UNITED STATES

SECURITIES AND EXCHANGE COMMISSION

Washington, D.C. 20549

FORM 10-Q

(Mark One)

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

For the quarterly period ended ~~June~~September 30, 2023

☐	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 000-52985

SANUWAVE Health, Inc.

(Exact name of registrant as specified in its charter)

Nevada		20-1176000
(State or other jurisdiction of incorporation or organization)		(I.R.S. Employer Identification No.)

11495 Valley View Road Eden Prairie, MN		55344
(Address of principal executive offices)		(Zip Code)

(770) 419-7525

(Registrant’s telephone number, including area code)

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

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

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

Indicate by check mark whether the registrant has submitted electronically every Interactive Data File required to be submitted pursuant to Rule 405 of Regulation S-T (§232.405 of this chapter) during the preceding 12 months (or for such shorter period that the registrant was required to submit such files). ☒ Yes ☐ No

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

	Large accelerated filer ☐	Accelerated filer ☐
	Non-accelerated filer ☒	Smaller reporting company ☒
		Emerging growth company ☐

If an emerging growth company, indicate by check mark if the registrant has elected not to use the extended transition period for complying with any new or revised financial accounting standards provided pursuant to Section 13(a) of the Exchange Act. ☐

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

As of ~~August~~ 7,November 8, 2023 there were issued and outstanding 1,026,078,464 shares of the registrant’s common stock, $0.001 par value per share.

SANUWAVE Health, Inc.

Table of Contents

		Page
PART I – FINANCIAL INFORMATION

Item 1.	Financial Statements (Unaudited)	4

	Condensed Consolidated Balance Sheets as of ~~June~~September 30, 2023 and December 31, 2022	4

	Condensed Consolidated Statements of Comprehensive ~~Loss/Income~~Loss for the three and ~~six~~nine months ended ~~June~~September 30, 2023, and 2022	5

	Condensed Consolidated Statements of Stockholders’ Deficit for the three and ~~six~~nine months ended ~~June~~September 30, 2023, and 2022	6

	Condensed Consolidated Statements of Cash Flows for the ~~six~~nine months ended ~~June~~September 30, 2023, and 2022	8

	Notes to Unaudited Condensed Consolidated Financial Statements	9

Item 2.	Management’s Discussion and Analysis of Financial Condition and Results of Operations	1718

Item 3.	Quantitative and Qualitative Disclosures About Market Risk	2123

Item 4.	Controls and Procedures	2123

PART II – OTHER INFORMATION

Item 1.	Legal Proceedings	2224

Item 1A.	Risk Factors	2224

Item 2.	Unregistered Sales of Equity Securities, ~~and~~ Use of Proceeds, and Issuer Purchases of Equity Securities	2225

Item 3.	Defaults Upon Senior Securities	2226

Item 4.	Mine Safety Disclosures	2226

Item 5.	Other Information	2226

Item 6.	Exhibits	2326

	SIGNATURES	2528

2

Table of Contents

Special Note Regarding Forward-Looking Statements

This Quarterly Report on Form 10-Q of SANUWAVE Health, Inc. and its subsidiaries (“~~SANUWAVE” or~~SANUWAVE,” the ~~“Company”~~“Company,” “we,” “us,” and “our”) contains forward-looking statements. All statements in this Quarterly Report on Form 10-Q, including those made by the management of the Company, other than statements of historical fact, are forward-looking statements. Examples of forward-looking statements include statements regarding: our proposed business combination with SEP Acquisition, Corp., results of operations, liquidity, and operations, restrictions and new regulations on our operations and processes, including the execution of clinical trials; the Company’s future financial results, operating results, and projected costs; market acceptance of and demand for UltraMIST and PACE® systems; management’s plans and objectives for future operations; industry trends; regulatory actions that could adversely affect the price of or demand for our approved products; our intellectual property portfolio; our business, marketing and manufacturing capacity and strategy; estimates regarding our capital requirements, the anticipated timing of the need for additional funds, and our expectations regarding future capital-raising transactions, including through investments by strategic partners for market opportunities, which may include strategic partnerships or licensing agreements, or raising capital through the conversion of outstanding warrants or issuances of securities; product liability claims; economic conditions that could adversely affect the level of demand for or cost of our products; timing of clinical studies and any eventual U.S. Food and Drug Administration (“FDA”) approval of new products and new uses of our existing products; financial markets; the competitive environment; supplier and customer disputes; and our plans to remediate our material weaknesses in our disclosure controls and procedures and our internal control over financial reporting. These forward-looking statements are based on management’s estimates, projections, and assumptions as of the date hereof and include the assumptions that underlie such statements. Forward-looking statements may contain words such as “may,” “will,” “should,” “could,” “would,” “expect,” “plan,” “anticipate,” “believe,” “estimate,” “predict,” “potential” and “continue,” the negative of these terms, or other comparable terminology. Any expectations based on these forward-looking statements are subject to risks and uncertainties and other important factors, including those discussed in the reports we file with the Securities and Exchange Commission (the “SEC”), specifically the sections titled “Risk Factors” and “Management’s Discussion and Analysis of Financial Condition and Results of Operations” in the Company’s Annual Report on Form 10-K for the year ended December 31, 2022, filed on March 31, 2023. Other risks and uncertainties are and will be disclosed in the Company’s subsequent SEC ~~filings.~~filings, including this Quarterly Report on Form 10-Q. These and many other factors could affect the Company’s future financial condition and operating results and could cause actual results to differ materially from expectations based on forward-looking statements made in this document or elsewhere by the Company or on its behalf. The Company undertakes no obligation to revise or update any forward-looking statements. The following information should be read in conjunction with the financial statements included in the Company’s Annual Report on Form 10-K for the year ended December 31, 2022, filed on March 31, 2023.

Except as otherwise indicated by the context, references in this Quarterly Report on Form 10-Q to “we,” “us” and “our” are to the consolidated business of the Company.

3

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PART I -- FINANCIAL INFORMATION

ITEM 1.

FINANCIAL STATEMENTS

SANUWAVE HEALTH, INC. AND SUBSIDIARIES

CONDENSED CONSOLIDATED BALANCE SHEETS

(UNAUDITED)

(In thousands, except share data)

	June 30, 2023			December 31, 2022			September 30, 2023			December 31, 2022
ASSETS
Current Assets:
Cash	$	332		$	1,153		$	1,095		$	1,153
Restricted Cash		850			-
Accounts receivable, net of allowance of $1,214 and $1,037, respectively		2,818			4,029
Accounts receivable, net of allowance of $1,247 and $1,037, respectively								3,231			4,029
Inventory		900			868			1,713			868
Prepaid expenses and other current assets		1,201			570			1,355			570
Total Current Assets		6,101			6,620			7,394			6,620
Property, equipment and other, net		1,050			856			1,079			856
Intangible assets, net		4,786			5,137			4,609			5,137
Goodwill		7,260			7,260			7,260			7,260
Total Non-current Assets		13,096			13,253			12,948			13,253
Total Assets	$	19,197		$	19,873		$	20,342		$	19,873

LIABILITIES
Current Liabilities:
Senior secured debt, in default	$	16,123		$	14,416		$	17,645		$	14,416
Convertible promissory notes payable		17,712			16,713			7,553			16,713
Convertible promissory notes payable, related parties		8,346			7,409			2,495			7,409
Bridge notes advance		1,476			-
Asset-backed secured promissory notes								6,576			-
Asset-backed secured promissory notes, related parties								3,094			-
Accounts payable		4,859			4,400			4,623			4,400
Accrued expenses		6,351			8,512			6,359			8,512
Factoring liabilities		1,213			2,130			1,814			2,130
Warrant liability		14,410			1,416			28,106			1,416
Accrued interest		6,174			4,052			5,369			4,052
Accrued interest, related parties		1,438			788			729			788
Current portion of contract liabilities		67			60			68			60
Other		1,108			291			1,003			291
Total Current Liabilities		79,277			60,187			85,434			60,187
Non-current Liabilities
Lease liabilities		515			438			550			438
Contract liabilities		215			230			284			230
Deferred tax liability		28			28			28			28
Total Non-currrent Liabilities		758			696			862			696
Total Liabilities	$	80,035		$	60,883		$	86,296		$	60,883

Commitments and Contingencies (Footnote 13)

STOCKHOLDERS’ DEFICIT

Preferred Stock, par value $0.001, 5,000,000 shares authorized; 6,175 shares Series A, 293 shares Series B, 90 shares Series C and 8 shares Series D no shares issued and outstanding at June 30, 2023 and December 31, 2022	$	-		$	-
Common Stock, par value $0.001, 2,500,000,000 shares authorized; 561,637,651 and 548,737,651 issued and outstanding at June 30, 2023 December 31, 2022, respectively		562			549
Preferred Stock, par value $0.001, 5,000,000 shares authorized; 6,175 shares Series A, 293 shares Series B, 90 shares Series C and 8 shares Series D no shares issued and outstanding at September 30, 2023 and December 31, 2022							$	-		$	-
Common stock, par value $0.001, 2,500,000,000 shares authorized; 1,026,078,464 and 548,737,651 issued and outstanding at September 30, 2023 and December 31, 2022, respectively								1,026			549
Additional paid-in capital		153,264			152,750			171,377			152,750
Accumulated deficit		(214,584	)		(194,242	)		(238,284	)		(194,242	)
Accumulated other comprehensive loss		(80	)		(67	)		(73	)		(67	)
Total Stockholders’ Deficit		(60,838	)		(41,010	)		(65,954	)		(41,010	)
Total Liabilities and Stockholders’ Deficit	$	19,197		$	19,873		$	20,342		$	19,873

The accompanying notes to condensed consolidated financial ~~statement~~statements are an integral part of these financial statements.

