STOCK TITAN

NeurAxis (NYSE American: NRXS) doubles sales yet warns on going concern

(Moderate)
(Neutral)
Form Type
10-Q

Rhea-AI Filing Summary

NeurAxis, Inc. reported rapid top-line growth but continued losses for the quarter and six months ended June 30, 2026. Net sales rose to $1.93 million for the quarter and $3.54 million year-to-date, driven by broader insurance coverage following IB-Stim’s Category I CPT code and higher average selling prices. Gross margin remained high at 85.9–86.1%, yielding gross profit of $3.05 million for the six months.

Operating loss was $3.87 million and net loss $3.85 million year-to-date, slightly better than 2025 but still significant. Cash and cash equivalents increased to $8.32 million, largely from equity offerings and warrant exercises, supporting working capital of $6.32 million. Stockholders’ equity improved to $6.74 million as of June 30, 2026.

The company emphasizes going-concern risks, citing a history of operating losses and dependence on continued sales growth and external financing. It highlights a focused neuromodulation portfolio (IB-Stim and RED), expanding clinical studies, and ongoing efforts to secure broader payor coverage as key drivers of future performance.

Positive

  • Net sales nearly doubled, rising 97.6% year-to-date to $3.54 million, driven by higher IB-Stim volumes and better reimbursement mix.
  • Gross profit more than doubled to $3.05 million with gross margin expanding to 86.1%, reflecting strong pricing and manufacturing leverage.
  • Operating cash burn improved, with net cash used in operating activities narrowing to $2.26 million from $3.07 million in the prior-year period.
  • Liquidity strengthened, as cash and cash equivalents rose to $8.32 million and stockholders’ equity climbed to $6.74 million after equity raises and warrant exercises.

Negative

  • Substantial doubt about going concern is disclosed, as continued operating losses and reliance on external financing cast uncertainty over long-term viability.
  • Net loss remains large at $3.85 million year-to-date despite higher revenue, with selling, R&D, and G&A expenses growing over 60% in some categories.
  • Material non-cash stock compensation is expected, with an estimated $3.4 million incremental expense from converting options to RSUs, plus about $3.0 million related cash taxes.
  • Litigation-related cash outflows persist, with $750,000 settlement installments ongoing and $358,975 remaining accrued as of June 30, 2026.

Filing Explained

The filing confirms substantial doubt about funding continuity while 2026 equity issuance and July RSU conversion expand common-holder dilution mechanics.

The Form 10-Q is an unaudited quarterly report covering interim financial statements and liquidity updates. As of June 30, 2026, NeurAxis states that substantial doubt exists about its ability to continue as a going concern; it says neither future operating cash nor contingency plans to extend resources are probable, leaving future operations dependent on adequate revenue or additional debt or equity financing.

Common shares outstanding rose from $10,652,812 shares at December 31, 2025, to $12,468,059 shares at June 30, 2026. During the six months, the company issued 747,911 shares through its at-the-market offering for gross proceeds of $5,061,018, 396,626 shares from warrant exercises for $943,970, and 510,605 shares as a Series B preferred-stock dividend.

These completed issuances increase the total share count and reduce an existing holder’s percentage ownership absent offsetting changes. After quarter-end, on July 24, 2026, the company canceled 1,319,394 stock options and granted an equivalent number of immediately vesting RSUs.

The company estimates that this exchange will produce $3,400,000 of incremental stock-compensation expense and $3,000,000 of cash taxes related to net share issuance.

Net sales H1 2026 $3,536,578 Net sales for the six months ended June 30, 2026, up 97.6% year-over-year
Net loss H1 2026 $3,847,178 Net loss for the six months ended June 30, 2026
Gross margin H1 2026 86.1% Gross margin for the six months ended June 30, 2026
Cash and cash equivalents $8,322,258 Balance as of June 30, 2026
Net cash used in operating activities $2,259,305 Cash flows from operations for the six months ended June 30, 2026
Stockholders’ equity $6,735,053 Total stockholders’ equity as of June 30, 2026
Common shares outstanding 12,557,765 shares Common stock outstanding as of August 6, 2026
Warrant liabilities $45,857 Fair value of warrant liabilities as of June 30, 2026
percutaneous electrical nerve field stimulator (PENFS) medical
"Our IB-STIM device is a PENFS system with FDA indications for patients 8 years and older"
Category I CPT code regulatory
"broader insurance coverage attributable to IB-Stim’s Category I CPT code effective date of January 1, 2026"
A Category I CPT code is a five-digit medical billing number used to describe commonly performed procedures and services so insurers and providers speak the same language when submitting claims and paying bills. For investors, these codes matter because they determine how easily and consistently a treatment or test can be billed and reimbursed—think of them like a standardized barcode that helps forecast revenue, adoption, and insurance coverage risks for healthcare products and services.
going concern financial
"substantial doubt is deemed to exist about the Company’s ability to continue as a going concern"
Going concern is the accounting assumption that a company will keep operating and meeting its obligations for the foreseeable future. The phrase matters most when a company or its auditors disclose substantial doubt about it, a formal warning that the business may not have enough resources to continue without raising money, restructuring, or selling assets. That language in a filing or press release signals elevated financial risk.
Black-Scholes option-pricing model financial
"The Company uses the Black-Scholes option-pricing model to calculate the fair value of stock options"
Monte Carlo simulation model financial
"The Company utilizes a Monte Carlo simulation model to compute the fair value of the ESPP floating lookback option"

AI-generated analysis. How Rhea-AI works. Not financial advice.

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FAQ

How did NeurAxis (NRXS) revenue perform in the quarter ended June 30, 2026?

NeurAxis reported net sales of $1,928,695 for the quarter, up 115.7% from $894,086 a year earlier. Growth was driven by higher IB-Stim volumes, broader insurance coverage following a Category I CPT code, and a richer mix of fully reimbursed patients.

What was NeurAxis (NRXS) net loss and earnings per share for the first half of 2026?

For the six months ended June 30, 2026, NeurAxis posted a net loss of $3,847,178 and a basic and diluted loss per share of $0.37. Net loss available to common stockholders was $4,228,080 after preferred dividends, reflecting rising operating expenses alongside rapid revenue growth.

