UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
WASHINGTON, D.C.  20549

FORM 10-Q

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

For the quarterly period ended June 30, 2024

OR

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

Commission file number: 0-51481

STRATA SKIN SCIENCES, INC.
(Exact name of registrant as specified in its charter)

Delaware
 
13-3986004
(State or Other Jurisdiction of incorporation or Organization)
 
(I.R.S. Employer Identification No.)

5 Walnut Grove Drive, Suite 140, Horsham, Pennsylvania
 
19044
(Address of principal executive offices)
 
(Zip code)

Registrant’s telephone number, including area code: (215) 619-3200

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

Title of Each Class
 
Trading Symbol(s)
 
Name Of Each Exchange On Which Registered
Common Stock, $0.001 Par Value
 
SSKN
 
The Nasdaq Stock Market LLC
 
Securities registered pursuant to Section 12(g) of the Act: None

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 (§232.0405 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, a 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 ☒

The number of shares outstanding of our common stock as of August 12, 2024 was 4,171,161 shares.

STRATA SKIN SCIENCES, INC.

TABLE OF CONTENTS
Part I. Financial Information:
PAGE
       
 
ITEM 1.  Financial Statements:
  
 
a.
1
       
 
b.
2
       
  c.
Condensed Consolidated Statements of Operations for the Six Months Ended June 30, 2024 and 2023 (unaudited)
 3
       

d.
4
       
 
e.
5
       
 
f.
6
       
 
22
       
 
33
       
 
33
       
Part II. Other Information:
  
       
 
33
       
 
34
       
 
34
       
 
34
       
 
35
       
 
35
       
 
36
       
   
37
       
   
Certifications
E-31.1

PART I - Financial Information

ITEM 1.
Financial Statements

STRATA Skin Sciences, Inc. and Subsidiary
Condensed Consolidated Balance Sheets
(in thousands, except share and per share data)

   
June 30, 2024
    
December 31, 2023
  
    (unaudited)        
Assets
  

       
Current assets:
            
Cash and cash equivalents
  
$
5,483
    
$
6,784
  
Restricted cash
     1,334       1,334  
Accounts receivable, net of allowance for credit losses of $182 and $222 at June 30, 2024 and December 31, 2023, respectively
    
3,979
      
4,440
  
Inventories
    
2,692
      
2,673
  
Prepaid expenses and other current assets
    
337
      
312
  
Total current assets
    
13,825
      
15,543
  
Property and equipment, net
    
11,149
      
11,778
  
Operating lease right-of-use assets
    
1,429
      
626
  
Intangible assets, net
    
6,334
      
7,319
  
Goodwill
    
6,519
      
6,519
  
Other assets
    
325
      
231
  
Total assets
  
$
39,581
    
$
42,016
  
                 
Liabilities and Stockholders’ Equity
                
Current liabilities:
                
Accounts payable
  
$
2,886
    
$
3,343
  
Accrued expenses and other current liabilities
    
6,608
      
6,306
  
Deferred revenues
     2,261
       2,120
  
Current portion of operating lease liabilities
    
313
      
352
  
Current portion of contingent consideration
    
65
      
53
  
Total current liabilities
    
12,133
      
12,174
  
Long-term debt, net
    
15,114
      
15,044
  
Deferred revenues and other liabilities
     473
       552
  
Deferred tax liability
    
186
      
186
  
Operating lease liabilities, net of current portion
    
1,083
      
237
  
Contingent consideration, net of current portion
    
1,096
      
1,135
  
Total liabilities
    
30,085
      
29,328
  
Commitments and contingencies (Note 13)
            
Stockholders’ equity:
                
Series C convertible preferred stock, $0.10 par value; 10,000,000 shares authorized, no shares issued and outstanding
     —
       —
  
Common stock, $0.001 par value; 150,000,000 shares authorized; 3,506,025 shares issued and outstanding at June 30, 2024 and December 31, 2023
    
4
      
4
  
Additional paid-in capital
    
251,017
      
250,742
  
Accumulated deficit
    
(241,525
)
    
(238,058
)
Total stockholders’ equity
    
9,496
      
12,688
  
Total liabilities and stockholders’ equity
  
$
39,581
    
$
42,016
  

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

1
STRATA Skin Sciences, Inc. and Subsidiary
Condensed Consolidated Statements of Operations
(in thousands, except share and per share data)
(unaudited)

   
Three Months Ended June 30,
  
   
2024
    
2023
  
Revenues, net
  
$
8,435
    
$
8,250
  
Cost of revenues
    
3,498
      
3,932
  
Gross profit
    
4,937
      
4,318
  
Operating expenses:
                
Engineering and product development
    
199
      
374
  
Selling and marketing
    
3,014
      
3,416
  
General and administrative
    
2,210
      
2,490
  
     
5,423
      
6,280
  
Loss from operations
    
(486
)
    
(1,962
)
Other (expense) income:
                
Loss on debt extinguishment
     —       (909 )
Interest expense
    
(531
)
    
(298
)
Interest income
    54       21  
Other income
     864       —  
      387       (1,186 )
Net loss
  
$
(99
)
  
$
(3,148
)
                 
Net loss per share of common stock, basic and diluted
   $ (0.03 )   $ (0.90 )
Weighted average shares of common stock outstanding, basic and diluted
     3,506,025       3,488,081  

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

2
STRATA Skin Sciences, Inc. and Subsidiary
Condensed Consolidated Statements of Operations
(in thousands, except share and per share data)
(unaudited)

   
Six Months Ended June 30,
  
   
2024
    
2023
  
Revenues, net
  
$
15,189
    
$
15,817
  
Cost of revenues
    
7,172
      
7,111
  
Gross profit
    
8,017
      
8,706
  
Operating expenses:
                
Engineering and product development
    
440
      
689
  
Selling and marketing
    
6,032
      
7,158
  
General and administrative
    
4,920
      
5,407
  
     
11,392
      
13,254
  
Loss from operations
    
(3,375
)
    
(4,548
)
Other (expense) income:
                
Loss on debt extinguishment
     —       (909 )
Interest expense
     (1,055 )     (584 )
Interest income
     99       58  
Other income
     864       —  
      (92 )     (1,435 )
Net loss
  
$
(3,467
)
  
$
(5,983
)
                 
Net loss per share of common stock, basic and diluted
   $ (0.99 )   $ (1.72 )
Weighted average shares of common stock outstanding, basic and diluted     3,506,025
       3,487,119
  

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

3
STRATA Skin Sciences, Inc. and Subsidiary
Condensed Consolidated Statements of Changes in Stockholders’ Equity
For The Six Months Ended June 30, 2024 and 2023
(in thousands, except share data)
(unaudited)
 
   
Common Stock
                    
     
Shares
    
Amount
    
Additional
Paid-in-Capital
    
Accumulated
Deficit
     Total
Stockholders’
Equity
  
Balance at January 1, 2024
    
3,506,025
    
$
4
    
$
250,742
    
$
(238,058
)
  
$
12,688
  
Stock-based compensation expense
    
—
      
—
      
112
      
—
      
112
  
Net loss
    
—
      
—
      
—
      
(3,368
)
    
(3,368
)
Balance at March 31, 2024
    
3,506,025
      
4
      
250,854
      
(241,426
)
    
9,432
  
Stock-based compensation expense
     —
       —
      
163
      
—
      
163
  
Net loss
    
—
      
—
      
—
      
(99
)
    
(99
)
Balance at June 30, 2024
    
3,506,025
    
$
4
    
$
251,017
    
$
(241,525
)
  
$
9,496
  

    Common Stock
                   
     
Shares
    
Amount
    
Additional
Paid-in-Capital
    
Accumulated
Deficit
     Total
Stockholders’
Equity
  
Balance at January 1, 2023
    
3,472,246
    
$
3
    
$
249,056
    
$
(227,228
)
  
$
21,831
  
Stock-based compensation expense
    
—
      
—
      
325
      
—
      
325
  
Issuance of restricted stock     15,835       —       —       —       —  
Net loss
    
—
      
—
      
—
      
(2,835
)
    
(2,835
)
Balance at March 31, 2023
    
3,488,081
      
3
      
249,381
      
(230,063
)
    
19,321
  
Stock-based compensation expense
    
—
      
—
      
352
       —      
352
  
Modification of common stock warrants
    —       —       384       —       384  
Net loss
    
—
      
—
      
—
      
(3,148
)
    
(3,148
)
Balance at June 30, 2023
    
3,488,081
    
$
3
    
$
250,117
    
$
(233,211
)
  
$
16,909
  

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

4
STRATA Skin Sciences, Inc. and Subsidiary
Condensed Consolidated Statements of Cash Flows
(in thousands)
(unaudited)

   
Six Months Ended June 30,
  
   
2024
    
2023
  
Cash flows from operating activities:
            
Net loss
  
$
(3,467
)
  
$
(5,983
)
Adjustments to reconcile net loss to net cash (used in) provided by operating activities:
                
Depreciation and amortization
    
2,499
      
2,825
  
Amortization of operating lease right-of-use assets
    
174
      
168
  
Amortization of deferred financing costs and debt discount     70       83  
Change in allowance for credit losses
    
30
      
(138
)
Stock-based compensation expense
    
275
      
677
  
Loss on disposal of property and equipment
     19       24  
Inventory write-off
    141       —  
Loss on debt extinguishment
     —       909  
Changes in operating assets and liabilities:
                
Accounts receivable
    
431
      
208
  
Inventories
    
6
      
886
  
Prepaid expenses and other assets
    
(119
)
    
190
  
Accounts payable
    
(466
)
    
351
  
Accrued expenses and other liabilities
    
290
      
211
  
Deferred revenues
    
74
      
(95
)
Operating lease liabilities
    
(170
)
    
(186
)
Net cash (used in) provided by operating activities
    
(213
)
    
130
  
Cash flows from investing activities:                
Purchase of property and equipment
     (1,070 )     (3,495 )
Net cash used in investing activities
     (1,070 )     (3,495 )
Cash flows from financing activities:
               
Payment of contingent consideration
     (18 )     —  
Proceeds from long-term debt
     —       7,000  
Payment of deferred financing costs
     —       (35 )
Net cash (used in) provided by financing activities
    (18 )     6,965  
Net (decrease) increase in cash, cash equivalents and restricted cash
    
(1,301
)
    
3,600
  
Cash, cash equivalents and restricted cash at beginning of period
    
8,118
      
6,795
  
Cash, cash equivalents and restricted cash at end of period
  
$
6,817
    
$
10,395
  
                 
Cash and cash equivalents
  
$
5,483
    
$
9,034
  
Restricted cash
    
1,334
      
1,361
  
   
$
6,817
    
$
10,395
  
                 
Supplemental disclosure of cash flow information:
                
Cash paid during the year for interest
  
$
990
    
$
497
  
                 
Supplemental schedule of non-cash operating, investing and financing activities:
                
Operating lease right-of-use assets obtained in exchange for operating lease liabilities
   $ 977     $ —  
Transfer of property and equipment to inventories
   $ 166     $ 102  
Accrued payment of contingent consideration
   $ 9     $ 42  
Modification of common stock warrants
   $ —     $ 384  
Accrued exit fee recorded as debt discount
   $ —     $ 450  
Deferred financing costs in accounts payable
   $ —     $ 62  

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

5
STRATA Skin Sciences, Inc. and Subsidiary
Notes to Condensed Consolidated Financial Statements
(in thousands, except share and per share amounts and number of lasers)
(unaudited)


Note 1
The Company:

Background
STRATA Skin Sciences, Inc. (the “Company”) is a medical technology company in dermatology dedicated to developing, commercializing and marketing innovative products for the treatment of dermatologic conditions. Its products include the XTRAC® and Pharos® excimer lasers and VTRAC® lamp systems utilized in the treatment of psoriasis, vitiligo and various other skin conditions. In January 2022, the Company acquired the TheraClear Acne Therapy System to broaden its opportunities with expansion potential in the acne care market. The Company markets the device under the brand name TheraClear® X.

The XTRAC is an ultraviolet light excimer laser system utilized to treat psoriasis, vitiligo and other skin diseases. The XTRAC excimer laser system received clearance from the United States Food and Drug Administration (the “FDA”) in 2000. As of June 30, 2024, there were 882 XTRAC systems placed in dermatologists’ offices in the United States and 39 systems internationally under the Company’s recurring revenue business model. The XTRAC systems deployed under the recurring revenue model generate revenue on a per procedure basis or include a fixed payment over an agreed upon period with a capped number of treatments which, if exceeded, would incur additional fees. The per-procedure charge is inclusive of the use of the system and the services provided by the Company to the customer, which includes system maintenance and other services. The VTRAC Excimer Lamp system, offered in addition to the XTRAC system internationally, provides targeted therapeutic efficacy demonstrated by excimer technology with a lamp system.

The Pharos excimer laser system holds FDA clearance to treat chronic skin diseases, including psoriasis, vitiligo, atopic dermatitis and leukoderma.

The TheraClear® Acne Therapy System (“TheraClear”) combines intense pulse light with vacuum (suction) for the treatment of mild to moderate inflammatory acne (including acne vulgaris), comedonal acne and pustular acne.

Since 2019, the Company has been transitioning its international dermatology procedures equipment sales through its master distributor to a direct distribution model for equipment sales and recurring revenue on a country-by-country basis. The Company has signed distributor contracts by year as follows: 2019 – Korea, 2020 – Japan, 2021 – China, Israel, Saudi Arabia, Kuwait, Oman, Qatar, Bahrain, UAE, Jordan and Iraq, and 2023 – Mexico and India.

Post- COVID-19 Pandemic

Since March 2020, the global pandemic related to a new strain of coronavirus (“COVID-19”) has negatively impacted business conditions in the industry in which the Company operates, disrupted global supply chains, constrained workforce participation and created significant volatility and disruption of financial markets. The pandemic led to the suspension of elective procedures in the U.S. and to the temporary closure of many physician practices, which are the Company’s primary customers. While most physician offices have reopened, some of the Company’s partner physician practices closed permanently. Accordingly, the COVID-19 pandemic and its variants have negatively impacted the Company’s operational and financial performance, including its ability to execute its business strategies and initiatives in the expected time frames and those of its primary customers. It has also negatively impacted the Company’ supply chains and transport, customer behavior and staffing.
Impact of Russia-Ukraine War
Prior to the outbreak of the Russia-Ukraine War, Ukraine was the largest exporter of noble gases including neon, krypton, and xenon and has historically been the source of a significant amount of gas supplied to the Company by its contract suppliers. Neon gas is essential to the proper functioning of the Company’s lasers. The Company’s suppliers have been resourceful in continuing to supply gases to the Company but cannot assure the Company that the supply will remain uninterrupted. The reduced supply and ongoing conflict have also impacted the price of gas worldwide. Additionally, the Creating Helpful Incentives to Produce Semiconductors and Science Act of 2022 has led to a further tightening of rare gas supplies as semiconductor chip manufacturers reconfigure their supply chains to address the need to secure their own supplies of rare gases for use in the manufacture of computer chips.


Impact of Israel-Hamas Conflict

The Company has not seen an impact on its distributors’ businesses in the Middle East due to the Israel-Hamas conflict, but cannot predict the impact should the conflict continue or develop into a larger war.

6
STRATA Skin Sciences, Inc. and Subsidiary
Notes to Condensed Consolidated Financial Statements
(in thousands, except share and per share amounts and number of lasers)
(unaudited)
Basis of presentation:

Principles of Consolidation
The condensed consolidated financial statements include the accounts of the Company and Photomedex India Private Limited, its wholly-owned, inactive subsidiary in India. All significant intercompany balances and transactions have been eliminated in consolidation.

Unaudited Interim Condensed Consolidated Financial Statements
The accompanying unaudited interim condensed consolidated financial statements have been prepared pursuant to the rules and regulations of the United States Securities and Exchange Commission (“SEC”) for interim financial reporting. These condensed consolidated statements are unaudited and, in the opinion of management, include all adjustments (consisting of normal recurring adjustments and accruals) necessary to fairly present the results of the interim periods. The condensed consolidated balance sheet at December 31, 2023 has been derived from the audited consolidated financial statements at that date. Operating results and cash flows for the six months ended June 30, 2024 are not necessarily indicative of the results that may be expected for the fiscal year ending December 31, 2024 or any other future period. Certain information and footnote disclosures normally included in annual financial statements prepared in accordance with accounting principles generally accepted in the United States of America (“U.S. GAAP”) have been condensed or omitted in accordance with the rules and regulations for interim reporting of the SEC. These interim condensed consolidated financial statements should be read in conjunction with the consolidated financial statements and notes thereto included in the Company’s Annual Report on Form 10-K for the year ended December 31, 2023 (the “2023 Form 10-K”), and other forms filed with the SEC from time to time. Dollar amounts included herein are in thousands, except per share amounts.


Reclassifications

Certain prior year amounts have been reclassified to conform to the current year presentation, including the impact on the condensed consolidated statement of cash flows of the reclassification of lasers-in-process from inventories to property and equipment, net.

Significant Accounting Policies
The significant accounting policies used in preparation of these condensed consolidated financial statements are disclosed in the Company’s 2023 Form 10-K, and there have been no changes to the Company’s significant accounting policies during the six months ended June 30, 2024.


Reverse Stock Split

On October 26, 2023, the stockholders of the Company authorized the Board of Directors to effect a reverse stock split of all outstanding shares of common stock. On April 26, 2024, the Board of Directors approved the implementation of a reverse stock split at a ratio of one-for-ten shares, which became effective on June 6, 2024. The Company’s outstanding stock-based awards, including options, restricted stock units and warrants, were also adjusted to reflect the one-for-ten reverse stock split of the Company’s common stock. Outstanding stock-based award units were proportionately reduced and the respective exercise prices, if applicable, were proportionately increased. The reverse stock split affected all stockholders uniformly and did not alter any stockholder’s percentage interest in the Company’s equity. No fractional shares were issued in connection with the reverse stock split. Stockholders who would otherwise be entitled to a fractional share of common stock were instead entitled to receive a proportional cash payment. The reverse stock split did not change the par value or authorized number of shares of common stock. All share and per share amounts in these condensed consolidated financial statements and related notes hereto have been retroactively adjusted to account for the effect of the reverse stock split.


Use of Estimates
The preparation of the condensed consolidated financial statements 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 financial statements and the reported amounts of revenues and expenses during the reporting periods. The Company’s significant estimates and judgments include revenue recognition with respect to deferred revenues and the contract term and valuation allowances of accounts receivable, inputs used when evaluating goodwill for impairment, inputs used in the valuation of contingent consideration, state sales and use tax accruals, the estimated useful lives of intangible assets, and the valuation allowance related to deferred tax assets. Actual results could differ from those estimates.

Fair Value Measurements
The Company measures financial assets and liabilities at fair value at each reporting period using a fair value hierarchy that requires the use of observable inputs and minimizes the use of unobservable inputs. The Company defines fair value as the price that would be received from selling an asset or paid to transfer a liability in an orderly transaction between market participants at the measurement date. Fair value is estimated by applying the following hierarchy, which prioritizes the inputs used to measure fair value into three levels and bases the categorization within the hierarchy upon the lowest level of input that is available and significant to the fair value measurement:

 
•
Level 1 – quoted market prices in active markets for identical assets or liabilities.
 
•
Level 2 – observable inputs other than quoted prices in active markets for identical assets and liabilities, quoted prices for identical or similar assets or liabilities in inactive markets, or other inputs that are observable or can be corroborated by observable market data for substantially the full term of the assets or liabilities.
 
•
Level 3 – inputs that are generally unobservable and typically reflect the Company’s estimate of assumptions that market participants would use in pricing the asset or liability.

The fair values of cash and cash equivalents and restricted cash are based on their respective demand values, which are equal to the carrying values. The carrying values of all short-term monetary assets and liabilities are estimated to approximate their fair values due to the short-term nature of these instruments. As of June 30, 2024 and December 31, 2023, the carrying value of the Company’s long-term debt approximated its fair value due to its variable interest rate.

7
STRATA Skin Sciences, Inc. and Subsidiary
Notes to Condensed Consolidated Financial Statements
(in thousands, except share and per share amounts and number of lasers)
(unaudited)
Accrued Warranty Costs
The Company offers a standard warranty on product sales generally for a one to two-year period, however, the Company has offered longer warranty periods, ranging from three to four years, in order to meet competition or customer demands. The Company provides for the estimated cost of the future warranty claims on the date the product is sold.

The activity in the warranty accrual is summarized as follows:

 
  
Three Months Ended June 30,
  
 
  
2024
    
2023
  
Balance, beginning of period
  
$
278
    
$
229
  
Additions
    
76
      
93
  
Expirations and claims satisfied
    
(61
)
    
(53
)
Total
    
293
      
269
  
Less current portion within accrued expenses and other current liabilities
    
(182
)
    
(163
)
Balance within deferred revenues and other liabilities
  
$
111
    
$
106
  

   
Six Months Ended June 30,
  
   
2024
    
2023
  
Balance, beginning of period
  
$
303
    
$
207
  
Additions
    
115
      
120
  
Expirations and claims satisfied
    
(125
)
    
(58
)
Total
    
293
      
269
  
Less current portion within accrued expenses and other current liabilities
    
(182
)
    
(163
)
Balance within deferred revenues and other liabilities
  
$
111
    
$
106
  


Employee Retention Credit

The Employee Retention Credit (“ERC”) under the Coronavirus Aid, Relief, and Economic Security Act (“CARES Act”) is a refundable tax credit which encouraged businesses to keep employees on the payroll during the COVID-19 pandemic. Eligible employers could qualify for up to $7 of credit for each employee based on qualified wages paid after December 31, 2020 and before January 1, 2022. Qualified wages are any wages paid to an employee (for employers that averaged fewer than 100 full-time employees in 2019) or the wages paid to an employee for the time that the employee is providing and not providing services (for employers that averaged more than 500 full-time employees in 2019) due to an economic hardship, specifically, either (1) a full or partial suspension of operations by order of a governmental authority due to COVID-19, or (2) a significant decline in gross receipts. The Company recognized $864 of ERC as other income in the condensed consolidated statement of operations for the three and six months ended June 30, 2024. No such activity existed for the three and six months ended June 30, 2023.



Net Loss Per Share
Basic net loss per share of common stock is computed by dividing net loss attributable to common stockholders by the weighted-average number of shares of common stock outstanding during each period. Diluted net loss per share of common stock includes the effect, if any, from the potential exercise or conversion of securities such as unvested restricted stock awards, stock options and warrants for common stock which would result in the issuance of incremental shares of common stock. For diluted net loss per share, the weighted-average number of shares of common stock is the same as for basic net loss per share due to the fact that when a net loss exists, dilutive securities are not included in the calculation as the impact is anti-dilutive.

The following potentially dilutive securities have been excluded from the computation of diluted weighted-average shares of common stock outstanding, as they would be anti-dilutive:
 
    June 30,
 
 
   2024
     2023
  
Stock options
    530,350       536,961  
Common stock warrants
     80,000       80,000  
Restricted stock units
     851       11,960  

    611,201       628,921  

Recent Accounting Pronouncements Recently Adopted
In August 2020, the Financial Accounting Standards Board (“FASB”) issued Accounting Standards Update (“ASU”) 2020-06, Debt with Conversion and Other Options (Subtopic 470-20) and Derivatives and Hedging – Contracts in Entity’s Own Equity (Subtopic 815-40): Accounting for Convertible Instruments and Contracts in an Entity’s own Equity. The pronouncement simplifies the accounting for certain financial instruments with characteristics of liabilities and equity, including convertible instruments and contracts in an entity’s own equity. Specifically, the ASU simplifies accounting for convertible instruments by removing major separation models required under current U.S. GAAP. In addition, the ASU removes certain settlement conditions that are required for equity contracts to qualify for it and simplifies the diluted earnings per share (EPS) calculations in certain areas. The guidance is effective for annual periods, including interim periods, beginning after December 15, 2023 and early adoption is permitted. The adoption of this guidance on January 1, 2024 did not have an impact on the condensed consolidated financial statements.

8
STRATA Skin Sciences, Inc. and Subsidiary
Notes to Condensed Consolidated Financial Statements
(in thousands, except share and per share amounts and number of lasers)
(unaudited)
Recent Accounting Pronouncements Not Yet Adopted
In November 2023, the FASB issued ASU 2023-07, Segment Reporting (Topic 280): Improvements to Reportable Segment Disclosures, which will primarily require enhanced disclosures about significant segment expenses and information used to assess segment performance and enhanced disclosures in interim periods. The guidance in this ASU will be applied retrospectively and is effective for fiscal years beginning after December 15, 2023 and interim reporting periods in fiscal years beginning after December 15, 2024. Early adoption is permitted. The Company is currently evaluating the effect this ASU will have on its condensed consolidated financial statements.

In December 2023, the FASB issued ASU 2023-09, Income Taxes (Topic 740): Improvements to Income Tax Disclosures, which is intended to improve income tax disclosure requirements by requiring (1) consistent categories and greater disaggregation of information in the rate reconciliation and (2) the disaggregation of income taxes paid by jurisdiction. The guidance makes several other changes to the income tax disclosure requirements. The guidance in this ASU is effective for annual periods beginning after December 15, 2024. Early adoption is permitted for annual financial statements that have not yet been issued or made available for issuance. The Company is currently evaluating the effect this ASU will have on its condensed consolidated financial statements.

Note 2
Liquidity:

The Company has been negatively impacted by the COVID-19 pandemic, has historically experienced recurring losses, has been dependent on raising capital from the sale of securities in order to continue to operate and has been required to restrict cash for potential sales tax liabilities (see Note 13, Commitments and Contingencies). In October 2021, the Company entered into an equity distribution agreement with an investment bank under which the Company may sell up to $11,000 of its common stock in registered “at-the-market” offerings. In July 2024, the Company sold 665,136 shares of its common stock under the equity distribution agreement at an average purchase price of $3.16 per share for total gross proceeds of approximately $2,100. In June 2023, the Company amended its credit facility with MidCap Financial Trust to: (i) refinance its existing $8,000 term loan, (ii) borrow an additional $7,000, and (iii) provide for an additional $5,000 tranche that can be drawn under certain conditions in 2024. Management believes that the Company’s cash and cash equivalents, the anticipated revenues from the sale or use of its products and operating expense management, and the proceeds from the July 2024 equity raise will be sufficient to satisfy the Company’s working capital needs, capital asset purchases, outstanding commitments and other liquidity requirements associated with its existing operations for at least the next 12 months following the date of the issuance of these condensed consolidated financial statements. However, market conditions, including the negative impact of the COVID-19 pandemic, the Russia-Ukraine War, and the Israel-Hamas conflict on the financial markets, supply chain disruptions, customer behavior, and rising interest rates, could interfere with the Company’s ability to access financing and on favorable terms.


Note 3
Revenue Recognition:

Revenues from the Company’s dermatology recurring procedures customers are earned by providing physicians with its laser products and charging the physicians a fee for a fixed number of treatment sessions or a fixed fee for a specified period of time not to exceed an agreed upon number of treatments; if that number is exceeded additional fees will have to be paid. The placement of the laser products at physician locations represents embedded leases which are accounted for as operating leases. For the lasers placed-in service under these arrangements, the terms of the domestic arrangements are generally 36 months with automatic one-year renewals and include a termination clause that can be effected at any time by either party with 30 to 60 day notice. Amounts paid are generally non-refundable. Sales of access codes for a fixed number of treatment sessions are considered variable treatment code payments and are recognized as revenue over the estimated usage period of the agreed upon number of treatments. Sales of access codes for a specified period of time are recognized as revenue on a straight-line basis as the lasers are being used over the term specified in the agreement. Variable treatment code payments that will be paid only if the customer exceeds the agreed upon number of treatments are recognized only when such treatments are being exceeded and used. Internationally, the Company generally sells access codes for a fixed amount on a monthly basis to its distributors and the terms are generally 48 months, with termination in the event of the customers’ failure to remit payments timely, and include a potential buy-out at the end of the term of the contract. Currently, this is the only foreign recurring revenue. Prepaid amounts recorded in deferred revenue and customer deposits recorded in accounts payable are recognized as revenue over the lease term in the patterns described above. Pricing is fixed with the customer. With respect to lease and non-lease components, the Company adopted the practical expedient to account for the arrangement as a single lease component.

Revenues from the Company’s dermatology procedures equipment are recognized when control of the promised goods or services is transferred to its customers or distributors, in an amount that reflects the consideration to which it expects to be entitled in exchange for those goods or services. Accordingly, the Company determines revenue recognition through the following steps:

 
•
identification of the contract, or contracts, with a customer;
 
•
identification of the performance obligations in the contract;
 
•
determination of the transaction price;
 
•
allocation of the transaction price to the performance obligations in the contract; and
 
•
recognition of revenue when, or as, performance obligations are satisfied.

Accounting for the Company’s contracts involves the use of significant judgments and estimates including determining the separate performance obligations, allocating the transaction price to the different performance obligations and determining the method to measure the entity’s performance toward satisfaction of performance obligations that most faithfully depicts when control is transferred to the customer. The Company allocates the contract’s transaction price to each performance obligation using the Company’s best estimate of the standalone selling price for each distinct good or service in the contract. The Company maximizes the use of observable inputs by beginning with average historical contractual selling prices and adjusting as necessary and on a consistent and rational basis for other inputs such as pricing trends, customer types, volumes and changing cost and margins.

Revenues from dermatology procedures equipment are recognized when control of the promised products is transferred to either the Company’s distributors or end-user customers, in an amount that reflects the consideration the Company expects to be entitled to in exchange for those products (the transaction price). Control transfers to the customer at a point in time. To indicate the transfer of control, the Company must have a present right to payment and legal title must have passed to the customer. The Company ships most of its products FOB shipping point, and as such, the Company primarily transfers control and records revenue upon shipment. From time to time the Company will grant certain customers, for example governmental customers, FOB destination terms, where the transfer of control for revenue recognition occurs upon receipt. The Company has elected to recognize the cost of freight and shipping activities as fulfillment costs. Amounts billed to customers for shipping and handling are included as part of the transaction price and recognized as revenue when control of the underlying goods is transferred to the customer. The related shipping and freight charges incurred by the Company are included in cost of revenues.

