquidation, dissolution or winding up of the Company, whether voluntary or involuntary, the Series B Preferred Stock shareholders maintain priority preference over all other classes of capital stock. A merger or consolidation (other than one in which stockholders of the Company own a majority by voting power of the outstanding shares of the surviving or acquiring corporation) and a sale, lease, transfer, exclusive license or other disposition of all or substantially all of the assets of the Company will be treated as a liquidation event, thereby triggering payment of the liquidation preferences.

 

As of March 31, 2026 and December 31, 2025, there were no preferred stock dividends declared or paid. Series B Preferred Stock undeclared cumulative dividends totaled $1,215,264 and $1,025,865 as of March 31, 2026 and December 31, 2025, respectively.

 

 

XML 30 R19.htm IDEA: XBRL DOCUMENT v3.26.1
Stock-Based Compensation
3 Months Ended
Mar. 31, 2026
Share-Based Payment Arrangement [Abstract]  
Stock-Based Compensation

11. Stock-Based Compensation

 

Restricted Stock Units

 

Pursuant to the NeurAxis, Inc. 2022 Omnibus Securities and Incentive Plan, the Company initiated grants of restricted stock units (“RSUs”) to certain employees as follows:

  

   Three Months Ended March 31, 
   2026   2025 
   Number of RSUs   Weighted Average Fair Value  

Number of RSUs

   Weighted Average Fair Value 
Outstanding as of Beginning of Period   831,346   $2.32    —   $— 
Granted   437,431    4.63    852,214    2.31 
Vested   (3,334)   2.36    —    — 
Outstanding as of End of Period   1,265,443   $3.12    852,214   $2.31 

 

The RSUs granted during the three months ended March 31, 2026 are subject to a pro rata annual vesting period over 3 years whereas the RSUs granted during the three months ended March 31, 2025 are subject to a three-year cliff vesting period. The RSUs are payable in shares of the Company’s common stock and fully vest upon (i) death or disability or (ii) change of control. Dividend equivalents accrue on RSUs and are paid upon vesting; there were no accrued dividends on unvested RSUs as of March 31, 2026.

 

Total stock-based compensation expense related to RSUs is classified in the Company’s Condensed Statements of Operations as general and administrative expense and amounted to $329,434 and $105,811 for the three months ended March 31, 2026 and 2025, respectively. As of March 31, 2026, total unrecognized stock-compensation expense relating to unvested stock awards granted under the Company’s share-based compensation plans amounted to $2,864,172.

 

Stock Options

 

The following is a summary of the Company’s outstanding stock options as of March 31, 2026 and December 31, 2025:

 

   Number of Options   Weighted Avg. Remaining Contractual Life (in years)   Weighted Avg. Exercise Price   Aggregate Intrinsic Value 
Outstanding as of December 31, 2025   1,319,394    3.69   $6.94   $— 
Outstanding as of March 31, 2026   1,319,394    3.44   $6.94   $— 
Vested and Exercisable as of March 31, 2026   1,319,394    3.44   $6.94   $— 

 

There was no stock-based compensation expense related to stock options recorded for the three months ended March 31, 2026 and 2025.

 

 

Employee Stock Purchase Plan

 

On July 1, 2025, the Compensation Committee of the Board of Directors (“Board”) of the Company adopted the NeurAxis, Inc. 2025 Employee Stock Purchase Plan (the “ESPP”), effective as of the same date and subject to Shareholder approval by July 1, 2026. The purpose of the ESPP is to provide eligible employees an opportunity to acquire common stock of the Company at a 15% discount using payroll deductions. The maximum number of shares of the Company’s common stock that may be issued under the ESPP is 100,000, subject to an annual increase on January 1st of each year from 2026 through 2035 by the lesser of (i) 1% of the Company’s outstanding capital stock as of the prior December 31st or (ii) 100,000 shares. The Board may reduce or eliminate this annual increase before February 1st of any given year. Total stock-based compensation expense includes $37,329 and $0 relating to the ESPP for the three months ended March 31, 2026 and 2025, respectively. Employee withholdings of $96,604 and $13,611 are included in accounts payable in the Condensed Balance Sheets as of March 31, 2026 and December 31, 2025, respectively.

 

XML 31 R20.htm IDEA: XBRL DOCUMENT v3.26.1
Warrant Liabilities
3 Months Ended
Mar. 31, 2026
Warrant Liabilities  
Warrant Liabilities

12. Warrant Liabilities

 

The Company has evaluated financial instruments arising from warrants that are issued and outstanding as of March 31, 2026 and December 31, 2025. The Company utilizes a Black-Scholes option-pricing model to compute the fair value of the liability and to mark to market the fair value of the warrant at each balance sheet date. The inputs utilized in the application of the Black-Scholes option-pricing model included (i) an exercise price of $8.76 per share, (ii) an expected remaining term of each warrant based on the remaining contractual maturity of the each warrant, (iii) estimated volatility ranging from 89.1% to 94.7% based on historical stock prices of comparable companies with a look back period commensurate with the period to maturity, (iv) a risk-free interest rate ranging from 3.72% to 3.96% based on the interest rates of U.S. Treasury Notes consistent with the expected remaining contract term and (v) a 0% expected dividend yield as the Company has not paid dividends to date and does not anticipate declaring dividends in the near future.

 

The following are the changes in the warrant liabilities during the three months ended March 31, 2026 and year ended December 31, 2025:

 

   Level 3 
Warrant liabilities as of January 1, 2025  $9,166 
Changes in fair value of warrant liabilities   7,634 
Warrant liabilities as of December 31, 2025   16,800 
Changes in fair value of warrant liabilities   31,506 
Warrant liabilities as of March 31, 2026  $48,306 

 

XML 32 R21.htm IDEA: XBRL DOCUMENT v3.26.1
Segment Information
3 Months Ended
Mar. 31, 2026
Segment Reporting [Abstract]  
Segment Information

13. Segment Information

 

The Company evaluates the following factors to identify its reportable segments: (i) nature of products and services, (ii) type of customer for the products and services, (iii) sales, production and distribution methods of the products and services and (iv) the nature of the regulatory environment, if applicable. Based on an evaluation of these factors, management concluded that the Company’s operations are managed through one reportable segment, IB-STIM, that derives its revenues in the United States from a PENFS device that is used to treat patients 8-21 years of age with functional abdominal pain associated with irritable bowel syndrome and in patients 8 years and older with functional abdominal pain associated with functional dyspepsia and related nausea symptoms. The accounting policies of the IB-STIM segment are the same as those described in the Summary of Significant Accounting Policies (see Footnote 2). The Chief Operating Decision Maker (“CODM”) regularly evaluates the performance of the IB-STIM segment for the purpose of allocating resources based on net sales and operating loss, both of which are reported in the Condensed Statements of Operations. The CODM uses net sales to evaluate IB-STIM’s adoption and utilization by insurance carriers and physicians. As Neuraxis is an emerging growth company, operating loss is used to monitor the Company’s cost structure in order to achieve future segment profitability. Both net sales and operating loss are measured against the budget on a periodic basis to assess achievement toward annual compensation incentive targets. The Company’s CODM is its Chief Executive Officer.

 

 

The following reconciles the reportable segment net sales and operating loss to the Company’s reported net loss:

  

   2026   2025 
   Three months ended March 31, 
   2026   2025 
Net Revenue  $1,607,883   $895,655 
COGS   218,366    139,475 
Gross Profit   1,389,517    756,180 
Selling Expenses (a)   824,336    500,119 
Research & Development (a)   99,567    117,867 
Compensation and Benefits (a)   1,412,665    1,075,244 
Professional Services (a)   436,303    406,716 
Legal Settlement   -    619,097 
Depreciation   8,034    3,735 
Amortization   8,284    2,621 
Other Operating Expenses (a) (b)   341,007    325,879 
Segment Operating Loss   (1,740,679)   (2,295,098)
Interest Expense   (26,189)   (2,237)
Change in Fair Value of Warrant Liability   (31,506)   1,831 
Other Income   36,942    16,820 
Total Other (Expense) Income, Net   (20,753)   16,414 
Net Loss  $(1,761,432)  $(2,278,684)

 

  (a) The significant expense categories and amounts align with the segment-level information provided on a regular basis to the CODM.
  (b) Other operating expenses include rent and utilities, insurance, travel, software subscription fees, board fees and bad debt expense.

 

Total segment assets for IB-STIM amounted to $8,745,706 and $6,404,036 as of March 31, 2026 and December 31, 2025, respectively. Total segment capital expenditures for IB-STIM amounted to $0 and $18,000 for the three months ended March 31, 2026 and 2025, respectively. Total segment depreciation and amortization amounted to $16,317 and $6,356 for the three months ended March 31, 2026 and 2025, respectively.

 

Significant segment non-cash charges settled in common stock include (i) consulting and advisory fees totaling $399,995 and $112,493 for the three months ended March 31, 2026 and 2025, respectively, and (ii) hiring grants totaling $5,534 and $0 for the three months ended March 31, 2026 and 2025, respectively.

 

XML 33 R22.htm IDEA: XBRL DOCUMENT v3.26.1
Settled Litigation
3 Months Ended
Mar. 31, 2026
Commitments and Contingencies Disclosure [Abstract]  
Settled Litigation

14. Settled Litigation

 

On February 6, 2019, plaintiff Ritu Bhambhani, M.D., initiated a lawsuit against Innovative Health Solutions, Inc. and others in the United States District Court for the District of Maryland. Plaintiffs Bhambhani and Sudhir Rao subsequently amended the complaint, with the Third Amended Complaint (“Complaint”) containing the most recent set of allegations. The Complaint asserted claims under the RICO Act, as well as of fraudulent misrepresentation, intentional misrepresentation by concealment, and civil conspiracy and sought compensatory damages in excess of $5 million, pre-judgment interest, punitive damages, attorney’s fees, court costs and designation of the case as a class action. The Complaint stated that the Company, distributors of the Company’s product, and medical billing and coding consultants allegedly made misrepresentations to the plaintiffs that the Company’s NeuroStim device and related procedures could be billed to, and reimbursed by, Medicare and other insurance payors as a surgically implantable neurostimulator. Plaintiffs claim to have suffered damages when Medicare administrative contractors declined to pay plaintiffs for their use of the device.

 

On February 11, 2022, the Company filed a motion for summary judgment based upon the plaintiffs not being proper parties to assert claims against the Company. On June 14, 2022, the Court granted the Company’s motion for summary judgment and dismissed the Complaint.

