Item 2. |
Management’s Discussion and Analysis of Financial Condition and Results of Operations
|
The following discussion and analysis of our financial condition and results of operations should be read in conjunction with our financial statements and related notes included elsewhere in
this in this Quarterly Report on Form 10-Q and our Annual Report on Form 10-K filed with the U.S. Securities and Exchange Commission, or the SEC, on March 28, 2024. This Quarterly Report on Form 10-Q contains forward-looking statements within the
meaning of Section 27A of the Securities Act of 1933, as amended, and Section 21E of the Securities Exchange Act of 1934, as amended, which are subject to the “safe harbor” created by those sections. Forward-looking statements are based on our
management’s beliefs and assumptions and on information currently available to our management. In some cases, you can identify forward-looking statements by terms such as “may,” “will,” “should,” “could,” “goal,” “would,” “expect,” “plan,”
“anticipate,” “believe,” “estimate,” “project,” “predict,” “potential” and similar expressions intended to identify forward-looking statements and reflect our beliefs and opinions on the relevant subject. Our actual results could differ
materially from those discussed in the forward-looking statements. Factors that could cause or contribute to these differences include those discussed below and elsewhere in this Quarterly Report on Form 10-Q. The forward-looking statements
included in this Quarterly Report on Form 10-Q are made only as of the date hereof. These statements are based upon information available to us as of the filing date of this Quarterly Report on Form 10-Q, and while we believe such information
forms a reasonable basis for such statements, such information may be limited or incomplete, and our statements should not be read to indicate that we have conducted an exhaustive inquiry into, or review of, all potentially available relevant
information. These statements are inherently uncertain, and investors are cautioned not to unduly rely upon these statements.
Overview
We are a leading biomedical company focused on addressing significant unmet needs for women worldwide with a broad portfolio of in-office, accessible, and innovative therapeutic and diagnostic solutions, including
a lead revolutionary product candidate and FDA-cleared, and Canadian and European Union approved products. Our mission is to provide women with superior minimally-invasive, non-surgical product technologies, accessible in the office, improving
patient care and overall health economics focused on servicing the reproductive health needs for those seeking solutions for infertility issues (FemaSeed and FemVue) or permanent birth control (FemBloc). We are a woman-founded and led company
with an expansive, internally created intellectual property portfolio with over 200 patents globally, in-house chemistry, manufacturing, and controls (CMC) and device manufacturing capabilities and proven ability to develop and commercialize
products. Our suite of products and product candidate address what we believe are multi-billion dollar global market segments in which there has been little advancement for many years, helping women avoid pharmaceutical solutions, implants and
surgery that can be expensive and expose women to harm.
Corporate Update
On November 15, 2023, we secured a $6.85 million financing with a strategic investment from investors led by PharmaCyte Biotech.
On November 28, 2023, we announced the completion of enrollment of FemaSeed pivotal trial in support of commercial launch.
On November 30, 2023, we announced the appointment of James Liu, M.D. as Chief Medical Officer.
On January 23, 2024 and January 26, 2024, we announced initiation of enrollment in pivotal trial (NCT05977751) of our permanent birth control candidate FemBloc at two academic sites, for a total of six active
sites, the maximum number permitted in the first stage.
On February 6, 2024, we announced the appointment of Richard Spector to new position of Chief Commercial Officer.
On March 6, 2024, we announced the first in-office commercial procedure with FDA-cleared FemaSeed infertility solution at a former investigative site.
On March 20, 2024, we announced positive topline data from pivotal trial for FDA-cleared FemaSeed for the treatment of infertility.
On April 18, 2024, we announced that our CEO met with members of Congress to raise awareness of the Company and discuss women’s healthcare initiatives.
On May 16, 2024, we announced that our CEO met with the White House’s Gender Policy Council.
On May 17, 2024, we announced that our CEO met with the White House’s Office of Science and Technology to discuss the Cancer Moonshot initiative.
On June 20, 2024, we announced receipt of European Union Medical Device Regulation (EU MDR) and CE Mark certification for FemaSeed, FemVue, FemCerv and FemCath.
On August 29, 2024, we announced receipt of CE Mark certification and product approval from Health Canada, the Public Health Agency of Canada, for our compact, eco-friendly FemVue MINI for fallopian tube
assessment.
On September 9, 2024, we announced receipt of 510(k) clearance from FDA for FemChec, an innovative diagnostic solution for fallopian tube check.
On September 11, 2024, we announced strategic distribution partnerships for CE-marked products, including FemaSeed and FemVue in Spain for over $1.3 million over the next year.
On September 18, 2024, we announced the onboarding of the first infertility medical clinic customers to offer FemaSeed infertility treatment to patients in California and Florida.
