UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
FORM
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MARPAI, INC.
TABLE OF CONTENTS
| Page | ||
| PART I. FINANCIAL INFORMATION | ||
| Item 1. | Unaudited Condensed Consolidated Financial Statements | 1 |
| Item 2. | Management’s Discussion and Analysis of Financial Condition and Results of Operations | 17 |
| Item 3. | Quantitative and Qualitative Disclosures about Market Risk | 22 |
| Item 4. | Controls and Procedures | 22 |
| PART II. OTHER INFORMATION | ||
| Item 1A. | Risk Factors | 23 |
| Item 5. | Other Information | 23 |
| Item 6. | Exhibits | 23 |
| SIGNATURES | 24 | |
i
PART I — FINANCIAL INFORMATION
Item 1. Unaudited Condensed Consolidated Financial Statements.
MARPAI, INC. AND SUBSIDIARIES
CONDENSED CONSOLIDATED BALANCE SHEETS
(in thousands, except share and per share data)
| March 31, 2025 | December 31, 2024 | |||||||
| (Unaudited) | ||||||||
| ASSETS: | ||||||||
| Current assets: | ||||||||
| Cash and cash equivalents | $ | $ | ||||||
| Restricted cash | ||||||||
| Accounts receivable, net of allowance for credit losses of $ | ||||||||
| Unbilled receivables | ||||||||
| Due from buyer for sale of business unit | ||||||||
| Prepaid expenses and other current assets | ||||||||
| Total current assets | ||||||||
| Capitalized software, net | ||||||||
| Operating lease right-of-use assets | ||||||||
| Security deposits | ||||||||
| Other long-term asset | ||||||||
| Total assets | $ | $ | ||||||
| LIABILITIES AND STOCKHOLDERS’ DEFICIT | ||||||||
| Current liabilities: | ||||||||
| Accounts payable | $ | $ | ||||||
| Accrued expenses | ||||||||
| Accrued fiduciary obligations | ||||||||
| Deferred revenue | ||||||||
| Current portion of operating lease liabilities | ||||||||
| Current portion of convertible debentures, net | ||||||||
| Other short-term liabilities | ||||||||
| Total current liabilities | ||||||||
| Other long-term liabilities | ||||||||
| Convertible debentures, net of current portion | ||||||||
| Operating lease liabilities, net of current portion | ||||||||
| Total liabilities | ||||||||
| COMMITMENTS AND CONTINGENCIES (Note 16) | ||||||||
| STOCKHOLDERS’ DEFICIT | ||||||||
| Common stock, $ | ||||||||
| Additional paid-in capital | ||||||||
| Accumulated deficit | ( | ) | ( | ) | ||||
| Total stockholders’ deficit | ( | ) | ( | ) | ||||
| Total liabilities and stockholders’ deficit | $ | $ | ||||||
The accompanying notes are an integral part of these unaudited condensed consolidated financial statements.
1
MARPAI, INC. AND SUBSIDIARIES
CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS
(UNAUDITED)
(in thousands, except share and per share data)
| Three months ended March 31, | ||||||||
| 2025 | 2024 | |||||||
| Revenue | $ | $ | ||||||
| Costs and expenses | ||||||||
| Cost of revenue (exclusive of depreciation and amortization shown separately below) | ||||||||
| General and administrative | ||||||||
| Information technology | ||||||||
| Sales and marketing | ||||||||
| Research and development | ||||||||
| Depreciation and amortization | ||||||||
| Facilities | ||||||||
| Total costs and expenses | ||||||||
| Operating loss | ( | ) | ( | ) | ||||
| Other income (expenses) | ||||||||
| Other income | ||||||||
| Interest expense, net | ( | ) | ( | ) | ||||
| Foreign exchange loss | ( | ) | ||||||
| Loss before provision for income taxes | ( | ) | ( | ) | ||||
| Income tax expense | ||||||||
| Net loss | $ | ( | ) | $ | ( | ) | ||
| Net loss per share, basic and fully diluted | $ | ( | ) | $ | ( | ) | ||
| Weighted average shares of common stock outstanding, basic and diluted | ||||||||
The accompanying notes are an integral part of these unaudited condensed consolidated financial statements.
2
MARPAI, INC. AND SUBSIDIARIES
CONDENSED CONSOLIDATED STATEMENTS OF CHANGES IN STOCKHOLDERS’ DEFICIT
(UNAUDITED)
(in thousands, except share data)
| Common Stock | Additional Paid- In | Accumulated | Total Stockholders’ | |||||||||||||||||
| Three months ended March 31, 2025 | Shares | Amount | Capital | Deficit | Deficit | |||||||||||||||
| Balance, January 1, 2025 | $ | | $ | $ | ( | ) | $ | ( | ) | |||||||||||
| Share-based compensation | - | |||||||||||||||||||
| Issuance of common stock upon vesting of restricted stock units | - | - | ||||||||||||||||||
| Net loss | - | - | - | ( | ) | ( | ) | |||||||||||||
| Balance, March 31, 2025 | $ | $ | $ | ( | ) | $ | ( | ) | ||||||||||||
| Three months ended March 31, 2024 | ||||||||||||||||||||
| Balance, January 1, 2024 | $ | $ | $ | ( | ) | $ | ( | ) | ||||||||||||
| Share-based compensation | - | |||||||||||||||||||
| Issuance of common stock upon vesting of restricted stock units | ||||||||||||||||||||
| Issuance of privately placed shares, net | ||||||||||||||||||||
| Net loss | - | ( | ) | ( | ) | |||||||||||||||
| Balance, March 31, 2024 | $ | $ | $ | ( | ) | $ | ( | ) | ||||||||||||
The accompanying notes are an integral part of these unaudited condensed consolidated financial statements.
3
MARPAI, INC. AND SUBSIDIARIES
CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS
(UNAUDITED)
(in thousands)
| Three months ended March, | ||||||||
| 2025 | 2024 | |||||||
| Cash flows from operating activities: | ||||||||
| Net loss | $ | ( | ) | $ | ( | ) | ||
| Adjustments to reconcile net loss to net cash used in operating activities: | ||||||||
| Depreciation and amortization | ||||||||
| Share-based compensation | ||||||||
| Amortization of right-of-use asset | ||||||||
| Non-cash interest | ||||||||
| Amortization of debt premium and debt issuance costs | ( | ) | ||||||
| Changes in operating assets and liabilities: | ||||||||
| Accounts receivable and unbilled receivables | ||||||||
| Prepaid expenses and other assets | ( | ) | ||||||
| Accounts payable | ( | ) | ( | ) | ||||
| Accrued expenses | ( | ) | ||||||
| Accrued fiduciary obligations | ( | ) | ||||||
| Operating lease liabilities | ( | ) | ( | ) | ||||
| Other liabilities | ||||||||
| Net cash used in operating activities | ( | ) | ( | ) | ||||
| Cash flows from investing activities: | ||||||||
| Proceeds from sale of business unit | ||||||||
| Net cash provided by investing activities | ||||||||
| Cash flows from financing activities: | ||||||||
| Proceeds from sale of future cash receipts on accounts receivable | ||||||||
| Proceeds from issuance of debentures (Note 7) | ||||||||
| Payments of debt issuance costs | ( | ) | ||||||
| Payments to buyer of receivables | ( | ) | ||||||
| Payments on convertible debentures (Note 7) | ( | ) | ||||||
| Payments to seller for acquisition | ( | ) | ( | ) | ||||
| Proceeds from issuance of common stock in a private offering, net | ||||||||
| Net cash provided by financing activities | ||||||||
| Net increase in cash, cash equivalents and restricted cash | ||||||||
| Cash, cash equivalents and restricted cash at beginning of period | ||||||||
| Cash, cash equivalents and restricted cash at end of period | $ | $ | ||||||
| Reconciliation of cash, cash equivalents, and restricted cash reported in the condensed consolidated balance sheet | ||||||||
| Cash and cash equivalents | $ | $ | ||||||
| Restricted cash | ||||||||
| Total cash, cash equivalents and restricted cash shown in the condensed consolidated statement of cash flows | $ | $ | ||||||
| Supplemental disclosure of cash flow information | ||||||||
| Cash paid for interest | $ | $ | ||||||
The accompanying notes are an integral part of these unaudited condensed consolidated financial statements.