9
STRATA Skin Sciences, Inc. and Subsidiary
Notes to Condensed Consolidated Financial Statements
(in thousands, except share and per share amounts and number of lasers)
(unaudited)
The following table summarizes the Company’s expected future undiscounted fixed treatment code payments from international dermatology recurring procedures, the Company’s only long-term arrangements, as of June 30, 2024:

Remaining 2024
  
$
698
  
2025
    
937
  
2026
    
752
  
2027
    
481
  
2028
    
38
  
Total
  
$
2,906
  

Remaining performance obligations related to Accounting Standards Codification (“ASC”) 606, Revenue from Contracts with Customers, represent the aggregate transaction price allocated to performance obligations with an original contract term greater than one year, which are fully or partially unsatisfied at the end of the period. Remaining performance obligations include the potential obligation to perform under extended warranties and service contracts but exclude any dermatology procedures equipment accounted for as leases. As of June 30, 2024, the aggregate amount of the transaction price allocated to remaining performance obligations was $587 and the Company expects to recognize $226 of the remaining performance obligations within one year and the remainder over one to three years. Contract assets primarily relate to the Company’s rights to consideration for work completed in relation to its services performed but not billed at the reporting date. The contract assets are transferred to receivables when the rights become unconditional. Currently, the Company does not have any contract assets which have not transferred to a receivable.

Contract liabilities primarily relate to extended warranties and service contracts where the Company has received payments but has not yet satisfied the related performance obligations. The allocations of the transaction price are based on the price of standalone warranty contracts sold in the ordinary course of business. The advance consideration received from customers for the warranty services is a contract liability that is recognized ratably over the warranty period. As of June 30, 2024, the $226 of short-term contract liabilities is presented as deferred revenues and the $361 of long-term contract liabilities is presented within deferred revenues and other liabilities on the condensed consolidated balance sheet. For the three months ended June 30, 2024 and 2023, the Company recognized $78 and $104, respectively, as revenue from amounts classified as contract liabilities (i.e. deferred revenues) as of December 31, 2023 and 2022. For the six months ended June 30, 2024 and 2023, the Company recognized $154 and $236, respectively, as revenue from amounts classified as contract liabilities (i.e. deferred revenues) as of December 31, 2023 and 2022.

With respect to contract acquisition costs, the Company applies the practical expedient and expenses these costs immediately.

Note 4
Inventories:
 
Inventories consist of the following:
 
   
June 30, 2024
    
December 31, 2023
  
Raw materials and work-in-process
  
$
2,363
    
$
2,192
  
Finished goods
    
329
      
481
  

 
$
2,692
    
$
2,673
  

Work-in-process inventories are immaterial, given the Company’s typically short manufacturing cycle, and are included with raw materials inventories.

Due to the expiration in the first quarter of 2024 of extended warranty service contracts that were assumed in August 2021 in connection with the acquisition of Pharos laser system products, the Company wrote off $141 of inventories that will no longer be needed for warranty purposes during the six months ended June 30, 2024, which is included in cost of revenues in the condensed consolidated statement of operations.
 
10
STRATA Skin Sciences, Inc. and Subsidiary
Notes to Condensed Consolidated Financial Statements
(in thousands, except share and per share amounts and number of lasers)
(unaudited)
Note 5
Property and Equipment, net:
 
Property and equipment consist of the following:
 
   
June 30, 2024
    
December 31, 2023
  
Lasers placed-in-service
  
$
32,903
    
$
32,095
  
Equipment, computer hardware and software
    
300
      
293
  
Furniture and fixtures
    
240
      
240
  
Leasehold improvements
    
99
      
203
  
Lasers-in-process
     2,924       3,231  
     
36,466
      
36,062
  
Less: accumulated depreciation and amortization
    
(25,317
)
    
(24,284
)

 
$
11,149
    
$
11,778
  

The Company recorded depreciation and amortization expense of $759 and $713 during the three months ended June 30, 2024 and 2023, respectively. The Company recorded depreciation and amortization expense of $1,514 and $1,390 during the six months ended June 30, 2024 and 2023, respectively.
 
Note 6
Intangible Assets, net:
 
Intangible assets consist of the following:
 
June 30, 2024
 
Balance
    
Accumulated
Amortization
    
Net Book
Value
  
Core technology
  
$
5,700
    
$
(5,130
)
  
$
570
  
Product technology
    
4,808
      
(3,925
)
    
883
  
Customer relationships
    
6,900
      
(6,210
)
    
690
  
Tradenames
    
1,500
      
(1,350
)
    
150
  
Pharos customer lists
    
5,314
      
(1,273
)
    
4,041
  
   
$
24,222
    
$
(17,888
)
  
$
6,334
  
                         
December 31, 2023
                        
Core technology
  
$
5,700
    
$
(4,845
)
  
$
855
  
Product technology
    
4,808
      
(3,866
)
    
942
  
Customer relationships
    
6,900
      
(5,865
)
    
1,035
  
Tradenames
    
1,500
      
(1,275
)
    
225
  
Pharos customer lists
    
5,314
      
(1,052
)
    
4,262
  

 
$
24,222
    
$
(16,903
)
  
$
7,319
  

The Company recorded amortization expense of $491 and $715 during the three months ended June 30, 2024 and 2023, respectively. The Company recorded amortization expense of $985 and $1,435 during the six months ended June 30, 2024 and 2023, respectively.
 
Finite-lived intangible assets are tested for impairment when events or changes in circumstances indicate that the carrying value of the asset group may not be recoverable. The Company recognizes an impairment loss when and to the extent that the recoverable amount of an asset group is less than its carrying value. There were no impairment charges for the three and six months ended June 30, 2024 or 2023.

11
STRATA Skin Sciences, Inc. and Subsidiary
Notes to Condensed Consolidated Financial Statements
(in thousands, except share and per share amounts and number of lasers)
(unaudited)
The following table summarizes the estimated future amortization expense for the above intangible assets for the next five years:
 
Remaining 2024
  

986
  
2025
    
1,266
  
2026
    
561
  
2027
    
561
  
2028
    
561
  

Note 7
Accrued Expenses and Other Current Liabilities:

Accrued expenses and other current liabilities consist of the following:

    June 30, 2024     December 31, 2023  
Warranty obligations
  
$
182
    
$
180
  
Compensation and related benefits
     1,974       1,679  
State sales, use and other taxes
    
4,304
      
4,316
  
Professional fees and other
    
148
      
131
  

 
$
6,608
    
$
6,306
  

Note 8
Long-Term Debt:

On September 30, 2021, the Company entered into a credit and security agreement with MidCap Financial Trust (“MidCap”), also acting as the administrative agent, and the lenders identified therein. The original terms provided for an $8,000 senior term loan. Borrowings under the senior term loan originally bore interest at LIBOR (with a LIBOR floor rate of 0.50%) plus 7.50% per year and were scheduled to mature on September 1, 2026, unless terminated earlier. The Company was obligated to make monthly interest-only payments through September 30, 2024. The credit and security agreement was amended on January 10, 2022 to provide MidCap’s consent to the TheraClear asset acquisition. On September 6, 2022, the Company amended the facility to transition, upon the cessation of LIBOR, to bear interest at one-month Secured Overnight Financing Rate (“SOFR”), or such other applicable period, plus 0.10%, with a floor of 0.50%.

On June 30, 2023, the Company entered into (a) Amendment No. 3 to the credit and security agreement (the “Third Amendment”); (b) the Amended and Restated Warrant Agreement (the “A&R Warrant”) with MidCap Funding XXVII Trust (together with any registered holder from time to time or any holder of the shares issuable or issued upon the exercise or conversion of the warrant, the “Warrantholder”), which amended and restated the warrant agreement to purchase shares of the common stock of the Company, dated as of September 30, 2021 (the “Prior Warrant”), with the Warrantholder; (c) the Amended and Restated Registration Rights Agreement (the “A&R Registration Rights Agreement”) with the Warrantholder, which amended and restated the registration rights agreement, dated as of September 30, 2021, with the Warrantholder; and (d) a letter agreement (the “Fee Letter Agreement”) with MidCap, as agent.

On February 20, 2024, the Company entered into (a) Amendment No. 4 to the credit and security agreement (the “Fourth Amendment”), which amended the credit and security agreement, and (b) a second amended and restated letter agreement (“Amended Fee Letter Agreement”) with MidCap, as agent.

On March 27, 2024, the Company entered into Amendment No. 5 to the credit and security agreement (the “Fifth Amendment”), which further amended the credit and security agreement (as amended to date, the “Senior Term Facility”) to clarify certain provisions related to the maintenance of cash collateral accounts.

12
STRATA Skin Sciences, Inc. and Subsidiary
Notes to Condensed Consolidated Financial Statements
(in thousands, except share and per share amounts and number of lasers)
(unaudited)

The Senior Term Facility provides for a senior secured term loan facility of $20,000, of which $8,000 was drawn by the Company on September 30, 2021 (“Credit Facility #1”), $7,000 was drawn by the Company on June 30, 2023 (“Credit Facility #2”), and an additional $5,000 tranche (“Credit Facility #3”) is available to be drawn by the Company if its Dermatology Recurring Procedures Revenue (as defined in the Senior Term Facility) for the preceding 12 calendar months (ending on the last day of the calendar month for which a compliance certificate is delivered) is greater than or equal to $30,000 (such condition, the “Applicable Funding Condition”). Credit Facility #3 can be drawn beginning on the later of the satisfaction of the Applicable Funding Condition and January 1, 2024, with such commitment terminating on the earlier to occur of December 31, 2024 and the delivery of a written notice by MidCap to the Company terminating the applicable commitments following an Event of Default (as defined in the Senior Term Facility) that has not been waived or cured at the time such notice is delivered. All borrowings are secured by substantially all of the Company’s assets.


Borrowings under the Senior Term Facility bear interest at a rate per annum equal to the sum of (a) the greater of (i) the sum of (A) 30-day forward-looking term rate of one month SOFR, as published by CME Group Benchmark Administration Limited, from time to time, plus (B) 0.10%, and (ii) the applicable floor rate of 3.50%, with such sum reset monthly, and (b) 7.50%. The effective interest rate of the Senior Term Facility as of June 30, 2024 was 13.94%. The Company is obligated to make interest-only payments (payable monthly in arrears) through June 1, 2026. Commencing on July 1, 2026 and continuing for the remaining 24 months of the facility, the Company will be required to make monthly interest payments and monthly principal payments based on a straight-line amortization schedule set forth in the Senior Term Facility, subject to certain adjustments as described in the Senior Term Facility. The final maturity date under the Senior Term Facility is June 1, 2028, unless earlier terminated.  The Senior Term Facility requires the Company to dedicate 100% of certain insurance proceeds to the prepayment of the outstanding term loan, subject to certain exceptions and net of certain expenses and repayments.

The Company may voluntarily prepay the outstanding term loan under the Senior Term Facility, with such prepayment in an amount of at least $5,000, at any time upon 30 days’ written notice.  Upon prepayment, the Company will be required to pay a prepayment fee equal to (i) 4.00% of the outstanding principal prepaid or required to be prepaid (whichever is greater), if the prepayment is made within 12 months of February 20, 2024, (ii) 3.00% of the outstanding principal prepaid or required to be prepaid (whichever is greater), if the prepayment is made between 12 months and 24 months after February 20, 2024, (iii) 2.00% of the outstanding principal prepaid or required to be prepaid (whichever is greater), if the prepayment is made between 24 months and 36 months after February 20, 2024, or (iv) 1.00% of the outstanding principal prepaid or required to be prepaid (whichever is greater), if the prepayment is made 36 months or more after February 20, 2024 and prior to the maturity date.


The Senior Term Facility contains certain customary representations and warranties, affirmative covenants and conditions, as well as various negative covenants.  Further, the Senior Term Facility contains (a) a quarterly financial covenant that requires the Company to not have less than $29,250 of net revenue (raised to $33,000 by December 31, 2026 and, for periods ending after December 31, 2026, such net revenue as determined in good faith by MidCap, which shall not be less than the applicable minimum net revenue amount for the immediately preceding period and $33,000) for the trailing 12-month period as of June 30, 2024, and (b) a minimum of unrestricted cash (as defined in the Senior Term Facility), at all times, of not less than $3,000. At June 30, 2024, the Company was in compliance with all financial covenants within the Senior Term Facility.


Upon the occurrence and during the continuance of an event of default, MidCap may, and at the direction of a requisite percentage of the lenders must, (i) suspend or terminate the term loan commitment and MidCap’s and the other lenders’ obligations with respect thereto, and (ii) by notice to the Company, declare all or any portion of the obligations under the Senior Term Facility to be immediately due and payable. In addition to MidCap’s other rights and available remedies, but subject to applicable cure periods, upon the occurrence and during the continuance of an event of default, MidCap may, and at the direction of a requisite percentage of the lenders must, terminate the Senior Term Facility. At June 30, 2024, no event of default had occurred, and the Company believed that events or conditions having a material adverse effect, giving rise to an acceleration of any amounts outstanding under the Senior Term Facility, had not occurred and were remote.

13
STRATA Skin Sciences, Inc. and Subsidiary
Notes to Condensed Consolidated Financial Statements
(in thousands, except share and per share amounts and number of lasers)
(unaudited)

Pursuant to the Amended Fee Letter Agreement, the Company agreed to pay MidCap, as administrative agent, the following fees: (a) an origination fee on June 30, 2023 in an amount equal to (i) the Credit Extensions (as defined in the Senior Term Facility) in respect of Credit Facility #2, multiplied by (ii) 0.50%; (b) on the maturity date of the Senior Term Facility or any earlier date on which the obligations thereunder become due and payable in full or are otherwise paid in full (such date, the “Full Exit Fee Payment Date”), the Company shall pay an exit fee equal to (i) 4.00% of the total aggregate principal amount of Credit Extensions (as defined in the Senior Term Facility) made pursuant to the Senior Term Facility (regardless of any repayment or prepayment thereof) as of the Full Exit Fee Payment Date (such aggregate amount, the “Exit Fee Base Amount”), less (ii) any Partial Exit Fee (as defined below) previously paid; (c) on the date of any voluntary or mandatory partial prepayment of the borrowings under the Senior Term Facility (or on the date such mandatory prepayment becomes due and payable) (each such date, a “Partial Exit Fee Payment Date”), the Company shall pay an exit fee equal to 4.00% of the principal amount of the credit facilities paid or prepaid (or required to be paid in the case of a mandatory prepayment) as of the Partial Exit Fee Payment Date (such amount, the “Partial Exit Fee”); and (d) an origination fee payable contemporaneously with funding Credit Facility #3 in an amount equal to (i) the Credit Extensions (as defined in the Senior Term Facility) in respect of Credit Facility #3, multiplied by (ii) 0.50%.



The Prior Warrant allowed the Warrantholder, an affiliate of the lender, to purchase 37,362 shares of the Company’s common stock at an exercise price equal to $18.20 per share for a 10-year period ending September 30, 2031. Pursuant to, and in accordance with, the terms and conditions of the A&R Warrant, which amended and restated the Prior Warrant, the Warrantholder can purchase 80,000 shares of the Company’s common stock at an exercise price equal to $8.80 per share for a 10-year period ending on June 30, 2033. Pursuant to the A&R Registration Rights Agreement, the Company registered the shares underlying the A&R Warrant effective August 18, 2023. The amendment of the warrant resulted in an increase in the fair value of the warrant, which has been accounted for as a lender fee.


The Third Amendment was accounted for as a debt extinguishment, as the new loan was considered substantially different from the original loan. The Company recorded a loss on debt extinguishment of $909 for the three and six months ended June 30, 2023, which included unamortized debt discount on the original loan of $441, an increase in the fair value of the warrant of $384 and lender fees of $84. The Fourth Amendment has been accounted for as a debt modification, as the new loan is not considered substantially different from the existing loan. In connection with the Fourth Amendment, the Company increased the accrued exit fee, which is recorded as both a debt discount and an increase to the principal amount of debt, to $600. The debt discount, which also includes third party costs incurred in connection with the Third Amendment of $13, is being recognized as interest expense over the term of the Senior Term Facility using the effective-interest method. The unamortized debt discount was $486 as of June 30, 2024. The Company recognized interest expense of $531 and $1,055 during the three and six months ended June 30, 2024, respectively, of which $39 and $70 was related to the amortization of the debt discount. The Company recognized interest expense of $298 and $584 during the three and six months ended June 30, 2023, respectively, of which $42 and $83 was related to the amortization of the debt discount for the three and six months ended June 30, 2023.

Future minimum principal payments at June 30, 2024 are as follows:

2026
 
$
3,750
  
2027
    7,500  
2028
    3,750  

 

15,000
  
Exit fee
     600  
 
     15,600  
Less: unamortized debt discount
    (486 )
Long-term debt, net
  $
15,114  

Note 9
Stock-Based Compensation:

The Company’s 2016 Omnibus Incentive Stock Plan (“2016 Plan”), as amended, has reserved up to 7,832,651 shares of common stock for future issuance. As of June 30, 2024, there were 7,261,588 shares of common stock remaining available for issuance for awards under the 2016 Plan.
 
The Company measures share‑based awards at their grant‑date fair values and records compensation expense on a straight‑line basis over the requisite service period of the awards. The Company recorded share‑based compensation expense (for all awards and modifications, if any) in the accompanying condensed consolidated statements of operations as follows:

   
Three Months Ended June 30,
  
   
2024
    
2023
  
Selling and marketing
   $
13

  $
56
  
General and administrative
    
150
      
296
  
   
$
163
    
$
352
  

14
STRATA Skin Sciences, Inc. and Subsidiary
Notes to Condensed Consolidated Financial Statements
(in thousands, except share and per share amounts and number of lasers)
(unaudited)
   
Six Months Ended June 30,
  
   
2024
    
2023
  
Selling and marketing*
  
$
(24
)
  
$
578
  
General and administrative
    
299
      
99
  
   
$
275
    
$
677
  
*Selling and marketing expense was negative during the six months ended June 30, 2024 due to the forfeiture of awards during the period.


On April 3, 2023, the Company granted 15,000 stock-based options to its former Chief Executive Officer. The vesting of these awards was contingent upon meeting one or more financial goals (a performance condition) or a common stock share price (a market condition). The fair value of stock-based awards is determined at the date of grant. Stock-based compensation expense is recorded ratably for market condition awards during the requisite service period and is not reversed, except for forfeitures, at the vesting date regardless of whether the market condition is met. Stock-based compensation expense for performance condition awards is re-evaluated at each reporting period based on the probability of the achievement of the goal. The 15,000 stock-based options were forfeited in the fourth quarter of 2023 due to the Chief Executive Officer’s separation and failure to achieve the vesting conditions.

Stock Options

The following table summarizes stock option activity for the six months ended June 30, 2024:

   
Number of
Shares Under
Option Plan
    
Weighted-
Average
Exercise Price
per Option
    
Weighted-
Average
Remaining
Contractual
Term (in years)
 
Outstanding at January 1, 2024
    
772,864
    
$
11.07
        
Granted
    
10,000
    

5.35
        
Forfeited and expired
    
(252,514
)
  

15.38
        
Outstanding at June 30, 2024     530,350     $ 8.90       8.5  
Exercisable at June 30, 2024     142,191     $ 15.49       6.6  
Vested and expected to vest at June 30, 2024
     530,350     $ 8.90       8.5  

As of June 30, 2024, the total unrecognized compensation expense related to unvested stock option awards was $1,512, which the Company expects to recognize over a weighted average period of approximately 2.7 years. The options outstanding and exercisable at June 30, 2024 and exercisable at June 30, 2023 had no intrinsic value. The aggregate intrinsic value of options outstanding at June 30, 2023 was $1.

For the six months ended June 30, 2024, the grant date fair value of all option grants was estimated at the time of grant using the Black-Scholes option-pricing model using the following weighted average assumptions:

Expected volatility
    
77.0
%
Risk‑free rate
    
4.1
%
Expected term (in years)
    
6.3
  
Dividend rate
    
0.00
%

Restricted Stock Units

Restricted stock units have been issued to certain board members. Activity in restricted stock units is summarized in the following table:

   
Number of
Units
    
Weighted-
Average Grant
Date Fair Value
  
Unvested at January 1, 2024
    
2,265
    
$
10.30
  
Vested
    
(1,414
)
  

10.30
  
Unvested at June 30, 2024     851     $ 10.30  

As of June 30, 2024, the total unrecognized compensation expense related to restricted stock units was de minimis.

15
STRATA Skin Sciences, Inc. and Subsidiary
Notes to Condensed Consolidated Financial Statements
(in thousands, except share and per share amounts and number of lasers)
(unaudited)
Note 10
Income Taxes:
 
The Company accounts for income taxes using the asset and liability method. The provision for income taxes includes federal, state, and local income taxes currently payable and deferred taxes resulting from temporary differences between the financial statement and tax bases of assets and liabilities. Valuation allowances are recorded to reduce deferred tax assets when it is more likely than not that a tax benefit will not be realized.

No income tax expense was incurred for the three and six months ended June 30, 2024 and 2023.

Note 11
Business and Geographical Reporting Segments:
 
The Company has organized its business into two operating segments to better align its organization based upon the Company’s management structure, products and services offered, markets served and types of customers. The Dermatology Recurring Procedures segment derives its revenues from the usage of its equipment by dermatologists to perform XTRAC and TheraClear procedures. The Dermatology Procedures Equipment segment generates revenues from the sale of equipment, such as lasers and lamp products. Management reviews financial information presented on an operating segment basis for the purposes of making certain operating decisions and assessing financial performance.
 
Unallocated operating expenses include costs that are not specific to a particular segment but are general to the group; included are expenses incurred for administrative and accounting staff, general liability and other insurance, professional fees and other similar corporate expenses. Interest and other financing income (expense) is also not allocated to the operating segments.

The following tables reflect results of operations from the Company’s business segments for the periods indicated below:

Three Months Ended June 30, 2024
  
Dermatology
Recurring
Procedures
    
Dermatology
Procedures
Equipment
    
Total
  
Revenues, net
  
$
5,339
    
$
3,096
    
$
8,435
  
Cost of revenues
    
1,854
      
1,644
      
3,498
  
Gross profit
    
3,485
      
1,452
      
4,937
  
Gross profit %
    
65.3
%
    
46.9
%
    
58.5
%
                         
Allocated expenses:
                        
Engineering and product development
    
145
      
54
      
199
  
Selling and marketing
    
2,575
      
439
      
3,014
  
Unallocated expenses
    
—
      
—
      
2,210
  
   
2,720
      
493
      
5,423
  
Income (loss) from operations
    
765
      
959
      
(486
)
Interest expense
    
—
      
—
      
(531
)
Interest income
     —       —       54  
Other income
     —       —       864  
Net income (loss)
  
$
765
    
$
959
    
$
(99
)
         
16
STRATA Skin Sciences, Inc. and Subsidiary
Notes to Condensed Consolidated Financial Statements
(in thousands, except share and per share amounts and number of lasers)
(unaudited)
Six Months Ended June 30, 2024
  
Dermatology
Recurring
Procedures
    
Dermatology
Procedures
Equipment
    
Total
  
Revenues, net
  
$
10,035
    
$
5,154
    
$
15,189
  
Cost of revenues
    
4,049
      
3,123
      
7,172
  
Gross profit
    
5,986
      
2,031
      
8,017
  
Gross profit %
     59.7 %     39.4 %     52.8 %
                         
Allocated expenses:
                        
Engineering and product development
    
341
      
99
      
440
  
Selling and marketing
    
5,328
      
704
      
6,032
  
Unallocated expenses
    
—
      
—
      
4,920
  

   
5,669
       803      
11,392
  
Income (loss) from operations
     317       1,228       (3,375 )
Interest expense
    
—
      
—
      
(1,055
)
Interest income
     —       —       99  
Other income
     —       —       864  
Net income (loss)
  
$
317
    
$
1,228
    
$
(3,467
)

Three Months Ended June 30, 2023
  
Dermatology
Recurring
Procedures
    
Dermatology
Procedures
Equipment
    
Total
  
Revenues, net
  
$
5,456
    
$
2,794
    
$
8,250
  
Cost of revenues
    
2,205
      
1,727
      
3,932
  
Gross profit
    
3,251
      
1,067
      
4,318
  
Gross profit %
    
59.6
%
    
38.2
%
    
52.3
%
                         
Allocated expenses:
                        
Engineering and product development
    
289
      
85
      
374
  
Selling and marketing
    
2,850
      
566
      
3,416
  
Unallocated expenses
    
—
      
—
      
2,490
  
     
3,139
      
651
      
6,280
  
(Loss) income from operations
   
112
   
416
      
(1,962
)
Loss on debt extinguishment
     —       —       (909 )
Interest expense
    
—
      
—
      
(298
)
Interest income     —       —       21  
Net (loss) income
  
$
112
 
$
416
    
$
(3,148
)

17
STRATA Skin Sciences, Inc. and Subsidiary
Notes to Condensed Consolidated Financial Statements
(in thousands, except share and per share amounts and number of lasers)
(unaudited)
Six Months Ended June 30, 2023
  
Dermatology
Recurring
Procedures
    
Dermatology
Procedures
Equipment
    
Total
  
Revenues, net
  
$
10,665
    
$
5,152
    
$
15,817
  
Cost of revenues
    
4,225
      
2,886
      
7,111
  
Gross profit
    
6,440
      
2,266
      
8,706
  
Gross profit %
    
60.4
%
    
44.0
%
    
55.0
%
                         
Allocated expenses:
                        
Engineering and product development
    
534
      
155
      
689
  
Selling and marketing
    
6,203
      
955
      
7,158
  
Unallocated expenses
    
—
      
—
      
5,407
  

   
6,737
      
1,110
      
13,254
  
(Loss) income from operations
    
(297
)
    
1,156
      
(4,548
)
Loss on debt extinguishment
     —       —       (909 )
Interest expense
    
—
      
—
      
(584
)
Interest income
     —       —       58  
Net (loss) income
  
$
(297
)
  
$
1,156
    
$
(5,983
)


The following tables present depreciation and amortization by reportable segment for the periods indicated below:


   
Three Months Ended June 30,
  
   
2024
    
2023
  
Dermatology recurring procedures
  
$
1,080
    
$
1,238
  
Dermatology procedures equipment
    
166
      
187
  
Unallocated expenses
    
4
      
3
  
Total
  
$
1,250
    
$
1,428
  

   
Six Months Ended June 30,
  
   
2024
    
2023
  
Dermatology recurring procedures
  
$
2,194
    
$
2,451
  
Dermatology procedures equipment
    
298
      
367
  
Unallocated expenses
    
7
      
7
  
Total
  
$
2,499
    
$
2,825
  

18
STRATA Skin Sciences, Inc. and Subsidiary
Notes to Condensed Consolidated Financial Statements
(in thousands, except share and per share amounts and number of lasers)
(unaudited)
The following tables present the Company’s revenue disaggregated by geographical region for the periods indicated below. Domestic refers to revenue from customers based in the United States, and foreign revenue is derived from the Company’s distributors primarily in Asia.

Three Months Ended June 30, 2024
  
Dermatology
Recurring
Procedures
    
Dermatology
Procedures
Equipment
    
Total
  
Domestic
  
$
4,923
    
$
458
    
$
5,381
  
Foreign
    
416
      
2,638
      
3,054
  
Total
  
$
5,339
    
$
3,096
    
$
8,435
  
                         
Six Months Ended June 30, 2024                        
Domestic
  
$
9,243
    
$
598
    
$
9,841
  
Foreign
    
792
      
4,556
      
5,348
  
Total
  
$
10,035
    
$
5,154
    
$
15,189
  

Three Months Ended June 30, 2023
  
Dermatology
Recurring
Procedures
    
Dermatology
Procedures
Equipment
    
Total
  
Domestic
  
$
5,141
    
$
926
    
$
6,067
  
Foreign
    
315
      
1,868
      
2,183
  
Total
  
$
5,456
    
$
2,794
    
$
8,250
  
                         
Six Months Ended June 30, 2023                        
Domestic
  
$
9,988
    
$
1,422
    
$
11,410
  
Foreign
    
677
      
3,730
      
4,407
  
Total
  
$
10,665
    
$
5,152
    
$
15,817
  

Note 12
Significant Customer Concentrations:

For the three months ended June 30, 2024 and 2023, revenues from sales to two and one of the Company’s customers, international distributors from which it earns primarily dermatology equipment revenues, were $2,275, or 27.0%, and $959, or 11.6%, respectively. For the six months ended June 30, 2024, revenues from sales to two of the Company’s customers, international distributors from which it earns primarily dermatology equipment revenues, were $3,731, or 24.6%. No customer represented more than 10% of total Company revenues for the six months ended June 30, 2023.

One customer represented 16.3% of net accounts receivable as of June 30, 2024. One customer represented 16.5% of net accounts receivable as of December 31, 2023.

Note 13
Commitments and Contingencies:
 
Leases

The Company recognizes right-of-use assets (“ROU assets”) and operating lease liabilities when it obtains the right to control an asset under a leasing arrangement with an initial term greater than 12 months. The Company adopted the short-term accounting election for leases with a duration of less than one year. The Company leases its facilities and certain IT and office equipment under non-cancellable operating leases. All of the Company’s leasing arrangements are classified as operating leases with remaining lease terms ranging from one to five years.

In March 2024, the Company terminated the existing leases for its California facilities and concurrently executed new leases that effectively extended the terms of the leases for five years, which has been accounted for as a lease modification. The ROU assets and operating lease liabilities were remeasured at the modification date, resulting in an increase to both balances of $977 during the six months ended June 30, 2024. There were no lease modifications during the six months ended June 30, 2023.

