UNITED STATES

SECURITIES AND EXCHANGE COMMISSION

Washington, D.C. 20549

 

FORM 10-Q

(Mark One)

 

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

 

For the quarterly period ended September March 31, 201930, 2017

 

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 1-11388

 

VIVEVE MEDICAL, INC.

(Exact name of registrant as specified in its charter)

 

Delaware

04-3153858

(State or other jurisdiction of incorporation or organization)

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

 

345 Inverness Drive South

Building B, Suite 250

Englewood, CO 80112

(Address of principal executive offices)

(Zip Code)

 

(720) 696-8100

(Registrant’sRegistrant’s telephone number, including area code)

  

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

 

Indicate by check mark whether the registrant has submitted electronically 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 (§232.405 of this chapter) during the preceding 12 months (or for such shorter period thanthat 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 or an emerging growth company. See definition of “accelerated filer,” and “large accelerated filer”, “smaller reporting company” and “emerging growth company” in Rule 12b-2 of the Exchange Act. (Check one):

 

 Large accelerated filer ☐

 

Accelerated filer ☐ ☒

  

 

  

Non-accelerated filer ☐

 

Smaller reporting company ☒

(Do not check if a 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 ☒

 

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

Title of each class

Trading symbol(s)

Name of each exchange on which registered

Common Stock

VIVE

Nasdaq Capital Market

As of November 7, 2017May 8, 2019, the issuer had 19,426,41546,489,010 shares of common stock, par value $0.0001 per share, outstanding.

 

 

 

 

 TABLE OF CONTENTS

 

Note About Forward-Looking Statements

 

 

 

Page

No.No.

PART I

FINANCIAL INFORMATION  

 

  

  

  

Item 1.

Condensed Consolidated Financial Statements (unaudited)

4

  

  

 

Item 2.

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

2023

  

  

  

Item 3.

Quantitative and Qualitative Disclosures About Market Risk

2931

  

  

  

Item 4.

Controls and Procedures

2931

  

  

  

PART II

OTHER INFORMATION

  

  

  

 

Item 1.

Legal Proceedings

2931

  

  

 

Item 1A.

Risk Factors

2932

  

  

  

Item 2.

Unregistered Sales of Equity Securities and Use of Proceeds

2932

  

  

  

Item 3.

Defaults Upon Senior Securities

3032

  

  

  

Item 4.

Mine Safety Disclosures

3032

  

  

  

Item 5.

Other Information

3032

  

  

  

Item 6.

Exhibits

3133

  

  

  

SIGNATURES

3234

 


 

NOTE ABOUT FORWARD-LOOKING STATEMENTS 

 

 

This Quarterly Report on Form 10-Q (the “Quarterly Report”) contains forward-looking statements that involve substantial risks and uncertainties. All statements contained in this Quarterly Report other than statements of historical fact, including statements regarding our future results of operations and financial position, our business strategy and plans, and our objectives for future operations, are forward-looking statements. The words "believe," "may," "will," "estimate," "continue," "anticipate," "intend," "expect," and similar expressions are intended to identify forward-looking statements. We have based these forward-looking statements largely on our current expectations and projections about future events and trends that we believe may affect our financial condition, results of operations, business strategy, short-term and long-term business operations and objectives, and financial needs. These forward-looking statements are subject to a number of risks, uncertainties and assumptions, including those described in Part II, Item 1A. "Risk Factors" in this Quarterly Report. Moreover, we operate in a very competitive and rapidly changing environment. New risks emerge from time to time. It is not possible for our management to predict all risks, nor can we assess the impact of all factors on our business or the extent to which any factor, or combination of factors, may cause actual results to differ materially from those contained in any forward-looking statements we may make. In light of these risks, uncertainties and assumptions, the future events and trends discussed in this Quarterly Report may not occur and actual results could differ materially and adversely from those anticipated or implied in the forward-looking statements.

 

You should read this Quarterly Report on Form 10-Q and the documents that we have filed as exhibits to this Quarterly Report on Form 10-Q completely and with the understanding that our actual future results, performance or achievements may be materially different from what we expect. We undertake no obligation to revise or publicly release the results of any revision to these forward-looking statements, except as required by law. Given these risks and uncertainties, readers are cautioned not to place undue reliance on such forward-looking statements.

 

Unless expressly indicated or the context requires otherwise, the terms "Viveve Medical," the "Company," "we," "us," and "our" in this document refer to Viveve Medical, Inc., a Delaware corporation, and, where appropriate, its wholly owned subsidiaries.

 


 

PART I. FINANCIAL INFORMATION

 

ITEM 1.     Financial Statements (unaudited)

ITEM 1. Financial Statements (unaudited)

 

VIVEVE MEDICAL, INC.

CONDENSED CONSOLIDATED BALANCE SHEETS

(in thousands, except share and per share data)

 

  

September 30,

2017

  

December 31,

2016

 

 

 

(unaudited)

  (1) 

ASSETS

        

Current assets:

        

Cash and cash equivalents

 $19,207  $8,086 

Accounts receivable

  4,833   2,091 

Inventory

  1,903   2,687 

Prepaid expenses and other current assets

  3,217   1,066 

Total current assets

  29,160   13,930 

Property and equipment, net

  1,337   483 

Investment in limited liability company

  2,500   - 

Other assets

  112   136 

Total assets

 $33,109  $14,549 

LIABILITIES AND STOCKHOLDERS' EQUITY (DEFICIT)

        

Current liabilities:

        

Accounts payable

 $3,569  $3,086 

Accrued liabilities

  3,933   2,186 

Note payable, current portion

  -   1,867 

Total current liabilities

  7,502   7,139 

Note payable, noncurrent portion

  18,665   7,762 

Other noncurrent liabilities

  77   53 

Total liabilities

  26,244   14,954 

Commitments and contingences (Note 7)

        

Stockholders’ equity (deficit):

        

Preferred stock, $0.0001 par value; 10,000,000 shares authorized as of September 30, 2017 and December 31, 2016; no shares issued

  -   - 
Common stock, $0.0001 par value; 75,000,000 shares authorized as of September 30, 2017 and December 31, 2016;  19,418,531 and 10,661,201 shares issued and outstanding as of September 30, 2017 and December 31, 2016, respectively   2    1 

Additional paid-in capital

  102,220   68,216 

Accumulated deficit

  (95,357)  (68,622)

Total stockholders’ equity (deficit)

  6,865   (405)

Total liabilities and stockholders’ equity (deficit)

 $33,109  $14,549 

  

March 31,

  

December 31,

 
  

2019

  

2018

 
  

(unaudited)

  (1) 
ASSETS        

Current assets:

        

Cash and cash equivalents

 $17,821  $29,523 

Accounts receivable, net of allowance for doubtful accounts of $395 and $284 as of March 31, 2019 and December 31, 2018, respectively

  4,778   5,704 

Inventory

  3,867   4,119 

Prepaid expenses and other current assets

  3,117   2,558 

Total current assets

  29,583   41,904 

Property and equipment, net

  2,832   2,916 

Investment in limited liability company

  1,718   1,843 

Other assets

  719   171 

Total assets

 $34,852  $46,834 

LIABILITIES AND STOCKHOLDERS' EQUITY (DEFICIT)

        

Current liabilities:

        

Accounts payable

 $2,686  $3,994 

Accrued liabilities

  4,802   6,766 

Total current liabilities

  7,488   10,760 

Note payable, noncurrent portion

  30,927   30,528 

Other noncurrent liabilities

  1,023   634 

Total liabilities

  39,438   41,922 

Commitments and contingences (Note 8)

        

Stockholders’ equity (deficit):

        

Common stock, $0.0001 par value; 75,000,000 shares authorized as of March 31, 2019 and December 31, 2018; 46,435,802 and 46,363,945 shares issued and outstanding as of March 31, 2019 and December 31, 2018, respectively

  5   5 

Additional paid-in capital

  160,823   160,292 

Accumulated deficit

  (165,414)  (155,385)

Total stockholders’ equity (deficit)

  (4,586)  4,912 

Total liabilities and stockholders’ equity (deficit)

 $34,852  $46,834 

 

(1) The condensed consolidated balance sheet as of December 31, 20162018 has been derived from the audited consolidated financial statements as of that date.

 

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

 


 

VIVEVE MEDICAL, INC.

CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS

(in thousands, except share and per share data)

(unaudited)

 

  

Three Months Ended

  

Nine Months Ended

 
  

September 30,

  

September 30,

 
  

2017

  

2016

  

2017

  

2016

 
                 

Revenue

 $4,070  $1,849  $10,187  $4,689 

Cost of revenue

  2,059   1,158   5,515   3,116 

Gross profit

  2,011   691   4,672   1,573 
                 

Operating expenses:

                

Research and development

  3,464   2,054   9,292   6,313 

Selling, general and administrative

  7,369   3,272   19,681   8,435 

Total operating expenses

  10,833   5,326   28,973   14,748 

Loss from operations

  (8,822)  (4,635)  (24,301)  (13,175)

Interest expense, net

  (777)  (221)  (2,385)  (1,094)

Other expense, net

  (16)  (13)  (49)  (22)

Comprehensive and net loss

 $(9,615) $(4,869) $(26,735) $(14,291)
                 
                 

Net loss per share:

                

Basic and diluted

 $(0.50) $(0.46) $(1.59) $(1.63)
                 

Weighted average shares used in computing net loss per common share

                

Basic and diluted

  19,408,920   10,630,468   16,843,706   8,741,667 

  

Three Months Ended

 
  

March 31,

 
  

2019

  

2018

 
         

Revenue

 $3,012  $3,699 

Cost of revenue

  1,941   2,352 

Gross profit

  1,071   1,347 
         

Operating expenses:

        

Research and development

  2,480   3,756 

Selling, general and administrative

  6,626   8,931 

Restructuring costs

  742   - 

Total operating expenses

  9,848   12,687 

Loss from operations

  (8,777)  (11,340)

Interest expense, net

  (1,116)  (1,070)

Other expense, net

  (11)  (10)

Net loss from consolidated companies

  (9,904)  (12,420)

Loss from minority interest in limited liability company

  (125)  (249)

Comprehensive and net loss

 $(10,029) $(12,669)
         
         

Net loss per share:

        

Basic and diluted

 $(0.22) $(0.49)
         

Weighted average shares used in computing net loss per common share:

        

Basic and diluted

  46,371,891   25,846,724 

  

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

 


 

VIVEVE MEDICAL, INC.

CONDENSED CONSOLIDATED STATEMENTS OF STOCKHOLDERS’ EQUITY (DEFICIT)

(in thousands, except share and per share data)

(unaudited)

  

Common Stock,

  

Additional

      

Total

 
  $0.0001 par value  

Paid-In

  

Accumulated

  

Stockholders’

 
  

Shares

  

Amount

  

Capital

  

Deficit

  

Equity (Deficit)

 
                     

Balances as of December 31, 2018

  46,363,945  $5  $160,292  $(155,385) $4,912 

Stock-based compensation expense

  -   -   470   -   470 

Issuance of common shares from employee stock purchase plan

  43,759   -   35   -   35 

Issuance of restricted common shares in connection with consulting agreement

  27,473   -   25   -   25 

Issuance of common shares in connection with restricted stock award to employee

  625   -   1   -   1 

Net loss

  -   -   -   (10,029)  (10,029)

Balances as of March 31, 2019

  46,435,802  $5  $160,823  $(165,414) $(4,586)

  

Common Stock,

  

Additional

      

Total

 
  $0.0001 par value  

Paid-In

  

Accumulated

  

Stockholders’

 
  

Shares

  

Amount

  

Capital

  

Deficit

  

Equity (Deficit)

 
                     

Balances as of December 31, 2017

  19,503,558  $2  $102,979  $(105,581) $(2,600)

February 2018 Offering, net of issuance costs

  11,500,000   1   32,224   -   32,225 

November 2017 ATM Facility, net of issuance cost

  208,277   -   1,011   -   1,011 

Stock-based compensation expense

  -   -   645   -   645 

Issuance of restricted stock awards to directors and consultant

  22,137   -   108   -   108 

Issuance of common shares from employee stock purchase plan

  20,744   -   65   -   65 

Cumulative effect adjustment from adoption of new accounting standard – ASC 606

  -   -   -   177   177 

Net loss

  -   -   -   (12,669)  (12,669)

Balances as of March 31, 2018

  31,254,716  $3  $137,032  $(118,073) $18,962 

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


VIVEVE MEDICAL, INC.

CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS

(in thousands)

(unaudited)

 

 

Nine Months Ended

  

Three Months Ended

 
 

September 30,

  

March 31,

 
 

2017

  

2016

  

2019

  

2018

 
                

Cash flows from operating activities:

                

Net loss

 $(26,735) $(14,291) $(10,029) $(12,669)

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

                

Provision for doubtful accounts

  111   42 

Depreciation and amortization

  318   78   311   150 

Stock-based compensation

  1,314   662   496   753 

Fair value of common stock issued

  260   - 

Fair value of warrants issued

  -   162 

Non-cash interest expense

  762   422   399   386 

Amortization of operating lease right-of-use assets and accretion of operating lease liabilities

  10   - 

Loss from minority interest in limited liability company

  125   249 

Changes in assets and liabilities:

                

Accounts receivable

  (2,742)  (1,214)  815   (828)

Inventory

  422   76   206   (1,497)

Prepaid expenses and other current assets

  (2,151)  (70)  (559)  (561)

Other noncurrent assets

  24   5   17   (2)

Accounts payable

  483   1,045   (1,310)  (934)

Accrued and other liabilities

  1,747   931   (2,202)  (366)

Other noncurrent liabilities

  24   -   52   86 

Net cash used in operating activities

  (26,274)  (12,194)  (11,558)  (15,191)
                

Cash flows from investing activities:

                

Investment in limited liability company

  (2,500)  - 

Purchase of property and equipment

  (810)  (224)  (179)  (462)

Net cash used in investing activities

  (3,310)  (224)  (179)  (462)
                

Cash flows from financing activities:

                

Proceeds from sale of common stock, net of issuance costs

  31,440   13,886   -   33,236 

Proceeds from note payable

  19,214   9,910 

Repayments of note payable

  (10,000)  (4,833)

Proceeds from exercise of warrant

  20   92 

Proceeds from exercise of stock options

  31   14 

Proceeds from issuance of common shares from employee stock purchase plan

  35   65 

Net cash provided by financing activities

  40,705   19,069   35   33,301 

Net increase in cash and cash equivalents

  11,121   6,651 

Net increase (decrease) in cash and cash equivalents

  (11,702)  17,648 
                

Cash and cash equivalents - beginning of period

  8,086   7,360   29,523   20,730 

Cash and cash equivalents - end of period

 $19,207  $14,011  $17,821  $38,378 
                

Supplemental disclosure:

                

Cash paid for interest

 $1,619  $636  $675  $653 

Cash paid for income taxes

 $-  $1  $-  $- 
                
                

Supplemental disclosure of cash flow information as of end of period:

                

Issuance of warrants in connection with note payable

 $940  $350 

Net transfer of equipment from inventory to property and equipment

 $362  $60 
Issuance of note payable in settlement of accrued interest $285  $-  $318  $305 

Restricted stock awards granted to employees for 2015 accrued bonuses

 $-  $246 

Net transfer of equipment between inventory and property and equipment

 $46  $59 
        

Supplemental cash flow information related to leases was as follows:

        

Operating cash outflows from operating leases

 $73     

Right-of-use assets obtained in exchange for operating lease liabilities (upon adoption of ASC 842)

 $629     

 

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

 


 

VIVEVE MEDICAL, INC.

