UNITED STATES

SECURITIES AND EXCHANGE COMMISSION

Washington, D.C. 20549

 

FORM 10-Q/A

Amendment No. 1 to Form 10-Q

 

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

 

For the three months ended March 31, 2024

 

or

 

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

 

Commission file number: 333-216054

 

SS INNOVATIONS INTERNATIONAL, INC.

(Exact name of registrant as specified in its charter)

 

Florida   47-3478854

(State or Other Jurisdiction of
Incorporation or Organization)

 

(I.R.S. Employer
Identification No.)

 

405, 3rd Floor, iLabs Info Technology Centre

Udyog Vihar, Phase III

Gurugram, Haryana 122016, India 

(Address of Principal Executive Offices)

 

Registrant’s telephone number, including area code: +91 73375 53469 

 

Securities Registered Pursuant to Section 12(b) of the Act:

 

Title of each class   Trading Symbol(s)   Name of each exchange on which registered
None   N/A   N/A

 

Indicate by check mark whether the registrant (1) has filed all reports required to be filed by Section 13 or 15(d) of the Securities Exchange Act of 1934 during the preceding 12 months (or for such shorter period that the registrant was required to file such reports), and (2) has been subject to such filing requirements for the past 90 days. Yes ☒ No ☐

 

Indicate by check mark whether the registrant has submitted electronically every Interactive Data File required to be submitted pursuant to Rule 405 of Regulation S-T during the preceding 12 months (or for such shorter period that the Registrant was required to submit such files.) Yes ☒ No ☐

 

Indicate by check mark whether the registrant is a large accelerated filer, an accelerated filer, a non-accelerated filer, a smaller reporting company or an emerging growth company. See the definitions of “accelerated filer”, “large 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 pursuant to Section 13(a) of the Exchange Act. ☐

 

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

 

There were 171,579,284 shares of common stock, $0.0001 par value of the Registrant issued and outstanding as of February 18, 2025.

 

Unless the context otherwise requires, the terms “SSi,” “the Company,” “we,” “us,” and “our” refer to SS Innovations International, Inc., and where appropriate, our subsidiaries.

 

 

 

 

 

 

EXPLANATORY NOTE

 

On May 3, 2024, the SEC entered an order barring BF Borgers CPA PC (“Borgers”), the Company’s then independent registered public accounting firm, from appearing or practicing before the SEC as an accountant and therefore Borgers could no longer act as the Company’s independent registered public accounting firm. Effective May 13, 2024, the Company dismissed Borgers as its independent registered public accounting firm. Subsequently, the Company engaged BDO India LLP (“BDO”) as the Company’s new independent registered public accounting firm.

 

Given the circumstances giving rise to Borgers’ dismissal, the Company asked BDO to re-audit SSi’s consolidated financial statements as of and for the years ended December 31, 2023 and December 31, 2022, which were included in the Company’s Annual Report on Form 10-K filed with the SEC on March 22, 2024 (the “2023 Form 10-K”). Contemporaneously with the re-audit, the Company also undertook an internal review of certain accounting policies and internal controls and procedures. In addition to the foregoing, because of the change in auditors and the time required to perform the reaudit, the Company filed its Quarterly Report on Form 10-Q for the quarter ended June 30, 2024 and September 30, 2024 without the required review procedures specified by the Public Company Accounting Oversight Board for a review of interim financial information as described in AS 4105, “Reviews of Interim Financial Information” (the “Required Review”).

 

In the course of this internal review and while BDO was performing the reaudit, the Company discovered material errors in the prior filed audited consolidated financial statements included in the 2023 Form 10-K and in the interim unaudited condensed consolidated financial statements for the quarters ended June 30, 2023, September 30, 2023, March 31, 2024, June 30, 2024 and September 30, 2024, included in the Company’s Quarterly Reports on Form 10-Q for those quarters (the “Subject Forms 10-Q”). As a result, the Company determined that in order to reflect the foregoing, the Company’s consolidated financial statements included in the 2023 Form 10-K and the Subject Forms 10-Q would need to be restated. An external consulting firm was also appointed by the Company to help perform comprehensive technical accounting evaluations.

 

Thereafter, the board of directors of the Company, after discussion with management of the discovered material errors, concluded that the Company’s audited consolidated financial statements as of and for the years ended December 31, 2023 and December 31, 2022 and interim unaudited condensed consolidated financial statements for three and six months ended June 30, 2023, three and nine months ended September 30, 2023 and three months ended March 31, 2024 should no longer be relied upon due to the reasons stated above. SSi reported the foregoing in a Current Report on Form 8-K, filed with the SEC. The Company has heretofore amended the Subject Forms 10-Q for the quarters ended June 30, 2023 and September 30, 2023 to give effect to the restatements arising from the reaudit.

 

This Form 10-Q/A Amendment No. 1 to Form 10Q (this “Amendment” or this “Report”) restates the Company’s previously issued interim unaudited condensed consolidated financial statements and related footnote disclosures for the three months ended March 31, 2024 and March 31, 2023, included in the Subject Form 10-Q for that quarter. For detailed information, see “Note 1. Restatement of Previously Issued Consolidated Financial Statements for Correction of Errors” to the interim unaudited condensed consolidated financial statements included in Part 1, Item 1 of this Amendment. In addition, this Amendment has undergone the Required Review.

 

In connection with the restatement, management re-evaluated the effectiveness of SSi’s disclosure controls and procedures and internal control over financial reporting as of March 31, 2024. As a result of that assessment, management has concluded that SSi’s disclosure controls and procedures and internal controls over financial reporting were not effective as of March 31, 2024, due to material weaknesses in SSi’s internal control over financial reporting related to above accounting errors. For a discussion of management’s consideration of SSi’s disclosure controls and procedures, internal controls over financial reporting, the material weaknesses identified, and the remedial actions being taken, see “Item 4. Controls and Procedures” in this Amendment.

 

As a result of the above, this Amendment amends the following Items of our Form 10-Q for the quarter ended March 31, 2024: “Item 1. Financial Statements”, “Item 2. Management’s Discussion and Analysis of Financial Condition and Results of Operations” and “Item 4. Controls and Procedures” in Part I and “Item 1. Legal Proceedings” in Part II.

 

 

 

 

TABLE OF CONTENTS

 

    Page
     
PART I – FINANCIAL INFORMATION 1
     
Item 1. Financial Statements 1
     
  Condensed Consolidated Balance Sheets as of March 31, 2024 (unaudited) and December 31, 2023 1
     
  Condensed Consolidated Statements of Operations and comprehensive loss for the three months ended March 31, 2024 (unaudited) and March 31, 2023 (unaudited) 2
     
  Condensed Consolidated Statement of change in equity for the three months ended March 31, 2024 (unaudited) and March 31, 2023 (unaudited) 3
     
  Condensed Consolidated Statements of Cash Flows for the three months ended March 31, 2024 (unaudited) and March 31, 2023 (unaudited) 4
     
  Notes to Condensed Consolidated Financial Statements (unaudited) 5
     
Item 2. Management’s Discussion and Analysis of Financial Condition and Results of Operations 41
     
Item 4. Controls and Procedures 47
     
PART II - OTHER INFORMATION 48
     
Item 1. Legal Proceedings 48
     
Item 2. Exhibits 48
     
SIGNATURES 49

 

i

 

 

PART I – FINANCIAL INFORMATION

 

SS INNOVATIONS INTERNATIONAL, INC.

CONDENSED CONSOLIDATED BALANCE SHEETS

(Unaudited)

 

Item 1. Financial Statements

 

       As of 
   Notes  March 31,
2024
   December 31,
2023
 
       (As restated)     
ASSETS            
Current Assets:            
Cash and cash equivalents   6    948,119    2,022,276 
Restricted cash   6    5,620,396    5,029,650 
Accounts receivable, net   5    4,964,543    1,901,244 
Receivable from related party   14    1,510,647    1,567,559 
Inventory, net        6,921,892    7,017,913 
Prepaids and other current assets   7    3,625,957    3,890,017 
                
Total Current Assets        23,591,554    21,428,659 
                
Non- Current Assets:               
Property, plant, and equipment, net   3    2,176,439    706,405 
Right of use asset   15    2,552,193    2,657,554 
Accounts receivable, net   5    2,486,947    2,365,013 
Restricted cash   6    327,065    35,919 
Prepaids and other non current assets   7    4,067,385    4,322,444 
                
Total Non-Current Assets        11,610,029    10,087,335 
Total Assets        35,201,583    31,515,994 
                
LIABILITIES AND STOCKHOLDERS’ EQUITY               
Current Liabilities               
Bank overdraft facility   10    6,207,185    6,018,926 
Notes payable   9    2,450,000    - 
Current maturities of long-term debt   11    521,873    510,189 
Current portion of operating lease liabilities   15    415,331    396,784 
Accounts payable   8    1,827,635    901,552 
Deferred revenue   12    252,265    156,330 
Other accrued liabilities   8    1,358,275    489,939 
                
Total Current Liabilities        13,032,564    8,473,720 
                
Non- Current Liabilities               
Operating lease liabilities, less current portion   15    2,238,259    2,351,113 
Deferred revenue   12    3,133,632    939,150 
Other accrued liabilities   8    48,358    33,933 
                
Total Non-Current Liabilities        5,420,249    3,324,196 
Total Liabilities        18,452,813    11,797,916 
                
Stockholders’ equity:               
                
Preferred stock, authorized 5,000,000 shares of Series A, Non-Convertible Preferred Stock, $0.0001 par value per share;  5,000 shares issued and outstanding as of March 31, 2024 and December 31, 2023   13    1    1 
Common stock,  250,000,000 shares authorized, $0.0001 par value, 170,739,380 shares and 170,711,880 shares issued and outstanding as of March 31, 2024 and December 31, 2023 respectively   13    17,075    17,072 
Accumulated other comprehensive income (loss)   13    (266,306)   (195,499)
Common stock to be issued, 12,500 shares   13    
-
    50,000 
Additional paid in capital   13    50,451,186    43,457,937 
Capital reserve        899,917    899,917 
Accumulated deficit        (34,353,103)   (24,511,350)
                
Total stockholders’ equity        16,748,770    19,718,078 
Total liabilities and stockholders’ equity        35,201,583    31,515,994 

 

See accompanying notes to Condensed Consolidated Financial Statements

 

1

 

 

SS INNOVATIONS INTERNATIONAL, INC.

CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS AND COMPREHENSIVE LOSS

(Unaudited)

 

       For The Three months ended 
   Notes   March 31,
2024
(As restated)
   March 31,
2023
(As restated)
 
REVENUES            
System sales   12    3,494,759    355,414 
Instruments sale   12    118,515    14,706 
Warranty sale   12    9,407    
-
 
Lease income   12    15,012    - 
Total revenue        3,637,693    370,120 
Cost of revenue        (2,909,511)   (292,173)
GROSS PROFIT        728,182    77,947 
                
OPERATING EXPENSES:               
Research & development expense        527,991    242,127 
Stock compensation expense   19    7,108,750    
-
 
Depreciation and amortization expense   3    80,101    32,591 
Selling, general and administrative expense        2,843,659    873,858 
TOTAL OPERATING EXPENSES        10,560,501    1,148,576 
                
Loss from operations        (9,832,319)   (1,070,629)
                
OTHER INCOME (EXPENSE):               
Interest Expense        (190,088)   (256,670)
Interest and other income, net        180,654    14,283 
TOTAL OTHER INCOME (EXPENSE), NET        (9,434)   (242,387)
                
LOSS BEFORE INCOME TAXES        (9,841,753)   (1,313,016)
Income tax expense        
-
    
-
 
NET LOSS        (9,841,753)   (1,313,016)
                
Net loss per share- Basic and Diluted   2(p)    (0.06)   (0.01)
Weighted average-basic shares   2(p)    170,729,490    128,161,013 
Weighted average- diluted shares   2(p)    181,609,691    128,161,013 

 

CONSOLIDATED STATEMENTS OF OTHER COMPREHENSIVE LOSS

 

   March 31,
2024
(As restated)
   March 31,
2023
(As restated)
 
         
NET LOSS   (9,841,753)   (1,313,016)
           
OTHER COMPREHENSIVE INCOME (LOSS)          
Foreign currency translation gain/(loss)   (79,314)   (48,623)
Retirement Benefit (net of tax)   8,507    4,301 
TOTAL COMPREHENSIVE LOSS   (9,912,560)   (1,357,338)

 

See accompanying notes to Condensed Consolidated Financial Statements.

 

2

 

 

SS INNOVATIONS INTERNATIONAL, INC.

CONDENSED CONSOLIDATED STATEMENTS OF CHANGES IN EQUITY

FOR THE THREE MONTHS ENDED MARCH 31, 2024, AND MARCH 31, 2023

(Unaudited)

 

       Preferred Stock   Common Stock   Common Stock
to be Issued
   Additional
Paid-In
   Accumulated   Capital   Accumulated other
comprehensive
   Total Stockholders’ 
   Notes   Number   Amount   Number   Amount   Number   Amount   Capital   Deficit   Reserve   income (loss)   equity 
Balance as at December 31, 2023        5,000    1    170,711,880    17,072    12,500    50,000    43,457,937    (24,511,350)   899,917    (195,499)   19,718,078 
                                                             
Stock compensation   19    -    
-
    -    
-
    -    
-
    6,842,002    
-
    
-
    
-
    6,842,002 
Common stock issued against exercise of warrants        
-
    
-
    12,500    1    (12,500)   (50,000)   49,999    
-
    
-
    
-
    
-
 
Stock issued for services        
-
    
-
    15,000    2    
-
    
-
    101,249    
-
    
-
    
-
    101,250 
Net loss        -    
-
    -    
-
    -    
-
    
-
    (9,841,753)   
-
    (70,807)   (9,912,560)
                                                             
Balance as at March 31, 2024        5,000    1    170,739,380    17,075    
-
    
-
    50,451,186    (34,353,103)   899,917    (266,306)   16,748,770 
                                                             
Balance as at December 31, 2022        
-
    
-
    128,161,013    12,817    
-
    
-
    (12,812)   (3,633,058)   899,917    54,599    (2,678,537)
                                                             
Net loss        -    
-
    -    
-
    -    
-
    
-
    (1,313,016)   
-
    (44,322)   (1,357,338)
                                                             
Balance as at March 31, 2023        
-
    
-
    128,161,013    12,817    
-
    
-
    (12,812)   (4,946,074)   899,917    10,277    (4,035,875)

 

See accompanying notes to Condensed Consolidated Financial Statements.

 

3

 

 

SS INNOVATIONS INTERNATIONAL, INC.

CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS

(Unaudited)

 

   For The Three months ended 
   March 31,
2024
(As restated)
   March 31,
2023
(As restated)
 
Cash flows from operating activities:        
Net loss   (9,841,753)   (1,313,016)
Adjustments to reconcile net loss to net cash used in operating activities:          
Depreciation and amortization   80,101    32,591 
Operating lease liability   11,033    5,668 
Interest expense (net)   9,434    242,387 
Credit loss reserve   389,330    
-
 
Stock compensation expense   7,108,750    
-
 
           
Changes in operating assets and liabilities:          
Accounts receivable, net   (3,186,108)   (190,479)
Inventory, net   96,021    (1,231,380)
Receivables from / payable to related parties   56,912    124,950 
Deferred revenue   2,290,417    44,223 
Prepaids and other current assets   23,196    (578,340)
Accounts payable   926,083    150,337 
Prepaids and other non current assets   (11,689)   45,363 
Other accrued liabilities   799,235    182,974 
Net cash used in operating activities   (1,249,038)   (2,484,722)
           
Cash flows from investing activities:          
Purchase of property, plant and equipment   (1,550,135)   (71,881)
Net cash used in investing activities   (1,550,135)   (71,881)
           
Cash flows from financing activities:          
Proceeds from bank overdraft facility (net)   188,259    740,358 
Proceeds from issuance of convertible notes to principal shareholder   1,000,000    
-
 
Proceeds from issuance of convertible notes to other investors   1,450,000    2,000,000 
Repayment of term loan   
-
    (124,098)
Net cash provided by financing activities   2,638,259    2,616,260 
           
Net change in cash   (160,914)   59,657 
Effect of exchange rate on cash   (31,351)   (103,131)
Cash and cash equivalents at the beginning of the period   7,087,845    274,625 
Cash and cash equivalents at end of the period   6,895,580    231,151 

 

See accompanying notes to Condensed Consolidated Financial Statements.

 

4

 

 

SS INNOVATIONS INTERNATIONAL, INC.

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS

(Unaudited)

 

NOTE 1 – FINANCIAL STATEMENTS

 

Organization

 

SS Innovations International, Inc. (the “Company” or “SSII”) was incorporated as AVRA Surgical Microsystems, Inc. in the State of Florida on February 4, 2015. Effective November 5, 2015, the Company’s corporate name was changed to Avra Medical Robotics, Inc. (AVRA).

 

On April 14, 2023, a wholly owned subsidiary of the Company, AVRA-SSI Merger Corporation (Merger Sub) merged with CardioVentures, Inc., a Delaware corporation (“CardioVentures”), the indirect parent of Sudhir Srivastava Innovations Pvt. Ltd., an Indian private limited company engaged in the business of developing innovative surgical robotic technologies. As a result of the transaction, a “change in control” of the Company took place. In addition, among other matters, the Company changed its name to “SS Innovations International, Inc.” and implemented a one for ten reverse stock split. The financial statements, financial information, share and per share information contained in this report reflect the operations of both the Company and Cardio Ventures Inc. and give actual effect to the reverse stock split.