4

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SANUWAVE HEALTH, INC. AND SUBSIDIARIES

CONDENSED CONSOLIDATED STATEMENTS OF COMPREHENSIVE (LOSS)/INCOME~~/INCOME~~

(UNAUDITED)

(In thousands, except share data)

	Three Months Ended June 30,						Six Months Ended June 30,						Three Months Ended September 30,						Nine Months Ended September 30,
	2023			2022			2023			2022			2023			2022			2023			2022
Revenue	$	4,675		$	3,882		$	8,450		$	7,077		$	4,953		$	4,166		$	13,404		$	11,242
Cost of Revenues		1,202			1,096			2,464			1,986			1,412			1,157			3,876			3,141
Gross Margin		3,473			2,786			5,986			5,091			3,541			3,009			9,528			8,101

Operating Expenses:
General and administrative		1,238			3,781			3,997			5,986			2,681			3,498			6,678			9,484
Selling and marketing		978			1,672			2,390			3,387			1,039			1,650			3,430			5,037
Research and development		139			171			270			337			165			157			436			494
Depreciation and amortization		187			210			376			386			187			189			563			575
Total Operating Expenses		2,542			5,834			7,033			10,096			4,072			5,494			11,107			15,590

Operating Income/(Loss)		931			(3,048	)		(1,047	)		(5,005	)
Operating Loss														(531	)		(2,485	)		(1,579	)		(7,489	)

Other Income (Expense):
Other (Expense)/Income:
Interest expense		(3,706	)		(2,903	)		(7,218	)		(6,040	)		(2,907	)		(3,382	)		(10,125	)		(9,421	)
Interest expense, related party		(675	)		(56	)		(1,441	)		(112	)		(938	)		(439	)		(2,379	)		(551	)
Change in fair value of derivative liabilities		(3,821	)		7,861			(10,618	)		11,343			(19,325	)		5,252			(29,943	)		16,597
Loss on issuance of debt		-			-			-			(3,434	)		-			-			-			(3,434	)
Loss on extinguishment of debt		-			(211	)		-			(211	)		-			(86	)		-			(297	)
Other (expense) income		9			1			(18	)		2			1			1			(16	)		(1	)
Total Other (Expense)/Inocme		(8,193	)		4,692			(19,295	)		1,548
Total Other (Expense)/Income														(23,169	)		1,346			(42,463	)		2,893

Net (Loss)/Income before Income Taxes		(7,262	)		1,644			(20,342	)		(3,457	)
Net Loss before Income Taxes														(23,700	)		(1,139	)		(44,042	)		(4,596	)

Provision for Income Taxes		-			-			-			-			-			-			-			-

Net (Loss)/Income		(7,262	)		1,644			(20,342	)		(3,457	)
Net Loss														(23,700	)		(1,139	)		(44,042	)		(4,596	)

Other Comprehensive Loss
Foreign currency translation adjustments		(9	)		-			(13	)		-			7			-			(6	)		6

Total Comprehensive (Loss)/Income	$	(7,271	)	$	1,644		$	(20,355	)	$	(3,457	)
Total Comprehensive Loss													$	(23,693	)	$	(1,139	)	$	(44,048	)	$	(4,590	)

(Loss) income per Share:
Basic	$	(0.01	)	$	-		$	(0.04	)	$	(0.01	)
Diluted	$	(0.01	)	$	-		$	(0.04	)	$	(0.01	)
Loss per Share:
Basic and diluted													$	(0.03	)	$	(0.00	)	$	(0.06	)	$	(0.01	)
Weighted average shares outstanding
Basic		582,328,811			538,560,051			579,178,811			532,589,825
Diluted		582,328,811			871,984,091			579,178,811			532,589,825
Basic and diluted														892,956,020			561,069,625			683,771,214			542,484,779

The accompanying notes to condensed consolidated financial statements are an integral part of these financial statements.

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SANUWAVE HEALTH, INC. AND SUBSIDIARIES

CONDENSED CONSOLIDATED STATEMENTS OF STOCKHOLDERS’ DEFICIT

(UNAUDITED)

(In thousands, except share data)

Three Months Ended June 30, 2023
Three Months Ended September 30, 2023																Three Months Ended September 30, 2023
	Common Stock																Common Stock
	Number of									Accumulated							Number of									Accumulated
	Shares									Other							Shares									Other
	Issued and				Additional Paid-		Accumulated			Comprehensive							Issued and				Additional Paid-		Accumulated			Comprehensive
	Outstanding		Par Value		in Capital		Deficit			Loss			Total				Outstanding		Par Value		in Capital		Deficit			Loss			Total

Balances as of March 31, 2023		555,637,651	$	556	$	153,046	$	(207,322	)	$	(71	)	$	(53,791	)
Shares issued for services		6,000,000		6		218		-						224
Balances as of June 30, 2023																		561,637,651	$	562	$	153,264	$	(214,584	)	$	(80	)	$	(60,838	)
Shares issued for settlement of debt																		464,440,813		464		18,113		-			-			18,577
Net loss		-		-		-		(7,262	)		-			(7,262	)			-		-		-		(23,700	)		-			(23,700	)
Foreign currency translation adjustment		-		-		-		-			(9	)		(9	)			-		-		-		-			7			7

Balances as of June 30, 2023		561,637,651	$	562	$	153,264	$	(214,584	)	$	(80	)	$	(60,838	)
Balances as of September 30, 2023																		1,026,078,464	$	1,026	$	171,377	$	(238,284	)	$	(73	)	$	(65,954	)

Three Months Ended June 30, 2022
Common Stock
Number of Accumulated
Shares Other
Issued and Additional Paid- Accumulated Comprehensive
Outstanding Par Value in Capital Deficit Loss Total

Balances as of March 31, 2022

517,195,705

$
517

$
150,533

$
(189,050
)

$
(67
)

$
(38,067
)
Shares issued for services 12,097,500
12 876 - - 888
Net Income

-

-

-

1,644

-

1,644

Foreign currency translation adjustment - - - - - -

Balances as of June 30, 2022

529,293,205

$
529

$
151,409

$
(187,406
)

$
(67
)

$
(35,535
)

Three Months Ended September 30, 2022
	Common Stock
	Number of									Accumulated
	Shares									Other
	Issued and				Additional Paid-		Accumulated			Comprehensive
	Outstanding		Par Value		in Capital		Deficit			Loss			Total

Balances as of June 30, 2022		529,293,205	$	529	$	151,409	$	(187,406	)	$	(67	)	$	(35,535	)
Shares issued for settlement of debt and warrants		19,444,446		20		1,341		-			-			1,361
Net loss		-		-		-		(1,139	)		-			(1,139	)

Balances as of September 30, 2022		548,737,651	$	549	$	152,750	$	(188,545	)	$	(67	)	$	(35,313	)

The accompanying notes to condensed consolidated financial statements are an integral part of these financial statements.

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SANUWAVE HEALTH, INC. AND SUBSIDIARIES

CONDENSED CONSOLIDATED STATEMENTS OF STOCKHOLDERS’ DEFICIT

(UNAUDITED)

(In thousands, except share data)

Six Months Ended June 30, 2023
Nine Months Ended September 30, 2023																Nine Months Ended September 30, 2023
	Common Stock																Common Stock
	Number of									Accumulated							Number of									Accumulated
	Shares									Other							Shares									Other
	Issued and				Additional Paid-		Accumulated			Comprehensive							Issued and				Additional Paid-		Accumulated			Comprehensive
	Outstanding		Par Value		in Capital		Deficit			Loss			Total				Outstanding		Par Value		in Capital		Deficit			Loss			Total

Balances as of December 31, 2022		548,737,651	$	549	$	152,750	$	(194,242	)	$	(67	)	$	(41,010	)			548,737,651	$	549	$	152,750	$	(194,242	)	$	(67	)	$	(41,010	)
Shares issued for services		12,900,000		13		514		-			-			527				12,900,000		13		514		-			-			527
Shares issued for settlement of debt																		464,440,813		464		18,113		-			-			18,577
Net loss		-		-		-		(20,342	)		-			(20,342	)			-		-		-		(44,042	)		-			(44,042	)
Foreign currency translation adjustment		-		-		-		-			(13	)		(13	)			-		-		-		-			(6	)		(6	)

