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Table of Contents



UNITED STATES

SECURITIES AND EXCHANGE COMMISSION

WASHINGTON, DC 20549


FORM 10-Q


(Mark One)

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

 

For the quarterly period ended March 31, 2024

 

OR

 

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

 

For the transition period from ____________ to ____________

 

Commission File Number: 001-38238


Venus Concept Inc.

(Exact Name of Registrant as Specified in its Charter)


Delaware

06-1681204

(State or other jurisdiction of

incorporation or organization)

(I.R.S. Employer
Identification No.)

235 Yorkland Blvd., Suite 900

Toronto, Ontario M2J 4Y8

(877) 848-8430

(Address including zip code, and telephone number including area code, of registrants principal executive offices)

 


 

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

 

Title of each class

 

Trading Symbol

 

Name of each exchange on which registered

Common Stock, $0.0001 par value per share

 

VERO

 

The Nasdaq Capital Market

 

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

 

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

 

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

 

Large accelerated filer

Accelerated filer

    

Non-accelerated filer

Smaller reporting company

    
  

Emerging growth company

 

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

 

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

 

As of May 9, 2024 the registrant had 6,355,230 shares of common stock, $0.0001 par value per share, outstanding.



 

 

 

 

Table of Contents

 

 

 

Page

Part I.

Financial Information

2

Item 1.

Condensed Consolidated Financial Statements (unaudited)

2

 

Condensed Consolidated Balance Sheets

2

 

Condensed Consolidated Statements of Operations

3

 

Condensed Consolidated Statements of Comprehensive Loss

4

 

Condensed Consolidated Statements of Stockholders’ Equity (Deficit)

5

 

Condensed Consolidated Statements of Cash Flows

6

 

Notes to the Condensed Consolidated Financial Statements

7

Item 2.

Management’s Discussion and Analysis of Financial Condition and Results of Operations

26

Item 3.

Quantitative and Qualitative Disclosures About Market Risk

45

Item 4.

Controls and Procedures

45

PART II.

Other Information

46

Item 1.

Legal Proceedings

46

Item 1A.

Risk Factors

46

Item 2.

Unregistered Sales of Equity Securities and Use of Proceeds

47

Item 3.

Defaults Upon Senior Securities

48

Item 4.

Mine Safety Disclosures

48

Item 5.

Other Information

48

Item 6.

Exhibits

48

Signatures

49

 

 

 

PART I

 

ITEM 1. CONDENSED CONSOLIDATED FINANCIAL STATEMENTS

 

VENUS CONCEPT INC.

 

Condensed Consolidated Balance Sheets

(Unaudited)

(in thousands, except share and per share data)

 

  

March 31,

  

December 31,

 
  

2024

  

2023

 

ASSETS

        

CURRENT ASSETS:

        

Cash and cash equivalents

 $5,087  $5,396 

Accounts receivable, net of allowance of $5,317 and $7,415 as of March 31, 2024, and December 31, 2023, respectively

  27,168   29,151 

Inventories

  20,978   23,072 

Prepaid expenses

  1,034   1,298 

Advances to suppliers

  4,926   5,604 

Other current assets

  1,508   1,925 

Total current assets

  60,701   66,446 

LONG-TERM ASSETS:

        

Long-term receivables, net

  9,906   11,318 

Deferred tax assets

  1,148   1,032 

Severance pay funds

  429   573 

Property and equipment, net

  1,229   1,322 

Operating right-of-use assets, net

  4,081   4,517 

Intangible assets

  7,582   8,446 

Total long-term assets

  24,375   27,208 

TOTAL ASSETS

 $85,076  $93,654 

LIABILITIES AND STOCKHOLDERS’ EQUITY (DEFICIT)

        

CURRENT LIABILITIES:

        

Trade payables

 $7,787  $9,038 

Accrued expenses and other current liabilities

  12,133   12,437 

Current portion of long-term debt

  4,154   4,155 

Income taxes payable

  479   366 

Unearned interest income

  1,444   1,468 

Warranty accrual

  1,107   1,029 

Deferred revenues

  926   1,076 

Operating lease liabilities

  1,418   1,590 

Total current liabilities

  29,448   31,159 

LONG-TERM LIABILITIES:

        

Long-term debt

  72,552   70,790 

Accrued severance pay

  467   634 

Deferred tax liabilities

  11   15 

Unearned interest revenue

  724   671 

Warranty accrual

  268   334 

Operating lease liabilities

  2,846   3,162 

Other long-term liabilities

  672   338 

Total long-term liabilities

  77,540   75,944 

TOTAL LIABILITIES

  106,988   107,103 

Commitments and Contingencies (Note 9)

          

STOCKHOLDERS’ EQUITY (DEFICIT) (Note 15):

        

Common Stock, $0.0001 par value: 300,000,000 shares authorized as of March 31, 2024 and December 31, 2023; 6,355,230 and 5,529,149 issued and outstanding as of March 31, 2024, and December 31, 2023, respectively

  30   30 

Additional paid-in capital

  249,180   247,854 

Accumulated deficit

  (271,697)  (261,903)

TOTAL STOCKHOLDERS’ EQUITY (DEFICIT)

  (22,487)  (14,019)

Non-controlling interests

  575   570 
   (21,912)  (13,449)

TOTAL LIABILITIES AND STOCKHOLDERS’ EQUITY (DEFICIT)

 $85,076  $93,654 

 

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

 

 

 

 

VENUS CONCEPT INC.

 

Condensed Consolidated Statements of Operations

(Unaudited)

(in thousands, except per share data)

 

   

Three Months Ended March 31,

 
   

2024

   

2023

 

Revenue

               

Leases

  $ 3,593     $ 5,761  

Products and services

    13,886       14,770  
      17,479       20,531  

Cost of goods sold:

               

Leases

    1,477       1,747  

Products and services

    4,355       5,085  
      5,832       6,832  

Gross profit

    11,647       13,699  

Operating expenses:

               

Selling and marketing

    7,374       8,032  

General and administrative

    10,248       11,185  

Research and development

    1,785       2,637  

Total operating expenses

    19,407       21,854  

Loss from operations

    (7,760 )     (8,155 )

Other expenses:

               

Foreign exchange (gain) loss

    324       (352 )

Finance expenses

    1,668       1,508  

Loss on disposal of subsidiaries

          77  

Loss before income taxes

    (9,752 )     (9,388 )

Income tax expense

    37       235  

Net loss

  $ (9,789 )   $ (9,623 )

Net loss attributable to stockholders of the Company

  $ (9,794 )   $ (9,657 )

Net income attributable to non-controlling interest

  $ 5     $ 34  
                 

Net loss per share:

               

Basic

  $ (1.68 )   $ (1.84 )

Diluted

  $ (1.68 )   $ (1.84 )

Weighted-average number of shares used in per share calculation:

               

Basic

    5,829       5,237  

Diluted

    5,829       5,237  

 

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

 

 

 

VENUS CONCEPT INC.

 

Condensed Consolidated Statements of Comprehensive Loss

(Unaudited)

(in thousands)

 

   

Three Months Ended March 31,

 
   

2024

   

2023

 

Net loss

  $ (9,789 )   $ (9,623 )

Loss attributable to stockholders of the Company

    (9,794 )     (9,657 )

Income attributable to non-controlling interest

    5       34  

Comprehensive loss

  $ (9,789 )   $ (9,623 )

 

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

 

 

 

 

VENUS CONCEPT INC.

 

Condensed Consolidated Statements of Stockholders Equity (Deficit)

(Unaudited)

(in thousands, except share data)

 

         

Preferred Shares

         

Common Stock

                         
   

2022 Private Placement Shares*

   

2023 Multi-Tranche Private Placement Shares*

   

2023 Series X Private Placement Shares*

   

Shares

   

Amount

   

Additional Paid-in-Capital

   

Accumulated Deficit

   

Non-controlling Interest

   

Total Stockholders' Equity (Deficit)

 

Balance — January 1, 2024

    3,185,000       1,575,810       256,356       5,529,149     $ 30     $ 247,854     $ (261,903 )   $ 570     $ (13,449 )

Issuance of common stock

                      8,333       0*       10                   10  

2024 Registered Direct Offering shares and warrants, net of costs

                      817,748             977                   977  

2023 Series X Private Placement shares dividends

                8,012                                     -  

Net loss — the Company

                                        (9,794 )           (9,794 )

Net income — non-controlling interest

                                              5       5  

Stock-based compensation

                                  339                   339  

Balance — March 31, 2024

    3,185,000       1,575,810       264,368       6,355,230     $ 30     $ 249,180     $ (271,697 )   $ 575     $ (21,912 )

 

         

Preferred Shares

         

Common Stock

                         
   

2022 Private Placement Shares*

   

2023 Multi-Tranche Private Placement Shares*

   

2023 Series X Private Placement Shares*

   

Shares

   

Amount

   

Additional Paid-in-Capital

   

Accumulated Deficit

   

Non-controlling Interest

   

Total Stockholders' Equity (Deficit)

 

Balance — January 1, 2023

    3,185,000                   5,161,374     $ 29     $ 232,169     $ (224,105 )   $ 645     $ 8,738  

Restricted share units vested

                      22,000       0*                         -  

Issuance of common stock

                      224,378       1       744                   745  

Adoption of ASC 326

                                        (548 )           (548 )

Net loss — the Company

                                        (9,657 )           (9,657 )

Net income — non-controlling interest

                                              34       34  

Stock-based compensation

                                  481                   481  

Balance — March 31, 2023

    3,185,000                   5,407,752     $ 30     $ 233,394     $ (234,310 )   $ 679     $ (207 )

 

*: Presented as $0 due to rounding.

 

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

 

 

 

VENUS CONCEPT INC.

 

Condensed Consolidated Statements of Cash Flows

(Unaudited)

(in thousands)

 

   

Three Months Ended March 31,

 
   

2024

   

2023

 

CASH FLOWS FROM OPERATING ACTIVITIES:

               

Net loss

  $ (9,789 )   $ (9,623 )

Adjustments to reconcile net loss to net cash used in operating activities:

               

Depreciation and amortization

    975       1,007  

Stock-based compensation

    339       481  

Provision for expected credit losses

    171       618  

Provision for inventory obsolescence

    372       343  

Finance expenses and accretion

    481       74  

Deferred tax expense (recovery)

    (120 )     149  

Loss on disposal of property and equipment

    5       34  

Changes in operating assets and liabilities:

               

Accounts receivable short-term and long-term

    3,226       1,654  

Inventories

    1,722       891  

Prepaid expenses

    264       69  

Advances to suppliers

    678       20  

Other current assets

    417       1,673  

Operating right-of-use assets, net

    437       423  

Other long-term assets

    (1 )     (45 )

Trade payables

    (1,251 )     (522 )

Accrued expenses and other current liabilities

    (263 )     (2,570 )

Current operating lease liabilities

    (172 )     (119 )

Severance pay funds

    144       43  

Unearned interest income

    29       (360 )

Long-term operating lease liabilities

    (316 )     (289 )

Other long-term liabilities

    (226 )     161  

Net cash used in operating activities

    (2,878 )     (5,888 )

CASH FLOWS FROM INVESTING ACTIVITIES:

               

Purchases of property and equipment

    (25 )     (70 )

Net cash used in investing activities

    (25 )     (70 )

CASH FLOWS FROM FINANCING ACTIVITIES:

               

Proceeds from issuance of common stock

    10       803  

2024 Registered Direct Offering shares and warrants, net of costs of $222

    977        

2024 Convertible Notes issued to EW, net of costs of $393

    1,607        

Net cash provided by financing activities

    2,594       803  

NET DECREASE IN CASH AND CASH EQUIVALENTS AND RESTRICTED CASH

    (309 )     (5,155 )

CASH AND CASH EQUIVALENTS AND RESTRICTED CASH — Beginning of period

    5,396       11,569  

CASH AND CASH EQUIVALENTS AND RESTRICTED CASH — End of period

  $ 5,087     $ 6,414  

SUPPLEMENTAL DISCLOSURES OF CASH FLOW INFORMATION:

               

Cash paid for income taxes

  $ 27     $ 12  

Cash paid for interest

  $ 1,187     $ 1,433  

 

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

 

 

VENUS CONCEPT INC.

Notes to Condensed Consolidated Financial Statements

(Unaudited)

(in thousands, unless otherwise noted, except share and per share data)

 

 

1. NATURE OF OPERATIONS

 

Venus Concept Inc. is a global medical technology company that develops, commercializes, and sells minimally invasive and non-invasive medical aesthetic and hair restoration technologies and related services. The Company's systems have been designed on cost-effective, proprietary and flexible platforms that enable it to expand beyond the aesthetic industry’s traditional markets of dermatology and plastic surgery, and into non-traditional markets, including family and general practitioners and aesthetic medical spas. The Company was incorporated in the state of Delaware on November 22, 2002. In these notes to the unaudited condensed consolidated financial statements, the “Company,” “Venus Concept,” “our,” and “we,” refer to Venus Concept Inc. and its subsidiaries on a consolidated basis.

 

Review of Strategic Alternatives

 

On January 24, 2024, the Company announced that its Board is evaluating potential strategic alternatives to maximize shareholder value. As part of the process, the Board is considering a full range of strategic alternatives, which may include one or more financings, mergers, reverse mergers, other business combinations, sales of assets, licensings or other transactions.

 

There can be no assurance that the evaluation of strategic alternatives will result in any transaction, nor can there be any assurance regarding any transaction’s timing or ultimate outcome. The Company has not set a timetable for completion of the process and does not intend to disclose developments related to the process unless and until the Company executes a definitive agreement with respect thereto, or the Board otherwise determines that further disclosure is appropriate or required.

 

Going Concern

 

The accompanying unaudited condensed consolidated financial statements have been prepared on a going concern basis, which contemplates the realization of assets and the satisfaction of liabilities in the normal course of business for the foreseeable future, and, as such, the unaudited condensed consolidated financial statements do not include any adjustments relating to the recoverability and classification of recorded asset amounts or amounts and classification of liabilities that might be necessary should the Company be unable to continue in existence.

 

The Company has had recurring net operating losses and negative cash flows from operations. As of  March 31, 2024 and December 31, 2023, the Company had an accumulated deficit of $271,697 and $261,903, respectively, though, the Company was in compliance with all required covenants as of March 31, 2024, and December 31, 2023. The Company’s recurring losses from operations and negative cash flows raise substantial doubt about the Company’s ability to continue as a going concern within 12 months from the date that the unaudited condensed consolidated financial statements are issued. The global economy, including the financial and credit markets, has recently experienced extreme volatility and disruptions, including increasing inflation rates, rising interest rates, foreign currency impacts, declines in consumer confidence, and declines in economic growth. All these factors point to uncertainty about economic stability, and the severity and duration of these conditions on our business cannot be predicted, and the Company cannot assure that it will remain in compliance with the financial covenants contained within its credit facilities. 

 

In order to continue its operations, the Company must achieve profitable operations and/or obtain additional equity or debt financing. Until the Company achieves profitability, management plans to fund its operations and capital expenditures with cash on hand, borrowings, and issuance of capital stock. Until the Company generates revenue at a level to support its cost structure, the Company expects to continue to incur substantial operating losses and net cash outflows from operating activities.

 

Given the economic uncertainty in U.S. and international markets, the Company cannot anticipate the extent to which the current economic turmoil and financial market conditions will continue to adversely impact the Company’s business and the Company may need additional capital to fund its future operations and to access the capital markets sooner than planned. There can be no assurance that the Company will be successful in raising additional capital or that such capital, if available, will be on terms that are acceptable to the Company. If the Company is unable to raise sufficient additional capital, it may be compelled to reduce the scope of its operations and planned capital expenditures or sell certain assets, including intellectual property assets. These unaudited condensed consolidated financial statements do not include any adjustments relating to the recoverability and classification of recorded asset amounts or amounts and classification of liabilities that might result from the uncertainty. Such adjustments could be material.

 

The accompanying unaudited condensed consolidated financial statements have been prepared on a going concern basis, which contemplates the realization of assets and the satisfaction of liabilities in the normal course of business for the foreseeable future, and, as such, the unaudited condensed consolidated financial statements do not include any adjustments relating to the recoverability and classification of recorded asset amounts or amounts and classification of liabilities that might be necessary should the Company be unable to continue in existence.

 

7

  
 

2. SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES

 

Basis of Presentation

 

The accompanying unaudited condensed consolidated financial statements have been prepared in accordance with generally accepted accounting principles in the United States (“U.S. GAAP”) and with the instructions to Form 10-Q and Article 10 of Regulation S-X. Accordingly, they do not include all of the information and footnotes required by U.S. GAAP for complete financial statements. These unaudited condensed consolidated financial statements should be read in conjunction with the Company’s audited consolidated financial statements included in its Annual Report on Form 10-K for the year ended December 31, 2023, filed with the Securities and Exchange Commission (the “SEC”) on April 1, 2024. In the opinion of management, all adjustments (consisting only of normal recurring adjustments) considered necessary for fair presentation have been included. Operating results for the three months ended March 31, 2024 are not necessarily indicative of the results that may be expected for the year ending December 31, 2024. For further information, refer to the consolidated financial statements and footnotes thereto included in Item 8 of the Company’s most recent Annual Report on Form 10-K.

 

The preparation of these consolidated financial statements in accordance with U.S. GAAP requires management to make estimates and assumptions that affect the reported amounts of assets and liabilities at the date of the financial statements, and the reported amounts of revenues and expenses during the reporting periods. Actual results could differ materially from those estimates. The Company assessed certain accounting matters that generally require consideration of forecasted financial information in context with the information reasonably available to the Company as of March 31, 2024 and through the date of this report filing. The accounting matters assessed included, but were not limited to, the allowance for expected credit losses and the carrying value of intangible and long-lived assets.

 

Amounts reported in thousands within this report are computed based on the amounts in U.S. dollars. As a result, the sum of the components reported in thousands may not equal the total amount reported in thousands due to rounding. Certain columns and rows within tables may not add due to the use of rounded numbers. Percentages presented are calculated from the underlying numbers in dollars.

 

Accounting Policies

 

The accounting policies the Company follows are set forth in the Company’s audited consolidated financial statements for fiscal year 2023. For further information, refer to the consolidated financial statements and footnotes thereto included in Item 8 of the Company’s most recent Annual Report on Form 10-K. There have been no material changes to these accounting policies.

 

Recently Adopted Accounting Standards 

 

In  August 2020, the FASB issued ASU No. 2020-06 (“ASU 2020-06”): Debt—Debt with Conversion and Other Options (Subtopic 470-20) and Derivatives and Hedging—Contracts in Entity’s Own Equity (Subtopic 815-40). ASU 2020-06 reduces the number of accounting models for convertible debt instruments by eliminating the cash conversion and beneficial conversion models. The diluted net income per share calculation for convertible instruments will require the Company to use the if-converted method. For contracts in an entity’s own equity, the type of contracts primarily affected by this update are freestanding and embedded features that are accounted for as derivatives under the current guidance due to a failure to meet the settlement conditions of the derivative scope exception. This update simplifies the related settlement assessment by removing the requirements to (i) consider whether the contract would be settled in registered shares, (ii) consider whether collateral is required to be posted, and (iii) assess shareholder rights. ASU 2020-06 is effective for the Company on  January 1, 2024, with early adoption permitted. ASU No. 2020-06 can be adopted on either a fully retrospective or modified retrospective basis. On  January 1, 2024, the adoption of ASU 2020-06 did not have a material impact on the Company’s consolidated financial statements or disclosures.

 

Recently Issued Accounting Standards Not Yet Adopted

 

In October 2023, the FASB issued ASU No. 2023-06 ("ASU 2023-06"): Disclosure Improvements: Codification Amendments in Response to the SEC’s Disclosure Update and Simplification Initiative. This ASU was issued to clarify or improve disclosure and presentation requirements of a variety of topics, which will allow users to more easily compare entities subject to the SEC's existing disclosures with those entities that were not previously subject to the requirements, and align the requirements in the FASB accounting standard codification with the SEC's regulations. The ASU will become effective prospectively on the earlier of the date on which the SEC removes its disclosure requirements for the related disclosure or June 30, 2027. The Company is currently evaluating the provisions of the amendments and the impact on its future consolidated statements.

 

In November 2023, the FASB issued ASU No. 2023-07 ("ASU 2023-07") Segment Reporting (Topic 280): Improvements to Reportable Segment Disclosures. The new standard requires the disclosure of the Company’s Chief Operating Decision Maker (CODM), expanded incremental line-item disclosures of significant segment expenses used by the CODM for decision-making, and the inclusion of previous annual only segment disclosure requirements on a quarterly basis. This ASU must be applied on a retrospective basis to all prior periods presented in the financial statements. This pronouncement is effective for fiscal years beginning after December 15, 2023, and interim periods within fiscal years beginning after December 15, 2024. The Company is currently assessing the impact of applying this guidance.

 

In December 2023, the FASB issued ASU No. 2023-09 ("ASU 2023-09") Income Taxes (Topic 740): Improvements to Income Tax Disclosures. The guidance requires entities to disclose disaggregated information about their effective tax rate reconciliation as well as information on income taxes paid. The disclosure requirements will be applied on a prospective basis, with the option to apply it retrospectively. This pronouncement is effective for fiscal years beginning after December 15, 2024 and early adoption is permitted. The Company is currently assessing the impact of applying this guidance.

 

8

  
 

3. NET LOSS PER SHARE

 

Net Loss Per Share

 

Basic net loss per share is calculated by dividing net loss by the weighted-average number of shares of common stock outstanding during the period, without consideration for common stock equivalents. Diluted net loss per share is computed by dividing net loss by the weighted-average number of common stock equivalents outstanding for the period determined using the treasury-stock method. For purposes of this calculation, common stock warrants and stock options are considered to be common stock equivalents and are only included in the calculation of diluted net loss per share when their effect is dilutive.

 

The following table sets forth the computation of basic and diluted net loss and the weighted average number of shares used in computing basic and diluted net loss per share (in thousands, except per share data):

 

   

Three Months Ended March 31,

 
   

2024

   

2023

 

Numerator:

               

Net loss

  $ (9,789 )   $ (9,623 )

Net loss allocated to stockholders of the Company

  $ (9,794 )   $ (9,657 )

Denominator:

               

Weighted-average shares of common stock outstanding used in computing net loss per share, basic

    5,829       5,237  

Weighted-average shares of common stock outstanding used in computing net loss per share, diluted

    5,829       5,237  

Net loss per share:

               

Basic

  $ (1.68 )   $ (1.84 )

Diluted

  $ (1.68 )   $ (1.84 )

 

Due to the net loss, all the outstanding shares of common stock equivalents were excluded from the calculation of diluted net loss per share attributable to common stockholders for the quarters ended March 31, 2024 and 2023 because including them would have been antidilutive: 

 

   

March 31, 2024

   

March 31, 2023

 

Options to purchase common stock

    1,048,074       1,005,680  

Preferred stock

    8,969,341       2,123,443  

Restricted share units

    -       2,668  

Shares reserved for convertible notes

    2,662,459       547,593  

Warrants for common stock

    1,936,920       1,061,930  

Total potential dilutive shares

    14,616,794       4,741,314  

  

 

4. FAIR VALUE MEASUREMENTS

 

Financial assets and financial liabilities are initially recognized at fair value when the Company becomes a party to the contractual provisions of the financial instrument. Subsequently, all financial instruments are measured at amortized cost using the effective interest method.

 

The financial instruments of the Company consist of cash and cash equivalents, restricted cash, accounts receivable, long-term receivables, lines of credit, trade payables, government assistance loans, accrued expenses and other current liabilities, other long-term liabilities and long-term debt. In view of their nature, the fair value of these financial instruments approximates their carrying amounts.

 

The Company measures the fair value of its financial assets and financial liabilities using the fair value hierarchy. A financial instrument’s classification within the fair value hierarchy is based upon the lowest level of input that is significant to the fair value measurement. The accounting guidance establishes a three-tiered hierarchy, which prioritizes the inputs used in the valuation methodologies in measuring fair value:

 

Level 1 – Quoted prices in active markets for identical assets or liabilities.

 

Level 2 – Inputs other than Level 1 that are observable, either directly or indirectly, such as quoted prices in markets that are not active, 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 – Unobservable inputs that are supported by little or no market activity and that are significant to the fair value of the assets or liabilities.

 

Guaranteed investment certificates are classified within Level 2 as the Company uses alternative pricing sources and models utilizing market observable inputs for valuation.

 

The Company's convertible note (see Note 13) contains an embedded derivative feature that was required to be bifurcated and remeasured to fair value at each reporting period based on significant inputs not observable in the market, and is classified as a Level 3 measurement according to the fair value hierarchy described above. The changes in fair value recognized as a component of finance expenses. The fair value of derivative liability was determined using a probability-weighted expected return method (“PWERM”) using the “With and Without” approach (a form of an income approach). Under this approach various scenarios were considered to trigger the change of control, conversion, and redemption scenarios constituting the embedded derivative. The PWERM analysis contains inherent assumptions related to expected stock price volatility, conversion and redemption timing, and risk-free interest rate. Due to the use of significant unobservable inputs, the overall fair value measurement of the derivative liability is classified as Level 3.

 

The following tables set forth the fair value of the Company’s Level 1, Level 2 and Level 3 financial assets and liabilities within the fair value hierarchy, and there were no transfers between Level 1, Level 2 and Level 3 for the periods presented:

 

   

Fair Value Measurements as of March 31, 2024

 
   

Quoted Prices in Active Markets using Identical Assets (Level 1)

   

Significant Other Observable Inputs (Level 2)

   

Significant Unobservable Inputs (Level 3)

   

Total

 

Assets

                               

Guaranteed Investment Certificates

  $     $ 61     $     $ 61  

Total assets

  $     $ 61     $     $ 61  

Liabilities

                       

Derivative Liability

                327       327  

Total liabilities

  $     $     $ 327     $ 327  

 

   

Fair Value Measurements as of December 31, 2023

 
   

Quoted Prices in Active Markets using Identical Assets (Level 1)

   

Significant Other Observable Inputs (Level 2)

   

Significant Unobservable Inputs (Level 3)

   

Total

 

Assets

                               

Guaranteed Investment Certificates

  $     $ 62     $     $ 62  

Total assets

  $     $ 62     $     $ 62  

 

9

 
 

5. ACCOUNTS RECEIVABLE

 

The Company’s products may be sold under subscription agreements and our Venus Prime program, with unencumbered title passing to the customer at the end of the lease term, which is generally 36 months. These arrangements are considered to be sales-type leases, where the present value of all cash flows to be received under the agreement is recognized upon shipment to the customer as lease revenue. Venus Prime, launched in January 2024, is a structured in-house financing program which replaces the legacy subscription program for new customers in North America.

 

A financing receivable is a contractual right to receive money, on demand or on fixed or determinable dates, that is recognized as an asset on the Company's unaudited condensed consolidated balance sheets. The Company's financing receivables, consisting of sales-type leases, totaled $28,677 and $32,393 as of  March 31, 2024 and December 31, 2023, respectively, and are included in accounts receivable and long-term receivables on the unaudited condensed consolidated balance sheets. The Company evaluates the credit quality of an obligor at lease inception and monitors credit quality over the term of the underlying transactions.

 

The Company performed an assessment of the allowance for expected credit losses as of March 31, 2024 and December 31, 2023. Based upon such assessment, the Company recorded an allowance for expected credit losses totaling $5,317 and $7,415 as of March 31, 2024, and December 31, 2023, respectively.

 

A summary of the Company’s accounts receivables is presented below:

 

   

March 31,

   

December 31,

 
   

2024

   

2023

 

Gross accounts receivable

  $ 42,391     $ 47,884  

Unearned income

    (2,168 )     (2,139 )

Allowance for expected credit losses

    (5,317 )     (7,415 )
    $ 34,906     $ 38,330  

Reported as:

               

Current trade receivables

  $ 27,168     $ 29,151  

Current unearned interest income

    (1,444 )     (1,468 )

Long-term trade receivables

    9,906       11,318  

Long-term unearned interest income

    (724 )     (671 )
    $ 34,906     $ 38,330  

 

Current subscription agreements are reported as part of accounts receivable. The following are the contractual commitments, net of allowance for expected credit losses, to be received by the Company over the next 5 years:

 

           

March 31,

 
   

Total

   

2024

   

2025

   

2026

   

2027

   

2028

 

Current financing receivables, net of allowance of $5,311

  $ 18,771     $ 18,771     $     $     $     $  

Long-term financing receivables, net of allowance of $6

    9,906             7,236       2,632       38        
    $ 28,677     $ 18,771     $ 7,236     $ 2,632     $ 38     $  

 

Accounts receivable from our legacy subscription-based model do not bear interest and are typically not collateralized. Accounts receivable from Venus Prime sales bear interest commensurate with the customer's credit risk. The Company performs credit evaluations on new and existing customers' financial condition and maintains an allowance for expected credit losses. Uncollectible accounts are charged to expense when deemed uncollectible, and accounts receivable are presented net of an allowance for expected credit losses. Accounts receivable are deemed past due in accordance with the contractual terms of the agreement. Actual losses may differ from the Company’s estimates and could be material to its unaudited condensed consolidated financial position, results of operations and cash flows.

 

The allowance for expected credit losses consisted of the following activity:

 

Balance at January 1, 2023

  $ 13,619  

Write-offs

    (7,554 )

Provision

    1,350  

Balance at December 31, 2023

    7,415  

Write-offs

    (2,269 )

Provision

    171  

Balance at March 31, 2024

  $ 5,317  

 

  

10

 
 

6. SELECT BALANCE SHEET AND STATEMENT OF OPERATIONS INFORMATION

 

Inventory

 

Inventory consists of the following:

 

   

March 31,

   

December 31,

 
   

2024

   

2023

 

Raw materials

  $ 1,849     $ 1,949  

Work-in-progress

    1,891       2,048  

Finished goods

    17,238       19,075  

Total inventory

  $ 20,978     $ 23,072  

 

Additions to inventory are primarily comprised of newly produced units and applicators, refurbishment cost from demonstration units and used equipment which were reacquired during the period from upgraded sales. The Company expensed $5,119 and $6,832 in cost of goods sold in the three months ended March 31, 2024 and 2023, respectively. The balance of cost of goods sold represents the sale of applicators, parts, consumables and warranties.

 

The Company provides for excess and obsolete inventories when conditions indicate that the inventory cost is not recoverable due to physical deterioration, usage, obsolescence, reductions in estimated future demand and reductions in selling prices. Inventory provisions are measured as the difference between the cost of inventory and net realizable value to establish a lower cost basis for the inventories. As of March 31, 2024 and December 31, 2023, a provision for obsolescence of $2,999 and $2,733 was taken against inventory, respectively.

 

Property and Equipment, Net

 

Property and equipment, net consist of the following:

 

   

Useful Lives

   

March 31,

   

December 31,

 
   

(in years)

   

2024

   

2023

 

Lab equipment tooling and molds

    410     $ 4,356     $ 4,356  

Office furniture and equipment

    610       1,218       1,223  

Leasehold improvements

   

up to 10

      893       854  

Computers and software

    3       907       919  

Vehicles

    57       37       37  

Demo units

    5       214       214  

Total property and equipment

            7,625       7,603  

Less: Accumulated depreciation

            (6,396 )     (6,281 )

Total property and equipment, net

          $ 1,229     $ 1,322  

 

Depreciation expense amounted to $112 and $151 for the three months ended March 31, 2024 and 2023, respectively.

 

Other Current Assets

 

   

March 31,

   

December 31,

 
   

2024

   

2023

 

Government remittances (1)

  $ 826     $ 1,336  

Consideration receivable from subsidiaries sale

    75       85  

Sundry assets and miscellaneous

    607       504  

Total other current assets

  $ 1,508     $ 1,925  

 

(1Government remittances are receivables from the local tax authorities for refunds of sales taxes and income taxes.

 

Accrued Expenses and Other Current Liabilities

 

   

March 31,

   

December 31,

 
   

2024

   

2023

 

Payroll and related expense

  $ 2,154     $ 2,260  

Accrued expenses

    4,713       3,924  

Commission accrual

    1,887       2,385  

Sales and consumption taxes

    3,379       3,868  

Total accrued expenses and other current liabilities

  $ 12,133     $ 12,437  

 

Warranty Accrual

 

The following table provides the details of the change in the Company’s warranty accrual:

 

   

March 31,

   

December 31,

 
   

2024

   

2023

 

Balance as of the beginning of the period

  $ 1,363     $ 1,482  

Warranties issued during the period

    109       933  

Warranty costs incurred during the period

    (97 )     (1,052 )

Balance at the end of the period

  $ 1,375     $ 1,363  

Current

    1,107       1,029  

Long-term

    268       334  

Total

  $ 1,375     $ 1,363  

 

Finance Expenses

 

The following table provides the details of the Company’s finance expenses:

 

   

Three Months Ended March 31,

 
   

2024

   

2023

 

Interest expense

  $ 2,077     $ 1,443  

Change in fair value of derivative liability

    (618 )   $  

Accretion on long-term debt and amortization of fees

    209       65  

Total finance expenses

  $ 1,668     $ 1,508  

 

11

 
 

7. LEASES

 

The following presents the various components of lease costs. 

 

   

Three Months Ended March 31,

 
   

2024

   

2023

 

Operating lease cost

  $ 386     $ 510  

Short-term lease cost

           

Total lease cost

  $ 386     $ 510  

 

The following table presents supplemental information relating to the cash flows arising from lease transactions. Cash payments related to short-term leases are not included in the measurement of operating lease liabilities, and as such, are excluded from the amounts below.

 

   

Three Months Ended March 31,

 
   

2024

   

2023

 

Operating cash outflows from operating leases

  $ 386     $ 510  

 

The following table presents the weighted-average lease term and discount rate for operating leases. 

 

   

At March 31,

 
   

2024

   

2023

 

Operating leases

               

Weighted-average remaining lease term

    2.83 yrs.       3.73 yrs.  

Weighted-average discount rate

    4.00 %     4.00 %

 

The following table presents a maturity analysis of expected undiscounted cash flows for operating leases on an annual basis for the next five years and thereafter.

 

 

Years ending December 31,

 

Operating leases

 

2024

  $ 1,075  

2025

    1,294  

2026

    1,101  

2027

    593  

2028

    204  

Thereafter

    341  

Imputed Interest (1)

    (343 )

Total

  $ 4,265  

 

(1) Imputed interest represents the difference between undiscounted cash flows and cash flows.

 

12

 
 

8. INTANGIBLE ASSETS

 

Intangible assets net of accumulated amortization were as follows:

 

   

At March 31, 2024

 
   

Gross Amount

   

Accumulated Amortization

   

Net Amount

 

Customer relationships

  $ 1,400     $ (545 )   $ 855  

Brand

    2,500       (1,395 )     1,105  

Technology

    16,900       (12,437 )     4,463  

Supplier agreement

    3,000       (1,841 )     1,159  

Total intangible assets

  $ 23,800     $ (16,218 )   $ 7,582  

 

   

At December 31, 2023

 
   

Gross Amount

   

Accumulated Amortization

   

Net Amount

 

Customer relationships

  $ 1,400     $ (522 )   $ 878  

Brand

    2,500       (1,330 )     1,170  

Technology

    16,900       (11,735 )     5,165  

Supplier agreement

    3,000       (1,767 )     1,233  

Total intangible assets

  $ 23,800     $ (15,354 )   $ 8,446  

 

For the three months ended March 31, 2024 and 2023, amortization expense was $864 and $856, respectively.

 

Estimated amortization expense for the next five fiscal years and all years thereafter are as follows:

 

Years ending December 31,

       

2024

  $ 2,610  

2025

    3,004  

2026

    657  

2027

    657  

2028

    244  

Thereafter

    410  

Total

  $ 7,582  

 

 

9. COMMITMENTS AND CONTINGENCIES

 

Commitments

 

As of March 31, 2024, the Company has non-cancellable purchase orders placed with its contract manufacturers in the amount of $10.0 million. In addition, as of March 31, 2024, the Company had $1.164 million of open purchase orders that can be cancelled with 270 days’ notice.

 

Aggregate future service and purchase commitments with manufacturers as of March 31, 2024 are as follows:

 

Years ending December 31,

 

Purchase and Service Commitments

 

2024

  $ 9,983  

2025 and Thereafter

     

Total

  $ 9,983  

 

 

13

 
 

10. MAIN STREET TERM LOAN

 

On December 8, 2020, the Company executed a loan and security agreement (the "MSLP Loan Agreement"), a promissory note (the "MSLP Note"), and related documents for a loan in the aggregate amount of $50,000 for which City National Bank of Florida (“CNB”) will serve as a lender pursuant to the Main Street Priority Loan Facility as established by the Board of Governors of the Federal Reserve System Section 13(3) of the Federal Reserve Act (the “MSLP Loan”). On December 9, 2020, the MSLP Loan had been funded and the transaction was closed. The MSLP Note has a term of five years and bears interest at a rate per annum equal to 30-day LIBOR plus 3%. On December 8, 2023 and December 8, 2024, the Company must make an annual payment of principal plus accrued but unpaid interest in an amount equal to fifteen percent (15%) of the outstanding principal balance of the MSLP Note (inclusive of accrued but unpaid interest). The entire outstanding principal balance of the MSLP Note together with all accrued and unpaid interest is due and payable in full on December 8, 2025. The Company may prepay the MSLP Loan at any time without incurring any prepayment penalties. The MSLP Note provides for customary events of default, including, among others, those relating to a failure to make payment, bankruptcy, breaches of representations and covenants, and the occurrence of certain events. In addition, the MSLP Loan Agreement and MSLP Note contain various covenants that limit the Company’s ability to engage in specified types of transactions. Subject to limited exceptions, these covenants limit the Company’s ability, without CNB’s consent, to, among other things, sell, lease, transfer, exclusively license or dispose of the Company’s assets, incur, create, or permit to exist additional indebtedness, or liens, to make dividends and other restricted payments, and to make certain changes to its ownership structure.

 

On  October 4, 2023, the Company, Venus Concept USA Inc. (“Venus USA”), Venus Concept Canada Corp. (“Venus Canada”) and Venus Concept Ltd. (“Venus Ltd.”) entered into the Loan Modification Agreement with CNB, which modified certain terms of the MSLP Loan Agreement. The primary modifications of the MSLP Loan Modification were (i) the principal payment in the amount of 15% of the outstanding principal balance of the loan originally due December 31, 2023 is deferred until maturity, (ii) the principal payment in the amount of 15% of the outstanding principal balance of the loan originally due December 31, 2024 is reduced to 7.5% with the remainder deferred until maturity, (iii) the interest rate of the loan is reset from one-month LIBOR plus three percent (3%) to one-month term Secured Overnight Financing Rate (SOFR) plus three and one-quarter percent (3.25%), and (iv) Venus USA has assigned certain of its subscription sales contracts to CNB.

 

On January 18, 2024, the Company and the Guarantors entered into a Loan Modification Agreement (the “Loan Modification Agreement”) with CNB and Madryn Health Partners, LP, and certain of its affiliates (collectively, “Madryn”). The Loan Modification Agreement amends the MSLP Loan Agreement to, among other things, satisfy the 2023 Minimum Deposit Requirements (as defined in the Loan Modification Agreement) and defer the testing of the Minimum Deposit Relationship obligations set forth in the MSLP Loan Agreement for the monthly periods ending on January 31, 2024, February 28, 2024 and March 31, 2024 until April 30, 2024.

 

As of March 31, 2024 and December 31, 2023, the Company was in compliance with all required covenants.

 

The scheduled payments, inclusive of principal and estimated interest, on the outstanding borrowings as of March 31, 2024 are as follows:

 

      As of March 31, 2024  

2024

  $ 7,285  

2025

    51,905  

Total

  $ 59,190  

 

On April 23, 2024, the MSLP Loan was purchased by Madryn for an undisclosed amount from CNB with the consent of the Company.

14

 

 

11. MADRYN DEBT AND CONVERTIBLE NOTES

 

On October 11, 2016, Venus Ltd. entered into a credit agreement as a guarantor with Madryn, as amended (the “Madryn Credit Agreement”), pursuant to which Madryn agreed to make certain loans to certain of Venus Concept’s subsidiaries.

 

On December 9, 2020, contemporaneously with the MSLP Loan Agreement (Note 10), the Company and its subsidiaries, Venus USA, Venus Ltd., Venus Canada, and the Madryn Noteholders (as defined below), entered into a securities exchange agreement (the "Exchange Agreement") dated as of December 8, 2020, pursuant to which the Company (i) repaid on December 9, 2020, $42.5 million aggregate principal amount owed under the Madryn Credit Agreement, and (ii) issued, on December 9, 2020, to Madryn Health Partners (Cayman Master), LP and Madryn Health Partners, LP (the "Madryn Noteholders") secured subordinated convertible notes in the aggregate principal amount of $26.7 million (the "Notes"). The Madryn Credit Agreement was terminated effective December 9, 2020 upon the funding and closing of the MSLP Loan and the issuance of the Notes.

