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Brian Carrico

Brian Carrico

President and Chief Executive Officer at Neuraxis
CEO
Executive
Board

About Brian Carrico

Brian Carrico, 43, is President, CEO, and a Director of NeurAxis. He joined in 2012, held roles including VP of Sales and President, and became CEO on January 1, 2018. He holds a B.S. in Business Marketing from Indiana State University. The company’s pay-versus-performance table shows post-IPO cumulative TSR implied values of $42 (FY2023) and $37 (FY2024) for a $100 investment; FY2024 revenue was $2.69M vs. $2.46M in FY2023, while EBITDA losses widened year-over-year (see Financial Performance table below) .

Past Roles

OrganizationRoleYearsStrategic impact
NeurAxisVP of Sales; President; CEO (since 1/1/2018)Not disclosed (CEO since 2018)Early strategic agenda, capital raising, product development and commercialization .
Bard MedicalOperating room salesNot disclosedCommercial/sales experience in OR settings .
St. Jude MedicalCath lab salesNot disclosedCommercial/sales experience in cardiology settings .

External Roles

OrganizationRoleYearsNotes
Public company boardsNone disclosed“Our directors are not directors in any other reporting companies.”

Fixed Compensation

MetricFY 2023FY 2024
Base salary ($)375,000 352,973
Annual cash bonus ($)441,346 206,730 (includes $62,222 for 2024 Convertible Notes)
Benefits ($)23,052 18,673
Total ($)839,398 578,376

Notes:

  • Employee directors receive no additional pay for board service .
  • Employment agreement sets a base salary of $330,000 with annual increases of at least 3%, plus a one-time $435,577 incentive (paid from IPO proceeds in Aug 2023) .

Performance Compensation

Annual Incentive (Cash)

Plan yearKey metric(s)WeightingTargetActualPayoutNotes
2024Not disclosedNot disclosedNot disclosedNot disclosed206,730Annual incentive plan; includes $62,222 tied to successful issuance of 2024 Convertible Notes .

The proxy indicates the company “utilize[s] several performance measures,” but they “tend not to be financial performance measures, such as TSR” .

Equity and Option Awards

Award typeGrant/planShares/optionsExercise/strikeVestingExpiration
Stock optionsInnovative Health Solutions, Inc. 2017 Plan320,000 $6.94 Fully vested upon grant 09/13/2029

Special Deferred Bonus (Option-Exercise Linked)

ComponentTerms
StructureDeferred bonus equals the aggregate strike price of 320,000 options plus a tax gross-up on that strike amount (at highest marginal rates), paid in five equal 20% installments (scheduled Jan 2 of 2024–2028) .
ConditionMust exercise at least 64,000 options before each scheduled payment date; if not exercised timely, that installment is forfeited .
StatusAs of the proxy, no options had been exercised and no deferred bonus paid .
Change-in-controlFull vesting of the Annual Deferred Bonus Payment and payment in a lump sum within 30 days of a change in control (the offering is excluded) .

Clawback/forfeiture: The 2022 Omnibus Plan permits forfeiture of awards and/or gains upon violation of applicable restrictive covenants; no separate financial restatement clawback was disclosed .

Equity Ownership & Alignment

ItemDetail
Total beneficial ownership340,118 shares (4.5% of outstanding; 3.4% of voting power) .
Composition20,118 common shares + 320,000 stock options .
Vested vs. unvested320,000 options were fully vested upon grant .
10b5-1 trading plansNone disclosed .
Pledging/hedgingNot disclosed in proxy .
Ownership guidelinesNot disclosed.

Employment Terms

TermKey provisions
AgreementDated Aug 9, 2022; amended May 4, 2023; initial 5-year term (through Aug 2027) .
Base salary$330,000 with ≥3% annual increases .
One-time incentive$435,577 (accrued/unpaid salary + retention bonus); paid from IPO proceeds (Aug 2023) .
Deferred bonusAggregate option strike + tax gross-up; 20% installments on Jan 2 of 2024–2028; each installment contingent on exercising ≥64,000 options pre-date; none paid to date .
Severance (initial term)If terminated without cause: greater of 3x base salary or 3x prior-year bonus, paid over 3 years; plus 18 months COBRA premiums .
Severance (after initial term)If terminated without cause: greater of 1.5x base salary or 1.5x prior-year bonus, paid over 18 months; plus 18 months COBRA premiums .
Change-in-controlFull vesting and lump-sum payment of the deferred bonus within 30 days; offering is not a CoC .
Restrictive covenantsConfidentiality; non-solicit 24 months; non-compete/competitive restrictions during employment and for 24 months post-separation .

