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UNITED STATES

SECURITIES AND EXCHANGE COMMISSION

Washington, D.C. 20549

 

Form 10-K

 

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

 

For the fiscal year ended December 31, 2023

 

Or

 

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

 

For the transition period from ___________ to ___________

 

Commission file number: 001-34932

 

 

VYCOR MEDICAL, INC.

(Exact name of registrant as specified in charter)

 

Delaware   20-3369218
(State or other jurisdiction of   (I.R.S. Employer
incorporation or organization)   Identification No.)

 

951 Broken Sound Boulevard, Suite, 320 Boca Raton, FL 33487

(Address of principal executive offices) (Zip Code)

 

Registrant’s telephone Number: (561) 558-2020

 

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

 

Title of each class   Trading Symbol   Name of each exchange on which registered
Common Stock   VYCO   OTCQB

 

Indicate by check mark if the registrant is a well-known seasoned issuer, as defined in Rule 405 of the Securities Act. ☐ Yes ☒ No

 

Indicate by check mark if the registrant is not required to file reports pursuant to Section 13 or Section 15(d) of the Act. ☐ Yes ☒ No

 

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 and posted on its corporate Web site, if any, every Interactive Data File required to be submitted and posted 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 and post such files). ☐ Yes ☒ No

 

Indicate by check mark if disclosure of delinquent filers pursuant to Item 405 of Regulation S-K is not contained herein, and will not be contained, to the best of registrant’s knowledge, in definitive proxy or information statements incorporated by reference in Part III of this Form 10-K or any amendment to this Form 10-K. ☐

 

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

 

Large Accelerated Filer ☐ Accelerated Filer ☐
   
Non-accelerated Filer ☐ (Do not check if a smaller reporting company) Smaller Reporting Company
   
  Emerging Growth Company

 

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

 

State the aggregate market value of the voting and non-voting common equity held by non-affiliates computed by reference to the price at which the common equity was last sold, or the average bid and asked price of such common equity, as of the last business day of the registrant’s most recently completed second fiscal quarter. $1,174,147 (assuming $0.10 per share)

 

If securities are registered pursuant to Section 12(b) of the Act, indicate by check mark whether the financial statements of the registrant included in the filing reflect the correction of an error to previously issued financial statements.

 

Indicate by check mark whether any of those error corrections are restatements that required a recovery analysis of incentive-based compensation received by any of the registrant’s executive officers during the relevant recovery period pursuant to §240.10D-1(b). ☐

 

Indicate the number of shares outstanding of each of the registrant’s classes of common stock, as of the latest practicable date 32,628,835 shares of common stock par value $0.0001 as of April 16, 2024

 

DOCUMENTS INCORPORATED BY REFERENCE: NONE

 

 

 

 

 

 

TABLE OF CONTENTS

 

    Page
  PART I  
Item 1. Business 3
Item 1A Risk Factors 5
Item 1B Unresolved Staff Comments 5
Item 2. Properties 5
Item 3. Legal Proceedings 5
Item 4. Mine Safety Disclosures 5
     
  PART II  
Item 5. Market for Registrant’s Common Equity, Related Stockholder Matters and Issuer Purchase of Equity Securities 6
Item 6 Selected Financial Data 6
Item 7. Management’s Discussion and Analysis of Financial Condition and Results of Operation 6
Item 7A Quantitative and Qualitative Disclosures About Market Risk 9
Item 8. Financial Statements and Supplementary Data 9
Item 9. Changes In and Disagreements with Accountants on Accounting and Financial Disclosure 31
Item 9A. Controls and Procedures 31
Item 9B. Other Information 32
     
  PART III  
Item 10. Directors, Executive Officers, Promoters and Corporate Governance 33
Item 11. Executive Compensation 34
Item 12. Security Ownership of Certain Beneficial Owners and Management and Related Stockholder Matters 36
Item 13. Certain Relationships and Related Transactions, and Director Independence 36
Item 14. Principal Accountant Fees and Services 37
     
  PART IV  
Item 15. Exhibits, Financial Statement Schedules 37
     
SIGNATURES 39

 

2

 

 

PART I

 

This Form 10-K contains some forward-looking statements. Forward-looking statements give our current expectations or forecasts of future events. You can identify these statements by the fact that they do not relate strictly to historical or current facts. Forward-looking statements involve risks and uncertainties. Forward-looking statements include statements regarding, among other things, (a) our projected sales, profitability, and cash flows, (b) our growth strategies, (c) anticipated trends in our industries, (d) our future financing plans and (e) our anticipated needs for working capital. They are generally identifiable by use of the words “may,” “will,” “should,” “anticipate,” “estimate,” “plans,” “potential,” “projects,” “continuing,” “ongoing,” “expects,” “management believes,” “we believe,” “we intend” or the negative of these words or other variations on these words or comparable terminology. These statements may be found under “Management’s Discussion and Analysis of Financial Condition and Results of Operations” and “Business,” as well as in this Form 10-K generally. In particular, these include statements relating to future actions, prospective products or product approvals, future performance or results of current and anticipated products, sales efforts, expenses, the outcome of contingencies such as legal proceedings, and financial results.

 

Any or all of our forward-looking statements in this report may turn out to be inaccurate. They can be affected by inaccurate assumptions we might make or by known or unknown risks or uncertainties. Consequently, no forward-looking statement can be guaranteed. Actual future results may vary materially as a result of various factors, including, without limitation, the risks outlined under “Risk Factors” and matters described in this Form 10-K generally. In light of these risks and uncertainties, there can be no assurance that the forward-looking statements contained in this filing will in fact occur. You should not place undue reliance on these forward-looking statements.

 

The forward-looking statements speak only as of the date on which they are made, and, except to the extent required by federal securities laws, we undertake no obligation to publicly update any forward-looking statements, whether as the result of new information, future events, or otherwise.

 

ITEM 1. DESCRIPTION OF BUSINESS.

 

1. Organizational History

 

The Company was formed as a limited liability company under the laws of the State of New York on June 17, 2005 as “Vycor Medical LLC”. On August 14, 2007, we converted into a Delaware corporation and changed our name to “Vycor Medical, Inc.” (“Vycor”). The Company’s listing went effective on February 2009 and on November 29, 2010 Vycor completed the acquisition of substantially all of the assets of NovaVision, Inc. (“NovaVision”) and on January 4, 2012 Vycor, through its wholly-owned NovaVision subsidiary, completed the acquisition of all the shares of Sight Science Limited (“Sight Science”), a previous competitor to NovaVision.

 

2. Overview of Business

 

Vycor is dedicated to providing the medical community with innovative and superior surgical and therapeutic solutions and operates two distinct business units within the medical device industry. Vycor Medical designs, develops and markets medical devices for use in neurosurgery. NovaVision provides non-invasive rehabilitation therapies for those who have vision disorders resulting from neurological brain damage such as that caused by a stroke. Both businesses adopt a minimally or non-invasive approach. The Company leverages joint resources across the divisions to operate in a cost-efficient manner.

 

3

 

 

The Company periodically engages in discussions with potential strategic partners for or purchasers of each or both of our operating divisions. In April 2020, the board of Vycor took the decision to close the German operations of NovaVision, including the German office and NovaVision GmbH, and instead migrate to a licensed business model, entering into a license agreement with a local German partner. Under the agreement, the partner is licensed to provide NovaVision’s products and therapies in Germany, Austria and Switzerland to patients and professionals. The NovaVision German office was closed effective June 30, 2020.

 

Vycor Medical

 

Vycor Medical designs, develops and markets medical devices for use in neurosurgery. Vycor Medical’s ViewSite Brain Access System (“VBAS”) is a next generation retraction and access system. Vycor Medical is ISO 13485:2016 and MDSAP (Medical Device Single Audit Program) certified, and VBAS has U.S. FDA 510(k) clearance and CE Marking for Europe (Class III) for brain and spine surgeries, and regulatory approvals in a number of other international markets.

 

NovaVision

 

NovaVision provides non-invasive, computer-based rehabilitation therapies targeted at people who have impaired vision as a result of stroke or other brain injury.

 

Strategy

 

The Company is continuing to execute on a plan to achieve revenue growth and a reduction in annual cash operating losses, and generated cash operating income for the year ended December 31, 2023. For Vycor Medical this plan includes: increasing market penetration in the US; increasing international growth in territories where we are not represented or under-represented and continued new product development in response to market demands and demonstrating applicability in a broader range of pathologies. In the US the Company is focused on increasing market penetration through targeting neurosurgeons systematically, both through its distribution and marketing network and also directly by leveraging existing key opinion leader (“KOL”) neurosurgeon VBAS supporters to access new neurosurgeon users.

 

The Company has for some time been working to better integrate its VBAS with neuronavigation. The first phase of the modification of the existing VBAS product range was completed in September 2017 and was well received by surgeons. The second phase involved the introduction of an optional Alignment Clip accessory that snaps onto the VBAS and allows for a neuronavigation pointer to be fully integrated into the body of the VBAS; this new model range, known as the VBAS AC, was launched in September 2022, with the international roll-out being largely complete by the end of 2023. The Company will continue to work with neuronavigation companies to seek ways to further integrate the VBAS with neuronavigation and with other companies with complementary technologies used in neurosurgery. We will also be exploring with neurosurgeons and focus groups additional selected development work targeted at increasing the ease and applicability of our products to additional common procedures.

 

For NovaVision, given the company’s resources, and the large size and diversity of its end markets, we believe that the most efficient way to tackle the distribution of its broad range of patient and professional products is by partnering with entities in selected geographies that have either direct access to the end users or a desire and financial wherewithal to leverage the NovaVision therapy platform, including into new areas. As a result, the Company closed the NovaVision German office and entered into a license agreement with a local German for Germany, Austria and Switzerland. Management is also open to a broad range of alternatives for NovaVision as a whole, which could comprise distribution and marketing partnerships, licensing, merger or sale.

 

3. Other Matters

 

Product Liability Insurance

 

We presently have Product Liability insurance for Vycor Medical and Professional Liability insurance for NovaVision.

 

Government Regulations

 

We are committed to an integrated total quality management system. We believe that we have completed the necessary procedures and Vycor Medical is certified to the ISO standards expected of medical device manufacturers as follows:

 

4

 

 

ISO 13485:2016 Medical Devices — Quality Management Systems

 

The certification of a quality management system to ISO 1348:2016, specifically for medical devices, is advantageous and often essential for medical companies to export their products to the global market, as well as maintain and enter into certain agreements and business growth opportunities within the U.S. For example, Canada requires that medical device manufacturers marketing their products in Canada must have a quality system certified to ISO 13485:2016 and from January 1, 2019 also be certified to MDSAP. The certification is also required for placement of branded devices into the European Union.

 

Vycor Medical has the following certification/licensing:

 

  ISO 13485.2016
     
  MDSAP (Medical Device Single Audit Program)
     
  Fully Quality Assurance System Directive 93/42/EEC for Medical Devices, Annex II (3)
     
  EC Design-Examination Certificate Directive 93/42/EEC for Medical Devices, Annex II (4)

 

Vycor Medical’s VBAS and VBAS AC have been classified as Class II products by the FDA and cleared for marketing through the 510(k) process. NovaVision’s VRT product has been cleared as a Class U product through the 510(k) while its NeuroEyeCoach is registered as an exempt Class 1 device.

 

Vycor Medical has CE marking approval to allow for distribution of its VBAS products in Europe as a Class III device and has a Health Canada Medical Device License (MDL) for distribution in Canada as a Class II device. VBAS also has regulatory approvals in a number of other international markets. NovaVison’s VRT, NeuroEyeCoach and Sight Science’s NeET have CE mark registrations as Class I devices in Europe.

 

Employees

 

We currently have 8 employees.

 

Website.

 

The Company operates websites at www.vycormedical.com, www.vycorvbas.com, and www.novavision.com. NovaVision’s German partner maintains the www.novavision.de website.

 

ITEM 1A. RISK FACTORS

 

Smaller reporting companies are not required to provide the information required by this item.

 

ITEM 1B. UNRESOLVED STAFF COMMENTS

 

N/A

 

ITEM 2. PROPERTIES

 

The Company leases office space located at 951 Broken Sound Parkway, Suite 320, Boca Raton, FL 33487 from WPT Land 2 L.P., for a gross rent of approximately $4,300 per month, plus other charges of approximately $2,700 per month. The lease terminated on August 31, 2023 and was extended for a further three years and four months to December 31, 2026

 

ITEM 3. LEGAL PROCEEDINGS

 

We are subject from time to time to litigation, claims and suits arising in the ordinary course of business. As of the date of this Annual Report, we were not a party to any material litigation, claim or suit whose outcome could have a material effect on our financial statements.

