0001051514-18-000020.txt : 20180515 0001051514-18-000020.hdr.sgml : 20180515 20180515160334 ACCESSION NUMBER: 0001051514-18-000020 CONFORMED SUBMISSION TYPE: 10-Q PUBLIC DOCUMENT COUNT: 73 CONFORMED PERIOD OF REPORT: 20180331 FILED AS OF DATE: 20180515 DATE AS OF CHANGE: 20180515 FILER: COMPANY DATA: COMPANY CONFORMED NAME: STRATA Skin Sciences, Inc. CENTRAL INDEX KEY: 0001051514 STANDARD INDUSTRIAL CLASSIFICATION: SURGICAL & MEDICAL INSTRUMENTS & APPARATUS [3841] IRS NUMBER: 133986004 FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 10-Q SEC ACT: 1934 Act SEC FILE NUMBER: 000-51481 FILM NUMBER: 18836264 BUSINESS ADDRESS: STREET 1: 100 LAKESIDE DRIVE STREET 2: SUITE 100 CITY: HORSHAM STATE: PA ZIP: 19044 BUSINESS PHONE: 215-619-3200 MAIL ADDRESS: STREET 1: 100 LAKESIDE DRIVE STREET 2: SUITE 100 CITY: HORSHAM STATE: PA ZIP: 19044 FORMER COMPANY: FORMER CONFORMED NAME: MELA SCIENCES, INC. /NY DATE OF NAME CHANGE: 20100504 FORMER COMPANY: FORMER CONFORMED NAME: ELECTRO OPTICAL SCIENCES INC /NY DATE OF NAME CHANGE: 19971216 10-Q 1 form_10-q.htm STRATA 1ST QUARTER 10-Q 2018


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

FORM 10 - Q

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

For the quarterly period ended March 31, 2018

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 0-51481


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

 
Delaware
(State or other jurisdiction
of incorporation or organization)
 
13-3986004
(I.R.S.  Employer
Identification No.)
 

100 Lakeside Drive, Suite 100, Horsham, Pennsylvania 19044
(Address of principal executive offices, including zip code)

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

Indicate by check mark whether the registrant: (i) 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 (ii) has been subject to such filing requirements for the past 90 days.
Yes   No

Indicate by check mark whether the registrant has submitted electronically and posted on its corporate web site, if any, every Interactive Data File required to be submitted and posted pursuant to Rule 405 of Regulation S-T during the preceding 12 months (or for such shorter period that the registrant was required to submit and post such files).
Yes   No

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

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

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

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

The number of shares outstanding of the issuer's common stock as of May 11, 2018 was 7,058,636 shares.
1


STRATA SKIN SCIENCES, INC.

TABLE OF CONTENTS

PAGE
       
   
 
a.
3
       
 
b.
4
       
 
c.
5
       
 
d.
6
       
 
e.
7
       
 
22
       
 
29
       
 
29
       
 
       
 
29
       
 
29
       
 
29
       
 
30
       
 
30
       
 
30
       
 
30
       
   
32
       
   
E-31.1
2


PART I – Financial Information
ITEM 1. Financial Statements
STRATA SKIN SCIENCES, INC. AND SUBSIDIARY
CONDENSED CONSOLIDATED BALANCE SHEETS
(In thousands, except share and per share amounts)
       
   
March 31, 2018
   
December 31, 2017
 
ASSETS
 
(unaudited)
       
Current assets:
           
Cash and cash equivalents
 
$
3,417
   
$
4,069
 
Accounts receivable, net of allowance for doubtful accounts of $171 and $172, respectively
   
2,491
     
3,141
 
Inventories
   
3,029
     
3,009
 
Prepaid expenses and other current assets
   
1,379
     
533
 
Total current assets
   
10,316
     
10,752
 
                 
Property and equipment, net
   
6,916
     
7,703
 
Intangible assets, net
   
10,672
     
11,325
 
Goodwill
   
8,803
     
8,803
 
Other assets
   
48
     
48
 
Total assets
 
$
36,755
   
$
38,631
 
                 
LIABILITIES AND STOCKHOLDERS' EQUITY
               
Current liabilities:
               
Note payable
 
$
252
   
$
357
 
Current portion of long-term debt
   
3,410
     
2,387
 
Accounts payable
   
2,658
     
2,277
 
Other accrued liabilities
   
2,216
     
2,360
 
Deferred revenues
   
440
     
291
 
Total current liabilities
   
8,976
     
7,672
 
                 
Long-term liabilities:
               
Long-term debt, net
   
6,869
     
7,853
 
Deferred tax liability
   
454
     
414
 
Other liabilities
   
649
     
447
 
Total liabilities
   
16,948
     
16,386
 
                 
Commitments and contingencies
               
                 
Stockholders' equity:
               
Preferred Stock, $.10 par value, 10,000,000 shares authorized; 35,980 and 36,182 shares issued and outstanding at March 31, 2018 and December 31, 2017, respectively
   
4
     
4
 
Common Stock, $.001 par value, 150,000,000 shares authorized; 4,379,425 and 4,304,425 shares issued and outstanding at March 31, 2018 and December 31, 2017, respectively
   
4
     
4
 
Additional paid-in capital
   
251,662
     
251,643
 
Accumulated deficit
   
(231,863
)
   
(229,406
)
Total stockholders' equity
   
19,807
     
22,245
 
Total liabilities and stockholders' equity
 
$
36,755
   
$
38,631
 



The accompanying notes are an integral part of these condensed consolidated financial statements.
3


STRATA SKIN SCIENCES, INC. AND SUBSIDIARY
CONDENSED CONSOLIDATED STATEMENTS OF COMPREHENSIVE LOSS
(In thousands, except share and per share amounts)
(unaudited)

   
For the Three Months Ended
March 31,
 
   
2018
   
2017
 
             
Revenues
 
$
6,466
   
$
7,097
 
                 
Cost of revenues
   
3,295
     
2,733
 
                 
Gross profit
   
3,171
     
4,364
 
 
               
Operating expenses:
               
Engineering and product development
   
338
     
475
 
Selling and marketing
   
2,871
     
2,975
 
General and administrative
   
1,803
     
1,601
 
 
   
5,012
     
5,051
 
                 
Operating loss before other income (expense), net
   
(1,841
)
   
(687
)
 
               
Other income (expense), net:
               
Interest expense, net
   
(363
)
   
(1,346
)
Other income (expense), net
   
21
     
(132
)
     
(342
)
   
(1,478
)
                 
Loss before income taxes
   
(2,183
)
   
(2,165
)
                 
Income tax expense
   
40
     
70
 
                 
Net loss
 
(2,223
)
 
(2,235
)
                 
Net loss per common share - basic and diluted
 
(0.13
)
 
(1.03
)
                 
Shares used in computing net loss per basic and diluted common share
   
4,371,369
     
2,176,731
 
                 
Net loss per Preferred C share - basic and diluted
 
(46.54
)
 
$
-
 
                 
Shares used in computing net loss per basic and diluted Preferred C share
   
36,002
     
-
 






The accompanying notes are an integral part of these condensed consolidated financial statements.
4



STRATA SKIN SCIENCES, INC. AND SUBSIDIARY
CONDENSED CONSOLIDATED STATEMENT OF CHANGES IN EQUITY
FOR THE THREE MONTHS ENDED MARCH 31, 2018
(In thousands, except share and per share amounts)
(Unaudited)
                               
                               
   
Convertible Preferred Stock
   
Common Stock
   
Additional
   
Accumulated
       
   
Shares
   
Amount
   
Shares
   
Amount
   
Paid-In Capital
   
Deficit
   
Total
 
BALANCE, DECEMBER 31, 2017
   
36,182
   
$
4
     
4,304,425
   
$
4
   
$
251,643
   
(229,406
)
 
$
22,245
 
Adoption of accounting standard
   
-
     
-
     
-
     
-
     
-
     
(234
)
   
(234
)
BALANCE, JANUARY 1, 2018
   
36,182
     
4
     
4,304,425
     
4
     
251,643
     
( 229,640
)
   
22,011
 
Stock-based compensation
   
-
     
-
     
-
     
-
     
19
     
-
     
19
 
Conversion of convertible preferred stock into common stock
   
(202
)
   
-
     
75,000
     
-
     
-
     
-
     
-
 
Net loss for the three months ended March 31, 2018
   
-
     
-
     
-
     
-
     
-
     
(2,223
)
   
(2,223
)
BALANCE, MARCH 31, 2018
   
35,980
   
$
4
     
4,379,425
   
$
4
   
$
251,662
   
(231,863
)
 
$
19,807
 






























The accompanying notes are an integral part of these condensed consolidated financial statements.
5




STRATA SKIN SCIENCES, INC. AND SUBSIDIARY
CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS
(In thousands, unaudited)

   
For the Three Months Ended
March 31,
 
   
2018
   
2017
 
Cash Flows From Operating Activities:
           
Net loss
 
(2,223
)
 
(2,235
)
Adjustments to reconcile net loss to net cash provided by operating activities:
               
Depreciation and amortization
   
1,413
     
1,543
 
Loss on disposal of property and equipment
   
182
     
-
 
Impairment of intangible asset
   
226
     
-
 
Stock-based compensation
   
19
     
52
 
Deferred tax provision
   
40
     
60
 
Amortization of debt discount
   
19
     
723
 
Amortization of deferred financing costs
   
20
     
54
 
Change in fair value of warrant liability
   
(1
)
   
132
 
Changes in operating assets and liabilities:
               
Accounts receivable
   
650
     
102
 
Inventories
   
(20
)
   
147
 
Prepaid expenses and other assets
   
(669
)
   
(188
)
Accounts payable
   
381
     
354
 
Other accrued liabilities
   
(119
)
   
(61
)
Other liabilities
   
227
     
36
 
Deferred revenues
   
(85
)
   
99
 
Net cash provided by operating activities
   
60
     
818
 
                 
Cash Flows From Investing Activities:
               
Lasers placed-in-service, net
   
(375
)
   
(683
)
Purchases of property and equipment, net
   
(6
)
   
(200
)
Payments on distributor rights liability
   
(24
)
   
-
 
Net cash used in investing activities
   
(405
)
   
(883
)
                 
Cash Flows From Financing Activities:
               
Advance fees related to equity offering
   
(202
)
   
-
 
Payments on notes payable
   
(105
)
   
(100
)
Net cash used in financing activities
   
(307
)
   
(100
)
                 
Net decrease in cash and cash equivalents
   
(652
)
   
(165
)
Cash and cash equivalents, beginning of period
   
4,069
     
3,928
 
                 
Cash and cash equivalents, end of period
 
$
3,417
   
$
3,763
 
                 
Supplemental information:
               
Cash paid for interest
 
$
276
   
$
540
 
                 
Supplemental information of non-cash investing and financing activities:
         
Conversion of senior secured convertible debentures into common stock
 
$
-
   
$
56
 
Acquisition of distributor rights asset and license liability
 
$
-
   
$
900
 


The accompanying notes are an integral part of these condensed consolidated financial statements.
6


STRATA SKIN SCIENCES, INC. AND SUBSIDIARY
NOTES TO UNAUDITED CONDENSED CONSOLIDATED FINANCIAL STATEMENTS
(In thousands, except share and per share amounts and number of lasers)
Note 1
The Company:
Background
STRATA Skin Sciences, Inc. (and its subsidiary) ("STRATA" or "we" or the "Company") is a medical technology company focused on the therapeutic and aesthetic dermatology market. STRATA sales include the following products: XTRAC ® laser and VTRAC ® excimer lamp systems utilized in the treatment of psoriasis, vitiligo and various other skin conditions; and the STRATAPEN® MicroSystem, a micropigmentation device.
The XTRAC is an ultraviolet light excimer laser system utilized to treat psoriasis, vitiligo and other skin diseases. The XTRAC received FDA clearance in 2000. As of March 31, 2018, there were 746 XTRAC systems placed in dermatologists' offices in the United States under the Company's recurring revenue business model. The XTRAC systems employed under the recurring revenue model generate revenue on a per procedure basis or include a fixed payment for an agreed upon period not to exceed an agreed upon number of treatments. The per-procedure charge is inclusive of the use of the system and the services provided by the Company to the customer which includes system maintenance, and other services. The VTRAC Excimer Lamp system, offered in addition to the XTRAC system internationally, provides targeted therapeutic efficacy demonstrated by excimer technology with a lamp system.
During 2017, the Company entered into an agreement to license the exclusive US distribution rights for the Ellipse family of products, Nordlys, from Ellipse A/S, the Danish manufacturer, through August 9, 2020. The license fee amounted to approximately $355 over the Initial Term with a present value as of the effective date of the agreement of $286 which was recorded as an intangible asset. Effective March 31, 2018, as result of the change in management (see Note 2), the Company has determined that it will no longer continue to market the Nordlys and the distribution rights agreement will be terminated effective May 31, 2018. As a result, the Company has fully impaired the distribution rights intangible asset; see Note 6, Intangible Assets, net.
Effective February 1, 2017, the Company entered into an exclusive OEM distribution agreement with Esthetic Education, LLC to be the exclusive marketer and seller of private label versions of the SkinStylus MicroSystem and associated parts under the name of STRATAPen. This three-year agreement allows for two one-year extensions.
Basis of Presentation:
Accounting Principles
The consolidated financial statements have been prepared in accordance with accounting principles generally accepted in the United States of America ("GAAP").
Principles of Consolidation
The consolidated financial statements include the accounts of the Company and its wholly-owned subsidiary in India. All significant intercompany balances and transactions have been eliminated in consolidation.
Unaudited interim consolidated financial statements
The accompanying interim consolidated financial statements have been prepared pursuant to the rules and regulations of the United States Securities and Exchange Commission ("SEC") for interim financial reporting. These consolidated statements are unaudited and, in the opinion of management, include all adjustments (consisting of normal recurring adjustments and accruals) necessary to state fairly the consolidated balance sheets, consolidated statements of comprehensive loss, consolidated statements of cash flows and consolidated statement of changes in equity, for the periods presented in accordance with GAAP. The consolidated balance sheet at December 31, 2017 has been derived from the audited consolidated financial statements at that date. Operating results and cash flows for the three months ended March 31, 2018 are not necessarily indicative of the results that may be expected for the fiscal year ending December 31, 2018, or any other future period. Certain information and footnote disclosures normally included in annual financial statements prepared in accordance with GAAP have been omitted in accordance with the rules and regulations for interim reporting of the SEC. These interim consolidated financial statements should be read in conjunction with the consolidated financial statements and notes thereto included in our Annual Report on Form 10-K  for the year ended
 
7


STRATA SKIN SCIENCES, INC. AND SUBSIDIARY
NOTES TO UNAUDITED CONDENSED CONSOLIDATED FINANCIAL STATEMENTS
(In thousands, except share and per share amounts and number of lasers)
 
December 31, 2017, and other forms filed with the SEC from time to time.
Reclassifications
Certain reclassifications from the prior year presentation have been made to conform to the current year presentation. These reclassifications did not have a material impact on the Company's equity, net assets, results of operations or cash flows.
The Company records co-pay reimbursements made to patients receiving laser treatments as a reduction of revenue. For the three months ended March 31, 2017 the Company reclassified such reimbursements in the amount of $175 from selling and marketing expenses to revenues.
Significant Accounting Policies
The significant accounting policies used in preparation of these condensed consolidated financial statements are disclosed in our 2017 Form 10-K, and there have been no changes to the Company's significant account policies during the three months ended March 31, 2018 except for the adoption of the new revenue recognition standard as discussed under Adoption of New Accounting Standards later within this Note 1.
Use of Estimates
The preparation of the consolidated financial statements in conformity with GAAP requires management to make estimates and assumptions that affect amounts reported of assets and liabilities at the date of the financial statements and the reported amount of revenues and expenses during the reporting periods. Actual results could differ from those estimates and be based on events different from those assumptions. As of March 31, 2018, the more significant estimates include (1) revenue recognition, in regards to deferred revenues and valuation allowances of accounts receivable, (2) the estimated useful lives of intangible assets and property and equipment, (3) the inputs used in determining the fair value of equity-based awards, (4) the valuation allowance related to deferred tax assets and (5) the fair value of financial instruments, including derivative instruments.
Fair Value Measurements
The Company measures and discloses fair value in accordance with Financial Accounting Standards Board ("FASB") Accounting Standards Codification 820, Fair Value Measurements and Disclosures ("ASC Topic 820"). ASC Topic 820 defines fair value, establishes a framework and gives guidance regarding the methods used for measuring fair value, and expands disclosures about fair value measurements. Fair value is an exit price, representing the amount that would be received to sell an asset or paid to transfer a liability in an orderly transaction between market participants at the measurement date. As such, fair value is a market-based measurement that should be determined based on assumptions that market participants would use in pricing an asset or liability. As a basis for considering such assumptions there exists a three-tier fair value hierarchy which prioritizes the inputs used in measuring fair value as follows:
 
Level 1 – unadjusted quoted prices are available in active markets for identical assets or liabilities that the Company has the ability to access as of the measurement date.
 
Level 2 – pricing inputs are other than quoted prices in active markets that are directly observable for the asset or liability or indirectly observable through corroboration with observable market data.
 
Level 3 – pricing inputs are unobservable for the non-financial asset or liability and only used when there is little, if any, market activity for the non-financial asset or liability at the measurement date. The inputs into the determination of fair value require significant management judgment or estimation. Fair value is determined using comparable market transactions and other valuation methodologies, adjusted as appropriate for liquidity, credit, market and/or other risk factors.

This hierarchy requires the Company to use observable market data, when available, and to minimize the use of unobservable inputs when determining fair value.
 
8


STRATA SKIN SCIENCES, INC. AND SUBSIDIARY
NOTES TO UNAUDITED CONDENSED CONSOLIDATED FINANCIAL STATEMENTS
(In thousands, except share and per share amounts and number of lasers)

 
The fair value of cash and cash equivalents are based on their respective demand value, which are equal to the carrying value. The fair value of derivative warrant liabilities is estimated using option pricing models that are based on the fair value of the Company's common stock as well as assumptions for volatility, remaining expected life, and the risk-free interest rate. The derivative warrant liabilities are the only recurring Level 3 fair value measures. The carrying value of all other short-term monetary assets and liabilities is estimated to be approximate to their fair value due to the short-term nature of these instruments. As of March 31, 2018 and December 31, 2017, the Company assessed its long-term debt (including the current portion) and determined that the fair value of total debt approximated its book value due to the rate on the debt being at market.

Several of the warrants outstanding as of March 31, 2018 and 2017 have non-standard terms as they relate to a fundamental transaction and require a net-cash settlement upon change in control of the Company. All such warrants are classified as derivatives and are the Company's only recurring fair value measurement. These warrants have been recorded at their fair value using a binomial option pricing model and continue to be recorded at their respective fair value at each subsequent balance sheet date until such terms expire. See Note 10, Warrants, for additional discussion. The fair value of the derivatives was insignificant at March 31, 2018 and December 31, 2017, respectively.
Earnings Per Share
The Company calculates net income (loss) per share in accordance with ASC 260, Earnings per Share. Under ASC 260, basic net income (loss) per common share is calculated by dividing net income by the weighted-average number of common shares outstanding during the reporting period and excludes dilution for potentially dilutive securities. Diluted earnings per share gives effect to dilutive options, warrants and other potential common shares outstanding during the period.
The Company's Series C Preferred Shares are subordinate to all other securities at the same subordination level as common stock and they participate in all dividends and distributions declared or paid with respect to common stock of the Company, on an as-converted basis. Therefore, the Series C Preferred Shares meet the definition of common stock under ASC 260. Earnings per share is presented for each class of security meeting the definition of common stock. The net loss is allocated to each class of security meeting the definition of common stock based on their contractual terms.
The following table presents the calculation of basic and diluted net loss per share by each class of security for the three months ended March 31, 2018:
   
Three Months Ended
March 31, 2018
   
Common stock
 
 
Series C Preferred stock
         
Net loss
 
($ 547)
 
($ 1,676)
         
Weighted average number of shares outstanding during the period
 
4,371,369
 
36,002
         
Basic and Diluted net loss per share
 
($ 0.13)
 
($ 46.54)
For the three months ended March 31, 2018, diluted net loss per common share and Series C Preferred share is equal to the basic net loss per common share and Series C Preferred share, respectively, since all potentially dilutive securities are antidilutive.
For the three months ended March 31, 2017, diluted net loss per common share is equal to the basic net loss per common share since all potentially dilutive securities are antidilutive. The loss on the change in fair value of the warrant liability would be considered in the diluted earnings per share calculation and was deemed to be antidilutive.
9


STRATA SKIN SCIENCES, INC. AND SUBSIDIARY
NOTES TO UNAUDITED CONDENSED CONSOLIDATED FINANCIAL STATEMENTS
(In thousands, except share and per share amounts and number of lasers)

The weighted average of potential common stock equivalents outstanding during the three months ended March 31, 2018 and 2017 consist of common stock equivalents of senior secured convertible debentures, common stock purchase warrants, convertible preferred stock and common stock options, which are summarized as follows:
   
March 31,
   
2018
 
2017
Common stock equivalents of convertible debentures
 
-
 
9,206,526
Common stock purchase warrants
 
2,406,625
 
2,406,625
Common stock equivalents of convertible preferred stock
 
13,383,691
 
467,836
Common stock options
 
876,127
 
898,331
Total
 
16,666,443
 
12,979,318
Adoption of New Accounting Standards
Effective January 1, 2018, the Company adopted Accounting Standards Update ("ASU") 2014-09, Revenue from Contracts with Customers (Topic 606) using the modified retrospective method with a cumulative adjustment that increased its accumulated deficit and deferred revenue by approximately $234 as of January 1, 2018. The cumulative adjustment was related to the promise to provide service type warranties related to sales of dermatology procedures equipment. A portion of the transaction price of equipment sold with these service type warranties is allocated to such warranties based on their stand-alone selling price, and the Company now recognizes revenue from these service type warranties ratably over the warranty term. The method used to estimate stand-alone selling price is the price observed in transactions where the customer is charged a discrete price for the extended warranty.
Other than the above change related to warranties, the adoption of this standard did not have an impact on the Company's results of operations for the three months ended March 31, 2018. The impact from adopting this standard on the Company's statement of operations and comprehensive loss for the three months ended March 31, 2018 is as follows:
   
For the Three Months Ended March 31, 2018
 
Statement of Operations and Comprehensive Loss
 
As Reported
   
Balances Without
Adoption of ASC 606
   
Effect of Adoption
Higher / (Lower)
 
                   
Revenues
 
$
6,466
   
$
6,496
   
(30
)

See Note 3 for additional information.

Recently Issued Accounting Standards
In July 2017, the FASB issued a two-part ASU 2017-11, "(Part I) Accounting for Certain Financial Instruments with Down Round Features, (Part II) Replacement of the Indefinite Deferral for Mandatorily Redeemable Financial Instruments of Certain Nonpublic Entities and Certain Mandatorily Redeemable Non-controlling Interests with a Scope Exception." For public business entities, the amendments in Part 1 of ASU 2017-11 are effective for fiscal years, and interim periods within those fiscal years, beginning after December 15, 2018. Early adoption is permitted for all entities, including adoption in an interim period. The amendments in Part 2 of ASU 2017-11 do not require any transition guidance because those amendments do not have an accounting effect. The Company is currently evaluating the impact of this guidance on the Company's consolidated financial statements.
In January 2017, the FASB issued ASU 2017-04, Intangibles – Goodwill and Other (Topic 350): Simplifying the Test for Goodwill Impairment. The new guidance eliminated Step 2 from the goodwill impairment test which was required in computing the implied fair value of goodwill. Instead, under the new amendments, an entity should recognize an impairment charge for the amount by which the carrying amount exceeds the reporting unit's fair
 
 
10


STRATA SKIN SCIENCES, INC. AND SUBSIDIARY
NOTES TO UNAUDITED CONDENSED CONSOLIDATED FINANCIAL STATEMENTS
(In thousands, except share and per share amounts and number of lasers)
 
value, however, the loss recognized should not exceed the total amount of goodwill allocated to that reporting unit. If applicable, an entity should consider income tax effects from any tax deductible goodwill on the carrying amount of the reporting unit when measuring the goodwill impairment loss. The amendments in this guidance are effective for public business entities for annual and interim goodwill impairment tests performed in fiscal years beginning after December 15, 2019 with early adoption permitted after January 1, 2017. As the Company has not identified a goodwill impairment loss, currently this guidance does not have an impact on the Company's financial statements.

In February 2016, the FASB issued ASU 2016-02: Leases. The ASU introduces a lessee model that results in most leases impacting the balance sheet. Under ASU 2016-02, lessees will be required to recognize, for all leases with terms longer than 12 months, at the commencement date of the lease, a lease liability, which is a lessee's obligation to make lease payments arising from a lease measured on a discounted basis, and a right-to-use asset, which is an asset that represents the lessee's right to use or control the use of a specified asset for the lease term. Leases will be classified as either finance or operating, with classification affecting the pattern of expense recognition. Also, the new standard aligns many of the underlying principles of the new lessor model with those in ASC 606, the FASB's new revenue recognition model. The update is effective for fiscal years beginning after December 15, 2018, including interim periods within those fiscal years. While we continue to evaluate the effect of adopting this guidance on our consolidated financial statements and related disclosures, we expect our operating leases will be subject to the new standard. We will recognize right-of-use assets and operating lease liabilities on our consolidated balance sheets upon adoption, which will increase our total assets and liabilities. With regard to the Company's revenue from short-term leases, we do not expect the new standard to have a material impact on our consolidated financial statements.
Note 2
Liquidity and Going Concern

Equity Financing and Change in Executive Leadership
On March 30, 2018, the Company entered into multiple agreements in order to obtain $17,000 of equity financing from the following sources:
On March 30, 2018 we entered into a Stock Purchase Agreement (the "Accelmed SPA") and a Registration Rights Agreement with Accelmed Growth Partners L.P. ("Accelmed") investing $13,000 into the Company at a price per share of $1.08; upon closing Accelmed will receive 12,037,037 shares of our common stock.
 