What is NeurAxis (NRXS) liquidity and cash position as of June 30, 2026?

As of June 30, 2026, NeurAxis held $8,322,258 in cash and cash equivalents, with a working capital surplus of $6,317,762. Cash increased mainly from $5.06 million in ATM equity issuance proceeds and $0.94 million from exercised warrants.

Does NeurAxis (NRXS) disclose going-concern risks in its June 2026 10-Q?

Yes. NeurAxis states that substantial doubt exists about its ability to continue as a going concern. The company cites recurring losses, negative operating cash flows, and dependence on raising additional capital and expanding insurer coverage for its neuromodulation devices.

How profitable is NeurAxis (NRXS) on a gross margin basis for IB-Stim and RED?

NeurAxis generated gross profit of $3,045,639 for the first half of 2026, with a gross margin of 86.1%. High margins reflect the pricing of IB-Stim devices at $1,195 each and fixed-price manufacturing contracts, offset slightly by expired inventory charges.

How many NeurAxis (NRXS) shares are outstanding and what equity financing occurred?

Common shares outstanding were 12,557,765 as of August 6, 2026, up from 10,652,812 at year-end 2025. In the first half of 2026, the company issued 747,911 ATM shares for $5,061,018 and 396,626 shares from warrant exercises, among other issuances.
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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 June 30, 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 13(a) of the Exchange Act.

 

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

 

The number of shares of the registrant’s common stock outstanding as of August 6, 2026 was 12,557,765 shares.

 

 

 

 

 

 

TABLE OF CONTENTS

 

PART I   3
     
ITEM 1: FINANCIAL STATEMENTS 3
  Condensed Balance Sheets as of June 30, 2026 (Unaudited) and December 31, 2025 3
  Condensed Statements of Operations for the Three and Six Months Ended June 30, 2026 and 2025 (Unaudited) 4
  Condensed Statements of Stockholders’ Equity for the Three and Six Months Ended June 30, 2026 and 2025 (Unaudited) 5
  Condensed Statements of Cash Flows for the Six Months Ended June 30, 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 OPERATIONS 23
ITEM 3: QUANTITATIVE AND QUALITATIVE DISCLOSURES 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

 

   June 30, 2026   December 31, 2025 
   (Unaudited)     
Assets          
           
Current Assets:          
Cash and cash equivalents  $8,322,258   $4,965,072 
Accounts receivable, net of credit losses of $19,019 and $7,326 as of June 30, 2026 and December 31, 2025, respectively   432,925    195,703 
Inventories, net of reserves of $10,926 and $34,524 as of June 30, 2026 and December 31, 2025, respectively   277,308    257,132 
Prepaids and other current assets   381,654    315,283 
Total current assets   9,414,145    5,733,190 
           
Property and Equipment, at Cost:   388,768    382,465 
Less - accumulated depreciation   (323,305)   (306,901)
Property and equipment, net   65,463    75,564 
           
Other Assets:          
Operating lease right of use asset, net   228,545    261,565 
Intangible assets, net   258,214    274,778 
Other non-current assets   29,793    58,939 
Total Assets  $9,996,160   $6,404,036 
           
Liabilities          
           
Current Liabilities:          
Accounts payable  $791,587   $139,365 
Accrued expenses   2,113,097    2,393,229 
Current portion of operating lease payable   71,942    65,752 
Notes payable   42,726    148,293 
Customer deposits   31,174    28,660 
Warrant liabilities   45,857    16,800 
Total current liabilities   3,096,383    2,792,099 
           
Non-Current Liabilities:          
Operating lease payable, net of current portion   164,724    202,566 
Other non-current liabilities       9,999 
Total liabilities   3,261,107    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 June 30, 2026 and December 31, 2025   3,797    3,797 
Common stock, $0.001 par value; 100,000,000 shares authorized; 12,468,059 and 10,652,812 shares issued and outstanding as of June 30, 2026 and December 31, 2025, respectively   12,468    10,653 
Additional paid in capital   76,381,397    67,985,089 
Accumulated deficit   (69,662,609)   (64,600,167)
           
Total stockholders’ equity   6,735,053    3,399,372 
           
Total Liabilities and Stockholders’ Equity  $9,996,160   $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   2026   2025 
  

For the Three Months Ended

June 30,

  

For the Six Months Ended

June 30,

 
   2026   2025   2026   2025 
                 
Net Sales  $1,928,695   $894,086   $3,536,578   $1,789,741 
Cost of Goods Sold   272,573    146,643    490,939    286,118 
                     
Gross Profit   1,656,122    747,443    3,045,639    1,503,623 
                     
Selling Expenses   861,387    534,013    1,685,724    1,034,131 
Research and Development   274,344    115,197    373,911    222,201 
General and Administrative   2,645,103    1,816,091    4,851,395    4,260,246 
                     
Operating Loss   (2,124,712)   (1,717,858)   (3,865,391)   (4,012,955)
                     
Other Income (Expense):                    
Interest expense   (19,794)   (13,434)   (45,983)   (15,672)
Change in fair value of warrant liability   2,449    (119)   (29,057)   1,712 
Other income   56,311    40,993    93,253    57,813 
Total other income, net   38,966    27,440    18,213    43,853 
                     
Loss Before Income Taxes   (2,085,746)   (1,690,418)   (3,847,178)   (3,969,102)
Income tax expense (benefit)   -    -    -    - 
                     
Net Loss   (2,085,746)   (1,690,418)   (3,847,178)   (3,969,102)
Preferred stock dividends   (191,503)   (207,465)   (380,902)   (421,008)
Net Loss Available to Common Stockholders  $(2,277,249)  $(1,897,883)  $(4,228,080)  $(4,390,110)
                     
Per-Share Data                    
Basic and diluted loss per share  $(0.19)  $(0.22)  $(0.37)  $(0.56)
                     
Weighted Average Common Shares Outstanding                    
Basic and diluted   12,119,822    8,520,596    11,537,209    7,903,716 

 

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   Stockholders’ 
   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 
                                    