 

On July 14, 2022, plaintiffs Ritu Bhambhani and Sudhir Rao filed a notice of appeal with the Fourth Circuit Court of Appeals. On June 3, 2024, the Fourth Circuit denied the plaintiff’s appeal and entered judgment against the plaintiffs. On June 25, 2024, the Fourth Circuit entered its mandate declaring that its judgment against the plaintiffs took effect that day. The plaintiffs did not seek any further review or appeal of that judgment.

 

 

Also on July 14, 2022, plaintiffs Ritu Bhambhani, LLC; Box Hill Surgery Center, LLC; Pain and Spine Specialists of Maryland, LLC; and SimCare ASC, LLC initiated a lawsuit against the Company and others in the United States District Court for the District of Maryland. The plaintiffs in this lawsuit are business entities owned or partially owned by the plaintiffs that initiated the litigation described above. The Complaint asserted claims under the RICO Act, as well as fraudulent misrepresentation, intentional misrepresentation by concealment, and civil conspiracy and seeks compensatory damages in excess of $75,000, pre-judgment interest, punitive damages, attorney’s fees, and court costs. The Complaint states that the Company, distributors of the Company’s product, and medical billing and coding consultants allegedly made misrepresentations to the plaintiffs that the Company’s NeuroStim device and related procedures could be billed to, and reimbursed by, Medicare and other insurance payors as a surgically implantable neurostimulator. Plaintiffs claim to have suffered damages when Medicare administrative contractors declined to pay plaintiffs for their use of the device.

 

On September 28, 2022, the Company filed a motion to dismiss all claims. On May 25, 2023, the Court issued an Order and a Memorandum Opinion which dismissed the plaintiffs’ claims related to the RICO Act. The remaining claims are still pending, and no trial date has been set for the case. The Court has vacated its Scheduling Order at the parties’ request so that the parties could try to resolve the disputes in both cases through an independent third-party mediator.

 

On April 25, 2025, the parties reached a $750,000 settlement payable in 12 equal monthly installments that began in January of 2026. The Company recorded a charge of $619,097 classified as general and administrative expense in the Condensed Statements of Operations during the three months ended March 31, 2025, while interest expense was recorded as incurred. As of March 31, 2026, the Company maintained a liability of $528,799 classified as accrued expenses in the Condensed Balance Sheets.

 

XML 34 R23.htm IDEA: XBRL DOCUMENT v3.26.1
Commitments and Contingencies
3 Months Ended
Mar. 31, 2026
Commitments and Contingencies Disclosure [Abstract]  
Commitments and Contingencies

15. Commitments and Contingencies

 

Manufacturing Services Agreement

 

The Company is party to two separate manufacturing services agreements for the manufacture and supply of the Company’s IB-Stim and RED devices based on the Company’s product specifications that expire in March and August, 2027, respectively, and automatically renew annually unless either party provides a written termination notice to the other party within 180 days prior to the end of the then-current term. The Company’s IB-Stim and RED devices are manufactured in Indiana and Michigan, respectively. The Company provides the necessary equipment to the manufacturers and retains ownership. The manufacturers bear the risk of loss of and damage to the equipment and consigned materials. Performance under the agreement is initiated by orders issued by the Company and accepted by the manufacturers. The Company also entered into quality agreements with the manufacturers to perform quality assurance services on product provided by the Company.

 

Executive Employment Agreements

 

The Company, as authorized by the board of directors, entered into employment agreements with certain employees to provide incentives to improve shareholder value and to contribute to the growth and financial success of the Company. The agreements had an employment start date of October 1, 2022, with initial terms from two to five years and optional one-year renewals.

 

There are nine key employees and two non-employees that have stock options of the Company totaling 1,319,394 shares. These key employees have a provision in their agreements whereas the Company will pay a special bonus equal to the aggregate of the strike price or exercise price of all their stock options plus a tax gross-up payment. The special bonus shall be paid in twenty percent (20%) installments starting January 2, 2024, and the same date each of the next four years. As a condition of the payment, the key employee must exercise at least 20% of their stated number of stock options. There are additional provisions to cover termination and change of control events. None of the key employees have exercised any of the stock options as of March 31, 2026.

 

 

In April 2023, the Company amended the employee agreements to, among other things, clarify that the special one-time incentive payment and the deferred bonus are contingent upon the effective date of the planned initial public offering. The amendment also sets forth a process for executives to exercise the stock options in accordance with the terms of the stock option agreement in effect as of the date of the employment agreement and to clarify that there is no modification to the stock option agreements.

 

The Company recorded the fair value of the stock options totaling $5,610,234 as compensation cost on the grant date. In addition, a $6,225,169 incremental tax gross up payment is contingent upon the employees exercising their deferred bonus provision which will be recorded when probable.

 

Threatened Litigation

 

From time to time, the Company may be involved in litigation relating to claims arising out of operations in the normal course of business. As of the date of issuance, other than those described below and in note 13, there were no pending or threatened legal proceedings that could reasonably be expected to have a material effect on the results of the Company’s operations. There are also no proceedings in which any of the Company’s directors, officers or affiliates is an adverse party to the Company or has a material interest adverse to the Company’s interest. Legal fees are expensed as incurred.

 

In January 2024, Dr. Arturo Taca served notice to the Company that asserted an interest in its U.S. Patent No. 10,413,719 valued at $2,000,000 based on his own work in neurostimulation. The Company denied both the neurostimulation patent and compensation claims. The case remains unresolved. While it is too early to predict the ultimate outcome of this matter, we believe the Company has meritorious defenses and intends to defend this matter vigorously.

 

XML 35 R24.htm IDEA: XBRL DOCUMENT v3.26.1
Subsequent Events
3 Months Ended
Mar. 31, 2026
Subsequent Events [Abstract]  
Subsequent Events

16. Subsequent Events

 

On April 1, 2026, the Company issued 43,885 shares of common stock to eligible employees pursuant to the NeurAxis, Inc. 2025 Employee Stock Purchase Plan effective as of July 1, 2025 and subject to shareholder approval by July 1, 2026.

 

On April 9, 2026, the Company’s Board of Directors approved the cancelation of 1,319,394 stock options issued under the 2017 Innovative Health Solutions, Inc. 2017 Stock Compensation Plan and the grant of an equivalent amount of RSUs with immediate vesting under the NeurAxis, Inc. 2022 Omnibus Securities and Incentive Plan, subject to shareholder approval. The stock option cancelation and RSU grant will be treated as a modification under ASC 718, Compensation—Stock Compensation, whereby the Company will recognize incremental compensation cost as the excess of the fair value of the granted RSUs over the fair value of the stock options immediately before the exchange. The Company estimates $4,250,000 of incremental compensation cost will be recorded upon approval of the exchange by the shareholders.

 

On April 10, 2026, the Company’s Board of Directors declared a dividend on the Series B Preferred Stock. Holders of record of the Company’s Series B Preferred Stock as the record date of April 21, 2026, received a stock dividend on April 28, 2026, of the Company’s par value $0.001 Common Stock for every share of Series B Preferred Stock. The Company issued 510,605 shares of Common Stock based on the 8.5% per annum cumulative dividend rate.

 

On April 22, 2026, the Company granted 40,000 RSUs to an employee and issued 27,483 shares of common stock, net of taxes, upon vesting.

 

On May 7, 2026, the Company issued 72,282 shares of common stock to an investor upon conversion of an equivalent amount of Series B Preferred Stock.

 

In April and May of 2026, pursuant to the August 2025 At The Market Offering Agreement with Craig-Hallum Capital Group LLC, the Company issued 242,255 shares of common stock to investors for gross proceeds of $1,982,528 with such shares registered pursuant to the Company’s effective Registration Statement on Form S-3 (File No. 333-283798), previously filed with the Securities and Exchange Commission (“SEC”) on December 13, 2024, and declared effective on February 11, 2025, and the related prospectus supplements filed with the SEC on August 29, 2025, October 23, 2025, and April 21, 2026.

 

In April and May of 2026, the Company issued 37,850 shares of common stock upon exercise of an equivalent amount of common stock warrants for gross proceeds of $90,083.

 

The Company has evaluated subsequent events through the filing of this Quarterly Report on Form 10-Q and determined that there have been no other events that have occurred that would require adjustments to our disclosures in the condensed financial statements.

XML 36 R25.htm IDEA: XBRL DOCUMENT v3.26.1
Summary of Significant Accounting Policies (Policies)
3 Months Ended
Mar. 31, 2026
Accounting Policies [Abstract]  
Use of Estimates and Critical Accounting Estimates and Assumptions

Use of Estimates and Critical Accounting Estimates and Assumptions

 

The preparation of financial statements in conformity with U.S. GAAP requires management to make estimates and assumptions that 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 revenues and expenses during the reporting periods.

 

These significant accounting estimates or assumptions bear the risk of change due to uncertainties attached to these estimates or assumptions, and certain estimates or assumptions are difficult to measure or value.

 

Management bases its estimates on historical experience and on various assumptions that are believed to be reasonable in relation to the financial statements taken as a whole under the circumstances, the results of which form the basis for making judgments about the carrying values of assets and liabilities that are not readily apparent from other sources.

 

Management regularly evaluates the key factors and assumptions used to develop the estimates utilizing currently available information, changes in facts and circumstances, historical experience and reasonable assumptions. After such evaluations, if deemed appropriate, those estimates are adjusted accordingly. The Company uses estimates in accounting for, among other items, revenue recognition, allowance for credit losses, stock-based compensation, income tax provisions, excess and obsolete inventory reserve, impairment of property and equipment and intellectual property. Actual results could differ from those estimates.

 

Reclassification of Prior Year Amounts

Reclassification of Prior Year Amounts

 

Certain prior year amounts have been reclassified to conform to current period presentation. The Company reclassified $366,165 of general and administrative expenses to selling expenses in the Condensed Statements of Operations for the three months ended March 31, 2025. The Company also reclassified $57,311 of general and administrative expenses to research and development expenses in the Condensed Statements of Operations for the three months ended March 31, 2025. These reclassifications had no impact on previously reported net loss, total assets, total liabilities or total equity.

 

Accounts Receivable and Allowance for Credit Losses

Accounts Receivable and Allowance for Credit Losses

 

Trade accounts receivable is stated at the amount management expects to collect from outstanding balances, net of an allowance for credit losses. Management evaluates many factors when determining the collectability of specific customer accounts, including, but not limited to, creditworthiness, past transaction and payment history, current economic industry trends and changes in payment terms. Management used assumptions and judgment based on the best available facts and circumstances to estimate and record an allowance. The Company monitors accounts receivable and estimates the allowance for lifetime expected credit losses. Estimates of expected credit losses are based on historical collection experience, aging schedule and other factor, including those related to current and forecasted market conditions and events. The allowance for credit losses was $7,220 and $7,326 as of March 31, 2026 and December 31, 2025, respectively. The Company recorded no credit loss expense for the three months ended March 31, 2026 and 2025.