4
MARPAI, INC. AND SUBSIDIARIES
NOTES TO UNAUDITED CONDENSED CONSOLIDATED FINANCIAL STATEMENTS
NOTE 1 – ORGANIZATION AND DESCRIPTION OF BUSINESS
Unless the context otherwise requires, throughout, the words “Marpai,” “Marpai, Inc.,” “we,” “our,” “us,” the “registrant,” or the “Company” refer to Marpai, Inc. and our subsidiaries (as applicable).
Organization
Marpai, Inc.’s (“Marpai”, “we”, or the “Company”) operations are principally conducted through our wholly owned subsidiaries, Marpai Health, Inc. (“Marpai Health”), Marpai Administrators LLC (“Marpai Administrators”), and Maestro Health LLC (“Maestro”). Marpai Administrators and Maestro are our healthcare payer subsidiaries that provide administration services to self-insured employer groups across the United States. They act as a third-party administrator (“TPA”) handling all administrative aspects of providing healthcare to self-insured employer groups. We have combined these two businesses to create what it believes to be the Payer of the Future, which has not only the licenses, processes and know-how of a payer but also the latest technology. This combination allows us to differentiate ourselves in the TPA market by delivering a technology-driven service that it believes can lower the overall cost of healthcare while maintaining or improving healthcare outcomes. Marpai Captive, Inc. (“Marpai Captive”) was founded in March 2022 as a Delaware corporation. Marpai Captive engages in the captive insurance market and commenced operations in the first quarter of 2023.
Nature of Business
Our mission is to positively change healthcare for the benefit of (i) our clients who are self-insured employers that pay for their employees’ healthcare benefits and engage us to administer members’ healthcare claims, who we refer to as Clients, (ii) employees who receive these healthcare benefits from our clients, who we refer to as Members, and (iii) healthcare providers including doctors, doctor groups, hospitals, clinics, and any other entities providing healthcare services or products, who we refer to as Providers.
We provide outsourced benefits administration services to Clients in the United States across multiple industries. Our backroom administration and TPA services are supported by a customized technology platform and a dedicated benefits call center. Under our TPA platform, we provide health and welfare administration, dependent eligibility verification, Consolidated Omnibus Budget Reconciliation Act (“COBRA”) administration, and benefit billing services.
We continue to monitor the effects of the global macroeconomic environment, including increasing inflationary pressures; supply chain disruptions; social and political issues; regulatory matters, geopolitical tensions; and global security issues. We are also mindful of inflationary pressures on our cost base and are monitoring the impact on customer preferences.
NOTE 2 – UNAUDITED INTERIM CONDENSED CONSOLIDATED FINANCIAL STATEMENTS
The accompanying unaudited interim condensed consolidated financial statements have been prepared in accordance with U.S. generally accepted accounting principles (“U.S. GAAP”) for interim financial information and with the instructions to Form 10-Q and Rule 10-01 of Regulation S-X. Accordingly, they do not include all the information and footnotes required by U.S. GAAP for complete financial statements. The unaudited interim condensed consolidated financial statements furnished herein reflect all adjustments which are, in the opinion of management, necessary for a fair statement of the results for the interim periods presented. The results of operations of any interim period are not necessarily indicative of the results of operations to be expected for the full fiscal year. The unaudited interim condensed consolidated financial statements should be read in conjunction with the consolidated financial statements and accompanying footnotes included in our Annual Report on Form 10-K for the year ended December 31, 2024.
The accompanying condensed consolidated financial statements include our accounts and our wholly owned subsidiaries.
NOTE 3 – LIQUIDITY AND GOING CONCERN
As shown in the accompanying unaudited interim
condensed consolidated financial statements as of March 31, 2025, we had an accumulated deficit of approximately $
5
MARPAI, INC. AND SUBSIDIARIES
NOTES TO UNAUDITED CONDENSED CONSOLIDATED FINANCIAL STATEMENTS
We currently project that we will need additional capital to fund our current operations and capital investment requirements until we scale to a revenue level that permits cash self-sufficiency. As a result, we need to raise additional capital or secure debt funding to support on-going operations until such time. This projection is based on our current expectations regarding revenues, expenditures, cash burn rate and other operating assumptions. The sources of this capital are anticipated to be from the sale of equity and/or the issuance of debt. Alternatively, or in addition, we may seek to sell assets which we regard as non-strategic. Any of the foregoing may not be achievable on favorable terms, or at all. Additionally, any debt or equity transactions may cause significant dilution to existing stockholders.
If we are unable to raise additional capital moving forward, our ability to operate in the normal course and continue to invest in our product portfolio may be materially and adversely impacted and we may be forced to scale back operations or divest some or all of our assets.
As a result of the above, in connection with our assessment of going concern considerations in accordance with Financial Accounting Standard Board’s (“FASB”) Accounting Standards Update (“ASU”) 2014-15, “Disclosures of Uncertainties about an Entity’s Ability to Continue as a Going Concern,” management has determined that our liquidity condition raises substantial doubt about our ability to continue as a going concern through twelve months from the date these unaudited interim condensed consolidated financial statements are issued. These unaudited interim condensed consolidated financial statements do not include any adjustments relating to the recovery of the recorded assets or the classification of the liabilities that might be necessary should we be unable to continue as a going concern.
NOTE 4 – SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES
Use of Estimates
The preparation of the condensed consolidated financial statements and related disclosures in conformity with U.S. GAAP requires management to make estimates and assumptions that affect the reported amounts of assets and liabilities and disclosure of contingent assets and liabilities at the date of the condensed consolidated financial statements and the reported amounts of revenues and expenses reported in those condensed consolidated financial statements. Descriptions of our significant accounting policies are discussed in the notes to the consolidated financial statements in our Annual Report on Form 10-K for the year ended December 31, 2024. Management evaluates the related estimates and assumptions on an ongoing basis using historical experience and other factors, including the current economic environment, and makes adjustments when facts and circumstances dictate. As future events and their effects cannot be determined with precision, actual results could differ significantly from those estimates and assumptions. Significant changes, if any, in those estimates and assumptions resulting from continuing changes in the economic environment will be reflected in the consolidated financial statements in future periods.