Warrants exercised   -    -    720,359    720    1,002,271    -    1,002,991 
Conversion of Series B Preferred Stock to common stock   (384,032)   (384)   384,032    384    -    -    - 
Issuance of common stock pursuant to shelf registration statement   -    -    1,538,461    1,539    4,998,460    -    4,999,999 
Offering costs   -    -    -    -    (490,799)   -    (490,799)
Stock-based compensation   -    -    -    -    173,042    -    173,042 
Net loss   -    -    -    -    -    (1,690,418)   (1,690,418)
Balances at June 30, 2025   3,896,907   $3,897    9,858,716   $9,859   $65,008,252   $(60,768,714)   4,253,294 
                                    
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 
                                    
Warrants exercised   -    -    183,586    184    436,751    -    436,935 
Issuance of common stock pursuant to declaration of Series B Preferred Stock dividends   -    -    510,605    511    1,214,728    (1,215,264)   (25)
Issuance of common stock pursuant to the 2025 Employee Stock Purchase Plan   -    -    43,885    44    85,971    -    86,015 
Issuance of common stock pursuant to shelf registration statement   -    -    252,455    252    2,070,405    -    2,070,657 
Offering costs   -    -    -    -    (66,133)   -    (66,133)
Common stock issued under the 2022 Omnibus Securities and Incentive Plan   -    -    27,483    27    (94,030)   -    (94,003)
Stock-based compensation   -    -    -    -    639,803    -    639,803 
Net loss   -    -    -    -    -    (2,085,746)   (2,085,746)
Balances at June 30, 2026   3,796,907   $3,797    12,468,059   $12,468   $76,381,397   $(69,662,609)  $6,735,053 

 

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 Six Months Ended

June 30,

 
   2026   2025 
Cash Flows from Operating Activities          
Net Loss  $(3,847,178)  $(3,969,102)
Adjustments to reconcile net loss to net cash used in operating activities:          
Depreciation and amortization   32,968    19,241 
Provisions for losses on accounts receivable   13,036     
Provisions for losses on inventory   4,015   12,174 
Loss on disposal of property and equipment       168 
Non-cash lease expense   33,020    28,001 
Stock-based compensation   969,237    278,854 
Issuance of common stock for non-cash consideration   100,002     
Change in fair value of warrant liabilities   29,057    (1,712)
Changes in operating assets and liabilities:          
Accounts receivable   (250,258)   116,100 
Inventory   (24,191)   (99,278)
Prepaids and other current assets   38,040    32,295 
Accounts payable   652,222    (132,430)
Accrued expenses   19,863    407,812 
Customer deposits   2,514    (600)
Operating lease liability   (31,652)   (30,208)
Other non-current liabilities       267,540 
Net cash used in operating activities   (2,259,305)   (3,071,145)
           
Cash Flows from Investing Activities          
Additions to property and equipment   (6,303)   (25,288)
Net cash used in investing activities   (6,303)   (25,288)
           
Cash Flows from Financing Activities          
Proceeds from issuance of common stock   5,061,018    4,999,999 
Proceeds from exercised warrants   943,970    1,002,991 
Proceeds from Employee Stock Purchase Plan common stock issuance   86,015     
Fractional shares of preferred dividends declared settled in cash   (25)    
Offering costs paid   (151,831)   (459,999)
Principal payments on notes payable   (115,566)   (154,972)
Repayment of license acquisition payable   (100,000)    
Taxes paid related to net share settlement of restricted stock units   (100,787)    
Net cash provided by financing activities   5,622,794    5,388,019 
           
Net Increase in Cash and Cash Equivalents   3,357,186    2,291,586 
           
Cash and Cash Equivalents at Beginning of Period   4,965,072    3,696,870 
           
Cash and Cash Equivalents at End of Period  $8,322,258   $5,988,456 
           
Supplemental Disclosure of Operating Activities          
Cash paid for interest  $4,691   $3,701 
Cash paid for federal income taxes        
Cash refunded for state income taxes       12,977 
Supplemental Schedule of Non-Cash Investing and Financing Activities          
Issuance of common stock pursuant to declaration of Series B Preferred Stock dividends  $1,215,239   $ 
Common stock issued for services   399,995    112,493 
Common stock issued upon cashless exercise of warrants       186 
Common stock issued upon vesting of restricted stock units, net of shares withheld for payment of payroll taxes   30     
Deferred offering costs reclassified to additional paid in capital upon completion of stock offering   24,733     

 

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 paid 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, allowance for sales returns, warrant liabilities, stock-based compensation, income tax provisions, excess and obsolete inventory reserve, impairment of property and equipment and intellectual property. There were no material changes to the Company’s critical accounting estimates disclosed in the 2025 Form 10-K. 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 $391,760 and $757,925 of general and administrative expenses to selling expenses in the Condensed Statements of Operations for the three and six months ended June 30, 2025, respectively. The Company also reclassified $56,878 and $114,189 of general and administrative expenses to research and development expenses in the Condensed Statements of Operations for the three and six months ended June 30, 2025, respectively. 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 factors, including those related to current and forecasted market conditions and events. The allowance for credit losses was $19,019 and $7,326 as of June 30, 2026 and December 31, 2025, respectively. The Company recorded $13,036 and $0 credit loss expense for the three months ended June 30, 2026 and 2025, respectively, and $13,036 and $0 for the six months ended June 30, 2026 and 2025, respectively.

 

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 $2,092 and $6,633 for the three months ended June 30, 2026 and 2025, respectively, and $2,850 and $6,633 for the six months ended June 30, 2026 and 2025, respectively. The Company has reserved for research devices recorded as charges to research and development expenses of $1,165 and $5,541 for the three months ended June 30, 2026 and 2025, respectively, and $1,165 and $5,541 for the six months ended June 30, 2026 and 2025, respectively. Inventory reserves totaled $10,926 and $34,524 as of June 30, 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 $15,872 and $77,108 for the three months ended June 30, 2026 and 2025, respectively, and $45,693 and $162,456 for the six months ended June 30, 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, and a trademark. 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. The Company tests for impairment annually or upon the occurrence of an impairment indicator.

 

On July 1, 2025, the Company terminated the NSS-2 Bridge license with Masimo in exchange for $200,000 of consideration paid 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 requires significant management judgment or estimation.

 

Management believes the estimated fair value of certain accounts including cash, accounts receivable, accounts payable and other current assets on June 30, 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 periods ended June 30, 2026 and December 31, 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 June 30, 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 and six month periods ended June 30, 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.