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS

  

1.        The Company and Basis of Presentation

1.

The Company and Basis of Presentation

 

Viveve Medical, Inc. (“Viveve Medical”, the “Company”, “we”, “our”, or “us”) designs, develops, manufactures and markets a platform medical technology, which we refer to as Cryogen-cooled Monopolar RadioFrequency, or CMRF. Our proprietary CMRF technology is delivered through a radiofrequency generator, handpiece and treatment tip, which collectively, we refer to as the Viveve® System. Viveve Medical competes in the women’s intimate health industry in some countries by marketing Geneveve™the Viveve System as a way to improve the overall sexual well-being and quality of life of women suffering from vaginal laxity.introital laxity, for improved sexual function, or stress urinary incontinence, depending on the relevant country-specific clearance or approval.  In the United States, the Viveve System is currently indicated for use in general surgical procedures for electrocoagulation and hemostasis.

 

Public OfferingOfferings

 

On March 22, 2017, In December 2018, in connection with the closing of a public offering (the “March 2017“December 2018 Offering”), the Company issued an aggregate of 8,625,00014,728,504 shares of common stock, including the shares issued in connection with the exercise of the underwritersunderwriters’ overallotment option, at a public offering price of $4.00$1.50 per share for gross proceeds of approximately $22,093,000. The net proceeds to the Company, after deducting underwriting discounts and commissions and other offering expenses, were approximately $20,385,000.  

In February 2018, in connection with the closing of a public offering (the “February 2018 Offering”), the Company issued an aggregate of 11,500,000 shares of common stock, including the shares issued in connection with the exercise of the underwriters’ overallotment option, at a public offering price of $3.00 per share for gross proceeds of approximately $34,500,000. The net proceeds to the Company, after the deduction ofdeducting underwriting discounts and commissions and other offering expenses, were approximately $31,440,000. $32,214,000.  

 

On June 17, 2016, in connection withThe Company established an “at-the-market” equity offering program through the closingfiling of a public offering (the “June 2016 Offering”),prospectus supplement to its shelf registration statement on Form S-3, which was filed on November 8, 2017, under which the Company issued anmay offer and sell, from time-to-time, up to $25,000,000 aggregate offering price of 3,105,000shares of its common stock (the “November 2017 ATM Facility”). During the three months ended March 31, 2019, the Company sold zero shares of common stock includingunder the November 2017 ATM Facility. During the three months ended March 31, 2018, the Company sold 208,277 shares issued in connection withof common stock under the exercise of the underwriters’ overallotment option, at a public offering price of $5.00 per shareNovember 2017 ATM Facility for grossnet proceeds of approximately $15,525,000. The$1,011,000. As of March 31, 2019, the Company has sold 336,498 shares of common stock under the November 2017 ATM Facility for net proceeds to the Company, after the deduction of underwriting discounts, commissions and other offering expenses, were approximately $13,886,000.

Change of Corporate Domicile

On May 9, 2016, the Company filed the necessary Application for Authorization to Continue into Another Jurisdiction and Statutory Declaration with the Yukon registrar. On May 10, 2016, the Company filed a Certificate of Incorporation with the Secretary of State of the State of Delaware to move its domicile from the Yukon Territory to Delaware. In connection with the incorporation in Delaware, the Company's stock now has a par value of $0.0001 per share.$1,318,000.

 

Interim Unaudited Financial Information

 

The accompanying unaudited condensed consolidated financial statements of Viveve Medical have been prepared in accordance with accounting principles generally accepted in the United States of America (“U.S. GAAP”) for interim financial information and pursuant to the instructions to Form 10-Q and Article 8-03 of Regulation S-X. Accordingly, they do not include all of the information and footnotes required by U.S. GAAP for complete financial statements. In the opinion of management, all adjustments, consisting of normal recurring adjustments, considered necessary for a fair presentation of the condensed consolidated financial statements have been included.

 

The accompanying unaudited condensed consolidated financial statements should be read in conjunction with the audited consolidated financial statements and notes thereto included in the Annual Report on Form 10-K for the year ended December 31, 2016,2018, which was filed with the Securities and Exchange Commission on February 16, 2017.March 15, 2019. The results of operations for the three and nine months ended September 30, 2017March 31, 2019 are not necessarily indicative of the results for the year ending December 31, 20172019 or any future interim period.

    

Liquidity and Management Plans

The Company has adopted the Financial Accounting Standards Board’s (“FASB”) Accounting Standard Codification (“ASC”) Topic 205-40, Presentation of Financial Statements – Going Concern, which requires that management evaluate whether there are relevant conditions and events that, in the aggregate, raise substantial doubt about the entity’s ability to continue as a going concern and to meet its obligations as they become due within one year after the date that the financial statements are issued.

 


Since

The accompanying financial statements have been prepared assuming that the Company will continue as a going concern. However, since inception, we have funded our operations primarily through sales of common and preferred stock and borrowing arrangements. We have incurred net losses since our inception, and as of September 30, 2017 have an accumulated deficit of approximately $95.4 million. We expect to continue to incurthe Company has sustained significant operating losses and negative cash flows from operations throughsuch losses are expected to continue for the foreseeable future. DueAs of March 31, 2019, the Company had accumulated a deficit of $165,414,000, cash and cash equivalents of $17,821,000 and working capital of $22,095,000. Additionally, the Company used $11,558,000 in cash for operations in the three months ended March 31, 2019. The Company will require additional cash funding to the proceeds received from the March 2017 Offering, the loan proceeds received and the additional funding expected to be received under the Company’s debt facility (see Note 6) and our forecasted operating results,fund operations through May 9, 2020. Accordingly, management believeshas concluded that the Company does not have sufficient funds to support operations within one year after the date the financial statements are issued and, therefore, the Company concluded there was substantial doubt about the Company’s ability to continue as a going concern, which existed asconcern. Based on management’s plans to reduce operating expenses, including a reduction in force in January 2019, and the availability of our November 2017 ATM Facility, the date of filing our Annual Report on Form 10-K forCompany believes that this substantial doubt has been alleviated.

To fund further operations, the year ended December 31, 2016, is no longer present. InCompany will need to raise additional capital. The Company may obtain additional financing in the future we expect to require additional capital to fund our ongoing operations, respond to business opportunities, challenges, acquisitionsthrough the issuance of its common stock, or unforeseen circumstances and may decide to engage inthrough other equity or debt financingsfinancings. The Company’s ability to continue as a going concern or enter into credit facilities; however, we may not be ablemeet the minimum liquidity requirements in the future is dependent on its ability to timely secure additional debt or equity financing or raise significant additional capital, inof which there can be no assurance. If the public marketsnecessary financing is not obtained or achieved, the Company will likely be required to reduce its planned expenditures, which could have an adverse impact on favorablethe results of operations, financial condition and the Company’s ability to achieve its strategic objective. There can be no assurance that financing will be available on acceptable terms, or at all. If we are unable to obtain adequate financing or financing on terms satisfactory to us, when we require it, our ability to continue to grow or support our business and to respond to business challenges could be significantly limited. As of September 30, 2017, our principal sources of liquidity consisted of cash and cash equivalents of $19.2 million and $10.0 million of additional borrowing capacity under our debt facility.  

  

2.        Summary of Significant Accounting Policies

Summary of Significant Accounting Policies

 

Financial Statement Presentation

 

The condensed consolidated financial statements include the accounts of the Company and our wholly-owned subsidiaries, Viveve, Inc. and Viveve BV. All significant intercompany accounts and transactions have been eliminated in consolidation.

  

Use of Estimates

 

The preparation of condensed consolidated financial statements in conformity with U.S. GAAP requires us to make estimates and judgments that affect the reported amounts of assets, liabilities, revenues, and expenses and the related disclosure of contingent assets and liabilities. We base our estimates on historical experience and on various other assumptions that we believe to be reasonable under the circumstances, the results of which form the basis for making judgments about the carrying values of assets and liabilities that are not readily apparent from other sources. Actual results may differ from these estimates. In addition, any change in these estimates or their related assumptions could have an adverse effect on our operating results. 

Changes in Accounting Policies

Except for the changes for the adoption of the new revenue recognition accounting standard, the Company has consistently applied the accounting policies to all periods presented in these condensed consolidated financial statements.

Adoption of New Accounting Standard - Leases

The Company adopted FASB’s Accounting Standards Update (“ASU”) No. 2016-02, Leases (Topic 842), as of January 1, 2019, using the modified retrospective approach. The modified retrospective approach provides a method for recording existing leases at the beginning of the period of adoption. In addition, the Company elected the package of practical expedients permitted under the transition guidance within the new standard, which among other things, allowed us to carry forward the historical lease classification and we elected the hindsight practical expedient to determine the lease term for existing leases. We determined that the renewal options for the facilities lease would be reasonably certain to be renewed and as such, included that renewal period in determining the expected lease term of that lease. Adoption of the new standard resulted in the recording of operating lease right-of-use assets of $629,000 and operating lease liabilities of $629,000, as of January 1, 2019. The standard did not have an impact on our consolidated results of operations, cash flows or stockholders’ equity previously reported. The comparative information has not been restated and continues to be reported under the accounting standards in effect for those periods.

 


The effect of the changes made to our consolidated January 1, 2019 balance sheet for the adoption of the new lease standard was as follows (in thousands):

      

Adjustments

     
      

Due to

     
  

December 31,

  

Adoption of

  

January 1,

 
  

2018

  

ASC 842

  

2019

 
             

Other assets

 $171  $629(1) $800 

Total assets

 $46,834  $629(1) $47,463 

Accrued liabilities

 $6,766  $230(2) $6,996 

Total current liabilities

 $10,760  $230(2) $10,990 

Other noncurrent liabilities

 $634  $399(2) $1,033 

Total liabilities

 $41,922  $629(2) $42,551 

Total liabilities and stockholders' equity

 $46,834  $629(2) $47,463 

(1)

Represents capitalization of operating lease right-of-use assets and reclassification of deferred rent. 

(2)

Represents recognition of operating lease liabilities.

Cash and Cash Equivalents

The Company considers all highly liquid investments purchased with an original maturity of three months or less, at the time of purchase, to be cash equivalents. The Company’s cash and cash equivalents are deposited in demand accounts primarily at one financial institution. Deposits in this institution may, from time to time, exceed the federally insured amounts.

 

Concentration of Credit Risk and Other Risks and Uncertainties

 

To achieve profitable operations, the Company must successfully develop, manufacture, and market its products. There can be no assurance that any such products can be developed or manufactured at an acceptable cost and with appropriate performance characteristics, or that such products will be successfully marketed. These factors could have a material adverse effect upon the Company’sCompany’s financial results, financial position, and future cash flows.

 

The Company’sMost of the Company’s products likelyto date require clearance or approvalapprovals from the U.S. Food and Drug Administration (“FDA”) or other international regulatory agencies prior to commencing commercial sales. There can be no assurance that the Company’s products will receive any of these required clearances or approvals or for the indications requested. If the Company was denied such clearances or approvals or if such clearances or approvals were delayed, it would have a material adverse effect on the Company’s financial results, financial position and future cash flows.

 

The Company is subject to risks common to companies in the medical device industry including, but not limited to, new technological innovations, dependence on key personnel, protection of proprietary technology, compliance with government regulations, uncertainty of market acceptance of products, product liability, and the need to obtain additional financing. The Company’sCompany’s ultimate success is dependent upon its ability to raise additional capital and to successfully develop and market its products.

 

The Company designs, develops, manufactures and markets a medical device that it refers to as the Viveve System, which is intended for the non-invasive treatment of vaginal introital laxity, for improved sexual function, and for vaginal rejuvenation, for use in general surgical procedures for electrocoagulation and hemostasis, and stress urinary incontinence, depending on the relevant country-specific clearance or approval, that it refers to as Geneveve™. Geneveve includesapproval. The Viveve System consists of three majormain components: the Viveve System™ (aa RF, or radio frequency, generator housed in a table-top console),console, a reusable handpiece and a single-use treatment tipstip. Included with the system are single-use accessories (e.g. RF return pad, coupling fluid), as well as a cryogen canister that can be used for approximately four to five procedures, and other ancillary consumables.a foot pedal. The Company outsources the manufacture and repair of the Viveve System to a single contract manufacturer. Also, certain other components and materials that comprise the Geneveve device are currently manufactured by a single supplier or a limited number of suppliers. A significant supply interruption or disruption in the operations of the contract manufacturer or these third-party suppliers would adversely impact the production of our products for a substantial period of time, which could have a material adverse effect on our business, financial condition, operating results and cash flows.

 

In the U.S.,North America, the Company sells its products primarily through a direct sales force to health care practitioners. Outside the U.S.,North America, the Company sells through an extensive network of distribution partners. During the three months ended September 30, 2017, twoMarch 31, 2019, three distributors, togethercollectively, accounted for 38%42% of the Company’s revenue. During the three months ended September 30, 2016,March 31, 2018, two distributors, togethercollectively, accounted for 89%54% of the Company’s revenue. During the nine months ended September 30, 2017, three distributors together accounted for 38% of the Company’s revenue. During the nine months ended September 30, 2016, three distributors together accounted for 83% of the revenue.

There were no direct sales customers that accounted for more than 10% of the Company’sCompany’s revenue during the three and nine months ended September 30, 2017March 31, 2019 and 2016.  2018.


 

As of September 30, 2017,March 31, 2019, four distributors, collectively, accounted for 62% of total accounts receivable, net. As of December 31, 2018, three distributors, collectively, accounted for 53%54% of total accounts receivable. Asreceivable, net.

Accounts Receivable and Allowance for Doubtful Accounts

Accounts receivable are recorded at the invoiced amount and are not interest bearing. Our typical payment terms vary by region and type of customer (distributor or physician). Occasionally, payment terms of up to six months may be granted to customers with an established history of collections without concessions. Should we grant payment terms greater than six months or terms that are not in accordance with established history for similar arrangements, revenue would be recognized as payments become due and payable assuming all other criteria for revenue recognition have been met. The Company maintains an allowance for doubtful accounts for estimated losses resulting from the inability of its customers to make required payments. The Company makes ongoing assumptions relating to the collectability of its accounts receivable in its calculation of the allowance for doubtful accounts. In determining the amount of the allowance, the Company makes judgments about the creditworthiness of customers based on ongoing credit evaluations and assesses current economic trends affecting its customers that might impact the level of credit losses in the future and result in different rates of bad debts than previously seen. The Company also considers its historical level of credit losses. The allowance for doubtful accounts was $395,000 as of March 31, 2019 and $284,000 as of December 31, 2016, three distributors, collectively, accounted for 81% of total accounts receivable.2018.