Concentrations of Credit Risk
For the three-month period ended March 31, 2025, no customers accounted for more than 10% of our total revenue. For the three-month period
ended March 31, 2024, we had one customer that accounted for
6
MARPAI, INC. AND SUBSIDIARIES
NOTES TO UNAUDITED CONDENSED CONSOLIDATED FINANCIAL STATEMENTS
Restricted Cash
Restricted cash balances are composed of funds held on behalf of clients in a fiduciary capacity, cash in a money market account as required by a credit card company for collateral, cash in a money market account as required by a financial surety bond company for collateral, and a certificate of deposit (“CD”) held for collateral for a letter of credit. Fiduciary funds generally cannot be utilized for general corporate purposes and are not a source of liquidity for us. A corresponding fiduciary obligation, included in current liabilities in the accompanying condensed consolidated balance sheets, exists for disbursements to be made on behalf of the clients and may be more than the restricted cash balance if payment from customers has not been received.
Capitalized Software
We comply with the guidance of Accounting Standard
Codification (“ASC”) Topic 350-40, “Intangibles—Goodwill and Other—Internal Use Software”, in accounting
for our internally developed system projects that it utilizes to provide our services to customers. These system projects generally relate
to our software that is not intended for sale or otherwise marketed. Internal and external costs incurred during the preliminary project
stage are expensed as they are incurred. Once a project has reached the development stage, we capitalize direct internal and external
costs until the software is substantially complete and ready for its intended use. Costs for upgrades and enhancements are capitalized,
whereas costs incurred for maintenance are expensed as incurred. These capitalized software costs are amortized on a project-by-project
basis over the expected economic life of the underlying software on a straight-line basis, which is generally
Revenue Recognition
Third Party Administrator Revenue
Revenue is recognized when control of the promised services is transferred to our customers in an amount that reflects the consideration expected to be entitled to in exchange for those services. As we complete our performance obligations, it has an unconditional right to consideration, as outlined in our contracts.
Contract Balances
At March 31, 2025 and December 31, 2024, the balances
of our accounts receivable from contracts with customers, net of related allowances for credit losses, were $
We also provide certain performance guarantees
under their contracts with customers. Customers may be entitled to receive compensation if we fail to meet the guarantees. Actual performance
is compared to the contractual guarantee for each measure throughout the period. We had performance guarantee liabilities of $
7
MARPAI, INC. AND SUBSIDIARIES
NOTES TO UNAUDITED CONDENSED CONSOLIDATED FINANCIAL STATEMENTS
Significant Payment Terms
Generally, our accounts receivable are expected to be collected in 30 days in accordance with the underlying payment terms. Invoices for services are typically sent to the customer on the 15th day of the month prior to the service month with a 10-day payment term. We do not offer discounts if the customer pays some or all of the invoiced amount prior to the due date.
Consideration paid for services rendered by us is nonrefundable. Therefore, at the time revenue is recognized, we do not estimate expected refunds for services.
We use the practical expedient and does not account for significant financing components because the period between recognition and collection does not exceed one year for all of our contracts.
Timing of Performance Obligations
All of our contracts with customers obligate us to perform services. Services provided include health and welfare administration, dependent eligibility verification, COBRA administration, and benefit billing. Revenue is recognized over time as services are provided as the performance obligations are satisfied through the effort expended to research, investigate, evaluate, document, and report claims, and control of these services is transferred to the customer. We have the right to receive payment for all services rendered.
Determining and Allocating the Transaction Price
The transaction price of a contract is the amount of consideration to which we expect to be entitled in exchange for transferring promised goods or services to a customer.
To determine the transaction price of a contract, we consider our customary business practices and the terms of the contract. For the purpose of determining transaction prices, we assume that the services will be transferred to the customer as promised in accordance with existing contracts and that the contracts will not be canceled, renewed, or modified.
Our contracts with customers have fixed fee prices that are denominated per covered employee per month. We include amounts of variable consideration in a contract’s transaction price only to the extent that it is probable that the amounts will not be subject to significant reversals (that is, downward adjustments to revenue recognized for satisfied performance obligations). In determining amounts of variable consideration to include in a contract’s transaction price, we rely on our experience and other evidence that supports our qualitative assessment of whether revenue would be subject to a significant reversal. We consider all the facts and circumstances associated with both the risk of a revenue reversal arising from an uncertain future event and the magnitude of the reversal if that uncertain event were to occur.
Captive Revenue
All general insurance premiums pertain to annual policies and are reflected in income on a pro-rata basis.
8
MARPAI, INC. AND SUBSIDIARIES
NOTES TO UNAUDITED CONDENSED CONSOLIDATED FINANCIAL STATEMENTS
Loss and Loss Adjustment Expenses
The establishment of loss reserves by the primary insurer is a reasonably complex and dynamic process influenced by numerous factors. These factors principally include past experience with like claims. Consequently, the reserves established are a reflection of the opinions of a large number of persons and we are exposed to the possibility of higher or lower than anticipated loss cost due to real expense.
Earnings (Loss) Per Share
Basic earnings (loss) per share is computed by
dividing net income (loss) available to common stockholders by the weighted average number of outstanding shares of common stock for the
period, considering the effect of participating securities. Diluted earnings (loss) per share is calculated by dividing net earnings (loss)
by the weighted average number of shares of common stock and dilutive common stock equivalents outstanding. During the periods when they
are anti-dilutive, shares of common stock equivalents, if any, are not considered in the computation. At March 31, 2025 and 2024, there
were
Recently Issued Accounting Pronouncements
In December 2023, the FASB issued ASU 2023-09, “Income Taxes (Topic 740): Improvements to Income Tax Disclosures,” which requires disaggregated information about a reporting entity’s effective tax rate reconciliation as well as information on income taxes paid. The standard is intended to benefit investors by providing more detailed income tax disclosures that would be useful in making capital allocation decisions. The standard will be effective for public companies for fiscal years beginning after December 15, 2024. Early adoption is permitted. We are currently evaluating the impact of this accounting standard update on our consolidated financial statements.
In November 2024, the FASB issued ASU 2024-03, “Expense Disaggregation Disclosures (Topic 220): Disaggregation of Income Statement Expenses” (“ASU 2024-03”), which requires public entities to disclose additional information that disaggregates certain expense captions into specified categories in the Notes to the consolidated financial statements. The new standard is effective for fiscal years beginning after December 15, 2026, and interim periods after December 15, 2027, with early adoption permitted. The disclosure updates are required to be applied prospectively with the option for retrospective application. We are currently evaluating the impact the amended guidance will have on our disclosures.
In November 2024, the FASB issued ASU 2024-04, Debt - Debt with Conversions and Other Options (Subtopic 470-20): Induced Conversions of Convertible Debt Instruments (“ASU 2024-04”). ASU 2024-04 clarifies the requirements for determining whether certain settlements of convertible debt instruments, including convertible debt instruments with cash conversion features or convertible debt instruments that are not currently convertible, should be accounted for as an induced conversion. The requirements of ASU 2024-04 are effective for us for fiscal years beginning after December 15, 2025, and interim periods within those periods. Early adoption is permitted for all entities that have adopted the amendments in ASU 2020-06 and can be applied on a prospective or retrospective basis. We are currently evaluating the impact of this accounting standard update on our consolidated financial statements.