 

Pursuant to the Company’s Board of Directors declaration of dividends on Series B Preferred Stock to holders of record as of April 21, 2026, the Company issued 510,605 shares of common stock on April 28, 2026, based on the 8.5% per annum cumulative dividend rate.

 

The Company had the following potentially dilutive common stock equivalents:

 

   2026   2025 
   June 30, 
   2026   2025 
         
Options   1,319,394    1,319,394 
Restricted Stock Units   1,265,443    852,214 
Warrants   982,898    1,419,524 
Series B Preferred Stock   3,796,907    3,896,907 
Undeclared Cumulative Series B Preferred Stock Dividends   80,456    265,662 
Totals   7,445,098    7,753,701 

 

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

 

   2026   2025   2026   2025 
  

Three Months Ended

June 30,

  

Six Months Ended

June 30,

 
   2026   2025   2026   2025 
Numerator:                    
Net loss  $(2,085,746)  $(1,690,418)  $(3,847,178)  $(3,969,102)
Preferred stock dividends   (191,503)   (207,465)   (380,902)   (421,008)
Net loss available to common stockholders   (2,277,249)   (1,897,883)   (4,228,080)   (4,390,110)
Denominator:                    
Weighted average shares of common stock outstanding - basic and diluted (retroactively adjusted to January 1, 2025)   12,119,822    8,520,596    11,537,209    7,903,716 
Basic and diluted net loss per share  $(0.19)  $(0.22)  $(0.37)  $(0.56)

 

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, in an amount that reflects the consideration which the Company expects to be entitled in exchange for those goods. 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 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 promised within each contract and determines those that are performance obligations and assesses whether each promised good 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 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 $24,147 and $13,824 as of June 30, 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.

 

Customer deposits are contract liabilities under ASC 606. As of June 30, 2026 and December 31, 2025, the Company had customer deposits of $31,174 and $28,660, respectively.

 

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 June 30, 2026, the Company had stockholders’ equity of $6,735,053 and short-term outstanding borrowings of $42,726. Additionally, the Company had cash of $8,322,258 and a working capital surplus of $6,317,762 as of June 30, 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 continues 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 with 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 probable 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, with prospective or retrospective adoption, including disclosures, at the Company’s election. 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. The total note principal balance is $1,012,800 as of June 30, 2026, and December 31, 2025, respectively, with interest calculated monthly based on applicable federal rates. The total interest receivable balance is $247,039 and $228,759 as of June 30, 2026, and December 31, 2025, respectively. 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 $1,259,839 and $1,241,559 as of June 30, 2026, and December 31, 2025, respectively.

 

The Company also has interest payable to certain shareholders related to the issuance of convertible notes in 2017, which have since been converted into common stock. The interest payable totaled $66,648 as of June 30, 2026, and December 31, 2025, and is included in accrued expenses in the Condensed Balance Sheets.

 

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 $2,929 and $0 for the three months ended June 30, 2026 and 2025, respectively, and $3,382 and $1,317 for the six months ended June 30, 2026 and 2025, respectively. The Company owed the limited liability company $2,929 and $0 that are included in accounts payable in the Condensed Balance Sheets as of June 30, 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 $3,030 and $4,394 for the three months ended June 30, 2026 and 2025, respectively, and $4,545 and $6,351 for the six months ended June 30, 2026 and 2025, respectively, under this program.

 

4. Prepaids and Other Current Assets

 

Prepaids and other current assets consisted of the following:

  

   June 30, 2026   December 31, 2025 
Prepaid software subscriptions  $115,142   $103,390 
Prepaid insurance   30,061    141,299 
Other   236,451    70,594 
Total prepaids and other current assets  $381,654   $315,283 

 

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5. Other Non-Current Assets

 

Other non-current assets consisted of the following:

 

   June 30, 2026   December 31, 2025 
Security deposit  $20,163   $20,163 
Deferred offering costs   9,630    23,864 
Prepaid software subscriptions       14,912 
Total other non-current assets  $29,793   $58,939 

 

6. Accrued Expenses

 

Accrued expenses consisted of the following:

 

   June 30, 2026   December 31, 2025 
Compensation and benefits  $1,313,405   $1,359,993 
Settled litigation   358,975    692,683 
Legal fees   150,244    65,714 
Interest   66,648    66,648 
Research and development fees   59,242    2,143 
Tariffs   57,802    32,000 
NSS-2 Bridge lease termination fee   -    100,000 
Other   106,781    74,048 
Total accrued expenses  $2,113,097   $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 $42,726 and $158,292, of which $0 and $9,999 is included in other non-current liabilities in the Condensed Balance Sheets, as of June 30, 2026 and December 31, 2025, respectively.

 

Interest expense totaled $19,794 and $13,434 for the three months ended June 30, 2026 and 2025, respectively, and $45,983 and $15,672 for the six months ended June 30, 2026 and 2025, respectively. The Company’s accrued interest totaled $66,648 and $66,648 as of June 30, 2026 and December 31, 2025, respectively.

 

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 June 30, 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 $25,558 for the three months ended June 30, 2026 and 2025, respectively, and $52,231 and $51,082 for the six months ended June 30, 2026 and 2025, respectively, including short-term lease expense and variable lease costs.

 

15
 

 

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

 

  

June 30,

2026

  

December 31,

2025

 
Operating lease right of use asset, net  $228,545   $261,565 
           
Current portion of operating lease payable   71,942    65,752 
Operating lease payable, net of current portion   164,724    202,566 
Total operating lease payable  $236,666   $268,318 
           
Weighted-average remaining lease term (in years)   2.82    3.31 
Weighted-average discount rate   15.0%   15.0%

 

As of June 30, 2026, the maturities of the Company’s operating lease liabilities were as follows:

 

      
Remainder of 2026  $50,173 
2027   102,456 
2028   98,127 
2029   38,025 
Total lease payments   288,781 
Less: imputed interest   (52,115)
Total present value of lease payments  $236,666 

 

9. Common Stock and Warrants

 

The Company has authorized 100,000,000 shares of common stock, of which 12,468,059 and 10,652,812 shares were issued and outstanding as of June 30, 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 and $100,000 as general and administrative expense in the Condensed Statements of Operations for the three and six months ended June 30, 2026, respectively, and $99,995 as prepaids and other current assets in the Condensed Balance Sheets as of June 30, 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 and $100,000 as general and administrative expense in the Condensed Statements of Operations for the three and six months ended June 30, 2025, respectively.