 

On October 4, 2023, the Company entered into a securities exchange agreement (the "2023 Exchange Agreement") with the Madryn Noteholders. Pursuant to the 2023 Exchange Agreement, the Madryn Noteholders agreed to exchange (the "Exchange") $26.695 million in aggregate principal amount of outstanding secured convertible notes of the Company for (i) secured subordinated convertible notes in aggregate principal amount of $22.792 million (the “New Notes”) and (ii) 248,755 shares of newly-created convertible preferred stock of the Company, par value $0.0001 per share designated as "Series X Convertible Preferred Stock" (the "Series X Preferred Stock"). The Series X Preferred Stock is priced at $20.10 per share (the "Issuance Price"), being equal to the "Minimum Price" as set forth in Nasdaq Listing Rule 5635(d), multiplied by ten. The New Notes accrue interest at a rate of 3-month adjusted term Secured Overnight Financing Rate (SOFR) plus 8.50% per annum. In the case of an event of default under the New Notes, the then-applicable interest rate will increase by four percent (4.00%) per annum. Interest is payable in kind in arrears on the last business day of each calendar quarter of each year after the original issuance date, beginning on December 31, 2023. The New Notes mature on December 9, 2025, unless earlier redeemed or converted. As part of the extinguishment of principal, the Company recognized a $2.0 million loss.

 

As of March 31, 2024, the Company had approximately $24.4 million principal and interest of convertible notes outstanding that were issued pursuant to the Exchange Agreement (as defined below).

 

In connection with the New Notes and Notes, the Company recognized interest expense of $834 and $540 during the three months ended March 31, 2024 and 2023, respectively. The conversion feature, providing the Madryn Noteholders with a right to receive the Company’s shares upon conversion of the New Notes and Notes, was qualified for a scope exception in ASC 815-10-15 and did not require bifurcation. The New Notes and Notes also contained embedded redemption features that provided multiple redemption alternatives. Certain redemption features provided the Madryn Noteholders with a right to receive cash and a variable number of shares upon change of control and an event of default (as defined in the New Notes and Notes). The Company evaluated redemption upon change of control and an event of default under ASC 815, Derivatives and Hedging, and determined that these two redemption features required bifurcation. These embedded derivatives were accounted for as liabilities at their estimated fair value as of the date of issuance, and then subsequently remeasured to fair value as of each balance sheet date, with the related remeasurement adjustment being recognized as a component of change in fair value of derivative liabilities in the unaudited condensed consolidated statements of operations. The Company determined the likelihood of an event of default and change of control as remote as of March 31, 2024, and December 31, 2023, therefore a nominal value was allocated to the underlying embedded derivative liabilities as of March 31, 2024, and December 31, 2023.

 

The scheduled payments, inclusive of principal and interest, on the outstanding borrowings as of March 31, 2024 are as follows:

 

   As of March 31, 2024 

2024

 $ 

2025

  30,923 

Total

 $30,923 

 

For the three months ended March 31, 2024, the Company did not make any principal repayments.

 

Following Madryn’s purchase of the MSLP Loan, on April 23, 2024, the Company entered into a Loan and Security Agreement (the “Loan and Security Agreement”), by and among Venus USA, (as “Bridge Borrower”), Venus Canada, Venus Ltd. (Venus Ltd., together with the Company and Venus Canada, the “2024 Guarantors,” and together with the Bridge Borrower, the “2024 Loan Parties”) and, each lender party thereto (collectively, the “2024 Lenders”) and Madryn Health Partners, LP, as administrative agent (“Madryn HP”). For additional details related to the Loan and Security Agreement, see Item 1. Note 19. Subsequent Events and elsewhere in this quarterly report on Form 10-Q for the quarter ended March 31, 2024.

 

15

 
 

12. CREDIT FACILITY

 

On August 29, 2018, Venus Ltd. entered into an Amended and Restated Loan Agreement as a guarantor with CNB, as amended on March 20, 2020, December 9, 2020 and August 26, 2021 (the “CNB Loan Agreement”), pursuant to which CNB agreed to make certain loans and other financial accommodations to certain of Venus Ltd.’s subsidiaries to be used to finance working capital requirements. In connection with the CNB Loan Agreement, Venus Ltd. also entered into a guaranty agreement with CNB dated as of August 29, 2018, as amended on March 20, 2020, December 9, 2020 and August 26, 2021 (the “CNB Guaranty”), pursuant to which Venus Ltd. agreed to guaranty the obligations of its subsidiaries under the CNB Loan Agreement. On March 20, 2020, the Company also entered into a Security Agreement with CNB (the “CNB Security Agreement”), as amended on December 9, 2020 and August 26, 2021, pursuant to which it agreed to grant CNB a security interest in substantially all of our assets to secure the obligations under the CNB Loan Agreement.

 

The CNB Loan Agreement contains various covenants that limit the Company’s ability to engage in specified types of transactions. Subject to limited exceptions, these covenants limit the Company’s ability, without CNB’s consent, to, among other things, sell, lease, transfer, exclusively license or dispose of the Company’s assets, incur, create, or permit to exist additional indebtedness, or liens, to make dividends and certain other restricted payments, and to make certain changes to its management and/or ownership structure. 

 

On  August 26, 2021, the Company, Venus USA and Venus Canada entered into a Fourth Amended and Restated Loan Agreement (the “Amended CNB Loan Agreement”) with CNB, pursuant to which, among other things, (i) the maximum principal amount the revolving credit facility was reduced from $10,000 to $5,000 at the LIBOR 30-Day rate plus 3.25%, subject to a minimum LIBOR rate floor of 0.50%, and (ii) beginning  December 10, 2021, the cash deposit requirement was reduced from $3,000 to $1,500, to be maintained with CNB at all times during the term of the Amended CNB Loan Agreement. The Amended CNB Loan Agreement is secured by substantially all of the Company’s assets and the assets of certain of its subsidiaries. 

 

In connection with the Amended CNB Loan Agreement, the Company, Venus USA and Venus Canada issued a promissory note dated August 26, 2021, in favor of CNB (the “CNB Note”) in the amount of $5,000 with a maturity date of  July 24, 2023 and the obligations of the Company pursuant to certain of the Company’s outstanding promissory notes were reaffirmed as subordinated to the indebtedness of the Company owing to CNB pursuant to a Supplement to Subordination of Debt Agreements dated as of August 26, 2021 by and among Madryn Health Partners, LP, Madryn Health Partners (Cayman Master), LP, the Company and CNB. The CNB Note and Amended CNB Loan Agreement expired at its maturity date.

 

As of   March 31, 2024, and as of expiration of credit facility, the Company was in compliance with all required covenants. An event of default under this agreement would have caused a default under the MSLP Loan (see Note 10).

 

16

  
 

13.  EW CONVERTIBLE NOTES

 

On January 18, 2024, the Company, Venus USA, Venus Canada and Venus Ltd (the “Guarantors”) entered into a Note Purchase and Registration Rights Agreement (the “Note Purchase Agreement”) with EW Healthcare Partners, L.P. (“EW”) and EW Healthcare Partners-A, L.P. (“EW-A,” and together with EW, the “EW Investors”). Pursuant to the Note Purchase Agreement, the Company issued and sold to the EW Investors $2.0 million in aggregate principal amount of secured subordinated convertible notes (the “2024 Notes").

 

The 2024 Notes accrue interest at a rate equal to the 90-day adjusted term Secured Overnight Financing Rate (SOFR) plus 8.50% per annum; provided, however, that if there is an Event of Default (as defined below), the then-applicable interest rate will increase by 4.00% per annum. Interest is payable in kind in arrears on the last business day of each calendar quarter of each year after the original issuance date, beginning on March 31, 2024. The 2024 Notes mature on December 9, 2025, unless earlier redeemed or converted, at which time all outstanding principal and interest is payable in cash, except as described below. At any time prior to the maturity date, a holder may convert the 2024 Notes at their option into shares of common stock at the then-applicable conversion rate. The initial conversion rate is 799.3605 shares of common stock per one-thousand principal amount of 2024 Notes, which represents an initial conversion price of approximately $1.251 per share of common stock. The conversion rate is subject to customary anti-dilution adjustments. The 2024 Notes are redeemable, in whole and not in part, at the Company’s option at any time, at a redemption price equal to the principal amount of the 2024 Notes to be redeemed, plus accrued and unpaid interest, if any, to, the redemption date, plus a redemption premium. The Company’s redemption option is subject to satisfaction of the conditions set forth in the 2024 Notes, including that a registration statement covering the resale of the shares of common stock issuable upon conversion of the 2024 Notes is effective and available for use.

 

The 2024 Notes have customary provisions relating to the occurrence of “Events of Default,” as defined in the 2024 Notes. If an Event of Default occurs, then the EW Investors may, subject to the terms of the CNB Subordination Agreement (as defined below), (i) declare the outstanding principal amount of the 2024 Notes, all accrued and unpaid interest and all other amounts owing under the 2024 Notes and other transaction documents entered into in connection therewith to be immediately become due and payable, without any further action or notice by any person, and (ii) exercise all rights and remedies available to them under the 2024 Notes, the EW Security Agreement (as defined below) and any other document entered into in connection with the foregoing. The 2024 Notes constitute the Company’s secured, subordinated obligations and are (i) equal in right of payment with the Company’s existing and future senior unsecured indebtedness; (ii) senior in right of payment to the Company’s existing and future indebtedness that is expressly subordinated to the 2024 Notes; and (iii) subordinated to the Company’s existing secured indebtedness in a manner consistent with the Existing Subordination Agreements (as defined below).

 

On January 18, 2024, the Company and the Guarantors entered into a Guaranty and Security Agreement, dated January 18, 2024 (the “EW Security Agreement”) with EW, as collateral agent. Pursuant to the EW Security Agreement, the Guarantors jointly and severally guaranteed to the EW Investors the prompt payment of all outstanding amounts under the 2024 Notes when due. The Guarantors also granted to the EW Investors a security interest in substantially all of their assets to secure the obligations under the 2024 Notes.

 

Pursuant to the EW Security Agreement, during the continuance of an Event of Default under the 2024 Notes, if the Company is unable to repay all outstanding amounts under the 2024 Notes, the EW Investors may, subject to the terms of the CNB Subordination Agreement (as defined below), foreclose on the collateral to collateralize such indebtedness. Any such foreclosure could significantly affect the Company’s ability to operate its business.

 

The EW Security Agreement contains various covenants that limit the Company’s ability to engage in specified types of transactions. Subject to limited exceptions, these covenants include restrictions on the Company’s ability, to incur, create or permit to exist additional indebtedness, or liens, and to make certain changes to its ownership structure, in each case without the Investor’s consent.

 

On January 18, 2024, the Company and the Guarantors entered into a Subordination of Debt Agreement (the “CNB Subordination Agreement”) with CNB and the EW Investors. The CNB Subordination Agreement provides that the 2024 Notes are subordinated to the Company’s existing secured indebtedness with CNB, in a manner consistent with the subordination of the Secured Subordinated Convertible Notes, dated October 4, 2023 (the “Madryn Notes”), issued to Madryn pursuant to those certain existing Subordination of Debt Agreements, dated as of December 8, 2020 entered into by the Company and the Guarantors, CNB, and Madryn (the “Existing Subordination Agreements”). The 2024 Notes and the Madryn Notes are secured by the same collateral, except that the 2024 Notes also receive a first priority perfected security interest and lien on the Company’s right to receive certain amounts from the Internal Revenue Service in respect of certain employee retention credits claimed by the Company (defined in the Notes as the “ERC Claim”).

 

As of March 31, 2024, the Company had approximately $2.1 million principal and interest of the 2024 convertible notes outstanding that were issued pursuant to the Note Purchase Agreement (as defined below).

 

In connection with the 2024 Notes, the Company recognized interest expense of $57 during the three months ended March 31, 2024. The 2024 Notes contained a conversion option, redemption right upon an event of default, change of control scenario, and interest rate penalty upon an event of default which were evaluated under ASC 815, Derivatives and Hedging, and determined that these features required bifurcation. These embedded derivatives were accounted for as liabilities at their estimated fair value as of the date of issuance, and then subsequently remeasured to fair value as of each balance sheet date, with the related remeasurement adjustment being recognized as a component of change in fair value of derivative liabilities in the unaudited condensed consolidated statements of operations. The fair value of the embedded derivative liability at issuance and as of March 31, 2024 were $0.9 million and $0.3 million, respectively.

 

As of March 31, 2024 and December 31, 2023, the Company was in compliance with all required covenants.

 

The scheduled payments, inclusive of principal and interest, on the outstanding borrowings as of March 31, 2024 are as follows:

 

  

As of March 31, 2024

 

2024

 $ 

2025

  2,601 

Total

 $2,601 

 

For the three months ended March 31, 2024, the Company did not make any principal repayments.

 

17

  
 

14. COMMON STOCK RESERVED FOR ISSUANCE

 

The Company is required to reserve and keep available out of its authorized but unissued shares of common stock a number of shares sufficient to affect the exercise of all classes of preferred stock, convertible promissory notes, options granted and available for grant under the incentive plans and warrants to purchase common stock.

 

   

March 31, 2024

   

December 31, 2023

 

Outstanding common stock warrants

    1,936,920       1,061,930  

Outstanding stock options and RSUs

    1,048,074       981,834  

Preferred shares

    8,969,341       8,889,221  

Shares reserved for conversion of future voting preferred share issuance

    5,764,093       5,844,213  

Shares reserved for future option grants and RSUs

    254,241       99,580  

Shares reserved for Lincoln Park

    702,847       711,180  

Shares reserved for Madryn Noteholders

    1,300,000       1,300,000  

Shares reserved for EW Noteholders

    2,000,000        

Total common stock reserved for issuance

    21,975,516       18,887,958  

  

 

15. STOCKHOLDERS' EQUITY (DEFICIT)

 

Common Stock

 

The Company’s common stock confers upon its holders the following rights:

 

 

The right to participate and vote in the Company’s stockholder meetings, whether annual or special. Each share will entitle its holder, when attending and participating in the voting in person or via proxy, to one vote;

 

 

The right to a share in the distribution of dividends, whether in cash or in the form of bonus shares, the distribution of assets or any other distribution pro rata to the par value of the shares held by them; and

 

 

The right to a share in the distribution of the Company’s excess assets upon liquidation pro rata to the par value of the shares held by them.

 

Reverse Stock Split

 

At the annual and special meeting of the Company’s shareholders held on  May 10, 2023, the Company’s shareholders granted the Company’s Board of Directors discretionary authority to implement the Reverse Stock Split and to fix the specific consolidation ratio within a range of one-for-five (1-for-5) to one-for-fifteen (1-for-15). On  May 11, 2023, the Company filed an amendment to the Company’s Certificate of Incorporation to implement the Reverse Stock Split based on a one-for-fifteen (1-for-15) consolidation ratio. The Company’s common shares began trading on the Nasdaq Capital Market on a reverse split-adjusted basis under the Company’s existing trade symbol “VERO” at the opening of the market on  May 12, 2023. 

 

Equity Purchase Agreement with Lincoln Park

 

On June 16, 2020, the Company entered into a purchase agreement (the "Equity Purchase Agreement") with Lincoln Park Capital Fund LLC ("Lincoln Park"), which provides that, upon the terms and subject to the conditions and limitations set forth therein, the Company may sell to Lincoln Park up to $31,000 worth of shares of its common stock, par value $0.0001 per share, pursuant to its shelf registration statement. The purchase price of shares of common stock related to a future sale will be based on the then prevailing market prices of such shares at the time of sales as described in the Equity Purchase Agreement. The aggregate number of shares that the Company can sell to Lincoln Park under the Equity Purchase Agreement may in no case exceed 517,560 shares (subject to adjustment) of common stock (which is equal to approximately 19.99% of the shares of the common stock outstanding immediately prior to the execution of the Equity Purchase Agreement) (the “Exchange Cap”), unless (i) stockholder approval is obtained to issue shares above the Exchange Cap, in which case the Exchange Cap will no longer apply, or (ii) with Equity Purchase Agreement equals or exceeds $59.6325 per share (subject to adjustment) (which represents the minimum price, as defined under Nasdaq Stock Market LLC ("Nasdaq") Listing Rule 5635(d), on the Nasdaq Global Market immediately preceding the signing of the Equity Purchase Agreement, such that the transactions contemplated by the Equity Purchase Agreement are exempt from the Exchange Cap limitation under applicable Nasdaq rules.) Also, at no time may Lincoln Park (together with its affiliates) beneficially own more than 9.99% of the Company’s issued and outstanding common stock. Concurrently with entering into the Equity Purchase Agreement, the Company also entered into a registration rights agreement with Lincoln Park, pursuant to which it agreed to provide Lincoln Park with certain registration rights related to the shares of common stock issued under the Equity Purchase Agreement (the “Registration Rights Agreement”).

 

From commencement to expiry on July 1, 2022, the Company issued and sold to Lincoln Park 229,139 shares of its common stock at an average price of $40.50 per share, and 13,971 of these shares were issued to Lincoln Park as a commitment fee in connection with entering into the Equity Purchase Agreement (the “Commitment Shares”). The total value of the Commitment Shares of $620 together with the issuance costs of $123 were recorded as deferred issuance costs in the consolidated balance sheet at inception and were amortized into consolidated statements of stockholders’ equity (deficit) proportionally based on proceeds received during the term of the Equity Purchase Agreement. In 2022, the Company issued 26,666 shares of its common stock and the proceeds from common stock issuances as of December 31, 2022 were $272, with no issuance costs. The proceeds in the amount of $272 were recorded in the condensed consolidated statements of cash flows as net cash proceeds from issuance of common stock. The Equity Purchase Agreement expired on July 1, 2022, and was replaced with the 2022 LPC Purchase Agreement discussed below.

 

2022 LPC Purchase Agreement with Lincoln Park

 

On July 12, 2022, the Company entered into a purchase agreement (the “2022 LPC Purchase Agreement”) with Lincoln Park, as the Equity Purchase Agreement expired on July 1, 2022. The 2022 LPC Purchase Agreement provides that, upon the terms and subject to the conditions and limitations set forth therein, the Company may sell to Lincoln Park up to $11,000 of shares (the “Purchase Shares”) of its common stock, par value $0.0001 per share. Concurrently with entering into the 2022 LPC Purchase Agreement, the Company also entered into a registration rights agreement (the “2022 LPC Registration Rights Agreement”) with Lincoln Park, pursuant to which it agreed to provide Lincoln Park with certain registration rights related to the shares issued under the 2022 LPC Purchase Agreement. The aggregate number of shares that the Company can issue to Lincoln Park under the 2022 LPC Purchase Agreement may not exceed 858,224 shares of common stock, which is equal to 19.99% of the shares of common stock outstanding immediately prior to the execution of the 2022 LPC Purchase Agreement (the “2022 Exchange Cap”), unless (i) stockholder approval is obtained to issue shares of common stock in excess of the 2022 Exchange Cap, in which case the 2022 Exchange Cap will no longer apply, or (ii) the average price of all applicable sales of common stock to Lincoln Park under the 2022 LPC Purchase Agreement equals or exceeds the lower of (i) the Nasdaq official closing price immediately preceding the execution of the 2022 LPC Purchase Agreement or (ii) the arithmetic average of the five Nasdaq official closing prices for the common stock immediately preceding the execution of the 2022 LPC Purchase Agreement, plus an incremental amount to take into account the issuance of the commitment shares to Lincoln Park under the 2022 LPC Purchase Agreement, such that the transactions contemplated by the 2022 LPC Purchase Agreement are exempt from the 2022 Exchange Cap limitation under applicable Nasdaq rules. In all instances, the Company may not sell shares of its common stock to Lincoln Park under the 2022 LPC Purchase Agreement if it would result in Lincoln Park beneficially owning more than 9.99% of the outstanding shares of common stock. Upon execution of the 2022 LPC Purchase Agreement, the Company issued 45,701 shares of common stock to Lincoln Park as a commitment fee in connection with entering into the 2022 LPC Purchase Agreement at the total amount of $330. Through December 31, 2023 the Company issued an additional 776,452 shares of common stock to Lincoln Park at an average price of $3.966 per share for a total value of $3,080. During the three months ended March 31, 2024, the Company issued an additional 8,333 shares of common stock to Lincoln Park at an average price of $1.16 per share, for a total value of $10. Further information regarding the 2022 LPC Purchase Agreement is contained in the Company’s Form 8-K filed with the SEC on July 12, 2022.

18

 

The 2022 Private Placement


In  November 2022, we entered into a securities purchase agreement with certain investors (collectively, the "2022 Investors") pursuant to which the Company issued and sold to the 2022 Investors an aggregate of 116,668 shares of common stock, par value $0.0001 per share, and 3,185,000 shares of voting convertible preferred stock, par value $0.0001 per share (the "Voting Preferred Stock"), which are convertible into 2,123,443 shares of common stock upon receipt of a valid conversion notice from a 2022 Investor or at the option of the Company within 30 days following the occurrence of certain events (the "2022 Private Placement"). The 2022 Private Placement was completed on November 18, 2022. The gross proceeds from the securities sold in the 2022 Private Placement was $6,720. The costs incurred with respect to the 2022 Private Placement totaled $202 and were recorded as a reduction of the 2022 Private Placement proceeds in the consolidated statements of stockholders' equity (deficit). Further information regarding the 2022 Private Placement is contained in the Company’s Form 8-K filed with the SEC on  November 18, 2022.

 

Voting Preferred Stock issued in November 2022

 

As noted above, in November 2022, the Company issued and sold to certain 2022 Investors an aggregate of 3,185,000 shares of Voting Preferred Stock. The terms of the Voting Preferred Stock are governed by a Certificate of Designation filed by the Company with the Secretary of State of the State of Delaware on November 17, 2022. The following is a summary of the material terms of the Voting Preferred Stock:

 

  Voting Rights. The Voting Preferred Stock votes with the Common Stock on an as-converted basis.

 

  Liquidation. Each share of Voting Preferred Stock carries a liquidation preference, senior to the Common Stock in an amount equal to the greater of (a) $30.00 (being the issuance price) and (b) the amount that would be distributed in respect of such share of Voting Preferred Stock if it were converted into Common Stock and participated in such liquidating distribution with the other shares of Common Stock.

 

  Conversion. The Voting Preferred Stock will convert into shares of Common Stock on a one for 0.6667 basis (i) at the option of a 2022 Investor upon delivery of a valid conversion notice to the Company or (ii) at the option of the Company within 30 days following the earlier to occur of (a) the date on which the volume-weighted average price of the Common Stock has been greater than or equal to $18.75 for 30 consecutive trading days and (b) the date on which the Company has reported two consecutive fiscal quarters of positive cash flow. 

 

  Dividends. Each share of Voting Preferred Stock is entitled to participate in dividends and other non-liquidating distributions (if, as and when declared by the Board of the Company) on an as-converted basis, pari passu with the Common Stock.

 

  Redemption. The Voting Preferred Stock is not redeemable at the election of the Company or at the election of the holder.

 

  Maturity. The Voting Preferred Stock shall be perpetual unless converted.

 

The 2023 Multi-Tranche Private Placement

 

In May 2023, we entered into a securities purchase agreement (the "2023 Multi-Tranche Private Placement Stock Purchase Agreement") with certain investors (collectively, the "2023 Investors") pursuant to which the Company may issue and sell to the 2023 Investors up to $9,000,000 in shares (the "2023 Multi-Tranche Private Placement") of newly-created senior convertible preferred stock, par value $0.0001 per share (the “Senior Preferred Stock”), in multiple tranches from time to time until December 31, 2025, subject to a minimum aggregate purchase amount of $0.5 million in each tranche. The initial sale in the 2023 Multi-Tranche Private Placement occurred on May 15, 2023, under which the Company sold the 2023 Investors 280,899 shares of Senior Preferred Stock for an aggregate purchase price of $2.0 million (the "Initial Placement"). The Company used the proceeds of the Initial Placement, after the payment of transaction expenses, for general working capital purposes. The following is a summary of the material terms of the Senior Preferred Stock:

 

  Voting Rights. The Senior Preferred Stock has aggregate number of votes equal to the product of (a) the quotient of (i) the aggregate purchase price paid under the Stock Purchase Agreement for all shares of Senior Preferred Stock issued and outstanding as of such time, divided by (ii) the highest purchase price paid by a holder for a share of Senior Preferred Stock prior to or as of such time, multiplied by (b) two. Such formula ensures that no share of senior preferred stock will ever have more than two votes per share, with such number of votes subject to reduction (but not increase) depending on the pricing of future sales of Senior Preferred Stock in the Private Placement. The Senior Preferred Stock votes with the Company’s common stock on all matters submitted to holders of common stock and does not vote as a separate class.

 

  Liquidation. Each share of Senior Preferred Stock carries a liquidation preference, senior to the Common Stock and Voting Preferred Stock, in an amount equal to the product of the Purchase Price for such share, multiplied by 2.50.

 

  Conversion. The Senior Preferred Stock will convert into shares of Common Stock on a one for 2.6667 basis at the option of (a) the investors at any time or (b) the Company within 30 days following the date on which the 30-day volume-weighted average price of the common stock exceeds the product of (i) the Purchase Price for the shares of senior preferred stock to be converted, multiplied by (ii) 2.75.

 

  Dividends. Each share of Senior Preferred Stock is entitled to participate in dividends and other non-liquidating distributions (if, as and when declared by the Board of the Company) on an as-converted basis, pari passu with the Common Stock and Voting Preferred Stock.

 

  Redemption. The Senior Preferred Stock is not redeemable at the election of the Company or at the election of the holder.

 

  Maturity. The Senior Preferred Stock shall be perpetual unless converted.

 

On July 6, 2023, the Company and the 2023 Investors entered into an amendment to the 2023 Multi-Tranche Private Placement Stock Purchase Agreement (the “Multi-Tranche Amendment”). The Multi-Tranche Amendment (a) clarifies the appropriate date pursuant to which the purchase price for each share of Senior Preferred Stock to be sold in the Private Placement is determined (such that the purchase price shall be equal to the “Minimum Price” as set forth in Nasdaq Listing Rule 5635(d)) and (b) permits the Company to specify a desired closing date (subject to approval by the 2023 Investors) for each sale in the 2023 Multi-Tranche Private Placement. 

 

On July 12, 2023, the Company and the 2023 Investors consummated the second tranche in the 2023 Multi-Tranche Private Placement, under which the Company sold the 2023 Investors 500,000 shares of Senior Preferred Stock for an aggregate purchase price of $2.0 million (the “Second Placement”). The Company used the proceeds of the Second Placement, after the payment of transaction expenses, for general working capital purposes.

 

On September 8, 2023, the Company and the 2023 Investors consummated the third tranche in the 2023 Multi-Tranche Private Placement, under which the Company sold the 2023 Investors 292,398 shares of Senior Preferred Stock for an aggregate purchase price of $1.0 million (the "Third Placement", and together with the First Placement and Second Placement, the "Placements"). The Company used the proceeds of the Third Placement, after the payment of transaction expenses, for general working capital purposes.

 

On October 20, 2023, the Company and the 2023 Investors consummated the fourth tranche in the 2023 Multi-Tranche Private Placement, under which the Company sold the 2023 Investors 502,513 shares of Senior Preferred Stock for an aggregate purchase price of $2.0 million (the “Fourth Placement”). The Company used the proceeds of the Fourth Placement, after the payment of transaction expenses, for general working capital purposes.

 

19

 

Series X Convertible Preferred Stock

 

On  October 4, 2023, the Company filed a Certificate of Designations with respect to the Series X Preferred Stock with the Secretary of State of the State of Delaware, thereby creating the Series X Preferred Stock. The Certificate of Designations authorizes the issuance of up to 400,000 shares of Series X Preferred Stock. The Series X Preferred Stock is convertible into shares of Common Stock on a one-for-ten basis, in whole or in part, at the option of the holder at any time upon delivery of a valid conversion notice of the Company; provided, however, that the Series X Preferred Stock is subject to limitations on convertibility to the extent necessary to comply with the rules and regulations of the Nasdaq. Each share of Series X Preferred Stock carries a liquidation preference, senior to the Common Stock, the Senior Preferred Stock and Voting Preferred Stock, in an amount equal to the Issuance Price, subject to appropriate adjustment in the event of any stock dividend, stock split, combination or similar recapitalization with respect to the Common Stock. From the date of issuance until December 31, 2026, each share of Series X Preferred Stock accrues a dividend at a rate of 12.5% per annum. Such dividend is payable on a quarterly basis in cash or additional shares of Series X Preferred Stock, at the Company’s election. In addition, each share of Series X Preferred Stock is entitled to participate in dividends and other non-liquidating distributions, if, as and when declared by the Board, on a pari passu basis with the Common Stock, Senior Preferred Stock and Junior Preferred Stock. The following is a summary of the material terms of the Senior Preferred Stock:

 

  Voting Rights. The holders of the Series X Preferred Stock shall be entitled to vote on all matters on which holders of Common Stock shall be entitled to vote, and shall be entitled to a number of votes equal to the Converted Stock Equivalent which is 10 common shares per 1 Series X Preferred stock.

 

  Liquidation. Each share of Series X Preferred Stock carries a liquidation preference, senior to the Common Stock and Voting Preferred Stock, in an amount equal to the Unpaid Liquidation Preference at that time.

 

  Conversion. The Series X Preferred Stock will convert into shares of Common Stock on a one for 10 basis at the option of the investors at any time.

 

  Dividends. The Series X Preferred Stock accrues a dividend at a rate of 12.5% per annum, payable on a quarterly basis in cash or additional shares of Series X Preferred Stock, at the Company’s election. In addition, each share of Series X Preferred Stock is entitled to participate in dividends and other non-liquidating distributions, if, as and when declared by the Board, on a pari passu basis with the Common Stock, Senior Preferred Stock and Junior Preferred Stock.

 

  Redemption. The Senior Preferred Stock is not redeemable at the election of the Company or at the election of the holder.

 

  Maturity. The Senior Preferred Stock shall be perpetual unless converted, however dividends will stop accruing on December 31, 2026.

 

Registered Direct Offering

 

On February 22, 2024, the Company, entered into a securities purchase agreement (the “SPA”) with certain institutional investors (each, a “2024 Investor”), pursuant to which the Company agreed to issue and sell to the 2024 Investors (i) in a registered direct offering, an aggregate of 817,748 shares of the Company’s common stock, at a price of $1.465 per share and (ii) in a concurrent private placement, warrants to acquire up to an aggregate of 817,748 shares of Common Stock (the “2024 Investor Warrants”), at an initial exercise price of $1.34 per share (the “Offering”).

 

The Shares were offered at-the-market under Nasdaq rules and pursuant to the Company’s shelf registration statement on Form S-3 initially filed by the Company with the Securities and Exchange Commission (the “SEC”) under the Securities Act, on October 15, 2021 and declared effective on October 25, 2021.

 

The 2024 Investor Warrants (and the shares of common stock issuable upon the exercise of the 2024 Investor Warrants) were not registered under the Securities Act and were offered pursuant to an exemption from the registration requirements provided under Section 4(a)(2) of the Securities Act. The 2024 Investor Warrants are exercisable upon issuance and will expire five years from the issuance date, and in certain circumstances may be exercised on a cashless basis. If the Company fails for any reason to deliver shares of common stock upon the valid exercise of the 2024 Investor Warrants within the prescribed period set forth in the 2024 Investor Warrants, the Company is required to pay the applicable holder liquidated damages in cash as set forth in the 2024 Investor Warrants.

 

A holder is not entitled to exercise any portion of a 2024 Investor Warrant, if, after giving effect to such exercise, the aggregate number of shares of common stock beneficially owned by the holder (together with its affiliates and any other persons) whose beneficial ownership of Common Stock would or could be aggregated with the holder’s for purposes of Section 13(d) or Section 16 of the Exchange Act would exceed 4.99%, or at the election of a 2024 Investor 9.99%, of the common stock outstanding after giving effect to the exercise. Such 4.99% limitation may be increased at the holder’s election upon 61 days’ notice to the Company, provided that such percentage may not exceed 9.99%.

 

On February 27, 2024, the Company closed the Offering, raising gross proceeds of approximately $1.2 million before deducting placement agent fees and other offering expenses payable by the Company. The proceeds received in the Offering were allocated to each instrument on a relative fair value basis.

 

Under the SPA, no later than March 8, 2024, the Company is required to file a registration statement on Form S-3 (or other appropriate form if the Company is not then S-3 eligible) registering the resale of the shares of common stock issued or issuable upon exercise of the 2024 Investor Warrants. The Company is required to use commercially reasonable efforts to cause such registration to become effective within 45 days of the closing date of the Offering (or within 75 days following the closing of the Offering in case of “full review” of the registration statement by the SEC), and to keep the registration statement effective at all times until no 2024 Investor owns any 2024 Investor Warrants or shares issuable upon exercise thereof.

 

The SPA contains customary representations, warranties and covenants by the Company, among other customary provisions.

 

H.C. Wainwright & Co., LLC (“HCW”) acted as the Company’s placement agent in connection with Offering. The Company paid HCW consideration consisting of (i) a cash fee equal to 7.0% of the aggregate gross proceeds in the Offering, (ii) a management fee equal to 1.0% of the aggregate gross proceeds in the Offering, (iii) reimbursement of certain expenses and (iv) warrants to acquire up to an aggregate of 57,242 shares of common stock (the “Placement Agent Warrants”). The Placement Agent Warrants are similar to the 2024 Investor Warrants, except that the initial exercise price of the Placement Agent Warrants is $1.8313 per share.

 

2010 Share Option Plan

 

In November 2010, the Board adopted a share option plan (the “2010 Share Option Plan”) pursuant to which shares of the Company’s common stock are reserved for issuance upon the exercise of options to be granted to directors, officers, employees and consultants of the Company. The 2010 Share Option Plan is administered by the Board, which designates the options and dates of grant. Options granted vest over a period determined by the Board, originally had a contractual life of seven years, which was extended to ten years in November 2017 and are non-assignable except by the laws of descent. The Board has the authority to prescribe, amend and rescind rules and regulations relating to the 2010 Share Option Plan, provided that any such amendment or rescindment that would adversely affect the rights of an optionee that has received or been granted an option shall not be made without the optionee’s written consent. As of March 31, 2024, the number of shares of the Company’s common stock reserved for issuance and available for grant under the 2010 Share Option Plan was 10,061 (28,168 as of December 31, 2023).

 

2019 Incentive Award Plan

 

The 2019 Incentive Award Plan (the “2019 Plan”) was originally established under the name Restoration Robotics, Inc., as the 2017 Incentive Award Plan. It was adopted by the Board on September 12, 2017 and approved by the Company’s stockholders on September 14, 2017. The 2017 Incentive Award Plan was amended, restated, and renamed as set forth above, and was approved by the Company’s stockholders on October 4, 2019.

 

Under the 2019 Plan, 30,000 shares of common stock were initially reserved for issuance pursuant to a variety of stock-based compensation awards, including stock options, stock appreciation rights, performance stock awards, performance stock unit awards, restricted stock awards, restricted stock unit awards and other stock-based awards, plus the number of shares remaining available for future awards under the 2019 Plan as of the date we completed our business combination with Venus Ltd. and the business of Venus Ltd. became the primary business of the Company (the “Merger”). As of March 31, 2024, there were 244,180 shares of common stock available under the 2019 Plan (71,412 as of December 31, 2023). The 2019 Plan contains an “evergreen” provision, pursuant to which the number of shares of common stock reserved for issuance pursuant to awards under such plan shall be increased on the first day of each year from 2020 and ending in 2029 equal to the lesser of (A) four percent (4.00%) of the shares of stock outstanding on the last day of the immediately preceding fiscal year and (B) such smaller number of shares of stock as determined by the Board.

 

The Company recognized stock-based compensation for its employees and non-employees in the accompanying unaudited condensed consolidated statements of operations as follows:

 

   

Three Months Ended March 31,

 
   

2024

   

2023

 

Cost of sales

  $ 10     $ 15  

Selling and marketing

    72       109  

General and administrative

    230       300  

Research and development

    27       57  

Total stock-based compensation

  $ 339     $ 481  

 

20

 

Stock Options

 

The fair value of each option is estimated at the date of grant using the Black-Scholes option pricing formula with the following assumptions:

 

   

Three Months Ended March 31,

 
   

2024

   

2023

 

Expected term (in years)

    6.00       6.00  

Risk-free interest rate

    4.23 %     3.41 %

Expected volatility

    43.06 %     43.02 %

Expected dividend rate

    0 %     0 %

 

Expected Term—The expected term represents management’s best estimate for the options to be exercised by option holders.

 

Volatility—Since the Company does not have a trading history for its common stock, the expected volatility was derived from the historical stock volatilities of comparable peer public companies within its industry that are considered to be comparable to the Company’s business over a period equivalent to the expected term of the stock-based awards.

 

Risk-Free Interest Rate—The risk-free interest rate is based on the U.S. Treasury yield curve in effect at the date of grant for zero-coupon U.S. Treasury notes with maturities approximately equal to the stock-based awards’ expected term.

 

Dividend Rate—The expected dividend is zero as the Company has not paid nor does it anticipate paying any dividends on its common stock in the foreseeable future.

 

Fair Value of Common Stock— Prior to the Merger, Venus Ltd. used the price per share in its latest sale of securities as an estimate of the fair value of its ordinary shares. After the closing of the Merger, the fair value of the Company’s common stock is used to estimate the fair value of the stock-based awards at grant date.

 

The following table summarizes stock option activity under the Company’s stock option plan:

 

   

Number of Shares

   

Weighted- Average Exercise Price per Share, $

   

Weighted- Average Remaining Contractual Term

   

Aggregate Intrinsic Value

 

Outstanding – January 1, 2024

    981,834     $ 19.85       7.58     $  

Options granted

    82,000       0.71       -        

Options exercised

    -       -       -        

Options forfeited/cancelled

    (15,760 )     25.54       -        

Outstanding – March 31, 2024

    1,048,074       18.26       7.52     $  

Exercisable – March 31, 2024

    448,819       33.24       6.20     $  

Expected to vest – after March 31, 2024

    599,255     $ 7.05       8.51     $  

 

21

 

The following tables summarize information about stock options outstanding and exercisable at March 31, 2024:

 

  

Options Outstanding

  

Options Exercisable

 

Exercise Price Range

 

Number

  

Weighted average remaining contractual term (years)

  

Weighted average Exercise Price

  

Options exercisable

  

Weighted average remaining contractual term (years)

  

Weighted average Exercise Price

 

$0.7051 - $54.60

  1,000,031   7.73  $13.80   401,178   6.56  $23.97 

$63.90 - $119.25

  45,774   3.18   99.44   45,372   3.16   99.46 

$186.75 - $382.50

  1,627   4.74   271.15   1,627   4.74   271.15 

$405.00 - $438.75

  373   0.91   405.36   373   0.91   405.36 

$650.25 - $958.50

  269   4.20   727.38   269   4.20   727.38 
   1,048,074   7.52  $18.26   448,819   6.20  $33.24 

 

The aggregate intrinsic value of options is calculated as the difference between the exercise price of the stock options and the fair value of the Company’s common stock for those options that had exercise prices lower than the fair value of the Company’s common stock. The total intrinsic value of options exercised were $nil and $nil for the three months ended March 31, 2024 and 2023, respectively.

 

The weighted-average grant date fair value of options granted was $0.705 and $2.82 per share for the three months ended March 31, 2024 and 2023, respectively. The fair value of options vested during the three months ended March 31, 2024 and 2023 was $355 and $346, respectively.

 
22

  

 

16. INCOME TAXES

 

The Company generated a loss and recognized $37 of tax expense for the three months ended March 31, 2024, and $235 of tax expense for the three months ended March 31, 2023, respectively. A reconciliation of income tax expense is as follows:

 

   

Three Months Ended March 31,

 
   

2024

   

2023

 

Loss before income taxes

  $ (9,752 )   $ (9,388 )

Theoretical tax expense at the statutory rate (21% in 2024 and 2023)

    (2,048 )     (1,971 )

Differences in jurisdictional tax rates

    (455 )     (267 )

Valuation allowance

    2,486       2,441  

Non-deductible expenses

    54       32  

Total income tax provision

    37       235  

Net loss

  $ (9,789 )   $ (9,623 )

 

Income tax expense is recognized based on the actual loss incurred during the three months ended March 31, 2024 and 2023, respectively. 

 

 

17. SEGMENT AND GEOGRAPHIC INFORMATION

 

Operating segments are defined as components of an entity for which separate financial information is available and that is regularly reviewed by the Chief Operating Decision Maker (“CODM”) in deciding how to allocate resources to an individual segment and in assessing performance. The Company's CODM is its Chief Executive Officer. The Company has determined it operates in a single operating segment and has one reportable segment, as the CODM reviews financial information presented on a consolidated basis accompanied by disaggregated information about revenues by geography and type for purposes of making operating decisions, allocating resources, and evaluating financial performance. The Company does not assess the performance of individual product lines on measures of profit or loss, or asset-based metrics. Therefore, the information below is presented only for revenues by geography and type.

 

Revenue by geographic location, which is based on the product shipped to location, is summarized as follows:

 

  

Three Months Ended March 31,

 
  

2024

  

2023

 

United States

 $9,080  $10,741 

International

  8,399   9,790 

Total revenue

 $17,479  $20,531 

 

As of March 31, 2024, long-lived assets in the amount of $7,810 were located in the United States and $1,001 were located in foreign locations. As of December 31, 2023, long-lived assets in the amount of $8,705 were located in the United States and $1,063 were located in foreign locations.