Balances as of June 30, 2023		561,637,651	$	562	$	153,264	$	(214,584	)	$	(80	)	$	(60,838	)
Balances as of September 30, 2023																		1,026,078,464	$	1,026	$	171,377	$	(238,284	)	$	(73	)	$	(65,954	)

Six Months Ended June 30, 2022
Nine Months Ended September 30, 2022																Nine Months Ended September 30, 2022
	Common Stock																Common Stock
	Number of									Accumulated							Number of									Accumulated
	Shares									Other							Shares									Other
	Issued and				Additional Paid-		Accumulated			Comprehensive							Issued and				Additional Paid-		Accumulated			Comprehensive
	Outstanding		Par Value		in Capital		Deficit			Loss			Total				Outstanding		Par Value		in Capital		Deficit			Loss			Total

Balances as of December 31, 2021		481,619,621	$	482	$	144,582	$	(183,949	)	$	(73	)	$	(38,958	)			481,619,621	$	482	$	144,582	$	(183,949	)	$	(73	)	$	(38,958	)
Cashless warrant exercise		14,000,000		14		2,152		-			-			2,166				14,000,000		14		2,152		-			-			2,166
Warrant exercise		909,091		1		99		-			-			100				909,091		1		99		-			-			100
Shares issued in conjunction with Note Payable		20,666,993		20		3,700		-			-			3,720				20,666,993		20		3,700		-			-			3,720
Shares issued for services		12,097,500		12		876		-			-			888
Shares issued for settlement of debt and warrants																		19,444,446		20		1,341		-			-			1,361
Shsares issued for services																		12,097,500		12		876		-			-			888
Net loss		-		-		-		(3,457	)		-			(3,457	)			-		-		-		(4,596	)		-			(4,596	)
Foreign currency translation adjustment		-		-		-		-			6			6				-		-		-		-			6			6

Balances as of June 30, 2022		529,293,205	$	529	$	151,409	$	(187,406	)	$	(67	)	$	(35,535	)
Balances as of September 30, 2022																		548,737,651	$	549	$	152,750	$	(188,545	)	$	(67	)	$	(35,313	)

The accompanying notes to condensed consolidated financial statements are an integral part of these financial statements.

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SANUWAVE HEALTH, INC. AND SUBSIDIARIES

CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS

(UNAUDITED)

(In thousands)

	Six Months Ended June 30,						Nine Months Ended September 30,
	2023			2022			2023			2022
Cash Flows - Operating Acivities:
Cash Flows - Operating Activities:
Net loss	$	(20,342	)	$	(3,457	)	$	(44,042	)	$	(4,596	)
Adjustments to reconcile net loss to net cash used by operating activities
Depreciation and amortization		515			446			780			681
Bad debt expense		313			52			547			62
Shares issued for services		224			888			224			888
Change in fair value of derivative liabilities		10,618			(11,343	)		29,943			(16,597	)
Loss on extinguishment of debt		-			211			-			297
Loss on issuance of debt		-			3,434			-			3,434
Amortization of debt issuance costs and original issue discount		3,955			1,304			5,656			2,998
Accrued interest		3,606			1,327			5,529			2,004
Gain on sale of property and equipment, net								-			51
Changes in operating assets and liabilities
Accounts receivable - trade		898			733			253			69
Inventory		(31	)		115			(844	)		178
Prepaid expenses and other assets		(336	)		(27	)		(487	)		(656	)
Accounts payable		718			(486	)		464			(1,693	)
Accrued expenses		(1,337	)		1,710			(1,326	)		(202	)
Contract liabilties		(16	)		(108	)
Contract liabilities								50			(94	)
Net Cash Used in Operating Activities		(1,215	)		(5,201	)		(3,253	)		(13,176	)

Cash Flows - Investing Activities
Proceeds from sale of property and equipment		-			948			13			1,022
Purchase of property and equipment		(169	)		-			(169	)		-
Net Cash Flows (Used in)/Provided by Investing Activities		(169	)		948			(156	)		1,022

Cash Flows - Financing Activities
Proceeds from senior promissory notes		-			2,940			-			2,940
Proceeds from convertible promissory notes payable		1,202			-			1,202			12,366
Proceeds from bridge notes advance		1,476			2,130
Proceeds from bridge notes payable								2,994			640
Payments to factoring agent, net		(1,167	)		55			(710	)		(227	)
Proceeds from warrant exercises		-			100			-			100
Payments of principal on finance leases		(85	)		(121	)		(130	)		(174	)
Payments of principal on convertible promissory notes and SBA loans								-			(2,981	)
Net Cash Flows Provided by Financing Activities		1,426			5,104			3,356			12,664

Effect of Exchange Rates on Cash		(13	)		14			(5	)		(17	)

Net Change in Cash and Restricted Cash During Period		29			865
Net Change in Cash During Period								(58	)		493

Cash and Restricted Cash at Beginning of Period		1,153			619
Cash and Restricted Cash at End of Period	$	1,182		$	1,484
Cash at Beginning of Period								1,153			619
Cash at End of Period							$	1,095		$	1,112

Supplemental Information:
Cash paid for interest	$	908		$	2,045		$	984		$	3,345

Non-cash Investing and Financing Activities:
Warrants issued in conjunction with senior secured promissory note payable and convertible promissory notes payable	$	570		$	2,654		$	570		$	4,117
Conversion of convertible notes payable to common stock								18,577			-
Common shares issued for advisory shares		302			-			302			-
Embedded conversion feature on convertible promissory notes payable		157			-
Embedded conversion feature on convertible promissory notes payable and bridge notes payable								(520	)		2,309
Reclassification of warrant liability due to cashless warrant exercise		-			2,167			-			2,166
Working capital balances refinanced into convertible notes payable								-			2,273
Settlement of debt and warrants with stock								-			1,361
Common shares issued in conjunction with senior secured promissory note payable		-			3,720			-			3,720

The accompanying notes to condensed consolidated financial statements are an integral part of these financial statements.

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SANUWAVE HEALTH, INC. AND SUBSIDIARIES

NOTES TO UNAUDITED CONDENSED CONSOLIDATED FINANCIAL STATEMENTS

~~June~~September 30, 2023

1.	Nature of the Business and Basis of Presentation

SANUWAVE Health, Inc. and subsidiaries (“SANUWAVE” or the “Company”) is focused on the commercialization of its patented noninvasive and biological response activating medical systems for the repair and regeneration of skin, musculoskeletal tissue, and vascular structures.

Basis of Presentation – The accompanying unaudited condensed consolidated financial statements of the Company have been prepared in accordance with accounting principles generally accepted in the United States of America (“U.S. GAAP”) for interim financial information and with the instructions to Form 10-Q and Article 8-03 of Regulation S-X. Accordingly, these condensed consolidated financial statements do not include all the information and disclosures required by U.S. GAAP for comprehensive financial statements.

The financial information as of ~~June~~September 30, 2023, and for the three and ~~six~~nine months ended ~~June~~September 30, 2023, and 2022 is unaudited; however, in the opinion of management, all adjustments (consisting of normal recurring accruals) considered necessary for a fair statement have been included. Operating results for the three and ~~six~~nine months ended ~~June~~September 30, 2023, are not necessarily indicative of the results that may be expected for any other interim period or for the year ending December 31, 2023.

The condensed consolidated balance sheet on December 31, 2022, has been derived from the audited consolidated financial statements at that date but does not include all the information and disclosures required by U.S. GAAP for comprehensive financial statements. These financial statements should be read in conjunction with the Company’s December 31, 2022, Annual Report on Form 10-K filed with the SEC on March 31, 2023 (the “2022 Annual Report”).

Reclassifications - Certain accounts in the prior period condensed consolidated financial statements have been reclassified to conform to the presentation of the current period condensed consolidated financial statements. These reclassifications had no effect on the previously reported operating results.

2.	Going Concern

The recurring losses from operations, the events of default on the Company’s notes payable, and dependency upon future issuances of equity or other financing to fund ongoing operations have raised substantial doubt as to our ability to continue as a going concern for a period of at least twelve months from the filing of this Form 10-Q. The Company expects to devote substantial resources for the commercialization of UltraMIST and PACE systems which will require additional capital resources to remain a going concern.

Management’s plans are to obtain additional capital in 2023,or early 2024, primarily through closing the Merger, as defined in Note 4. For additional information regarding the Merger, please see Note 4. The Company could also obtain additional capital through the conversion of outstanding warrants, issuance of common or preferred stock, securities convertible into common stock, or secured or unsecured debt. These possibilities, to the extent available, may be on terms that result in significant dilution to the Company’s existing stockholders. In addition, there can be no assurances that the Company’s plans to obtain additional capital will be successful on the terms or timeline it expects, or at all. If these efforts are unsuccessful, the Company may be required to significantly curtail or discontinue operations or, if available, obtain funds through financing transactions with unfavorable terms.

The accompanying condensed consolidated financial statements have been prepared in conformity with U.S. GAAP, which contemplate continuation of the Company as a going concern and the realization of assets and satisfaction of liabilities in the normal course of business. The carrying amounts of assets and liabilities presented in the condensed consolidated financial statements do not necessarily purport to represent realizable or settlement values. The condensed consolidated financial statements do not include any adjustment that might result from the outcome of this uncertainty. The Company’s condensed consolidated financial statements do not include any adjustments relating to the recoverability of assets and classification of assets and liabilities that might be necessary should the Company be unable to continue as a going concern.