 

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 of 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.

 

Additionally, during the six months ended June 30, 2026, the Company issued (i) 747,911 shares of common stock to investors pursuant to the 2025 At The Market Offering Agreement for gross proceeds of $5,061,018 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, (ii) 396,626 common shares upon the exercise of warrants for gross proceeds of $943,970 (iii) 29,828 common shares pursuant to the 2022 Omnibus Securities and Incentive Plan and (iv) 43,885 common shares pursuant to the NeurAxis Inc. 2025 Employee Stock Purchase Plan for gross proceeds of $86,015.

 

During the six months ended June 30, 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 (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 (iii) 720,359 common shares upon the exercise of warrants for gross proceeds of $1,002,991 (iv) 384,032 common shares to certain investors upon conversion of an equivalent amount of Series B Preferred Stock and (v) 1,538,461 common shares pursuant to a securities purchase agreement with certain institutional investors for gross proceeds of $4,999,999 offered by the Company pursuant to its shelf registration statement on Form S-3 (File No. 333-283798) which was declared effective by the Securities and Exchange Commission on February 11, 2025, a base prospectus dated February 11, 2025 and a prospectus supplement dated May 20, 2025.

 

16
 

 

The following is a summary of warrant activity for common stock during the six months ended June 30, 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   (396,626)   2.38    1.93 
Outstanding as of June 30, 2026   982,898   $2.46    1.79 

 

The following table summarizes the Company’s warrants outstanding and exercisable as of June 30, 2026:

 

   Number of        
   Warrants   Exercise   Expiration
   Outstanding   Price   Date
Investor Warrant   12,852   $8.76   September 18, 2028
2022 Convertible Notes   134,504   $2.38   Various in 2027
2023 Convertible Notes   742,510   $2.38   Various in 2028
Underwriter Warrants   16,520   $2.38   August 8, 2028
Advisory Agreement Warrants   76,512   $2.38   Various in 2029
    982,898         

 

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 June 30, 2026 and December 31, 2025, respectively. 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 or common shares at 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.

 

Preferred stock dividends of $1,215,264 and $0 were declared and issued as common stock as of June 30, 2026 and December 31, 2025, respectively. Series B Preferred Stock undeclared cumulative dividends totaled $191,503 and $1,025,865 as of June 30, 2026 and December 31, 2025, respectively.

 

Pursuant to the Company’s Board of Directors declaration of dividends on Series B Preferred Stock to holders of record as of July 21, 2026 and April 21 2026, the Company issued 80,456 and 510,605 shares of common stock on July 29, 2026, and April 28, 2026, respectively, based on the 8.5% per annum cumulative dividend rate.

 

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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:

 

   Six Months Ended June 30, 
   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   477,431    4.87    852,214    2.31 
Vested   (43,334)   7.11         
Outstanding as of End of Period   1,265,443   $3.12    852,214   $2.31 

 

Of the RSUs granted during the six months ended June 30, 2026, 437,431 are subject to a pro rata annual vesting period over three years and 40,000 immediately vested whereas the RSUs granted during the six months ended June 30, 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 June 30, 2026.

 

Total stock-based compensation expense related to RSUs is classified in the Company’s Condensed Statements of Operations as (i) selling expenses totaling $67,566 and $30,859 for the three months ended June 30, 2026 and 2025, respectively, and $129,022 and $51,143 for the six months ended June 30, 2026 and 2025, respectively, and (ii) general and administrative expense totaling $552,304 and $142,183 for the three months ended June 30, 2026 and 2025, respectively, and $782,953 and $227,710 for the six months ended June 30, 2026 and 2025, respectively. As of June 30, 2026, total unrecognized stock-compensation expense relating to unvested stock awards granted under the Company’s share-based compensation plans amounted to $2,544,703.

 

Stock Options

 

The following is a summary of the Company’s outstanding stock options as of June 30, 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 June 30, 2026   1,319,394    3.44   $6.94   $ 
Vested and Exercisable as of June 30, 2026   1,319,394    3.44   $6.94   $ 

 

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. 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 which was approved by the Company’s shareholders on June 10, 2026. 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 upon the exchange on July 24, 2026. The Company estimates $3,400,000 of incremental compensation cost will be recorded upon execution of the stock option cancellation and RSU grant agreements.

 

There was no stock-based compensation expense related to stock options recorded for the three and six months ended June 30, 2026 and 2025.

 

18
 

 

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”) subsequently approved by the Shareholders on June 10, 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 related to the ESPP is classified in the Company’s Condensed Statements of Operations as (i) selling expenses totaling $7,008 and $0 for the three months ended June 30, 2026 and 2025, respectively, and $15,421 and $0 for the six months ended June 30, 2026 and 2025, respectively, and (ii) general and administrative expense totaling $12,925 and $0 for the three months ended June 30, 2026 and 2025, respectively, and $41,841 and $0 for the six months ended June 30, 2026 and 2025, respectively. Employee withholdings of $53,214 and $13,611 are included in accrued expenses in the Condensed Balance Sheets as of June 30, 2026 and December 31, 2025, respectively.

 

12. Fair Value Measurement of Financial Instruments

 

Warrants

 

The Company utilizes a Black-Scholes option-pricing model to compute the fair value of the warrant 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 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 4.22% 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 six months ended June 30, 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   29,057 
Warrant liabilities as of June 30, 2026  $45,857 

 

ESPP Floating Lookback Option

 

The Company utilizes a Monte Carlo simulation model to compute the fair value of the ESPP floating lookback option which is expensed pro rata over each six-month offering period. The inputs utilized in the application of the Monte Carlo simulation model included (i) a stock price ranging from $2.72 to $7.40 subject to a 15% discount, (ii) an expected remaining term of 6 months, (iii) estimated volatility ranging from 89.1% to 90.9% based on historical stock prices of comparable companies with a lookback period commensurate with the offering period, (iv) a risk-free interest rate ranging from 3.69% to 3.94% based on interest rates of U.S. Treasury Notes consistent with the offering period and (v) a 0% expected dividend yield as the Company has not paid dividends and does not anticipate declaring dividends in the near future.