 

23

 

Revenue by type is a key indicator for providing management with an understanding of the Company’s financial performance, which is organized into four different categories:

 

1.    Lease revenue – includes all system sales with typical lease terms of 36 months.

 

2.    System revenue – includes all systems sales with payment terms within 12 months.

 

3.    Product revenue – includes skincare, hair and other consumables payable upon receipt.

 

4.    Service revenue – includes NeoGraft technician services, ad agency services and extended warranty sales.

 

The following table presents revenue by type:

 

  

Three Months Ended March 31,

 
  

2024

  

2023

 

Lease revenue

 $3,531  $5,761 

System revenue

  10,535   11,065 

Product revenue

  2,557   2,947 

Service revenue

  856   758 

Total revenue

 $17,479  $20,531 

 

 

18. RELATED PARTY TRANSACTIONS

 

All amounts were recorded at the exchange amount, which is the amount established and agreed to by the related parties. The following are transactions between the Company and parties related through employment.

 

Distribution agreements

 

On  January 1, 2018, the Company entered into a Distribution Agreement with Technicalbiomed Co., Ltd. (“TBC”), pursuant to which TBC will distribute the Company’s products in Thailand. A former senior officer of the Company is a 30.0% shareholder of TBC. For the three months ended March 31, 2024 and 2023, TBC purchased products in the amount of $nil and $208, respectively, under this distribution agreement. These sales are included in products and services revenue. TBC ceased being a related party as of June 2023.

 

In 2020, the Company made several strategic decisions to divest itself of underperforming direct sales offices and sold its share in several subsidiaries, including its 55.0% shareholding in Venus Concept Singapore Pte. Ltd. ("Venus Singapore"). On  January 1, 2021, the Company entered into a distribution agreement with Aexel Biomed Pte Ltd. (“Aexel Biomed”), formerly Venus Singapore, pursuant to which Aexel Biomed will continue to distribute the Company’s products in Singapore. A former senior officer of the Company is a 45.0% shareholder of Aexel Biomed. During the three months ended March 31, 2024 and 2023, Aexel Biomed purchased products in the amount of $nil and $60, respectively, under the distribution agreement. These sales are included in products and services revenue. Aexel Biomed ceased being a related party as of June 2023.

 

24

 
 

19. SUBSEQUENT EVENTS

 

Nasdaq bid-price non-compliance

 

On April 11, 2024, the Company received a notice (the “Bid Price Notice”) from the Listing Qualifications Department (the “Staff”) of the Nasdaq Stock Market (“Nasdaq”) stating that for 32 consecutive business days the Company’s common stock did not maintain a minimum closing bid price of $1.00 per share (“Minimum Bid Price Requirement”) as required for continued listing under Listing Rule 5550(a)(2).

 

The Bid Price Notice has no immediate effect on the listing of the common stock. In accordance with Nasdaq Listing Rule 5810(c)(3)(A), the Company has 180 calendar days, or until October 8, 2024, to regain compliance with the Minimum Bid Price Requirement. To regain compliance, the closing bid price of the common stock must be at least $1.00 per share for a minimum of ten consecutive business days before October 8, 2024, at which time the Staff will provide written notification to the Company that it complies with the Minimum Bid Requirement, unless the Staff exercises its discretion to extend this ten-day period pursuant to Nasdaq Listing Rule 5810(c)(3)(H).

 

If the common stock does not achieve compliance by October 8, 2024, the Company may be eligible for an additional 180-day period to regain compliance, provided that it meets the continued listing requirement for market value of publicly held shares and all other initial listing standards of the Nasdaq Capital Market, with the exception of the Minimum Bid Price Requirement, and provides written notice to Nasdaq of its intention to cure the deficiency during the second compliance period, for example, by effecting a reverse stock split, if necessary.

 

The Company intends to actively monitor the closing bid price of the common stock and may, if appropriate, consider implementing available options to regain compliance with the Minimum Bid Price Requirement under the Nasdaq Listing Rules.

 

Madryn Loan and Security Agreement

 

On April 23, 2024, the Company entered into the Loan and Security Agreement, by and among the Bridge Borrower, the 2024 Guarantors, the 2024 Lenders and Madryn HP, as administrative agent. Pursuant to the Loan and Security Agreement, the 2024 Lenders have agreed to provide the Bridge Borrower with Bridge Financing in the form of a term loan in the original principal amount of $2,237,906.85 and one or more delayed draw term loans of up to an additional principal amount of $2,762,093.15. The Bridge Financing matures on the Maturity Date. Pursuant to the Loan and Security Agreement, each of the 2024 Guarantors, jointly and severally, absolutely and unconditionally guarantees, as primary obligor and not merely as surety, that the Obligations (as defined in the Loan and Security Agreement) will be performed and paid in full in cash when due and payable, whether at the stated or accelerated maturity thereof or otherwise, this guarantee being a guarantee of payment and not of collectability and being absolute and in no way conditional or contingent.

 

Borrowings under the Bridge Financing will bear interest at a rate per annum equal to 12%. On the Maturity Date, the 2024 Loan Parties are obligated to make a payment equal to all unpaid principal and accrued interest.

 

The Loan and Security Agreement also provides that all present and future indebtedness and the obligations of the Bridge Borrower to Madryn HP shall be secured by a priority security interest in all real and personal property collateral of the 2024 Loan Parties.

 

The Loan and Security Agreement contains customary representations, warranties and affirmative and negative covenants. In addition, the Loan and Security Agreement contains customary events of default that entitle Madryn HP to cause the Bridge Borrower’s indebtedness under the Loan and Security Agreement to become immediately due and payable, and to exercise remedies against the 2024 Loan Parties and the collateral securing the term loan. Under the Loan and Security Agreement, an event of default will occur if, among other things, any 2024 Loan Party fails to make payments under the Loan and Security Agreement, any 2024 Loan Party breaches any of the covenants under the Loan and Security Agreement, a Change of Control (as defined in the Loan and Security Agreement) occurs, any 2024 Loan Party, or its assets, become subject to certain legal proceedings, such as bankruptcy proceedings. Upon the occurrence and for the duration of an event of default, a default interest rate equal to 15.0% per annum will apply to all obligations owed under the Loan and Security Agreement. Further information regarding the Loan and Security Agreement is contained in the Company's Form 8-K filed with the SEC on April 24, 2024.

 

25

 
 

CAUTIONARY NOTE REGARDING FORWARD-LOOKING STATEMENTS

 

This report contains forward-looking statements within the meaning of the United States Private Securities Litigation Reform Act of 1995 that reflect our plans, estimates and beliefs and involve numerous risks and uncertainties, including but not limited to those described in in Part I, Item IA “Risk Factors” of our Annual Report on Form 10-K. Any statements contained in this Quarterly Report on Form 10-Q that are not historical facts may be deemed to be forward-looking statements. In some cases, you can identify these statements by words such as such as “anticipates,” “believes,” “plans,” “expects,” “projects,” “future,” “intends,” “may,” “should,” “could,” “estimates,” “predicts,” “potential,” “continue,” “guidance,” and other similar expressions that are predictions of or indicate future events and future trends.

 

The factors which we currently believe could have a material adverse effect on our business operations and financial performance and condition include, but are not limited to, the following risks and uncertainties:

 

•    our dependency on the subscription-based model and our Venus Prime financing program, which exposes us to the credit risk of our customers over the life of each subscription and/or Venus Prime agreement;

 

•    our customers’ failure to make payments under their subscription or Venus Prime agreements;

 

•    our customers’ ability to secure third party financing due to tightened credit markets and higher interest rates;

 

•    our need to obtain, maintain and enforce our intellectual property rights;

 

•    the extensive governmental regulation and oversight in the countries in which we operate and our ability to comply with the applicable requirements;

 

•    the possibility that our systems may cause or contribute to adverse medical events that could harm our reputation, business, financial condition and results of operations;

 

•    a significant portion of our operations are located in Israel and therefore our business, financial condition and results of operations may be adversely affected by political, economic and military conditions there;

 

•    our ability to come into, and remain in, compliance with the listing requirements of the Nasdaq Capital Market;

 

•    the volatility of our stock price;

 

•    our dependency on one major contract manufacturer in Israel exposes us to supply disruptions should that facility be subject to a strike, shutdown, fire flood or other natural disaster;

 

•    our reliance on the expertise and retention of management;

 

•    our ability to access the capital markets and/or obtain credit on favorable terms;

 

•    inflation, currency fluctuations and currency exchange rates;

 

•    global supply disruptions;

 

•    global economic and political conditions and uncertainties, including but not limited to the Russia-Ukraine and Israel-Hamas conflicts; and 

 

•    the expected timing, proceeds and other details with respect to future sales of senior preferred stock, if any, in the 2023 Multi-Tranche Private Placement.

 

You are urged to consider these factors carefully in evaluating the forward-looking statements and are cautioned not to place undue reliance on these statements. The forward-looking statements are based on information available to us as of the filing date of this Quarterly Report on Form 10-Q. Unless required by law, we do not intend to publicly update or revise any forward-looking statements to reflect new information or future events or otherwise. You should, however, review the factors and risks we describe in the reports we will file from time to time with the SEC after the date of this Quarterly Report on Form 10-Q. 

 

 

ITEM 2. MANAGEMENT’S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF OPERATIONS

 

The following discussion contains managements discussion and analysis of our financial condition and results of operations and should be read together with the unaudited condensed consolidated financial statements and the notes thereto included elsewhere in this Quarterly Report on Form 10-Q for the quarter ended March 31, 2024 (Form 10-Q), with our audited consolidated financial statements and notes thereto in our Annual Report on Form 10-K for the year ended December 31, 2023 (Form 10-K) and other filings we have made with the SEC. 

 

Overview

 

We are an innovative global medical technology company that develops, commercializes and delivers minimally invasive and non-invasive medical aesthetic and hair restoration technologies and related services. Our systems have been designed on cost-effective, proprietary and flexible platforms that enable us to expand beyond the aesthetic industry’s traditional markets of dermatology and plastic surgery, and into non-traditional markets, including family medicine, and general practitioners and aesthetic medical spas. In the three months ended March 31, 2024 and 2023, respectively, a substantial majority of our systems delivered in North America were in non-traditional markets. As we grow our ARTAS hair restoration business and expand robotics offerings through the AI.ME™ platform we expect our penetration into the core practices of dermatology and plastic surgery to increase.

 

 

We have had recurring net operating losses and negative cash flows from operations. As of March 31, 2024 and December 31, 2023, we had an accumulated deficit of $271.7 million and $261.9 million, respectively. Until we generate revenue at a level to support our cost structure, we expect to continue to incur substantial operating losses and negative cash flows from operations. In order to continue our operations, we must achieve profitability and/or obtain additional equity investment or debt financing. Until we achieve profitability, we plan to fund our operations and capital expenditures with cash on hand, borrowings and issuances of capital stock. As of March 31, 2024 and December 31, 2023, we had cash and cash equivalents of $5.1 million and $5.4 million, respectively. 

 

The global economy, including the financial and credit markets, has recently experienced extreme volatility and disruption, including increases to inflation rates, rising interest rates, foreign currency impacts and declines in consumer confidence, and declines in economic growth. All these factors point to uncertainty about economic stability, and the severity and duration of these conditions on our business cannot be predicted.

 

On January 24, 2024, the Company announced that the Board has authorized the review of the strategic alternatives with a goal of enhancing stockholder value. There is no set timetable for the strategic review process and there can be no assurance that such review will result in any transaction or other alternative or the terms and conditions of any transaction or other alternative.

 

Venus Viva®, Venus Viva® MD, Venus Legacy®, Venus Concept®, Venus Versa®, Venus Fiore®, Venus Freedom™, Venus Bliss™, Venus Bliss Max™, NeoGraft®, Venus Glow™, ARTAS®, ARTAS iX®, and AI.ME™, are trademarks of the Company and its subsidiaries. Our logo and our other trade names, trademarks and service marks appearing in this document are our property. Other trade names, trademarks and service marks appearing in this document are the property of their respective owners. Solely for convenience, our trademarks and trade names referred to in this document appear without the TM or the ® symbol, but those references are not intended to indicate, in any way, that we will not assert, to the fullest extent under applicable law, our rights, or the rights of the applicable licensor to these trademarks and trade names.

 

Equity Purchase Agreement with Lincoln Park

 

On June 16, 2020, we entered into the Equity Purchase Agreement with Lincoln Park which provided that, upon the terms and subject to the conditions and limitations set forth therein, we may sell to Lincoln Park up to $31.0 million of shares of our common stock pursuant to our shelf registration statement. The purchase price of shares of common stock related to a future sale was based on the then prevailing market prices of such shares at the time of sales as described in the Equity Purchase Agreement. Concurrently with entering into the Equity Purchase Agreement, we also entered into the Registration Rights Agreement. During the year ended December 31, 2022, we sold to Lincoln Park 0.03 million shares of our common stock under the Equity Purchase Agreement, at which point this agreement expired. The net cash proceeds from shares issuance as of December 31, 2022 were $0.3 million. The Equity Purchase Agreement expired on July 1, 2022.

 

On July 12, 2022, we entered into the 2022 LPC Purchase Agreement with Lincoln Park, and we issued and sold to Lincoln Park 0.05 million shares of our common stock as a commitment fee in connection with entering into the 2022 LPC Purchase Agreement, with the total value of $0.3 million. Subsequent to execution of the 2022 LPC Purchase Agreement the Company issued 0.43 million shares of common stock to Lincoln Park at an average price of $4.54 per share, for a total value of $1.97 million through December 31, 2022. During the twelve months ended December 31, 2023, the Company issued an additional 0.34 million shares of common stock to Lincoln Park at an average price of $3.23 per share, for a total value of $1.1 million. During the three months ended March 31, 2024, the Company issued an additional 8,333 shares of common stock to Lincoln Park at an average price of $1.16 per share, for a total value of $10. For additional information regarding the 2022 LPC Purchase Agreement, see Note 15 “Stockholders' Equity (Deficit)” in the notes to our unaudited condensed consolidated financial statements included elsewhere in this report.

 

 

The 2022 Private Placement

 

On November 18, 2022, we entered into a securities purchase agreement pursuant to which we issued and sold to the 2022 Investors an aggregate of 116,668 shares of our common stock and 3,185,000 shares of our Voting Preferred Stock. The gross proceeds from the securities sold in the 2022 Private Placement totaled $6.7 million before offering expenses. The costs incurred with respect to the 2022 Private Placement totaled $0.2 million and were recorded as a reduction of the 2022 Private Placement proceeds in the consolidated statements of stockholders’ equity (deficit). The accounting effects of the 2022 Private Placement transaction are discussed in Note 15 "Stockholders' Equity (Deficit)" in the notes to our unaudited condensed consolidated financial statements included elsewhere in this report.

 

The 2023 Multi-Tranche Private Placement

 

In May 2023, the Company entered into the 2023 Multi-Tranche Private Placement Stock Purchase Agreement with the 2023 Investors pursuant to which the Company may issue and sell to the 2023 Investors up to $9.0 million in shares of the Senior Preferred Stock in multiple tranches from time to time until December 31, 2025, subject to a minimum aggregate purchase amount of $0.5 million in each tranche. The Initial Placement occurred on May 15, 2023, under which the Company sold the 2023 Investors 280,899 shares of Senior Preferred Stock for an aggregate purchase price of $2.0 million.

 

On July 6, 2023, the Company and the 2023 Investors entered into the Multi-Tranche Amendment. The Multi-Tranche Amendment (a) clarifies the appropriate date pursuant to which the purchase price for each share of Senior Preferred Stock to be sold in the Private Placement is determined (such that the purchase price shall be equal to the “Minimum Price” as set forth in Nasdaq Listing Rule 5635(d)) and (b) permits the Company to specify a desired closing date (subject to approval by the 2023 Investors) for each sale in the 2023 Multi-Tranche Private Placement. 

 

On July 12, 2023, the Company and the 2023 Investors consummated the Second Placement under the 2023 Multi-Tranche Private Placement, under which the Company sold the 2023 Investors 500,000 shares of Senior Preferred Stock for an aggregate purchase price of $2.0 million.

 

On September 8, 2023, the Company and the 2023 Investors consummated the Third Placement under the 2023 Multi-Tranche Private Placement, under which the Company sold the 2023 Investors 292,398 shares of Senior Preferred Stock for an aggregate purchase price of $1.0 million.

 

On October 20, 2023, the Company and the 2023 Investors consummated the Fourth Placement under the 2023 Multi-Tranche Private Placement, under which the Company sold the 2023 Investors 502,513 shares of Senior Preferred Stock for an aggregate purchase price of $2.0 million.

 

The Company expects to use the proceeds of the Placements, after the payment of transaction expenses, for general working capital purposes. The accounting effects of the 2023 Multi-Tranche Private Placement transaction are discussed in Note 15 "Stockholders' Equity (Deficit)" in the notes to our unaudited condensed consolidated financial statements included elsewhere in this report.

 

Series X Convertible Preferred Stock

 

On October 4, 2023, the Company entered into the 2023 Exchange Agreement with the Madryn Noteholders, pursuant to which the Madryn Noteholders agreed to exchange $26,695,110.58 in aggregate principal amount outstanding under the Notes for (i) $22,791,748.32 in aggregate principal amount of new secured convertible notes of the Company and (ii) 248,755 shares of newly-created convertible preferred stock of the Company, par value $0.0001 per share designated as "Series X Convertible Preferred Stock." The transaction is discussed in Note 15 "Stockholders' Equity (Deficit)" in the notes to our unaudited condensed consolidated financial statements included elsewhere in this report.

 

Registered Direct Offering

 

On February 22, 2024, the Company, entered into the SPA with the 2024 Investors, pursuant to which the Company agreed to issue and sell to the 2024 Investors (i) in a registered direct offering, an aggregate of 817,748 shares of the Company’s common stock, at a price of $1.465 per share and (ii) the "2024 Investor Warrants," at an initial exercise price of $1.34 per share. The transaction is discussed in Note 15 "Stockholders' Equity (Deficit)" in the notes to our unaudited condensed consolidated financial statements included elsewhere in this report.

 

Madryn Loan and Security Agreement

 

On April 23, 2024, the Company entered into the Loan and Security Agreement, by and among the Bridge Borrower, the 2024 Guarantors, the 2024 Lenders and Madryn HP, as administrative agent. Pursuant to the Loan and Security Agreement, the 2024 Lenders have agreed to provide the Bridge Borrower with Bridge Financing in the form of a term loan in the original principal amount of $2,237,906.85 and one or more delayed draw term loans of up to an additional principal amount of $2,762,093.15. The transaction is discussed in Note 11 "Madryn Debt and Convertible Notes" in the notes to our unaudited condensed consolidated financial statements included elsewhere in this report.

 

Products and Services

 

We derive revenue from the sale of products and services. Product revenue includes revenue from the following:

 

 

the sale, including traditional sales, Venus Prime and legacy subscription-based sales, of systems, inclusive of the main console and applicators/handpieces (referred to as system revenue);

 

 

marketing supplies and kits;

 

 

consumables and disposables;

 

 

service revenue; and

 

 

replacement applicators/handpieces.

 

Service revenue includes revenue derived from our extended warranty service contracts provided to our existing customers.

 

Systems are sold through traditional sales contracts directly, through our legacy subscription model, Venus Prime financing program; distributors; and our Venus Prime Program. In the third quarter of 2022 we commenced an initiative to reduce our reliance on system sales sold under subscription agreements in the United States. This strategic shift is designed to improve cash generation and reduce our exposure to defaults and increased bad debt expense given the increasingly challenging economic environment caused by the coexistence of high inflation and high interest rates.

We generate revenue from traditional system sales and from sales under our legacy subscription model, Venus Prime financing program, which is available to customers in North America and select international markets. Approximately 25% and 34% of our aesthetic revenues were derived from our legacy subscription model, Venus Prime financing program, in the three months ended March 31, 2024 and 2023, respectively. We currently do not offer the ARTAS iX system under the subscription model. For additional details related to our subscription model, see Part 1, Item 1. Business as filed in our Form 10-K for the year ended December 31, 2023.

 

In January 2024, the Company launched its new Venus Prime program which is a structured in-house financing program replacing its legacy subscription program for customers in North America. Under our Venus Prime program, select customers can qualify for competitive financing rates and continue to benefit from the payment flexibility afforded by our previous subscription financing program when purchasing our aesthetic medical devices, as well as a seamless technology upgrade program made available to our customers in years 2 and 3 of ownership.

 

Like our legacy subscription model, Venus Prime includes an up-front fee and a monthly payment schedule, typically over a period of 36 months, with approximately 40% to 45% of total contract payments collected in the first year. To ensure that each monthly payment is made on time and that the customer’s system is serviced in accordance with the terms of the warranty, every product purchased under Venus Prime requires a monthly activation code, which we provide to the customer upon receipt of the monthly payment. These recurring monthly payments provide our customers with enhanced financial transparency and predictability. This structure can provide greater flexibility than traditional equipment leases secured through financing companies. We work closely with our customers to provide business recommendations that improve the quality-of-service outcomes, build patient traffic and improve financial returns for the customer’s business.

 

We have developed and received regulatory clearance for twelve novel aesthetic technology platforms, including our ARTAS and NeoGraft systems. We believe our ARTAS and NeoGraft systems are complementary and give us a hair restoration product offering that can serve a broad segment of the market. Our medical aesthetic technology platforms have received regulatory clearance for a variety of indications, including treatment of facial wrinkles in certain skin types, temporary reduction of appearance of cellulite, non-invasive fat reduction (lipolysis) in the abdomen and flanks for certain body types and relief of minor muscle aches and pains in jurisdictions around the world. In addition, our technology pipeline is heavily focused on improving and enhancing our current technologies, products, and services and the development of robotically assisted minimally invasive solutions for aesthetic procedures that are primarily treated by surgical intervention, including the AI.ME platform for which we received FDA 510(k) clearance for fractional skin resurfacing in December 2022.

 

In the United States, we have obtained 510(k) clearance from the FDA for our Venus Viva, Venus Viva MD, Venus Legacy, Venus Versa, Venus Versa Pro, Venus Velocity, Venus Bliss, Venus Bliss Max, Venus Epileve, Venus Fiore, ARTAS, ARTAS iX and AI.ME systems. Outside the United States, we market our technologies in over 60 countries across Europe, the Middle East, Africa, Asia-Pacific and Latin America. Because each country has its own regulatory scheme and clearance process, not every device is cleared or authorized for the same indications in each market in which a particular system is marketed.

 

As of March 31, 2024, we operated directly in 12 international markets through our 10 direct offices in the United States, Canada, Japan, Mexico, Spain, Germany, Australia, China, Hong Kong, and Israel.

 

Our revenues for the three months ended March 31, 2024, and 2023 were $17.5 million and $20.5 million, respectively. We had a net loss attributable to the Company of $9.8 million and $9.7 million in the three months ended March 31, 2024, and 2023, respectively. We had an Adjusted EBITDA loss of $5.1 million and $5.7 million for the three months ended March 31, 2024, and 2023, respectively.

 

 

Use of Non-GAAP Financial Measures

 

Adjusted EBITDA is a non-GAAP measure defined as net income (loss) before foreign exchange (gain) loss, financial expenses, income tax expense (benefit), depreciation and amortization, stock-based compensation and non-recurring items for a given period. Adjusted EBITDA is not a measure of our financial performance under U.S. GAAP and should not be considered an alternative to net income or any other performance measures derived in accordance with U.S. GAAP. Accordingly, you should consider Adjusted EBITDA along with other financial performance measures, including net income, and our financial results presented in accordance with U.S. GAAP. Other companies, including companies in our industry, may calculate Adjusted EBITDA differently or not at all, which reduces its usefulness as a comparative measure. We understand that although Adjusted EBITDA is frequently used by securities analysts, lenders and others in their evaluation of companies, Adjusted EBITDA has limitations as an analytical tool, and you should not consider it in isolation, or as a substitute for analysis of our results as reported under U.S. GAAP. Some of these limitations are: Adjusted EBITDA does not reflect our cash expenditures or future requirements for capital expenditures or contractual commitments; Adjusted EBITDA does not reflect changes in, or cash requirements for, our working capital needs; and although depreciation and amortization are non-cash charges, the assets being depreciated will often have to be replaced in the future, and Adjusted EBITDA does not reflect any cash requirements for such replacements.

 

We believe that Adjusted EBITDA is a useful measure for analyzing the performance of our core business because it facilitates operating performance comparisons from period to period and company to company by backing out potential differences caused by changes in foreign exchange rates that impact financial assets and liabilities denominated in currencies other than the U.S. dollar, tax positions (such as the impact on periods or companies of changes in effective tax rates), the age and book depreciation of fixed assets (affecting relative depreciation expense), amortization of intangible assets, stock-based compensation expense (because it is a non-cash expense) and non-recurring items as explained below.

 

The following is a reconciliation of net loss to Adjusted EBITDA for the periods presented:

 

   

Three Months Ended March 31,

 
   

2024

   

2023

 

Reconciliation of net loss to adjusted EBITDA

 

(in thousands)

 

Net loss

  $ (9,789 )   $ (9,623 )

Foreign exchange (gain) loss

    324       (352 )

Loss on disposal of subsidiaries

          77  

Finance expenses

    1,668       1,508  

Income tax expense

    37       235  

Depreciation and amortization

    975       1,022  

Stock-based compensation expense

    339       481  

CEWS (1)

    418        

Other adjustments (2)

    910       917  

Adjusted EBITDA

  $ (5,118 )   $ (5,735 )

 

(1) In April 2022, the Canada Revenue Agency (“CRA”) initiated an audit of the Canada Emergency Wage Subsidy Claim (“CEWS”) that the Company filed between 2020-2021. The CRA has currently assessed a denial of CEWS claims made by the Company in 2020 and requesting repayment of $418. The Company disputes the CRA assessment and intends to challenge this matter through the Tax Court or Judicial Review.

(2) For the three months ended March 31, 2024 and March 31, 2023 the other adjustments are represented by restructuring activities designed to improve the Company's operations and cost structure.

 

 

Key Factors Impacting Our Results of Operations

 

Our results of operations are impacted by several factors, but we consider the following to be particularly significant to our business:

 

Number of systems delivered. The majority of our revenue is generated from the delivery of systems, both under traditional sales contracts and subscription agreements. The following table sets forth the number of systems we have delivered in the geographic regions indicated:

 

   

Three Months Ended March 31,

 
   

2024

   

2023

 

United States

    160       86  

International

    154       237  

Total systems delivered

    314       323  

 

Mix between traditional sales, subscription model sales, distributor sales, and Venus Prime sales. We deliver systems through (1) traditional direct system sales contracts to customers, (2) our legacy subscription model, (3) system sales through distribution agreements, and (4) our Venus Prime program. Unit deliveries under direct system sales contracts, subscription agreements, and Venus Prime sales have higher per unit revenues and gross margins, while revenues and gross margins on systems sold through distributors are lower. However, distributor sales do not require significant sales and marketing support as these expenses are borne by the distributors. In addition, while traditional system sales, subscription agreements, and Venus Prime sales have similar gross margins, cash collections on subscription agreements and Venus Prime generally occur over a three-year period, with approximately 40% to 45% collected in the first year and the balance collected evenly over the remaining two years of the subscription agreement. In the third quarter of 2022 we commenced an initiative to reduce our reliance on system sales sold under subscription agreements in the United States. This strategic shift is designed to improve cash generation and reduce our exposure to defaults and increased bad debt expense given the increasingly challenging economic environment caused by the coexistence of high inflation and high interest rates.

 

Investment in Sales, Marketing and Operations. In recent years, we made a strategic decision to penetrate the global market by investing in sales and marketing expenses across all geographic segments. This included the opening of direct offices and hiring experienced sales, marketing, and operational staff. While we generated incremental product sales in these new markets, these revenues and the related margins did not fully offset the startup investments made in certain countries. We continue to evaluate our profitability and growth prospects in these countries and have taken and will continue to take steps to exit countries which we do not believe will produce sustainable results. Since June 2020 we have ceased direct sales operations in 14 countries across Europe, Asia Pacific, Latin America and Africa and have increased our investment and focus in the United States market.

 

In the three months ended March 31, 2024, and 2023, respectively, we did not open any direct sales offices.

 

Bad Debt Expense. We maintain an allowance for expected credit losses for estimated losses that may primarily arise from subscription customers that are unable to make the remaining payments required under their subscription agreements. We continue to focus our selling efforts on cash sales and subscription customers with a stronger credit profile, thereby reducing our exposure to credit losses. We incurred a bad debt expense of $0.2 million during the three months ended March 31, 2024. This compares favorably to $0.6 million for the three months ended March 31, 2023. As of March 31, 2024, our allowance for expected credit losses was $5.3 million which represents 13.0% of the gross outstanding accounts receivable as of this date. As of March 31, 2023, our allowance for expected credit losses was $14.2 million which represented 21% of the gross outstanding accounts receivable as of this date.

 

 

Outlook

 

The global economy, including the financial and credit markets, has recently experienced extreme volatility and disruption, including increases to inflation rates, rising interest rates, foreign currency impacts, declines in consumer confidence, and a challenging growth environment. All these factors point to uncertainty about economic stability, and the severity and duration of these conditions on our business cannot be predicted. The bulk of the first quarter revenue decline was due to an acceleration of our international strategy to wind down underperforming countries as we transition to third party distributors and our shift to prioritize cash deals over subscription deals in order to improve cash generation. We continue to focus on quality of revenue and despite the revenue decline, our cash used in operations was $2.6 million lower than the same period in 2023. We remain focused on adapting to the challenges presented by the current macro-economic environment.

 

Israel  Hamas conflict. Following the October 7, 2023 attack by Hamas on Israeli citizens and the declaration of war that followed, we have taken steps to mitigate exposure to risks related to our Israeli operations, the risks of which are further described in Item 1A. Risk Factors in this Quarterly Report on Form 10-Q. These efforts include but are not limited to, working with our contract manufacturers to accelerate inventory build, contingency planning with respect to alternative manufacturing sites within their network, and relocating larger amounts of finished goods to warehouses in North America to protect our ability to distribute products. Alongside the Company's continuity plan, we maintain daily contact with our employees in Israel and have instituted a wellness program designed to provide access to healthcare practitioners/consultants for short term counselling for colleagues and family members in order to provide assistance during the conflict.

 

Supply chain. We did not experience significant supply issues during the three months ended March 31, 2024 as we continue to actively work with our suppliers and third-party manufacturers to mitigate supply issues and build inventory of key component parts. We anticipate some supply challenges in 2024, due to geopolitical disruption in the middle east impacting shipping lanes, deliveries of materials and component parts, impacting production lead times that may impact our ability to manufacture the number of systems required to meet customer demand. In addition, since the second quarter of 2021 we have experienced significant inflationary pressures throughout our supply chain, which we expect to continue throughout 2024. We expect to mitigate such pressures, where possible, through price increases and margin management.

 

Global economic conditions. General global economic downturns and macroeconomic trends, including heightened inflation, capital markets volatility, interest rate and currency rate fluctuations, and economic slowdowns, have resulted and may continue to result in unfavorable conditions that negatively affect demand for our products and exacerbate some of the other risks that affect our business, financial condition and results of operations. Both domestic and international markets experienced significant inflationary pressures in fiscal year 2023. While inflation rates in the U.S., as well as in other countries in which we operate, are showing signs of moderation, they are expected to continue at elevated levels for the near-term, impacting our cost of sales as well as selling, general and administrative expenses. In addition, the Federal Reserve in the U.S. and other central banks in various countries have yet to decrease interest rates in response to concerns about inflation. Higher interest and inflation rates have resulted in recessionary pressures in many parts of the world and have had and may continue to have the effect of further increasing economic uncertainty and heightening these risks.

 

Sales markets. We are a global business, having established a commercial presence in more than 60 countries during our history. While the continued post-pandemic recovery remains challenging due to the coexistence of high inflation and high interest rates, we continue to evaluate our direct operations, particularly those outside of North America.

 

Accounts receivable collections. We remain fully focused on our revised credit screening practices and thereby reducing bad debt expenses. As of March 31, 2024, our allowance for expected credit losses stands at $5.3 million, which represents 13% of the gross outstanding accounts receivable as of that date. This represents a decrease of $2.1 million or 28% from our December 31, 2023 allowance for expected credit losses balance of $7.4 million.

 

Foreign Exchange fluctuations. We are primarily exposed to foreign exchange risk with respect to revenues generated outside of the United States denominated in New Israeli Shekels, Euro, Canadian dollar, British pound, Australian dollar, Chinese renminbi, Hong Kong dollar, Japanese yen, Argentina peso, Colombian peso, and Mexican peso. We manage our foreign currency exposures on a consolidated basis, which allows us to net exposures and take advantage of any natural offsets. We do not hedge our entire foreign exchange exposure and are still subject to earnings and stockholders' equity volatility relating to foreign exchange risk. Financial market and currency volatility may limit our ability to cost-effectively hedge these exposures.

 

 

Basis of Presentation

 

Revenues

 

We generate revenue from (1) sales of systems through our subscription model, traditional system sales to customers and distributors, (2) other product revenues from the sale of ARTAS kits, Viva tips, other consumables, marketing supplies, and (3) service revenue from our extended warranty service contracts provided to existing customers.

 

System Revenue

 

For the three months ended March 31, 2024 and 2023, approximately 25% and 34%, respectively, of our total system revenues were derived from our subscription model. The relative decrease in subscription revenues in the first three months of 2024 is in line with our strategy to prioritize cash deals over subscription deals in order to improve cash generation and preserve liquidity. Our subscription model is designed to provide a low barrier to ownership of our systems and includes an up-front fee followed by monthly payments, typically over a 36-month period. The up-front fee serves as a down payment. For accounting purposes, our subscription arrangements are considered to be sales-type finance leases, where the present value of all cash flows to be received under the subscription agreement is recognized as revenue upon shipment to the customer and achievement of the required revenue recognition criteria.

 

For the three months ended March 31, 2024 and 2023, approximately 71% and 62%, respectively, of our total system revenues were derived from traditional sales. The increased focus on traditional sales is in line with our strategy to prioritize cash deals over subscription deals in order to improve cash generation and preserve liquidity.

 

Customers generally demand higher discounts in connection with traditional sales. We recognize revenues from products sold to customers based on the following five steps: (1) identification of the contract(s) with the customer; (2) identification of the performance obligations in the contract; (3) determination of the transaction price; (4) allocation of the transaction price to the separate performance obligations in the contract; and (5) recognition of revenue when (or as) the entity satisfies a performance obligation.

 

 

We do not grant rights of return or early termination rights to our customers under either our traditional sales or subscription models. These traditional sales are generally made through our sales team in the countries in which the team operates.

 

For the three months ended March 31, 2024 and 2023, approximately 13% and 9%, respectively, of our total system revenues were derived from distributor sales. Under the traditional distributor relationship, we do not sell directly to the end customer and, accordingly, achieve a lower overall margin on each system sold compared to our direct sales. These sales are non-refundable, non-returnable and without any rights of price protection or stock rotation. Accordingly, we consider distributors as end customers, and are accounted for using the sell-in method.

 

Procedure Based Revenue

 

We generate revenue from the harvesting, site making, and implantation procedures performed with our ARTAS system. The harvesting procedure, as the name suggests, is the act of harvesting hair follicles from the patient’s scalp for implantation in the prescribed areas. To perform these procedures, a disposable clinical kit is required. These kits can be large (with an unlimited number of harvests) or small (with a maximum of 1,100 harvests). The customer must place an online order with us for the number and type of kits desired and make a payment. Upon receipt of the order and the related payment, we ship the kit(s), and the customer must scan the barcode on the kit label in order to perform the procedure. Once the kits are exhausted, the customer must purchase additional kits. The site making procedure uses the ARTAS system to create a recipient site (i.e., site making) in the patient’s scalp affected by androgenic alopecia (or male pattern baldness). The site making procedure also requires a disposable site making kit. The site making kits are sold to customers in the same manner as the kits for harvesting procedures. The implantation procedure utilizes the same disposal kit that is used for site making and involves immediately implanting follicles into the created recipient site. The implantation kits are sold to customers in the same manner as the harvesting and site making kits.

 

Other Product Revenue

 

We also generate revenue from our customer base by selling Viva tips, Glide (a cooling/conductive gel which is required for use with many of our systems), marketing supplies and kits, various consumables and disposables, replacement applicators and handpieces, and ARTAS system training.

 

Service Revenue

 

We generate ancillary revenue from our existing customers by selling additional services including extended warranty service contracts.

 

Cost of Goods Sold and Gross Profit

 

Cost of goods sold consists primarily of costs associated with manufacturing our different systems, including direct product costs from third-party manufacturers, warehousing and storage costs and fulfillment and supply chain costs inclusive of personnel-related costs (primarily salaries, benefits, incentive compensation and stock-based compensation). Cost of goods sold also includes the cost of upgrades, technology amortization, royalty fees, parts, supplies, and cost of product warranties.

 

Operating Expenses

 

Selling and Marketing 

 

We currently sell our products and services using direct sales representatives in North America and in select international markets. Our sales costs primarily consist of salaries, commissions, benefits, incentive compensation and stock-based compensation. Costs also include expenses for travel and other promotional and sales-related activities as well as clinical training costs.

 

Our marketing costs primarily consist of salaries, benefits, incentive compensation and stock-based compensation. They also include expenses for travel, trade shows, and other promotional and marketing activities, including direct and online marketing. As the business environment improves, we expect sales and marketing expenses to continue to increase, but at a rate slightly below our rate of revenue growth.

 

 

General and Administrative

 

Our general and administrative costs primarily consist of expenses associated with our executive, accounting and finance, information technology, legal, regulatory affairs, quality assurance and human resource departments, direct office rent/facilities costs, and intellectual property portfolio management. These expenses consist of personnel-related expenses (primarily salaries, benefits, incentive compensation and stock-based compensation), audit fees, legal fees, consultants, travel, insurance, and expected credit losses. During the normal course of operations, we may incur expected credit losses on accounts receivable balances that are deemed to be uncollectible.

 

Research and Development

 

Our research and development costs primarily consist of personnel-related costs (primarily salaries, benefits, incentive compensation, and stock-based compensation), material costs, amortization of intangible assets, clinical costs, and facilities costs in our Yokneam, Israel and San Jose, California research centers. Our ongoing research and development activities are primarily focused on improving and enhancing our current technologies, products, and services, and on expanding our current product offering with the introduction of new products and expanded indications.

 

We expense all research and development costs in the periods in which they are incurred. We expect our research and development expenses to increase in absolute dollars as we continue to invest in research, clinical studies, and development activities, but to decline as a percentage of revenue as our revenue increases over time.

 

Finance Expenses

 

Finance expenses consist of interest income, interest expense and other banking charges. Interest income consists of interest earned on our cash, cash equivalents and short-term bank deposits. We expect interest income to vary depending on our average investment balances and market interest rates during each reporting period. Interest expense consists of interest on long-term debt and other borrowings. The interest rates on our long-term debt were 8.69% for the MSLP Loan, 13.98% for the Madryn Notes, and 13.9% for the 2024 Notes as of March 31, 2024 and 8.71% for the MSLP Loan and 14.03% for the Notes as of December 31, 2023 .
 

Foreign Exchange (Gain) Loss

 

Foreign currency exchange (gain) loss changes reflect foreign exchange gains or losses related to the change in value of assets and liabilities denominated in currencies other than the U.S. dollar.

 

Income Tax Expense

 

We estimate our current and deferred tax liabilities based on current tax laws in the statutory jurisdictions in which we operate. These estimates include judgments about liabilities resulting from temporary differences between assets and liabilities recognized for financial reporting purposes and such amounts recognized for tax purposes. In certain jurisdictions, only the payments invoiced in the current period are subject to tax, but for accounting purposes, the discounted value of the total subscription contract is reported and tax affected. This results in a deferred tax credit which is settled in the future period when the monthly installment payment is issued and settled with the customer. Since our inception, we have not recorded any tax benefits for the net operating losses we have incurred in each year or for the research and development tax credits we generated in the United States. We believe, based upon the weight of available evidence, that it is more likely than not that all of our net operating loss carryforwards and tax credits will not be realized. Income tax expense is recognized based on the actual taxable income or loss incurred during the three months ended March 31, 2024.

 

Non-Controlling Interests

 

We have minority shareholders in one jurisdiction in which we have direct operations. For accounting purposes, these minority partners are referred to as non-controlling interests, and we record the non-controlling interests’ share of earnings in our subsidiaries as a separate balance within stockholders’ equity in the consolidated balance sheets and consolidated statements of stockholders’ equity (deficit).