9
MARPAI, INC. AND SUBSIDIARIES
NOTES TO UNAUDITED CONDENSED CONSOLIDATED FINANCIAL STATEMENTS
NOTE 5 – CAPITALIZED SOFTWARE
Capitalized software consists of the following at:
(in thousands)
| March 31, 2025 | December 31, 2024 | |||||||
| Capitalized software | $ | $ | ||||||
| Accumulated amortization | ( | ) | ( | ) | ||||
| Capitalized software, net | $ | $ | ||||||
Amortization expense was $
NOTE 6 – LOSS AND LOSS ADJUSTMENT EXPENSES
The following tables shows changes in aggregate reserves for our loss and loss adjustment expenses:
(in thousands)
| 2025 | 2024 | |||||||
| Net reserves at January 1, | $ | $ | ||||||
| Incurred loss and loss adjustment expenses | ||||||||
| Provisions for insured events of the current year | ||||||||
| Change in provision for insured events of prior year | ( | ) | ||||||
| Total incurred loss and loss adjustment expense | ( | ) | ||||||
| Payments | ||||||||
| Loss and loss adjustment expenses attributable to insured events of the current year | ||||||||
| Loss and loss adjustment expenses attributable to insured events of the prior year | ||||||||
| Total payments | ||||||||
| Net reserves at March 31, | $ | $ | ||||||
10
MARPAI, INC. AND SUBSIDIARIES
NOTES TO UNAUDITED CONDENSED CONSOLIDATED FINANCIAL STATEMENTS
NOTE 7 – CONVERTIBLE DEBENTURES
On April 15, 2024, we entered into a Securities Purchase Agreement (the “JGB Purchase Agreement”) with each of the Purchasers
thereto (the “Purchasers”) and JGB Collateral LLC (“JGB”), a Delaware limited liability company, as collateral
agent for the Purchasers (the “Agent”). Pursuant to the terms of the JGB Purchase Agreement, on April 15, 2024, we issued
the Senior Secured Convertible Debentures (the “Debentures”) due on
On December 30, 2024, we entered into amendments
to the JGB Purchase Agreement (the “Amendment Agreement”) and the Debentures (each, a “Debenture Amendment” and
collectively, the “Debenture Amendments”), with the Purchasers, the Agent and the other parties party thereto, as applicable,
to, among other things, sell Debentures up to an additional aggregate principal amount of $
Pursuant to the Debenture Amendments, the Debentures
bear interest at a rate equal to
Our obligations under the Debentures may be accelerated, at the Purchasers’ election or upon the occurrence of certain customary events of default. The Debentures contain customary representations, warranties and covenants including among other things and subject to certain exceptions, covenants that restrict us from incurring additional indebtedness, creating or permitting liens on assets, amending our charter documents and bylaws, repurchasing or otherwise acquiring more than a de minimis number of our common stock or equivalents thereof, repaying outstanding indebtedness, paying dividends or distributions, assigning or selling certain assets, making or holding any investments, and entering into transactions with affiliates.
On January 17, 2025, we received proceeds of $
As of March 31, 2025, the net carrying amount
of the Debentures is $
11
MARPAI, INC. AND SUBSIDIARIES
NOTES TO UNAUDITED CONDENSED CONSOLIDATED FINANCIAL STATEMENTS
Our future loan payments, which are presented as current portion of convertible debentures, net and Debentures, net of current portion on our accompanying unaudited condensed consolidated balance sheet as of March 31, 2025, are as follows:
| March 31, 2025 | ||||
| Convertible Debenture principal | $ | |||
| Unamortized debt premium and issuance costs | ||||
| Outstanding balance, net | ||||
| Less: current portion | ( | ) | ||
| Long-term portion | $ | |||
NOTE 8 – OTHER LIABILITIES
Other liabilities consisted of the following:
(in thousands)
| March 31, 2025 | December 31, 2024 | |||||||
| Due to AXA (current and long-term) | $ | $ | ||||||
| Sublease security deposit | ||||||||
| Other liabilities | $ | $ | ||||||
As of March 31, 2025, we have $
Our future payments to AXA, which are presented as other short-term liabilities and other long-term liabilities on our accompanying unaudited condensed consolidated balance sheet as of March 31, 2025, are as follows:
(in thousands)
| March 31, 2025 | ||||
| Outstanding balance | $ | |||
| Less: current portion | ( | ) | ||
| Long-term portion | $ | |||
NOTE 9 – REVENUE
Disaggregation of Revenue
The following tables illustrates the disaggregation of revenue by similar services:
For the three months ended:
(in thousands)
| March 31, 2025 | March 31, 2024 | |||||||
| TPA services | $ | $ | ||||||
| Captive insurance | ( | ) | ||||||
| Total | $ | $ | ||||||
12
MARPAI, INC. AND SUBSIDIARIES
NOTES TO UNAUDITED CONDENSED CONSOLIDATED FINANCIAL STATEMENTS
NOTE 10 – SHARE-BASED COMPENSATION
Global Stock Incentive Plan
On May 31, 2023, our shareholders approved our
board of directors (the “Board”) proposal to increase our 2020 Global Incentive Plan (the “2020 Plan”) by an additional
Under the term of the 2020 Plan, on the grant
date, the Board determines the vesting schedule of each stock option and RSUs on an individual basis. All stock options expire ten (
On May 6, 2024, our shareholders approved our
2024 Global Incentive Plan (the “2024 Plan”) with
Under the terms of the 2024 Plan, on the grant
date, the Board determines the vesting schedule of each stock option and RSUs on an individual basis. All stock options expire ten (
Stock Options
There were options granted for the three months ended March 31, 2025 and 2024.
The following table summarizes the stock option activity for the three months ended March 31, 2025:
(in thousands except share and per share data)
| Number of Options | Weighted Average Exercise Price | Weighted Average Remaining Contractual Term | Aggregate Intrinsic Value | |||||||||||||
| Balance at January 1, 2025 | $ | $ | ||||||||||||||
| Granted | ||||||||||||||||
| Forfeited/Cancelled | ( | ) | ||||||||||||||
| Exercised | ||||||||||||||||
| Balance at March 31, 2025 | $ | $ | ||||||||||||||
| Exercisable at March 31, 2025 | $ | $ | ||||||||||||||
13
MARPAI, INC. AND SUBSIDIARIES
NOTES TO UNAUDITED CONDENSED CONSOLIDATED FINANCIAL STATEMENTS
The following table summarizes our non-vested stock options:
| Non-vested Options | Weighted- Average Grant Date | |||||||
| Outstanding | Fair Value | |||||||
| Balance at January 1, 2025 | $ | |||||||
| Options granted | ||||||||
| Options forfeited/cancelled | ||||||||
| Options exercised | ||||||||
| Options vested | ( | ) | ||||||
| Balance at March 31, 2025 | $ | |||||||
For the three months ended March 31, 2025 and
2024, we recognized $
Restricted Stock Units
On January 28, 2025, the compensation committee
of the Board granted a director RSU award pursuant to which the holder has the right to receive an aggregate of
On March 7, 2025, the compensation committee of
the Board granted various employees RSU awards, under which the holders have the right to receive an aggregate of
The following table summarizes the restricted stock units activity for the three months ended March 31, 2025:
| Restricted Stock Units | Weighted- Average Grant Date Fair Value Per Share | |||||||
| Outstanding at January 1, 2025 | $ | |||||||
| Granted | ||||||||
| Forfeited/cancelled | ||||||||
| Vested | ( | ) | ||||||
| Outstanding at March 31, 2025 | $ | |||||||
For the three months ended March 31, 2025 and
2024, we recognized $
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MARPAI, INC. AND SUBSIDIARIES
NOTES TO UNAUDITED CONDENSED CONSOLIDATED FINANCIAL STATEMENTS
NOTE 11 – WARRANTS
We have issued warrants as part of equity offerings and severance packages.