In connection with the proposed Accelmed investment, we entered into two separate stock purchase agreements on March 30, 2018, each for approximately $1,000 with our current shareholders, Broadfin Capital ("Broadfin") and Sabby Management ("Sabby"). Upon closing of these transactions, each of Sabby and Broadfin will receive 925,926 shares of our common stock at a price per share of $1.08.
 
Two separate subscription agreements were also executed on March 30, 2018 in connection with the Accelmed investment: (i) a subscription agreement with Gohan Investments, Ltd. for $1,000 to purchase 925,926 shares of our common stock at $1.08 per share; and (ii) a subscription agreement with Dr. Dolev Rafaeli for $1,000 to purchase 925,926 shares of our common stock at $1.08 per share.
The Company may incur additional expenses, or Accelmed may receive additional shares in the event of certain contingencies. The Company is required to reimburse Accelmed for its legal, consulting, due diligence and administrative costs related to the proposed stock purchase, including the reasonable legal fees, disbursements and related charges of Accelmed's counsel in an aggregate amount not to exceed $400 (or up to $500 in the event of certain contingencies, and subject to no cap in the event the Company's stockholders do not approve the transaction) at the earliest of (i) the closing, or (ii) the termination of Accelmed SPA for any reason other than by reason of a breach of the Accelmed SPA by Accelmed. The Company may also be obligated to pay a breakup fee of $600 in the event the Company's board of directors makes a recommendation against the approval of the transaction. The Accelmed SPA also requires that the Company indemnify Accelmed for certain items as defined in SPA.
 
11


STRATA SKIN SCIENCES, INC. AND SUBSIDIARY
NOTES TO UNAUDITED CONDENSED CONSOLIDATED FINANCIAL STATEMENTS
(In thousands, except share and per share amounts and number of lasers)
In connection with the Accelmed investment, the Company has agreed to pay a fee equal to 4% of the amount paid at closing to HC Wainwright, the Company's placement agent. This fee is in addition to the fees that will be owed to Fairmount Partners, the Company's financial advisor. Upon the closing of the Accelmed transaction, the Company is obligated to pay Fairmount Partners a fee of $692 of which $100 has been paid as a retainer, leaving a balance to be paid at closing of $592. In the event the Company becomes obligated to pay additional investment advisors fees, the Company is obligated to indemnify Accelmed for the additional payment.
The Company incurred $844 of costs related to the equity financing during the three months ended March 31, 2018. These costs were capitalized and are presented within Prepaid Expenses and Other Current Assets on the Condensed Consolidated Balance Sheet as of March 31, 2018. Upon the closing of the transaction, these costs will be reclassified from other current assets to stockholders' equity as an offset to the proceeds from the transaction.
In further consideration of entering into their respective stock purchase agreements, Sabby and Broadfin have each entered into separate agreements restricting their abilities to sell their holdings (the "Leak-Out Agreements"). Under the terms of each of the respective Leak-Out Agreements, the stockholder has agreed that from the later of (a) the date that the approval by the shareholders of the transactions is deemed effective and (b) the closing of the transactions contemplated pursuant to the SPA, the stockholder shall not sell dispose or otherwise transfer, directly or indirectly, (including, without limitation, any sales, short sales, swaps or any derivative transactions that would be equivalent to any sales or short positions) any shares of Common Stock of the Company held by the Stockholder on the date hereof or issuable to the Stockholder upon conversion of shares of the Company's Preferred Stock held by the Stockholder on the date hereof, (a) if prior to April 1, 2019, at a price per Company Share less than $1.296, subject to adjustment for reverse and forward stock splits and the like, or (b) thereafter, at a price per share reflecting less than the price set forth on the schedule in the Leak-Out Agreements subject to adjustment for reverse and forward stock splits and the like, unless, (1) in the case of either clauses (a) or (b), otherwise approved by the Company's Board of Directors, (2) in the case of clause (b), under a shelf prospectus or such other controlled offering as may be agreed to by the Principal Stockholders (as defined in the Stock Purchase Agreement) or (3) in the case of either clauses (a) or (b), in a sale pursuant to which any other stockholder(s) of the Company are offered the same terms of sale, including in a merger, consolidation, transfer or conversion involving the Company or any of its subsidiaries.
Pursuant to the Accelmed SPA, on April 10, 2018, we had a change in administration by which Dr. Dolev Rafaeli became Interim Chief Executive Officer and Frank J. McCaney, our former CEO, became Interim Chief Financial Officer. Additionally, effective after the closing of the investment at least five of the current board members will resign. Accelmed shall have the right to fill all the remaining vacancies effective as of the closing of the investment.
The transaction is subject to shareholder approval. Sabby and Broadfin have delivered to the Company a voting undertaking obligating Sabby and Broadfin to (a) increase their respective "blocker" to 9.99% prior to the record date for the meeting of the shareholders, and (b) vote all their voting shares in the Company at the meeting to approve the proposed transaction.
The Company intends to schedule a special meeting of the shareholders as soon as practicable and within the time limits set forth in the Accelmed SPA. The meeting is currently scheduled for May 23, 2018.
MidCap Non-binding Letter of Intent
In connection with the proposed investment led by Accelmed described above, we entered into a non-binding letter of intent dated March 30, 2018 with MidCap to terminate the existing MidCap loan agreement and replace it with a new agreement. This new agreement is contingent upon our raising $14,000 in new equity financing and the repayment of $3,000 on the current facility. Under the new agreement among other terms, the base amount of the loan is to be $7,571; the term is for 48 months; interest only payments for the first 18 months; and straight-line principal payments for the remaining 30 months. This loan will be collateralized by substantially all the assets of the Company and will contain certain financial and non-financial covenants.


12


STRATA SKIN SCIENCES, INC. AND SUBSIDIARY
NOTES TO UNAUDITED CONDENSED CONSOLIDATED FINANCIAL STATEMENTS
(In thousands, except share and per share amounts and number of lasers)


Liquidity

As of March 31, 2018, the Company had an accumulated deficit of $231,863 and had been incurring losses since inception as well as negative cash flows from operations until 2016. To date, the Company has dedicated most of its financial resources to research and development, sales and marketing, and general and administrative expenses.

While management believes that its current cash and cash equivalents as of March 31, 2018, combined with the anticipated revenues from the sale of the Company's products will be sufficient to satisfy its working capital needs, and capital asset purchases, for the next 12 months following the filing of this form 10-Q, there is a risk associated with the Company's ability to meet its debt obligations should the Company breach its debt covenants. The current MidCap agreement has financial covenants including a minimum monthly net revenue covenant. If the Company fails to meet the revenue covenant, it may be declared in breach of the credit facility agreement, and MidCap would have the option to call the full debt balance outstanding under the credit facility agreement, which was $10,279 as of March 31, 2018. The Company has 30 days to report a default and upon notice from MidCap of a financial covenant breach, the Company has an additional 10 business days to cure such default. The Company, however, cannot be certain that this default will be cured in such period or at all.

The equity financings described in this footnote are subject to shareholder approval. Therefore, there is uncertainty whether the Company will close on the equity purchase and subscription agreements as well as the MidCap non-binding letter of intent.While there is no guarantee of shareholder approval, management is confident that shareholders will reach both a quorum and a positive vote since Sabby and Broadfin, per the voting agreement described above, have proposed to increase their respective blockers to a combined 19.99% of the vote.

Note 3
Revenue:

In the Dermatology Recurring Procedures Segment the Company has two types of arrangements for its phototherapy treatment equipment as follows: (i) the Company places its lasers in a physician's office at no charge to the physician, and generally charges the physician a fee for an agreed upon number of treatments; or (ii) the Company places its lasers in a physician's office and charges the physician a fixed fee for a specified period of time not to exceed an agreed upon number of treatments; if number is exceeded additional fees will have to be paid.

For the purposes of U.S. GAAP only, these two types of arrangements are treated as short term operating leases, and thus are outside the scope of ASC 606 and are accounted for in accordance with ASC 840, Leases. While these are not operating leases contractually, these are viewed as operating leases for accounting purposes since in these arrangements the Company provides the customers the rights to use the treatment equipment and the customers control physical access to the treatment equipment while controlling the utility and output of such equipment during the term of the arrangement. For the first type of arrangement, fees are recognized as revenue over the contract term, which equates to the usage period of the agreed upon number of treatments, as the treatments are being used. For the second type of arrangement fees are recognized as revenue ratably on a straight-line basis over the term period specified in the agreement. Contingent amounts that will be paid only if the customer exceeds the agreed upon number of treatments are recognized only when such treatments are being exceeded and used. Prepaid amounts are recorded in deferred revenue and recognized as revenue over the lease term in the patterns described above.

The fee charged is inclusive of the use of the system and the services provided by the Company to the customer, which include system maintenance, and other services. The Company considers the other service and support elements in the contract to be perfunctory and inconsequential.

In the Dermatology Procedures Equipment segment the Company sells its products internationally through a distributor, and domestically directly to a physician. For the product sales, the Company recognizes revenues when control of the promised products is transferred to the Company's customers, in an amount that reflects the consideration the Company expects to be entitled to in exchange for those products (the transaction price). Control transfers to the customer at a point in time. To indicate the transfer of control, the Company must have a present
 
 
13


STRATA SKIN SCIENCES, INC. AND SUBSIDIARY
NOTES TO UNAUDITED CONDENSED CONSOLIDATED FINANCIAL STATEMENTS
(In thousands, except share and per share amounts and number of lasers)
 
right to payment and legal title must have passed to the customer. The Company ships most of its products FOB shipping point, and as such, the Company primarily transfers control and records revenue upon shipment. From time to time the Company will grant certain customers, for example governmental customers, FOB destination terms, and the transfer of control for revenue recognition occurs upon receipt.

The remaining performance obligations related to ASC 606 represent the aggregate transaction price allocated to performance obligations with an original contract term greater than one year which are fully or partially unsatisfied at the end of the period. Remaining performance obligations for the Company include the potential obligation to perform under extended warranties, but excludes leases. As of March 31, 2018 the aggregate amount of the transaction price allocated to remaining performance obligations was $264, and the Company expects to recognize $89 of the remaining performance obligations over the subsequent twelve months and the remainder thereafter.

Contract assets primarily relate to the Company's rights to consideration for work completed in relation to its services performed but not billed at the reporting date. The contract assets are transferred to the receivables when the rights become unconditional. Currently, the Company does not have any contract assets which have not transferred to a receivable. Contract liabilities primarily relate to extended warranties where we have received payments but we have not yet satisfied the related performance obligations. The advance consideration received from customers for the services is a contract liability until services are provided to the customer. The $89 of short-term contract liabilities is presented as deferred revenues on the Condensed Consolidated Balance Sheets, and the $175 of long-term contract liabilities is presented within Other Liabilities. For the three months ended March 31, 2018, $7 was recognized as revenue from amounts classified as contract liabilities (i.e. deferred revenues) as of January 1, 2018.

The following table presents the Company's revenue disaggregated by segment and geographical region for the three months ended March 31, 2018. Domestic refers to revenue from customers based in the United States, and substantially all foreign revenue is derived from dermatology procedures equipment sales to the Company's international master distributor for physicians based in Asia.

   
Dermatology
Recurring
Procedures
   
Dermatology
Procedures
Equipment
   
TOTAL
 
Domestic
 
$
4,498
   
$
657
   
$
5,155
 
Foreign
   
-
     
1,311
     
1,311
 
Total
 
$
4,498
   
$
1,968
   
$
6,466
 
                         

Note 4
Inventories:
   
March 31, 2018
   
December 31, 2017
 
   
(unaudited)
       
Raw materials and work in progress
 
$
2,601
   
$
2,490
 
Finished goods
   
428
     
519
 
Total inventories
 
$
3,029
   
$
3,009
 
Work-in-process is immaterial, given the Company's typically short manufacturing cycle, and therefore is disclosed in conjunction with raw materials.
14


STRATA SKIN SCIENCES, INC. AND SUBSIDIARY
NOTES TO UNAUDITED CONDENSED CONSOLIDATED FINANCIAL STATEMENTS
(In thousands, except share and per share amounts and number of lasers)

Note 5
Property and Equipment, net:
   
March 31, 2018
   
December 31, 2017
 
   
(unaudited)
       
Lasers placed-in-service
 
$
17,746
   
$
17,820
 
Equipment, computer hardware and software
   
462
     
462
 
Furniture and fixtures
   
130
     
124
 
Leasehold improvements
   
31
     
31
 
     
18,369
     
18,437
 
Accumulated depreciation and amortization
   
(11,453
)
   
(10,734
)
Property and equipment, net
 
$
6,916
   
$
7,703
 
Depreciation and related amortization expense was $986 and $1,089 for the three months ended March 31, 2018 and 2017, respectively.
Note 6
Intangible Assets, net:
Set forth below is a detailed listing of definite-lived intangible assets:
   
March 31, 2018
   
December 31, 2017
 
   
(unaudited)
       
Core technology
 
$
5,700
   
$
5,700
 
Product technology
   
1,500
     
1,500
 
Customer relationships
   
6,900
     
6,900
 
Tradenames
   
1,500
     
1,500
 
Distribution rights
   
-
     
286
 
     
15,600
     
15,886
 
Accumulated amortization
   
(4,928
)
   
(4,561
)
Intangible assets, net
 
$
10,672
   
$
11,325
 
Related amortization expense was $427 and $454 for the three months ended March 31, 2018 and 2017, respectively.
During the three months ended March 31, 2018, the Company wrote off distribution rights of $286 and accumulated amortization of $60 related to the discontinuance of the Nordlys product. The value written off of $226 was recorded in selling and marketing expense. See Note 17, Subsequent Events for details on the termination of the distribution rights agreement.
Estimated amortization expense for the above amortizable intangible assets for future periods is as follows:
Remaining 2018
 
$
1,207
 
2019
   
1,610
 
2020
   
1,510
 
2021
   
1,410
 
2022
   
1,410
 
Thereafter
   
3,525
 
Total
 
$
10,672
 

15


STRATA SKIN SCIENCES, INC. AND SUBSIDIARY
NOTES TO UNAUDITED CONDENSED CONSOLIDATED FINANCIAL STATEMENTS
(In thousands, except share and per share amounts and number of lasers)

Note 7
Other Accrued Liabilities:
   
March 31, 2018
   
December 31, 2017
 
   
(unaudited)
       
Accrued warranty, current
 
$
120
   
$
109
 
Accrued compensation, including commissions and vacation
   
744
     
785
 
Accrued sales and other taxes
   
872
     
904
 
Distributor rights liability, current
   
88
     
85
 
Accrued professional fees and other accrued liabilities
   
392
     
477
 
Total other accrued liabilities
 
$
2,216
   
$
2,360
 

Included in accrued sales and other taxes are certain estimated sales and use taxes and related penalties and interest to taxing authorities. The Company has been subject to audits performed by the taxing authorities. The Company uses estimates when accruing its sales and use tax liability, including interest and penalties. All of the Company's tax positions are subject to audit. While the Company believes all of its estimates and assumptions are reasonable and will be sustained upon audit, actual liabilities and credits may differ significantly. The Company believes its accruals cover all probable payments relating to sales and use taxes.

Note 8
Long-term Debt:
   
March 31, 2018
   
December 31, 2017
 
   
(unaudited)
       
Term note, net of debt discount of $141 and $160, respectively; and deferred financing cost of $151 and $171, respectively
 
$
10,279
   
$
10,240
 
Less: current portion
   
(3,410
)
   
(2,387
)
Total long-term debt
 
$
6,869
   
$
7,853
 
Term-Note Credit Facility
On December 30, 2015, the Company entered into a $12,000 credit facility pursuant to a Credit and Security Agreement (the "Agreement") and related financing documents with MidCap Financial Trust ("MidCap") and the lenders listed therein. Under the Agreement, the credit facility may be drawn down in two tranches, the first of which was drawn for $10,500 on December 30, 2015. The proceeds of this first tranche were used to repay $10,000 principal amount of short-term senior secured promissory notes, plus associated interest, loan fees and expenses. The second tranche was drawn for $1,500 on January 29, 2016. The maturity date of the credit facility is December 1, 2020. The Company's obligations under the credit facility are secured by a first priority lien on all of the Company's assets. This credit facility includes both financial and non-financial covenants, including a minimum net revenue covenant. On November 10, 2017, the minimum net revenue covenant was amended prospectively. Additionally on November 10, 2017, the Company entered into an amendment to modify the principal payments including a period of six months where there are no principal payments due. The interest rate on the credit facility is one month LIBOR plus 8.25%, subject to a LIBOR floor of 0.5% (9.91% as of March 31, 2018).
On March 26, 2018 we entered into a Third Amendment to the Agreement with MidCap. For the period beginning on the closing date of the loan and ending on January 31, 2018, the gross revenue in accordance with GAAP for the twelve-month period ending on the last day of the most recently completed calendar month was amended to be less than the minimum amount on the Covenant Schedule. The Amendment waives the event of default related to the revenue covenant for period ending February 2018. The Amendment also amends the monthly net revenue covenant for March and April 2018. The Company was in compliance with the covenant as of March 31, 2018.
16


STRATA SKIN SCIENCES, INC. AND SUBSIDIARY
NOTES TO UNAUDITED CONDENSED CONSOLIDATED FINANCIAL STATEMENTS
(In thousands, except share and per share amounts and number of lasers)

The following table summarizes the future payments that the Company is obligated to make for the long-term debt for the future periods:
Remaining in 2018
 
$
2,387
 
2019
   
4,092
 
2020
   
4,092
 
   
$
10,571
 
Note 9
Convertible Debentures:
The total outstanding convertible debentures was exchanged for convertible Preferred C stock on September 20, 2017, thus there was no remaining outstanding balance as of March 31, 2018 or December 31, 2017.
Total interest expense related to these convertible debentures was $0 and $990 for the three months ended March 31, 2018 and 2017, respectively.
Note 10
Warrants:
The Company accounts for warrants that require net cash settlement upon change of control of the Company as liabilities instead of equity. Currently there are 403,090 of such warrants with an exercise price of $3.75 per share and they expire between February 5, 2019 and April 30, 2019. The fair value of these derivatives is insignificant as of March 31, 2018 and December 31, 2017, respectively. The change in fair value of these derivatives was recorded as $1 of other income and $132 of other expense for the three months ended March 31, 2018 and 2017, respectively.
Note 11
Stockholders' Equity:
Common Stock and Warrants
Outstanding common stock warrants at March 31, 2018 consist of the following:
Issue Date
 
Expiration Date
 
Total Warrants
   
Exercise Price
 
                 
4/26/2013
 
4/26/2018
   
13,865
   
$
55.90
 
10/31/2013*
 
4/30/2019
   
137,143
   
$
3.75
 
2/5/2014*
 
2/5/2019
   
265,947
   
$
3.75
 
7/24/2014
 
7/24/2019
   
1,239,769
   
$
3.75 - $ 12.25
 
6/22/2015
 
6/22/2020
   
600,000
   
$
3.75
 
12/30/2015
 
12/30/2020
   
130,089
   
$
5.65
 
1/29/2016
 
1/29/2021
   
19,812
   
$
5.30
 
         
2,406,625
         
*These warrants are classified as liabilities.
Note 12
Stock-based compensation:
At March 31, 2018, the Company had 2,208,781 options outstanding with a weighted-average exercise price of $2.38. 538,029 options are vested and exercisable.
On March 30, 2018, the Company issued 1,557,628 options to purchase common stock to its Interim Chief Executive Officer with a strike price of $1.12. The options vest over three years and expire ten years from the date of grant. The aggregate fair value of the options granted was $950.
 
17


STRATA SKIN SCIENCES, INC. AND SUBSIDIARY
NOTES TO UNAUDITED CONDENSED CONSOLIDATED FINANCIAL STATEMENTS
(In thousands, except share and per share amounts and number of lasers)
Stock-based compensation expense, which is included in general and administrative expense, for the three months ended March 31, 2018 and 2017 was $19 and $52, respectively. As of March 31, 2018 there was $1,034 in unrecognized compensation expense, which will be recognized over a weighted average period of 1.7 years.
Note 13
Income taxes:
The Company accounts for income taxes using the asset and liability method for deferred income taxes. The provision for income taxes includes federal, state and local income taxes currently payable and deferred taxes resulting from temporary differences between the financial statement and tax bases of assets and liabilities. Valuation allowances are recorded to reduce deferred tax assets when it is more likely than not that a tax benefit will not be realized.
Income tax expense of $40 and $70 for the three months ended March 31, 2018 and 2017, respectively, was comprised of the change in deferred tax liability related to goodwill. Goodwill is an amortizing asset according to tax regulations. This generates a deferred tax liability that is not used to offset deferred tax assets for valuation allowance considerations.
Note 14
Business Segments and Geographic Data:
The Company organized its business into three operating segments to better align its organization based upon the Company's management structure, products and services offered, markets served and types of customers, as follows: The Dermatology Recurring Procedures segment derives its revenues from the XTRAC procedures performed by dermatologists. The Dermatology Procedures Equipment segment generates revenues from the sale of equipment, such as lasers and lamp products. The Dermatology Imaging segment generated revenues from the sale and usage of imaging devices. The Company has announced that it will no longer support the imaging devices effective September 30, 2017 thus there will be minimal continuing revenues for this segment. Management reviews financial information presented on an operating segment basis for the purposes of making certain operating decisions and assessing financial performance.
Unallocated operating expenses include costs that are not specific to a particular segment but are general to the group; included are expenses incurred for administrative and accounting staff, general liability and other insurance, professional fees and other similar corporate expenses. Interest expense and other income (expense), net are also not allocated to the operating segments.
18


STRATA SKIN SCIENCES, INC. AND SUBSIDIARY
NOTES TO UNAUDITED CONDENSED CONSOLIDATED FINANCIAL STATEMENTS
(In thousands, except share and per share amounts and number of lasers)


The following tables reflect results of operations from our business segments for the periods indicated below:
Three Months Ended March 31, 2018 (unaudited)

   
Dermatology
Recurring
Procedures
   
Dermatology
Procedures
Equipment
   
TOTAL
 
Revenues
 
$
4,498
   
$
1,968
   
$
6,466
 
Costs of revenues
   
1,949
     
1,346
     
3,295
 
Gross profit
   
2,549
     
622
     
3,171
 
Gross profit %
   
56.7
%
   
31.6
%
   
49.0
%
                         
Allocated operating expenses:
                       
Engineering and product development
   
274
     
64
     
338
 
Selling and marketing expenses
   
2,216
     
655
     
2,871
 
                         
Unallocated operating expenses
   
-
     
-
     
1,803
 
     
2,490
     
719
     
5,012
 
Income (loss) from operations
   
59
     
(97
)
   
(1,841
)
                         
Interest expense, net
   
-
     
-
     
(363
)
Other income, net
   
-
     
-
     
21
 
                         
Income (loss) before income taxes
 
$
59
   
(97
)
 
(2,183
)

Three Months Ended March 31, 2017 (unaudited)

   
Dermatology
Recurring
Procedures
   
Dermatology
Procedures
Equipment
   
Dermatology
Imaging
   
TOTAL
 
Revenues
 
$
5,556
   
$
1,537
   
$
4
   
$
7,097
 
Costs of revenues
   
2,042
     
691
     
-
     
2,733
 
Gross profit
   
3,514
     
846
     
4
     
4,364
 
Gross profit %
   
63.2
%
   
55.0
%
   
100.0
%
   
61.5
%
                                 
Allocated operating expenses:
                               
Engineering and product development
   
416
     
58
     
1
     
475
 
Selling and marketing expenses
   
2,773
     
202
     
-
     
2,975
 
                                 
Unallocated operating expenses
   
-
     
-
     
-
     
1,601
 
     
3,189
     
260
     
1
     
5,051
 
Income (loss) from operations
   
325
     
586
     
3
     
(687
)
                                 
Interest expense, net
   
-
     
-
     
-
     
(1,346
)
Other expense, net
   
-
     
-
     
-
     
(132
)
                                 
Income (loss) before income taxes
 
$
325
   
$
586
   
$
3
   
(2,165
)
                                 

For the three months ended March 31, 2018 and 2017 there were no material net revenues attributable to any individual foreign country. Net revenues by geographic area were, as follows:


19


STRATA SKIN SCIENCES, INC. AND SUBSIDIARY
NOTES TO UNAUDITED CONDENSED CONSOLIDATED FINANCIAL STATEMENTS
(In thousands, except share and per share amounts and number of lasers)
   
Three Months Ended
March 31,
 
   
2018
   
2017
 
Domestic
 
$
5,155
   
$
6,014
 
Foreign
   
1,311
     
1,083
 
   
$
6,466
   
$
7,097
 
                 
Long-lived assets were 100% located in domestic markets as of March 31, 2018 and December 31, 2017.
Note 15
Significant Customer Concentration:
For the three months ended March 31, 2018, revenues from sales to the Company's international master distributor (GlobalMed Technologies) were $1,311, or 20.3%, of total revenues for such period. At March 31, 2018, the accounts receivable balance from GlobalMed Technologies was $360, or 14.5%, of total net accounts receivable.

For the three months ended March 31, 2017, revenues from sales to GlobalMed Technologies were $1,078, or 15.2%, of total revenues for such period. At March 31, 2017, the accounts receivable balance from GlobalMed Technologies was $467, or 15.6%, of total net accounts receivable.

No other customer represented more than 10% of total company revenues for the three months ended March 31, 2018 and 2017. No other customer represented more than 10% of total accounts receivable as of March 31, 2018 and 2017.