Revenue Recognition

 

The Company recognizes revenue fromRevenue consists primarily of the sale of its products, the Viveve System, single-use treatment tips and ancillary consumables. The Company applies the following five steps: (1) identify the contract with a customer, (2) identify the performance obligations in the contract, (3) determine the transaction price, (4) allocate the transaction price to the performance obligations in the contract, and (5) recognize revenue when a performance obligation is satisfied. The Company considers customer purchase orders to be the contracts with a customer. Revenues, net of expected discounts, are recognized when the performance obligations of the contract with the customer are satisfied and when control of the promised goods are transferred to the customer, typically when products, which have been determined to be the only distinct performance obligations, are shipped to the customer. Expected costs of assurance warranties and claims are recognized as expense. Revenue is recognized upon shipment, provided that persuasive evidencenet of an arrangement exists,any sales taxes from the price is fixed or determinable and collectionsale of the resulting receivable is reasonably assured. products.

Sales of our products are subject to regulatory requirements that vary from country to country. The Company has regulatory clearance for differing indications, or can sell its products without a clearance, in many countries throughout the world, including countries within the following regions: North America, Latin America, Europe, the Middle East and Asia Pacific. In North America, we market and sell primarily through a direct sales force. Outside of North America, we market and sell primarily through distribution partners.

 

The Company does not provide its customers with a right of return.


Customer Advance Payments

 

From time to time, customers will pay for a portion of the products ordered in advance.  Upon receipt of such payments, the Company records the customer advance payment as a component of accrued liabilities.  The Company will remove the customer advance payment from accrued liabilities when revenue is recognized upon shipment of the products. 

Contract Assets and Liabilities

The Company continually evaluates whether the revenue generating activities and advanced payment arrangements with customers result in the recognition of contract assets or liabilities. No such assets existed as of March 31, 2019 or December 31, 2018. The Company had customer contracts liabilities in the amount of $679,000, primarily related to marketing programs that performance had not yet been delivered to its customers as of March 31, 2019 and $686,000 as of December 31, 2018.

 


The following table reflects the changes in our customer contract liabilities for the three months ended March 31, 2019:

  

March 31,

  

December 31,

  

Three Months

 
  

2019

  

2018

  

Change

 
             

Customer contracts liabilities:

            

Marketing programs

 $627  $639  $(12)

Other

  52   47   5 

Total

 $679  $686  $(7)

Separately, accounts receivable, net represents receivables from contracts with customers.

Significant Financing Component

The Company applies the practical expedient to not make any adjustment for a significant financing component if, at contract inception, the Company does not expect the period between customer payment and transfer of control of the promised goods or services to the customer to exceed one year. During the three months ended March 31, 2019 and 2018, the Company did not have any contracts for the sale of its products with its customers with a significant financing component.

Contract Costs

The Company has elected the practical expedient to recognize the incremental costs of obtaining a contract as an expense when incurred if the amortization period of the asset that the Company otherwise would have recognized is one year or less. During the three months ended March 31, 2019 and 2018, the Company expensed the incremental costs of obtaining the contract as an expense when incurred as the amortization period was one year or less.

Shipping and Handling

Shipping costs billed to customers are recorded as revenue. Shipping and handling expense related to costs incurred to deliver product are recognized within cost of goods sold. The Company accounts for shipping and handling activities that occur after control has transferred as a fulfillment cost as opposed to a separate performance obligation, and the costs of shipping and handling are recognized concurrently with the related revenue.

Revenue by Geographic Area

Management has determined that the sales by geography is a key indicator for understanding the Company’s financials because of the different sales and business models that are required in the various regions of the world (including regulatory, selling channels, pricing, customers and marketing efforts). The following table presents the revenue from unaffiliated customers disaggregated by geographic area for the three months ended March 31, 2019 and 2018 (in thousands):

  

Three Months Ended

 
  

March 31,

 
  

2019

  

2018

 
         

North America

 $1,792  $2,606 

Asia Pacific

  967   891 

Europe and Middle East

  246   202 

Latin America

  7   - 

Total

 $3,012  $3,699 

The Company determines geographic location of its revenue based upon the destination of the shipments of its products.

Investments in Unconsolidated Affiliates

 

The Company uses the equity method to account for its investments in entities that it does not control but have the ability to exercise significant influence over the investee. Equity method investments are recorded at original cost and adjusted periodically to recognize (1) the proportionate share of the investeesinvestees’ net income or losses after the date of investment, (2) additional contributions made and dividends or distributions received, and (3) impairment losses resulting from adjustments to net realizable value. The Company eliminates all intercompany transactions in accounting for equity method investments. The Company records the proportionate share of the investees’ net income or losses in equity in earnings of unconsolidated affiliates on the condensed consolidated statements of operations. The Company utilizes a three-month lag in reporting equity income from its investments, adjusted for known amounts and events, when the investee’s financial information is not available timely or when the investee’s reporting period differs from our reporting period.


 

The Company assesses the potential impairment of the equity method investments when indicators such as a history of operating losses, a negative earnings and cash flow outlook, and the financial condition and prospects for the investee’sinvestee’s business segment might indicate a loss in value. The carrying value of the investments areis reviewed annually for changes in circumstances or the occurrence of events that suggest the investment may not be recoverable. During the three and nine months ended September 30, 2017, noNo impairment charges have been recorded.recorded in the condensed consolidated statements of operations during the three months ended March 31, 2019 and 2018.

 

Product Warranty

 

The Company’sCompany’s products are generally subject to a one-year warranty,warranties between one and three years, which provides for the repair, rework or replacement of products (at the Company’s option) that fail to perform within stated specification.specifications. The Company has assessed the historical claims and, to date, product warranty claims have not been significant.

Accounting for Stock-Based Compensation

Share-based compensation cost is measured at grant date, based on the fair value of the award, and is recognized as expense over the employee’s service period. The Company will continuerecognizes compensation expense on a straight-line basis over the requisite service period of the award.

The Company determined that the Black-Scholes option pricing model is the most appropriate method for determining the estimated fair value for stock options and purchase rights under the employee stock purchase plan. The Black-Scholes option pricing model requires the use of highly subjective and complex assumptions which determine the fair value of share-based awards, including the option’s expected term and the price volatility of the underlying stock.

Equity instruments issued to assessnonemployees are recorded at their fair value on the needmeasurement date and are subject to record a warranty accrual atperiodic adjustment as the time of sale going forward. underlying equity instruments vest.

 

Comprehensive Loss

 

Comprehensive loss represents the changes in equity of an enterprise, other than those resulting from stockholder transactions. Accordingly, comprehensive loss may include certain changes in equity that are excluded from net loss. For the three and nine months ended September 30, 2017March 31, 2019 and 2016,2018, the Company’s comprehensive loss is the same as its net loss. 

 

Net Loss per Share

 

The Company’sCompany’s basic net loss per share is calculated by dividing the net loss by the weighted average number of shares of common stock outstanding for the period. The diluted net loss per share is computed by giving effect to all potentially dilutive common stock equivalents outstanding during the period. For purposes of this calculation, stock options and warrants to purchase common stock and restricted common stock awards are considered common stock equivalents. For periods in which the Company has reported net losses, diluted net loss per share is the same as basic net loss per share, since dilutive common shares are not assumed to have been issued if their effect is anti-dilutive.

 

The following securities were excluded from the calculation of net loss per share because the inclusion would be anti-dilutive. 

 

 

Nine Months Ended

  

Three Months Ended

 
 

September 30,

  

March 31,

 
 

2017

  

2016

  

2019

  

2018

 
                

Stock options to purchase common stock

  2,489,979   1,315,808   5,593,130   3,690,902 

Warrants to purchase common stock

  642,622   425,274   642,622   642,622 

Restricted common stock awards

  -   64,405   419,147   22,500 

 


 

Other Recently Issued and Adopted Accounting Standards

In May 2014, as part of its ongoing efforts to assist in the convergence of U.S. GAAP and International Financial Reporting Standards (“IFRS”), the Financial Accounting Standards Board (“FASB”) issued Accounting Standards Update (“ASU”) 2014-09, “Revenue from Contracts with Customers (Topic 606).” The new guidance sets forth a new five-step revenue recognition model which replaces the prior revenue recognition guidance in its entirety and is intended to eliminate numerous industry-specific pieces of revenue recognition guidance that have historically existed in U.S. GAAP. The underlying principle of the new standard is that a business or other organization will recognize revenue to depict the transfer of promised goods or services to customers in an amount that reflects what it expects in exchange for the goods or services. The standard also requires more detailed disclosures and provides additional guidance for transactions that were not addressed completely in the prior accounting guidance. The ASU provides alternative methods of initial adoption and is effective for annual and interim periods beginning after December 15, 2017. The FASB has issued several updates to the standard which i) defer the original effective date from January 1, 2017 to January 1,June 2018, while allowing for early adoption as of January 1, 2017 (ASU 2015-14); ii) clarify the application of the principal versus agent guidance (ASU 2016-08); iii) clarify the guidance on inconsequential and perfunctory promises and licensing (ASU 2016-10); and clarify the guidance on certain sections of the guidance providing technical corrections and improvements (ASU 2016-10). In May 2016, the FASB issued ASU 2016-12, “Revenue from Contracts with Customers2018-07, “Stock Compensation (Topic 606) Narrow-Scope718) – Improvements and Practical Expedients”, to address certain narrow aspects of the guidance including collectibility criterion, collection of sales taxes from customers, noncash consideration, contract modifications and completed contracts. This issuance does not change the core principle of the guidance in the initial topic issued in May 2014.

The Company has set up a team for the implementation of the new revenue recognition accounting standard.Nonemployee Share- Based on preliminary analysis, the Company expects that the new standard will not significantly impact the recognition of product sales given their point of sale nature. The Company is still in the process of evaluating its arrangementsPayment Accounting”. The Company will adopt this new standard effective January 1, 2018. The guidance permits the use of either a full retrospective or modified retrospective transition method as of the adoption date. The Company has not yet selected a transition method and is still finalizing the analysis to quantify the adoption impact of the provisionsintent of this guidance on its condensed consolidated financial statements.

In February 2016,is to simplify the FASB issued ASU 2016-02, “Leases (Topic 842)”. Underaccounting for nonemployee share-based payment accounting. The amendments in this guidance expand the scope of Topic 718 to include share-based payment transactions for acquiring goods and services from nonemployees. Consistent with the accounting requirement for employee share-based payment awards, nonemployee share-based payment awards within the scope of Topic 718 are measured at grant-date fair value of the equity instruments that an entity is requiredobligated to recognize right-of-use assetsissue when the good has been delivered or the service has been rendered and lease liabilities on its balance sheet and disclose key information about leasing arrangements. This guidance offers specificany other conditions necessary to earn the right to benefit from the instruments have been satisfied. Equity- classified nonemployee share-based payment awards are measured at the grant date. Consistent with the accounting guidance for a lessee, a lessor and sale and leaseback transactions. Lessees and lessors are required to disclose qualitative and quantitative information about leasing arrangements to enable a useremployee share-based payment awards, an entity considers the probability of the financial statements to assess the amount, timing and uncertainty of cash flows arising from leases.satisfying performance conditions when nonemployee share-based payment awards contain such conditions. This guidance is effective for annual reporting periods beginning after December 15, 2018, including interim periods within the reporting period,period. We adopted this guidance as of January 1, 2019 and requires a modified retrospective adoption, with early adoption permitted. We are currently evaluating the effect of the adoption of thisthe guidance did not have a significant impact on ourthe condensed consolidated financial statements.

In August 2016, the FASB issued ASU No. 2016-15, “Statement of Cash Flows, Classification of Certain Cash Receipts and Cash Payments (Topic 230)”. This guidance addresses specific cash flow issues with the objective of reducing the diversity in practice for the treatment of these issues.  The areas identified include: debt prepayment or debt extinguishment costs; settlement of zero-coupon debt instruments; contingent consideration payments made after a business combination; proceeds from the settlement of insurance claims; proceeds from the settlement of corporate-owned life insurance policies; distributions received from equity method investees; beneficial interests in securitization transactions and application of the predominance principle with respect to separately identifiable cash flows.  This guidance is effective for annual reporting periods beginning after December 15, 2017, including interim periods within that reporting period, with early adoption permitted. We are currently evaluating the effect of the adoption of this guidance on our condensed consolidated financial statements.

 

We have reviewed other recent accounting pronouncements and concluded they are either not applicable to the business, or no material effect is expected on the condensed consolidated financial statements as a result of future adoption.

 

3.        Fair Value Measurements

Fair Value Measurements

 

The Company recognizes and discloses the fair value of its assets and liabilities using a hierarchy that prioritizes the inputs to valuation techniques used to measure fair value. The hierarchy gives the highest priority to valuations based upon unadjusted quoted prices in active markets for identical assets or liabilities (Level 1 measurements) and the lowest priority to valuations based upon unobservable inputs that are significant to the valuation (Level 3 measurements). Each level of input has different levels of subjectivity and difficulty involved in determining fair value.

 

Level 1

Inputs used to measure fair value are unadjusted quoted prices that are available in active markets for the identical assets or liabilities as of the reporting date. Therefore, determining fair value for Level 1 investments generally does not require significant judgment, and the estimation is not difficult.

Level 2

Pricing is provided by third party sources of market information obtained through investment advisors. The Company does not adjust for or apply any additional assumptions or estimates to the pricing information received from its advisors.


Level 3

Inputs used to measure fair value are unobservable inputs that are supported by little or no market activity and reflect the use of significant management judgment. These values are generally determined using pricing models for which the assumptions utilize management’smanagement’s estimates of market participant assumptions. The determination of fair value for Level 3 instruments involves the most management judgment and subjectivity.

 

Assets and liabilities measured at fair value are classified in their entirety based on the lowest level of input that is significant to the fair value measurement. The Company’s assessment of the significance of a particular input to the fair value measurement in its entirety requires management to make judgments and consider factors specific to the asset or liability. 

  

There were no financial instruments that were measured at fair value on a recurring basis as of September 30, 2017March 31, 2019 and December 31, 2016.2018.

 

The carrying amounts of the Company’sCompany’s financial assets and liabilities, including cash and cash equivalents, accounts receivable, accounts payable, and accrued expenses as of September 30, 2017March 31, 2019, and December 31, 20162018 approximate fair value because of the short maturity of these instruments. Based on borrowing rates currently available to the Company for loans with similar terms, the carrying value of the note payable approximates fair value. 

 

4.        InvestmentThere were no changes in Limited Liability Companyvaluation techniques from prior periods.

4.

Investment in Limited Liability Company

 

On August 8,, 2017, the Company entered into an exclusive Distributorship Agreement (the “Distributorship Agreement”) with InControl Medical, LLC (“ICM”), a Wisconsin limited liability company focused on women's health, pursuant to which the Company will directly market, promote, distribute and sell ICM’s products to licensed medical professional offices and hospitals.hospitals in North America.