The table below summarizes our warrant activities:
| Number of Warrants to Purchase Common Shares | Exercise Price Range Per Share | Weighted Average Exercise Price | ||||||||||
| Balance at January 1, 2025 | $ | $ | ||||||||||
| Granted | — | |||||||||||
| Forfeited | ( | ) | ||||||||||
| Exercised | — | |||||||||||
| Balance at March 31, 2025 | $ | $ | ||||||||||
| Balance at January 1, 2024 | $ | $ | ||||||||||
| Granted | — | |||||||||||
| Forfeited | — | |||||||||||
| Exercised | — | |||||||||||
| Balance at March 31, 2024 | $ | $ | ||||||||||
NOTE 12 – SEGMENT INFORMATION
Research and development activities are conducted through our wholly owned subsidiary, EYME Technologies, Ltd., in Israel. Geographic long-lived asset information presented below is based on the physical location of the assets at the reporting date. All of our revenues are derived from customers located in the United States.
Long-lived assets including capitalized software and operating lease right-of-use, by geographic region, are as follows at:
(in thousands)
| March 31, 2025 | December 31, 2024 | |||||||
| United States | $ | $ | ||||||
| Israel | ||||||||
| Total long-lived assets | $ | $ | ||||||
We operate as
The CODM reviews financial information on a consolidated basis and uses the segment performance measure of consolidated net loss to measure segment profit or loss. The accounting policies of our single reportable segment are the same as those for the consolidated financial statements. The level of disaggregation and amounts of significant segment expenses that are regularly provided to the CODM are the same as those presented in the consolidated statement of operations. Likewise, the measure of segment assets is reported on the consolidated balance sheets as total assets. The CODM does not regularly review asset information and therefore, we do not report asset information beyond what is presented in the consolidated balance sheets.
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MARPAI, INC. AND SUBSIDIARIES
NOTES TO UNAUDITED CONDENSED CONSOLIDATED FINANCIAL STATEMENTS
NOTE 13 – RELATED PARTY TRANSACTIONS
In January 2024 and March 2024, we entered into
securities purchase agreements with an entity controlled by our Chief Executive Officer, various directors, and certain executives. On
January 16, 2024, we entered into a securities purchase agreement (the “Second SPA”) with certain Company insiders consisting
of HillCour and one of our directors, pursuant to which we agreed to issue and sell
On March 7, 2024, we entered into a securities
purchase agreement with HillCour pursuant to which we agreed to issue and sell
NOTE 14 – ACCRUED EXPENSES
Accrued expenses consisted of the following:
(in thousands)
| March 31, 2025 | December 31, 2024 | |||||||
| Accrued payables | $ | $ | | |||||
| Employee compensation | ||||||||
| Performance guarantee liabilities | ||||||||
| Accrued bonuses | ||||||||
| Other accrued expenses and liabilities | ||||||||
| Accrued expenses | $ | $ | ||||||
NOTE 15 – INCOME TAXES
The effective tax rate was
At December 31, 2024, we had federal and
state net operating losses (“NOLs”) in the amount of approximately $
Income tax expense is recorded using the asset and liability method. Deferred tax assets and liabilities are recognized for the expected future tax consequences attributable to temporary differences between amounts reported for income tax purposes and financial statement purposes, using current tax rates. A valuation allowance is recognized if it is anticipated that some or all of a deferred tax asset will not be realized. We must assess the likelihood that our deferred tax assets will be recovered from future taxable income and, to the extent that we believe that recovery is not likely, it must establish a valuation allowance. Significant management judgment is required in determining the provision for income taxes, deferred tax assets and liabilities and any valuation allowance recorded against net deferred tax assets.
At March 31, 2025 and 2024, there were $
We and our subsidiaries’ income tax returns since 2021 remain subject to examination by tax jurisdictions.
NOTE 16 – LITIGATION AND LOSS CONTINGENCIES
From time to time, we may be subject to other legal proceedings, claims, investigations, and government inquiries (collectively, legal proceedings) in the ordinary course of business. It may receive claims from third parties asserting, among other things, infringement of their intellectual property rights, defamation, labor and employment rights, privacy, and contractual rights. There are no currently pending legal proceedings that we believe will have a material adverse impact on our business or condensed consolidated financial statements.
NOTE 17 – SUBSEQUENT EVENTS
Management has evaluated subsequent events through the date the unaudited condensed consolidated financial statements were available for issuance.
On May 13, 2025, our Board of Directors appointed Dallas Scrip, age 42, as Chief Operating Officer of the Company, effective as of June 2, 2025.
On May 13, 2025, we issued
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ITEM 2. MANAGEMENT’S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF OPERATIONS OF MARPAI, INC.
As used in this quarterly report on Form 10-Q (this “Quarterly Report”), the terms “we”, “us”, “our”, the “Company”, and “Marpai” mean Marpai, Inc., and our wholly owned subsidiaries, Marpai Captive Inc. (“Marpai Captive”), Marpai Administrators LLC (formerly known as Continental Benefits, LLC) (“Marpai Administrators”), Maestro Health, LLC (“Maestro Health”), and Marpai Health, Inc. (“Marpai Health”) and our wholly owned Israeli subsidiary EYME Technologies, Ltd. (“EYME”), unless otherwise indicated or required by the context.
Special Note Regarding Forward-Looking Statements
This Quarterly Report contains “forward-looking statements” within the meaning of Section 27A of the Securities Act and Section 21E of the Exchange Act that are not historical facts, and involve risks and uncertainties that could cause actual results to differ materially from those expected and projected. All statements other than statements of historical fact included in this Quarterly Report including, without limitation, statements in this “Management’s Discussion and Analysis of Financial Condition and Results of Operations” regarding our financial position, business strategy and the plans and objectives of management for future operations, are forward-looking statements. Words such as “expect,” “believe,” “anticipate,” “intend,” “estimate,” “seek” and variations and similar words and expressions are intended to identify such forward-looking statements. Such forward-looking statements relate to future events or future performances, but reflect management’s current beliefs, based on information currently available. A number of factors could cause actual events, performances or results to differ materially from the events, performance and results discussed in the forward-looking statements. For information identifying important factors that could cause actual results to differ materially from those anticipated in the forward-looking statements, please refer to Part II, Item 1A of this Quarterly report and the Risk Factors section of our Annual Report on Form 10-K, filed on March 27, 2025 with the U.S. Securities and Exchange Commission (the “SEC”).
We may not actually achieve the plans, intentions or expectations disclosed in our forward-looking statements, and you should not place undue reliance on our forward-looking statements. Actual results or events could differ materially from the plans, intentions and expectations disclosed in the forward-looking statements we make. In addition, statements that “we believe” and similar statements reflect our beliefs and opinions on the relevant subject. These statements are based upon information available to us as of the date of this Quarterly Report, and while we believe such information forms a reasonable basis for such statements, such information may be limited or incomplete, and our statements should not be read to indicate that we have conducted an exhaustive inquiry into, or review of, all potentially available relevant information.