 

The Company recorded the fair value of the ESPP floating lookback option as stock-based compensation expense totaling $19,935 and $0 for the three months ended June 30, 2026 and 2025, respectively, and $57,264 and $0 for the six months ended June 30, 2026 and 2025, respectively.

 

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 years of age and older with functional abdominal pain associated with irritable bowel syndrome and 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.

 

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

 

   2026   2025   2026   2025 
   Three months ended June 30,   Six months ended June 30, 
   2026   2025   2026   2025 
Net Sales  $1,928,695   $894,086   $3,536,578   $1,789,741 
COGS   272,573    146,643    490,939    286,118 
Gross Profit   1,656,122    747,443    3,045,639    1,503,623 
Selling Expenses (a)   861,387    534,013    1,685,724    1,034,131 
Research & Development (a)   274,344    115,197    373,911    222,201 
Compensation and Benefits (a)   1,798,108    1,161,026    3,210,773    2,235,013 
Professional Services (a) (b)   462,286    283,730    898,589    701,308 
Legal Settlement   -    11,471    -    630,568 
Depreciation   8,370    10,264    16,404    13,998 
Amortization   8,280    2,621    16,564    5,243 
Other Operating Expenses (a) (c)   368,059    346,979    709,065    674,116 
Segment Operating Loss   (2,124,712)   (1,717,858)   (3,865,391)   (4,012,955)
Interest Expense   (19,794)   (13,434)   (45,983)   (15,672)
Change in Fair Value of Warrant Liability   2,449    (119)   (29,057)   1,712 
Other Income   56,311    40,993    93,253    57,813 
Total Other Income, Net   38,966    27,440    18,213    43,853 
Net Loss  $(2,085,746)  $(1,690,418)  $(3,847,178)  $(3,969,102)

 

  (a) The significant expense categories and amounts align with the segment-level information provided on a regular basis to the CODM.
  (b) Professional services include legal, audit, market access and investor relations expenses.
  (c) 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 $9,996,160 and $6,404,036 as of June 30, 2026 and December 31, 2025, respectively. Total segment capital expenditures for IB-STIM amounted to $106,303 and $7,288 for the three months ended June 30, 2026 and 2025, respectively, and $106,303 and $25,288 for the six months ended June 30, 2026 and 2025, respectively. Total segment depreciation and amortization amounted to $16,650 and $12,885 for the three months ended June 30, 2026 and 2025, respectively, and $32,968 and $19,241 for the six months ended June 30, 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 six months ended June 30, 2026 and 2025, respectively, (ii) RSU grants totaling $300,400 and $0 for the three months ended June 30, 2026 and 2025, respectively, and $305,934 and $0 for the six months ended June 30, 2026 and 2025, respectively.

 

14. Settled Litigation

 

On February 6, 2019, plaintiffs Ritu Bhambhani, M.D. and Sudhir Rao initiated a lawsuit against Innovative Health Solutions, Inc. and others in the United States District Court for the District of Maryland, later as amended as the Third Amended Complaint (“Complaint”), asserting claims under the RICO Act, as well as of fraudulent misrepresentation, intentional misrepresentation by concealment, and civil conspiracy related to Medicare and insurance reimbursement of the Company’s NeuroStim device, seeking damages in excess of $5 million. The Court granted the Company’s motion for summary judgment and dismissed the Complaint on June 14, 2022, and the Fourth Circuit Court of Appeals affirmed the dismissal on June 3, 2024, with no further appeal sought by the plaintiffs.

 

On July 14, 2022, related entities owned or partially owned by the same 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”), asserting the same claims and seeking damages in excess of $75,000. The Court dismissed the RICO claims on May 25, 2023, and the parties subsequently pursued mediation of the remaining claims. On April 25, 2025, the parties reached a $750,000 settlement payable in 12 equal monthly installments beginning in January 2026, with $375,000 remaining as of June 30, 2026. The Company recorded a charge of $11,471 and $630,568 classified as general and administrative expense in the Condensed Statements of Operations during the three and six months ended June 30, 2025, respectively, while interest expense was recorded as incurred. As of June 30, 2026, the Company maintained a liability of $358,975 classified as accrued expenses in the Condensed Balance Sheets.

 

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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 June 30, 2026.

 

21
 

 

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. 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 with shareholder approval received on June 10, 2026. 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 upon the exchange which occurred on July 24, 2026. The Company estimates (i) $3,400,000 of incremental stock compensation expense will be recorded upon execution of the stock option cancellation and RSU grant agreements and (ii) $3,000,000 of cash taxes paid related to net share issuance of the RSUs.

 

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 14, 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 of claims asserting an interest in U.S. Patent No. 10,413,719 and seeking compensation of approximately $2,000,000 based on his alleged contributions to certain neurostimulation technology. The Company disputes both the asserted ownership interest and the related compensation claim and intends to defend the matter vigorously. The Company does not believe that a material loss is probable, and accordingly, no liability has been recorded as of June 30, 2026. Because the matter remains in its early stages, the ultimate outcome cannot be predicted.

 

16. Subsequent Events

 

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. 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 with shareholder approval received on June 10, 2026. 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 upon the exchange which occurred on July 24, 2026. The Company estimates (i) $3,400,000 of incremental stock compensation expense will be recorded upon execution of the stock option cancellation and RSU grant agreements and (ii) $3,000,000 of cash taxes paid related to net share issuance of the RSUs.

 

On July 9, 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 of the record date of July 21, 2026, received a stock dividend on July 29, 2026, of the Company’s par value $0.001 common stock for every share of Series B Preferred Stock. The Company issued 80,456 shares of common stock based on the 8.5% per annum cumulative dividend rate.

 

On July 16, 2026, the Company issued 9,250 shares of common stock upon exercise of an equivalent amount of common stock warrants for gross proceeds of $22,015.

 

On August 6, 2026, the Company’s Compensation Committee approved the issuance of 142,345 RSUs to the Board of Directors and 833,958 RSUs to employees when granted pursuant to the NeurAxis, Inc. 2022 Omnibus Securities and Incentive Plan, as amended on August 15, 2024, with varying vesting periods up to three years.