 

The Transaction (Note 4) was accounted for as a reverse recapitalization in accordance with GAAP (the “Reverse Recapitalization”). Under this method, AVRA was treated as the “acquired” company (“Accounting Acquiree”) and Cardio Ventures Inc., the accounting acquirer, was assumed to have issued stock for the net assets of AVRA, accompanied by a recapitalization. Accordingly, for the year ended December 31, 2022, CardioVentures has been considered the ultimate holding company. Prior to October 18, 2022, Cardio Ventures Pvt Ltd., Bahamas (Cardio Bahamas), was in existence and served as the ultimate holding company. On October 18, 2022, Cardio Ventures Inc. acquired controlling interest in Otto Pvt Ltd. from Cardio Bahamas, making Cardio Ventures Inc. the ultimate holding company.

 

Basis of Presentation

 

Unaudited Interim Condensed Consolidated Financial Statements

 

The interim condensed consolidated balance sheet as of March 31, 2024, and the interim condensed consolidated statements of operations, comprehensive loss, cash flows, and stockholders’ equity for the three months ended March 31, 2024 and 2023 are unaudited. The unaudited interim condensed consolidated financial statements have been prepared on the same basis as the annual consolidated financial statements and reflect, in the opinion of management, all adjustments of a normal and recurring nature that are necessary for the fair statement of our financial position as of March 31, 2024 and our results of operations and cash flows for the three months ended March 31, 2024 and 2023. The financial data and other financial information disclosed in these notes to the interim condensed consolidated financial statements related to the three month periods are also unaudited. The interim condensed consolidated results of operations for the three months ended March 31, 2024 are not necessarily indicative of the results to be expected for the year ending December 31, 2024 or for any future annual or interim period. The interim condensed consolidated balance sheet as of December 31, 2023 included herein was derived from the audited consolidated financial statements as of that date. These interim condensed consolidated financial statements should be read in conjunction with our audited consolidated financial statements included in the Annual Report on Form 10-K/A as filed by us with the U.S. Securities and Exchange Commission (the “SEC”) on December 6, 2024.

 

The interim condensed consolidated financial statements and accompanying notes were prepared in accordance with accounting principles generally accepted in the United States (“GAAP”). The accompanying financial statements have been prepared on a consolidated basis and reflect the consolidated financial statements of SS Innovations International, Inc. and all of its subsidiaries (“Group”) for the three months ended March 31, 2024. However, the comparative financial statements for three months ended March 31, 2023, have been prepared on a consolidated basis and reflect the consolidated financial statements of Cardio Ventures Inc. and all of its subsidiaries (“Group”).

 

The standalone financial statements of subsidiaries are fully consolidated on a line-by-line basis. Intra-group balances and transactions, and gains and losses arising from intra-group transactions, are eliminated while preparing condensed consolidated financial statements.

 

Accounting policies of the respective individual subsidiaries are aligned wherever necessary, to ensure consistency with the accounting policies that are adopted by the Company under U.S. GAAP.

 

Restatement of Previously Issued Financial Statements for Correction of Errors 

 

The Company restated the accompanying condensed consolidated balance sheet as at March 31, 2024 as well as the condensed consolidated statement of operations and comprehensive loss and the condensed consolidated statements of cash flows for the three months ended March 31, 2024, and March 31, 2023 respectively, as previously reported in its Form 10-Q, to reflect the correction of errors arising out of:

 

  i. Accounting for the merger transaction

 

  ii. Functional / other reclassification

 

  iii. Recognition of revenue in case of deferred payment sales

 

  iv. Recognition of right of use of certain assets and liabilities

 

  v. Errors / Adjustments

5

 

 

Restatement in March 2024

 

Summary of restatements made in condensed consolidated balance sheet as at March 31, 2024 is as follows:

 

Particulars  As Previously Reported   As Restated   Changes   Accounting for the merger transaction¹   Functional / Other reclassification²   Recognition of revenue in case of deferred payment sales³   Recognition of right of use of certain assets and liabilities³   Errors / Adjustments⁴ 
ASSETS                                
Current assets:                                
Cash and cash equivalents   948,152    948,119    (33)   
-
    
-
    
-
    
-
    (33)
Restricted cash   5,954,970    5,620,396    (334,574)   
-
    (334,574)   
-
    
-
    
-
 
Accounts receivable, net   4,226,144    4,964,543    738,399    
-
    3,172,400    (2,896,293)   
-
    462,292 
Receivable from related party   
-
    1,510,647    1,510,647    
-
    1,409,555    
-
    
-
    101,092 
Inventory, net   6,162,235    6,921,892    759,657    
-
    
-
    
-
    
-
    759,657 
Prepaids and other current assets   2,495,457    3,625,957    1,130,500    (8,678)   282,413    
-
    
-
    856,765 
Total Current Assets   19,786,958    23,591,554    3,804,596    (8,678)   4,529,794    (2,896,293)   
-
    2,179,773 
Non- Current Assets:                                        
Property, plant, and equipment, net   2,061,596    2,176,439    114,843    (2,283)   
-
    
-
    
-
    117,126 
Right of use asset   2,127,769    2,552,193    424,424    
-
    
-
    
-
    424,424    
-
 
Accounts receivable, net   5,659,347    2,486,947    (3,172,400)   
-
    (3,172,400)   
-
    
-
    
-
 
Restricted cash   
-
    327,065    327,065    
-
    327,065    
-
    
-
    
-
 
Receivable from related party   1,409,555    
-
    (1,409,555)   
-
    (1,409,555)   
-
    
-
    
-
 
Prepaids and other non current assets   
-
    4,067,385    4,067,385    
-
    275,927    
-
    
-
    3,791,457 
Total Non-Current Assets   11,258,267    11,610,029    351,762    (2,283)   (3,978,962)   
-
    424,424    3,908,583 
Total Assets   31,045,225    35,201,583    4,156,358    (10,961)   550,832    (2,896,293)   424,424    6,088,356 
                                         
LIABILITIES AND STOCKHOLDERS’ EQUITY                                        
Current Liabilities:                                        
Bank overdraft facility   6,207,185    6,207,185    
-
    
-
    
-
    
-
    
-
    
-
 
Notes payable   2,450,000    2,450,000    
-
    
-
    
-
    
-
    
-
    
-
 
Current maturities of long-term debt   
-
    521,873    521,873    
-
    
-
    
-
    
-
    521,873 
Current portion of operating lease liabilities   281,380    415,331    133,951    
-
    
-
    
-
    133,951    
-
 
Accounts payable   1,446,218    1,827,635    381,417    
-
    791,404    
-
    
-
    (409,987)
Deferred tax liability   6,582    
-
    (6,582)   
-
    
-
    
-
    
-
    (6,582)
Deferred revenue   
-
    252,265    252,265    
-
    
-
    252,265    
-
    
-
 
Other accrued liabilities   5,271,874    1,358,275    (3,913,599)   (5,700)   815,588    (3,560,077)   
-
    (1,163,410)
Total Current Liabilities   15,663,238    13,032,564    (2,630,674)   (5,700)   1,606,992    (3,307,812)   133,951    (1,058,106)
Non-Current Liabilities:                                        
Operating lease liabilities, less current portion   1,846,389    2,238,259    391,870    
-
    
-
    
-
    391,870    
-
 
Deferred revenue   
-
    3,133,632    3,133,632    
-
    -    3,133,632    
-
    
-
 
Other accrued liabilities   
-
    48,358    48,358    
-
    
-
    
-
    
-
    48,358 
Total Non-Current Liabilities   1,846,389    5,420,249    3,573,860    
-
    -    3,133,632    391,870    48,358 
Total Liabilities   17,509,627    18,452,813    943,185    (5,700)   1,606,992    (174,180)    525,821    (1,009,748)
                                         
Stockholders’ equity:                                        
Preferred stock, $0.0001 par value per share; authorized 5,000,000 shares of Series A Non-Convertible Preferred Stock, 5,000 shares and nil shares issued and outstanding as of March 31, 2024 and December 31, 2023   1    1    
-
    
-
    
-
    
-
    
-
    
-
 
Common stock, 250,000,000 shares authorized, $0.0001 par value,170,739,380 shares and 170,711,880 shares issued and outstanding as of March 31, 2024, and December 31, 2023 respectively   17,073    17,075    2    
-
    
-
    
-
    
-
    2 
Accumulated other comprehensive income (loss)   (331,489)   (266,306)   65,183    
-
    
-
    
-
    
-
    65,183 
Additional paid in capital   51,077,789    50,451,186    (626,603)   (13,042,805)   
-
    
-
    
-
    12,416,202 
Capital reserve   899,917    899,917    (0)   
-
    
-
    
-
    
-
    
-
 
Accumulated deficit   (38,127,694)   (34,353,103)   3,774,591    13,037,544    (1,056,160)   (2,722,113)    (101,397)   (5,383,283)
Total stockholders’ equity   13,535,597    16,748,770    3,213,173    (5,261)   (1,056,160)   (2,722,113)    (101,397)   7,098,104 
Total liabilities and stockholders’ equity   31,045,224    35,201,583    4,156,358    (10,961)   550,832    (2,896,293)   424,424    6,088,356 

 

6

 

 

Condensed consolidated statement of operations and comprehensive loss for the three-months ended March 31, 2024:

 

Particulars  As Previously Reported   As Restated   Changes   Accounting for the merger transaction¹   Functional / Other reclassification²   Recognition of revenue in case of deferred payment sales³   Recognition of right of use of certain assets and liabilities³   Errors / Adjustments⁴ 
REVENUE:                                
System sales   6,474,832    3,494,759    (2,980,073)   
       -
    (118,515)   (2,861,558)   
-
    
-
 
Instrument sales   -    118,515    118,515    
-
    118,515    
-
    
-
    
-
 
Warranty sales   376,226    9,407    (366,819)   
-
    
-
    (366,819)   
-
    
-
 
Lease income   -    15,012    15,012    
-
    
-
    
-
    15,012    
-
 
Total revenue   6,851,058    3,637,693    (3,213,365)   
-
    
-
    (3,228,377)   15,012    
-
 
                                         
Cost of revenue   (3,873,339)   (2,909,511)   963,828    
-
    506,255    
-
    (75,776)   533,348 
GROSS PROFIT   2,977,720    728,182    (2,249,538)   
-
    506,255    (3,228,377)   (60,764)   533,348 
                                         
OPERATING EXPENSES:                                        
Research and development expense   396,050    527,991    131,941    
-
    92,004    
-
    39,938    
-
 
Stock compensation expense   1,937,202    7,108,750    5,171,548    
-
    
-
    
-
    
-
    5,171,548 
Salaries & Payroll Expenses   674,436    -    (674,436)   
-
    (674,436)   
-
    
-
    
-
 
Depreciation and amortization expense   77,189    80,101    2,912    
-
    2,912    
-
    
-
    
-
 
Selling, general and administrative expense   2,611,019    2,843,659    232,640    
-
    460,047    
-
    63,158    (290,564)
TOTAL OPERATING EXPENSES   5,695,897    10,560,501    4,864,604    
-
    (119,475)   
-
    103,096    4,880,984 
Loss from operations   (2,718,177)   (9,832,319)   (7,114,142)   
-
    625,730    (3,228,377)   (163,859)   (4,347,635)
                                         
OTHER INCOME (EXPENSE):                                        
Interest expenses   (183,212)   (190,088)   (6,876)   
-
    4,819    
-
    
-
    (11,695)
Interest and other income, net   102,941    180,654    77,713    
-
    4,034    71,181    
-
    2,498 
TOTAL OTHER INCOME (EXPENSE), NET   (80,271)   (9,434)   70,837    
-
    8,853    71,181    
-
    (9,197)
LOSS BEFORE INCOME TAXES   (2,798,448)   (9,841,753)   (7,043,305)   
-
    634,583    (3,157,196)   (163,859)   (4,356,832)
                                         
Income tax expense   
-
    
-
    
-
    
-
    
-
    
-
    
-
    
-
 
                                         
NET LOSS   (2,798,448)   (9,841,753)   (7,043,305)   
-
    634,583    (3,157,196)   (163,859)   (4,356,832)
                                         
Consolidated statements of other comprehensive loss                                        
                                         
NET LOSS   (2,798,448)   (9,841,753)   (7,043,305)   
-
    634,583    (3,157,196)   (163,859)   (4,356,832)
Foreign currency translation gain/(loss)   (2,389)   (79,314)   (76,925)   
-
    
-
    
-
    
-
    (76,925)
Retirement benefit (net of tax)   -    8,507    8,507    
-
    
-
    
-
    
-
    8,507 
TOTAL COMPREHENSIVE LOSS   (2,800,837)   (9,912,560)   (7,111,723)   
-
    634,583    (3,157,196)   (163,859)   (4,425,250)

 

7

 

 

Condensed consolidated statement of cashflows for the three-months ended March 31, 2024:

 

Particular  As
Previously
Reported
   As Restated   Changes   Accounting for
the merger
transaction¹
   Functional /
Other
reclassification²
   Recognition of
revenue
in case of
deferred payment
sales³
   Recognition of
right
of use of
certain assets and
liabilities³
   Errors /
Adjustments⁴
 
Cash flows from operating activities:                                
Net loss   (2,798,448)   (9,841,753)   (7,043,305)   
       -
    634,583    (3,157,196)   (163,859)   (4,356,832)
Adjustments to reconcile net loss to net cash used in operating activities:                                        
Depreciation and amortization   45,725    80,101    34,376    
-
    
-
    
-
    
-
    34,376 
Translation difference   (2,389)   
-
    2,389                   
-
    2,389 
Operating lease liability   
-
    11,033    11,033    
-
    
-
    
-
    11,033    
-
 
Stock compensation expense   1,937,201    7,108,750    5,171,549    
-
    
-
    
-
    
-
    5,171,549 
Interest expense (net)   
-
    9,434    9,434    
-
    (95,248)   
-
    
-
    104,682 
Credit loss reserve   -    389,330    389,330    
-
    
-
    
-
         389,330 
Changes in operating assets and liabilities:                                        
Accounts receivable, net   
-
    (3,186,108)   (3,186,108)   
-
    
-
    (3,186,108)   
-
    
-
 
Inventory, net   
-
    96,021    96,021    
-
    
-
    
-
    
-
    96,021 
Receivables from / payable to related parties   
-
    56,912    56,912    
-
    56,907    
-
    
-
    5 
Deffered revenue   
-
    2,290,417    2,290,417    
-
    
-
    2,290,417    
-
    
-
 
Prepaids and other current assets   
-
    23,196    23,196    
-
    (355,975)   
-
    
-
    379,171 
Accounts payable   3,697,874    926,083    (2,771,791)   
 
    788,799    
 
    
 
    (3,560,590)
Prepaids and other non current assets   
-
    (11,689)   (11,689)   
-
    
-
    
-
    
-
    (11,689)
Prepaid expenses and other assets   (1,534,137)   
-
    1,534,137    
-
    
-
    
-
    
-
    1,534,137 
Other accrued liabilities   
-
    799,235    799,235    
-
    977,618    
-
    
-
    (178,383)
Right of use liability, current portion   (7,608)   
-
    7,608    
-
    
-
    
-
    
-
    7,608 
                                         
Net cash used in operating activities   1,338,218    (1,249,038)   (2,587,256)   
-
    2,006,684    (4,052,887)   (152,826)   (388,226)
Cash flows from investing activities:                                        
                                         
Accounts receivable, net   (3,019,005)   
-
    3,019,005    
-
    
-
    
-
    
-
    3,019,005 
Purchase of property, plant and equipment   (1,317,157)   (1,550,135)   (232,978)   
-
    
-
    
-
    
-
    (232,978)
Receivables from / payable to related parties   56,907    
-
    (56,907)   
-
    
-
    
-
    
-
    (56,907)
Right of use asset   71,649    
-
    (71,649)   
-
    
-
    
-
    
-
    (71,649)
Net cash used in investing activities   (4,207,606)   (1,550,135)   2,657,471    
-
    
-
    
-
    
-
    2,657,471 
Cash flows from financing activities:                                        
                                         
Proceeds from issuance of convertible notes to other investors   
-
    1,450,000    1,450,000    
-
    
-
    
-
    
-
    1,450,000 
Proceeds from issuance of convertible notes to principal shareholder   2,450,000    1,000,000    (1,450,000)   
-
    
-
    
-
    
-
    (1,450,000)
Proceeds from bank overdraft facility (net)   188,259    188,259    
-
    
-
    
-
    
-
    
-
    
-
 
Proceeds from securities offering   101,249    
-
    (101,249)   
-
    
-
    
-
    
-
    (101,249)
Net cash provided by financing activities   2,739,507    2,638,259    (101,249)   
-
    
-
    
-
    
-
    (101,249)
Net change in cash   (129,881)   (160,914)   (31,033)   
-
    2,006,684    (4,052,887)   (152,826)   2,167,996 
Effect of exchange rate on cash   
-
    (31,351)   (31,351)                         
Cash and cash equivalents at the beginning of the period   7,033,001    7,087,845    54,844                          
Cash and cash equivalents at end of the period   6,903,120    6,895,580    (7,540)                         

 

(1) Accounting for merger transaction

 

Background

 

On April 14, 2023, SSII (earlier known as ‘AVRA Medical Robotics Inc’ or ‘AVRA’) consummated the acquisition of Cardio Ventures, Inc., a Delaware corporation (“Cardio Ventures”), pursuant to a Merger Agreement dated November 7, 2022 (the “Merger Agreement”), by and among the Company, a wholly owned subsidiary of the Company (“Merger Sub”), Cardio Ventures and Dr. Sudhir Srivastava, who, through his holding company, owned a controlling interest in Cardio Ventures. Pursuant to the Merger Agreement, at Closing, Merger Sub merged with and into Cardio Ventures (the “Cardio Ventures Merger”). Further, the Company changed its name to “SS Innovations International, Inc.,” effected a one-for-ten reverse stock split and increased its authorized common stock to 250,000,000 shares.