Our securities filings can be accessed on the EDGAR section of the SEC’s website at www.sec.gov. Except as expressly required by applicable securities law, we disclaim any intention or obligation to update or revise any forward-looking statements whether as a result of new information, future events or otherwise.
On May 24, 2024, we informed the staff of the Nasdaq Stock Market LLC of our intention to withdraw from the Nasdaq hearings process and transition the listing of our common shares from the Nasdaq Capital Market (“Nasdaq”) and have our shares of common stock quoted on the OTCQX Market (“OTCQX”). Our common stock was suspended from trading on Nasdaq effective at the opening of trading on Wednesday, May 29, 2024, and commenced trading on OTCQX immediately thereafter.
Overview
We are a technology platform company which operates subsidiaries that provide third party administration (“TPA”) and value-oriented health plan services to employers that directly pay for employee health benefits. Our mission is to positively change healthcare for the benefit of (i) our clients who are self-insured employers that pay for their employees’ healthcare benefits and engage us to administer the latter’s healthcare claims, and we refer to them as our “Clients”, (ii) employees and their family members who receive these healthcare benefits from our Clients, and we refer to them as our “Members”, and (iii) healthcare providers including, doctors, doctor groups, hospitals, clinics, and any other entities providing healthcare services or products, and we refer to them as the “Providers.” We provide affordable, intelligent, healthcare programs for self-insured employers in the U.S. We provide administrative services, and act as TPA to self-insured employers who provide healthcare benefits to their employees. Most of our Clients are small and medium-sized companies as well as local government entities.
Based on our current financial condition, our Board of Directors (the “Board”), supported by our management team, is considering exploring strategic alternatives focused on maximizing shareholder value. Strategic alternatives may include, among others, a strategic investment financing which would allow us to pursue our current business plan to commercialize our products, a business combination such as a merger with another party, or a sale of the Company.
Representation in the Financial Statements of Marpai, Inc.
The unaudited condensed consolidated financial statements of Marpai, Inc and the discussion of the results of our operations in this Quarterly Report, reflect the results of the operations of Marpai for all periods presented. The results for the three months ended March 31, 2025, as applicable, are not necessarily indicative of the results that may be expected for the year ending December 31, 2025.
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Results of Operations
Comparison of the Three Months Ended March 31, 2025 and 2024
The following tables set forth our consolidated results of operations for the periods indicated.
(dollars in thousands)
| Three Months Ended March 31, | ||||||||||||||||
| 2025 | 2024 | Change | % | |||||||||||||
| Revenue | $ | 5,418 | $ | 7,385 | $ | (1,967 | ) | (26.6 | )% | |||||||
| Costs and expenses | ||||||||||||||||
| Cost of revenue (exclusive of depreciation and amortization shown separately below) | 3,484 | 4,871 | (1,387 | ) | (28.5 | )% | ||||||||||
| General and administrative | 2,283 | 3,421 | (1,138 | ) | (33.3 | )% | ||||||||||
| Information technology | 1,390 | 1,124 | 266 | 23.7 | % | |||||||||||
| Sales and marketing | 245 | 602 | (357 | ) | (59.3 | )% | ||||||||||
| Research and development | 7 | 7 | 0 | 0.0 | % | |||||||||||
| Depreciation and amortization | 107 | 951 | (844 | ) | (88.7 | )% | ||||||||||
| Facilities | 152 | 474 | (322 | ) | (67.9 | )% | ||||||||||
| Total costs and expenses | 7,668 | 11,450 | (3,782 | ) | (33.0 | )% | ||||||||||
| Operating loss | (2,250 | ) | (4,065 | ) | 1,815 | (44.6 | )% | |||||||||
| Other income and (expenses) | ||||||||||||||||
| Other income, net | — | 120 | (120 | ) | (100.0 | )% | ||||||||||
| Interest expense, net | (819 | ) | (398 | ) | (421 | ) | 105.8 | % | ||||||||
| Foreign loss gain | — | (3 | ) | 3 | (100.0 | )% | ||||||||||
| Total other expense | (819 | ) | (281 | ) | (538 | ) | 191.5 | % | ||||||||
| Loss before income taxes | (3,069 | ) | (4,346 | ) | 1,277 | (29.4 | )% | |||||||||
| Income tax expense | — | — | — | — | ||||||||||||
| Net loss | $ | (3,069 | ) | $ | (4,346 | ) | $ | 1,277 | (29.4 | )% | ||||||
| Net loss per share, basic and fully diluted | $ | (0.21 | ) | $ | (0.46 | ) | $ | 0.25 | (54.3 | )% | ||||||
Revenues and Cost of Revenue
During the three months ended March 31, 2025 and 2024, our total revenue was $5.4 million and $7.4 million, respectively, representing a decrease in revenue of $2.0 million. The decline is primarily due to customer turnover. The market is evolving, and we are adapting our approach to better serve our customers’ needs. While we have seen some customer turnover, we are confident that our new initiatives will lead to long-term revenue growth.
Total revenues consist of fees that we charge our customers in consideration for administering their self-insured healthcare plans as well as fees that we receive for ancillary services such as care management, case management, cost containment services, and other services provided to our customers by us or other vendors.
During the three months ended March 31, 2025 and 2024, our cost of revenue exclusive of depreciation and amortization was $3.5 million and $4.9 million, respectively, representing a decrease of $1.4 million, which is in line with the decrease in revenue.
Total cost of revenues consists of (i) service fees, which primarily include vendor fees associated with the client’s benefit program selections, (ii) the direct labor cost associated with claim management and processing services, and (iii) direct labor costs associated with providing customer support and services to the clients, members, and other external stakeholders.
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General and Administrative Expenses
We incurred $2.3 million of general and administrative expenses for the three months ended March 31, 2025, compared to $3.4 million for the three months ended March 31, 2024, a decrease of $1.1 million. The reason for the decrease is due to the actions taken throughout 2024 to align the two TPA companies into one.
Information Technology Expenses
We incurred $1.4 million of information technology expenses for the three months ended March 31, 2025, compared to $1.1 million for the three months ended March 31, 2024, an increase of $266 thousand. This increase is due to the change in two departments core functions aligning their tasks with information technology tasks and away from general and administrative tasks.
Sales and Marketing Expenses
We incurred $245 thousand of sales and marketing expenses for the three months ended March 31, 2025, compared to $602 thousand for the three months ended March 31, 2024, a decrease of $357 thousand. The reason for the decrease is due to the actions taken in the second quarter of 2024, including a headcount reduction, to strategically realign our focus and eliminate certain departments to improve overall efficiency and resource allocation.
Research and Development Expenses
We incurred $7 thousand of research and development expenses for the three months ended March 31, 2025 and 2024.
Depreciation and Amortization
We incurred $107 thousand of depreciation and amortization expenses for the three months ended March 31, 2025, compared to $951 thousand for the three months ended March 31, 2024, a decrease of $844 thousand. This decrease was primarily due to the impairment of intangibles in September 2024 and the elimination of fixed assets in November 2024.
Facilities expenses
We incurred facilities expenses of $152 thousand for the three months ended March 31, 2025, compared to facilities expenses of $474 thousand for the three months ended March 31, 2024. The decrease in facilities expenses was due to the strategic decommissioning of unutilized facilities.