 

 

Results of Operations

 

The following tables set forth our consolidated results of operations in U.S. dollars and as a percentage of revenues for the periods indicated:

 

   

Three Months Ended March 31,

 
   

2024

   

2023

 

Consolidated Statements of Loss:

 

(dollars in thousands)

 

Revenues:

               

Leases

  $ 3,593     $ 5,761  

Products and services

    13,886       14,770  

Total revenue

    17,479       20,531  

Cost of goods sold:

               

Leases

    1,477       1,747  

Products and services

    4,355       5,085  
      5,832       6,832  

Gross profit

    11,647       13,699  

Operating expenses:

               

Selling and marketing

    7,374       8,032  

General and administrative

    10,248       11,185  

Research and development

    1,785       2,637  

Total operating expenses

    19,407       21,854  

Loss from operations

    (7,760 )     (8,155 )

Other expenses:

               

Foreign exchange (gain) loss

    324       (352 )

Finance expenses

    1,668       1,508  

Loss on disposal of subsidiaries

          77  

Loss before income taxes

    (9,752 )     (9,388 )

Income tax expense

    37       235  

Net loss

  $ (9,789 )   $ (9,623 )

Net loss attributable to stockholders of the Company

    (9,794 )     (9,657 )

Net income attributable to non-controlling interest

    5       34  

As a % of revenue:

               

Revenues

    100 %     100 %

Cost of goods sold

    33.4       33.3  

Gross profit

    66.6       66.7  

Operating expenses:

               

Selling and marketing

    42.2       39.1  

General and administrative

    58.6       54.5  

Research and development

    10.2       12.8  

Total operating expenses

    111.0       106.4  

Loss from operations

    (44.4 )     (39.7 )

Foreign exchange (gain) loss

    1.9       (1.7 )

Finance expenses

    9.5       7.3  

Loss on disposal of subsidiaries

          0.4  

Loss before income taxes

    (55.8 )     (45.7 )

 

 

The following tables set forth our revenue by region and by product type for the periods indicated:

 

   

Three Months Ended March 31,

 
   

2024

   

2023

 
   

(dollars in thousands)

 

Revenues by region:

               

United States

  $ 9,080     $ 10,741  

International

    8,399       9,790  

Total revenue

  $ 17,479     $ 20,531  

 

   

Three Months Ended March 31,

 
   

2024

   

2023

 
   

(dollars in thousands)

 

Revenues by product:

               

Subscription—Systems

  $ 3,531     $ 5,761  

Products—Systems

    10,535       11,065  

Products—Other (1)

    2,557       2,947  

Services

    856       758  

Total revenue

  $ 17,479     $ 20,531  

 

(1)

Products-Other include ARTAS procedure kits, Viva tips, Glide and other consumables.

 

Comparison of the three months ended March 31, 2024 and 2023

 

Revenues

 

   

Three Months Ended March 31,

                 
   

2024

   

2023

   

Change

 

(in thousands, except percentages)

 

$

   

% of Total

   

$

   

% of Total

   

$

   

%

 

Revenues:

                                               

Subscription—Systems

  $ 3,531     20.2     $ 5,761       28.1     $ (2,230 )     (38.7 )

Products—Systems

    10,535     60.3       11,065       53.9       (530 )     (4.8 )

Products—Other

    2,557     14.6       2,947       14.3       (390 )     (13.2 )

Services

    856     4.9       758       3.7       98       12.9  

Total

  $ 17,479    

100.0

    $ 20,531       100.0     $ (3,052 )     (14.9 )

 

Total revenue decreased by $3.1 million, or 14.9%, to $17.5 million for the three months ended March 31, 2024 from $20.5 million for the three months ended March 31, 2023. The decrease in revenue is primarily attributed to an acceleration in exiting unprofitable direct markets, and an initiative to reduce our reliance on system sales sold under subscription agreements, and the effects of tighter third party lending practices which negatively impacted capital equipment sales. These initiatives are designed to improve cash generation and reduce our exposure to defaults and increased bad debt expense given the increasingly challenging economic environment caused by the coexistence of high inflation and high interest rates. Our international business was also affected by general macroeconomic headwinds that impacted customer access to capital. Despite the reduction in systems sales sold under subscription agreements, our cash used in operations in the first quarter of 2024 was 51% less than the first quarter of 2023.

 

We sold an aggregate of 314 systems in the three months ended March 31, 2024 compared to 323 systems in the three months ended March 31, 2023. The percentage of systems revenue derived from our subscription model was approximately 25% and 34% during the three months ended March 31, 2024 and 2023, respectively. The relative decrease in subscription revenues is in line with our strategy to prioritize cash deals over subscription deals in order to improve cash generation and preserve liquidity. Specific to the U.S. market, systems revenue derived from our subscription model was approximately 25% and 21% during the three months ended March 31, 2024 and 2023, respectively.

 

 

Other product revenue decreased by $0.4 million, or 13.2%, to $2.6 million in the three months ended March 31, 2024 compared to $2.9 million in the three months ended March 31, 2023. This reduction is in line with the overall revenue decline in the quarter.

 

Services revenue increased by $0.1 million, or 12.9%, to $0.9 million in the three months ended March 31, 2024, compared to $0.8 million in the three months ended March 31, 2023. The increase was driven by higher warranty sales through various chain accounts.

 

Cost of Goods Sold and Gross Profit

 

Cost of goods sold decreased by $1.0 million, or 14.6%, to $5.8 million in the three months ended March 31, 2024, compared to $6.8 million in the three months ended March 31, 2023. Gross profit decreased by $2.1 million, or 15%, to $11.6 million in the three months ended March 31, 2024, compared to $13.7 million in the three months ended March 31, 2023. The decrease in gross profit is primarily due to a decrease in revenue in our international markets driven by the accelerated exit from unprofitable direct markets as discussed above. Gross margin was 66.6% of revenue in the three months ended March 31, 2024, compared to 66.7% of revenue in the three months ended March 31, 2023. 

 

Operating expenses

 

   

Three Months Ended March 31,

                 
   

2024

   

2023

   

Change

 

(in thousands, except percentages)

 

$

   

% of Revenues

   

$

   

% of Revenues

   

$

   

%

 

Operating expenses:

                                               

Selling and marketing

  $ 7,374       42.2     $ 8,032       39.1     $ (658 )     (8.2 )

General and administrative

    10,248     58.6       11,185       54.5       (937 )     (8.4 )

Research and development

    1,785     10.2       2,637       12.8       (852 )     (32.3 )

Total operating expenses

  $ 19,407    

111.0

    $ 21,854       106.4     $ (2,447 )     (11.2 )

 

Selling and Marketing

 

Selling and marketing expenses decreased by $0.7 million or 8.2% in the three months ended March 31, 2024 compared to the three months ended March 31, 2023. This decrease is largely due to lower revenues and reduced activities as we exited unprofitable direct markets. As a percentage of total revenues, our selling and marketing expenses increased by 3.1%, from 39.1% in the three months ended March 31, 2023 to 42.2% in the three months ended March 31, 2024. As the business environment improves, we expect sales and marketing expenses to increase in absolute terms, but at a rate slightly below our rate of revenue growth.

 

General and Administrative

 

General and administrative expenses decreased by $0.9 million or 8.4% in the three months ended March 31, 2024 compared to the three months ended March 31, 2023, primarily due to reduced bad debt expense and savings from exiting certain unprofitable direct markets, partially offset by inflationary pressures associated with salaries and other cost elements. As a percentage of total revenues, our general and administrative expenses increased by 4.1%, from 54.5% in the three months ended March 31, 2023, to 58.6% in the three months ended March 31, 2024, primarily due to the decrease in year over year total revenues.

 

 

Research and Development

 

Research and development expenses decreased by $0.9 million or 32.3% in the three months ended March 31, 2024 compared to the three months ended March 31, 2023. We experienced significant cost savings through the consolidation of activities between our Israel and United States sites, partially offset by a reinvestment in research and development efforts directed at scaling our robotic technology across other aesthetic platforms. As a percentage of total revenues, our research and development expenses decreased by 2.6%, from 12.8% in the three months ended March 31, 2023, to 10.2% in the three months ended March 31, 2024. 

 

Foreign Exchange (Gain) Loss

 

We had $0.3 million of foreign exchange loss in the three months ended March 31, 2024 and foreign exchange gain of $0.4 million in the three months ended March 31, 2023. It decreased by $0.7 million in the three months ended March 31, 2024 compared to the three months ended March 31, 2023. Changes in foreign exchange are driven mainly by the effect of foreign exchange on accounts receivable balances denominated in currencies other than the U.S. dollar. We do not currently hedge against foreign currency risk.

 

Finance Expenses

 

Finance expenses increased by $0.2 million or 13.3%, from $1.5 million in the three months ended March 31, 2023, compared to $1.7 million in the three months ended March 31, 2024, mostly due to an increase in LIBOR rates under our CNB Loan Agreement. See “Liquidity and Capital Resources” below.

 

Income Tax Expense

 

We had an income tax expense of $0.04 million in the three months ended March 31, 2024 compared to a $0.2 million income tax expense in the three months ended March 31, 2023. The tax provision is driven by profitable sales and the actual effective tax rates where the sale took place or losses were incurred. In 2024, we had changes in timing of deductible expenses, tax accrual reversals and recognized tax loses in specific judications, which resulted in $0.04 million of income tax expense.

 

 

Liquidity and Capital Resources

 

We had $5.1 million and $5.4 million of cash and cash equivalents as of March 31, 2024, and December 31, 2023, respectively. We have funded our operations with cash generated from operating activities, through the sale of equity securities and through debt financing. We had total debt obligations of approximately $76.7 million as of March 31, 2024, including the MSLP Loan of $51.9 million, and convertible notes of $26.5 million, compared to total debt obligations of approximately $74.9 million as of December 31, 2023.

 

Working capital is primarily impacted by the ratio of legacy subscription and Venus Prime sales to traditional cash sales. Our recent shift to prioritize traditional cash sales over subscription sales is designed to improve liquidity and reduce working capital requirements over time. Our expanding product portfolio also requires higher inventory levels to meet demand and to accommodate the increased number of technology platforms offered. We had a split of subscription/Venus Prime sales revenue to traditional sales revenue at a ratio of approximately 29:71 in the three months ended March 31, 2024, compared to 34:66 in the three months ended March 31, 2023. We expect a slight increase in the ratio of traditional sales to subscription/Venus Prime sales in 2024 and beyond. We expect inventory to remain relatively flat in the short term but increase at a lower rate than the rate of revenue growth over the longer term.

 

We also require modest funding for capital expenditures. Our capital expenditures relate primarily to our research and development facilities in Yokneam, Israel and San Jose, California. In addition, our capital investments have included improvements and expansion of our subsidiaries’ operations to support our growth, but do not expect to incur such costs over the next twelve months.

 

Issuance of Secured Subordinated Convertible Notes

 

Contemporaneously with the MSLP Loan Agreement, on December 9, 2020, we issued $26.7 million aggregate principal amount of the Notes to the Madryn Noteholders pursuant to the terms of the Exchange Agreement. The Notes accrued interest at a rate of 8.0% per annum from the date of original issuance of the Notes to the third anniversary date of the original issuance and thereafter interest accrued at a rate of 6.0% per annum. In connection with the Exchange Agreement, we also entered into (i) the Madryn Loan and Security Agreement, pursuant to which we agreed to grant Madryn a security interest, in substantially all of our assets, to secure the obligations under the Notes and (ii) the CNB Subordination Agreement. The Notes were convertible at any time into shares of our common stock at an initial conversion price of $48.75 per share, subject to adjustment. For additional information regarding the Notes, Exchange Agreement, Madryn Loan and Security Agreement and CNB Subordination Agreement, see Note 11 “Madryn Long-Term Debt and Convertible Notes” to our unaudited condensed consolidated financial statements included elsewhere in this report. On October 4, 2023, the Company entered into the 2023 Exchange Agreement with the Madryn Noteholders, pursuant to which the Madryn Noteholders agreed to exchange $26,695,110.58 in aggregate principal amount outstanding under the Notes for (i) $22,791,748.32 in the New Notes, and (ii) 248,755 shares of Series X Convertible Preferred Stock. The New Notes accrued interest, payable in kind on a quarterly basis, at an annual rate of 90-day Adjusted SOFR + 8.5% and are convertible at any time into shares of our common stock at an initial conversion price of $24 per share, subject to adjustment.

 

Main Street Priority Lending Program Term Loan

 

On December 8, 2020, we executed the MSLP Loan Agreement, MSLP Note, and related documents for a loan in the aggregate amount of $50.0 million for which CNB will serve as a lender pursuant to the Main Street Priority Loan Facility as established by the Board of Governors of the Federal Reserve System Section 13(3) of the Federal Reserve Act. On October 4, 2023, the Company, Venus USA, Venus Canada, and Venus Ltd. entered into the MSLP Loan Modification, which modified certain terms of the MSLP Loan Agreement. For additional information regarding this loan, see Note 10 “Main Street Term Loan” to our unaudited condensed consolidated financial statements included elsewhere in this report. 

 

CNB Loan Agreement

 

We had a revolving credit facility with CNB pursuant to which CNB agreed to provide a revolving credit facility to us and certain of our subsidiaries to be used to finance working capital requirements. There was $nil outstanding balance as of March 31, 2024 and December 31, 2023. On February 22, 2023, CNB notified the Company that it would be temporarily restricting advances under the Fourth Amended and Restated CNB Loan Agreement pursuant to its rights under Section 2 of the agreement. This revolving credit facility expired on July 24, 2023 and has not been renewed. See Note 12 "Credit Facility" to our unaudited condensed consolidated financial statements included elsewhere in this report.

 

EW Convertible Note

 

On January 18, 2024, the Company, Venus USA, Venus Canada and Venus Ltd. entered into the Note Purchase Agreement with the EW Investors. Pursuant to the Note Purchase Agreement, the Company issued and sold to the EW Investors $2.0 million aggregate principal value of the 2024 Notes.  The 2024 Notes accrue interest at a rate equal to the 90-day adjusted term Secured Overnight Financing Rate (SOFR) plus 8.50% per annum; provided, however, that if there is an Event of Default (as defined below), the then-applicable interest rate will increase by 4.00% per annum. In connection with the Note Purchase Agreement, the Company entered into the EW Security Agreement pursuant to which, the Company granted to the EW Investors a security interest in substantially all of their assets to secure the obligations under the 2024 Notes.  The 2024 Notes were convertible at any time into shares of our common stock at an initial conversion price of $1.251 per share, subject to adjustment.

 

For additional information regarding the 2024 Notes, Note Purchase Agreement, and EW Security Agreement, see Note 13 “EW Convertible Notes” to our unaudited condensed consolidated financial statements included elsewhere in this report.

 

Madryn Loan and Security Agreement

 

On April 23, 2024, the Company entered into the Loan and Security Agreement, by and among the Bridge Borrower, the 2024 Guarantors, the 2024 Lenders and Madryn HP, as administrative agent. Pursuant to the Loan and Security Agreement, the 2024 Lenders have agreed to provide the Bridge Borrower with Bridge Financing in the form of a term loan in the original principal amount of $2,237,906.85 and one or more delayed draw term loans of up to an additional principal amount of $2,762,093.15. The transaction is discussed in Note 19 "Subsequent Events" in the notes to our unaudited condensed consolidated financial statements included elsewhere in this report.

 

 

Equity Purchase Agreement with Lincoln Park

 

On June 16, 2020, we entered into the Equity Purchase Agreement with Lincoln Park, which provides that, upon the terms and subject to the conditions and limitations set forth therein, we may sell to Lincoln Park up to $31.0 million of shares of our common stock pursuant to our shelf registration statement. The purchase price of shares of common stock related to a future sale will be based on the then prevailing market prices of such shares at the time of sales as described in the Equity Purchase Agreement. The aggregate number of shares that we can sell to Lincoln Park under the Equity Purchase Agreement may in no case exceed the Exchange Cap, unless (i) stockholder approval is obtained to issue shares above the Exchange Cap, in which case the Exchange Cap will no longer apply, or (ii) the average price of all applicable sales of common stock to Lincoln Park under the Equity Purchase Agreement equals or exceeds $59.6325 per share (subject to adjustment) (which represents the minimum price, as defined under Nasdaq Listing Rule 5635(d), on the Nasdaq Global Market immediately preceding the signing of the Equity Purchase Agreement, such that the transactions contemplated by the Equity Purchase Agreement are exempt from the Exchange Cap limitation under applicable Nasdaq Listing Rules). Also, at no time may Lincoln Park (together with its affiliates) beneficially own more than 9.99% of our issued and outstanding common stock. Concurrently with entering into the Equity Purchase Agreement, we also entered into a Registration Rights Agreement with Lincoln Park. The Equity Purchase Agreement expired on July 1, 2022.

 

On July 12, 2022, we entered into the 2022 LPC Purchase Agreement with Lincoln Park, and we issued and sold to Lincoln Park 0.05 million shares of our common stock as a commitment fee in connection with entering into the 2022 LPC Purchase Agreement, with the total value of $0.3 million. Through December 31, 2023 we issued an additional 0.78 million shares of common stock to Lincoln Park at an average price of $3.97 per share, for a total proceeds value of $3.1 million since entering into the Purchase Agreement. During the three months ended March 31, 2024, the Company issued an additional 8,333 shares of common stock to Lincoln Park at an average price of $1.16 per share, for a total value of $10. For additional information regarding the 2022 LPC Purchase Agreement, see Note 15 “Stockholders' Equity (Deficit)” to our unaudited condensed consolidated financial statements included elsewhere in this report.

 

The 2022 Private Placement

 

On November 18, 2022, we consummated the 2022 Private Placement whereby we entered into a securities purchase agreement pursuant to which we issued and sold to the 2022 Investors an aggregate of 116,668 shares of our common stock and 3,185,000 shares of our Voting Preferred Stock. The gross proceeds from the securities sold in the 2022 Private Placement totaled $6.7 million before offering expenses. The costs incurred with respect to the 2022 Private Placement totaled $0.2 million and were recorded as a reduction of the 2022 Private Placement proceeds in the consolidated statements of stockholders’ equity (deficit). The accounting effects of the 2022 Private Placement transaction are discussed in Note 15 "Stockholders' Equity (Deficit)" in the notes to our consolidated financial statements included elsewhere in this report.

 

The 2023 Multi-Tranche Private Placement

 

In May 2023, we entered into the 2023 Multi-Tranche Private Placement Stock Purchase Agreement, with the 2023 Investors pursuant to which the Company may issue and sell to the 2023 Investors up to $9.0 million in shares of Senior Preferred Stock, in multiple tranches from time to time until December 31, 2025, subject to a minimum aggregate purchase amount of $0.5 million in each tranche. The Initial Placement occurred on May 15, 2023, under which the Company sold the 2023 Investors 280,899 shares of Senior Preferred Stock for an aggregate purchase price of $2.0 million. 

 

On July 12, 2023, the Company and the 2023 Investors consummated the Second Placement under the 2023 Multi-Tranche Private Placement, under which the Company sold the 2023 Investors 500,000 shares of Senior Preferred Stock for an aggregate purchase price of $2.0 million. 

 

On September 8, 2023, the Company and the 2023 Investors consummated the Third Placement under the 2023 Multi-Tranche Private Placement, under which the Company sold the 2023 Investors 292,398 shares of Senior Preferred Stock for an aggregate purchase price of $1.0 million.

 

On October 20, 2023, the Company and the 2023 Investors consummated the Fourth Placement under the 2023 Multi-Tranche Private Placement, under which the Company sold the 2023 Investors 502,513 shares of Senior Preferred Stock for an aggregate purchase price of $2.0 million. The Company expects to use the proceeds of the Placements, after the payment of transaction expenses, for general working capital purposes. The accounting effects of the 2023 Multi-Tranche Private Placement transactions are discussed in Note 15 "Stockholders' Equity (Deficit)" in the notes to our unaudited condensed consolidated financial statements included elsewhere in this report.

 

Registered Direct Offering

 

On February 22, 2024, the Company, entered into the SPA with the 2024 Investors, pursuant to which the Company agreed to issue and sell to the 2024 Investors (i) in a registered direct offering, an aggregate of 817,748 shares of the Company’s common stock, at a price of $1.465 per share and (ii) in a concurrent private placement, warrants  to acquire up to an aggregate of 817,748 shares of Common Stock, at an initial exercise price of $1.34 per share. H.C. Wainwright & Co., LLC (“HCW”) acted as the Company’s placement agent in connection with Offering. The Company paid HCW consideration consisting of (i) a cash fee equal to 7.0% of the aggregate gross proceeds in the Offering, (ii) a management fee equal to 1.0% of the aggregate gross proceeds in the Offering, (iii) reimbursement of certain expenses and (iv) warrants to acquire up to an aggregate of 57,242 shares of common stock (the “Placement Agent Warrants”). The Placement Agent Warrants are similar to the 2024 Investor Warrants, except that the initial exercise price of the Placement Agent Warrants is $1.8313 per share. The transaction is discussed in Note 15 "Stockholders' Equity (Deficit)" in the notes to our unaudited condensed consolidated financial statements included elsewhere in this report. 

 

Capital Resources

 

As of March 31, 2024, we had capital resources consisting of cash and cash equivalents of approximately $5.1 million. We have financed our operations principally through the issuance and sale of our common stock and preferred stock, debt financing, and payments from customers.

 

We believe that the net proceeds from the Madryn Loan and Security Agreement, the Registered Direct Offering, the 2023 Multi-Tranche Private Placement, the 2022 Private Placement, the proceeds from issuance of our common stock to Lincoln Park, the proceeds from the MSLP Loan, our continued availability under the 2022 LPC Purchase Agreement, our strategic cash flow enhancement initiatives, our initiatives to pursue strategic alternatives, together with our existing cash and cash equivalents, will enable us to fund our operating expenses and capital expenditure requirements for at least the next 12 months. We can provide no assurances that we will be successful in raising additional capital or that such capital, if available at all, will be on terms that are acceptable to us. If we are unable to raise sufficient additional capital, we may be compelled to reduce the scope of our operations and planned capital or research and development expenditures or sell certain assets, including intellectual property assets.

 

Additional funds may not be available when we need them, on terms that are acceptable to us, or at all. If adequate funds are not available to us on a timely basis, we may be required to:

 

 

delay or curtail our efforts to develop system product enhancements or new products, including any clinical trials that may be required to market such enhancements;

 

 

delay or curtail our plans to increase and expand our sales and marketing efforts; or

 

 

delay or curtail our plans to enhance our customer support and marketing activities.

 

We are restricted by covenants in the MSLP Loan, EW Security Agreement, and the Madryn Loan and Security Agreement. These covenants restrict, among other things, our ability to incur additional indebtedness, which may limit our ability to obtain additional debt financing. In the event that the current macroeconomic headwinds continue to cause or present disruptions for an extended period of time, we cannot assure you that we will remain in compliance with the financial covenants contained in our credit facilities. We also cannot assure you that our lenders would provide relief or that we could secure alternative financing on favorable terms, if at all. Our failure to comply with the covenants contained in our credit facilities, including financial covenants, could result in an event of default, which could materially and adversely affect our results of operations and financial condition.

 

We have based our projections on the amount of time through which our financial resources will be adequate to support our operations on assumptions that may prove to be incorrect, and we may use all our available capital resources sooner than we expect. Our future funding requirements, including long-term funding requirements, will depend on many factors, including, but not limited to:

 

 

the cost of growing our ongoing commercialization and sales and marketing activities;

 

 

the costs of manufacturing and maintaining enough inventories of our systems to meet anticipated demand and inventory write-offs related to obsolete products or components;

 

 

the costs of enhancing the existing functionality and development of new functionalities for our systems;

 

 

the costs of preparing, filing, prosecuting, defending, and enforcing patent claims and other patent related costs, including litigation costs and the results of such litigation;

 

 

any product liability or other lawsuits and the costs associated with defending them or the results of such lawsuits;

 

 

the costs associated with conducting business and maintaining subsidiaries and other entities in foreign jurisdictions;

 

 

customers in jurisdictions where our systems are not approved delaying their purchase, and not purchasing our systems, until they are approved or cleared for use in their market;

 

 

the costs to attract and retain personnel with the skills required for effective operations; and

 

 

the costs associated with being a public company.

 

In order to grow our business and increase revenues, we will need to introduce and commercialize new products, grow our sales and marketing force, implement new software systems, as well as identify and penetrate new markets. Such endeavors have in the past increased, and may continue in the future, to increase our expenses, including sales and marketing, and research and development. We will have to continue to increase our revenues while effectively managing our expenses in order to achieve profitability and to sustain it. Our failure to control expenses could make it difficult to achieve profitability or to sustain profitability in the future. Moreover, we cannot be sure that our expenditures will result in the successful development and introduction of new products in a cost-effective and timely manner or that any such new products will achieve market acceptance and generate revenues for our business.

 

 

Cash flows

 

The following table summarizes our cash flows for the periods indicated:

 

   

Three Months Ended March 31,

 
   

2024

   

2023

 
   

(in thousands)

 

Cash used in operating activities

  $ (2,878 )   $ (5,888 )

Cash used in investing activities

 

(25

)     (70 )

Cash provided by financing activities

 

2,594

      803  

Net decrease in cash and cash equivalents

  $ (309 )   $ (5,155 )

 

Cash Flows from Operating Activities

 

For the three months ended March 31, 2024, cash used in operating activities consisted of a net loss of $9.8 million, partially offset by decreases in net operating assets of $4.7 million and non-cash operating expenses of $2.2 million. The use of cash in net operating assets was attributable to a decrease in accounts receivable of $3.2 million, a decrease in inventories of $1.7 million, a decrease in other current assets of $0.4 million, and a decrease in advances to suppliers of $0.7 million. These were offset by a decrease in trade payables of $1.3 million, a decrease in accrued expenses and other current liabilities of $0.3 million, and a decrease in long-term operating lease liabilities of $0.3 million. The non-cash operating expenses consisted of depreciation and amortization of $1.0 million, stock-based compensation expense of $0.3 million, provision for inventory obsolescence of $0.4 million, finance expenses and accretion of $0.5 million, and provision for expected credit losses of $0.2 million.

 

For the three months ended March 31, 2023, cash used in operating activities consisted of a net loss of $9.6 million, partially offset by a decrease in net operating assets of $1.0 million and non-cash operating expenses of $2.7 million. The use of cash in net operating assets was attributable to a decrease in accounts receivable of $1.7 million, a decrease in inventories of $0.9 million, a decrease in other current assets of $1.7 million, a decrease in operating right-of-use assets, net of $0.4 million. These were offset by a decrease in trade payables of $0.5 million and a decrease in accrued expenses and other current liabilities of $2.6 million. The non-cash operating expenses consisted of provision for expected credit losses of $0.7 million, depreciation and amortization of $1.0 million, finance expenses and accretion of $0.1 million, stock-based compensation expense of $0.5 million, provision for inventory obsolescence of $0.3 million, partially offset by a deferred tax recovery of $0.1 million.

 

Cash Flows from Investing Activities

 

In the three months ended March 31, 2024, cash used in investing activities consisted of $0.03 million for the purchase of property and equipment.

 

In the three months ended March 31, 2023, cash used in investing activities consisted of $0.1 million for the purchase of property and equipment.

 

Cash Flows from Financing Activities

 

In the three months ended March 31, 2024, cash used in financing activities primarily consisted of net proceeds from the Registered Direct Offering of shares and warrants of $1.0 million and net proceeds from the 2024 Convertible Notes issued to EW of $1.6 million. 

 

In the three months ended March 31, 2023, cash used in financing activities primarily consisted of net proceeds from the issuance of shares of common stock to Lincoln Park of $0.8 million.

 

 

Contractual Obligations and Other Commitments

 

Our premises and those of our subsidiaries are leased under various operating lease agreements, which expire on various dates.

 

As of March 31, 2024, we had non-cancellable purchase orders placed with our contract manufacturers in the amount of $10.0 million. In addition, as of March 31, 2024, we had $1.2 million of open purchase orders that can be cancelled with 270 days’ notice, except for a portion equal to 25% of the total amount representing the purchase of "long lead items."

 

The following table summarizes our contractual obligations as of March 31, 2024, which represent material expected or contractually committed future obligations.

 

   

Payments Due by Period

 
   

Less than 1 Year

   

2 to 3 Years

   

4 to 5 Years

   

More than 5 Years

   

Total

 
   

(in thousands)

 

Debt obligations, including interest

  $ 8,322     $ 81,791     $     $     $ 90,113  

Operating leases

    1,418       2,302       204       340       4,264  

Purchase commitments

    9,983                         9,983  

Total contractual obligations

  $ 19,723     $ 84,093     $ 204     $ 340     $ 104,360  

 

For an additional description of our commitments see Note 9, “Commitments and Contingencies” to the unaudited condensed consolidated financial statements included elsewhere in this Quarterly Report on Form 10-Q.

 

Off-Balance Sheet Arrangements

 

We do not currently engage in off-balance sheet financing arrangements. In addition, we do not have any interest in entities referred to as variable interest entities, which includes special purpose entities and other structured finance entities.

 

Critical Accounting Policies and Estimates

 

Our unaudited condensed consolidated financial statements are prepared in accordance with U.S. GAAP. The preparation of these unaudited condensed consolidated financial statements requires us to make estimates and assumptions that affect the reported amounts of assets, liabilities, revenue, costs and expenses, and related disclosures. These estimates form the basis for judgments we make about the carrying values of our assets and liabilities, which are not readily apparent from other sources. We base our estimates and judgments on historical experience and on various other assumptions that we believe are reasonable under the circumstances. On an ongoing basis, we evaluate our estimates and assumptions. Our actual results may differ from these estimates under different assumptions or conditions.

 

Our significant accounting policies are more fully described in Note 2 to the audited consolidated financial statements included in our Annual Report filed on Form 10-K for the year ended December 31, 2023. We believe that the assumptions and estimates associated with revenue recognition, long-term receivables, allowance for expected credit losses, warranty accrual, and stock-based compensation have the most significant impact on our consolidated financial statements, and therefore, we consider these to be our critical accounting policies and estimates.

 

Revenue Recognition

 

We generate revenue from (1) sales of systems through our subscription model, in accordance with ASC 842, "Leases" ("ASC 842"), traditional system sales to customers and distributors, (2) other product revenues from the sale of ARTAS procedure kits, marketing supplies and kits, consumables and (3) our extended warranty service contracts provided to existing customers.

 

We recognize revenues on other products and services in accordance with ASC 606, "Revenue from Contracts with Customers" ("ASC 606"). Revenue is recognized based on the following five steps: (1) identification of the contract(s) with the customer; (2) identification of the performance obligations in the contract; (3) determination of the transaction price; (4) allocation of the transaction price to the separate performance obligations in the contract; and (5) recognition of revenue when (or as) the entity satisfies a performance obligation.

 

We record our revenue net of sales tax and shipping and handling costs.

 

Long-term receivables

 

Long-term receivables relate to our subscription revenue or contracts which stipulate payment terms which exceed one year. They are comprised of the unpaid principal balance, net of the allowance for expected credit losses. These receivables have been discounted based on the implicit interest rate in the subscription lease which range between 8% and 10% for the three months ended March 31, 2024 and 8% and 10% for the three months ended March 31, 2023. Unearned interest revenue represents the interest only portion of the respective subscription payments and will be recognized in income over the respective payment term as it is earned.

 

Allowance for expected credit losses

 

The allowance for expected credit losses is based on our assessment of the collectability of customer accounts and the aging of the related invoices and represents our best estimate of probable credit losses in our existing trade accounts receivable. We regularly review the allowance by considering factors such as historical experience, credit quality, the age of the account receivable balances, and current economic conditions that may affect a customer’s ability to pay.

 

Warranty accrual

 

We generally offer a one year warranty for all our systems against defects. The warranty period begins upon shipment and we record a liability for accrued warranty costs at the time of sale of a system, which consists of the remaining warranty on systems sold based on historical warranty costs and management’s estimates. We periodically assess the adequacy of our recorded warranty liabilities and adjust the amounts thereof as necessary. We exercise judgment in estimating expected system warranty costs. If actual system failure rates, freight, material, technical support and labor costs differ from our estimates, we will be required to revise our estimated warranty liability. To date, our warranty reserve has been sufficient to satisfy warranty claims paid.

 

Stock-Based Compensation

 

We account for stock-based compensation costs in accordance with the accounting standards for stock-based compensation, which require that all stock based payments to employees be recognized in the unaudited condensed consolidated statements of operations based on their fair values.

 

The fair value of stock options on the grant date is estimated using the Black-Scholes option-pricing model using the single-option approach. The Black-Scholes option pricing model requires the use of highly subjective and complex assumptions, including the option's expected term and the price volatility of the underlying stock, to determine the fair value of the award. We recognize the expense associated with options using a single-award approach over the requisite service period.

 

Financial statements in U.S. dollars

 

We believe that the U.S. dollar is the currency in the primary economic environment in which we operate. The U.S. dollar is the most significant currency in which our revenues are generated, and our costs are incurred. In addition, our debt and equity financings are generally based in U.S. dollars. Therefore, our functional currency, and that of our subsidiaries, is the U.S. dollar.

 

Transactions and balances originally denominated in U.S. dollars are presented at their original amounts. Non-dollar transactions and balances are re-measured into U.S. dollars in accordance with the principles set forth in ASC 830-10 “Foreign Currency Translation." All exchange gains and losses from re-measurement of monetary balance sheet items resulting from transactions in non-U.S. dollar currencies are recorded as foreign exchange (gain) loss in the unaudited condensed consolidated statement of operations as they arise.

 

Recent Accounting Pronouncements

 

See Note 2 to our unaudited condensed consolidated financial statements included elsewhere in this Quarterly Report on Form 10-Q for recently adopted accounting pronouncements and recently issued accounting pronouncements not yet adopted as of the date of this Quarterly Report on Form 10-Q.

 

 

ITEM 3. QUANTITATIVE AND QUALITATIVE DISCLOSURES ABOUT MARKET RISK

 

As a smaller reporting company, we are not required to provide disclosure for this Item.

 

ITEM 4. CONTROLS AND PROCEDURES

 

Evaluation of disclosure controls and procedures

 

As of March 31, 2024, our management, under the supervision of our Chief Executive Officer and Chief Financial Officer, performed an evaluation of the effectiveness of our disclosure controls and procedures as defined in Rules 13a-15(e) and 15d-15(e) under the Exchange Act, to ensure that information required to be disclosed by the Company in the reports that it files or submits under the Exchange Act is recorded, processed, summarized and reported within the time periods specified in the SEC rules and forms, and that such information is accumulated and communicated to our management, including our Chief Executive Officer and Chief Financial Officer, as appropriate, to allow timely decisions regarding required disclosure. Based on this evaluation, our Chief Executive Officer and Chief Financial Officer concluded that our disclosure controls and procedures were effective as of March 31, 2024.

 

We have performed an evaluation of the effectiveness of our internal control over financial reporting, based on criteria established by the Committee of Sponsoring Organizations of the Treadway Commission (COSO) in its 2013 Internal Control-Integrated Framework. Based on that evaluation, our management, including our Chief Executive Officer and Chief Financial Officer, concluded that our internal controls over financial reporting were effective as of March 31, 2024.

 

Limitations on Effectiveness of Controls and Procedures

 

In designing and evaluating our disclosure controls and procedures, management recognizes that any controls and procedures, no matter how well designed and operated, can provide only reasonable assurance of achieving the desired control objectives. Further, the design of a control system must reflect the fact that there are resource constraints, and the benefits of controls must be considered relative to their costs. Due to the inherent limitations in all control systems, no evaluation of controls can provide absolute assurance that all control issues and instances of fraud, if any, within the Company have been detected. Because of these limitations, there is a risk that material misstatements may not be prevented or detected on a timely basis by internal control over financial reporting. However, these inherent limitations are known features of the financial reporting process. Therefore, it is possible to design into the process safeguards to reduce, though not eliminate, this risk. Also, projections of any evaluation of effectiveness to future periods are subject to the risk that controls may become ineffective because of changes in conditions or that the degree of compliance with established policies or procedures may deteriorate.

 

Changes in Internal Control over Financial Reporting

 

There were no material changes in our internal control over financial reporting during the three months ended March 31, 2024 that have materially affected, or are reasonably likely to materially affect, our internal controls over financial reporting.

 

This Quarterly Report on Form 10-Q does not include an attestation report of our registered public accounting firm due to a transition period established by rules of the SEC for “emerging growth companies.”

 

 

PART II OTHER INFORMATION

 

ITEM 1. LEGAL PROCEEDINGS

 

As of March 31, 2024, the Company was not a party to any material active or pending legal proceedings.

 

We may from time to time continue to be involved in various legal proceedings of a character normally incident to the ordinary course of our business. 

 

ITEM 1A. RISK FACTORS

 

Our operations and financial results are subject to various risk and uncertainties, including those described below and the risk factors described under Part I, Item 1A. Risk Factors in our latest Form 10-K for the year ended December 31, 2023, any of which could adversely affect our business, results of operations, financial condition and prospects. In such an event, the market price of our common stock could decline, and you may lose all or part of your investment. Additional risks and uncertainties not presently known to us or that we currently deem immaterial may also impair our business operations. You should carefully consider the risks described below and the other information in this Quarterly Report on Form 10-Q, our unaudited condensed consolidated financial statements, and the related notes thereto, and Managements Discussion and Analysis of Financial Condition and Results of Operations, included herein, and the risk factors previously disclosed in Part I, Item 1A. Risk Factors in our Form 10-K for the year ended December 31, 2023 filed with the SEC and incorporated by reference herein.

 

Conditions in Israel, including the recent attack by Hamas and other terrorist organizations from the Gaza Strip and Israels war against them, may adversely affect our operations and limit our ability to manage and market our products, which could lead to a decrease in revenues.

 

Certain of our operations are conducted in Israel and a number of our employees, contract manufacturers and consultants, including employees of our service providers, are located in Israel. As such, our business and operations may be directly affected by economic, political, geopolitical and military conditions affecting Israel.

 

On October 7, 2023, Hamas militants and members of other terrorist organizations infiltrated Israel’s southern border from the Gaza Strip and conducted a series of terror attacks on civilian and military targets. Thereafter, these terrorists launched extensive rocket attacks on Israeli population and industrial centers located along the Israeli border with the Gaza Strip. Shortly following the attack, Israel’s security cabinet declared war against Hamas. The intensity, duration and impact of Israel’s current war against Hamas and the corresponding geopolitical instability in the region is difficult to predict, as are the war’s economic implications on the Company’s business and operations.

 

It is possible that the conflict in the region may escalate. Our facilities are within the range of rockets that could be launched from a number of surrounding territories. In the event that our facilities in Israel, or the facilities of our vendors in Israel, are damaged as a result of the hostilities or hostilities otherwise disrupt the ongoing operation of our facilities, our ability to deliver products to customers in a timely manner to meet our contractual obligations with customers and vendors could be materially and adversely affected. Any losses or damages incurred by us could have a material adverse effect on our business.

 

Our operations may be disrupted because of the obligation of Israeli citizens to perform military service.

 

As a result of the Israeli security cabinet’s decision to declare war against Hamas, Israeli reservists have been drafted to perform immediate military service. Certain of our employees and consultants in Israel, in addition to employees of our service providers located in Israel, have been called for service in the current war with Hamas as of the date of this Quarterly Report on Form 10-Q, and such persons may be absent for an extended period of time. As a result, our operations may be disrupted by such absences, which may materially and adversely affect our business and results of operations. Additionally, the absence of employees of our Israeli suppliers and contract manufacturers due to their military service in the current war or future wars or other armed conflicts may disrupt their operations, in which event our ability to deliver products to customers may be materially and adversely affected.

 

We offer credit terms to some qualified customers and distributors. In the event that a customer or distributor defaults on the amounts payable to us, our financial results may be adversely affected.

 

For the three months ended March 31, 2024 and 2023, approximately 25% and 34% of our total system revenues were derived from our subscription-based model. Under our legacy subscription model, we collect an up-front fee, combined with a monthly payment schedule typically over a period of 36 months, with approximately 40% to 45% of total contract payments collected in the first year. For accounting purposes, these arrangements are considered to be sales-type finance leases, where the present value of all cash flows to be received under the subscription agreement is recognized as revenue upon shipment of the system to the customer. We cannot provide any assurance that the financial position of customers purchasing products and services under a Venus Prime or subscription agreement will not change adversely before we receive all the monthly installment payments due under the contract. In the event that there is a default by any of the customers to whom we have sold systems under the Venus Prime or subscription-based model, we may recognize bad debt expenses in our general and administrative expenses. If the extent of such defaults is material, it could negatively affect our results of operations and operating cash flows. 

 

In addition to Venus Prime and our legacy subscription-based model, we generally offer credit terms of 30 to 90 days to qualified customers and distributors. In the event that there is a default by any of the customers or distributors to whom we have provided credit terms, we may recognize bad debt expenses in our general and administrative expenses. If the extent of such defaults is material, it could negatively affect our future results of operations and cash flows.

 

We may also be adversely affected by bankruptcies or other business failures of our customers, distributors, and potential customers. A significant delay in the collection of accounts receivable or a reduction of accounts receivables collected may impact our liquidity or result in bad debt expenses.

 

We may not be able to maintain our listing on The Nasdaq Capital Market and it may become more difficult to sell our stock in the public market.

 

Minimum Stockholder Equity Requirement

 

On May 31, 2023, we received a notice (the “Notice”) from the Listing Qualifications Department of Nasdaq ("Nasdaq") stating that our stockholders’ equity as reported in our Quarterly Report on Form 10-Q for the period ended March 31, 2023 was below the minimum $2,500,000 required for continued listing under Listing Rule 5550(b)(1) (“Minimum Equity Requirement”).

 

The Notice had no immediate effect on the listing of our common stock. On July 17, 2023, we submitted to Nasdaq a plan to regain compliance with the Minimum Equity Requirement (the "Plan"). On July 28, 2023, Nasdaq granted us an extension until November 27, 2023 to evidence compliance with the Minimum Equity Requirement, conditioned upon our achievement of certain milestones as set forth in the Plan. On November 28, 2023, the Company received a written notice from the Nasdaq Staff which described its determination that the Company had not regained compliance with the Minimum Equity Requirement within the Plan period. As a result, the Nasdaq Staff advised the Company that its securities will be delisted at the opening of business on December 7, 2023, unless the Company timely requests a hearing before a Nasdaq Hearings Panel (the "Panel”).

 

On December 5, 2023, the Company timely requested a hearing before the Panel. The hearing was held on March 5, 2024, staying any delisting pending the issuance of the Panel’s decision.