 

8

 

 

Before

 

In the previously filed financial statements (Form 10-Q) for the period ended March 31, 2024, the merger transaction between SS Innovations International, Inc. (“SSII” or “the Company”) and CardioVentures, Inc., was accounted for as a reverse merger in the nature of a recapitalization, in accordance with ASC 805. According to Note 1 of the originally filed Form 10-Q, a wholly owned subsidiary of the Company was treated as the Accounting Acquirer, and CardioVentures, Inc. was treated as the accounting acquiree. The balances in the financial statements for the period ended March 31, 2023, included only the assets and liabilities of both AVRA and Cardio Ventures.

 

After

 

Upon review of merger agreements and related technical accounting guidance available in ASC 805, it was determined that AVRA’s assets and liabilities should have been recorded at their fair value as of the date of merger. The fair value of assets and liabilities of AVRA was assessed as nil at the time of the merger. This revaluation resulted in a change in the recorded amounts for the acquired assets, which has now been appropriately reflected in the restated condensed consolidated financial statements.

 

Additionally, the amount recognized as issued equity interests in the condensed consolidated financial statements for three months ended March 31, 2023 was determined by considering the equity interests of Cardio Venture Inc outstanding immediately before the business combination. In accordance with ASC 805, the equity structure (the number and type of equity interests issued) reflects that of AVRA, including the equity interests issued by AVRA to effect the merger as reverse recapitalization. As a result, the equity structure for three months ended March 31, 2023 of Cardio Venture Inc. (the accounting acquirer) has been restated using the exchange ratio established in the acquisition agreement to reflect the number of shares issued by the legal parent (AVRA, the accounting acquiree) in the merger.

 

The Company identified that fair value of assets and liabilities of AVRA was assessed as nil at the time of merger.

 

Additionally, the Company excluded Accumulated deficit and Additional paid in Capital pertaining to AVRA as per ASC 805. 

 

(2) Functional / Other reclassifications

 

The Company conducted an in-depth review of its functional expense classification and other reclassifications resulting in more appropriate allocation of costs based on their specific business functions. The following adjustments have been implemented:

 

1. Reclassification of lease expenses related to Production (COGS) and Research & Development (R&D) from Sales General & Administration cost (SG&A)

 

Previously, lease expenses related to production and R&D activities were grouped under SG&A expenses. As a result of the review, these costs have now been reclassified to more accurately reflect their functional relationship with core business activities.

 

Lease expenses for production-related activities are now included under cost of revenue, as they are directly tied to the production process.

 

Lease expenses for R&D activities are now classified under R&D expenses, ensuring that these costs are appropriately aligned with innovative efforts and accurately allocated based on the proper assumptions regarding their direct contribution to the Company’s research and development initiatives.

 

This reclassification provides a clearer picture of how the Company allocates resources toward both operational production and future product development. 

 

9

 

 

2. Salaries and Related Expenses in COGS, R&D and SG&A

 

Previously, salaries and related expenses were shown directly as a separate head in the statement of Income and Other comprehensive loss. Following further evaluation, these expenses have been reclassified between COGS, R&D and SG&A.

 

Salaries and benefits for production staff are now included under COGS, aligning them more accurately with the Company’s production costs. This enhances the calculation of gross profit margins and ensures the expenses are matched with the corresponding revenue.

 

Salaries for R&D personnel have been classified exclusively in R&D expenses, properly attributing costs to the development of new products and technologies and reflecting the Company’s ongoing investment in innovation.

 

These changes improve the functional categorization of expenses and provide a more accurate depiction of the Company’s operating performance.

 

3. Other reclassifications in condensed consolidated balance sheet and condensed consolidated statement of cash flows

 

We noted that there are reclassifications required in the condensed consolidated balance sheet and condensed consolidated statement of cash flows to

 

  - correct current/non-current positions

 

  - correct classification basis nature of receivable/payable

 

Impact on restated condensed consolidated financial statements for the period ended March 31, 2024

 

(A) Impact on restated Condensed Consolidated Balance Sheet

 

Reclassifications were of below nature:

 

  1. Restricted Cash: 1. Fixed deposit against bank guarantee of $310,410 are now reclassified to Restricted cash non-current, 2. Fixed Deposits of $16,655 reclassified to Restricted cash non-current, 3. Fixed deposit with no withdrawal restrictions of $7,469 reclassified under prepaids and other non-current assets.

 

  2. Accounts receivable of $3,172,400 are reclassified from non-current to current based on their due date of collection as per contract with customers.

 

  3. Receivables from related party (net) of $1,409,555 reclassified from non-current to current based on their due date of collection.

 

  4. Prepaids and other current assets: Security Deposit of $268,458 for long term lease earlier classified under Prepaid Current assets now reclassified to Prepaid and other non-current assets.

 

  5. Reclassification of long term deferred revenue from other accrued liabilities to long term deferred revenue amounting to $3,133,632. This amount has now been reclassified to deferred revenue (Non-Current) for accurate reporting and compliance with revenue recognition standards.

 

  6. Accounts payable: As at March 31, 2024 Amount of advance to vendors knocked off earlier amounting to $791,404 are now reclassified to prepaid and other current asset.

 

  7. Other accrued liabilities: As at March 31, 2024 amount of $779,897 relating to advance from customers is now reclassified in other accrued liabilities.

 

Differential impact of above adjustments have been corrected in the condensed consolidated statement of cash flows for the three months ended March 31, 2024.

 

10

 

 

(B) Reclassifications Condensed Consolidated Statement of Operations and comprehensive loss

 

Reclassifications were of below nature:

 

  (i) Functional classification

 

  1.

Operating expenses are now reclassified functionally, encompassing Selling, General and Administrative, Research and Development, Stock compensation expense and Salaries & Payroll Expenses. This reclassification has resulted in a decrease in the Cost of revenue by $506,255, and increase in Research and Development expense by $92,004 and in Selling, General and administrative expense by $460,047 for three months ended March 31, 2024.

 

  (ii) Other reclassifications

 

  1. In the financial reporting structure, total revenue is now detailed into two categories: System Sales and Instrument Sales. Earlier, Instrument Sales were not disclosed separately which has been effected now. Consequently, in restated financial statements, System Sales is now reduced by $118,515 for three months ended March 31, 2024 and is disclosed as Instrument sales specifically to reflect this refined categorization.

 

  2. Interest and other income related to deposits and deferred payment on revenue have been reclassified from Selling, General, and Administrative Expenses and Interest and other income to Interest Expense. This reclassification amounts to $4,034 for three months ended March 31, 2024, aligning the reporting with appropriate expense categorization standards.

 

(3) Correction of accounting policies misapplications

 

A. Revenue recognition

 

Background

 

The Company identified that it had inadvertently failed to apply some of the relevant provisions of ASC 606, “Revenue from Contacts,” accordingly, in the preparation of our revised financial statements for the period ended March 31, 2024 and 2023. We have revised our revenue recognition policy to incorporate discounting for the present value of expected revenue.

 

Before

 

In previously filed financial statements, our revenue was recognized at nominal values without considering the time value of money. Also, in previously filed financial statements, the Company recognized revenue from maintenance and warranty services starting in the first year following delivery. Further, the Company included deferred revenue within the accrued liabilities.

 

After

 

The decision to adopt a discounting approach arises from our commitment to providing stakeholders with a more precise representation of our revenue streams. By discounting future cash flows to their present value, we ensure that our revenue reflects the economic reality of our transactions, considering the timing of cash receipts. This adjustment aligns our financial statements with best practices in revenue recognition and improves the comparability of our financial information across periods.

 

However, after management’s evaluation, it has been determined that the first year post-delivery is classified as a standard warranty period, with extended comprehensive maintenance and warranty services commencing in the second year. The services offered under the extended maintenance and warranty agreements are consumed by customers concurrently with the Company’s performance of those services. In line with ASC 606-10-25-27, revenue from maintenance and warranty services is to be recognized over the term of the comprehensive maintenance and warranty agreements. As a result, any advance revenue received will be recorded as deferred revenue until the related performance obligations are fulfilled.

 

11

 

 

Also, deferred revenue has now been reclassified as a separate line item on the Balance Sheet, in accordance with U.S. GAAP guidelines. Additionally, deferred revenue has now been divided into short-term and long-term classifications based on when revenue is expected to be recognized. These adjustments provide more clarity and transparency.

 

Moreover, the Company has now separated revenue into instrument sales and system sales. This differentiation enables a more detailed understanding of the revenue streams and their respective recognition patterns. Revenue from instrument sales and system sales will now be recorded separately on the face of condensed consolidated statement of operations and other comprehensive loss, reflecting the distinct performance obligations and timing of revenue recognition for each category.

 

Impact on restated condensed consolidated financial statements for the period ended March 31, 2024

 

The Company identified that revenue and accounts receivable were incorrectly recorded due to the financing component of trade receivables and deferred revenue, which is to be recovered and recognized after one year from the balance sheet date according to purchase order terms. In line with ASC 606, correction entries were made to reflect the financing component in accounts receivable and revenue.

 

Long term account receivables balances were presented at gross balances basis in previous filed financial statements however, as per ASC 606, revenue contract in which company have significant financing component in consideration receivable from customers, the net sales and related debtor balance should be accounted at the present value of the future cash flow and the interest component related to financing component should be recorded over the period of contract. Accordingly, the company restated the account receivable balances on net level to provide impact of significant financing component and reduced trade receivable by $2,896,293.

 

Also, warranty income to be recognized once the performance obligation condition gets fulfil to in line with this provision, unrealized warranty income included of the sale were reversed and recoded as deferred revenue in balance sheet till the time performance obligation relation to this is not fulfilled. Hence due to this $3,385,897 was recorded as deferred revenue till the period and further the same was reclassed as current and non-current $252,265 and $3,133,632 respectively in these restated financial statements.

 

Deferred revenue recorded earlier amounting to $ 3,560,077 in Other accrued liabilities was reversed as the same was not as per ASC 606 Principles.

 

Interest income for the current period related to unwinding of account receivable balances recorded as interest income of $71,181 which is adjusted with the net of system and warranty sale of $3,228,377 in condensed consolidated statement of operations and other comprehensive loss for three months ended March 31, 2024.

 

B. Lease

 

Before

 

For the three months ended March 31, 2024, the Company identified that it had inadvertently failed to apply ASC 842, “Leases,” to certain operating lease arrangements.

 

Upon further review, the Company also determined that similar issues impacted the financial statements for three months ended March 31, 2024. During these periods, while preparing the condensed consolidated financial statements, the Company inadvertently failed to apply ASC 842 to all of their lease agreements. This resulted in the exclusion of material lease liabilities and related right-of-use assets from the financial statements.

 

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After

 

In conjunction with the correction of the lease accounting, the Company has also updated its incremental borrowing rates used to measure lease liabilities and right-of-use assets. The revised rates are now more reflective of the Company’s current borrowing conditions and have been applied retrospectively to all affected lease arrangements.

 

Impact on Financial Statements: The restatement is expected to primarily affect:

 

Lease Liabilities: Previously unrecorded liabilities associated with the identified leases will be recognized.

 

Right-of-Use Assets: Corresponding assets related to the identified lease arrangements will be recognized.

 

Lease Expenses: Adjustments will be made to accurately reflect lease-related expenses, including interest and depreciation charges for the right-of-use assets.

 

The Company identified that it had a leased property in India, but no transaction recorded initially as per ASC 842 only the lease payments were recorded as rent expenses. As per ASC 842, if a company entered into a lease contract for specific period of time it shall record the Right to Use Assets (ROU), Lease liabilities and amortize ROU and interest on lease liabilities over the lease term. Accordingly, restatement adjustment of $424,424 was recorded to correct the balances of ROU in line with above provision of ASC 842. Classification of current and non-current amount of lease liability corrected by $133,951 and $391,870 respectively. Further lease expenses was classified based on functional classification as $75,776 as cost of revenue, $39,938 as research and development and $63,158 as Selling, general and administrative for the three months ended March 31, 2024.

 

Differential impact of above adjustments has been corrected in the consolidated statement of cash flows for the three months ended March 31, 2024.

 

Further as per ASC 842, lease payments of $15,012 are recognized in condensed consolidated statement of operations and other comprehensive loss for three months ended March 31, 2024 relating to the fixed payments arising out of the systems installed on Pay per use basis.

 

4. Correction of other errors in measurement of income/expense/asset/liabilities.

 

We also noted errors in measurement of income/expense/assets/liabilities throughout different financial statements captions which were corrected in the restated financial statements. Below are major error corrections made in condensed consolidated financial statements for the period ended March 31, 2024:

 

  (i) Reinstatement of recourse letter of credit: The Company identified that the encashment of a letter of credit (LC – with recourse) received from banker against the customer’s invoicing was incorrectly netted off with the customer’s closing balance, affecting the financing component for the period ending March 31, 2024. To rectify this, a correction was made to reconcile the accounts receivable balance and the impact of the financing component amounting to $11,695 on the income statement. Accounts receivable balance of $534,280 has been restated and corresponding current maturities of long-term borrowings, as the bank retains the right to recover proceeds from the company in case customer makes default in payment.

  

  (ii) Advance to vendors: For the period ended March 31, 2024, the Company identified that an advance given to a vendor was not adjusted against respective capital and operating expenditures while the invoices were received by the Company. An adjustment was recorded to adjust the vendor advance against respective expenditure totaling $305,198.

 

  (iii) Incorrect useful life of PPE: The Company identified that property, plant, and equipment were previously recorded incorrectly, with depreciation charged based on estimated useful life determined by management. Following a thorough analysis, the asset lives were corrected, and depreciation was recalculated accordingly. As a result of this adjustment property, plant, and equipment was increased by $117,126 for the period ended March 31, 2024.

 

  (iv) Incorrect valuation of Inventory: The Company identified that the inventory was previously recorded at incorrect valuation. As a result of this adjustment inventory is increased by $759,657 as at March 31, 2024. Consequent to this adjustment, cost of revenue has decreased by $533,348 for three months ended March 31, 2024.

 

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  (v) Unrecognized Gratuity provision: The Company identified that the expense and provision for gratuity were not recorded from the initial stage. These were subsequently recorded for the years 2021, 2022, 2023 and the current period, with balances reconciled against the actuarial report. A gratuity liability recorded by $48,358 relates to noncurrent and $426 as current portion which was not accounted for earlier.

 

  (vi) Discounting of Security deposits: The Company identified that discounting of security deposits was not initially performed. As a result, the discounting of security deposits has now been recorded, along with the corresponding prepaid security deposit.

  

  (vii) Deferred tax liability: Since the company has significant carried forward tax losses hence earlier recorded deferred tax liability reversed $6,582.

 

  (viii) Stock compensation expenses: Included in Selling, general and administrative expense pertaining to non-employees: The Company identified that stock compensation expense was recorded incorrectly as it did not pertain to the current year. A correction entry was made, creating a prepaid expense to allow for proper amortization in the correct year. Consequently, prepaid expense for stock compensation was recorded in current and non current assets amounting to $1,066,991 and $3,823,383 respectively.

   

  (ix) Incorrect accruals of expenses: The Company identified that there are some accruals which was previously recorded incorrectly in books of accounts, as a result the accruals amounting to $ 1,095,351 and $409,987 has been reversed from other current liability and accounts payable respectively for the period ended March 31, 2024.

 

  (x) Personal expenses pertaining to Director earlier recorded as business expense of the Company: The Company identified that legal expenses amounting to $101,092 which were actually related to the personal expenses of Dr. Sudhir Prem Srivastava has been charged as business expense of the company. The expense has now been reversed and corresponding receivables from related party (Dr. Sudhir Prem Srivastava) has been recorded.

 

  (xi)

Stock compensation expenses: The Company identified that stock compensation expense was recorded incorrectly as it did not include stock options (vesting immediately) given to employees and also requires correction in granted fair value. Consequently, an amount of $5,171,548 has additionally been recognized in the condensed consolidated statements of operations and comprehensive loss. 

     
  (xii) Unrecognized credit loss reserve: The Company identified that there are certain balances relating to amounts receivable from government authorities, security deposits and accounts receivable whose recoverability is uncertain. Consequently, and amount of $389,330 has been recorded in the condensed consolidated statements of operations and comprehensive loss under Selling, general and administrative expense.

 

Differential impact of above adjustments has been corrected in the condensed consolidated statement of cash flows for the three months ended March 31, 2024.