 

ITEM 4. MINE SAFETY DISCLOSURES

 

Not applicable

 

5

 

 

PART II

 

ITEM 5. MARKET FOR REGISTRANT’S COMMON EQUITY, RELATED STOCKHOLDER MATTERS AND ISSUER PURCHASES OF EQUITY SECURITIES.

 

Market Information

 

Beginning on July 20, 2009, our Common Stock was quoted on the OTC Bulletin Board under the symbol “VYCO”.

 

The market price of our common stock, like that of other early-stage medical device companies, is highly volatile and is subject illiquidity and to fluctuations in response to variations in operating results, announcements of technological innovations or new products, or other events or factors.

 

Holders

 

As of April 16, 2024 and April 12, 2023 there were 32,628,835 shares of common stock issued and outstanding and approximately 129 stockholders of record.

 

Transfer Agent and Registrar

 

Our transfer agent is EQ by Equiniti, 1110 Centre Pointe Curve, Suite 101, Mendota Heights, MV 55120

 

Dividend Policy

 

We have never paid any cash dividends on our Common Stock and do not anticipate paying any cash dividends on our Common Stock in the foreseeable future. We intend to retain future earnings to fund ongoing operations and future capital requirements of our business. Any future determination to pay cash dividends will be at the discretion of the Board of Directors and will be dependent upon our financial condition, results of operations, capital requirements and such other factors as the Board of Directors deems relevant. The Company’s Series D Convertible Preferred Stock bears a 12% per annum dividend payable in cash or Series D Preferred Stock at the option of the Company.

 

RECENT SALES OF UNREGISTERED SECURITIES

 

Below is a list of securities sold by us from January 1, 2023 through April __, 2024 which were not registered under the Securities Act

 

Common Stock:

 

Issuance Type  Security  Security 
Ricardo Komotar (1)  Common   101,663 

 

(1) Consulting fees paid in connection with a Consulting Agreement between the Company and the holder

 

The securities issued in the above-mentioned transactions were issued in connection with private placements exempt from the registration requirements of Section 5 of the Securities Act of 1933, as amended, pursuant to the terms of Section 4(2) of that Act and Rule 506 of Regulation D.

 

ITEM 6. SELECTED FINANCIAL DATA

 

Not applicable

 

ITEM 7. MANAGEMENT’S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF OPERATION.

 

RESULTS OF OPERATIONS

 

Comparison of the Year Ended December 31, 2023 to the Year Ended December 31, 2022

 

Revenue and Gross Margin:

 

Vycor Medical recorded revenue of $1,378,598 from the sale of its products for the year ended December 31, 2023, an increase of $247,683 (or 22%) over 2022. Most of the increase was accounted for by the US, which grew by 23% over 2022 due to increased penetration and hospital usage, with the rest being Other International, offset by a slight decline in Europe. Gross margin of 90% was recorded for the year ended December 31, 2023 compared to 88% in 2022.

 

NovaVision recorded revenues of $82,006 for the year ended December 31, 2023, a decrease of $10,068 from 2022, and gross margin of 94%, compared to 92% for 2022.

 

Research & Development:

 

Research & Development expenses were $22,558 for the year ended December 31, 2023 compared to $0 for the year ended December 31, 2022, reflecting early-stage product development for the Vycor division.

 

6

 

 

Selling, General and Administrative Expenses:

 

Selling, General and Administrative expenses decreased by $135,219 to $1,195,408 in 2023 from $1,330,627 in 2022. Included within Selling, General and Administrative Expenses are non-cash charges for stock-based compensation as the result of amortizing employee and non-employee shares and options which have been issued by the Company over various periods. The charge for 2023 was $10,141, a decrease of $175,469 from $185,610 in 2022, following an amendment to the Fountainhead Consulting Agreement. Also included within Selling, General and Administrative Expenses are Sales Commissions, which increased by $56,836 to $269,746 reflecting an increased level of sales in the US.

 

The remaining Selling, General and Administrative expenses decreased by $16,585 from $932,106 to $915,521. Patent costs decreased by $21,186 due to lower costs of NovaVision patents. Marketing costs decreased by $14,897 reflecting the launch of the VBAS AC product in 2022; this was offset by higher insurance costs of $11,009 and net other cost increases of $8,489.

 

Interest Expense:

 

Interest comprises expense on the Company’s debt and insurance policy financing. Related Party Interest expense for 2023 increased $9,952 following the issuance of related party notes during 2022 to $49,515 from $39,563 for 2022. Other Interest expense for 2023 increased by $886 to $53,550 from $52,664 for 2022.

 

Operating loss from Discontinued Operations:

 

Operating loss from Discontinued Operations increased by $1,399 to $6,611 in 2023 from $5,212 in 2022 as the business is wound down.

 

Liquidity and Capital Resources

 

Liquidity

 

The following table shows cash flow and liquidity data for the years ended December 31, 2023 and December 31, 2022:

 

  

December 31,

2023

  

December 31,

2022

   $ Change 
Cash  $57,291   $37,035   $20,256 
Accounts receivable, inventory and other current assets  $526,799   $480,728   $46,071 
Total current liabilities  $(4,074,487)  $(3,654,796)  $(419,691)
Working capital  $(3,490,397)  $(3,137,033)  $(353,364)
Cash provided by financing activities  $211   $165,889   $(165,678)

 

Operating Activities. Cash provided by (used in) operating activities comprises net loss adjusted for non-cash items and the effect of changes in working capital and other activities. The net repayment of normal insurance financing should also be taken into account when considering cash provided by (used in) operating activities.

 

The following table shows the principal components of cash provided by (used in) operating activities during the years ended December 31, 2023 and 2022, with a commentary of changes during the years and known or anticipated changes:

 

  

December 31,

2023

  

December 31,

2022

   $ Change 
Net loss  $(69,691)  $(404,917)  $335,226 
                
Adjustments to reconcile net loss to cash used in operating activities:               
Amortization and depreciation of assets  $60,752   $61,403   $(651)
Stock based compensation  $10,141   $185,610   $(175,469)
Other   -   $15,515   $(15,515)
   $70,893   $262,528   $(191,635)
                
Net loss adjusted for non-cash items  $1,202   $(142,389)  $143,591 
Changes in working capital               
Accounts receivable  $(59,027)  $(30,108)  $(28,919)
Accounts payable and accrued liabilities  $(21,779)  $(63,283)  $41,504 
Inventory  $14,729   $(56,868)  $71,597 
Prepaid expenses and net insurance financing repayments  $(3,771

)

  $(21,547)  $17,776 
Accrued interest (not paid in cash)  $97,515   $92,227   $5,288 
Changes in discontinued operations, net  $772   $(1,659)  $2,431 
   $28,439   $(81,238)  $109,677 

 

7

 

 

The adjustments to reconcile net income (loss) to cash of $1,202 in the period have no impact on liquidity, and the change in net income (loss) of $143,591 is due to the increase in Vycor sales, as is the change in accounts receivable of $(28,919).

 

Additional inventory of $104,160 was purchased during the year ended December 31, 2023 as part of normal production, and the Company anticipates purchasing additional new inventory of approximately $150,000 during the next twelve months.

 

Investing Activities. Cash used in investing activities of continuing operations for the year ended December 31, 2023 was $9,386 compared to $2,780 in 2022.

`

Financing Activities. During the years ended December 31, 2023 and 2022 the Company received funds of $0 and $172,500, respectively, in respect of loans from Fountainhead.

 

Liquidity and Plan of Operations, Ability to Continue as a Going Concern

 

The accompanying consolidated financial statements have been prepared assuming that the Company will continue as a going concern. The Company has incurred losses since its inception, including a net loss available to common stockholders of $69,691 and $404,917 for the years ending December 31, 2023 and 2022 respectively and has not generated sufficient cash flows from operations although did generate positive cash flows from operations for the year ended December 31, 2023. As at December 31, 2023 the Company had a working capital deficiency of $3,490,397, which includes related party liabilities of $2,959,485. As a result these conditions, among others, raise substantial doubt regarding our ability to continue as a going concern. The consolidated 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 outcome of this uncertainty.

 

As described earlier in this ITEM 1 “Strategy”, the Company is executing on a plan to achieve a reduction in cash operating losses. Included within the working capital deficiency above is a term note for $300,000 to EuroAmerican Investment Corp. (“EuroAmerican”), together with accrued interest of $472,897, which has a maturity date of March 31, 2025, having been extended on a number of occasions from its initial due date of June 11, 2011. At this time, it is not known whether any further extension of the note beyond March 31, 2025 will be available. However, the Company believes it may not have sufficient cash to meet its various cash needs through March 31, 2025 unless the Company is able to obtain additional cash from the issuance of debt or equity securities. Fountainhead, the Company’s largest shareholder, has provided working capital funding to the Company on an as-needed basis, although there is no guarantee that this will continue to be the case. The Company may consider seeking additional equity or debt funding, although there is no assurance that this would be available on acceptable terms or at all. If adequate funds are not available, the Company may have to delay or curtail development or commercialization of products or cease some of its operations.

 

Off-Balance Sheet Arrangements

 

As of December 31, 2023, we had no off-balance sheet arrangements.

 

8

 

 

Seasonality

 

Our operating results are not affected by seasonality.

 

Inflation

 

Our business and operating results are not affected in any material way by inflation, although rising raw material and labor costs will result in an increase in the cost of sales.

 

Critical Accounting Estimates

 

Uses of estimates in the preparation of financial statements

 

The preparation of consolidated financial statements in conformity with generally accepted accounting principles requires management to make estimates and assumptions that affect the amounts reported in the consolidated financial statements and accompanying notes. Actual results could differ from those estimated. To the extent management’s estimates prove to be incorrect, financial results for future periods may be adversely affected. Significant estimates and assumptions contained in the accompanying consolidated financial statements include management’s estimate of the allowance for uncollectible accounts receivable, provision for inventory obsolescence, useful life of intangible assets, and the fair values of options and warrant included in the determination of debt discounts and stock-based compensation.

 

Contractual Obligations

 

As a “smaller reporting company” as defined by Item 10 of Regulation S-K, the Company is not required to provide this information.

 

ITEM 7A. QUANTITATIVE AND QUALITATIVE DISCLOSURES ABOUT MARKET RISK

 

As a “smaller reporting company” as defined by Item 10 of Regulation S-K, the Company is not required to provide this information.

 

ITEM 8. FINANCIAL STATEMENTS AND SUPPLEMENTARY DATA.

 

Set forth below are the audited consolidated financial statements for the Company for the fiscal years ended December 31, 2023 and 2022 and the report thereon of Prager Metis CPAs, LLC (PCAOB ID No. 273),

 

9

 

 

REPORT OF INDEPENDENT REGISTERED PUBLIC ACCOUNTING FIRM

 

To the Board of Directors and Stockholders of

Vycor Medical, Inc.

 

Opinion on the Financial Statements

 

We have audited the accompanying consolidated balance sheets of Vycor Medical, Inc. (“the Company”) as of December 31, 2023 and 2022, and the related consolidated statements of comprehensive loss, stockholders’ deficiency, and cash flows for the years ended December 31, 2023 and 2022, and the related notes (collectively referred to as the financial statements). In our opinion, the financial statements present fairly, in all material respects, the financial position of the Company as of December 31, 2023 and 2022, and the results of its operations and its cash flows for the years ended December 31, 2023 and 2022, in conformity with accounting principles generally accepted in the United States of America.

 

Going Concern

 

The accompanying financial statements have been prepared assuming that the Company will continue as a going concern. As discussed in Note 1 to the financial statements, the Company has incurred net losses since inception, including a net loss of $69,691 and $404,917 for the years ended December 31, 2023 and 2022 respectively, and has not generated sufficient cash flows from its operations. As of December 31, 2023, the Company had a working capital deficiency of $3,490,397, which includes related party liabilities of $2,959,485. These factors, among others, raise substantial doubt regarding the Company’s ability to continue as a going concern. Management’s plans in regard to these matters are described in Note 1 to the financial statements. The accompanying financial statements do not include any adjustments that might result from the outcome of this uncertainty.