 

Under the terms of the Distributorship Agreement, ICM agreed to not directly or indirectly appoint or authorize any third party to market, promote, distribute or sell any of the licensed products to any licensed medical professional offices and hospitals in the United States. In exchange, the Company agreed to not market, promote, distribute or sell (or contract to do so) any product which substantially replicates all or almost all of the key features of the licensed products. The Company has a minimum purchase requirement to purchase a certain quantity of ICM products per month during the term of this Distributorship Agreement. In addition, the parties agreed to certain mutual marketing obligations to promote sales of the licensed products. As of March 31, 2019, the Company has purchased approximately 4,800 units of ICM products. The Company paid ICM approximately $27,000 for product related costs during the three months ended March 31, 2019.  There were no amounts due to ICM for the accounts payable as of March 31, 2019 and December 31, 2018.


 

In connection with the Distributorship Agreement, the Company also entered into a Membership Unit Subscription Agreement with ICM and the associated limited liability company operating agreement of ICM, pursuant to which the Company invested $2,500,000 in, and acquired membership units of, ICM. This investment has been recorded in investment in a limited liability company in the condensed consolidated balance sheets. The Company used the equity method to account for the investment in ICM because the Company does not control it but has the ability to exercise significant influence over it. As of March 31, 2019, the Company owns approximately 9% ownership interest in ICM. The Company’sCompany recognizes its allocated portion of ICM’s results of operations foron a three-month lag due to the timing of financial information. For the three and nine months ended September 30, 2017March 31, 2019, the allocated net loss from ICM’s operations was immaterial.$125,000 that was recorded as loss from minority interest in limited liability company in the condensed consolidated statements of operations.

 

5.        Accrued LiabilitiesIn February 2019, the Company executed a mutual termination of the Distributorship Agreement with ICM. As a result, the Company no longer has a minimum purchase requirement to purchase a certain quantity of ICM products per month.

5.

Accrued Liabilities

 

Accrued liabilities consisted of the following as of March 31, 2019 and December 31, 2018 (in thousands): 

 

  

September 30,

  

December 31,

 
  

2017

  

2016

 
         

Accrued professional fees

 $1,185  $483 

Accrued bonuses

  873   1,102 

Accrued sales commission

  592   115 

Accrued payroll and other related expenses

  458   274 

Accrued interest

  436   65 

Accrued sales & use tax

  180   39 

Other accruals

  209   108 

Total accrued liabilities

 $3,933  $2,186 

  

March 31,

  

December 31,

 
  

2019

  

2018

 
         

Accrued sales commission

 $817  $1,743 

Customer contracts liabilities

  679   686 

Accrued interest

  675   683 

Accrued payroll and other related expenses

  670   877 

Accrued bonuses

  613   837 

Accrued professional fees

  492   978 

Current operating lease liabilities

  238   - 

Accrued clinical trial costs

  127   84 

Travel and entertainment

  114   280 

Accrued sales & use tax

  102   259 

Other accruals

  275   339 

Total accrued liabilities

 $4,802  $6,766 

 


6.        Note Payable

On June 20, 2016, the Company entered into a Loan and Security Agreement, as amended January 13, 2017 (the “2016 Loan Agreement”) with Western Alliance Bank (“WAB”), pursuant to which WAB agreed to loan the Company up to an aggregate of $10,000,000 payable in two tranches of $7,500,000 and $2,500,000. The funding conditions for both tranches were satisfied as of the closing date, and therefore, the aggregate principal amount of $10,000,000 was provided on June 20, 2016. The terms of the loan also required the Company to meet certain financial and other covenants in connection with the 2016 Loan Agreement. In addition to all outstanding principal and accrued interest on the term loan, the terms of the loan required the Company to pay a final payment fee equal to 4.00% of the original principal amount of the term loan. All borrowings under the 2016 Loan Agreement were collateralized by substantially all of the Company’s assets, including intellectual property. The outstanding principal balance and accrued interest related to this note payable were repaid in May 2017.

In connection with the 2016 Loan Agreement, the Company issued a 10-year warrant to WAB to purchase a total of 100,402 shares of the Company’s common stock at an exercise price of $4.98 per share (See Note 8). 

6.

Note Payable

  

On May 22, 2017, the Company entered into a Term Loan Agreement (the “2017 Loan Agreement”) with affiliates of CRG LP (“CRG”). The new credit facility consists of $20,000,000 drawn at closing and the abilityaccess to access additional funding of up to an aggregate of $10,000,000 for a total of $30,000,000 available under the credit facility. The additional funding must be made on or prior to September 17, 2018,On December 29, 2017, the availability of which is conditional onCompany accessed the achievement of certain revenue and market capitalization milestones including satisfying (a) minimum net revenue amounts fromremaining $10,000,000 available under the Company’s products of at least $16,000,000 during any consecutive twelve (12) month period ending on or prior to June 30, 2018 and (b) minimum average market capitalization of at least $60,000,000 for the thirty (30) consecutive days prior to the notice for the second borrowing.credit facility.

 

A portion of the initial loan proceeds were used to repay all of the amounts owed by the Company under its existing 2016 Loan Agreement with WAB.Western Alliance Bank. The remainder of the initial loan proceeds (after deducting loan origination costs and other fees and expenses incurred in connection with the 2017 Loan Agreement), plus any additional amounts that may be borrowed in the future, will be used for general corporate purposes and working capital.

  

The 2017 Loan Agreement has a six-year term with four years of interest-only payments after which quarterly principal and interest payments will be due through the maturity date. Amounts borrowed under the 2017 Loan Agreement accrue interest at an annual fixed rate of 12.50%12.5%, 4.0% of which may, at the election of the Company, be paid in-kind during the interest-only period by adding such accrued amount to the principal loan amount each quarter. During the ninethree months ended September 30, 2017,March 31, 2019 and 2018, the Company paid interest in-kind of $285,000$318,000 and $305,000, respectively, which was added to the total outstanding principal loan amount as of September 30, 2017.amount. The Company is also required to pay CRG a final payment fee upon repayment of the loans in full equal to 5%5.0% of the sum of the aggregate principal amount plus the deferred interest added to the principal loan amount during the interest-only period. The Company accounts for the final payment fee by accruing the fee over the term of the loan using the effective interest rate method. As of September 30, 2017,March 31, 2019, interest accrued related to the final payment fee in the amount of interest accrued$573,000 was included in other noncurrent liabilities in the condensed consolidated balance sheets.


 

The Company may prepay all or a portion of the outstanding principal and accrued unpaid interest under the 2017 Loan Agreement at any time upon prior notice to CRG, subject to a prepayment fee during the first five years of the term (which reduces each year) and no prepayment fee thereafter.

 

As security for its obligations under the 2017 Loan Agreement, the Company entered into security agreements with CRG whereby the Company granted CRG a lien on substantially all of the Company’sCompany’s assets, including intellectual property.

  

The terms of the 2017 Loan Agreement also require the Company to meet certain financial and other covenants. These covenants require the Company to maintain cash and cash equivalents of $2.0 million and, each year through the end of 2022, to meet a minimum total annual revenue threshold. In the event that the Company does not meet the minimum total annual revenue threshold for a particular year, then the Company can retroactively cure the shortfall by either issuing additional equity in exchange for cash or incurring certain additional permitted indebtedness, in each case, in an amount equal to 2.0 times the shortfall. Any such amounts shall be applied to prepay the loans. The 2017 Loan Agreement also contains customary affirmative and negative covenants for a credit facility of this size and type, including covenants that limit or restrict the Company’sCompany’s ability to, among other things, incur indebtedness, grant liens, merge or consolidate, dispose of assets, make investments, make acquisitions, enter into transactions with affiliates, pay dividends or make distributions, license intellectual property rights on an exclusive basis or repurchase stock, in each case subject to customary exceptions. As of September 30, 2017,March 31, 2019, the Company was in compliance with all covenants.

As of March 31, 2019 and December 31, 2018, $30,927,000 and $30,528,000, respectively, was recorded on the balance sheets under the 2017 Loan Agreement, respectively, which is net of the remaining unamortized debt discount.

 

In connection with the 2017 Loan Agreement, the Company issued two 10-year warrants to CRG to purchase a total of 222,049 shares of the Company’sCompany’s common stock at an exercise price of $9.50 per share (See Note 8)9)


   

As of September 30, 2017,March 31, 2019, future minimum payments under the note payable are as follows (in thousands): 

 

Year Ending December 31,

        

2017 (remaining 3 months)

 $441 

2018

  1,793 

2019

  1,867 

2019 (remaining 9 months)

 $2,103 

2020

  1,949   2,901 

2021

  11,204   16,673 

Thereafter

  17,154 

2022

  19,306 

2023

  6,220 

Total payments

  34,408   47,203 

Less: Amount representing interest

  (14,123)  (15,135)

Present value of obligations

  20,285   32,068 

Less: Unamortized debt discount

  (1,620)  (1,141)

Note payable, noncurrent portion

 $18,665  $30,927 

 

7.       Commitments and Contingencies

Leases

 

Operating Lease

In January 2012, the Company entered into a lease agreement for office and laboratory facilities in Sunnyvale, California. The lease agreement, as amended, in September 2016, commenced in March 2012 and will terminateterminated in MarchApril 2018.

 

On February 1, 2017, the Company entered into a sublease agreement (the “Sublease”) for approximately 12,400 square feet of building space for the relocation of the Company’sCompany’s corporate headquarters to Englewood, Colorado (the “Sublease Premises”), which was effective as of January 26, 2017. The lease term commenced on June 1, 2017 and will terminate in May 2020. WeThe Company relocated ourits corporate headquarters from Sunnyvale, California to Englewood, Colorado in June 2017.

  

The monthly base rent under the Sublease is equal to $20.50 per rentable square foot of the Sublease Premises during the first year. The monthly base rent is equal to $21.12 and $21.75 per rentable square foot during the second and third years, respectively. In connection with the execution of the Sublease, the Company also agreed to pay a security deposit of approximately $22,000. The Company is entitled towas also provided an allowance of approximately $88,000 for certain tenant improvements relating to the engineering, design and construction of the Sublease Premises. Premises which has been reimbursed.

  

Rent expense for the three months ended March 31, 2018 was $138,000.


In September 30, 20172018, the Company entered into a 36-month noncancelable operating lease agreement for office equipment.  The lease commenced on September 20, 2018.  The monthly payment is approximately $3,000. 

After the adoption of ASU 842 – Leases on January 1, 2019, operating lease rentals are expensed on a straight-line basis over the life of the lease beginning on the date the Company takes possession of the property. At lease inception, the Company determines the lease term by assuming the exercise of those renewal options that are reasonably assured. The lease term is used to determine whether a lease is financing or operating and 2016 was $138,000is used to calculate straight-line rent expense. Additionally, the depreciable life of leasehold improvements is limited by the expected lease term. Leases with an initial term of 12 months or less are not recorded on the balance sheet; the Company recognizes lease expense for these leases on a straight-line basis over the lease term.

The following table reflects the Company's lease assets and $55,000, respectively. Rentlease liabilities at March 31, 2019 and January 1, 2019:

  

March 31,

  

January 1,

 
  

2019

  

2019

 
         

Assets:

        

Operating lease right-of-use assets

 $565  $629 
         

Liabilities:

        

Current operating lease liabilities

 $238  $230 

Noncurrent operating lease liabilities

  337   399 
  $575  $629 

The operating lease right-of-use assets are included in other assets on the condensed consolidated balance sheet. The operating lease liabilities are included in accrued liabilities and other noncurrent liabilities on the condensed consolidated balance sheet.

The operating leases expense for the ninethree months ended September 30, 2017 and 2016March 31, 2019 was $305,000 and $164,000, respectively.$75,000.

 

As of September 30, 2017, future minimum payments underMarch 31, 2019, the leases arematurity of operating lease liabilities was as follows (in thousands):follows:

 

Year Ending December 31,

    

2017 (remaining 3 months)

 $145 

2018

  338 

2019

  264 

2020

  112 

Total minimum lease payments

 $859 

Year Ending December 31,

    

2019 (remaining nine months)

 $222 

2020

  303 

2021

  137 

Total lease payments

  662 
     

Less: Interest

  (87)
     

Present value of lease liabilities

 $575 

 

The weighted average remaining lease term was approximately 26 months as of March 31, 2019. The weighted average discount rate for the three months ended March 31, 2019 was 12.5%.

8.

Commitments and Contingencies

Indemnification Agreements

 

The Company enters into standard indemnification arrangements in the ordinary course of business. Pursuant to these arrangements, the Company indemnifies, holds harmless and agrees to reimburse the indemnified parties for losses suffered or incurred by the indemnified party, in connection with performance of services within the scope of the agreement, breach of the agreement by the Company, or noncompliance of regulations or laws by the Company, in all cases provided the indemnified party has not breached the agreement and/or the loss is not attributable to the indemnified party’sparty’s negligence or willful malfeasance. The term of these indemnification agreements is generally perpetual any time after the execution of the agreement. The maximum potential amount of future payments the Company could be required to make under these arrangements is not determinable. The Company has never incurred costs to defend lawsuits or settle claims related to these indemnification agreements. As a result, the Company believes the estimated fair value of these agreements is minimal. 

 


 

Loss Contingencies

 

The Company is or has been subject to proceedings, lawsuits and other claims arising in the ordinary course of business. The Company evaluates contingent liabilities, including threatened or pending litigation, for potential losses. If the potential loss from any claim or legal proceeding inis considered probable and the amount can be estimated, the Company accrues a liability for the estimated loss. Because of uncertainties related to these matters, accruals are based upon the best information available. For potential losses for which there is a reasonable possibility (meaning the likelihood is more than remote but less than probable) that a loss exists, the Company will disclose an estimate of the potential loss or range of such potential loss or include a statement that an estimate of the potential loss cannot be made. As additional information becomes available, the Company reassesses the potential liability related to pending claims and litigation and may revise its estimates, which could materially impact its condensed consolidated financial statements.  Management does not believe that the outcome of any outstanding legal matters will have a material adverse effect on the Company's consolidated financial position, results of operations and cash flows.

9.

Common Stock

 

8.        Common Stock

On May 19, 2017,In March 2019, the Company issued 35,00027,473 restricted shares of its common stock at a value of $7.42 a$0.91 per share, or an aggregate value of approximately $260,000.$25,000.

 

On March 22, 2017,In December 2018, in connection with the closing of the March 2017December 2018 Offering, wethe Company issued an aggregate of 8,625,00014,728,504 shares of common stock, including the shares issued in connection with the exercise of the underwritersunderwriters’ overallotment option, at a public offering price of $4.00$1.50 per share for gross proceeds of approximately $22,093,000. The net proceeds to the Company, after deducting underwriting discounts and commissions and other offering expenses, were approximately $20,385,000.  

In June 2018, the Company issued 100,000 restricted shares of its common stock at a value of $2.56 per share, or an aggregate value of approximately $256,000.

In February 2018, in connection with the closing of the February 2018 Offering, the Company issued an aggregate of 11,500,000 shares of common stock, including the shares issued in connection with the exercise of the underwriters’ overallotment option, at a public offering price of $3.00 per share for gross proceeds of approximately $34,500,000. The net proceeds to the Company, after the deduction ofdeducting underwriting discounts and commissions and other offering expenses, were approximately $31,440,000.$32,214,000.  