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3.	Summary of Significant Accounting Policies

Significant accounting policies followed by the Company are summarized below and should be read in conjunction with those described in Note 4 of the consolidated financial statements in our 2022 Annual Report.

Estimates – These condensed consolidated financial statements have been prepared in accordance with U.S. GAAP. Because a precise determination of assets and liabilities, and correspondingly revenues and expenses, depend on future events, the preparation of condensed consolidated financial statements for any period necessarily involves the use of estimates and assumptions. Actual amounts may differ from these estimates. These condensed consolidated financial statements have, in management’s opinion, been properly prepared within reasonable limits of materiality and within the framework of the accounting policies summarized herein.

Significant estimates include the recording of allowances for doubtful accounts, the net realizable value of inventory, useful lives of long-lived assets, fair value of goodwill and other intangible assets, the determination of the valuation allowances for deferred taxes, estimated fair value of stock-based compensation, and the estimated fair value of financial instruments, including warrants and embedded conversion options.

Revenue Recognition - The core principle of Accounting Standards Codification (“ASC”) Topic 606 “Revenue from Contracts with Customers” (“ASC 606”) requires that an entity recognize revenue to depict the transfer of promised goods or services to customers in an amount that reflects the consideration to which the company expects to be entitled in exchange for those goods or services. The Company allocates the transaction price to all contractual performance obligations included in the contract. If a contract has more than one performance obligation, we allocate the transaction price to each performance obligation based on standalone selling price, which depicts the amount of consideration we expect to be entitled in exchange for satisfying each performance obligation. The Company recognizes revenue primarily from the following types of contracts:

System Sales, Accessory and Part Sales - System sales, accessory and part sales include devices and applicators (new and refurbished). Performance obligations are satisfied at the point in time when the customer obtains control of the goods, which is generally at the point in time that the product is shipped.

Licensing Fees - Licensing transactions include distribution licenses and intellectual property licenses. Licensing revenue is recognized as the Company satisfies its performance obligations, which may vary with the terms of the licensing agreement.

Other Revenue - Other revenue primarily includes warranties, repairs, and billed freight. The Company allocates the device sales price to the product and the embedded warranty by reference to the stand-alone extended warranty price. Warranty revenue is recognized over the time that the Company satisfies its performance obligations, which is generally the warranty term. Repairs (parts and labor) and billed freight revenue are recognized at the point in time that the service is performed, or the product is shipped, respectively.

Deferred Offering Costs-Deferred stock offering costs represent amounts paid for legal, consulting, and other offering expenses directly attributable to the offering of securities in conjunction with the recapitalization under the Merger Agreement, as defined in Note 4 and further described in Note 4 and are deferred and charged against the gross proceeds of the offering. In the event of a significant delay or cancellation of a planned offering of securities, all the costs would be expensed. As of September 30, 2023, $732 thousand in Merger costs were deferred until the closing of the Merger.

Recent Accounting Pronouncements – In June 2016, the Financial Accounting Standards Board (FASB) issued Accounting Standards Update (ASU) 2016-13, Financial Instruments – Credit Losses (Topic 326): Measurement of Credit Losses on Financial Instruments, which was subsequently revised by ASU 2018-19. The ASU introduces a new model for assessing impairment of most financial assets. Entities are required to use a forward-looking expected loss model, which replaces the current incurred loss model, resulting in earlier recognition of allowance for losses. The Company adopted this ASU in January 2023, and there was no material impact on the condensed consolidated financial statements.

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4.	Merger Agreement

On August 23, 2023, the Company entered into an Agreement and Plan of Merger (the “Merger Agreement”) by and among SEP Acquisition Corp., a Delaware corporation (“SEPA”), SEP Acquisition Holdings Inc., a Nevada corporation and a wholly owned subsidiary of SEPA (“Merger Sub”). Pursuant to the terms of the Merger Agreement, a business combination between the Company and SEPA (the “Merger”) will be affected. More specifically, and as described in greater detail below, at the effective time of the Merger (the “Effective Time”):

•

Merger Sub will merge with and into the Company, with the Company being the surviving company following the merger.

•

Each issued and outstanding share of the Company’s common stock, will automatically be converted into Class A common stock of SEPA, par value $0.0001 per share (the “Class A Common Stock”), at the Conversion Ratio (as defined in the Merger Agreement); and

•

Outstanding convertible securities of the Company will be assumed by SEPA and will be converted into the right to receive Class A Common Stock of SEPA.

If the Merger Agreement is consummated SEPA will acquire 100% of the Company’s issued and outstanding equity securities. The proposed merger will be accounted for as a “reverse recapitalization” in accordance with US GAAP. Under the reserve recapitalization model, the transaction will be treated as the Company issuing equity for the net assets of SEPA, with no goodwill or intangible assets recorded. Under this method of accounting, SEPA will be treated as the acquired company for financial reporting purposes. This determination is primarily based on the fact that following the merger, the Company’s stockholders are expected to have a majority voting power of the combined company, approximately 69 – 70%, the Company will comprise all of the ongoing operations of the combined company, Company representatives will comprise a majority of the governing body of the combined company, and the Company’s senior management will comprise all of the senior management of the combined company. As a result of the merger, SEAQP will be renamed Sanuwave Health, Inc.

Merger Consideration -The consideration to be delivered to the Company’s securityholders by SEPA in connection with the consummation of the Merger (the “Closing”) will consist solely of 7,793,000 shares of Class A Common Stock and, in the case of certain Securityholders, of securities convertible into or exercisable for new shares of Class A Common Stock reserved for issuance from the merger consideration (the “Merger Consideration”). The Merger Consideration deliverable to the Company’s stockholders will be allocated pro rata based on their ownership after giving effect to the required conversion or exercise, as applicable, of all the outstanding convertible notes, in-the-money options, and in-the-money warrants immediately prior to the Closing.

Out-of-the-money options and out-of-the-money warrants will be assumed by SEPA and converted into options or warrants, respectively, exercisable for shares of Class A Common Stock based on the Conversion Ratio; however, such out-of-the-money options and warrants shall not be reserved for issuance from the Merger Consideration.

Conditions to Closing -The Merger Agreement contains customary conditions to Closing, including the following mutual conditions of the parties (unless waived): (i) approval of the stockholders of the Company and SEPA; (ii) approvals of any required governmental authorities; (iii) no law or order preventing the Transactions; (iv) the filing of the Charter Amendments; (v) the appointment of SEPA’s post-closing board of directors; (vi) the Registration Statement having been declared effective by the SEC; (vii) approval of the Class A Common Stock of SEPA for listing on Nasdaq; (viii) holders of 80% or more of the Company’s convertible notes with a maturity date occurring after the date of the Closing (the “Closing Date”), measured by number of shares into which such convertible notes may be converted, agreeing to convert their convertible notes into shares common stock immediately prior to the Effective Time; and (ix) holders of 80% or more of the Company’s warrants that would be outstanding on the Closing Date, measured by number of shares subject to all such warrants in the aggregate, agreeing to convert their warrants into shares of common stock immediately prior to the Effective Time.

In addition, unless waived by the Company, the obligations of the Company to consummate the business combination are subject to the satisfaction of the following additional Closing conditions, in addition to the delivery by SEPA of customary certificates and other Closing deliverables: (ii) SEPA having performed in all material respects its obligations and complied in all material respects with its covenants and agreements under the Merger Agreement required to be performed or complied with by it on or prior to the Closing Date; (iii) SEPA having delivered a fairness opinion of the Purchaser Financial Advisor (as defined in the Merger Agreement), in form and substance reasonably satisfactory to the Company; (iv) SEPA having, at the Closing, at least $12,000,000 in cash and cash equivalents, including funds remaining in the trust account (after giving effect to the completion and payment of any redemptions) and the proceeds of any PIPE Investment; and other customary conditions to Closing as defined in the Merger Agreement.