 

Inventories

Inventories

 

Inventories are valued at the lower of cost or net realizable value. Cost is determined using the weighted average method. The inventory is comprised of finished medical devices on hand. Certain components within the devices have an expiration date that are removed from current inventory and expensed at the date of expiration. The Company has reserved for expired inventory as charges to cost of goods sold of $758 and $0 for the three months ended March 31, 2026 and 2025, respectively. There was no reserve for research devices recorded as charges to research and development expenses for the three months ended March 31, 2026 and 2025, respectively. Inventory reserves totaled $28,048 and $34,524 as of March 31, 2026 and December 31, 2025, respectively.

 

 

Selling Expenses

Selling Expenses

 

Selling expenses consist primarily of advertising, marketing and promotion of the Company’s products including salaries and related personnel costs and travel expenses. Advertising expenses are expensed as incurred and amounted to $29,821 and $85,348 for the three months ended March 31, 2026 and 2025, respectively.

 

Research and Development

Research and Development

 

Research and development expenses consist primarily of clinical research studies, new product development, costs of materials and supplies used in research and development activities and salaries and related personnel costs for employees engaged in research and development activities to have our IB-Stim and RED devices cleared by the FDA for other indications. Research and development costs are expensed as incurred.

 

Intangible Assets

Intangible Assets

 

Intangible assets consist of software, patents, a trademark and a license. Intangible assets are stated at their historical cost and amortized on a straight-line basis over their expected useful lives. Capitalized patent costs, net of accumulated amortization, includes legal costs incurred for patent applications. In accordance with ASC 350, once a patent is granted, we amortize the capitalized patent costs over the remaining life of the patent using the straight-line method. If the patent is not granted, we write off any capitalized patent costs at that time.

 

The Company purchased a trademark related to the Company’s name for $50,000. The trademark does not have a determinate life and therefore the cost is not being amortized.

 

On July 1, 2025, the Company terminated the NSS-2 Bridge license with Masimo in exchange for $200,000 of consideration payable in equal installments on December 31, 2025, and June 30, 2026. The termination agreement allowed the Company to recapture the rights to the trademark (U.S. Registration No. 7,394,465) and two patent applications (Application No. 18/821,225 and Application No. 29/960,608) that were licensed to Masimo on April 9, 2020 for use in the reduction of the symptoms of opioid withdrawal. The intellectual property is amortized over its remaining trademark life of approximately nine years.

 

Fair Value Measurements

Fair Value Measurements

 

The Company accounts for financial instruments in accordance with Accounting Standards Codification (“ASC”) 820, Fair Value Measurements and Disclosures, which establishes a fair value hierarchy that prioritizes the inputs to valuation techniques used to measure fair value. The hierarchy gives the highest priority to unadjusted quoted prices in active markets for identical assets or liabilities (Level 1 measurements) and the lowest priority to unobservable inputs (Level 3 measurements). The three levels of the fair value hierarchy under ASC 820 are described as follows:

 

Level 1 – Quoted prices (unadjusted) for identical unrestricted assets or liabilities in active markets that the reporting entity has the ability to access as of the measurement date.

 

Level 2 – Significant other observable inputs other than Level 1 prices such as quoted prices for similar assets or liabilities, quoted prices in markets that are not active or financial instruments for which all significant inputs are observable or can be corroborated by observable market data, either directly or indirectly.

 

Level 3 – Unobservable inputs that are supported by little or no market activity and that are significant to the fair value of the assets or liabilities. These unobservable inputs reflect that reporting entity’s own assumptions about what market participants would use in pricing the asset or liability. Level 3 assets and liabilities include financial instruments whose value is determined using pricing models, discounted cash flow methodologies, or similar techniques, as well as instruments for which the determination of fair value require significant management judgment or estimation.

 

Management believes the estimated fair value of certain accounts including cash, accounts receivable, account payable and other current assets on March 31, 2026, and December 31, 2025, approximate their carrying value as reflected in the balance sheets due to the short-term nature of these instruments or the use of market interest rates for debt instruments.

 

 

The Company’s Level 3 accounts include warrant liabilities and the floating lookback option provision in the Neuraxis, Inc. Employee Stock Purchase Plan. Inputs to determine fair value are generally unobservable and typically reflect management’s estimates of assumptions that market participants would use in pricing the asset or liability. The fair values are therefore determined using model-based techniques, including option pricing and discounted cash flow models. The valuation techniques involve management’s estimates and judgment based on unobservable inputs. The fair value estimates may not be indicative of the amounts that would be realized in a market exchange. Additionally, there may be inherent uncertainties or changes in the underlying assumptions used, which could significantly affect the current or future fair value estimates. Unobservable inputs used in the models are significant to the fair values of the assets and liabilities.

 

There were no transfers between any of the levels during the three months ended March 31, 2026 and 2025. In addition to assets and liabilities that are recorded at fair value on a recurring basis, the Company had no assets that were measured on a nonrecurring basis as of March 31, 2026 and December 31, 2025.

 

Basic and Diluted Net Income (Loss) per Share

Basic and Diluted Net Income (Loss) per Share

 

Basic earnings or loss per share (“EPS”) is computed by dividing net income (loss), net of preferred stock dividends, by the weighted average number of common shares outstanding during the period. Diluted EPS is determined using the weighted average number of common shares outstanding during the period, adjusted for the dilutive effect of common stock equivalents that were outstanding for the periods presented. In periods when losses are reported, which is the case for the three month periods ended March 31, 2026 and 2025 presented in these financial statements, the weighted average number of common shares outstanding excludes common stock equivalents because their inclusion would be anti-dilutive. Preferred stock dividends (neither declared nor paid) were $1,215,264 and $1,025,865 as of March 31, 2026 and December 31, 2025, respectively.

 

The Company had the following potentially dilutive common stock equivalents:

 

   2026   2025 
   March 31, 
   2026   2025 
         
Options   1,319,394    1,319,394 
Restricted Stock Units   1,265,443    842,214 
Warrants   1,166,484    2,139,883 
Series B Preferred Stock   3,796,907    4,280,939 
Undeclared Cumulative Series B Preferred Stock Dividends   510,615    178,492 
Totals   8,058,843    8,760,922 

 

The following table presents the calculation of the basic and diluted net loss per share and the effect of preferred stock dividends:

 

   2026   2025 
  

Three Months Ended

March 31,

 
   2026   2025 
Numerator:        
Net loss  $(1,761,432)  $(2,278,684)
Preferred stock dividends   (189,399)   (213,543)
Net loss available to common stockholders   (1,950,831)   (2,492,227)
Denominator:          
Weighted average shares of common stock outstanding - basic and diluted   10,948,121    7,463,578 
Basic and diluted net loss per share  $(0.18)  $(0.33)

 

 

Stock-Based Compensation

Stock-Based Compensation

 

The Company accounts for all stock-based awards at fair value. The Company recognizes its stock-based compensation expense using the straight-line method. Compensation cost is not adjusted for estimated forfeitures, but instead is adjusted upon actual forfeiture.

 

The Company accounts for the granting of stock options and restricted stock units to employees and non-employees using the fair value method whereby all awards are measured at fair value on the date of the grant. The fair value of all employee stock options and restricted stock units is expensed over the requisite service period with a corresponding increase to additional paid-in capital. Upon exercise of stock options, the consideration paid by the option holder is recorded in additional paid-in capital, while the par value of the shares received is reclassified from additional paid-in-capital to common stock. Upon vesting of restricted stock units, the par value of the shares issued are reclassified from additional paid-in-capital to common stock.

 

Stock-based awards to non-employees are measured based on the fair value of the equity instrument issued. Compensation expense for non-employee stock awards is recognized over the requisite service period following the measurement of the fair value on the grant date.

 

The Company uses the Black-Scholes option-pricing model to calculate the fair value of stock options and the Monte Carlo simulation model to calculate the fair value of the floating lookback option with the Neuraxis, Inc. 2025 Employee Stock Purchase Plan. The use of these option-pricing models requires management to make assumptions with respect to the expected term of the option, the expected volatility of the common stock consistent with the expected term of the option, risk-free interest rates, the value of the common stock and expected dividend yield of the common stock. Changes in these assumptions can materially affect the fair value estimate.

 

Revenue Recognition

Revenue Recognition

 

In accordance with ASC 606, Revenue from Contracts with Customers, the Company recognizes revenue when its customer obtains control of promised goods or services, in an amount that reflects the consideration which the Company expects to be entitled in exchange for those goods or services. To determine revenue recognition for arrangements that the Company determines are within the scope of ASC 606, it (i) identifies the contract(s) with a customer, (ii) identifies the performance obligations in the contract, (iii) determines the transaction price, (iv) allocates the transaction price to the performance obligations in the contract and (v) recognizes revenue when (or as) the entity satisfies a performance obligation.

 

The Company applies the five-step model to contracts when it determines that it is probable it will collect substantially all the consideration it is entitled to in exchange for the goods or services it transfers to the customer. At contract inception, once the contract is determined to be within the scope of ASC 606, the Company assesses the goods or services promised within each contract and determines those that are performance obligations and assesses whether each promised good or service is distinct. The Company then recognizes as revenue the amount of the transaction price, after consideration of variability and constraints, if any, that is allocated to the respective performance obligation when the performance obligation is satisfied.

 

The Company offers a patient assistance program for patients without insurance coverage for IB-Stim. This program extends potential self-pay discounts for IB-Stim devices, based upon household income and size.

 

Certain economic factors affect the nature, amount, timing, and uncertainty of the Company’s revenue and cash flows. All of the Company’s products are sold to healthcare customers including hospitals, clinics and physician offices. Sales to healthcare customers lack seasonality and have a mild correlation with economic cycles. All of the Company’s sales are to customers located within the United States. Sales contracts consist of purchase orders that are short-term (i.e., less than or equal to one year).

 

 

The Company typically satisfies its performance obligations for goods at a point in time as they are received at the customer’s destination (rather than over time). Goods are shipped by common carrier to customers under FOB destination terms. As such, ownership of goods in transit is transferred to the customer upon receipt as the Company bears the associated risks (e.g., loss, damage or delay). Management typically relies on shipping information from common carriers to evaluate when the customer has obtained control of the goods. Shipping and handling costs are recorded as cost of goods sold in the Condensed Statements of Operations.

 

The Company’s contracts with customers typically do not involve variable consideration. The information that the Company uses to determine the transaction price for a contract is similar to the information that the Company’s management uses in establishing the prices of goods to be sold.