 

On June 17, 2016, in connection withThrough the closingNovember 2017 ATM Facility, the Company may offer and sell, from time-to-time, up to $25,000,000 aggregate offering price of shares of its common stock. During the June 2016 Offering, we issued an aggregate of 3,105,000three months ended March 31, 2019, the Company sold zero shares of common stock includingunder the exerciseNovember 2017 ATM Facility. During the three months ended March 31, 2018, the Company sold 208,277 shares of common stock under the underwriters’ overallotment option, at a public offering price of $5.00 per shareNovember 2017 ATM Facility for grossnet proceeds of approximately $15,525,000. The$1,011,000. As of March 31, 2019, the Company has sold 336,498 shares of common stock under the November 2017 ATM Facility for net proceeds to the Company, after the deduction of underwriting discounts, commissions and other offering expenses, were approximately $13,886,000.$1,318,000.


 

Warrants for Common Stock

 

As of September 30, 2017,March 31, 2019, outstanding warrants to purchase shares of common stock were as follows: 

          

Number of

 
          

Shares

 
          

Outstanding

 
  

Exercisable

 

Expiration

 

Exercise

  

Under

 

Issuance Date

 

for

 

Date

 

Price

  

Warrants

 
             

September 2014

 

Common Shares

 

September 23, 2019

 $4.24   86,831 

October 2014

 

Common Shares

 

October 13, 2019

 $4.24   29,000 

November 2014

 

Common Shares

 

November 12, 2019

 $4.24   12,500 

February 2015

 

Common Shares

 

February 17, 2025

 $4.00   75,697 

March 2015

 

Common Shares

 

March 26, 2025

 $2.72   1,454 

May 2015

 

Common Shares

 

May 12, 2025

 $4.24   36,229 

May 2015

 

Common Shares

 

May 17, 2020

 $4.24   21,585 

December 2015

 

Common Shares

 

December 16, 2025

 $5.60   26,875 

April 2016

 

Common Shares

 

April 1, 2026

 $6.08   25,000 

May 2016

 

Common Shares

 

May 11, 2021

 $7.74   5,000 

June 2016

 

Common Shares

 

June 20, 2026

 $4.98   100,402 

May 2017

 

Common Shares

 

May 25, 2027

 $9.50   222,049 
           642,622 

In connection with the Loan and Security Agreement entered into on September 30, 2014, as amended on February 19, 2015, May 14, 2015, November 30, 2015 and March 18, 2016 (collectively, the “2014 Loan Agreement”), with Pacific Western Bank (as successor in interest by merger to Square 1 Bank), the Company issued a warrant to purchase a total of 58,962 shares of common stock at an exercise price of $4.24 per share. The fair value of the warrant was recorded as debt issuance costs, presented in the condensed consolidated balance sheets as a deduction from the carrying amount of the note payable, and was being amortized to interest expense over the loan term. The outstanding indebtedness was repaid in June 2016 from the proceeds of the new term loan in connection with the 2016 Loan Agreement and the remaining unamortized balance of debt issuance costs was recorded to interest expense for the quarter ended June 30, 2016. During the three and nine months ended September 30, 2016, the Company recorded zero and $387,000, respectively, of interest expense relating to the debt issuance costs. The warrant was exercised on a cashless basis in August 2016 and 17,295 net shares were issued.

 


          

Number of

 
          

Shares

 
          

Outstanding

 
  

Exercisable

 

Expiration

 

Exercise

  

Under

 

Issuance Date

 

for

 

Date

 

Price

  

Warrants

 
             

September 2014

 

Common Shares

 

September 23, 2019

 $4.24   86,831 

October 2014

 

Common Shares

 

October 13, 2019

 $4.24   29,000 

November 2014

 

Common Shares

 

November 12, 2019

 $4.24   12,500 

February 2015

 

Common Shares

 

February 17, 2025

 $4.00   75,697 

March 2015

 

Common Shares

 

March 26, 2025

 $2.72   1,454 

May 2015

 

Common Shares

 

May 12, 2025

 $4.24   36,229 

May 2015

 

Common Shares

 

May 17, 2020

 $4.24   21,585 

December 2015

 

Common Shares

 

December 16, 2025

 $5.60   26,875 

April 2016

 

Common Shares

 

April 1, 2026

 $6.08   25,000 

May 2016

 

Common Shares

 

May 11, 2021

 $7.74   5,000 

June 2016

 

Common Shares

 

June 20, 2026

 $4.98   100,402 

May 2017

 

Common Shares

 

May 25, 2027

 $9.50   222,049 
           642,622 

In conjunction with the second amendment to the 2014 Loan Agreement in May 2015, the Company issued a warrant to the lender to purchase a total of 3,125 shares of common stock at an exercise price of $2.96 per share. The debt issuance costs for this warrant were fully amortized as of September 30, 2015. The warrant was exercised on a cashless basis in July 2016 and 885 net shares of common stock were issued.

In connection with the 2016 Loan Agreement, the Company issued a warrant to purchase a total of 100,402 shares of common stock at an exercise price of $4.98 per share. The Company determined the fair value of the warrant on the date of issuance to be $350,000. The fair value along with legal fees totaling $90,000, was recorded as debt issuance costs and was amortized to interest expense over the loan term. The debt issuance costs were presented in the condensed consolidated balance sheet as a deduction from the carrying amount of the note payable. The outstanding indebtedness was repaid in May 2017 from the proceeds of the term loan made in connection with the 2017 Loan Agreement and the remaining unamortized balance of debt issuance costs was recorded to interest expense for the three months ended June 30, 2017. During the three and nine months ended September 30, 2017, the Company recorded zero and $371,000 respectively, of interest expense relating to the debt issuance costs. During the three and nine months ended September 30, 2016, the Company recorded $35,000 interest expense relating to the debt issuance costs. As of September 30, 2017, the unamortized debt discount related to the 2016 Loan Agreement was zero.

 

In connection with the 2017 Loan Agreement, the Company issued warrants to purchase a total of 222,049, shares of common stock at an exercise price of $9.50 per share. The warrants have a contractual life of ten years and are exercisable immediately in whole or in part. The Company determined the fair value of the warrants on the date of issuance to be $940,000 using the Black-Scholes option pricing model. Assumptions used were dividend yield of 0%, volatility of 55.1%, risk free interest rate of 2.25% and a contractual life of ten years. The fair value of the warrants along with financing and legal fees totaling $786,000,$790,000, are recorded as debt issuance costs and presented in the condensed consolidated balance sheets as a deduction from the carrying amount of the note payable. The debt issuance costs will beare amortized to interest expense over the loan term. During the three and nine months ended September 30, 2017,March 31, 2019 and 2018, the Company recorded $68,000$83,000 and $106,000$77,000, respectively, of interest expense relating to the debt issuance costs using the effective interest method. As of September 30, 2017, the unamortized debt discount was $1,620,000.

 

A total of 4,701 and 25,268No shares issuable pursuant to warrants issued in connection with a private offering on September 30, 2014, were issued in connection with the exercise of warrants during the ninethree months ended September 30, 2017March 31, 2019 and 2016, respectively.2018.

  

No shares issuable pursuant to warrants have been cancelled during the nine months ended September 30, 2017. A total of 1,094 shares issuable pursuant to warrants issued to two vendors in October 2014 were cancelled during the nine months ended September 30, 2016 as the milestones related to these shares were not achieved.   

The stock-based compensation expense related to warrants issued was zero for both the three months ended September 30, 2017March 31, 2019 and 2016. The stock-based compensation expense related to warrants issued was zero and $162,000 for the nine months ended September 30, 2017 and 2016, respectively.2018.

    

9

10..        Summary of Stock Options

Summary of Stock Options

 

Stock Option Plans

 

The Company has issued equity awards in the form of stock options and restricted stock awards (“RSAs”) from threetwo employee benefit plans. The plans include the Company’s 2005 Stock Incentive Plan (the “2005 Plan”), the Viveve Amended and Restated 2006 Stock Plan (the “2006 Plan”) and the Company’s Amended and Restated 2013 Stock Option and Incentive Plan (the “2013 Plan”).

 

ThereAs of March 31, 2019, there are currently no outstanding stock option awards issued from the 2005 Plan and no shares are available for future awards.

The 2006 Plan was adopted by the board of directors of Viveve, Inc. and was terminated in conjunction with the merger that took place on September 23, 2014 between PLC Systems Inc., Viveve, Inc. and PLC Systems Acquisition Corp. (the “Merger”). Prior to the Merger, the board of directors voted to accelerate the vesting of all unvested options that were outstanding as of the date of the Merger such that all options would be immediately vested and exercisable by the holders. In conjunction with the Merger, the Company agreed to assume and administer the 2006 Plan and all outstanding options to purchase shares of Viveve, Inc. common stock issued from the 2006 Plan were converted into options to purchase shares of the Company’s common stock (rounded down to the nearest whole share). There are currently outstanding stock option awards issued from the 2006 Plan covering a total of 38,37810,434 shares of the Company’s common stock and no shares are available for future awards. The weighted average exercise price of the outstanding stock options is $10.49$10.05 per share and the weighted average remaining contractual term is 5.133.84 years.


The 2013 Plan was also adopted by the Company’s board of directors and approved by its stockholders. The 2013 Plan is administered by the compensation committee of the Company’s board of directors (the “Administrator”). Under the 2013 Plan, the Company may grant equity awards to eligible participants which may take the form of stock options (both incentive stock options and non-qualified stock options), stock appreciation rights, restricted, deferred or unrestricted stock awards, performance based awards or dividend equivalent rights. Awards may be granted to officers, employees, nonemployee directors (as defined in the 2013 Plan) and other key persons (including consultants and prospective employees). The term of any stock option award may not exceed 10 years and may be subject to vesting conditions, as determined by the Administrator. Options granted generally vest over four years. Incentive stock options may be granted only to employees of the Company or any subsidiary that is a “subsidiary corporation” within the meaning of Section 424(f) of the Internal Revenue Code. The exercise price of any stock option award cannot be less than the fair market value of the Company’s common stock, provided, however, that an incentive stock option granted to an employee who owns more than 10% of the Company’s outstanding voting power must have an exercise price of no less than 110% of the fair market value of the Company’s common stock and a term that does not exceed five years.

On August 22, 2016, the Company’s stockholders approved an amendment to the 2013 Plan to add an “evergreen” provision to the 2013 Plan which will automatically increase annually, on the first day of each January, the maximum number of shares of common stock reserved and available for awards under the 2013 Plan (the “Stock Issuable”) by an amount equal to the lesser of (i) the number of shares that will increase the Stock Issuable by 4% of the total number of shares of common stock outstanding (on a fully diluted basis) or (ii) an amount determined by the board of directors. On December 23, 2016, the board of directors approved the 2017 evergreen increasing the total stock reserved for issuance under the 2013 Plan by 523,209 shares from 2,000,000 shares to a total of 2,523,209 shares, which was effective January 1, 2017. On August 15, 2017, the Company’s stockholders approved an amendment to the 2013 Plan increasing the number of shares of common stock authorized for awards under the 2013 Plan from 2,523,209 shares to a total of 4,000,000 shares.

 

As of September 30, 2017,March 31, 2019, there are outstanding stock option awards issued from the 2013 Plan covering a total of 2,451,6015,582,696 shares of the Company’s common stock and there remain reserved for future awards 1,408,655678,216 shares of the Company’s common stock. The weighted average exercise price of the outstanding stock options is $5.80$3.26 per share, and the remaining contractual term is 8.768.2 years.

 In January 2019, the board of directors approved the 2019 evergreen provision increasing the total stock reserved for issuance under the 2013 Plan by 2,043,142 shares from 4,914,016 shares to a total of 6,957,158 shares, which was effective January 1, 2019.


 

Activity under the 2005 Plan, the 2006 Plan and the 2013 Plan is as follows:

 

 

Nine Months Ended September 30, 2017

 
         

Weighted

      

Three Months Ended March 31, 2019

 
     

Weighted

  

Average

  

Aggregate

          

Weighted

     
 

Number

  

Average

  

Remaining

  

Intrinsic

      

Weighted

  

Average

     
 

of

  

Exercise

  

Contractual

  

Value

  

Number

  

Average

  

Remaining

  

Aggregate

 
 

Shares

  

Price

  

Term (years)

  

(in thousands)

  

of

  

Exercise

  

Contractual

  

Intrinsic

 
                 

Shares

  

Price

  

Term (years)

  

Value

 

Options outstanding, beginning of period

  1,909,764  $6.19   9.12  $211,396   4,014,475  $4.56   7.4  $- 

Options granted

  739,985  $5.86           2,145,000  $1.24         

Options exercised

  (7,730) $4.02           -             

Options cancelled

  (152,040) $9.82         

Options canceled

  (566,345) $4.63         

Options outstanding, end of period

  2,489,979  $5.88   8.70  $387,178   5,593,130  $3.28   8.2  $- 
                                

Vested and exercisable and expected to vest, end of period

  2,337,350  $5.88   8.67  $369,478   5,291,876  $3.33   8.1  $- 
                                

Vested and exercisable, end of period

  734,721  $5.90   7.81  $162,632   1,725,352  $5.04   5.6  $- 

 

The aggregate intrinsic value reflects the difference between the exercise price of the underlying stock options and the Company’sCompany’s closing share price as of September 30, 2017.March 31, 2019.


 

The options outstanding and exercisable as of September 30, 2017March 31, 2019 are as follows: 

 

    

Options Outstanding

  

Options Exercisable

 
            

Weighted

         
    

Number

  

Weighted

  

Average

  

Number

  

Weighted

 
    

Outstanding

  

Average

  

Remaining

  

Exercisable

  

Average

 

Range of

 

as of

  

Exercise

  

Contractual

  

as of

  

Exercise

 

Exercise Prices

 

September 30, 2017

  

Price

  

Term (Years)

  

September 30, 2017

  

Price

 
                       
 $2.64

 

  12,500  $2.64   7.62   7,553  $2.64 

$3.68

-

$3.76

  66,876  $3.76   7.35   43,191  $3.76 

$4.46

-

$4.92

  400,329  $4.63   8.25   161,941  $4.77 
 $5.22

 

  567,679  $5.22   9.20   108,555  $5.22 

$5.58

-

$5.67

  254,000  $5.62   9.93   -  $- 
 $6.00

 

  557,753  $6.00   8.22   244,023  $6.00 

$6.24

-

$6.61

  150,639  $6.44   8.21   45,574  $6.34 

$7.00

-

$7.92

  441,825  $7.65   9.10   85,506  $7.72 
 $9.92

 

  38,135  $9.92   5.14   38,135  $9.92 

$56.00

-

$296.00

  243  $100.46   3.21   243  $100.46 
     2,489,979  $5.88   8.70   734,721  $5.90 
             

Weighted

         
     

Number

  

Weighted

  

Average

  

Number

  

Weighted

 
     

Outstanding

  

Average

  

Remaining

  

Exercisable

  

Average

 

Range of

  

as of

  

Exercise

  

Contractual

  

as of

  

Exercise

 

Exercise Prices

  

March 31, 2019

  

Price

  

Term (Years)

  

March 31, 2019

  

Price

 
                        

$1.00

-$1.97   2,655,417  $1.38   9.67   183,487  $1.51 

$2.02

-$2.83   97,500  $2.42   8.93   12,240  $2.64 

$3.03

-$3.82   484,376  $3.55   8.81   93,126  $3.77 

$4.30

-$4.97   1,000,954  $4.52   7.69   437,550  $4.55 

$5.01

-$5.67   630,739  $5.35   5.98   411,788  $5.35 

$6.00

-$6.61   463,483  $6.02   3.47   415,932  $6.02 

$7.00

-$7.92   250,227  $7.68   6.93   160,795  $7.68 
$9.92   10,424  $9.92   3.85   10,424  $9.92 

$59.60

-$149.04   10  $149.04   2.56   10  $149.04 

Total:

     5,593,130  $3.28   8.16   1,725,352  $5.04 

 

Restricted Stock Awards (‘RSA”)

 

In January 2016,During the three months ended March 31, 2019, the Company granted restricted stock awards (“RSAs”)RSAs for 39,494364,072 shares of common stock under the 2013 Plan to employees as part of their 2018 annual performance bonuses. The bonuses for 2015 accrued bonuses with a weighted average grant date fair value2018 performance were paid 50% in cash and 50% in the form of $6.24 per share, based on the market priceRSAs that will vest in full upon FDA approval of the Company’s common stock onViveve System for improvement of sexual function or stress urinary incontinence in the award date.United States. The RSAs were granted in January 2019. A total of 891,800 shares pursuant to an RSAthese RSAs were cancelled in September 2016. The remaining RSAs vested on the one-year anniversary of the award date in January 2017 and 39,405 shares of common stock were issued.