Note 16
Related Parties:
On June 22, 2015, the Company entered into a securities purchase agreement with the Purchasers, including certain funds managed by Sabby Management, LLC and Broadfin Capital LLC (existing Company shareholders), in connection with a private placement. The Purchasers were issued Warrants to purchase an aggregate of 0.6 million shares of common stock, having an exercise price of $3.75 per share. We also issued $32.5 million aggregate principal amount of Debentures that, subject to certain ownership limitations and stockholder approval conditions, were convertible into 8,666,668 shares of common stock at an initial conversion price of $3.75 per share. The Debentures were bearing interest at the rate of 2.25% per year, and, unless previously converted, were to mature on the five-year anniversary of the date of issuance. Refer to Note 9 for information on the interest expense relating to the Debentures. On September 30, 2015, the Company repriced outstanding Warrants held by certain investors to reduce the exercise price to $3.75 per share.
On June 6, 2017, the Company entered into a Securities Exchange Agreement (the "Agreement") with the holders of its 2.25% Senior Series A Secured Convertible Debentures due June 30, 2021 and 4% Senior Secured Convertible Debentures due July 30, 2021, pursuant to which the holders have agreed to exchange all of such outstanding debentures into shares of newly created Series C Convertible Preferred Stock. The stockholders approved the exchange at the stockholders' meeting held on September 14, 2017. The closing of the exchange was effective on September 20, 2017 and $40,465 of principal was exchanged for 40,482 shares of Series C Preferred Stock. In accordance with ASC Topic 470, Debt, the aforementioned exchange was treated as an extinguishment of debt.
On November 4, 2015, the Company entered into consulting agreements with two of its directors, Jeffrey F. O'Donnell, Sr. and Samuel E. Navarro, the terms of which were the same. Under the terms of their respective agreements, each director agreed to provide strategic support, advice and guidance to the Company and its management team in connection with the integration and operation of the expanded business, investor relations and internal and external business development activities. The respective consultant made himself available to the Company's President and Chief Executive Officer and the management team on request at mutually convenient
 
20


STRATA SKIN SCIENCES, INC. AND SUBSIDIARY
NOTES TO UNAUDITED CONDENSED CONSOLIDATED FINANCIAL STATEMENTS
(In thousands, except share and per share amounts and number of lasers)
times and reported to the Board of Directors quarterly and otherwise when requested by the Board. The agreements had been extended through June 30 and December 31, 2017 for Mr. Navarro and Mr. O'Donnell, respectively. The directors were each to be paid an up-front fee of $40 for advice and services rendered prior to the date of the agreement, including advice related to the acquisition of the XTRAC and VTRAC assets and the structuring of the financing for that acquisition, a retainer of $10 per month, commencing November 10, 2015 and continuing on the tenth day of each month through the expiration of their respective agreements, and reimbursement of pre-approved, out-of-pocket expenses. The agreements expired per their terms on June 30, 2017 and December 31, 2017, respectively, and no extensions or renewals of the agreement were entered into.
During 2017, Modevity LLC ("Modevity"), the developer of the ARALOC Secure Content Distribution Platform, a software system for sharing proprietary and / or confidential content files over the internet and allowing its users to collaborate securely from any mobile or desktop device, has provided certain consulting services to the Company advising on the development of our digital media and marketing initiatives, including providing assistance in our first limited test of targeted advertising using Facebook. Our Board member, James Coyne, has been the Chief Executive Officer of Modevity since helping to found the company in April 2004. To date, Modevity has provided this assistance without charge to the Company. Independent of these services provided by Modevity, in November 2017 the Company entered into an agreement with Olympic Media, a company founded by Ryan Coyne, the son of James Coyne, to create and execute a focused tactical plan to leverage new and existing digital assets across social and digital platforms to drive psoriasis and vitiligo sufferers to the Company's website and call center for conversion to new patient appointments. The agreement with Olympic Media provides for no minimum payments or other financial commitments and is terminable by either party without penalty on ten days written notice. During the three months ended 2018, the Company incurred $13 of expense related to Olympic Media. James Coyne has no financial interest in Olympic Media.
Note 17
Subsequent Events:
From April 1, 2018 through May 11, 2018, investors converted Series C Preferred Stock into 2,679,211 shares of common stock.
On April 30, 2018, the Company received a letter from Ellipse A/S that acknowledges the Company's termination of all salespeople engaged with the sale of Nordlys products and terminates the distribution agreement effective May 31, 2018. The Company is in the process of arranging for continuity of its service and warranty obligations for Nordlys products previously sold under the distribution agreement.

21



 
ITEM 2.Management's Discussion and Analysis of Financial Condition and Results of Operations.
The following discussion of our financial condition and results of operations should be read in conjunction with the condensed consolidated financial statements and notes to condensed consolidated financial statements included elsewhere in this Quarterly Report on Form 10-Q. This discussion contains forward-looking statements that involve risks and uncertainties. These forward-looking statements include, but are not limited to, statements about the plans, objectives, expectations and intentions of STRATA Skin Sciences, Inc., a Delaware corporation (referred to in this Report as "we," "us," "our," "STRATA," "STRATA Skin Sciences" or "registrant") and other statements contained in this Report that are not historical facts. When reviewing the discussion below, you should keep in mind the substantial risks and uncertainties that characterize our business. In particular, we encourage you to review the risks and uncertainties described in Item 1A "Risk Factors" included elsewhere in this report, in our Annual Report on Form 10-K for the year ended December 31, 2017. These risks and uncertainties could cause actual results to differ materially from those projected in forward-looking statements contained in this report or implied by past results and trends. Forward-looking statements are statements that attempt to forecast or anticipate future developments in our business, financial condition or results of operations and statements — see "Cautionary Note Regarding Forward-Looking Statements" that appears at the end of this discussion. These statements, like all statements in this report, speak only as of their date (unless another date is indicated), and we undertake no obligation to update or revise these statements in light of future developments.
The following financial data, in this narrative, are expressed in thousands, except for the earnings per share.
Introduction, Outlook and Overview of Business Operations
STRATA Skin Sciences, Inc. ("STRATA" or "we" or the "Company") is a medical technology company focused on the therapeutic and aesthetic dermatology market. STRATA sales include the following products: XTRAC® laser and VTRAC® excimer lamp systems utilized in the treatment of psoriasis, vitiligo and various other skin conditions; and the STRATAPEN™ MicroSystems, a micropigmentation device.
The XTRAC device is utilized to treat psoriasis, vitiligo and other skin diseases. The XTRAC device received FDA clearance in 2000 and has since become a widely recognized treatment among dermatologists. The system delivers targeted 308um ultraviolet light to affected areas of skin, leading to psoriasis clearing and vitiligo repigmentation, following a series of treatments. As of March 31, 2018, there were 746 XTRAC systems placed in dermatologists' offices in the United States under our recurring revenue model, down from 791 at the end of March 31, 2017. Under the recurring revenue model, the XTRAC system is placed in a physician's office and fees are charged on a per procedure basis or a fee is charged on a periodic basis not to exceed an agreed upon number of procedures. The XTRAC system's use for psoriasis is covered by nearly all major insurance companies, including Medicare. The VTRAC Excimer Lamp system, offered internationally in addition to the XTRAC, provides targeted therapeutic efficacy demonstrated by excimer technology with the simplicity of design and reliability of a lamp system. There are approximately 7.5 million people in the United States and up to 125 million people worldwide suffering from psoriasis, and 1% to 2% of the world's population suffers from vitiligo. In 2017, over 335,000 XTRAC laser treatments were performed on approximately 21,000 patients in the United States.
During 2017, the Company entered into an agreement to license the exclusive US distribution rights for the Ellipse family of products, Nordlys, from Ellipse A/S, the Danish manufacturer, through August 9, 2020. The license fee amounted to approximately $355 over the Initial Term with a present value as of the effective date of the agreement of $286 which was recorded as an intangible asset. Effective March 31, 2018, as result of the change in management (see Note 2), the Company has determined that it will no longer continue to market the Nordlys and the distribution rights agreement will be terminated effective May 31, 2018. As a result, the Company has fully impaired the distribution rights intangible asset; see Note 6, Intangible Assets, net.
Effective February 1, 2017, we entered into an exclusive OEM distribution agreement with Esthetic Education, LLC to be the exclusive marketer and seller of private label versions of the SkinStylus MicroSystem and associated parts under the name of STRATAPen. This three-year agreement allows for two one year extensions.
 
22



 
Key Technology
 
XTRAC® Excimer Laser. XTRAC received FDA clearance in 2000 and has since become a widely recognized treatment among dermatologists for psoriasis and other skin diseases. The XTRAC System delivers ultra-narrowband ultraviolet B ("UVB") light to affected areas of skin. Following a series of treatments typically performed twice weekly, psoriasis remission can be achieved and vitiligo patches can be re-pigmented. XTRAC is endorsed by the National Psoriasis Foundation, and its use for psoriasis is covered by nearly all major insurance companies, including Medicare. We estimate that more than half of all major insurance companies now offer reimbursement for vitiligo as well, a figure that is increasing.
 
VTRAC® Lamp. VTRAC received FDA clearance in 2005 and provides targeted therapeutic efficacy demonstrated by excimer technology with the simplicity of design and reliability of a lamp system.
 
Nordlys System. Nordlys has 16 indications cleared by FDA and has the ability to use a multitude of light based technologies all in on compact platform–SWT (Selective Waveband Technology: the latest evolution and advancement of Intense Pulsed Light), Nd:YAG and the FRAX 1550 non-ablative fractionated technology. Effective March 31, 2018, the Company has determined that it will no longer continue to market the Nordlys system.
 
STRATAPEN™. STRATAPEN uses the patent-pending Biolock cartridge. The Biolock needle depth can be adjusted during the course of the procedure to accommodate different treatment areas, and can easily maneuver around facial contours and delicate features, such as the eyes, nose and mouth.
Sales and Marketing
As of March 31, 2018, our sales and marketing personnel consisted of 47 full-time positions, inclusive of a direct sales organization as well as an in-house call center staffed with patient advocates and a reimbursement group that provides necessary insurance information to our physician partners and their patients.
Critical Accounting Policies and Estimates
There have been no changes to our critical accounting policies in the three months ended March 31, 2018 except for the adoption of the new revenue recognition standard as discussed under Adoption of New Accounting Standards within Note 1 to the condensed consolidated financial statements. Critical accounting policies and the significant estimates made in accordance with such policies are regularly discussed with our Audit Committee. Those policies are discussed under "Critical Accounting Policies" in our "Management's Discussion and Analysis of Financial Condition and Results of Operations" included in Item 7, as well as in our consolidated financial statements and the footnotes thereto for the fiscal year ended December 31, 2017, as filed with the SEC with our Annual Report on Form 10-K filed on April 2, 2018.
Results of Operations (The following financial data, in this narrative, are expressed in thousands, except for the earnings per share.)
Revenues
The following table presents revenues from our three segments for the periods indicated below:
   
For the Three Months Ended
March 31,
 
   
2018
   
2017
 
Dermatology Recurring Procedures
 
$
4,498
   
$
5,556
 
Dermatology Procedures Equipment
   
1,968
     
1,537
 
Dermatology Imaging
   
-
     
4
 
                 
Total Revenues
 
$
6,466
   
$
7,097
 

 
23



Dermatology Recurring Procedures
Revenues from Dermatology Recurring Procedures for the three months ended March 31, 2018 was $4,498 which approximates 64,000 treatments, with prices from $65 to $95 per treatment. Revenues from Dermatology Recurring Procedures for the three months ended March 31, 2017 was $5,556 which approximates 82,000 treatments, with prices from $65 to $95 per treatment. Increases in procedures are dependent upon building market acceptance through marketing programs with our physician partners and their patients to show that the XTRAC procedures will be of clinical benefit and will be generally reimbursed by insurers. We believe that several factors have limited the growth of the use of XTRAC treatments from those who suffer from psoriasis and vitiligo. Specifically, we believe that awareness of the positive effects of XTRAC treatments has not been understood well enough among both sufferers and providers; and the treatment regimen requiring sometimes up to 12 or more treatments has limited XTRAC use to certain patient populations. Therefore, we have a direct to patient program for XTRAC advertising in the United States targeted at psoriasis and vitiligo patients through a variety of media including television and radio; and through our use of social media such as Facebook and Twitter. We monitor the results of our advertising expenditures in this area to reach the more than 10 million patients in the United States afflicted with these diseases. The decrease in the number of treatments performed for the three months ended March 31, 2018 as compared to the three months ended March 31, 2017 was a result of decreased advertising expenditures. A portion of the proceeds from the impending equity financing will be used to fund an increase in advertising expenditures in the latter half of 2018 and beyond, which we expect will drive an increase in revenues from Dermatology Recurring Procedures.
Revenues from Dermatology Recurring Procedures are recognized over the contract term, which equates to the usage period of the agreed upon number of treatments, as the treatments are being used. As of March 31, 2018 and 2017, we deferred net revenues of $219 and $207, respectively which will be recognized as revenue over the remaining contract term.
Dermatology Procedures Equipment
For the three months ended March 31, 2018 dermatology equipment revenues were $1,968. Internationally, we sold 19 systems for the three months ended March 31, 2018, (13 XTRAC and 6 VTRAC). Domestically, we sold 5 XTRAC systems for the three months ended March 31, 2018. Additionally we sold 3 Nordlys systems and 43 STRATAPEN MicroSystems for the three months ended March 31, 2018.
For the three months ended March 31, 2017 dermatology equipment revenues were $1,537. Internationally, we sold 9 systems for the three months ended March 31, 2017, (8 XTRAC and 1 VTRAC ). Domestically, we sold 5 XTRAC systems for the three months ended March 31, 2017.
Cost of Revenues
The following table illustrates cost of revenues from our three business segments for the periods listed below:
   
For the Three Months Ended
March 31,
 
   
2018
   
2017
 
Dermatology Recurring Procedures
 
$
1,949
   
$
2,042
 
Dermatology Procedures Equipment
   
1,346
     
691
 
Dermatology Imaging
   
-
     
-
 
                 
Total Cost of Revenues
 
$
3,295
   
$
2,733
 
Gross Profit Analysis
Gross profit decreased to $3,171 for the three months ended March 31, 2018 from $4,364 during the same period in 2017. As a percentage of revenues, the gross margin was 49.0% for the three months ended March 31, 2018, down from 61.5% during the same period in 2017.
 
24




 
The following tables analyze changes in our gross margin, by segment, for the periods presented below:
Company Profit Analysis
 
For the Three Months Ended
March 31,
 
   
2018
   
2017
 
Revenues
 
$
6,466
   
$
7,097
 
Percent decrease
   
(8.9
%)
       
Cost of revenues
   
3,295
     
2,733
 
Percent increase
   
20.6
%
       
Gross profit
 
$
3,171
   
$
4,364
 
Gross margin percentage
   
49.0
%
   
61.5
%


Dermatology Recurring Procedures
 
For the Three Months Ended
March 31,
 
   
2018
   
2017
 
Revenues
 
$
4,498
   
$
5,556
 
Percent decrease
   
(19.0
%)
       
Cost of revenues
   
1,949
     
2,042
 
Percent decrease
   
(4.6
%)
       
Gross profit
 
$
2,549
   
$
3,514
 
Gross margin percentage
   
56.7
%
   
63.2
%
The primary reason for the change in gross profit for the three months ended March 31, 2018, compared to the same period in 2017, was due to a decrease in the number of treatments sold. Incremental treatments delivered on existing equipment incur negligible incremental costs, so increases and/or decreases on in those treatments have an impact on gross margin. A portion of the proceeds from the impending equity financing will be used to fund an increase in advertising expenditures in the latter half of 2018 and beyond, which we expect will drive an increase in revenues and thereby an increase in gross margin from Dermatology Recurring Procedures.
Dermatology Procedures Equipment
 
For the Three Months Ended
March 31,
 
   
2018
   
2017
 
Revenues
 
$
1,968
   
$
1,537
 
Percent increase
   
28.0
%
       
Cost of revenues
   
1,346
     
691
 
Percent increase
   
94.8
%
       
Gross profit
 
$
622
   
$
846
 
Gross margin percentage
   
31.6
%
   
55.0
%
The primary reason for the change in gross profit for the three months ended March 31, 2018, compared to the same period in 2017, was product mix. Domestic system sales have a greater gross margin than international sales, and sales of Nordlys and STRATAPEN systems had a negative impact on gross margin.
Engineering and Product Development
Engineering and product development expenses for the three months ended March 31, 2018 decreased to $338 from $475 for the three months ended March 31, 2017. The decrease was primarily due to employee severance costs incurred during the three months ended March 31, 2017 associated with discontinuing research and development efforts for dermatology imaging devices.

25



 
Selling and Marketing Expenses
For the three months ended March 31, 2018, selling and marketing expenses decreased to $2,871 from $2,975 for the three months ended March 31, 2017. The decrease was related to the planned reduction of expense in television and radio media as we transition over to more of an internet and social media campaign, which was partially offset by the impairment charge of $226 related to the Nordlys distribution rights intangible asset.
General and Administrative Expenses
For the three months ended March 31, 2018, general and administrative expenses increased to $1,803 from $1,601 for the three months ended March 31, 2017. The increase was primarily due to increased professional fees.
Interest Expense, Net
Interest expense for the three months ended March 31, 2018 was $363 compared to $1,346 in the three months ended March 31, 2017. The decrease was due to $990 of interest expense incurred during the three months ended March 31, 2017 related to the convertible debentures that were converted into Series C Preferred Stock in September 2017 and are no longer outstanding.
Other Income, Net
In accordance with FASB ASC 470, "Debt – Debt with Conversion and Other Options" ("ASC Topic 470") and FASB ASC 820, Fair Value Measurements and Disclosures ("ASC Topic 820"), were-measured the fair value of our warrants that were recorded at their fair value and recognized as liabilities as of March 31, 2018, and recorded $1 in other income for the three months ended March 31, 2018. We re-measured the fair value of these warrants as of March 31, 2017, and recorded $132 in other expense for the three months ended March 31, 2017.
Income Taxes
Income tax expense for the three months ended March 31, 2018 was $40 compared to $70 for the three months ended March 31, 2017. The expense is comprised of the change in deferred tax liability related to goodwill. Goodwill is an amortizing asset according to tax regulations. This generates a deferred tax liability that is not used to offset deferred tax assets for valuation allowance considerations.
Non-GAAP adjusted EBITDA
We have determined to supplement our condensed consolidated financial statements, prepared in accordance with accounting principles generally accepted in the United States of America ("GAAP"), presented elsewhere within this report, with certain non-GAAP measures of financial performance. These non-GAAP measures include non-GAAP adjusted EBITDA.
We consider these non-GAAP measures in addition to our results prepared under current accounting standards, but they are not a substitute for, nor superior to, GAAP measures. These non-GAAP measures are provided to enhance readers' overall understanding of our current financial performance and to provide further information for comparative purposes.
26





Specifically, we believe the non-GAAP measures provide useful information to management and investors by isolating certain expenses, gains and losses that may not be indicative of our core operating results and business outlook. In addition, we believe non-GAAP measures enhance the comparability of results against prior periods. Reconciliation to the most directly comparable GAAP measure of all non-GAAP measures included in this report is as follows:
    
For the Three Months Ended
March 31,
 
   
2018
   
2017
   
Change
 
                   
Net loss
 
(2,223
)
 
(2,235
)
 
$
12
 
                         
Adjustments:
                       
Income taxes
   
40
     
70
     
(30
)
Depreciation and amortization *
   
1,413
     
1,542
     
(129
)
Interest expense, net
   
324
     
569
     
(245
)
Non-cash interest expense
   
39
     
777
     
(738
)
                         
Non-GAAP EBITDA
   
(407
)
   
723
     
(1,130
)
                         
Stock-based compensation expense
   
19
     
52
     
(33
)
Impairment of intangible asset
   
226
     
-
     
226
 
Change in fair value of warrants
   
(1
)
   
132
     
(133
)
                         
Non-GAAP adjusted EBITDA
 
(163
)
 
$
907
   
(1,070
)
                         
* Includes depreciation on lasers placed-in-service of $959 and $1,071 for the three months ended March 31, 2018 and 2017, respectively.
Liquidity and Capital Resources
As of March 31, 2018 we had $1,340 of working capital compared to $3,080 as of December 31, 2017. Cash and cash equivalents were $3,417 as of March 31, 2018, as compared to $4,069 as of December 31, 2017.
On December 30, 2015, we entered into a $12,000 credit facility pursuant to a Credit and Security Agreement (the "Agreement") and related financing documents with MidCap Financial Trust ("MidCap") and the lenders listed therein. Our obligations under the credit facility are secured by a first priority lien on all of our assets.
On March 30, 2018 we entered into a Stock Purchase Agreement (the "Accelmed SPA") with Accelmed Growth Partners ("Accelmed") investing $13 million into the Company in exchange for 12,037,037 shares of our common stock. In connection with the proposed Accelmed investment, we entered into two separate stock purchase agreements on March 30, 2018 for approximately $1 million with our current shareholders, Broadfin Capital ("Broadfin") and Sabby Management ("Sabby"). Upon closing of these transactions, each of Sabby and Broadfin will receive 925,926 shares of our common stock. Two separate subscription agreements were also executed on March 30, 2018 for $1 million each to purchase 925,926 shares of our common stock. See Note 2 for additional detail.
In connection with the Accelmed investment, we entered into a non-binding letter of intent dated March 30, 2018 with MidCap to terminate the existing Midcap loan agreement and replace it with a new agreement reflecting a $3 million repayment of the current facility and the base amount of the loan to be $7.6 million.
Since inception we have experienced recurring losses and, until 2016, negative cash flow from operations. Historically, we have been dependent on raising capital from the sale of securities in order to continue to operate and to meet our obligations in the ordinary course of business. The equity financings described above are subject to shareholder approval. Therefore, there is uncertainty whether the Company will close on the equity purchase and
 
27



 
subscription agreements as well as the MidCap non-binding letter of intent. We believe that our cash as of March 31, 2018, combined with the anticipated revenues from the sale of our products and the proposed investment discussed above, will be sufficient to satisfy our working capital needs, capital asset purchases, outstanding commitments and other liquidity requirements associated with our existing operations through the next 12 months following the filing of this Form 10-Q. However, if we fail to meet the monthly revenue covenants per the MidCap loan agreement, we may be declared in breach of the credit facility agreement and Midcap will have the option to call the loan balance. Without the investment described above, we would not have sufficient cash to pay the outstanding loan balance in full in the next 12 months following the filing of this form 10-Q.
Net cash and cash equivalents provided by operating activities was $60 for the three months ended March 31, 2018 compared to cash provided by operating activities of $818 for the three months ended March 31, 2017.
Net cash and cash equivalents used in investing activities was $405 for the three months ended March 31, 2018 compared to cash used in investing activities of $883 for the three months ended March 31, 2017. The primary reason for the change was the lasers placed in service during the period.
Net cash and cash equivalents used in financing activities was $307 for the three months ended March 31, 2018 compared to cash used in financing activities of $100 for the three months ended March 31, 2017. The increase was due to advance fees associated with our impending equity financing.
Commitments and Contingencies
There were no items, except as described above, that significantly impacted our commitments and contingencies as discussed in the notes to our 2017 annual financial statements included in our Annual Report on Form 10-K.
Off-Balance Sheet Arrangements
At March 31, 2018, we had no off-balance sheet arrangements.
Cautionary Note Regarding Forward-Looking Statements
This Quarterly Report on Form 10-Q contains forward-looking statements within the meaning of Section 27A of the Securities Act of 1933, as amended, and Section 21E of the Securities Exchange Act of 1934, as amended, which are subject to the "safe harbor" created by those sections. Forward-looking statements are based on our management's beliefs and assumptions and on information currently available to our management. In some cases, you can identify forward-looking statements by terms such as "may," "will," "should," "could," "would," "expect," "plan," "anticipate," "believe," "estimate," "project," "predict," "intend," "potential" and similar expressions intended to identify forward-looking statements. These statements, including statements relating to our anticipated revenue streams, our belief that the cash flow generated by these businesses will be sufficient to finance our operations, the closing of the impending Accelmed investment and the ability to successfully renegotiate and close on a new credit agreement with MidCap per the letter of intent, involve known and unknown risks, uncertainties and other factors which may cause our actual results, performance, time frames or achievements to be materially different from any future results, performance, time frames or achievements expressed or implied by the forward-looking statements. We discuss many of these risks, uncertainties and other factors in our Annual Report on Form 10-K for the year ended December 31, 2017, and in this Quarterly Report on Form 10-Q in greater detail under Item 1A. "Risk Factors." Given these risks, uncertainties and other factors, you should not place undue reliance on these forward-looking statements. Also, these forward-looking statements represent our estimates and assumptions only as of the date of this filing. You should read this Quarterly Report on Form 10-Q completely and with the understanding that our actual future results may be materially different from what we expect. We hereby qualify our forward-looking statements by our cautionary statements. Except as required by law, we assume no obligation to update these forward-looking statements publicly, or to update the reasons actual results could differ materially from those anticipated in these forward-looking statements, even if new information becomes available in the future.
28





ITEM 3.  Quantitative and Qualitative Disclosure about Market Risk
Our exposure to market risk is confined to our cash and cash equivalents. We invest in high-quality financial instruments, primarily money market funds, with the average effective duration of the portfolio within one year which we believe are subject to limited credit risk. We currently do not hedge interest rate exposure. Due to the short-term nature of our investments, we do not believe that we have any material exposure to interest rate risk arising from our investments. We are exposed to credit risks in the event of default by the financial institutions or issuers of investments in excess of FDIC insured limits. We perform periodic evaluations of the relative credit standing of these financial institutions and limit the amount of credit exposure with any institution.