On October 2, 2024, we announced receipt of a second order from our Spain strategic distribution partners after successfully completing commercial FemaSeed infertility treatments.
On October 30, 2024, we announced a partnership with Boston IVF, a prominent network of fertility centers, to offer FemaSeed.
On November 1, 2024, we announced issuance of U.S. patent covering FemBloc device for female permanent birth control.
Clinical Update
FemaSeed – Our Intratubal Artificial Insemination Solution. In September 2023 we received 510(k) clearance from the FDA for FemaSeed intratubal insemination. The pivotal
clinical trial was still ongoing at the time of receiving U.S. regulatory clearance from the FDA, as a result, the study was concluded with enrollment completed in November 2023. Topline results of the clinical trial were announced in March 2024.
The trial demonstrated pregnancy rate was 26.3% by subject (n=38) and 17.5% by cycle (n=57) after FemaSeed. In contrast, a 6.7% pregnancy rate by cycle was described in the literature for intrauterine insemination (IUI) with male factor
infertility (greater than 1 million total motile sperm count). Although subjects were permitted to have multiple FemaSeed attempts, the majority of women who became pregnant did so after the first FemaSeed procedure. The majority of adverse
events were reported as mild (n=133 subjects, 222 cycles). No new safety concerns were observed through the seven-week follow-up. All adverse events were consistent with those known for IUI. The approved labeling includes women or couples wishing
to become pregnant by way of insemination. The recruitment of the commercial team began with the hire of the Chief Commercial Officer in February 2024. In March 2024, the first commercial use of FemaSeed at a former investigative site was
announced. Build-out of our initial commercial team in the United States was completed in June 2024. In June 2024, we received EU MDR and CE Mark certification for FemaSeed and in September 2024, we announced strategic distribution partnerships
for CE-marked products, including FemaSeed and FemVue in Spain which are anticipated to generate over $1.3 million over the next year. Concurrently with direct commercial efforts in North America (U.S. and Canada), we are exploring other
potential strategic partners for distribution in Europe and internationally.
FemBloc – Our Permanent Birth Control Solution. In June 2023 we received FDA approval of our IDE to conduct a pivotal trial to evaluate the safety and efficacy of FemBloc,
our non-surgical, non-implant, in-office solution for permanent birth control. In August 2023 we announced the initiation of enrollment in the FINALE [Prospective Multi-Center Trial for FemBloc INtratubal Occlusion for TranscervicAL PErmanent
Birth Control] pivotal trial designed to evaluate the safety and efficacy of FemBloc. This prospective, multi-center, open-label, single-arm study design includes pregnancy rate as the primary endpoint, which will be analyzed once 401 women have
used FemBloc for one year for permanent birth control. In addition, the study is designed as a roll-in beginning with enrollment of 50 women for a clinical readout primarily of preliminary safety data prior to enrolling the remaining subjects. An
interim analysis of clinical data endpoints is planned once 300 women have used FemBloc for permanent birth control for one year. Follow-up will continue annually for five years post-market. All six sites permitted in the initial stage of the
trial were announced as actively enrolling subjects in January 2024. In September 2024, we announced receipt of 510(k) clearance from FDA for FemChec, an innovative diagnostic solution for fallopian tube check. FemChec is part of the confirmation
test utilized to confirm FemBloc success. FemChec received CE Mark approval in September 2024 and previously received regulatory approval in Canada.