In August 2016, the Company granted RSAs for 5,998 shares of common stock under the 2013 Plan to board members as director compensation with a weighted average grant date fair value of $7.89 per share, based on the market price of the Company’s common stock on the award date. The RSAs were fully vested on the date of grant and 5,998 shares of common stock were issued.

In September 2016, the Company granted 25,000 shares to a consultant with a weighted average grant date fair value of $7.58 per share, based on the market price of the Company’s common stock on the award date. The RSA vests over one year at a rate of 1/4th per quarter beginning as of the award date.March 2019. As of September 30, 2017, 25,000March 31, 2019, zero shares were vested and issued.

 

In November 2016, the Company granted RSAs for 6,544As of March 31, 2019, there are 419,147 shares of commonunvested restricted stock under the 2013 Planoutstanding that have been granted pursuant to board members as director compensation with a weighted average grant date fair value of $5.91 per share, based on the market price of the Company’s common stock on the award date. The RSAs were fully vested on the date of grant and 6,544 shares of common stock were issued.

In May 2017, the Company granted RSAs for 4,797 shares of common stock under the 2013 Plan to board members as director compensation with a weighted average grant date fair value of $7.07 per share, based on the market price of the Company’s common stock on the award date. The RSAs were fully vested on the date of grant and 4,797 shares of common stock were issued.

In September 2017, the Company granted RSAs for 6,947 shares of common stock under the 2013 Plan to board members as director compensation with a weighted average grant date fair value of $5.58 per share, based on the market price of the Company’s common stock on the award date. The RSAs were fully vested on the date of grant and 6,947 shares of common stock were issued.

There were zero shares of common stock underlying RSAs as of September 30, 2017.RSAs.

 

2017 Employee Stock Purchase Plan

 

In August 2017,The sixth offering period under the stockholders approved the Company’sCompany’s 2017 Employee Stock Purchase Plan (the “2017 ESPP”). The Company reserved began on January 1, 2019 and ended on March 31, 2019, and 43,759 shares were issued on March 29, 2019 at a totalpurchase price of 400,000$0.80.


As of March 31, 2019, the remaining shares of common stockavailable for issuance under the 2017 ESPP. Eligible employees mayESPP were 212,560 shares.

The Company estimates the fair value of purchase sharesrights under the ESPP using a Black-Scholes valuation model. The fair value of common stock through periodic payroll deductions,each purchase right was estimated on the date of grant using the Black-Scholes option valuation model and the straight-line attribution approach with a maximumthe following weighted-average assumptions:

  

Three Months Ended

 
  

March 31,

 
  

2019

  

2018

 
       

Expected term (in years)

 0.25  0.25 

Average volatility

 74%  59% 

Risk-free interest rate

 2.45%  1.39% 

Dividend yield

 0%  0% 

The weighted average grant date fair value of the purchase of 2,000 shares of common stock in any offering period. The price of common stock purchasedrights issued under the 2017 ESPP is equal to 85% ofduring the lesser of the fair market value of common stock on the first or last day of the offering period. Each offering period is for a period of three months. The first offering period under the 2017 ESPP began on October 1, 2017months ended March 31, 2019 and will end on December 31, 2017.2018 was $0.33 and $1.30, respectively. 


 

Stock-Based Compensation

 

During the three months ended September 30, 2017March 31, 2019 and 2016,2018, the Company granted stock options to employees to purchase 305,0002,117,500 and 220,9151,251,171 shares of common stock, respectively, with a weighted average grant date fair value of $3.19$1.24 and $3.58$ 2.77 per share, respectively. During the nine months ended September 30, 2017 and 2016, the Company grantedThere were no stock options to employees to purchase 720,110 and 378,932 shares of common stock with a weighted average grant date fair value of $2.83 and $3.54 per share, respectively. A total of 7,730 and 3,020 shares pursuant to stock options issued to employees were exercised in the nine months ended September 30, 2017 and 2016, respectively. The aggregate intrinsic value of options exercised during the ninethree months ended September 30, 2017March 31, 2019 and 2016 was $31,000 and $5,000, respectively.2018.

 

The Company estimated the fair value of stock options using the Black-Scholes option pricing model. The fair value of employee stock options is being amortized on a straight-line basis over the requisite service period of the awards. The fair value of employee stock options granted was estimated using the following weighted average assumptions:   

 

 Three Months Ended Nine Months Ended 

Three Months Ended

 
 

September 30,

 

September 30,

 

March 31,

 
 

2017

 2016 2017 2016 

2019

  

2018

 
                      

Expected term (in years)

  5   5   5   5  5  5 

Average volatility

  64%  46%  55%  54% 73%  76% 

Risk-free interest rate

  1.73%  1.14%  1.83%  1.31% 2.53%  2.48% 

Dividend yield

  0%  0%  0%  0% 0%  0% 

 

During the three and nine months ended September 30, 2017,March 31, 2019 and 2018, the Company granted stock options to nonemployees to purchase 14,00027,500 and 19,8752,388 shares of common stock, respectively, with a weighted average grant date fair value of $3.66$1.22 and $4.09,$2.98, respectively. During the three and nine months ended September 30, 2016, the Company granted stock options to nonemployees to purchase 50,000 shares of common stock with a with weighted average grant date fair value of $4.81. There were no stock options exercised by nonemployees during the ninethree months ended September 30, 2017March 31, 2019 and 2016. 2018.

The fair value of nonemployee stock options granted was estimated using the following weighted average assumptions: 

  

Three Months Ended

 
  

March 31,

 
  

2019

  

2018

 
       

Expected term (in years)

 5  10 

Average volatility

 73%  77% 

Risk-free interest rate

 2.49%  2.73% 

Dividend yield

 0%  0% 

 

Option-pricing models require the input of various subjective assumptions, including the option’soption’s expected life and the price volatility of the underlying stock. The expected stock price volatility is based on analysis of the Company’s stock price history over a period commensurate with the expected term of the options, trading volume of comparable companies’ stock, look-back volatilities and the Company specific events that affected volatility in a prior period. The expected term of employee stock options represents the weighted average period the stock options are expected to remain outstanding and is based on the history of exercises and cancellations on all past option grants made by the Company, the contractual term, the vesting period and the expected remaining term of the outstanding options. The risk-free interest rate is based on the U.S. Treasury interest rates whose term is consistent with the expected life of the stock options. No dividend yield is included as the Company has not issued any dividends and does not anticipate issuing any dividends in the future.  


 

The following table shows stock-based compensation expense included in the condensed consolidated statements of operations for the three and nine months ended September 30, 2017March 31, 2019 and 20162018 (in thousands):

 

 Three Months Ended  Nine Months Ended  

Three Months Ended

 
 

September 30,

  

September 30,

  

March 31,

 
 

2017

  2016  2017  2016  

2019

  

2018

 
                        
Cost of revenue $5  $-  $12  $-  $32  $11 

Research and development

  62   31   170   80   40   122 

Selling, general and administrative

  420   241   1,132   582   424   620 

Total

 $487  $272  $1,314  $662  $496  $753 

 

As of September 30, 2017,March 31, 2019, the total unrecognized compensation cost in connection with unvested stock options was approximately $4,400,000.$4,607,000. These costs are expected to be recognized over a period of approximately 2.862.6 years.

  


10

11..      Income Taxes

Income Taxes

 

No provision for income taxes has been recorded due to the net operating losses incurred from inception to date, for which no benefit has been recorded.

 

For interim periods, the Company estimates its annual effective income tax rate and applies the estimated rate to the year-to-date income or loss before income taxes. The Company also computes the tax provision or benefit related to items reported separately and recognizes the items net of their related tax effect in the interim periods in which they occur. The Company also recognizes the effect of changes in enacted tax laws or rates in the interim periods in which the changes occur.

 

The Company’sCompany’s effective tax rate is 0% for the three and nine months ended September 30, 2017March 31, 2019 and 2016.March 31, 2018. The Company expects that its effective tax rate for the full year 20172019 will be 0%.

 

11

12..      Related Party Transactions

Related Party Transactions

 

In June 2006, the Company entered into a Development and Manufacturing Agreement (the “Agreement”) with Stellartech Research Corporation (“Stellartech”). The Agreement was amended on October 4, 2007. Under the Agreement, the Company agreed to purchase 300 generators manufactured by Stellartech. As of September 30, 2017,March 31, 2019, the Company has purchased 465809 units. The price per unit is variable and dependent on the volume and timing of units ordered. In conjunction with the Agreement, Stellartech purchased 37,500 shares of Viveve, Inc.’s common stock. Under the Agreement, the Company paid Stellartech $2,620,000approximately $1,489,000 and $1,816,000$3,273,000 for goods and services during the three months ended September 30, 2017March 31, 2019 and 2016, respectively, and $6,326,000 and $3,976,000 for the nine months ended September 30, 2017 and 2016, respectively2018, respectively. The amounts due to Stellartech for accounts payable as of September 30, 2017March 31, 2019 and December 31, 20162018 were $781,000approximately $619,000 and $1,297,000,$960,000, respectively.

 

13.

Restructuring Costs

In connection with the Distributorship Agreement entered into with ICM,January 2019, the Company also entered intoimplemented a Membership Unit Subscription Agreement with ICMstrategic organizational realignment plan to reduce operating expenses and prepare the Company invested $2,500,000for expanded indications for its CMRF technology platform for improved sexual function and stress urinary incontinence in ICM (see Note 4). In conjunction withwomen. The restructuring included a reduction in headcount of approximately 40 full-time employees. The total restructuring costs were approximately $742,000 and have been recorded in operating expenses in the Distributorship Agreement,condensed consolidated statements of operations. As of March 31, 2019, approximately $24,000 remains unpaid and is included in accrued liabilities. This amount is expected to be paid in the Company’s purchasesquarter ended June 30, 2019. The restructuring contributed to a reduction in total operating expenses in the first quarter of products from ICM has not been material during2019 as planned and is expected to result in additional operating cost savings throughout the three and nine months ended September 30, 2017.remainder of this year.

 


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

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

 

You should read the following discussion of our financial condition and results of operations in conjunction with the condensed consolidated financial statements and the related notes included elsewhere in this Quarterly Report and with our audited consolidated financial statements included in our Annual Report on Form 10-K for the year ended December 31, 2016,2018, as filed with the Securities and Exchange Commission on February 16, 2017.March 15, 2019. In addition to historical condensed consolidated financial information, the following discussion contains forward-looking statements that reflect our plans, estimates, and beliefs. Our actual results could differ materially from those discussed in the forward-looking statements. Factors that could cause or contribute to these differences include those discussed below and elsewhere in this Quarterly Report, particularly in Part II, Item 1A. "Risk Factors."

  

Overview of Our Business

  

In the discussion below, when we use the terms “we”, “us” and “our”, we are referring to Viveve Medical, Inc. and our wholly-owned subsidiaries, Viveve, Inc. and Viveve BV.

 

We design, develop, manufacture and market a platform medical devicetechnology, which we refer to as Cryogen-cooled Monopolar Radiofrequency (“CMRF”). Our proprietary CMRF technology is delivered through a radiofrequency generator, handpiece and treatment tip that, collectively, we refer to as the Viveve® System. The Viveve System is currently marketed and sold for the non-invasive treatmenta number of vaginal laxity, for improved sexual function, and for vaginal rejuvenation,indications, depending on the relevant country-specific clearance or approval, that we refer to as Geneveve™, which includes a radio frequency (RF) generator, which we refer to asapproval. Currently, the Viveve System single-use treatment tips and other ancillary disposables. Currently, Geneveve is cleared for marketing in 60 countries throughout the world under the following indications for use: 

 

Indication for Use:

No. of Countries:

General Surgicalsurgical procedures for coagulationelectrocoagulation and hemostasis

 

3

 (including the U.S.)

General surgical procedures for electrocoagulation and hemostasis of vaginal tissue and for the treatment of vaginal laxity

32

For treatment of vaginal laxity

41

6

For treatment of the vaginal introitus, after vaginal childbirth, to improve sexual function

15

16

General surgical procedures for electrocoagulation and hemostasis and for the treatment of vaginal laxity

1

For vaginal rejuvenation

 

1

For treatment of vaginal laxity, urinary incontinence, and sexual function1

 

In the U.S., Genevevethe Viveve System is indicated for use in general surgical procedures for coagulationelectrocoagulation and hemostasis and we market and sell primarily through a direct sales force. Outside the U.S., we primarily market and sell through distribution partners. As of September 30, 2017,March 31, 2019, we have sold 364746 Viveve Systems and approximately 12,25035,500 single-use treatment tips. tips worldwide. 

 

Because the revenues we have earned to date have not been sufficient to support our operations, we have relied on sales of our securities, bank term loans and loans from related parties and bank term loans to fund our operations.

 

We are subject to risks, expenses and uncertainties frequently encountered by companies in the medical device industry. These risks include, but are not limited to, intense competition, whether we can be successful in obtaining U.S. Food and Drug Administration (the “FDA”(“FDA”) and other governmental clearance or approval for the sale of our product for all desired indications and whether there will be a demand for the Geneveve,Viveve System, given that the cost of the procedure will likely not be reimbursed by the government or private health insurers. In addition, we will continue to require substantial funds to support our clinical trials and fund our efforts to expand regulatory clearance or approval for our products, including in locations in which we do not currently have clearance or approval to market our product, including the U.S. We cannot be certain that any additional required financing will be available when needed or on terms which are favorable to us. As noted above, our operations to date have been primarily funded through the sales of our securities, bank term loans and loans from related parties and bank term loans.parties. Various factors, including our limited operating history with minimallimited revenues to date and our limited ability to market and sell our productproducts have resulted in limited working capital available to fund our operations. There are no assurances that we will be successful in securing additional financing in the future to fund our operations going forward. Failure to generate sufficient cash flows from operations, raise additional capital or reduce certain discretionary spending could have a material adverse effect on our ability to achieve our intended business objectives.