 

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Restatement in March 2023

 

Condensed consolidated statement of operations and comprehensive loss for the three months ended March 31, 2023:

 

Particulars  As Previously
Reported
   As Restated   Changes   Accounting for the
merger transaction
 
REVENUE:                
System sales   1,491,310    355,414    (1,135,896)   (1,135,896)
Instrument sales   
-
    14,706    14,706    14,706 
Warranty sales   20,069    
-
    (20,069)   (20,069)
Total revenue   1,511,379    370,120    (1,141,259)   (1,141,259)
                     
Cost of revenue   (1,000,204)   (292,173)   708,031    708,031 
                     
GROSS PROFIT   511,175    77,947    (433,228)   (433,228)
                     
OPERATING EXPENSES:                    
Research and development expense   1,955    242,127    240,172    240,172 
Stock compensation expense   1,592,309    
-
    (1,592,309)   (1,592,309)
Salaries & Payroll Expenses   357,674    
-
    (357,674)   (357,674)
Depreciation and amortization expense   31,675    32,591    916    916 
Selling, general and administrative expense   1,490,414    873,858    (616,556)   (616,556)
TOTAL OPERATING EXPENSES   3,474,027    1,148,576    (2,325,451)   (2,325,451)
Loss from operations   (2,962,852)   (1,070,629)   1,892,223    1,892,223 
                     
OTHER INCOME (EXPENSE):                    
Interest expenses   
-
    (256,670)   (256,670)   (256,670)
Interest and other income, net   (29,510)   14,283    43,793    43,793 
TOTAL OTHER INCOME (EXPENSE), NET   (29,510)   (242,387)   (212,877)   (212,877)
LOSS BEFORE INCOME TAXES   (2,992,362)   (1,313,016)   1,679,346    1,679,346 
                     
Income tax expense   
-
    
-
    
-
    
-
 
NET LOSS   (2,992,362)   (1,313,016)   1,679,346    1,679,346 
                     
Consolidated statements of other comprehensive loss                    
                     
NET LOSS   (2,992,362)   (1,313,016)   1,679,346    1,679,346 
Foreign currency translation gain/(loss)   
-
    (48,623)   (48,623)   (48,623)
Retirement benefit (net of tax)   
-
    4,301    4,301    4,301 
TOTAL COMPREHENSIVE LOSS   (2,992,362)   (1,357,338)   1,635,024    1,635,024 

 

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Condensed consolidated statement of cashflows for three months ended March 31, 2023:

 

Particulars  As
Previously
Reported
   As Restated   Changes   Accounting
for the
merger transaction
 
Cash flows from operating activities:                
Net loss   (2,992,362)   (1,313,016)   1,679,346    1,679,346 
Adjustments to reconcile net loss to net cash used in operating activities:        -           
Depreciation and amortization   2,279    32,591    30,312    30,312 
Operating lease liability   
-
    5,668    5,668    5,668 
Stock compensation expense   1,597,693    
-
    (1,597,693)   (1,597,693)
Interest expense (net)   
-
    242,387    242,387    242,387 
Accounts receivable, net   
-
    (190,479)   (190,479)   (190,479)
Inventory, net   
-
    (1,231,380)   (1,231,380)   (1,231,380)
Receivables from / payable to related parties   
-
    124,950    124,950    124,950 
Deferred revenue   
-
    44,223    44,223    44,223 
Prepaids and other current assets   
-
    (578,340)   (578,340)   (578,340)
Accounts payable   1,218,838    150,337    (1,068,501)   (1,068,501)
Prepaids and other non current assets   
-
    45,363    45,363    45,363 
Other accrued liabilities   
-
    182,974    182,974    182,974 
                     
Net cash used in operating activities   (173,553)   (2,484,722)   (2,311,170)   (2,311,170)
Cash flows from investing activities:             -    - 
              -    - 
Notes receivables - acquisition   (2,000,000)   
-
    2,000,000    2,000,000 
Purchase of property, plant and equipment   
-
    (71,881)   (71,881)   (71,881)
Net cash used in investing activities   (2,000,000)   (71,881)   1,928,119    1,928,119 
Cash flows from financing activities:             -    - 
                     
Proceeds from issuance of convertible notes to principal shareholder   
-
    2,000,000    2,000,000    2,000,000 
Proceeds from bank overdraft facility (net)   
-
    740,358    740,358    740,358 
Repayment of term loan   -    (124,098)   (124,098)   (124,098)
Proceeds from securities offering   446,188    
-
    (446,188)   (446,188)
Repayment of warrants   (12,360)   
-
    12,360    12,360 
Proceeds from 7% convertible promissory note   1,000,000    
-
    (1,000,000)   (1,000,000)
Net cash provided by financing activities   1,433,828    2,616,260    1,182,432    1,182,432 
Net change in cash   (739,724)   59,657    799,381    799,381 
Effect of exchange rate on cash   
-
    (103,131)   (103,131)   (103,131)
Cash and cash equivalents at the beginning of the period   1,351,364    274,625    (1,076,739)   (1,076,739)
Cash and cash equivalents at end of the period   611,640    231,151    (380,489)   (380,489)

 

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Impact on restated consolidated financial statements for three months period ended March 31, 2023 (refer note 4)

 

During the course of a detailed re-review of the original filing of Form 10-Q for period ended March 2024, it has been observed that there were also significant inaccuracies in the corresponding figures reported for the three months ended March 2023 condensed consolidated statement of operations and comprehensive loss and condensed consolidated statement of cashflows. These errors primarily originated from the inclusion of figures that pertain to AVRA Medical Robotics, Inc. and Cardio Venture Inc., rather than the correct entities i.e. Cardio Venture Inc. and its subsidiaries.

 

Details of Identified Errors:

 

  1. Condensed consolidated statement of operations and comprehensive loss and condensed consolidated statement of cashflows figures for the three months period ended March 2023:

 

The corresponding figures reported in the condensed consolidated statement of operations and comprehensive loss and condensed consolidated statement of cashflows for March 2023 were entirely related to AVRA Medical Robotics, Inc. and Cardio Venture Inc., rather than Cardio Venture Inc. and its subsidiaries.

 

Corrective Actions Undertaken:

 

  1. Condensed consolidated statement of operations and comprehensive loss and condensed consolidated statement of cashflow adjustments for the three months period ended March 2023:

 

The figures related to Cardio Venture Inc. and its subsidiaries now have been updated as the corresponding figures in the condensed consolidated statement of operations and comprehensive loss and condensed consolidated statement of cashflows for three months ended March 2023. These updated numbers provide a correct basis for comparison with the financials for the three months ended March 31, 2024.

 

17

 

 

Going Concern

 

The accompanying condensed consolidated financial statements have been prepared on a going concern basis which implies the Company will continue to meet its obligations for the next 12 months as of the date these financial statements are issued. The Company had a working capital surplus of $10,558,990 and an accumulated deficit of $34,353,103 as of March 31, 2024. The Company also had a net loss of $9,841,753 for the three months ended March 31, 2024 which was mainly on account of non-cash items like Stock Compensation expense of $7,108,750, Depreciation of $80,101. In addition, the Company has been dependent on related parties to fund operations. These conditions raise substantial doubt about the Company’s ability to continue as a going concern within one year after the date that the condensed consolidated financial statements are issued.

 

Between February 1, 2024, and February 14, 2024, the Company raised $2,450,000 million through a private offering of 7% One-Year Convertible Promissory Notes (“Notes”) from two affiliates of $1,000,000 each and $450,000 from three other investors to finance its ongoing working capital requirements.

 

These Notes are payable in full after 12 months from the respective date of issuance of these Notes and are convertible at the election of noteholder at any time through the maturity date at a per share price of $4.45.

 

In April 2024, the Company has raised $2,000,000 from Sushruta Pvt Ltd. by issuance of two, One-Year 7% Promissory Notes of $1,000,000 each, to meet certain working capital needs.

 

However, the Company’s existing cash resources and income from operations, are not expected to provide sufficient funds to carry out the Company’s operations and business development through the next twelve (12) months. The management of the Company is making efforts to raise further funding to scale up operations and meet its longer-term capital needs. While management of the Company believes that it will be successful in its capital formation and planned expansion of its operating activities, there can be no assurance that the Company will be able to raise additional equity capital or be successful in generating additional revenues and ultimately achieving profitability. The accompanying financial statements do not include any adjustments to reflect the possible future effects on the recoverability and classification of assets or the amounts and classification of liabilities that may result from the possible inability of the Company to continue as a going concern.

 

NOTE 2 - SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES

 

  a) Use of Estimates

 

The preparation of condensed consolidated financial statements in conformity with accounting principles generally accepted in the United States requires management to make estimates and assumptions that affect the reported amounts of assets, liabilities and expenses. The Company regularly evaluates estimates and assumptions that affect the reported amounts of assets and liabilities and disclosure of contingent assets and liabilities at the date of the condensed consolidated financial statements and the reported amounts of revenues and expenses during the reporting period. Actual results could differ from those estimates made by management. Significant estimates included discount rate for measuring significant financing component for deferred collections in revenue contracts, fair value of stock options, incremental borrowing rate for leases and useful life of property plant and equipment.

 

  b) Cash and Cash Equivalents

  

The Company considers all highly liquid investments purchased with an original maturity of ninety days or less to be cash equivalents.

 

  c) Restricted Cash

 

Restricted cash includes any cash and cash equivalents that are legally restricted as to withdrawal or usage for the Company’s operations. For the purposes of the condensed consolidated statement of cash flows, the Company includes in its cash and cash-equivalent balances those amounts that have been classified as restricted cash and restricted cash equivalents.

 

18

 

 

  d) Accounts Receivable and Allowance for Expected Credit Losses

 

The Company’s account receivables are due from customers relating to contracts to supply surgical robotic systems, instruments, and accessories and to provide post sales warranty/maintenance services. The Company also sells surgical robotic systems under deferred payment arrangements and in such cases, the amounts due and recoverable beyond the one year period at the balance sheet date are classified as long-term receivables. Collateral is currently not required. The Company also maintains credit loss allowance for estimated losses resulting from the inability of the Company’s customers to make payments. The Company periodically reviews these estimated allowances, including an analysis of the customers’ payment history and creditworthiness, the age of the trade receivable balances and current economic conditions that may affect a customer’s ability to make payments as well as historical collection trends for its customers as a whole. Based on this review, the Company specifically reserves for those accounts deemed uncollectible or likely to become uncollectible. When receivables are determined to be uncollectible, principal amounts of such receivables outstanding are deducted from the allowance. The allowance for doubtful accounts as of March 31, 2024, and December 31, 2023 amounted to $71,989 and $nil respectively.

 

  e) Employee Benefits

 

Contributions to defined contribution plans are charged to the condensed consolidated statement of operations and comprehensive loss in the period in which services are rendered by the covered employees. Current service costs for defined benefit plans are recognized in the period to which they relate. The liability in respect of defined benefit plans is calculated annually by the Company using the projected unit credit method. The Company records annual amounts relating to its defined benefit plans based on calculations that incorporate various actuarial and other assumptions, including discount rates, mortality, future compensation increases and attrition rates. The Company reviews its assumptions on an annual basis and makes modifications to the assumptions based on current rates and trends when it is appropriate to do so. The effect of modifications to those assumptions is recorded in other comprehensive income (loss) (“OCI”) and amortized to net periodic benefit cost over the expected remaining period of service of the covered employees using the corridor method. The Company believes that the assumptions utilized in recording its obligations under its plans are reasonable based on its experience and market conditions. These assumptions may not be within the control of the Company and accordingly it is reasonably possible that these assumptions could change in future periods. The Company includes the service cost component of the net periodic benefit cost in the same line item or items as other compensation costs arising from services rendered by the respective employees during the period. The interest cost, expected return on plan assets and amortization of actuarial gains/loss, are included in “Other income/(expense), net”.

 

  f) Foreign Currency Translation

 

The functional currency of each entity in the group is the currency of the primary economic environment in which it operates. Transactions in foreign currencies are initially recorded into functional currency at the rates of exchange prevailing on the date of the transaction. Monetary assets and liabilities denominated in foreign currencies are remeasured into functional currency at the rates of exchange prevailing at the balance sheet date. Non-monetary assets and liabilities are remeasured to the functional currency at exchange rates that prevailed on the date of inception of the transaction. All foreign exchange gains and losses arising on re-measurement are recorded in the Company’s condensed consolidated statement of operations and comprehensive loss.

 

The assets and liabilities of the subsidiaries for which the functional currency is other than the U.S. dollar are translated into U.S. dollars, the reporting currency, at the rate of exchange prevailing on the balance sheet date. Revenues and expenses are translated into U.S. dollars at the exchange rates prevailing on the last business day of each month, which approximates the average monthly exchange rate. Share capital and other equity items are translated at exchange rates that prevailed on the date of inception of the transaction. Resulting translation adjustments are included in “Accumulated other comprehensive income/(loss)” in the condensed consolidated balance sheet.

 

The relevant translation rates are as follows: for the three months ended March 31, 2024 closing rate at 83.3465 US$: INR, average rate at 83.2683 US$:INR.

 

The relevant translation rates are as follows: for the three months ended March 31, 2023 closing rate at 82.15 US$: INR, average rate at 82.41 US$:INR.

 

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The relevant translation rates are as follows: for the year ended December 31, 2023 closing rate at 83.19 US$: INR, average rate at 82.96 US$:INR

 

  g) Inventory

 

The Company’s inventory consists of finished goods in the form of fully assembled and tested surgical robotic system, semi-finished goods in the form of various sub-systems of the surgical robotic systems in various stages of assembly and manufacturing and raw material in the form of various mechanical, electrical, and other material components, parts, motors, encoders etc. which are not yet assembled/manufactured. The inventory is valued at the lower of cost (first-in, first-out) or estimated net realizable value. As of March 31, 2024, and December 31, 2023, the Company valued the inventory at $6,921,892 and $7,017,913 respectively.

 

  h) Fair value measurements

 

ASC Topic 820, Fair Value Measurements and Disclosures defines fair value as the price that would be received upon sale of an asset or paid upon transfer of a liability in an orderly transaction between market participants at the measurement date and in the principal or most advantageous market for that asset or liability. The fair value should be calculated based on assumptions that market participants would use in pricing the asset or liability as against assumptions specific to the entity. In addition, the fair value of liabilities should include consideration of non-performance risk, including the Company’s own credit risk. The fair value hierarchy consists of the following three levels:

 

  Level I — Quoted prices for identical instruments in active markets.

 

  Level II — Quoted prices for similar instruments in active markets; quoted prices for identical or similar instruments in markets that are not active; and model-derived valuations whose inputs are observable or whose significant value drivers are observable.

 

  Level III — Instruments whose significant value drivers are unobservable.

 

  i) Concentration of Credit Risk

 

Financial instruments that potentially subject the Company to concentrations of credit risk consist principally of cash. and cash equivalents, time deposits and accounts receivable. By their nature, all such financial instruments involve risks including the credit risks of non-performance by counterparties. The surplus funds are maintained as cash and cash equivalents and time deposits, placed with highly rated financial institutions to reduce its exposure to market risk with regard to these funds. The Company’s exposure to credit risk on account receivable is influenced mainly by the individual characteristic of each customer and the concentration of risk from the top few customers. To mitigate this risk the Company evaluates the creditworthiness of its customers in conjunction with its revenue recognition processes as well as through its ongoing collectability assessment processes for accounts receivable. The Company does not enter into or trade financial instruments, including derivative financial instruments, for speculative purposes.

 

  j) Commitments and Contingencies

 

Liabilities for loss contingencies arising from claims, assessments, litigation, fines and penalties, and other sources are recognized when it is probable that a liability has been incurred and the amount of the assessment and/or remediation can be reasonably estimated. A disclosure for a contingent liability is made when there is a possible obligation that may require an outflow of resources. When there is a possible obligation or a present obligation in respect of which the likelihood of outflow of resources is remote, no provision or disclosure is made. Legal costs incurred in connection with such liabilities are expensed as incurred. Capital commitments are disclosed in the condensed consolidated financial statements. 

 

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  k) Revenue Recognition 

 

The Company recognizes revenue in accordance with Accounting Standards Codification, or ASC606, the core principle of which is that an entity should recognize revenue to depict the transfer of promised goods or services to customers in an amount that reflects the consideration to which the entity expects to be entitled to receive in exchange for those goods or services. To achieve this core principle, five basic criteria must be met before revenue can be recognized:

 

  Identification of a contract with a customer or placement of a purchase order by the customer.

 

  Identification of the performance obligations in the contract or the purchase order as the case may be.

 

  Determination of the transaction price which is reflected in the purchase order placed by the customer.

 

  Allocation of the transaction price to the performance obligations in the contract; and

 

  Recognition of revenue when or as the performance obligations are satisfied as per the terms of the purchase order received from the customer.

 

The Company accounts for revenues when both parties to the contract have approved the contract, the rights and obligations of the parties are identified, payment terms are identified, and collectability of consideration is probable. Product type and payment terms vary by client.

 

i. System Sales:

 

The Company recognizes revenue when the “transfer of control” occurs, which typically takes place upon the delivery of the system to the customer. In cases where a deferred payment arrangement exists, revenue is recognized at the present value of the consideration receivable, adjusted by the present value of any extended warranty obligations.

 

Key Terms of Customer Contracts

 

The Company enters into binding contracts with customers through either an agreement or a sales order, with all terms and conditions mutually agreed upon by both parties. The key terms and conditions include:

 

  1. Finalization of Product and Price: Agreement on the specific model of the “SSI Mantra” system and its selling price.

 

  2. Payment Terms: Determination of payment terms, which may involve either a deferred payment arrangement or a one-time payment upon delivery and installation of the system at the customer’s premises.

 

  3. Deferred Payment Model: For deferred payments, customers typically pay an advance amount before the dispatch of the system. The remaining balance is payable in yearly installments over a period of 3 to 5 years. Present value of deferred payment is calculated using the prevailing interest rate.

 

  4. Warranty Services: Instead of negotiating the sales price, the Company provides a warranty service that includes a 1-year assurance warranty and an extended warranty for an additional 3 to 5 years. The exact terms are mutually agreed upon with the customer.

 

  5. Delivery, Installation, and Training: The Company is responsible for delivering and installing the system at the customer’s premises. Post-installation, the Company provides free training to surgeons and surgical staff to enable them to operate the system effectively.

 

  6. Transfer of Risk and Rewards: The risks and rewards associated with the system are transferred to the customer upon delivery to their premises.

 

21

 

 

ii. Instrument and accessories Sales:

 

The Company also sells instruments for use by surgeons in conjunction with the use of our surgical robotic systems. These instruments are consumable items for our hospital customers, and we recognize the revenues from the sale of instruments as and when the instruments are delivered to the customer.