 

Orders may not be cancelled after shipment. Customers may return devices within 10 days of delivery if the goods are found to be defective, nonconforming, or otherwise do not meet the stated technical specifications. At the option of the customer, the Company shall either:

 

  ● Refund the price paid for any defective or nonconforming products.
  ● Supply and deliver to the customer replacement conforming products.
  ● Reimburse the customer for the cost of repairing any defective or nonconforming products.

 

At the time revenue is recognized, the Company estimates expected returns and excludes those amounts from revenue. The Company also maintains appropriate accounts to reflect the effects of expected returns on the Company’s financial position and periodically adjusts those accounts to reflect its actual return experience. Estimated returns totaled $33,261 and $13,824 as of March 31, 2026 and December 31, 2025, respectively.

 

Payment for goods sold by the Company is typically due after an invoice is sent to the customer, within 30 days. The Company does not offer discounts if the customer pays some or all of an invoiced amount prior to the due date. None of the Company’s contracts have a significant financing component.

 

Medical devices that the Company contracts to sell and transfer to customers are manufactured by two third-party manufacturers located in Indiana and Michigan. In no case does the Company act as an agent (i.e., the Company does not provide a service of arranging for another party to transfer goods to the customer).

 

Going Concern

Going Concern

 

As of March 31, 2026, the Company had stockholders’ equity of $5,747,550 and short-term outstanding borrowings of $100,735. Additionally, the Company had cash of $7,078,659 and a working capital surplus of $5,328,867 as of March 31, 2026. However, we have incurred losses and negative cash flows from operations since inception and have funded our operations primarily with a combination of sales, debt, and proceeds from the issuance of capital stock.

 

Our future capital requirements will depend upon many factors, including progress with developing, manufacturing, and marketing our technologies, the time and costs involved in preparing, filing, prosecuting, maintaining, and enforcing patent claims and other proprietary rights, our ability to establish collaborative arrangements, marketing activities and competing technological and market developments, including regulatory changes and overall economic conditions in our target markets. Our ability to generate revenue and achieve profitability requires us to successfully market and secure purchase orders for our products from customers currently identified in our sales pipeline and to new customers as well. The primary activity that will drive all customers and revenues is the adoption of insurance coverage by commercial insurance carriers nationally, which is a top priority of the Company. These activities, including our planned research and development efforts, will require significant uses of working capital through the rest of 2026 and beyond.

 

 

Management evaluates whether there are conditions or events that raise substantial doubt about the Company’s ability to continue as a going concern for a period of one year from the date the financial statements are issued.

 

While the Company believes in the viability of its strategy to further implement its business plan and generate sufficient revenues and in its ability to raise additional funds by way of a public or private offering of its debt or equity securities, there can be no assurance that it will be able to do so on reasonable terms, or at all. The ability of the Company to continue as a going concern is dependent upon its ability to further implement its business plan and generate sufficient revenues and its ability to raise additional funds by way of a public or private offering. Neither future cash generated from operating activities, nor management’s contingency plans to mitigate the risk and extend cash resources through the evaluation period, are considered probable. As a result, substantial doubt is deemed to exist about the Company’s ability to continue as a going concern. As the Company continue to incur losses, the transition to profitability is dependent upon achieving a level of revenues adequate to support its cost structure. We may never achieve profitability, and unless and until doing so, we intend to fund future operations through additional dilutive or nondilutive financing. There can be no assurances, however, that additional funding will be available on terms acceptable to us, if at all.

 

The financial statements do not include any adjustments related to the recoverability and classification of recorded asset amounts or the amounts and classification of liabilities that might be necessary should the Company be unable to continue as a going concern.

 

Recently Adopted Accounting Standards

Recently Adopted Accounting Standards

 

In July 2025, the FASB issued ASU 2025-05, Financial Instruments—Credit Losses (Topic 326), which allows registrants to elect a practical expedient when estimating expected credit losses on accounts receivable. Under the practical expedient, an entity may assume that the current conditions as of the balance sheet date persist for the remaining life of the asset, thereby removing the requirement to generate forward-looking forecasts. All entities are required to adopt the standard prospectively for fiscal years beginning after December 15, 2025, and interim periods within those annual reporting periods. The Company adopted the provisions of ASU 2025-05 as of January 1, 2026, on a prospective basis. The Company did not elect the practical expedient and the adoption of the standard did not have a material impact on the Company’s financial statements.

 

In December 2023, the FASB issued ASU 2023-09, Income Taxes (Topic 740): Improvements to Income Tax Disclosures, which requires the enhancement of income tax disclosures to provide better insight into how an entity’s operations and related tax risks, planning and opportunities affect its tax rate and prospects for future cash flows. The enhanced disclosures require (i) specific categories in a tabular rate reconciliation including both amounts and percentages and (ii) additional information for reconciling items and income tax paid that meet a quantitative threshold. Public business entities are required to adopt the standard for annual periods beginning after December 15, 2024. The Company adopted the disclosure provisions of ASU 2023-09 as of December 31, 2025, on a prospective basis. The adoption of this standard did not have a material impact on the Company’s financial statements.

 

Recently Issued Accounting Standards

Recently Issued Accounting Standards

 

In December 2025, the FASB issued ASU 2025-11, Interim Reporting (Topic 270), which provides a comprehensive list of interim disclosures that are required by U.S. GAAP to provide clarity on current requirements. Public business entities are required to adopt the standard for interim periods within annual reporting periods beginning after December 15, 2027. The adoption is not expected to have a material impact on the Company’s financial statements.

 

In September 2025, the FASB issued ASU 2025-06, Intangibles—Goodwill and Other—Internal-Use Software (Subtopic 350-40): Targeted Improvement to the Accounting for Internal-Use Software, which replaces project stage milestones with required capitalization when management has authorized and committed to funding the software project and it is probably that the project will be completed and the software will be used to perform the function intended. Depreciation expense and accumulated depreciation for internal-use software are also required to be disclosed for all periods presented. All entities are required to adopt the standard for fiscal years beginning after December 15, 2027 and interim periods within those annual reporting periods. Early adoption is permitted as of the beginning of an annual reporting period. The adoption is not expected to have a material impact on the Company’s financial statements.

 

In November 2024, the FASB issued ASU 2024-03, Income Statement—Reporting Comprehensive Income—Expense Disaggregation Disclosures (Subtopic (220-40): Disaggregation of Income Statement Expenses, which requires disclosures that disaggregate, in a tabular presentation, each relevant expense caption on the face of the income statement that includes inventory purchases, employee compensation, depreciation and intangible amortization expense. Additional disclosures are also required to provide a qualitative description of the amounts in an expense caption that are not separately disaggregated quantitatively and the total amount of selling expenses including a definition. Public business entities are required to adopt the standard for fiscal years beginning after December 15, 2026 and interim periods within fiscal years beginning after December 15, 2027. Disclosures are required for all prior periods presented in the financial statements. Although the standard requires enhanced disclosures, the adoption is not expected to have a material impact on the Company’s financial statements.

 

 

XML 37 R26.htm IDEA: XBRL DOCUMENT v3.26.1
Summary of Significant Accounting Policies (Tables)
3 Months Ended
Mar. 31, 2026
Accounting Policies [Abstract]  
Schedule of Dilutive Common Stock Equivalents

The Company had the following potentially dilutive common stock equivalents:

 

   2026   2025 
   March 31, 
   2026   2025 
         
Options   1,319,394    1,319,394 
Restricted Stock Units   1,265,443    842,214 
Warrants   1,166,484    2,139,883 
Series B Preferred Stock   3,796,907    4,280,939 
Undeclared Cumulative Series B Preferred Stock Dividends   510,615    178,492 
Totals   8,058,843    8,760,922 
Schedule of Basic and Diluted Net Loss Per Share

The following table presents the calculation of the basic and diluted net loss per share and the effect of preferred stock dividends:

 

   2026   2025 
  

Three Months Ended

March 31,

 
   2026   2025 
Numerator:        
Net loss  $(1,761,432)  $(2,278,684)
Preferred stock dividends   (189,399)   (213,543)
Net loss available to common stockholders   (1,950,831)   (2,492,227)
Denominator:          
Weighted average shares of common stock outstanding - basic and diluted   10,948,121    7,463,578 
Basic and diluted net loss per share  $(0.18)  $(0.33)
XML 38 R27.htm IDEA: XBRL DOCUMENT v3.26.1
Related Party Transactions (Tables)
3 Months Ended
Mar. 31, 2026
Related Party Transactions [Abstract]  
Schedule of Related Party Transactions

 

   March 31, 2026   December 31, 2025 
   Loan   Interest   Interest   Loan   Interest   Interest 
   Receivable   Receivable   Income   Receivable   Receivable   Income 
Shareholder 1  $506,400   $118,861   $4,414   $506,400   $114,447   $20,096 
Shareholder 2   506,400    118,727    4,414    506,400    114,312    20,096 
Principal balance   1,012,800    237,588    8,828    1,012,800    228,759    40,192 
Allowance for collection risk   (1,012,800)   (237,588)   (8,828)   (1,012,800    (228,759)   (40,192)
Net balance  $—   $—   $—   $—   $—   $— 
Schedule of Related Party Loans payable to shareholder

  

              Interest &     
      Interest   Loan   Service Fee   Interest 
March 31, 2026  Due Date  Rate   Balance   Accrued   Paid 
Other Convertibles  Various   5.0%   —    66,648    — 
Total          $—   $66,648   $— 

 

              Interest &     
      Interest   Loan   Service Fee   Interest 
December 31, 2025  Due Date  Rate   Balance   Accrued   Paid 
Other Convertibles  Various   5.0%   —    66,648    — 
Total          $—   $66,648   $— 
XML 39 R28.htm IDEA: XBRL DOCUMENT v3.26.1
Prepaids and Other Current Assets (Tables)
3 Months Ended
Mar. 31, 2026
Prepaids And Other Current Assets  
Schedule of Prepaids and Other Current Assets

Prepaids and other current assets consisted of the following:

  

   March 31, 2026   December 31, 2025 
Prepaid insurance  $85,680   $141,299 
Prepaid software subscriptions   89,103    103,390 
Other   266,292    70,594 
Total prepaids and other current assets  $441,075   $315,283 
XML 40 R29.htm IDEA: XBRL DOCUMENT v3.26.1
Other Non-Current Assets (Tables)
3 Months Ended
Mar. 31, 2026
Deferred Costs, Capitalized, Prepaid, and Other Assets Disclosure [Abstract]  
Schedule of Other Non-Current Assets

Other non-current assets consisted of the following

 