Board Governance

  • Role and independence: Carrico serves as CEO and Director; not listed among independent directors (independents: Bradley Mitch Watkins, Beth Keyser, Kristin Ferge, Gilad Aharon) .
  • Chair/committees: Chairman is Bradley Mitch Watkins. CEO Carrico is not shown as a member of Audit, Compensation, or Nominating/Governance committees (Audit: Ferge [Chair], Watkins, Keyser; Compensation: Aharon [Chair], Watkins, Keyser, Ferge; Nominating/Gov: Keyser [Chair], Watkins, Ferge) .
  • Family relationship: Carrico is the son of Dr. Thomas Carrico (Chief Regulatory Officer), which presents a potential independence/related-party optics issue .
  • Director compensation: Employee directors receive no additional director compensation .

Financial Performance

MetricFY 2023FY 2024
Revenues (USD)2,460,049 2,685,925
EBITDA (USD)-6,623,770*-7,118,986*

Values with asterisk (*) retrieved from S&P Global.

Related Party and Risk Indicators

  • Related parties: Family relationship (CEO and CRO father/son) disclosed; founder loans to a director (Dr. Brown) were repaid post-IPO; no related-party transactions identified directly with Brian Carrico .
  • 10b5-1 plans: None disclosed for insiders, reducing transparency of trading plans .
  • Tax gross-up: Deferred bonus includes tax gross-up on the aggregate option strike price—often viewed unfavorably by governance-sensitive investors .
  • Equity award structure: Legacy options (fully vested at grant) may dilute performance sensitivity; 2022 Plan allows various equity types but no Carrico RSU/PSU grants disclosed for 2024 .
  • Say-on-Pay: Advisory vote was on the 2024 agenda; results not included in the proxy record provided .

Compensation Structure Analysis

  • Mix shift: CEO cash bonus declined materially in 2024 vs. 2023 ($206.7k vs. $441.3k) while base salary remained broadly in line with contractual levels; no equity grants to Carrico disclosed for 2024 .
  • Option-heavy history: Carrico’s significant option position (320k at $6.94, fully vested) can reduce forward performance conditioning vs. PSUs/RSUs with multi-year targets .
  • Retention incentives with exercise triggers: The five-tranche deferred bonus tied to timely option exercises (and with a tax gross-up) is designed to retain and prompt exercises; missed exercises forfeit installments .
  • CoC terms: Single-trigger acceleration of the deferred bonus (lump sum within 30 days) increases change-in-control payout certainty .

Equity Ownership & Alignment (Detail)

CategoryAmount/Status
Beneficial ownership340,118 shares (4.5%); 3.4% of voting power .
Options outstanding320,000 options @ $6.94; exp. 09/13/2029; fully vested at grant .
Common shares20,118 .
Ownership guidelinesNot disclosed.
Pledging/hedgingNot disclosed .
10b5-1 plansNone .

Employment & Contracts (Detail)

ElementProvision
Term5 years from Aug 9, 2022; amended May 4, 2023 .
Severance (no cause, initial term)Greater of 3x salary or 3x prior-year bonus; paid over 3 years; 18 months COBRA .
Severance (no cause, post-term)Greater of 1.5x salary or 1.5x prior-year bonus; paid over 18 months; 18 months COBRA .
CoCDeferred bonus fully vests and is paid in lump sum within 30 days; offering excluded .
Non-compete / non-solicitCompetitive restrictions and non-solicit for 24 months post-separation; confidentiality covenant .

Investment Implications

  • Alignment and retention: Carrico’s meaningful ownership (4.5%) and option-linked deferred bonus support retention; however, the tax gross-up and single-trigger CoC acceleration are shareholder-unfriendly elements and may elevate payout risk in a sale .
  • Near-term selling pressure: The deferred bonus design incentivizes timely option exercises (64k per year 2024–2028) to unlock cash installments; exercises could prompt sales to fund exercise/taxes, though no 10b5-1 plans are disclosed to manage such activity .
  • Pay-for-performance: With no disclosed 2024 equity grants to Carrico and legacy options fully vested at grant, incremental performance leverage appears limited; bonus framework lacks disclosed metric rigor or target calibration for investor assessment .
  • Governance optics: Dual role (CEO/Director) and family relationship with the CRO create independence optics risks mitigated in part by an independent chair and fully independent committees .
  • Execution track record: Post-IPO TSR was negative across 2023–2024 windows, while revenue grew year over year and EBITDA losses widened; sustaining growth and narrowing losses are critical to improving compensation-outcome alignment and market confidence (see Financial Performance table above ).

Citations: All data are from company filings as cited. EBITDA values marked with an asterisk (*) were retrieved from S&P Global.