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4.5.	~~Loss/Income~~Loss per Share

Diluted net ~~(loss)/income~~loss per share is calculated by dividing the net ~~(loss)/income~~loss attributable to common stockholders by the weighted average number of shares outstanding for the three and ~~six~~nine months ended ~~June~~September 30, 2023, and 2022. The weighted average number of shares outstanding includes outstanding common stock and shares issuable for nominal consideration. Accordingly, warrants issued with a $0.01 per share exercise price, are included in weighted average shares outstanding as follows:

	Three Months Ended				Six Months Ended				Three Months Ended				Nine Months Ended
(in Thousands)	June 30, 2023		June 30, 2022		June 30, 2023		June 30, 2022		September 30, 2023		September 30, 2022		September 30, 2023		September 30, 2022
Weighted average shares outstanding
Common shares		560,638		518,074		557,488		508,399		871,265		540,584		662,080		519,127
Common shares issuable assuming exercise of nominally priced warrants		21,691		20,486		21,691		24,191		21,691		20,486		21,691		23,358
Weighted average shares outstanding		582,329		538,560		579,179		532,590		892,956		561,070		683,771		542,485

Diluted net ~~income/ (loss)~~loss per share is computed by dividing the net ~~income/ (loss)~~loss attributable to common stockholders by the weighted average number of shares of common stock and diluted common stock equivalents outstanding. To the extent that securities are “anti-dilutive,” they are excluded from the calculation of diluted net loss per share. As a result of the net loss for the three and ~~six~~nine months ended ~~June~~September 30, 2023, and ~~six~~nine months ended ~~June~~September 30, 2022, all potentially dilutive shares in such periods were anti-dilutive and therefore excluded from the computation of diluted net loss per share. As a result of the net ~~income~~loss for the three months ended ~~June~~September 30, 2022, all dilutive shares were included in the computation of diluted net income per share.Anti-dilutive equity securities consisted of the following for the ~~six~~nine months ended ~~June~~September 30, 2023, and 2022, respectively:

	Six Months Ended				Nine Months Ended
(in Thousands)	June 30, 2023		June 30, 2022		September 30, 2023		September 30, 2022
Common stock options		19,136		22,046		19,136		21,246
Common stock purchase warrants		1,247,911		189,157		1,106,819		984,799
Convertible notes payable		677,050		122,271		224,509		483,588
		1,944,097		333,474		1,350,464		1,489,633

6.	Accrued Expenses

Accrued expenses consist of the following:

(in Thousands)	June 30, 2023		December 31, 2022		September 30, 2023		December 31, 2022
Registration penalties	$	1,583	$	1,583	$	1,583	$	1,583
License fees		892		892		892		892
Director and professional fees		877		586		1,177		586
Employee compensation		2,665		4,585		2,665		4,585
Other		334		866		42		866
	$	6,351	$	8,512	$	6,359	$	8,512

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7.	Senior Secured Debt, In Default

The following table summarizes outstanding senior secured debt, in default:

	June 30, 2023									December 31, 2022									September 30, 2023									December 31, 2022
(in thousands)	Principal		Debt Discount			Carrying Value		Accrued Interest		Principal		Debt Discount			Carrying Value		Accrued Interest		Principal		Debt Discount			Carrying Value		Accrued Interest		Principal		Debt Discount			Carrying Value		Accrued Interest
Senior secured debt	$	20,346	$	(4,223	)	$	16,123	$	2,676	$	19,211	$	(4,795	)	$	14,416	$	1,890	$	21,399	$	(3,754	)	$	17,645	$	2,636	$	19,211	$	(4,795	)	$	14,416	$	1,890

Senior secured promissory note payable, in default (“Senior Secured Note”) – In August 2020, the Company entered into a Note and Warrant Purchase and Security Agreement (the “NWPSA”). In accordance with the NWPSA, the Company issued a $15 million Senior Secured Promissory Note Payable (the “Senior Secured Note”) and a warrant exercisable for shares of the Company’s common stock in exchange for cash to support operations, repay outstanding debt and close on the acquisition of the UltraMIST assets from Celularity Inc. (Celularity) among other transactions.

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In February 2022, the Company entered into a Second Amendment to Note and Warrant Purchase and Security Agreement (the “Second NWPSA”) for $3.0 million, for a total of $18.0 million outstanding. Along with the issuance of the note, the Company also issued warrants to purchase 16.2 million shares of common stock with an exercise price of $0.18 and 20.6 million shares of common stock. Since the combined fair value of the warrants and common stock issued as part of the Second NWPSA exceeded the face value of the note, the additional amount beyond the face value was recorded as a loss on issuance totaling $3.4 million.

Interest is charged at the greater of the prime rate or 3% plus 9%. The principal increases at a rate of 3% of the outstanding principal balance (PIK interest) on each quarterly interest payment date. The original maturity date of the Senior Secured Note is September 20, 2025, and it can be prepaid.

As of ~~June~~September 30, 2023, the Company is in default on the minimum liquidity provisions in the Senior Secured Note and, as a result, it is classified in current liabilities in the accompanying condensed consolidated balance sheets. The Company is accruing interest at the default interest rate of an incremental 5%.

In June 2023, the Company entered into a Fourth Amendment to the NWPSA, which provides the Company an extension of the holder forbearing from exercising the remedies arising from the existing defaults to the earlier of the occurrence of an event of default and December 31, 2023. The amendment also added a consent fee of 2% of the original principal amount of the ~~NWSPA,~~NWPSA, payable in cash at maturity, and defers interest that would otherwise have been due on June 30, 2023, and September 30, 2023. The interest will instead be compounded and added to the principal amount of the notes and bear interest at a rate of 20.25% per annum. The amendment also requires the Company to complete an equity financing that results in gross cash proceeds of at least $2.5 million by July 15, 2023. This financing successfully closed ~~after June 30,~~on July 21, 2023, as further described in Note ~~14.~~9.

The debt issuance costs, and debt discount related to the Senior Secured Note were capitalized as a reduction in the principal amount and are being amortized to interest expense over the life of the Senior Secured Note. Interest expense for the three and ~~six~~nine months ended ~~June~~September 30, 2023, totaled ~~$1.7~~$1.8 and ~~$3.3~~$5.1 million, respectively. Interest expense for the three and ~~six~~nine months ended ~~June~~September 30, 2022, totaled ~~$0.7~~$1.4 and ~~$1.4~~$3.7 million, respectively.

8.	Convertible Promissory Notes Payable

The following two tables summarize outstanding notes payable as of ~~June~~September 30, 2023, and December 31, 2022:

	As of June 30, 2023											As of September 30, 2023
(In thousands, except conversion price)	Conversion Price		Principal		Remaining Debt Discount			Remaining Embedded Conversion Option		Carrying Value		Conversion Price		Principal		Remaining Debt Discount			Remaining Embedded Conversion Option		Carrying Value
Acquisition convertible promissory note, in default	$	0.10		4,000		-			-		4,000	$	0.10		4,000		-			-		4,000
Convertible promissory notes payable, related parties, in default	$	0.10		1,373		-			-		1,373	$	0.10		1,373		-			-		1,373
2022 convertible notes payable	$	0.04		14,193		(991	)		510		13,712	$	0.04		3,940		(388	)		1		3,553
2022 convertible notes payable, related parties	$	0.04		7,210		(420	)		183		6,973	$	0.04		1,270		(148	)		-		1,122
Total Convertible Promissory Notes Payable			$	26,776	$	(1,411	)	$	693	$	26,058			$	10,583	$	(536	)	$	1	$	10,048

	As of December 31, 2022											As of December 31, 2022
(In thousands, except conversion price)	Conversion Price		Principal		Remaining Debt Discount			Remaining Embedded Conversion Option		Carrying Value		Conversion Price		Principal		Remaining Debt Discount			Remaining Embedded Conversion Option		Carrying Value
Acquisition convertible promissory note, in default	$	0.10		4,000		-			-		4,000	$	0.10		4,000		-			-		4,000
Convertible promissory note, related party, in default	$	0.10		1,373		-			-		1,373	$	0.10		1,373		-			-		1,373
2022 convertible notes payable	$	0.04		13,660		(2,532	)		1,585		12,713	$	0.04		13,660		(2,532	)		1,585		12,713
2022 convertible notes payable, related parties	$	0.04		6,515		(1,234	)		755		6,036	$	0.04		6,515		(1,234	)		755		6,036
Total Convertible Promissory Notes			$	25,548	$	(3,766	)	$	2,340	$	24,122
Total Convertible Promissory Notes Payable														$	25,548	$	(3,766	)	$	2,340	$	24,122

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2022 Convertible Notes Payable and 2022 Convertible Notes Payable, Related Parties – In August 2022, November 2022, and May 2023, the Company entered into Securities Purchase Agreements (the “Purchase Agreements”), for the sale in a private placement of (i) Future Advance Convertible Promissory Notes (the “Notes”) in an aggregate principal amount of approximately $16.2 million in August ~~and~~ approximately $4.0 million in November, and approximately $1.2 million in May (ii) Common Stock Purchase Warrants to purchase an additional 535.1 million shares of common stock with an exercise price of $0.067 per share and (iii) Common Stock Purchase Warrants to purchase an additional 535.1 million shares of common stock with an exercise price of $0.04 per share. Interest expense for the three and ~~six~~nine months ended ~~June~~September 30, 2023, totaled ~~$2.4~~$1.3 million and ~~$4.6~~$6.0 million, respectively.

Pursuant to the Notes, the Company promised to pay in cash and/or in shares of common stock, at a conversion price of $0.04 (the “Conversion Price”), the principal amount and interest at a rate of 15% per annum on any outstanding principal. The Conversion Price of the Notes is subject to adjustment, including if the Company issues or sells shares of common stock for a price per share less than the Conversion Price of the Notes or if the Company lists its shares of common stock on The Nasdaq Capital Market and the average volume weighted average price of such common stock for the five trading days preceding such listing is less than $0.04 per share; provided, however, that the Conversion Price shall never be less than $0.01. The Notes contain customary events of default and covenants, including limitations on incurrences of indebtedness and liens.