 

On March 20, 2024, the Company received a decision from the Panel granting its request for continued listing on the Nasdaq Capital Market, subject to the Company demonstrating compliance with Nasdaq Listing Rule 5550(b) on or before May 28, 2024, and certain other conditions.

 

Minimum Bid Price Requirement

 

On April 11, 2024, the Company received a notice from Nasdaq stating that for 32 consecutive business days the Company’s common stock did not maintain a minimum closing bid price of $1.00 per share (“Minimum Bid Price Requirement”) as required for continued listing under Listing Rule 5550(a)(2).

 

In accordance with Nasdaq Listing Rule 5810(c)(3)(A), the Company has 180 calendar days, or until October 8, 2024, to regain compliance with the Minimum Bid Price Requirement. To regain compliance, the closing bid price of the Company’s common stock must be at least $1.00 per share for a minimum of ten consecutive business days before October 8, 2024, at which time Nasdaq will provide written notification to the Company that it complies with the Minimum Bid Requirement, unless Nasdaq exercises its discretion to extend this ten-day period pursuant to Nasdaq Listing Rule 5810(c)(3)(H).

 

If we do not achieve compliance by October 8, 2024, the Company may be eligible for an additional 180-day period to regain compliance, provided that it meets the continued listing requirement for market value of publicly held shares and all other initial listing standards of the Nasdaq Capital Market, with the exception of the Minimum Bid Price Requirement, and provides written notice to Nasdaq of its intention to cure the deficiency during the second compliance period, for example, by effecting a reverse stock split, if necessary.

 

If our common stock ultimately is delisted for failure to comply with either the Minimum Equity Requirement or Minimum Bid Price Requirement, our shareholders could face significant adverse consequences, including:

 

  Limited availability or market quotations for our common stock;

 

 

Reduced liquidity of our common stock;

 

  Determination that shares of our common stock are “penny stock,” which would require brokers trading in our common stock to adhere to more stringent rules and possibly result in a reduced level of trading activity in the secondary trading market for our common stock;

 

 

Limited amount of news analysts’ coverage of us; and

 

  Decreased ability for us to issue additional equity securities or obtain additional equity or debt financing in the future.

 

 

 


 

ITEM 2. UNREGISTERED SALES OF EQUITY SECURITIES AND USE OF PROCEEDS

 

Unregistered Sales of Equity Securities

 

Except as otherwise disclosed in the Company’s Current Reports on Form 8-K filed with the SEC on January 18, 2024 and February 22, 2024 there were no unregistered securities issued and sold during the three months ended March 31, 2024.

 

Use of Proceeds

 

None.

 

Issuer Purchases of Equity Securities

 

None.

 

 

ITEM 3. DEFAULTS UPON SENIOR SECURITIES

 

None.

 

ITEM 4. MINE SAFETY DISCLOSURES

 

Not Applicable.

 

 

ITEM 5. OTHER INFORMATION

 

None.

 

 

ITEM 6. EXHIBITS 

 

 

Exhibit

Number

Description

Form

Date

Number

   

Filed

Herewith

               

3.1

Amended and Restated Certificate of Incorporation of Restoration Robotics, Inc.

8-K

10-17-17

3.1

     
               

3.2

Certificate of Amendment of Certificate of Incorporation of Restoration Robotics, Inc.

8-K

11-7-19

3.1

     
               
3.3 Certificate of Amendment of Certificate of Incorporation of Venus Concept Inc. 8-K 5-11-23

3.1

     
               
3.4 Certificate of Amendment to Certificate of Designations of Senior Convertible Preferred Stock. 8-K 6-26-23

3.1

     
               
3.5

Certificate of Designations of Series X Convertible Preferred Stock.

8-K 10-5-23 3.1      
               

3.6

Second Amended and Restated Bylaws of Venus Concept Inc.

8-K

11-7-19

3.2

     
               
4.1 Form of Investor Warrant 8-K 2-27-24 4.1      
               
4.2 Form of Placement Agent Warrant 8-K 2-27-24 4.2      
               
10.1 Note Purchase Agreement dated January 18, 2024, by and between Venus Concept Inc., Venus Concept USA, Inc., Venus Concept Canada Corp., Venus Concept Ltd., EW Healthcare Partners and EW Healthcare Partners-A, L.P. 8-K 1-19-24 10.1      
               
10.2 Form of Secured Subordinated Convertible Note Issued by Venus Concept In. to EW Healthcare Partners, L.P. 8-K 1-19-24 10.2      
               
10.3 Form of Secured Subordinated Convertible Note Issued by Venus Concept Inc. to EW Healthcare Partners-A L.P. 8-K 1-19-24 10.3      
               
10.4 Guaranty and Security Agreement, dated January 18, 2024, by and among Venus Concept Inc., Venus Concept USA Inc., Venus Concept Canada Corp., Venus Concept Ltd. and EW Healthcare Partners, L.P., as Collateral Agent. 8-K 1-19-24 10.4      
               
10.5 Subordination of Debt Agreement, dated January 18, 2024, by and among Venus Concept Inc., Venus Concept USA Inc., Venus Concept Canada Corp., Venus Concept Ltd., City National Bank of Florida, EW Healthcare Partner, L.P. and EW Healthcare Partners-A L.P. 8-K 1-19-24 10.5      
               
10.6 Loan Modification Agreement, dated January 18, 2024, by and among Venus Concept Inc., Venus Concept USA Inc., Venus Concept Canada Corp., Venus Concept Ltd. and EW Healthcare, City National Bank of Florida, Madryn Health Partners, LP and Madryn Health Partners (Cayman Master). 8-K 1-19-24 10.6      
               
10.7 Form of Securities Purchase Agreement, dated February 22, 2024, by and between Venus Concept Inc., Armistice Capital Master Fund Ltd. and Intracostal Capital LLC. 8-K 2-27-24 10.1      
               
10.8 Loan and Security Agreement by and among Venus Concept USA Inc., Venus Concept Inc., Venus Concept Canada Corp., Venus Concept Ltd and Madryn Health Partners, LP dated April 23, 2024. 8-K 4-24-24 10.1      
               

31.1

Certification of Chief Executive Officer Pursuant to Section 302 of the Sarbanes-Oxley Act of 2002.

         

X

               

31.2

Certification of Chief Financial Officer Pursuant to Section 302 of the Sarbanes-Oxley Act of 2002.

         

X

               

32.1*

Certification of Principal Executive Officer Pursuant to 18 U.S.C. Section 1350 as Adopted Pursuant to Section 906 of the Sarbanes-Oxley Act of 2002.

         

X

               

32.2*

Certification of Principal Financial Officer Pursuant to 18 U.S.C. Section 1350 as Adopted Pursuant to Section 906 of the Sarbanes-Oxley Act of 2002.

         

X

               

101.INS

Inline XBRL Instance Document

         

X

               

101.SCH

Inline XBRL Taxonomy Extension Schema Document

         

X

               

101.CAL

Inline XBRL Taxonomy Extension Calculation Linkbase Document

         

X

               

101.DEF

Inline XBRL Taxonomy Extension Definition Linkbase Document

         

X

               

101.LAB

Inline XBRL Taxonomy Extension Label Linkbase Document

         

X

               

101.PRE

Inline XBRL Taxonomy Extension Presentation Linkbase Document

         

X

               

        104

Cover Page Interactive Data File (embedded within the Inline XBRL and contained in Exhibit 101)    

 

 

 

X

 

*         The certification attached as Exhibit 32.1 and Exhibit 32.2 that accompanies this Quarterly Report on Form 10-Q is not deemed filed with the United States Securities and Exchange Commission and is not to be incorporated by reference into any filing of Venus Concept Inc. under the Securities Act of 1933, as amended, or the Securities Exchange Act of 1934, as amended, whether made before or after the date of this Quarterly Report on Form 10-Q, irrespective of any general incorporation language contained in such filing.

 

 

SIGNATURES

 

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

 

 

 

Venus Concept Inc.

 

 

 

 

Date: May 15, 2024

 

By:

/s/ Rajiv De Silva

 

 

 

Rajiv De Silva

 

 

 

Chief Executive Officer

 

 

 

 

Date: May 15, 2024

 

By:

/s/ Domenic Della Penna

 

 

 

Domenic Della Penna

 

 

 

Chief Financial Officer

 

49

Exhibit 31.1

 

CERTIFICATION OF CHIEF EXECUTIVE OFFICER PURSUANT TO SECTION 302 OF THE SARBANES-OXLEY ACT OF 2002

 

I, Rajiv De Silva, certify that:

 

I have reviewed this quarterly report on Form 10-Q of Venus Concept Inc.;

 

1.

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;

 

2.

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;

 

3.

The registrant’s other certifying officer 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 13(a)-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 fourth fiscal quarter that has materially affected, or is reasonably likely to materially affect, the registrant's internal control over financial reporting; and

 

4.

The registrant's other certifying officer 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.

 

[SIGNATURE PAGE FOLLOWS]

 

 

 

 

 

 

     

Date: May 15, 2024

By:

/s/ Rajiv De Silva

 

Name: Rajiv De Silva

 

Chief Executive Officer

(Principal Executive Officer)

 

 

 

Exhibit 31.2

 

CERTIFICATION OF CHIEF FINANCIAL OFFICER PURSUANT TO SECTION 302 OF THE SARBANES OXLEY ACT OF 2002

 

I, Domenic Della Penna, certify that:

 

1.

I have reviewed this quarterly report on Form 10-Q of Venus Concept 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 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 fourth fiscal quarter 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 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.

 

[SIGNATURE PAGE FOLLOWS]

 

 

 

 

 

 

     

Date: May 15, 2024

By:

/s/ Domenic Della Penna

 

Name: Domenic Della Penna

 

Chief Financial Officer

(Principal Financial Officer)

 

 

 

Exhibit 32.1

 

Certification of Principal Executive Officer Pursuant to 18 U.S.C. Section 1350 as Adopted Pursuant to Section 906 of the Sarbanes-Oxley Act of 2002

 

Pursuant to 18 U.S.C. Section 1350, as adopted pursuant to Section 906 of the Sarbanes-Oxley Act of 2002, I, Rajiv De Silva, the Chief Executive Officer of Venus Concept Inc. (the “Company”), hereby certify, that, to my knowledge:

 

1.

The Quarterly Report on Form 10-Q for the quarter ended March 31, 2024 (the “Report”) of the Company fully complies with the requirements of Section 13(a) of the Securities Exchange Act of 1934; and

 

2.

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

 

[SIGNATURE PAGE FOLLOWS]

 

 

 

 

 

 

     

Date: May 15, 2024

By:

/s/ Rajiv De Silva

 

Name: Rajiv De Silva

 

Chief Executive Officer

(Principal Executive Officer)

 

 

 

Exhibit 32.2

 

Certification of Principal Financial Officer Pursuant to 18 U.S.C. Section 1350 as Adopted Pursuant to Section 906 of the Sarbanes-Oxley Act of 2002

 

Pursuant to 18 U.S.C. Section 1350, as adopted pursuant to Section 906 of the Sarbanes-Oxley Act of 2002, I, Domenic Della Penna, the Chief Financial Officer of Venus Concept Inc. (the “Company”), hereby certify, that, to my knowledge:

 

1.

The Quarterly Report on Form 10-Q for the quarter ended March 31, 2024 (the “Report”) of the Company fully complies with the requirements of Section 13(a) of the Securities Exchange Act of 1934; and

 

2.

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

 

[SIGNATURE PAGE FOLLOWS]

 

 

 

 

 

 

 

     

Date: May 15, 2024

By:

/s/ Domenic Della Penna

 

Name: Domenic Della Penna

 

Chief Financial Officer

(Principal Financial Officer)

   

 

 

 

 
v3.24.1.1.u2
Document And Entity Information - shares
3 Months Ended
Mar. 31, 2024
May 09, 2024
Document Information [Line Items]    
Entity Central Index Key 0001409269  
Entity Registrant Name Venus Concept Inc.  
Amendment Flag false  
Current Fiscal Year End Date --12-31  
Document Fiscal Period Focus Q1  
Document Fiscal Year Focus 2024  
Document Type 10-Q  
Document Quarterly Report true  
Document Period End Date Mar. 31, 2024  
Document Transition Report false  
Entity File Number 001-38238  
Entity Incorporation, State or Country Code DE  
Entity Tax Identification Number 06-1681204  
Entity Address, Address Line One 235 Yorkland Blvd., Suite 900  
Entity Address, City or Town Toronto  
Entity Address, State or Province ON  
Entity Address, Postal Zip Code M2J 4Y8  
City Area Code 877  
Local Phone Number 848-8430  
Title of 12(b) Security Common Stock, $0.0001 par value per share  
Trading Symbol VERO  
Security Exchange Name NASDAQ  
Entity Current Reporting Status Yes  
Entity Interactive Data Current Yes  
Entity Filer Category Non-accelerated Filer  
Entity Small Business true  
Entity Emerging Growth Company false  
Entity Shell Company false  
Entity Common Stock, Shares Outstanding   6,355,230
v3.24.1.1.u2
Condensed Consolidated Balance Sheets (Unaudited) - USD ($)
$ in Thousands
Mar. 31, 2024
Dec. 31, 2023
CURRENT ASSETS:    
Cash and cash equivalents $ 5,087 $ 5,396
Accounts receivable, net of allowance of $5,317 and $7,415 as of March 31, 2024, and December 31, 2023, respectively 27,168 29,151
Inventories 20,978 23,072
Prepaid expenses 1,034 1,298
Advances to suppliers 4,926 5,604
Other current assets 1,508 1,925
Total current assets 60,701 66,446
LONG-TERM ASSETS:    
Long-term trade receivables 9,906 11,318
Deferred tax assets 1,148 1,032
Severance pay funds 429 573
Property and equipment, net 1,229 1,322
Operating right-of-use assets, net 4,081 4,517
Intangible assets 7,582 8,446
Total long-term assets 24,375 27,208
TOTAL ASSETS 85,076 93,654
CURRENT LIABILITIES:    
Trade payables 7,787 9,038
Accrued expenses and other current liabilities 12,133 12,437
Current portion of long-term debt 4,154 4,155
Income taxes payable 479 366
Unearned interest income 1,444 1,468
Warranty accrual 1,107 1,029
Deferred revenues 926 1,076
Operating lease liabilities 1,418 1,590
Total current liabilities 29,448 31,159
LONG-TERM LIABILITIES:    
Long-term debt 72,552 70,790
Accrued severance pay 467 634
Deferred tax liabilities 11 15
Unearned interest revenue 724 671
Warranty accrual 268 334
Operating lease liabilities 2,846 3,162
Other long-term liabilities 672 338
Total long-term liabilities 77,540 75,944
TOTAL LIABILITIES 106,988 107,103
Commitments and Contingencies (Note 9)
STOCKHOLDERS’ EQUITY (DEFICIT) (Note 15):    
Common Stock, $0.0001 par value: 300,000,000 shares authorized as of March 31, 2024 and December 31, 2023; 6,355,230 and 5,529,149 issued and outstanding as of March 31, 2024, and December 31, 2023, respectively 30 30
Additional paid-in capital 249,180 247,854
Accumulated deficit (271,697) (261,903)
TOTAL STOCKHOLDERS’ EQUITY (DEFICIT) (22,487) (14,019)
Non-controlling interests 575 570
Equity, Including Portion Attributable to Noncontrolling Interest (21,912) (13,449)
TOTAL LIABILITIES AND STOCKHOLDERS’ EQUITY (DEFICIT) $ 85,076 $ 93,654
v3.24.1.1.u2
Condensed Consolidated Balance Sheets (Unaudited) (Parentheticals) - USD ($)
$ in Thousands
Mar. 31, 2024
Dec. 31, 2023
Accounts receivable, allowance, current $ 5,317 $ 7,415
Common stock, par value (in dollars per share) $ 0.0001 $ 0.0001
Common stock, shares authorized (in shares) 300,000,000 300,000,000
Common stock, shares issued (in shares) 6,355,230 5,529,149
Common stock, shares outstanding (in shares) 6,355,230 5,529,149
v3.24.1.1.u2
Condensed Consolidated Statements of Operations (Unaudited) - USD ($)
shares in Thousands, $ in Thousands
3 Months Ended
Mar. 31, 2024
Mar. 31, 2023
Revenue    
Revenues $ 17,479 $ 20,531
Cost of goods sold:    
Cost of goods and services sold 5,832 6,832
Gross profit 11,647 13,699
Operating expenses:    
Selling and marketing 7,374 8,032
General and administrative 10,248 11,185
Research and development 1,785 2,637
Total operating expenses 19,407 21,854
Loss from operations (7,760) (8,155)
Other expenses:    
Foreign exchange (gain) loss 324 (352)
Finance expenses 1,668 1,508
Loss on disposal of subsidiaries 0 77
Loss before income taxes (9,752) (9,388)
Income tax expense 37 235
Net loss (9,789) (9,623)
Net loss attributable to stockholders of the Company (9,794) (9,657)
Net income attributable to non-controlling interest $ 5 $ 34
Net loss per share:    
Basic (in dollars per share) $ (1.68) $ (1.84)
Diluted (in dollars per share) $ (1.68) $ (1.84)
Weighted-average number of shares used in per share calculation:    
Basic (in shares) 5,829 5,237
Diluted (in shares) 5,829 5,237
Leases [Member]    
Revenue    
Revenues $ 3,593 $ 5,761
Cost of goods sold:    
Cost of goods and services sold 1,477 1,747
Products and Services [Member]    
Revenue    
Revenues 13,886 14,770
Cost of goods sold:    
Cost of goods and services sold $ 4,355 $ 5,085
v3.24.1.1.u2
Condensed Consolidated Statements of Comprehensive Loss (Unaudited) - USD ($)
$ in Thousands
3 Months Ended
Mar. 31, 2024
Mar. 31, 2023
Net loss $ (9,789) $ (9,623)
Loss attributable to stockholders of the Company (9,794) (9,657)
Income attributable to non-controlling interest 5 34
Comprehensive loss $ (9,789) $ (9,623)
v3.24.1.1.u2
Condensed Consolidated Statement of Stockholders' Equity (Deficit) (Unaudited) - USD ($)
$ in Thousands
Cumulative Effect, Period of Adoption, Adjustment [Member]
Common Stock [Member]
Cumulative Effect, Period of Adoption, Adjustment [Member]
Additional Paid-in Capital [Member]
Cumulative Effect, Period of Adoption, Adjustment [Member]
Retained Earnings [Member]
Cumulative Effect, Period of Adoption, Adjustment [Member]
Noncontrolling Interest [Member]
Cumulative Effect, Period of Adoption, Adjustment [Member]
Preferred Stock [Member]
The 2022 Private Placement [Member]
Preferred Stock [Member]
Multi-Tranche Private Placement 2023 [Member]
Preferred Stock [Member]
The 2023 Series X Private Placement [Member]
[1]
Common Stock [Member]
Additional Paid-in Capital [Member]
Retained Earnings [Member]
Noncontrolling Interest [Member]
Total
Balance (in shares) at Dec. 31, 2022           3,185,000 0 0 5,161,374        
Balance (Accounting Standards Update 2016-13 [Member]) at Dec. 31, 2022 $ 0 $ 0 $ (548) $ 0 $ (548)                
Balance at Dec. 31, 2022                 $ 29 $ 232,169 $ (224,105) $ 645 $ 8,738
Issuance of common stock (in shares)           0 0 0 224,378        
Issuance of common stock                 $ 1 744 0 0 745
Net loss — the Company                 0 0 (9,657) 0 (9,657)
Net income attributable to non-controlling interest                 0 0 0 34 34
Stock-based compensation                 $ 0 481 0 0 481
Restricted share units vested (in shares)           0 0 0 22,000        
Restricted share units vested                 $ 0 [1] 0 0 0 0
Balance (in shares) at Mar. 31, 2023           3,185,000 0 0 5,407,752        
Balance at Mar. 31, 2023                 $ 30 233,394 (234,310) 679 (207)
Balance (in shares) at Dec. 31, 2023           3,185,000 1,575,810 256,356 5,529,149        
Balance at Dec. 31, 2023                 $ 30 247,854 (261,903) 570 (13,449)
Issuance of common stock (in shares)           0 0 0 8,333        
Issuance of common stock                 $ 0 [1] 10 0 0 10
2024 Registered Direct Offering shares and warrants, net of costs (in shares)           0 0 0 817,748        
2024 Registered Direct Offering shares and warrants, net of costs                 $ 0 977 0 0 977
2023 Series X Private Placement shares dividends (in shares)           0 0 8,012 0        
2023 Series X Private Placement shares dividends                 $ 0 0 0 0 0
Net loss — the Company                 0 0 (9,794) 0 (9,794)
Net income attributable to non-controlling interest                 0 0 0 5 5
Stock-based compensation                 $ 0 339 0 0 339
Balance (in shares) at Mar. 31, 2024           3,185,000 1,575,810 264,368 6,355,230        
Balance at Mar. 31, 2024                 $ 30 $ 249,180 $ (271,697) $ 575 $ (21,912)
[1] Presented as $0 due to rounding.
v3.24.1.1.u2
Condensed Consolidated Statements of Cash Flows (Unaudited) - USD ($)
$ in Thousands
3 Months Ended 12 Months Ended
Mar. 31, 2024
Mar. 31, 2023
Dec. 31, 2023
CASH FLOWS FROM OPERATING ACTIVITIES:      
Net loss $ (9,789) $ (9,623)  
Adjustments to reconcile net loss to net cash used in operating activities:      
Depreciation and amortization 975 1,007  
Stock-based compensation 339 481  
Provision for expected credit losses 171 618 $ 1,350
Provision for inventory obsolescence 372 343  
Finance expenses and accretion 481 74  
Deferred tax expense (recovery) (120) 149  
Loss on disposal of property and equipment 5 34  
Changes in operating assets and liabilities:      
Accounts receivable short-term and long-term 3,226 1,654  
Inventories 1,722 891  
Prepaid expenses 264 69  
Advances to suppliers 678 20  
Other current assets 417 1,673  
Operating right-of-use assets, net 437 423  
Other long-term assets (1) (45)  
Trade payables (1,251) (522)  
Accrued expenses and other current liabilities (263) (2,570)  
Current operating lease liabilities (172) (119)  
Severance pay funds 144 43  
Unearned interest income 29 (360)  
Long-term operating lease liabilities (316) (289)  
Other long-term liabilities (226) 161  
Net cash used in operating activities (2,878) (5,888)  
CASH FLOWS FROM INVESTING ACTIVITIES:      
Purchases of property and equipment (25) (70)  
Net cash used in investing activities (25) (70)  
CASH FLOWS FROM FINANCING ACTIVITIES:      
Proceeds from issuance of common stock 10 803  
2024 Registered Direct Offering shares and warrants, net of costs of $222 977 0  
2024 Convertible Notes issued to EW, net of costs of $393 1,607 0  
Net cash provided by financing activities 2,594 803  
NET DECREASE IN CASH AND CASH EQUIVALENTS AND RESTRICTED CASH (309) (5,155)  
CASH AND CASH EQUIVALENTS AND RESTRICTED CASH — Beginning of period 5,396 11,569 11,569
CASH AND CASH EQUIVALENTS AND RESTRICTED CASH — End of period 5,087 6,414 $ 5,396
SUPPLEMENTAL DISCLOSURES OF CASH FLOW INFORMATION:      
Cash paid for income taxes 27 12  
Cash paid for interest $ 1,187 $ 1,433  
v3.24.1.1.u2
Note 1 - Nature of Operations
3 Months Ended
Mar. 31, 2024
Notes to Financial Statements  
Nature of Operations [Text Block]

1. NATURE OF OPERATIONS

 

Venus Concept Inc. is a global medical technology company that develops, commercializes, and sells minimally invasive and non-invasive medical aesthetic and hair restoration technologies and related services. The Company's systems have been designed on cost-effective, proprietary and flexible platforms that enable it to expand beyond the aesthetic industry’s traditional markets of dermatology and plastic surgery, and into non-traditional markets, including family and general practitioners and aesthetic medical spas. The Company was incorporated in the state of Delaware on November 22, 2002. In these notes to the unaudited condensed consolidated financial statements, the “Company,” “Venus Concept,” “our,” and “we,” refer to Venus Concept Inc. and its subsidiaries on a consolidated basis.

 

Review of Strategic Alternatives

 

On January 24, 2024, the Company announced that its Board is evaluating potential strategic alternatives to maximize shareholder value. As part of the process, the Board is considering a full range of strategic alternatives, which may include one or more financings, mergers, reverse mergers, other business combinations, sales of assets, licensings or other transactions.

 

There can be no assurance that the evaluation of strategic alternatives will result in any transaction, nor can there be any assurance regarding any transaction’s timing or ultimate outcome. The Company has not set a timetable for completion of the process and does not intend to disclose developments related to the process unless and until the Company executes a definitive agreement with respect thereto, or the Board otherwise determines that further disclosure is appropriate or required.

 

Going Concern

 

The accompanying unaudited condensed consolidated financial statements have been prepared on a going concern basis, which contemplates the realization of assets and the satisfaction of liabilities in the normal course of business for the foreseeable future, and, as such, the unaudited condensed consolidated financial statements do not include any adjustments relating to the recoverability and classification of recorded asset amounts or amounts and classification of liabilities that might be necessary should the Company be unable to continue in existence.

 

The Company has had recurring net operating losses and negative cash flows from operations. As of  March 31, 2024 and December 31, 2023, the Company had an accumulated deficit of $271,697 and $261,903, respectively, though, the Company was in compliance with all required covenants as of March 31, 2024, and December 31, 2023. The Company’s recurring losses from operations and negative cash flows raise substantial doubt about the Company’s ability to continue as a going concern within 12 months from the date that the unaudited condensed consolidated financial statements are issued. The global economy, including the financial and credit markets, has recently experienced extreme volatility and disruptions, including increasing inflation rates, rising interest rates, foreign currency impacts, declines in consumer confidence, and declines in economic growth. All these factors point to uncertainty about economic stability, and the severity and duration of these conditions on our business cannot be predicted, and the Company cannot assure that it will remain in compliance with the financial covenants contained within its credit facilities. 

 

In order to continue its operations, the Company must achieve profitable operations and/or obtain additional equity or debt financing. Until the Company achieves profitability, management plans to fund its operations and capital expenditures with cash on hand, borrowings, and issuance of capital stock. Until the Company generates revenue at a level to support its cost structure, the Company expects to continue to incur substantial operating losses and net cash outflows from operating activities.

 

Given the economic uncertainty in U.S. and international markets, the Company cannot anticipate the extent to which the current economic turmoil and financial market conditions will continue to adversely impact the Company’s business and the Company may need additional capital to fund its future operations and to access the capital markets sooner than planned. There can be no assurance that the Company will be successful in raising additional capital or that such capital, if available, will be on terms that are acceptable to the Company. If the Company is unable to raise sufficient additional capital, it may be compelled to reduce the scope of its operations and planned capital expenditures or sell certain assets, including intellectual property assets. These unaudited condensed consolidated financial statements do not include any adjustments relating to the recoverability and classification of recorded asset amounts or amounts and classification of liabilities that might result from the uncertainty. Such adjustments could be material.

 

The accompanying unaudited condensed consolidated financial statements have been prepared on a going concern basis, which contemplates the realization of assets and the satisfaction of liabilities in the normal course of business for the foreseeable future, and, as such, the unaudited condensed consolidated financial statements do not include any adjustments relating to the recoverability and classification of recorded asset amounts or amounts and classification of liabilities that might be necessary should the Company be unable to continue in existence.

 

v3.24.1.1.u2
Note 2 - Summary of Significant Accounting Policies
3 Months Ended
Mar. 31, 2024
Notes to Financial Statements  
Significant Accounting Policies [Text Block]

2. SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES

 

Basis of Presentation

 

The accompanying unaudited condensed consolidated financial statements have been prepared in accordance with generally accepted accounting principles in the United States (“U.S. GAAP”) and with the instructions to Form 10-Q and Article 10 of Regulation S-X. Accordingly, they do not include all of the information and footnotes required by U.S. GAAP for complete financial statements. These unaudited condensed consolidated financial statements should be read in conjunction with the Company’s audited consolidated financial statements included in its Annual Report on Form 10-K for the year ended December 31, 2023, filed with the Securities and Exchange Commission (the “SEC”) on April 1, 2024. In the opinion of management, all adjustments (consisting only of normal recurring adjustments) considered necessary for fair presentation have been included. Operating results for the three months ended March 31, 2024 are not necessarily indicative of the results that may be expected for the year ending December 31, 2024. For further information, refer to the consolidated financial statements and footnotes thereto included in Item 8 of the Company’s most recent Annual Report on Form 10-K.

 

The preparation of these consolidated financial statements in accordance with U.S. GAAP requires management to make estimates and assumptions that affect the reported amounts of assets and liabilities at the date of the financial statements, and the reported amounts of revenues and expenses during the reporting periods. Actual results could differ materially from those estimates. The Company assessed certain accounting matters that generally require consideration of forecasted financial information in context with the information reasonably available to the Company as of March 31, 2024 and through the date of this report filing. The accounting matters assessed included, but were not limited to, the allowance for expected credit losses and the carrying value of intangible and long-lived assets.

 

Amounts reported in thousands within this report are computed based on the amounts in U.S. dollars. As a result, the sum of the components reported in thousands may not equal the total amount reported in thousands due to rounding. Certain columns and rows within tables may not add due to the use of rounded numbers. Percentages presented are calculated from the underlying numbers in dollars.

 

Accounting Policies

 

The accounting policies the Company follows are set forth in the Company’s audited consolidated financial statements for fiscal year 2023. For further information, refer to the consolidated financial statements and footnotes thereto included in Item 8 of the Company’s most recent Annual Report on Form 10-K. There have been no material changes to these accounting policies.

 

Recently Adopted Accounting Standards 

 

In  August 2020, the FASB issued ASU No. 2020-06 (“ASU 2020-06”): Debt—Debt with Conversion and Other Options (Subtopic 470-20) and Derivatives and Hedging—Contracts in Entity’s Own Equity (Subtopic 815-40). ASU 2020-06 reduces the number of accounting models for convertible debt instruments by eliminating the cash conversion and beneficial conversion models. The diluted net income per share calculation for convertible instruments will require the Company to use the if-converted method. For contracts in an entity’s own equity, the type of contracts primarily affected by this update are freestanding and embedded features that are accounted for as derivatives under the current guidance due to a failure to meet the settlement conditions of the derivative scope exception. This update simplifies the related settlement assessment by removing the requirements to (i) consider whether the contract would be settled in registered shares, (ii) consider whether collateral is required to be posted, and (iii) assess shareholder rights. ASU 2020-06 is effective for the Company on  January 1, 2024, with early adoption permitted. ASU No. 2020-06 can be adopted on either a fully retrospective or modified retrospective basis. On  January 1, 2024, the adoption of ASU 2020-06 did not have a material impact on the Company’s consolidated financial statements or disclosures.

 

Recently Issued Accounting Standards Not Yet Adopted

 

In October 2023, the FASB issued ASU No. 2023-06 ("ASU 2023-06"): Disclosure Improvements: Codification Amendments in Response to the SEC’s Disclosure Update and Simplification Initiative. This ASU was issued to clarify or improve disclosure and presentation requirements of a variety of topics, which will allow users to more easily compare entities subject to the SEC's existing disclosures with those entities that were not previously subject to the requirements, and align the requirements in the FASB accounting standard codification with the SEC's regulations. The ASU will become effective prospectively on the earlier of the date on which the SEC removes its disclosure requirements for the related disclosure or June 30, 2027. The Company is currently evaluating the provisions of the amendments and the impact on its future consolidated statements.

 

In November 2023, the FASB issued ASU No. 2023-07 ("ASU 2023-07") Segment Reporting (Topic 280): Improvements to Reportable Segment Disclosures. The new standard requires the disclosure of the Company’s Chief Operating Decision Maker (CODM), expanded incremental line-item disclosures of significant segment expenses used by the CODM for decision-making, and the inclusion of previous annual only segment disclosure requirements on a quarterly basis. This ASU must be applied on a retrospective basis to all prior periods presented in the financial statements. This pronouncement is effective for fiscal years beginning after December 15, 2023, and interim periods within fiscal years beginning after December 15, 2024. The Company is currently assessing the impact of applying this guidance.

 

In December 2023, the FASB issued ASU No. 2023-09 ("ASU 2023-09") Income Taxes (Topic 740): Improvements to Income Tax Disclosures. The guidance requires entities to disclose disaggregated information about their effective tax rate reconciliation as well as information on income taxes paid. The disclosure requirements will be applied on a prospective basis, with the option to apply it retrospectively. This pronouncement is effective for fiscal years beginning after December 15, 2024 and early adoption is permitted. The Company is currently assessing the impact of applying this guidance.

 

v3.24.1.1.u2
Note 3 - Net Loss Per Share
3 Months Ended
Mar. 31, 2024
Notes to Financial Statements  
Earnings Per Share [Text Block]

3. NET LOSS PER SHARE

 

Net Loss Per Share

 

Basic net loss per share is calculated by dividing net loss by the weighted-average number of shares of common stock outstanding during the period, without consideration for common stock equivalents. Diluted net loss per share is computed by dividing net loss by the weighted-average number of common stock equivalents outstanding for the period determined using the treasury-stock method. For purposes of this calculation, common stock warrants and stock options are considered to be common stock equivalents and are only included in the calculation of diluted net loss per share when their effect is dilutive.

 

The following table sets forth the computation of basic and diluted net loss and the weighted average number of shares used in computing basic and diluted net loss per share (in thousands, except per share data):

 

   

Three Months Ended March 31,

 
   

2024

   

2023

 

Numerator:

               

Net loss

  $ (9,789 )   $ (9,623 )

Net loss allocated to stockholders of the Company

  $ (9,794 )   $ (9,657 )

Denominator:

               

Weighted-average shares of common stock outstanding used in computing net loss per share, basic

    5,829       5,237  

Weighted-average shares of common stock outstanding used in computing net loss per share, diluted

    5,829       5,237  

Net loss per share:

               

Basic

  $ (1.68 )   $ (1.84 )

Diluted

  $ (1.68 )   $ (1.84 )

 

Due to the net loss, all the outstanding shares of common stock equivalents were excluded from the calculation of diluted net loss per share attributable to common stockholders for the quarters ended March 31, 2024 and 2023 because including them would have been antidilutive: 

 

   

March 31, 2024

   

March 31, 2023

 

Options to purchase common stock

    1,048,074       1,005,680  

Preferred stock

    8,969,341       2,123,443  

Restricted share units

    -       2,668  

Shares reserved for convertible notes

    2,662,459       547,593  

Warrants for common stock

    1,936,920       1,061,930  

Total potential dilutive shares

    14,616,794       4,741,314  

  

v3.24.1.1.u2
Note 4 - Fair Value Measurements
3 Months Ended
Mar. 31, 2024
Notes to Financial Statements  
Fair Value Disclosures [Text Block]

4. FAIR VALUE MEASUREMENTS

 

Financial assets and financial liabilities are initially recognized at fair value when the Company becomes a party to the contractual provisions of the financial instrument. Subsequently, all financial instruments are measured at amortized cost using the effective interest method.

 

The financial instruments of the Company consist of cash and cash equivalents, restricted cash, accounts receivable, long-term receivables, lines of credit, trade payables, government assistance loans, accrued expenses and other current liabilities, other long-term liabilities and long-term debt. In view of their nature, the fair value of these financial instruments approximates their carrying amounts.

 

The Company measures the fair value of its financial assets and financial liabilities using the fair value hierarchy. A financial instrument’s classification within the fair value hierarchy is based upon the lowest level of input that is significant to the fair value measurement. The accounting guidance establishes a three-tiered hierarchy, which prioritizes the inputs used in the valuation methodologies in measuring fair value:

 

Level 1 – Quoted prices in active markets for identical assets or liabilities.

 

Level 2 – Inputs other than Level 1 that are observable, either directly or indirectly, such as quoted prices in markets that are not active, 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 – Unobservable inputs that are supported by little or no market activity and that are significant to the fair value of the assets or liabilities.

 

Guaranteed investment certificates are classified within Level 2 as the Company uses alternative pricing sources and models utilizing market observable inputs for valuation.

 

The Company's convertible note (see Note 13) contains an embedded derivative feature that was required to be bifurcated and remeasured to fair value at each reporting period based on significant inputs not observable in the market, and is classified as a Level 3 measurement according to the fair value hierarchy described above. The changes in fair value recognized as a component of finance expenses. The fair value of derivative liability was determined using a probability-weighted expected return method (“PWERM”) using the “With and Without” approach (a form of an income approach). Under this approach various scenarios were considered to trigger the change of control, conversion, and redemption scenarios constituting the embedded derivative. The PWERM analysis contains inherent assumptions related to expected stock price volatility, conversion and redemption timing, and risk-free interest rate. Due to the use of significant unobservable inputs, the overall fair value measurement of the derivative liability is classified as Level 3.

 

The following tables set forth the fair value of the Company’s Level 1, Level 2 and Level 3 financial assets and liabilities within the fair value hierarchy, and there were no transfers between Level 1, Level 2 and Level 3 for the periods presented:

 

   

Fair Value Measurements as of March 31, 2024

 
   

Quoted Prices in Active Markets using Identical Assets (Level 1)

   

Significant Other Observable Inputs (Level 2)

   

Significant Unobservable Inputs (Level 3)

   

Total

 

Assets

                               

Guaranteed Investment Certificates

  $     $ 61     $     $ 61  

Total assets

  $     $ 61     $     $ 61  

Liabilities

                       

Derivative Liability

                327       327  

Total liabilities

  $     $     $ 327     $ 327  

 

   

Fair Value Measurements as of December 31, 2023

 
   

Quoted Prices in Active Markets using Identical Assets (Level 1)

   

Significant Other Observable Inputs (Level 2)

   

Significant Unobservable Inputs (Level 3)

   

Total

 

Assets

                               

Guaranteed Investment Certificates

  $     $ 62     $     $ 62  

Total assets

  $     $ 62     $     $ 62  

 

v3.24.1.1.u2
Note 5 - Accounts Receivable
3 Months Ended
Mar. 31, 2024
Notes to Financial Statements  
Trade and Financing Receivables [Text Block]

5. ACCOUNTS RECEIVABLE

 

The Company’s products may be sold under subscription agreements and our Venus Prime program, with unencumbered title passing to the customer at the end of the lease term, which is generally 36 months. These arrangements are considered to be sales-type leases, where the present value of all cash flows to be received under the agreement is recognized upon shipment to the customer as lease revenue. Venus Prime, launched in January 2024, is a structured in-house financing program which replaces the legacy subscription program for new customers in North America.

 

A financing receivable is a contractual right to receive money, on demand or on fixed or determinable dates, that is recognized as an asset on the Company's unaudited condensed consolidated balance sheets. The Company's financing receivables, consisting of sales-type leases, totaled $28,677 and $32,393 as of  March 31, 2024 and December 31, 2023, respectively, and are included in accounts receivable and long-term receivables on the unaudited condensed consolidated balance sheets. The Company evaluates the credit quality of an obligor at lease inception and monitors credit quality over the term of the underlying transactions.

 

The Company performed an assessment of the allowance for expected credit losses as of March 31, 2024 and December 31, 2023. Based upon such assessment, the Company recorded an allowance for expected credit losses totaling $5,317 and $7,415 as of March 31, 2024, and December 31, 2023, respectively.

 

A summary of the Company’s accounts receivables is presented below:

 

   

March 31,

   

December 31,

 
   

2024

   

2023

 

Gross accounts receivable

  $ 42,391     $ 47,884  

Unearned income

    (2,168 )     (2,139 )

Allowance for expected credit losses

    (5,317 )     (7,415 )
    $ 34,906     $ 38,330  

Reported as:

               

Current trade receivables

  $ 27,168     $ 29,151  

Current unearned interest income

    (1,444 )     (1,468 )

Long-term trade receivables

    9,906       11,318  

Long-term unearned interest income

    (724 )     (671 )
    $ 34,906     $ 38,330  

 

Current subscription agreements are reported as part of accounts receivable. The following are the contractual commitments, net of allowance for expected credit losses, to be received by the Company over the next 5 years:

 

           

March 31,

 
   

Total

   

2024

   

2025

   

2026

   

2027

   

2028

 

Current financing receivables, net of allowance of $5,311

  $ 18,771     $ 18,771     $     $     $     $  

Long-term financing receivables, net of allowance of $6

    9,906             7,236       2,632       38        
    $ 28,677     $ 18,771     $ 7,236     $ 2,632     $ 38     $  

 

Accounts receivable from our legacy subscription-based model do not bear interest and are typically not collateralized. Accounts receivable from Venus Prime sales bear interest commensurate with the customer's credit risk. The Company performs credit evaluations on new and existing customers' financial condition and maintains an allowance for expected credit losses. Uncollectible accounts are charged to expense when deemed uncollectible, and accounts receivable are presented net of an allowance for expected credit losses. Accounts receivable are deemed past due in accordance with the contractual terms of the agreement. Actual losses may differ from the Company’s estimates and could be material to its unaudited condensed consolidated financial position, results of operations and cash flows.