 

Basis for Opinion

 

These financial statements are the responsibility of the Company’s management. Our responsibility is to express an opinion on the Company’s financial statements based on our audits. We are a public accounting firm registered with the Public Company Accounting Oversight Board (United States) (PCAOB) and are required to be independent with respect to the Company in accordance with the U.S. federal securities laws and the applicable rules and regulations of the Securities and Exchange Commission and the PCAOB.

 

We conducted our audits in accordance with the standards of the PCAOB. Those standards require that we plan and perform the audit to obtain reasonable assurance about whether the financial statements are free of material misstatement, whether due to error or fraud. The Company is not required to have, nor were we engaged to perform, an audit of its internal control over financial reporting. As part of our audits, we are required to obtain an understanding of internal control over financial reporting, but not for the purpose of expressing an opinion on the effectiveness of the Company’s internal control over financial reporting. Accordingly, we express no such opinion.

 

Our audits included performing procedures to assess the risks of material misstatement of the financial statements, whether due to error or fraud, and performing procedures that respond to those risks. Such procedures included examining, on a test basis, evidence regarding the amounts and disclosures in the financial statements. Our audits also included evaluating the accounting principles used and significant estimates made by management, as well as evaluating the overall presentation of the financial statements. We believe that our audits provide a reasonable basis for our opinion.

 

Critical Audit Matters

 

The critical audit matters are matters arising from the current period audit of the financial statements that were communicated or required to be communicated to the audit committee and that: (1) relate to accounts or disclosures that are material to the financial statements and (2) involved our especially challenging, subjective or complex judgments. We determined that there are no critical audit matters for the current audit period.

 

/s/ Prager Metis CPAs, LLC  
   
We have served as the Company’s auditor since 2018.  
   
Hackensack, New Jersey  
April 16, 2024  

 

10

 

 

VYCOR MEDICAL, INC.

Consolidated Balance Sheets

 

   December 31,   December 31, 
   2023   2022 
ASSETS          
Current Assets          
Cash  $57,291   $37,035 
Trade accounts receivable   215,231    156,204 
Inventory   234,145    248,874 
Prepaid expenses and other current assets   76,684    74,438 
Current assets of discontinued operations   739    1,212 
Total Current Assets   584,090    517,763 
           
Fixed assets, net   252,404    303,770 
           
Intangible and Other assets:          
Security deposits   6,000    6,000 
Operating lease–- right of use assets   149,804    32,645 
Total Intangible and Other assets   155,804    38,645 
TOTAL ASSETS  $992,298   $860,178 
           
LIABILITIES AND STOCKHOLDERS’ DEFICIENCY          
Current Liabilities          
Accounts payable  $117,801   $200,044 
Accrued interest: Other   472,897    424,897 
Accrued interest: Related party   195,522    146,007 
Accrued liabilities–- Other   151,816    91,352 
Accrued liabilities–- Related Party   2,270,590    1,946,220 
Notes payable: Other   328,267    324,711 
Notes payable: Related Party   493,373    493,373 
Current operating lease liabilities   45,321    29,591 
Current liabilities of discontinued operations   (1,100)   (1,399)
Total Current Liabilities   4,074,487    3,654,796 
           
Operating lease liability – long term  100,379    - 
Loan Payable–- SBA EIDL   142,908    146,253 
           
Total Liabilities   4,317,774    3,801,049 
           
STOCKHOLDERS’ DEFICIENCY          
Preferred stock, $0.0001 par value, 10,000,000 shares authorized:          
Preferred C Stock, 1 and 1 share issued and outstanding as at December 31, 2023 and December 31, 2022 respectively   

-

    - 
Preferred D Stock, 270,306 and 270,306 shares issued and outstanding as at December 31, 2023 and December 31, 2022 respectively   

27

    

27

 
Common Stock, $0.0001 par value, 55,000,000 shares authorized at December 31, 2023 and December 31, 2022, 32,732,169 and 32,630,506 shares issued and 32,628,835 and 32,527,172 outstanding at December 31, 2023 and December 31, 2022 respectively   3,273    3,263 
Additional Paid-in Capital   29,365,070    29,355,626 
Treasury Stock (103,334 shares of Common Stock as at December 31, 2023 and December 31, 2022 respectively, at cost)   (1,033)   (1,033)
Accumulated Deficit   (32,820,490)   (32,426,429)
Accumulated Other Comprehensive Income (Loss)   127,677    127,675 
Total Stockholders’ Deficiency   (3,325,476)   (2,940,871)
TOTAL LIABILITIES AND STOCKHOLDERS’ DEFICIENCY  $992,298   $860,178 

 

See accompanying notes to consolidated financial statements

 

11

 

 

VYCOR MEDICAL, INC.

Consolidated Statements of Comprehensive Loss

 

       
   For the year ended December 31, 
   2023   2022 
         
Revenue  $1,460,604   $1,222,989 
Cost of Goods Sold   144,950    140,644 
Gross Profit   1,315,654    1,082,345 
           
Operating Expenses:          
Research and development   22,558    - 
Depreciation and amortization   57,497    58,232 
Selling, general and administrative   1,195,408    1,330,627 
Total Operating Expenses   1,275,463    1,388,859 
Operating income (loss)   40,191    (306,514)
           
Other Income (Expense)          
Interest expense: Related Party   (49,515)   (39,563)
Interest expense: Other   (53,550)   (52,664)
Loss on foreign currency exchange   (206)   (964)
Total Other Income (Expense)   (103,271)   (93,191)
           
Loss Before Provision for Income Taxes   (63,080)   (399,705)
Provision for income taxes   -    - 
Net Loss from continuing operations   (63,080)   (399,705)
Loss from discontinued operations   (6,611)   (5,212)
Net Loss   (69,691)   (404,917)
           
Preferred stock dividends   (324,370)   (324,370)
Net Loss Available to Common Stockholders  $(394,061)  $(729,287)
           
Other Comprehensive Income (Loss)          
 Foreign Currency Translation Adjustment   2   1 
Comprehensive Loss  $(69,689)  $(404,916)
           
Net Loss Per Share–- basic and diluted          
Net Loss from continuing operations  $(0.00)  $(0.01)
Loss from discontinued operations  $(0.00)  $(0.00)
Net Loss available to common stockholders  $(0.01)  $(0.02)
           
Weighted Average Number of Shares Outstanding – Basic and Diluted   32,603,767    31,708,076 

 

See accompanying notes to consolidated financial statements

 

12

 

 

VYCOR MEDICAL, INC.

Consolidated Statement of Stockholders’ Deficiency

 

   Number      Number      Number      Number                
   Common Stock   Preferred C   Preferred D   Treasury Stock   Additional      Accum    
   Number   Amount   Number   Amount   Number   Amount   Number   Amount   Paid-in Capital   Accumulated Deficit   OCI (Loss)   Total 
                                                 
Accumulated Comprehensive Loss   30,921,701   $3,092    1   $0    270,306   $27    (103,334)  ($1,033)  $29,172,169   ($31,697,142)  $127,674   ($2,395,213)
Issuance of stock for board and consulting fees   1,708,805    171    -    -         -    -    -    183,457              183,628 
Comprehensive Income                                                     1    1 
Net loss for year ended December 31, 2022                                                (729,287)        (729,287)
Balance at December 31, 2022   32,630,506    3,263    1    0    270,306    27    (103,334)   (1,033)   29,355,626    (32,426,429)   127,675    (2,940,871)
Issuance of stock for board and consulting fees   101,663    10    -    -         -    -    -    9,444              9,454 
Comprehensive Income                                                     2    2 
Net loss for year ended December 31, 2023                                                (394,061)        (394,061)
Balance at December 31, 2023   32,732,169   $3,273    1   $0    270,306   $27    (103,334)  ($1,033)  $29,365,070   ($32,820,490)  $127,677    (3,325,476)

 

See accompanying notes to consolidated financial statements

 

13

 

 

VYCOR MEDICAL, INC.

Consolidated Statements of Cash Flows

 

       
   For the twelve months ended 
   December 31,   December 31, 
   2023   2022 
Cash flows from operating activities:          
Net loss  $(69,691)  $(404,917)
Adjustments to reconcile net loss to cash provided by (used in) operating activities:          
Depreciation of fixed assets   60,752    61,403 
Inventory provision   -    15,515 
Stock based compensation   10,141    185,610 
           
Changes in assets and liabilities:          
Accounts receivable   (59,027)   (30,108)
Inventory   14,729    (56,868)
Prepaid expenses   (3,982

)

   (14,936)
Accrued interest–- Related Party   49,515    39,563 
Accrued interest–- Other   48,000    52,664 
Accounts payable   (82,243)   (27,676)
Accrued liabilities–- Other   60,464    (35,607)
Changes in discontinued operations, net   772    (1,659)
Cash provided by (used in) operating activities   29,430    (217,016)
Cash flows from investing activities:          
Purchase of fixed assets   (9,386)   (2,780)
Cash used in investing activities   (9,386)   (2,780)
Cash flows from financing activities:          
Proceeds from Notes Payable–- Related Party   -    172,500 
Proceeds – Notes Payable - Other   

63,122

    

56,249

 
Repayments - Notes Payable - Other   

(62,911

)   (62,860)
Cash provided by financing activities   211    165,889 
Effect of exchange rate changes on cash   1   1 
Net increase (decrease) in cash   20,256    (53,906)
Cash at beginning of year   37,035    90,941 
Cash at end of year  $57,291   $37,035 
           
Supplemental Disclosures of Cash Flow information:          
Cash paid for interest  $5,550   $8,246 
Cash paid for income tax  $0   $0 
Non-cash activities:          
Unamortized stock compensation  $2,364   $3,050 

 

See accompanying notes to consolidated financial statements

 

14

 

 

VYCOR MEDICAL, INC.

Notes to Consolidated Financial Statements

 

1. BUSINESS OF THE COMPANY AND GOING CONCERN

 

Business Description

 

Vycor Medical, Inc. (the “Company”) designs, develops and markets neurological medical devices and therapies through two operating divisions: Vycor Medical and NovaVision. Vycor Medical focuses on brain and cervical surgical access systems for sale to hospitals and medical professionals; NovaVision focuses on neuro-stimulation therapies and diagnostic devices for the treatment and screening of vision field loss resulting from neurological damage.

 

Ability to continue as a Going Concern

 

The accompanying consolidated financial statements have been prepared assuming that the Company will continue as a going concern. The Company has incurred losses since its inception, including a net loss of $69,691 and $404,917 for the years ending December 31, 2023 and 2022 respectively and has not generated sufficient cash flows from operations. As at December 31, 2023 the Company had a working capital deficiency of $3,490,397, which includes related party liabilities of $2,959,485. As a result these conditions, among others, raise substantial doubt regarding our ability to continue as a going concern. The consolidated 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 outcome of this uncertainty

 

The Company is executing on a plan to achieve a reduction in cash operating losses. Included within the working capital deficiency above is a term note for $300,000 to EuroAmerican Investment Corp. (“EuroAmerican”), together with accrued interest of $472,897, which has a maturity date of March 31, 2025, having been extended on a number of occasions from its initial due date of June 11, 2011. At this time, it is not known whether any further extension of the note beyond March 31, 2025 will be available. However, the Company believes it may not have sufficient cash to meet its various cash needs through March 31, 2025 unless the Company is able to obtain additional cash from the issuance of debt or equity securities. Fountainhead, the Company’s largest shareholder, has provided working capital funding to the Company on an as-needed basis, although there is no guarantee that this will continue to be the case. The Company may consider seeking additional equity or debt funding, although there is no assurance that this would be available on acceptable terms or at all. If adequate funds are not available, the Company may have to delay or curtail development or commercialization of products or cease some of its operations.

 

2. SIGNIFICANT ACCOUNTING POLICIES

 

Principles of Consolidation and Basis of Presentation

 

The consolidated financial statements include the accounts of Vycor Medical, Inc., and its wholly-owned subsidiaries, NovaVision, Inc. (a Delaware corporation), NovaVision GmbH (a German corporation) and Sight Science Limited (a UK corporation), both wholly owned subsidiaries of NovaVision, Inc. The Company is headquartered in Boca Raton, FL. All material inter-company accounts, transactions, and balances have been eliminated in consolidation. Following the decision in April 2020 to close the German office of NovaVision, the activities of NovaVision GmbH have been accounted for as discontinued operations.