Interest Expense, net
We incurred $819 thousand of net interest expense for the three months ended March 31, 2025, compared to $398 thousand for the three months ended March 31, 2024, an increase of $421 thousand. Interest expense increased primarily due to the debt to JGB Collateral LLC (“JGB”) which was partially offset by the decrease in interest due to AXA S.A., a French société anonyme (“AXA”) for the acquisition of Maestro being partially paid down.
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Liquidity and Capital Resources
As of March 31,2025, we had an accumulated deficit of approximately $101.9 million, unrestricted cash and cash equivalents of approximately $729 thousand and negative working capital of approximately $6.9 million. For the three months ended March 31, 2025, we recognized a net loss of approximately $3.1 million and negative cash flows from operations of approximately $115 thousand.
We have spent most of our cash resources on funding our operating activities. Through March 31, 2025, we have financed our operations primarily with the proceeds from loans, the issuance of convertible promissory notes and warrants, and sales of our equity securities.
On January 16, 2024, we entered into a securities purchase agreement (the “Second SPA”) with certain Company insiders consisting of HillCour Investment Fund, LLC, an entity controlled by our Chief Executive Officer, Damien Lamendola, (“HillCour”), our Chairman, Yaron Eitan, and one of our directors, Robert Pons, pursuant to which we agreed and sold 1,322,100 shares of our common stock in a private placement, at a purchase price of $0.9201 per share (the consolidated closing bid price of our common stock on Nasdaq as of January 16, 2024).
On February 5, 2024, we entered into an Agreement of Sale of Future Receipts (the “Libertas Agreement”) with Libertas Funding, LLC (“Libertas”) to sell future receipts totaling $2.2 million for a purchase price of $1.7 million. The future receipts sold were to be delivered weekly to Libertas at predetermined amounts over a period of nine months. The agreement contained an early delivery discount fee for delivering the future receivables before the expiration of the Libertas Agreement and other provisions. Our Chief Executive Officer, Damien Lamendola, provided a guarantee for the funding agreement through various entities he controls. In April 2024, we repaid $1.8 million to Libertas to satisfy the Libertas Agreement in full.
On March 7, 2024, we entered into a securities purchase agreement with HillCour pursuant to which we sold 910,000 shares of common stock in a private placement to HillCour, at a purchase price of $1.65 per share.
On April 15, 2024, we entered into a Securities Purchase Agreement (the “JGB Purchase Agreement”) with each of the purchasers that are parties thereto (the “Purchasers”) and JGB Collateral LLC (“JGB”), a Delaware limited liability company, as collateral agent for the Purchasers (the “Agent”). Pursuant to the terms of the JGB Purchase Agreement, on April 15, 2024, we issued Senior Secured Convertible Debentures due on April 15, 2027 for a principal sum of $11.83 million, subject to the redemption of $5 million at our election (the “Debentures”). In accordance with the JGB Purchase Agreement, JGB purchased an aggregate of $6.35 million in principal amount of the Debentures. On June 21, 2024, we elected not to redeem an additional $5 million of the Debentures with JGB. On December 30, 2024, we entered into amendments to the Purchase Agreement (the “Amendment Agreement”) and the Debentures (each, a “Debenture Amendment” and collectively, the “Debenture Amendments”) with the Purchasers and the Agent, to, among other things, sell Debentures up to an additional aggregate principal amount of $5.4 million, for a total purchase price of $5.0 million (the “Additional Investment”). Pursuant to the terms of the Amendment Agreement and the Debenture Amendments, a total of $2.0 million of the Additional Investment was delivered to the Company at closing, and the balance of $3.0 million of the Additional Investment was being held in escrow pending satisfaction of certain terms and conditions specified in the Amendment Agreement and the Debenture Amendments. On January 17, 2025, we received proceeds of $3.0 million from an additional investment by JGB that had been held in escrow.
On August 28, 2024, we entered into a securities purchase agreement with two investors, including HillCour, pursuant to which we agreed to issue and sell an aggregate of 2,702,702 shares of our common stock (of which HillCour purchased 1,351,351 shares of common stock) in a private placement, at a purchase price of $0.481 per share (or the closing bid price of our common stock on the OTCQX on August 28, 2024).
On December 5, 2024, we entered into a Securities Purchase Agreement with four investors, including Yaron Eitan, our Chairman, Steve Johnson, our Chief Financial Officer and John Powers, our President and Chief Operating Officer, pursuant to which we agreed to issue and sell an aggregate of 621,194 shares of our shares of common stock (of which Mr. Eitan purchased 110,619 shares of common stock, Mr. Johnson purchased 5,000 shares of common stock and Mr. Powers purchased 10,000 shares of common stock) in a private placement, at a purchase price of $1.13 per share.
On May 13, 2025, we entered into a securities purchase agreement with accredited investors, pursuant to which we agreed to issue and sell an aggregate of 730,000 shares of our common stock in a private placement, at a purchase price of $1.00 per share. The offering is expected to close on or about May 14, 2025.
Management continues to evaluate additional funding alternatives and is seeking to raise additional funds through the issuance of equity or debt securities.
If we are unable to raise additional capital moving forward, our ability to operate in the normal course and continue to invest in our product portfolio may be materially and adversely impacted and we may be forced to scale back operations or divest some or all of our assets.
As a result of the above, in connection with our assessment of going concern considerations in accordance with Financial Accounting Standard Accounting Standards Update (“ASU”) 2014-15, “Disclosures of Uncertainties about an Entity’s Ability to Continue as a Going Concern,” management has determined that our liquidity condition raises substantial doubt about our ability to continue as a going concern through twelve months from the date these condensed consolidated financial statements are available to be issued. The condensed consolidated financial statements do not include any adjustments relating to the recovery of the recorded assets or the classification of the liabilities that might be necessary should we be unable to continue as a going concern.
20
Cash Flows
The following tables summarizes selected information about our sources and uses of cash and cash equivalents for the three months ended March 31, 2025 and 2024:
Comparison of the Three months Ended March 31, 2025 and 2024
(in thousands)
| Three months Ended March 31, | ||||||||
| 2025 | 2024 | |||||||
| Net cash provided used in operating activities | $ | (115 | ) | $ | (3,585 | ) | ||
| Net cash provided by investing activities | 500 | — | ||||||
| Net cash provided by financing activities | 1,892 | 3,705 | ||||||
| Net increase in cash and cash equivalents and restricted cash | $ | 2,277 | $ | 120 | ||||
Net Cash Used in Operating Activities
Net cash used in operating activities totaled $115 thousand for the three months ended March 31, 2025, and $3.6 million for the three months ended March 31, 2024. The primary reason for the improvement was the reduction in our net loss from the prior year. Net cash provided by operating activities was primarily driven by our net loss for the period of $3.1 million, net of (i) non-cash items totaling $1.2 million and (ii) an increase in net working capital items amounting to $1.8 million.
Net Cash Provided by Investing Activities
A total of $500 thousand was provided by investing activities for the three months ended March, 31, 2025. The net cash provided by investing activities was due to the collection of cash for the sale of a business unit.
Net Cash Provided by Financing Activities
A total of $1.9 million was received from financing activities during the three months ended March 31, 2025, a decrease of $1.8 million compared to $3.7 million for the three months ended March 31, 2024. The net proceeds for 2025 were provided from senior secured convertible debentures issued on April 15, 2024, in the amount of $2.3 million, partially offset by the repayment of the AXA loan of $196 thousand. The net proceeds for 2024 were provided from the public offering of common stock of $2.7 million, proceeds from the sale of future cash receipts on accounts receivable of $1.5 million partially offset by the repayment of a loan from AXA of $474 thousand, and payments to the buyer of receivables of $57 thousand.