Pursuant to the Notes issued in August 2022 and November 2022, the Company agreed to reduce its outstanding shares via a reverse stock split to provide the number of authorized and unissued shares of common stock sufficient to permit the conversion of these Notes on or before December 31, 2022. However, the Company obtained a waiver of this requirement through December 31, 2023, from all holders of the August 2022 and November 2022 Notes and amended its Articles of Incorporation to increase its number of authorized shares of common stock from 800,000,000 to 2,500,000,000.

In August 2023, the Company utilized its election to convert the August issued 2022 Convertible Notes Payable into shares of common stock upon the Notes’ maturity. The $16.2 million in principal and $2.4 million in interest were converted to 464,440,813 shares of common stock.

9.	~~Bridge~~Asset-Backed Secured Promissory Notes ~~Advance~~

~~As of June 30,~~In July 2023, the Company had received $1.5 million in cash proceeds, as Bridge Notes Advances. The Company received $0.6 million from related parties to fund operations. Funds received from non-related parties were held in Restricted Cash totaling $0.9 million as disclosed in Note 5.

The Company was required to raise a total of $2.5 million by July 15, 2023, as required by the conditions for the Fourth Amendment to the NWPSA. Upon meeting the required minimum, the $1.5 million Bridge Notes Advance received as of June 30, 2023 was converted into theissued Asset-Backed Secured Promissory Notes ~~with~~(the “ABS Promissory Notes”) in an aggregate principal amount of $4.6 million to certain accredited investors (the “Purchasers”) at an original issue discount of 33.33%. The ABS Promissory Notes bear an interest rate of 0% per annum and mature on January 21, 2024 (the “Maturity Date”). The Company received total proceeds of approximately $3.0 million. The Company entered into a ~~principal balance totaling $2.2 million,~~Security Agreement providing for a continuing and unconditional security interest in any and all property of the Company. This security interest is subordinate to the Senior Secured Debt described in Note 147. Interest expense for the three and nine months ended September 30, 2023, totaled $0.4 million.

The Company and the Purchasers also entered into a side letter pursuant to which the parties agreed that upon the ~~closing~~Maturity Date, or upon a fundamental transaction as defined by the ABS Promissory Notes, the Company will issue each Purchaser a Future Advance Convertible Promissory Note with the same principal amount as the principal amount of such Purchasers’ ABS Promissory Notes, plus any accrued and unpaid interest and two Common Stock Purchase Warrants, substantially in the forms of the ~~financing transaction~~Notes and Common Stock Purchase Warrants disclosed in ~~July 2023.~~Note 8.

In evaluating the accounting for the ABS Promissory Notes and Side Letter (the “Side Letter”), pursuant to relevant guidance, the Side Letter was determined to not represent a freestanding financial instrument as it is not legally detachable and separately exercisable. The redemption features under the Side Letter are considered embedded derivatives, including a right for contingent redemption upon an event of default, automatic redemption upon maturity of the ABS Promissory Notes, and redemption is triggered upon a fundamental transaction. As a result, the Company determined these features met the criteria of an embedded derivative.

	September 30, 2023
(In thousands)	Principal		Debt Discount			Embedded Derivative		Carrying Value
ABS promissory notes		3,122		(379	)		3,833		6,576
ABS promissory notes, related parties		1,462		(179	)		1,811		3,094
Total ABS Promissory Notes		4,584		(558	)		5,644		9,670

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10.	Fair Value Measurements

The Company uses various inputs to measure the outstanding warrants and certain embedded conversion features associated with a convertible debt on a recurring basis to determine the fair value of the liabilities.

The following tables classify the Company’s liabilities measured at fair value on a recurring basis into the fair value hierarchy:

	Fair value measured at June 30, 2023								Fair value measured at September 30, 2023
	Fair value at		Quoted prices in active markets		Significant other observable inputs		Significant unobservable inputs		Fair value at		Quoted prices in active markets		Significant other observable inputs		Significant unobservable inputs
(in thousands)	June 30, 2023		(Level 1)		(Level 2)		(Level 3)		September 30, 2023		(Level 1)		(Level 2)		(Level 3)
Warrant liability	$	14,410	$	-	$	-	$	14,410	$	28,106	$	-	$	-	$	28,106
Embedded conversion option		693		-		-		693
Embedded conversion derivatives										5,645		-		-		5,645
Total fair value	$	15,103	$	-	$	-	$	15,103	$	33,751	$	-	$	-	$	33,751

	Fair value measured at December 31, 2022								Fair value measured at December 31, 2022
	Fair value at		Quoted prices in active markets		Significant other observable inputs		Significant unobservable inputs		Fair value at		Quoted prices in active markets		Significant other observable inputs		Significant unobservable inputs
(in thousands)	December 31, 2022		(Level 1)		(Level 2)		(Level 3)		December 31, 2022		(Level 1)		(Level 2)		(Level 3)
Warrant liability	$	1,416	$	-	$	-	$	1,416	$	1,416	$	-	$	-	$	1,416
Embedded conversion option		2,340		-		-		2,340
Embedded conversion derivatives										2,340		-		-		2,340
Total fair value	$	3,756	$	-	$	-	$	3,756	$	3,756	$	-	$	-	$	3,756

There were no transfers among Levels 1, 2 or 3 during the three and ~~six~~nine months ended ~~June~~September 30, 2023, and 2022. Both observable and unobservable inputs were used to determine the fair value of positions that the Company has classified within the Level 3 category. Unrealized gains and losses associated with liabilities within the Level 3 category include changes in fair value that were attributable to both observable (e.g. changes in market interest rates) and unobservable (e.g., changes in unobservable long-dated volatilities) inputs.

Warrant Liability

The Company’s liability classified warrants as of September 30, 2023, were valued using a probability weighted expected value considering the Merger Agreement and the previous Black Scholes valuation model, with significant value stemming from the Merger Agreement. Significant inputs under the Merger Agreement valuation included the expected exchange ratio 0.0033, the value of SEPA’s Class A Common Stock, the expected timing of the closing of the Merger (estimated by December 31, 2023), and the probability of the Merger closing (85% probability).

Significant inputs related to the Company’s liability classified warrants using the Black Scholes model, are listed below.

	June 30,			Initial Valuation			December 31,			Initial Valuation			December 31,
	2023			May 2023			2022			May 2023			2022
Weighted average remaining life in years		4.22			5.00			4.68			5.00			4.68
Weighted average volatility		103	%		84	%		92	%		84	%		92	%
Value of underlying shares	$	0.022		$	0.019		$	0.005		$	0.019		$	0.005
Weighted average risk free interest rate		4.0	%		3.5	%		4.0	%		3.5	%		4.0	%
Expected dividend yield		0.00	%		0.00	%		0.00	%		0.00	%		0.00	%

14

~~Table of Contents~~

A summary of the warrant liability activity for the ~~six~~nine months ended ~~June~~September 30, 2023, is as follows:

	Warrants		Fair Value		Fair Value		Warrants		Fair Value		Fair Value
(in thousands, except per share data)	Outstanding		per Share		(in thousands)		Outstanding		per Share		(in thousands)
Balance at December 31, 2022		1,066,857	$	0.06	$	1,416		1,066,857	$	0.06	$	1,416
Issuance		61,389		0.01		570		61,389		0.01		570
Loss on remeasurement of warrant liability		-				12,424		-				26,120
Balance at June 30, 2023		1,128,246	$	0.01	$	14,410
Balance at September 30, 2023								1,128,246	$	0.02	$	28,106

15

Table of Contents

Embedded Conversion ~~Option~~ Liability

Certain convertible notes include a conversion option that meets the definition of a derivative liability and, accordingly, is required to be bifurcated. The fair value for the embedded derivative liability at issuance for the ABS Promissory Notes was estimated as the difference in fair value of the ABS Promissory Notes, including the conversion ~~option~~obligation under the Side Letter and the value of the ABS Promissory Notes in the absence of the conversion obligation. The value of the ABS Promissory Notes without the conversion obligation was estimated using a discounted cash flow analysis with an estimated market yield.

The Company’s embedded conversion liability as of September 30, 2023, was ~~determined~~valued using a probability weighted expected value considering the Merger Agreement and the previous Black Scholes ~~method.~~model, with significant value being assigned to the Merger Agreement assumptions. Significant inputs included the expected exchange ratio (0.0033), value of SEPA class A common stock, expected timing of the closing of the merger (estimated by December 31, 2023), and probability of the merger transaction closing (85% probability).

The fair value of conversion option liability assumptions ~~for~~under the ~~periods ended below:~~Black Scholes model, are listed below.