 

Recent Events

Effective Shelf Registration Statements

 

In November 2017, Employee Stock Purchase Plan

Atwe filed a universal shelf registration statement with the Company’s annual meetingSEC on Form S-3 for the proposed offering from time to time of the stockholders held on August 15, 2017, the stockholders approved the Company’s 2017 Employee Stock Purchase Planup to $50,000,000 of our securities, including common stock, preferred stock, and/or warrants (the “2017 ESPP”Shelf Registration Statement”). It is the Company’s intention that theThe 2017 ESPP qualify as an “employee stock purchase plan” under Section 423Shelf Registration Statement currently has a remaining capacity of the Internal Revenue Code.$25,000,000.

 


 

Shares Subject to the Plan. An aggregate of 400,000 shares has been reserved and available for issuance under the 2017 ESPP.

Plan Administration. The 2017 ESPP is administered by the compensation committee of the board of directors.

Eligibility. Employees of the Company and its U.S. subsidiary are eligible to participate in the 2017 ESPP so long as the employee is employed for more than 20 hours a week and has completed at least six months of employment on the first day of the applicable offering period. No person who owns or holds, or as a result of participation in the 2017 ESPP would own or hold, common stock or options to purchase common stock, that together equal to 5% or more of total outstanding common stock is entitled to participate in the 2017 ESPP. No employee may exercise an option granted under the 2017 ESPP that permits the employee to purchase common stock of the Company having a value of more than $25,000 (determined using the fair market value of the stock at the time such option is granted) in any calendar year.

Participation and Payroll Deductions. Participation in the 2017 ESPP is limited to eligible employees. Eligible employees may authorize payroll deductions, with a minimum of 1% of base pay and a maximum of 15% of base pay. There are currently approximately 40 employees who will be eligible to participate in the 2017 ESPP. Once an employee becomes a participant in the 2017 ESPP, that employee will automatically participate in successive offering periods until such time as that employee withdraws from the 2017 ESPP, becomes ineligible to participate in the 2017 ESPP, or his or her employment ceases.

Offering Periods. Each offering of common stock under the 2017 ESPP is for a period of three months, which is referred to as the “offering period.” The first offering period under the 2017 ESPP began on October 1, 2017 and will end on December 31, 2017. Subsequent offerings under the 2017 ESPP will generally begin on the first business day occurring on or after each January 1st, April 1st, July 1st and October 1st and will end on the last business day occurring on or before the following March 31st, June 30th, September 30th and December 31st, respectively. Shares are purchased on the last business day of each offering period, with that day being referred to as an “exercise date.”

Exercise Price. On the first day of an offering period, employees participating in that offering period will receive an option to purchase shares of our common stock. On the exercise date of each offering period, the employee is deemed to have exercised the option, at the exercise price, to the extent of accumulated payroll deductions. The option exercise price is equal to the lesser of (i) 85% the fair market value per share of our common stock on the first day of the offering period or (ii) 85% of the fair market value per share of our common stock on the exercise date. The maximum number of shares of common stock that may be issued to any employee under the 2017 ESPP in any offering period is 2,000. If an employee is no longer a participant on an exercise date, the employee’s option will be automatically terminated, and the amount of the employee’s accumulated payroll deductions will be refunded.

Terms of Participation. A participant may not increase or decrease the amount of his or her payroll deductions during any offering period but may increase or decrease his or her payroll deduction with respect to the next offering period by completing a new enrollment form within the period beginning on the first day of the month before the first day of such offering period and ending on the 14th day of the month before the first day of such offering period. A participant may withdraw from an offering period at any time without affecting his or her eligibility to participate in future offering periods. If a participant withdraws from an offering period, that participant may not again participate in the same offering period, but may enroll in subsequent offering periods. An employee’s withdrawal will be effective as of the business day following the employee’s delivery of written notice of withdrawal under the 2017 ESPP.

Term; Amendments and Termination. The 2017 ESPP will continue until terminated by the board of directors. Upon termination of the 2017 ESPP, all amounts in the accounts of participating employees will be refunded.

Investment in 2018 OfferingLimited Liability Company

On August 8, 2017, the Company entered into an exclusive Distributorship Agreement (the “Distributorship Agreement”) with InControl Medical, LLC (“ICM”), a Wisconsin limited liability company focused on women's health, pursuant to which the Company will directly market, promote, distribute and sell ICM’s products to licensed medical professional offices and hospitals. The products to be distributed by the Company include ICM’s InTone™, InToneMV™, ApexM™, and Intensity™ products.

Under the terms of the Distributorship Agreement, ICM agreed to not directly or indirectly appoint or authorize any third party to market, promote, distribute or sell any of the licensed products to any licensed medical professional offices and hospitals in the United States. In exchange, the Company agreed to not market, promote, distribute or sell (or contract to do so) any product which substantially replicates all or almost all of the key features of the licensed products. The Company has a minimum purchase requirement to purchase a certain quantity of ICM products per month during the term of this Distributorship Agreement In addition, the parties agreed to certain mutual marketing obligations to promote sales of the licensed products.


 

In connection with the Distributorship Agreement,closing of the December 2018 Offering, the Company also entered intoissued an aggregate of 14,728,504 shares of common stock, including the shares issued in connection with the exercise of the underwriters’ overallotment option, at a Membership Unit Subscription Agreement with ICMpublic offering price of $1.50 per share for gross proceeds of approximately $22,093,000. The net proceeds to the Company, after deducting underwriting discounts and commissions and other offering expenses, were approximately $20,385,000.  

“At-the-Market” Offering

The Company established an “at-the-market” equity offering program through the associated limited liability company operating agreementfiling of ICM, pursuanta prospectus supplement to its shelf registration statement on Form S-3, which was filed on November 8, 2017, under which the Company invested $2,500,000may offer and sell, from time-to-time, up to $25,000,000 aggregate offering price of shares of its common stock (the “November 2017 ATM Facility”). As of March 31, 2019, the Company has sold 336,498 shares of common stock under the November 2017 ATM Facility for gross proceeds of approximately $1,631,000. The net proceeds to the Company, after deducting underwriting discounts and commissions and other offering expenses, were approximately $1,318,000.   

CE Mark Clearance for Next Generation 2.0 Platform in Europe

In April 2019, the Company received CE Mark clearance for its next generation Viveve 2.0 CMRF system and acquired membership unitstips in European Union and European Economic Area countries. As part of ICM.our ongoing regulatory strategy to expand the commercial launch of our Viveve 2.0 platform globally, the Company’s next generation system and its consumable treatment tips are now available in over 30 countries in Europe. The Company’s 2.0 platform significantly reduced manufacturing costs for both the next generation system and for the consumable tips since becoming available in the U.S. and it should have a positive impact on our overall gross margins going forward.

Enrollment Completed in VIVEVE II Clinical Study

In March 2019, enrollment was completed for the VIVEVE II (VIveve treatment of the Vaginal Introitus to EValuate Effectiveness clinical study following IDE approval by the FDA. This investmentis a prospective, randomized, double-blind, sham controlled study to evaluate the efficacy and safety of the Viveve System to improve symptoms of female sexual disfunction, associated with vaginal laxity. Nineteen active clinical sites in the United States enrolled 250 female patients who were pre-menopausal, 18 years of age or older who experienced at least one full term vaginal delivery at least twelve months prior to enrollment date, randomized in a 2:1 ratio to either an active treatment group or sham-control group. Patients will be followed for twelve months post-treatment to assess the primary effectiveness and safety endpoints of the study with data being collected at one, three, six, nine and twelve months. Patients randomized to the sham arm will be offered the opportunity to receive a Viveve treatment once they have completed the twelve-month evaluation following the sham intervention.

The primary efficacy endpoint of the study is the mean change from baseline in the Female Sexual Function Index (FSFI) total score at twelve months post treatment. Secondary endpoints include evaluation of the mean change from baseline of the total FSFI score at six months, as well as evaluation of the mean change from baseline of the six different domains within the FSFI at six and twelve months. At months six and twelve, in addition to the FSFI, subjects will be asked to complete the Patient’s Global Impression of Improvement (PGI-I). Subjects will also be assessed for adverse events throughout the study. The Company intends to report final twelve-month clinical data from the study in the second quarter of 2020.

Enrollment Completed in LIBERATE-InternationalSUI Trial 

In January 2019, enrollment was completed for the LIBERATE-International study in SUI. The study was conducted in Canada to support SUI indications in Canada, the European Union and several other international countries. LIBERATE International is a randomized, double-blind, sham-controlled study conducted at 9 sites in Canada and included enrollment of 99 patients suffering from mild-to-moderate SUI. Patients were randomized in a 2:1 ratio to either an active treatment group or sham-control group. Patients will be followed for six months post-treatment to assess the primary effectiveness and safety endpoints of the study with data being collected at one, three and six months.

The primary efficacy endpoint is the 6-month change from baseline in the one-hour pad weight test, and the study protocol includes 6 months of safety follow-up, as well as assessments of other secondary endpoints, including: 24-hour pad weight test, daily incontinence episodes, as well as composite scores from the validated UDI-6, IIQ-7, and ICIQ-UI-SF outcome questionnaires.

Health Canada issued an authorization to conduct the investigational testing. The treatment portion of the trial has been completed, and if the results are favorable, the company expects to use the study for a registration filing in Canada, the EU and other countries outside the US for the improvement of SUI symptoms. There can be no assurance that any regulatory authority will approve our applications.


Reported Positive Twelve-Month Data from SUI Feasibility Study

In December 2018, the Company reported positive twelve-month interim data from its SUI feasibility study.  At twelve months post-treatment, 72% of women experienced improvement in one-hour pad weight test and 60% of patients experienced significant benefit as they had ≤ 1 gram of urine leakage in the one-hour pad weight test at twelve months. A clinically meaningful benefit was achieved across all patient-reported SUI symptoms and quality of life outcome measures. No device-related safety issues were reported for any of the patients.

This single-arm feasibility study included 36 subjects with mild to moderate SUI (based on the one-hour pad weight test) who underwent treatment with Viveve’s CMRF technology under a proprietary treatment protocol. Clinical results included the objective one-hour pad weight assessment and seven-day bladder voiding diary, as well as composite scores from multiple validated patient-reported outcomes, including: UDI-6 (Urogenital Distress Inventory-Short Form), IIQ-7 (Incontinence Impact Questionnaire) and ICIQ-UI-SF (International Consultation on Incontinence Questionnaire-Urinary Incontinence-Short Form).

Submission of IDE to FDA for Approval to Conduct SUI Trial in the United States

In September 2018, the Company submitted an Investigational Device Exemption (IDE) to the U.S. Food and Drug Administration (FDA) for authorization to begin LIBERATE-U.S., a multicenter, randomized, double-blinded, sham-controlled trial to evaluate the safety and efficacy of the Company’s proprietary technology for the improvement of stress urinary incontinence (SUI) in women. Intended enrollment for the LIBERATE-U.S. trial is approximately 240 subjects at up to 25 study sites in the United States. Subjects will be randomized in a 2:1 ratio for active and sham treatments.

The expected primary efficacy endpoint in the study is the proportion of patients experiencing a greater than 50% reduction in Pad Weight Gain in the standardized 1-hour Pad Weight Test at 12 months post-treatment. The 1-hour Pad Weight Test is an FDA recommended endpoint in SUI clinical research. The proposed study design also includes a variety of secondary and exploratory endpoints including safety, efficacy, as measured by a three-day voiding diary, and Quality of Life benefits measured by the Urogenital Distress Inventory-6 (UDI-6), International Consultation on Incontinence Modular Questionnaire-Urinary Incontinence Short Form (ICIQ-UI-SF), and Incontinence Quality of Life (I-QOL).

Viveve has had ongoing discussions with the FDA and a resultant safety case protocol is currently under formal review by the Agency. The Company anticipates positive feedback from the Agency in the near future and to conduct the additional safety testing. Upon completion of said testing, the Company plans to re-submit the IDE to the FDA in the third quarter 2019.

Strategic Organizational Realignment

In January 2019, the Company implemented a strategic and organizational realignment plan (the “Strategic Organizational Realignment”) to reduce operating expenses and prepare the Company for expanded indications for its CMRF technology platform for improved sexual function and stress urinary incontinence in women. The Strategic Organizational Realignment included a reduction in total headcount of approximately 40 full-time employees. It also included a nearly two-thirds reduction in the Company’s direct sales organization, which has been repositioned to provide targeted market development activities to further expand awareness and adoption of Viveve’s CMRF technology in the before mentioned medical specialties. The Company’s current and prospective aesthetic medicine customers in the U.S. will be supported by a network of distributor partners under Viveve’s direction. International commercial distribution will remain unchanged through Viveve’s global network of distributor partners. The total restructuring costs for employee severance and other related termination benefits recorded in investmentthe quarter ended March 31, 2019 was approximately $742,000. As of March 31, 2019, approximately $24,000 remains unpaid and is included in a limited liability companyaccrued liabilities. This amount is expected to be paid in the condensed consolidated balance sheetsquarter ended June 30, 2019. This restructuring contributed to a reduction in our total operating expenses in the first quarter of 2019 as planned and is accountedexpected to result in additional operating cost savings throughout the remainder of this year.

Adoption of New Accounting Standard - Leases

The Company adopted the Financial Accounting Standards Board’s (“FASB”) Accounting Standards Codification (“ASU”) No. 2016-02, Leases (Topic 842), as of January 1, 2019, using the modified retrospective approach. The modified retrospective approach provides a method for recording existing leases at the beginning of the period of adoption. In addition, the Company elected the package of practical expedients permitted under the equity method.transition guidance within the new standard, which among other things, allowed us to carry forward the historical lease classification and we elected the hindsight practical expedient to determine the lease term for existing leases. We determined that the renewal options for the facilities lease would be reasonably certain to be renewed and as such, included that renewal period in determining the expected lease term of that lease. The comparative information has not been restated and continues to be reported under the accounting standards in effect for those periods

  


 

Plan of Operation

 

We intend to increase our sales both internationally and in the U.S. market by seeking additional regulatory clearances or approvals for the sale and distribution of our products, identifying and training qualified distributors, and expanding the scope of physicians who offer the GeneveveViveve System to include plastic surgeons, dermatologists, general surgeons, urologists urogynecologists and primary care physicians. urogynecologists. 

 

In addition, we intend to use the strategic relationships that we have developed with outside contractors and medical experts to improve our products by focusing our research and development efforts on various areas including, but not limited to:

 

designing new treatment tips optimized for both ease-of-use and to reduce procedure times for patients and physicians; and

developing new RF consoles, which may include increased security features to prevent piracy, or new cooling systems to maintain compliance with environmental regulations.consoles.