 

The allowance for expected credit losses consisted of the following activity:

 

Balance at January 1, 2023

  $ 13,619  

Write-offs

    (7,554 )

Provision

    1,350  

Balance at December 31, 2023

    7,415  

Write-offs

    (2,269 )

Provision

    171  

Balance at March 31, 2024

  $ 5,317  

 

  

v3.24.1.1.u2
Note 6 - Select Balance Sheet and Statement of Operations Information
3 Months Ended
Mar. 31, 2024
Notes to Financial Statements  
Balance Sheet and Income Statement Disclosures [Text Block]

6. SELECT BALANCE SHEET AND STATEMENT OF OPERATIONS INFORMATION

 

Inventory

 

Inventory consists of the following:

 

   

March 31,

   

December 31,

 
   

2024

   

2023

 

Raw materials

  $ 1,849     $ 1,949  

Work-in-progress

    1,891       2,048  

Finished goods

    17,238       19,075  

Total inventory

  $ 20,978     $ 23,072  

 

Additions to inventory are primarily comprised of newly produced units and applicators, refurbishment cost from demonstration units and used equipment which were reacquired during the period from upgraded sales. The Company expensed $5,119 and $6,832 in cost of goods sold in the three months ended March 31, 2024 and 2023, respectively. The balance of cost of goods sold represents the sale of applicators, parts, consumables and warranties.

 

The Company provides for excess and obsolete inventories when conditions indicate that the inventory cost is not recoverable due to physical deterioration, usage, obsolescence, reductions in estimated future demand and reductions in selling prices. Inventory provisions are measured as the difference between the cost of inventory and net realizable value to establish a lower cost basis for the inventories. As of March 31, 2024 and December 31, 2023, a provision for obsolescence of $2,999 and $2,733 was taken against inventory, respectively.

 

Property and Equipment, Net

 

Property and equipment, net consist of the following:

 

   

Useful Lives

   

March 31,

   

December 31,

 
   

(in years)

   

2024

   

2023

 

Lab equipment tooling and molds

    4 – 10     $ 4,356     $ 4,356  

Office furniture and equipment

    6 – 10       1,218       1,223  

Leasehold improvements

   

up to 10

      893       854  

Computers and software

    3       907       919  

Vehicles

    5 – 7       37       37  

Demo units

    5       214       214  

Total property and equipment

            7,625       7,603  

Less: Accumulated depreciation

            (6,396 )     (6,281 )

Total property and equipment, net

          $ 1,229     $ 1,322  

 

Depreciation expense amounted to $112 and $151 for the three months ended March 31, 2024 and 2023, respectively.

 

Other Current Assets

 

   

March 31,

   

December 31,

 
   

2024

   

2023

 

Government remittances (1)

  $ 826     $ 1,336  

Consideration receivable from subsidiaries sale

    75       85  

Sundry assets and miscellaneous

    607       504  

Total other current assets

  $ 1,508     $ 1,925  

 

(1Government remittances are receivables from the local tax authorities for refunds of sales taxes and income taxes.

 

Accrued Expenses and Other Current Liabilities

 

   

March 31,

   

December 31,

 
   

2024

   

2023

 

Payroll and related expense

  $ 2,154     $ 2,260  

Accrued expenses

    4,713       3,924  

Commission accrual

    1,887       2,385  

Sales and consumption taxes

    3,379       3,868  

Total accrued expenses and other current liabilities

  $ 12,133     $ 12,437  

 

Warranty Accrual

 

The following table provides the details of the change in the Company’s warranty accrual:

 

   

March 31,

   

December 31,

 
   

2024

   

2023

 

Balance as of the beginning of the period

  $ 1,363     $ 1,482  

Warranties issued during the period

    109       933  

Warranty costs incurred during the period

    (97 )     (1,052 )

Balance at the end of the period

  $ 1,375     $ 1,363  

Current

    1,107       1,029  

Long-term

    268       334  

Total

  $ 1,375     $ 1,363  

 

Finance Expenses

 

The following table provides the details of the Company’s finance expenses:

 

   

Three Months Ended March 31,

 
   

2024

   

2023

 

Interest expense

  $ 2,077     $ 1,443  

Change in fair value of derivative liability

    (618 )   $  

Accretion on long-term debt and amortization of fees

    209       65  

Total finance expenses

  $ 1,668     $ 1,508  

 

v3.24.1.1.u2
Note 7 - Leases
3 Months Ended
Mar. 31, 2024
Notes to Financial Statements  
Lessee, Operating Leases [Text Block]

7. LEASES

 

The following presents the various components of lease costs. 

 

   

Three Months Ended March 31,

 
   

2024

   

2023

 

Operating lease cost

  $ 386     $ 510  

Short-term lease cost

           

Total lease cost

  $ 386     $ 510  

 

The following table presents supplemental information relating to the cash flows arising from lease transactions. Cash payments related to short-term leases are not included in the measurement of operating lease liabilities, and as such, are excluded from the amounts below.

 

   

Three Months Ended March 31,

 
   

2024

   

2023

 

Operating cash outflows from operating leases

  $ 386     $ 510  

 

The following table presents the weighted-average lease term and discount rate for operating leases. 

 

   

At March 31,

 
   

2024

   

2023

 

Operating leases

               

Weighted-average remaining lease term

    2.83 yrs.       3.73 yrs.  

Weighted-average discount rate

    4.00 %     4.00 %

 

The following table presents a maturity analysis of expected undiscounted cash flows for operating leases on an annual basis for the next five years and thereafter.

 

 

Years ending December 31,

 

Operating leases

 

2024

  $ 1,075  

2025

    1,294  

2026

    1,101  

2027

    593  

2028

    204  

Thereafter

    341  

Imputed Interest (1)

    (343 )

Total

  $ 4,265  

 

(1) Imputed interest represents the difference between undiscounted cash flows and cash flows.

 

v3.24.1.1.u2
Note 8 - Intangible Assets
3 Months Ended
Mar. 31, 2024
Notes to Financial Statements  
Goodwill and Intangible Assets Disclosure [Text Block]

8. INTANGIBLE ASSETS

 

Intangible assets net of accumulated amortization were as follows:

 

   

At March 31, 2024

 
   

Gross Amount

   

Accumulated Amortization

   

Net Amount

 

Customer relationships

  $ 1,400     $ (545 )   $ 855  

Brand

    2,500       (1,395 )     1,105  

Technology

    16,900       (12,437 )     4,463  

Supplier agreement

    3,000       (1,841 )     1,159  

Total intangible assets

  $ 23,800     $ (16,218 )   $ 7,582  

 

   

At December 31, 2023

 
   

Gross Amount

   

Accumulated Amortization

   

Net Amount

 

Customer relationships

  $ 1,400     $ (522 )   $ 878  

Brand

    2,500       (1,330 )     1,170  

Technology

    16,900       (11,735 )     5,165  

Supplier agreement

    3,000       (1,767 )     1,233  

Total intangible assets

  $ 23,800     $ (15,354 )   $ 8,446  

 

For the three months ended March 31, 2024 and 2023, amortization expense was $864 and $856, respectively.

 

Estimated amortization expense for the next five fiscal years and all years thereafter are as follows:

 

Years ending December 31,

       

2024

  $ 2,610  

2025

    3,004  

2026

    657  

2027

    657  

2028

    244  

Thereafter

    410  

Total

  $ 7,582  

 

v3.24.1.1.u2
Note 9 - Commitments and Contingencies
3 Months Ended
Mar. 31, 2024
Notes to Financial Statements  
Commitments and Contingencies Disclosure [Text Block]

9. COMMITMENTS AND CONTINGENCIES

 

Commitments

 

As of March 31, 2024, the Company has non-cancellable purchase orders placed with its contract manufacturers in the amount of $10.0 million. In addition, as of March 31, 2024, the Company had $1.164 million of open purchase orders that can be cancelled with 270 days’ notice.

 

Aggregate future service and purchase commitments with manufacturers as of March 31, 2024 are as follows:

 

Years ending December 31,

 

Purchase and Service Commitments

 

2024

  $ 9,983  

2025 and Thereafter

     

Total

  $ 9,983  

 

 

v3.24.1.1.u2
Note 10 - Main Street Term Loan
3 Months Ended
Mar. 31, 2024
Notes to Financial Statements  
Debt Disclosure [Text Block]

10. MAIN STREET TERM LOAN

 

On December 8, 2020, the Company executed a loan and security agreement (the "MSLP Loan Agreement"), a promissory note (the "MSLP Note"), and related documents for a loan in the aggregate amount of $50,000 for which City National Bank of Florida (“CNB”) will serve as a lender pursuant to the Main Street Priority Loan Facility as established by the Board of Governors of the Federal Reserve System Section 13(3) of the Federal Reserve Act (the “MSLP Loan”). On December 9, 2020, the MSLP Loan had been funded and the transaction was closed. The MSLP Note has a term of five years and bears interest at a rate per annum equal to 30-day LIBOR plus 3%. On December 8, 2023 and December 8, 2024, the Company must make an annual payment of principal plus accrued but unpaid interest in an amount equal to fifteen percent (15%) of the outstanding principal balance of the MSLP Note (inclusive of accrued but unpaid interest). The entire outstanding principal balance of the MSLP Note together with all accrued and unpaid interest is due and payable in full on December 8, 2025. The Company may prepay the MSLP Loan at any time without incurring any prepayment penalties. The MSLP Note provides for customary events of default, including, among others, those relating to a failure to make payment, bankruptcy, breaches of representations and covenants, and the occurrence of certain events. In addition, the MSLP Loan Agreement and MSLP Note contain various covenants that limit the Company’s ability to engage in specified types of transactions. Subject to limited exceptions, these covenants limit the Company’s ability, without CNB’s consent, to, among other things, sell, lease, transfer, exclusively license or dispose of the Company’s assets, incur, create, or permit to exist additional indebtedness, or liens, to make dividends and other restricted payments, and to make certain changes to its ownership structure.

 

On  October 4, 2023, the Company, Venus Concept USA Inc. (“Venus USA”), Venus Concept Canada Corp. (“Venus Canada”) and Venus Concept Ltd. (“Venus Ltd.”) entered into the Loan Modification Agreement with CNB, which modified certain terms of the MSLP Loan Agreement. The primary modifications of the MSLP Loan Modification were (i) the principal payment in the amount of 15% of the outstanding principal balance of the loan originally due December 31, 2023 is deferred until maturity, (ii) the principal payment in the amount of 15% of the outstanding principal balance of the loan originally due December 31, 2024 is reduced to 7.5% with the remainder deferred until maturity, (iii) the interest rate of the loan is reset from one-month LIBOR plus three percent (3%) to one-month term Secured Overnight Financing Rate (SOFR) plus three and one-quarter percent (3.25%), and (iv) Venus USA has assigned certain of its subscription sales contracts to CNB.

 

On January 18, 2024, the Company and the Guarantors entered into a Loan Modification Agreement (the “Loan Modification Agreement”) with CNB and Madryn Health Partners, LP, and certain of its affiliates (collectively, “Madryn”). The Loan Modification Agreement amends the MSLP Loan Agreement to, among other things, satisfy the 2023 Minimum Deposit Requirements (as defined in the Loan Modification Agreement) and defer the testing of the Minimum Deposit Relationship obligations set forth in the MSLP Loan Agreement for the monthly periods ending on January 31, 2024, February 28, 2024 and March 31, 2024 until April 30, 2024.

 

As of March 31, 2024 and December 31, 2023, the Company was in compliance with all required covenants.

 

The scheduled payments, inclusive of principal and estimated interest, on the outstanding borrowings as of March 31, 2024 are as follows:

 

      As of March 31, 2024  

2024

  $ 7,285  

2025

    51,905  

Total

  $ 59,190  

 

On April 23, 2024, the MSLP Loan was purchased by Madryn for an undisclosed amount from CNB with the consent of the Company.

 

v3.24.1.1.u2
Note 11 - Madryn Long-term Debt and Convertible Notes
3 Months Ended
Mar. 31, 2024
Notes to Financial Statements  
Debt Disclosure [Text Block]

10. MAIN STREET TERM LOAN

 

On December 8, 2020, the Company executed a loan and security agreement (the "MSLP Loan Agreement"), a promissory note (the "MSLP Note"), and related documents for a loan in the aggregate amount of $50,000 for which City National Bank of Florida (“CNB”) will serve as a lender pursuant to the Main Street Priority Loan Facility as established by the Board of Governors of the Federal Reserve System Section 13(3) of the Federal Reserve Act (the “MSLP Loan”). On December 9, 2020, the MSLP Loan had been funded and the transaction was closed. The MSLP Note has a term of five years and bears interest at a rate per annum equal to 30-day LIBOR plus 3%. On December 8, 2023 and December 8, 2024, the Company must make an annual payment of principal plus accrued but unpaid interest in an amount equal to fifteen percent (15%) of the outstanding principal balance of the MSLP Note (inclusive of accrued but unpaid interest). The entire outstanding principal balance of the MSLP Note together with all accrued and unpaid interest is due and payable in full on December 8, 2025. The Company may prepay the MSLP Loan at any time without incurring any prepayment penalties. The MSLP Note provides for customary events of default, including, among others, those relating to a failure to make payment, bankruptcy, breaches of representations and covenants, and the occurrence of certain events. In addition, the MSLP Loan Agreement and MSLP Note contain various covenants that limit the Company’s ability to engage in specified types of transactions. Subject to limited exceptions, these covenants limit the Company’s ability, without CNB’s consent, to, among other things, sell, lease, transfer, exclusively license or dispose of the Company’s assets, incur, create, or permit to exist additional indebtedness, or liens, to make dividends and other restricted payments, and to make certain changes to its ownership structure.

 

On  October 4, 2023, the Company, Venus Concept USA Inc. (“Venus USA”), Venus Concept Canada Corp. (“Venus Canada”) and Venus Concept Ltd. (“Venus Ltd.”) entered into the Loan Modification Agreement with CNB, which modified certain terms of the MSLP Loan Agreement. The primary modifications of the MSLP Loan Modification were (i) the principal payment in the amount of 15% of the outstanding principal balance of the loan originally due December 31, 2023 is deferred until maturity, (ii) the principal payment in the amount of 15% of the outstanding principal balance of the loan originally due December 31, 2024 is reduced to 7.5% with the remainder deferred until maturity, (iii) the interest rate of the loan is reset from one-month LIBOR plus three percent (3%) to one-month term Secured Overnight Financing Rate (SOFR) plus three and one-quarter percent (3.25%), and (iv) Venus USA has assigned certain of its subscription sales contracts to CNB.

 

On January 18, 2024, the Company and the Guarantors entered into a Loan Modification Agreement (the “Loan Modification Agreement”) with CNB and Madryn Health Partners, LP, and certain of its affiliates (collectively, “Madryn”). The Loan Modification Agreement amends the MSLP Loan Agreement to, among other things, satisfy the 2023 Minimum Deposit Requirements (as defined in the Loan Modification Agreement) and defer the testing of the Minimum Deposit Relationship obligations set forth in the MSLP Loan Agreement for the monthly periods ending on January 31, 2024, February 28, 2024 and March 31, 2024 until April 30, 2024.

 

As of March 31, 2024 and December 31, 2023, the Company was in compliance with all required covenants.

 

The scheduled payments, inclusive of principal and estimated interest, on the outstanding borrowings as of March 31, 2024 are as follows:

 

      As of March 31, 2024  

2024

  $ 7,285  

2025

    51,905  

Total

  $ 59,190  

 

On April 23, 2024, the MSLP Loan was purchased by Madryn for an undisclosed amount from CNB with the consent of the Company.

 

Madryn Long Term Debt and Convertible Notes [Member]  
Notes to Financial Statements  
Debt Disclosure [Text Block]

11. MADRYN DEBT AND CONVERTIBLE NOTES

 

On October 11, 2016, Venus Ltd. entered into a credit agreement as a guarantor with Madryn, as amended (the “Madryn Credit Agreement”), pursuant to which Madryn agreed to make certain loans to certain of Venus Concept’s subsidiaries.

 

On December 9, 2020, contemporaneously with the MSLP Loan Agreement (Note 10), the Company and its subsidiaries, Venus USA, Venus Ltd., Venus Canada, and the Madryn Noteholders (as defined below), entered into a securities exchange agreement (the "Exchange Agreement") dated as of December 8, 2020, pursuant to which the Company (i) repaid on December 9, 2020, $42.5 million aggregate principal amount owed under the Madryn Credit Agreement, and (ii) issued, on December 9, 2020, to Madryn Health Partners (Cayman Master), LP and Madryn Health Partners, LP (the "Madryn Noteholders") secured subordinated convertible notes in the aggregate principal amount of $26.7 million (the "Notes"). The Madryn Credit Agreement was terminated effective December 9, 2020 upon the funding and closing of the MSLP Loan and the issuance of the Notes.

 

On October 4, 2023, the Company entered into a securities exchange agreement (the "2023 Exchange Agreement") with the Madryn Noteholders. Pursuant to the 2023 Exchange Agreement, the Madryn Noteholders agreed to exchange (the "Exchange") $26.695 million in aggregate principal amount of outstanding secured convertible notes of the Company for (i) secured subordinated convertible notes in aggregate principal amount of $22.792 million (the “New Notes”) and (ii) 248,755 shares of newly-created convertible preferred stock of the Company, par value $0.0001 per share designated as "Series X Convertible Preferred Stock" (the "Series X Preferred Stock"). The Series X Preferred Stock is priced at $20.10 per share (the "Issuance Price"), being equal to the "Minimum Price" as set forth in Nasdaq Listing Rule 5635(d), multiplied by ten. The New Notes accrue interest at a rate of 3-month adjusted term Secured Overnight Financing Rate (SOFR) plus 8.50% per annum. In the case of an event of default under the New Notes, the then-applicable interest rate will increase by four percent (4.00%) per annum. Interest is payable in kind in arrears on the last business day of each calendar quarter of each year after the original issuance date, beginning on December 31, 2023. The New Notes mature on December 9, 2025, unless earlier redeemed or converted. As part of the extinguishment of principal, the Company recognized a $2.0 million loss.

 

As of March 31, 2024, the Company had approximately $24.4 million principal and interest of convertible notes outstanding that were issued pursuant to the Exchange Agreement (as defined below).

 

In connection with the New Notes and Notes, the Company recognized interest expense of $834 and $540 during the three months ended March 31, 2024 and 2023, respectively. The conversion feature, providing the Madryn Noteholders with a right to receive the Company’s shares upon conversion of the New Notes and Notes, was qualified for a scope exception in ASC 815-10-15 and did not require bifurcation. The New Notes and Notes also contained embedded redemption features that provided multiple redemption alternatives. Certain redemption features provided the Madryn Noteholders with a right to receive cash and a variable number of shares upon change of control and an event of default (as defined in the New Notes and Notes). The Company evaluated redemption upon change of control and an event of default under ASC 815, Derivatives and Hedging, and determined that these two redemption features required bifurcation. These embedded derivatives were accounted for as liabilities at their estimated fair value as of the date of issuance, and then subsequently remeasured to fair value as of each balance sheet date, with the related remeasurement adjustment being recognized as a component of change in fair value of derivative liabilities in the unaudited condensed consolidated statements of operations. The Company determined the likelihood of an event of default and change of control as remote as of March 31, 2024, and December 31, 2023, therefore a nominal value was allocated to the underlying embedded derivative liabilities as of March 31, 2024, and December 31, 2023.

 

The scheduled payments, inclusive of principal and interest, on the outstanding borrowings as of March 31, 2024 are as follows:

 

   As of March 31, 2024 

2024

 $ 

2025

  30,923 

Total

 $30,923 

 

For the three months ended March 31, 2024, the Company did not make any principal repayments.

 

Following Madryn’s purchase of the MSLP Loan, on April 23, 2024, the Company entered into a Loan and Security Agreement (the “Loan and Security Agreement”), by and among Venus USA, (as “Bridge Borrower”), Venus Canada, Venus Ltd. (Venus Ltd., together with the Company and Venus Canada, the “2024 Guarantors,” and together with the Bridge Borrower, the “2024 Loan Parties”) and, each lender party thereto (collectively, the “2024 Lenders”) and Madryn Health Partners, LP, as administrative agent (“Madryn HP”). For additional details related to the Loan and Security Agreement, see Item 1. Note 19. Subsequent Events and elsewhere in this quarterly report on Form 10-Q for the quarter ended March 31, 2024.

 

v3.24.1.1.u2
Note 12 - Credit Facility
3 Months Ended
Mar. 31, 2024
Notes to Financial Statements  
Credit Facility Disclosure [Text Block]

12. CREDIT FACILITY

 

On August 29, 2018, Venus Ltd. entered into an Amended and Restated Loan Agreement as a guarantor with CNB, as amended on March 20, 2020, December 9, 2020 and August 26, 2021 (the “CNB Loan Agreement”), pursuant to which CNB agreed to make certain loans and other financial accommodations to certain of Venus Ltd.’s subsidiaries to be used to finance working capital requirements. In connection with the CNB Loan Agreement, Venus Ltd. also entered into a guaranty agreement with CNB dated as of August 29, 2018, as amended on March 20, 2020, December 9, 2020 and August 26, 2021 (the “CNB Guaranty”), pursuant to which Venus Ltd. agreed to guaranty the obligations of its subsidiaries under the CNB Loan Agreement. On March 20, 2020, the Company also entered into a Security Agreement with CNB (the “CNB Security Agreement”), as amended on December 9, 2020 and August 26, 2021, pursuant to which it agreed to grant CNB a security interest in substantially all of our assets to secure the obligations under the CNB Loan Agreement.

 

The CNB Loan Agreement contains various covenants that limit the Company’s ability to engage in specified types of transactions. Subject to limited exceptions, these covenants limit the Company’s ability, without CNB’s consent, to, among other things, sell, lease, transfer, exclusively license or dispose of the Company’s assets, incur, create, or permit to exist additional indebtedness, or liens, to make dividends and certain other restricted payments, and to make certain changes to its management and/or ownership structure. 

 

On  August 26, 2021, the Company, Venus USA and Venus Canada entered into a Fourth Amended and Restated Loan Agreement (the “Amended CNB Loan Agreement”) with CNB, pursuant to which, among other things, (i) the maximum principal amount the revolving credit facility was reduced from $10,000 to $5,000 at the LIBOR 30-Day rate plus 3.25%, subject to a minimum LIBOR rate floor of 0.50%, and (ii) beginning  December 10, 2021, the cash deposit requirement was reduced from $3,000 to $1,500, to be maintained with CNB at all times during the term of the Amended CNB Loan Agreement. The Amended CNB Loan Agreement is secured by substantially all of the Company’s assets and the assets of certain of its subsidiaries. 

 

In connection with the Amended CNB Loan Agreement, the Company, Venus USA and Venus Canada issued a promissory note dated August 26, 2021, in favor of CNB (the “CNB Note”) in the amount of $5,000 with a maturity date of  July 24, 2023 and the obligations of the Company pursuant to certain of the Company’s outstanding promissory notes were reaffirmed as subordinated to the indebtedness of the Company owing to CNB pursuant to a Supplement to Subordination of Debt Agreements dated as of August 26, 2021 by and among Madryn Health Partners, LP, Madryn Health Partners (Cayman Master), LP, the Company and CNB. The CNB Note and Amended CNB Loan Agreement expired at its maturity date.

 

As of   March 31, 2024, and as of expiration of credit facility, the Company was in compliance with all required covenants. An event of default under this agreement would have caused a default under the MSLP Loan (see Note 10).

 

v3.24.1.1.u2
Note 13 - EW Convertible Notes
3 Months Ended
Mar. 31, 2024
Notes to Financial Statements  
Convertible Notes [Text Block]

13.  EW CONVERTIBLE NOTES

 

On January 18, 2024, the Company, Venus USA, Venus Canada and Venus Ltd (the “Guarantors”) entered into a Note Purchase and Registration Rights Agreement (the “Note Purchase Agreement”) with EW Healthcare Partners, L.P. (“EW”) and EW Healthcare Partners-A, L.P. (“EW-A,” and together with EW, the “EW Investors”). Pursuant to the Note Purchase Agreement, the Company issued and sold to the EW Investors $2.0 million in aggregate principal amount of secured subordinated convertible notes (the “2024 Notes").

 

The 2024 Notes accrue interest at a rate equal to the 90-day adjusted term Secured Overnight Financing Rate (SOFR) plus 8.50% per annum; provided, however, that if there is an Event of Default (as defined below), the then-applicable interest rate will increase by 4.00% per annum. Interest is payable in kind in arrears on the last business day of each calendar quarter of each year after the original issuance date, beginning on March 31, 2024. The 2024 Notes mature on December 9, 2025, unless earlier redeemed or converted, at which time all outstanding principal and interest is payable in cash, except as described below. At any time prior to the maturity date, a holder may convert the 2024 Notes at their option into shares of common stock at the then-applicable conversion rate. The initial conversion rate is 799.3605 shares of common stock per one-thousand principal amount of 2024 Notes, which represents an initial conversion price of approximately $1.251 per share of common stock. The conversion rate is subject to customary anti-dilution adjustments. The 2024 Notes are redeemable, in whole and not in part, at the Company’s option at any time, at a redemption price equal to the principal amount of the 2024 Notes to be redeemed, plus accrued and unpaid interest, if any, to, the redemption date, plus a redemption premium. The Company’s redemption option is subject to satisfaction of the conditions set forth in the 2024 Notes, including that a registration statement covering the resale of the shares of common stock issuable upon conversion of the 2024 Notes is effective and available for use.

 

The 2024 Notes have customary provisions relating to the occurrence of “Events of Default,” as defined in the 2024 Notes. If an Event of Default occurs, then the EW Investors may, subject to the terms of the CNB Subordination Agreement (as defined below), (i) declare the outstanding principal amount of the 2024 Notes, all accrued and unpaid interest and all other amounts owing under the 2024 Notes and other transaction documents entered into in connection therewith to be immediately become due and payable, without any further action or notice by any person, and (ii) exercise all rights and remedies available to them under the 2024 Notes, the EW Security Agreement (as defined below) and any other document entered into in connection with the foregoing. The 2024 Notes constitute the Company’s secured, subordinated obligations and are (i) equal in right of payment with the Company’s existing and future senior unsecured indebtedness; (ii) senior in right of payment to the Company’s existing and future indebtedness that is expressly subordinated to the 2024 Notes; and (iii) subordinated to the Company’s existing secured indebtedness in a manner consistent with the Existing Subordination Agreements (as defined below).

 

On January 18, 2024, the Company and the Guarantors entered into a Guaranty and Security Agreement, dated January 18, 2024 (the “EW Security Agreement”) with EW, as collateral agent. Pursuant to the EW Security Agreement, the Guarantors jointly and severally guaranteed to the EW Investors the prompt payment of all outstanding amounts under the 2024 Notes when due. The Guarantors also granted to the EW Investors a security interest in substantially all of their assets to secure the obligations under the 2024 Notes.

 

Pursuant to the EW Security Agreement, during the continuance of an Event of Default under the 2024 Notes, if the Company is unable to repay all outstanding amounts under the 2024 Notes, the EW Investors may, subject to the terms of the CNB Subordination Agreement (as defined below), foreclose on the collateral to collateralize such indebtedness. Any such foreclosure could significantly affect the Company’s ability to operate its business.

 

The EW Security Agreement contains various covenants that limit the Company’s ability to engage in specified types of transactions. Subject to limited exceptions, these covenants include restrictions on the Company’s ability, to incur, create or permit to exist additional indebtedness, or liens, and to make certain changes to its ownership structure, in each case without the Investor’s consent.

 

On January 18, 2024, the Company and the Guarantors entered into a Subordination of Debt Agreement (the “CNB Subordination Agreement”) with CNB and the EW Investors. The CNB Subordination Agreement provides that the 2024 Notes are subordinated to the Company’s existing secured indebtedness with CNB, in a manner consistent with the subordination of the Secured Subordinated Convertible Notes, dated October 4, 2023 (the “Madryn Notes”), issued to Madryn pursuant to those certain existing Subordination of Debt Agreements, dated as of December 8, 2020 entered into by the Company and the Guarantors, CNB, and Madryn (the “Existing Subordination Agreements”). The 2024 Notes and the Madryn Notes are secured by the same collateral, except that the 2024 Notes also receive a first priority perfected security interest and lien on the Company’s right to receive certain amounts from the Internal Revenue Service in respect of certain employee retention credits claimed by the Company (defined in the Notes as the “ERC Claim”).

 

As of March 31, 2024, the Company had approximately $2.1 million principal and interest of the 2024 convertible notes outstanding that were issued pursuant to the Note Purchase Agreement (as defined below).

 

In connection with the 2024 Notes, the Company recognized interest expense of $57 during the three months ended March 31, 2024. The 2024 Notes contained a conversion option, redemption right upon an event of default, change of control scenario, and interest rate penalty upon an event of default which were evaluated under ASC 815, Derivatives and Hedging, and determined that these features required bifurcation. These embedded derivatives were accounted for as liabilities at their estimated fair value as of the date of issuance, and then subsequently remeasured to fair value as of each balance sheet date, with the related remeasurement adjustment being recognized as a component of change in fair value of derivative liabilities in the unaudited condensed consolidated statements of operations. The fair value of the embedded derivative liability at issuance and as of March 31, 2024 were $0.9 million and $0.3 million, respectively.

 

As of March 31, 2024 and December 31, 2023, the Company was in compliance with all required covenants.

 

The scheduled payments, inclusive of principal and interest, on the outstanding borrowings as of March 31, 2024 are as follows:

 

  

As of March 31, 2024

 

2024

 $ 

2025

  2,601 

Total

 $2,601 

 

For the three months ended March 31, 2024, the Company did not make any principal repayments.

 

v3.24.1.1.u2
Note 14 - Common Stock Reserved for Issuance
3 Months Ended
Mar. 31, 2024
Notes to Financial Statements  
Common Stock Reserved For Issuance [Text Block]

14. COMMON STOCK RESERVED FOR ISSUANCE

 

The Company is required to reserve and keep available out of its authorized but unissued shares of common stock a number of shares sufficient to affect the exercise of all classes of preferred stock, convertible promissory notes, options granted and available for grant under the incentive plans and warrants to purchase common stock.

 

   

March 31, 2024

   

December 31, 2023

 

Outstanding common stock warrants

    1,936,920       1,061,930  

Outstanding stock options and RSUs

    1,048,074       981,834  

Preferred shares

    8,969,341       8,889,221  

Shares reserved for conversion of future voting preferred share issuance

    5,764,093       5,844,213  

Shares reserved for future option grants and RSUs

    254,241       99,580  

Shares reserved for Lincoln Park

    702,847       711,180  

Shares reserved for Madryn Noteholders

    1,300,000       1,300,000  

Shares reserved for EW Noteholders

    2,000,000        

Total common stock reserved for issuance

    21,975,516       18,887,958  

  

v3.24.1.1.u2
Note 15 - Stockholders' Equity (Deficit)
3 Months Ended
Mar. 31, 2024
Notes to Financial Statements  
Equity [Text Block]

15. STOCKHOLDERS' EQUITY (DEFICIT)

 

Common Stock

 

The Company’s common stock confers upon its holders the following rights:

 

 

The right to participate and vote in the Company’s stockholder meetings, whether annual or special. Each share will entitle its holder, when attending and participating in the voting in person or via proxy, to one vote;

 

 

The right to a share in the distribution of dividends, whether in cash or in the form of bonus shares, the distribution of assets or any other distribution pro rata to the par value of the shares held by them; and

 

 

The right to a share in the distribution of the Company’s excess assets upon liquidation pro rata to the par value of the shares held by them.

 

Reverse Stock Split

 

At the annual and special meeting of the Company’s shareholders held on  May 10, 2023, the Company’s shareholders granted the Company’s Board of Directors discretionary authority to implement the Reverse Stock Split and to fix the specific consolidation ratio within a range of one-for-five (1-for-5) to one-for-fifteen (1-for-15). On  May 11, 2023, the Company filed an amendment to the Company’s Certificate of Incorporation to implement the Reverse Stock Split based on a one-for-fifteen (1-for-15) consolidation ratio. The Company’s common shares began trading on the Nasdaq Capital Market on a reverse split-adjusted basis under the Company’s existing trade symbol “VERO” at the opening of the market on  May 12, 2023. 

 

Equity Purchase Agreement with Lincoln Park

 

On June 16, 2020, the Company entered into a purchase agreement (the "Equity Purchase Agreement") with Lincoln Park Capital Fund LLC ("Lincoln Park"), which provides that, upon the terms and subject to the conditions and limitations set forth therein, the Company may sell to Lincoln Park up to $31,000 worth of shares of its common stock, par value $0.0001 per share, pursuant to its shelf registration statement. The purchase price of shares of common stock related to a future sale will be based on the then prevailing market prices of such shares at the time of sales as described in the Equity Purchase Agreement. The aggregate number of shares that the Company can sell to Lincoln Park under the Equity Purchase Agreement may in no case exceed 517,560 shares (subject to adjustment) of common stock (which is equal to approximately 19.99% of the shares of the common stock outstanding immediately prior to the execution of the Equity Purchase Agreement) (the “Exchange Cap”), unless (i) stockholder approval is obtained to issue shares above the Exchange Cap, in which case the Exchange Cap will no longer apply, or (ii) with Equity Purchase Agreement equals or exceeds $59.6325 per share (subject to adjustment) (which represents the minimum price, as defined under Nasdaq Stock Market LLC ("Nasdaq") Listing Rule 5635(d), on the Nasdaq Global Market immediately preceding the signing of the Equity Purchase Agreement, such that the transactions contemplated by the Equity Purchase Agreement are exempt from the Exchange Cap limitation under applicable Nasdaq rules.) Also, at no time may Lincoln Park (together with its affiliates) beneficially own more than 9.99% of the Company’s issued and outstanding common stock. Concurrently with entering into the Equity Purchase Agreement, the Company also entered into a registration rights agreement with Lincoln Park, pursuant to which it agreed to provide Lincoln Park with certain registration rights related to the shares of common stock issued under the Equity Purchase Agreement (the “Registration Rights Agreement”).

 

From commencement to expiry on July 1, 2022, the Company issued and sold to Lincoln Park 229,139 shares of its common stock at an average price of $40.50 per share, and 13,971 of these shares were issued to Lincoln Park as a commitment fee in connection with entering into the Equity Purchase Agreement (the “Commitment Shares”). The total value of the Commitment Shares of $620 together with the issuance costs of $123 were recorded as deferred issuance costs in the consolidated balance sheet at inception and were amortized into consolidated statements of stockholders’ equity (deficit) proportionally based on proceeds received during the term of the Equity Purchase Agreement. In 2022, the Company issued 26,666 shares of its common stock and the proceeds from common stock issuances as of December 31, 2022 were $272, with no issuance costs. The proceeds in the amount of $272 were recorded in the condensed consolidated statements of cash flows as net cash proceeds from issuance of common stock. The Equity Purchase Agreement expired on July 1, 2022, and was replaced with the 2022 LPC Purchase Agreement discussed below.

 

2022 LPC Purchase Agreement with Lincoln Park

 

On July 12, 2022, the Company entered into a purchase agreement (the “2022 LPC Purchase Agreement”) with Lincoln Park, as the Equity Purchase Agreement expired on July 1, 2022. The 2022 LPC Purchase Agreement provides that, upon the terms and subject to the conditions and limitations set forth therein, the Company may sell to Lincoln Park up to $11,000 of shares (the “Purchase Shares”) of its common stock, par value $0.0001 per share. Concurrently with entering into the 2022 LPC Purchase Agreement, the Company also entered into a registration rights agreement (the “2022 LPC Registration Rights Agreement”) with Lincoln Park, pursuant to which it agreed to provide Lincoln Park with certain registration rights related to the shares issued under the 2022 LPC Purchase Agreement. The aggregate number of shares that the Company can issue to Lincoln Park under the 2022 LPC Purchase Agreement may not exceed 858,224 shares of common stock, which is equal to 19.99% of the shares of common stock outstanding immediately prior to the execution of the 2022 LPC Purchase Agreement (the “2022 Exchange Cap”), unless (i) stockholder approval is obtained to issue shares of common stock in excess of the 2022 Exchange Cap, in which case the 2022 Exchange Cap will no longer apply, or (ii) the average price of all applicable sales of common stock to Lincoln Park under the 2022 LPC Purchase Agreement equals or exceeds the lower of (i) the Nasdaq official closing price immediately preceding the execution of the 2022 LPC Purchase Agreement or (ii) the arithmetic average of the five Nasdaq official closing prices for the common stock immediately preceding the execution of the 2022 LPC Purchase Agreement, plus an incremental amount to take into account the issuance of the commitment shares to Lincoln Park under the 2022 LPC Purchase Agreement, such that the transactions contemplated by the 2022 LPC Purchase Agreement are exempt from the 2022 Exchange Cap limitation under applicable Nasdaq rules. In all instances, the Company may not sell shares of its common stock to Lincoln Park under the 2022 LPC Purchase Agreement if it would result in Lincoln Park beneficially owning more than 9.99% of the outstanding shares of common stock. Upon execution of the 2022 LPC Purchase Agreement, the Company issued 45,701 shares of common stock to Lincoln Park as a commitment fee in connection with entering into the 2022 LPC Purchase Agreement at the total amount of $330. Through December 31, 2023 the Company issued an additional 776,452 shares of common stock to Lincoln Park at an average price of $3.966 per share for a total value of $3,080. During the three months ended March 31, 2024, the Company issued an additional 8,333 shares of common stock to Lincoln Park at an average price of $1.16 per share, for a total value of $10. Further information regarding the 2022 LPC Purchase Agreement is contained in the Company’s Form 8-K filed with the SEC on July 12, 2022.

 

The 2022 Private Placement


In  November 2022, we entered into a securities purchase agreement with certain investors (collectively, the "2022 Investors") pursuant to which the Company issued and sold to the 2022 Investors an aggregate of 116,668 shares of common stock, par value $0.0001 per share, and 3,185,000 shares of voting convertible preferred stock, par value $0.0001 per share (the "Voting Preferred Stock"), which are convertible into 2,123,443 shares of common stock upon receipt of a valid conversion notice from a 2022 Investor or at the option of the Company within 30 days following the occurrence of certain events (the "2022 Private Placement"). The 2022 Private Placement was completed on November 18, 2022. The gross proceeds from the securities sold in the 2022 Private Placement was $6,720. The costs incurred with respect to the 2022 Private Placement totaled $202 and were recorded as a reduction of the 2022 Private Placement proceeds in the consolidated statements of stockholders' equity (deficit). Further information regarding the 2022 Private Placement is contained in the Company’s Form 8-K filed with the SEC on  November 18, 2022.

 

Voting Preferred Stock issued in November 2022

 

As noted above, in November 2022, the Company issued and sold to certain 2022 Investors an aggregate of 3,185,000 shares of Voting Preferred Stock. The terms of the Voting Preferred Stock are governed by a Certificate of Designation filed by the Company with the Secretary of State of the State of Delaware on November 17, 2022. The following is a summary of the material terms of the Voting Preferred Stock:

 

  Voting Rights. The Voting Preferred Stock votes with the Common Stock on an as-converted basis.

 

  Liquidation. Each share of Voting Preferred Stock carries a liquidation preference, senior to the Common Stock in an amount equal to the greater of (a) $30.00 (being the issuance price) and (b) the amount that would be distributed in respect of such share of Voting Preferred Stock if it were converted into Common Stock and participated in such liquidating distribution with the other shares of Common Stock.

 

  Conversion. The Voting Preferred Stock will convert into shares of Common Stock on a one for 0.6667 basis (i) at the option of a 2022 Investor upon delivery of a valid conversion notice to the Company or (ii) at the option of the Company within 30 days following the earlier to occur of (a) the date on which the volume-weighted average price of the Common Stock has been greater than or equal to $18.75 for 30 consecutive trading days and (b) the date on which the Company has reported two consecutive fiscal quarters of positive cash flow. 

 

  Dividends. Each share of Voting Preferred Stock is entitled to participate in dividends and other non-liquidating distributions (if, as and when declared by the Board of the Company) on an as-converted basis, pari passu with the Common Stock.

 

  Redemption. The Voting Preferred Stock is not redeemable at the election of the Company or at the election of the holder.

 

  Maturity. The Voting Preferred Stock shall be perpetual unless converted.

 

The 2023 Multi-Tranche Private Placement

 

In May 2023, we entered into a securities purchase agreement (the "2023 Multi-Tranche Private Placement Stock Purchase Agreement") with certain investors (collectively, the "2023 Investors") pursuant to which the Company may issue and sell to the 2023 Investors up to $9,000,000 in shares (the "2023 Multi-Tranche Private Placement") of newly-created senior convertible preferred stock, par value $0.0001 per share (the “Senior Preferred Stock”), in multiple tranches from time to time until December 31, 2025, subject to a minimum aggregate purchase amount of $0.5 million in each tranche. The initial sale in the 2023 Multi-Tranche Private Placement occurred on May 15, 2023, under which the Company sold the 2023 Investors 280,899 shares of Senior Preferred Stock for an aggregate purchase price of $2.0 million (the "Initial Placement"). The Company used the proceeds of the Initial Placement, after the payment of transaction expenses, for general working capital purposes. The following is a summary of the material terms of the Senior Preferred Stock:

 

  Voting Rights. The Senior Preferred Stock has aggregate number of votes equal to the product of (a) the quotient of (i) the aggregate purchase price paid under the Stock Purchase Agreement for all shares of Senior Preferred Stock issued and outstanding as of such time, divided by (ii) the highest purchase price paid by a holder for a share of Senior Preferred Stock prior to or as of such time, multiplied by (b) two. Such formula ensures that no share of senior preferred stock will ever have more than two votes per share, with such number of votes subject to reduction (but not increase) depending on the pricing of future sales of Senior Preferred Stock in the Private Placement. The Senior Preferred Stock votes with the Company’s common stock on all matters submitted to holders of common stock and does not vote as a separate class.