	June 30, 2023			Initial valuation May 2023			December 31, 2022			Initial Valuation
										May 2023			December 31, 2022
Conversion Price⁽¹⁾	$	0.04		$	0.04		$	0.04		$	0.04		$	0.04
Value of underlying shares	$	0.022		$	0.019		$	0.005		$	0.019		$	0.005
Interest Rate (annual) ⁽²⁾		5.28	%		4.70	%		4.64	%		4.70	%		4.64	%
Volatility (annual) ⁽³⁾		141.3	%		114.1	%		503.0	%		114.1	%		503.0	%
Time to Maturity (Years)		0.39			1.00			0.60			1.00			0.60

(1)

Based on the terms provided in the convertible promissory note agreements to convert to common stock of the Company

(2)

Interest rate for U.S. Treasury Bonds, as of ~~each~~the presented period ending date, as published by the U.S. Federal Reserve.

(3)

Based on a discounted historical daily volatility of the Company as of ~~each~~the presented period ending date.

A summary of the conversion ~~option~~ liability activity is as follows:

(in thousands)	Conversion Liability			Conversion Liability
Balance December 31, 2022	$	2,340		$	2,340
Initial value of new issuance		157			(519	)
Change in fair value		(1,804	)		3,824
Balance June 30, 2023	$	693
Balance September 30, 2023				$	5,645

11.

Revenue

The disaggregation of revenue is based on type and geographical region. The following table presents revenue from contracts with customers:

	Three Months Ended June 30, 2023						Three Months Ended June 30, 2022						Three Months Ended September 30, 2023						Three Months Ended September 30, 2022
	United States		International		Total		United States		International		Total		United States		International		Total		United States		International		Total
Consumables and parts revenue	$	2,913	$	18	$	2,931	$	2,629	$	34	$	2,663	$	3,133	$	25	$	3,158	$	2,978	$	34	$	3,012
System revenue		1,323		79		1,402		862		-		862		1,607		18		1,625		902		-		902
License fees and other		75		5		80		8		5		13		38		-		38		-		5		5
Product Revenue	$	4,311	$	102	$	4,413	$	3,499	$	39	$	3,538	$	4,778	$	43	$	4,821	$	3,880	$	39	$	3,919
Rental Income		262		-		262		344		-		344		132		-		132		247		-		247
Total Revenue	$	4,573	$	102	$	4,675	$	3,843	$	39	$	3,882	$	4,910	$	43	$	4,953	$	4,127	$	39	$	4,166

15

16

Table of Contents

Six Months Ended June 30, 2023 Six Months Ended June 30, 2022
United States International Total United States International Total
Consumables and parts revenue $ 5,487 $ 50 $ 5,537 $ 4,824 $ 30 $ 4,854
System revenue 2,157 115 2,272 1,491 16 1,507
License fees and other 81 15 96 14 14 28
Product Revenue $ 7,725 $ 180 $ 7,905 $ 6,329 $ 60 $ 6,389
Rental Income 545 - 545 688 - 688
Total Revenue $ 8,270 $ 180 $ 8,450 $ 7,017 $ 60 $ 7,077

	Nine Months Ended September 30, 2023						Nine Months Ended September 30, 2022
	United States		International		Total		United States		International		Total
Consumables and parts revenue	$	8,620	$	76	$	8,696	$	7,836	$	30	$	7,866
System revenue		3,763		132		3,895		2,392		16		2,408
License fees and other		121		15		136		19		14		33
Product Revenue	$	12,504	$	223	$	12,727	$	10,247	$	60	$	10,307
Rental Income		677		-		677		935		-		935
Total Revenue	$	13,181	$	223	$	13,404	$	11,182	$	60	$	11,242

12.	Concentration of Credit Risk and Limited Suppliers

Major customers are defined as customers whose accounts receivable, or sales individually consist of more than 10% of total trade receivables or total sales, respectively. The percentage of accounts receivable from major customers of the Company for the periods indicated were as follows:

Accounts receivable:		September 30, 2023				December 31, 2022
Customer A			10	%			-

The Company currently purchases most of its product component materials from single suppliers and the loss of any of these suppliers could result in a disruption in the Company’s production. The percentage of purchases from major vendors of the Company that exceeded ten percent of total purchases for the three and ~~six~~nine months ended ~~June~~September 30, 2023, and 2022 were as follows:

	Three Months Ended						Six Months Ended						Three Months Ended						Nine Months Ended
	June 30, 2023			June 30, 2022			June 30, 2023			June 30, 2022			September 30, 2023			September 30, 2022			September 30, 2023			September 30, 2022
Purchases:
Vendor A		13	%		17	%		17	%		18	%		22	%		18	%		19	%		18	%
Vendor B		16	%		n/a			11	%		n/a			23	%		n/a			16	%		n/a
Vendor C														20	%		n/a			10	%		n/a

13.	Commitments and Contingencies

In the ordinary course of business, the Company from time to time becomes involved in various legal proceedings involving a variety of matters. The Company does not believe there are any pending legal proceedings that will have a material adverse effect on the Company’s business, consolidated financial position, results of operations, or cash flows. However, the outcome of such legal matters is inherently unpredictable and subject to significant uncertainties. The ~~Company’s~~Company expenses legal fees in the period in which they are incurred.

Acquisition dispute – In May 2021, the Company received notification alleging that it is not in compliance with the license agreement with Celularity entered into in connection with the acquisition of the UltraMIST assets. The Company has responded and asserted that the Company is not in breach and that the supplier has breached various agreements. It is too early to determine the outcome of this matter. Any potential impact on the Company cannot be fully determined at this time and there is no guarantee that the dispute will be resolved in a manner beneficial to the Company.

	~~June 30, 2023~~
~~(in Thousands)~~
~~Cash~~	$	~~332~~
~~Restricted Cash~~		~~850~~
~~Total Cash and Restricted Cash~~	$	~~1,182~~

Exhibit No.	Description

2.1	Agreement and Plan of Merger, dated as of August 23, 2023, by and among SEP Acquisition Corp., SEP Acquisition Holdings Inc., and SANUWAVE Health, Inc. (Incorporated by reference to Exhibit 2.1 to the Form 8-K filed with the SEC on August 23, 2023).

3.1	Articles of Incorporation (Incorporated by reference to Exhibit 3.1 to the Form 10-SB filed with the SEC on December 18, 2007).

3.2	Certificate of Amendment to the Articles of Incorporation (Incorporated by reference to Appendix A to the Definitive Schedule 14C filed with the SEC on October 16, 2009).

3.3	Certificate of Amendment to the Articles of Incorporation (Incorporated by reference to Exhibit A to the Definitive Schedule 14C filed with the SEC on April 16, 2012).

3.4	Bylaws (Incorporated by reference to Exhibit 3.02 to the Form 10-SB filed with the SEC on December 18, 2007).

3.5	Certificate of Designation of Preferences, Rights and Limitations of Series A Convertible Preferred Stock of the Company dated March 14, 2014 (Incorporated by reference to Exhibit 3.1 to the Form 8-K filed with the SEC on March 18, 2014).

3.6	Certificate of Amendment to the Articles of Incorporation, dated September 8, 2015 (Incorporated by reference to Exhibit 3.6 to the Form 10-K filed with the SEC on March 30, 2016).

3.7	Preferred Stock of the Company dated January 12, 2016 (Incorporated by reference to Exhibit 3.1 to the Form 8-K filed with the SEC on January 19, 2016).

3.8	Preferred Stock of the Company dated January 31, 2020 (Incorporated by reference to Exhibit 3.1 to the Form 8-K filed with the SEC on February 6, 2020).

3.9	Certificate of Designation of Preferences, Rights and Limitations of Series C Convertible Preferred Stock of the Company dated January 31, 2020 (Incorporated by reference to Exhibit 3.1 to the Form 8-K filed with the SEC on February 6, 2020).

3.10	Certificate of Designation of Series D Convertible Preferred Stock (Incorporated by reference to Exhibit 3.1 to the Form 8-K filed with the SEC on May 20, 2020).

3.11	Certificate of Amendment of the Articles of Incorporation (Incorporated by reference to Exhibit 3.1 to the Form 8-K filed with the SEC on January 5, 2021).

3.12	Certificate of Amendment of the Articles of Incorporation, dated January 31, 2023 (Incorporated by reference to Exhibit 3.12 to the Form S-1/A filed with the SEC on January 31, 2023).

4.1	~~Form of Future Advance Convertible Promissory Note issued to certain purchasers, dated May 9, 2023 (Incorporated by reference to Exhibit 4.1 to the Form S-1 filed with the SEC on June 30, 2023).~~

~~4.2~~	~~Form of Common Stock Purchase Warrant issued to certain purchasers, dated May 9, 2023 (Incorporated by reference to Exhibit 4.2 to the Form S-1 filed with the SEC on June 30, 2023).~~

~~4.3~~	Form of Asset-Backed Secured Promissory Note issued to certain purchasers, dated July 21, 2023 (Incorporated by reference to Exhibit 4.1 to the Form 8-K filed with the SEC on July 26, 2023).

10.1	~~Executive Employment Agreement, effective May 23, 2023, by and between the Company and Morgan Frank (Incorporated by reference to Exhibit 10.1 to the Form 8-K filed with the SEC on May 30, 2023).~~

~~10.2~~	Transition and Separation Agreement, dated May 23, 2023, by and between the Company and Kevin A. Richardson, II (Incorporated by reference to Exhibit 10.2 to the Form 8-K filed with the SEC on May 30, 2023).