 

Revenue Recognition

 

On January 1, 2018, the Company adopted ASC 606, Revenue from Contracts with Customers and all the related amendments (new revenue standard) to all contracts.

 

Vycor Medical generates revenue from the sale of its surgical access system to hospitals and other medical professionals. Vycor Medical records revenue from product sales when obligations under the terms of a contract with customers are satisfied. Generally, this occurs with the transfer of control of the goods to customers. Vycor Medical does not provide for product returns or warranty costs.

 

15

 

 

Vycor determines revenue recognition through the following steps:

 

  Identification of the contract, or contracts, with a customer
     
  Identification of the performance obligations in the contract
     
  Determination of the transaction price
     
  Allocation of the transaction price to the performance obligations in the contract
     
  Recognition of revenue when Vycor satisfy a performance obligation

 

NovaVision generates revenues from various programs, therapy services and other sources such as software license sales. Therapy services revenues represent fees from NovaVision’s vision restoration therapy software, eye movement training software, diagnostic software, clinic set up and training fees, and the professional and support services associated with the therapy. NovaVision provides vision restoration therapy directly to patients. The typical therapy program consists of NeuroEyeCoach, performed over 2-4 weeks, and six modules of Vision Restoration Therapy, performed over 6 months. A patient contract comprises set-up fees and monthly therapy fees. Set-up fees are recognized at the outset of the contract and therapy revenue is recognized ratably over the therapy period. Patient therapy is restricted to being completed by a patient within a specified time frame.

 

Deferred revenue results from patients paying for the therapy in advance of receiving the therapy.

 

As part of the adoption of ASC 606, see Note 7 to the Consolidated Financial Statements for further disaggregation of revenue.

 

Reclassifications

 

Certain prior period amounts have been reclassified to conform with the current period presentation; on the cash flow statement, proceeds from and repayments of insurance financing has been separated out rather than being netted off.

 

Cash and cash equivalents

 

The Company maintains cash balances at various financial institutions. Accounts at each institution in the U.S. are insured by the Federal Deposit Insurance Corporation up to $250,000. Cash balances may at times exceed the FDIC insured limits. The Company considers all highly liquid investments with a maturity of three months or less when purchased to be cash equivalents. Included within cash are deposits paid by patients, held by the Company until the patient returns the chinrest at the end of therapy. At December 31, 2023 and 2022 patient deposits amounted to $20,951 and $19,154, respectively, and are included in Accrued Liabilities.

 

Accounts Receivable and Allowance for Doubtful Accounts Receivable

 

The Company’s accounts receivable are due from the hospitals and distributors in the case of Vycor Medical, and from patients directly for therapy or physicians for diagnostic products in the case of NovaVision. Accounts receivable are due once products have been delivered or at the time the therapy is initiated; however, for NovaVision therapy patients sometimes credit is extended through various payment plans based on individual financial conditions, generally not to exceed the therapy period. The outstanding balances are stated net of an allowance for doubtful accounts.

 

We have a policy of reserving for uncollectible accounts based on our best estimate of the amount of probable credit losses in our existing accounts receivable. We extend credit to our customers based on an evaluation of their financial condition and other factors. We generally do not require collateral or other security to support accounts receivable. We perform ongoing credit evaluations of our customers and maintain an allowance for potential bad debts if required. We determine whether an allowance for doubtful accounts is required by evaluating specific accounts where information indicates the customers may have an inability to meet financial obligations. In these cases, we use assumptions and judgment, based on the best available facts and circumstances, to record a specific allowance for those customers against amounts due to reduce the receivable to the amount expected to be collected. These specific allowances are re-evaluated and adjusted as additional information is received. The amounts calculated are analyzed to determine the total amount of the allowance. We may also record a general allowance as necessary. Direct write-offs are taken in the period when we have exhausted our efforts to collect overdue and unpaid receivables or otherwise evaluate other circumstances that indicate that we should abandon such efforts.

 

16

 

 

Inventories

 

Inventories consist of raw materials, work in process and finished goods that are stated at the lower of cost determined using the weighted average cost method, or net realizable value. Net realizable value is the estimated selling price, in the ordinary course of business, less estimated costs to complete and dispose of the product. If the Company identifies excess, obsolete or unsalable items, its inventories are written down to their realizable value in the period in which the impairment is first identified. The charge provision for inventory obsolescence for the years ended December 31, 2023 and 2022 was $168 and $13,160, respectively. Shipping and handling costs incurred for inventory purchases and product shipments are recorded in cost of sales in the Company’s consolidated statements of comprehensive loss.

 

Leases

 

The Company has one leased building in Boca Raton, Florida that is classified as operating lease right-of use (“ROU”) assets and operating lease liabilities in the Company’s consolidated balance sheet as per ASC 842. ROU assets and lease liabilities are recognized based on the present value of the future minimum lease payments over the lease term at the commencement date for leases exceeding 12 months. Minimum lease payments include only the fixed lease component of the agreement. Operating lease expense is recognized on a straight-line basis over the lease term and is included in cost of Selling, General and Administrative expenses.

 

The standard was effective for us beginning January 1, 2019. The Company elected the available practical expedients on adoption. The adoption had a material impact on our consolidated balance sheets but did not have a material impact on our consolidated statements of comprehensive loss. The most significant impact was the recognition of ROU assets and lease liabilities for operating leases.

 

Discontinued Operations

 

In accordance with ASU No. 2014-08, Reporting Discontinued Operations and Disclosures of Disposals of Components of an Entity, a disposal of a component of an entity or a group of components of an entity is required to be reported as discontinued operations if the disposal represents a strategic shift that has (or will have) a major effect on an entity’s operations and financial results when the components of an entity meets the criteria in paragraph 205-20-45-1E to be classified as held for sale. When all of the criteria to be classified as held for sale are met, including management, having the authority to approve the action, commits to a plan to sell the entity, the major current assets, other assets, current liabilities, and noncurrent liabilities shall be reported as components of total assets and liabilities separate from those balances of the continuing operations. At the same time, the results of all discontinued operations (which we presented as operations to be disposed and operations disposed), less applicable income taxes (benefit), shall be reported as components of net income (loss) separate from the net income (loss) of continuing operations in accordance with ASC 205-20-45.

 

Foreign Currency

 

The Euro is the local currency of the country in which the discontinued operations of NovaVision GmbH conducts its operations and is considered the functional currency of this entity; the GB Pound is the local currency of the country in which Sight Science Limited conducts its operations and is considered the functional currency of this entity. All balance sheet amounts are translated to U.S. dollars using the U.S. exchange rate at the balance sheet date except for the equity section which is translated at historical rates. Operating statement amounts are translated using an average exchange rate for the period of operations. Foreign currency translation effects are accumulated as part of the accumulated other comprehensive income (loss) and included in stockholders’ deficiency in the accompanying Consolidated Balance Sheets.

 

17

 

 

Educational marketing and advertising expenses

 

The Company may incur costs for the education of customers on the uses and benefits of its products. The Company will include education, marketing and advertising expense as a component of selling, general and administrative costs as such costs are incurred. There were no such expenses for the years ended December 31, 2023 and 2022.

 

Income taxes

 

We use the asset and liability method of accounting for income taxes in accordance with ASC Topic 740, “Income Taxes.” Under this method, income tax expense is recognized for the amount of: (i) taxes payable or refundable for the current year and (ii) deferred tax consequences of temporary differences resulting from matters that have been recognized in an entity’s financial statements or tax returns. Deferred tax assets and liabilities are measured using enacted tax rates expected to apply to taxable income in the years in which those temporary differences are expected to be recovered or settled. The effect on deferred tax assets and liabilities of a change in tax rates is recognized in the results of operations in the period that includes the enactment date. A valuation allowance is provided to reduce the deferred tax assets reported if based on the weight of the available positive and negative evidence, it is more likely than not some portion or all of the deferred tax assets will not be realized.

 

ASC Topic 740.10.30 clarifies the accounting for uncertainty in income taxes recognized in an enterprise’s financial statements and prescribes a recognition threshold and measurement attribute for the financial statement recognition and measurement of a tax position taken or expected to be taken in a tax return. ASC Topic 740.10.40 provides guidance on derecognition, classification, interest and penalties, accounting in interim periods, disclosure, and transition. We have no material uncertain tax positions for any of the reporting periods presented.

 

Fixed assets

 

Fixed assets are stated at cost less accumulated depreciation. Depreciation is provided for on a straight-line basis over the useful lives of the assets. Expenditures for additions and improvements are capitalized; repairs and maintenance are expensed as incurred.

 

Patents and Other Intangible Assets

 

The Company capitalizes legal and related costs associated with the establishment and enhancement of patents for its products once patents have been applied for. Costs associated with the development of the patented item or processes are charged to research and development costs as incurred. The capitalized costs are amortized over the life of the patent. The Company reviews intangible assets on an annual in accordance with the authoritative guidance. Trademarks have an indefinite life and are reviewed annually by management for impairment in accordance with the authoritative guidance.

 

18

 

 

Impairment of long-lived assets

 

Long-lived assets are reviewed for impairment when circumstances indicate the carrying value of an asset may not be recoverable. For assets that are to be held and used, impairment is recognized when the estimated undiscounted cash flows associated with the asset or group of assets is less than their carrying value. If impairment exists, an adjustment is made to write the asset down to its fair value, and a loss is recorded as the difference between the carrying value and fair value. Fair values are determined based on quoted market values, discounted cash flows or internal and external appraisals, as applicable. Assets to be disposed of are carried at the lower of carrying value or estimated net realizable value.

 

Research and Development

 

The Company expenses all research and development costs as incurred. For the years ended December 31, 2023 and 2022, the amounts charged to research and development expenses were $22,558 and $0, respectively.

 

Software Development Costs

 

The Company accounts for software development costs in accordance with ASC 350-40, whereby all costs incurred during the preliminary stage of a development project should be charged to expense as incurred. Capitalization of costs begins after the preliminary stage has been completed, management commits to funding the project, it is probable that the project will be completed, and the software will be used for its intended function. All post-implementation costs are charged to expense as incurred. Accordingly, direct internal and external costs associated with the development of the features and functionality of the Company’s software, incurred during the application development stage, are capitalized and amortized using the straight-line method of the estimated life of five years. There was no capitalized for software development during the years ended December 31, 2023 and 2022.

 

Uses of estimates in the preparation of financial statements

 

The preparation of consolidated financial statements in conformity with GAAP requires management to make estimates and assumptions that affect the amounts reported in the consolidated financial statements and accompanying notes. Actual results could differ from those estimated. To the extent management’s estimates prove to be incorrect, financial results for future periods may be adversely affected. Significant estimates and assumptions contained in the accompanying consolidated financial statements include management’s estimate of the allowance for uncollectible accounts receivable and provision for inventory obsolescence.

 

Stock Compensation

 

The Company recognizes the cost of all stock -based payments under the relevant authoritative accounting guidance. Stock-based payments include any remuneration paid by the Company in shares of the Company’s common stock or financial instruments that grant the recipient the right to acquire shares of the Company’s common stock. For stock-based payments to employees, which consist only of awards made under the stock option plan described below, the Company accounts for the payments in accordance with the provisions of ASC Topic 718, “Stock Compensation”. Stock-based payments to consultants, service providers and other non-employees are accounted for in accordance with ASC Topic 718, ASC Topic 505, “Equity Payments to Non-Employees” or other applicable authoritative guidance.

 

19

 

 

Convertible Instruments

 

We evaluate and account for conversion options embedded in convertible instruments in accordance with ASC 815 “Derivatives and Hedging Activities”.

 

Applicable GAAP requires companies to bifurcate conversion options from their host instruments and account for them as free-standing derivative financial instruments according to certain criteria. The criteria include circumstances in which (a) the economic characteristics and risks of the embedded derivative instrument are not clearly and closely related to the economic characteristics and risks of the host contract, (b) the hybrid instrument that embodies both the embedded derivative instrument and the host contract is not re-measured at fair value under other GAAP with changes in fair value reported in earnings as they occur and (c) a separate instrument with the same terms as the embedded derivative instrument would be considered a derivative instrument.