ITEM 4.  Controls and Procedures
Evaluation of Disclosure Controls and Procedures
Our management, with the participation of our Interim Chief Executive Officer and Interim Chief Financial Officer, has evaluated the effectiveness of the design and operation of our disclosure controls and procedures, (as such term is defined in Rules 13a-15(e) and 15d-15(e) under the Securities Exchange Act of 1934 (the "Exchange Act")), as of March 31, 2018. Based on that evaluation, management has concluded that, as of such date, our disclosure controls and procedures were effective at the reasonable assurance level described below.
Limitations on the Effectiveness of Controls.
A control system, no matter how well conceived and operated, can provide only reasonable, not absolute, assurance that the objectives of the control system are met. Because of inherent limitations in all control systems, no evaluation of controls can provide absolute assurance that all control issues, if any, within an organization have been detected. Accordingly, our disclosure controls and procedures are designed to provide reasonable, not absolute, assurance that the objectives of our disclosure control system are met and, as set forth above, our Interim Chief Executive Officer and Interim Chief Financial Officer have concluded, based on their evaluation as of the end of the period covered by this report, that our disclosure controls and procedures were effective to provide reasonable assurance that the objectives of our disclosure control system were met.
Changes in Internal Control over Financial Reporting
There have been no changes in our internal control over financial reporting in our most recent fiscal quarter that has materially affected, or is reasonably likely to materially affect, our internal control over financial reporting.
PART II - Other Information
ITEM 1. Legal Proceedings
From time to time in the ordinary course of our business, we may be involved in certain other legal actions and claims, incidental to the normal course of our business. These may include controversies relating to contract claims and employment related matters, some of which claims may be material in which case we will make separate disclosure as required.
ITEM 1A. Risk Factors
A description of the risks associated with our business, financial conditions and results of operations is set forth in Item 1A of our Annual Report on Form 10-K for the fiscal year ended December 31, 2017 and filed with the SEC on April 2, 2018. There have been no material changes to these risks during the three months ended March 31, 2018.
ITEM 2. Unregistered sales of equity securities and use of proceeds
None.

29




ITEM 3. Defaults upon senior securities.
None.
ITEM 4. Mine Safety Disclosures
None.
ITEM 5. Other Information
None.
ITEM 6.  Exhibits
 
3.1
 
 
3.2
 
 
3.3
 
 
3.4
 
 
3.5
 
 
3.6
 
 
3.7
 
 
3.8
 
 
3.9
 
 
Exhibits 10.1 through 10.8 are all dated as of March 30, 2018 and are incorporated by reference to our Current Report on Form 8-K regarding our $17  million equity financing and interim CEO, as filed on April 2, 2018: 
 
10.1
 
 
10.2
 
 
10.3
 
 
10.4
 
 
10.5
 
 
10.6
 
 
10.7
 
 
10.8
 
   10.9  
    31.1  
  31.2  
  32.1  
 
 
30



101.INS
 
XBRL Instance Document
101.SCH
 
XBRL Taxonomy Schema
101.CAL
 
XBRL Taxonomy Calculation Linkbase
101.DEF
 
XBRL Taxonomy Definition Linkbase
101.LAB
 
XBRL Taxonomy Label Linkbase
101.PRE
 
XBRL Taxonomy Presentation Linkbase
 
*
The certifications attached as Exhibit 32.1 accompany this Quarterly Report on Form 10-Q pursuant to 18 U.S.C. Section 1350, as adopted pursuant to Section 906 of the Sarbanes-Oxley Act of 2002, and shall not be deemed "filed" by the Registrant for purposes of Section 18 of the Securities Exchange Act of 1934, as amended.

31






SIGNATURES

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


 
 STRATA SKIN SCIENCES, INC.
 
 
Date   May 15, 2018
By:
/s/ Francis J. McCaney                           
 
 
 
Name  Francis J. McCaney
 
 
 
Title    Interim Chief Financial Officer
 



32


 
 
 
 
EX-31.1 2 ex_31-1.htm CERTIFICATION OF CHIEF EXECUTIVE OFFICER


 
 

Exhibit 31.1

CERTIFICATION OF CHIEF EXECUTIVE OFFICER
I, Dolev Rafaeli, certify that:
(1)
I have reviewed this quarterly report on Form 10-Q of STRATA Skin Sciences, Inc.;
(2)
Based on my knowledge, this report does not contain any untrue statement of a material fact or omit to state a material fact necessary to make the statements made, in light of the circumstances under which such statements were made, not misleading with respect to the period covered by this report;
(3)
Based on my knowledge, the financial statements, and other financial information included in this report, fairly present in all material respects the financial condition, results of operations and cash flows of the registrant as of, and for, the periods presented in this report;
(4)
The registrant's other certifying officer(s) and I are responsible for establishing and maintaining disclosure controls and procedures (as defined in Exchange Act Rules 13a-15(e) and 15d-15(e)) and internal control over financial reporting (as defined in Exchange Act Rules 13a-15(f) and 15d-15(f)) for the registrant and have:
(a)
designed such disclosure controls and procedures, or caused such disclosure controls and procedures to be designed under our supervision, to ensure that material information relating to the registrant, including its consolidated subsidiaries, is made known to us by others within those entities, particularly during the period in which this report is being prepared;
(b)
designed such internal control over financial reporting or caused such internal control over financial reporting to be designed under our supervision, to provide reasonable assurance regarding the reliability of financial reporting and the preparation of financial statements for external purposes in accordance with generally accepted accounting principles;
(c)
evaluated the effectiveness of the registrant's disclosure controls and procedures and presented in this report our conclusions about the effectiveness of the disclosure controls and procedures, as of the end of the period covered by this report based on such evaluation; and
(d)
disclosed in this report any change in the registrant's internal control over financial reporting that occurred during the registrant's most recent fiscal quarter (the registrant's fourth fiscal quarter in the case of an annual report) that has materially affected, or is reasonably likely to materially affect, the registrant's internal control over financial reporting; and
(5)
The registrant's other certifying officer(s) and I have disclosed, based on our most recent evaluation of internal control over financial reporting, to the registrant's auditors and the audit committee of the registrant's board of directors (or persons performing the equivalent functions):
(a)
all significant deficiencies and material weaknesses in the design or operation of internal control over financial reporting which are reasonably likely to adversely affect the registrant's ability to record, process, summarize and report financial information; and
(b)
any fraud, whether or not material, that involves management or other employees who have a significant role in the registrant's internal control over financial reporting.


 
Date: May 15, 2018     
By:
/s/ Dolev Rafaeli                               
 
 
 
Name:  Dolev Rafaeli
 
 
 
Title:    Interim Chief Executive Officer
 

E-31.1
 

EX-31.2 3 ex_31-2.htm CERTIFICATION OF CHIEF FINANCIAL OFFICER
 



Exhibit 31.2

CERTIFICATION OF CHIEF FINANCIAL OFFICER
I, Frank J. McCaney, certify that:
(1)
I have reviewed this quarterly report on Form 10-Q of STRATA Skin Sciences, Inc.;
(2)
Based on my knowledge, this report does not contain any untrue statement of a material fact or omit to state a material fact necessary to make the statements made, in light of the circumstances under which such statements were made, not misleading with respect to the period covered by this report;
(3)
Based on my knowledge, the financial statements, and other financial information included in this report, fairly present in all material respects the financial condition, results of operations and cash flows of the registrant as of, and for, the periods presented in this report;
(4)
The registrant's other certifying officer(s) and I are responsible for establishing and maintaining disclosure controls and procedures (as defined in Exchange Act Rules 13a-15(e) and 15d-15(e)) and internal control over financial reporting (as defined in Exchange Act Rules 13a-15(f) and 15d-15(f)) for the registrant and have:
(a)
designed such disclosure controls and procedures, or caused such disclosure controls and procedures to be designed under our supervision, to ensure that material information relating to the registrant, including its consolidated subsidiaries, is made known to us by others within those entities, particularly during the period in which this report is being prepared;
(b)
designed such internal control over financial reporting or caused such internal control over financial reporting to be designed under our supervision, to provide reasonable assurance regarding the reliability of financial reporting and the preparation of financial statements for external purposes in accordance with generally accepted accounting principles;
(c)
evaluated the effectiveness of the registrant's disclosure controls and procedures and presented in this report our conclusions about the effectiveness of the disclosure controls and procedures, as of the end of the period covered by this report based on such evaluation; and
(d)
disclosed in this report any change in the registrant's internal control over financial reporting that occurred during the registrant's most recent fiscal quarter (the registrant's fourth fiscal quarter in the case of an annual report) that has materially affected, or is reasonably likely to materially affect, the registrant's internal control over financial reporting; and
(5)
The registrant's other certifying officer(s) and I have disclosed, based on our most recent evaluation of internal control over financial reporting, to the registrant's auditors and the audit committee of the registrant's board of directors (or persons performing the equivalent functions):
(a)
all significant deficiencies and material weaknesses in the design or operation of internal control over financial reporting which are reasonably likely to adversely affect the registrant's ability to record, process, summarize and report financial information; and
(b)
any fraud, whether or not material, that involves management or other employees who have a significant role in the registrant's internal control over financial reporting.



Dated: May 15, 2018
 
By:
/s/ Frank J. McCaney                            
     
Frank J. McCaney
     
Interim Chief Financial Officer

E-31.2
 

EX-32.1 4 ex_32-1.htm SECTION 906 CERTIFICATION


 

EXHIBIT 32.1
SECTION 906 CERTIFICATION
CERTIFICATION (1)
Pursuant to Section 906 of the Sarbanes-Oxley Act of 2002 (18 U.S.C. § 1350, as adopted), Dolev Rafaeli, the Chief Executive Officer of STRATA Skin Sciences, Inc. (the "Company"), and Frank J. McCaney, the Interim Chief Financial Officer of the Company, each hereby certifies that, to the best of their knowledge:

 
 
1.
The Company's Quarterly Report on Form 10-Q for the quarter ended March 31, 2018, to which this Certification is attached as Exhibit 32.1 (the "Periodic Report"), fully complies with the requirements of Section 13(a) or Section 15(d) of the Securities Exchange Act of 1934, as amended, and
 
 
2.
The information contained in the Periodic Report fairly presents, in all material respects, the financial condition and results of operations of the Company.
Dated: May 15, 2018
 
 
 
 
 
 
 
 
 
 
/s/ Dolev Rafaeli                             
 
 
 
 
Name:  Dolev Rafaeli
 
 
 
 
Title: Interim Chief Executive Officer
 
 
 
 
 
 
 
 
 
 
/s/ Frank J. McCaney                                   
 
 
 
 
Name:  Frank J. McCaney
 
 
 
 
Title: Interim Chief Financial Officer
 
 
 
 
 

(1)
This certification accompanies the Quarterly Report on Form 10-Q to which it relates, is not deemed filed with the Securities and Exchange Commission and is not to be incorporated by reference into any filing of STRATA Skin Sciences, Inc. under the Securities Act of 1933, as amended, or the Exchange Act (whether made before or after the date of the Form 10-Q), irrespective of any general incorporation language contained in such filing. A signed original of this written statement required by Section 906 of the Sarbanes-Oxley Act of 2002 has been provided to STRATA Skin Sciences, Inc. and will be retained by STRATA Skin Sciences, Inc. and furnished to the Securities and Exchange Commission or its staff upon request.
 
E-32.1
 

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The inputs into the determination of fair value require significant management judgment or estimation. Fair value is determined using comparable market transactions and other valuation methodologies, adjusted as appropriate for liquidity, credit, market and/or other risk factors.</div></td></tr></table><div><br /></div><div style="font-size: 10pt; margin-bottom: 12pt; font-family: 'Times New Roman', Times, serif; margin-top: 6pt; text-align: justify;">This hierarchy requires the Company to use observable market data, when available, and to minimize the use of unobservable inputs when determining fair value.</div><div style="font-size: 10pt; font-family: 'Times New Roman', Times, serif; text-align: justify;">The fair value of cash and cash equivalents are based on their respective demand value, which are equal to the carrying value. The fair value of derivative warrant liabilities is estimated using option pricing models that are based on the fair value of the Company's common stock as well as assumptions for volatility, remaining expected life, and the risk-free interest rate. The derivative warrant liabilities are the only recurring Level 3 fair value measures. The carrying value of all other short-term monetary assets and liabilities is estimated to be approximate to their fair value due to the short-term nature of these instruments. 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Instead, under the new amendments, an entity should recognize an impairment charge for the amount by which the carrying amount exceeds the reporting unit's fair value, however, the loss recognized should not exceed the total amount of goodwill allocated to that reporting unit. If applicable, an entity should consider income tax effects from any tax deductible goodwill on the carrying amount of the reporting unit when measuring the goodwill impairment loss. The amendments in this guidance are effective for public business entities for annual and interim goodwill impairment tests performed in fiscal years beginning after December 15, 2019 with early adoption permitted after January 1, 2017. 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Also, the new standard aligns many of the underlying principles of the new lessor model with those in ASC 606, the FASB's new revenue recognition model. The update is effective for fiscal years beginning after December 15, 2018, including interim periods within those fiscal years. While we continue to evaluate the effect of adopting this guidance on our consolidated financial statements and related disclosures, we expect our operating leases will be subject to the new standard. We will recognize right-of-use assets and operating lease liabilities on our consolidated balance sheets upon adoption, which will increase our total assets and liabilities. 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(and its subsidiary) ("STRATA" or "we" or the "Company") is a medical technology company focused on the therapeutic and aesthetic dermatology market. STRATA sales include the following products: XTRAC<sup> &#174;</sup> laser and VTRAC<sup> &#174;</sup> excimer lamp systems utilized in the treatment of psoriasis, vitiligo and various other skin conditions; and the STRATAPEN<sup>&#174;</sup> MicroSystem, a micropigmentation device.</div><div style="font-size: 10pt; margin-bottom: 13.2pt; font-family: 'Times New Roman', Times, serif; text-align: justify;">The XTRAC is an ultraviolet light excimer laser system utilized to treat psoriasis, vitiligo and other skin diseases. The XTRAC received FDA clearance in 2000. As of March 31, 2018, there were 746 XTRAC systems placed in dermatologists' offices in the United States under the Company's recurring revenue business model. The XTRAC systems employed under the recurring revenue model generate revenue on a per procedure basis or include a fixed payment for an agreed upon period not to exceed an agreed upon number of treatments. The per-procedure charge is inclusive of the use of the system and the services provided by the Company to the customer which includes system maintenance, and other services. The VTRAC Excimer Lamp system, offered in addition to the XTRAC system internationally, provides targeted therapeutic efficacy demonstrated by excimer technology with a lamp system.</div><div style="font-size: 10pt; margin-bottom: 13.2pt; font-family: 'Times New Roman', Times, serif; text-align: justify;">During 2017, the Company entered into an agreement to license the exclusive US distribution rights for the Ellipse family of products, Nordlys, from Ellipse A/S, the Danish manufacturer, through August 9, 2020. The license fee amounted to approximately $355 over the Initial Term with a present value as of the effective date of the agreement of $286 which was recorded as an intangible asset. Effective March 31, 2018, as result of the change in management (see Note 2), the Company has determined that it will no longer continue to market the Nordlys and the distribution rights agreement will be terminated effective May 31, 2018. As a result, the Company has fully impaired the distribution rights intangible asset; see <font style="font-size: 10pt; font-family: 'Times New Roman', Times, serif; font-style: italic;">Note 6</font>, <font style="font-size: 10pt; font-family: 'Times New Roman', Times, serif; font-weight: bold;">Intangible Assets, net</font>.</div><div style="font-size: 10pt; margin-bottom: 13.2pt; font-family: 'Times New Roman', Times, serif; text-align: justify;">Effective February 1, 2017, the Company entered into an exclusive OEM distribution agreement with Esthetic Education, LLC to be the exclusive marketer and seller of private label versions of the SkinStylus MicroSystem and associated parts under the name of STRATAPen. This three-year agreement allows for two one-year extensions.</div><div style="font-size: 10pt; margin-bottom: 6pt; font-family: 'Times New Roman', Times, serif; font-weight: bold; text-align: justify;"><font style="font-size: 10pt; font-family: 'Times New Roman', Times, serif; font-style: italic;">Basis of Presentation</font>:</div><div style="font-size: 10pt; font-family: 'Times New Roman', Times, serif; font-weight: bold; font-style: italic; text-align: justify;">Accounting Principles</div><div style="font-size: 10pt; margin-bottom: 12pt; font-family: 'Times New Roman', Times, serif; text-align: justify;">The consolidated financial statements have been prepared in accordance with accounting principles generally accepted in the United States of America ("GAAP").</div><div style="font-size: 10pt; font-family: 'Times New Roman', Times, serif; font-weight: bold; font-style: italic; text-align: justify;">Principles of Consolidation</div><div style="font-size: 10pt; margin-bottom: 12pt; font-family: 'Times New Roman', Times, serif; text-align: justify;">The consolidated financial statements include the accounts of the Company and its wholly-owned subsidiary in India. All significant intercompany balances and transactions have been eliminated in consolidation.</div><div style="font-size: 10pt; font-family: 'Times New Roman', Times, serif; font-weight: bold; font-style: italic; text-align: justify;">Unaudited interim consolidated financial statements</div><div style="font-size: 10pt; margin-bottom: 12pt; font-family: 'Times New Roman', Times, serif; text-align: justify;">The accompanying interim consolidated financial statements have been prepared pursuant to the rules and regulations of the United States Securities and Exchange Commission ("SEC") for interim financial reporting. These consolidated statements are unaudited and, in the opinion of management, include all adjustments (consisting of normal recurring adjustments and accruals) necessary to state fairly the consolidated balance sheets, consolidated statements of comprehensive loss, consolidated statements of cash flows and consolidated statement of changes in equity, for the periods presented in accordance with GAAP. The consolidated balance sheet at December&#160;31, 2017 has been derived from the audited consolidated financial statements at that date. Operating results and cash flows for the three months ended March&#160;31, 2018 are not necessarily indicative of the results that may be expected for the fiscal year ending December&#160;31, 2018, or any other future period. Certain information and footnote disclosures normally included in annual financial statements prepared in accordance with GAAP have been omitted in accordance with the rules and regulations for interim reporting of the SEC. These interim consolidated financial statements should be read in conjunction with the consolidated financial statements and notes thereto included in our Annual Report on Form 10-K&#160;&#160;for the year ended </div><div style="font-size: 10pt; margin-bottom: 12pt; font-family: 'Times New Roman', Times, serif; text-align: justify;">December&#160;31, 2017, and other forms filed with the SEC from time to time.</div><div style="font-size: 10pt; font-family: 'Times New Roman', Times, serif; font-weight: bold; font-style: italic; text-align: justify;">Reclassifications</div><div style="font-size: 10pt; margin-bottom: 12pt; font-family: 'Times New Roman', Times, serif; text-align: justify;">Certain reclassifications from the prior year presentation have been made to conform to the current year presentation. 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Actual results could differ from those estimates and be based on events different from those assumptions. As of March 31, 2018, the more significant estimates include (1) revenue recognition, in regards to deferred revenues and valuation allowances of accounts receivable, (2) the estimated useful lives of intangible assets and property and equipment, (3) the inputs used in determining the fair value of equity-based awards, (4) the valuation allowance related to deferred tax assets and (5) the fair value of financial instruments, including derivative instruments.</div><div style="font-size: 10pt; font-family: 'Times New Roman', Times, serif; font-weight: bold; font-style: italic; text-align: justify;">Fair Value Measurements</div><div style="font-size: 10pt; margin-bottom: 12pt; font-family: 'Times New Roman', Times, serif; text-align: justify;">The Company measures and discloses fair value in accordance with Financial Accounting Standards Board ("FASB") Accounting Standards Codification 820, <font style="font-size: 10pt; font-family: 'Times New Roman', Times, serif; font-style: italic;">Fair Value Measurements and Disclosures </font>("ASC Topic 820"). ASC Topic 820 defines fair value, establishes a framework and gives guidance regarding the methods used for measuring fair value, and expands disclosures about fair value measurements. Fair value is an exit price, representing the amount that would be received to sell an asset or paid to transfer a liability in an orderly transaction between market participants at the measurement date. As such, fair value is a market-based measurement that should be determined based on assumptions that market participants would use in pricing an asset or liability. 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The Dermatology Procedures Equipment segment generates revenues from the sale of equipment, such as lasers and lamp products. The Dermatology Imaging segment generated revenues from the sale and usage of imaging devices. The Company has announced that it will no longer support the imaging devices effective September 30, 2017 thus there will be minimal continuing revenues for this segment. Management reviews financial information presented on an operating segment basis for the purposes of making certain operating decisions and assessing financial performance.</div><div style="font-size: 10pt; margin-bottom: 12pt; font-family: 'Times New Roman', Times, serif; text-align: justify;">Unallocated operating expenses include costs that are not specific to a particular segment but are general to the group; included are expenses incurred for administrative and accounting staff, general liability and other insurance, professional fees and other similar corporate expenses. 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Conversion of convertible preferred stock, Amount Conversion of convertible preferred stock into common stock Number of shares issued for each share of convertible preferred stock to be converted. Conversion of convertible preferred stock, Shares Conversion of convertible preferred stock into common stock (in shares) Warrants [Abstract] The entire disclosure for warrants. Warrants and rights outstanding are derivative securities that give the holder the right to purchase securities (usually equity) from the issuer at a specific price within a certain time frame. Warrants are often included in a new debt issue to entice investors by a higher return potential. The main difference between warrants and call options is that warrants are issued and guaranteed by the company, whereas options are exchange instruments and are not issued by the company. Also, the lifetime of a warrant is often measured in years, while the lifetime of a typical option is measured in months. Disclose the title of issue of securities called for by warrants and rights outstanding, the aggregate amount of securities called for by warrants and rights outstanding, the date from which the warrants or rights are exercisable, and the price at which the warrant or right is exercisable. Warrants Disclosure [Text Block] Warrants The cash outflow for advance fees related to equity offering. Advance Fees Related to Equity Offering Advance fees related to equity offering The cash inflow (outflow) for Lasers placed in service. Payment for Lasers placed-in-service, net Lasers placed-in-service, net The amount of debt that an entity assumes in acquiring a business or in consideration for an asset received in a noncash (or part noncash) acquisition. noncash is defined as transactions during a period that affect recognized asset and liabilities license. 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Senior secured 4% convertible debentures [Member] Senior Secured 4% Convertible Debentures [Member] Carrying value as of the balance sheet date of obligations incurred through that date and payable for distributor rights liabilities amount of expenses incurred but not yet paid classified as other, due within one year or the normal operating cycle, if longer. Distributor rights liability, current Distributor rights liability, current Carrying value as of the balance sheet date of obligations incurred through that date and payable for professional fees and other accrued liabilities amount of expenses incurred but not yet paid classified as other, due within one year or the normal operating cycle, if longer. Accrued Professional Fees Other Accrued Liabilities Accrued professional fees and other accrued liabilities Tabular disclosure of an entity's basic and diluted earnings per share calculations by class of security, including a reconciliation of numerators and denominators of the basic and diluted per-share computations for income from continuing operations. Calculation of Basic and Diluted Net Income per Share by Each Class of Security [Table Text Block] Calculation of Basic and Diluted Net Loss Per Share by Class of Security Refers to laser equipment which is placed in service. Lasers Placed-In-Service [Member] First portion of term-note credit facility drawn under the credit agreement. First Tranche [Member] First portion of term-note credit facility drawn under the credit agreement. Second Tranche [Member] Term of the interest rate that fluctuates over time as a result of an underlying benchmark interest rate or index. Debt Instrument, Term of Variable Rate Debt instrument term of variable rate Refers to the number of portions the amount from credit facility is with drawn. Number of Tranches Number of tranches Refers to an over-the-counter investment instrument that protects the floor buyer from losses resulting from a decrease in interest rates. LIBOR Floor Rate LIBOR floor rate Identification of the lender, which may be a single entity (for example, a bank, pension fund, venture capital firm) or a group of entities that participate in the line of credit, including a letter of credit facility. MidCap Financial Trust [Member] Company entered into an agreement with exclusive OEM distribution agreement. Esthetic Education, LLC [Member] Esthetic Education, LLC [Member] Refers to number of extensions that are allowed in distribution agreement with Esthetic Education, LLC. Number Of Extensions Allowed Number of extensions allowed Represent the distribution agreement period in 'PnYnMnDTnHnMnS' format, for example, 'P1Y5M13D' represents the reported fact of one year, five months, and thirteen days. Agreement Period Agreement period Refers to the period of extension that is allowed in distribution agreement, in 'PnYnMnDTnHnMnS' format, for example, 'P1Y5M13D' represents the reported fact of one year, five months, and thirteen days. Period Of Extension Period of extension Element refers to the approximate license fee over the initial term. License Fee For Initial Term License fee for initial term Refers to number of systems placed in dermatologists' offices in the United States. Number of systems placed in dermatologists offices Number of systems placed in dermatologists offices Represents the acquiree entity. XTRAC [Member] XTRAC [Member] The new agreement to license the exclusive US distribution rights for the Ellipse family of products. 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Document and Entity Information - shares
3 Months Ended
Mar. 31, 2018
May 11, 2018
Document And Entity Information    
Entity Registrant Name STRATA Skin Sciences, Inc.  
Entity Central Index Key 0001051514  
Current Fiscal Year End Date --12-31  
Entity Well-known Seasoned Issuer No  
Entity Voluntary Filers No  
Entity Current Reporting Status Yes  
Entity Filer Category Smaller Reporting Company  
Entity Common Stock, Shares Outstanding   7,058,636
Document Fiscal Year Focus 2018  
Document Fiscal Period Focus Q1  
Document Type 10-Q  
Amendment Flag false  
Document Period End Date Mar. 31, 2018  
XML 14 R2.htm IDEA: XBRL DOCUMENT v3.8.0.1
CONDENSED CONSOLIDATED BALANCE SHEETS (Unaudited) - USD ($)
$ in Thousands
Mar. 31, 2018
Dec. 31, 2017
Current assets:    
Cash and cash equivalents $ 3,417 $ 4,069
Accounts receivable, net of allowance for doubtful accounts of $171 and $172, respectively 2,491 3,141
Inventories 3,029 3,009
Prepaid expenses and other current assets 1,379 533
Total current assets 10,316 10,752
Property and equipment, net 6,916 7,703
Intangible assets, net 10,672 11,325
Goodwill 8,803 8,803
Other assets 48 48
Total assets 36,755 38,631
Current liabilities:    
Note payable 252 357
Current portion of long-term debt 3,410 2,387
Accounts payable 2,658 2,277
Other accrued liabilities 2,216 2,360
Deferred revenues 440 291
Total current liabilities 8,976 7,672
Long-term liabilities:    
Long-term debt, net 6,869 7,853
Deferred tax liability 454 414
Other liabilities 649 447
Total liabilities 16,948 16,386
Commitments and contingencies
Stockholders' equity:    
Preferred Stock, $.10 par value, 10,000,000 shares authorized; 35,980 and 36,182 shares issued and outstanding at March 31, 2018 and December 31, 2017, respectively 4 4
Common Stock, $.001 par value, 150,000,000 shares authorized; 4,379,425 and 4,304,425 shares issued and outstanding at March 31, 2018 and December 31, 2017, respectively 4 4
Additional paid-in capital 251,662 251,643
Accumulated deficit (231,863) (229,406)
Total stockholders' equity 19,807 22,245
Total liabilities and stockholders' equity $ 36,755 $ 38,631
XML 15 R3.htm IDEA: XBRL DOCUMENT v3.8.0.1
CONDENSED CONSOLIDATED BALANCE SHEETS (Unaudited) (Parenthetical) - USD ($)
$ in Thousands
Mar. 31, 2018
Dec. 31, 2017
Current assets:    
Allowance for doubtful accounts $ 171 $ 172
Stockholders' equity:    
Preferred stock, par value (in dollars per share) $ 0.10 $ 0.10
Preferred stock, shares authorized (in shares) 10,000,000 10,000,000
Preferred stock, shares issued (in shares) 35,980 36,182
Preferred stock, shares outstanding (in shares) 35,980 36,182
Common stock, par value (in dollars per share) $ 0.001 $ 0.001
Common stock, shares authorized (in shares) 150,000,000 150,000,000
Common stock, shares issued (in shares) 4,379,425 4,304,425
Common stock, shares outstanding (in shares) 4,379,425 4,304,425
XML 16 R4.htm IDEA: XBRL DOCUMENT v3.8.0.1
CONDENSED CONSOLIDATED STATEMENTS OF COMPREHENSIVE LOSS (Unaudited) - USD ($)
$ in Thousands
3 Months Ended
Mar. 31, 2018
Mar. 31, 2017
CONDENSED CONSOLIDATED STATEMENTS OF COMPREHENSIVE LOSS (Unaudited) [Abstract]    
Revenues $ 6,466 $ 7,097
Cost of revenues 3,295 2,733
Gross profit 3,171 4,364
Operating expenses:    
Engineering and product development 338 475
Selling and marketing 2,871 2,975
General and administrative 1,803 1,601
Total operating expenses 5,012 5,051
Operating loss before other income (expense), net (1,841) (687)
Other income (expense), net:    
Interest expense, net (363) (1,346)
Other income (expense), net 21 (132)
Other income (expense), net (342) (1,478)
Income (loss) before income taxes (2,183) (2,165)
Income tax expense 40 70
Net loss (2,223) $ (2,235)
Common Stock [Member]    
Net loss $ (547)  
Net loss per share - basic and diluted (in dollars per share) $ (0.13) $ (1.03)
Shares used in computing net loss per basic and diluted (in shares) 4,371,369 2,176,731
Series C Preferred Stock [Member]    
Net loss $ (1,676)  
Net loss per share - basic and diluted (in dollars per share) $ (46.54) $ 0
Shares used in computing net loss per basic and diluted (in shares) 36,002 0
XML 17 R5.htm IDEA: XBRL DOCUMENT v3.8.0.1
CONDENSED CONSOLIDATED STATEMENT OF CHANGES IN EQUITY (Unaudited) - 3 months ended Mar. 31, 2018 - USD ($)
$ in Thousands
Preferred Stock [Member]
Convertible Preferred Stock [Member]
Common Stock [Member]
Additional Paid-In Capital [Member]
Accumulated Deficit [Member]
Accumulated Deficit [Member]
Effect of Adoption Higher / (Lower) [Member]
Total
Beginning balance at Dec. 31, 2017 $ 4 $ 4 $ 251,643 $ (229,406)   $ 22,245
Beginning balance (ASU 2014-09 [Member]) at Dec. 31, 2017 $ 4 $ 4 251,643 (229,640)   22,011
Beginning balance (in shares) at Dec. 31, 2017 36,182 4,304,425        
Beginning balance (in shares) (ASU 2014-09 [Member]) at Dec. 31, 2017 36,182 4,304,425        
Adoption of accounting standard (ASU 2014-09 [Member]) at Dec. 31, 2017 $ 0 $ 0 0   $ (234) (234)
Stock-based compensation 0 0 19 0   19
Conversion of convertible preferred stock into common stock $ 0 $ 0 0 0   0
Conversion of convertible preferred stock into common stock (in shares) (202) 75,000        
Net loss $ 0 $ 0 0 (2,223)   (2,223)
Ending balance at Mar. 31, 2018 $ 4 $ 4 $ 251,662 $ (231,863)   $ 19,807
Ending balance (in shares) at Mar. 31, 2018 35,980 4,379,425        
XML 18 R6.htm IDEA: XBRL DOCUMENT v3.8.0.1
CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS (Unaudited) - USD ($)
$ in Thousands
3 Months Ended
Mar. 31, 2018
Mar. 31, 2017
Cash Flows From Operating Activities:    
Net loss $ (2,223) $ (2,235)
Adjustments to reconcile net loss to net cash provided by operating activities:    
Depreciation and amortization 1,413 1,543
Loss on disposal of property and equipment 182 0
Impairment of intangible asset 226 0
Stock-based compensation 19 52
Deferred tax provision 40 60
Amortization of debt discount 19 723
Amortization of deferred financing costs 20 54
Change in fair value of warrant liability (1) 132
Changes in operating assets and liabilities:    
Accounts receivable 650 102
Inventories (20) 147
Prepaid expenses and other assets (669) (188)
Accounts payable 381 354
Other accrued liabilities (119) (61)
Other liabilities 227 36
Deferred revenues (85) 99
Net cash provided by operating activities 60 818
Cash Flows From Investing Activities:    
Lasers placed-in-service, net (375) (683)
Purchases of property and equipment, net (6) (200)
Payments on distributor rights liability (24) 0
Net cash used in investing activities (405) (883)
Cash Flows From Financing Activities:    
Advance fees related to equity offering (202) 0
Payments on notes payable (105) (100)
Net cash used in financing activities (307) (100)
Net decrease in cash and cash equivalents (652) (165)
Cash and cash equivalents, beginning of period 4,069 3,928
Cash and cash equivalents, end of period 3,417 3,763
Supplemental information:    
Cash paid for interest 276 540
Supplemental information of non-cash investing and financing activities:    
Conversion of senior secured convertible debentures into common stock 0 56
Acquisition of distributor rights asset for license liability $ 0 $ 900
XML 19 R7.htm IDEA: XBRL DOCUMENT v3.8.0.1
The Company
3 Months Ended
Mar. 31, 2018
The Company [Abstract]  
The Company
Note 1
The Company:
Background
STRATA Skin Sciences, Inc. (and its subsidiary) ("STRATA" or "we" or the "Company") is a medical technology company focused on the therapeutic and aesthetic dermatology market. STRATA sales include the following products: XTRAC ® laser and VTRAC ® excimer lamp systems utilized in the treatment of psoriasis, vitiligo and various other skin conditions; and the STRATAPEN® MicroSystem, a micropigmentation device.
The XTRAC is an ultraviolet light excimer laser system utilized to treat psoriasis, vitiligo and other skin diseases. The XTRAC received FDA clearance in 2000. As of March 31, 2018, there were 746 XTRAC systems placed in dermatologists' offices in the United States under the Company's recurring revenue business model. The XTRAC systems employed under the recurring revenue model generate revenue on a per procedure basis or include a fixed payment for an agreed upon period not to exceed an agreed upon number of treatments. The per-procedure charge is inclusive of the use of the system and the services provided by the Company to the customer which includes system maintenance, and other services. The VTRAC Excimer Lamp system, offered in addition to the XTRAC system internationally, provides targeted therapeutic efficacy demonstrated by excimer technology with a lamp system.
During 2017, the Company entered into an agreement to license the exclusive US distribution rights for the Ellipse family of products, Nordlys, from Ellipse A/S, the Danish manufacturer, through August 9, 2020. The license fee amounted to approximately $355 over the Initial Term with a present value as of the effective date of the agreement of $286 which was recorded as an intangible asset. Effective March 31, 2018, as result of the change in management (see Note 2), the Company has determined that it will no longer continue to market the Nordlys and the distribution rights agreement will be terminated effective May 31, 2018. As a result, the Company has fully impaired the distribution rights intangible asset; see Note 6, Intangible Assets, net.
Effective February 1, 2017, the Company entered into an exclusive OEM distribution agreement with Esthetic Education, LLC to be the exclusive marketer and seller of private label versions of the SkinStylus MicroSystem and associated parts under the name of STRATAPen. This three-year agreement allows for two one-year extensions.
Basis of Presentation:
Accounting Principles
The consolidated financial statements have been prepared in accordance with accounting principles generally accepted in the United States of America ("GAAP").
Principles of Consolidation
The consolidated financial statements include the accounts of the Company and its wholly-owned subsidiary in India. All significant intercompany balances and transactions have been eliminated in consolidation.
Unaudited interim consolidated financial statements
The accompanying interim consolidated financial statements have been prepared pursuant to the rules and regulations of the United States Securities and Exchange Commission ("SEC") for interim financial reporting. These consolidated statements are unaudited and, in the opinion of management, include all adjustments (consisting of normal recurring adjustments and accruals) necessary to state fairly the consolidated balance sheets, consolidated statements of comprehensive loss, consolidated statements of cash flows and consolidated statement of changes in equity, for the periods presented in accordance with GAAP. The consolidated balance sheet at December 31, 2017 has been derived from the audited consolidated financial statements at that date. Operating results and cash flows for the three months ended March 31, 2018 are not necessarily indicative of the results that may be expected for the fiscal year ending December 31, 2018, or any other future period. Certain information and footnote disclosures normally included in annual financial statements prepared in accordance with GAAP have been omitted in accordance with the rules and regulations for interim reporting of the SEC. These interim consolidated financial statements should be read in conjunction with the consolidated financial statements and notes thereto included in our Annual Report on Form 10-K  for the year ended
December 31, 2017, and other forms filed with the SEC from time to time.
Reclassifications
Certain reclassifications from the prior year presentation have been made to conform to the current year presentation. These reclassifications did not have a material impact on the Company's equity, net assets, results of operations or cash flows.
The Company records co-pay reimbursements made to patients receiving laser treatments as a reduction of revenue. For the three months ended March 31, 2017 the Company reclassified such reimbursements in the amount of $175 from selling and marketing expenses to revenues.
Significant Accounting Policies
The significant accounting policies used in preparation of these condensed consolidated financial statements are disclosed in our 2017 Form 10-K, and there have been no changes to the Company's significant account policies during the three months ended March 31, 2018 except for the adoption of the new revenue recognition standard as discussed under Adoption of New Accounting Standards later within this Note 1.
Use of Estimates
The preparation of the consolidated financial statements in conformity with GAAP requires management to make estimates and assumptions that affect amounts reported of assets and liabilities at the date of the financial statements and the reported amount of revenues and expenses during the reporting periods. Actual results could differ from those estimates and be based on events different from those assumptions. As of March 31, 2018, the more significant estimates include (1) revenue recognition, in regards to deferred revenues and valuation allowances of accounts receivable, (2) the estimated useful lives of intangible assets and property and equipment, (3) the inputs used in determining the fair value of equity-based awards, (4) the valuation allowance related to deferred tax assets and (5) the fair value of financial instruments, including derivative instruments.
Fair Value Measurements
The Company measures and discloses fair value in accordance with Financial Accounting Standards Board ("FASB") Accounting Standards Codification 820, Fair Value Measurements and Disclosures ("ASC Topic 820"). ASC Topic 820 defines fair value, establishes a framework and gives guidance regarding the methods used for measuring fair value, and expands disclosures about fair value measurements. Fair value is an exit price, representing the amount that would be received to sell an asset or paid to transfer a liability in an orderly transaction between market participants at the measurement date. As such, fair value is a market-based measurement that should be determined based on assumptions that market participants would use in pricing an asset or liability. As a basis for considering such assumptions there exists a three-tier fair value hierarchy which prioritizes the inputs used in measuring fair value as follows:
 