Results of Operations
Comparison of the Three Months Ended September 30, 2024 and 2023
The following table shows our results of operations for the three months ended September 30, 2024 and 2023:
|
|
Three Months Ended September 30,
|
|
|
|
|
|
|
|
|
|
2024
|
|
|
2023
|
|
|
Change
|
|
|
% Change
|
|
Sales
|
|
$
|
554,908
|
|
|
|
244,361
|
|
|
|
310,547
|
|
|
|
127.1
|
%
|
Cost of sales (excluding depreciation expense)
|
|
|
190,839
|
|
|
|
86,186
|
|
|
|
104,653
|
|
|
|
121.4
|
%
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Operating expenses:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Research and development
|
|
|
2,303,241
|
|
|
|
2,072,830
|
|
|
|
230,411
|
|
|
|
11.1
|
%
|
Sales and marketing
|
|
|
1,572,189
|
|
|
|
70,883
|
|
|
|
1,501,306
|
|
|
|
2118.0
|
%
|
General and administrative
|
|
|
1,530,791
|
|
|
|
1,970,408
|
|
|
|
(439,617
|
)
|
|
|
-22.3
|
%
|
Depreciation and amortization
|
|
|
76,288
|
|
|
|
125,318
|
|
|
|
(49,030
|
)
|
|
|
-39.1
|
%
|
Total operating expenses
|
|
|
5,482,509
|
|
|
|
4,239,439
|
|
|
|
1,243,070
|
|
|
|
29.3
|
%
|
Loss from operations
|
|
|
(5,118,440
|
)
|
|
|
(4,081,264
|
)
|
|
|
(1,037,176
|
)
|
|
|
25.4
|
%
|
Other income (expense):
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Interest income
|
|
|
124,028
|
|
|
|
92,392
|
|
|
|
31,636
|
|
|
|
34.2
|
%
|
Interest expense
|
|
|
(413,290
|
)
|
|
|
(8,033
|
)
|
|
|
(405,257
|
)
|
|
|
5044.9
|
%
|
Other income (expense), net
|
|
|
(289,262
|
)
|
|
|
84,359
|
|
|
|
(373,621
|
)
|
|
|
-442.9
|
%
|
Loss before income taxes
|
|
|
(5,407,702
|
)
|
|
|
(3,996,905
|
)
|
|
|
(1,410,797
|
)
|
|
|
35.3
|
%
|
Income tax expense
|
|
|
1,158
|
|
|
|
—
|
|
|
|
1,158
|
|
|
|
-100.0
|
%
|
Net loss
|
|
$
|
(5,408,860
|
)
|
|
|
(3,996,905
|
)
|
|
|
(1,411,955
|
)
|
|
|
35.3
|
%
|
Sales
Sales increased by $310,547, or 127.1%, to $554,908 for the three months ended September 30, 2024 from $244,361 for the three months ended September 30, 2023, due to increased sales of
FemaSeed and FemVue. FemVue U.S. and international units sold increased by 1.9% and 100%, respectively for the comparable periods, with pricing consistent across all markets. The Company recorded its first FemaSeed U.S. and international sales
for the three months ended September 30, 2024, and additional sales are expected in the 4
th quarter of 2024. Our Spanish distributors both placed orders in September
2024, each for approximately $210,000. One order was shipped in September. Due to hurricane Helene, the second order was unable to be shipped in September, and was recorded as revenue in October.
Cost of sales
Cost of sales increased by $104,653 or 121.4%, to $190,839 for the three months ended September 30, 2024 from $86,186 for the three months ended September 30, 2023. The increase is attributed to increased sales,
specifically of FemaSeed.
Research and development
The following table summarizes our R&D expenses incurred during the periods presented:
|
|
Three Months Ended September 30,
|
|
|
|
2024
|
|
|
2023
|
|
Compensation and related personnel costs
|
|
$
|
1,256,061
|
|
|
|
918,617
|
|
Clinical-related costs
|
|
|
437,163
|
|
|
|
534,789
|
|
Material and development costs
|
|
|
312,644
|
|
|
|
455,347
|
|
Professional and outside consultant costs
|
|
|
291,955
|
|
|
|
133,476
|
|
Other costs
|
|
|
5,418
|
|
|
|
30,601
|
|
Total research and development expenses
|
|
$
|
2,303,241
|
|
|
|
2,072,830
|
|
R&D expenses increased by $230,411 or 11.1%, to $2,303,241 for the three months ended September 30, 2024 from $2,072,830 for the three months ended September 30, 2023. The increase relates primarily to
increased compensation costs and professional and outside consultant costs.
Sales and marketing
Sales and marketing expenses increased by $1,501,306 or 2,118.0%, to $1,572,189 for the three months ended September 30, 2024 from $70,883 for the three months ended September 30, 2023. The increase is largely due
to increased compensation costs and sales and marketing expenses as we recruited and hired commercial team members in connection with the initiation of commercialization of FemaSeed in the U.S.
General and administrative
General and administrative expenses decreased by $439,617, or 22.3%, to $1,530,791 for the three months ended September 30, 2024 from $1,970,408 for the three months ended September 30, 2023. The decrease is
largely due to reduced compensation and professional fees.
Depreciation and amortization
Depreciation and amortization expenses decreased by $49,030, or 39.1%, to $76,288 for the three months ended September 30, 2024 from $125,318 for the three months ended September 30, 2023. The decrease is due to a
reduction of depreciation expense associated with our fixed assets.
Other income (expense), net
Other income (expense), net decreased by $373,621, or 442.9%, to $289,262 of expense for the three months ended September 30, 2024 from $84,359 of income for the three months ended September 30, 2023. The decrease
relates to an increase in interest expense and non-cash discount amortization related to the convertible notes payable, partially offset by an increase in interest income.