 

  Liquidation. Each share of Senior Preferred Stock carries a liquidation preference, senior to the Common Stock and Voting Preferred Stock, in an amount equal to the product of the Purchase Price for such share, multiplied by 2.50.

 

  Conversion. The Senior Preferred Stock will convert into shares of Common Stock on a one for 2.6667 basis at the option of (a) the investors at any time or (b) the Company within 30 days following the date on which the 30-day volume-weighted average price of the common stock exceeds the product of (i) the Purchase Price for the shares of senior preferred stock to be converted, multiplied by (ii) 2.75.

 

  Dividends. Each share of Senior Preferred Stock is entitled to participate in dividends and other non-liquidating distributions (if, as and when declared by the Board of the Company) on an as-converted basis, pari passu with the Common Stock and Voting Preferred Stock.

 

  Redemption. The Senior Preferred Stock is not redeemable at the election of the Company or at the election of the holder.

 

  Maturity. The Senior Preferred Stock shall be perpetual unless converted.

 

On July 6, 2023, the Company and the 2023 Investors entered into an amendment to the 2023 Multi-Tranche Private Placement Stock Purchase Agreement (the “Multi-Tranche Amendment”). The Multi-Tranche Amendment (a) clarifies the appropriate date pursuant to which the purchase price for each share of Senior Preferred Stock to be sold in the Private Placement is determined (such that the purchase price shall be equal to the “Minimum Price” as set forth in Nasdaq Listing Rule 5635(d)) and (b) permits the Company to specify a desired closing date (subject to approval by the 2023 Investors) for each sale in the 2023 Multi-Tranche Private Placement. 

 

On July 12, 2023, the Company and the 2023 Investors consummated the second tranche in the 2023 Multi-Tranche Private Placement, under which the Company sold the 2023 Investors 500,000 shares of Senior Preferred Stock for an aggregate purchase price of $2.0 million (the “Second Placement”). The Company used the proceeds of the Second Placement, after the payment of transaction expenses, for general working capital purposes.

 

On September 8, 2023, the Company and the 2023 Investors consummated the third tranche in the 2023 Multi-Tranche Private Placement, under which the Company sold the 2023 Investors 292,398 shares of Senior Preferred Stock for an aggregate purchase price of $1.0 million (the "Third Placement", and together with the First Placement and Second Placement, the "Placements"). The Company used the proceeds of the Third Placement, after the payment of transaction expenses, for general working capital purposes.

 

On October 20, 2023, the Company and the 2023 Investors consummated the fourth tranche in the 2023 Multi-Tranche Private Placement, under which the Company sold the 2023 Investors 502,513 shares of Senior Preferred Stock for an aggregate purchase price of $2.0 million (the “Fourth Placement”). The Company used the proceeds of the Fourth Placement, after the payment of transaction expenses, for general working capital purposes.

 

Series X Convertible Preferred Stock

 

On  October 4, 2023, the Company filed a Certificate of Designations with respect to the Series X Preferred Stock with the Secretary of State of the State of Delaware, thereby creating the Series X Preferred Stock. The Certificate of Designations authorizes the issuance of up to 400,000 shares of Series X Preferred Stock. The Series X Preferred Stock is convertible into shares of Common Stock on a one-for-ten basis, in whole or in part, at the option of the holder at any time upon delivery of a valid conversion notice of the Company; provided, however, that the Series X Preferred Stock is subject to limitations on convertibility to the extent necessary to comply with the rules and regulations of the Nasdaq. Each share of Series X Preferred Stock carries a liquidation preference, senior to the Common Stock, the Senior Preferred Stock and Voting Preferred Stock, in an amount equal to the Issuance Price, subject to appropriate adjustment in the event of any stock dividend, stock split, combination or similar recapitalization with respect to the Common Stock. From the date of issuance until December 31, 2026, each share of Series X Preferred Stock accrues a dividend at a rate of 12.5% per annum. Such dividend is payable on a quarterly basis in cash or additional shares of Series X Preferred Stock, at the Company’s election. In addition, each share of Series X Preferred Stock is entitled to participate in dividends and other non-liquidating distributions, if, as and when declared by the Board, on a pari passu basis with the Common Stock, Senior Preferred Stock and Junior Preferred Stock. The following is a summary of the material terms of the Senior Preferred Stock:

 

  Voting Rights. The holders of the Series X Preferred Stock shall be entitled to vote on all matters on which holders of Common Stock shall be entitled to vote, and shall be entitled to a number of votes equal to the Converted Stock Equivalent which is 10 common shares per 1 Series X Preferred stock.

 

  Liquidation. Each share of Series X Preferred Stock carries a liquidation preference, senior to the Common Stock and Voting Preferred Stock, in an amount equal to the Unpaid Liquidation Preference at that time.

 

  Conversion. The Series X Preferred Stock will convert into shares of Common Stock on a one for 10 basis at the option of the investors at any time.

 

  Dividends. The Series X Preferred Stock accrues a dividend at a rate of 12.5% per annum, payable on a quarterly basis in cash or additional shares of Series X Preferred Stock, at the Company’s election. In addition, each share of Series X Preferred Stock is entitled to participate in dividends and other non-liquidating distributions, if, as and when declared by the Board, on a pari passu basis with the Common Stock, Senior Preferred Stock and Junior Preferred Stock.

 

  Redemption. The Senior Preferred Stock is not redeemable at the election of the Company or at the election of the holder.

 

  Maturity. The Senior Preferred Stock shall be perpetual unless converted, however dividends will stop accruing on December 31, 2026.

 

Registered Direct Offering

 

On February 22, 2024, the Company, entered into a securities purchase agreement (the “SPA”) with certain institutional investors (each, a “2024 Investor”), pursuant to which the Company agreed to issue and sell to the 2024 Investors (i) in a registered direct offering, an aggregate of 817,748 shares of the Company’s common stock, at a price of $1.465 per share and (ii) in a concurrent private placement, warrants to acquire up to an aggregate of 817,748 shares of Common Stock (the “2024 Investor Warrants”), at an initial exercise price of $1.34 per share (the “Offering”).

 

The Shares were offered at-the-market under Nasdaq rules and pursuant to the Company’s shelf registration statement on Form S-3 initially filed by the Company with the Securities and Exchange Commission (the “SEC”) under the Securities Act, on October 15, 2021 and declared effective on October 25, 2021.

 

The 2024 Investor Warrants (and the shares of common stock issuable upon the exercise of the 2024 Investor Warrants) were not registered under the Securities Act and were offered pursuant to an exemption from the registration requirements provided under Section 4(a)(2) of the Securities Act. The 2024 Investor Warrants are exercisable upon issuance and will expire five years from the issuance date, and in certain circumstances may be exercised on a cashless basis. If the Company fails for any reason to deliver shares of common stock upon the valid exercise of the 2024 Investor Warrants within the prescribed period set forth in the 2024 Investor Warrants, the Company is required to pay the applicable holder liquidated damages in cash as set forth in the 2024 Investor Warrants.

 

A holder is not entitled to exercise any portion of a 2024 Investor Warrant, if, after giving effect to such exercise, the aggregate number of shares of common stock beneficially owned by the holder (together with its affiliates and any other persons) whose beneficial ownership of Common Stock would or could be aggregated with the holder’s for purposes of Section 13(d) or Section 16 of the Exchange Act would exceed 4.99%, or at the election of a 2024 Investor 9.99%, of the common stock outstanding after giving effect to the exercise. Such 4.99% limitation may be increased at the holder’s election upon 61 days’ notice to the Company, provided that such percentage may not exceed 9.99%.

 

On February 27, 2024, the Company closed the Offering, raising gross proceeds of approximately $1.2 million before deducting placement agent fees and other offering expenses payable by the Company. The proceeds received in the Offering were allocated to each instrument on a relative fair value basis.

 

Under the SPA, no later than March 8, 2024, the Company is required to file a registration statement on Form S-3 (or other appropriate form if the Company is not then S-3 eligible) registering the resale of the shares of common stock issued or issuable upon exercise of the 2024 Investor Warrants. The Company is required to use commercially reasonable efforts to cause such registration to become effective within 45 days of the closing date of the Offering (or within 75 days following the closing of the Offering in case of “full review” of the registration statement by the SEC), and to keep the registration statement effective at all times until no 2024 Investor owns any 2024 Investor Warrants or shares issuable upon exercise thereof.

 

The SPA contains customary representations, warranties and covenants by the Company, among other customary provisions.

 

H.C. Wainwright & Co., LLC (“HCW”) acted as the Company’s placement agent in connection with Offering. The Company paid HCW consideration consisting of (i) a cash fee equal to 7.0% of the aggregate gross proceeds in the Offering, (ii) a management fee equal to 1.0% of the aggregate gross proceeds in the Offering, (iii) reimbursement of certain expenses and (iv) warrants to acquire up to an aggregate of 57,242 shares of common stock (the “Placement Agent Warrants”). The Placement Agent Warrants are similar to the 2024 Investor Warrants, except that the initial exercise price of the Placement Agent Warrants is $1.8313 per share.

 

2010 Share Option Plan

 

In November 2010, the Board adopted a share option plan (the “2010 Share Option Plan”) pursuant to which shares of the Company’s common stock are reserved for issuance upon the exercise of options to be granted to directors, officers, employees and consultants of the Company. The 2010 Share Option Plan is administered by the Board, which designates the options and dates of grant. Options granted vest over a period determined by the Board, originally had a contractual life of seven years, which was extended to ten years in November 2017 and are non-assignable except by the laws of descent. The Board has the authority to prescribe, amend and rescind rules and regulations relating to the 2010 Share Option Plan, provided that any such amendment or rescindment that would adversely affect the rights of an optionee that has received or been granted an option shall not be made without the optionee’s written consent. As of March 31, 2024, the number of shares of the Company’s common stock reserved for issuance and available for grant under the 2010 Share Option Plan was 10,061 (28,168 as of December 31, 2023).

 

2019 Incentive Award Plan

 

The 2019 Incentive Award Plan (the “2019 Plan”) was originally established under the name Restoration Robotics, Inc., as the 2017 Incentive Award Plan. It was adopted by the Board on September 12, 2017 and approved by the Company’s stockholders on September 14, 2017. The 2017 Incentive Award Plan was amended, restated, and renamed as set forth above, and was approved by the Company’s stockholders on October 4, 2019.

 

Under the 2019 Plan, 30,000 shares of common stock were initially reserved for issuance pursuant to a variety of stock-based compensation awards, including stock options, stock appreciation rights, performance stock awards, performance stock unit awards, restricted stock awards, restricted stock unit awards and other stock-based awards, plus the number of shares remaining available for future awards under the 2019 Plan as of the date we completed our business combination with Venus Ltd. and the business of Venus Ltd. became the primary business of the Company (the “Merger”). As of March 31, 2024, there were 244,180 shares of common stock available under the 2019 Plan (71,412 as of December 31, 2023). The 2019 Plan contains an “evergreen” provision, pursuant to which the number of shares of common stock reserved for issuance pursuant to awards under such plan shall be increased on the first day of each year from 2020 and ending in 2029 equal to the lesser of (A) four percent (4.00%) of the shares of stock outstanding on the last day of the immediately preceding fiscal year and (B) such smaller number of shares of stock as determined by the Board.

 

The Company recognized stock-based compensation for its employees and non-employees in the accompanying unaudited condensed consolidated statements of operations as follows:

 

   

Three Months Ended March 31,

 
   

2024

   

2023

 

Cost of sales

  $ 10     $ 15  

Selling and marketing

    72       109  

General and administrative

    230       300  

Research and development

    27       57  

Total stock-based compensation

  $ 339     $ 481  

 

Stock Options

 

The fair value of each option is estimated at the date of grant using the Black-Scholes option pricing formula with the following assumptions:

 

   

Three Months Ended March 31,

 
   

2024

   

2023

 

Expected term (in years)

    6.00       6.00  

Risk-free interest rate

    4.23 %     3.41 %

Expected volatility

    43.06 %     43.02 %

Expected dividend rate

    0 %     0 %

 

Expected Term—The expected term represents management’s best estimate for the options to be exercised by option holders.

 

Volatility—Since the Company does not have a trading history for its common stock, the expected volatility was derived from the historical stock volatilities of comparable peer public companies within its industry that are considered to be comparable to the Company’s business over a period equivalent to the expected term of the stock-based awards.

 

Risk-Free Interest Rate—The risk-free interest rate is based on the U.S. Treasury yield curve in effect at the date of grant for zero-coupon U.S. Treasury notes with maturities approximately equal to the stock-based awards’ expected term.

 

Dividend Rate—The expected dividend is zero as the Company has not paid nor does it anticipate paying any dividends on its common stock in the foreseeable future.

 

Fair Value of Common Stock— Prior to the Merger, Venus Ltd. used the price per share in its latest sale of securities as an estimate of the fair value of its ordinary shares. After the closing of the Merger, the fair value of the Company’s common stock is used to estimate the fair value of the stock-based awards at grant date.

 

The following table summarizes stock option activity under the Company’s stock option plan:

 

   

Number of Shares

   

Weighted- Average Exercise Price per Share, $

   

Weighted- Average Remaining Contractual Term

   

Aggregate Intrinsic Value

 

Outstanding – January 1, 2024

    981,834     $ 19.85       7.58     $  

Options granted

    82,000       0.71       -        

Options exercised

    -       -       -        

Options forfeited/cancelled

    (15,760 )     25.54       -        

Outstanding – March 31, 2024

    1,048,074       18.26       7.52     $  

Exercisable – March 31, 2024

    448,819       33.24       6.20     $  

Expected to vest – after March 31, 2024

    599,255     $ 7.05       8.51     $  

 

The following tables summarize information about stock options outstanding and exercisable at March 31, 2024:

 

  

Options Outstanding

  

Options Exercisable

 

Exercise Price Range

 

Number

  

Weighted average remaining contractual term (years)

  

Weighted average Exercise Price

  

Options exercisable

  

Weighted average remaining contractual term (years)

  

Weighted average Exercise Price

 

$0.7051 - $54.60

  1,000,031   7.73  $13.80   401,178   6.56  $23.97 

$63.90 - $119.25

  45,774   3.18   99.44   45,372   3.16   99.46 

$186.75 - $382.50

  1,627   4.74   271.15   1,627   4.74   271.15 

$405.00 - $438.75

  373   0.91   405.36   373   0.91   405.36 

$650.25 - $958.50

  269   4.20   727.38   269   4.20   727.38 
   1,048,074   7.52  $18.26   448,819   6.20  $33.24 

 

The aggregate intrinsic value of options is calculated as the difference between the exercise price of the stock options and the fair value of the Company’s common stock for those options that had exercise prices lower than the fair value of the Company’s common stock. The total intrinsic value of options exercised were $nil and $nil for the three months ended March 31, 2024 and 2023, respectively.

 

The weighted-average grant date fair value of options granted was $0.705 and $2.82 per share for the three months ended March 31, 2024 and 2023, respectively. The fair value of options vested during the three months ended March 31, 2024 and 2023 was $355 and $346, respectively.

 

  

v3.24.1.1.u2
Note 16 - Income Taxes
3 Months Ended
Mar. 31, 2024
Notes to Financial Statements  
Income Tax Disclosure [Text Block]

16. INCOME TAXES

 

The Company generated a loss and recognized $37 of tax expense for the three months ended March 31, 2024, and $235 of tax expense for the three months ended March 31, 2023, respectively. A reconciliation of income tax expense is as follows:

 

   

Three Months Ended March 31,

 
   

2024

   

2023

 

Loss before income taxes

  $ (9,752 )   $ (9,388 )

Theoretical tax expense at the statutory rate (21% in 2024 and 2023)

    (2,048 )     (1,971 )

Differences in jurisdictional tax rates

    (455 )     (267 )

Valuation allowance

    2,486       2,441  

Non-deductible expenses

    54       32  

Total income tax provision

    37       235  

Net loss

  $ (9,789 )   $ (9,623 )

 

Income tax expense is recognized based on the actual loss incurred during the three months ended March 31, 2024 and 2023, respectively. 

 

v3.24.1.1.u2
Note 17 - Segment and Geographic Information
3 Months Ended
Mar. 31, 2024
Notes to Financial Statements  
Segment Reporting Disclosure [Text Block]

17. SEGMENT AND GEOGRAPHIC INFORMATION

 

Operating segments are defined as components of an entity for which separate financial information is available and that is regularly reviewed by the Chief Operating Decision Maker (“CODM”) in deciding how to allocate resources to an individual segment and in assessing performance. The Company's CODM is its Chief Executive Officer. The Company has determined it operates in a single operating segment and has one reportable segment, as the CODM reviews financial information presented on a consolidated basis accompanied by disaggregated information about revenues by geography and type for purposes of making operating decisions, allocating resources, and evaluating financial performance. The Company does not assess the performance of individual product lines on measures of profit or loss, or asset-based metrics. Therefore, the information below is presented only for revenues by geography and type.

 

Revenue by geographic location, which is based on the product shipped to location, is summarized as follows:

 

  

Three Months Ended March 31,

 
  

2024

  

2023

 

United States

 $9,080  $10,741 

International

  8,399   9,790 

Total revenue

 $17,479  $20,531 

 

As of March 31, 2024, long-lived assets in the amount of $7,810 were located in the United States and $1,001 were located in foreign locations. As of December 31, 2023, long-lived assets in the amount of $8,705 were located in the United States and $1,063 were located in foreign locations.

 

Revenue by type is a key indicator for providing management with an understanding of the Company’s financial performance, which is organized into four different categories:

 

1.    Lease revenue – includes all system sales with typical lease terms of 36 months.

 

2.    System revenue – includes all systems sales with payment terms within 12 months.

 

3.    Product revenue – includes skincare, hair and other consumables payable upon receipt.

 

4.    Service revenue – includes NeoGraft technician services, ad agency services and extended warranty sales.

 

The following table presents revenue by type:

 

  

Three Months Ended March 31,

 
  

2024

  

2023

 

Lease revenue

 $3,531  $5,761 

System revenue

  10,535   11,065 

Product revenue

  2,557   2,947 

Service revenue

  856   758 

Total revenue

 $17,479  $20,531 

 

v3.24.1.1.u2
Note 18 - Related Party Transactions
3 Months Ended
Mar. 31, 2024
Notes to Financial Statements  
Related Party Transactions Disclosure [Text Block]

18. RELATED PARTY TRANSACTIONS

 

All amounts were recorded at the exchange amount, which is the amount established and agreed to by the related parties. The following are transactions between the Company and parties related through employment.

 

Distribution agreements

 

On  January 1, 2018, the Company entered into a Distribution Agreement with Technicalbiomed Co., Ltd. (“TBC”), pursuant to which TBC will distribute the Company’s products in Thailand. A former senior officer of the Company is a 30.0% shareholder of TBC. For the three months ended March 31, 2024 and 2023, TBC purchased products in the amount of $nil and $208, respectively, under this distribution agreement. These sales are included in products and services revenue. TBC ceased being a related party as of June 2023.

 

In 2020, the Company made several strategic decisions to divest itself of underperforming direct sales offices and sold its share in several subsidiaries, including its 55.0% shareholding in Venus Concept Singapore Pte. Ltd. ("Venus Singapore"). On  January 1, 2021, the Company entered into a distribution agreement with Aexel Biomed Pte Ltd. (“Aexel Biomed”), formerly Venus Singapore, pursuant to which Aexel Biomed will continue to distribute the Company’s products in Singapore. A former senior officer of the Company is a 45.0% shareholder of Aexel Biomed. During the three months ended March 31, 2024 and 2023, Aexel Biomed purchased products in the amount of $nil and $60, respectively, under the distribution agreement. These sales are included in products and services revenue. Aexel Biomed ceased being a related party as of June 2023.

 

v3.24.1.1.u2
Note 19 - Subsequent Events
3 Months Ended
Mar. 31, 2024
Notes to Financial Statements  
Subsequent Events [Text Block]

19. SUBSEQUENT EVENTS

 

Nasdaq bid-price non-compliance

 

On April 11, 2024, the Company received a notice (the “Bid Price Notice”) from the Listing Qualifications Department (the “Staff”) of the Nasdaq Stock Market (“Nasdaq”) stating that for 32 consecutive business days the Company’s common stock did not maintain a minimum closing bid price of $1.00 per share (“Minimum Bid Price Requirement”) as required for continued listing under Listing Rule 5550(a)(2).

 

The Bid Price Notice has no immediate effect on the listing of the common stock. In accordance with Nasdaq Listing Rule 5810(c)(3)(A), the Company has 180 calendar days, or until October 8, 2024, to regain compliance with the Minimum Bid Price Requirement. To regain compliance, the closing bid price of the common stock must be at least $1.00 per share for a minimum of ten consecutive business days before October 8, 2024, at which time the Staff will provide written notification to the Company that it complies with the Minimum Bid Requirement, unless the Staff exercises its discretion to extend this ten-day period pursuant to Nasdaq Listing Rule 5810(c)(3)(H).

 

If the common stock does not achieve compliance by October 8, 2024, the Company may be eligible for an additional 180-day period to regain compliance, provided that it meets the continued listing requirement for market value of publicly held shares and all other initial listing standards of the Nasdaq Capital Market, with the exception of the Minimum Bid Price Requirement, and provides written notice to Nasdaq of its intention to cure the deficiency during the second compliance period, for example, by effecting a reverse stock split, if necessary.

 

The Company intends to actively monitor the closing bid price of the common stock and may, if appropriate, consider implementing available options to regain compliance with the Minimum Bid Price Requirement under the Nasdaq Listing Rules.

 

Madryn Loan and Security Agreement

 

On April 23, 2024, the Company entered into the Loan and Security Agreement, by and among the Bridge Borrower, the 2024 Guarantors, the 2024 Lenders and Madryn HP, as administrative agent. Pursuant to the Loan and Security Agreement, the 2024 Lenders have agreed to provide the Bridge Borrower with Bridge Financing in the form of a term loan in the original principal amount of $2,237,906.85 and one or more delayed draw term loans of up to an additional principal amount of $2,762,093.15. The Bridge Financing matures on the Maturity Date. Pursuant to the Loan and Security Agreement, each of the 2024 Guarantors, jointly and severally, absolutely and unconditionally guarantees, as primary obligor and not merely as surety, that the Obligations (as defined in the Loan and Security Agreement) will be performed and paid in full in cash when due and payable, whether at the stated or accelerated maturity thereof or otherwise, this guarantee being a guarantee of payment and not of collectability and being absolute and in no way conditional or contingent.

 

Borrowings under the Bridge Financing will bear interest at a rate per annum equal to 12%. On the Maturity Date, the 2024 Loan Parties are obligated to make a payment equal to all unpaid principal and accrued interest.

 

The Loan and Security Agreement also provides that all present and future indebtedness and the obligations of the Bridge Borrower to Madryn HP shall be secured by a priority security interest in all real and personal property collateral of the 2024 Loan Parties.

 

The Loan and Security Agreement contains customary representations, warranties and affirmative and negative covenants. In addition, the Loan and Security Agreement contains customary events of default that entitle Madryn HP to cause the Bridge Borrower’s indebtedness under the Loan and Security Agreement to become immediately due and payable, and to exercise remedies against the 2024 Loan Parties and the collateral securing the term loan. Under the Loan and Security Agreement, an event of default will occur if, among other things, any 2024 Loan Party fails to make payments under the Loan and Security Agreement, any 2024 Loan Party breaches any of the covenants under the Loan and Security Agreement, a Change of Control (as defined in the Loan and Security Agreement) occurs, any 2024 Loan Party, or its assets, become subject to certain legal proceedings, such as bankruptcy proceedings. Upon the occurrence and for the duration of an event of default, a default interest rate equal to 15.0% per annum will apply to all obligations owed under the Loan and Security Agreement. Further information regarding the Loan and Security Agreement is contained in the Company's Form 8-K filed with the SEC on April 24, 2024.

 

v3.24.1.1.u2
Insider Trading Arrangements
3 Months Ended
Mar. 31, 2024
Insider Trading Arr Line Items  
Material Terms of Trading Arrangement [Text Block]

ITEM 5. OTHER INFORMATION

 

None.

Rule 10b5-1 Arrangement Terminated [Flag] false
Rule 10b5-1 Arrangement Adopted [Flag] false
Non-Rule 10b5-1 Arrangement Terminated [Flag] false
Non-Rule 10b5-1 Arrangement Adopted [Flag] false
v3.24.1.1.u2
Significant Accounting Policies (Policies)
3 Months Ended
Mar. 31, 2024
Accounting Policies [Abstract]  
Basis of Accounting, Policy [Policy Text Block]

Basis of Presentation

 

The accompanying unaudited condensed consolidated financial statements have been prepared in accordance with generally accepted accounting principles in the United States (“U.S. GAAP”) and with the instructions to Form 10-Q and Article 10 of Regulation S-X. Accordingly, they do not include all of the information and footnotes required by U.S. GAAP for complete financial statements. These unaudited condensed consolidated financial statements should be read in conjunction with the Company’s audited consolidated financial statements included in its Annual Report on Form 10-K for the year ended December 31, 2023, filed with the Securities and Exchange Commission (the “SEC”) on April 1, 2024. In the opinion of management, all adjustments (consisting only of normal recurring adjustments) considered necessary for fair presentation have been included. Operating results for the three months ended March 31, 2024 are not necessarily indicative of the results that may be expected for the year ending December 31, 2024. For further information, refer to the consolidated financial statements and footnotes thereto included in Item 8 of the Company’s most recent Annual Report on Form 10-K.

 

The preparation of these consolidated financial statements in accordance with U.S. GAAP requires management to make estimates and assumptions that affect the reported amounts of assets and liabilities at the date of the financial statements, and the reported amounts of revenues and expenses during the reporting periods. Actual results could differ materially from those estimates. The Company assessed certain accounting matters that generally require consideration of forecasted financial information in context with the information reasonably available to the Company as of March 31, 2024 and through the date of this report filing. The accounting matters assessed included, but were not limited to, the allowance for expected credit losses and the carrying value of intangible and long-lived assets.

 

Amounts reported in thousands within this report are computed based on the amounts in U.S. dollars. As a result, the sum of the components reported in thousands may not equal the total amount reported in thousands due to rounding. Certain columns and rows within tables may not add due to the use of rounded numbers. Percentages presented are calculated from the underlying numbers in dollars.

 

New Accounting Pronouncements, Policy [Policy Text Block]

Recently Adopted Accounting Standards 

 

In  August 2020, the FASB issued ASU No. 2020-06 (“ASU 2020-06”): Debt—Debt with Conversion and Other Options (Subtopic 470-20) and Derivatives and Hedging—Contracts in Entity’s Own Equity (Subtopic 815-40). ASU 2020-06 reduces the number of accounting models for convertible debt instruments by eliminating the cash conversion and beneficial conversion models. The diluted net income per share calculation for convertible instruments will require the Company to use the if-converted method. For contracts in an entity’s own equity, the type of contracts primarily affected by this update are freestanding and embedded features that are accounted for as derivatives under the current guidance due to a failure to meet the settlement conditions of the derivative scope exception. This update simplifies the related settlement assessment by removing the requirements to (i) consider whether the contract would be settled in registered shares, (ii) consider whether collateral is required to be posted, and (iii) assess shareholder rights. ASU 2020-06 is effective for the Company on  January 1, 2024, with early adoption permitted. ASU No. 2020-06 can be adopted on either a fully retrospective or modified retrospective basis. On  January 1, 2024, the adoption of ASU 2020-06 did not have a material impact on the Company’s consolidated financial statements or disclosures.

 

Recently Issued Accounting Standards Not Yet Adopted

 

In October 2023, the FASB issued ASU No. 2023-06 ("ASU 2023-06"): Disclosure Improvements: Codification Amendments in Response to the SEC’s Disclosure Update and Simplification Initiative. This ASU was issued to clarify or improve disclosure and presentation requirements of a variety of topics, which will allow users to more easily compare entities subject to the SEC's existing disclosures with those entities that were not previously subject to the requirements, and align the requirements in the FASB accounting standard codification with the SEC's regulations. The ASU will become effective prospectively on the earlier of the date on which the SEC removes its disclosure requirements for the related disclosure or June 30, 2027. The Company is currently evaluating the provisions of the amendments and the impact on its future consolidated statements.

 

In November 2023, the FASB issued ASU No. 2023-07 ("ASU 2023-07") Segment Reporting (Topic 280): Improvements to Reportable Segment Disclosures. The new standard requires the disclosure of the Company’s Chief Operating Decision Maker (CODM), expanded incremental line-item disclosures of significant segment expenses used by the CODM for decision-making, and the inclusion of previous annual only segment disclosure requirements on a quarterly basis. This ASU must be applied on a retrospective basis to all prior periods presented in the financial statements. This pronouncement is effective for fiscal years beginning after December 15, 2023, and interim periods within fiscal years beginning after December 15, 2024. The Company is currently assessing the impact of applying this guidance.

 

In December 2023, the FASB issued ASU No. 2023-09 ("ASU 2023-09") Income Taxes (Topic 740): Improvements to Income Tax Disclosures. The guidance requires entities to disclose disaggregated information about their effective tax rate reconciliation as well as information on income taxes paid. The disclosure requirements will be applied on a prospective basis, with the option to apply it retrospectively. This pronouncement is effective for fiscal years beginning after December 15, 2024 and early adoption is permitted. The Company is currently assessing the impact of applying this guidance.

 

v3.24.1.1.u2
Note 3 - Net Loss Per Share (Tables)
3 Months Ended
Mar. 31, 2024
Notes Tables  
Schedule of Earnings Per Share, Basic and Diluted [Table Text Block]
   

Three Months Ended March 31,

 
   

2024

   

2023

 

Numerator:

               

Net loss

  $ (9,789 )   $ (9,623 )

Net loss allocated to stockholders of the Company

  $ (9,794 )   $ (9,657 )

Denominator:

               

Weighted-average shares of common stock outstanding used in computing net loss per share, basic

    5,829       5,237  

Weighted-average shares of common stock outstanding used in computing net loss per share, diluted

    5,829       5,237  

Net loss per share:

               

Basic

  $ (1.68 )   $ (1.84 )

Diluted

  $ (1.68 )   $ (1.84 )
Schedule of Antidilutive Securities Excluded from Computation of Earnings Per Share [Table Text Block]
   

March 31, 2024

   

March 31, 2023

 

Options to purchase common stock

    1,048,074       1,005,680  

Preferred stock

    8,969,341       2,123,443  

Restricted share units

    -       2,668  

Shares reserved for convertible notes

    2,662,459       547,593  

Warrants for common stock

    1,936,920       1,061,930  

Total potential dilutive shares

    14,616,794       4,741,314  
v3.24.1.1.u2
Note 4 - Fair Value Measurements (Tables)
3 Months Ended
Mar. 31, 2024
Notes Tables  
Fair Value, by Balance Sheet Grouping [Table Text Block]
   

Fair Value Measurements as of March 31, 2024

 
   

Quoted Prices in Active Markets using Identical Assets (Level 1)

   

Significant Other Observable Inputs (Level 2)

   

Significant Unobservable Inputs (Level 3)

   

Total

 

Assets

                               

Guaranteed Investment Certificates

  $     $ 61     $     $ 61  

Total assets

  $     $ 61     $     $ 61  

Liabilities

                       

Derivative Liability

                327       327  

Total liabilities

  $     $     $ 327     $ 327  
   

Fair Value Measurements as of December 31, 2023

 
   

Quoted Prices in Active Markets using Identical Assets (Level 1)

   

Significant Other Observable Inputs (Level 2)

   

Significant Unobservable Inputs (Level 3)

   

Total

 

Assets

                               

Guaranteed Investment Certificates

  $     $ 62     $     $ 62  

Total assets

  $     $ 62     $     $ 62  
v3.24.1.1.u2
Note 5 - Accounts Receivable (Tables)
3 Months Ended
Mar. 31, 2024
Notes Tables  
Schedule of Accounts, Notes, Loans and Financing Receivable [Table Text Block]
   

March 31,

   

December 31,

 
   

2024

   

2023

 

Gross accounts receivable

  $ 42,391     $ 47,884  

Unearned income

    (2,168 )     (2,139 )

Allowance for expected credit losses

    (5,317 )     (7,415 )
    $ 34,906     $ 38,330  

Reported as:

               

Current trade receivables

  $ 27,168     $ 29,151  

Current unearned interest income

    (1,444 )     (1,468 )

Long-term trade receivables

    9,906       11,318  

Long-term unearned interest income

    (724 )     (671 )
    $ 34,906     $ 38,330  
Contractual Commitments, Net of Allowance For Doubtful Accounts To Be Received Maturity [Table Text Block]
           

March 31,

 
   

Total

   

2024

   

2025

   

2026

   

2027

   

2028

 

Current financing receivables, net of allowance of $5,311

  $ 18,771     $ 18,771     $     $     $     $  

Long-term financing receivables, net of allowance of $6

    9,906             7,236       2,632       38        
    $ 28,677     $ 18,771     $ 7,236     $ 2,632     $ 38     $  
Accounts Receivable, Allowance for Credit Loss [Table Text Block]

Balance at January 1, 2023

  $ 13,619  

Write-offs

    (7,554 )

Provision

    1,350  

Balance at December 31, 2023

    7,415  

Write-offs

    (2,269 )

Provision

    171  

Balance at March 31, 2024

  $ 5,317  
v3.24.1.1.u2
Note 6 - Select Balance Sheet and Statement of Operations Information (Tables)
3 Months Ended
Mar. 31, 2024
Notes Tables  
Schedule of Inventory, Current [Table Text Block]
   

March 31,

   

December 31,

 
   

2024

   

2023

 

Raw materials

  $ 1,849     $ 1,949  

Work-in-progress

    1,891       2,048  

Finished goods

    17,238       19,075  

Total inventory

  $ 20,978     $ 23,072  
Property, Plant and Equipment [Table Text Block]
   

Useful Lives

   

March 31,

   

December 31,

 
   

(in years)

   

2024

   

2023

 

Lab equipment tooling and molds

    4 – 10     $ 4,356     $ 4,356  

Office furniture and equipment

    6 – 10       1,218       1,223  

Leasehold improvements

   

up to 10

      893       854  

Computers and software

    3       907       919  

Vehicles

    5 – 7       37       37  

Demo units

    5       214       214  

Total property and equipment

            7,625       7,603  

Less: Accumulated depreciation

            (6,396 )     (6,281 )

Total property and equipment, net

          $ 1,229     $ 1,322  
Schedule of Other Current Assets [Table Text Block]
   

March 31,

   

December 31,

 
   

2024

   

2023

 

Government remittances (1)

  $ 826     $ 1,336  

Consideration receivable from subsidiaries sale

    75       85  

Sundry assets and miscellaneous

    607       504  

Total other current assets

  $ 1,508     $ 1,925  
Schedule of Accrued Expenses and Other Current Liabilities [Table Text Block]
   

March 31,

   

December 31,

 
   

2024

   

2023

 

Payroll and related expense

  $ 2,154     $ 2,260  

Accrued expenses

    4,713       3,924  

Commission accrual

    1,887       2,385  

Sales and consumption taxes

    3,379       3,868  

Total accrued expenses and other current liabilities

  $ 12,133     $ 12,437  
Schedule of Product Warranty Liability [Table Text Block]
   

March 31,

   

December 31,

 
   

2024

   

2023

 

Balance as of the beginning of the period

  $ 1,363     $ 1,482  

Warranties issued during the period

    109       933  

Warranty costs incurred during the period

    (97 )     (1,052 )

Balance at the end of the period

  $ 1,375     $ 1,363  

Current

    1,107       1,029  

Long-term

    268       334  

Total

  $ 1,375     $ 1,363  
Schedule of Finance Expenses [Table Text Block]
   

Three Months Ended March 31,

 
   

2024

   

2023

 

Interest expense

  $ 2,077     $ 1,443  

Change in fair value of derivative liability

    (618 )   $  

Accretion on long-term debt and amortization of fees

    209       65  

Total finance expenses

  $ 1,668     $ 1,508  
v3.24.1.1.u2
Note 7 - Leases (Tables)
3 Months Ended
Mar. 31, 2024
Notes Tables  
Lease, Cost [Table Text Block]
   

Three Months Ended March 31,

 
   

2024

   

2023

 

Operating lease cost

  $ 386     $ 510  

Short-term lease cost

           

Total lease cost

  $ 386     $ 510  
   

Three Months Ended March 31,

 
   

2024

   

2023

 

Operating cash outflows from operating leases

  $ 386     $ 510  
   

At March 31,

 
   

2024

   

2023

 

Operating leases

               

Weighted-average remaining lease term

    2.83 yrs.       3.73 yrs.  