 

We account for convertible instruments (when we have determined that the embedded conversion options should not be bifurcated from their host instruments) as follows: We record when necessary, discounts to convertible notes for the intrinsic value of conversion options embedded in debt instruments based upon the differences between the fair value of the underlying common stock at the commitment date of the note transaction and the effective conversion price embedded in the note. Debt discounts under these arrangements are amortized over the term of the related debt to their stated date of redemption. The embedded conversion option in connection with our convertible debt could not be exercised unless and until we completed a Qualifying Financing transaction. Accordingly, we determined based on authoritative guidance that the embedded conversion option is deemed to be a contingent conversion rather than active conversion option that did not require accounting recognition at the commitment dates of the issuances of the Notes.

 

Fair Value Measurements

 

We adopted the provisions of ASC Topic 820, “Fair Value Measurements and Disclosures”, which defines fair value as used in numerous accounting pronouncements, establishes a framework for measuring fair value and expands disclosure of fair value measurements.

 

The estimated fair value of certain financial instruments, including cash and cash equivalents, accounts receivable, accounts payable and accrued expenses are carried at historical cost basis, which approximates their fair values because of the short-term nature of these instruments. The carrying amounts of our short and long-term credit obligations approximate fair value because the effective yields on these obligations, which include contractual interest rates taken together with other features such as concurrent issuances of warrants and/or embedded conversion options, are comparable to rates of returns for instruments of similar credit risk.

 

ASC 820 defines fair value as the exchange price that would be received for an asset or paid to transfer a liability (an exit price) in the principal or most advantageous market for the asset or liability in an orderly transaction between market participants on the measurement date. ASC 820 also establishes a fair value hierarchy, which requires an entity to maximize the use of observable inputs and minimize the use of unobservable inputs when measuring fair value. ASC 820 describes three levels of inputs that may be used to measure fair value:

 

Level 1 — quoted prices in active markets for identical assets or liabilities

 

Level 2 — quoted prices for similar assets and liabilities in active markets or inputs that are observable

 

Level 3 — inputs that are unobservable (for example cash flow modeling inputs based on assumptions)

 

The Company has no financial instruments measured at fair value on a recurring basis.

 

20

 

 

Net Loss Per Share

 

Basic net income (loss) per share is computed by dividing net income (loss) available to common stockholders by the weighted-average number of common shares outstanding during the period. Diluted net income (loss) per share is computed giving effect to all dilutive potential common shares that were outstanding during the period. Dilutive potential common shares consist of incremental shares issuable upon exercise of stock options and warrants and conversion of preferred stock and convertible debt. Such potentially dilutive shares are excluded when the effect would be to reduce a net loss per share.

 

The following table sets forth the potential shares of common stock that are included in the calculation of diluted net income per share where a net income is reported:

 

  

December 31,

2023

  

December 31,

2022

 
Debentures convertible into common stock   3,680,460    3,451,889 
Preferred shares convertible into common stock   1,272,052    1,272,052 
Total   4,952,512    4,723,941 

 

Recent Accounting Pronouncements

 

From time-to-time new accounting pronouncements are issued by the Financial Accounting Standards Board or other standard setting bodies that may have an impact on the Company’s accounting and reporting. The FASB issued Accounting Standards Update (ASU) 2023-07 in November 2023, to be effective for fiscal years beginning after December 15, 2023. The ASU is to improve reportable segment disclosures. Management has assessed the ASU and has concluded that it will not have an impact on its accounting or reporting when implemented, as the additional disclosure effects items that are not applied at a segment level. The Company believes that other recently issued accounting pronouncements and other authoritative guidance for which the effective date is in the future will not have an impact on its accounting or reporting or that such impact will not be material to its financial position, results of operations and cash flows when implemented.

 

3. DISCONTINUED OPERATIONS

 

In April 2020, the board of Vycor took the decision to close the German operations of NovaVision, including the German office and NovaVision GmbH, and instead migrate to a licensed business model; effective July 1, 2020, Vycor entered into a license agreement with a German-based partner. The NovaVision German office was closed effective June 30, 2020. The Company will continue to fund the remaining expenses of the German operations, which are non-material, until such a time as NovaVision GmbH will be formally wound up.

 

Reconciliation of the major line items from discontinued operations that are presented in the consolidated balance sheets and consolidated statements of comprehensive loss are as follows:

 

Major line items constituting assets and liabilities in the consolidated balance sheets:

 

   December 31,   December 31, 
   2023   2022 
ASSETS          
Current Assets          
Cash  $739   $1,212 
Total Current Assets   739    1,212 
           
TOTAL ASSETS  $739   $1,212 
           
LIABILITIES          
Current Liabilities          
Accounts payable  $4   $693 
Other current liabilities   (1,104)   (2,092)
Total Current Liabilities  $(1,100)  $(1,399)

 

21

 

 

Major line items constituting loss from discontinued operations

 

   2023   2022 
  

For the years

ended December 31,

 
   2023   2022 
         
Revenue  $-   $- 
Cost of Goods Sold   -    - 
Gross Profit   -    - 
           
Operating Expenses:          
Selling, general and administrative   6,379    5,062 
Total Operating Expenses   6,379    5,062 
Operating Loss   (6,379)   (5,062)
           
Other Income (Expense)          
Loss on foreign currency exchange   (232)   (150)
Total Other Income (Expense)   (232)   (150)
           
Loss Before Provision for Income Taxes   (6,611)   (5,212)
Provision for income taxes   -    - 
Loss from discontinued operations, net of tax  $(6,611)  $(5,212)

 

4. INVENTORY

 

  

December 31,

2023

  

December 31,

2022

 
         
Raw materials and work in process  $88,236   $109,894 
Finished goods   145,909    138,980 
Total Inventory  $234,145   $248,874 

 

5. LEASE

 

The Company recognized the following related to a lease in its consolidated balance sheets:

 

  

December 31,

2023

  

December 31,

2022

 
         
Operating Lease ROU Assets  $149,804   $32,645 
           
Operating Lease Liabilities          
Current portion  $45,321   $29,591 
Long-term portion  100,379   - 
Operating Lease Liabilities  $145,700   $29,591 

 

22

 

 

6. NOTES PAYABLE

 

Related Party Notes Payable consists of:

 

  

December 31,

2023

  

December 31,

2022

 
         
On June 25, 2018 the Company issued promissory notes to Peter Zachariou for $30,000. The notes bear interest at 10% per annum and are payable on the earlier of one year or five days following the delivery of written demand for payment by the Payee. The note was extended for another twelve months on its due date to June 25, 2024 or on demand by the Payee.  $30,000   $30,000 
Between March 26, 2018 and November 17, 2022 the Company issued fifteen promissory notes to Fountainhead Capital Management Limited for $463,373. The notes bear interest at 10% per annum and are payable on the earlier of one year or five days following the delivery of written demand for payment by the Payee. All of the notes have been extended on their due dates for another twelve months. The Notes will be due between April 2024 and March 2025 or on demand by the Payee.   463,373    463,373 
Total Related Party Notes Payable  $493,373   $493,373 

 

Other Notes Payable consists of:

 

  

December 31,

2023

  

December 31,

2022

 
On March 25, 2011 the Company issued a term note for $300,000 to EuroAmerican Investment Corp. (“EuroAmerican”). The term note bears interest at 16% per annum and was due June 25, 2011, and has been extended on a number of occasions. On the note’s most recent due date, the note was amended and extended to March 31, 2025. See further note below.  $300,000   $300,000 
Insurance policy finance agreements and current portion of EIDL Loan (see Long-Term Notes Payable below)   28,267    24,711 
Total Notes Payable:  $328,267   $324,711 

 

Long-Term Notes Payable consists of:

 

  

December 31,

2023

  

December 31,

2022

 
On July 7, 2020, the Company was granted a $150,000 loan under the Economic Injury Disaster Loan Program pursuant to the Coronavirus Aid, Relief and Economic Security (CARES) Act (“Loan”). The Loan, evidenced by a promissory note dated July 7, 2020, has a term of thirty (30) years, bears interest at a fixed rate of three and three-quarters percent (3.75%) per annum, with monthly payments in the amount of $731.00 per month commencing July 7, 2021 and is secured by essentially all of the assets of the Company. The proceeds of the Loan have been used for general working capital purposes to alleviate economic injury caused by disaster occurring in the month of January 2020 and continuing thereafter.  $142,908   $146,253 
           
Total Long-term Notes Payable:  $142,908   $146,253 

 

23

 

 

On January 24, 2018 the Company entered into an amendment agreement (the “Amendment”) with EuroAmerican Investments (“EuroAmerican”) regarding its $300,000 loan note (the “Note”). Under the Amendment, the Note was extended and the conversion terms of the Note reduced to $0.21, the same as the offering price of the 2018 Offering. Conversion of the Note and accrued interest would result in the issuance of 3,680,462 shares of Common Stock. Notwithstanding, EuroAmerican agreed that the Note could not be converted without first offering the Company the right to redeem the Note at principal and accrued interest, and secondly Fountainhead the right to purchase the Note, which cannot be converted prior to such offer and the failure of the Company and Fountainhead to exercise such option in accordance with the amendment terms. The amendment was recognized as a modification, based on the guidance in ASC 470-50. No other term was amended on the Note.

 

The Company routinely finances all their insurance policies through a third-party finance company which requires a down payment and subsequent monthly payments, the time periods vary from 10 months to 12 equal monthly payments.

 

7. SEGMENT REPORTING, GEOGRAPHICAL INFORMATION

 

(a) Business segments

 

The Company operates in two business segments: Vycor Medical, which focuses on devices for neurosurgery; and NovaVision, which focuses on neuro stimulation therapies and diagnostic devices for the treatment and screening of vision field loss. Discontinued operations were part of NovaVision and revenues and assets were in Europe; see Note 3. Set out below are the revenues, gross profits and total assets for each segment.

 

   2023   2022 
   Year Ended December 31, 
   2023   2022 
Revenue:          
Vycor Medical  $1,378,598   $1,130,915 
NovaVision  $82,006   $92,074 
Revenue  $1,460,604   $1,222,989 
Gross Profit          
Vycor Medical  $1,238,878   $997,667 
NovaVision  $76,776   $84,678 
Gross Profit  $1,315,654   $1,082,345 

 

Operating Income (Loss)          
Vycor Medical  $383,847    $239,327 
NovaVision  $(191,810)  $(223,351)
Corporate  $(151,846)  $(322,490)
 Operating Income (Loss)  $40,191   $(306,514)

 

   December 31,   December 31, 
   2023   2022 
Total Assets:          
Vycor Medical  $957,936   $822,174 
NovaVision   33,623    36,792 
Discontinued operations   739    1,212 
Total Assets  $992,298   $860,178 

 

24

 

 

(b) Geographic segments.

 

The Company operates in two geographic segments, the United States and Europe. Discontinued operations were part of NovaVision and revenues and assets were in Europe; see Note 3. Set out below are the revenues, gross profits and total assets for each segment.

 

   2023   2022 
   Year Ended December 31, 
   2023   2022 
Revenue:          
United States  $1,453,895   $1,214,723 
Europe  $6,709   $8,266 
Revenue  $1,460,604   $1,222,989 
Gross Profit          
United States  $1,308,984   $1,074,143 
Europe  $6,670   $8,202 
 Gross Profit   $1,315,654   $1,082,345 

 

Operating Income (Loss)          
United States  $60,484   $(289,439)
Europe  $(20,293)  $(17,075)
 Operating Income (Loss)  $40,191   $(306,514)

 

   December 31,   December 31, 
   2023   2022 
Total Assets:          
United States  $985,718   $854,236 
Europe   5,841    4,730 
Discontinued operations   739    1,212 
Total Assets  $992,298   $860,178 

 

8. FIXED ASSETS

 

Fixed Assets and the estimated lives used in the computation of depreciation are as follows:

 

   Estimated  December 31,   December 31, 
   Useful Lives  2023   2022 
            
Machinery and equipment  3 years  $70,832   $64,762 
Leasehold Improvements  3 years   8,881    8,881 
Purchased Software  3 years   27,706    27,706 
Molds and Tooling  5 years   808,611    808,611 
Furniture and fixtures  7 years   11,152    11,152 
Therapy Devices  3 years   107,943    104,627 
Internally Developed Software  5 years   363,472    363,472 
 Property, and Equipment, Gross       1,398,597    1,389,211 
Less: Accumulated depreciation and amortization      (1,146,193)   (1,085,441)
Property and Equipment, net      252,404    303,770 

 

Depreciation expense for the years ended December 31, 2023 and 2022 was $60,752 and $61,403 respectively, including $3,255 and $3,171 respectively for Therapy Devices which is allocated to Cost of Sales.