Results of Operations
Comparison of the Nine Months Ended September 30, 2024 and 2023
The following table shows our results of operations for the nine months ended September 30, 2024 and 2023:
|
|
Nine Months Ended September 30,
|
|
|
|
|
|
|
|
|
|
2024
|
|
|
2023
|
|
|
Change
|
|
|
% Change
|
|
Sales
|
|
$
|
1,047,532
|
|
|
|
858,859
|
|
|
|
188,673
|
|
|
|
22.0
|
%
|
Cost of sales (excluding depreciation expense)
|
|
|
352,496
|
|
|
|
301,775
|
|
|
|
50,721
|
|
|
|
16.8
|
%
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Operating expenses:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Research and development
|
|
|
6,049,847
|
|
|
|
5,137,441
|
|
|
|
912,406
|
|
|
|
17.8
|
%
|
Sales and marketing
|
|
|
2,847,866
|
|
|
|
444,678
|
|
|
|
2,403,188
|
|
|
|
540.4
|
%
|
General and administrative
|
|
|
4,645,412
|
|
|
|
4,642,182
|
|
|
|
3,230
|
|
|
|
0.1
|
%
|
Depreciation and amortization
|
|
|
215,144
|
|
|
|
391,683
|
|
|
|
(176,539
|
)
|
|
|
-45.1
|
%
|
Total operating expenses
|
|
|
13,758,269
|
|
|
|
10,615,984
|
|
|
|
3,142,285
|
|
|
|
29.6
|
%
|
Loss from operations
|
|
|
(13,063,233
|
)
|
|
|
(10,058,900
|
)
|
|
|
(3,004,333
|
)
|
|
|
29.9
|
%
|
Other income (expense):
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Interest income
|
|
|
532,850
|
|
|
|
232,133
|
|
|
|
300,717
|
|
|
|
129.5
|
%
|
Interest expense
|
|
|
(1,163,153
|
)
|
|
|
(9,903
|
)
|
|
|
(1,153,250
|
)
|
|
|
11645.5
|
%
|
Other income (expense), net
|
|
|
(630,303
|
)
|
|
|
222,230
|
|
|
|
(852,533
|
)
|
|
|
-383.6
|
%
|
Loss before income taxes
|
|
|
(13,693,536
|
)
|
|
|
(9,836,670
|
)
|
|
|
(3,856,866
|
)
|
|
|
39.2
|
%
|
Income tax benefit
|
|
|
(592
|
)
|
|
|
—
|
|
|
|
(592
|
)
|
|
|
-100.0
|
%
|
Net loss
|
|
$
|
(13,692,944
|
)
|
|
|
(9,836,670
|
)
|
|
|
(3,856,274
|
)
|
|
|
39.2
|
%
|
Sales
Sales increased by $188,673, or 22.0%, to $1,047,532 for the nine months ended September 30, 2024 from $858,859 for the nine months ended September 30, 2023, attributable primarily to sales of FemaSeed. FemVue
units sold decreased by 6.7% for the comparable periods, with pricing consistent across all markets. The Company recorded its first FemaSeed U.S. and international sales during the third quarter of 2024, and additional sales are expected in the 4th quarter of 2024. Our Spanish distributors both placed orders in September 2024, each for approximately $210,000. One order was shipped in September. Due to hurricane
Helene, the second order was unable to be shipped in September, and was recorded as revenue in October.
Cost of sales
Cost of sales increased by $50,721 or 16.8%, to $352,496 for the nine months ended September 30, 2024 from $301,775 for the nine months ended September 30, 2023. The increase is primarily attributed to increased
sales, specifically of FemaSeed.
Research and development
The following table summarizes our R&D expenses incurred during the periods presented:
|
|
Nine Months Ended September 30,
|
|
|
|
2024
|
|
|
2023
|
|
Compensation and related personnel costs
|
|
$
|
3,219,997
|
|
|
|
2,659,411
|
|
Clinical-related costs
|
|
|
1,311,526
|
|
|
|
1,262,727
|
|
Material and development costs
|
|
|
845,473
|
|
|
|
827,603
|
|
Professional and outside consultant costs
|
|
|
578,614
|
|
|
|
345,938
|
|
Other costs
|
|
|
94,237
|
|
|
|
41,762
|
|
Total research and development expenses
|
|
$
|
6,049,847
|
|
|
|
5,137,441
|
|
R&D expenses increased by $912,406 or 17.8%, to $6,049,847 for the nine months ended September 30, 2024 from $5,137,441 for the nine months ended September 30, 2023. The increase relates primarily to increased
compensation costs, professional and outside consultant costs and clinical-related costs.