Operating lease costs were $122 and $123 for each of the three months ended June 30, 2024 and 2023. Operating lease costs were $228 and $229 for each of the six months ended June 30, 2024 and 2023. Cash paid for amounts included in the measurement of operating lease liabilities was $112 and $109 for the three months ended June 30, 2024 and 2023, respectively. Cash paid for amounts included in the measurement of operating lease liabilities was $224 and $205 for  the six months ended June 30, 2024 and 2023, respectively. As of June 30, 2024, the weighted average incremental borrowing rate was 12.01% and the weighted average remaining lease term was 4.5 years.

The following table summarizes the Company’s operating lease maturities as of June 30, 2024:

Remaining 2024
  
$
229
  
2025
    
463
  
2026
    
334
  
2027
     290  
2028
     301  
Thereafter
     231  
Total remaining lease payments
    
1,848
  
Less: imputed interest
    
(452
)
Total lease liabilities
  
$
1,396
  

19
STRATA Skin Sciences, Inc. and Subsidiary
Notes to Condensed Consolidated Financial Statements
(in thousands, except share and per share amounts and number of lasers)
(unaudited)
Accrued State Sales and Use Tax Matters

The Company records state sales tax collected and remitted for its customers on dermatology procedures equipment sales on a net basis, excluded from revenue. The Company’s sales tax expense that is not presently being collected and remitted for the recurring revenue business is recorded in general and administrative expenses within the condensed consolidated statements of operations.

The Company believes its state sales and use tax accruals have been properly recognized such that, if the Company’s arrangements with customers are deemed more likely than not that the Company would not be exempt from sales tax in a particular state, the basis for measurement of the state sales and use tax is calculated in accordance with ASC 405, Liabilities, as a transaction tax. If and when the Company is successful in defending itself or in settling the sales tax obligation for a lesser amount, the reversal of this liability is to be recorded in the period the settlement is reached. However, the precise scope, timing, and time period at issue, as well as the final outcome of any audit and actual settlement, remains uncertain.

In the ordinary course of business, the Company is, from time to time, subject to audits performed by state taxing authorities. These actions and proceedings are generally based on the position that the arrangements entered into by the Company are subject to sales and use tax rather than exempt from tax under applicable law. The states of New York and California have assessed the Company an aggregate of $4,879 including penalties and interest. The audits cover the period from March 2014 through November 2022. The Company received notification that an administrative state judge in New York issued an opinion finding in favor of the Company that the sale of XTRAC treatment codes was not taxable as sales tax with respect to that state’s first assessment. This ruling covers $1,484 of the total $4,879 of assessments. The relevant taxing authority filed an appeal of the administrative law judge’s finding and, following the submission of legal briefs by both sides and oral argument held in January 2022, on May 6, 2022, the Company received a written decision from the State of New York Appeals Tribunal (“Tribunal”) overturning the favorable sales tax determination of the administrative law judge. The Company appealed the Tribunal’s decision to the New York State Appellate Division (“Appellate Division”), and posted the required appellate bond in the form of cash collateral. Oral argument was held by the Appellate Division on January 18, 2024.

On March 8, 2024, the Company received a decision from the Appellate Division ruling against it in the matter of its sales tax appeal, affirming the Tribunal's ruling that the Company’s sale of XTRAC treatment codes is subject to sales tax. The Appellate Division concluded that, through the usage arrangements, the Company’s customers had possession of the laser devices and had a license and ability to use the laser devices. The Appellate Division also agreed with the Tribunal that the primary function analysis was not applicable in this matter. On April 11, 2024, the Company filed a motion for leave to appeal the Appellate Division’s decision to the New York State Court of Appeals, which motion is pending. The Company is in the administrative process of appeal with respect to the remaining $1,273 of assessments in the State of New York.

The State of California has made aggregate assessments of $2,122 including penalties and interest. The audits cover the period from June 2018 through June 2022. The Company is in the administrative process of appeal in this jurisdiction as well.

If there is a determination that the true object of the Company’s recurring revenue model is not exempt from sales taxes and is not a prescription medicine, or the Company does not have other defenses where the Company prevails, the Company may be subject to sales taxes in those particular states for previous years and in the future, plus potential interest and penalties. The precise scope, timing and time periods at issue, as well as the final outcomes of the investigations and judicial proceedings, remain uncertain. Accordingly, the Company’s estimate may change from time to time, and actual losses could vary.

Contingent Consideration

In January 2022, the Company acquired certain assets related to the TheraClear devices from Theravant Corporation (“Theravant”). Theravant is eligible to receive up to $3,000 in future earnout payments upon the achievement of certain annual net revenue milestones ($1,000 of which is due upon the earlier of achieving a revenue target or July 2025), up to $20,000 in future royalty payments based upon a percentage of gross profit from future domestic sales ranging from 10-20%, 25% of gross profit from international sales over the subsequent four-year period, and up to $500 in future milestone payments upon the achievement of certain commercialization related targets. Through June 30, 2024, the Company has incurred an aggregate of $87 of royalty and gross profit payments based on gross profit from domestic and international sales.

20
STRATA Skin Sciences, Inc. and Subsidiary
Notes to Condensed Consolidated Financial Statements
(in thousands, except share and per share amounts and number of lasers)
(unaudited)
Milestone Payments

In January 2022, the Company entered into a Development Agreement (the “Development Agreement”) with Theravant. Under the Development Agreement, the Company will reimburse Theravant for costs incurred in further developing certain TheraClear technology and other healthcare products and methods for the medical aesthetic marketplace. In connection with the development of three devices, Theravant is eligible to receive $500 upon FDA clearance for each device and $500 upon achievement of certain net revenue targets for each device, aggregating to $3,000 of potential future milestone payments under the Development Agreement. The Development Agreement has a three-year term, unless terminated sooner by either party.

Legal Matters

In the ordinary course of business, the Company is routinely a defendant in or party to pending and threatened legal actions and proceedings, including actions brought on behalf of various classes of claimants. These actions and proceedings are generally based on alleged violations of employment, contract, and other laws. In some of these actions and proceedings, claims for substantial monetary damages are asserted against the Company. In the ordinary course of business, the Company is also subject to regulatory and governmental examinations, information gathering requests, inquiries, investigations, and threatened legal actions and proceedings. In connection with formal and informal inquiries by federal, state, local and foreign agencies, the Company receives numerous requests, subpoenas and orders for documents, testimony, and information in connection with various aspects of its activities.

On April 1, 2022, a proposed representative class action under California’s Private Attorneys General Act (“PAGA”) was filed in Superior Court of California, County of San Diego against the Company and an employment agency which provided the Company with temporary employees. The complaint alleges various violations of the California Labor Code, including California’s wage and hour laws, relating to current and former non-exempt employees of the Company. The complaint seeks class status and payments for allegedly unpaid compensation and attorney’s fees. In a related matter, the attorneys in this matter and the proposed class representative, in a letter dated March 12, 2022, to the California Labor & Workforce Development Agency made nearly identical claims seeking the right to pursue a PAGA action against the Company and the employment agency. On or about May 16, 2022, the plaintiff filed a First Amended Complaint adding a PAGA claim to the action. On or about June 2, 2022, the plaintiff filed an Application to Dismiss Class and Individual Claim without prejudice, in an attempt to pursue a PAGA only complaint. On or about June 30, 2022, the parties entered into a stipulation to allow the plaintiff to file a Second Amended Complaint to clarify the PAGA claim and to stay the pending action to allow an attempt at resolution through mediation. The mediation was held on February 23, 2023, and the matter was settled on terms agreeable to the Company. The settlement, which required the Company to pay $106, was subject to the right of individual class members to opt out of the settlement and proceed on their own. No individual has requested to opt out of the settlement, and on April 5, 2024, an Order Granting Final Approval of the settlement was entered in the Superior Court. During the three and six months ended June 30, 2024 and 2023, the $106 that had been accrued for this matter was paid by the Company.
 
Note 14
Subsequent Events:

In July 2024 the Company sold 665,136 shares of its common stock at an average purchase price of $3.16 per share for total gross proceeds of approximately $2,100 under the equity distribution agreement. See, also, Note 2, Liquidity.

21
ITEM 2.
Management’s Discussion and Analysis of Financial Condition and Results of Operations.

The following Management’s Discussion and Analysis of Financial Condition and Results of Operations provides information about our results of operations, financial condition, liquidity and asset quality. This information is intended to facilitate your understanding and assessment of significant changes and trends related to our financial condition and results of operations. This discussion should be read in conjunction with our financial information in our Annual Report on Form 10-K for the year ended December 31, 2023 (“2023 10-K”), and the unaudited condensed consolidated financial statements and notes to condensed consolidated financial statements included elsewhere in this Quarterly Report on Form 10-Q (this “Report”). This discussion contains forward-looking statements that involve risks and uncertainties. These statements include, but are not limited to, statements about the plans, objectives, expectations and intentions of STRATA Skin Sciences, Inc., a Delaware corporation (referred to in this Report as “we,” “us,” “our,” “STRATA” or “STRATA Skin Sciences”) and can be identified by terminology such as the words “may,” “should,” “expect,” “intend,” “plan,” “anticipate,” “believe,” “estimate,” “predict,” “will,” “could,” “project,” “target,” “potential,” “continue” and similar expressions, and are intended to identify forward-looking statements, as such term is defined in the Private Securities Litigation Reform Act of 1995, and other statements contained in this Report that are not historical facts. Factors that could cause results to differ from those expressed in these forward-looking statements include, but are not limited to, the risks and uncertainties described or referenced in Part I, Item 1A. “Risk Factors,” in the 2023 10-K and in other of our public filings with the SEC, as well as the following:


 •
forecasts of future business performance, consumer trends and macro-economic conditions;

•
descriptions of market, competitive conditions, and competitive product introductions;

•
descriptions of plans or objectives of management for future operations, products or services;

22

 •
actions by the U.S. Food and Drug Administration (“FDA”) or other regulatory agencies with respect to our products or product candidates;

•
changes to third-party reimbursement of laser treatments using our devices;

•
our estimates regarding the sufficiency of our cash resources, expenses, capital requirements and needs for additional financing and our ability to obtain additional financing;

•
our ability to protect our intellectual property and operate our business without infringing upon the intellectual property rights of others;

•
anticipated results of existing or future litigation or government actions;

•
health emergencies, the spread of infectious disease or pandemics, such as the COVID-19 outbreak; and

•
descriptions or assumptions underlying or related to any of the above items.

 Although we believe that the expectations reflected in forward-looking statements are reasonable, such statements involve known and unknown risks, uncertainties and other factors that may cause our actual results, performance or achievements to be materially different from any future results, performance or achievements expressed or implied by forward-looking statements. These statements, like all statements in this Report, speak only as of their date (unless another date is indicated), and we undertake no obligation to update or revise these statements in light of future developments.

The following financial data, in this narrative, are expressed in thousands, except for number of shares, prices per treatment, number of treatments and number of devices.

Introduction, Outlook, Overview of Business Operations and Recent Developments

STRATA Skin Sciences is a medical technology company in dermatology dedicated to developing, commercializing, and marketing innovative products for the treatment of dermatologic conditions. Its products include the XTRAC® and Pharos® excimer lasers and VTRAC® lamp systems utilized in the treatment of psoriasis, vitiligo, and various other skin conditions, as well as the TheraClear® X Acne Therapy System utilized in the treatment of acne-related skin conditions.

The XTRAC ultraviolet light excimer laser system is utilized to treat psoriasis, vitiligo, and other skin diseases. The XTRAC excimer laser system received clearance from the FDA in 2000 and has since become a widely recognized treatment among dermatologists. The system delivers targeted 308nm ultraviolet light to affected areas of skin, leading to psoriasis clearing and vitiligo repigmentation, following a series of treatments. As of June 30, 2024, there were 882 XTRAC systems placed in dermatologists’ offices in the United States under our dermatology recurring procedures model, a decrease from 923 as of December 31, 2023. Under the dermatology recurring procedures model, the XTRAC system is placed in a physician’s office and fees are charged on a per procedure basis or a fee is charged on a periodic basis not to exceed an agreed upon number of procedures. The XTRAC system’s use for psoriasis is covered by nearly all major insurance companies, including Medicare. The VTRAC Excimer Lamp system, offered internationally in addition to the XTRAC, provides targeted therapeutic efficacy demonstrated by excimer technology with the simplicity of design and reliability of a lamp system. The Pharos excimer laser system holds FDA clearance to treat chronic skin diseases, including psoriasis, vitiligo, atopic dermatitis, and leukoderma. We believe there are approximately 8 million people in the United States and up to 125 million people worldwide suffering from psoriasis, and 1% to 2% of the world’s population suffers from vitiligo.

The TheraClear® X Acne Therapy System combines intense pulse light with vacuum (suction) for the treatment of mild to moderate inflammatory acne (including acne vulgaris), comedonal acne and pustular acne. The TheraClear device was cleared by the FDA through the 510(k) process. Currently, there is little insurance reimbursement coverage for acne treatments, such as those provided by TheraClear.

Our non-U.S. business focuses on a direct distribution model for equipment sales and recurring revenue, and we have distribution agreements in place in the Mid-East, Asia, and Mexico.

23
Post-COVID-19 Pandemic

In late 2019, there was an outbreak of a new strain of coronavirus (“COVID-19”) which became a global pandemic. Since March 2020, the COVID-19 pandemic has negatively impacted business conditions in the industry in which we operate, disrupted global supply chains, constrained workforce participation, and created significant volatility and disruption of financial markets. The pandemic led to the suspension of elective procedures in the U.S. and to the temporary closure of many physician practices, which are our primary customers. While most physician offices have reopened, some of our partner physician practices closed permanently, and the impact of the COVID-19 pandemic and its variants on our operational and financial performance, including our ability to execute our business strategies and initiatives in the expected time frames is ongoing. We will continue to identify and plan around potential future pandemics and disruptions to our business.

Impact of Russia-Ukraine War

Prior to the outbreak of the Russia-Ukraine War, Ukraine was the largest exporter of noble gases including neon, krypton, and xenon and has historically been the source of a significant amount of gas supplied to us by our contract suppliers. Neon gas is essential to the proper functioning of our lasers. Our suppliers have been resourceful in continuing to supply gases to us but cannot assure us that the supply will not remain uninterrupted. The reduced supply and ongoing conflict have also impacted the price of gas worldwide. Additionally, the Creating Helpful Incentives to Produce Semiconductors and Science Act of 2022 has led to a further tightening of rare gas supplies as semiconductor chip manufacturers reconfigure their supply chains to address the need to secure their own supplies of rare gases for use in the manufacture of computer chips.

Impact of Israel-Hamas Conflict

We have not seen an impact on our distributors’ businesses in the Middle East due to the Israel-Hamas conflict, but cannot predict the impact should the conflict continue or develop into a larger war.

Key Technologies


 •
XTRAC® Excimer Laser. XTRAC received FDA clearance in 2000 and has since become a widely recognized treatment among dermatologists for psoriasis and other skin diseases. The XTRAC System delivers ultra-narrowband ultraviolet B (“UVB”) light to affected areas of skin. Following a series of treatments typically performed twice weekly, psoriasis remission can be achieved, and vitiligo patches can be re-pigmented. XTRAC is endorsed by the National Psoriasis Foundation, and its use for psoriasis is covered by nearly all major insurance companies, including Medicare. We estimate that more than half of all major insurance companies now offer reimbursement for vitiligo as well, a figure that is increasing.
 

 •
In the third quarter of 2018, we announced the FDA granted clearance for our Multi Micro Dose (MMD) tip for our XTRAC excimer laser. The MMD Tip accessory is indicated for use in conjunction with the XTRAC laser system to filter the Narrow Band UVB (“NB-UVB”) light at delivery in order to calculate and individualize the maximum non-blistering dose for a particular patient.
 

 •
In January 2020, we announced the FDA granted clearance of our XTRAC Momentum Excimer Laser Platform. In February 2022, we announced the commercial launch, with the first installation in the U.S. market, of our next generation excimer laser system, XTRAC Momentum® 1.0.
 

 •
VTRAC® Lamp. VTRAC received FDA clearance in 2005 and provides targeted therapeutic efficacy demonstrated by excimer technology with the simplicity of design and reliability of a lamp system.
 

 •
TheraClear® X Acne Treatment Device. The TheraClear® Acne Therapy System (“TheraClear”) combines intense pulse light with vacuum (suction) for the treatment of mild to moderate inflammatory acne (including acne vulgaris), comedonal acne and pustular acne.

24
Recent Developments

Reverse Stock Split

On October 26, 2023, the stockholders of the Company authorized our Board of Directors to effect a reverse stock split of all outstanding shares of common stock. On April 26, 2024, the Board of Directors approved the implementation of a reverse stock split at a ratio of one-for-ten shares, which became effective on June 6, 2024.

Critical Accounting Policies and Estimates

There have been no changes to our critical accounting policies in the three months ended June 30, 2024. Critical accounting policies and the significant estimates made in accordance with such policies are regularly discussed with our Audit Committee. Those policies are discussed under “Critical Accounting Policies and Estimates” in our “Management’s Discussion and Analysis of Financial Condition and Results of Operations” included in Item 7, as well as in our consolidated financial statements and the footnotes thereto for the fiscal year ended December 31, 2023, included in our 2023 10-K as filed with the SEC on March 28, 2024.

Results of Operations

Revenues
The following tables present revenues from our segments for the periods indicated below:

   
Three Months Ended June 30,
  
   
2024
    
2023
  
Dermatology recurring procedures
  
$
5,339
    
$
5,456
  
Dermatology procedures equipment
    
3,096
      
2,794
  
Total revenues
  
$
8,435
    
$
8,250
  

   
Six Months Ended June 30,
  
   
2024
    
2023
  
Dermatology recurring procedures
  
$
10,035
    
$
10,665
  
Dermatology procedures equipment
    
5,154
      
5,152
  
Total revenues
  
$
15,189
    
$
15,817
  

Dermatology Recurring Procedures
Recognized recurring treatment revenue for the three months ended June 30, 2024 was $5,339, which we estimate is approximately 67,000 XTRAC treatments with prices between $65 to $95 per treatment, compared to recognized recurring treatment revenue for the three months ended June 30, 2023 of $5,456, which we estimate is approximately 72,000 XTRAC treatments with prices between $65 to $95 per treatment. Recognized recurring treatment revenue for the six months ended June 30, 2024 was $10,035, which we estimate is approximately 132,000 XTRAC treatments with prices between $65 to $95 per treatment, compared to recognized recurring treatment revenue for the six months ended June 30, 2023 of $10,665, which we estimate is approximately 140,000 XTRAC treatments with prices between $65 to $95 per treatment. In connection with the launch of TheraClear, there were 117 and 73 TheraClear devices placed in dermatologists’ offices in the United States under our recurring procedures model as of June 30, 2024 and 2023, respectively. Nominal revenue was earned from these devices during the three and six months ended June 30, 2024 and 2023.

Increases in procedures are dependent upon building market acceptance through marketing programs with our physician partners and their patients to show that the XTRAC procedures will be of clinical benefit and will be generally reimbursed by insurers. We believe that several factors have an impact on the prescribed use of XTRAC treatments for psoriasis and vitiligo patients. Specifically, we believe that there is a lack of awareness of the positive effects of XTRAC treatments among both sufferers and providers; and the treatment regimen, which can sometimes require up to 12 or more treatments, has limited XTRAC use to certain patient populations.

25
We reduced our direct-to-patient advertising over the course of 2023, which we believe contributed to a reduction in the number of XTRAC treatments compared to prior periods that continued into 2024. Therefore, our strategy going forward is to increase our direct-to-patient program for XTRAC advertising in the United States, targeting psoriasis and vitiligo patients through a variety of media and through our use of social media such as Facebook and X (formerly Twitter). We monitor the results of our advertising expenditures in this area in order to effectively reach the more than 10 million patients in the United States we believe are afflicted with these diseases.

Revenues from dermatology recurring procedures are recognized over the estimated usage period of the agreed upon number of treatments, as the treatments are being used. As of June 30, 2024 and 2023, we deferred domestic net revenues of $1,850 and $2,027, respectively, which will be recognized as revenue over the remaining usage period for the related placements. Lower deferred revenue from the fourth quarter of 2023 negatively impacted the first quarter of 2024 as compared to the first quarter of 2023, when higher deferred revenue from the fourth quarter of 2022 positively impacted that period.

Dermatology Procedures Equipment
For the three and six months ended June 30, 2024, dermatology procedures equipment revenues were $3,096 and $5,154, respectively. Internationally, we sold 24 systems (23 XTRAC and 1 VTRAC) and 40 systems (36 XTRAC and 4 VTRAC), respectively, during the three and six months ended June 30, 2024. Domestically, there were 4 and 5 XTRAC systems sold, respectively, during the three and six months ended June 30, 2024. In addition to equipment sales, we recognized approximately $25 and $53 of previously deferred service revenue associated with assumed service contracts from Ra Medical during the three and six months ended June 30, 2024, respectively.

For the three and six months ended June 30, 2023, dermatology procedures equipment revenues were $2,794 and $5,152, respectively. Internationally, we sold 14 systems (13 XTRAC and 1 VTRAC) and 30 systems (25 XTRAC and 5 VTRAC), respectively, during the three and six months ended June 30, 2023. Domestically, there were 12 and 14 XTRAC systems sold, respectively, during the three and six months ended June 30, 2023. In addition to equipment sales, we recognized approximately $60 and $140 of previously deferred service revenue associated with assumed service contracts from Ra Medical during the three and six months ended June 30, 2023, respectively.

Cost of Revenues
The following tables present cost of revenues from our two business segments for the periods listed below:

   
Three Months Ended June 30,
  
   
2024
    
2023
  
Dermatology recurring procedures
  
$
1,854
    
$
2,205
  
Dermatology procedures equipment
    
1,644
      
1,727
  
Total cost of revenues
  
$
3,498
    
$
3,932
  

   
Six Months Ended June 30,
  
   
2024
    
2023
  
Dermatology recurring procedures
  
$
4,049
    
$
4,225
  
Dermatology procedures equipment
    
3,123
      
2,886
  
Total cost of revenues
  
$
7,172
    
$
7,111
  

26
Gross Profit Analysis
The following tables present changes in our gross profit for the periods presented below:

Company Profit Analysis

   
Three Months Ended June 30,
  
   
2024
    
2023
  
Revenues, net
    
8,435
      
8,250
  
Cost of revenues
    
3,498
      
3,932
  
Gross profit
    
4,937
      
4,318
  
Gross profit percentage
    
58.5
%
    
52.3
%

   
Six Months Ended June 30,
  
   
2024
    
2023
  
Revenues, net
    
15,189
      
15,817
  
Cost of revenues
    
7,172
      
7,111
  
Gross profit
    
8,017
      
8,706
  
Gross profit percentage
    
52.8
%
    
55.0
%

Gross profit increased to $4,937 for the three months ended June 30, 2024 from $4,318 during the same period in 2023. As a percentage of revenues, gross profit was 58.5% for the three months ended June 30, 2024, as compared to 52.3% for the same period in 2023. The increase in gross profit percentage compared to the same period in the prior year was primarily the result of the sale of refurbished units that have a lower cost of revenues than building new units as part of our stated plan to remove devices from underperforming accounts, and lower amortization costs due to the write-down of the technology intangible asset for the TheraClear devices in the fourth quarter of 2023 in connection with the revaluation of the contingent consideration related to the TheraClear asset acquisition.

Gross profit decreased to $8,017 for the six months ended June 30, 2024 from $8,706 during the same period in 2023. As a percentage of revenues, gross profit was 52.8% for the six months ended June 30, 2024, as compared to 55.0% for the same period in 2023. The decrease in gross profit percentage compared to the same period in the prior year was primarily the result of the impact of deferred revenue, a reduction in service billings, the write-off of inventories related to Pharos laser system products, and higher depreciation costs due to more XTRAC lasers and TheraClear devices placed into service, partially offset by lower amortization costs due to the write-down of the technology intangible asset for the TheraClear devices in the fourth quarter of 2023 in connection with the revaluation of the contingent consideration related to the TheraClear asset acquisition, a decrease in domestic sales with longer warranty periods, leading to a lower amount of deferred revenue for those sales, and the sale of refurbished units that have a lower cost of revenues than building new units as part of our stated plan to remove devices from underperforming accounts.

The following tables present changes in our gross profit, by segment, for the periods presented below:

Dermatology Recurring Procedures

   
Three Months Ended June 30,
  
   
2024
    
2023
  
Revenues, net
  
$
5,339
    
$
5,456
  
Cost of revenues
    
1,854
      
2,205
  
Gross profit
  
$
3,485
    
$
3,251
  
Gross profit percentage
    
65.3
%
    
59.6
%

27
   
Six Months Ended June 30,
  
   
2024
    
2023
  
Revenues, net
  
$
10,035
    
$
10,665
  
Cost of revenues
    
4,049
      
4,225
  
Gross profit
  
$
5,986
    
$
6,440
  
Gross profit percentage
    
59.7
%
    
60.4
%

Gross profit increased to $3,485 for the three months ended June 30, 2024 from $3,251 during the same period in 2023. As a percentage of revenues, gross profit was 65.3% for the three months ended June 30, 2024, as compared to 59.6% for the same period in 2023. The increase in gross profit percentage compared to the same period in the prior year was primarily the result of lower amortization costs due to the write-down of the technology intangible asset for the TheraClear devices in the fourth quarter of 2023 in connection with the revaluation of the contingent consideration related to the TheraClear asset acquisition.

Gross profit decreased to $5,986 for the six months ended June 30, 2024 from $6,440 during the same period in 2023. As a percentage of revenues, gross profit was 59.7% for the six months ended June 30, 2024, as compared to 60.4% for the same period in 2023. The decrease in gross profit percentage compared to the same period in the prior year was primarily the result of less deferred revenue from the fourth quarter of 2023 recognized in 2024 compared to higher deferred revenue from the fourth quarter of 2022 recognized in 2023 and higher depreciation costs due to more XTRAC lasers and TheraClear devices placed into service, partially offset by lower amortization costs due to the write-down of the technology intangible asset for the TheraClear devices in the fourth quarter of 2023 in connection with the revaluation of the contingent consideration related to the TheraClear asset acquisition.

Dermatology Procedures Equipment

   
Three Months Ended June 30,
  
   
2024
    
2023
  
Revenues, net
  
$
3,096
    
$
2,794
  
Cost of revenues
    
1,644
      
1,727
  
Gross profit
  
$
1,452
    
$
1,067
  
Gross profit percentage
    
46.9
%
    
38.2
%

   
Six Months Ended June 30,
  
   
2024
    
2023
  
Revenues, net
  
$
5,154
    
$
5,152
  
Cost of revenues
    
3,123
      
2,886
  
Gross profit
  
$
2,031
    
$
2,266
  
Gross profit percentage
    
39.4
%
    
44.0
%

Gross profit increased to $1,452 for the three months ended June 30, 2024 from $1,067 during the same period in 2023. As a percentage of revenues, gross profit was 46.9% for the three months ended June 30, 2024, as compared to 38.2% for the same period in 2023. The increase in gross profit percentage compared to the same period in the prior year was primarily the result of the sale of refurbished units that have a lower cost of revenues than building new units as part of our stated plan to remove devices from underperforming accounts.

Gross profit decreased to $2,031 for the six months ended June 30, 2024 from $2,266 during the same period in 2023. As a percentage of revenues, gross profit was 39.4% for the six months ended June 30, 2024, as compared to 44.0% for the same period in 2023. The decrease in gross profit percentage compared to the same period in the prior year was primarily the result of a reduction in service billings related to Pharos laser system products, the write-off of inventories related to Pharos laser system products that will no longer be needed for warranty purposes due to the expiration of the related warranty service contracts, and a discount on the sale of certain lasers to an international distributor, partially offset by a decrease in domestic sales with longer warranty periods, leading to a lower amount of deferred revenue for those sales.

28
Engineering and Product Development
For the three months ended June 30, 2024, engineering and product development expenses were $199 as compared to $374 for the three months ended June 30, 2023. Engineering and product development costs were lower during the three-month period in 2024 primarily as a result of a decrease in salaries and outside services.

For the six months ended June 30, 2024, engineering and product development expenses were $440 as compared to $689 for the six months ended June 30, 2023. Engineering and product development costs were lower during the six-month period in 2024 primarily as a result of a decrease in salaries and outside services.

Selling and Marketing Expenses
For the three months ended June 30, 2024, selling and marketing expenses were $3,014 as compared to $3,416 for the three months ended June 30, 2023. Selling and marketing expenses were lower during the three-month period in 2024 primarily as a result of a decrease in salaries and other employee related expenses due to the reduction in the size of the sales force, partially offset by an increase in commissions in the same period.

For the six months ended June 30, 2024, selling and marketing expenses were $6,032 as compared to $7,158 for the six months ended June 30, 2023. Selling and marketing expenses were lower during the six-month period in 2024 primarily as a result of a decrease in salaries and other employee related expenses due to the reduction in the size of the sales force, as well as a decrease in commissions due to the decrease in revenues.

General and Administrative Expenses
For the three months ended June 30, 2024, general and administrative expenses were $2,210 as compared to $2,490 for the three months ended June 30, 2023. General and administrative expenses were lower during the three-month period in 2024 primarily as a result of lower stock-based compensation expense, a decrease in the allowance for credit losses, and a decrease in our sales tax accrual, which is based on historical results for a period that includes lower revenues.

For the six months ended June 30, 2024, general and administrative expenses were $4,920 as compared to $5,407 for the six months ended June 30, 2023. General and administrative expenses were lower during the six-month period in 2024 primarily as a result of lower stock-based compensation expense, lower accounting and legal expenses and a decrease in our sales tax accrual, which is based on historical results for a period that includes lower revenues, partially offset by an increase in certain employee related expenses.