 

iii. Warranty and Annual Maintenance Contract Sales:

 

Under ASC 606, the portion of the equipment sales value attributable to annual maintenance contracts is recorded separately as Warranty sales, which are recognized at their present value. Once the warranty periods expire, the maintenance contracts commence, and the revenue generated from these maintenance contracts is recognized as a distinct revenue stream.

 

iv. Lease Income:

 

Under ASC 842, in case where the systems are installed under a pay-per-use arrangement, the fixed component of income arising from the contract shall be recognized as lease income over the period of receipt of fixed consideration on a straight-line basis. Further this arrangement doesn’t involves any transfer of title to the counterparty, hence the Company has capitalized the cost of production relating to those systems under property, plant and equipment and accordingly charges the depreciation over its period of useful life.

  

  l) Property Plant & Equipment

 

Property and equipment are stated at cost, which is generally comprised of the purchase price for such property or equipment, non-refundable duties and taxes, but excludes any discounts and/or rebates, less accumulated depreciation and impairment.

 

The Company reviews property and equipment for impairment whenever events or changes in circumstances indicate that the related carrying amounts may not be recoverable.

 

Property Plant & Equipment depreciated using the straight-line method at rates determined as per estimated useful lives of the assets. The estimated useful lives used in in calculating depreciation are as follows: 

 

   Years
Computer & peripherals  3
Furniture  5
Leasehold improvement  4-9
Office equipment  5
Plant and machinery  4-8
R & D equipment  5
Server & networking  3
Vehicles  5
Pay per use systems  10

 

  m) Long-lived Assets

 

In accordance with ASC 360, “Property Plant and Equipment”, the Company tests long-lived assets or asset groups for recoverability when events or changes in circumstances indicate that their carrying amount may not be recoverable. Circumstances which could trigger a review include, but are not limited to: significant decreases in the market price of the asset; significant adverse changes in the business climate or legal factors; accumulation of costs significantly in excess of the amount originally expected for the acquisition or construction of the asset; current cash flow or operating losses combined with a history of losses or a forecast of continuing losses associated with the use of the asset and current expectation that the asset will more than likely not be sold or disposed significantly before the end of its estimated useful life. Recoverability is assessed based on the carrying amount of the asset and its fair value which is generally determined based on the sum of the discounted cash flows expected to result from the use and the eventual disposal of the asset, as well as specific appraisal in certain circumstances. An impairment loss is recognized when the carrying amount is not recoverable and exceeds fair value.

  

  n) Stock Compensation Expense

 

Under the fair value recognition provisions of ASC Topic 718, Compensation-Stock Compensation, cost is measured at the grant date based on the fair value of the award and is amortized on a straight-line basis over the requisite service periods of the awards, which is generally the vesting period. 

 

22

 

 

Determining the fair value of stock-based awards at the grant date requires significant judgment, including estimating the expected term over which the stock awards will be outstanding before they are exercised and the expected volatility of our stock.

 

Stock Options: These provide employees with the right, but not the obligation, to purchase shares of the Company’s stock at a specified price, within a defined period, as per the terms of the stock option agreement. Stock-based compensation expense associated with AVRA 2016 Stock Incentive Plan is measured at fair-value using a Black-Scholes option-pricing model at commencement of each offering period and recognized over that offering period.

 

Stock Units (Restricted Stock Units, or RSUs): These do not require the employee to exercise any options. Each stock unit automatically converts into a specified number of shares upon vesting. The Company uses last three month’s average share price of common stock on OTC exchange as grant date fair value for RSUs.

 

The Company recognizes stock-based compensation expense in the condensed consolidated statement of operations and comprehensive loss for both employees and non-employee directors based on the grant-date fair value of the awards. These costs are recognized on a straight-line basis over the requisite service period, or until the date at which the recipient becomes eligible for retirement, if shorter. Forfeitures of equity awards are accounted for as they occur.

 

The Company accounts for equity instruments issued in exchange for goods or services from non-employees in accordance with ASC Topic 718 Stock Compensation. The costs associated with these equity instruments are measured at the estimated fair market value of the consideration received or the estimated fair value of the equity instruments issued, whichever is more reliably measurable. 

 

  o) Income Taxes

 

The Company accounts for income taxes using the asset and liability method of accounting for income taxes. The Company calculates and provides income taxes in each of the tax jurisdictions in which it operates. The deferred tax assets and liabilities are recognized for future tax consequences attributable to temporary differences between the condensed consolidated financial statement carrying values of existing assets and liabilities and their respective tax bases and all operating losses carried forward, if any. Deferred tax assets and liabilities are measured using tax rates expected to apply to taxable income in the years in which the applicable temporary differences are expected to be recovered or settled. The effect on deferred tax assets and liabilities of a change in tax rates or tax status is recognized in the statements of income in the period in which the change is identified. The Company releases (reclassifies) the tax effects from AOCI to the condensed consolidated statement of operations and comprehensive loss for amortization of deferred actuarial gain/(loss) on retirement benefits. Deferred tax assets are reduced by a valuation allowance if, based on available evidence, it is more likely than not that some portion or all of the deferred tax assets will not be realized.

 

The Company establishes provisions for uncertain tax provisions and related interest and penalties when the Company believes those tax positions are not more likely than not of being sustained, if challenged.  

 

  p) Basic and Diluted Loss per Share

 

The following table sets forth the computation of basic and diluted earnings per share:

 

   For three Months ended
March 31,
 
   2024   2023 
   (As Restated)   (As Restated) 
Net Loss   (9,841,753)   (1,313,016)
Basic weighted average common shares outstanding   170,729,490    128,161,013 
Dilutive effect of convertible note (1)   326,830    
-
 
Dilutive effect of stock-based awards   10,553,371    
-
 
Diluted weighted average common shares outstanding   181,609,691    128,161,013 
Earnings per share attributable to SS INNOVATIONS INTERNATIONAL INC. stockholders:          
           
Basic and Diluted   (0.06)   (0.01)

 

23

 

 

Basic net loss per share is calculated by dividing the net loss attributable to SSII stockholders by the weighted-average number of shares of common stock outstanding for the period. The diluted net loss per share is computed by giving effect to all potentially dilutive securities outstanding for the period. For periods in which we report net losses, diluted net loss per share is the same as basic net loss per share because potentially dilutive common shares are not assumed to have been issued if their effect is anti-dilutive.

 

(1)Represents dilution effect related to the interest on convertible notes in the calculation of diluted weighted average shares outstanding for the portion of the period. Refer Note 9– Notes Payable to the condensed consolidated financial statements for further details.

 

  q) Research and Development Costs

 

In accordance with ASC Topic 730 “Research and Development”, with the exception of intellectual property that is purchased from another enterprise and have alternative future use, research and development expenses are charged to operations as incurred.

 

  r) Fair Value of Financial Instruments

 

Our financial instruments consist principally of accounts receivable, amounts due to related parties and promissory notes payable. The carrying amounts of cash and cash equivalents and promissory notes approximate fair value because of the short-term nature of these items. 

 

  s) Leases

 

The Company determines if an arrangement is a lease at inception of the contract. The Company’s assessment is based on whether: (1) the contract involves the use of a distinct identified asset, (2) the Company obtains the right to substantially all the economic benefit from the use of the asset throughout the term of the contract, and (3) the Company has the right to direct the use of the asset. A lease is classified as a finance lease if any one of the following criteria are met: (1) the lease transfers ownership of the asset by the end of the lease term, (2) the lease contains an option to purchase the asset that is reasonably certain to be exercised, (3) the lease term is for a major part of the remaining useful life of the asset or (4) the present value of the lease payments equals or exceeds substantially all of the fair value of the asset.

 

Operating leases are presented within “Right-of-use assets, operating lease” “Current portion of operating lease liabilities” and “Operating lease liabilities, less current portion” in the Company’s condensed consolidated balance sheet.

  

Right-of-use assets (ROU) assets represent the Company’s right to use an underlying asset during the lease term and lease liabilities represent the Company’s obligation to make lease payments arising from the lease arrangement. Lease liabilities are recognized at commencement date based on the present value of lease payments over the lease term. Operating lease ROU assets are recognized at commencement date in an amount equal to lease liability, adjusted for any lease prepayments, initial direct costs, and lease incentives. For leases in which the rate implicit in the lease is not readily determinable, the Company uses its incremental borrowing rate based on the information available at commencement date. The Company determines the incremental borrowing rate by adjusting the benchmark reference rates with appropriate financing spreads applicable to the respective geographies where the leases are entered and lease specific adjustments for the effects of collateral, if applicable. Lease terms includes the effects of options to extend or terminate the lease when it is reasonably certain at commencement of the lease that the Company will exercise that option. Lease expense for operating lease arrangements is recognized on a straight-line basis over the lease term reflecting single operating lease cost. The Company evaluates lease agreements to determine lease and non-lease components, which are accounted for separately.

 

24

 

 

Lease payments that depend on factors other than an index or rate are considered variable lease payments and are excluded from the operating lease assets and liabilities and are recognized as expense in the period in which the obligation is incurred. Lease payments include payments for common area maintenance, utilities such as electricity, heating and water, among others, and property taxes, and other similar payments paid to the landlord, which are treated as non-lease component.

 

The Company accounts for lease-related concessions in accordance with guidance in Topic 842, Leases, to determine, on a lease-by-lease basis, whether the concession provided by lessor should be accounted for as a lease modification.

 

The Company accounts for a modification as a separate contract when it grants an additional right of use not included in the original lease and the increase is commensurate with the standalone price for the additional right of use, adjusted for the circumstances of the particular contract. Modifications which are not accounted for as a separate contract are reassessed as of the effective date of the modification based on its modified terms and conditions and the facts and circumstances as of that date. Upon modification, the Company remeasures the lease liability to reflect changes to the remaining lease payments and discount rates and recognizes the amount of the remeasurement of the lease liability as an adjustment to the ROU assets. However, if the carrying amount of the ROU assets is reduced to zero as a result of modification, any remaining amount of the remeasurement is recognized as an expense in condensed consolidated statement of operations and comprehensive loss.

 

The Company reviews ROU assets for impairment whenever events or changes in circumstances indicate that the related carrying amount may not be recoverable.

 

  t) Segment reporting

 

The Company operates in one segment only. The chief operating decision maker regularly reviews the operating results of the Company on a condensed consolidated basis as part of making decisions for allocating resources and evaluating performance. As at March 31, 2024 and December 31, 2023 100% of long-lived assets were in India. Revenue from external customers is attributed to individual countries based on customer location.

 

  u) Recent Accounting Pronouncements

 

In March 2023, the Financial Accounting Standard Board (“FASB”) issued Accounting Standard Update (“ASU”) No. 2023-01, Leases (“Accounting Standards Codification (“ASC”) Topic 842”): Common Control Arrangements. This ASU provides guidance in ASC Topic 842 that leasehold improvements associated with common control leases should be (i) amortized by the lessee over the useful life of the leasehold improvements to the common control group, regardless of the lease term, as long as the lessee controls the use of the underlying asset through a lease, and (ii) accounted for as a transfer between entities under common control through an adjustment to equity if and when the lessee no longer controls the use of the underlying asset. The ASU is effective for fiscal years beginning after December 15, 2023. Early adoption is permitted for both interim and annual financial statements that have not yet been issued. When adopted in an interim period, it must be adopted from the beginning of the year that includes that interim period. The Company does not have any lease arrangements with entities under common control and the adoption of this ASU is not expected to have a material impact on its condensed consolidated financial statements.

 

25

 

 

NOTE 3 – PROPERTY, PLANT AND EQUIPMENT, NET

 

The Company’s property and equipment consisted of the following:-

 

   March 31,
2024
   December 31,
2023
 
   (As Restated)     
Gross Amount        
Computer & peripherals   207,246    180,009 
Furniture   198,815    175,707 
Leasehold improvement   190,580    154,651 
Office equipment   118,806    103,371 
Plant and machinery   148,158    128.498 
R & D equipment   91,533    90,434 
Server & networking   26,296    21,999 
Vehicles   183,233    183,577 
Pay Per Use Systems   1,423,013    
-
 
Accumulated depreciation   (411,241)   (331,841)
Total   2,176,439    706,405 

 

Depreciation expenses for the three months ended March 31, 2024, and 2023 amounted to $80,101 and $32,591 respectively.

 

During the current quarter, the Company leased 4 systems under Pay-per-use model to customers. These systems were initially recorded as inventory. However, from the date of lease these were recorded as “Property, plant and equipment” in accordance with ASC 842.

 

NOTE 4 – REVERSE RECAPITALIZATION

 

The Transaction

 

On April 14, 2023 (“Closing”), the Company consummated the acquisition of CardioVentures, Inc., a Delaware corporation (“CardioVentures”), pursuant to a Merger Agreement dated November 7, 2022 (the “Merger Agreement”). This agreement was executed among AVRA-SSI Merger Corporation, a wholly owned subsidiary of the Company (“Merger Sub”), CardioVentures, and Dr. Sudhir Srivastava, who, through his holding company, owned a controlling interest in CardioVentures.

 

At Closing, Merger Sub merged with and into CardioVentures (the “Merger”), with CardioVentures being determined as the accounting acquirer for financial reporting purposes in accordance with ASC 805. The transaction was accounted for as a reverse recapitalization, with AVRA being treated as the accounting acquiree. This determination was based on several factors:

 

  CardioVentures’ stockholders obtained the largest portion of voting rights in the post-combination company.

 

  The Board and management of the combined entity are primarily composed of individuals associated with CardioVentures.

 

  CardioVentures had a larger entity size based on historical operations, assets, revenues, and workforce.

 

  The ongoing operations, post-combination, are those of CardioVentures.

 

Merger Consideration and Share Issuance: As part of the Merger, holders of CardioVentures’ outstanding common stock, including certain parties who provided interim convertible financing, were issued 135,808,884 shares of SSII common stock, representing approximately 95% of the issued and outstanding shares of SSII post-merger, while the existing SSII shareholders retained approximately 5% (6,545,531 shares) of the post-merger issued shares.

 

26

 

 

Pursuant to the Merger Agreement, the holders of CardioVentures’ common stock also received shares 5,000 of newly designated Series A Non-Convertible Preferred Stock (the “Series A Preferred Shares”). These shares:

 

  Vote together with SSII common stock as a single class, except as required by law.

 

  Entitle holders to exercise 51% of the total voting power of the Company.

 

  Are not convertible into common stock, have no dividend rights, and carry a nominal liquidation preference.

 

  Include protective provisions requiring the majority vote of Series A Preferred Shares to amend their rights.

 

  Are subject to automatic redemption for nominal consideration if holders own less than 50% of the shares received in the Merger.

 

Restructuring and Capital Contributions: Concurrent with the Merger:

 

  The Company changed its name to “SS Innovations International, Inc.,” effected a one-for-ten reverse stock split, and increased its authorized common stock to 250,000,000 shares.

 

  Dr. Sudhir Srivastava, through his holding company, assigned patents, trademarks, and other intellectual property related to its surgical robotic systems to a wholly owned subsidiary of SSII.

 

  Dr. Frederic Moll and Andrew Economos provided interim financing during 2022, contributing $3,000,000 each. As a result, Dr. Moll received 7% of SSII’s post-merger issued and outstanding common stock on a fully diluted basis, with 4% treated as stock compensation expenses for strategic value. Economos received 2.86% of SSII’s post-merger issued shares.

 

Reverse Recapitalization Impact: As part of the reverse recapitalization, CardioVentures acquired the net assets of AVRA at fair value at Closing. The fair value of AVRA’s net assets was assessed to be zero by management, resulting in a recognized loss of $5,000,000 in additional paid-in capital. This loss was due to the difference between the fair value of the shares issued (5% of the total) and AVRA’s net assets.

 

For comparative periods, the assets and liabilities of CardioVentures (the accounting acquirer) were recognized at their pre-combination carrying amounts, with retained earnings and equity balances carried forward. The equity structure reflects that of AVRA (the legal parent) using the exchange ratio established in the Merger Agreement.

 

NOTE 5 – ACCOUNTS RECEIVABLE, NET

 

Accounts receivable consisted of the following as of March 31, 2024 and December 31, 2023: 

 

   March 31,
2024
   December 31,
2023
 
   (As Restated)     
Accounts receivable, net (current)   4,964,543    1,901,244 
Accounts receivable, net (non-current)   2,486,947    2,365,013 
Total accounts receivable, net   7,451,490    4,266,257 

 

The Company performed an analysis of the trade receivables related to SSI India and determined, based on the deferred payment terms of the contracts, that a $2,486,947 may not be due and collectible in next one year and thus company classified these receivables as non- current.

 

Details of customers which accounted for 10% or more of total revenues during the three months period ended March 31, 2024, and March 31, 2023 and 10% or more of total accounts receivables as at March 31, 2024, and December 31, 2023:

  

   Percentage of Revenue   Percentage of Accounts 
   For three months ended   Receivable as at 
   March 31,
2024
   March 31,
2023
   March 31,
2024
   December 31,
2023
 
Customer A   
-
    
-
    6%   12%
Customer B   
-
    
-
    7%   13%
Customer C   40%   
-
    
-
    
-
 
Customer D   20%   
-
    33%   
-
 
Customer E   13%   
-
    4%   
-
 
Customer F   12%   
-
    5%   
-
 
Customer G   12%   
-
    5%   
-
 
Customer H   
-
    96%   3%   7%

 

27

 

 

NOTE 6 – CASH, CASH EQUIVALENTS AND RESTRICTED CASH

 

For the purpose of condensed consolidated statement of cash flows, cash, cash equivalents and restricted cash (Current) & (Non-Current) consisted of the following as of March 31, 2024, and December 31, 2023.