Sales and marketing
Sales and marketing expenses increased by $2,403,188 or 540.4%, to $2,847,866 for the nine months ended September 30, 2024 from $444,678 for the nine months ended September 30, 2023. The increase is largely due to
increased compensation costs and sales and marketing expenses as we recruited and hired commercial team members in connection with the initiation of commercialization of FemaSeed in the U.S.
General and administrative
General and administrative expenses increased by $3,230, or 0.1%, to $4,645,412 for the nine months ended September 30, 2024 from $4,642,182 for the nine months ended September 30, 2023. The slight increase is
attributed to increased facility costs, offset by decreased professional fees and compensation costs.
Depreciation and amortization
Depreciation and amortization expenses decreased by $176,539, or 45.1%, to $215,144 for the nine months ended September 30, 2024 from $391,683 for the nine months ended September 30, 2023. The decrease is due to a
reduction of depreciation expense associated with our fixed assets.
Other income (expense), net
Other income (expense), net decreased by $852,533, or 383.6%, to $630,303 of expense for the nine months ended September 30, 2024 from $222,230 of income for the nine months ended September 30, 2023. The decrease
relates to interest expense and non-cash discount amortization related to the convertible notes payable, partially offset by an increase in interest income.
Liquidity and Capital Resources
Sources of liquidity
Since our inception through September 30, 2024, our operations have been financed primarily by net proceeds from the sale of our common stock and convertible preferred stock, indebtedness and, to a lesser extent,
product revenue. As of September 30, 2024, we had $7,611,210 of cash and cash equivalents and an accumulated deficit of $122,074,573.
On July 1, 2022, we entered into an Equity Distribution Agreement (the “Equity Distribution Agreement”) with Piper Sandler & Co. (the “Sales Agent”) and filed a related prospectus establishing an
“at-the-market” facility, pursuant to which we may offer and sell shares of our common stock from time to time through the Sales Agent. In October 2023, the Sales Agent was authorized to sell shares of common stock for an aggregate price up to
$16.7 million pursuant to the prospectus. As of September 30, 2024, approximately 3.9 million shares of common stock have been sold for aggregate proceeds of approximately $8.7 million under the Equity Distribution Agreement pursuant to the
prospectus. As of September 30, 2024, the amount we are authorized to sell is subject to baby-shelf limitations. In October 2024, the Company sold 665,669 shares under this facility, resulting in gross cash proceeds of $900,317.
In April 2023, we sold an aggregate of (i) 1,318,000 shares of common stock and (ii) pre-funded warrants to purchase up to 1,878,722 shares of common stock in a registered direct offering and, in a concurrent
private placement, warrants to purchase up to 3,196,722 shares of common stock. Additionally, common warrants were issued to the placement agent in this transaction to purchase up to 191,803 shares of common stock as compensation for services,
collectively the (“April 2023 Financing”). The purchase price per share for the common stock, pre-funded warrants was $1.22 and $1.2199, respectively. The net proceeds from the April 2023 Financing at closing were approximately $3.4 million. The
pre-funded and common warrants in the April 2023 Financing were fully exercised for cash for additional proceeds of $3.5 million. Placement agent warrants of 68,809 remain outstanding as of September 30, 2024.
In November 2023, we entered into a securities purchase agreement with certain accredited investors pursuant to which we sold (i) senior unsecured convertible notes in an aggregate principal amount of $6,850,000,
convertible into shares of common stock at a conversion price of $1.18 per share, (ii) Series A Warrants to purchase up to an aggregate of 5,805,083 shares of common stock at an exercise price of $1.18 per share, and (iii) Series B Warrants to
purchase up to an aggregate of 5,805,083 shares of common stock at an exercise price of $1.475 per share (collectively, the “November Private Placement”). Net proceeds from the November Private Placement were $6.3 million. If exercised for cash,
the warrants issued in the November Private Placement could result in proceeds of up to an additional $15.4 million.
Funding requirements
Based on our current operating plan, our current cash and cash equivalents is sufficient into July 2025. However, it is not sufficient to fund our ongoing operations for twelve months from the date of these financial statements and we will
need to obtain additional financing to fund our ongoing operations. Our estimate as to how long we expect our existing cash and cash equivalents to be able to continue to fund our operations is based on assumptions that may prove to be wrong, and
we could use our available capital resources sooner than we currently expect. Changing circumstances, some of which may be beyond our control, could cause us to consume capital significantly faster than we currently anticipate. As a result of our
current limited financial liquidity, we have concluded that substantial doubt exists about our ability to continue as a going concern.