Level 1 – unadjusted quoted prices are available in active markets for identical assets or liabilities that the Company has the ability to access as of the measurement date.
 
Level 2 – pricing inputs are other than quoted prices in active markets that are directly observable for the asset or liability or indirectly observable through corroboration with observable market data.
 
Level 3 – pricing inputs are unobservable for the non-financial asset or liability and only used when there is little, if any, market activity for the non-financial asset or liability at the measurement date. The inputs into the determination of fair value require significant management judgment or estimation. Fair value is determined using comparable market transactions and other valuation methodologies, adjusted as appropriate for liquidity, credit, market and/or other risk factors.

This hierarchy requires the Company to use observable market data, when available, and to minimize the use of unobservable inputs when determining fair value.
The fair value of cash and cash equivalents are based on their respective demand value, which are equal to the carrying value. The fair value of derivative warrant liabilities is estimated using option pricing models that are based on the fair value of the Company's common stock as well as assumptions for volatility, remaining expected life, and the risk-free interest rate. The derivative warrant liabilities are the only recurring Level 3 fair value measures. The carrying value of all other short-term monetary assets and liabilities is estimated to be approximate to their fair value due to the short-term nature of these instruments. As of March 31, 2018 and December 31, 2017, the Company assessed its long-term debt (including the current portion) and determined that the fair value of total debt approximated its book value due to the rate on the debt being at market.

Several of the warrants outstanding as of March 31, 2018 and 2017 have non-standard terms as they relate to a fundamental transaction and require a net-cash settlement upon change in control of the Company. All such warrants are classified as derivatives and are the Company's only recurring fair value measurement. These warrants have been recorded at their fair value using a binomial option pricing model and continue to be recorded at their respective fair value at each subsequent balance sheet date until such terms expire. See Note 10, Warrants, for additional discussion. The fair value of the derivatives was insignificant at March 31, 2018 and December 31, 2017, respectively.
Earnings Per Share
The Company calculates net income (loss) per share in accordance with ASC 260, Earnings per Share. Under ASC 260, basic net income (loss) per common share is calculated by dividing net income by the weighted-average number of common shares outstanding during the reporting period and excludes dilution for potentially dilutive securities. Diluted earnings per share gives effect to dilutive options, warrants and other potential common shares outstanding during the period.
The Company's Series C Preferred Shares are subordinate to all other securities at the same subordination level as common stock and they participate in all dividends and distributions declared or paid with respect to common stock of the Company, on an as-converted basis. Therefore, the Series C Preferred Shares meet the definition of common stock under ASC 260. Earnings per share is presented for each class of security meeting the definition of common stock. The net loss is allocated to each class of security meeting the definition of common stock based on their contractual terms.
The following table presents the calculation of basic and diluted net loss per share by each class of security for the three months ended March 31, 2018:
  
Three Months Ended
March 31, 2018
 
  
Common stock
  
Series C Preferred stock
 
       
Net loss
 
(547
)
 
(1,676
)
         
Weighted average number of shares outstanding during the period
  
4,371,369
   
36,002
 
         
Basic and Diluted net loss per share
 
(0.13
)
 
(46.54
)
For the three months ended March 31, 2018, diluted net loss per common share and Series C Preferred share is equal to the basic net loss per common share and Series C Preferred share, respectively, since all potentially dilutive securities are antidilutive.
For the three months ended March 31, 2017, diluted net loss per common share is equal to the basic net loss per common share since all potentially dilutive securities are antidilutive. The loss on the change in fair value of the warrant liability would be considered in the diluted earnings per share calculation and was deemed to be antidilutive.
The weighted average of potential common stock equivalents outstanding during the three months ended March 31, 2018 and 2017 consist of common stock equivalents of senior secured convertible debentures, common stock purchase warrants, convertible preferred stock and common stock options, which are summarized as follows:
  
March 31,
  
2018
 
2017
Common stock equivalents of convertible debentures
 
-
 
9,206,526
Common stock purchase warrants
 
2,406,625
 
2,406,625
Common stock equivalents of convertible preferred stock
 
13,383,691
 
467,836
Common stock options
 
876,127
 
898,331
Total
 
16,666,443
 
12,979,318
Adoption of New Accounting Standards
Effective January 1, 2018, the Company adopted Accounting Standards Update ("ASU") 2014-09, Revenue from Contracts with Customers (Topic 606) using the modified retrospective method with a cumulative adjustment that increased its accumulated deficit and deferred revenue by approximately $234 as of January 1, 2018. The cumulative adjustment was related to the promise to provide service type warranties related to sales of dermatology procedures equipment. A portion of the transaction price of equipment sold with these service type warranties is allocated to such warranties based on their stand-alone selling price, and the Company now recognizes revenue from these service type warranties ratably over the warranty term. The method used to estimate stand-alone selling price is the price observed in transactions where the customer is charged a discrete price for the extended warranty.
Other than the above change related to warranties, the adoption of this standard did not have an impact on the Company's results of operations for the three months ended March 31, 2018. The impact from adopting this standard on the Company's statement of operations and comprehensive loss for the three months ended March 31, 2018 is as follows:
  
For the Three Months Ended March 31, 2018
 
Statement of Operations and Comprehensive Loss
 
As Reported
  
Balances Without
Adoption of ASC 606
  
Effect of Adoption
Higher / (Lower)
 
          
Revenues
 
$
6,466
  
$
6,496
  
(30
)

See Note 3 for additional information.

Recently Issued Accounting Standards
In July 2017, the FASB issued a two-part ASU 2017-11, "(Part I) Accounting for Certain Financial Instruments with Down Round Features, (Part II) Replacement of the Indefinite Deferral for Mandatorily Redeemable Financial Instruments of Certain Nonpublic Entities and Certain Mandatorily Redeemable Non-controlling Interests with a Scope Exception." For public business entities, the amendments in Part 1 of ASU 2017-11 are effective for fiscal years, and interim periods within those fiscal years, beginning after December 15, 2018. Early adoption is permitted for all entities, including adoption in an interim period. The amendments in Part 2 of ASU 2017-11 do not require any transition guidance because those amendments do not have an accounting effect. The Company is currently evaluating the impact of this guidance on the Company's consolidated financial statements.
In January 2017, the FASB issued ASU 2017-04, Intangibles – Goodwill and Other (Topic 350): Simplifying the Test for Goodwill Impairment. The new guidance eliminated Step 2 from the goodwill impairment test which was required in computing the implied fair value of goodwill. Instead, under the new amendments, an entity should recognize an impairment charge for the amount by which the carrying amount exceeds the reporting unit's fair value, however, the loss recognized should not exceed the total amount of goodwill allocated to that reporting unit. If applicable, an entity should consider income tax effects from any tax deductible goodwill on the carrying amount of the reporting unit when measuring the goodwill impairment loss. The amendments in this guidance are effective for public business entities for annual and interim goodwill impairment tests performed in fiscal years beginning after December 15, 2019 with early adoption permitted after January 1, 2017. As the Company has not identified a goodwill impairment loss, currently this guidance does not have an impact on the Company's financial statements.

In February 2016, the FASB issued ASU 2016-02: Leases. The ASU introduces a lessee model that results in most leases impacting the balance sheet. Under ASU 2016-02, lessees will be required to recognize, for all leases with terms longer than 12 months, at the commencement date of the lease, a lease liability, which is a lessee's obligation to make lease payments arising from a lease measured on a discounted basis, and a right-to-use asset, which is an asset that represents the lessee's right to use or control the use of a specified asset for the lease term. Leases will be classified as either finance or operating, with classification affecting the pattern of expense recognition. Also, the new standard aligns many of the underlying principles of the new lessor model with those in ASC 606, the FASB's new revenue recognition model. The update is effective for fiscal years beginning after December 15, 2018, including interim periods within those fiscal years. While we continue to evaluate the effect of adopting this guidance on our consolidated financial statements and related disclosures, we expect our operating leases will be subject to the new standard. We will recognize right-of-use assets and operating lease liabilities on our consolidated balance sheets upon adoption, which will increase our total assets and liabilities. With regard to the Company's revenue from short-term leases, we do not expect the new standard to have a material impact on our consolidated financial statements.
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Liquidity and Going Concern
3 Months Ended
Mar. 31, 2018
Liquidity and Going Concern [Abstract]  
Liquidity and Going Concern
Note 2
Liquidity and Going Concern

Equity Financing and Change in Executive Leadership
On March 30, 2018, the Company entered into multiple agreements in order to obtain $17,000 of equity financing from the following sources:
On March 30, 2018 we entered into a Stock Purchase Agreement (the "Accelmed SPA") and a Registration Rights Agreement with Accelmed Growth Partners L.P. ("Accelmed") investing $13,000 into the Company at a price per share of $1.08; upon closing Accelmed will receive 12,037,037 shares of our common stock.
 
In connection with the proposed Accelmed investment, we entered into two separate stock purchase agreements on March 30, 2018, each for approximately $1,000 with our current shareholders, Broadfin Capital ("Broadfin") and Sabby Management ("Sabby"). Upon closing of these transactions, each of Sabby and Broadfin will receive 925,926 shares of our common stock at a price per share of $1.08.
 
Two separate subscription agreements were also executed on March 30, 2018 in connection with the Accelmed investment: (i) a subscription agreement with Gohan Investments, Ltd. for $1,000 to purchase 925,926 shares of our common stock at $1.08 per share; and (ii) a subscription agreement with Dr. Dolev Rafaeli for $1,000 to purchase 925,926 shares of our common stock at $1.08 per share.
The Company may incur additional expenses, or Accelmed may receive additional shares in the event of certain contingencies. The Company is required to reimburse Accelmed for its legal, consulting, due diligence and administrative costs related to the proposed stock purchase, including the reasonable legal fees, disbursements and related charges of Accelmed's counsel in an aggregate amount not to exceed $400 (or up to $500 in the event of certain contingencies, and subject to no cap in the event the Company's stockholders do not approve the transaction) at the earliest of (i) the closing, or (ii) the termination of Accelmed SPA for any reason other than by reason of a breach of the Accelmed SPA by Accelmed. The Company may also be obligated to pay a breakup fee of $600 in the event the Company's board of directors makes a recommendation against the approval of the transaction. The Accelmed SPA also requires that the Company indemnify Accelmed for certain items as defined in SPA.
In connection with the Accelmed investment, the Company has agreed to pay a fee equal to 4% of the amount paid at closing to HC Wainwright, the Company's placement agent. This fee is in addition to the fees that will be owed to Fairmount Partners, the Company's financial advisor. Upon the closing of the Accelmed transaction, the Company is obligated to pay Fairmount Partners a fee of $692 of which $100 has been paid as a retainer, leaving a balance to be paid at closing of $592. In the event the Company becomes obligated to pay additional investment advisors fees, the Company is obligated to indemnify Accelmed for the additional payment.
The Company incurred $844 of costs related to the equity financing during the three months ended March 31, 2018. These costs were capitalized and are presented within Prepaid Expenses and Other Current Assets on the Condensed Consolidated Balance Sheet as of March 31, 2018. Upon the closing of the transaction, these costs will be reclassified from other current assets to stockholders' equity as an offset to the proceeds from the transaction.
In further consideration of entering into their respective stock purchase agreements, Sabby and Broadfin have each entered into separate agreements restricting their abilities to sell their holdings (the "Leak-Out Agreements"). Under the terms of each of the respective Leak-Out Agreements, the stockholder has agreed that from the later of (a) the date that the approval by the shareholders of the transactions is deemed effective and (b) the closing of the transactions contemplated pursuant to the SPA, the stockholder shall not sell dispose or otherwise transfer, directly or indirectly, (including, without limitation, any sales, short sales, swaps or any derivative transactions that would be equivalent to any sales or short positions) any shares of Common Stock of the Company held by the Stockholder on the date hereof or issuable to the Stockholder upon conversion of shares of the Company's Preferred Stock held by the Stockholder on the date hereof, (a) if prior to April 1, 2019, at a price per Company Share less than $1.296, subject to adjustment for reverse and forward stock splits and the like, or (b) thereafter, at a price per share reflecting less than the price set forth on the schedule in the Leak-Out Agreements subject to adjustment for reverse and forward stock splits and the like, unless, (1) in the case of either clauses (a) or (b), otherwise approved by the Company's Board of Directors, (2) in the case of clause (b), under a shelf prospectus or such other controlled offering as may be agreed to by the Principal Stockholders (as defined in the Stock Purchase Agreement) or (3) in the case of either clauses (a) or (b), in a sale pursuant to which any other stockholder(s) of the Company are offered the same terms of sale, including in a merger, consolidation, transfer or conversion involving the Company or any of its subsidiaries.
Pursuant to the Accelmed SPA, on April 10, 2018, we had a change in administration by which Dr. Dolev Rafaeli became Interim Chief Executive Officer and Frank J. McCaney, our former CEO, became Interim Chief Financial Officer. Additionally, effective after the closing of the investment at least five of the current board members will resign. Accelmed shall have the right to fill all the remaining vacancies effective as of the closing of the investment.
The transaction is subject to shareholder approval. Sabby and Broadfin have delivered to the Company a voting undertaking obligating Sabby and Broadfin to (a) increase their respective "blocker" to 9.99% prior to the record date for the meeting of the shareholders, and (b) vote all their voting shares in the Company at the meeting to approve the proposed transaction.
The Company intends to schedule a special meeting of the shareholders as soon as practicable and within the time limits set forth in the Accelmed SPA. The meeting is currently scheduled for May 23, 2018.
MidCap Non-binding Letter of Intent
In connection with the proposed investment led by Accelmed described above, we entered into a non-binding letter of intent dated March 30, 2018 with MidCap to terminate the existing MidCap loan agreement and replace it with a new agreement. This new agreement is contingent upon our raising $14,000 in new equity financing and the repayment of $3,000 on the current facility. Under the new agreement among other terms, the base amount of the loan is to be $7,571; the term is for 48 months; interest only payments for the first 18 months; and straight-line principal payments for the remaining 30 months. This loan will be collateralized by substantially all the assets of the Company and will contain certain financial and non-financial covenants.
 