 

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 $2,085,746 and $1,690,418 for the three months ended June 30, 2026 and 2025, respectively, and $3,847,178 and $3,969,102 for the six months ended June 30, 2026 and 2025, respectively. Although we had stockholders’ equity of $6,735,053 as of June 30, 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 and incremental payor coverage.

 

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.

 

23
 

 

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 $2,092 and $6,633 for the three months ended June 30, 2026 and 2025, respectively, and $2,850 and $6,633 for the six months ended June 30, 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 $391,760 and $757,925 of general and administrative expenses to selling expenses in the Condensed Statements of Operations for the three and six months ended June 30, 2025, respectively, 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 $56,878 and $114,189 of general and administrative expenses to research and development expenses in the Condensed Statements of Operations for the three and six months ended June 30, 2025, respectively, 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, market access, facility costs, utilities and travel.

 

Results of Operations

 

The following table presents our statements of operations for the three and six months ended June 30, 2026 and 2025, respectively:

 

   (Unaudited)   (Unaudited) 
   Three Months Ended June 30,   Six Months Ended June 30, 
   2026   2025   2026   2025 
                 
Net sales  $1,928,695   $894,086   $3,536,578   $1,789,741 
Cost of goods sold   272,573    146,643    490,939    286,118 
Gross profit   1,656,122    747,443    3,045,639    1,503,623 
Selling expenses   861,387    534,013    1,685,724    1,034,131 
Research and development   274,344    115,197    373,911    222,201 
General and administrative   2,645,103    1,816,091    4,851,395    4,260,246 
Operating loss   (2,124,712)   (1,717,858)   (3,865,391)   (4,012,955)
Other (expense) income:                    
Interest expense, net   (19,794)   (13,434)   (45,983)   (15,672)
Change in fair value of warrant liability   2,449    (119)   (29,057)   1,712 
Other income   56,311    40,993    93,253    57,813 
Total other income, net   38,966    27,440    18,213    43,853 
Net loss  $(2,085,746)  $(1,690,418)  $(3,847,178)  $(3,969,102)

 

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Net Sales

 

Net sales increased $1,034,609, or 115.7%, from $894,086 for the three months ended June 30, 2025, to $1,928,695 for the three months ended June 30, 2026, and increased $1,746,837 or 97.6%, from $1,789,741 for the six months ended June 30, 2025, to $3,536,578 for the six months ended June 30, 2026. The increases were due to unit volume growth from broader insurance coverage attributable to IB-Stim’s Category I CPT code effective date of January 1, 2026 and an increase in the average selling price as more units were sold to patients with full reimbursement insurance coverage compared to the Company’s discounted financial assistance program.

 

Gross Profit and Gross Margin

 

Gross profit increased $908,679, or 121.6%, from $747,443 for the three months ended June 30, 2025, to $1,656,122 for the three months ended June 30, 2026, and increased $1,542,016, or 102.6%, from $1,503,623 for the six months ended June 30, 2025, to $3,045,639 for the six months ended June 30, 2026. The increases were due to higher unit volume from more customers with full reimbursement insurance coverage. Gross margin increased from 83.6% for the three months ended June 30, 2025, to 85.9% for the three months ended June 30, 2026, and increased from 84.0% for six months ended June 30, 2025, to 86.1% for the six months ended June 30, 2026, due to higher growth from the Company’s patients with full reimbursement insurance coverage compared to patients that pay through the Company’s discounted financial assistance program, partially offset by higher device manufacturing costs.

 

Selling Expenses

 

Selling expenses increased $327,374, or 61.3%, from $534,013 for the three months ended June 30, 2025, to $861,387 for the three months ended June 30, 2026, and increased $651,593 or 63.0%, from $1,034,131 for the six months ended June 30, 2025, to $1,685,724 for the six months ended June 30, 2026. The increases were due to commissions from higher sales volume, additional sales reps and marketing personnel including recruiting fees and higher travel expenses to facilitate growth resulting from the IB-Stim Category I CPT code and broader insurance coverage.

 

Research and Development

 

Research and development expenses increased $159,147, or 138.2%, from $115,197 for the three months ended June 30, 2025, to $274,344 for the three months ended June 30 2026, and increased $151,710, or 68.3%, from $222,201 for the six months ended June 30, 2025 to $373,911 for the six months ended June 30, 2026. The increases were due to more clinical research studies in 2026 as the Company continues its expansion of IB-Stim’s FDA indications, partially offset by non-recurring RED device development costs in 2025.

 

General and Administrative

 

General and administrative expenses increased $829,012, or 45.6%, from $1,816,091 for the three months ended June 30, 2025, to $2,645,103 for the three months ended June 30, 2026, primarily due to (i) incremental stock compensation expense from the third year of a three-year vesting plan, (ii) higher market access advisory costs and additional headcount, including recruiting fees, as the Company pursues incremental insurance payor coverage and (iii) higher benefit costs.

 

General and administrative expenses increased $591,149, or 13.9%, from $4,260,246 for the six months ended June 30, 2025, to $4,851,395 for the six months ended June 30, 2026, primarily due to (i) incremental stock compensation expense from the third year of a three-year vesting plan, (ii) higher market access advisory costs and additional headcount, including recruiting fees, as the Company pursues incremental insurance payor coverage, (iii) higher benefit costs and (iv) consulting fees incurred to secure a Federal Supply Schedule agreement with the Veterans Administration, partly offset by a one-time non-recurring charge in 2025 to settle a lawsuit.

 

Operating Loss

 

Our operating loss increased $406,854, or 23.7%, from $1,717,858 for the three months ended June 30, 2025, to $2,124,712 for the three months ended June 30, 2026, primarily due to higher operating expenses from selling costs that are a function of the higher sales, research and development costs as the Company continues its pursuit of additional IB-Stim FDA indications and stock compensation expense, partly offset by higher gross profit as the Company’s sales increased from the Category I CPT code and broader payor coverage.

 

Our operating loss decreased $147,564, or 3.7%, from $4,012,955 for the six months ended June 30, 2025, to $3,865,391 for the six months ended June 30, 2026, primarily due to higher gross profit as the Company’s sales increased due to the Category I CPT code and broader payor coverage and the absence of a one-time non-recurring charge in 2025 to settle a lawsuit, partly offset by higher operating expenses due to selling costs that are a function of the higher sales, research and development costs as the Company continues its pursuit of additional IB-Stim FDA indications and stock compensation expense.