Loss on Debt Extinguishment
During the second quarter of 2023, we refinanced our Senior Term Facility with MidCap (see Note 8, Long-term Debt to the Notes to unaudited condensed consolidated financial statements). The new loan was considered substantially different from the original loan and, as such, we recorded a loss on debt extinguishment of $909 during the three and six months ended June 30, 2023. During the first quarter of 2024, we amended our Senior Term Facility with MidCap (see Note 8, Long-term Debt to the Notes to unaudited condensed consolidated financial statements), which has been accounted for as a debt modification, as the new loan is not considered substantially different from the existing loan. There was no debt extinguishment during the three and six months ended June 30, 2024.

29
Interest Expense
For the three months ended June 30, 2024, interest expense was $531 as compared to $298 for the three months ended June 30, 2023. The increase was primarily the result of a higher effective interest rate on our variable rate Senior Term Facility and the additional $7,000 borrowed under our Senior Term Facility on June 30, 2023.

For the six months ended June 30, 2024, interest expense was $1,055 as compared to $584 for the six months ended June 30, 2023. The increase was primarily the result of a higher effective interest rate on our variable rate Senior Term Facility and the additional $7,000 borrowed under our Senior Term Facility on June 30, 2023.

Other Income
During the three and six months ended June 30, 2024 we received $864 from the Employee Retention Credit, a refundable tax credit available under the Coronavirus Aid, Relief, and Economic Securities Act (“CARES Act”) that was designed to keep employees on the payroll during the COVID-19 pandemic. There was no such credit received during the three and six months ended June 30, 2023.

Non-GAAP adjusted EBITDA
We have determined to supplement our condensed consolidated financial statements, prepared in accordance with accounting principles generally accepted in the United States of America (“U.S. GAAP”), presented elsewhere within this Report, with certain non-GAAP measures of financial performance. These non-GAAP measures include non-GAAP adjusted EBITDA, “Earnings Before Interest, Taxes, Depreciation, and Amortization.”

This non-GAAP disclosure has limitations as an analytical tool, should not be viewed as a substitute for Net Earnings (Loss) determined in accordance with U.S. GAAP, and should not be considered in isolation or as a substitute for analysis of the Company’s results as reported under U.S. GAAP, nor is it necessarily comparable to non-GAAP performance measures that may be presented by other companies. We consider these non-GAAP measures in addition to our results prepared under current accounting standards, but they are not a substitute for, nor superior to, U.S. GAAP measures. These non-GAAP measures are provided to enhance readers’ overall understanding of our current financial performance and to provide further information for comparative purposes. This supplemental presentation should not be construed as an inference that the Company’s future results will be unaffected by similar adjustments to Net Earnings (Loss) determined in accordance with U.S. GAAP. Specifically, we believe the non-GAAP measures provide useful information to management and investors by isolating certain expenses, gains and losses that may not be indicative of our core operating results and business outlook. In addition, we believe non-GAAP measures enhance the comparability of results against prior periods.

Reconciliation to the most directly comparable U.S. GAAP measure of all non-GAAP measures included in this Report is as follows:

   
Three Months Ended June 30,
  
   
2024
    
2023
  
Net loss
  
$
(99
)
  
$
(3,148
)
                 
Adjustments:
                
Depreciation and amortization
    
1,250
      
1,428
  
Amortization of operating lease right-of-use assets
    
79
      
63
  
Loss on disposal of property and equipment
    
6
      
24
  
Interest expense, net
    
477
      
277
  
Non-GAAP EBITDA
    
1,713
      
(1,356
)
Employee retention credit
    
(864
)
    
—
  
Stock-based compensation expense
    
163
      
352
  
Loss on debt extinguishment
    
—
      
909
  
Non-GAAP adjusted EBITDA
  
$
1,012
    
$
(95
)

30
   
Six Months Ended June 30,
  
   
2024
    
2023
  
Net loss
  
$
(3,467
)
  
$
(5,983
)
                 
Adjustments:
                
Depreciation and amortization
    
2,499
      
2,825
  
Amortization of operating lease right-of-use assets
    
174
      
168
  
Loss on disposal of property and equipment
    
19
      
24
  
Interest expense, net
    
956
      
526
  
Non-GAAP EBITDA
    
181
      
(2,440
)
Employee retention credit
    
(864
)
    
—
  
Stock-based compensation expense
    
275
      
677
  
Inventory write-off
    
141
      
—
  
Loss on debt extinguishment
    
—
      
909
  
Non-GAAP adjusted EBITDA
  
$
(267
)
  
$
(854
)

Liquidity and Capital Resources
As of June 30, 2024, we had working capital of $1,692 compared to working capital of $3,369 as of December 31, 2023. The change in working capital was primarily the result of the use of cash and cash equivalents for operations, offset by a decrease in accounts receivable due to increased collection efforts. Cash, cash equivalents and restricted cash were $6,817 as of June 30, 2024, as compared to $8,118 as of December 31, 2023.

In September 2021, we entered into a credit and security agreement with MidCap, also acting as the administrative agent, and the lenders identified therein and borrowed $8,000 in the form of a senior term loan. The term loan bore interest at LIBOR (with a LIBOR floor rate of 0.50%) plus 7.50% per year. In September 2022, we amended the facility to transition, upon the cessation of LIBOR, to bear interest at one-month Secured Overnight Financing Rate (“SOFR”), or such other applicable period, plus 0.10%, with a floor of 0.50%. In June 2023, we amended the credit facility to: (i) refinance our existing $8,000 term loan, (ii) borrow an additional $7,000, and (iii) provide for an additional $5,000 tranche that can be drawn under certain conditions in 2024. The facility matures on June 1, 2028. Borrowings under the credit facility bear interest at a rate per annum equal to the sum of (a) the greater of (i) the sum of (A) 30-day forward-looking term rate of one month SOFR, as published by CME Group Benchmark Administration Limited, from time to time, plus (B) 0.10%, and (ii) the applicable floor rate of 3.50%, with such sum reset monthly, and (b) 7.50%. We are obligated to make interest-only payments through June 2026. From July 2026 to maturity, we will make principal payments in 24 equal installments. We also amended and restated the existing warrant to allow MidCap to purchase 80,000 shares of our common stock at an exercise price of $8.80 per share for a 10-year period ending June 30, 2033. The loan is senior to all other indebtedness and is secured by substantially all of our assets. We are subject to customary affirmative and negative covenants, including a financial covenant based on minimum net revenue thresholds. Upon an event of default, including a covenant violation, all principal and interest are due on demand.

In February 2024, the parties amended the credit and security agreement in order to, among other things, revise the applicable minimum net revenue threshold financial covenant. For the trailing 12-month periods ending March 31, 2024, June 30, 2024, September 30, 2024 and December 31, 2024, these amounts are set at $29,000, $29,250, $29,500 and $30,000, respectively, and increasing to $33,000 as set forth in such amendment for the trailing 12-month periods thereafter.

In January 2022, we acquired certain assets related to the TheraClear devices from Theravant. Theravant is eligible to receive up to $3,000 in future earnout payments upon the achievement of certain annual net revenue milestones ($1,000 of which is due upon the earlier of achieving a revenue target or July 2025), up to $20,000 in future royalty payments based upon a percentage of gross profit from future domestic sales ranging from 10-20%, 25% of gross profit from international sales over the subsequent four-year period, and up to $500 in future milestone payments upon the achievement of certain development and commercialization related targets. Through June 30, 2024, we have incurred an aggregate of $87 of royalty and gross profit payments based on gross profit from domestic and international sales.

31
In October 2021, we entered into an equity distribution agreement with an investment bank under which we may sell up to $11,000 of our shares of common stock in registered “at-the-market” offerings. The shares will be offered at prevailing market prices, and we will pay commissions of up to 3.00% of the gross proceeds from the sale of shares sold through our agent, which may act as an agent and/or principal. We have no obligation to sell any shares under this agreement and may, at any time, suspend solicitations under this agreement. No shares of our common stock have been sold under this distribution agreement through June 30, 2024.  However, in July 2024, we sold shares for gross proceeds of approximately $2,100. For further detail see Note 2, Liquidity to the Notes to unaudited condensed consolidated financial statements.

We cannot predict our revenues and expenses in the short term as a result of the COVID-19 pandemic, the ongoing Russia-Ukraine war, the Israel-Hamas conflict, supply chain disruptions, rising interest rates, and related responses by our customers and our ultimate consumers as a result thereof. Based on our current business plan, we believe that our cash and cash equivalents, combined with the anticipated revenues from the sale or use of our products and operating expense management, will be sufficient to satisfy our working capital needs, capital asset purchases, outstanding commitments and other liquidity requirements associated with our existing operations for at least the next 12 months following the date of the issuance of these interim condensed consolidated financial statements.  However, if these sources are insufficient to satisfy our liquidity requirements, we may seek to sell additional debt or equity securities or enter into a new credit facility or another form of third-party funding or seek other debt financing. If we raise additional funds by issuing equity or equity-linked securities, our stockholders would experience dilution and any new equity securities could have rights, preferences, and privileges superior to those of holders of our common stock. Debt financing, if available, may involve covenants restricting our operations or our ability to incur additional debt. We cannot be assured that additional equity, equity-linked or debt financing will be available on terms favorable to us or our stockholders, or at all. It is also possible that we may allocate significant amounts of capital towards products or technologies for which market demand is lower than expected and, as a result, abandon such efforts. If we are unable to maintain our current financing or obtain adequate additional financing when we require it, or if we obtain financing on terms which are not favorable to us, or if we expend capital on products or technologies that are unsuccessful, our ability to continue to support our business growth and to respond to business challenges could be significantly limited, or we may be required to delay the development, commercialization and marketing of our products.

Net cash used in operating activities was $213 for the six months ended June 30, 2024, compared to net cash provided by operating activities of $130 for the six months ended June 30, 2023. The increase in cash used in operating activities is primarily the result of keeping our inventory levels steady during the first half of 2024 as compared to the decrease in inventories during the first half of 2023 because we had increased our inventories in 2022 to avoid supply chain disruptions, and consistent accounts payable and accrued expenses during the first half of 2024 compared to an increase in accounts payable and accrued expenses during the first half of 2023 which was primarily due to an increase in accrued sales taxes, offset by the receipt of the employee retention credit.

Net cash used in investing activities was $1,070 for the six months ended June 30, 2024, compared to net cash used in investing activities of $3,495 for the six months ended June 30, 2023. The decrease is primarily the result of a greater emphasis on refurbishing units that have been recalled from underperforming accounts as part of our stated plan to realign devices, which has a lower cost than building new units, and a reduction in capital expenditures after the launch of the TheraClear Acne Therapy System in the first quarter of 2023.

Net cash used in financing activities was $18 for the six months ended June 30, 2024, compared to net cash provided by financing activities of $6,965 for the six months ended June 30, 2023. The only financing activity in 2024 consisted of the payment of contingent consideration to Theravant, whereas the cash provided by financing activities in 2023 was due to the refinancing of the Senior Term Facility, pursuant to which we borrowed an additional $7,000, net of financing costs.

32
Commitments and Contingencies
There were no items that significantly impacted our commitments and contingencies as discussed in the notes to our 2023 annual financial statements included in our 2023 10-K.

Recently Issued Accounting Pronouncements
A description of recently issued accounting pronouncements that may potentially impact our financial position and results of operations is disclosed in Note 1, Basis of presentation  to the Notes to unaudited condensed consolidated financial statements.

Off-Balance Sheet Arrangements
The Company did not have any off-balance sheet arrangements as of June 30, 2024.

ITEM 3.
Quantitative and Qualitative Disclosure about Market Risk

Not applicable.

ITEM 4.
Controls and Procedures

Evaluation of Disclosure Controls and Procedures
Our management, with the participation of our Chief Executive Officer and Chief Financial Officer, has evaluated the effectiveness of the design and operation of our disclosure controls and procedures (as such term is defined in Rules 13a-15(e) and 15d-15(e) under the Securities Exchange Act of 1934 (the “Exchange Act”)), as of June 30, 2024. Based on that evaluation, management has concluded that, as of such date, our disclosure controls and procedures were effective.

Limitations on the Effectiveness of Controls
A control system, no matter how well conceived and operated, can provide only reasonable, not absolute, assurance that the objectives of the control system are met. Because of inherent limitations in all control systems, no evaluation of controls can provide absolute assurance that all control issues, if any, within an organization have been detected. Accordingly, our disclosure controls and procedures are designed to provide reasonable, not absolute, assurance that the objectives of our disclosure control system are met and, as set forth above, our Chief Executive Officer and Chief Financial Officer have concluded, based on their evaluation as of the end of the period covered by this Report, that our disclosure controls and procedures were effective to provide reasonable assurance that the objectives of our disclosure control system were met.

Changes in Internal Control over Financial Reporting
There have been no changes in our internal control over financial reporting in our most recent fiscal quarter that have materially affected, or are reasonably likely to materially affect, our internal control over financial reporting.

PART II - Other Information

ITEM 1.
Legal Proceedings

From time to time in the ordinary course of our business, we may be a party to certain legal proceedings, incidental to the normal course of our business. These may include controversies relating to contract claims and employment related matters, some of which claims may be material, in which case, we will make separate disclosure as required.

33
On April 1, 2022, a proposed representative class action under California’s Private Attorneys General Act (“PAGA”) was filed in Superior Court of California, County of San Diego against the Company and an employment agency (“Co-Defendant”) which provided us with temporary employees. The complaint alleges various violations of the California Labor Code, including California’s wage and hour laws, relating to certain of our current and former non-exempt employees. The complaint seeks class status and payments for allegedly unpaid compensation and attorney’s fees. In a related matter, the attorneys in this matter and the proposed class representative, in a letter dated March 12, 2022, to the California Labor & Workforce Development Agency made nearly identical claims seeking the right to pursue a PAGA action against us and the employment agency. On or about May 16, 2022, the plaintiff filed a First Amended Complaint adding a PAGA claim to the action. On or about June 2, 2022, the plaintiff filed an Application to Dismiss Class and Individual Claim without prejudice, in an attempt to pursue a PAGA only complaint. On or about June 30, 2022, the parties entered into a stipulation to allow the plaintiff to file a Second Amended Complaint to clarify the PAGA claim and to stay the pending action to allow mediation. The mediation was held on February 23, 2023, and the matter was settled on terms agreeable to us. The settlement, which required us to pay $0.1 million, was subject to the right of individual class members to reject the settlement and proceed on their own. No individual has requested to opt out of the settlement, and on April 5, 2024, an Order Granting Final Approval of the settlement was entered in the Superior Court. During the three and six months ended June 30, 2024 and 2023, we paid the $106 that had been accrued for this matter.

In the ordinary course of business, we are, from time to time, subject to audits performed by state taxing authorities. These actions and proceedings are generally based on the position that the arrangements entered into by us are subject to sales and use tax rather than exempt from tax under applicable law. The states of New York and California have assessed us an aggregate of $4.9 million including penalties and interest. The audits cover the period from March 2014 through November 2022. We received notification that an administrative state judge in New York issued an opinion finding in favor of us that the sale of XTRAC treatment codes was not taxable as sales tax with respect to that state’s first assessment. This ruling covers $1.5 million of the total $4.9 million of assessments. The relevant taxing authority filed an appeal of the administrative law judge’s finding and, following the submission of legal briefs by both sides and oral argument held in January 2022, on May 6, 2022, we received a written decision from the State of New York Appeals Tribunal (“Tribunal”) overturning the favorable sales tax determination of the administrative law judge. We appealed the Tribunal’s decision to the New York State Appellate Division (“Appellate Division”), and posted the required appellate bond in the form of cash collateral. Oral argument was held by the Appellate Division on January 18, 2024.

On March 8, 2024, we received a decision from the Appellate Division ruling against us in the matter of our sales tax appeal, affirming the Tribunal's ruling that our sale of XTRAC treatment codes is subject to sales tax. The Appellate Division concluded that, through the usage arrangements, our customers had possession of the laser devices and had a license and ability to use the laser devices. The Appellate Division also agreed with the Tribunal that the primary function analysis was not applicable in this matter. On April 11, 2024, we filed a motion for leave to appeal the Appellate Division’s decision to the New York State Court of Appeals, which motion is pending. We are in the administrative  process of appeal with respect to the remaining $1.2 million of assessments in the State of New York.

The State of California has made aggregate assessments of $2.1 million including penalties and interest. The audits cover the period from June 2018 through June 2022. We are in the administrative process of appeal in this jurisdiction as well.

If there is a determination that the true object of our recurring revenue model is not exempt from sales taxes and is not a prescription medicine, or we do not have other defenses where we prevail, we may be subject to sales taxes in those particular states for previous years and in the future, plus potential interest and penalties.

ITEM 1A.
Risk Factors

A description of the risks associated with our business, financial conditions and results of operations is set forth in Item 1A of our 2023 10-K for the fiscal year ended December 31, 2023 and filed with the SEC on March 28, 2024.

ITEM 2.
Unregistered Sales of Equity Securities and Use of Proceeds

None.

ITEM 3.
Defaults Upon Senior Securities

None.

34
ITEM 4.
Mine Safety Disclosures

None.

ITEM 5.
Other Information

During the quarter ended June 30, 2024, none of our directors or officers (as defined in Section 16 of the Securities Exchange Act of 1934, as amended) adopted or terminated a “Rule 10b5-1 trading arrangement” or a “non-Rule 10b5-1 trading arrangement” (each as defined in Item 408(a) and (c) of Regulation S-K).

On August 12, 2024, Christopher Lesovitz, the Company’s Chief Financial Officer, submitted his resignation effective August 14, 2024.

35
ITEM 6.
EXHIBITS

Rule 13a-14(a) Certificate of Chief Executive Officer
Rule 13a-14(a) Certificate of Chief Financial Officer
Certifications of Chief Executive Officer and Chief Financial Officer pursuant to 18 U.S.C. Section 1350, as adopted pursuant to Section 906 of the Sarbanes-Oxley Act of 2002

* The certifications attached as Exhibit 32.1 accompany this Quarterly Report on Form 10-Q pursuant to 18 U.S.C. Section 1350, as adopted pursuant to Section 906 of the Sarbanes-Oxley Act of 2002, and shall not be deemed “filed” by the Registrant for purposes of Section 18 of the Securities Exchange Act of 1934, as amended.

36
SIGNATURES

Pursuant to the requirements of the Securities Act of 1934, the registrant has duly caused this Report to be signed on its behalf by the undersigned, thereunto duly authorized.

   
STRATA SKIN SCIENCES, INC.
       
Date
August 14, 2024
By:
/s/ Dolev Rafaeli
     
Name:
Dolev Rafaeli
     
Title:
President & Chief Executive Officer
       
Date
August 14, 2024
By:
/s/ Christopher Lesovitz
     
Name:
Christopher Lesovitz
     
Title:
Chief Financial Officer


37
Exhibit 31.1

CERTIFICATION OF CHIEF EXECUTIVE OFFICER

I, Dolev Rafaeli, certify that:
 
(1)
I have reviewed this quarterly report on Form 10-Q of STRATA Skin Sciences, Inc.;
 
(2)
Based on my knowledge, this report does not contain any untrue statement of a material fact or omit to state a material fact necessary to make the statements made, in light of the circumstances under which such statements were made, not misleading with respect to the period covered by this report;
 
(3)
Based on my knowledge, the financial statements, and other financial information included in this report, fairly present in all material respects the financial condition, results of operations and cash flows of the registrant as of, and for, the periods presented in this report;
 
(4)
The registrant’s other certifying officer(s) and I are responsible for establishing and maintaining disclosure controls and procedures (as defined in Exchange Act Rules 13a-15(e) and 15d-15(e)) and internal control over financial reporting (as defined in Exchange Act Rules 13a-15(f) and 15d-15(f)) for the registrant and have:
 
  (a)
designed such disclosure controls and procedures, or caused such disclosure controls and procedures to be designed under our supervision, to ensure that material information relating to the registrant, including its consolidated subsidiaries, is made known to us by others within those entities, particularly during the period in which this report is being prepared;
 

 (b)
designed such internal control over financial reporting or caused such internal control over financial reporting to be designed under our supervision, to provide reasonable assurance regarding the reliability of financial reporting and the preparation of financial statements for external purposes in accordance with generally accepted accounting principles;
 

 (c)
evaluated the effectiveness of the registrant’s disclosure controls and procedures and presented in this report our conclusions about the effectiveness of the disclosure controls and procedures, as of the end of the period covered by this report based on such evaluation; and
 

 (d)
disclosed in this report any change in the registrant’s internal control over financial reporting that occurred during the registrant’s most recent fiscal quarter (the registrant’s fourth fiscal quarter in the case of an annual report) that has materially affected, or is reasonably likely to materially affect, the registrant’s internal control over financial reporting; and
 
(5)
The registrant's other certifying officer(s) and I have disclosed, based on our most recent evaluation of internal control over financial reporting, to the registrant's auditors and the audit committee of the registrant's board of directors (or persons performing the equivalent functions):
 

 (a)
all significant deficiencies and material weaknesses in the design or operation of internal control over financial reporting which are reasonably likely to adversely affect the registrant's ability to record, process, summarize and report financial information; and
 

 (b)
any fraud, whether or not material, that involves management or other employees who have a significant role in the registrant's internal control over financial reporting.
 
 
STRATA SKIN SCIENCES, INC.
Dated: August 14, 2024
 
By:
/s/ Dolev Rafaeli
 
Dolev Rafaeli
 
President & Chief Executive Officer


E-31.1
Exhibit 31.2

CERTIFICATION OF CHIEF FINANCIAL OFFICER

I, Christopher Lesovitz, certify that:
 
(1)
I have reviewed this quarterly report on Form 10-Q of STRATA Skin Sciences, Inc.;
 
(2)
Based on my knowledge, this report does not contain any untrue statement of a material fact or omit to state a material fact necessary to make the statements made, in light of the circumstances under which such statements were made, not misleading with respect to the period covered by this report;
 
(3)
Based on my knowledge, the financial statements, and other financial information included in this report, fairly present in all material respects the financial condition, results of operations and cash flows of the registrant as of, and for, the periods presented in this report;
 
(4)
The registrant’s other certifying officer(s) and I are responsible for establishing and maintaining disclosure controls and procedures (as defined in Exchange Act Rules 13a-15(e) and 15d-15(e)) and internal control over financial reporting (as defined in Exchange Act Rules 13a-15(f) and 15d-15(f)) for the registrant and have:
 

 (a)
designed such disclosure controls and procedures, or caused such disclosure controls and procedures to be designed under our supervision, to ensure that material information relating to the registrant, including its consolidated subsidiaries, is made known to us by others within those entities, particularly during the period in which this report is being prepared;
 

 (b)
designed such internal control over financial reporting or caused such internal control over financial reporting to be designed under our supervision, to provide reasonable assurance regarding the reliability of financial reporting and the preparation of financial statements for external purposes in accordance with generally accepted accounting principles;
 

 (c)
evaluated the effectiveness of the registrant’s disclosure controls and procedures and presented in this report our conclusions about the effectiveness of the disclosure controls and procedures, as of the end of the period covered by this report based on such evaluation; and
 

 (d)
disclosed in this report any change in the registrant’s internal control over financial reporting that occurred during the registrant’s most recent fiscal quarter (the registrant’s fourth fiscal quarter in the case of an annual report) that has materially affected, or is reasonably likely to materially affect, the registrant’s internal control over financial reporting; and
 
(5)
The registrant's other certifying officer(s) and I have disclosed, based on our most recent evaluation of internal control over financial reporting, to the registrant's auditors and the audit committee of the registrant's board of directors (or persons performing the equivalent functions):
 

 (a)
all significant deficiencies and material weaknesses in the design or operation of internal control over financial reporting which are reasonably likely to adversely affect the registrant's ability to record, process, summarize and report financial information; and
 

 (b)
any fraud, whether or not material, that involves management or other employees who have a significant role in the registrant's internal control over financial reporting.
 
STRATA SKIN SCIENCES, INC.
Dated: August 14, 2024
 
By:
/s/ Christopher Lesovitz

Christopher Lesovitz

Chief Financial Officer


E-31.2
Exhibit 32.1

SECTION 906 CERTIFICATION

CERTIFICATION (1)

Pursuant to Section 906 of the Sarbanes-Oxley Act of 2002 (18 U.S.C. § 1350, as adopted), Dolev Rafaeli, the President and Chief Executive Officer of STRATA Skin Sciences, Inc. (the “Company”), and Christopher Lesovitz, the Chief Financial Officer of the Company, each hereby certifies that, to the best of his knowledge:


 1.
The Company’s Quarterly Report on Form 10-Q for the quarter ended March 31, 2024, to which this Certification is attached as Exhibit 32.1 (the “Periodic Report”), fully complies with the requirements of Section 13(a) or Section 15(d) of the Securities Exchange Act of 1934, as amended, and


2.
The information contained in the Periodic Report fairly presents, in all material respects, the financial condition and results of operations of the Company.

Dated: August 14, 2024
  
   
/s/   Dolev Rafaeli
  
/s/   Christopher Lesovitz          
  
Dolev Rafaeli
Christopher Lesovitz
President & Chief Executive Officer
Chief Financial Officer

(1)
This certification accompanies the Annual Report on Form 10-K to which it relates, is not deemed filed with the Securities and Exchange Commission and is not to be incorporated by reference into any filing of STRATA Skin Sciences, Inc. under the Securities Act of 1933, as amended, or the Exchange Act (whether made before or after the date of the Form 10-K), irrespective of any general incorporation language contained in such filing. A signed original of this written statement required by Section 906 of the Sarbanes-Oxley Act of 2002 has been provided to STRATA Skin Sciences, Inc. and will be retained by STRATA Skin Sciences, Inc. and furnished to the Securities and Exchange Commission or its staff upon request.