Our cash and cash equivalents as of September 30, 2024 will not be sufficient to fund our product candidate FemBloc through regulatory approval, and we anticipate needing to raise additional capital to complete the
development and commercialization of our product candidate. However, we can give no assurances that we will be able to secure additional sources of funds to support our operations, or if such funds will be available to us, that such additional
financing will be sufficient to meet our needs or be on terms acceptable to us. This risk may increase if economic and market conditions deteriorate. If we are unable to obtain additional financing when needed, we may need to terminate,
significantly modify, or delay the development of our product candidate, or we may need to obtain funds through collaborations or otherwise on terms that may require us to relinquish rights to our technologies or product candidates that we might
otherwise seek to develop or commercialize independently. If we are unable to raise adequate additional capital as and when required in the future, we could be forced to cease development activities and terminate our operations, and you could
experience a complete loss of your investment.
Cash Flows
Comparison of the Nine months ended September 30, 2024 and 2023
The following table summarizes our cash flows for the nine months ended September 30, 2024 and 2023:
|
|
Nine Months Ended September 30,
|
|
|
|
2024
|
|
|
2023
|
|
Net cash used in operating activities
|
|
$
|
(14,369,440
|
)
|
|
|
(8,244,566
|
)
|
Net cash used in investing activities
|
|
|
(737,151
|
)
|
|
|
(99,018
|
)
|
Net cash provided by financing activities
|
|
|
1,001,724
|
|
|
|
4,074,083
|
|
Net change in cash and cash equivalents
|
|
$
|
(14,104,867
|
)
|
|
|
(4,269,501
|
)
|
Operating activities
For the nine months ended September 30, 2024, cash used in operating activities was $14,369,440, attributable to a net loss of $13,692,944 and a net change in our net operating assets and liabilities of $
2,503,977,
partially offset by non-cash charges of $1,827,481. Non-cash charges primarily consisted of $854,902 in amortization of the discount on convertible notes, $438,601 in right-of-use asset amortization, $310,004 in share-based compensation and
$215,144 in depreciation and amortization. The change in our net operating assets and liabilities was primarily due to decreases in accounts payable and accrued expenses of $368,450, lease liabilities of $273,734 and increases in inventory of
$1,273,382, prepaid and other assets of $266,518 and accounts receivable of $285,384.
For the nine months ended September 30, 2023, cash used in operating activities was $8,244,566, attributable to a net loss of $9,836,670, partially offset by non-cash charges of $1,341,880 and
a net change in our net operating assets and liabilities of $250,224. Non-cash charges largely consisted of $626,529 in stock-based compensation, $391,683 in depreciation and amortization, $274,158 in right-of-use asset amortization and $44,538
for loss on disposal of assets. The change in our net operating assets and liabilities was primarily due to a decrease in prepaid and other assets of $313,154 and an increase in accounts payable and accrued expenses of $453,847, which were
offset partially by increases in inventory of $170,917, accounts receivable of $26,086 and a decrease in lease and other liabilities of $319,774.
Investing activities
For the nine months ended September 30, 2024, cash used in investing activities for the purchase of property and equipment and acquisition of patents was $737,151.
For the nine months ended September 30, 2023, cash used in investing activities for the purchase of property and equipment was $99,018.
Financing activities
For the nine months ended September 30, 2024, cash provided by financing activities was $1,001,724, attributable to proceeds from sales under the at-the-market facility, net of issuance costs and proceeds from the
issuance of shares under the ESPP plan.
For the nine months ended September 30, 2023, cash provided by financing activities was $4,074,083, primarily attributable to proceeds from the issuance of common stock and warrants of $4,965,046, offset by financing offering costs of
$547,764, repayments on notes payable of $327,006 and payments under lease obligations of $16,193.
Critical Accounting Estimates
Management’s discussion and analysis of our financial condition and results of operations is based on our financial statements, which have been prepared in accordance with U.S. generally accepted accounting
principles, or GAAP. The preparation of these financial statements requires us to make estimates and assumptions for the reported amounts of assets, liabilities, revenue, expenses and related disclosures. Our estimates are based on our historical
experience and on various other factors that we believe are reasonable under the circumstances, the results of which form the basis for making judgments about the carrying value of assets and liabilities that are not readily apparent from other
sources. Actual results may differ from these estimates under different assumptions or conditions and any such differences may be material.
While our significant accounting policies are more fully described in Note 2 to our financial statements appearing the Annual Report on Form 10-K for the year ended December 31, 2023 as filed on March 28, 2024, we
believe the following discussion addresses our most critical accounting policies, which are those that are most important to our financial condition and results of operations and require our most difficult, subjective and complex judgments.