 

25

 

 

9. EQUITY

 

Equity Transactions

 

On April 1, 2023 and 2022 the Company issued 101,663 shares of Common Stock to Ricardo Komotar (RJK Consulting), a consultant, in accordance with the terms of a consulting agreement (see Note 13).

 

During the years ended December 31, 2023 and 2022, under the terms of the Consulting Agreement referred to in Note 13, the Company issued 0 and 1,607,142 of Common Stock to Fountainhead valued at $0 and $171,428, respectively.

 

During each of the years ended December 31, 2023 and 2022, the Company accrued an aggregate of $324,370 of dividends in respect of Company Series D Convertible Preferred shares.

 

Equity Classes

 

Our authorized capital stock consists of 55,000,000 shares of common stock, par value $0.0001 per share, and 10,000,000 shares of preferred stock, par value $0.0001 per share, the rights and preferences of which may be established from time to time by our board. As at December 31, 2023, there were 32,628,835 shares of common stock, one (1) share of Series C Preferred Stock and 270,306 shares of Series D Preferred Stock outstanding.

 

Holders of our common stock are entitled to one vote for each share on all matters voted upon by our stockholders, including the election of directors, and do not have cumulative voting rights. Subject to the rights of holders of any then outstanding shares of our preferred stock, our common stockholders are entitled to any dividends that may be declared by our board. Holders of our common stock are entitled to share ratably in our net assets upon our dissolution or liquidation after payment or provision for all liabilities and any preferential liquidation rights of our preferred stock then outstanding. Holders of our common stock have no preemptive rights to purchase shares of our stock. The shares of our common stock are not subject to any redemption provisions and are not convertible into any other shares of our capital stock. All outstanding shares of our common stock are, and the shares of common stock to be issued in the offering will be, upon payment therefor, fully paid and non-assessable. The rights, preferences and privileges of holders of our common stock will be subject to those of the holders of any shares of our preferred stock we may issue in the future.

 

Series C Convertible Preferred Stock shares (“Preferred C Stock”) are convertible (at the Holder’s option or mandatorily upon the occurrence of certain events) into 14,815 shares of the Company’s Common Stock (at $3.75 per share). The Preferred C Stock carries no dividend or other rights.

 

Series D Convertible Preferred shares (“Preferred D Stock”) are convertible into Company Common Shares at a price of $2.15. The Series D carry a cumulative preferred dividend of 12% per annum, payable in cash. The Company is able to redeem the Series D at par at any time, at its sole option.

 

26

 

 

10. STOCK-BASED COMPENSATION

 

The Company from time-to-time issues common stock, stock options or common stock warrants to acquire services or goods from non-employees. Common stock, stock options and common stock warrants issued to other than employees or directors are recorded on the basis of their fair value, which is measured as of the “measurement date” using an option pricing model, or their contractual value if different in the case of common stock. The “measurement date” for options and warrants related to contracts that have substantial disincentives to non-performance is the date of the contract, and for all other contracts is the vesting date. Expense related to the options and warrants is recognized on a straight-line basis over the shorter of the period over which services are to be received or the life of the option or warrant.

 

Non-Employee Stock Compensation

 

Aggregate stock-based compensation for shares of common stock granted to non-employees for the years ended December 31, 2023 and 2022 was $10,141 and $185,610, respectively. $171,428 in 2022 was in respect of the Fountainhead Consulting Agreement (see Notes 13 and 14). As of December 31, 2023, there was $0 of total unrecognized compensation costs related to warrant and stock awards and non-vested options.

 

11. INCOME TAXES

 

Loss Before Taxes

  

  

December 31,

2023

  

December 31,

2022

 
Domestic  $(42,829)  $(382,553)
Foreign   (26,862)   (22,364)
Loss Before Taxes  $(69,691)  $(404,917)

 

The reconciliation of income tax expense (credit) at the U.S. statutory rate of 21%, to the Company’s effective tax rate is as follows:

  

   2023   2022 
   Year Ended December 31, 
   2023   2022 
         
US statutory rate  $(14,635)  $(85,033)
Tax difference between foreign and U.S.   (289)   (204)
Change in Valuation Allowance   (14,924)   (85,237)
Tax Provision  $-   $- 

 

Deferred Income Taxes

 

The Company has operations in the US, Germany and the UK and incurred net operating losses since inception. The Company has not reflected any tax benefit related to such net operating losses in the financial statements. Prior to August 15, 2007 the Company’s US operating entity was a limited liability company and losses were passed through to the individual members, therefore the Company only has potential tax benefits from the date it became a ‘C’ corporation.

 

Deferred income taxes reflect the net tax effects of temporary differences between the carrying amounts of assets and liabilities for financial reporting purposes and the amounts used for income tax purposes. Significant components of the Company and its subsidiaries’ deferred tax assets at December 31, 2023 and December 31, 2022 are as follows:

 

  

December 31,

2023

  

December 31,

2022

 
Operating loss carry-forward – US  $19,888,000   $19,881,000 
Operating loss carry-forward – Foreign  $1,630,000   $1,656,000 
Deferred tax asset before Valuation allowance – US   4,176,000    4,175,000 
Deferred tax asset before Valuation allowance – Foreign   485,000    497,000 
Valuation allowance   (4,661,000)   (4,672,000)
Net deferred tax asset  $   $ 

 

27

 

 

In assessing the realization of deferred tax assets, management considers whether it is more likely than not that some portion or all of the deferred tax assets will not be realized. The ultimate realization of deferred tax assets is dependent upon the generation of future taxable income.

 

The authoritative guidance requires a valuation allowance to reduce the deferred tax assets recorded if, based on the weight of the evidence, it is more likely than not that some portion or all of the deferred tax assets will not be realized. Furthermore, in circumstances in which management has determined that existing conditions or events raise substantial doubt about its ability to continue as a going concern the authoritative guidance requires that a valuation allowance should be recorded for all deferred tax assets. Accordingly, management has determined that a 100% valuation allowance is appropriate at December 31, 2023 and December 31, 2022.

 

The U.S. Tax Cuts and Jobs Act (Tax Act) was enacted on December 22, 2017 and introduces significant changes to U.S. income tax law. Effective in 2018, the Tax Act reduces the U.S. statutory tax rate from 35% to 21% and creates new taxes on certain foreign-sourced earnings and certain related-party payments, which are referred to as the global intangible low-taxed income tax and the base erosion tax, respectively. The Tax Act requires us to pay U.S. income taxes on accumulated foreign subsidiary earnings not previously subject to U.S. income tax at a rate of 15.5% to the extent of foreign cash and certain other net current assets and 8% on the remaining earnings. Since the Company’s foreign subsidiaries have not generated taxable income and have no accumulated earnings, the Company believes that the Tax Act will not have a significant impact on the Company’s consolidated financial statements.

 

Net Operating Loss Carry-Forwards

 

As of December 31, 2023 and 2022, the Company had U.S. accumulated losses for tax purposes of approximately $19,888,000 and $19,881,000 respectively, which may be carried forward and offset against U.S. taxable income, and expire during the tax years 2029 through 2041.

 

Federal tax laws impose significant restrictions on the utilization of net operating loss carry-forwards and in the event of a change in ownership of the Company, as defined by the Internal Revenue Code Section 382. The Company’s net operating loss carry-forwards may be subject to the above limitations.

 

As of December 31, 2023 and 2022, the Company had German accumulated losses for tax purposes of approximately $1,392,000 and $1,450,000 respectively, which may be carried forward and offset against German taxable income subject to certain restrictions and limitations in the event of changes in the NovaVision GmbH’s ownership. As disclosed in Note 3, the Company is in the process of winding down the entity, following which these tax losses will no longer be available.

 

As of December 31, 2023 and 2022, the Company had UK accumulated losses for tax purposes of approximately $238,000 and $206,000 respectively, which may be carried forward and offset against UK taxable income subject to certain restrictions and limitations.

 

Tax Rates

 

The applicable US income tax rate for the Company for both of the years ended December 31, 2023 and 2022 was 21%. Non-US subsidiaries are taxed according to the tax laws in their respective country of residence. The German applicable rate for both of the years ended December 31, 2023 and 2022 was 31.58%; the UK applicable rate for smaller companies for both the years ended December 31, 2023 and 2022 was 19%.

 

If any earnings were distributed to US in the form of dividends or otherwise, after the repayment of intercompany debt, the Company would be subject to additional US income taxes (subject to an adjustment for foreign tax credits) and foreign withholding taxes.

 

28

 

 

Uncertain Tax Position

 

The Company has recorded no liability for income taxes associated with unrecognized tax benefits at the date of adoption and has not recorded any liability associated with unrecognized tax benefits during 2023 and 2022. Accordingly, the Company has not recorded any interest or penalty in regard to any unrecognized benefit.

 

12. COMMITMENTS AND CONTINGENCIES

 

Lease

 

The Company leases office space located at 951 Broken Sound Parkway, Suite 320, Boca Raton, FL 33487 from WPT Land 2 L.P., for a gross rent of approximately $4,300 per month, plus other charges of approximately $2,700 per month. The lease terminated on August 31, 2023 and was extended for a further three years and four months to December 31, 2026. Rent expense for the years ended December 31, 2023 and 2022 was $74,464 and $79,314 respectively.

 

The table below provides the future lease payments each year until the lease expiration date:

 

Future Lease Payments

 

Year  Liability 
2024  $51,576 
2025  $52,092 
2026  $53,655 

 

Potential German tax liability

 

In June 2012 the Company’s NovaVision German subsidiary received a preliminary assessment for Magdeburg City trade tax of €75,000 (approximately $82,000), with an additional interest charge of €12,000 (approximately $13,200). This assessment is for the 2010 fiscal year and relates to the Company’s acquisition of the assets of the former NovaVision, Inc. An initial assessment for corporate tax for the same period was preliminarily reduced to zero. The Company did not accept this trade tax assessment and appealed against it to the relevant tax authorities with a view to its reduction. The relevant tax authorities agreed to suspend the assessment pending the outcome of certain court hearings and proposed tax legislation, and the Company agreed to make monthly payments on account totaling €75,000 (approximately $82,000) which were completed in October 2016 and fully expensed. At that time the Company appealed against the interest charge of €12,000 (approximately $13,200) which the tax authorities did not accept but also agreed to suspend pending the outcome of the hearings and proposed legislation outlined above. Accordingly, the Company has made no provision for this liability in the years ended December 31, 2023 and 2022 respectively. The Company is in the process of winding down the entity, as disclosed in Note 3.

 

13. CONSULTING AND OTHER AGREEMENTS

 

The following agreements remained in force during the years ended December 31, 2023 and 2022:

 

Consulting Agreement with Fountainhead

 

In March 2017 and effective April 1, 2017, the Company amended the Fountainhead Consulting Agreement. Under the Amended Agreement, fees of $450,000 were payable to Fountainhead in Company Common Stock issued at the higher of $0.21 and the average price for the 30 days prior to issuance, and deliverable at the end of each fiscal quarter. This was amended slightly effective January 1, 2021 (“the Amended Agreement”). Under the Amended Agreement, fees are payable to Fountainhead in Company Common Stock (“Shares”) as follows: 1) 535,714 Shares on the last day of each quarter; or 2) if the average closing price of the Shares for the 30 trading days prior to issuance is above $0.21, a number of Shares calculated by dividing $112,500 by the average closing price of the Shares for the 30 trading days prior to issuance. Under the terms of the Amended Agreement, Fountainhead continued to provide the executive management team of the Company, including the positions of CEO, President and CFO, whose employment agreements with the Company stipulate they receive no remuneration from the Company.

 

Effective October 1, 2022 the Amended Agreement was terminated by Fountainhead and the Company by mutual agreement. Effective the same date the Company entered into revised employment agreements with Peter Zachariou, David Cantor and Adrian Liddell under which they would continue as CEO, President and CFO respectively as individuals and not as representatives of Fountainhead; there is no compensation payable under the employment agreements.

 

During the years ended December 31, 2023 and 2022 the Company issued 0 and 1,607,142 shares of Common Stock to Fountainhead for fees of $0 and $171,428, respectively.