~~10.3~~	Fourth Amendment to Note and Warrant Purchase and Security Agreement, dated June 23, 2023, by and among the Company, the noteholder party thereto and NH Expansion Credit Fund Holdings LP, as agent (Incorporated by reference to Exhibit 10.1 to the Form 8-K filed with the SEC on June 29, 2023).

~~10.4~~	Securities Purchase Agreement, dated May 9, 2023, by and among the Company and the purchasers identified on the signature pages thereto (Incorporated by reference to Exhibit 10.72 to the Form S-1 filed with the SEC on June 30, 2023).

~~10.5~~	Subordination Agreement, dated May 9, 2023, by and among the Company, NH Expansion Credit Fund Holdings LP and certain creditors (Incorporated by reference to Exhibit 10.73 to the Form S-1 filed with the SEC on June 30, 2023).

~~10.6~~	~~Security Agreement, dated May 9, 2023, by and among the Company and certain lenders (Incorporated by reference to Exhibit 10.74 to the Form S-1 filed with the SEC on June 30, 2023).~~

~~10.7~~	~~Registration Rights Agreement, dated May 9, 2023, by and among the Company and certain lenders (Incorporated by reference to Exhibit 10.75 to the Form S-1 filed with the SEC on June 30, 2023).~~

~~10.9~~10.2	Subordination Agreement, dated July 21, 2023, by and among the Company, NH Expansion Credit Fund Holdings LP and certain creditors (Incorporated by reference to Exhibit 10.2 to the Form 8-K filed with the SEC on July 26, 2023).

~~10.10~~10.3	Side Letter, dated July 21, 2023, by and among the Company and certain purchasers (Incorporated by reference to Exhibit 10.3 to the Form 8-K filed with the SEC on July 26, 2023).

31.1*10.4	~~Rule 13a-14(a)/15d-14(a)~~Offer Letter, dated July 20, 2023, by and between the Company and Andrew Walko (Incorporated by reference to Exhibit 10.1 to the Form 8-K filed with the SEC on July 31, 2023).

10.5	Non-Compete and Confidentiality Agreement, dated July 31, 2023, by and between the Company and Andrew Walko (Incorporated by reference to Exhibit 10.2 to the Form 8-K filed with the SEC on July 31, 2023).

10.6	Form of Voting Agreement, dated as of August 23, 2023, by and among SEP Acquisition Corp., SANUWAVE Health, Inc., and the stockholder of SANUWAVE Health, Inc. party thereto (Incorporated by reference to Exhibit 10.1 to the Form 8-K filed with the SEC on August 23, 2023).

10.7	Sponsor Voting Agreement, dated as of August 23, 2023, by and among Mercury Sponsor Group I LLC, SEP Acquisition Corp., and SANUWAVE Health, Inc. (Incorporated by reference to Exhibit 10.2 to the Form 8-K filed with the SEC on August 23, 2023).

10.8	Form of Lock-Up Agreement, dated as of August 23, 2023, by and between SEP Acquisition Corp. and the stockholder of SANUWAVE Health, Inc. party thereto (Incorporated by reference to Exhibit 10.3 to the Form 8-K filed with the SEC on August 23, 2023).

32.1*	Section 1350 Certification of the ~~Chief~~Principal Executive Officer.

31.2*	~~Rule 13a-14(a)/15d-14(a) Certification of the Chief Financial Officer.~~

32.1*	~~Section 1350 Certification of the Principal Executive Officer.~~

32.2*	Section 1350 Certification of the Chief Financial Officer.

101.INS*	XBRL Instance.

101.SCH*	XBRL Taxonomy Extension Schema.

101.CAL*	XBRL Taxonomy Extension Calculation.

101.DEF*	XBRL Taxonomy Extension Definition.

101.LAB*	XBRL Taxonomy Extension Labels.

101.PRE*	XBRL Taxonomy Extension Presentation.

104	Cover Page Interactive Data File (formatted as Inline XBRL and contained in Exhibit 101).

	For the Three Months Ended											For the Six Months Ended											For the Three Months Ended												For the Nine Months Ended
	June 30,						Change					June 30,						Change					September 30,						Change						September 30,						Change
	2023			2022			$			%			2023			2022		$			%
(in Thousands)																							2023			2022			$				%			2023			2022		$				%
Revenues:
Total Revenue	$	4,675		$	3,882		$	793		20	%	$	8,450		$	7,077		$	1,373		19	%	$	4,953		$	4,166		$	787			19	%	$	13,404		$	11,242		$	2,162			19	%
Cost of Revenues		1,202			1,096			106		10	%		2,464			1,986			478		24	%		1,412			1,157			255			22	%		3,876			3,141			735			23	%
Gross Margin		3,473			2,786			687		25	%		5,986			5,091			895		18	%		3,541			3,009			532			18	%		9,528			8,101			1,427			18	%
Gross Margin Percentage																								71	%		72	%		-1	%					71	%		72	%		-1	%
Operating Expenses:
General and administrative		1,238			3,781			(2,543	)	-67	%		3,997			5,986			(1,989	)	-33	%		2,681			3,498			(817	)		-23	%		6,678			9,484			(2,806	)		-30	%
Selling and marketing		978			1,672			(694	)	-42	%		2,390			3,387			(997	)	-29	%		1,039			1,650			(611	)		-37	%		3,430			5,037			(1,607	)		-32	%
Research and development		139			171			(32	)	-19	%		270			337			(67	)	-20	%		165			157			8			5	%		436			494			(58	)		-12	%
Operating Income (loss)		187			210			(23	)	-11	%		376			386			(10	)	-3	%
Depreciation and amortization																								187			189			(2	)		-1	%		563			575			(12	)		-2	%
Operating Loss		931			(3,048	)		3,979		-131	%		(1,047	)		(5,005	)		3,958		-79	%		(531	)		(2,485	)		1,954			-79	%		(1,579	)		(7,489	)		5,910			-79	%
Other Income (Expense), net		(8,193	)		4,692			(12,885	)	-275	%		(19,295	)		1,548			(20,843	)	-1346	%		(23,169	)		1,346			(24,515	)	nm				(42,463	)		2,893			(45,356	)	nm
Net (Loss) Income	$	(7,262	)	$	1,644			(8,906	)	-542	%	$	(20,342	)	$	(3,457	)		(16,885	)	488	%
Net Loss																							$	(23,700	)	$	(1,139	)		(22,561	)	nm			$	(44,042	)	$	(4,596	)		(39,446	)	nm

	For the three months ended June 30,						Change						For the six months ended June 30,						Change
	2023			2022			$				%			2023			2022		$				%

Interest expense	$	(4,381	)	$	(2,959	)	$	(1,422	)		48	%	$	(8,659	)	$	(6,152	)	$	(2,507	)		41	%
Change in fair value of derivatives		(3,821	)		7,861			(11,682	)		-149	%		(10,618	)		11,343			(21,961	)		-194	%
Loss on issuance of debt		-			-			-		nm				-			(3,434	)		3,434		nm
Loss on extinguishment of debt		-			(211	)		211		nm				-			(211	)		211		nm
Other expense		9			1			8		nm				(18	)		2			(20	)	nm
Other (expense)/income, net	$	(8,193	)	$	4,692		$	(12,885	)		-275	%	$	(19,295	)	$	1,548		$	(20,843	)		-1346	%

	For the three months ended September 30,						Change						For the nine months ended September 30,						Change
	2023			2022			$				%			2023			2022		$				%

Interest expense	$	(3,845	)	$	(3,821	)	$	(24	)		1	%	$	(12,504	)	$	(9,972	)	$	(2,532	)		25	%
Change in fair value of derivatives		(19,325	)		5,252			(24,577	)		-468	%		(29,943	)		16,597			(46,540	)		-280	%
Loss on issuance of debt		-			-			-		nm				-			(3,434	)		3,434		nm
Loss on extinguishment of debt		-			(86	)		86		nm				-			(297	)		297		nm
Other expense		1			1			-		nm				(16	)		(1	)		(15	)	nm
Other (expense)/income, net	$	(23,169	)	$	1,346		$	(24,515	)		-1821	%	$	(42,463	)	$	2,893		$	(45,356	)		-1568	%

	For the six months ended June 30,
(in Thousands)	2023			2022
Cash flows used by operating activities	$	(1,215	)	$	(5,201	)
Cash flows (used by) provided by investing activities	$	(169	)	$	948
Cash flows provided by financing activities	$	1,426		$	5,104

	For the nine months ended September 30,
(in Thousands)	2023			2022
Cash flows used by operating activities	$	(3,253	)	$	(13,176	)
Cash flows (used by) provided by investing activities	$	(156	)	$	1,022
Cash flows provided by financing activities	$	3,356		$	12,664

			Morgan Frank
			Chief Executive Officer (Duly Authorized Officer and Principal Executive Officer)

			Toni Rinow
			Chief Financial Officer (Principal Financial and Accounting Officer)