Critical Accounting Policies and Estimates
Our condensed consolidated financial statements are prepared in accordance with U.S. generally accepted accounting principles. The preparation of these condensed consolidated financial statements requires management to make estimates, assumptions and judgments that affect the reported amounts of assets and liabilities and disclosure of contingent assets and liabilities at the date of the financial statements, and the reported amounts of revenue and expenses during the applicable periods. We evaluate our estimates, assumptions and judgments on an ongoing basis. Our estimates, assumptions and judgments are based on historical experience and various other factors that we believe to be reasonable under the circumstances. Different assumptions and judgments would change the estimates used in the preparation of our condensed consolidated financial statements, which, in turn, could change the results from those reported.
See Note 4 to our condensed consolidated financial statements included in this Quarterly Report for a description of the significant accounting policies that we use to prepare our unaudited interim condensed consolidated financial statements.
New Accounting Pronouncements
We have considered recently issued accounting pronouncements and are currently evaluating the impact the adoption of such pronouncements will have on our condensed consolidated financial statements.
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ITEM 3. QUANTITATIVE AND QUALITATIVE DISCLOSURES ABOUT MARKET RISK
Foreign exchange risk
The cash generated from revenue is denominated in U.S. Dollars. Our expenses are generally denominated in the currencies of the jurisdictions in which we conduct our operations, which are in the United States and Israel. Our results of current and future operations and cash flows are therefore subject to fluctuations due to changes in the exchange rate of the New Israeli Shekel (“NIS”). The effect of a hypothetical 10% change in the exchange rate of the NIS versus the U.S. Dollar would not have had a material impact on our historical condensed consolidated financial statements for the three months ended March 31, 2025. To date we have not entered into derivative or hedging transactions, but we may do so in the future if our exposure to foreign currency becomes or is expected to become more significant.
Interest rate risk
We had cash and cash equivalents balances of $729 thousand and $764 thousand on March 31, 2025 and December 31, 2024, respectively. Currently, management does not view this exposure to be a significant risk.
Inflation Risk
Inflation generally affects us by increasing our labor costs. We do not believe that inflation had a material effect on our business, financial condition or results of operations during the three months ended March 31, 2025.
Item 4. Controls and Procedures
Evaluation of Disclosure Controls and Procedures
Under the supervision and with the participation of our management, including our Chief Executive Officer , Chief Financial Officer and Accounting Officer, we conducted an evaluation of the effectiveness of our disclosure controls and procedures (as defined in Rules 13a-15(e) and 15d-15(e) under the Exchange Act) as of the end of the period ended March 31, 2025. Based on this evaluation, our Chief Executive Officer, Chief Financial Officer and Accounting Officer have concluded that, during the period covered by this Quarterly Report, our disclosure controls and procedures were effective.
Disclosure controls and procedures are designed to ensure that information required to be disclosed by us in our Exchange Act reports is recorded, processed, summarized, and reported within the time periods specified in the SEC’s rules and forms, and that such information is accumulated and communicated to our management, including our principal executive officer and principal financial and accounting officer or persons performing similar functions, as appropriate, to allow timely decisions.
Changes in Internal Control over Financial Reporting
There were no changes in our internal control over financial reporting (as defined in Rules 13a-15(f) and 15d-15(f) under the Exchange Act) during the first quarter ended March 31, 2025, that materially affected, or are reasonably likely to materially affect, our internal control over financial reporting.
Limitations on the Effectiveness of Controls
In designing and evaluating our disclosure controls and procedures, management recognizes that any controls and procedures, no matter how well designed and operated, can provide only reasonable assurance of achieving the desired control objectives. In addition, the design of disclosure controls and procedures must reflect the fact that there are resource constraints, and that management is required to apply judgment in evaluating the benefits of possible controls and procedures relative to their costs.
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PART II – OTHER INFORMATION
Item 1A. Risk Factors.
In addition to the other information set forth in this report, you should carefully consider the factors discussed below and in Part I, “Item 1A. Risk Factors” in our 2024 Annual Report, which could materially affect our business, financial condition or future results.
Currently, our revenues are concentrated with a few major customers and our revenues may decrease significantly if we were to lose those major customers.
Due to our limited operating history, we have a limited customer base and have depended on a few major customer for a significant portion of our revenue. For the three month period ended March 31, 2025, we had no single customer that accounted for more than 10% of total revenue. For the three month period ended March 31, 2024, we had one customer that accounted for 15.0% of total revenue. As of March 31, 2025, two of our customers accounted for 35.4%, and 28.1% of accounts receivable. As of December 31, 2024, two customers accounted for 38.2% and 15.6% of accounts receivable.
If our major customers were to terminate their agreement with us, or if we fail to adequately perform under our agreement, and if we are unable to diversify our customer base, our revenue could decline, and our results of operations could be adversely affected.
We are reviewing strategic alternatives and there can be no assurance that we will be successful in identifying or completing any strategic transaction, that any such strategic transaction will result in additional value for our stockholders or that the process will not have an adverse impact on our business.
The process of reviewing strategic alternatives may be costly, time consuming and disruptive to our business operations and, if we are unable to effectively manage the process, our business, financial condition and results of operations could be adversely affected. We may incur significant costs associated with identifying, evaluating and negotiating potential strategic alternatives, such as legal, financial advisor and accounting fees and expenses and other related charges. We may also incur additional unanticipated expenses in connection with this process. A considerable portion of these costs will be incurred regardless of whether any such course of action is implemented or transaction is completed, decreasing cash available for use in our business.
There can be no assurance that any potential transaction, or series of transactions, or other strategic alternative, if found and if consummated, will provide greater value to our stockholders than that reflected in the current price of our common stock. Until the review process is concluded, perceived uncertainties related to our future may impact our business performance and volatility in the market price of our common stock and may make it more difficult for us to attract and retain qualified personnel and key employees. Our Board has not set a timetable for the conclusion of this review, nor has it made any definitive decisions related to taking any further actions or potential strategic options at this time or at all.
Item 5. Other Information.
On May 13, 2025, we entered into a securities purchase agreement with accredited investors, pursuant to which we agreed to issue and sell an aggregate of 730,000 shares of our common stock in a private placement, at a purchase price of $1.00 per share. The offering is expected to close on or about May 14, 2025. We claimed exemption from registration under the Securities Act of 1933, as amended, for the foregoing transactions under Section 4(a)(2) and/or Rule 506(b) of Regulation D promulgated thereunder.
Item 6. Exhibits.
| * | Filed herewith. |
| ** | Furnished herewith. |
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SIGNATURES
Pursuant to the requirements of the Securities Exchange Act of 1934, the registrant has duly caused this report to be signed on its behalf by the undersigned, thereunto duly authorized.
| MARPAI, INC. | ||
| Date: May 14, 2025 | /s/ Damien Lamendola | |
| Name: | Damien Lamendola | |
| Title: | Chief Executive Officer | |
| (Principal Executive Officer) | ||
| /s/ Steve Johnson | ||
| Name: | Steve Johnson | |
| Title | Chief Financial Officer | |
| (Principal Financial and Accounting Officer) | ||
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