 

29

 

 

Other Agreements

 

On March 30, 2021, Vycor entered into a Consulting Agreement with Ricardo J. Komotar, M.D. (the “Agreement”) to provide certain specified services over the three-year term of the Agreement. Under the Agreement, Dr. Komotar will provide general scientific advisory consultancy services, and will also provide scientific advisory services based around certain specific pre-determined milestones. In consideration of the Consultant’s services, the Company agreed to deliver to the Consultant over the course of the three-year term, a total of 304,989 shares of Company Common Stock in respect of the general consultancy, and up to 1,219,957 shares of Company Common Stock in respect of the milestones. On April 1, 2023 and 2022 101,663 shares of Company Common Stock (valued at $9,455 and $12,200, respectively) were issued under the terms of the Agreement, which is being amortized over twelve months.

 

14. RELATED PARTY TRANSACTIONS AND BALANCES

 

Peter Zachariou and David Cantor, directors of the Company, are investment managers of Fountainhead which owned, at December 31, 2023, 62.3% of the Company’s Common Stock and 69.7% of the Company’s Series D Preferred Stock. Adrian Liddell, Chairman, is a consultant to Fountainhead. Peter Zachariou owns 0.15% of the Company’s Common Stock and 25.7% of the Company’s Series D Preferred Stock.

 

During each of the years ended December 31, 2023 and 2022, under the terms of the Consultancy Agreement referred to in Note 14, the Company issued 0 and 1,607,142 shares of Common Stock to Fountainhead for fees of $0 and $171,428, respectively.

 

During the years ended December 31, 2023 and 2022, respectively, the Company issued unsecured loan notes to Fountainhead for a total of $0 and $172,500, respectively. The loan notes bear interest at a rate of 10% and are due on demand or by their one-year anniversary (see Note 6).

 

During the years ended December 31, 2023 and 2022, respectively, the Company accrued interest on related party loans of $49,515 and $39,563, respectively.

 

During each of the years ended December 31, 2023 and 2022, the Company accrued an aggregate of $324,370 of Preferred D Stock dividends, of which $226,037 was regarding Fountainhead and $83,386 was regarding Peter Zachariou. Total accrued Preferred D Stock dividends at December 31, 2023 and 2022 was $2,270,590 and $1,946,220, respectively, of which $1,582,260 and $1,356,224, respectively, was regarding Fountainhead and $583,701 and $500,315, respectively, was regarding Peter Zachariou.

 

15. CONCENTRATION

 

Vycor Medical sells its neurosurgical devices in the US primarily direct to hospitals, and internationally through distributors who in turn sell to hospitals.

 

Sales Concentration  Year ended December 31, 
   2023   2022 
         
Number of customers over 10%   1    0 
Percentage of sales   11%   0%

 

30

 

 

Accounts Receivable Concentration

 

   At December 31, 
   2023   2022 
         
Number of customers over 10%   0    1 
Percentage of accounts receivable   0%   13%

 

The Company has three sub-contract manufacturers from which it purchases, respectively, VBAS injection molded parts, completed and sterilized VBAS units, and extension arms. Purchases from these manufacturers vary from quarter to quarter, with no purchases in some quarters, however on an annual basis purchases from each manufacturer represent over 10% of total annual purchases.

 

16. SUBSEQUENT EVENTS

 

The Company has evaluated the existence of events and transactions subsequent to the balance sheet date through the date the consolidated financial statements were issued and has determined that, other than that disclosed above, there were no significant subsequent events or transactions that would require recognition or disclosure in the financial statements.

 

ITEM 9. CHANGES IN AND DISAGREEMENTS WITH ACCOUNTANTS ON ACCOUNTING AND FINANCIAL DISCLOSURE.

 

None.

 

ITEM 9A. CONTROLS AND PROCEDURES.

 

a) Disclosure Controls and Procedures

 

We are required to maintain disclosure controls and procedures that are designed to ensure that information required to be disclosed in our reports filed under the Securities Exchange Act of 1934, as amended, is recorded, processed, summarized and reported within the time periods specified in the Securities and Exchange Commission’s rules and forms, and that such information is accumulated and communicated to our management, including our chief executive officer (also our principal executive officer) and our chief financial officer (also our principal financial and accounting officer) to allow for timely decisions regarding required disclosure.

 

Pursuant to Rule 13a-15(b) under the Securities Exchange Act of 1934 (“Exchange Act”), the Company’s management, including the Company’s Chief Executive Officer (“CEO”) (the Company’s principal executive officer) and Chief Financial Officer (“CFO”) (the Company’s principal financial and accounting officer), has evaluated the effectiveness of the Company’s disclosure controls and procedures (as defined under Rule 13a-1€) under the Exchange Act) as of the end of the period covered by this report. Based on such evaluation, our CEO and our CFO have concluded that a material weakness occurred as of April 1, 2021 and has continued to have a weakness through the present date, on account of the resignation of the independent members of the Company’s Audit Committee as of that date. Effective that date, our disclosure and controls were no longer effective to ensure that information required to be disclosed by the Company in the reports it files or submits under the Exchange Act is accumulated and communicated to the Company’s management, including its CEO and its CFO, as appropriate, to allow timely decisions regarding required disclosure.

 

The matter involving internal controls and procedures that our management considered to be a material weakness under the standards of the Public Company Accounting Oversight Board was a lack of a functioning audit committee with independent members, resulting in ineffective oversight in the establishment and monitoring of required internal controls and procedures.

 

Management believes that the material weakness set forth did not have an effect on our financial results. However, management believes that the lack of a functioning audit committee and the lack of a majority of outside directors on our board of directors, results in ineffective oversight in the establishment and monitoring of required internal controls and procedures, which could result in a material misstatement in our financial statements in future periods.

 

31

 

 

b) Management’s Report on Internal Control over Financial Reporting

 

Our management is responsible for establishing and maintaining adequate internal control over financial reporting. Internal control over financial reporting is defined in Rule 13a-15(f) or 15d-15(f) promulgated under the Securities Exchange Act of 1934 as a process designed by, or under the supervision of, the company’s principal executive and principal financial officers and effected by the company’s board of directors, management and other personnel, to provide reasonable assurance regarding the reliability of financial reporting and the preparation of financial statements for external purposes in accordance with accounting principles generally accepted in the United States of America and includes those policies and procedures that:

 

Pertain to the maintenance of records that in reasonable detail accurately and fairly reflect the transactions and dispositions of the assets of the company;
   
Provide reasonable assurance that transactions are recorded as necessary to permit preparation of financial statements in accordance with accounting principles generally accepted in the United States of America and that receipts and expenditures of the company are being made only in accordance with authorizations of management and directors of the company; and
   
Provide reasonable assurance regarding prevention or timely detection of unauthorized acquisition, use or disposition of the company’s assets that could have a material effect on the financial statements.

 

Because of its inherent limitations, internal control over financial reporting may not prevent or detect misstatements. Projections of any evaluation of effectiveness to future periods are subject to the risk that controls may become inadequate because of changes in conditions, or that the degree of compliance with the policies or procedures may deteriorate. All internal control systems, no matter how well designed, have inherent limitations. Therefore, even those systems determined to be effective can provide only reasonable assurance with respect to financial statement preparation and presentation. Because of the inherent limitations of internal control, there is a risk that material misstatements may not be prevented or detected on a timely basis by internal control over financial reporting. However, these inherent limitations are known features of the financial reporting process. Therefore, it is possible to design into the process safeguards to reduce, though not eliminate, this risk.

 

We carried out an assessment, under the supervision and with the participation of our management, including our CEO and CFO, of the effectiveness of the design and operation of our internal controls over financial reporting, as defined in Rules 13a-15(e) and 15d-15(e) of the Securities Exchange Act of 1934, as of December 31, 2023. In making this assessment, management used the criteria set forth by the Committee of Sponsoring Organizations of the Treadway Commission in Internal Control — Integrated Framework (2013). Based on that assessment and on those criteria, our CEO and CFO concluded that our internal control over financial reporting was not effective as of December 31, 2023 due to the a lack of a functioning audit committee with independent members, resulting in ineffective oversight in the establishment and monitoring of required internal controls and procedures.

 

This annual report does not include an attestation report of our registered public accounting firm regarding internal control over financial reporting. Management’s report was not subject to attestation by our registered public accounting firm pursuant to temporary rules of the SEC that permit us to provide only the management’s report in this annual report.

 

c) Changes in Internal Controls

 

There have been no changes in the Company’s internal control over financial reporting (as such term is defined in Rules 13a-15(f) under the Exchange Act) during the fiscal period to which this report relates that have materially affected, or are reasonably likely to materially affect, the Company’s internal control over financial reporting.

 

The Company’s management, including the Company’s CEO and CFO, do not expect that the Company’s internal control over financial reporting will prevent all errors and all fraud. Because of its inherent limitations, internal control over financial reporting may not prevent or detect misstatements. Also, projections of any evaluation of effectiveness to future periods are subject to the risk that controls may become inadequate because of changes in conditions, or that the degree or compliance with the policies or procedures may deteriorate.

 

ITEM 9B. OTHER INFORMATION.

 

None

 

32

 

 

PART III

 

ITEM 10. DIRECTORS, EXECUTIVE OFFICERS AND CORPORATE GOVERNANCE

 

Our Directors and Executive Officers

 

Set forth below is certain biographical information concerning our current executive officers and directors. We currently have two executive officers as described below.

 

Directors and Executive Officers   Position/Title   Age
Peter C. Zachariou   Chief Executive Officer and a Director   62
David Marc Cantor   President and a Director   57
Adrian Christopher Liddell   Chairman of the Board, Chief Financial Officer and a Director   65

 

Peter C. Zachariou was appointed a Director of the Company in May 2010, Executive Vice President in September 2010 and Chief Executive Officer on January 2, 2014. As CEO, he has responsibility for the sales, marketing and customer functions of both the Vycor and NovaVision divisions. For the past 30 years, Mr. Zachariou has been an active investor in and proprietor of a variety of companies and industries, predominantly in U.S. emerging and growth companies across a broad range of industry sectors. He is an investment manager for Fountainhead Capital Management Limited, an investment company based in Jersey, Channel Islands.

 

David Marc Cantor has been President of the Company since September 2010 and a Director since January 2010. As President he is responsible for the clinical, product development and manufacturing functions of both the Vycor and NovaVision divisions, as well as their patent and trademark portfolios. Mr. Cantor has over 22 years of experience in Investment Banking with a focus on Mergers and Acquisitions and Equity Capital Raisings. From 2001 – 2005 he was at Citigroup Capital Markets where he was Co-head of its M&A European Business Development Group and subsequently European Head of its Diversified Industrials and Aerospace activities. Prior to Citigroup he was a Managing Director in M&A at Donaldson Lufkin & Jenrette and worked at Lehman Brothers both in New York and London in both the Equity Capital and M&A groups. He is an investment manager of Fountainhead Capital Management Limited, an investment company based in Jersey, Channel Islands. Mr. Cantor has a BSc with Honours from City Business School, London.

 

Adrian Christopher Liddell has been Chairman of the Board and a Director of the Company since January 2010, and serves as the Company’s CFO. As CFO he is responsible for the financial operation of the company, as well as regulatory and legal matters. Mr. Liddell has over 40 years of strategic, corporate and financial advisory and company investment experience. From 2003 to 2006, Mr. Liddell was an investment advisor at Phoenix Equity Partners, a European private equity fund. From 1998 to 2003 Mr. Liddell served as Managing Director, Mergers & Acquisitions, at Donaldson Lufkin & Jenrette and then Citigroup in London. From 1984 to 1998 Mr. Liddell held various positions in mergers & acquisitions and corporate finance at Lehman Brothers and Samuel Montagu & Co, in London. He is also an advisor to Fountainhead Capital Management Limited, an investment company based in Jersey, Channel Islands, Mr. Liddell qualified as a Chartered Accountant in 1984 with Arthur Young (now Ernst & Young) and holds an MA, Hons. from Christ’s College, University of Cambridge.

 

All of our directors hold office until the next annual meeting of stockholders and until their respective successors have been elected or qualified. Officers serve at the discretion of the board of directors. There are no family relationships among our directors or executive officers. There is no arrangement or understanding between or among our officers and directors pursuant to which any director or officer was or is to be selected as a director or officer, and there is no arrangement, plan or understanding as to whether non-management stockholders will exercise their voting rights to continue to elect the current board of directors.