Liquidity

As of March 31, 2018, the Company had an accumulated deficit of $231,863 and had been incurring losses since inception as well as negative cash flows from operations until 2016. To date, the Company has dedicated most of its financial resources to research and development, sales and marketing, and general and administrative expenses.

While management believes that its current cash and cash equivalents as of March 31, 2018, combined with the anticipated revenues from the sale of the Company's products will be sufficient to satisfy its working capital needs, and capital asset purchases, for the next 12 months following the filing of this form 10-Q, there is a risk associated with the Company's ability to meet its debt obligations should the Company breach its debt covenants. The current MidCap agreement has financial covenants including a minimum monthly net revenue covenant. If the Company fails to meet the revenue covenant, it may be declared in breach of the credit facility agreement, and MidCap would have the option to call the full debt balance outstanding under the credit facility agreement, which was $10,279 as of March 31, 2018. The Company has 30 days to report a default and upon notice from MidCap of a financial covenant breach, the Company has an additional 10 business days to cure such default. The Company, however, cannot be certain that this default will be cured in such period or at all.

The equity financings described in this footnote are subject to shareholder approval. Therefore, there is uncertainty whether the Company will close on the equity purchase and subscription agreements as well as the MidCap non-binding letter of intent.While there is no guarantee of shareholder approval, management is confident that shareholders will reach both a quorum and a positive vote since Sabby and Broadfin, per the voting agreement described above, have proposed to increase their respective blockers to a combined 19.99% of the vote.
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Revenue
3 Months Ended
Mar. 31, 2018
Revenue [Abstract]  
Revenue
Note 3
Revenue:

In the Dermatology Recurring Procedures Segment the Company has two types of arrangements for its phototherapy treatment equipment as follows: (i) the Company places its lasers in a physician's office at no charge to the physician, and generally charges the physician a fee for an agreed upon number of treatments; or (ii) the Company places its lasers in a physician's office and charges the physician a fixed fee for a specified period of time not to exceed an agreed upon number of treatments; if number is exceeded additional fees will have to be paid.

For the purposes of U.S. GAAP only, these two types of arrangements are treated as short term operating leases, and thus are outside the scope of ASC 606 and are accounted for in accordance with ASC 840, Leases. While these are not operating leases contractually, these are viewed as operating leases for accounting purposes since in these arrangements the Company provides the customers the rights to use the treatment equipment and the customers control physical access to the treatment equipment while controlling the utility and output of such equipment during the term of the arrangement. For the first type of arrangement, fees are recognized as revenue over the contract term, which equates to the usage period of the agreed upon number of treatments, as the treatments are being used. For the second type of arrangement fees are recognized as revenue ratably on a straight-line basis over the term period specified in the agreement. Contingent amounts that will be paid only if the customer exceeds the agreed upon number of treatments are recognized only when such treatments are being exceeded and used. Prepaid amounts are recorded in deferred revenue and recognized as revenue over the lease term in the patterns described above.

The fee charged is inclusive of the use of the system and the services provided by the Company to the customer, which include system maintenance, and other services. The Company considers the other service and support elements in the contract to be perfunctory and inconsequential.

In the Dermatology Procedures Equipment segment the Company sells its products internationally through a distributor, and domestically directly to a physician. For the product sales, the Company recognizes revenues when control of the promised products is transferred to the Company's customers, in an amount that reflects the consideration the Company expects to be entitled to in exchange for those products (the transaction price). Control transfers to the customer at a point in time. To indicate the transfer of control, the Company must have a present right to payment and legal title must have passed to the customer. The Company ships most of its products FOB shipping point, and as such, the Company primarily transfers control and records revenue upon shipment. From time to time the Company will grant certain customers, for example governmental customers, FOB destination terms, and the transfer of control for revenue recognition occurs upon receipt.

The remaining performance obligations related to ASC 606 represent the aggregate transaction price allocated to performance obligations with an original contract term greater than one year which are fully or partially unsatisfied at the end of the period. Remaining performance obligations for the Company include the potential obligation to perform under extended warranties, but excludes leases. As of March 31, 2018 the aggregate amount of the transaction price allocated to remaining performance obligations was $264, and the Company expects to recognize $89 of the remaining performance obligations over the subsequent twelve months and the remainder thereafter.

Contract assets primarily relate to the Company's rights to consideration for work completed in relation to its services performed but not billed at the reporting date. The contract assets are transferred to the receivables when the rights become unconditional. Currently, the Company does not have any contract assets which have not transferred to a receivable. Contract liabilities primarily relate to extended warranties where we have received payments but we have not yet satisfied the related performance obligations. The advance consideration received from customers for the services is a contract liability until services are provided to the customer. The $89 of short-term contract liabilities is presented as deferred revenues on the Condensed Consolidated Balance Sheets, and the $175 of long-term contract liabilities is presented within Other Liabilities. For the three months ended March 31, 2018, $7 was recognized as revenue from amounts classified as contract liabilities (i.e. deferred revenues) as of January 1, 2018.

The following table presents the Company's revenue disaggregated by segment and geographical region for the three months ended March 31, 2018. Domestic refers to revenue from customers based in the United States, and substantially all foreign revenue is derived from dermatology procedures equipment sales to the Company's international master distributor for physicians based in Asia.

  
Dermatology
Recurring
Procedures
  
Dermatology
Procedures
Equipment
  
TOTAL
 
Domestic
 
$
4,498
  
$
657
  
$
5,155
 
Foreign
  
-
   
1,311
   
1,311
 
Total
 
$
4,498
  
$
1,968
  
$
6,466
 
             
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Inventories
3 Months Ended
Mar. 31, 2018
Inventories [Abstract]  
Inventories
Note 4
Inventories:
  
March 31, 2018
  
December 31, 2017
 
  
(unaudited)
    
Raw materials and work in progress
 
$
2,601
  
$
2,490
 
Finished goods
  
428
   
519
 
Total inventories
 
$
3,029
  
$
3,009
 
Work-in-process is immaterial, given the Company's typically short manufacturing cycle, and therefore is disclosed in conjunction with raw materials.
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Property and Equipment, net
3 Months Ended
Mar. 31, 2018
Property and Equipment, net [Abstract]  
Property and Equipment, net
Note 5
Property and Equipment, net:
  
March 31, 2018
  
December 31, 2017
 
  
(unaudited)
    
Lasers placed-in-service
 
$
17,746
  
$
17,820
 
Equipment, computer hardware and software
  
462
   
462
 
Furniture and fixtures
  
130
   
124
 
Leasehold improvements
  
31
   
31
 
   
18,369
   
18,437
 
Accumulated depreciation and amortization
  
(11,453
)
  
(10,734
)
Property and equipment, net
 
$
6,916
  
$
7,703
 
Depreciation and related amortization expense was $986 and $1,089 for the three months ended March 31, 2018 and 2017, respectively.
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Intangible Assets, net
3 Months Ended
Mar. 31, 2018
Intangible Assets, net [Abstract]  
Intangible Assets, net
Note 6
Intangible Assets, net:
Set forth below is a detailed listing of definite-lived intangible assets:
  
March 31, 2018
  
December 31, 2017
 
  
(unaudited)
    
Core technology
 
$
5,700
  
$
5,700
 
Product technology
  
1,500
   
1,500
 
Customer relationships
  
6,900
   
6,900
 
Tradenames
  
1,500
   
1,500
 
Distribution rights
  
-
   
286
 
   
15,600
   
15,886
 
Accumulated amortization
  
(4,928
)
  
(4,561
)
Intangible assets, net
 
$
10,672
  
$
11,325
 
Related amortization expense was $427 and $454 for the three months ended March 31, 2018 and 2017, respectively.
During the three months ended March 31, 2018, the Company wrote off distribution rights of $286 and accumulated amortization of $60 related to the discontinuance of the Nordlys product. The value written off of $226 was recorded in selling and marketing expense. See Note 17, Subsequent Events for details on the termination of the distribution rights agreement.
Estimated amortization expense for the above amortizable intangible assets for future periods is as follows:
Remaining 2018
 
$
1,207
 
2019
  
1,610
 
2020
  
1,510
 
2021
  
1,410
 
2022
  
1,410
 
Thereafter
  
3,525
 
Total
 
$
10,672
 
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Other Accrued Liabilities
3 Months Ended
Mar. 31, 2018
Other Accrued Liabilities [Abstract]  
Other Accrued Liabilities
Note 7
Other Accrued Liabilities:
  
March 31, 2018
  
December 31, 2017
 
  
(unaudited)
    
Accrued warranty, current
 
$
120
  
$
109
 
Accrued compensation, including commissions and vacation
  
744
   
785
 
Accrued sales and other taxes
  
872
   
904
 
Distributor rights liability, current
  
88
   
85
 
Accrued professional fees and other accrued liabilities
  
392
   
477
 
Total other accrued liabilities
 
$
2,216
  
$
2,360
 

Included in accrued sales and other taxes are certain estimated sales and use taxes and related penalties and interest to taxing authorities. The Company has been subject to audits performed by the taxing authorities. The Company uses estimates when accruing its sales and use tax liability, including interest and penalties. All of the Company's tax positions are subject to audit. While the Company believes all of its estimates and assumptions are reasonable and will be sustained upon audit, actual liabilities and credits may differ significantly. The Company believes its accruals cover all probable payments relating to sales and use taxes.
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Long-term Debt
3 Months Ended
Mar. 31, 2018
Long-term Debt [Abstract]  
Long-term Debt
Note 8
Long-term Debt:
  
March 31, 2018
  
December 31, 2017
 
  
(unaudited)
    
Term note, net of debt discount of $141 and $160, respectively; and deferred financing cost of $151 and $171, respectively
 
$
10,279
  
$
10,240
 
Less: current portion
  
(3,410
)
  
(2,387
)
Total long-term debt
 
$
6,869
  
$
7,853
 
Term-Note Credit Facility
On December 30, 2015, the Company entered into a $12,000 credit facility pursuant to a Credit and Security Agreement (the "Agreement") and related financing documents with MidCap Financial Trust ("MidCap") and the lenders listed therein. Under the Agreement, the credit facility may be drawn down in two tranches, the first of which was drawn for $10,500 on December 30, 2015. The proceeds of this first tranche were used to repay $10,000 principal amount of short-term senior secured promissory notes, plus associated interest, loan fees and expenses. The second tranche was drawn for $1,500 on January 29, 2016. The maturity date of the credit facility is December 1, 2020. The Company's obligations under the credit facility are secured by a first priority lien on all of the Company's assets. This credit facility includes both financial and non-financial covenants, including a minimum net revenue covenant. On November 10, 2017, the minimum net revenue covenant was amended prospectively. Additionally on November 10, 2017, the Company entered into an amendment to modify the principal payments including a period of six months where there are no principal payments due. The interest rate on the credit facility is one month LIBOR plus 8.25%, subject to a LIBOR floor of 0.5% (9.91% as of March 31, 2018).
On March 26, 2018 we entered into a Third Amendment to the Agreement with MidCap. For the period beginning on the closing date of the loan and ending on January 31, 2018, the gross revenue in accordance with GAAP for the twelve-month period ending on the last day of the most recently completed calendar month was amended to be less than the minimum amount on the Covenant Schedule. The Amendment waives the event of default related to the revenue covenant for period ending February 2018. The Amendment also amends the monthly net revenue covenant for March and April 2018. The Company was in compliance with the covenant as of March 31, 2018.
The following table summarizes the future payments that the Company is obligated to make for the long-term debt for the future periods:
Remaining in 2018
 
$
2,387
 
2019
  
4,092
 
2020
  
4,092
 
  
$
10,571
 
XML 27 R15.htm IDEA: XBRL DOCUMENT v3.8.0.1
Convertible Debentures
3 Months Ended
Mar. 31, 2018
Convertible Debentures [Abstract]  
Convertible Debentures
Note 9
Convertible Debentures:
The total outstanding convertible debentures was exchanged for convertible Preferred C stock on September 20, 2017, thus there was no remaining outstanding balance as of March 31, 2018 or December 31, 2017.
Total interest expense related to these convertible debentures was $0 and $990 for the three months ended March 31, 2018 and 2017, respectively.
XML 28 R16.htm IDEA: XBRL DOCUMENT v3.8.0.1
Warrants
3 Months Ended
Mar. 31, 2018
Warrants [Abstract]  
Warrants
Note 10
Warrants:
The Company accounts for warrants that require net cash settlement upon change of control of the Company as liabilities instead of equity. Currently there are 403,090 of such warrants with an exercise price of $3.75 per share and they expire between February 5, 2019 and April 30, 2019. The fair value of these derivatives is insignificant as of March 31, 2018 and December 31, 2017, respectively. The change in fair value of these derivatives was recorded as $1 of other income and $132 of other expense for the three months ended March 31, 2018 and 2017, respectively.
XML 29 R17.htm IDEA: XBRL DOCUMENT v3.8.0.1
Stockholders' Equity
3 Months Ended
Mar. 31, 2018
Stockholders' Equity [Abstract]  
Stockholders' Equity
Note 11
Stockholders' Equity:
Common Stock and Warrants
Outstanding common stock warrants at March 31, 2018 consist of the following:
Issue Date
 
Expiration Date
 
Total Warrants
  
Exercise Price
 
         
4/26/2013
 
4/26/2018
  
13,865
  
$
55.90
 
10/31/2013*
 
4/30/2019
  
137,143
  
$
3.75
 
2/5/2014*
 
2/5/2019
  
265,947
  
$
3.75
 
7/24/2014
 
7/24/2019
  
1,239,769
  
$
3.75 - $ 12.25
 
6/22/2015
 
6/22/2020
  
600,000
  
$
3.75
 
12/30/2015
 
12/30/2020
  
130,089
  
$
5.65
 
1/29/2016
 
1/29/2021
  
19,812
  
$
5.30
 
     
2,406,625
     
*These warrants are classified as liabilities.
XML 30 R18.htm IDEA: XBRL DOCUMENT v3.8.0.1
Stock-based compensation
3 Months Ended
Mar. 31, 2018
Stock-based compensation [Abstract]  
Stock-based compensation
Note 12
Stock-based compensation:
At March 31, 2018, the Company had 2,208,781 options outstanding with a weighted-average exercise price of $2.38. 538,029 options are vested and exercisable.
On March 30, 2018, the Company issued 1,557,628 options to purchase common stock to its Interim Chief Executive Officer with a strike price of $1.12. The options vest over three years and expire ten years from the date of grant. The aggregate fair value of the options granted was $950.
Stock-based compensation expense, which is included in general and administrative expense, for the three months ended March 31, 2018 and 2017 was $19 and $52, respectively. As of March 31, 2018 there was $1,034 in unrecognized compensation expense, which will be recognized over a weighted average period of 1.7 years.
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Income taxes
3 Months Ended
Mar. 31, 2018
Income taxes [Abstract]  
Income taxes
Note 13
Income taxes:
The Company accounts for income taxes using the asset and liability method for deferred income taxes. The provision for income taxes includes federal, state and local income taxes currently payable and deferred taxes resulting from temporary differences between the financial statement and tax bases of assets and liabilities. Valuation allowances are recorded to reduce deferred tax assets when it is more likely than not that a tax benefit will not be realized.
Income tax expense of $40 and $70 for the three months ended March 31, 2018 and 2017, respectively, was comprised of the change in deferred tax liability related to goodwill. Goodwill is an amortizing asset according to tax regulations. This generates a deferred tax liability that is not used to offset deferred tax assets for valuation allowance considerations.
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Business Segments and Geographic Data
3 Months Ended
Mar. 31, 2018
Business Segments and Geographic Data [Abstract]  
Business Segments and Geographic Data
Note 14
Business Segments and Geographic Data:
The Company organized its business into three operating segments to better align its organization based upon the Company's management structure, products and services offered, markets served and types of customers, as follows: The Dermatology Recurring Procedures segment derives its revenues from the XTRAC procedures performed by dermatologists. The Dermatology Procedures Equipment segment generates revenues from the sale of equipment, such as lasers and lamp products. The Dermatology Imaging segment generated revenues from the sale and usage of imaging devices. The Company has announced that it will no longer support the imaging devices effective September 30, 2017 thus there will be minimal continuing revenues for this segment. Management reviews financial information presented on an operating segment basis for the purposes of making certain operating decisions and assessing financial performance.
Unallocated operating expenses include costs that are not specific to a particular segment but are general to the group; included are expenses incurred for administrative and accounting staff, general liability and other insurance, professional fees and other similar corporate expenses. Interest expense and other income (expense), net are also not allocated to the operating segments.
The following tables reflect results of operations from our business segments for the periods indicated below:
Three Months Ended March 31, 2018 (unaudited)

  
Dermatology
Recurring
Procedures
  
Dermatology
Procedures
Equipment
  
TOTAL
 
Revenues
 
$
4,498
  
$
1,968
  
$
6,466
 
Costs of revenues
  
1,949
   
1,346
   
3,295
 
Gross profit
  
2,549
   
622
   
3,171
 
Gross profit %
  
56.7
%
  
31.6
%
  
49.0
%
             
Allocated operating expenses:
            
Engineering and product development
  
274
   
64
   
338
 
Selling and marketing expenses
  
2,216
   
655
   
2,871
 
             
Unallocated operating expenses
  
-
   
-
   
1,803
 
   
2,490
   
719
   
5,012
 
Income (loss) from operations
  
59
   
(97
)
  
(1,841
)
             
Interest expense, net
  
-
   
-
   
(363
)
Other income, net
  
-
   
-
   
21
 
             
Income (loss) before income taxes
 
$
59
  
(97
)
 
(2,183
)

Three Months Ended March 31, 2017 (unaudited)

  
Dermatology
Recurring
Procedures
  
Dermatology
Procedures
Equipment
  
Dermatology
Imaging
  
TOTAL
 
Revenues
 
$
5,556
  
$
1,537
  
$
4
  
$
7,097
 
Costs of revenues
  
2,042
   
691
   
-
   
2,733
 
Gross profit
  
3,514
   
846
   
4
   
4,364
 
Gross profit %
  
63.2
%
  
55.0
%
  
100.0
%
  
61.5
%
                 
Allocated operating expenses:
                
Engineering and product development
  
416
   
58
   
1
   
475
 
Selling and marketing expenses
  
2,773
   
202
   
-
   
2,975
 
                 
Unallocated operating expenses
  
-
   
-
   
-
   
1,601
 
   
3,189
   
260
   
1
   
5,051
 
Income (loss) from operations
  
325
   
586
   
3
   
(687
)
                 
Interest expense, net
  
-
   
-
   
-
   
(1,346
)
Other expense, net
  
-
   
-
   
-
   
(132
)
                 
Income (loss) before income taxes
 
$
325
  
$
586
  
$
3
  
(2,165
)
                 
For the three months ended March 31, 2018 and 2017 there were no material net revenues attributable to any individual foreign country. Net revenues by geographic area were, as follows:
  
Three Months Ended
March 31,
 
  
2018
  
2017
 
Domestic
 
$
5,155
  
$
6,014
 
Foreign
  
1,311
   
1,083
 
  
$
6,466
  
$
7,097
 
         
Long-lived assets were 100% located in domestic markets as of March 31, 2018 and December 31, 2017.
XML 33 R21.htm IDEA: XBRL DOCUMENT v3.8.0.1
Significant Customer Concentration
3 Months Ended
Mar. 31, 2018
Significant Customer Concentration [Abstract]  
Significant Customer Concentration
Note 15
Significant Customer Concentration:
For the three months ended March 31, 2018, revenues from sales to the Company's international master distributor (GlobalMed Technologies) were $1,311, or 20.3%, of total revenues for such period. At March 31, 2018, the accounts receivable balance from GlobalMed Technologies was $360, or 14.5%, of total net accounts receivable.

For the three months ended March 31, 2017, revenues from sales to GlobalMed Technologies were $1,078, or 15.2%, of total revenues for such period. At March 31, 2017, the accounts receivable balance from GlobalMed Technologies was $467, or 15.6%, of total net accounts receivable.

No other customer represented more than 10% of total company revenues for the three months ended March 31, 2018 and 2017. No other customer represented more than 10% of total accounts receivable as of March 31, 2018 and 2017.
XML 34 R22.htm IDEA: XBRL DOCUMENT v3.8.0.1
Related Parties
3 Months Ended
Mar. 31, 2018
Related Parties [Abstract]  
Related Parties
Note 16
Related Parties:
On June 22, 2015, the Company entered into a securities purchase agreement with the Purchasers, including certain funds managed by Sabby Management, LLC and Broadfin Capital LLC (existing Company shareholders), in connection with a private placement. The Purchasers were issued Warrants to purchase an aggregate of 0.6 million shares of common stock, having an exercise price of $3.75 per share. We also issued $32.5 million aggregate principal amount of Debentures that, subject to certain ownership limitations and stockholder approval conditions, were convertible into 8,666,668 shares of common stock at an initial conversion price of $3.75 per share. The Debentures were bearing interest at the rate of 2.25% per year, and, unless previously converted, were to mature on the five-year anniversary of the date of issuance. Refer to Note 9 for information on the interest expense relating to the Debentures. On September 30, 2015, the Company repriced outstanding Warrants held by certain investors to reduce the exercise price to $3.75 per share.
On June 6, 2017, the Company entered into a Securities Exchange Agreement (the "Agreement") with the holders of its 2.25% Senior Series A Secured Convertible Debentures due June 30, 2021 and 4% Senior Secured Convertible Debentures due July 30, 2021, pursuant to which the holders have agreed to exchange all of such outstanding debentures into shares of newly created Series C Convertible Preferred Stock. The stockholders approved the exchange at the stockholders' meeting held on September 14, 2017. The closing of the exchange was effective on September 20, 2017 and $40,465 of principal was exchanged for 40,482 shares of Series C Preferred Stock. In accordance with ASC Topic 470, Debt, the aforementioned exchange was treated as an extinguishment of debt.
On November 4, 2015, the Company entered into consulting agreements with two of its directors, Jeffrey F. O'Donnell, Sr. and Samuel E. Navarro, the terms of which were the same. Under the terms of their respective agreements, each director agreed to provide strategic support, advice and guidance to the Company and its management team in connection with the integration and operation of the expanded business, investor relations and internal and external business development activities. The respective consultant made himself available to the Company's President and Chief Executive Officer and the management team on request at mutually convenient times and reported to the Board of Directors quarterly and otherwise when requested by the Board. The agreements had been extended through June 30 and December 31, 2017 for Mr. Navarro and Mr. O'Donnell, respectively. The directors were each to be paid an up-front fee of $40 for advice and services rendered prior to the date of the agreement, including advice related to the acquisition of the XTRAC and VTRAC assets and the structuring of the financing for that acquisition, a retainer of $10 per month, commencing November 10, 2015 and continuing on the tenth day of each month through the expiration of their respective agreements, and reimbursement of pre-approved, out-of-pocket expenses. The agreements expired per their terms on June 30, 2017 and December 31, 2017, respectively, and no extensions or renewals of the agreement were entered into.
During 2017, Modevity LLC ("Modevity"), the developer of the ARALOC Secure Content Distribution Platform, a software system for sharing proprietary and / or confidential content files over the internet and allowing its users to collaborate securely from any mobile or desktop device, has provided certain consulting services to the Company advising on the development of our digital media and marketing initiatives, including providing assistance in our first limited test of targeted advertising using Facebook. Our Board member, James Coyne, has been the Chief Executive Officer of Modevity since helping to found the company in April 2004. To date, Modevity has provided this assistance without charge to the Company. Independent of these services provided by Modevity, in November 2017 the Company entered into an agreement with Olympic Media, a company founded by Ryan Coyne, the son of James Coyne, to create and execute a focused tactical plan to leverage new and existing digital assets across social and digital platforms to drive psoriasis and vitiligo sufferers to the Company's website and call center for conversion to new patient appointments. The agreement with Olympic Media provides for no minimum payments or other financial commitments and is terminable by either party without penalty on ten days written notice. During the three months ended 2018, the Company incurred $13 of expense related to Olympic Media. James Coyne has no financial interest in Olympic Media.
XML 35 R23.htm IDEA: XBRL DOCUMENT v3.8.0.1
Subsequent Events
3 Months Ended
Mar. 31, 2018
Subsequent Events [Abstract]  
Subsequent Events
Note 17
Subsequent Events:
From April 1, 2018 through May 11, 2018, investors converted Series C Preferred Stock into 2,679,211 shares of common stock.
On April 30, 2018, the Company received a letter from Ellipse A/S that acknowledges the Company's termination of all salespeople engaged with the sale of Nordlys products and terminates the distribution agreement effective May 31, 2018. The Company is in the process of arranging for continuity of its service and warranty obligations for Nordlys products previously sold under the distribution agreement.
XML 36 R24.htm IDEA: XBRL DOCUMENT v3.8.0.1
The Company (Policies)
3 Months Ended
Mar. 31, 2018
The Company [Abstract]  
Accounting Principles
Accounting Principles
The consolidated financial statements have been prepared in accordance with accounting principles generally accepted in the United States of America ("GAAP").
Principles of Consolidation
Principles of Consolidation
The consolidated financial statements include the accounts of the Company and its wholly-owned subsidiary in India. All significant intercompany balances and transactions have been eliminated in consolidation.
Unaudited interim consolidated financial statements
Unaudited interim consolidated financial statements
The accompanying interim consolidated financial statements have been prepared pursuant to the rules and regulations of the United States Securities and Exchange Commission ("SEC") for interim financial reporting. These consolidated statements are unaudited and, in the opinion of management, include all adjustments (consisting of normal recurring adjustments and accruals) necessary to state fairly the consolidated balance sheets, consolidated statements of comprehensive loss, consolidated statements of cash flows and consolidated statement of changes in equity, for the periods presented in accordance with GAAP. The consolidated balance sheet at December 31, 2017 has been derived from the audited consolidated financial statements at that date. Operating results and cash flows for the three months ended March 31, 2018 are not necessarily indicative of the results that may be expected for the fiscal year ending December 31, 2018, or any other future period. Certain information and footnote disclosures normally included in annual financial statements prepared in accordance with GAAP have been omitted in accordance with the rules and regulations for interim reporting of the SEC. These interim consolidated financial statements should be read in conjunction with the consolidated financial statements and notes thereto included in our Annual Report on Form 10-K  for the year ended
December 31, 2017, and other forms filed with the SEC from time to time.
Reclassifications
Reclassifications
Certain reclassifications from the prior year presentation have been made to conform to the current year presentation. These reclassifications did not have a material impact on the Company's equity, net assets, results of operations or cash flows.
The Company records co-pay reimbursements made to patients receiving laser treatments as a reduction of revenue. For the three months ended March 31, 2017 the Company reclassified such reimbursements in the amount of $175 from selling and marketing expenses to revenues.
Significant Accounting Policies
Significant Accounting Policies
The significant accounting policies used in preparation of these condensed consolidated financial statements are disclosed in our 2017 Form 10-K, and there have been no changes to the Company's significant account policies during the three months ended March 31, 2018 except for the adoption of the new revenue recognition standard as discussed under Adoption of New Accounting Standards later within this Note 1.
Use of Estimates
Use of Estimates
The preparation of the consolidated financial statements in conformity with GAAP requires management to make estimates and assumptions that affect amounts reported of assets and liabilities at the date of the financial statements and the reported amount of revenues and expenses during the reporting periods. Actual results could differ from those estimates and be based on events different from those assumptions. As of March 31, 2018, the more significant estimates include (1) revenue recognition, in regards to deferred revenues and valuation allowances of accounts receivable, (2) the estimated useful lives of intangible assets and property and equipment, (3) the inputs used in determining the fair value of equity-based awards, (4) the valuation allowance related to deferred tax assets and (5) the fair value of financial instruments, including derivative instruments.
Fair Value Measurements
Fair Value Measurements
The Company measures and discloses fair value in accordance with Financial Accounting Standards Board ("FASB") Accounting Standards Codification 820, Fair Value Measurements and Disclosures ("ASC Topic 820"). ASC Topic 820 defines fair value, establishes a framework and gives guidance regarding the methods used for measuring fair value, and expands disclosures about fair value measurements. Fair value is an exit price, representing the amount that would be received to sell an asset or paid to transfer a liability in an orderly transaction between market participants at the measurement date. As such, fair value is a market-based measurement that should be determined based on assumptions that market participants would use in pricing an asset or liability. As a basis for considering such assumptions there exists a three-tier fair value hierarchy which prioritizes the inputs used in measuring fair value as follows:
 
Level 1 – unadjusted quoted prices are available in active markets for identical assets or liabilities that the Company has the ability to access as of the measurement date.
 