 

      March 31,
2024
   December 31,
2023
 
       (As Restated)      
Cash and cash equivalents      948,119    2,022,276 
Fixed deposit  Lien against overdraft facility   5,553,097    4,962,515 
   Lien against Letter of credit   24,285    24,041 
   Lien against Bank Guarantee   43,014    43,094 
Restricted cash (Current)      5,620,396    5,029,650 
Fixed deposit  Lien against bank guarantee   310,410    19,233 
   Lien against credit card facility   16,655    16,686 
Restricted cash (Non- current)      327,065    35,919 
Total cash, cash equivalents and restricted cash      6,895,580    7,087,845 

 

We have classified fixed deposits (FDs), which are subject to withdrawal restrictions, as Restricted cash. Additionally, time deposits with a maturity of over one year have been classified as non-current.

 

The Company has secured a bank overdraft facility from HDFC bank, collateralized by fixed deposits held with HDFC bank. This facility includes a withdrawal restriction tied to the fixed deposit. (Refer Note 10 – Bank Overdraft.)

 

NOTE 7 – PREPAID, CURRENT AND NON- CURRENT ASSETS

 

Prepaid, Current and Non-Current Assets consisted of the following as of March 31, 2024, and December 31, 2023:

 

   March 31,
2024
   December 31,
2023
 
    (As Restated)      
Receivables from statutory authorities   1,486,866    1,904,859 
Prepaid expenses – Stock Compensation current   1,066,991    1,066,991 
Security deposit   251,046    299,540 
Other prepaid- current assets   821,054    618,627 
Prepaid and other current assets   3,625,957    3,890,017 
Prepaid expenses – Stock Compensation  non  current   3,823,383    4,090,131 
Security deposits   173,629    225,488 
Other prepaid- non current asset   70,373    6,825 
Prepaid and other non current assets   4,067,385    4,322,444 
Total prepaid, current and non current assets   7,693,342    8,212,461 

 

Prepaid expenses – stock compensation represents unamortized portion of common stock granted to advisors for services to be rendered by them in future. (Refer Note 19 – Stock Compensation Expenses)

 

28

 

 

NOTE 8 – ACCOUNTS PAYABLE AND ACCRUED EXPENSES

 

Accounts payable and accrued current and non-current expenses consisted of the following as of March 31, 2024, and December 31, 2023:

 

   March 31,
2024
   December 31,
2023
 
    (As Restated)      
Accounts Payable   1,827,635    901,552 
Payable to statutory authorities   102,212    35,149 
Salary payable   381,235    310,789 
Other accrued liabilities   874,828    144,001 
Other accrued liabilities   1,358,275    489,939 
Provision for gratuity long term   48,358    33,933 
Other accrued liabilities- non current   48,358    33,933 
Total accounts payable, accrued current and non-current expenses   3,234,268    1,425,424 

 

Accounts payable $1,827,635 as of March 31, 2024, reflect the amounts due to various vendors of supplies and services in the normal course of business operations. Other accrued liabilities of $874,828 as of March 31, 2024, mainly include $764,899 advance from customers and expenses payable of $102,589.

 

NOTE 9 – NOTES PAYABLE

 

In the month of February 2024, the Company raised $2,450,000 through 7% One-Year Convertible Promissory Notes (“Notes”) from two affiliates of $1,000,000 each and $450,000 from other investors to finance its ongoing working capital requirements. These Notes are payable in full after 12 months from the respective date of issuance of these Notes and are convertible at the election of noteholder at any time through the maturity date at a per share price of $4.45

 

NOTE 10 – BANK OVERDRAFT FACILITY

 

Bank overdraft facility consisted of the following as of March 31, 2024, and December 31, 2023.  

 

   March 31,
2024
   December 31,
2023
 
    (As Restated)      
HDFC Bank Ltd overdraft (with lien against fixed deposits)(OD1)   (45,902)   4,756,389 
HDFC Bank Ltd overdraft (OD2)   (615,828)   1,262,537 
HDFC Bank working capital demand loan (1)- 8.50%   4,949,218    
-
 
HDFC Bank working capital demand loan (2)- 9.24%   599,905    
-
 
HDFC Bank working capital demand loan (3)- 9.23%   1,319,792    
-
 
Bank overdraft   6,207,185    6,018,926 

 

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HDFC bank has sanctioned the facilities for the Company which include overdraft and working capital demand loan (WCDL). The facility of HDFC Bank overdraft (OD1) is availed on the basis of lien on the fixed deposits of $5,549,118 provided by the Company while (OD2) is secured by all the current assets, plant and machinery of the Company and additionally secured by personal security of Dr. Sudhir Srivastava for this facility. As of March 31, 2024 and December 31, 2023, all financial and non-financial covenants under the bank overdraft facility agreement were complied with by the Company.

 

HDFC Bank has sanctioned overdraft facilities subject to operational terms and conditions, including payment on demand, comprehensive insurance coverage against all risks of primary security, periodic inspections of the plant by the bank, and submission of monthly stock and financial records to the bank within 30 days after each month-end. Security for this facility includes current assets, plant and machinery, furniture and fixtures, and a personal guarantee from Dr. Sudhir Srivastava.

 

The cash credit facility is sanctioned at an interest rate of 9.50% (linked with 3-month T-Bill) per annum on the working capital overdraft limit, with interest payable monthly on the first day of the subsequent month. Overdraft facility against fixed deposits is sanctioned with an interest rate of 1.25% over and above prevailing rate of interest on fixed deposits, payable at monthly intervals on the first day of the following month.

 

During the current period, the Company has availed the facility of working capital demand loan (WCDL) against the conversion of Bank overdraft which is availed on basis of lien on the fixed deposits provided by the Company, all the current assets, plant and machinery of the Company and additionally on personal guarantee of Dr. Sudhir Srivastava for this facility as set forth above. This facility of WCDL carries a fixed interest rate (as mentioned above) and is repayable in the month of August 2024.

 

NOTE 11 – BORROWINGS

 

As part of our ongoing efforts to manage working capital and improve liquidity, we have arranged for Axis Bank to issue a Letter of Credit (LC) on behalf of one of our debtors, Indraprastha Cancer Society & Research Centre (RGCI), for $452,818. This LC is valid for a period of 666 days. It is classified as a short-term liability (including interest) for the year ended December 31, 2023, and for the period ended March 31, 2024. 

 

   March 31,
2024
   December 31,
2023
 
    (As Restated)      
Current maturities of long-term debt   521,873    510,189 

 

NOTE 12 – DEFERRED REVENUE

 

Contract liabilities (deferred revenue) consist of advance billings and billing in excess of revenues recognized. Deferred revenue also includes the amount for which services have been rendered but other conditions of revenue recognition are not met, for example, where the Company does not have an enforceable contract.

 

The revenues attributable to the warranty is recognized over the period to which it relates. During the three months ended March 31, 2024, the company had sold five surgical robotic systems. The revenues attributable to warranty for the agreed warranty period in respect of each of the sales contracts are deferred for recognition over the period to which it relates.

 

In case of systems sold on deferred payment basis, the present value of the invoiced system sales realizable over the deferred payment period is recognized as systems sales. The difference between the invoiced amount and its present value is adjusted (reduced) in the accounts receivable balance. This difference is recorded as interest income under other income, with a corresponding impact on accounts receivable over the collection period of contract. The Company recorded $71,181 and $nil as interest income on account of deferred financing component during the three months ended March 31, 2024 and 2023 respectively.

 

30

 

 

   March 31,
2024
   December 31,
2023
 
    (As Restated)      
Deferred revenue— beginning of period   1,095,480    43,917 
Additions   2,299,824    1,053,334 
Net changes in liability for pre-existing contracts   3,395,304    1,097,251 
Revenue recognized   9,407    1,771 
Deferred revenue— end of period   3,385,897    1,095,480 

 

   March 31,
2024
   December 31,
2023
 
    (As Restated)      
Deferred revenue expected to be recognized in:          
One year or less   252,265    156,330 
More than One year   3,133,632    939,150 
    3,385,897    1,095,480 

 

For the three months ended March 31, 2024, and 2023.

 

The following table disaggregates our revenue by major source:

 

   March 31,
2024
   March 31,
2023
 
    (As Restated)    (As Restated) 
System sales   3,494,759    355,414 
Instruments sale   118,515    14,706 
Warranty sale   9,407    - 
Lease income   15,012    - 
Total revenue   3,637,693    370,120 

 

Revenues for three months ended March 31, 2024 and 2023 by geographic region (determined based upon customer domicile), were as follows:

 

    March 31,
2024
    March 31,
2023
 
    (As Restated)     (As Restated)  
India     3,637,693       370,120  
      3,637,693       370,120  

 

NOTE 13 – STOCKHOLDERS’ EQUITY

 

Common stock

 

The Company is authorized to issue up to 250,000,000 shares of common stock, $0.0001 par value per share. The Company has one class of common stock outstanding. Holders of the Company’s common stock are entitled to one vote per share. Upon the liquidation or dissolution of the Company, its common stockholders are entitled to receive a ratable share of the available net assets of the Company after payment of all debts and other liabilities. The Company’s shares of common stock have no pre-emptive, subscription, redemption or conversion rights.

 

As of March 31, 2024, there were 170,739,380 issued and outstanding common shares. Holders of common stock are entitled to one vote for each share of common stock. 

 

31

 

 

Preference shares

 

The Company had outstanding 5,000 shares of preferred stock, par value $0.0001 as at March 31, 2024 and December 31, 2023.

  

NOTE 14 – RELATED PARTY TRANSACTIONS

 

As of March 31, 2024, and December 31, 2023, there were amounts due from related parties, respectively. The advances are unsecured, non-interest bearing and due on demand.

 

   March 31,
2024
   December 31,
2023
 
   (As Restated)     
Receivable from related party   1,510,647    1,567,559 
Total   1,510,647    1,567,559 

 

The receivable balances from related parties are across the Company and its related entities in the normal course of business. All such receivable balances are non-interest bearing and are receivable on demand.

 

Receivable from related party amounting to $1,510,647 and $1,567,559 as at March 31, 2024 and December 31, 2023 respectively, represents proceeds of convertible promissory notes raised by the Company from the investors during the respective years, but collected by related entities on its behalf.

 

NOTE 15 – LEASES

 

The Company conducts its operations using facilities leased under operating lease agreements that expire at various dates.

 

The following is a summary of operating lease assets and liabilities:

 

   March 31,   December 31, 
   2024   2023 
   (As Restated)     
Operating leases        
Assets        
Right of use operating lease assets   2,552,193    2,657,554 
           
Liabilities          
Current portion of operating lease liability   415,331    396,784 
Non Current portion of operating lease liability   2,238,259    2,351,113 
Total lease liabilities   2,653,590    2,747,897 
         
   March 31,   December 31, 
   2024   2023 
   (As Restated)     
Operating leases        
Weighted average remaining lease term (years)        
Ilabs Info Technology 3rd Floor   5.94    6.19 
           
Ilabs Info Technology Ground Floor   8.17    8.42 
Village Chhatarpur-1849-1852-Farm   1.33    1.58 
           
Weighted average discount rate          
Ilabs Info Technology 3rd Floor   12%   12%
Ilabs Info Technology Ground Floor   12%   12%
Village Chhatarpur-1849-1852-Farm   10%   10%

 

32

 

 

Supplemental cash flow and other information related to leases are as follows:

 

   Period ended March 31 
   2024   2023 
   (As Restated)   (As Restated) 
Cash payments for amounts included in the measurement of lease liabilities:        
Operating cash outflows for operating leases   167,838    93,738 

 

Maturities of lease liabilities as of March 31, 2024 were as follows:

 

   Operating
Leases
 
Fiscal Year  Amount
(in $)
 
2024   525,573 
2025   616,749 
2026   498,499 
2027   506,614 
2028   515,136 
2029 and thereafter   1,170,606 
Total Lease Payment   3,833,177 
Less: Imputed Interest   1,179,587 
Present value of lease liabilities   2,653,590 

 

NOTE 16– INCOME TAX

 

The Company has not recorded income tax benefits for the net operating losses incurred during the period ended March 31, 2024, and 2023 nor for other deferred tax assets generated, due to its uncertainty of realizing a benefit from those items.

 

The components of loss before income taxes consist of the following:

 

   Period ended 
   March 31,
2024
   March 31,
2023
 
   (As Restated)   (As Restated) 
Domestic   
-
    
-
 
Foreign   (9,841,753)   (1,313,016)
Total   (9,841,753)   (1,313,016)

 

The Company does not have federal and state net operating losses for the period ended March 31, 2024, and March 31, 2023.

 

The Company has not recorded any amounts for unrecognized tax benefits as of March 31, 2024, and March 31, 2023. The Company’s practice is to recognize interest and penalties related to income tax matters in income tax expense. The Company had no accrual of interest and penalties on the Company’s balance sheets and has not recognized interest and penalties in the condensed consolidated statement of operations and comprehensive loss for three months ended March 31, 2024, and March 31, 2023.

 

The Company is subject to taxation in the United States and India. The Company’s tax returns filed has no pending examinations in India and US.

 

33

 

 

The effective income tax rate differs from the amount computed by applying the income tax rate of India to Income/(Loss) before income taxes approximately as follows: 

 

   Period ended 
   March 31,
2024
   March 31,
2023
 
   (As Restated)   (As Restated) 
Accounting loss before income tax   (9,841,753)   (1,313,016)
Income tax expense/(benefit) at federal statutory rate at 21%   (2,066,768)   (275,733)
Foreign tax rate differential   (410,204)   (54,727)
Non-deductible expenses   149,234    12,613 
Excess tax expense/(benefit) on depreciation   (35,496)   2,454 
Excess tax expense/(benefit) on security deposit   77    77 
Impact of unrecognized deferred tax asset on the loss of the year   2,363,157    315,316 
Income tax expense/(benefit)   
-
    
-
 

 

The Company recorded nil income tax expense for three months ended March 31, 2024 and March 31, 2023, due to losses in current period and prior period and it does not expect to recover the tax benefit on the losses incurred during three months ended March 31, 2024, and March 31, 2023. 

 

The components of the deferred tax balances were as follows:

 

   March 31,
2024
   December 31,
2023
 
   (As Restated)     
Deferred tax assets:        
Net operating loss carry forwards   5,123,861    763,591 
Net operating loss   1,952,953    4,360,270 
Lease payments   21,293    18,976 
Others   135,372    23,754 
    7,233,479    5,166,591 
Valuation allowance   (7,190,630)   (5,145,040)
Deferred tax assets   42,849    21,551 
           
Deferred tax liabilities:          
Depreciation and amortization   42,849    16,763 
Others   
-
    4,788 
Deferred tax liabilities   42,849    21,551 
Net deferred tax assets/liability   
-
    
-
 

 

Deferred tax assets and liabilities are recognized for future tax consequences attributable to temporary differences between the financial statement carrying values of assets and liabilities and their respective tax bases and operating loss carry forwards. The Company performed an analysis of the realizability of deferred tax assets as of March 31, 2024, and December 31, 2023, and recorded a valuation allowance of $7,190,630 and $5,145,040, respectively.

 

34

 

 

NOTE 17 – EMPLOYEE BENEFIT PLAN

 

The Company’s Gratuity Plan in India provides for a lump sum payment to vested employees on retirement or upon termination of employment in an amount based on the respective employee’s salary and years of employment with the Company. Liabilities under this plan are determined by actuarial valuation using the projected unit credit method. Current service costs for these plans are accrued in the year to which they relate. Actuarial gains or losses or prior service costs, if any, resulting from amendments to the plans, are recognized and amortized over the remaining period of service of the

 

The Gratuity Plan is unfunded, and the company does not make contributions to the plan assets.

 

The benefit obligation has been measured as of March 31, 2024, and December 31, 2023. The following table sets forth the activity and the amounts recognized in the Company’s consolidated financial statements at the end of the relevant periods:

 

   March 31,   December 31, 
   2024   2023 
   (As restated)     
Change in projected benefit obligation        
Projected benefit obligation as on beginning   34,005    10,655 
Service cost   5,684    15,707 
Interest cost   601    759 
Benefits paid   
-
    
-
 
Actuarial loss ^   8,507    7,009 
Effect of exchange rate changes   (78)   (125)
Projected benefit obligation at end   48,719    34,005 
Unfunded status in the end Unfunded amount recognized in consolidated balance sheets   48,719    34,005 
Non-current liability (included under other non-current liabilites)   48,358    33,933 
Current liability (included under accrued employee costs)   361    72 
Total accrued liability   48,719    34,005 
Accumulated benefit obligation at end   21,982    15,508 

 

^During the period ended March 31, 2024, and December 31, 2023, actuarial loss was driven by changes in actuarial assumptions, offset by experience adjustments on present value of benefit obligations.