    March 31, 2026     December 31, 2025  
Security deposit   $ 20,163     $ 20,163  
Deferred offering costs     3,144       23,864  
Prepaid software subscriptions     —       14,912  
Total other non-current assets   $ 23,307     $ 58,939  
XML 41 R30.htm IDEA: XBRL DOCUMENT v3.26.1
Accrued Expenses (Tables)
3 Months Ended
Mar. 31, 2026
Payables and Accruals [Abstract]  
Schedule of Accrued Expenses

Accrued expenses consisted of the following:

 

   March 31, 2026   December 31, 2025 
Compensation and benefits  $1,232,230   $1,359,993 
Settled litigation   528,799    692,683 
NSS-2 Bridge lease termination fee   100,000    100,000 
Legal fees   78,550    65,714 
Interest   66,648    66,648 
Research and development fees   61,204    2,143 
Audit fees   52,500    — 
Tariffs   50,447    32,000 
Other   91,069    74,048 
Total accrued expenses  $2,261,447   $2,393,229 
XML 42 R31.htm IDEA: XBRL DOCUMENT v3.26.1
Leases (Tables)
3 Months Ended
Mar. 31, 2026
Leases  
Schedule of Operating Leases

The following table presents information related to the Company’s operating leases:

  

  

March 31,

2026

  

December 31,

2025

 
Operating lease right of use asset, net  $245,350   $261,565 
           
Current portion of operating lease payable   68,789    65,752 
Operating lease payable, net of current portion   183,998    202,566 
Total operating lease payable  $252,787   $268,318 
           
Weighted-average remaining lease term (in years)   3.07    3.31 
Weighted-average discount rate   15.0%   15.0%
Schedule of Maturities Operating Lease Liabilities

As of March 31, 2026, the maturities of the Company’s operating lease liabilities were as follows:

  

     
Remainder of 2026  $75,261 
2027  102,456 
2028   98,127 
2029   38,025 
Total lease payments   313,869 
Less: imputed interest   (61,082)
Total present value of lease payments  $252,787 
XML 43 R32.htm IDEA: XBRL DOCUMENT v3.26.1
Common Stock and Warrants (Tables)
3 Months Ended
Mar. 31, 2026
Accumulated Other Comprehensive Income (Loss) [Line Items]  
Schedule of Warrants outstanding and Exercisable

The following table summarizes the Company’s warrants outstanding and exercisable as of March 31, 2026:

 

   Number of        
   Warrants   Exercise   Expiration
   Outstanding   Price   Date
Investor Warrant   12,852   $8.76   September 18, 2028
2022 Convertible Notes   160,960   $2.38   Various in 2027
2023 Convertible Notes   861,790   $2.38   Various in 2028
Underwriter Warrants   54,370   $2.38   August 8, 2028
Advisory Agreement Warrants   76,512   $2.38   Various in 2029
    1,166,484         
Common Stock [Member]  
Accumulated Other Comprehensive Income (Loss) [Line Items]  
Schedule of Warrant Activity for Common Stock

The following is a summary of warrant activity for common stock during the three months ended March 31, 2026 and year ended December 31, 2025:

  

   Number of   Weighted-Avg.   Weighted-Avg. 
   Warrants for   Exercise   Remaining 
   Common Stock   Price   Contractual Life 
Outstanding as of January 1, 2025   2,642,530   $2.41    2.93 
Exercised   (1,263,006)   1.82    2.12 
Outstanding as of December 31, 2025   1,379,524    2.44    2.26 
Exercised   (213,040)   2.38    1.94 
Outstanding as of March 31, 2026   1,166,484   $2.45    2.04 
XML 44 R33.htm IDEA: XBRL DOCUMENT v3.26.1
Stock-Based Compensation (Tables)
3 Months Ended
Mar. 31, 2026
Share-Based Payment Arrangement [Abstract]  
Schedule of Restricted Stock Units

Pursuant to the NeurAxis, Inc. 2022 Omnibus Securities and Incentive Plan, the Company initiated grants of restricted stock units (“RSUs”) to certain employees as follows:

  

   Three Months Ended March 31, 
   2026   2025 
   Number of RSUs   Weighted Average Fair Value  

Number of RSUs

   Weighted Average Fair Value 
Outstanding as of Beginning of Period   831,346   $2.32    —   $— 
Granted   437,431    4.63    852,214    2.31 
Vested   (3,334)   2.36    —    — 
Outstanding as of End of Period   1,265,443   $3.12    852,214   $2.31 
Schedule of Stock Option Activity

The following is a summary of the Company’s outstanding stock options as of March 31, 2026 and December 31, 2025:

 

   Number of Options   Weighted Avg. Remaining Contractual Life (in years)   Weighted Avg. Exercise Price   Aggregate Intrinsic Value 
Outstanding as of December 31, 2025   1,319,394    3.69   $6.94   $— 
Outstanding as of March 31, 2026   1,319,394    3.44   $6.94   $— 
Vested and Exercisable as of March 31, 2026   1,319,394    3.44   $6.94   $— 
XML 45 R34.htm IDEA: XBRL DOCUMENT v3.26.1
Warrant Liabilities (Tables)
3 Months Ended
Mar. 31, 2026
Warrant Liabilities  
Schedule of Changes in Warrant Liabilities

The following are the changes in the warrant liabilities during the three months ended March 31, 2026 and year ended December 31, 2025:

 

   Level 3 
Warrant liabilities as of January 1, 2025  $9,166 
Changes in fair value of warrant liabilities   7,634 
Warrant liabilities as of December 31, 2025   16,800 
Changes in fair value of warrant liabilities   31,506 
Warrant liabilities as of March 31, 2026  $48,306 
XML 46 R35.htm IDEA: XBRL DOCUMENT v3.26.1
Segment Information (Tables)
3 Months Ended
Mar. 31, 2026
Segment Reporting [Abstract]  
Schedule of Reconciles the Company’s Net Sales and Operating Loss

The following reconciles the reportable segment net sales and operating loss to the Company’s reported net loss:

  

   2026   2025 
   Three months ended March 31, 
   2026   2025 
Net Revenue  $1,607,883   $895,655 
COGS   218,366    139,475 
Gross Profit   1,389,517    756,180 
Selling Expenses (a)   824,336    500,119 
Research & Development (a)   99,567    117,867 
Compensation and Benefits (a)   1,412,665    1,075,244 
Professional Services (a)   436,303    406,716 
Legal Settlement   -    619,097 
Depreciation   8,034    3,735 
Amortization   8,284    2,621 
Other Operating Expenses (a) (b)   341,007    325,879 
Segment Operating Loss   (1,740,679)   (2,295,098)
Interest Expense   (26,189)   (2,237)
Change in Fair Value of Warrant Liability   (31,506)   1,831 
Other Income   36,942    16,820 
Total Other (Expense) Income, Net   (20,753)   16,414 
Net Loss  $(1,761,432)  $(2,278,684)

 