Revenue recognition
Our policy is to recognize revenue when a customer obtains control of the promised goods under Accounting Standards Update (ASU) 2020-05, Revenue from Contracts with Customers
(Topic 606), which we adopted effective January 1, 2018. The amount of revenue recognized reflects the consideration to which we expect to be entitled to receive in exchange for these goods, and we have elected to exclude amounts collected from
customers for all sales (and other similar) taxes from the transaction price. We do not have multiple performance obligations in our customer orders, so revenue is recognized upon shipment of our goods based upon contractually stated pricing at
standard payment terms ranging from 30 to 60 days. All revenue is recognized point in time and no revenue is recognized over time.
The majority of products sold directly to U.S. customers are shipped via common carrier, and the customer pays for shipping and handling and assumes control Free on Board (FOB) shipping point. Products shipped to
our international distributors are in accordance with their respective agreements; however, the shipping terms are generally EX-Works, reflecting that control is assumed by the distributor at the shipping point. Returns are only accepted with
prior authorization from the Company. Items to be returned must be in original unopened cartons and are subject to a 30% restocking fee. As of September 30, 2024, we have not had a history of significant returns.
Accrued expenses
We accrue expenses for estimated costs of R&D activities conducted by our third-party service providers, which include the conduct of preclinical studies and clinical trials. We record the estimated costs of
R&D activities based upon the estimated amount of services provided but not yet invoiced. These costs, at times, may be a significant component of the research and development expenses and the Company makes estimates in determining the
accrued expense each period. As actual costs become known, the Company adjusts its accrual. These accrued R&D costs are included in accrued expenses on the balance sheet and within R&D expense on the statement of comprehensive loss.
Item 3. |
Quantitative and Qualitative Disclosures About Market Risk
|
Not applicable.
Item 4. |
Controls and Procedures
|
Evaluation of Disclosure Controls and Procedures
We maintain disclosure controls and procedures that are designed to ensure that information required to be disclosed in the reports that we file or submit under the Exchange Act are (1) recorded, processed,
summarized and reported within the time periods specified in the SEC’s rules and forms, and (2) accumulated and communicated to our management, including to our principal executive officer and principal financial officer, to allow timely
decisions regarding required disclosure. Our management, with the participation of our Chief Executive Officer (principal executive officer) and Chief Financial Officer (principal financial and accounting officer), has evaluated the effectiveness
of our disclosure controls and procedures (as defined in Rules 13a-15(e) and 15d-15(e) under the Securities Exchange Act of 1934, as amended) as of the end of the period covered by this Quarterly Report on Form 10-Q. Based on such evaluation, our
management has concluded that our disclosure controls and procedures were effective at a reasonable assurance level as of September 30, 2024.
Changes in Internal Control over Financial Reporting
There were no changes in our internal control over financial reporting identified in connection with the evaluation required by Rule 13a-15(d) and 15d-15(d) of the Exchange Act that occurred during the quarter
ended September 30, 2024 that have materially affected, or are reasonably likely to materially affect, our internal control over financial reporting.
Inherent Limitations on Effectiveness of Controls
Our management, including our Chief Executive Officer and Chief Financial Officer (principal financial and accounting officer), does not expect that our disclosure controls and procedures or internal control over
financial reporting will prevent all errors and all fraud. A control system, no matter how well designed and implemented, can provide only reasonable, not absolute, assurance that the control system’s objectives will be met. Further, the design
of a control system must reflect the fact that there are resource constraints, and the benefits of controls must be considered relative to their costs. Because of the inherent limitations in all control systems, no evaluation of controls can
provide absolute assurance that all control issues within a company are detected. The inherent limitations include the realities that judgments in decision-making can be faulty and that breakdowns can occur because of simple errors or mistakes.
Controls can also be circumvented by the individual acts of some persons, by collusion of two or more people, or by management override of the controls. Also, projections of any evaluation of effectiveness to future periods are subject to the
risk that controls may become inadequate because of changes in conditions or that the degree of compliance with the policies or procedures may deteriorate. Because of the inherent limitations in a cost-effective control system, misstatements due
to error or fraud may occur and may not be detected.
PART II OTHER INFORMATION
Item 1. |
Legal Proceedings
|
From time to time we may be involved in legal proceedings arising in connection with our business. As of September 30, 2024, we have not had a history of significant legal proceedings and there are no currently
pending actions against us. We believe that any amount, or range, of reasonably possible losses in connection with any potential actions against us in excess of established reserves, in the aggregate, will not be material to our financial
condition or cash flows. However, losses may be material to our operating results for any particular future period, depending on the level of income for such period and the significance of any actions against us.
As of the date of this report, there are no material changes to our risk factors as previously disclosed in Part I, Item 1A of our Annual Report on Form 10-K for the year ended December 31, 2023 except as noted
below.