Weighted-average discount rate

    4.00 %     4.00 %
Lessee, Operating Lease, Liability, to be Paid, Maturity [Table Text Block]

Years ending December 31,

 

Operating leases

 

2024

  $ 1,075  

2025

    1,294  

2026

    1,101  

2027

    593  

2028

    204  

Thereafter

    341  

Imputed Interest (1)

    (343 )

Total

  $ 4,265  
v3.24.1.1.u2
Note 8 - Intangible Assets (Tables)
3 Months Ended
Mar. 31, 2024
Notes Tables  
Schedule of Intangible Assets and Goodwill [Table Text Block]
   

At March 31, 2024

 
   

Gross Amount

   

Accumulated Amortization

   

Net Amount

 

Customer relationships

  $ 1,400     $ (545 )   $ 855  

Brand

    2,500       (1,395 )     1,105  

Technology

    16,900       (12,437 )     4,463  

Supplier agreement

    3,000       (1,841 )     1,159  

Total intangible assets

  $ 23,800     $ (16,218 )   $ 7,582  
   

At December 31, 2023

 
   

Gross Amount

   

Accumulated Amortization

   

Net Amount

 

Customer relationships

  $ 1,400     $ (522 )   $ 878  

Brand

    2,500       (1,330 )     1,170  

Technology

    16,900       (11,735 )     5,165  

Supplier agreement

    3,000       (1,767 )     1,233  

Total intangible assets

  $ 23,800     $ (15,354 )   $ 8,446  
Schedule of Finite-Lived Intangible Assets, Future Amortization Expense [Table Text Block]

Years ending December 31,

       

2024

  $ 2,610  

2025

    3,004  

2026

    657  

2027

    657  

2028

    244  

Thereafter

    410  

Total

  $ 7,582  
v3.24.1.1.u2
Note 9 - Commitments and Contingencies (Tables)
3 Months Ended
Mar. 31, 2024
Notes Tables  
Contractual Obligation, Fiscal Year Maturity [Table Text Block]

Years ending December 31,

 

Purchase and Service Commitments

 

2024

  $ 9,983  

2025 and Thereafter

     

Total

  $ 9,983  
v3.24.1.1.u2
Note 10 - Main Street Term Loan (Tables)
3 Months Ended
Mar. 31, 2024
MSLP Note [Member]  
Notes Tables  
Schedule of Maturities of Long-Term Debt [Table Text Block]
      As of March 31, 2024  

2024

  $ 7,285  

2025

    51,905  

Total

  $ 59,190  
v3.24.1.1.u2
Note 11 - Madryn Long-term Debt and Convertible Notes (Tables)
3 Months Ended
Mar. 31, 2024
Secured Subordinated Convertible Notes [Member]  
Notes Tables  
Schedule of Maturities of Long-Term Debt [Table Text Block]
   As of March 31, 2024 

2024

 $ 

2025

  30,923 

Total

 $30,923 
v3.24.1.1.u2
Note 13 - EW Convertible Notes (Tables)
3 Months Ended
Mar. 31, 2024
The 2024 Notes [Member]  
Notes Tables  
Schedule of Maturities of Long-Term Debt [Table Text Block]
  

As of March 31, 2024

 

2024

 $ 

2025

  2,601 

Total

 $2,601 
v3.24.1.1.u2
Note 14 - Common Stock Reserved for Issuance (Tables)
3 Months Ended
Mar. 31, 2024
Notes Tables  
Schedule of Common Stock Reserved for Issuance [Table Text Block]
   

March 31, 2024

   

December 31, 2023

 

Outstanding common stock warrants

    1,936,920       1,061,930  

Outstanding stock options and RSUs

    1,048,074       981,834  

Preferred shares

    8,969,341       8,889,221  

Shares reserved for conversion of future voting preferred share issuance

    5,764,093       5,844,213  

Shares reserved for future option grants and RSUs

    254,241       99,580  

Shares reserved for Lincoln Park

    702,847       711,180  

Shares reserved for Madryn Noteholders

    1,300,000       1,300,000  

Shares reserved for EW Noteholders

    2,000,000        

Total common stock reserved for issuance

    21,975,516       18,887,958  
v3.24.1.1.u2
Note 15 - Stockholders' Equity (Deficit) (Tables)
3 Months Ended
Mar. 31, 2024
Notes Tables  
Share-Based Payment Arrangement, Expensed and Capitalized, Amount [Table Text Block]
   

Three Months Ended March 31,

 
   

2024

   

2023

 

Cost of sales

  $ 10     $ 15  

Selling and marketing

    72       109  

General and administrative

    230       300  

Research and development

    27       57  

Total stock-based compensation

  $ 339     $ 481  
Schedule of Share-Based Payment Award, Stock Options, Valuation Assumptions [Table Text Block]
   

Three Months Ended March 31,

 
   

2024

   

2023

 

Expected term (in years)

    6.00       6.00  

Risk-free interest rate

    4.23 %     3.41 %

Expected volatility

    43.06 %     43.02 %

Expected dividend rate

    0 %     0 %
Share-Based Payment Arrangement, Option, Activity [Table Text Block]
   

Number of Shares

   

Weighted- Average Exercise Price per Share, $

   

Weighted- Average Remaining Contractual Term

   

Aggregate Intrinsic Value

 

Outstanding – January 1, 2024

    981,834     $ 19.85       7.58     $  

Options granted

    82,000       0.71       -        

Options exercised

    -       -       -        

Options forfeited/cancelled

    (15,760 )     25.54       -        

Outstanding – March 31, 2024

    1,048,074       18.26       7.52     $  

Exercisable – March 31, 2024

    448,819       33.24       6.20     $  

Expected to vest – after March 31, 2024

    599,255     $ 7.05       8.51     $  
Share-Based Payment Arrangement, Option, Exercise Price Range [Table Text Block]
  

Options Outstanding

  

Options Exercisable

 

Exercise Price Range

 

Number

  

Weighted average remaining contractual term (years)

  

Weighted average Exercise Price

  

Options exercisable

  

Weighted average remaining contractual term (years)

  

Weighted average Exercise Price

 

$0.7051 - $54.60

  1,000,031   7.73  $13.80   401,178   6.56  $23.97 

$63.90 - $119.25

  45,774   3.18   99.44   45,372   3.16   99.46 

$186.75 - $382.50

  1,627   4.74   271.15   1,627   4.74   271.15 

$405.00 - $438.75

  373   0.91   405.36   373   0.91   405.36 

$650.25 - $958.50

  269   4.20   727.38   269   4.20   727.38 
   1,048,074   7.52  $18.26   448,819   6.20  $33.24 
v3.24.1.1.u2
Note 16 - Income Taxes (Tables)
3 Months Ended
Mar. 31, 2024
Notes Tables  
Schedule of Effective Income Tax Rate Reconciliation [Table Text Block]
   

Three Months Ended March 31,

 
   

2024

   

2023

 

Loss before income taxes

  $ (9,752 )   $ (9,388 )

Theoretical tax expense at the statutory rate (21% in 2024 and 2023)

    (2,048 )     (1,971 )

Differences in jurisdictional tax rates

    (455 )     (267 )

Valuation allowance

    2,486       2,441  

Non-deductible expenses

    54       32  

Total income tax provision

    37       235  

Net loss

  $ (9,789 )   $ (9,623 )
v3.24.1.1.u2
Note 17 - Segment and Geographic Information (Tables)
3 Months Ended
Mar. 31, 2024
Notes Tables  
Schedule of Revenue from External Customers and Long-Lived Assets, by Geographical Areas [Table Text Block]
  

Three Months Ended March 31,

 
  

2024

  

2023

 

United States

 $9,080  $10,741 

International

  8,399   9,790 

Total revenue

 $17,479  $20,531 
Revenue from External Customers by Products and Services [Table Text Block]
  

Three Months Ended March 31,

 
  

2024

  

2023

 

Lease revenue

 $3,531  $5,761 

System revenue

  10,535   11,065 

Product revenue

  2,557   2,947 

Service revenue

  856   758 

Total revenue

 $17,479  $20,531 
v3.24.1.1.u2
Note 1 - Nature of Operations (Details Textual) - USD ($)
$ in Thousands
Mar. 31, 2024
Dec. 31, 2023
Retained Earnings (Accumulated Deficit) $ (271,697) $ (261,903)
v3.24.1.1.u2
Note 3 - Net Loss Per Share - Computation of Basic and Diluted Net Loss Per Share (Details) - USD ($)
$ / shares in Units, shares in Thousands, $ in Thousands
3 Months Ended
Mar. 31, 2024
Mar. 31, 2023
Net loss $ (9,789) $ (9,623)
Net loss allocated to stockholders of the Company $ (9,794) $ (9,657)
Weighted-average shares of common stock outstanding used in computing net loss per share, basic (in shares) 5,829 5,237
Weighted-average shares of common stock outstanding used in computing net loss per share, diluted (in shares) 5,829 5,237
Basic (in dollars per share) $ (1.68) $ (1.84)
Diluted (in dollars per share) $ (1.68) $ (1.84)
v3.24.1.1.u2
Note 3 - Net Loss Per Share - Antidilutive Securities (Details) - shares
3 Months Ended
Mar. 31, 2024
Mar. 31, 2023
Total potential dilutive shares (in shares) 14,616,794 4,741,314
Share-Based Payment Arrangement, Option [Member]    
Total potential dilutive shares (in shares) 1,048,074 1,005,680
Performance Shares [Member]    
Total potential dilutive shares (in shares) 8,969,341 2,123,443
Restricted Stock [Member]    
Total potential dilutive shares (in shares) 0 2,668
Shares Reserved for Convertible Notes [Member]    
Total potential dilutive shares (in shares) 2,662,459 547,593
Warrant [Member]    
Total potential dilutive shares (in shares) 1,936,920 1,061,930
v3.24.1.1.u2
Note 4 - Fair Value Measurements - Fair Value Measurements (Details) - USD ($)
$ in Thousands
Mar. 31, 2024
Dec. 31, 2023
Assets, fair value $ 61 $ 62
Derivative Liability 327  
Total liabilities 327  
Guaranteed Investment Certificates [Member]    
Assets, fair value 61 62
Fair Value, Inputs, Level 1 [Member]    
Assets, fair value 0 0
Derivative Liability 0  
Total liabilities 0  
Fair Value, Inputs, Level 1 [Member] | Guaranteed Investment Certificates [Member]    
Assets, fair value 0 0
Fair Value, Inputs, Level 2 [Member]    
Assets, fair value 61 62
Derivative Liability 0  
Total liabilities 0  
Fair Value, Inputs, Level 2 [Member] | Guaranteed Investment Certificates [Member]    
Assets, fair value 61 62
Fair Value, Inputs, Level 3 [Member]    
Assets, fair value 0 0
Derivative Liability 327  
Total liabilities 327  
Fair Value, Inputs, Level 3 [Member] | Guaranteed Investment Certificates [Member]    
Assets, fair value $ 0 $ 0
v3.24.1.1.u2
Note 5 - Accounts Receivable (Details Textual) - USD ($)
$ in Thousands
Mar. 31, 2024
Dec. 31, 2023
Dec. 31, 2022
Lessor, Sales-type Lease, Term of Contract (Month) 36 months    
Sales-type and Direct Financing Leases, Lease Receivable $ 28,677 $ 32,393  
Accounts Receivable, Allowance for Credit Loss $ 5,317 $ 7,415 $ 13,619
v3.24.1.1.u2
Note 5 - Accounts Receivable - Summary of Accounts Receivable (Details) - USD ($)
$ in Thousands
Mar. 31, 2024
Dec. 31, 2023
Dec. 31, 2022
Gross accounts receivable $ 42,391 $ 47,884  
Unearned income (2,168) (2,139)  
Allowance for expected credit losses (5,317) (7,415) $ (13,619)
Accounts Receivable, after Allowance for Credit Loss 34,906 38,330  
Current trade receivables 27,168 29,151  
Current unearned interest income (1,444) (1,468)  
Long-term trade receivables 9,906 11,318  
Long-term unearned interest income $ (724) $ (671)  
v3.24.1.1.u2
Note 5 - Accounts Receivable - Schedule of Contractual Commitments, Net of Allowance for Doubtful Accounts (Details)
$ in Thousands
Mar. 31, 2024
USD ($)
Financing receivables, net $ 28,677
2024, financing receivables, net 18,771
2025, financing receivables, net 7,236
2026, financing receivables, net 2,632
2027, financing receivables, net 38
2028, financing receivables, net 0
Current Financing Receivables, Net Of Allowance [Member]  
Financing receivables, net 18,771
2024, financing receivables, net 18,771
2025, financing receivables, net 0
2026, financing receivables, net 0
2027, financing receivables, net 0
2028, financing receivables, net 0
Noncurrent Financing Receivables, Net Of Allowance [Member]  
Financing receivables, net 9,906
2024, financing receivables, net 0
2025, financing receivables, net 7,236
2026, financing receivables, net 2,632
2027, financing receivables, net 38
2028, financing receivables, net $ 0
v3.24.1.1.u2
Note 5 - Accounts Receivable - Allowance for Doubtful Accounts (Details) - USD ($)
$ in Thousands
3 Months Ended 12 Months Ended
Mar. 31, 2024
Mar. 31, 2023
Dec. 31, 2023
Balance $ 7,415 $ 13,619 $ 13,619
Write-offs (2,269)   (7,554)
Provision 171 $ 618 1,350
Balance $ 5,317   $ 7,415
v3.24.1.1.u2
Note 6 - Select Balance Sheet and Statement of Operations Information (Details Textual) - USD ($)
$ in Thousands
3 Months Ended
Mar. 31, 2024
Mar. 31, 2023
Dec. 31, 2023
Cost, Direct Material $ 5,119 $ 6,832  
Inventory Valuation Reserves 2,999   $ 2,733
Depreciation $ 112 $ 151  
v3.24.1.1.u2
Note 6 - Select Balance Sheet and Statement of Operations Information - Schedule of Property and Equipment, Net (Details) - USD ($)
$ in Thousands
Mar. 31, 2024
Dec. 31, 2023
Raw materials $ 1,849 $ 1,949
Work-in-progress 1,891 2,048
Finished goods 17,238 19,075
Total inventory $ 20,978 $ 23,072
v3.24.1.1.u2
Note 6 - Select Balance Sheet and Statement of Operations Information - Property and Equipment, Net (Details) - USD ($)
$ in Thousands
Mar. 31, 2024
Dec. 31, 2023
Lab equipment tooling and molds $ 4,356 $ 4,356
Office furniture and equipment 1,218 1,223
Leasehold improvements 893 854
Computers and software 907 919
Vehicles 37 37
Demo units 214 214
Total property and equipment 7,625 7,603
Less: Accumulated depreciation (6,396) (6,281)
Total property and equipment, net $ 1,229 $ 1,322
Tools, Dies and Molds [Member] | Minimum [Member]    
Property and equipment, Useful lives (Year) 4 years  
Tools, Dies and Molds [Member] | Maximum [Member]    
Property and equipment, Useful lives (Year) 10 years  
Office Equipment [Member] | Minimum [Member]    
Property and equipment, Useful lives (Year) 6 years  
Office Equipment [Member] | Maximum [Member]    
Property and equipment, Useful lives (Year) 10 years  
Leasehold Improvements [Member] | Maximum [Member]    
Property and equipment, Useful lives (Year) 10 years  
Computer Equipment [Member]    
Property and equipment, Useful lives (Year) 3 years  
Vehicles [Member] | Minimum [Member]    
Property and equipment, Useful lives (Year) 5 years  
Vehicles [Member] | Maximum [Member]    
Property and equipment, Useful lives (Year) 7 years  
Demo Units [Member]    
Property and equipment, Useful lives (Year) 5 years  
v3.24.1.1.u2
Note 6 - Select Balance Sheet and Statement of Operations Information - Other Current Assets (Details) - USD ($)
$ in Thousands
Mar. 31, 2024
Dec. 31, 2023
Government remittances (1) [1] $ 826 $ 1,336
Consideration receivable from subsidiaries sale 75 85
Sundry assets and miscellaneous 607 504
Total other current assets $ 1,508 $ 1,925
[1] Government remittances are receivables from the local tax authorities for refunds of sales taxes and income taxes.
v3.24.1.1.u2
Note 6 - Select Balance Sheet and Statement of Operations Information - Accrued Expenses and Other Current Liabilities (Details) - USD ($)
$ in Thousands
Mar. 31, 2024
Dec. 31, 2023
Payroll and related expense $ 2,154 $ 2,260
Accrued expenses 4,713 3,924
Commission accrual 1,887 2,385
Sales and consumption taxes 3,379 3,868
Total accrued expenses and other current liabilities $ 12,133 $ 12,437
v3.24.1.1.u2
Note 6 - Select Balance Sheet and Statement of Operations Information - Warranty Accrual (Details) - USD ($)
$ in Thousands
3 Months Ended
Mar. 31, 2024
Mar. 31, 2023
Dec. 31, 2023
Balance as of the beginning of the period $ 1,363 $ 1,482  
Warranties issued during the period 109 933  
Warranty costs incurred during the period (97) (1,052)  
Balance at the end of the period 1,375 1,363  
Current 1,107 1,029 $ 1,029
Long-term 268 334 334
Total $ 1,375 $ 1,363 $ 1,363
v3.24.1.1.u2
Note 6 - Select Balance Sheet and Statement of Operations Information - Finance Expenses (Details) - USD ($)
$ in Thousands
3 Months Ended
Mar. 31, 2024
Mar. 31, 2023
Interest expense $ 2,077 $ 1,443
Change in fair value of derivative liability (618) 0
Accretion on long-term debt and amortization of fees 209 65
Total finance expenses $ 1,668 $ 1,508
v3.24.1.1.u2
Note 7 - Leases - Lease Cost (Details) - USD ($)
$ in Thousands
3 Months Ended
Mar. 31, 2024
Mar. 31, 2023
Dec. 31, 2023
Operating lease cost $ 386 $ 510  
Short-term lease cost 0 0  
Total lease cost 386 510  
Operating cash outflows from operating leases $ 386 $ 510  
Weighted-average remaining lease term (Year) 2 years 9 months 29 days   3 years 8 months 23 days
Weighted-average discount rate 4.00%   4.00%
v3.24.1.1.u2
Note 7 - Leases - Operating Lease Maturity (Details)
$ in Thousands
Mar. 31, 2024
USD ($)
2024 $ 1,075
2025 1,294
2026 1,101
2027 593
2028 204
Thereafter 341
Imputed Interest (1) (343) [1]
Total $ 4,265
[1] Imputed interest represents the difference between undiscounted cash flows and cash flows.
v3.24.1.1.u2
Note 8 - Intangible Assets (Details Textual) - USD ($)
$ in Thousands
3 Months Ended
Mar. 31, 2024
Mar. 31, 2023
Amortization of Intangible Assets $ 864 $ 856
v3.24.1.1.u2
Note 8 - Intangible Assets - Schedule of Intangible Assets Net of Accumulated Amortization and Goodwill (Details) - USD ($)
$ in Thousands
Mar. 31, 2024
Dec. 31, 2023
Gross Amount $ 23,800 $ 23,800
Accumulated amortization (16,218) (15,354)
Net Amount 7,582 8,446
Customer Relationships [Member]    
Gross Amount 1,400 1,400
Accumulated amortization (545) (522)
Net Amount 855 878
Brand [Member]    
Gross Amount 2,500 2,500
Accumulated amortization (1,395) (1,330)
Net Amount 1,105 1,170
Technology [Member]    
Gross Amount 16,900 16,900
Accumulated amortization (12,437) (11,735)
Net Amount 4,463 5,165
Supplier Agreement [Member]    
Gross Amount 3,000 3,000
Accumulated amortization (1,841) (1,767)
Net Amount $ 1,159 $ 1,233
v3.24.1.1.u2
Note 8 - Intangible Assets - Estimated Amortization (Details) - USD ($)
$ in Thousands
Mar. 31, 2024
Dec. 31, 2023
2024 $ 2,610  
2025 3,004  
2026 657  
2027 657  
2028 244  
Thereafter 410  
Total $ 7,582 $ 8,446
v3.24.1.1.u2
Note 9 - Commitments and Contingencies (Details Textual)
$ in Thousands
Mar. 31, 2024
USD ($)
Purchase Obligation $ 9,983
Contract Manufacturers [Member]  
Purchase Obligation 10,000
Open Purchase Order [Member]  
Purchase Obligation $ 1,164
v3.24.1.1.u2
Note 9 - Commitments and Contingencies - Contractual Obligation Maturity (Details)
$ in Thousands
Mar. 31, 2024
USD ($)
2024 $ 9,983
2025 and Thereafter 0
Total $ 9,983
v3.24.1.1.u2
Note 10 - Main Street Term Loan (Details Textual) - MSLP Note [Member] - USD ($)
$ in Millions
Oct. 04, 2023
Dec. 08, 2020
Debt Instrument, Face Amount   $ 50
Debt Instrument, Term (Year)   5 years
Debt Instrument, Redemption, Period One [Member]    
Debt Instrument, Percentage of Outstanding Principal to be Paid with Accrued Unpaid Interest   15.00%
Debt Instrument, Redemption, Period Two [Member]    
Debt Instrument, Percentage of Outstanding Principal to be Paid with Accrued Unpaid Interest 7.50% 15.00%
London Interbank Offered Rate [Member]    
Debt Instrument, Basis Spread on Variable Rate   3.00%
Secured Overnight Financing Rate (SOFR) [Member]    
Debt Instrument, Basis Spread on Variable Rate 3.25%  
v3.24.1.1.u2
Note 10 - Main Street Term Loan - Schedule Payments on Outstanding Borrowings (Details) - MSLP Note [Member]
$ in Thousands
Mar. 31, 2024
USD ($)
2024 $ 7,285
2025 51,905
Total $ 59,190
v3.24.1.1.u2
Note 11 - Madryn Long-term Debt and Convertible Notes (Details Textual) - USD ($)
$ / shares in Units, $ in Thousands
3 Months Ended
Oct. 04, 2023
Dec. 09, 2020
Mar. 31, 2024
Mar. 31, 2023
Interest Expense, Debt     $ 2,077 $ 1,443
Series X Convertible Preferred Stock [Member][        
Preferred Stock, Par or Stated Value Per Share (in dollars per share) $ 0.0001      
Shares Issued, Price Per Share (in dollars per share) $ 20.1      
Madryn Noteholders [Member] | Conversion from Madryn Noteholders, Outstanding Debt Converted to Convertible Instruments [Member] | Series X Convertible Preferred Stock [Member][        
Debt Conversion, Original Debt, Amount $ 26,695      
Debt Conversion, Converted Instrument, Amount $ 22,792      
Convertible Preferred Stock, Shares Issued upon Conversion (in shares) 248,755      
Gain (Loss) on Extinguishment of Debt $ (2,000)      
Madryn Credit Agreement [Member]        
Repayments of Debt   $ 42,500    
Secured Subordinated Convertible Notes [Member] | Madryn Noteholders [Member]        
Debt Instrument, Face Amount   $ 26,700    
Preferred Stock, Par or Stated Value Per Share (in dollars per share) $ 8.5      
Debt Instrument, Default, Increase in Interest Rate 4.00%      
Long-Term Debt, Gross     24,400  
Interest Expense, Debt     834 $ 540
Repayments of Long-Term Debt     $ 0  
Debt Instrument, Maturity Date Dec. 09, 2025      
v3.24.1.1.u2
Note 11 - Madryn Long-term Debt and Convertible Notes - Scheduled Payments (Details) - Secured Subordinated Convertible Notes [Member]
$ in Thousands
Mar. 31, 2024
USD ($)
2024 $ 0
2025 30,923
Total $ 30,923
v3.24.1.1.u2
Note 12 - Credit Facility (Details Textual) - USD ($)
$ in Millions
Jan. 18, 2024
Aug. 26, 2021
Dec. 09, 2020
Debt Instrument, Variable Interest Rate, Type [Extensible Enumeration] Secured Overnight Financing Rate (SOFR) [Member] London Interbank Offered Rate [Member]  
City National Bank of Florida [Member] | CNB Note [Member]      
Debt Instrument, Face Amount   $ 5.0  
Debt Instrument, Maturity Date   Jul. 24, 2023  
City National Bank of Florida [Member] | Revolving Credit Facility [Member]      
Line of Credit Facility, Maximum Borrowing Capacity   $ 5.0 $ 10.0
Debt Instrument, Basis Spread on Variable Rate   3.25%  
Debt Instrument, LIBOR Floor   0.50%  
Line of Credit Facility, Minimum Deposit Required   $ 1.5 $ 3.0
v3.24.1.1.u2
Note 13 - EW Convertible Notes (Details Textual) - USD ($)
$ / shares in Units, $ in Thousands
3 Months Ended
Jan. 18, 2024
Aug. 26, 2021
Mar. 31, 2024
Mar. 31, 2023
Proceeds from Convertible Debt     $ 1,607 $ 0
Interest Expense, Debt     2,077 $ 1,443
Derivative Liability     327  
Debt Instrument, Variable Interest Rate, Type [Extensible Enumeration] Secured Overnight Financing Rate (SOFR) [Member] London Interbank Offered Rate [Member]    
The 2024 Notes [Member] | EW Investors [Member]        
Proceeds from Convertible Debt $ 2,000      
Debt Instrument, Basis Spread on Variable Rate 8.50%      
Debt Instrument, Default, Increase in Interest Rate 4.00%      
Debt Instrument, Convertible, Conversion Ratio 799.3605      
Debt Instrument, Convertible, Conversion Price (in dollars per share) $ 1.251      
Long-Term Debt, Gross     2,100  
Interest Expense, Debt     57  
Derivative Liability $ 900   300  
Repayments of Convertible Debt     $ 0  
Debt Instrument, Maturity Date Dec. 09, 2025      
v3.24.1.1.u2
Note 13 - EW Convertible Notes - Scheduled Payments (Details) - The 2024 Notes [Member] - EW Investors [Member]
$ in Thousands
Mar. 31, 2024
USD ($)
2024 $ 0
2025 2,601
Total $ 2,601
v3.24.1.1.u2
Note 14 - Common Stock Reserved for Issuance - Common Stock Reserved for Issuance (Details) - $ / shares
Mar. 31, 2024
Dec. 31, 2023
Outstanding stock options and RSUs (in dollars per share) $ 1,048,074 $ 981,834
Shares reserved for future option grants and RSUs (in shares) 254,241 99,580
Total common stock reserved for issuance (in shares) 21,975,516 18,887,958
Lincoln Park [Member]    
Total common stock reserved for issuance (in shares) 702,847 711,180
Madryn Noteholders [Member]    
Total common stock reserved for issuance (in shares) 1,300,000 1,300,000
EW Investors [Member]    
Total common stock reserved for issuance (in shares) 2,000,000 0
Non-Voting Preferred Stock [Member]    
Shares reserved for conversion of future preferred share issuance (in shares) 5,764,093 5,844,213
Common Stock [Member]    
Outstanding common stock warrants (in shares) 1,936,920 1,061,930
Preferred Stock [Member]    
Preferred shares (in shares) 8,969,341 8,889,221
v3.24.1.1.u2
Note 15 - Stockholders' Equity (Deficit) (Details Textual)
1 Months Ended 3 Months Ended 12 Months Ended 17 Months Ended 24 Months Ended
Feb. 27, 2024
USD ($)
$ / shares
shares
Oct. 20, 2023
USD ($)
shares
Oct. 04, 2023
$ / shares
shares
Sep. 08, 2023
USD ($)
shares
Jul. 12, 2023
USD ($)
shares
May 15, 2023
USD ($)
shares
May 11, 2023
May 10, 2023
Jul. 12, 2022
USD ($)
$ / shares
shares
Nov. 30, 2022
USD ($)
$ / shares
shares
Nov. 30, 2017
Nov. 30, 2010
Mar. 31, 2024
USD ($)
$ / shares
shares
Mar. 31, 2023
USD ($)
$ / shares
shares
Dec. 31, 2022
USD ($)
shares
Dec. 31, 2023
USD ($)
$ / shares
shares
Jun. 30, 2022
USD ($)
$ / shares
shares
May 31, 2023
USD ($)
$ / shares
Jun. 16, 2020
USD ($)
$ / shares
shares
Common Stock, Par or Stated Value Per Share (in dollars per share) | $ / shares                         $ 0.0001     $ 0.0001      
Proceeds from Issuance of Common Stock | $                         $ 10,000 $ 803,000          
Common Stock, Capital Shares Reserved for Future Issuance (in shares)                         21,975,516     18,887,958      
Share-based Compensation Arrangement by Share-based Payment Award, Fair Value Assumptions, Expected Dividend Payments | $                         $ 0            
Share-Based Compensation Arrangement by Share-Based Payment Award, Options, Exercises in Period, Intrinsic Value | $                         $ 0 $ 0          
Share-Based Compensation Arrangement by Share-Based Payment Award, Options, Grants in Period, Weighted Average Grant Date Fair Value (in dollars per share) | $ / shares                         $ 0.705 $ 2.82          
Share-Based Compensation Arrangement by Share-Based Payment Award, Options, Vested in Period, Fair Value | $                         $ 355,000 $ 346,000          
The 2010 Share Option Plan [Member]                                      
Share-based Compensation Arrangement by Share-based Payment Award, Award Vesting Period (Year)                     10 years 7 years              
Common Stock, Capital Shares Reserved for Future Issuance (in shares)                         10,061     28,168      
The 2019 Plan [Member]                                      
Common Stock, Capital Shares Reserved for Future Issuance (in shares)                         244,180     71,412      
Share-Based Compensation Arrangement by Share-Based Payment Award, Number of Shares Authorized (in shares)                         30,000            
Share-based Compensation Arrangement by Share-based Payment Award, Increase in Authorized Shares, Percentage of Outstanding Stock Maximum                         4.00%            
The 2024 Investor Warrants [Member]                                      
Class of Warrant or Right, Number of Securities Called by Warrants or Rights (in shares) 817,748                                    
Class of Warrant or Right, Exercise Price of Warrants or Rights (in dollars per share) | $ / shares $ 1.34                                    
Voting Preferred Stock [Member]                                      
Preferred Stock, Liquidation Preference Per Share (in dollars per share) | $ / shares                   $ 30                  
Preferred Stock, Convertible, Conversion Ratio                   0.6667                  
Preferred Stock, Convertible, Volume Weighted Average Price Per Common Share (in dollars per share) | $ / shares                   $ 18.75                  
Senior Preferred Stock [Member]                                      
Preferred Stock, Convertible, Conversion Ratio           2.6667                          
Liquidation Preference, Multiplier           2.5                          
Conversion Price, Benchmark, Multiplier           2.75                          
Series X Convertible Preferred Stock [Member][                                      
Shares Issued, Price Per Share (in dollars per share) | $ / shares     $ 20.1                                
Preferred Stock, Par or Stated Value Per Share (in dollars per share) | $ / shares     $ 0.0001                                
Preferred Stock, Convertible, Conversion Ratio     10                                
Preferred Stock, Shares Authorized (in shares)     400,000                                
Preferred Stock, Dividend Rate, Percentage     12.50%                                
Common Stock [Member]                                      
Stock Issued During Period, Shares, New Issues (in shares)                         8,333 224,378          
H.C. Wainwright & Co., LLC [Member] | Placement Agent Warrants [Member]                                      
Class of Warrant or Right, Number of Securities Called by Warrants or Rights (in shares) 57,242                                    
Class of Warrant or Right, Exercise Price of Warrants or Rights (in dollars per share) | $ / shares $ 1.8313                                    
Equity Purchase Agreement [Member] | Lincoln Park [Member]                                      
Equity Purchase Agreement, Maximum Offering Amount | $                                     $ 31,000,000
Common Stock, Par or Stated Value Per Share (in dollars per share) | $ / shares                                     $ 0.0001
Equity Purchase Agreement, Maximum Shares Issuable (in shares)                                     517,560
Equity Agreement, Maximum Percentage of Stock Outstanding                                     19.99%
Equity Agreement, Minimum Average Purchase Price (in dollars per share) | $ / shares                                     $ 59.6325
Maximum Percentage of Outstanding Stock, Beneficial Ownership                                     9.99%
Stock Issued During Period, Shares, New Issues (in shares)                             26,666,000   229,139    
Shares Issued, Price Per Share (in dollars per share) | $ / shares                                 $ 40.5    
Stock Issued During Period, Shares, Commitment Fee (in shares)                                 13,971    
Stock Issued During Period, Value, Commitment Fee | $                                 $ 620,000    
Deferred Offering Costs | $                             $ 0   $ 123,000    
Proceeds from Issuance of Common Stock | $                             $ 272,000        
LPC Purchase Agreement 2022 [Member] | Lincoln Park [Member]                                      
Equity Purchase Agreement, Maximum Offering Amount | $                 $ 11,000,000                    
Common Stock, Par or Stated Value Per Share (in dollars per share) | $ / shares                 $ 0.0001                    
Equity Purchase Agreement, Maximum Shares Issuable (in shares)                 858,224                    
Equity Agreement, Maximum Percentage of Stock Outstanding                 19.99%                    
Maximum Percentage of Outstanding Stock, Beneficial Ownership                 9.99%                    
Shares Issued, Price Per Share (in dollars per share) | $ / shares                         $ 1.16     $ 3.966      
Stock Issued During Period, Shares, Commitment Fee (in shares)                 45,701       8,333     776,452      
Stock Issued During Period, Value, Commitment Fee | $                 $ 330,000       $ 10,000     $ 3,080,000      
The 2022 Private Placement [Member]                                      
Proceeds from Issuance of Private Placement | $                   $ 6,720,000                  
Payments of Stock Issuance Costs | $                   $ 202,000                  
The 2022 Private Placement [Member] | Convertible Preferred Stock [Member]                                      
Stock Issued During Period, Shares, New Issues (in shares)                   3,185,000                  
Preferred Stock, Par or Stated Value Per Share (in dollars per share) | $ / shares                   $ 0.0001                  
Preferred Stock, Convertible, Shares Issuable (in shares)                   2,123,443                  
The 2022 Private Placement [Member] | Common Stock [Member]                                      
Common Stock, Par or Stated Value Per Share (in dollars per share) | $ / shares                   $ 0.0001                  
Stock Issued During Period, Shares, New Issues (in shares)                   116,668                  
Multi-Tranche Private Placement 2023 [Member]                                      
Equity Purchase Agreement, Maximum Offering Amount | $                                   $ 9,000,000  
Equity Purchase Agreement, Minimum Aggregate Purchase Amount Per Tranche | $                                   $ 500,000  
Multi-Tranche Private Placement 2023 [Member] | Senior Preferred Stock [Member]                                      
Stock Issued During Period, Shares, New Issues (in shares)   502,513   292,398 500,000 280,899                          
Preferred Stock, Par or Stated Value Per Share (in dollars per share) | $ / shares                                   $ 0.0001  
Proceeds from Issuance of Preferred Stock and Preference Stock | $   $ 2,000,000   $ 1,000,000 $ 2,000,000 $ 2,000,000                          
Registered Direct Offering [Member]                                      
Maximum Percentage of Outstanding Stock, Beneficial Ownership 4.99%                                    
Stock Issued During Period, Shares, New Issues (in shares) 817,748                                    
Shares Issued, Price Per Share (in dollars per share) | $ / shares $ 1.465                                    
Proceeds from Issuance or Sale of Equity | $ $ 1,200,000                                    
Registered Direct Offering [Member] | H.C. Wainwright & Co., LLC [Member]                                      
Placement Agent Fee, Percentage of Gross Proceeds 7.00%                                    
Management Fee, Percentage of Gross Proceeds 1.00%                                    
Maximum [Member] | Registered Direct Offering [Member]                                      
Maximum Percentage of Outstanding Stock, Beneficial Ownership 9.99%                                    
Reverse Stock Split [Member]                                      
Stockholders' Equity Note, Stock Split, Conversion Ratio             15                        
Reverse Stock Split [Member] | Minimum [Member]                                      
Stockholders' Equity Note, Stock Split, Conversion Ratio               5                      
Reverse Stock Split [Member] | Maximum [Member]                                      
Stockholders' Equity Note, Stock Split, Conversion Ratio               15                      
v3.24.1.1.u2
Note 15 - Stockholders' Equity (Deficit) - Stock-based Compensation (Details) - USD ($)
$ in Thousands
3 Months Ended
Mar. 31, 2024
Mar. 31, 2023
Total stock-based compensation $ 339 $ 481
Cost of Sales [Member]    
Total stock-based compensation 10 15
Selling and Marketing Expense [Member]    
Total stock-based compensation 72 109
General and Administrative Expense [Member]    
Total stock-based compensation 230 300
Research and Development Expense [Member]    
Total stock-based compensation $ 27 $ 57
v3.24.1.1.u2
Note 15 - Stockholders' Equity (Deficit) - Stock Options Assumptions (Details)
3 Months Ended
Mar. 31, 2024
Mar. 31, 2023
Expected term (in years) (Year) 6 years 6 years
Risk-free interest rate 4.23% 3.41%
Expected volatility 43.06% 43.02%
Expected dividend rate 0.00% 0.00%
v3.24.1.1.u2
Note 15 - Stockholders' Equity (Deficit) - Stock Option Activity (Details) - USD ($)
$ / shares in Units, $ in Thousands
3 Months Ended 12 Months Ended
Mar. 31, 2024
Dec. 31, 2023
Outstanding, number of shares (in shares) 981,834  
Outstanding, weighted average exercise price (in dollars per share) $ 19.85  
Outstanding, weighted average remaining contractual term (Year) 7 years 6 months 7 days 7 years 6 months 29 days
Options granted, number of shares (in shares) 82,000  
Options granted, weighted average exercise price (in dollars per share) $ 0.71  
Options exercised, number of shares (in shares) 0  
Options exercised, weighted average exercise price (in dollars per share) $ 0  
Options forfeited/cancelled, number of shares (in shares) (15,760)  
Options forfeited/cancelled, weighted average exercise price (in dollars per share) $ 25.54  
Outstanding, number of shares (in shares) 1,048,074 981,834
Outstanding, weighted average exercise price (in dollars per share) $ 18.26 $ 19.85
Outstanding, aggregate intrinsic value $ 0  
Exercisable, number of shares (in shares) 448,819  
Exercisable, weighted average exercise price (in dollars per share) $ 33.24  
Exercisable, weighted average remaining contractual term (Year) 6 years 2 months 12 days  
Exercisable, aggregate intrinsic value $ 0  
Expected to vest, number of shares (in shares) 599,255  
Expected to vest, weighted average exercise price (in dollars per share) $ 7.05  
Expected to vest, weighted average remaining contractual term (Year) 8 years 6 months 3 days  
Expected to vest, aggregate intrinsic value $ 0  
v3.24.1.1.u2
Note 15 - Stockholders' Equity (Deficit) - Stock Options Outstanding and Exercisable (Details)
3 Months Ended
Mar. 31, 2024
$ / shares
shares
Options outstanding, number (in shares) | shares 1,048,074
Options outstanding, weighted average remaining contractual term (Year) 7 years 6 months 7 days
Options outstanding, weighted average exercise price (in dollars per share) $ 18.26
Options exercisable (in shares) | shares 448,819
Options exercisable, weighted average remaining contractual term (Year) 6 years 2 months 12 days
Options exercisable, weighted average exercise price (in dollars per share) $ 33.24
Range One [Member]  
Exercise price range, lower limit (in dollars per share) 0.7051
Exercise price range, upper limit (in dollars per share) $ 54.6
Options outstanding, number (in shares) | shares 1,000,031
Options outstanding, weighted average remaining contractual term (Year) 7 years 8 months 23 days
Options outstanding, weighted average exercise price (in dollars per share) $ 13.8
Options exercisable (in shares) | shares 401,178
Options exercisable, weighted average remaining contractual term (Year) 6 years 6 months 21 days
Options exercisable, weighted average exercise price (in dollars per share) $ 23.97
Range Two [Member]  
Exercise price range, lower limit (in dollars per share) 63.9
Exercise price range, upper limit (in dollars per share) $ 119.25
Options outstanding, number (in shares) | shares 45,774
Options outstanding, weighted average remaining contractual term (Year) 3 years 2 months 4 days
Options outstanding, weighted average exercise price (in dollars per share) $ 99.44
Options exercisable (in shares) | shares 45,372
Options exercisable, weighted average remaining contractual term (Year) 3 years 1 month 28 days
Options exercisable, weighted average exercise price (in dollars per share) $ 99.46
Range Three [Member]  
Exercise price range, lower limit (in dollars per share) 186.75
Exercise price range, upper limit (in dollars per share) $ 382.5
Options outstanding, number (in shares) | shares 1,627
Options outstanding, weighted average remaining contractual term (Year) 4 years 8 months 26 days
Options outstanding, weighted average exercise price (in dollars per share) $ 271.15
Options exercisable (in shares) | shares 1,627
Options exercisable, weighted average remaining contractual term (Year) 4 years 8 months 26 days
Options exercisable, weighted average exercise price (in dollars per share) $ 271.15
Range Four [Member]  
Exercise price range, lower limit (in dollars per share) 405
Exercise price range, upper limit (in dollars per share) $ 483.75
Options outstanding, number (in shares) | shares 373
Options outstanding, weighted average remaining contractual term (Year) 10 months 28 days
Options outstanding, weighted average exercise price (in dollars per share) $ 405.36
Options exercisable (in shares) | shares 373
Options exercisable, weighted average remaining contractual term (Year) 10 months 28 days
Options exercisable, weighted average exercise price (in dollars per share) $ 405.36
Range Five [Member]  
Exercise price range, lower limit (in dollars per share) 650.25
Exercise price range, upper limit (in dollars per share) $ 958.5
Options outstanding, number (in shares) | shares 269
Options outstanding, weighted average remaining contractual term (Year) 4 years 2 months 12 days
Options outstanding, weighted average exercise price (in dollars per share) $ 727.38
Options exercisable (in shares) | shares 269
Options exercisable, weighted average remaining contractual term (Year) 4 years 2 months 12 days
Options exercisable, weighted average exercise price (in dollars per share) $ 727.38
v3.24.1.1.u2
Note 16 - Income Taxes (Details Textual) - USD ($)
$ in Thousands
3 Months Ended
Mar. 31, 2024
Mar. 31, 2023
Income Tax Expense (Benefit) $ 37 $ 235
v3.24.1.1.u2
Note 16 - Income Taxes - Reconciliation of Income Tax Expense (Benefit) (Details) - USD ($)
$ in Thousands
3 Months Ended
Mar. 31, 2024
Mar. 31, 2023
Loss before income taxes $ (9,752) $ (9,388)
Theoretical tax expense at the statutory rate (21% in 2024 and 2023) (2,048) (1,971)
Differences in jurisdictional tax rates (455) (267)
Valuation allowance 2,486 2,441
Non-deductible expenses 54 32
Total income tax provision 37 235
Net loss $ (9,789) $ (9,623)
v3.24.1.1.u2
Note 17 - Segment and Geographic Information (Details Textual)
$ in Thousands
3 Months Ended
Mar. 31, 2024
USD ($)
Dec. 31, 2023
USD ($)
Number of Reportable Segments 1  
Number of Operating Segments 1  
Leases [Member]    
Sales with Typical Lease Terms (Month) 36 months  
System [Member]    
Sales with Payment Terms (Month) 12 months  
UNITED STATES    
Long-Lived Assets $ 7,810 $ 8,705
Non-US [Member]    
Long-Lived Assets $ 1,001 $ 1,063
v3.24.1.1.u2
Note 17 - Segment and Geographic Information - Schedule of Revenue by Geographic Area (Details) - USD ($)
$ in Thousands
3 Months Ended
Mar. 31, 2024
Mar. 31, 2023
Total revenue $ 17,479 $ 20,531
UNITED STATES    
Total revenue 9,080 10,741
Non-US [Member]    
Total revenue $ 8,399 $ 9,790
v3.24.1.1.u2
Note 17 - Segment and Geographic Information - Schedule of Revenue by Type (Details) - USD ($)
$ in Thousands
3 Months Ended
Mar. 31, 2024
Mar. 31, 2023
Total revenue $ 17,479 $ 20,531
Leases [Member]    
Total revenue 3,531 5,761
System [Member]    
Total revenue 10,535 11,065
Product [Member]    
Total revenue 2,557 2,947
Service [Member]    
Total revenue $ 856 $ 758
v3.24.1.1.u2
Note 18 - Related Party Transactions (Details Textual) - USD ($)
$ in Thousands
3 Months Ended 12 Months Ended
Mar. 31, 2024
Mar. 31, 2023
Dec. 31, 2020
Jan. 01, 2021
Jan. 01, 2018
Revenue from Contract with Customer, Including Assessed Tax $ 17,479 $ 20,531      
Venus Concept Singapore Pte. Ltd (Venus Singapore) [Member]          
Disposal Group, Including Discontinued Operation, Percentage of Ownership     55.00%    
Technicalbiomed Co., Ltd. (TBC) [Member]          
Revenue from Contract with Customer, Including Assessed Tax 0 208      
Venus Concept Singapore Pte. Ltd (Venus Singapore) [Member]          
Revenue from Contract with Customer, Including Assessed Tax $ 0 $ 60      
Senior Officer [Member] | Technicalbiomed Co., Ltd. (TBC) [Member]          
Equity Method Investment, Ownership Percentage         30.00%
Senior Officer [Member] | Venus Concept Singapore Pte. Ltd (Venus Singapore) [Member]          
Equity Method Investment, Ownership Percentage       45.00%  
v3.24.1.1.u2
Note 19 - Subsequent Events (Details Textual) - Subsequent Event [Member] - Madryn Noteholders [Member] - Bridge Financing [Member]
Apr. 23, 2024
USD ($)
Debt Instrument, Face Amount $ 2,237,906,850
Debt Instrument, Maximum Additional Principal $ 2,762,093,150
Debt Instrument, Interest Rate, Stated Percentage 12.00%
Debt Instrument, Default Interest Rate 15.00%

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