E-32.1
v3.24.2.u1
Document and Entity Information - shares
 6 Months Ended
Jun. 30, 2024
Aug. 12, 2024
Cover [Abstract]    
Document Type 10-Q  
Amendment Flag false  
Document Quarterly Report true  
Document Period End Date Jun. 30, 2024  
Current Fiscal Year End Date --12-31  
Document Fiscal Year Focus 2024  
Document Fiscal Period Focus Q2  
Document Transition Report false  
Entity File Number 0-51481  
Entity Registrant Name STRATA SKIN SCIENCES, INC.  
Entity Central Index Key 0001051514  
Entity Incorporation, State or Country Code DE  
Entity Tax Identification Number 13-3986004  
Entity Address, Address Line One 5 Walnut Grove Drive  
Entity Address, Address Line Two Suite 140  
Entity Address, City or Town Horsham  
Entity Address, State or Province PA  
Entity Address, Postal Zip Code 19044  
City Area Code 215  
Local Phone Number 619-3200  
Title of 12(b) Security Common Stock, $0.001 Par Value  
Trading Symbol SSKN  
Security Exchange Name NASDAQ  
Entity Current Reporting Status Yes  
Entity Interactive Data Current Yes  
Entity Filer Category Non-accelerated Filer  
Entity Small Business true  
Entity Emerging Growth Company false  
Entity Shell Company false  
Entity Common Stock, Shares Outstanding   4,171,161
v3.24.2.u1
Condensed Consolidated Balance Sheets - USD ($)
$ in Thousands
Jun. 30, 2024
Dec. 31, 2023
Current assets:    
Cash and cash equivalents $ 5,483 $ 6,784
Restricted cash 1,334 1,334
Accounts receivable, net of allowance for credit losses of $182 and $222 at June 30, 2024 and December 31, 2023, respectively 3,979 4,440
Inventories 2,692 2,673
Prepaid expenses and other current assets 337 312
Total current assets 13,825 15,543
Property and equipment, net 11,149 11,778
Operating lease right-of-use assets 1,429 626
Intangible assets, net 6,334 7,319
Goodwill 6,519 6,519
Other assets 325 231
Total assets 39,581 42,016
Current liabilities:    
Accounts payable 2,886 3,343
Accrued expenses and other current liabilities 6,608 6,306
Deferred revenues 2,261 2,120
Current portion of operating lease liabilities 313 352
Current portion of contingent consideration 65 53
Total current liabilities 12,133 12,174
Long-term debt, net 15,114 15,044
Deferred revenues and other liabilities 473 552
Deferred tax liability 186 186
Operating lease liabilities, net of current portion 1,083 237
Contingent consideration, net of current portion 1,096 1,135
Total liabilities 30,085 29,328
Commitments and contingencies (Note 13)
Stockholders' equity:    
Series C convertible preferred stock, $0.10 par value; 10,000,000 shares authorized, no shares issued and outstanding 0 0
Common stock, $0.001 par value; 150,000,000 shares authorized; 3,506,025 shares issued and outstanding at June 30, 2024 and December 31, 2023 4 4
Additional paid-in capital 251,017 250,742
Accumulated deficit (241,525) (238,058)
Total stockholders' equity 9,496 12,688
Total liabilities and stockholders' equity $ 39,581 $ 42,016
v3.24.2.u1
Condensed Consolidated Balance Sheets (Parenthetical) - USD ($)
$ in Thousands
Jun. 30, 2024
Dec. 31, 2023
Current assets:    
Allowance for credit losses $ 182 $ 222
Stockholders' equity:    
Series C Convertible Preferred Stock, par value (in dollars per share) $ 0.1 $ 0.1
Series C Convertible Preferred Stock, shares authorized (in shares) 10,000,000 10,000,000
Series C Convertible Preferred Stock, shares issued (in shares) 0 0
Series C Convertible Preferred Stock, shares outstanding (in shares) 0 0
Common stock, par value (in dollars per share) $ 0.001 $ 0.001
Common stock, shares authorized (in shares) 150,000,000 150,000,000
Common stock, shares issued (in shares) 3,506,025 3,506,025
Common stock, shares outstanding (in shares) 3,506,025 3,506,025
v3.24.2.u1
Condensed Consolidated Statements of Operations - USD ($)
$ in Thousands
 3 Months Ended 6 Months Ended
Jun. 30, 2024
Jun. 30, 2023
Jun. 30, 2024
Jun. 30, 2023
Condensed Consolidated Statements of Operations [Abstract]        
Revenues, net $ 8,435 $ 8,250 $ 15,189 $ 15,817
Cost of revenues 3,498 3,932 7,172 7,111
Gross profit 4,937 4,318 8,017 8,706
Operating expenses:        
Engineering and product development 199 374 440 689
Selling and marketing 3,014 3,416 6,032 7,158
General and administrative 2,210 2,490 4,920 5,407
Total operating expenses 5,423 6,280 11,392 13,254
Loss from operations (486) (1,962) (3,375) (4,548)
Other (expense) income:        
Loss on debt extinguishment 0 (909) 0 (909)
Interest expense (531) (298) (1,055) (584)
Interest income 54 21 99 58
Other income 864 0 864 0
Other (expense), income net 387 (1,186) (92) (1,435)
Net loss $ (99) $ (3,148) $ (3,467) $ (5,983)
Net loss per share of common stock - basic (in dollars per share) $ (0.03) $ (0.9) $ (0.99) $ (1.72)
Net loss per share of common stock - diluted (in dollars per share) $ (0.03) $ (0.9) $ (0.99) $ (1.72)
Weighted average shares of common stock outstanding - basic (in shares) 3,506,025 3,488,081 3,506,025 3,487,119
Weighted average shares of common stock outstanding - diluted (in shares) 3,506,025 3,488,081 3,506,025 3,487,119
v3.24.2.u1
Condensed Consolidated Statements of Changes in Stockholders' Equity - USD ($)
$ in Thousands
Common Stock [Member]
Additional Paid-in-Capital [Member]
Accumulated Deficit [Member]
Total
Beginning balance at Dec. 31, 2022 $ 3 $ 249,056 $ (227,228) $ 21,831
Beginning balance (in shares) at Dec. 31, 2022 3,472,246      
Increase (Decrease) in Stockholders' Equity [Roll Forward]        
Stock-based compensation expense $ 0 325 0 325
Issuance of restricted stock $ 0 0 0 0
Issuance of restricted stock (in shares) 15,835      
Net loss $ 0 0 (2,835) (2,835)
Ending balance at Mar. 31, 2023 $ 3 249,381 (230,063) 19,321
Ending balance (in shares) at Mar. 31, 2023 3,488,081      
Beginning balance at Dec. 31, 2022 $ 3 249,056 (227,228) 21,831
Beginning balance (in shares) at Dec. 31, 2022 3,472,246      
Increase (Decrease) in Stockholders' Equity [Roll Forward]        
Net loss       (5,983)
Ending balance at Jun. 30, 2023 $ 3 250,117 (233,211) 16,909
Ending balance (in shares) at Jun. 30, 2023 3,488,081      
Beginning balance at Mar. 31, 2023 $ 3 249,381 (230,063) 19,321
Beginning balance (in shares) at Mar. 31, 2023 3,488,081      
Increase (Decrease) in Stockholders' Equity [Roll Forward]        
Stock-based compensation expense $ 0 352 0 352
Modification of common stock warrants 0 384 0 384
Net loss 0 0 (3,148) (3,148)
Ending balance at Jun. 30, 2023 $ 3 250,117 (233,211) 16,909
Ending balance (in shares) at Jun. 30, 2023 3,488,081      
Beginning balance at Dec. 31, 2023 $ 4 250,742 (238,058) 12,688
Beginning balance (in shares) at Dec. 31, 2023 3,506,025      
Increase (Decrease) in Stockholders' Equity [Roll Forward]        
Stock-based compensation expense $ 0 112 0 112
Net loss 0 0 (3,368) (3,368)
Ending balance at Mar. 31, 2024 $ 4 250,854 (241,426) 9,432
Ending balance (in shares) at Mar. 31, 2024 3,506,025      
Beginning balance at Dec. 31, 2023 $ 4 250,742 (238,058) 12,688
Beginning balance (in shares) at Dec. 31, 2023 3,506,025      
Increase (Decrease) in Stockholders' Equity [Roll Forward]        
Net loss       (3,467)
Ending balance at Jun. 30, 2024 $ 4 251,017 (241,525) 9,496
Ending balance (in shares) at Jun. 30, 2024 3,506,025      
Beginning balance at Mar. 31, 2024 $ 4 250,854 (241,426) 9,432
Beginning balance (in shares) at Mar. 31, 2024 3,506,025      
Increase (Decrease) in Stockholders' Equity [Roll Forward]        
Stock-based compensation expense $ 0 163 0 163
Net loss 0 0 (99) (99)
Ending balance at Jun. 30, 2024 $ 4 $ 251,017 $ (241,525) $ 9,496
Ending balance (in shares) at Jun. 30, 2024 3,506,025      
v3.24.2.u1
Condensed Consolidated Statements of Cash Flows - USD ($)
$ in Thousands
 6 Months Ended
Jun. 30, 2024
Jun. 30, 2023
Cash flows from operating activities:    
Net loss $ (3,467) $ (5,983)
Adjustments to reconcile net loss to net cash (used in) provided by operating activities:    
Depreciation and amortization 2,499 2,825
Amortization of operating lease right-of-use assets 174 168
Amortization of deferred financing costs and debt discount 70 83
Change in allowance for credit losses 30 (138)
Stock-based compensation expense 275 677
Loss on disposal of property and equipment 19 24
Inventory write-off 141 0
Loss on debt extinguishment 0 909
Changes in operating assets and liabilities:    
Accounts receivable 431 208
Inventories 6 886
Prepaid expenses and other assets (119) 190
Accounts payable (466) 351
Accrued expenses and other liabilities 290 211
Deferred revenues 74 (95)
Operating lease liabilities (170) (186)
Net cash (used in) provided by operating activities (213) 130
Cash flows from investing activities:    
Purchase of property and equipment (1,070) (3,495)
Net cash used in investing activities (1,070) (3,495)
Cash flows from financing activities:    
Payment of contingent consideration (18) 0
Proceeds from long-term debt 0 7,000
Payment of deferred financing costs 0 (35)
Net cash (used in) provided by financing activities (18) 6,965
Net (decrease) increase in cash, cash equivalents and restricted cash (1,301) 3,600
Cash, cash equivalents and restricted cash at beginning of period 8,118 6,795
Cash, cash equivalents and restricted cash at end of period 6,817 10,395
Cash and cash equivalents 5,483 9,034
Restricted cash 1,334 1,361
Supplemental disclosure of cash flow information:    
Cash paid during the year for interest 990 497
Supplemental schedule of non-cash operating, investing and financing activities:    
Operating lease right-of-use assets obtained in exchange for operating lease liabilities 977 0
Transfer of property and equipment to inventories 166 102
Accrued payment of contingent consideration 9 42
Modification of common stock warrants 0 384
Accrued exit fee recorded as debt discount 0 450
Deferred financing costs in accounts payable $ 0 $ 62
v3.24.2.u1
The Company
 6 Months Ended
Jun. 30, 2024
The Company [Abstract]  
The Company

Note 1
The Company:

Background
STRATA Skin Sciences, Inc. (the “Company”) is a medical technology company in dermatology dedicated to developing, commercializing and marketing innovative products for the treatment of dermatologic conditions. Its products include the XTRAC® and Pharos® excimer lasers and VTRAC® lamp systems utilized in the treatment of psoriasis, vitiligo and various other skin conditions. In January 2022, the Company acquired the TheraClear Acne Therapy System to broaden its opportunities with expansion potential in the acne care market. The Company markets the device under the brand name TheraClear® X.

The XTRAC is an ultraviolet light excimer laser system utilized to treat psoriasis, vitiligo and other skin diseases. The XTRAC excimer laser system received clearance from the United States Food and Drug Administration (the “FDA”) in 2000. As of June 30, 2024, there were 882 XTRAC systems placed in dermatologists’ offices in the United States and 39 systems internationally under the Company’s recurring revenue business model. The XTRAC systems deployed under the recurring revenue model generate revenue on a per procedure basis or include a fixed payment over an agreed upon period with a capped number of treatments which, if exceeded, would incur additional fees. The per-procedure charge is inclusive of the use of the system and the services provided by the Company to the customer, which includes system maintenance and other services. The VTRAC Excimer Lamp system, offered in addition to the XTRAC system internationally, provides targeted therapeutic efficacy demonstrated by excimer technology with a lamp system.

The Pharos excimer laser system holds FDA clearance to treat chronic skin diseases, including psoriasis, vitiligo, atopic dermatitis and leukoderma.
The TheraClear® Acne Therapy System (“TheraClear”) combines intense pulse light with vacuum (suction) for the treatment of mild to moderate inflammatory acne (including acne vulgaris), comedonal acne and pustular acne.

Since 2019, the Company has been transitioning its international dermatology procedures equipment sales through its master distributor to a direct distribution model for equipment sales and recurring revenue on a country-by-country basis. The Company has signed distributor contracts by year as follows: 2019 – Korea, 2020 – Japan, 2021 – China, Israel, Saudi Arabia, Kuwait, Oman, Qatar, Bahrain, UAE, Jordan and Iraq, and 2023 – Mexico and India.
Post- COVID-19 Pandemic

Since March 2020, the global pandemic related to a new strain of coronavirus (“COVID-19”) has negatively impacted business conditions in the industry in which the Company operates, disrupted global supply chains, constrained workforce participation and created significant volatility and disruption of financial markets. The pandemic led to the suspension of elective procedures in the U.S. and to the temporary closure of many physician practices, which are the Company’s primary customers. While most physician offices have reopened, some of the Company’s partner physician practices closed permanently. Accordingly, the COVID-19 pandemic and its variants have negatively impacted the Company’s operational and financial performance, including its ability to execute its business strategies and initiatives in the expected time frames and those of its primary customers. It has also negatively impacted the Company’ supply chains and transport, customer behavior and staffing.
Impact of Russia-Ukraine War
Prior to the outbreak of the Russia-Ukraine War, Ukraine was the largest exporter of noble gases including neon, krypton, and xenon and has historically been the source of a significant amount of gas supplied to the Company by its contract suppliers. Neon gas is essential to the proper functioning of the Company’s lasers. The Company’s suppliers have been resourceful in continuing to supply gases to the Company but cannot assure the Company that the supply will remain uninterrupted. The reduced supply and ongoing conflict have also impacted the price of gas worldwide. Additionally, the Creating Helpful Incentives to Produce Semiconductors and Science Act of 2022 has led to a further tightening of rare gas supplies as semiconductor chip manufacturers reconfigure their supply chains to address the need to secure their own supplies of rare gases for use in the manufacture of computer chips.


Impact of Israel-Hamas Conflict

The Company has not seen an impact on its distributors’ businesses in the Middle East due to the Israel-Hamas conflict, but cannot predict the impact should the conflict continue or develop into a larger war.

Basis of presentation:

Principles of Consolidation
The condensed consolidated financial statements include the accounts of the Company and Photomedex India Private Limited, its wholly-owned, inactive subsidiary in India. All significant intercompany balances and transactions have been eliminated in consolidation.

Unaudited Interim Condensed Consolidated Financial Statements
The accompanying unaudited interim condensed consolidated financial statements have been prepared pursuant to the rules and regulations of the United States Securities and Exchange Commission (“SEC”) for interim financial reporting. These condensed consolidated statements are unaudited and, in the opinion of management, include all adjustments (consisting of normal recurring adjustments and accruals) necessary to fairly present the results of the interim periods. The condensed consolidated balance sheet at December 31, 2023 has been derived from the audited consolidated financial statements at that date. Operating results and cash flows for the six months ended June 30, 2024 are not necessarily indicative of the results that may be expected for the fiscal year ending December 31, 2024 or any other future period. Certain information and footnote disclosures normally included in annual financial statements prepared in accordance with accounting principles generally accepted in the United States of America (“U.S. GAAP”) have been condensed or omitted in accordance with the rules and regulations for interim reporting of the SEC. These interim condensed consolidated financial statements should be read in conjunction with the consolidated financial statements and notes thereto included in the Company’s Annual Report on Form 10-K for the year ended December 31, 2023 (the “2023 Form 10-K”), and other forms filed with the SEC from time to time. Dollar amounts included herein are in thousands, except per share amounts.


Reclassifications

Certain prior year amounts have been reclassified to conform to the current year presentation, including the impact on the condensed consolidated statement of cash flows of the reclassification of lasers-in-process from inventories to property and equipment, net.
Significant Accounting Policies
The significant accounting policies used in preparation of these condensed consolidated financial statements are disclosed in the Company’s 2023 Form 10-K, and there have been no changes to the Company’s significant accounting policies during the six months ended June 30, 2024.

Reverse Stock Split

On October 26, 2023, the stockholders of the Company authorized the Board of Directors to effect a reverse stock split of all outstanding shares of common stock. On April 26, 2024, the Board of Directors approved the implementation of a reverse stock split at a ratio of one-for-ten shares, which became effective on June 6, 2024. The Company’s outstanding stock-based awards, including options, restricted stock units and warrants, were also adjusted to reflect the one-for-ten reverse stock split of the Company’s common stock. Outstanding stock-based award units were proportionately reduced and the respective exercise prices, if applicable, were proportionately increased. The reverse stock split affected all stockholders uniformly and did not alter any stockholder’s percentage interest in the Company’s equity. No fractional shares were issued in connection with the reverse stock split. Stockholders who would otherwise be entitled to a fractional share of common stock were instead entitled to receive a proportional cash payment. The reverse stock split did not change the par value or authorized number of shares of common stock. All share and per share amounts in these condensed consolidated financial statements and related notes hereto have been retroactively adjusted to account for the effect of the reverse stock split.


Use of Estimates
The preparation of the condensed consolidated financial statements 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 financial statements and the reported amounts of revenues and expenses during the reporting periods. The Company’s significant estimates and judgments include revenue recognition with respect to deferred revenues and the contract term and valuation allowances of accounts receivable, inputs used when evaluating goodwill for impairment, inputs used in the valuation of contingent consideration, state sales and use tax accruals, the estimated useful lives of intangible assets, and the valuation allowance related to deferred tax assets. Actual results could differ from those estimates.

Fair Value Measurements
The Company measures financial assets and liabilities at fair value at each reporting period using a fair value hierarchy that requires the use of observable inputs and minimizes the use of unobservable inputs. The Company defines fair value as the price that would be received from selling an asset or paid to transfer a liability in an orderly transaction between market participants at the measurement date. Fair value is estimated by applying the following hierarchy, which prioritizes the inputs used to measure fair value into three levels and bases the categorization within the hierarchy upon the lowest level of input that is available and significant to the fair value measurement:

 
•
Level 1 – quoted market prices in active markets for identical assets or liabilities.
 
•
Level 2 – observable inputs other than quoted prices in active markets for identical assets and liabilities, quoted prices for identical or similar assets or liabilities in inactive markets, or other inputs that are observable or can be corroborated by observable market data for substantially the full term of the assets or liabilities.
 
•
Level 3 – inputs that are generally unobservable and typically reflect the Company’s estimate of assumptions that market participants would use in pricing the asset or liability.

The fair values of cash and cash equivalents and restricted cash are based on their respective demand values, which are equal to the carrying values. The carrying values of all short-term monetary assets and liabilities are estimated to approximate their fair values due to the short-term nature of these instruments. As of June 30, 2024 and December 31, 2023, the carrying value of the Company’s long-term debt approximated its fair value due to its variable interest rate.

Accrued Warranty Costs
The Company offers a standard warranty on product sales generally for a one to two-year period, however, the Company has offered longer warranty periods, ranging from three to four years, in order to meet competition or customer demands. The Company provides for the estimated cost of the future warranty claims on the date the product is sold.

The activity in the warranty accrual is summarized as follows:

 
  
Three Months Ended June 30,
  
 
  
2024
    
2023
  
Balance, beginning of period
  
$
278
    
$
229
  
Additions
    
76
      
93
  
Expirations and claims satisfied
    
(61
)
    
(53
)
Total
    
293
      
269
  
Less current portion within accrued expenses and other current liabilities
    
(182
)
    
(163
)
Balance within deferred revenues and other liabilities
  
$
111
    
$
106
  

   
Six Months Ended June 30,
  
   
2024
    
2023
  
Balance, beginning of period
  
$
303
    
$
207
  
Additions
    
115
      
120
  
Expirations and claims satisfied
    
(125
)
    
(58
)
Total
    
293
      
269
  
Less current portion within accrued expenses and other current liabilities
    
(182
)
    
(163
)
Balance within deferred revenues and other liabilities
  
$
111
    
$
106
  


Employee Retention Credit

The Employee Retention Credit (“ERC”) under the Coronavirus Aid, Relief, and Economic Security Act (“CARES Act”) is a refundable tax credit which encouraged businesses to keep employees on the payroll during the COVID-19 pandemic. Eligible employers could qualify for up to $7 of credit for each employee based on qualified wages paid after December 31, 2020 and before January 1, 2022. Qualified wages are any wages paid to an employee (for employers that averaged fewer than 100 full-time employees in 2019) or the wages paid to an employee for the time that the employee is providing and not providing services (for employers that averaged more than 500 full-time employees in 2019) due to an economic hardship, specifically, either (1) a full or partial suspension of operations by order of a governmental authority due to COVID-19, or (2) a significant decline in gross receipts. The Company recognized $864 of ERC as other income in the condensed consolidated statement of operations for the three and six months ended June 30, 2024. No such activity existed for the three and six months ended June 30, 2023.



Net Loss Per Share
Basic net loss per share of common stock is computed by dividing net loss attributable to common stockholders by the weighted-average number of shares of common stock outstanding during each period. Diluted net loss per share of common stock includes the effect, if any, from the potential exercise or conversion of securities such as unvested restricted stock awards, stock options and warrants for common stock which would result in the issuance of incremental shares of common stock. For diluted net loss per share, the weighted-average number of shares of common stock is the same as for basic net loss per share due to the fact that when a net loss exists, dilutive securities are not included in the calculation as the impact is anti-dilutive.

The following potentially dilutive securities have been excluded from the computation of diluted weighted-average shares of common stock outstanding, as they would be anti-dilutive:
 
    June 30,
 
 
   2024
     2023
  
Stock options
    530,350       536,961  
Common stock warrants
     80,000       80,000  
Restricted stock units
     851       11,960  

    611,201       628,921  

Recent Accounting Pronouncements Recently Adopted
In August 2020, the Financial Accounting Standards Board (“FASB”) issued Accounting Standards Update (“ASU”) 2020-06, Debt with Conversion and Other Options (Subtopic 470-20) and Derivatives and Hedging – Contracts in Entity’s Own Equity (Subtopic 815-40): Accounting for Convertible Instruments and Contracts in an Entity’s own Equity. The pronouncement simplifies the accounting for certain financial instruments with characteristics of liabilities and equity, including convertible instruments and contracts in an entity’s own equity. Specifically, the ASU simplifies accounting for convertible instruments by removing major separation models required under current U.S. GAAP. In addition, the ASU removes certain settlement conditions that are required for equity contracts to qualify for it and simplifies the diluted earnings per share (EPS) calculations in certain areas. The guidance is effective for annual periods, including interim periods, beginning after December 15, 2023 and early adoption is permitted. The adoption of this guidance on January 1, 2024 did not have an impact on the condensed consolidated financial statements.

Recent Accounting Pronouncements Not Yet Adopted
In November 2023, the FASB issued ASU 2023-07, Segment Reporting (Topic 280): Improvements to Reportable Segment Disclosures, which will primarily require enhanced disclosures about significant segment expenses and information used to assess segment performance and enhanced disclosures in interim periods. The guidance in this ASU will be applied retrospectively and is effective for fiscal years beginning after December 15, 2023 and interim reporting periods in fiscal years beginning after December 15, 2024. Early adoption is permitted. The Company is currently evaluating the effect this ASU will have on its condensed consolidated financial statements.

In December 2023, the FASB issued ASU 2023-09, Income Taxes (Topic 740): Improvements to Income Tax Disclosures, which is intended to improve income tax disclosure requirements by requiring (1) consistent categories and greater disaggregation of information in the rate reconciliation and (2) the disaggregation of income taxes paid by jurisdiction. The guidance makes several other changes to the income tax disclosure requirements. The guidance in this ASU is effective for annual periods beginning after December 15, 2024. Early adoption is permitted for annual financial statements that have not yet been issued or made available for issuance. The Company is currently evaluating the effect this ASU will have on its condensed consolidated financial statements.
v3.24.2.u1
Liquidity
 6 Months Ended
Jun. 30, 2024
Liquidity [Abstract]  
Liquidity
Note 2
Liquidity:

The Company has been negatively impacted by the COVID-19 pandemic, has historically experienced recurring losses, has been dependent on raising capital from the sale of securities in order to continue to operate and has been required to restrict cash for potential sales tax liabilities (see Note 13, Commitments and Contingencies). In October 2021, the Company entered into an equity distribution agreement with an investment bank under which the Company may sell up to $11,000 of its common stock in registered “at-the-market” offerings. In July 2024, the Company sold 665,136 shares of its common stock under the equity distribution agreement at an average purchase price of $3.16 per share for total gross proceeds of approximately $2,100. In June 2023, the Company amended its credit facility with MidCap Financial Trust to: (i) refinance its existing $8,000 term loan, (ii) borrow an additional $7,000, and (iii) provide for an additional $5,000 tranche that can be drawn under certain conditions in 2024. Management believes that the Company’s cash and cash equivalents, the anticipated revenues from the sale or use of its products and operating expense management, and the proceeds from the July 2024 equity raise will be sufficient to satisfy the Company’s working capital needs, capital asset purchases, outstanding commitments and other liquidity requirements associated with its existing operations for at least the next 12 months following the date of the issuance of these condensed consolidated financial statements. However, market conditions, including the negative impact of the COVID-19 pandemic, the Russia-Ukraine War, and the Israel-Hamas conflict on the financial markets, supply chain disruptions, customer behavior, and rising interest rates, could interfere with the Company’s ability to access financing and on favorable terms.
v3.24.2.u1
Revenue Recognition
 6 Months Ended
Jun. 30, 2024
Revenue Recognition [Abstract]  
Revenue Recognition
Note 3
Revenue Recognition:

Revenues from the Company’s dermatology recurring procedures customers are earned by providing physicians with its laser products and charging the physicians a fee for a fixed number of treatment sessions or a fixed fee for a specified period of time not to exceed an agreed upon number of treatments; if that number is exceeded additional fees will have to be paid. The placement of the laser products at physician locations represents embedded leases which are accounted for as operating leases. For the lasers placed-in service under these arrangements, the terms of the domestic arrangements are generally 36 months with automatic one-year renewals and include a termination clause that can be effected at any time by either party with 30 to 60 day notice. Amounts paid are generally non-refundable. Sales of access codes for a fixed number of treatment sessions are considered variable treatment code payments and are recognized as revenue over the estimated usage period of the agreed upon number of treatments. Sales of access codes for a specified period of time are recognized as revenue on a straight-line basis as the lasers are being used over the term specified in the agreement. Variable treatment code payments that will be paid only if the customer exceeds the agreed upon number of treatments are recognized only when such treatments are being exceeded and used. Internationally, the Company generally sells access codes for a fixed amount on a monthly basis to its distributors and the terms are generally 48 months, with termination in the event of the customers’ failure to remit payments timely, and include a potential buy-out at the end of the term of the contract. Currently, this is the only foreign recurring revenue. Prepaid amounts recorded in deferred revenue and customer deposits recorded in accounts payable are recognized as revenue over the lease term in the patterns described above. Pricing is fixed with the customer. With respect to lease and non-lease components, the Company adopted the practical expedient to account for the arrangement as a single lease component.

Revenues from the Company’s dermatology procedures equipment are recognized when control of the promised goods or services is transferred to its customers or distributors, in an amount that reflects the consideration to which it expects to be entitled in exchange for those goods or services. Accordingly, the Company determines revenue recognition through the following steps:

 
•
identification of the contract, or contracts, with a customer;
 
•
identification of the performance obligations in the contract;
 
•
determination of the transaction price;
 
•
allocation of the transaction price to the performance obligations in the contract; and
 
•
recognition of revenue when, or as, performance obligations are satisfied.

Accounting for the Company’s contracts involves the use of significant judgments and estimates including determining the separate performance obligations, allocating the transaction price to the different performance obligations and determining the method to measure the entity’s performance toward satisfaction of performance obligations that most faithfully depicts when control is transferred to the customer. The Company allocates the contract’s transaction price to each performance obligation using the Company’s best estimate of the standalone selling price for each distinct good or service in the contract. The Company maximizes the use of observable inputs by beginning with average historical contractual selling prices and adjusting as necessary and on a consistent and rational basis for other inputs such as pricing trends, customer types, volumes and changing cost and margins.

Revenues from dermatology procedures equipment are recognized when control of the promised products is transferred to either the Company’s distributors or end-user customers, in an amount that reflects the consideration the Company expects to be entitled to in exchange for those products (the transaction price). Control transfers to the customer at a point in time. To indicate the transfer of control, the Company must have a present right to payment and legal title must have passed to the customer. The Company ships most of its products FOB shipping point, and as such, the Company primarily transfers control and records revenue upon shipment. From time to time the Company will grant certain customers, for example governmental customers, FOB destination terms, where the transfer of control for revenue recognition occurs upon receipt. The Company has elected to recognize the cost of freight and shipping activities as fulfillment costs. Amounts billed to customers for shipping and handling are included as part of the transaction price and recognized as revenue when control of the underlying goods is transferred to the customer. The related shipping and freight charges incurred by the Company are included in cost of revenues.

The following table summarizes the Company’s expected future undiscounted fixed treatment code payments from international dermatology recurring procedures, the Company’s only long-term arrangements, as of June 30, 2024:

Remaining 2024
  
$
698
  
2025
    
937
  
2026
    
752
  
2027
    
481
  
2028
    
38
  
Total
  
$
2,906
  

Remaining performance obligations related to Accounting Standards Codification (“ASC”) 606, Revenue from Contracts with Customers, represent the aggregate transaction price allocated to performance obligations with an original contract term greater than one year, which are fully or partially unsatisfied at the end of the period. Remaining performance obligations include the potential obligation to perform under extended warranties and service contracts but exclude any dermatology procedures equipment accounted for as leases. As of June 30, 2024, the aggregate amount of the transaction price allocated to remaining performance obligations was $587 and the Company expects to recognize $226 of the remaining performance obligations within one year and the remainder over one to three years. Contract assets primarily relate to the Company’s rights to consideration for work completed in relation to its services performed but not billed at the reporting date. The contract assets are transferred to receivables when the rights become unconditional. Currently, the Company does not have any contract assets which have not transferred to a receivable.

Contract liabilities primarily relate to extended warranties and service contracts where the Company has received payments but has not yet satisfied the related performance obligations. The allocations of the transaction price are based on the price of standalone warranty contracts sold in the ordinary course of business. The advance consideration received from customers for the warranty services is a contract liability that is recognized ratably over the warranty period. As of June 30, 2024, the $226 of short-term contract liabilities is presented as deferred revenues and the $361 of long-term contract liabilities is presented within deferred revenues and other liabilities on the condensed consolidated balance sheet. For the three months ended June 30, 2024 and 2023, the Company recognized $78 and $104, respectively, as revenue from amounts classified as contract liabilities (i.e. deferred revenues) as of December 31, 2023 and 2022. For the six months ended June 30, 2024 and 2023, the Company recognized $154 and $236, respectively, as revenue from amounts classified as contract liabilities (i.e. deferred revenues) as of December 31, 2023 and 2022.

With respect to contract acquisition costs, the Company applies the practical expedient and expenses these costs immediately.
v3.24.2.u1
Inventories
 6 Months Ended
Jun. 30, 2024
Inventories [Abstract]  
Inventories
Note 4
Inventories:
 
Inventories consist of the following:
 
   
June 30, 2024
    
December 31, 2023
  
Raw materials and work-in-process
  
$
2,363
    
$
2,192
  
Finished goods
    
329
      
481
  

 
$
2,692
    
$
2,673
  

Work-in-process inventories are immaterial, given the Company’s typically short manufacturing cycle, and are included with raw materials inventories.

Due to the expiration in the first quarter of 2024 of extended warranty service contracts that were assumed in August 2021 in connection with the acquisition of Pharos laser system products, the Company wrote off $141 of inventories that will no longer be needed for warranty purposes during the six months ended June 30, 2024, which is included in cost of revenues in the condensed consolidated statement of operations.
v3.24.2.u1
Property and Equipment, net
 6 Months Ended
Jun. 30, 2024
Property and Equipment, net [Abstract]  
Property and Equipment, net
Note 5
Property and Equipment, net:
 
Property and equipment consist of the following:
 
   
June 30, 2024
    
December 31, 2023
  
Lasers placed-in-service
  
$
32,903
    
$
32,095
  
Equipment, computer hardware and software
    
300
      
293
  
Furniture and fixtures
    
240
      
240
  
Leasehold improvements
    
99
      
203
  
Lasers-in-process
     2,924       3,231  
     
36,466
      
36,062
  
Less: accumulated depreciation and amortization
    
(25,317
)
    
(24,284
)

 
$
11,149
    
$
11,778
  

The Company recorded depreciation and amortization expense of $759 and $713 during the three months ended June 30, 2024 and 2023, respectively. The Company recorded depreciation and amortization expense of $1,514 and $1,390 during the six months ended June 30, 2024 and 2023, respectively.
v3.24.2.u1
Intangible Assets, net
 6 Months Ended
Jun. 30, 2024
Intangible Assets, net [Abstract]  
Intangible Assets, net
Note 6
Intangible Assets, net:
 
Intangible assets consist of the following:
 
June 30, 2024
 
Balance
    
Accumulated
Amortization
    
Net Book
Value
  
Core technology
  
$
5,700
    
$
(5,130
)
  
$
570
  
Product technology
    
4,808
      
(3,925
)
    
883
  
Customer relationships
    
6,900
      
(6,210
)
    
690
  
Tradenames
    
1,500
      
(1,350
)
    
150
  
Pharos customer lists
    
5,314
      
(1,273
)
    
4,041
  
   
$
24,222
    
$
(17,888
)
  
$
6,334
  
                         
December 31, 2023
                        
Core technology
  
$
5,700
    
$
(4,845
)
  
$
855
  
Product technology
    
4,808
      
(3,866
)
    
942
  
Customer relationships
    
6,900
      
(5,865
)
    
1,035
  
Tradenames
    
1,500
      
(1,275
)
    
225
  
Pharos customer lists
    
5,314
      
(1,052
)
    
4,262
  

 
$
24,222
    
$
(16,903
)
  
$
7,319
  

The Company recorded amortization expense of $491 and $715 during the three months ended June 30, 2024 and 2023, respectively. The Company recorded amortization expense of $985 and $1,435 during the six months ended June 30, 2024 and 2023, respectively.
 