 

Components of net periodic benefit costs recognized in condensed consolidated statements of operations and comprehensive loss and actuarial loss reclassified from AOCI, were as follows:

 

   March 31,   December 31, 
   2024   2023 
   (As restated)     
Service cost   5,684    15,707 
Interest cost   601    759 
Expected return on plan assets   
-
    
-
 
Amortization of actuarial loss, gross of tax   
-
    
-
 
Net gratuity cost   6,285    16,466 

 

35

 

 

The components of retirement benefits included in AOCI, excluding tax effects, were as follows:

 

   March 31,   December 31, 
   2024   2023 
    (As restated)      
Net actuarial loss   8,507    (7,009
Net prior service cost   
-
    
-
 
Amount recognized in AOCI, excluding tax effects   8,507    (7,009

 

The weighted average actuarial assumptions used to determine benefit obligations and net gratuity cost were:    

 

   March 31,   December 31, 
   2024   2023 
   (As restated)     
Discount rate   7.25%   7.08%
Rate of increase in compensation levels   12.50%   15.00%
Expected long-term rate of return on plan assets per annum   
-
    
-
 

  

The Company evaluates these assumptions annually based on its long-term plans of growth and industry standards. The discount rates are either based on current market yields on government securities or yields on government securities adjusted for a suitable risk premium, if available

 

Expected benefit payments for the period ended March 31, 2024

 

March 31, 2024   425 
2025   6,517 
2026   8,129 
2027   7,301 
2028   6,695 
2029-2033   48,229 

 

Mortality Table

IALM (2012-14)

 

Ages  Withdrawal
Rate (%)
   Withdrawal
Rate (%)
   Withdrawal
Rate (%)
 
             
Upto 30 years   30.00%   30.00%   23.50%
From 31 to 44 years   30.00%   30.00%   23.50%
Above 44 years   30.00%   30.00%   23.50%

 

36

 

 

NOTE 18 – FAIR VALUE MEASUREMENT – FINANCIAL INSTRUMENTS

 

Assets and liabilities recorded at fair value are measured using the fair value hierarchy, which prioritizes the inputs used in measuring fair value. The levels of the fair value hierarchy are:

 

Level 1: observable inputs such as quoted prices in active markets.

 

Level 2: inputs other than quoted prices in active markets that are either directly or indirectly observable; and

 

Level 3: unobservable inputs for which little or no market data exists, therefore requiring the Company to develop its own assumptions.

  

The company’s financial assets which are set out below in the table is measured at fair value by considering the level III inputs. The company does not have financial assets which are measured using Level I or Level II inputs.

 

Carrying value and fair value of Level III Financial assets and liabilities:

 

   Carrying Value   Fair value 
   March 31,   December 31,   March 31,   December 31, 
   2024   2023   2024   2023 
Financial Assets                
Account receivables net (1)   2,486,947    2,365,013    2,486,947    2,365,013 
Other non-current financial assets (2)   181,098    171,146    181,098    171,146 
Total   2,668,045    2,536,159    2,668,045    2,536,159 
Financial Liabilities                    
Lease liabilities (3)   2,238,259    2,351,113    2,238,259    2,351,113 
Other non-current financial liabilities (4)   48,358    33,933    48,358    33,933 
Total   2,286,617    2,385,046    2,286,617    2,385,046 

 

(1)Account receivable net of allowance for credit losses represent the long-term debtors of the company in relation to the sales made during the year. The Company has presented the receivable balances account after reducing the significant financing component included using the discount rate of 10%.

 

(2)Other non-current assets include security deposits and long-term fixed deposits with banks. Company has calculated the fair value of security deposit at present value of future receipt using discount rate of 10% and fair value of long-term fixed deposit with banks are carried at cost which is approximate to the fair value.

 

(3)The Company has long term lease liabilities in relation to office properties which is carried at cost using the discount rate (Refer Note 15 Leases).

 

(4)Other non-current financial liabilities include provision for gratuity which is carried at a cost which is approximate to its fair value. (Refer Note 17 Employee benefit plans).

 

The Company has assessed that the financial instruments that are not carried at fair value consist primarily of cash and cash equivalents, restricted cash, receivable from related party, prepaid and other current assets, note payable, Bank overdraft facility and account payable for which fair values approximate their carrying amounts due to the short-term maturities of these instruments.

 

37

 

 

NOTE 19 – STOCK COMPENSATION EXPENSES

 

Stock options to Employees: Company grants share of the company’s common stock, par value $ 0.0001. The price at which the Grantee shall be entitled to purchase the Shares upon the exercise of the Option (the “Option Price”) shall be US $ 5.00 per Share. The Shares shall vest as to twenty percent (20%) of the shares covered thereunder as of the Grant Date, with the balance of the shares covered thereunder vesting in four equal annual installments on the first, second, third and fourth anniversaries of the Grant Date provided that the Grantee remains in the Continuous Employment of the Company or any of its subsidiaries or affiliates, as defined and provided for in the Plan. The Options, to the extent vested and not exercised, shall expire five (5) years from the Grant Date.

 

Restricted Stock Award to Employees: Company grants restricted share of the company’s common stock, $ 0.0001 per value under the company’s 2016 stock incentive plan. The grant of restricted share is made in consideration of services to be rendered by the Grantee to the company. The Restricted Stock Award shall vest as to twenty percent (20%) of the Restricted Shares covered thereunder as of the Grant Date, with the balance of the Restricted Shares covered thereunder vesting in four equal annual installments on the first, second, third and fourth anniversaries of the Grant Date, subject to the Grantee’s continued employment by the Company, as provided for in the Plan. Unvested portions of the Restricted Stock Award may not be transferred at any time, except to the extent provided for in the Plan. Until the Restricted Stock Award granted under this Agreement vests in accordance with the terms hereof, the Grantee shall have no rights as a shareholder (including, without limitation, voting and dividend rights) with respect to any of the Restricted Shares covered by the Restricted Stock Award.

 

Stock Options issued to Doctors/Proctors as Advisors: Company issue common stock (“Advisory Share”) to retain the Advisor to perform the Services and in exchange for the compensation, which is issued in a phased manner as determined by the company. The “Services” includes (a) provide proctoring and medical advisory services, (b) advise the Company related to development of surgical robotics procedures and improvements in design and technology (c) participate in case observation and live surgery performance (d) disseminate information about Company’s products as speaker in various scientific meets/surgical robotic conferences globally.

 

Stock options:

 

Stock options activity for the year period ended March 31, 2024, was as follows:

 

   Number of
shares
options
   Weighted
average
grant
date fair
value
 
Unvested balance as of December 31, 2023   3,303,601   $3.41 
Granted   3,350,221   $1.39 
Vested   3,561,040   $1.51 
Forfeited   
-
    
-
 
Unvested balance as of March 31, 2024   3,092,782   $3.41 

 

The aggregate fair value of the stock options vested was $ 5,375,700 and $ 3,152,066 during the three months ended March 31, 2024 and year ended December 31, 2023 respectively. The options vested during the year were not exercised at the end of the year March 31, 2024.

 

Restricted Stock Awards (RSA)

 

Restricted Stock Awards activity for the period ended March 31, 2024, was as follows:

 

   Number of
shares
RSAs
   Weighted
average
grant
date fair
value
per share
 
Unvested balance as of December 31, 2023   2,807,289   $7.76 
Granted   
-
    
-
 
Vested   179,147   $7.76 
Forfeited   
-
    
-
 
Unvested balance as of March 31, 2024   2,628,142   $7.76 

 

During the three months ended March 31, 2024, 179,147 RSA are vested.

 

The aggregate vesting date fair value of RSAs vested was $1,390,179 and $ 6,095,401 during the three months ended March 31, 2024, and year ended December 31, 2023 respectively. There were no RSAs issued during the three months ended March 31, 2024.

 

38

 

 

 

Advisory shares:

 

Common stock issued to consultants as advisory shares during the period as follows:

 

Grant dates  Fair value on
grant date
   Unvested options
in the beginning
   Option
vested
   Unvested option
at period end
 
01-Jun-23   8.15    5,000    3,000    2,000 
31-Oct-23   8.99    52,963    3,454    49,509 
31-Oct-23   8.99    7,130    465    6,665 
31-Oct 23   8.99    5,673    370    5,303 
31-Oct 23   8.99    22,368    1,459    20,909 
01-Mar-24   6.75    
-
    15,000    
-
 
         93,134    23,748    84,386 

 

The aggregate vesting date fair value of Advisory shares issued was $342,871 and $5,633,147 during the three months ended March 31, 2024 and year ended December 31, 2023 respectively.

 

Stock compensation expenses

 

During the period ended March 31, 2024, the Company has recorded share compensation expense of $ 7,108,750 in relation to stock options, RSAs and Advisory shares as follows:

 

   For the period
ended
   For the period
ended
 
   March 31, 2024   March 31,
2023
 
   (As restated)   (As restated) 
Stock options   5,375,700    
       -
 
Restricted stock award (RSA)   1,390,179    
-
 
Advisory shares   342,871    
-
 
Total stock compensation expenses   7,108,750    
-
 

 

Stock option model & assumptions

 

The Black-Scholes-Merton option pricing model is used to estimate the fair value of stock options and RSU granted under the Company's share based compensation plans and the rights to acquire stock granted under the stock options plans. The weighted-average estimated fair values of stock options and the rights to acquire stock as well as the weighted-average assumptions used in calculating the fair values of stock options and the rights to acquire stock that were granted during the years March 31, 2024 is as follows: 

 

  

Period ended March 31, 2024

(As restated)

 
  

Stock

Options

  

Stock

Options

  

Restricted

stock awards

 
Grant date  February 13,
2024
   November 27,
2023 
   November 27,
2023 
 
Fair value on grant date  $1.39   $3.41   $7.76 
Risk free interest rate   4.40%   4.40%   4.40%
Expected volatility   24.96%   18.50%   18.50%
Exercise prices  $5.00   $5.00   $0.0001 
Share price on the grant date  $5.50   $7.76   $7.76 
Expected term of vesting   2.5 years    4 years    4 years 

 

As share-based compensation expense recognized in the Condensed Consolidated Statements of operations and comprehensive loss during the three months ended March 31, 2024, and 2023, is based on awards ultimately expected to vest, it has been reduced for estimated forfeitures, if any.

 

39

 

 

As of March 31, 2024, there was $10,546,385, $20,394,387 of total unrecognized compensation expense related to unvested stock options and restricted stock units to acquire common stock under the 2016 Inventive Stock plan respectively. The unrecognized compensation expense is expected to be recognized over a weighted-average period of 3.66 years for unvested stock options and restricted stock units for rights granted to acquire common stock under 2016 Incentive Stock Plan.

 

NOTE 20 – COMMITMENTS

 

The Company, through its SSI-India subsidiary, occupies office, manufacturing, and assembly space in Gurugram, Haryana (India) under a lease agreement entered into in March 2021, with monthly payments of $24,410 plus applicable taxes. This lease expires in March 2030. Effective June 01, 2023, SSI-India subsidiary signed another lease agreement for occupying an additional space of 21,600 sq ft on the ground floor of the same building where its current facility is located, to further expand its manufacturing and assembly capacity. This lease provides for a monthly payment of $15,564 plus taxes and expires on May 31, 2032, subject to further renewal on mutually acceptable terms. In August 2023, SSI India had leased a house pursuant to the terms of employment agreement to provide residential accommodation to Dr Sudhir Srivastava. This lease provides for a monthly payment of $ 18,014 plus taxes.

 

NOTE 21 – SUBSEQUENT EVENTS

 

1.In April 2024, the Company raised $2,000,000 from Sushruta Pvt Ltd. by issuance of two 7% One-Year Promissory note of $1,000,000 each, to meet certain working capital needs.

 

2.In July 2024, the Company raised $500,000 from Sushruta Pvt Ltd. by issuance of another One-Year 7% One-Year Promissory notes to meet certain working capital needs.

 

3.In August 2024, the Company issued 125,000 shares to certain doctors/proctors for providing their proctoring/mentoring services.

 

4.In October 2024, the Company borrowed $250,000 from Sushruta Pvt Ltd. to meet certain working capital needs evidenced by an additional One-Year 7% Promissory Note in such principal amount. In October 2024, our SSI-India subsidiary’s working capital facilities from HDFC bank were also increased by an additional $1,093,881.

 

5.In December 2024, the Company borrowed $2,000,000 from Sushruta Pvt. Ltd. to meet certain working capital needs evidenced by an additional 7% One-Year Convertible Promissory Note.

 

6.In January 2025, the Company borrowed $20,000,000 from Sushruta Pvt. Ltd. to meet certain working capital needs evidenced by an additional 7% One-Year Convertible Promissory Note.

 

40

 

 

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

 

Forward-Looking Statements

 

This Amendment contains certain statements that constitute forward-looking statements. Any and all statements contained in this Amendment that are not statements of historical fact may be deemed forward-looking statements. Terms such as “may,” “might,” “would,” “should,” “could,” “project,” “estimate,” “pro-forma,” “predict,” “potential,” “strategy,” “anticipate,” “attempt,” “develop,” “plan,” “help,” “believe,” “continue,” “intend,” “expect,” “future” and terms of similar import (including the negative of any of the foregoing) may be intended to identify forward-looking statements. However, not all forward-looking statements may contain one or more of these identifying terms. Those statements appear in this Report, and include statements regarding the intent, belief or current expectations of our Company and management that are subject to known and unknown risks, uncertainties and assumptions and other factors that could cause actual results and the timing of certain events to differ materially from future results expressed or implied by such forward-looking statements. Factors that could cause or contribute to such differences include, but are not limited to, those discussed in “Item 1. Business” and “Item 2. Management’s Discussion and Analysis of Financial Condition and Results of Operations.” in our 2023 Form 10-K, as amended.

 

Forward-looking statements in this Amendment may include, without limitation, statements regarding:

 

(i)the plans and objectives of management for future operations, including plans or objectives relating to the marketing of our surgical robotic systems both in and out of India;

 

(ii)the timing or likelihood of regulatory filing, approvals and required licenses for marketing our surgical robotic systems in the U.S., the European Union (the “EU”) and in other countries outside of India;

 

(iii)our ability to adequately protect our intellectual property rights and enforce such rights to avoid violation of the intellectual property rights of others;

 

(iv)the timing, costs and other aspects of our surgical robotic systems;

 

(v)our estimates regarding the market opportunity, clinical utility, potential advantages and market acceptance of our surgical robotic systems;

 

(vi)the impact of government laws and regulations;

 

(vii)our ability to recruit and retain qualified research and development personnel;

  

41

 

 

(viii)difficulties in maintaining commercial scale manufacturing capacity and capability and our ability to generate growth;

 

(ix)uncertainty in industry demand;

 

(x)general economic conditions and market conditions in our industry;

 

(xi)a projection of income (including income/loss), earnings (including earnings/loss) per share, capital expenditures, dividends, capital structure or other financial items;

 

(xii)our future financial performance, including any such statement contained in a discussion and analysis of financial condition by management or in the results of operations included pursuant to the rules and regulations of the SEC; and

 

(xiii)Changes resulting from the restatement of our condensed consolidated financial statements included in this Report.

 

These statements are not guarantees of future performance and are subject to numerous risks, uncertainties, and assumptions that are difficult to predict.

 

Because forward-looking statements are inherently subject to risks and uncertainties, some of which cannot be predicted or quantified, you should not rely upon forward-looking statements as predictions of future events. The events and circumstances reflected in the forward-looking statements may not be achieved or occur and actual results could differ materially from those projected in the forward-looking statements. Except as required by applicable law, including the securities laws of the United States and the rules and regulations of the SEC, we do not assume any obligation to update any forward-looking statement. We disclaim any intention or obligation to update or revise any forward-looking statement contained herein, whether as a result of new information, future events or otherwise.

 

Introduction

 

The Company was originally incorporated in the state of Florida on February 4, 2015, under the name “Avra Surgical Microsystems, Inc.,” and changed its name to “Avra Medical Robotics, Inc.” (AVRA) on November 5, 2015.

 

From inception through April 13, 2023, we were engaged in developing a fully autonomous medical robotic system using proprietary software which integrated Artificial Intelligence and Deep Learning, or Machine Learning. Our research and development efforts were based in Orlando, Florida, where we established a research partnership with the University of Central Florida.

 

In July and August 2022, AVRA and the management of Cardio Ventures Inc. (“CardioVentures) began discussions to explore potential merger synergies, leading to a formal agreement in November 2022 by and among the Company, a wholly owned subsidiary of the Company (“Merger Sub”), CardioVentures and Dr. Sudhir Srivastava, who, through his holding company, owned a controlling interest in CardioVentures (“Merger Agreement”). Cardio Ventures was primarily seeking a platform to raise funds in the U.S. to support operations of its subsidiary, SSI India. AVRA’s ability to attract funds from its high-net-worth investors became a focal point in these discussions, presenting a path for AVRA shareholders to also benefit from the merger. Consequently, as part of the merger strategy, AVRA raised funds through convertible notes (at the rate of 7% interest per annum), which were subsequently provided to Cardio Ventures via convertible notes issued by Cardio Ventures. Investors like Andrew Economos and Dr. Fred Moll, both existing AVRA shareholders, contributed to these notes, foreseeing significant commercial benefits and the potential for AVRA’s turnaround post-merger, despite AVRA’s status as an inactive company at the time. On April 14, 2023, we consummated the acquisition of by merger of CardioVentures, Inc., pursuant to the Merger Agreement.

 

The Company is currently engaged in the business of developing, manufacturing, and selling a surgical robotic system under our proprietary brand “SSi Mantra,” together with allied accessories and a wide range of surgical instruments capable of supporting cardiac and a variety of other surgical procedures. Having commenced commercial sales of our surgical robotic system in the second half of 2022, and its allied instruments and accessories. Accordingly, the operating results detailed below largely reflect the impact of the consummation of the Reverse Merger transaction in April 2023, when compared with operating results for the corresponding period in 2022.

 

42

 

 

Our financial performance is largely driven by increasing awareness of the benefits of robotically assisted surgery, improved learning curves for robotic surgeons and the affordability and accessibility of surgical robotic technology. Our financial performance is also dependent on our obtaining regulatory approvals in various regulated markets where we have plans to sell our products. Robotically assisted surgeries are increasingly being recognized as an approved treatment modality from an insurance coverage perspective.

 

Our manufacturing operations being based in India derive significant operating cost advantages in terms of availability of quality and cost-effective fabrication/3D printing solutions, electronic/electrical/mechanical components, outsourced services and skilled manpower. All these factors help us in having lower costs of production which eventually helps us make our surgical robotic system cost effective and relatively affordable.