 

Other Income, Net

 

Other income increased $11,526, or 42.0%, from $27,440 for the three months ended June 30, 2025, to $38,966 for the three months ended June 30, 2026, primarily due to higher interest income on the Company’s cash balances.

 

Other income decreased $25,640, or 58.5%, from $43,853 for the six months ended June 30, 2025, to $18,213 for the six months ended June 30, 2026, primarily due to the change in fair value of warrants and higher interest expense associated with the settlement of the lawsuit, partly offset by higher interest income on the Company’s cash balances.

 

Net Loss

 

Our net loss increased $395,328, or 23.4%, from $1,690,418 for the three months ended June 30, 2025, to $2,085,746 for the three months ended June 30, 2026, due to a higher operating loss partly offset by higher interest income.

 

Our net loss decreased $121,924, or 3.1%, from $3,969,102 for the six months ended June 30, 2025, to $3,847,178 for the six months ended June 30, 2026, due to a lower operating loss partly offset by the change in fair value of warrants and higher interest expense.

 

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Liquidity and Capital Resources

 

We had cash on hand of $8,322,258 and $4,965,072 as of June 30, 2026, and December 31, 2025, respectively. We maintained a working capital surplus of $6,317,762 and $2,941,091 as of June 30, 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, partly offset by higher accounts payable related market access and clinical research study costs incurred.

 

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 June 30, 2026, we had stockholders’ equity of $6,735,053 and short-term borrowings of $42,726.

 

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 six months ended June 30, 2026 and 2025:

 

   (Unaudited) 
   Six Months Ended June 30, 
   2026   2025 
Net cash used in operating activities  $(2,259,305)  $(3,071,145)
Net cash used in investing activities   (6,303)   (25,288)
Net cash provided by financing activities   5,622,794    5,388,019 
Net increase in cash and cash equivalents   3,357,186    2,291,586 
Cash and cash equivalents at beginning of period   4,965,072    3,696,870 
Cash and cash equivalents at end of period  $8,322,258   $5,988,456 

 

Operating Activities – Net cash used in operating activities decreased $811,840 or 26.4%, for the six months ended June 30, 2026, compared to the six months ended June 30, 2025, primarily due to (i) a lower operating loss excluding non-cash stock compensation expense and (ii) inventory purchased and market access advisory services rendered and accrued in June, partly offset by higher accounts receivable resulting from sales growth due the Category I CPT code and increased payor coverage.

 

Investing Activities – Net cash used in investing activities decreased $18,985 or 75.1%, for the six months ended June 30, 2026 compared to the six months ended June 30, 2025, due to nonrecurring capital expenditures to manufacture the RED device in 2025.

 

Financing Activities – Net cash provided by financing activities increased $234,775, or 4.4%, for the six months ended June 30, 2026 compared to the six months ended June 30, 2025, primarily due to lower offering costs from the issuance of common stock pursuant to the At The Market capital facility and proceeds from the issuance of common stock subject to the Employee Stock Purchase Plan.

 

ITEM 3. QUANTITATIVE AND QUALITATIVE DISCLOSURES ABOUT MARKET RISK

 

Not applicable.

 

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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 June 30, 2026, our disclosure controls and procedures were not effective.

 

Material Weaknesses in Internal Control Over Financial Reporting

 

As previously disclosed in our Annual Report on Form 10-K for the fiscal year ended December 31, 2025, management identified the following material weaknesses in our internal control over financial reporting, which continued to exist as of June 30, 2026:

 

  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.

 

During the fiscal year ended December 31, 2025, and the three months ended March 31, 2026, management, with the oversight of the Audit Committee, undertook measures to enhance the Company’s internal control environment by implementing numerous controls previously disclosed in our Annual Report on Form 10-K to remediate the material weaknesses. During the three months ended June 30, 2026, management continued those remediation efforts by (i) implementing customer acceptance procedures, (ii) developing standard vendor contract templates, (iii) enhancing disaster recovery and backup procedures and services on critical IT systems and (iv) continuing independent control testing of the material weaknesses that is expected to continue through the remainder of 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 June 30, 2026 that have materially affected, or are reasonably likely to materially affect, our internal control over financial reporting.

 

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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, plaintiffs Ritu Bhambhani, M.D. and Sudhir Rao initiated a lawsuit against Innovative Health Solutions, Inc. and others in the United States District Court for the District of Maryland, later as amended as the Third Amended Complaint (“Complaint”), asserting claims under the RICO Act, as well as of fraudulent misrepresentation, intentional misrepresentation by concealment, and civil conspiracy related to Medicare and insurance reimbursement of the Company’s NeuroStim device, seeking damages in excess of $5 million. The Court granted the Company’s motion for summary judgment and dismissed the Complaint on June 14, 2022, and the Fourth Circuit Court of Appeals affirmed the dismissal on June 3, 2024, with no further appeal sought by the plaintiffs.

 

On July 14, 2022, related entities owned or partially owned by the same 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”), asserting the same claims and seeking damages in excess of $75,000. The Court dismissed the RICO claims on May 25, 2023, and the parties subsequently pursued mediation of the remaining claims. On April 25, 2025, the parties reached a $750,000 settlement payable in 12 equal monthly installments beginning in January 2026, with $375,000 remaining as of June 30, 2026.

 

In January 2024, Dr. Arturo Taca asserted an interest in U.S. Patent No. 10,413,719 and sought compensation of approximately $2,000,000 based on his alleged contributions to certain neurostimulation technology. The Company disputes both the asserted ownership interest and the related compensation claim and intends to defend the matter vigorously. Although the Company does not believe that a material loss is probable, the matter remains in its early stages and the ultimate outcome cannot be predicted.

 

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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 June 30, 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

 

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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: August 11, 2026    
  By: /s/ Brian Carrico
    Brian Carrico
   

Chief Executive Officer

    (Principal Executive Officer)

 

Date: August 11, 2026 /s/ Timothy Henrichs
  Timothy Henrichs
  Chief Financial Officer
  (Principal Financial and Principal Accounting Officer)

 

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