Finite-lived intangible assets are tested for impairment when events or changes in circumstances indicate that the carrying value of the asset group may not be recoverable. The Company recognizes an impairment loss when and to the extent that the recoverable amount of an asset group is less than its carrying value. There were no impairment charges for the three and six months ended June 30, 2024 or 2023.

The following table summarizes the estimated future amortization expense for the above intangible assets for the next five years:
 
Remaining 2024
  

986
  
2025
    
1,266
  
2026
    
561
  
2027
    
561
  
2028
    
561
  
v3.24.2.u1
Accrued Expenses and Other Current Liabilities
 6 Months Ended
Jun. 30, 2024
Accrued Expenses and Other Current Liabilities [Abstract]  
Accrued Expenses and Other Current Liabilities
Note 7
Accrued Expenses and Other Current Liabilities:

Accrued expenses and other current liabilities consist of the following:

    June 30, 2024     December 31, 2023  
Warranty obligations
  
$
182
    
$
180
  
Compensation and related benefits
     1,974       1,679  
State sales, use and other taxes
    
4,304
      
4,316
  
Professional fees and other
    
148
      
131
  

 
$
6,608
    
$
6,306
  
v3.24.2.u1
Long-Term Debt
 6 Months Ended
Jun. 30, 2024
Long-Term Debt [Abstract]  
Long-Term Debt
Note 8
Long-Term Debt:
On September 30, 2021, the Company entered into a credit and security agreement with MidCap Financial Trust (“MidCap”), also acting as the administrative agent, and the lenders identified therein. The original terms provided for an $8,000 senior term loan. Borrowings under the senior term loan originally bore interest at LIBOR (with a LIBOR floor rate of 0.50%) plus 7.50% per year and were scheduled to mature on September 1, 2026, unless terminated earlier. The Company was obligated to make monthly interest-only payments through September 30, 2024. The credit and security agreement was amended on January 10, 2022 to provide MidCap’s consent to the TheraClear asset acquisition. On September 6, 2022, the Company amended the facility to transition, upon the cessation of LIBOR, to bear interest at one-month Secured Overnight Financing Rate (“SOFR”), or such other applicable period, plus 0.10%, with a floor of 0.50%.

On June 30, 2023, the Company entered into (a) Amendment No. 3 to the credit and security agreement (the “Third Amendment”); (b) the Amended and Restated Warrant Agreement (the “A&R Warrant”) with MidCap Funding XXVII Trust (together with any registered holder from time to time or any holder of the shares issuable or issued upon the exercise or conversion of the warrant, the “Warrantholder”), which amended and restated the warrant agreement to purchase shares of the common stock of the Company, dated as of September 30, 2021 (the “Prior Warrant”), with the Warrantholder; (c) the Amended and Restated Registration Rights Agreement (the “A&R Registration Rights Agreement”) with the Warrantholder, which amended and restated the registration rights agreement, dated as of September 30, 2021, with the Warrantholder; and (d) a letter agreement (the “Fee Letter Agreement”) with MidCap, as agent.

On February 20, 2024, the Company entered into (a) Amendment No. 4 to the credit and security agreement (the “Fourth Amendment”), which amended the credit and security agreement, and (b) a second amended and restated letter agreement (“Amended Fee Letter Agreement”) with MidCap, as agent.

On March 27, 2024, the Company entered into Amendment No. 5 to the credit and security agreement (the “Fifth Amendment”), which further amended the credit and security agreement (as amended to date, the “Senior Term Facility”) to clarify certain provisions related to the maintenance of cash collateral accounts.


The Senior Term Facility provides for a senior secured term loan facility of $20,000, of which $8,000 was drawn by the Company on September 30, 2021 (“Credit Facility #1”), $7,000 was drawn by the Company on June 30, 2023 (“Credit Facility #2”), and an additional $5,000 tranche (“Credit Facility #3”) is available to be drawn by the Company if its Dermatology Recurring Procedures Revenue (as defined in the Senior Term Facility) for the preceding 12 calendar months (ending on the last day of the calendar month for which a compliance certificate is delivered) is greater than or equal to $30,000 (such condition, the “Applicable Funding Condition”). Credit Facility #3 can be drawn beginning on the later of the satisfaction of the Applicable Funding Condition and January 1, 2024, with such commitment terminating on the earlier to occur of December 31, 2024 and the delivery of a written notice by MidCap to the Company terminating the applicable commitments following an Event of Default (as defined in the Senior Term Facility) that has not been waived or cured at the time such notice is delivered. All borrowings are secured by substantially all of the Company’s assets.


Borrowings under the Senior Term Facility bear interest at a rate per annum equal to the sum of (a) the greater of (i) the sum of (A) 30-day forward-looking term rate of one month SOFR, as published by CME Group Benchmark Administration Limited, from time to time, plus (B) 0.10%, and (ii) the applicable floor rate of 3.50%, with such sum reset monthly, and (b) 7.50%. The effective interest rate of the Senior Term Facility as of June 30, 2024 was 13.94%. The Company is obligated to make interest-only payments (payable monthly in arrears) through June 1, 2026. Commencing on July 1, 2026 and continuing for the remaining 24 months of the facility, the Company will be required to make monthly interest payments and monthly principal payments based on a straight-line amortization schedule set forth in the Senior Term Facility, subject to certain adjustments as described in the Senior Term Facility. The final maturity date under the Senior Term Facility is June 1, 2028, unless earlier terminated.  The Senior Term Facility requires the Company to dedicate 100% of certain insurance proceeds to the prepayment of the outstanding term loan, subject to certain exceptions and net of certain expenses and repayments.

The Company may voluntarily prepay the outstanding term loan under the Senior Term Facility, with such prepayment in an amount of at least $5,000, at any time upon 30 days’ written notice.  Upon prepayment, the Company will be required to pay a prepayment fee equal to (i) 4.00% of the outstanding principal prepaid or required to be prepaid (whichever is greater), if the prepayment is made within 12 months of February 20, 2024, (ii) 3.00% of the outstanding principal prepaid or required to be prepaid (whichever is greater), if the prepayment is made between 12 months and 24 months after February 20, 2024, (iii) 2.00% of the outstanding principal prepaid or required to be prepaid (whichever is greater), if the prepayment is made between 24 months and 36 months after February 20, 2024, or (iv) 1.00% of the outstanding principal prepaid or required to be prepaid (whichever is greater), if the prepayment is made 36 months or more after February 20, 2024 and prior to the maturity date.

The Senior Term Facility contains certain customary representations and warranties, affirmative covenants and conditions, as well as various negative covenants.  Further, the Senior Term Facility contains (a) a quarterly financial covenant that requires the Company to not have less than $29,250 of net revenue (raised to $33,000 by December 31, 2026 and, for periods ending after December 31, 2026, such net revenue as determined in good faith by MidCap, which shall not be less than the applicable minimum net revenue amount for the immediately preceding period and $33,000) for the trailing 12-month period as of June 30, 2024, and (b) a minimum of unrestricted cash (as defined in the Senior Term Facility), at all times, of not less than $3,000. At June 30, 2024, the Company was in compliance with all financial covenants within the Senior Term Facility.


Upon the occurrence and during the continuance of an event of default, MidCap may, and at the direction of a requisite percentage of the lenders must, (i) suspend or terminate the term loan commitment and MidCap’s and the other lenders’ obligations with respect thereto, and (ii) by notice to the Company, declare all or any portion of the obligations under the Senior Term Facility to be immediately due and payable. In addition to MidCap’s other rights and available remedies, but subject to applicable cure periods, upon the occurrence and during the continuance of an event of default, MidCap may, and at the direction of a requisite percentage of the lenders must, terminate the Senior Term Facility. At June 30, 2024, no event of default had occurred, and the Company believed that events or conditions having a material adverse effect, giving rise to an acceleration of any amounts outstanding under the Senior Term Facility, had not occurred and were remote.


Pursuant to the Amended Fee Letter Agreement, the Company agreed to pay MidCap, as administrative agent, the following fees: (a) an origination fee on June 30, 2023 in an amount equal to (i) the Credit Extensions (as defined in the Senior Term Facility) in respect of Credit Facility #2, multiplied by (ii) 0.50%; (b) on the maturity date of the Senior Term Facility or any earlier date on which the obligations thereunder become due and payable in full or are otherwise paid in full (such date, the “Full Exit Fee Payment Date”), the Company shall pay an exit fee equal to (i) 4.00% of the total aggregate principal amount of Credit Extensions (as defined in the Senior Term Facility) made pursuant to the Senior Term Facility (regardless of any repayment or prepayment thereof) as of the Full Exit Fee Payment Date (such aggregate amount, the “Exit Fee Base Amount”), less (ii) any Partial Exit Fee (as defined below) previously paid; (c) on the date of any voluntary or mandatory partial prepayment of the borrowings under the Senior Term Facility (or on the date such mandatory prepayment becomes due and payable) (each such date, a “Partial Exit Fee Payment Date”), the Company shall pay an exit fee equal to 4.00% of the principal amount of the credit facilities paid or prepaid (or required to be paid in the case of a mandatory prepayment) as of the Partial Exit Fee Payment Date (such amount, the “Partial Exit Fee”); and (d) an origination fee payable contemporaneously with funding Credit Facility #3 in an amount equal to (i) the Credit Extensions (as defined in the Senior Term Facility) in respect of Credit Facility #3, multiplied by (ii) 0.50%.

The Prior Warrant allowed the Warrantholder, an affiliate of the lender, to purchase 37,362 shares of the Company’s common stock at an exercise price equal to $18.20 per share for a 10-year period ending September 30, 2031. Pursuant to, and in accordance with, the terms and conditions of the A&R Warrant, which amended and restated the Prior Warrant, the Warrantholder can purchase 80,000 shares of the Company’s common stock at an exercise price equal to $8.80 per share for a 10-year period ending on June 30, 2033. Pursuant to the A&R Registration Rights Agreement, the Company registered the shares underlying the A&R Warrant effective August 18, 2023. The amendment of the warrant resulted in an increase in the fair value of the warrant, which has been accounted for as a lender fee.


The Third Amendment was accounted for as a debt extinguishment, as the new loan was considered substantially different from the original loan. The Company recorded a loss on debt extinguishment of $909 for the three and six months ended June 30, 2023, which included unamortized debt discount on the original loan of $441, an increase in the fair value of the warrant of $384 and lender fees of $84. The Fourth Amendment has been accounted for as a debt modification, as the new loan is not considered substantially different from the existing loan. In connection with the Fourth Amendment, the Company increased the accrued exit fee, which is recorded as both a debt discount and an increase to the principal amount of debt, to $600. The debt discount, which also includes third party costs incurred in connection with the Third Amendment of $13, is being recognized as interest expense over the term of the Senior Term Facility using the effective-interest method. The unamortized debt discount was $486 as of June 30, 2024. The Company recognized interest expense of $531 and $1,055 during the three and six months ended June 30, 2024, respectively, of which $39 and $70 was related to the amortization of the debt discount. The Company recognized interest expense of $298 and $584 during the three and six months ended June 30, 2023, respectively, of which $42 and $83 was related to the amortization of the debt discount for the three and six months ended June 30, 2023.

Future minimum principal payments at June 30, 2024 are as follows:
2026
 
$
3,750
  
2027
    7,500  
2028
    3,750  

 

15,000
  
Exit fee
     600  
 
     15,600  
Less: unamortized debt discount
    (486 )
Long-term debt, net
  $
15,114  
v3.24.2.u1
Stock-Based Compensation
 6 Months Ended
Jun. 30, 2024
Stock-Based Compensation [Abstract]  
Stock-Based Compensation
Note 9
Stock-Based Compensation:
The Company’s 2016 Omnibus Incentive Stock Plan (“2016 Plan”), as amended, has reserved up to 7,832,651 shares of common stock for future issuance. As of June 30, 2024, there were 7,261,588 shares of common stock remaining available for issuance for awards under the 2016 Plan.
 
The Company measures share‑based awards at their grant‑date fair values and records compensation expense on a straight‑line basis over the requisite service period of the awards. The Company recorded share‑based compensation expense (for all awards and modifications, if any) in the accompanying condensed consolidated statements of operations as follows:

   
Three Months Ended June 30,
  
   
2024
    
2023
  
Selling and marketing
   $
13

  $
56
  
General and administrative
    
150
      
296
  
   
$
163
    
$
352
  

   
Six Months Ended June 30,
  
   
2024
    
2023
  
Selling and marketing*
  
$
(24
)
  
$
578
  
General and administrative
    
299
      
99
  
   
$
275
    
$
677
  
*Selling and marketing expense was negative during the six months ended June 30, 2024 due to the forfeiture of awards during the period.


On April 3, 2023, the Company granted 15,000 stock-based options to its former Chief Executive Officer. The vesting of these awards was contingent upon meeting one or more financial goals (a performance condition) or a common stock share price (a market condition). The fair value of stock-based awards is determined at the date of grant. Stock-based compensation expense is recorded ratably for market condition awards during the requisite service period and is not reversed, except for forfeitures, at the vesting date regardless of whether the market condition is met. Stock-based compensation expense for performance condition awards is re-evaluated at each reporting period based on the probability of the achievement of the goal. The 15,000 stock-based options were forfeited in the fourth quarter of 2023 due to the Chief Executive Officer’s separation and failure to achieve the vesting conditions.

Stock Options
The following table summarizes stock option activity for the six months ended June 30, 2024:
   
Number of
Shares Under
Option Plan
    
Weighted-
Average
Exercise Price
per Option
    
Weighted-
Average
Remaining
Contractual
Term (in years)
 
Outstanding at January 1, 2024
    
772,864
    
$
11.07
        
Granted
    
10,000
    

5.35
        
Forfeited and expired
    
(252,514
)
  

15.38
        
Outstanding at June 30, 2024     530,350     $ 8.90       8.5  
Exercisable at June 30, 2024     142,191     $ 15.49       6.6  
Vested and expected to vest at June 30, 2024
     530,350     $ 8.90       8.5  

As of June 30, 2024, the total unrecognized compensation expense related to unvested stock option awards was $1,512, which the Company expects to recognize over a weighted average period of approximately 2.7 years. The options outstanding and exercisable at June 30, 2024 and exercisable at June 30, 2023 had no intrinsic value. The aggregate intrinsic value of options outstanding at June 30, 2023 was $1.
For the six months ended June 30, 2024, the grant date fair value of all option grants was estimated at the time of grant using the Black-Scholes option-pricing model using the following weighted average assumptions:

Expected volatility
    
77.0
%
Risk‑free rate
    
4.1
%
Expected term (in years)
    
6.3
  
Dividend rate
    
0.00
%

Restricted Stock Units
Restricted stock units have been issued to certain board members. Activity in restricted stock units is summarized in the following table:
   
Number of
Units
    
Weighted-
Average Grant
Date Fair Value
  
Unvested at January 1, 2024
    
2,265
    
$
10.30
  
Vested
    
(1,414
)
  

10.30
  
Unvested at June 30, 2024     851     $ 10.30  

As of June 30, 2024, the total unrecognized compensation expense related to restricted stock units was de minimis.
v3.24.2.u1
Income Taxes
 6 Months Ended
Jun. 30, 2024
Income Taxes [Abstract]  
Income Taxes
Note 10
Income Taxes:
 
The Company accounts for income taxes using the asset and liability method. The provision for income taxes includes federal, state, and local income taxes currently payable and deferred taxes resulting from temporary differences between the financial statement and tax bases of assets and liabilities. Valuation allowances are recorded to reduce deferred tax assets when it is more likely than not that a tax benefit will not be realized.

No income tax expense was incurred for the three and six months ended June 30, 2024 and 2023.
v3.24.2.u1
Business and Geographical Reporting Segments
 6 Months Ended
Jun. 30, 2024
Business and Geographical Reporting Segments [Abstract]  
Business and Geographical Reporting Segments
Note 11
Business and Geographical Reporting Segments:
 
The Company has organized its business into two operating segments to better align its organization based upon the Company’s management structure, products and services offered, markets served and types of customers. The Dermatology Recurring Procedures segment derives its revenues from the usage of its equipment by dermatologists to perform XTRAC and TheraClear procedures. The Dermatology Procedures Equipment segment generates revenues from the sale of equipment, such as lasers and lamp products. Management reviews financial information presented on an operating segment basis for the purposes of making certain operating decisions and assessing financial performance.
 
Unallocated operating expenses include costs that are not specific to a particular segment but are general to the group; included are expenses incurred for administrative and accounting staff, general liability and other insurance, professional fees and other similar corporate expenses. Interest and other financing income (expense) is also not allocated to the operating segments.

The following tables reflect results of operations from the Company’s business segments for the periods indicated below:

Three Months Ended June 30, 2024
  
Dermatology
Recurring
Procedures
    
Dermatology
Procedures
Equipment
    
Total
  
Revenues, net
  
$
5,339
    
$
3,096
    
$
8,435
  
Cost of revenues
    
1,854
      
1,644
      
3,498
  
Gross profit
    
3,485
      
1,452
      
4,937
  
Gross profit %
    
65.3
%
    
46.9
%
    
58.5
%
                         
Allocated expenses:
                        
Engineering and product development
    
145
      
54
      
199
  
Selling and marketing
    
2,575
      
439
      
3,014
  
Unallocated expenses
    
—
      
—
      
2,210
  
   
2,720
      
493
      
5,423
  
Income (loss) from operations
    
765
      
959
      
(486
)
Interest expense
    
—
      
—
      
(531
)
Interest income
     —       —       54  
Other income
     —       —       864  
Net income (loss)
  
$
765
    
$
959
    
$
(99
)
         
Six Months Ended June 30, 2024
  
Dermatology
Recurring
Procedures
    
Dermatology
Procedures
Equipment
    
Total
  
Revenues, net
  
$
10,035
    
$
5,154
    
$
15,189
  
Cost of revenues
    
4,049
      
3,123
      
7,172
  
Gross profit
    
5,986
      
2,031
      
8,017
  
Gross profit %
     59.7 %     39.4 %     52.8 %
                         
Allocated expenses:
                        
Engineering and product development
    
341
      
99
      
440
  
Selling and marketing
    
5,328
      
704
      
6,032
  
Unallocated expenses
    
—
      
—
      
4,920
  

   
5,669
       803      
11,392
  
Income (loss) from operations
     317       1,228       (3,375 )
Interest expense
    
—
      
—
      
(1,055
)
Interest income
     —       —       99  
Other income
     —       —       864  
Net income (loss)
  
$
317
    
$
1,228
    
$
(3,467
)

Three Months Ended June 30, 2023
  
Dermatology
Recurring
Procedures
    
Dermatology
Procedures
Equipment
    
Total
  
Revenues, net
  
$
5,456
    
$
2,794
    
$
8,250
  
Cost of revenues
    
2,205
      
1,727
      
3,932
  
Gross profit
    
3,251
      
1,067
      
4,318
  
Gross profit %
    
59.6
%
    
38.2
%
    
52.3
%
                         
Allocated expenses:
                        
Engineering and product development
    
289
      
85
      
374
  
Selling and marketing
    
2,850
      
566
      
3,416
  
Unallocated expenses
    
—
      
—
      
2,490
  
     
3,139
      
651
      
6,280
  
(Loss) income from operations
   
112
   
416
      
(1,962
)
Loss on debt extinguishment
     —       —       (909 )
Interest expense
    
—
      
—
      
(298
)
Interest income     —       —       21  
Net (loss) income
  
$
112
 
$
416
    
$
(3,148
)

Six Months Ended June 30, 2023
  
Dermatology
Recurring
Procedures
    
Dermatology
Procedures
Equipment
    
Total
  
Revenues, net
  
$
10,665
    
$
5,152
    
$
15,817
  
Cost of revenues
    
4,225
      
2,886
      
7,111
  
Gross profit
    
6,440
      
2,266
      
8,706
  
Gross profit %
    
60.4
%
    
44.0
%
    
55.0
%
                         
Allocated expenses:
                        
Engineering and product development
    
534
      
155
      
689
  
Selling and marketing
    
6,203
      
955
      
7,158
  
Unallocated expenses
    
—
      
—
      
5,407
  

   
6,737
      
1,110
      
13,254
  
(Loss) income from operations
    
(297
)
    
1,156
      
(4,548
)
Loss on debt extinguishment
     —       —       (909 )
Interest expense
    
—
      
—
      
(584
)
Interest income
     —       —       58  
Net (loss) income
  
$
(297
)
  
$
1,156
    
$
(5,983
)


The following tables present depreciation and amortization by reportable segment for the periods indicated below:


   
Three Months Ended June 30,
  
   
2024
    
2023
  
Dermatology recurring procedures
  
$
1,080
    
$
1,238
  
Dermatology procedures equipment
    
166
      
187
  
Unallocated expenses
    
4
      
3
  
Total
  
$
1,250
    
$
1,428
  

   
Six Months Ended June 30,
  
   
2024
    
2023
  
Dermatology recurring procedures
  
$
2,194
    
$
2,451
  
Dermatology procedures equipment
    
298
      
367
  
Unallocated expenses
    
7
      
7
  
Total
  
$
2,499
    
$
2,825
  

The following tables present the Company’s revenue disaggregated by geographical region for the periods indicated below. Domestic refers to revenue from customers based in the United States, and foreign revenue is derived from the Company’s distributors primarily in Asia.

Three Months Ended June 30, 2024
  
Dermatology
Recurring
Procedures
    
Dermatology
Procedures
Equipment
    
Total
  
Domestic
  
$
4,923
    
$
458
    
$
5,381
  
Foreign
    
416
      
2,638
      
3,054
  
Total
  
$
5,339
    
$
3,096
    
$
8,435
  
                         
Six Months Ended June 30, 2024                        
Domestic
  
$
9,243
    
$
598
    
$
9,841
  
Foreign
    
792
      
4,556
      
5,348
  
Total
  
$
10,035
    
$
5,154
    
$
15,189
  

Three Months Ended June 30, 2023
  
Dermatology
Recurring
Procedures
    
Dermatology
Procedures
Equipment
    
Total
  
Domestic
  
$
5,141
    
$
926
    
$
6,067
  
Foreign
    
315
      
1,868
      
2,183
  
Total
  
$
5,456
    
$
2,794
    
$
8,250
  
                         
Six Months Ended June 30, 2023                        
Domestic
  
$
9,988
    
$
1,422
    
$
11,410
  
Foreign
    
677
      
3,730
      
4,407
  
Total
  
$
10,665
    
$
5,152
    
$
15,817
  
v3.24.2.u1
Significant Customer Concentrations
 6 Months Ended
Jun. 30, 2024
Significant Customer Concentrations [Abstract]  
Significant Customer Concentrations
Note 12
Significant Customer Concentrations:

For the three months ended June 30, 2024 and 2023, revenues from sales to two and one of the Company’s customers, international distributors from which it earns primarily dermatology equipment revenues, were $2,275, or 27.0%, and $959, or 11.6%, respectively. For the six months ended June 30, 2024, revenues from sales to two of the Company’s customers, international distributors from which it earns primarily dermatology equipment revenues, were $3,731, or 24.6%. No customer represented more than 10% of total Company revenues for the six months ended June 30, 2023.

One customer represented 16.3% of net accounts receivable as of June 30, 2024. One customer represented 16.5% of net accounts receivable as of December 31, 2023.
v3.24.2.u1
Commitments and Contingencies
 6 Months Ended
Jun. 30, 2024
Commitments and Contingencies [Abstract]  
Commitments and Contingencies
Note 13
Commitments and Contingencies:
 
Leases

The Company recognizes right-of-use assets (“ROU assets”) and operating lease liabilities when it obtains the right to control an asset under a leasing arrangement with an initial term greater than 12 months. The Company adopted the short-term accounting election for leases with a duration of less than one year. The Company leases its facilities and certain IT and office equipment under non-cancellable operating leases. All of the Company’s leasing arrangements are classified as operating leases with remaining lease terms ranging from one to five years.

In March 2024, the Company terminated the existing leases for its California facilities and concurrently executed new leases that effectively extended the terms of the leases for five years, which has been accounted for as a lease modification. The ROU assets and operating lease liabilities were remeasured at the modification date, resulting in an increase to both balances of $977 during the six months ended June 30, 2024. There were no lease modifications during the six months ended June 30, 2023.

Operating lease costs were $122 and $123 for each of the three months ended June 30, 2024 and 2023. Operating lease costs were $228 and $229 for each of the six months ended June 30, 2024 and 2023. Cash paid for amounts included in the measurement of operating lease liabilities was $112 and $109 for the three months ended June 30, 2024 and 2023, respectively. Cash paid for amounts included in the measurement of operating lease liabilities was $224 and $205 for  the six months ended June 30, 2024 and 2023, respectively. As of June 30, 2024, the weighted average incremental borrowing rate was 12.01% and the weighted average remaining lease term was 4.5 years.

The following table summarizes the Company’s operating lease maturities as of June 30, 2024:

Remaining 2024
  
$
229
  
2025
    
463
  
2026
    
334
  
2027
     290  
2028
     301  
Thereafter
     231  
Total remaining lease payments
    
1,848
  
Less: imputed interest
    
(452
)
Total lease liabilities
  
$
1,396
  

Accrued State Sales and Use Tax Matters

The Company records state sales tax collected and remitted for its customers on dermatology procedures equipment sales on a net basis, excluded from revenue. The Company’s sales tax expense that is not presently being collected and remitted for the recurring revenue business is recorded in general and administrative expenses within the condensed consolidated statements of operations.

The Company believes its state sales and use tax accruals have been properly recognized such that, if the Company’s arrangements with customers are deemed more likely than not that the Company would not be exempt from sales tax in a particular state, the basis for measurement of the state sales and use tax is calculated in accordance with ASC 405, Liabilities, as a transaction tax. If and when the Company is successful in defending itself or in settling the sales tax obligation for a lesser amount, the reversal of this liability is to be recorded in the period the settlement is reached. However, the precise scope, timing, and time period at issue, as well as the final outcome of any audit and actual settlement, remains uncertain.

In the ordinary course of business, the Company is, from time to time, subject to audits performed by state taxing authorities. These actions and proceedings are generally based on the position that the arrangements entered into by the Company are subject to sales and use tax rather than exempt from tax under applicable law. The states of New York and California have assessed the Company an aggregate of $4,879 including penalties and interest. The audits cover the period from March 2014 through November 2022. The Company received notification that an administrative state judge in New York issued an opinion finding in favor of the Company that the sale of XTRAC treatment codes was not taxable as sales tax with respect to that state’s first assessment. This ruling covers $1,484 of the total $4,879 of assessments. The relevant taxing authority filed an appeal of the administrative law judge’s finding and, following the submission of legal briefs by both sides and oral argument held in January 2022, on May 6, 2022, the Company received a written decision from the State of New York Appeals Tribunal (“Tribunal”) overturning the favorable sales tax determination of the administrative law judge. The Company appealed the Tribunal’s decision to the New York State Appellate Division (“Appellate Division”), and posted the required appellate bond in the form of cash collateral. Oral argument was held by the Appellate Division on January 18, 2024.

On March 8, 2024, the Company received a decision from the Appellate Division ruling against it in the matter of its sales tax appeal, affirming the Tribunal's ruling that the Company’s sale of XTRAC treatment codes is subject to sales tax. The Appellate Division concluded that, through the usage arrangements, the Company’s customers had possession of the laser devices and had a license and ability to use the laser devices. The Appellate Division also agreed with the Tribunal that the primary function analysis was not applicable in this matter. On April 11, 2024, the Company filed a motion for leave to appeal the Appellate Division’s decision to the New York State Court of Appeals, which motion is pending. The Company is in the administrative process of appeal with respect to the remaining $1,273 of assessments in the State of New York.

The State of California has made aggregate assessments of $2,122 including penalties and interest. The audits cover the period from June 2018 through June 2022. The Company is in the administrative process of appeal in this jurisdiction as well.

If there is a determination that the true object of the Company’s recurring revenue model is not exempt from sales taxes and is not a prescription medicine, or the Company does not have other defenses where the Company prevails, the Company may be subject to sales taxes in those particular states for previous years and in the future, plus potential interest and penalties. The precise scope, timing and time periods at issue, as well as the final outcomes of the investigations and judicial proceedings, remain uncertain. Accordingly, the Company’s estimate may change from time to time, and actual losses could vary.

Contingent Consideration

In January 2022, the Company acquired certain assets related to the TheraClear devices from Theravant Corporation (“Theravant”). Theravant is eligible to receive up to $3,000 in future earnout payments upon the achievement of certain annual net revenue milestones ($1,000 of which is due upon the earlier of achieving a revenue target or July 2025), up to $20,000 in future royalty payments based upon a percentage of gross profit from future domestic sales ranging from 10-20%, 25% of gross profit from international sales over the subsequent four-year period, and up to $500 in future milestone payments upon the achievement of certain commercialization related targets. Through June 30, 2024, the Company has incurred an aggregate of $87 of royalty and gross profit payments based on gross profit from domestic and international sales.

Milestone Payments

In January 2022, the Company entered into a Development Agreement (the “Development Agreement”) with Theravant. Under the Development Agreement, the Company will reimburse Theravant for costs incurred in further developing certain TheraClear technology and other healthcare products and methods for the medical aesthetic marketplace. In connection with the development of three devices, Theravant is eligible to receive $500 upon FDA clearance for each device and $500 upon achievement of certain net revenue targets for each device, aggregating to $3,000 of potential future milestone payments under the Development Agreement. The Development Agreement has a three-year term, unless terminated sooner by either party.