Level 2 – pricing inputs are other than quoted prices in active markets that are directly observable for the asset or liability or indirectly observable through corroboration with observable market data.
 
Level 3 – pricing inputs are unobservable for the non-financial asset or liability and only used when there is little, if any, market activity for the non-financial asset or liability at the measurement date. The inputs into the determination of fair value require significant management judgment or estimation. Fair value is determined using comparable market transactions and other valuation methodologies, adjusted as appropriate for liquidity, credit, market and/or other risk factors.

This hierarchy requires the Company to use observable market data, when available, and to minimize the use of unobservable inputs when determining fair value.
The fair value of cash and cash equivalents are based on their respective demand value, which are equal to the carrying value. The fair value of derivative warrant liabilities is estimated using option pricing models that are based on the fair value of the Company's common stock as well as assumptions for volatility, remaining expected life, and the risk-free interest rate. The derivative warrant liabilities are the only recurring Level 3 fair value measures. The carrying value of all other short-term monetary assets and liabilities is estimated to be approximate to their fair value due to the short-term nature of these instruments. As of March 31, 2018 and December 31, 2017, the Company assessed its long-term debt (including the current portion) and determined that the fair value of total debt approximated its book value due to the rate on the debt being at market.

Several of the warrants outstanding as of March 31, 2018 and 2017 have non-standard terms as they relate to a fundamental transaction and require a net-cash settlement upon change in control of the Company. All such warrants are classified as derivatives and are the Company's only recurring fair value measurement. These warrants have been recorded at their fair value using a binomial option pricing model and continue to be recorded at their respective fair value at each subsequent balance sheet date until such terms expire. See Note 10, Warrants, for additional discussion. The fair value of the derivatives was insignificant at March 31, 2018 and December 31, 2017, respectively.
Earnings Per Share
Earnings Per Share
The Company calculates net income (loss) per share in accordance with ASC 260, Earnings per Share. Under ASC 260, basic net income (loss) per common share is calculated by dividing net income by the weighted-average number of common shares outstanding during the reporting period and excludes dilution for potentially dilutive securities. Diluted earnings per share gives effect to dilutive options, warrants and other potential common shares outstanding during the period.
The Company's Series C Preferred Shares are subordinate to all other securities at the same subordination level as common stock and they participate in all dividends and distributions declared or paid with respect to common stock of the Company, on an as-converted basis. Therefore, the Series C Preferred Shares meet the definition of common stock under ASC 260. Earnings per share is presented for each class of security meeting the definition of common stock. The net loss is allocated to each class of security meeting the definition of common stock based on their contractual terms.
The following table presents the calculation of basic and diluted net loss per share by each class of security for the three months ended March 31, 2018:
  
Three Months Ended
March 31, 2018
 
  
Common stock
  
Series C Preferred stock
 
       
Net loss
 
(547
)
 
(1,676
)
         
Weighted average number of shares outstanding during the period
  
4,371,369
   
36,002
 
         
Basic and Diluted net loss per share
 
(0.13
)
 
(46.54
)
For the three months ended March 31, 2018, diluted net loss per common share and Series C Preferred share is equal to the basic net loss per common share and Series C Preferred share, respectively, since all potentially dilutive securities are antidilutive.
For the three months ended March 31, 2017, diluted net loss per common share is equal to the basic net loss per common share since all potentially dilutive securities are antidilutive. The loss on the change in fair value of the warrant liability would be considered in the diluted earnings per share calculation and was deemed to be antidilutive.
The weighted average of potential common stock equivalents outstanding during the three months ended March 31, 2018 and 2017 consist of common stock equivalents of senior secured convertible debentures, common stock purchase warrants, convertible preferred stock and common stock options, which are summarized as follows:
  
March 31,
  
2018
 
2017
Common stock equivalents of convertible debentures
 
-
 
9,206,526
Common stock purchase warrants
 
2,406,625
 
2,406,625
Common stock equivalents of convertible preferred stock
 
13,383,691
 
467,836
Common stock options
 
876,127
 
898,331
Total
 
16,666,443
 
12,979,318
Adoption of New Accounting Standards
Adoption of New Accounting Standards
Effective January 1, 2018, the Company adopted Accounting Standards Update ("ASU") 2014-09, Revenue from Contracts with Customers (Topic 606) using the modified retrospective method with a cumulative adjustment that increased its accumulated deficit and deferred revenue by approximately $234 as of January 1, 2018. The cumulative adjustment was related to the promise to provide service type warranties related to sales of dermatology procedures equipment. A portion of the transaction price of equipment sold with these service type warranties is allocated to such warranties based on their stand-alone selling price, and the Company now recognizes revenue from these service type warranties ratably over the warranty term. The method used to estimate stand-alone selling price is the price observed in transactions where the customer is charged a discrete price for the extended warranty.
Other than the above change related to warranties, the adoption of this standard did not have an impact on the Company's results of operations for the three months ended March 31, 2018. The impact from adopting this standard on the Company's statement of operations and comprehensive loss for the three months ended March 31, 2018 is as follows:
  
For the Three Months Ended March 31, 2018
 
Statement of Operations and Comprehensive Loss
 
As Reported
  
Balances Without
Adoption of ASC 606
  
Effect of Adoption
Higher / (Lower)
 
          
Revenues
 
$
6,466
  
$
6,496
  
(30
)

See Note 3 for additional information.
Recently Issued Accounting Standards
Recently Issued Accounting Standards
In July 2017, the FASB issued a two-part ASU 2017-11, "(Part I) Accounting for Certain Financial Instruments with Down Round Features, (Part II) Replacement of the Indefinite Deferral for Mandatorily Redeemable Financial Instruments of Certain Nonpublic Entities and Certain Mandatorily Redeemable Non-controlling Interests with a Scope Exception." For public business entities, the amendments in Part 1 of ASU 2017-11 are effective for fiscal years, and interim periods within those fiscal years, beginning after December 15, 2018. Early adoption is permitted for all entities, including adoption in an interim period. The amendments in Part 2 of ASU 2017-11 do not require any transition guidance because those amendments do not have an accounting effect. The Company is currently evaluating the impact of this guidance on the Company's consolidated financial statements.
In January 2017, the FASB issued ASU 2017-04, Intangibles – Goodwill and Other (Topic 350): Simplifying the Test for Goodwill Impairment. The new guidance eliminated Step 2 from the goodwill impairment test which was required in computing the implied fair value of goodwill. Instead, under the new amendments, an entity should recognize an impairment charge for the amount by which the carrying amount exceeds the reporting unit's fair value, however, the loss recognized should not exceed the total amount of goodwill allocated to that reporting unit. If applicable, an entity should consider income tax effects from any tax deductible goodwill on the carrying amount of the reporting unit when measuring the goodwill impairment loss. The amendments in this guidance are effective for public business entities for annual and interim goodwill impairment tests performed in fiscal years beginning after December 15, 2019 with early adoption permitted after January 1, 2017. As the Company has not identified a goodwill impairment loss, currently this guidance does not have an impact on the Company's financial statements.

In February 2016, the FASB issued ASU 2016-02: Leases. The ASU introduces a lessee model that results in most leases impacting the balance sheet. Under ASU 2016-02, lessees will be required to recognize, for all leases with terms longer than 12 months, at the commencement date of the lease, a lease liability, which is a lessee's obligation to make lease payments arising from a lease measured on a discounted basis, and a right-to-use asset, which is an asset that represents the lessee's right to use or control the use of a specified asset for the lease term. Leases will be classified as either finance or operating, with classification affecting the pattern of expense recognition. Also, the new standard aligns many of the underlying principles of the new lessor model with those in ASC 606, the FASB's new revenue recognition model. The update is effective for fiscal years beginning after December 15, 2018, including interim periods within those fiscal years. While we continue to evaluate the effect of adopting this guidance on our consolidated financial statements and related disclosures, we expect our operating leases will be subject to the new standard. We will recognize right-of-use assets and operating lease liabilities on our consolidated balance sheets upon adoption, which will increase our total assets and liabilities. With regard to the Company's revenue from short-term leases, we do not expect the new standard to have a material impact on our consolidated financial statements.
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The Company (Tables)
3 Months Ended
Mar. 31, 2018
The Company [Abstract]  
Calculation of Basic and Diluted Net Loss Per Share by Class of Security
The following table presents the calculation of basic and diluted net loss per share by each class of security for the three months ended March 31, 2018:
  
Three Months Ended
March 31, 2018
 
  
Common stock
  
Series C Preferred stock
 
       
Net loss
 
(547
)
 
(1,676
)
         
Weighted average number of shares outstanding during the period
  
4,371,369
   
36,002
 
         
Basic and Diluted net loss per share
 
(0.13
)
 
(46.54
)
Schedule of Antidilutive Securities Excluded from Computation of Earnings Per Share
The weighted average of potential common stock equivalents outstanding during the three months ended March 31, 2018 and 2017 consist of common stock equivalents of senior secured convertible debentures, common stock purchase warrants, convertible preferred stock and common stock options, which are summarized as follows:
  
March 31,
  
2018
 
2017
Common stock equivalents of convertible debentures
 
-
 
9,206,526
Common stock purchase warrants
 
2,406,625
 
2,406,625
Common stock equivalents of convertible preferred stock
 
13,383,691
 
467,836
Common stock options
 
876,127
 
898,331
Total
 
16,666,443
 
12,979,318
Impact of Adoption of New Accounting Standards on the Statement of Operations and Comprehensive Loss
The impact from adopting this standard on the Company's statement of operations and comprehensive loss for the three months ended March 31, 2018 is as follows:
  
For the Three Months Ended March 31, 2018
 
Statement of Operations and Comprehensive Loss
 
As Reported
  
Balances Without
Adoption of ASC 606
  
Effect of Adoption
Higher / (Lower)
 
          
Revenues
 
$
6,466
  
$
6,496
  
(30
)
XML 38 R26.htm IDEA: XBRL DOCUMENT v3.8.0.1
Revenue (Tables)
3 Months Ended
Mar. 31, 2018
Revenue [Abstract]  
Disaggregation of Revenue
The following table presents the Company's revenue disaggregated by segment and geographical region for the three months ended March 31, 2018. Domestic refers to revenue from customers based in the United States, and substantially all foreign revenue is derived from dermatology procedures equipment sales to the Company's international master distributor for physicians based in Asia.

  
Dermatology
Recurring
Procedures
  
Dermatology
Procedures
Equipment
  
TOTAL
 
Domestic
 
$
4,498
  
$
657
  
$
5,155
 
Foreign
  
-
   
1,311
   
1,311
 
Total
 
$
4,498
  
$
1,968
  
$
6,466
 
             
XML 39 R27.htm IDEA: XBRL DOCUMENT v3.8.0.1
Inventories (Tables)
3 Months Ended
Mar. 31, 2018
Inventories [Abstract]  
Schedule of Inventory
  
March 31, 2018
  
December 31, 2017
 
  
(unaudited)
    
Raw materials and work in progress
 
$
2,601
  
$
2,490
 
Finished goods
  
428
   
519
 
Total inventories
 
$
3,029
  
$
3,009
 
XML 40 R28.htm IDEA: XBRL DOCUMENT v3.8.0.1
Property and Equipment, net (Tables)
3 Months Ended
Mar. 31, 2018
Property and Equipment, net [Abstract]  
Summary of Property and Equipment, Net
  
March 31, 2018
  
December 31, 2017
 
  
(unaudited)
    
Lasers placed-in-service
 
$
17,746
  
$
17,820
 
Equipment, computer hardware and software
  
462
   
462
 
Furniture and fixtures
  
130
   
124
 
Leasehold improvements
  
31
   
31
 
   
18,369
   
18,437
 
Accumulated depreciation and amortization
  
(11,453
)
  
(10,734
)
Property and equipment, net
 
$
6,916
  
$
7,703
 
XML 41 R29.htm IDEA: XBRL DOCUMENT v3.8.0.1
Intangible Assets, net (Tables)
3 Months Ended
Mar. 31, 2018
Intangible Assets, net [Abstract]  
Schedule of Definite-lived Intangible Assets
Set forth below is a detailed listing of definite-lived intangible assets:
  
March 31, 2018
  
December 31, 2017
 
  
(unaudited)
    
Core technology
 
$
5,700
  
$
5,700
 
Product technology
  
1,500
   
1,500
 
Customer relationships
  
6,900
   
6,900
 
Tradenames
  
1,500
   
1,500
 
Distribution rights
  
-
   
286
 
   
15,600
   
15,886
 
Accumulated amortization
  
(4,928
)
  
(4,561
)
Intangible assets, net
 
$
10,672
  
$
11,325
 
Finite-lived Intangible Assets Amortization Expense
Estimated amortization expense for the above amortizable intangible assets for future periods is as follows:
Remaining 2018
 
$
1,207
 
2019
  
1,610
 
2020
  
1,510
 
2021
  
1,410
 
2022
  
1,410
 
Thereafter
  
3,525
 
Total
 
$
10,672
 
XML 42 R30.htm IDEA: XBRL DOCUMENT v3.8.0.1
Other Accrued Liabilities (Tables)
3 Months Ended
Mar. 31, 2018
Other Accrued Liabilities [Abstract]  
Schedule of Other Accrued Liabilities
  
March 31, 2018
  
December 31, 2017
 
  
(unaudited)
    
Accrued warranty, current
 
$
120
  
$
109
 
Accrued compensation, including commissions and vacation
  
744
   
785
 
Accrued sales and other taxes
  
872
   
904
 
Distributor rights liability, current
  
88
   
85
 
Accrued professional fees and other accrued liabilities
  
392
   
477
 
Total other accrued liabilities
 
$
2,216
  
$
2,360
 
XML 43 R31.htm IDEA: XBRL DOCUMENT v3.8.0.1
Long-term Debt (Tables)
3 Months Ended
Mar. 31, 2018
Long-term Debt [Abstract]  
Long-term Debt
  
March 31, 2018
  
December 31, 2017
 
  
(unaudited)
    
Term note, net of debt discount of $141 and $160, respectively; and deferred financing cost of $151 and $171, respectively
 
$
10,279
  
$
10,240
 
Less: current portion
  
(3,410
)
  
(2,387
)
Total long-term debt
 
$
6,869
  
$
7,853
 
Summary of Maturities of Long-term Debt
The following table summarizes the future payments that the Company is obligated to make for the long-term debt for the future periods:
Remaining in 2018
 
$
2,387
 
2019
  
4,092
 
2020
  
4,092
 
  
$
10,571
 
XML 44 R32.htm IDEA: XBRL DOCUMENT v3.8.0.1
Stockholders' Equity (Tables)
3 Months Ended
Mar. 31, 2018
Stockholders' Equity [Abstract]  
Summary of Outstanding Common Stock Warrants
Outstanding common stock warrants at March 31, 2018 consist of the following:
Issue Date
 
Expiration Date
 
Total Warrants
  
Exercise Price
 
         
4/26/2013
 
4/26/2018
  
13,865
  
$
55.90
 
10/31/2013*
 
4/30/2019
  
137,143
  
$
3.75
 
2/5/2014*
 
2/5/2019
  
265,947
  
$
3.75
 
7/24/2014
 
7/24/2019
  
1,239,769
  
$
3.75 - $ 12.25
 
6/22/2015
 
6/22/2020
  
600,000
  
$
3.75
 
12/30/2015
 
12/30/2020
  
130,089
  
$
5.65
 
1/29/2016
 
1/29/2021
  
19,812
  
$
5.30
 
     
2,406,625
     
*These warrants are classified as liabilities.
XML 45 R33.htm IDEA: XBRL DOCUMENT v3.8.0.1
Business Segments and Geographic Data (Tables)
3 Months Ended
Mar. 31, 2018
Business Segments and Geographic Data [Abstract]  
Schedule of Segment Reporting Information by Segment
The following tables reflect results of operations from our business segments for the periods indicated below:
Three Months Ended March 31, 2018 (unaudited)

  
Dermatology
Recurring
Procedures
  
Dermatology
Procedures
Equipment
  
TOTAL
 
Revenues
 
$
4,498
  
$
1,968
  
$
6,466
 
Costs of revenues
  
1,949
   
1,346
   
3,295
 
Gross profit
  
2,549
   
622
   
3,171
 
Gross profit %
  
56.7
%
  
31.6
%
  
49.0
%
             
Allocated operating expenses:
            
Engineering and product development
  
274
   
64
   
338
 
Selling and marketing expenses
  
2,216
   
655
   
2,871
 
             
Unallocated operating expenses
  
-
   
-
   
1,803
 
   
2,490
   
719
   
5,012
 
Income (loss) from operations
  
59
   
(97
)
  
(1,841
)
             
Interest expense, net
  
-
   
-
   
(363
)
Other income, net
  
-
   
-
   
21
 
             
Income (loss) before income taxes
 
$
59
  
(97
)
 
(2,183
)

Three Months Ended March 31, 2017 (unaudited)

  
Dermatology
Recurring
Procedures
  
Dermatology
Procedures
Equipment
  
Dermatology
Imaging
  
TOTAL
 
Revenues
 
$
5,556
  
$
1,537
  
$
4
  
$
7,097
 
Costs of revenues
  
2,042
   
691
   
-
   
2,733
 
Gross profit
  
3,514
   
846
   
4
   
4,364
 
Gross profit %
  
63.2
%
  
55.0
%
  
100.0
%
  
61.5
%
                 
Allocated operating expenses:
                
Engineering and product development
  
416
   
58
   
1
   
475
 
Selling and marketing expenses
  
2,773
   
202
   
-
   
2,975
 
                 
Unallocated operating expenses
  
-
   
-
   
-
   
1,601
 
   
3,189
   
260
   
1
   
5,051
 
Income (loss) from operations
  
325
   
586
   
3
   
(687
)
                 
Interest expense, net
  
-
   
-
   
-
   
(1,346
)
Other expense, net
  
-
   
-
   
-
   
(132
)
                 
Income (loss) before income taxes
 
$
325
  
$
586
  
$
3
  
(2,165
)
                 
Schedule of Net Revenues by Geographic Areas
For the three months ended March 31, 2018 and 2017 there were no material net revenues attributable to any individual foreign country. Net revenues by geographic area were, as follows:
  