  (a) The significant expense categories and amounts align with the segment-level information provided on a regular basis to the CODM.
  (b) Other operating expenses include rent and utilities, insurance, travel, software subscription fees, board fees and bad debt expense.
XML 47 R36.htm IDEA: XBRL DOCUMENT v3.26.1
Basis of Presentation, Organization and Other Matters (Details Narrative)
Jul. 01, 2025
USD ($)
Accounting Policies [Abstract]  
Consideration payable $ 200,000
XML 48 R37.htm IDEA: XBRL DOCUMENT v3.26.1
Summary of Significant Accounting Policies (Details Narrative) - USD ($)
3 Months Ended 12 Months Ended
Mar. 31, 2026
Mar. 31, 2025
Dec. 31, 2025
Jul. 01, 2025
Dec. 31, 2024
SignificantAccountingPoliciesLineItems [Line Items]          
Selling expense $ 824,336 $ 500,119      
Research and development expense 99,567 117,867      
Allowance for credit losses 7,220   $ 7,326    
Inventory charges (6,476)      
Inventory reserves 28,048   34,524    
Advertising cost 29,821 85,348      
Consideration payable       $ 200,000  
Preferred stock dividend 1,215,264   1,025,865    
Estimated returns of revenue reserve 33,261   13,824    
Stockholders equity 5,747,550 258,479 $ 3,399,372   $ 2,067,748
Short term borrowings 100,735        
Cash 7,078,659        
Working capital deficit 5,328,867        
Trademarks [Member]          
SignificantAccountingPoliciesLineItems [Line Items]          
Payment to acquire intangible assets 50,000        
Location, Statement of Income, Balance [Axis]: us-gaap:CostOfGoodsAndServicesSold          
SignificantAccountingPoliciesLineItems [Line Items]          
Inventory charges 758 0      
Location, Statement of Income, Balance [Axis]: us-gaap:ResearchAndDevelopmentExpense          
SignificantAccountingPoliciesLineItems [Line Items]          
Inventory charges $ 0 0      
Previously Reported [Member]          
SignificantAccountingPoliciesLineItems [Line Items]          
Selling expense   366,165      
Research and development expense   $ 57,311      
XML 49 R38.htm IDEA: XBRL DOCUMENT v3.26.1
Schedule of Dilutive Common Stock Equivalents (Details) - shares
3 Months Ended
Mar. 31, 2026
Mar. 31, 2025
Antidilutive Securities Excluded from Computation of Earnings Per Share [Line Items]    
Totals 8,058,843 8,760,922
Options Held [Member]    
Antidilutive Securities Excluded from Computation of Earnings Per Share [Line Items]    
Totals 1,319,394 1,319,394
Restricted Stock Units (RSUs) [Member]    
Antidilutive Securities Excluded from Computation of Earnings Per Share [Line Items]    
Totals 1,265,443 842,214
Warrant [Member]    
Antidilutive Securities Excluded from Computation of Earnings Per Share [Line Items]    
Totals 1,166,484 2,139,883
Series B Preferred Stock [Member]    
Antidilutive Securities Excluded from Computation of Earnings Per Share [Line Items]    
Totals 3,796,907 4,280,939
Cumulative Series B Preferred Stock [Member]    
Antidilutive Securities Excluded from Computation of Earnings Per Share [Line Items]    
Totals 510,615 178,492
XML 50 R39.htm IDEA: XBRL DOCUMENT v3.26.1
Schedule of Basic and Diluted Net Loss Per Share (Details) - USD ($)
3 Months Ended
Mar. 31, 2026
Mar. 31, 2025
Accounting Policies [Abstract]    
Net Loss $ (1,761,432) $ (2,278,684)
Preferred stock dividends (189,399) (213,543)
Net loss available to common stockholders $ (1,950,831) $ (2,492,227)
Weighted average shares of common stock outstanding - basic 10,948,121 7,463,578
Weighted average shares of common stock outstanding - diluted 10,948,121 7,463,578
Basic net loss per share $ (0.18) $ (0.33)
Diluted net loss per share $ (0.18) $ (0.33)
XML 51 R40.htm IDEA: XBRL DOCUMENT v3.26.1
Schedule of Related Party Transactions (Details) - USD ($)
Mar. 31, 2026
Dec. 31, 2025
Related Party Transaction [Line Items]    
Allowance for collection risk, interest receivable $ 1,250,388  
Shareholder 1 [Member]    
Related Party Transaction [Line Items]    
Loan Receivable 506,400 $ 506,400
Interest Receivable 118,861 114,447
Interest Income 4,414 20,096
Shareholder 2 [Member]    
Related Party Transaction [Line Items]    
Loan Receivable 506,400 506,400
Interest Receivable 118,727 114,312
Interest Income 4,414 20,096
Related Party [Member]    
Related Party Transaction [Line Items]    
Loan Receivable 1,012,800 1,012,800
Interest Receivable 237,588 228,759
Interest Income 8,828 40,192
Allowance for collection risk, loan receivable (1,012,800) (1,012,800)
Allowance for collection risk, interest receivable (237,588) (228,759)
Allowance for collection risk, interest income (8,828) (40,192)
Loan Receivable
Interest Receivable
Interest Income
XML 52 R41.htm IDEA: XBRL DOCUMENT v3.26.1
Schedule of Related Party Loans payable to shareholder (Details) - USD ($)
3 Months Ended 12 Months Ended
Mar. 31, 2026
Dec. 31, 2025
Short-Term Debt [Line Items]    
Loan payable
Interest payable 66,648 66,648
Interest payable
Other Convertibles [Member]    
Short-Term Debt [Line Items]    
Due date Various Various
Debt instrument percentage 5.00% 5.00%
Loan payable
Interest payable 66,648 66,648
Interest payable
XML 53 R42.htm IDEA: XBRL DOCUMENT v3.26.1
Related Party Transactions (Details Narrative) - USD ($)
3 Months Ended
Mar. 31, 2026
Mar. 31, 2025
Dec. 31, 2025
Related Party Transaction [Line Items]      
Allowance for interest receivable current $ 1,250,388    
License costs 453 $ 1,317  
Total cost to research and development activities 1,515 $ 1,957  
Board of Directors [Member]      
Related Party Transaction [Line Items]      
Pre approved reimbursement 20,000    
Board of Directors Chairman [Member]      
Related Party Transaction [Line Items]      
Total cost to research and development activities 20,000    
Shareholders 1 and 2 [Member]      
Related Party Transaction [Line Items]      
Loan Receivable 506,400    
Related Party [Member]      
Related Party Transaction [Line Items]      
Loan Receivable 1,012,800   $ 1,012,800
Allowance for interest receivable current (237,588)   (228,759)
Other liabilities $ 453   $ 0
XML 54 R43.htm IDEA: XBRL DOCUMENT v3.26.1
Schedule of Prepaids and Other Current Assets (Details) - USD ($)
Mar. 31, 2026
Dec. 31, 2025
Prepaids And Other Current Assets    
Prepaid insurance $ 85,680 $ 141,299
Prepaid software subscriptions 89,103 103,390
Other 266,292 70,594
Total prepaids and other current assets $ 441,075 $ 315,283
XML 55 R44.htm IDEA: XBRL DOCUMENT v3.26.1
Schedule of Other Non-Current Assets (Details) - USD ($)
Mar. 31, 2026
Dec. 31, 2025
Deferred Costs, Capitalized, Prepaid, and Other Assets Disclosure [Abstract]    
Security deposit $ 20,163 $ 20,163
Deferred offering costs 3,144 23,864
Prepaid software subscriptions 14,912
Total other non-current assets $ 23,307 $ 58,939
XML 56 R45.htm IDEA: XBRL DOCUMENT v3.26.1
Schedule of Accrued Expenses (Details) - USD ($)
Mar. 31, 2026
Dec. 31, 2025
Payables and Accruals [Abstract]    
Compensation and benefits $ 1,232,230 $ 1,359,993
Settled litigation 528,799 692,683
NSS-2 Bridge lease termination fee 100,000 100,000
Legal fees 78,550 65,714
Interest 66,648 66,648
Research and development fees 61,204 2,143
Audit fees 52,500
Tariffs 50,447 32,000
Other 91,069 74,048
Total accrued expenses $ 2,261,447 $ 2,393,229
XML 57 R46.htm IDEA: XBRL DOCUMENT v3.26.1
Notes Payable (Details Narrative) - USD ($)
3 Months Ended
Aug. 09, 2025
Aug. 09, 2024
Mar. 31, 2026
Mar. 31, 2025
Dec. 31, 2025
May 26, 2025
Short-Term Debt [Line Items]            
Interest expense     $ 26,189 $ 2,237    
Accrued interest     66,648   $ 66,648  
Promissory Note [Member]            
Short-Term Debt [Line Items]            
Notes payable $ 170,000 $ 210,000        
Interest rate 7.45% 7.40%        
Maturity date Jun. 09, 2025 Jun. 09, 2026        
Second Promissory Note [Member]            
Short-Term Debt [Line Items]            
Principal balance     $ 100,735   $ 148,293 $ 122,253
XML 58 R47.htm IDEA: XBRL DOCUMENT v3.26.1
Leases (Details Narrative) - USD ($)
3 Months Ended
Jun. 13, 2025
May 19, 2025
Mar. 31, 2026
Mar. 31, 2025
Lessee, Lease, Description [Line Items]        
Operating lease description     The lease in Batesville, Indiana commenced on August 1, 2025, and has an initial term of three years, with automatic one-year renewals subject to an annual 4% rent escalation, unless 60-day notice of vacating is given. On May 19, 2025, the Company terminated its prior lease in Versailles, Indiana, with a monthly lease payment of $1,800, effective July 31, 2025, without penalty due to relocation of the office space to Batesville, Indiana, with the same landlord. The current monthly lease payment is $2,000 with no escalations during the initial lease term. On June 13, 2025, the Company prepaid $25,200 towards the monthly lease payments which will be amortized over the initial lease term. The lease in Carmel, Indiana commenced January 1, 2024, with an initial term of five years and five months. The monthly lease payment started at $6,721 with an annual increase of 2.5%. The Company was only obligated to pay an amount equal to 50% of the monthly base rent for the first 10 months of the term.  
Lease payments $ 25,200      
Operating lease expense     $ 26,116 $ 25,523
Versailles Indiana [Member]        
Lessee, Lease, Description [Line Items]        
Operating lease payment   $ 1,800    
Batesville Indiana [Member]        
Lessee, Lease, Description [Line Items]        
Operating lease payment     2,000  
Carmel Indiana [Member]        
Lessee, Lease, Description [Line Items]        
Operating lease payment     $ 6,721  
Operating lease annual increase rate     2.50%  
XML 59 R48.htm IDEA: XBRL DOCUMENT v3.26.1
Schedule of Operating Leases (Details) - USD ($)
Mar. 31, 2026
Dec. 31, 2025
Leases    
Operating lease right of use asset, net $ 245,350 $ 261,565
Current portion of operating lease payable 68,789 65,752
Operating lease payable, net of current portion 183,998 202,566
Total operating lease payable $ 252,787 $ 268,318
Weighted average remaining lease term (in years) 3 years 25 days 3 years 3 months 21 days
Weighted average discount rate 15.00% 15.00%
XML 60 R49.htm IDEA: XBRL DOCUMENT v3.26.1
Schedule of Maturities Operating Lease Liabilities (Details) - USD ($)
Mar. 31, 2026
Dec. 31, 2025
Leases    
Remainder of 2026 $ 75,261  
2027 102,456  
2028 98,127  
2029 38,025  
Total lease payments 313,869  
Less: imputed interest (61,082)  
Total present value of lease payments $ 252,787 $ 268,318
XML 61 R50.htm IDEA: XBRL DOCUMENT v3.26.1
Schedule of Warrant Activity for Common Stock (Details) - $ / shares
3 Months Ended 12 Months Ended
Mar. 31, 2026
Mar. 31, 2025
Dec. 31, 2025
Dec. 31, 2024
Accumulated Other Comprehensive Income (Loss) [Line Items]        
Weighted Average Exercise Price, Outstanding at beginning of period $ 6.94      
Weighted Average Remaining Contractual Life - Warrants 3 years 5 months 8 days   3 years 8 months 8 days  
Weighted Average Exercise Price, Outstanding at ending of period $ 6.94   $ 6.94  
Common Stock [Member]        
Accumulated Other Comprehensive Income (Loss) [Line Items]        
Number of Warrants, Outstanding at beginning of period 1,379,524 2,642,530 2,642,530  