Legal Matters

In the ordinary course of business, the Company is routinely a defendant in or party to pending and threatened legal actions and proceedings, including actions brought on behalf of various classes of claimants. These actions and proceedings are generally based on alleged violations of employment, contract, and other laws. In some of these actions and proceedings, claims for substantial monetary damages are asserted against the Company. In the ordinary course of business, the Company is also subject to regulatory and governmental examinations, information gathering requests, inquiries, investigations, and threatened legal actions and proceedings. In connection with formal and informal inquiries by federal, state, local and foreign agencies, the Company receives numerous requests, subpoenas and orders for documents, testimony, and information in connection with various aspects of its activities.

On April 1, 2022, a proposed representative class action under California’s Private Attorneys General Act (“PAGA”) was filed in Superior Court of California, County of San Diego against the Company and an employment agency which provided the Company with temporary employees. The complaint alleges various violations of the California Labor Code, including California’s wage and hour laws, relating to current and former non-exempt employees of the Company. The complaint seeks class status and payments for allegedly unpaid compensation and attorney’s fees. In a related matter, the attorneys in this matter and the proposed class representative, in a letter dated March 12, 2022, to the California Labor & Workforce Development Agency made nearly identical claims seeking the right to pursue a PAGA action against the Company and the employment agency. On or about May 16, 2022, the plaintiff filed a First Amended Complaint adding a PAGA claim to the action. On or about June 2, 2022, the plaintiff filed an Application to Dismiss Class and Individual Claim without prejudice, in an attempt to pursue a PAGA only complaint. On or about June 30, 2022, the parties entered into a stipulation to allow the plaintiff to file a Second Amended Complaint to clarify the PAGA claim and to stay the pending action to allow an attempt at resolution through mediation. The mediation was held on February 23, 2023, and the matter was settled on terms agreeable to the Company. The settlement, which required the Company to pay $106, was subject to the right of individual class members to opt out of the settlement and proceed on their own. No individual has requested to opt out of the settlement, and on April 5, 2024, an Order Granting Final Approval of the settlement was entered in the Superior Court. During the three and six months ended June 30, 2024 and 2023, the $106 that had been accrued for this matter was paid by the Company.
v3.24.2.u1
Subsequent Events
 6 Months Ended
Jun. 30, 2024
Subsequent Events [Abstract]  
Subsequent Events
Note 14
Subsequent Events:

In July 2024 the Company sold 665,136 shares of its common stock at an average purchase price of $3.16 per share for total gross proceeds of approximately $2,100 under the equity distribution agreement. See, also, Note 2, Liquidity.
v3.24.2.u1
Insider Trading Arrangements
 3 Months Ended
Jun. 30, 2024
Insider Trading Arrangements [Line Items]  
Rule 10b5-1 Arrangement Adopted false
Non-Rule 10b5-1 Arrangement Adopted false
Rule 10b5-1 Arrangement Terminated false
Non-Rule 10b5-1 Arrangement Terminated false
v3.24.2.u1
The Company (Policies)
 6 Months Ended
Jun. 30, 2024
The Company [Abstract]  
Principles of Consolidation
Principles of Consolidation
The condensed consolidated financial statements include the accounts of the Company and Photomedex India Private Limited, its wholly-owned, inactive subsidiary in India. All significant intercompany balances and transactions have been eliminated in consolidation.
Unaudited Interim Condensed Consolidated Financial Statements
Unaudited Interim Condensed Consolidated Financial Statements
The accompanying unaudited interim condensed consolidated financial statements have been prepared pursuant to the rules and regulations of the United States Securities and Exchange Commission (“SEC”) for interim financial reporting. These condensed consolidated statements are unaudited and, in the opinion of management, include all adjustments (consisting of normal recurring adjustments and accruals) necessary to fairly present the results of the interim periods. The condensed consolidated balance sheet at December 31, 2023 has been derived from the audited consolidated financial statements at that date. Operating results and cash flows for the six months ended June 30, 2024 are not necessarily indicative of the results that may be expected for the fiscal year ending December 31, 2024 or any other future period. Certain information and footnote disclosures normally included in annual financial statements prepared in accordance with accounting principles generally accepted in the United States of America (“U.S. GAAP”) have been condensed or omitted in accordance with the rules and regulations for interim reporting of the SEC. These interim condensed consolidated financial statements should be read in conjunction with the consolidated financial statements and notes thereto included in the Company’s Annual Report on Form 10-K for the year ended December 31, 2023 (the “2023 Form 10-K”), and other forms filed with the SEC from time to time. Dollar amounts included herein are in thousands, except per share amounts.
Reclassifications

Reclassifications

Certain prior year amounts have been reclassified to conform to the current year presentation, including the impact on the condensed consolidated statement of cash flows of the reclassification of lasers-in-process from inventories to property and equipment, net.
Significant Accounting Policies
Significant Accounting Policies
The significant accounting policies used in preparation of these condensed consolidated financial statements are disclosed in the Company’s 2023 Form 10-K, and there have been no changes to the Company’s significant accounting policies during the six months ended June 30, 2024.
Reverse Stock Split

Reverse Stock Split

On October 26, 2023, the stockholders of the Company authorized the Board of Directors to effect a reverse stock split of all outstanding shares of common stock. On April 26, 2024, the Board of Directors approved the implementation of a reverse stock split at a ratio of one-for-ten shares, which became effective on June 6, 2024. The Company’s outstanding stock-based awards, including options, restricted stock units and warrants, were also adjusted to reflect the one-for-ten reverse stock split of the Company’s common stock. Outstanding stock-based award units were proportionately reduced and the respective exercise prices, if applicable, were proportionately increased. The reverse stock split affected all stockholders uniformly and did not alter any stockholder’s percentage interest in the Company’s equity. No fractional shares were issued in connection with the reverse stock split. Stockholders who would otherwise be entitled to a fractional share of common stock were instead entitled to receive a proportional cash payment. The reverse stock split did not change the par value or authorized number of shares of common stock. All share and per share amounts in these condensed consolidated financial statements and related notes hereto have been retroactively adjusted to account for the effect of the reverse stock split.
Use of Estimates
Use of Estimates
The preparation of the condensed consolidated financial statements 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 financial statements and the reported amounts of revenues and expenses during the reporting periods. The Company’s significant estimates and judgments include revenue recognition with respect to deferred revenues and the contract term and valuation allowances of accounts receivable, inputs used when evaluating goodwill for impairment, inputs used in the valuation of contingent consideration, state sales and use tax accruals, the estimated useful lives of intangible assets, and the valuation allowance related to deferred tax assets. Actual results could differ from those estimates.
Fair Value Measurements
Fair Value Measurements
The Company measures financial assets and liabilities at fair value at each reporting period using a fair value hierarchy that requires the use of observable inputs and minimizes the use of unobservable inputs. The Company defines fair value as the price that would be received from selling an asset or paid to transfer a liability in an orderly transaction between market participants at the measurement date. Fair value is estimated by applying the following hierarchy, which prioritizes the inputs used to measure fair value into three levels and bases the categorization within the hierarchy upon the lowest level of input that is available and significant to the fair value measurement:

 
•
Level 1 – quoted market prices in active markets for identical assets or liabilities.
 
•
Level 2 – observable inputs other than quoted prices in active markets for identical assets and liabilities, quoted prices for identical or similar assets or liabilities in inactive markets, or other inputs that are observable or can be corroborated by observable market data for substantially the full term of the assets or liabilities.
 
•
Level 3 – inputs that are generally unobservable and typically reflect the Company’s estimate of assumptions that market participants would use in pricing the asset or liability.

The fair values of cash and cash equivalents and restricted cash are based on their respective demand values, which are equal to the carrying values. The carrying values of all short-term monetary assets and liabilities are estimated to approximate their fair values due to the short-term nature of these instruments. As of June 30, 2024 and December 31, 2023, the carrying value of the Company’s long-term debt approximated its fair value due to its variable interest rate.
Accrued Warranty Costs
Accrued Warranty Costs
The Company offers a standard warranty on product sales generally for a one to two-year period, however, the Company has offered longer warranty periods, ranging from three to four years, in order to meet competition or customer demands. The Company provides for the estimated cost of the future warranty claims on the date the product is sold.

The activity in the warranty accrual is summarized as follows:

 
  
Three Months Ended June 30,
  
 
  
2024
    
2023
  
Balance, beginning of period
  
$
278
    
$
229
  
Additions
    
76
      
93
  
Expirations and claims satisfied
    
(61
)
    
(53
)
Total
    
293
      
269
  
Less current portion within accrued expenses and other current liabilities
    
(182
)
    
(163
)
Balance within deferred revenues and other liabilities
  
$
111
    
$
106
  

   
Six Months Ended June 30,
  
   
2024
    
2023
  
Balance, beginning of period
  
$
303
    
$
207
  
Additions
    
115
      
120
  
Expirations and claims satisfied
    
(125
)
    
(58
)
Total
    
293
      
269
  
Less current portion within accrued expenses and other current liabilities
    
(182
)
    
(163
)
Balance within deferred revenues and other liabilities
  
$
111
    
$
106
  
Net Loss Per Share

Net Loss Per Share
Basic net loss per share of common stock is computed by dividing net loss attributable to common stockholders by the weighted-average number of shares of common stock outstanding during each period. Diluted net loss per share of common stock includes the effect, if any, from the potential exercise or conversion of securities such as unvested restricted stock awards, stock options and warrants for common stock which would result in the issuance of incremental shares of common stock. For diluted net loss per share, the weighted-average number of shares of common stock is the same as for basic net loss per share due to the fact that when a net loss exists, dilutive securities are not included in the calculation as the impact is anti-dilutive.

The following potentially dilutive securities have been excluded from the computation of diluted weighted-average shares of common stock outstanding, as they would be anti-dilutive:
 
    June 30,
 
 
   2024
     2023
  
Stock options
    530,350       536,961  
Common stock warrants
     80,000       80,000  
Restricted stock units
     851       11,960  

    611,201       628,921  
Accounting Pronouncements Recently Adopted and Not Yet Adopted
Recent Accounting Pronouncements Recently Adopted
In August 2020, the Financial Accounting Standards Board (“FASB”) issued Accounting Standards Update (“ASU”) 2020-06, Debt with Conversion and Other Options (Subtopic 470-20) and Derivatives and Hedging – Contracts in Entity’s Own Equity (Subtopic 815-40): Accounting for Convertible Instruments and Contracts in an Entity’s own Equity. The pronouncement simplifies the accounting for certain financial instruments with characteristics of liabilities and equity, including convertible instruments and contracts in an entity’s own equity. Specifically, the ASU simplifies accounting for convertible instruments by removing major separation models required under current U.S. GAAP. In addition, the ASU removes certain settlement conditions that are required for equity contracts to qualify for it and simplifies the diluted earnings per share (EPS) calculations in certain areas. The guidance is effective for annual periods, including interim periods, beginning after December 15, 2023 and early adoption is permitted. The adoption of this guidance on January 1, 2024 did not have an impact on the condensed consolidated financial statements.

Recent Accounting Pronouncements Not Yet Adopted
In November 2023, the FASB issued ASU 2023-07, Segment Reporting (Topic 280): Improvements to Reportable Segment Disclosures, which will primarily require enhanced disclosures about significant segment expenses and information used to assess segment performance and enhanced disclosures in interim periods. The guidance in this ASU will be applied retrospectively and is effective for fiscal years beginning after December 15, 2023 and interim reporting periods in fiscal years beginning after December 15, 2024. Early adoption is permitted. The Company is currently evaluating the effect this ASU will have on its condensed consolidated financial statements.

In December 2023, the FASB issued ASU 2023-09, Income Taxes (Topic 740): Improvements to Income Tax Disclosures, which is intended to improve income tax disclosure requirements by requiring (1) consistent categories and greater disaggregation of information in the rate reconciliation and (2) the disaggregation of income taxes paid by jurisdiction. The guidance makes several other changes to the income tax disclosure requirements. The guidance in this ASU is effective for annual periods beginning after December 15, 2024. Early adoption is permitted for annual financial statements that have not yet been issued or made available for issuance. The Company is currently evaluating the effect this ASU will have on its condensed consolidated financial statements.
v3.24.2.u1
The Company (Tables)
 6 Months Ended
Jun. 30, 2024
The Company [Abstract]  
Accrued Warranty Costs Activity
The activity in the warranty accrual is summarized as follows:

 
  
Three Months Ended June 30,
  
 
  
2024
    
2023
  
Balance, beginning of period
  
$
278
    
$
229
  
Additions
    
76
      
93
  
Expirations and claims satisfied
    
(61
)
    
(53
)
Total
    
293
      
269
  
Less current portion within accrued expenses and other current liabilities
    
(182
)
    
(163
)
Balance within deferred revenues and other liabilities
  
$
111
    
$
106
  

   
Six Months Ended June 30,
  
   
2024
    
2023
  
Balance, beginning of period
  
$
303
    
$
207
  
Additions
    
115
      
120
  
Expirations and claims satisfied
    
(125
)
    
(58
)
Total
    
293
      
269
  
Less current portion within accrued expenses and other current liabilities
    
(182
)
    
(163
)
Balance within deferred revenues and other liabilities
  
$
111
    
$
106
  
Antidilutive Securities Excluded from Computation of Net Loss Per Share
The following potentially dilutive securities have been excluded from the computation of diluted weighted-average shares of common stock outstanding, as they would be anti-dilutive:
 
    June 30,
 
 
   2024
     2023
  
Stock options
    530,350       536,961  
Common stock warrants
     80,000       80,000  
Restricted stock units
     851       11,960  

    611,201       628,921  
v3.24.2.u1
Revenue Recognition (Tables)
 6 Months Ended
Jun. 30, 2024
Revenue Recognition [Abstract]  
Future Undiscounted Fixed Treatment Code Payments from International Dermatology Recurring Procedures
The following table summarizes the Company’s expected future undiscounted fixed treatment code payments from international dermatology recurring procedures, the Company’s only long-term arrangements, as of June 30, 2024:

Remaining 2024
  
$
698
  
2025
    
937
  
2026
    
752
  
2027
    
481
  
2028
    
38
  
Total
  
$
2,906
  
v3.24.2.u1
Inventories (Tables)
 6 Months Ended
Jun. 30, 2024
Inventories [Abstract]  
Inventories
Inventories consist of the following:
 
   
June 30, 2024
    
December 31, 2023
  
Raw materials and work-in-process
  
$
2,363
    
$
2,192
  
Finished goods
    
329
      
481
  

 
$
2,692
    
$
2,673
  
v3.24.2.u1
Property and Equipment, net (Tables)
 6 Months Ended
Jun. 30, 2024
Property and Equipment, net [Abstract]  
Components of Property and Equipment
Property and equipment consist of the following:
 
   
June 30, 2024
    
December 31, 2023
  
Lasers placed-in-service
  
$
32,903
    
$
32,095
  
Equipment, computer hardware and software
    
300
      
293
  
Furniture and fixtures
    
240
      
240
  
Leasehold improvements
    
99
      
203
  
Lasers-in-process
     2,924       3,231  
     
36,466
      
36,062
  
Less: accumulated depreciation and amortization
    
(25,317
)
    
(24,284
)

 
$
11,149
    
$
11,778
  
v3.24.2.u1
Intangible Assets, net (Tables)
 6 Months Ended
Jun. 30, 2024
Intangible Assets, net [Abstract]  
Components of Intangible Assets
Intangible assets consist of the following:
 
June 30, 2024
 
Balance
    
Accumulated
Amortization
    
Net Book
Value
  
Core technology
  
$
5,700
    
$
(5,130
)
  
$
570
  
Product technology
    
4,808
      
(3,925
)
    
883
  
Customer relationships
    
6,900
      
(6,210
)
    
690
  
Tradenames
    
1,500
      
(1,350
)
    
150
  
Pharos customer lists
    
5,314
      
(1,273
)
    
4,041
  
   
$
24,222
    
$
(17,888
)
  
$
6,334
  
                         
December 31, 2023
                        
Core technology
  
$
5,700
    
$
(4,845
)
  
$
855
  
Product technology
    
4,808
      
(3,866
)
    
942
  
Customer relationships
    
6,900
      
(5,865
)
    
1,035
  
Tradenames
    
1,500
      
(1,275
)
    
225
  
Pharos customer lists
    
5,314
      
(1,052
)
    
4,262
  

 
$
24,222
    
$
(16,903
)
  
$
7,319
  
Estimated Future Amortization Expense for Intangible Assets
The following table summarizes the estimated future amortization expense for the above intangible assets for the next five years:
 
Remaining 2024
  

986
  
2025
    
1,266
  
2026
    
561
  
2027
    
561
  
2028
    
561
  
v3.24.2.u1
Accrued Expenses and Other Current Liabilities (Tables)
 6 Months Ended
Jun. 30, 2024
Accrued Expenses and Other Current Liabilities [Abstract]  
Accrued Expenses and Other Current Liabilities
Accrued expenses and other current liabilities consist of the following:

    June 30, 2024     December 31, 2023  
Warranty obligations
  
$
182
    
$
180
  
Compensation and related benefits
     1,974       1,679  
State sales, use and other taxes
    
4,304
      
4,316
  
Professional fees and other
    
148
      
131
  

 
$
6,608
    
$
6,306
  
v3.24.2.u1
Long-Term Debt (Tables)
 6 Months Ended
Jun. 30, 2024
Long-Term Debt [Abstract]  
Future Minimum Principal Payments
Future minimum principal payments at June 30, 2024 are as follows:
2026
 
$
3,750
  
2027
    7,500  
2028
    3,750  

 

15,000
  
Exit fee
     600  
 
     15,600  
Less: unamortized debt discount
    (486 )
Long-term debt, net
  $
15,114  
v3.24.2.u1
Stock-Based Compensation (Tables)
 6 Months Ended
Jun. 30, 2024
Stock-Based Compensation [Abstract]  
Share-based Compensation Expense The Company recorded share‑based compensation expense (for all awards and modifications, if any) in the accompanying condensed consolidated statements of operations as follows:

   
Three Months Ended June 30,
  
   
2024
    
2023
  
Selling and marketing
   $
13

  $
56
  
General and administrative
    
150
      
296
  
   
$
163
    
$
352
  

   
Six Months Ended June 30,
  
   
2024
    
2023
  
Selling and marketing*
  
$
(24
)
  
$
578
  
General and administrative
    
299
      
99
  
   
$
275
    
$
677
  
*Selling and marketing expense was negative during the six months ended June 30, 2024 due to the forfeiture of awards during the period.
Stock Option Activity
The following table summarizes stock option activity for the six months ended June 30, 2024:
   
Number of
Shares Under
Option Plan
    
Weighted-
Average
Exercise Price
per Option
    
Weighted-
Average
Remaining
Contractual
Term (in years)
 
Outstanding at January 1, 2024
    
772,864
    
$
11.07
        
Granted
    
10,000
    

5.35
        
Forfeited and expired
    
(252,514
)
  

15.38
        
Outstanding at June 30, 2024     530,350     $ 8.90       8.5  
Exercisable at June 30, 2024     142,191     $ 15.49       6.6  
Vested and expected to vest at June 30, 2024
     530,350     $ 8.90       8.5  
Weighted Average Assumption Used for Grant Date Fair Value of Option Grants
For the six months ended June 30, 2024, the grant date fair value of all option grants was estimated at the time of grant using the Black-Scholes option-pricing model using the following weighted average assumptions:

Expected volatility
    
77.0
%
Risk‑free rate
    
4.1
%
Expected term (in years)
    
6.3
  
Dividend rate
    
0.00
%
Summary of Activity in Restricted Stock Units
Restricted stock units have been issued to certain board members. Activity in restricted stock units is summarized in the following table:
   
Number of
Units
    
Weighted-
Average Grant
Date Fair Value
  
Unvested at January 1, 2024
    
2,265
    
$
10.30
  
Vested
    
(1,414
)
  

10.30
  
Unvested at June 30, 2024     851     $ 10.30  
v3.24.2.u1
Business and Geographical Reporting Segments (Tables)
 6 Months Ended
Jun. 30, 2024
Business and Geographical Reporting Segments [Abstract]  
Segment Reporting Information by Segment
The following tables reflect results of operations from the Company’s business segments for the periods indicated below:

Three Months Ended June 30, 2024
  
Dermatology
Recurring
Procedures
    
Dermatology
Procedures
Equipment
    
Total
  
Revenues, net
  
$
5,339
    
$
3,096
    
$
8,435
  
Cost of revenues
    
1,854
      
1,644
      
3,498
  
Gross profit
    
3,485
      
1,452
      
4,937
  
Gross profit %
    
65.3
%
    
46.9
%
    
58.5
%
                         
Allocated expenses:
                        
Engineering and product development
    
145
      
54
      
199
  
Selling and marketing
    
2,575
      
439
      
3,014
  
Unallocated expenses
    
—
      
—
      
2,210
  
   
2,720
      
493
      
5,423
  
Income (loss) from operations
    
765
      
959
      
(486
)
Interest expense
    
—
      
—
      
(531
)
Interest income
     —       —       54  
Other income
     —       —       864  
Net income (loss)
  
$
765
    
$
959
    
$
(99
)
         
Six Months Ended June 30, 2024
  
Dermatology
Recurring
Procedures
    
Dermatology
Procedures
Equipment
    
Total
  
Revenues, net
  
$
10,035
    
$
5,154
    
$
15,189
  
Cost of revenues
    
4,049
      
3,123
      
7,172
  
Gross profit
    
5,986
      
2,031
      
8,017
  
Gross profit %
     59.7 %     39.4 %     52.8 %
                         
Allocated expenses:
                        
Engineering and product development
    
341
      
99
      
440
  
Selling and marketing
    
5,328
      
704
      
6,032
  
Unallocated expenses
    
—
      
—
      
4,920
  

   
5,669
       803      
11,392
  
Income (loss) from operations
     317       1,228       (3,375 )
Interest expense
    
—
      
—
      
(1,055
)
Interest income
     —       —       99  
Other income
     —       —       864  
Net income (loss)
  
$
317
    
$
1,228
    
$
(3,467
)

Three Months Ended June 30, 2023
  
Dermatology
Recurring
Procedures
    
Dermatology
Procedures
Equipment
    
Total
  
Revenues, net
  
$
5,456
    
$
2,794
    
$
8,250
  
Cost of revenues
    
2,205
      
1,727
      
3,932
  
Gross profit
    
3,251
      
1,067
      
4,318
  
Gross profit %
    
59.6
%
    
38.2
%
    
52.3
%
                         
Allocated expenses:
                        
Engineering and product development
    
289
      
85
      
374
  
Selling and marketing
    
2,850
      
566
      
3,416
  
Unallocated expenses
    
—
      
—
      
2,490
  
     
3,139
      
651
      
6,280
  
(Loss) income from operations
   
112
   
416
      
(1,962
)
Loss on debt extinguishment
     —       —       (909 )
Interest expense
    
—
      
—
      
(298
)
Interest income     —       —       21  
Net (loss) income
  
$
112
 
$
416
    
$
(3,148
)

Six Months Ended June 30, 2023
  
Dermatology
Recurring
Procedures
    
Dermatology
Procedures
Equipment
    
Total
  
Revenues, net
  
$
10,665
    
$
5,152
    
$
15,817
  
Cost of revenues
    
4,225
      
2,886
      
7,111
  
Gross profit
    
6,440
      
2,266
      
8,706
  
Gross profit %
    
60.4
%
    
44.0
%
    
55.0
%
                         
Allocated expenses:
                        
Engineering and product development
    
534
      
155
      
689
  
Selling and marketing
    
6,203
      
955
      
7,158
  
Unallocated expenses
    
—
      
—
      
5,407
  

   
6,737
      
1,110
      
13,254
  
(Loss) income from operations
    
(297
)
    
1,156
      
(4,548
)
Loss on debt extinguishment
     —       —       (909 )
Interest expense
    
—
      
—
      
(584
)
Interest income
     —       —       58  
Net (loss) income
  
$
(297
)
  
$
1,156
    
$
(5,983
)
Depreciation and Amortization by Reportable Segment

The following tables present depreciation and amortization by reportable segment for the periods indicated below:


   
Three Months Ended June 30,
  
   
2024
    
2023
  
Dermatology recurring procedures
  
$
1,080
    
$
1,238
  
Dermatology procedures equipment
    
166
      
187
  
Unallocated expenses
    
4
      
3
  
Total
  
$
1,250
    
$
1,428
  

   
Six Months Ended June 30,
  
   
2024
    
2023
  
Dermatology recurring procedures
  
$
2,194
    
$
2,451
  
Dermatology procedures equipment
    
298
      
367
  
Unallocated expenses
    
7
      
7
  
Total
  
$
2,499
    
$
2,825
  
Disaggregation of Revenue by Geographical Region
The following tables present the Company’s revenue disaggregated by geographical region for the periods indicated below. Domestic refers to revenue from customers based in the United States, and foreign revenue is derived from the Company’s distributors primarily in Asia.

Three Months Ended June 30, 2024
  
Dermatology
Recurring
Procedures
    
Dermatology
Procedures
Equipment
    
Total
  
Domestic
  
$
4,923
    
$
458
    
$
5,381
  
Foreign
    
416
      
2,638
      
3,054
  
Total
  
$
5,339
    
$
3,096
    
$
8,435
  
                         
Six Months Ended June 30, 2024                        
Domestic
  
$
9,243
    
$
598
    
$
9,841
  
Foreign
    
792
      
4,556
      
5,348
  
Total
  
$
10,035
    
$
5,154
    
$
15,189
  

Three Months Ended June 30, 2023
  
Dermatology
Recurring
Procedures
    
Dermatology
Procedures
Equipment
    
Total
  
Domestic
  
$
5,141
    
$
926
    
$
6,067
  
Foreign
    
315
      
1,868
      
2,183
  
Total
  
$
5,456
    
$
2,794
    
$
8,250
  
                         
Six Months Ended June 30, 2023                        
Domestic
  
$
9,988
    
$
1,422
    
$
11,410
  
Foreign
    
677
      
3,730
      
4,407
  
Total
  
$
10,665
    
$
5,152
    
$
15,817
  
v3.24.2.u1
Commitments and Contingencies (Tables)
 6 Months Ended
Jun. 30, 2024
Commitments and Contingencies [Abstract]  
Operating Lease Maturities
The following table summarizes the Company’s operating lease maturities as of June 30, 2024:

Remaining 2024
  
$
229
  
2025
    
463
  
2026
    
334
  
2027
     290  
2028
     301  
Thereafter
     231  
Total remaining lease payments
    