Three Months Ended
March 31,
 
  
2018
  
2017
 
Domestic
 
$
5,155
  
$
6,014
 
Foreign
  
1,311
   
1,083
 
  
$
6,466
  
$
7,097
 
         
XML 46 R34.htm IDEA: XBRL DOCUMENT v3.8.0.1
The Company, Background (Details)
$ in Thousands
3 Months Ended
Mar. 31, 2018
USD ($)
Systems
Extension
Dec. 31, 2017
USD ($)
Business Acquisition [Line Items]    
Intangible assets, gross $ 15,600 $ 15,886
Esthetic Education, LLC [Member]    
Business Acquisition [Line Items]    
Agreement period 3 years  
Number of extensions allowed | Extension 2  
Period of extension 1 year  
Ellipse New Agreement [Member]    
Business Acquisition [Line Items]    
License fee for initial term $ 355  
Intangible assets, gross $ 286  
XTRAC [Member]    
Business Acquisition [Line Items]    
Number of systems placed in dermatologists offices | Systems 746  
XML 47 R35.htm IDEA: XBRL DOCUMENT v3.8.0.1
The Company, Reclassifications (Details) - USD ($)
$ in Thousands
3 Months Ended
Mar. 31, 2018
Mar. 31, 2017
Reclassifications from Prior Year Presentation [Line Items]    
Selling and marketing expenses $ 2,871 $ 2,975
Revenues $ 6,466 7,097
Reclassification [Member]    
Reclassifications from Prior Year Presentation [Line Items]    
Selling and marketing expenses   (175)
Revenues   $ 175
XML 48 R36.htm IDEA: XBRL DOCUMENT v3.8.0.1
The Company, Earnings Per Share (Details) - USD ($)
$ / shares in Units, $ in Thousands
3 Months Ended
Mar. 31, 2018
Mar. 31, 2017
Earnings Per Share, Basic, by Common Class, Including Two Class Method [Line Items]    
Net loss $ (2,223) $ (2,235)
Antidilutive Securities Excluded from Computation of Earnings Per Share [Line Items]    
Potential common stock equivalents (in shares) 16,666,443 12,979,318
Common Stock [Member]    
Earnings Per Share, Basic, by Common Class, Including Two Class Method [Line Items]    
Net loss $ (547)  
Weighted average number of shares outstanding during the period (in shares) 4,371,369 2,176,731
Basic and Diluted net loss per share (in dollars per share) $ (0.13) $ (1.03)
Series C Preferred Stock [Member]    
Earnings Per Share, Basic, by Common Class, Including Two Class Method [Line Items]    
Net loss $ (1,676)  
Weighted average number of shares outstanding during the period (in shares) 36,002 0
Basic and Diluted net loss per share (in dollars per share) $ (46.54) $ 0
Shares used in computing net loss per basic and diluted preferred share (in shares) 36,002  
Net loss per basic and diluted preferred share (in dollars per share) $ (46.54)  
Common Stock Equivalents of Convertible Debentures [Member]    
Antidilutive Securities Excluded from Computation of Earnings Per Share [Line Items]    
Potential common stock equivalents (in shares) 0 9,206,526
Common Stock Purchase Warrants [Member]    
Antidilutive Securities Excluded from Computation of Earnings Per Share [Line Items]    
Potential common stock equivalents (in shares) 2,406,625 2,406,625
Common Stock Equivalents of Convertible Preferred Stock [Member]    
Antidilutive Securities Excluded from Computation of Earnings Per Share [Line Items]    
Potential common stock equivalents (in shares) 13,383,691 467,836
Common Stock Options [Member]    
Antidilutive Securities Excluded from Computation of Earnings Per Share [Line Items]    
Potential common stock equivalents (in shares) 876,127 898,331
XML 49 R37.htm IDEA: XBRL DOCUMENT v3.8.0.1
The Company, Adoption of New Accounting Standards (Details) - USD ($)
$ in Thousands
3 Months Ended
Mar. 31, 2018
Mar. 31, 2017
Dec. 31, 2017
Statement of Operations and Comprehensive Loss [Abstract]      
Revenues $ 6,466 $ 7,097  
ASU 2014-09 [Member]      
New Accounting Pronouncements or Change in Accounting Principle [Line Items]      
Adoption of accounting standard (234)    
Balances Without Adoption of ASC 606 [Member] | ASU 2014-09 [Member]      
Statement of Operations and Comprehensive Loss [Abstract]      
Revenues 6,496    
Effect of Adoption Higher / (Lower) [Member] | ASU 2014-09 [Member]      
New Accounting Pronouncements or Change in Accounting Principle [Line Items]      
Deferred revenue     $ 234
Statement of Operations and Comprehensive Loss [Abstract]      
Revenues (30)    
Effect of Adoption Higher / (Lower) [Member] | ASU 2014-09 [Member] | Accumulated Deficit [Member]      
New Accounting Pronouncements or Change in Accounting Principle [Line Items]      
Adoption of accounting standard $ (234)    
XML 50 R38.htm IDEA: XBRL DOCUMENT v3.8.0.1
Liquidity and Going Concern (Details)
$ / shares in Units, $ in Thousands
3 Months Ended
Apr. 10, 2018
BoardMember
Mar. 30, 2018
USD ($)
$ / shares
shares
Mar. 31, 2018
USD ($)
Dec. 31, 2017
USD ($)
Class of Stock [Line Items]        
Expected equity financing investment   $ 17,000    
Equity financing cost     $ 844  
Accumulated deficit     $ (231,863) $ (229,406)
Revenue covenants, cure period in the event of default     30 days  
Revenue covenants, additional cure period in the event of default     10 days  
Broadfin Capital [Member] | Subsequent Event [Member]        
Class of Stock [Line Items]        
Percentage of blocker prior to record date for meeting of shareholders 9.99%      
Sabby Management [Member] | Subsequent Event [Member]        
Class of Stock [Line Items]        
Percentage of blocker prior to record date for meeting of shareholders 9.99%      
Accelmed Stock Purchase Agreement [Member]        
Class of Stock [Line Items]        
Breakup fee   $ 600    
Closing fee percentage   4.00%    
Expected investment advisory fees   $ 692    
Expected investment advisory retainer fees   100    
Remaining balance of expected investment advisory fees   592    
Accelmed Stock Purchase Agreement [Member] | Minimum [Member]        
Class of Stock [Line Items]        
Professional fees   400    
Accelmed Stock Purchase Agreement [Member] | Maximum [Member]        
Class of Stock [Line Items]        
Professional fees   500    
Accelmed Stock Purchase Agreement [Member] | Subsequent Event [Member] | Minimum [Member]        
Class of Stock [Line Items]        
Number of current board members expected to resign | BoardMember 5      
Accelmed Stock Purchase Agreement [Member] | Accelmed Growth Partners L.P. [Member]        
Class of Stock [Line Items]        
Expected equity financing investment   $ 13,000    
Share price (in dollars per share) | $ / shares   $ 1.08    
Expected equity financing investment (in shares) | shares   12,037,037    
Broadfin Capital and Sabby Management Stock Purchase Agreements [Member]        
Class of Stock [Line Items]        
Preferred stock, conversion price (in dollars per share) | $ / shares   $ 1.296    
Broadfin Capital and Sabby Management Stock Purchase Agreements [Member] | Broadfin Capital [Member]        
Class of Stock [Line Items]        
Expected equity financing investment   $ 1,000    
Share price (in dollars per share) | $ / shares   $ 1.08    
Expected equity financing investment (in shares) | shares   925,926    
Broadfin Capital and Sabby Management Stock Purchase Agreements [Member] | Sabby Management [Member]        
Class of Stock [Line Items]        
Expected equity financing investment   $ 1,000    
Share price (in dollars per share) | $ / shares   $ 1.08    
Expected equity financing investment (in shares) | shares   925,926    
Midcap Non-binding Letter of Intent [Member]        
Class of Stock [Line Items]        
Expected equity financing investment   $ 14,000    
Percentage of blocker prior to record date for meeting of shareholders   19.99%    
Repayment on current facility   $ 3,000    
Expected base amount of loan   7,571    
Term of loan     48 months  
Term for payment of interest only     18 months  
Term for payment of principal amount     30 months  
Subscription Agreement [Member] | Gohan Investments, Ltd [Member]        
Class of Stock [Line Items]        
Expected equity financing investment   $ 1,000    
Share price (in dollars per share) | $ / shares   $ 1.08    
Expected equity financing investment (in shares) | shares   925,926    
Subscription Agreement [Member] | Dr. Dolev Rafaeli [Member]        
Class of Stock [Line Items]        
Expected equity financing investment   $ 1,000    
Share price (in dollars per share) | $ / shares   $ 1.08    
Expected equity financing investment (in shares) | shares   925,926    
Term-Note Credit Facility [Member]        
Class of Stock [Line Items]        
Line of credit outstanding under credit facility agreement     $ 10,279 $ 10,240
XML 51 R39.htm IDEA: XBRL DOCUMENT v3.8.0.1
Revenue, Total Remaining Performance Obligation (Details)
$ in Thousands
Mar. 31, 2018
USD ($)
Remaining Performance Obligation [Abstract]  
Remaining performance obligations $ 264
XML 52 R40.htm IDEA: XBRL DOCUMENT v3.8.0.1
Revenue, Remaining Performance Obligation (Details)
$ in Thousands
3 Months Ended
Mar. 31, 2018
USD ($)
Remaining Performance Obligation [Abstract]  
Remaining performance obligations $ 264
Revenue, Remaining Performance Obligation, Expected Timing of Satisfaction, Start Date [Axis]: 2019-04-01  
Remaining Performance Obligation [Abstract]  
Remaining performance obligations $ 89
Expected timing of satisfaction, period 12 months
XML 53 R41.htm IDEA: XBRL DOCUMENT v3.8.0.1
Revenue, Contract Liabilities (Details)
$ in Thousands
3 Months Ended
Mar. 31, 2018
USD ($)
Contract with Customer, Liability [Abstract]  
Short-term contract liabilities $ 89
Long-term contract liabilities 175
Change in Contract with Customer, Liability [Abstract]  
Contract liabilities recognized as revenue $ 7
XML 54 R42.htm IDEA: XBRL DOCUMENT v3.8.0.1
Revenue, Disaggregation of Revenue (Details) - USD ($)
$ in Thousands
3 Months Ended
Mar. 31, 2018
Mar. 31, 2017
Revenue from Contract with Customer, Excluding Assessed Tax [Abstract]    
Revenues $ 6,466 $ 7,097
Dermatology Recurring Procedures [Member]    
Revenue from Contract with Customer, Excluding Assessed Tax [Abstract]    
Revenues 4,498  
Dermatology Procedures Equipment [Member]    
Revenue from Contract with Customer, Excluding Assessed Tax [Abstract]    
Revenues 1,968  
Domestic [Member]    
Revenue from Contract with Customer, Excluding Assessed Tax [Abstract]    
Revenues 5,155  
Domestic [Member] | Dermatology Recurring Procedures [Member]    
Revenue from Contract with Customer, Excluding Assessed Tax [Abstract]    
Revenues 4,498  
Domestic [Member] | Dermatology Procedures Equipment [Member]    
Revenue from Contract with Customer, Excluding Assessed Tax [Abstract]    
Revenues 657  
Foreign [Member]    
Revenue from Contract with Customer, Excluding Assessed Tax [Abstract]    
Revenues 1,311  
Foreign [Member] | Dermatology Recurring Procedures [Member]    
Revenue from Contract with Customer, Excluding Assessed Tax [Abstract]    
Revenues 0  
Foreign [Member] | Dermatology Procedures Equipment [Member]    
Revenue from Contract with Customer, Excluding Assessed Tax [Abstract]    
Revenues $ 1,311  
XML 55 R43.htm IDEA: XBRL DOCUMENT v3.8.0.1
Inventories (Details) - USD ($)
$ in Thousands
Mar. 31, 2018
Dec. 31, 2017
Schedule of inventory [Abstract]    
Raw materials and work in progress $ 2,601 $ 2,490
Finished goods 428 519
Total inventories $ 3,029 $ 3,009
XML 56 R44.htm IDEA: XBRL DOCUMENT v3.8.0.1
Property and Equipment, net (Details) - USD ($)
$ in Thousands
3 Months Ended
Mar. 31, 2018
Mar. 31, 2017
Dec. 31, 2017
Property, Plant and Equipment [Line Items]      
Property and equipment, gross $ 18,369   $ 18,437
Accumulated depreciation and amortization (11,453)   (10,734)
Property and equipment, net 6,916   7,703
Depreciation and related amortization expense 986 $ 1,089  
Lasers Placed-In-Service [Member]      
Property, Plant and Equipment [Line Items]      
Property and equipment, gross 17,746   17,820
Equipment, Computer Hardware and Software [Member]      
Property, Plant and Equipment [Line Items]      
Property and equipment, gross 462   462
Furniture and Fixtures [Member]      
Property, Plant and Equipment [Line Items]      
Property and equipment, gross 130   124
Leasehold Improvements [Member]      
Property, Plant and Equipment [Line Items]      
Property and equipment, gross $ 31   $ 31
XML 57 R45.htm IDEA: XBRL DOCUMENT v3.8.0.1
Intangible Assets, net (Details) - USD ($)
$ in Thousands
3 Months Ended
Mar. 31, 2018
Mar. 31, 2017
Dec. 31, 2017
Finite-Lived Intangible Assets [Line Items]      
Patents and licensed technologies, gross $ 15,600   $ 15,886
Accumulated amortization (4,928)   (4,561)
Intangible assets, net 10,672   11,325
Amortization expense of intangible assets 427 $ 454  
Impairment of intangible assets 226 $ 0  
Estimated amortization expense [Abstract]      
Remaining 2018 1,207    
2019 1,610    
2020 1,510    
2021 1,410    
2022 1,410    
Thereafter 3,525    
Intangible assets, net 10,672   11,325
Nordlys Product [Member]      
Finite-Lived Intangible Assets [Line Items]      
Write-off of accumulated amortization of discontinued operations 60    
Core Technology [Member]      
Finite-Lived Intangible Assets [Line Items]      
Patents and licensed technologies, gross 5,700   5,700
Product Technology [Member]      
Finite-Lived Intangible Assets [Line Items]      
Patents and licensed technologies, gross 1,500   1,500
Customer Relationships [Member]      
Finite-Lived Intangible Assets [Line Items]      
Patents and licensed technologies, gross 6,900   6,900
Tradenames [Member]      
Finite-Lived Intangible Assets [Line Items]      
Patents and licensed technologies, gross 1,500   1,500
Distribution Rights [Member]      
Finite-Lived Intangible Assets [Line Items]      
Patents and licensed technologies, gross 0   $ 286
Impairment of intangible assets 286    
Distribution Rights [Member] | Selling and Marketing Expense [Member]      
Finite-Lived Intangible Assets [Line Items]      
Impairment of intangible assets $ 226    
XML 58 R46.htm IDEA: XBRL DOCUMENT v3.8.0.1
Other Accrued Liabilities (Details) - USD ($)
$ in Thousands
Mar. 31, 2018
Dec. 31, 2017
Other Accrued Liabilities [Abstract]    
Accrued warranty, current $ 120 $ 109
Accrued compensation, including commissions and vacation 744 785
Accrued sales and other taxes 872 904
Distributor rights liability, current 88 85
Accrued professional fees and other accrued liabilities 392 477
Total other accrued liabilities $ 2,216 $ 2,360
XML 59 R47.htm IDEA: XBRL DOCUMENT v3.8.0.1
Long-term Debt (Details)
$ in Thousands
3 Months Ended
Jan. 29, 2016
USD ($)
Dec. 30, 2015
USD ($)
Mar. 31, 2018
USD ($)
Tranche
Dec. 31, 2017
USD ($)
Long-term Debt [Abstract]        
Less: current portion     $ (3,410) $ (2,387)
Long-term debt     6,869 7,853
Term-Note Credit Facility [Member]        
Long-term Debt [Abstract]        
Term note, net of debt discount of $141 and $160, respectively; and deferred financing cost of $151 and $171, respectively     10,279 10,240
Less: current portion     (3,410) (2,387)
Long-term debt     6,869 7,853
Unamortized discount on the long term debt     141 160
Deferred financing costs     151 $ 171
Maturities of Long-term Debt [Abstract]        
Remaining in 2018     2,387  
2019     4,092  
2020     4,092  
Total long-term debt     10,571  
MidCap Financial Trust [Member] | Term-Note Credit Facility [Member]        
Long-term Debt [Abstract]        
Maximum borrowing capacity under the agreement     $ 12,000  
Number of tranches | Tranche     2  
Maturity date     Dec. 01, 2020  
MidCap Financial Trust [Member] | Term-Note Credit Facility [Member] | LIBOR [Member]        
Long-term Debt [Abstract]        
Debt instrument term of variable rate     1 month  
Debt instrument variable rate     8.25%  
Interest rate     9.91%  
MidCap Financial Trust [Member] | Term-Note Credit Facility [Member] | LIBOR [Member] | Minimum [Member]        
Long-term Debt [Abstract]        
LIBOR floor rate     0.50%  
MidCap Financial Trust [Member] | Term-Note Credit Facility [Member] | First Tranche [Member]        
Long-term Debt [Abstract]        
Proceeds from credit facility   $ 10,500    
Repayment of debt   $ (10,000)    
MidCap Financial Trust [Member] | Term-Note Credit Facility [Member] | Second Tranche [Member]        
Long-term Debt [Abstract]        
Proceeds from credit facility $ 1,500      
XML 60 R48.htm IDEA: XBRL DOCUMENT v3.8.0.1
Convertible Debentures (Details) - Series C Convertible Preferred Stock [Member] - USD ($)
$ in Thousands
3 Months Ended
Mar. 31, 2018
Mar. 31, 2017
Dec. 31, 2017
Debt Instrument [Line Items]      
Total convertible debt $ 0   $ 0
Interest expense on debt $ 0 $ 990  
XML 61 R49.htm IDEA: XBRL DOCUMENT v3.8.0.1
Warrants (Details) - USD ($)
$ / shares in Units, $ in Thousands
3 Months Ended
Mar. 31, 2018
Mar. 31, 2017
Fair Value Assumptions [Abstract]    
Change in fair value of warrant liability $ (1) $ 132
Warrant [Member]    
Fair Value Assumptions [Abstract]    
Number of shares underlying the warrants (in shares) 403,090  
Share price (in dollars per share) $ 3.75  
Change in fair value of warrant liability $ (1) $ 132
XML 62 R50.htm IDEA: XBRL DOCUMENT v3.8.0.1
Stockholders' Equity (Details)
3 Months Ended
Mar. 31, 2018
$ / shares
shares
Class of Warrant or Right [Line Items]  
Total Warrants (in shares) | shares 2,406,625
Common Stock Warrant One [Member]  
Class of Warrant or Right [Line Items]  
Issue Date Apr. 26, 2013
Expiration Date Apr. 26, 2018
Total Warrants (in shares) | shares 13,865
Exercise price (in dollars per share) | $ / shares $ 55.90
Common Stock Warrant Two [Member]  
Class of Warrant or Right [Line Items]  
Issue Date Oct. 31, 2013 [1]
Expiration Date Apr. 30, 2019
Total Warrants (in shares) | shares 137,143
Exercise price (in dollars per share) | $ / shares $ 3.75
Common Stock Warrant Three [Member]  
Class of Warrant or Right [Line Items]  
Issue Date Feb. 05, 2014 [1]
Expiration Date Feb. 05, 2019
Total Warrants (in shares) | shares 265,947
Exercise price (in dollars per share) | $ / shares $ 3.75
Common Stock Warrant Four [Member]  
Class of Warrant or Right [Line Items]  
Issue Date Jul. 24, 2014
Expiration Date Jul. 24, 2019
Total Warrants (in shares) | shares 1,239,769
Common Stock Warrant Four [Member] | Minimum [Member]  
Class of Warrant or Right [Line Items]  
Exercise price (in dollars per share) | $ / shares $ 3.75
Common Stock Warrant Four [Member] | Maximum [Member]  
Class of Warrant or Right [Line Items]  
Exercise price (in dollars per share) | $ / shares $ 12.25
Common Stock Warrant Five [Member]  
Class of Warrant or Right [Line Items]  
Issue Date Jun. 22, 2015
Expiration Date Jun. 22, 2020
Total Warrants (in shares) | shares 600,000
Exercise price (in dollars per share) | $ / shares $ 3.75
Common Stock Warrant Six [Member]  
Class of Warrant or Right [Line Items]  
Issue Date Dec. 30, 2015
Expiration Date Dec. 30, 2020
Total Warrants (in shares) | shares 130,089
Exercise price (in dollars per share) | $ / shares $ 5.65
Common Stock Warrant Seven [Member]  
Class of Warrant or Right [Line Items]  
Issue Date Jan. 29, 2016
Expiration Date Jan. 29, 2021
Total Warrants (in shares) | shares 19,812
Exercise price (in dollars per share) | $ / shares $ 5.30
[1] These warrants are classified as liabilities.
XML 63 R51.htm IDEA: XBRL DOCUMENT v3.8.0.1
Stock-based compensation (Details) - USD ($)
$ / shares in Units, $ in Thousands
3 Months Ended
Mar. 30, 2018
Mar. 31, 2018
Mar. 31, 2017
Number of Stock Options [Roll Forward]      
Stock-based compensation expense   $ 19 $ 52
Unrecognized compensation expense   $ 1,034  
Unrecognized compensation expense, weighted average period   1 year 8 months 12 days  
Stock Options [Member]      
Number of Stock Options [Roll Forward]      
Stock based compensation options outstanding (in shares)   2,208,781  
Stock based compensation weighted average exercise price (in dollars per share)   $ 2.38  
Stock based compensation vested (in shares)   538,029  
Stock based compensation exercisable (in shares)   538,029  
Stock Options [Member] | March 30, 2018 [Member] | Interim Chief Executive Officer [Member]      
Number of Stock Options [Roll Forward]      
Shares issued (in shares) 1,557,628    
Purchase price (in dollars per share) $ 1.12    
Term of vesting 3 years    
Expiry period of option 10 years    
Aggregate fair value of shares issued $ 950    
XML 64 R52.htm IDEA: XBRL DOCUMENT v3.8.0.1
Income taxes (Details) - USD ($)
$ in Thousands
3 Months Ended
Mar. 31, 2018
Mar. 31, 2017
Income taxes [Abstract]    
Income tax expense change in deferred tax liability related to goodwill $ 40 $ 70
XML 65 R53.htm IDEA: XBRL DOCUMENT v3.8.0.1
Business Segments and Geographic Data (Details)
$ in Thousands
3 Months Ended 12 Months Ended
Mar. 31, 2018
USD ($)
Segment
Mar. 31, 2017
USD ($)
Dec. 31, 2017
Segment Reporting Information [Line Items]      
Number of operating segments | Segment 3    
Results of Operations from Business Segments [Abstract]      
Revenues $ 6,466 $ 7,097  
Cost of revenues 3,295 2,733  
Gross profit $ 3,171 $ 4,364  
Gross profit % 49.00% 61.50%  
Allocated operating expenses [Abstract]      
Engineering and product development $ 338 $ 475  
Selling and marketing expenses 2,871 2,975  
Unallocated operating expenses 1,803 1,601  
Total operating expenses 5,012 5,051  
Operating loss before other income (expense), net (1,841) (687)  
Interest expense, net (363) (1,346)  
Other income (expense), net 21 (132)  
Income (loss) before income taxes (2,183) (2,165)  
Domestic [Member]      
Results of Operations from Business Segments [Abstract]      
Revenues 5,155    
Foreign [Member]      
Results of Operations from Business Segments [Abstract]      
Revenues $ 1,311    
Long Lived Assets [Member] | Geographic Concentration Risk [Member] | Domestic [Member]      
Allocated operating expenses [Abstract]      
Concentration risk percentage 100.00%   100.00%
Dermatology Recurring Procedures [Member]      
Results of Operations from Business Segments [Abstract]      
Revenues $ 4,498    
Dermatology Recurring Procedures [Member] | Domestic [Member]      
Results of Operations from Business Segments [Abstract]      
Revenues 4,498    
Dermatology Recurring Procedures [Member] | Foreign [Member]      
Results of Operations from Business Segments [Abstract]      
Revenues 0    
Dermatology Procedures Equipment [Member]      
Results of Operations from Business Segments [Abstract]      
Revenues 1,968    
Dermatology Procedures Equipment [Member] | Domestic [Member]      
Results of Operations from Business Segments [Abstract]      
Revenues 657    
Dermatology Procedures Equipment [Member] | Foreign [Member]      
Results of Operations from Business Segments [Abstract]      
Revenues 1,311    
Operating Segments [Member] | Dermatology Recurring Procedures [Member]      
Results of Operations from Business Segments [Abstract]      
Revenues 4,498 5,556  
Cost of revenues 1,949 2,042  
Gross profit $ 2,549 $ 3,514  
Gross profit % 56.70% 63.20%  
Allocated operating expenses [Abstract]      
Engineering and product development $ 274 $ 416  
Selling and marketing expenses 2,216 2,773  
Unallocated operating expenses 0 0  
Total operating expenses 2,490 3,189  
Operating loss before other income (expense), net 59 325  
Interest expense, net 0 0  
Other income (expense), net 0 0  
Income (loss) before income taxes 59 325  
Operating Segments [Member] | Dermatology Procedures Equipment [Member]      
Results of Operations from Business Segments [Abstract]      
Revenues 1,968 1,537  
Cost of revenues 1,346 691  
Gross profit $ 622 $ 846  
Gross profit % 31.60% 55.00%  
Allocated operating expenses [Abstract]      
Engineering and product development $ 64 $ 58  
Selling and marketing expenses 655 202  
Unallocated operating expenses 0 0  
Total operating expenses 719 260  
Operating loss before other income (expense), net (97) 586  
Interest expense, net 0 0  
Other income (expense), net 0 0  
Income (loss) before income taxes (97) 586  
Operating Segments [Member] | Dermatology Imaging [Member]      
Results of Operations from Business Segments [Abstract]      
Revenues   4  
Cost of revenues   0  
Gross profit   $ 4  
Gross profit %   100.00%  
Allocated operating expenses [Abstract]      
Engineering and product development   $ 1  
Selling and marketing expenses   0  
Unallocated operating expenses   0  
Total operating expenses   1  
Operating loss before other income (expense), net   3  
Interest expense, net   0  
Other income (expense), net   0  
Income (loss) before income taxes   3  
Reportable Geographical Components [Member] | Domestic [Member]      
Results of Operations from Business Segments [Abstract]      
Revenues 5,155 6,014  
Reportable Geographical Components [Member] | Foreign [Member]      
Results of Operations from Business Segments [Abstract]      
Revenues $ 1,311 $ 1,083  
XML 66 R54.htm IDEA: XBRL DOCUMENT v3.8.0.1
Significant Customer Concentration (Details) - Customer Concentration Risk [Member] - USD ($)
$ in Thousands
3 Months Ended
Mar. 31, 2018
Mar. 31, 2017
Revenue [Member]    
Product Information [Line Items]    
Revenues $ 1,311 $ 1,078
Concentration risk percentage 20.30% 15.20%
Accounts Receivable [Member]    
Product Information [Line Items]    
Accounts receivable $ 360 $ 467
Concentration risk percentage 14.50% 15.60%
XML 67 R55.htm IDEA: XBRL DOCUMENT v3.8.0.1
Related Parties (Details)
$ / shares in Units, $ in Thousands
3 Months Ended
Sep. 14, 2017
shares
Nov. 04, 2015
USD ($)
Jun. 22, 2015
USD ($)
shares
$ / shares
Mar. 31, 2018
USD ($)
Director
$ / shares
Dec. 31, 2017
$ / shares
Sep. 13, 2017
USD ($)
Jun. 06, 2017
Related Party Transaction [Line Items]              
Preferred stock, par value (in dollars per share) | $ / shares       $ 0.10 $ 0.10    
Number of directors | Director       2      
Series C Convertible Preferred Stock [Member]              
Related Party Transaction [Line Items]              
Aggregate principal amount of debt           $ 40,465  
Senior Secured 4% Convertible Debentures [Member]              
Related Party Transaction [Line Items]              
Interest rate             4.00%
Maturity date       Jul. 30, 2021      
Senior Secured 2.25% Convertible Debentures and Senior Secured 4% Convertible Debentures [Member] | Series C Convertible Preferred Stock [Member]              
Related Party Transaction [Line Items]              
Debt conversion, converted instrument, issued (in shares) | shares 40,482            
Sabby Management LLC and Broadfin LLC [Member]              
Related Party Transaction [Line Items]              
Number of shares underlying warrants (in shares) | shares     600,000        
Exercise price of warrants (in dollars per share) | $ / shares     $ 3.75        
Sabby Management LLC and Broadfin LLC [Member] | Senior Secured 2.25% Convertible Debentures [Member]              
Related Party Transaction [Line Items]              
Exercise price of warrants (in dollars per share) | $ / shares     $ 3.75        
Aggregate principal amount of debt     $ 32,500        
Number of shares debt convertible (in shares) | shares     8,666,668        
Initial conversion price (in dollars per share) | $ / shares     $ 3.75        
Interest rate     2.25%        
Maturity period       5 years      
Maturity date       Jun. 30, 2021      
Two Board Directors [Member]              
Related Party Transaction [Line Items]              
Up-front fee paid   $ 40          
Monthly retainer fee       $ 10      
Olympic Media [Member]              
Related Party Transaction [Line Items]              
Up-front fee paid       $ 13      
Period of written notice without penalty       10 days      
XML 68 R56.htm IDEA: XBRL DOCUMENT v3.8.0.1
Subsequent Events (Details)
1 Months Ended
May 11, 2018
shares
Subsequent Event [Member] | Series C Preferred Stock [Member]  
Subsequent Events [Line Items]  
Preferred stock converted in shares of common stock (in shares) 2,679,211
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