Weighted Average Exercise Price, Outstanding at beginning of period $ 2.44 $ 2.41 $ 2.41  
Weighted Average Remaining Contractual Life - Warrants 2 years 14 days   2 years 3 months 3 days 2 years 11 months 4 days
Number of Warrants, Exercised (213,040) (502,647) (1,263,006)  
Weighted Average Exercise Price, Excercised $ 2.38   $ 1.82  
Weighted Average Remaining Contractual Life - Warrants Granted 1 year 11 months 8 days   2 years 1 month 13 days  
Number of Warrants, Outstanding at ending of period 1,166,484   1,379,524 2,642,530
Weighted Average Exercise Price, Outstanding at ending of period $ 2.45   $ 2.44 $ 2.41
XML 62 R51.htm IDEA: XBRL DOCUMENT v3.26.1
Schedule of Warrants outstanding and Exercisable (Details)
3 Months Ended
Mar. 31, 2026
$ / shares
shares
Class of Warrant or Right [Line Items]  
Number of Warrants 1,166,484
Investor Warrant [Member]  
Class of Warrant or Right [Line Items]  
Number of Warrants 12,852
Exercise Price | $ / shares $ 8.76
Expiration Date Sep. 18, 2028
2022 Convertible Notes [Member]  
Class of Warrant or Right [Line Items]  
Number of Warrants 160,960
Exercise Price | $ / shares $ 2.38
Expiration Date Various in 2027
2023 Convertible Notes [Member]  
Class of Warrant or Right [Line Items]  
Number of Warrants 861,790
Exercise Price | $ / shares $ 2.38
Expiration Date Various in 2028
Underwriter Warrants [Member]  
Class of Warrant or Right [Line Items]  
Number of Warrants 54,370
Exercise Price | $ / shares $ 2.38
Expiration Date Aug. 08, 2028
Advisory Agreement Warrants [Member]  
Class of Warrant or Right [Line Items]  
Number of Warrants 76,512
Exercise Price | $ / shares $ 2.38
Expiration Date Various in 2029
XML 63 R52.htm IDEA: XBRL DOCUMENT v3.26.1
Common Stock and Warrants (Details Narrative) - USD ($)
3 Months Ended 12 Months Ended
Jan. 22, 2026
Mar. 31, 2026
Mar. 31, 2025
Dec. 31, 2025
Accumulated Other Comprehensive Income (Loss) [Line Items]        
Common stock, shares authorized   100,000,000   100,000,000
Common stock, shares, issued   11,450,045   10,652,812
Common stock, shares, outstanding   11,450,045   10,652,812
Consulting and advisory fees   $ 399,995 $ 112,493  
General and administrative expense   2,206,293 2,433,292  
Prepaids and other current assets   441,075   $ 315,283
Gross proceeds of common stock   2,990,361  
Stock issued period warrant exercised   507,035  
December 31, 2026 [Member]        
Accumulated Other Comprehensive Income (Loss) [Line Items]        
Consulting and advisory fees $ 199,995      
General and administrative expense   50,000    
Prepaids and other current assets   $ 149,995    
December 31, 2025 [Member]        
Accumulated Other Comprehensive Income (Loss) [Line Items]        
Consulting and advisory fees $ 200,000      
General and administrative expense     $ 50,000  
Common Stock [Member]        
Accumulated Other Comprehensive Income (Loss) [Line Items]        
Stock issued during period , shares   86,392 39,471  
Common stock warrant, exercised   213,040    
Common shares upon conversion   2,345    
Common stock warrant, exercised   213,040 186,166  
Share based compensation warrant exercised   213,040 502,647 1,263,006
Stock issued period warrant exercised   $ 213 $ 186  
Common Stock [Member] | Investor [Member]        
Accumulated Other Comprehensive Income (Loss) [Line Items]        
Stock issued during period , shares   495,456    
Gross proceeds of common stock   $ 2,990,361    
Common Stock [Member] | December 31, 2026 [Member]        
Accumulated Other Comprehensive Income (Loss) [Line Items]        
Stock issued during period , shares 43,196      
Common Stock [Member] | December 31, 2025 [Member]        
Accumulated Other Comprehensive Income (Loss) [Line Items]        
Stock issued during period , shares 43,196      
XML 64 R53.htm IDEA: XBRL DOCUMENT v3.26.1
Preferred Stock (Details Narrative) - USD ($)
3 Months Ended
Mar. 31, 2026
Dec. 31, 2025
Series A Preferred Stock [Member]    
Class of Stock [Line Items]    
Preferred stock, shares authorized 5,000,000  
Series B Preferred Stock [Member]    
Class of Stock [Line Items]    
Temporary equity, shares authorized 5,000,000  
Preferred stock, par value $ 0.001  
Preferred stock shares, issued 3,796,907 3,796,907
Preferred stock shares, outstanding 3,796,907 3,796,907
Preferred stock dividend rate percentage 8.50%  
Dividends $ 1,215,264 $ 1,025,865
Preferred Stock [Member]    
Class of Stock [Line Items]    
Dividends declared $ 0 $ 0
XML 65 R54.htm IDEA: XBRL DOCUMENT v3.26.1
Schedule of Restricted Stock Units (Details) - $ / shares
3 Months Ended
Mar. 31, 2026
Mar. 31, 2025
Share-Based Payment Arrangement [Abstract]    
Number of restricted stock units outstanding, Beginning balance 831,346
Weighted average fair value outstanding, Beginning balance $ 2.32
Number of restricted stock units outstanding, Granted 437,431 852,214
Weighted average fair value outstanding, Granted $ 4.63 $ 2.31
Number of restricted stock units outstanding, Vested (3,334)
Weighted average fair value outstanding, Vested $ 2.36
Number of restricted stock units outstanding, Beginning balance 1,265,443 852,214
Weighted average fair value outstanding, Ending balance $ 3.12 $ 2.31
XML 66 R55.htm IDEA: XBRL DOCUMENT v3.26.1
Schedule of Stock Option Activity (Details) - USD ($)
3 Months Ended 12 Months Ended
Mar. 31, 2026
Dec. 31, 2025
Share-Based Payment Arrangement [Abstract]    
Number of Options, Outstanding, Beginning balance 1,319,394  
Weighted Average Remaining Contractual Life (in years), Outstanding 3 years 5 months 8 days 3 years 8 months 8 days
Weighted Average Exercise Price, Outstanding at beginning of period $ 6.94  
Aggregate Intrinsic Value, Outstanding, Beginning balance  
Number of Options, Outstanding, Ending balance 1,319,394 1,319,394
Weighted Average Exercise Price, Outstanding at ending of period $ 6.94 $ 6.94
Aggregate Intrinsic Value, Outstanding, Ending balance
Number of Options, Vested and Exercisable, Ending balance 1,319,394  
Weighted Average Remaining Contractual Life (in years), Vested and Exercisable 3 years 5 months 8 days  
Weighted Average Exercise Price, Vested and Exercisable, Ending balance $ 6.94  
Aggregate Intrinsic Value, Vested and Exercisable, Ending balance  
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Stock-Based Compensation (Details Narrative) - USD ($)
3 Months Ended 12 Months Ended
Jul. 01, 2025
Mar. 31, 2026
Mar. 31, 2025
Dec. 31, 2026
Share-Based Compensation Arrangement by Share-Based Payment Award [Line Items]        
Vesting period       3 years
Share based compensation   $ 329,434 $ 105,811  
Stock-based compensation expense   0 0  
2025 Employee Stock Purchase Plan [Member]        
Share-Based Compensation Arrangement by Share-Based Payment Award [Line Items]        
Share based compensation   37,329 $ 0  
Stock purchase plan description The purpose of the ESPP is to provide eligible employees an opportunity to acquire common stock of the Company at a 15% discount using payroll deductions. The maximum number of shares of the Company’s common stock that may be issued under the ESPP is 100,000, subject to an annual increase on January 1st of each year from 2026 through 2035 by the lesser of (i) 1% of the Company’s outstanding capital stock as of the prior December 31st or (ii) 100,000 shares. The Board may reduce or eliminate this annual increase before February 1st of any given year.      
Restricted Stock Units (RSUs) [Member]        
Share-Based Compensation Arrangement by Share-Based Payment Award [Line Items]        
Share-based compensation plans amount   $ 2,864,172    
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Schedule of Changes in Warrant Liabilities (Details) - USD ($)
3 Months Ended 12 Months Ended
Mar. 31, 2026
Mar. 31, 2025
Dec. 31, 2025
Defined Benefit Plan Disclosure [Line Items]      
Changes in fair value of warrant liabilities $ 31,506 $ (1,831)  
Fair Value, Inputs, Level 3 [Member]      
Defined Benefit Plan Disclosure [Line Items]      
Warrant liabilities, Beginning balance 16,800 $ 9,166 $ 9,166
Changes in fair value of warrant liabilities 31,506   7,634
Warrant liabilities, Ending balance $ 48,306   $ 16,800
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Warrant Liabilities (Details Narrative)
Mar. 31, 2026
$ / shares
Measurement Input, Share Price [Member]  
Business Combination [Line Items]  
Warrants and rights outstanding, measurement input 8.76
Measurement Input, Price Volatility [Member] | Minimum [Member]  
Business Combination [Line Items]  
Warrants and rights outstanding, measurement input 89.1
Measurement Input, Price Volatility [Member] | Maximum [Member]  
Business Combination [Line Items]  
Warrants and rights outstanding, measurement input 94.7
Measurement Input, Risk Free Interest Rate [Member] | Minimum [Member]  
Business Combination [Line Items]  
Warrants and rights outstanding, measurement input 3.72
Measurement Input, Risk Free Interest Rate [Member] | Maximum [Member]  
Business Combination [Line Items]  
Warrants and rights outstanding, measurement input 3.96
Measurement Input, Expected Dividend Rate [Member]  
Business Combination [Line Items]  
Warrants and rights outstanding, measurement input 0
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Schedule of Reconciles the Company’s Net Sales and Operating Loss (Details) - USD ($)
3 Months Ended
Mar. 31, 2026
Mar. 31, 2025
Segment Reporting [Line Items]    
Net Revenue $ 1,607,883 $ 895,655
COGS 218,366 139,475
Gross Profit 1,389,517 756,180
Selling Expenses 824,336 500,119
Research & Development 99,567 117,867
Operating Loss (1,740,679) (2,295,098)
Interest Expense (26,189) (2,237)
Change in Fair Value of Warrant Liability (31,506) 1,831
Other Income 36,942 16,820
Total other (expense) income, net (20,753) 16,414
Net Loss (1,761,432) (2,278,684)
Operating Segments [Member]    
Segment Reporting [Line Items]    
Net Revenue 1,607,883 895,655
COGS 218,366 139,475
Gross Profit 1,389,517 756,180
Selling Expenses [1] 824,336 500,119
Research & Development [1] 99,567 117,867
Compensation and Benefits [1] 1,412,665 1,075,244
Professional Services [1] 436,303 406,716
Legal Settlement 619,097
Depreciation 8,034 3,735
Amortization 8,284 2,621
Other Operating Expenses [1],[2] 341,007 325,879
Operating Loss (1,740,679) (2,295,098)
Interest Expense (26,189) (2,237)
Change in Fair Value of Warrant Liability (31,506) 1,831
Other Income 36,942 16,820
Total other (expense) income, net (20,753) 16,414
Net Loss $ (1,761,432) $ (2,278,684)
[1] The significant expense categories and amounts align with the segment-level information provided on a regular basis to the CODM.
[2] Other operating expenses include rent and utilities, insurance, travel, software subscription fees, board fees and bad debt expense.
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Segment Information (Details Narrative) - USD ($)
3 Months Ended
Mar. 31, 2026
Mar. 31, 2025
Dec. 31, 2025
Segment Reporting [Abstract]      
Assets $ 8,745,706   $ 6,404,036
Net cash used by investing activities $ 18,000  
Depreciation and amortization 16,317 6,356  