1,848
  
Less: imputed interest
    
(452
)
Total lease liabilities
  
$
1,396
  
v3.24.2.u1
The Company, Background (Details) - XTRAC [Member]
 6 Months Ended
Jun. 30, 2024
Systems
United States [Member]  
Finite-Lived Intangible Assets, Net [Abstract]  
Number of systems placed in dermatologists offices 882
International [Member]  
Finite-Lived Intangible Assets, Net [Abstract]  
Number of systems placed in dermatologists offices 39
v3.24.2.u1
The Company, Reverse Stock Split (Details) - Common Stock [Member]
Apr. 26, 2024
shares
Reverse Stock Split [Abstract]  
Reverse stock split ratio 0.1
Fractional shares issued (in shares) 0
v3.24.2.u1
The Company, Accrued Warranty Costs (Details) - USD ($)
$ in Thousands
 3 Months Ended 6 Months Ended
Jun. 30, 2024
Jun. 30, 2023
Jun. 30, 2024
Jun. 30, 2023
Dec. 31, 2023
Accrued Warranty Costs [Abstract]          
Standard warranty period     2 years    
Offered warranty period     4 years    
Activity of Warranty Accrual [Roll Forward]          
Balance, beginning of year $ 278 $ 229 $ 303 $ 207  
Additions 76 93 115 120  
Expirations and claims satisfied (61) (53) (125) (58)  
Total 293 269 293 269  
Less current portion within accrued expenses and other current liabilities (182) (163) (182) (163) $ (180)
Balance within deferred revenues and other liabilities $ 111 $ 106 $ 111 $ 106  
Minimum [Member]          
Accrued Warranty Costs [Abstract]          
Standard warranty period     1 year    
Offered warranty period     3 years    
v3.24.2.u1
The Company, Employee Retention Credit (Details) - USD ($)
$ in Thousands
 3 Months Ended 6 Months Ended
Jun. 30, 2024
Jun. 30, 2023
Jun. 30, 2024
Jun. 30, 2023
Other Income [Member]        
Employee Retention Credit [Abstract]        
Employee retention credit $ 864 $ 0 $ 864 $ 0
v3.24.2.u1
The Company, Net Loss Per Share (Details) - shares
 6 Months Ended
Jun. 30, 2024
Jun. 30, 2023
Net Loss Per Share [Abstract]    
Potential common stock equivalents (in shares) 611,201 628,921
Stock Options [Member]    
Net Loss Per Share [Abstract]    
Potential common stock equivalents (in shares) 530,350 536,961
Common Stock Warrants [Member]    
Net Loss Per Share [Abstract]    
Potential common stock equivalents (in shares) 80,000 80,000
Restricted Stock Units [Member]    
Net Loss Per Share [Abstract]    
Potential common stock equivalents (in shares) 851 11,960
v3.24.2.u1
Liquidity (Details) - USD ($)
$ / shares in Units, $ in Thousands
 1 Months Ended
Jul. 31, 2024
Oct. 31, 2021
Jun. 30, 2024
MidCap Financial Trust [Member] | Senior Term Facility [Member]      
Equity Distribution Agreement [Abstract]      
Term loan     $ 8,000
MidCap Financial Trust [Member] | Senior Term Facility One [Member]      
Equity Distribution Agreement [Abstract]      
Term loan     8,000
MidCap Financial Trust [Member] | Senior Term Facility Two [Member]      
Equity Distribution Agreement [Abstract]      
Term loan     7,000
MidCap Financial Trust [Member] | Senior Term Facility Three [Member]      
Equity Distribution Agreement [Abstract]      
Term loan     $ 5,000
Subsequent Event [Member]      
Equity Distribution Agreement [Abstract]      
Common stock sold (in shares) 665,136    
Common stock purchase price (in dollars per share) $ 3.16    
Gross proceeds from sale of common stock $ 2,100    
At-the-Market Equity Offering [Member]      
Equity Distribution Agreement [Abstract]      
Amount of common stock the Company may sell under equity distribution agreement   $ 11,000  
v3.24.2.u1
Revenue Recognition, Summary (Details)
 6 Months Ended
Jun. 30, 2024
Treatment Equipment [Abstract]  
Lease term 36 months
Renewal term 1 year
Minimum [Member]  
Treatment Equipment [Abstract]  
Notice period to cancel contract agreement 30 days
Maximum [Member]  
Treatment Equipment [Abstract]  
Notice period to cancel contract agreement 60 days
South Korea [Member]  
Treatment Equipment [Abstract]  
Lease term 48 months
v3.24.2.u1
Revenue Recognition, Future Undiscounted Fixed Payments from International Recurring Revenue Customers (Details)
$ in Thousands
Jun. 30, 2024
USD ($)
Remaining Performance Obligation [Abstract]  
Future undiscounted fixed payments from international recurring revenue customers $ 587
International [Member]  
Remaining Performance Obligation [Abstract]  
Future undiscounted fixed payments from international recurring revenue customers 2,906
Revenue, Remaining Performance Obligation, Expected Timing of Satisfaction, Start Date [Axis]: 2024-07-01  
Remaining Performance Obligation [Abstract]  
Future undiscounted fixed payments from international recurring revenue customers $ 226
Expected timing of satisfaction period 1 year
Revenue, Remaining Performance Obligation, Expected Timing of Satisfaction, Start Date [Axis]: 2024-07-01 | International [Member]  
Remaining Performance Obligation [Abstract]  
Future undiscounted fixed payments from international recurring revenue customers $ 698
Expected timing of satisfaction period 6 months
Revenue, Remaining Performance Obligation, Expected Timing of Satisfaction, Start Date [Axis]: 2025-01-01 | International [Member]  
Remaining Performance Obligation [Abstract]  
Future undiscounted fixed payments from international recurring revenue customers $ 937
Expected timing of satisfaction period 1 year
Revenue, Remaining Performance Obligation, Expected Timing of Satisfaction, Start Date [Axis]: 2026-01-01 | International [Member]  
Remaining Performance Obligation [Abstract]  
Future undiscounted fixed payments from international recurring revenue customers $ 752
Expected timing of satisfaction period 1 year
Revenue, Remaining Performance Obligation, Expected Timing of Satisfaction, Start Date [Axis]: 2027-01-01 | International [Member]  
Remaining Performance Obligation [Abstract]  
Future undiscounted fixed payments from international recurring revenue customers $ 481
Expected timing of satisfaction period 1 year
Revenue, Remaining Performance Obligation, Expected Timing of Satisfaction, Start Date [Axis]: 2028-01-01 | International [Member]  
Remaining Performance Obligation [Abstract]  
Future undiscounted fixed payments from international recurring revenue customers $ 38
Expected timing of satisfaction period 1 year
v3.24.2.u1
Revenue Recognition, Remaining Performance Obligation (Details)
$ in Thousands
Jun. 30, 2024
USD ($)
Remaining Performance Obligation [Abstract]  
Remaining performance obligations $ 587
Revenue, Remaining Performance Obligation, Expected Timing of Satisfaction, Start Date [Axis]: 2024-07-01  
Remaining Performance Obligation [Abstract]  
Remaining performance obligations $ 226
Expected timing of satisfaction period 1 year
Revenue, Remaining Performance Obligation, Expected Timing of Satisfaction, Start Date [Axis]: 2024-07-01 | Minimum [Member]  
Remaining Performance Obligation [Abstract]  
Expected timing of satisfaction period 1 year
Revenue, Remaining Performance Obligation, Expected Timing of Satisfaction, Start Date [Axis]: 2024-07-01 | Maximum [Member]  
Remaining Performance Obligation [Abstract]  
Expected timing of satisfaction period 3 years
v3.24.2.u1
Revenue Recognition, Contract Liabilities (Details) - USD ($)
$ in Thousands
 3 Months Ended 6 Months Ended
Jun. 30, 2024
Jun. 30, 2023
Jun. 30, 2024
Jun. 30, 2023
Contract with Customer, Liability [Abstract]        
Short-term contract liabilities $ 226   $ 226  
Long-term contract liabilities 361   361  
Change in Contract with Customer, Liability [Abstract]        
Contract liabilities recognized as revenue $ 78 $ 104 $ 154 $ 236
v3.24.2.u1
Inventories (Details) - USD ($)
$ in Thousands
 6 Months Ended
Jun. 30, 2024
Jun. 30, 2023
Dec. 31, 2023
Schedule of inventory [Abstract]      
Raw materials and work-in-process $ 2,363   $ 2,192
Finished goods 329   481
Inventories, net 2,692   $ 2,673
Inventories wrote off $ 141 $ 0  
v3.24.2.u1
Property and Equipment, net (Details) - USD ($)
$ in Thousands
 3 Months Ended 6 Months Ended
Jun. 30, 2024
Jun. 30, 2023
Jun. 30, 2024
Jun. 30, 2023
Dec. 31, 2023
Property, Plant and Equipment, Net [Abstract]          
Property and equipment, gross $ 36,466   $ 36,466   $ 36,062
Less: accumulated depreciation and amortization (25,317)   (25,317)   (24,284)
Property and equipment, net 11,149   11,149   11,778
Depreciation and amortization expense 759 $ 713 1,514 $ 1,390  
Lasers Placed-In-Service [Member]          
Property, Plant and Equipment, Net [Abstract]          
Property and equipment, gross 32,903   32,903   32,095
Equipment, Computer Hardware and Software [Member]          
Property, Plant and Equipment, Net [Abstract]          
Property and equipment, gross 300   300   293
Furniture and Fixtures [Member]          
Property, Plant and Equipment, Net [Abstract]          
Property and equipment, gross 240   240   240
Leasehold Improvements [Member]          
Property, Plant and Equipment, Net [Abstract]          
Property and equipment, gross 99   99   203
Lasers-In-Process [Member]          
Property, Plant and Equipment, Net [Abstract]          
Property and equipment, gross $ 2,924   $ 2,924   $ 3,231
v3.24.2.u1
Intangible Assets, net, Summary (Details) - USD ($)
$ in Thousands
 3 Months Ended 6 Months Ended
Jun. 30, 2024
Jun. 30, 2023
Jun. 30, 2024
Jun. 30, 2023
Dec. 31, 2023
Finite-Lived Intangible Assets, Net [Abstract]          
Balance $ 24,222   $ 24,222   $ 24,222
Accumulated amortization (17,888)   (17,888)   (16,903)
Intangible assets, net 6,334   6,334   7,319
Amortization expense of intangible assets 491 $ 715 985 $ 1,435  
Impairment of intangible assets 0 $ 0 0 $ 0  
Core Technology [Member]          
Finite-Lived Intangible Assets, Net [Abstract]          
Balance 5,700   5,700   5,700
Accumulated amortization (5,130)   (5,130)   (4,845)
Intangible assets, net 570   570   855
Product Technology [Member]          
Finite-Lived Intangible Assets, Net [Abstract]          
Balance 4,808   4,808   4,808
Accumulated amortization (3,925)   (3,925)   (3,866)
Intangible assets, net 883   883   942
Customer Relationships [Member]          
Finite-Lived Intangible Assets, Net [Abstract]          
Balance 6,900   6,900   6,900
Accumulated amortization (6,210)   (6,210)   (5,865)
Intangible assets, net 690   690   1,035
Tradenames [Member]          
Finite-Lived Intangible Assets, Net [Abstract]          
Balance 1,500   1,500   1,500
Accumulated amortization (1,350)   (1,350)   (1,275)
Intangible assets, net 150   150   225
Pharos Customer Lists [Member]          
Finite-Lived Intangible Assets, Net [Abstract]          
Balance 5,314   5,314   5,314
Accumulated amortization (1,273)   (1,273)   (1,052)
Intangible assets, net $ 4,041   $ 4,041   $ 4,262
v3.24.2.u1
Intangible Assets, net, Estimated Amortization Expense (Details)
$ in Thousands
Jun. 30, 2024
USD ($)
Estimated amortization expense [Abstract]  
Remaining 2024 $ 986
2025 1,266
2026 561
2027 561
2028 $ 561
v3.24.2.u1
Accrued Expenses and Other Current Liabilities (Details) - USD ($)
$ in Thousands
Jun. 30, 2024
Dec. 31, 2023
Jun. 30, 2023
Accrued Expenses and Other Current Liabilities [Abstract]      
Warranty obligations $ 182 $ 180 $ 163
Compensation and related benefits 1,974 1,679  
State sales, use and other taxes 4,304 4,316  
Professional fees and other 148 131  
Accrued expenses and other current liabilities $ 6,608 $ 6,306  
v3.24.2.u1
Long-Term Debt, Senior Term Facility (Details)
$ / shares in Units, $ in Thousands
 3 Months Ended 6 Months Ended
Sep. 06, 2022
Jun. 30, 2024
USD ($)
$ / shares
Jun. 30, 2023
USD ($)
Jun. 30, 2024
USD ($)
Payment
$ / shares
shares
Jun. 30, 2023
USD ($)
Long-Term Debt [Abstract]          
Loss on debt extinguishment   $ 0 $ (909) $ 0 $ (909)
Unamortized debt discount   486   486  
Exit fee   600   600  
SOFR [Member]          
Long-Term Debt [Abstract]          
Term of variable rate 1 month        
Interest rate floor 0.50%        
Basis spread on variable rate 0.10%        
MidCap Financial Trust [Member] | Senior Term Facility [Member]          
Long-Term Debt [Abstract]          
Face amount of debt   8,000   $ 8,000  
Maturity date       Sep. 01, 2026  
Frequency of payment       monthly  
Number of monthly principal payments plus interest | Payment       24  
Notice period       30 days  
Prepayment fee if prepayment is made within twelve months       4.00%  
Prepayment fee if prepayment is made between twelve months and twenty-four months       3.00%  
Prepayment fee if prepayment is made between twenty-four months and thirty-six months       2.00%  
Prepayment fee if prepayment is made after thirty-six months       1.00%  
Minimum net revenue threshold       $ 29,250  
Minimum net revenue threshold by December 31, 2026       33,000  
Minimum net revenue threshold by trailing 12-month period       33,000  
Minimum unrestricted cash   3,000   3,000  
Loss on debt extinguishment     909   909
Unamortized debt discount     441   441
Increase in fair value of warrants         384
Lender fees     84   84
Interest expense   531 298 1,055 584
Amortization of debt discount   $ 39 $ 42 70 $ 83
MidCap Financial Trust [Member] | Senior Term Facility [Member] | Minimum [Member]          
Long-Term Debt [Abstract]          
Prepayment of debt       $ 5,000  
MidCap Financial Trust [Member] | Senior Term Facility [Member] | A&R Warrant [Member]          
Long-Term Debt [Abstract]          
Warrants issued (in shares) | shares       80,000  
Warrants, exercise price (in dollars per share) | $ / shares   $ 8.8   $ 8.8  
Warrants, expected term   10 years   10 years  
MidCap Financial Trust [Member] | Senior Term Facility [Member] | Common Stock [Member]          
Long-Term Debt [Abstract]          
Warrants issued (in shares) | shares       37,362  
Warrants, exercise price (in dollars per share) | $ / shares   $ 18.2   $ 18.2  
Warrants, expected term   10 years   10 years  
MidCap Financial Trust [Member] | Senior Term Facility [Member] | LIBOR [Member]          
Long-Term Debt [Abstract]          
Interest rate floor       0.50%  
Basis spread on variable rate       7.50%  
MidCap Financial Trust [Member] | Senior Term Facility, Amendment [Member]          
Long-Term Debt [Abstract]          
Face amount of debt   $ 20,000   $ 20,000  
Forward looking term       30 days  
Interest rate floor       3.50%  
Amount available to be drawn under condition   $ 30,000   $ 30,000  
Effective interest rate   13.94%   13.94%  
Required percentage of certain insurance proceeds       100.00%  
MidCap Financial Trust [Member] | Senior Term Facility, Amendment [Member] | SOFR [Member]          
Long-Term Debt [Abstract]          
Term of variable rate       1 month  
Base interest rate       0.10%  
Basis spread on variable rate       7.50%  
MidCap Financial Trust [Member] | Credit Facility #1 [Member]          
Long-Term Debt [Abstract]          
Amount drawn       $ 8,000  
MidCap Financial Trust [Member] | Credit Facility #2 [Member]          
Long-Term Debt [Abstract]          
Amount drawn       $ 7,000  
Percentage of administrative agent fess       0.50%  
Percentage of credit extension       4.00%  
MidCap Financial Trust [Member] | Credit Facility #3 [Member]          
Long-Term Debt [Abstract]          
Amount available for amount drawn   $ 5,000   $ 5,000  
Percentage of credit extension       0.50%  
Percentage of exit fee       4.00%  
MidCap Financial Trust [Member] | Senior Term Facility, Third Amendment [Member]          
Long-Term Debt [Abstract]          
Unamortized debt discount   486   $ 486  
Third party costs incurred   13   13  
MidCap Financial Trust [Member] | Senior Term Facility, Fourth Amendment [Member]          
Long-Term Debt [Abstract]          
Exit fee   $ 600   $ 600  
v3.24.2.u1
Long-Term Debt, Future Minimum Principal Payments (Details) - USD ($)
$ in Thousands
Jun. 30, 2024
Dec. 31, 2023
Future Payments for Long-Term Debt [Abstract]    
2026 $ 3,750  
2027 7,500  
2028 3,750  
Total 15,000  
Exit fee 600  
Long term debt after exit fee 15,600  
Less: unamortized debt discount (486)  
Long-term debt, net $ 15,114 $ 15,044
v3.24.2.u1
Stock-Based Compensation, Summary (Details) - shares
 3 Months Ended 6 Months Ended
Apr. 03, 2023
Dec. 31, 2023
Jun. 30, 2024
Stock Options [Member]      
Stock-based Compensation [Abstract]      
Granted (in shares)     10,000
Stock Options [Member] | Chief Executive Officer [Member]      
Stock-based Compensation [Abstract]      
Granted (in shares) 15,000    
Stock-based options forfeited (in shares)   15,000  
2016 Omnibus Incentive Plan [Member]      
Stock-based Compensation [Abstract]      
Common stock reserved for future issuance (in shares)     7,832,651
Number of shares available for issuance (in shares)     7,261,588
v3.24.2.u1
Stock-Based Compensation, Share-based Compensation Expense (Details) - USD ($)
$ in Thousands
 3 Months Ended 6 Months Ended
Jun. 30, 2024
Jun. 30, 2023
Jun. 30, 2024
Jun. 30, 2023
Stock-Based Compensation Expense [Abstract]        
Stock-based compensation expense $ 163 $ 352 $ 275 $ 677
Selling and Marketing [Member]        
Stock-Based Compensation Expense [Abstract]        
Stock-based compensation expense 13 56 (24) [1] 578 [1]
General and Administrative [Member]        
Stock-Based Compensation Expense [Abstract]        
Stock-based compensation expense $ 150 $ 296 $ 299 $ 99
[1] Selling and marketing expense was negative during the six months ended June 30, 2024 due to the forfeiture of awards during the period.
v3.24.2.u1
Stock-Based Compensation, Stock Options (Details) - Stock Options [Member] - USD ($)
$ / shares in Units, $ in Thousands
 3 Months Ended 6 Months Ended
Apr. 03, 2023
Dec. 31, 2023
Jun. 30, 2024
Jun. 30, 2023
Number of Shares under Option Plan [Abstract]        
Outstanding at beginning period (in shares)     772,864  
Granted (in shares)     10,000  
Forfeited and expired (in shares)     (252,514)  
Outstanding at end of period (in shares)   772,864 530,350  
Exercisable at end of period (in shares)     142,191  
Vested and expected to vest (in shares)     530,350  
Weighted-Average Exercise Price per Option [Abstract]        
Outstanding at beginning of period (in dollars per share)     $ 11.07  
Granted (in dollars per share)     5.35  
Forfeited and expired (in dollars per share)     15.38  
Outstanding at end of period (in dollars per share)   $ 11.07 8.9  
Exercisable at end of period (in dollars per share)     15.49  
Vested and expected to vest (in dollars per share)     $ 8.9  
Weighted-Average Remaining Contractual Term [Abstract]        
Outstanding     8 years 6 months  
Exercisable     6 years 7 months 6 days  
Vested and expected to vest     8 years 6 months  
Unrecognized compensation expense     $ 1,512  
Unrecognized compensation expense, weighted average period     2 years 8 months 12 days  
Intrinsic value of options outstanding     $ 0 $ 1
Intrinsic value of options exercisable     $ 0 $ 0
Chief Executive Officer [Member]        
Stock Option [Abstract]        
Stock-based options forfeited (in shares)   15,000    
Number of Shares under Option Plan [Abstract]        
Granted (in shares) 15,000      
v3.24.2.u1
Stock-Based Compensation, Fair Value Assumptions (Details)
 6 Months Ended
Jun. 30, 2024
Fair Value Assumptions [Abstract]  
Expected volatility 77.00%
Risk-free rate 4.10%
Expected term (in years) 6 years 3 months 18 days
Dividend rate 0.00%
v3.24.2.u1
Stock-Based Compensation, Restricted Stock Units (Details) - Restricted Stock Units [Member]
 6 Months Ended
Jun. 30, 2024
$ / shares
shares
Number of Units [Abstract]  
Unvested at beginning of period (in shares) | shares 2,265
Vested (in shares) | shares (1,414)
Unvested at end of period (in shares) | shares 851
Weighted Average Grant Date Fair Value [Abstract]  
Unvested at beginning of period (in dollars per share) | $ / shares $ 10.3
Vested (in dollars per share) | $ / shares 10.3
Unvested at end of period (in dollars per share) | $ / shares $ 10.3
v3.24.2.u1
Income Taxes (Details) - USD ($)
$ in Thousands
 3 Months Ended 6 Months Ended
Jun. 30, 2024
Jun. 30, 2023
Jun. 30, 2024
Jun. 30, 2023
Income Taxes [Abstract]        
Income tax expense $ 0 $ 0 $ 0 $ 0
v3.24.2.u1
Business and Geographical Reporting Segments, Results of Operations from Business Segments (Details)
$ in Thousands
 3 Months Ended 6 Months Ended
Jun. 30, 2024
USD ($)
Mar. 31, 2024
USD ($)
Jun. 30, 2023
USD ($)
Mar. 31, 2023
USD ($)
Jun. 30, 2024
USD ($)
Segment
Jun. 30, 2023
USD ($)
Business Segments [Abstract]            
Number of operating segments | Segment         2  
Results of Operations from Business Segments [Abstract]            
Revenues, net $ 8,435   $ 8,250   $ 15,189 $ 15,817
Cost of revenues 3,498   3,932   7,172 7,111
Gross profit $ 4,937   $ 4,318   $ 8,017 $ 8,706
Gross profit % 58.50%   52.30%   52.80% 55.00%
Allocated expenses [Abstract]            
Engineering and product development $ 199   $ 374   $ 440 $ 689
Selling and marketing 3,014   3,416   6,032 7,158
Unallocated expenses 2,210   2,490   4,920 5,407
Total operating expenses 5,423   6,280   11,392 13,254
Loss from operations (486)   (1,962)   (3,375) (4,548)
Loss on debt extinguishment 0   (909)   0 (909)
Interest expense (531)   (298)   (1,055) (584)
Interest income 54   21   99 58
Other income 864   0   864 0
Net loss (99) $ (3,368) (3,148) $ (2,835) (3,467) (5,983)
Operating Segments [Member] | Dermatology Recurring Procedures [Member]            
Results of Operations from Business Segments [Abstract]            
Revenues, net 5,339   5,456   10,035 10,665
Cost of revenues 1,854   2,205   4,049 4,225
Gross profit $ 3,485   $ 3,251   $ 5,986 $ 6,440
Gross profit % 65.30%   59.60%   59.70% 60.40%
Allocated expenses [Abstract]            
Engineering and product development $ 145   $ 289   $ 341 $ 534
Selling and marketing 2,575   2,850   5,328 6,203
Unallocated expenses 0   0   0 0
Total operating expenses 2,720   3,139   5,669 6,737
Loss from operations 765   112   317 (297)
Loss on debt extinguishment     0     0
Interest expense 0   0   0 0
Interest income 0   0   0 0
Other income 0       0  
Net loss 765   112   317 (297)
Operating Segments [Member] | Dermatology Procedures Equipment [Member]            
Results of Operations from Business Segments [Abstract]            
Revenues, net 3,096   2,794   5,154 5,152
Cost of revenues 1,644   1,727   3,123 2,886
Gross profit $ 1,452   $ 1,067   $ 2,031 $ 2,266
Gross profit % 46.90%   38.20%   39.40% 44.00%
Allocated expenses [Abstract]            
Engineering and product development $ 54   $ 85   $ 99 $ 155
Selling and marketing 439   566   704 955
Unallocated expenses 0   0   0 0
Total operating expenses 493   651   803 1,110
Loss from operations 959   416   1,228 1,156
Loss on debt extinguishment     0     0
Interest expense 0   0   0 0
Interest income 0   0   0 0
Other income 0       0  
Net loss $ 959   $ 416   $ 1,228 $ 1,156
v3.24.2.u1
Business and Geographical Reporting Segments, Depreciation and Amortization by Reportable Segment (Details) - USD ($)
$ in Thousands
 3 Months Ended 6 Months Ended
Jun. 30, 2024
Jun. 30, 2023
Jun. 30, 2024
Jun. 30, 2023
Depreciation and Amortization by Reportable Segment [Abstract]        
Depreciation and amortization $ 1,250 $ 1,428 $ 2,499 $ 2,825
Operating Segments [Member] | Dermatology Recurring Procedures [Member]        
Depreciation and Amortization by Reportable Segment [Abstract]        
Depreciation and amortization 1,080 1,238 2,194 2,451
Operating Segments [Member] | Dermatology Procedures Equipment [Member]        
Depreciation and Amortization by Reportable Segment [Abstract]        
Depreciation and amortization 166 187 298 367
Unallocated [Member]        
Depreciation and Amortization by Reportable Segment [Abstract]        
Depreciation and amortization $ 4 $ 3 $ 7 $ 7
v3.24.2.u1
Business and Geographical Reporting Segments, Disaggregation of Revenue by Geographical Region (Details) - USD ($)
$ in Thousands
 3 Months Ended 6 Months Ended
Jun. 30, 2024
Jun. 30, 2023
Jun. 30, 2024
Jun. 30, 2023
Disaggregation of Revenue by Geographical Region [Abstract]        
Revenues $ 8,435 $ 8,250 $ 15,189 $ 15,817
Domestic [Member]        
Disaggregation of Revenue by Geographical Region [Abstract]        
Revenues 5,381 6,067 9,841 11,410
Foreign [Member]        
Disaggregation of Revenue by Geographical Region [Abstract]        
Revenues 3,054 2,183 5,348 4,407
Operating Segments [Member] | Dermatology Recurring Procedures [Member]        
Disaggregation of Revenue by Geographical Region [Abstract]        
Revenues 5,339 5,456 10,035 10,665
Operating Segments [Member] | Dermatology Procedures Equipment [Member]        
Disaggregation of Revenue by Geographical Region [Abstract]        
Revenues 3,096 2,794 5,154 5,152
Operating Segments [Member] | Domestic [Member] | Dermatology Recurring Procedures [Member]        
Disaggregation of Revenue by Geographical Region [Abstract]        
Revenues 4,923 5,141 9,243 9,988
Operating Segments [Member] | Domestic [Member] | Dermatology Procedures Equipment [Member]        
Disaggregation of Revenue by Geographical Region [Abstract]        
Revenues 458 926 598 1,422
Operating Segments [Member] | Foreign [Member] | Dermatology Recurring Procedures [Member]        
Disaggregation of Revenue by Geographical Region [Abstract]        
Revenues 416 315 792 677
Operating Segments [Member] | Foreign [Member] | Dermatology Procedures Equipment [Member]        
Disaggregation of Revenue by Geographical Region [Abstract]        
Revenues $ 2,638 $ 1,868 $ 4,556 $ 3,730
v3.24.2.u1
Significant Customer Concentrations (Details)
$ in Thousands
 3 Months Ended 6 Months Ended 12 Months Ended
Jun. 30, 2024
USD ($)
Customer
Jun. 30, 2023
USD ($)
Customer
Jun. 30, 2024
USD ($)
Customer
Jun. 30, 2023
USD ($)
Customer
Dec. 31, 2023
Customer
Concentration Risk [Abstract]          
Revenues, net $ 8,435 $ 8,250 $ 15,189 $ 15,817  
Revenue [Member] | Customer Concentration Risk [Member]          
Concentration Risk [Abstract]          
Number of significant customers | Customer 2 1 2 0  
Revenue [Member] | Customer Concentration Risk [Member] | One Customer [Member]          
Concentration Risk [Abstract]          
Revenues, net   $ 959      
Concentration risk percentage   11.60%      
Revenue [Member] | Customer Concentration Risk [Member] | Two Customer [Member]          
Concentration Risk [Abstract]          
Revenues, net $ 2,275   $ 3,731    
Concentration risk percentage 27.00%   24.60%    
Accounts Receivable [Member] | Customer Concentration Risk [Member]          
Concentration Risk [Abstract]          
Number of significant customers | Customer     1   1
Accounts Receivable [Member] | Customer Concentration Risk [Member] | One Customer [Member]          
Concentration Risk [Abstract]          
Concentration risk percentage     16.30%   16.50%
v3.24.2.u1
Commitments and Contingencies (Details)
$ in Thousands
 1 Months Ended 3 Months Ended 6 Months Ended
Feb. 23, 2023
USD ($)
Jan. 31, 2022
USD ($)
Jan. 31, 2022
USD ($)
Device
Jun. 30, 2024
USD ($)
Jun. 30, 2023
USD ($)
Jun. 30, 2024
USD ($)
Jun. 30, 2023
USD ($)
Lessee, Operating Lease, Description [Abstract]              
Extended lease term       5 years   5 years  
Increase in ROU asset and operating lease liability resulting from lease modification       $ 977     $ 0
Operating lease costs       122 $ 123 $ 228 229
Cash paid for amounts included in measurement of operating lease liabilities       $ 112 109 $ 224 205
Weighted average incremental borrowing rate           12.01%  
Weighted average remaining lease term       4 years 6 months   4 years 6 months  
Operating Lease Maturities [Abstract]              
Remaining 2024       $ 229   $ 229  
2025       463   463  
2026       334   334  
2027       290   290  
2028       301   301  
Thereafter       231   231  
Total remaining lease payments       1,848   1,848  
Less: imputed interest       (452)   (452)  
Total lease liabilities       1,396   $ 1,396  
Milestone Payments [Abstract]              
Development agreement term           3 years  
Litigation Settlement [Abstract]              
Litigation settlement to be paid $ 106            
Litigation settlement accrued       $ 106 $ 106 $ 106 $ 106
TheraClear Corporation [Member]              
Milestone Payments [Abstract]              
Future earnout payment due upon revenue target   $ 1,000 $ 1,000        
Royalty and gross profit payments incurred           87  
TheraClear Corporation [Member] | Foreign [Member]              
Milestone Payments [Abstract]              
Percentage of gross profit for future royalty payments for subsequent period   25.00%          
Subsequent period of gross profit for future royalty payments       4 years      
Tax Period from March 2014 through November 2022 [Member]              
Sales and Use Tax Matters [Abstract]              
Estimated tax positions subject to audit           4,879  
Tax Period from March 2014 through November 2022 [Member] | Assessment One [Member]              
Sales and Use Tax Matters [Abstract]              
Assessment amount       $ 1,484   1,484  
Tax Period from March 2014 through November 2022 [Member] | Assessment Two [Member]              
Sales and Use Tax Matters [Abstract]              
Assessment amount       $ 1,273   1,273  
Tax Period From June 2018 Through June 2022 [Member]              
Sales and Use Tax Matters [Abstract]              
Estimated tax positions subject to audit           $ 2,122  
Minimum [Member]              
Lessee, Operating Lease, Description [Abstract]              
Remaining lease term           1 year  
Minimum [Member] | TheraClear Corporation [Member] | Domestic [Member]              
Milestone Payments [Abstract]              
Percentage of gross profit for future royalty payments for subsequent period   10.00%          
Maximum [Member]              
Lessee, Operating Lease, Description [Abstract]              
Remaining lease term           5 years  
Milestone Payments [Abstract]              
Future earnout payments   $ 500 500        
Future milestone payments   3,000 $ 3,000        
Number of devices in development | Device     3        
Maximum [Member] | Domestic [Member]              
Milestone Payments [Abstract]              
Future royalty payments   500 $ 500        
Maximum [Member] | TheraClear Corporation [Member]              
Milestone Payments [Abstract]              
Future earnout payments   3,000 3,000        
Future milestone payments   500 500        
Maximum [Member] | TheraClear Corporation [Member] | Domestic [Member]              
Milestone Payments [Abstract]              
Future royalty payments   $ 20,000 $ 20,000        
Percentage of gross profit for future royalty payments for subsequent period   20.00%          
v3.24.2.u1
Subsequent Events (Details) - Subsequent Event [Member]
$ / shares in Units, $ in Thousands
 1 Months Ended
Jul. 31, 2024
USD ($)
$ / shares
shares
Subsequent Events [Abstract]  
Common stock sold (in shares) | shares 665,136
Maximum [Member]  
Common stock purchase price (in dollars per share) | $ / shares $ 3.16
Gross proceeds from sale of common stock | $ $ 2,100
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