There is substantial doubt about our ability to continue as a going concern
There is substantial doubt about our ability to continue as a going concern. If we are unable to raise sufficient capital in this offering or otherwise as and when needed, our business, financial condition and
results of operations will be materially and adversely affected, and we will need to significantly modify our operational plans to continue as a going concern. If we are unable to continue as a going concern, we may have to liquidate our assets,
and the values we receive for our assets in liquidation or dissolution could be significantly lower than the values reflected in our financial statements. Our lack of cash resources and our potential inability to continue as a going concern may
materially adversely affect our share price and our ability to raise new capital, enter into critical contractual relations with third parties and otherwise execute our development strategy.
Item 2. |
Unregistered Sales of Equity Securities, Use of Proceeds, and Issuer Purchases of Equity Securities
|
None.
Item 3. |
Defaults Upon Senior Securities
|
None.
Item 4. |
Mine Safety Disclosures
|
Not applicable.
Item 5. |
Other Information
|
During the period covered by this Quarterly Report, none of the Company’s directors or executive officers have adopted
or terminated a Rule 10b5-1 trading arrangement or a non-Rule 10b5-1 trading arrangement (each as defined in Item 408 of
Regulation S-K under the Securities Exchange Act of 1934, as amended).
|
|
Incorporated
by Reference
|
|
Exhibit
|
|
File
|
|
|
Number
|
Description of Document
|
Schedule/Form
|
Number
|
Exhibit
|
Filing
Date
|
|
|
|
|
|
|
Eleventh Amended and Restated Certificate of Incorporation of Femasys Inc.
|
Form 8-K
|
001-40492
|
3.1
|
June 22, 2021
|
|
|
|
|
|
|
Amended and Restated Bylaws of Femasys Inc.
|
Form 8-K
|
001-40492
|
3.2
|
June 22, 2021
|
|
|
|
|
|
|
First Amendment to the Amended and Restated Bylaws of Femasys Inc.
|
Form 8-K
|
001-40492
|
3.1
|
March 30, 2023
|
|
|
|
|
|
|
Certification of Principal Executive Officer Pursuant to Securities Exchange Act Rules 13a-14(a), as adopted Pursuant to Section 302 of the Sarbanes-Oxley Act of 2002
|
|
|
|
|
|
|
|
|
|
|
Certification of Principal Financial Officer Pursuant to Securities Exchange Act Rules 13a-14(a), as adopted Pursuant to Section 302 of the Sarbanes-Oxley Act of 2002
|
|
|
|
|
|
|
|
|
|
|
Certification of Principal Executive Officer Pursuant to 18 U.S.C. Section 1350, as adopted Pursuant to Section 906 of the Sarbanes-Oxley Act of 2002
|
|
|
|
|
|
|
|
|
|
|
Certification of Principal Financial Officer Pursuant to 18 U.S.C. Section 1350, as adopted Pursuant to Section 906 of the Sarbanes-Oxley Act of 2002
|
|
|
|
|
|
|
|
|
|
|
101.INS*
|
Inline XBRL Instance Document (the instance document does not appear in the Interactive Data File because its XBRL tags are embedded within the Inline XBRL document)
|
|
|
|
|
|
|
|
|
|
|
101.SCH*
|
Inline XBRL Taxonomy Extension Schema Document
|
|
|
|
|
|
|
|
|
|
|
101.CAL
|
Inline XBRL Taxonomy Extension Calculation Linkbase Document
|
|
|
|
|
|
|
|
|
|
|
101.DEF*
|
Inline XBRL Taxonomy Definition Linkbase Document
|
|
|
|
|
|
|
|
|
|
|
101.LAB*
|
Inline XBRL Taxonomy Extension Label Linkbase Document
|
|
|
|
|
|
|
|
|
|
|
101.PRE*
|
Inline XBRL Taxonomy Extension Presentation Linkbase Document
|
|
|
|
|
|
|
|
|
|
|
104*
|
Cover Page Interactive Data File (formatted as inline XBRL and contained in Exhibit 101)
|
|
|
|
|
*Filed herewith
SIGNATURES
Pursuant to the requirements of the Securities Act, the registrant has duly caused this registration statement to be signed on its behalf by the undersigned, thereunto duly authorized, in the City of Suwanee, State
of Georgia, on this 12th day of November 2024.
Dated: November 12, 2024
|
By: /s/ Kathy Lee-Sepsick
|
|
|
Kathy Lee-Sepsick
|
|
|
Chief Executive Officer and President
|
|
Dated: November 12, 2024
|
|
|
|
By: /s/ Dov Elefant
|
|
|
Dov Elefant
|
|
|
Chief Financial Officer
|
|
32