Consulting and advisory fees 399,995 112,493  
Stock based compensation $ 5,534 $ 0  
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Settled Litigation (Details Narrative) - USD ($)
3 Months Ended
Jul. 14, 2022
Feb. 06, 2019
Mar. 31, 2025
Mar. 31, 2026
Dec. 31, 2025
Apr. 25, 2025
Commitments and Contingencies Disclosure [Abstract]            
Sought compensatory damages $ 75,000 $ 5,000,000        
Settlement payable           $ 750,000
Litigation expense     $ 619,097      
Accrued expenses       $ 528,799 $ 692,683  
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Commitments and Contingencies (Details Narrative) - USD ($)
3 Months Ended
Oct. 01, 2022
Mar. 31, 2026
Jan. 31, 2024
Jan. 02, 2024
Apr. 30, 2023
Loss Contingencies [Line Items]          
Patent value     $ 2,000,000    
Executive Employment Agreements [Member]          
Loss Contingencies [Line Items]          
Description of executive employment agreements renewals optional one-year renewals        
Seven key employees stock options   1,319,394      
Special bonus percentage       20.00%  
Accrued bonuses current         $ 5,610,234
Executive Employment Agreements [Member] | IPO [Member]          
Loss Contingencies [Line Items]          
Accrued bonuses current         $ 6,225,169
Minimum [Member] | Executive Employment Agreements [Member]          
Loss Contingencies [Line Items]          
Executive employment agreements renewals 2 years        
Key employee exercise percentage       20.00%  
Maximum [Member] | Executive Employment Agreements [Member]          
Loss Contingencies [Line Items]          
Executive employment agreements renewals 5 years        
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Subsequent Events (Details Narrative) - USD ($)
1 Months Ended 3 Months Ended
May 12, 2026
Apr. 22, 2026
Apr. 10, 2026
Apr. 09, 2026
Apr. 01, 2026
May 31, 2026
Apr. 30, 2026
Mar. 31, 2026
Mar. 31, 2025
May 07, 2026
Dec. 31, 2025
Subsequent Event [Line Items]                      
Common stock, par value               $ 0.001     $ 0.001
Gross proceeds of common stock               $ 2,990,361    
Common stock issued from agreements               $ 399,995 $ 112,493    
Common Stock [Member]                      
Subsequent Event [Line Items]                      
Common stock issued from agreements, shares               86,392 39,471    
Common stock issued from agreements               $ 86 $ 40    
Common Stock [Member] | Investor [Member]                      
Subsequent Event [Line Items]                      
Common stock issued from agreements, shares               495,456      
Gross proceeds of common stock               $ 2,990,361      
Subsequent Event [Member]                      
Subsequent Event [Line Items]                      
Cumulative dividend rate     8.50%                
Subsequent Event [Member] | Common Stock [Member]                      
Subsequent Event [Line Items]                      
Common stock issued from agreements, shares 37,850   510,605       37,850        
Shares issued of common stock net of taxes upon vesting   27,483                  
Common stock issued from agreements $ 90,083           $ 90,083        
Subsequent Event [Member] | Common Stock [Member] | Investor [Member]                      
Subsequent Event [Line Items]                      
Common stock issued from agreements, shares           242,255 242,255        
Gross proceeds of common stock           $ 1,982,528 $ 1,982,528        
Subsequent Event [Member] | Series B Preferred Stock [Member] | Common Stock [Member]                      
Subsequent Event [Line Items]                      
Shares issued                   72,282  
Subsequent Event [Member] | Employee [Member]                      
Subsequent Event [Line Items]                      
Common stock issued from agreements, shares         43,885            
Restricted stock, granted   40,000                  
Subsequent Event [Member] | Board of Directors Chairman [Member]                      
Subsequent Event [Line Items]                      
Shares cancelation       1,319,394              
Incremental compensation cost       $ 4,250,000              
Subsequent Event [Member] | Board of Directors Chairman [Member] | Series B Preferred Stock [Member]                      
Subsequent Event [Line Items]                      
Common stock, par value     $ 0.001                
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Meridian Street Suite 330 Carmel IN 46032 (812) 689-0791 Common Stock NRXS NYSEAMER Yes Yes Non-accelerated Filer true true true false 12384405 7078659 4965072 7220 7326 385009 195703 28048 34524 238282 257132 441075 315283 8143025 5733190 382465 382465 314935 306901 67530 75564 245350 261565 266494 274778 23307 58939 8745706 6404036 305296 139365 2261447 2393229 68789 65752 100735 148293 29585 28660 48306 16800 2814158 2792099 183998 202566 9999 2998156 3004664 0.001 0.001 5000000 5000000 3796907 3796907 3796907 3796907 3797 3797 0.001 0.001 100000000 100000000 11450045 11450045 10652812 10652812 11450 10653 72093902 67985089 -66361599 -64600167 5747550 3399372 8745706 6404036 1607883 895655 218366 139475 1389517 756180 824336 500119 99567 117867 2206293 2433292 -1740679 -2295098 26189 2237 31506 -1831 36942 16820 -20753 16414 -1761432 -2278684 189399 213543 -1950831 -2492227 -0.18 -0.18 -0.33 -0.33 10948121 10948121 7463578 7463578 4280939 4281 6990227 6990 58856089 -56799612 2067748 186166 186 -186 39471 40 112453 112493 105811 105811 251111 251111 -2278684 -2278684 4280939 4281 7215864 7216 59325278 -59078296 258479 3796907 3797 10652812 10653 67985089 -64600167 3399372 3796907 3797 10652812 10653 67985089 -64600167 3399372 213040 213 506822 507035 86392 86 399909 399995 495456 495 2989866 2990361 110431 110431 2345 3 -6787 -6784 329434 329434 -1761432 -1761432 3796907 3797 11450045 11450 72093902 -66361599 5747550 3796907 3797 11450045 11450 72093902 -66361599 5747550 -1761432 -2278684 16317 6356 -106 -6476 -533 16215 13719 329434 105811 50001 31506 -1831 189200 -910 -25326 -6907 -39119 -25840 165932 -61931 68213 156784 925 5157 -15531 -14823 431597 -1229757 -1603655 18000 -18000 2990361 507035 89711 57557 69845 -6784 3343344 -69845 2113587 -1691500 4965072 3696870 7078659 2005370 2573 2237 399995 112493 186 3 20720 <p id="xdx_809_eus-gaap--BusinessDescriptionAndBasisOfPresentationTextBlock_zIzKTEzhWFf6" style="font: 10pt Times New Roman, Times, Serif; margin: 0pt 0pt 0pt 0; text-align: justify"><span style="font-family: Times New Roman, Times, Serif; font-size: 10pt"><b><span id="ak_007"></span>1. <span id="xdx_823_zCqTXfO4TJw2">Basis of Presentation, Organization and Other Matters</span></b></span></p> <p style="font: 10pt Times New Roman, Times, Serif; margin: 0pt 0pt 0pt 0; text-align: justify"><span style="font-family: Times New Roman, Times, Serif; font-size: 10pt"> </span></p> <p style="font: 10pt Times New Roman, Times, Serif; margin: 0pt 0pt 0pt 0; text-align: justify"><span style="font-family: Times New Roman, Times, Serif; font-size: 10pt">NeurAxis, Inc. (“we,” “us,” the “Company,” or “NeurAxis”) was established in 2011 and incorporated in the state of Indiana in 2012 under the name of Innovative Health Solutions, Inc. The name was changed to NeurAxis, Inc. in 2022 when the Company filed a Certificate of Conversion and became a Delaware corporation.</span></p> <p style="font: 10pt Times New Roman, Times, Serif; margin: 0pt 0pt 0pt 0; text-align: justify"><span style="font-family: Times New Roman, Times, Serif; font-size: 10pt"> </span></p> <p style="font: 10pt Times New Roman, Times, Serif; margin: 0pt 0pt 0pt 0; text-align: justify"><span style="font-family: Times New Roman, Times, Serif; font-size: 10pt">The Company is headquartered in Carmel, Indiana, and specializes in the development, production, and sale of medical neuromodulation devices. The Company has developed four FDA cleared products: (i) the IB-STIM (DEN180057, 2019), (ii) the Rectal Expulsion Device (“RED”) (K242304,2024), (iii) the NSS-2 Bridge (DEN170018, 2017) and (iv) the original 510(K) clearance (K140530, 2014).</span></p> <p style="font: 10pt Times New Roman, Times, Serif; margin: 0pt 0pt 0pt 0; text-align: justify"><span style="font-family: Times New Roman, Times, Serif; font-size: 10pt"> </span></p> <table cellpadding="0" cellspacing="0" style="font: 10pt Times New Roman, Times, Serif; width: 100%; border-collapse: collapse"> <tr style="font: 10pt Times New Roman, Times, Serif; vertical-align: top"> <td style="font: 10pt Times New Roman, Times, Serif; width: 0.25in"><span style="font-family: Times New Roman, Times, Serif; font-size: 10pt"> </span></td> <td style="font: 10pt Times New Roman, Times, Serif; width: 0.25in; text-align: justify"><span style="font-family: Times New Roman, Times, Serif; font-size: 10pt">●</span></td> <td style="font: 10pt Times New Roman, Times, Serif; text-align: justify"><span style="font-family: Times New Roman, Times, Serif; font-size: 10pt">The IB-STIM is a percutaneous electrical nerve field stimulator (PENFS) device that is indicated in patients 8-21 years of age with functional abdominal pain associated with irritable bowel syndrome and in patients 8 years and older with functional abdominal pain associated with functional dyspepsia and related nausea symptoms.</span></td></tr> <tr style="font: 10pt Times New Roman, Times, Serif; vertical-align: top"> <td style="font: 10pt Times New Roman, Times, Serif"><span style="font-family: Times New Roman, Times, Serif; font-size: 10pt"> </span></td> <td style="font: 10pt Times New Roman, Times, Serif; text-align: justify"><span style="font-family: Times New Roman, Times, Serif; font-size: 10pt"> </span></td> <td style="font: 10pt Times New Roman, Times, Serif"><span style="font-family: Times New Roman, Times, Serif; font-size: 10pt"> </span></td></tr> <tr style="font: 10pt Times New Roman, Times, Serif; vertical-align: top"> <td style="font: 10pt Times New Roman, Times, Serif"><span style="font-family: Times New Roman, Times, Serif; font-size: 10pt"> </span></td> <td style="font: 10pt Times New Roman, Times, Serif; text-align: justify"><span style="font-family: Times New Roman, Times, Serif; font-size: 10pt">●</span></td> <td style="font: 10pt Times New Roman, Times, Serif; text-align: justify"><span style="font-family: Times New Roman, Times, Serif; font-size: 10pt">RED is indicated to evaluate the neuromuscular function of a patient’s ability to expel its contents from the rectum and as a qualitative test for rectal hypersensitivity patients who experience desire or urge to defecate at lower volumes of distention. RED is intended to be used in a clinical setting by trained health care providers in adult populations.</span></td></tr> <tr style="font: 10pt Times New Roman, Times, Serif; vertical-align: top"> <td style="font: 10pt Times New Roman, Times, Serif"><span style="font-family: Times New Roman, Times, Serif; font-size: 10pt"> </span></td> <td style="font: 10pt Times New Roman, Times, Serif; text-align: justify"><span style="font-family: Times New Roman, Times, Serif; font-size: 10pt"> </span></td>