 

33

 

 

None of our directors and executive officers have during the past five years:

 

had any bankruptcy petition filed by or against any business of which he was a general partner or executive officer, either at the time of the bankruptcy or within two years prior to that time;
   
been convicted in a criminal proceeding and is not subject to a pending criminal proceeding;
   
been subject to any order, judgment or decree, not subsequently reversed, suspended or vacated, of any court of competent jurisdiction, permanently or temporarily enjoining, barring, suspending or otherwise limiting his involvement in any type of business, securities, futures, commodities or banking activities;
   
or been found by a court of competent jurisdiction (in a civil action), the Securities Exchange Commission or the Commodity Futures Trading Commission to have violated a federal or state securities or commodities law, and the judgment has not been reversed, suspended or vacated.

 

Board Committees

 

Given that the Company has only three incumbent directors, none of whom are independent, the Board of Directors does not maintain any Board Committees as of this date, with the Audit Committee comprising the whole Board.

 

Section 16(a) Beneficial Ownership Reporting Compliance

 

Pursuant to Section 16(a) of the Exchange Act and the rules thereunder, the Company’s executive officers and directors and persons who own more than 10% of a registered class of the Company’s equity securities are required to file with the SEC reports of their ownership of, and transactions in, the Company’s common stock.

 

ITEM 11. EXECUTIVE COMPENSATION.

 

The following is a summary of the compensation we paid for each of the last two years ended December 31, 2023 and 2022, respectively (i) to the persons who acted as our principal executive officer during our fiscal year ended December 31, 2023 and (ii) to the person who acted as our next most highly compensated executive officer other than our principal executive officer who was serving as an executive officer as of the end of our last fiscal year.

 

Name

and

Principal

Position

    Year   Salary ($)     Bonus ($)     Stock Awards ($)     Option Awards ($)    

Non-

Equity Incentive

Plan Compensation

   

Non-

Qualified Deferred Compensation Earnings

($)

   

All

other Compensation ($)

    Total ($)  

Peter Zachariou

CEO

   

2023

2022

   

$

$

                             
David Cantor President    

 

2023
2022

   

$

$

                             

 

OUTSTANDING EQUITY AWARDS

 

Grants of Plan-Based Awards

 

Equity Compensation Plan Information
Plan category  Number of securities to be issued upon exercise of outstanding options, warrants and rights (1)   Weighted- average exercise price of outstanding options, warrants and rights   Number of securities remaining available for future issuance under equity compensation plans (excluding securities reflected in column (1) 
Equity compensation plans approved by security holders   3,390,000   $         -    3,390,000 
Equity compensation plans not approved by security holders   -    -    - 
Total   3,390,000   $-    3,390,000 

 

(1) As of December 31, 2023.

 

34

 

 

Warrants Issued to Management

 

Name 

Grant

Date

   Number of Securities
Underlying
Unexercised
Exercisable Warrants
   Number of Securities
Underlying
Unexercised
Exercisable Warrants
   Warrant Exercise
Price ($)
   Warrant Expiration
Date
 
None                                          
                          
Total                         

 

Employment Agreements

 

Effective January 2, 2014, the Company entered into amended employment agreements with Peter Zachariou and David Cantor to serve as the Company’s Chief Executive Officer and President respectively as appointees of Fountainhead; and an employment agreement with Adrian Liddell to serve as the Company’s Chief Financial Officer as appointee of Fountainhead; these agreements were further amended in March 2017. Each agreement continued for a period of twelve months and was then automatically extended unless terminated by either party. As appointees of Fountainhead under the Fountainhead Consulting Agreement no compensation was payable under the employment agreements. Effective October 1, 2022, the Fountainhead Consulting Agreement was terminated by Fountainhead and the Company by mutual agreement and the Company entered into revised employment agreements with Peter Zachariou, David Cantor and Adrian Liddell under which they would continue as CEO, President and CFO respectively as individuals and not as representatives of Fountainhead; there continues to be no compensation payable under the employment agreements.

 

Compensation of Directors

 

Not applicable

 

35

 

 

ITEM 12. SECURITY OWNERSHIP OF CERTAIN BENEFICIAL OWNERS AND MANAGEMENT AND RELATED STOCKHOLDER MATTERS.

 

The following table sets forth certain information with respect to the beneficial ownership of our voting securities by (i) any person or group owning more than 5% of any class of voting securities, (ii) each director, (iii) our chief executive officer and president and (iv) all executive officers and directors as a group as of March 31, 2024. Unless noted, the address for the following beneficial owners and management is 951 Broken Sound Parkway, Suite 320, Boca Raton, FL 33487.

 

Title of Class 

Name and Address of

Beneficial Owner

  Amount and Nature of
Beneficial Owner (1)
  

Percent of

Class (2)

 
Common Stock  Peter C. Zachariou   48,856    0.15%
Series D Preferred Stock  Peter C. Zachariou   69,487    25.71%
Common Stock  All executive officers and directors as a group   48,856    0.15%
Series D Preferred Stock  All executive officers and directors as a group   69,487    25.71%
Common Stock  Fountainhead Capital Management Limited 13 Castle Street, St. Helier, Jersey JE2 3BT   20,340,520    62.34%
Series D Preferred Stock  Fountainhead Capital Management Limited 13 Castle Street, St. Helier, Jersey JE2 3BT   188,363    69.69%

 

(1) In determining beneficial ownership of our Common Stock and Series D Preferred Stock, the number of shares shown includes shares which the beneficial owner may acquire upon exercise of debentures, warrants and options which may be acquired within 60 days. In the case of directors, the number of shares includes shares granted but not issued under the director’s Deferred Compensation Plan. In determining the percent of Common Stock or Series D Preferred Stock owned by a person or entity on April 15, 2024, (a) the numerator is the number of shares of the class beneficially owned by such person or entity, including shares which the beneficial ownership may acquire within 60 days of exercise of debentures, warrants and options, and the issuance of shares granted but not issued under the director’s Deferred Compensation Plan; and (b) the denominator is the sum of (i) the total shares of that class outstanding on April 15, 2024 (32,628,835 shares of Common Stock and 270,306 shares of Series D Preferred Stock) and (ii) the total number of shares that the beneficial owner may acquire upon exercise of the debentures, warrants and options or that can be issued under the director’s Deferred Compensation Plan. Unless otherwise stated, each beneficial owner has sole power to vote and dispose of its shares.

 

ITEM 13. CERTAIN RELATIONSHIPS AND RELATED TRANSACTIONS, AND DIRECTOR INDEPENDENCE.

 

Related Party Transactions

 

Peter Zachariou and David Cantor, directors of the Company, are investment managers of Fountainhead which owned, at December 31, 2023, 62.3% of the Company’s Common Stock and 69.7% of the Company’s Series D Preferred Stock. Adrian Liddell, Chairman, is a consultant to Fountainhead. Peter Zachariou owns 0.15% of the Company’s Common Stock and 25.7% of the Company’s Series D Preferred Stock.

 

During each of the years ended December 31, 2023 and 2022, under the terms of the Consultancy Agreement referred to in Note 13 the Company issued 0 and 1,607,142 shares of Common Stock to Fountainhead for fees of $0 and $171,428, respectively.

 

During the years ended December 31, 2023 and 2022, respectively, the Company issued unsecured loan notes to Fountainhead for a total of $0 and $172,500, respectively. The loan notes bear interest at a rate of 10% and are due on demand or by their one-year anniversary (see Note 6).

 

During the years ended December 31, 2023 and 2022, respectively, the Company accrued interest on related party loans of $49,515 and $39,563, respectively.

 

During each of the years ended December 31, 2023 and 2022, the Company accrued an aggregate of $324,370 of Preferred D Stock dividends, of which $226,037 was regarding Fountainhead and $83,386 was regarding Peter Zachariou. Total accrued Preferred D Stock dividends at December 31, 2023 and 2022 was $2,270,590 and $1,946,220, respectively, of which $1,582,260 and $1,356,224, respectively, was regarding Fountainhead and $583,701 and $500,315, respectively, was regarding Peter Zachariou.

 

Director Independence

 

As of April 16, 2024, our three (3) directors are not considered “independent”.

 

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ITEM 14. PRINCIPAL ACCOUNTANT FEES AND SERVICES.

 

Audit Fees

 

The aggregate fees billed by our principal accountant for the audit of our annual financial statements, review of financial statements included in the quarterly reports and other fees that are normally provided by the accountant in connection with statutory and regulatory filings or engagements for the fiscal years ended December 31, 2023 and December 31, 2022, respectively, were approximately $71,500 and $65,000.

 

Tax Fees

 

The fees billed for professional services rendered by our principal accountant for tax compliance, tax advice and tax planning for the fiscal years ended December 31, 2023 and 2022 were $4,400 and $4,000 respectively.

 

All Other Fees

 

There were no fees billed for other products or services provided by our principal accountant for 2023 or 2022.

 

PART IV

 

ITEM 15. EXHIBITS, FINANCIAL STATEMENT SCHEDULES

 

The following documents are filed as part of this 10-K:

 

1. FINANCIAL STATEMENTS

 

The following documents are filed in Part II, Item 8 of this annual report on Form 10-K:

 

  Reports of Prager Metis CPAs, LLC., Independent Registered Certified Public Accounting Firm (PCAOB ID: 273)
     
  Consolidated Balance Sheets as of December 31, 2023 and 2022
     
  Consolidated Statements of Comprehensive Loss for the years ended December 31, 2023 and 2022
     
  Consolidated Statements of Stockholders’ Deficiency from January 1, 2022 to December 31, 2023
     
  Consolidated Statement of Cash Flows for the years ended December 31, 2023 and 2022
     
  Notes to Consolidated Financial Statements

 

2. FINANCIAL STATEMENT SCHEDULES

 

All financial statement schedules have been omitted as they are not required, not applicable, or the required information is otherwise included.

 

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3. EXHIBITS

 

The exhibits listed below are filed as part of or incorporated by reference in this report.

 

Exhibit No.   Identification of Exhibit
     
31.1   Certification of the Principal Executive Officer pursuant to Section 302 of the Sarbanes-Oxley Act of 2002.
     
31.2   Certification of the Chief Financial Officer pursuant to Section 302 of the Sarbanes-Oxley Act of 2002.
     
32.1   Certification of Principal Executive Officer pursuant to 18 U.S.C. Section 1350, as adopted pursuant to Section 906 of the Sarbanes-Oxley Act of 2002.
     
32.2   Certification of Chief Financial Officer pursuant to 18 U.S.C. Section 1350, as adopted pursuant to Section 906 of the Sarbanes-Oxley Act of 2002.

 

101.INS#   Inline XBRL Instance Document.
101.SCH#   Inline XBRL Taxonomy Extension Schema Document.
101.CAL#   Inline XBRL Taxonomy Extension Calculation Linkbase Document.
101.DEF#   Inline XBRL Taxonomy Extension Definition Linkbase Document.
101.LAB#   Inline XBRL Taxonomy Extension Label Linkbase Document.
101.PRE#   Inline XBRL Taxonomy Extension Presentation Linkbase Document.
104   Cover Page Interactive Data File (embedded within the Inline XBRL document)

 

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SIGNATURES

 

Pursuant to the requirements of Section 13 or 15(d) of the Exchange Act of 1934, the registrant has duly caused this report to be signed on its behalf by the undersigned, thereunto duly authorized.

 

  Vycor Medical, Inc.
  (Registrant)
     
  By: /s/ Peter C. Zachariou
    Peter C. Zacharion
    Chief Executive Officer and Director (Principal Executive Officer)
     
  Date April 16, 2024
     
  By: /s/ Adrian Liddell
    Adrian Liddell
    Chairman of the Board and Director
    (Principal Financial and Accounting Officer)
     
  Date April 16, 2024

 

Pursuant to the requirements of the Securities Exchange Act of 1934, this report has been signed below by the following person on behalf of the registrant and in the capacity and on the date indicated.

 

  By: /s/ Peter C. Zachariou
    Peter C. Zachariou
    Chief Executive Officer and Director
     
  Date April 16, 2024
     
  By: /s/ David Marc Cantor
    David Marc Cantor
    President and Director (Principal Executive Officer)
     
  Date April 16, 2024

 

  By: /s/ Adrian Christopher Liddell
    Adrian Christopher Liddell
    Chairman of the Board and Director (Principal Financial and Accounting Officer)
     
  Date April 16, 2024

 

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