 

The condensed consolidated financial statements appearing elsewhere in this report have been prepared assuming the Company will continue as a going concern. In the second half of 2022, the Company commercially launched its “SSI Mantra” robotic surgical system in India. During the three months ended March 31, 2024, we have sold 5 systems, which have performed more than 230 procedures of various types involving varying degrees of complexities. 

 

Results of Operations

 

Introduction

 

The following discussion should be read in conjunction with our condensed consolidated financial statement and Notes thereto. This section of the Report generally discusses 2024 and 2023 items and quarter-to- quarter comparisons between 2024 and 2023.

 

The Company has recently commenced its commercial operations by way of the sale of its product and has not yet established consistent operational revenue cash flows to meet all its fixed operating costs and hence may continue to incur losses for some time. These conditions raise doubt about the Company’s ability to continue as a going concern.

 

The financial statements appearing elsewhere in this report have been prepared assuming that the Company will continue as a going concern.

 

The following table provides selected balance sheet data for our Company as of March 31, 2024, and December 31, 2023:

 

Balance Sheet Data

 

   As of
March 31,
   As of
December 31,
 
   2024   2023 
   (As Restated)     
Cash   948,119    2,022,276 
Restricted cash*   5,947,461    5,065,569 
           
Total Assets   35,201,583    31,515,994 
Total Liabilities          
    18,452,813    11,797,916 
Total liabilities and stockholders' equity   35,201,583    31,515,994 

 

*Represents Fixed Deposits held by bank as security for bank facilities and certain performance guarantees.

 

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To date, the Company has mainly relied on debt and equity raised in private offerings to finance its operations. Subsequent to March 2024, the Company plans to raise additional capital through further private or public offerings. However, if we are unable to do so and if we experience a shortfall in operating capital, we could be faced with having to limit our expansion plans, research and development and marketing activities

 

       For the Three months ended 
S. No.   Particulars  March 31,
2024
   March 31,
2023
 
       (As restated)   (As restated) 
1   Total Revenue   3,637,693    370,120 
2   Cost of revenue   (2,909,511)   (292,173)
3   Gross profit   728,182    77,947 
4   Research & development expense   527,991    242,127 
5   Stock compensation expense   7,108,750    - 
6   Depreciation and amortization expense   80,101    32,591 
7   Selling, general and administrative expense   2,843,659    873,858 
8   Loss from operations   (9,832,319)   (1,070,629)
9   Other income (expenses)   (9,434)   (242,387)
10   Income tax expense   -    - 
11   Net loss   (9,841,753)   (1,313,016)

  

Three months ended March 31, 2024, as compared to three months ended March 31, 2023

 

Total Revenue. We had revenues of $3,637,693 (comprising $3,494,759 of system sales, $118,515 of instrument sales, $9,407 of warranty sales and $15,012 of lease income), for the three months ended March 31, 2024, compared to $370,120 (comprising $355,414 of system sales, $14,706 of instrument sales) for the three months ended March 31, 2023. The increase in net total is primarily due to sale of increased number of surgical robotic systems and instruments during the three months ended March 31, 2024 as compared to three months ended March 31, 2023.

 

Research and development expense. Research and development expenses were $527,991 during the three months ended March 31, 2024 and $242,127 for the three months ended March 31, 2023. Research and development expense primarily consists of salaries paid to engineers, amounting to $191,487 and $209,991 for the period ended March 31, 2024 and 2023, respectively. The increase in the Research and development expenses as compared to the previous year is in line with the Company’s continued focus on improving the design and technological capabilities of its existing SSi Mantra system and further expanding its product offerings.

 

Stock compensation expense. We had compensation expenses of $7,108,750 and $nil for three months ended March 31, 2024 and March 31, 2023, respectively. The substantial increase in the stock compensation expense for three months ended March 31, 2024 is primarily the result of additional stock options granted to executive officer of the Company in February 2024 under Incentive Stock Plan, in recognition of their efforts in developing and commercializing our SSi Mantra system.

 

Depreciation and amortization expense. We had depreciation and amortization expense of $80,101 for three months ended March 31, 2024, as compared to $32,591 for the period ended March 31, 2023. The depreciation and amortization expenses primarily consist of depreciation on fixed assets only.

 

Selling, general and administrative expense. We incurred $2,843,659 in general and administrative expenses during the three months ended March 31, 2024 as compared to $873,858 for the three months ended March 31, 2023, respectively.

 

Our SG&A expense comprise of expense relating to salaries and benefits, retirement benefits as well as costs related to recruitment, other compensation expenses of sales and marketing and client management personnel, sales commission, travel and brand building, client events and conferences, training and retention of senior management and other support personnel in enabling functions, telecommunications, utilities, travel and other miscellaneous administrative costs. SG&A expense also include acquisition-related costs, legal and professional fees (which represent the costs of third party legal, tax, accounting, immigration and other advisors), investment in product development, digital technology, advanced automation and robotics, related to grant of our equity awards to members of our board of directors. We expect our SG&A expense to increase as we continue to strengthen our support and enabling functions and invest in leadership development, performance management and training programs.

 

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The increase in SG&A expense resulted from the increased scale of commercial operations for three months ended March 31, 2024 as compared to the three months ended March 31, 2023.

 

Other income/expenses. We incurred other expenses of $9,434 for the three months ended March 31, 2024 as compared to $242,387 of other expenses for three months ended March 31, 2023. The reduction in interest expense from March 31, 2023 to March 31, 2024 resulted from an increase in interest income on fixed deposits with HDFC bank in India.

 

Net Loss. We incurred a net loss of $9,841,753 for three months ended March 31, 2024, as compared to a net loss of $1,313,016 for the three months ended March 31, 2023. The increase in net loss from March 31, 2023 to March 31, 2024 is primarily the result of the increase in general and administrative expenses of $1,969,801 and stock compensation expense of $7,108,750 on account of stock awards and options granted to the employees and executive officers of the Company respectively.

 

Liquidity and Capital Resources

 

The Company expects to require substantial funds for scaling up its operations, for incurring capital expenditure to have its own in-house machining and tooling capacity and to continue to finance its research and development work in the field of surgical robotics.

 

Between February 1, 2024, and February 14, 2024, the Company raised $2,450,000 million through a private offering of 7% One-Year Convertible Promissory Notes (“Notes”) from two affiliates of $1,000,000 each and $450,000 from three other investors to finance its ongoing working capital requirements.

 

These Notes are payable in full after 12 months from the respective date of issuance of these Notes and are convertible at the election of noteholder at any time through the maturity date at a per share price of $4.45.

 

In April 2024, the Company has raised $2,000,000 from Sushruta Pvt Ltd. by issuance of two, One-Year 7% Promissory Notes of $1,000,000 each, to meet certain working capital needs.

 

While we have been successful in raising funds to meet our working capital needs to date, believe that we have the resources to do so for the balance, we do not have any committed sources of funding and there are no assurances that we will be able to secure additional funding if and when needed. The condensed consolidated financial statements included in this report have been prepared assuming that the Company will continue as a going concern; however, if the efforts noted above are not successful, it would raise substantial doubt about the Company’s ability to continue as a going concern. If we cannot obtain financing, then we may be forced to further curtail our operations or consider other strategic alternatives. Even if we are successful in raising the additional financing, there is no assurance regarding the terms of any additional investment and any such investment or other strategic alternative would likely substantially dilute our current shareholders.

  

      For the Three months ended 
S. No.  Particulars  March 31,
2024
   March 31,
2023
 
   Net cash provided by operating activities:        
1  Net loss   (9,841,753)   (1,313,016)
2  Non-cash adjustments   7,598,648    280,646 
3  Change in operating assets and liabilities   994,067    (1,452,352)
4  Net cash used in operating activities   (1,249,038)   (2,484,722)
5  Net cash used in investing activities   (1,550,135)   (71,881)
6  Net cash provided by financing activities   2,638,259    2,616,260 
7  Net change in cash   (160,914)   59,657 
8  Effect of exchange rate on cash   (31,531)   (103,131)
9  Cash at beginning of year   7,087,845    274,625 
10  Cash at end of year   6,895,580    231,151 

 

45

 

 

Cash Flows from Operating Activities

 

During the three months ended March 31, 2024, net cash used in operating activities was $1,249,038 resulting from our net loss of $9,841,753 partially offset by non-cash charges of $7,598,648 primarily driven by credit loss reserve, depreciation charges and stock compensation expense. We had cash provided by our operating assets and liabilities of $994,067 primarily driven by increases in inventory, accounts payable and prepaid expenses.

 

During the three months ended March 31, 2023, net cash used in operating activities was $2,484,722, resulting from our net loss of $1,313,016, partially offset by non-cash expenses of $280,646. In 2023, we had cash used in our operating assets and liabilities of $1,452,352 primarily due to increases in accounts payable, inventory and prepaid expenses.

 

Cash Flows from Investing Activities

 

During the three months ended March 31, 2024, we had net cash used in investing activities of $1,550,135 in purchase of property and equipment.

 

During the three months ended March 31, 2023, we had net cash used in investing activities of $71,881 in purchase of property and equipment.

 

Cash Flows from Financing Activities

 

During the three-months ended March 31, 2024, we had net cash, provided by financing activities of $2,638,259, which comprised of $188,259 in proceeds from our bank overdraft facility (net), $2,450,000 in proceeds from issuance of the convertible notes to our principal shareholder and other investors as set forth above.

 

During the three months ended March 31, 2023, we had net cash used provided by financing activities of $2,616,260, which comprised of $740,358 in proceeds from our bank overdraft facility (net), $2,000,000 in proceeds from issuance of convertible notes to principal shareholder. There was a decrease of $124,098 on account of repayment of term loans.

 

While we have been successful in raising funds to finance our operations since inception and we believe that we will be successful in obtaining the necessary financing to fund our operations going forward, we do not have any committed sources of funding and there are no assurance that we will be able to secure additional funding. The accompanying condensed consolidated financial statements have been prepared assuming that the Company will continue as a going concern; however, if we cannot obtain financing, then we may be forced to further curtail our operations or consider other strategic alternatives. Even if we are successful in raising the additional financing, there is no assurance regarding the terms of any additional investment and any such investment or other strategic alternative would likely substantially dilute our current shareholders.

 

Critical Accounting Policies

 

Use of Estimates

 

The preparation of condensed consolidated financial statements in conformity with accounting principles generally accepted in the United States requires management to make estimates and assumptions that affect the reported amounts of assets and liabilities and disclosures of contingent assets and liabilities at the date of the condensed consolidated financial statements and the reported amounts of revenues and expenses during the reporting period. Actual results could differ from those estimates. Significant estimates included discount rate for measuring significant financing component for deferred collections in revenue contracts, fair value of stock options, incremental borrowing rate for leases and useful life of property plant and equipment.

 

Off-Balance Sheet Arrangements 

 

There are no off-balance sheet arrangements that have or are reasonably likely to have a current or future effect on our financial condition, changes in financial condition, revenues or expenses, results of operations, liquidity, capital expenditures or capital resources that is material to investors.

 

46

 

 

Item 4. Controls and Procedures.

 

Management’s Report on Disclosure Controls and Procedures

 

In connection with the restatement of the Company’s financial statements included in this Amendment, our Chief Executive Officer and Chief Financial Officer re-evaluated the effectiveness of the design and operation of our disclosure controls and procedures and internal control over financial reporting, as defined in Rules 13a-15(e) and 15d-15(e) under the Securities Exchange Act of 1934, as amended (the “Exchange Act”), as of March 31, 2024.

 

To ensure that information required to be disclosed by us in the reports filed or submitted by us under the Exchange Act is recorded, processed, summarized and reported, within the time periods specified in the rules and forms of the SEC, including to ensure that information required to be disclosed by us in the reports filed or submitted by us under the Exchange Act is accumulated and communicated to our management, including our Chief Executive Officer and Chief Financial Officer, as appropriate to allow timely decisions regarding required disclosure.

 

Based on that re-evaluation, our Chief Executive Officer and Chief Financial Officer have concluded that as of March 31, 2024, our disclosure controls and procedures and internal control over financial reporting were not effective, due to material weaknesses in SSi’s internal control in that:

 

We failed to design controls and procedures to provide reasonable assurance that U.S. GAAP was being properly applied to the matters resulting the restatement of our financial statements, including accounting for merger transaction, recognition of revenue in case of deferred payment sales, recognition of right of use of certain assets and lease liabilities and functional and other classifications, resulting in the accounting errors described in Note 1. Restatement of Previously Issued Condensed Consolidated Financial Statements of this Amendment.

 

We do not have written documentation of our internal control policies and procedures. Written documentation of key internal controls over financial reporting is a requirement of Section 404 of the Sarbanes-Oxley Act. Management evaluated the impact of our failure to have written documentation of our internal controls and procedures on our assessment of our disclosure controls and procedures and has concluded that the control deficiency that resulted represented a material weakness.

 

We do not have sufficient segregation of duties within accounting functions, which is a basic internal control. Due to our size and nature, segregation of all conflicting duties may not always be possible and may not be economically feasible. However, to the extent possible, the initiation of transactions, the custody of assets and the recording of transactions should be performed by separate individuals. Management evaluated the impact of our failure to have segregation of duties on our assessment of our disclosure controls and procedures and procedures and has concluded that the control deficiency that resulted represented a material weakness.

 

Remediation Plan

 

The Company has been addressing and remediating these material weaknesses with the support and assistance of the accounting and financial staff employed by our Indian operating subsidiary. We are enhancing the review process for significant transactions to ensure proper accounting treatment under applicable guidelines and are engaging external experts where necessary to assist in the application of accounting principles to complex transactions. In addition, we are implementing a new ERP system which is designed to integrate all business functions within the accounting and financial department to further address the abovementioned weaknesses.

 

Our Chief Executive Officer and Chief Financial Officer do not expect that our disclosure controls or internal controls will prevent all errors and all fraud. Although our disclosure controls and procedures were designed to provide reasonable assurance of achieving their objectives, a control system, no matter how well conceived and operated, can provide only reasonable, not absolute assurance that the objectives of the system are met. Further, the design of any control system is subject to resource constraints and the benefits of controls must be considered relative to their costs. Because of the inherent limitations in all control systems, no evaluation of controls can provide absolute assurance that all control issues and instances of fraud, if any, within the Company have been detected. These inherent limitations include the fact that judgments in decision-making can be faulty, and that breakdowns can occur because of simple errors or mistakes. Additionally, controls can be circumvented if there exists in an individual a desire to do so. There can be no assurance that any design will succeed in achieving its stated goals under all potential future conditions.

 

(b) Changes in Internal Controls Over Financial Reporting

 

Except for the remediation efforts described above, there were no changes in our internal controls over financial reporting that occurred during the last fiscal quarter covered by this report that has materially affected, or is reasonably likely to materially affect, our internal control over financial reporting.

 

47

 

 

PART II – OTHER INFORMATION

 

Item 1. Legal Proceedings.

 

In April 2024, an ex-shareholder of Otto Pvt Ltd., an indirect wholly owned Bahamian subsidiary of SSi(“Otto”) commenced litigation in the Bahamas, seeking legal confirmation that it holds 9,000 shares (approximately a 9% interest) in Otto. The litigation, in which Otto is one of the defendants, relates to a purported transaction in 2021, at which time Dr. Sudhir Srivastava, the Company’s Chairman, Chief Executive Officer and principal shareholder, was the sole shareholder of Otto. The plaintiff in the litigation alleges that at that time, it acquired the 9,000 Otto shares from Dr. Srivastava. However, as the plaintiff failed to pay the agreed upon consideration for the shares, in July 2022, the shareholding was cancelled. Dr. Srivastava along with Otto, has recently filed an action in the Bahamas to confirm the cancellation of the shares and reconfirm their ownership and both actions are pending in the Bahamian courts. The Bahamian court has issued an interim order to maintain the status quo as it stands today with respect to the 9,000 Otto shares at the center of the dispute, as well as Otto’s shareholdings in Sudhir Srivastava Innovations Pvt Ltd. (“SSI-India”), our Indian operating subsidiary and SSI-India’s assets during the pendency of the litigation. Based on legal opinions obtained from counsel, the Company believes that there will be a favorable outcome in this case.

 

Notwithstanding the foregoing, Dr. Srivastava and the Company have entered into an Indemnification Agreement on October 12, 2024, pursuant to which Dr. Srivastava has agreed to fully indemnify the Company for any claims, damages and costs (including legal fees) which it incurs in connection with this litigation or in relation to any of his ventures prior to consummation of the Company’s acquisition by merger of CardioVentures, Inc. in April 2023. 

 

Item 2. Exhibits.

 

Exhibit No.   Description of Exhibit
10.1   Promissory Note dated April 15, 2023, made by the Company in favor of Sushruta Pvt. Ltd.(1)
10.2   Employment Agreement between the Company and Barry F. Cohen*(1)
31.1   Section 302 Certification – Chief Executive Officer(2)
31.2   Section 302 Certification – Chief Financial Officer(2)
32.1   Section 906 Certification – Chief Executive Officer(2)
32.2   Section 906 Certification – Chief Financial Officer(2)
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 (formatted as Inline XBRL and contained in Exhibit 101).

 

* Management Compensation Plan or Arrangement.

 

(1) Previously filed.
   
(2) Filed herewith.

 

48

 

 

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.

 

  SS INNOVATIONS INTERNATIONAL, INC.
     
Dated: February 19, 2025 By: /s/ Anup Sethi
    Anup Sethi,
Chief Financial Officer
    (Principal Financial and Accounting Officer)

 

49

 

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