  

The net proceeds received from sales of our securities and the term loans have been used to support commercialization of our product in existing and new markets, for our research and development efforts and for protection of our intellectual property, as well as for working capital and other general corporate purposes. We expect that our cash additional borrowing capacity under our debt facility, and our forecasted operating results will be sufficient to fund our activities for at least the next 12nine months; however, we will continue tomay require fundsadditional capital from the sale of equity or debt securities to fully implement our plan of operation. Our operating costs include employee salaries and benefits, compensation paid to consultants, professional fees and expenses, costs associated with our clinical trials, capital costs for research and other equipment, costs associated with research and development activities including travel and administration, legal expenses, sales and marketing costs, general and administrative expenses, and other costs associated with an early stage public company subject to the reporting requirements of the Securities Exchange Act of 1934, as amended (the “Exchange Act”). We also expect to incur expenses related to obtaining regulatory clearances orclearance and approvals in the U.S. and internationally as well as legal and related expenses to protect our intellectual property. We expect capital expenditures, for the foreseeable future, to be less than $500,000 annually.

   

We intend to continue to meet our operating cash flow requirements through the sales of our products and by raising additional fundscapital from the sale of equity or debt securities. If we sell our equity securities, or securities convertible into equity, to raise capital, our current stockholders will likely be substantially diluted. We may also consider the sale of certain assets, or entering into a strategic transaction, such as a merger, with a business complimentary to ours although we do not currently have plans for any such transaction. While we have been successful in raising capital to fund our operations since inception, other than as discussed in this Quarterly Report on Form 10-Q, we do not have any committed sources of financing and there are no assurances that we will be able to secure additional funding, or if we do secure additional financing that it will be on terms that are favorable to us. If we cannot obtain financing, then we may be forced to curtail our operations or consider other strategic alternatives.

 

Results of Operations 

 

Comparison of the Three Months Ended September 30, 2017March 31, 2019 and 20162018

 

Revenue

 

  

Three Months Ended

         
  

September 30,

  

Change

 
  

2017

  

2016

   $  

%

 
  

(in thousands, except percentages)

 
                 

Revenue

 $4,070  $1,849  $2,221   120%
  

Three Months Ended

         
  

March 31,

  

Change

 
  

2019

  

2018

  

$

  

%

 
  

(in thousands, except percentages)

 
                 

Revenue

 $3,012  $3,699  $(687)  (19)%

 

We recorded revenue of $4,070,000$3,012,000 for the three months ended September 30, 2017,March 31, 2019, compared to revenue of $1,849,000$3,699,000 for the three months ended September 30, 2016, an increaseMarch 31, 2018, a decrease of $2,221,000,$687,000, or approximately 120%19%. The increasedecrease in revenue was primarily due to sales of 6043 Viveve Systems (which included 4725 Viveve Systems sold in the U.S. market – 15 Viveve Systems through direct sales and 10 Viveve Systems through our U.S. distribution partner) and lower quantities of disposable products sold (which included approximately 2,300 disposable treatment tips sold globally) in the first quarter of 2019. Sales in the first quarter of 2018 included 53 Viveve Systems (which included 38 Viveve Systems sold in the U.S. market through direct sales), higher quantities of and approximately 5,400 disposable treatment tips and other ancillary consumables in the third quarter of 2017. Sales in the third quarter of 2016 included 47 Viveve Systems and smaller quantities of disposable treatment tips and other ancillary consumables sold entirely outside the U.S. to our distribution partners.tips.

 


Gross profit

 

  

Three Months Ended

         
  

September 30,

  

Change

 
  

2017

  

2016

   $  

%

 
  

(in thousands, except percentages)

 
                 

Gross profit

 $2,011  $691  $1,320   191%
  

Three Months Ended

         
  

March 31,

  

Change

 
  

2019

  

2018

  

$

  

%

 
  

(in thousands, except percentages)

 
                 

Gross profit

 $1,071  $1,347  $(276)  (20)%

 

Gross profit was $2,011,000, $1,071,000, or 49%36% of revenue, for the three months ended September 30, 2017,March 31, 2019, compared to a gross profit of $691,000,$1,347,000, or 37%36% of revenue, for the three months ended September 30, 2016, an increaseMarch 31, 2018, a decrease of $1,320,000,$276,000, or approximately 191%20%. The increasedecrease in gross profit was primarily due to sales of 60 Viveve Systems in the third quarter of 2017, which included 47 Viveve Systems sold in the U.S. market through direct sales. Sales in the third quarter of 2016 included 47 Viveve Systems and smaller quantities of disposable treatment tips and other ancillary consumables sold entirely outside the U.S. to our distribution partners.

The increase in gross margin was primarily due to an increase in revenue from direct sales with higher margin products. We expect our gross margin to fluctuate in future periods based on theunit volume mix of our product and direct sales versus distributor sales.products sold during the period.

     

Research and development expenses

 

  

Three Months Ended

         
  

September 30,

  

Change

 
  

2017

  

2016

   $  

%

 
  

(in thousands, except percentages)

 
                 

Research and development

 $3,464  $2,054  $1,410   69%
  

Three Months Ended

         
  

March 31,

  

Change

 
  

2019

  

2018

  

$

  

%

 
  

(in thousands, except percentages)

 
                 

Research and development

 $2,480  $3,756  $(1,276)  (34)%

 

Research and development expenses totaled $3,464,000$2,480,000, for the three months ended September 30, 2017,March 31, 2019, compared to research and development expense of $2,054,000$3,756,000 for the three months ended September 30, 2016, an increaseMarch 31, 2018, a decrease of $1,410,000,$1,276,000, or approximately 69%34%. Spending on research and development increaseddecreased in the three months ended September 30, 2017first quarter of 2019 primarily due to reduced engineering and development work related to our products in the period as well as certain cost savings in connection with the Company’s Strategic Organizational Realignment, partially offset by higher clinical study costs associated with increasedour clinical development programs in female sexual function and SUI. Research and development spending in the first quarter of 2018 included higher costs associated with engineering and development work with our contract manufacturer related to product improvement efforts. Research and development expense duringefforts primarily for our next generation 2.0 platform in advance of the three months ended September 30, 2017 also included higher personnel costs for new employees and related additional stock-based compensation expense for stock options granted to new employees and additional stock options granted to existing employees for performance bonuses.2018 commercial product release.

  

Selling, general and administrative expenses   

  

  

Three Months Ended

         
  

September 30,

  

Change

 
  

2017

  

2016

   $  

%

 
  

(in thousands, except percentages)

 
                 

Selling, general and administrative

 $7,369  $3,272  $4,097   125%
  

Three Months Ended

         
  

March 31,

  

Change

 
  

2019

  

2018

  

$

  

%

 
  

(in thousands, except percentages)

 
                 

Selling, general and administrative

 $6,626  $8,931  $(2,305)  (26)%

 

Selling, general and administrative expenses totaled $7,369,000$6,626,000 for the three months ended September 30, 2017,March 31, 2019, compared to $3,272,000$8,931,000 for the three months ended September 30, 2016, an increaseMarch 31, 2018, a decrease of $4,097,000,$2,305,000, or approximately 125%26%. The increasedecrease in selling, general and administrative expenses in the first quarter of 2019 was primarily attributabledue to increased salescertain cost savings in connection with the Company’s Strategic Organizational Realignment as well as lower professional and marketing efforts to build brand and market awareness, expenseslegal fees associated with being a public company and financing efforts.our intellectual property. Selling, general and administrative expenses during 2017 alsoin the first quarter of 2018 included higher personnel costs for new employees (primarilyprofessional and legal fees associated with strategies to protect the Company’s intellectual property. In June 2018, we reached a favorable settlement in connectionthe Company’s patent infringement litigation with our sales and marketing efforts) and related additional stock-based compensation expense for stock options granted to new employees and additional stock options granted to existing employees for performance bonuses.ThermiGen, LLC.

  

Restructuring costs

  

Three Months Ended

         
  

March 31,

  

Change

 
  

2019

  

2018

  

$

  

%

 
  

(in thousands, except percentages)

 
                 

Restructuring costs

 $742  $-  $742   - 

In January 2019, the Company implemented the Strategic Organizational Realignment to reduce operating expenses and prepare the Company for expanded indications for its CMRF technology platform for improved sexual function and stress urinary incontinence in women. The restructuring included a reduction in headcount of approximately 40 full-time employees. The total restructuring costs recorded for the three months ended March 31, 2019 were approximately $742,000. This restructuring contributed to a reduction in total operating expenses in the first quarter of 2019 as planned and is expected to result in additional operating cost savings throughout the remainder of this year.


 

Interest expense, net 

  

  

Three Months Ended

         
  

September 30,

  

Change

 
  

2017

  

2016

   $  

%

 
  

(in thousands, except percentages)

 
                 

Interest expense, net

 $777  $221  $556   252%
  

Three Months Ended

         
  

March 31,

  

Change

 
  

2019

  

2018

  

$

  

%

 
  

(in thousands, except percentages)

 
                 

Interest expense, net

 $1,116  $1,070  $46   4%

 

During the three months ended September 30, 2017,March 31, 2019, we had interest expense, net of $777,000,$1,116,000, compared to $221,000$1,070,000 for the three months ended September 30, 2016.March 31, 2018. The increase of $556,000,$46,000, or approximately 252%4%, resulted primarily from the additional interest expense in connection with the 2017 Loan Agreement,2019, which was computed on a higher term loan balance compared to the previous term loan under the 2016 Loan Agreement.

Other expense, net

  

Three Months Ended

         
  

September 30,

  

Change

 
  

2017

  

2016

   $  

%

 
  

(in thousands, except percentages)

 
                 

Other expense, net

 $16  $13  $3   23%

During the three months ended September 30, 2017, we had other expense, net, of $16,000, compared to $13,000 for the three months ended September 30, 2016.

Comparison of the Nine Months Ended September 30, 2017 and 2016

Revenue

  

Nine Months Ended

         
  

September 30,

  

Change

 
  

2017

  

2016

   $  

%

 
  

(in thousands, except percentages)

 
                 

Revenue

 $10,187  $4,689  $5,498   117%

We recorded revenue of $10,187,000 for the nine months ended September 30, 2017, compared to revenue of $4,689,000 for the nine months ended September 30, 2016, an increase of $5,498,000, or approximately 117%. The increase in revenue was primarily2018 due to sales of 147 Viveve Systems (which included 103 Viveve Systems sold in the U.S. market through direct sales), disposable treatment tips and other ancillary consumables in the nine months ended September 30, 2017. Sales in the nine months ended September 30, 2016 included 120 Viveve Systems and smaller quantities of disposable treatment tips and other ancillary consumables sold entirely outside the U.S. to our distribution partners.

Gross profit

  

Nine Months Ended

         
  

September 30,

  

Change

 
  

2017

  

2016

   $  

%

 
  

(in thousands, except percentages)

 
                 

Gross profit

 $4,672  $1,573  $3,099   197%

Gross profit was $4,672,000, or 46% of revenue, for the nine months ended September 30, 2017, compared to a gross profit of $1,573,000, or 34% of revenue, for the nine months ended September 30, 2016, an increase of $3,099,000, or approximately 197%. The increase in gross profit was primarily due to sales of 147 Viveve Systems in the nine months ended September 30, 2017,interest in-kind which included 103 Viveve Systems sold in the U.S. market through direct sales. Sales in the nine months ended September 30, 2016 included 120 Viveve Systems and smaller quantities of disposable treatment tips and other ancillary consumables sold entirely outside the U.S. to our distribution partners.

The increase in gross margin was primarily due to an increase in revenue from direct sales with higher margin products. We expect our gross margin to fluctuate in future periods based on the mix of our product and direct sales versus distributor sales.


Research and development expenses

  

Nine Months Ended

         
  

September 30,

  

Change

 
  

2017

  

2016

   $  

%

 
  

(in thousands, except percentages)

 
                 

Research and development

 $9,292  $6,313  $2,979   47%

Research and development expenses totaled $9,292,000 for the nine months ended September 30, 2017, compared to research and development expense of $6,313,000 for the nine months ended September 30, 2016, an increase of $2,979,000, or approximately 47%. Spending on research and development increased in the nine months ended September 30, 2017 primarily due to costs associated with increased engineering and development work with our contract manufacturer related to product improvement efforts. Research and development expense during the nine months ended September 30, 2017 also included higher personnel costs for new employees and related additional stock-based compensation expense for stock options granted to new employees and additional stock options granted to existing employees for performance bonuses.

Selling, general and administrative expenses

  

Nine Months Ended

         
  

September 30,

  

Change

 
  

2017

  

2016

   $  

%

 
  

(in thousands, except percentages)

 
                 

Selling, general and administrative

 $19,681  $8,435  $11,246   133%

Selling, general and administrative expenses totaled $19,681,000 for the nine months ended September 30, 2017, compared to $8,435,000 for the nine months ended September 30, 2016, an increase of $11,246,000 or approximately 133%. The increase in selling, general and administrative expenses was primarily attributable to increased sales and marketing efforts to build brand and market awareness, expenses associated with being a public company and financing efforts. Selling, general and administrative expenses during 2017 also included higher personnel costs for new employees (primarily in connection with our sales and marketing efforts) and related additional stock-based compensation expense for stock options granted to new employees and additional stock options granted to existing employees for performance bonuses.

Interest expense, net

  

Nine Months Ended

         
  

September 30,

  

Change

 
  

2017

  

2016

   $  

%

 
  

(in thousands, except percentages)

 
                 

Interest expense, net

 $2,385  $1,094  $1,291   118%

During the nine months ended September 30, 2017, we had interest expense, net of $2,385,000, compared to $1,094,000 for the nine months ended September 30, 2016. The increase of $1,291,000, or approximately 118%, resulted primarily from the additional interest expense in connection with the May 2017 payoff of the previous term loan under the 2016 Loan Agreement, and interest expense under the 2017 Loan Agreement, which was computed on a higher loan balance comparedhas been added to the pervious termtotal outstanding principal loan under the 2016 Loan Agreement.amount each quarterly period.

 

Other expense, net

 

  

Nine Months Ended

         
  

September 30,

  

Change

 
  

2017

  

2016

   $  

%

 
  

(in thousands, except percentages)

 
                 

Other expense, net

 $49  $22  $27   123%
  

Three Months Ended

         
  

March 31,

  

Change

 
  

2019

  

2018

  

$

  

%

 
  

(in thousands, except percentages)

 
                 

Other expense, net

 $(11) $(10) $(1)  10%

 

During the nine three months ended September 30, 2017,March 31, 2019, we had other expense, net, of $49,000,$11,000, compared to $22,000$ 10,000 for the ninethree months ended September 30, 2016.March 31, 2018.

Loss from minority interest in limited liability company


  

Three Months Ended

         
  

March 31,

  

Change

 
  

2019

  

2018

  

$

  

%

 
  

(in thousands, except percentages)

 

Loss from minority interest in limited liability company

 $125  $249  $(124)  (50)%

The Company uses the equity method to account for its investment in InControl Medical, LLC (“ICM”). For the three months ended March 31, 2019, the allocated net loss from ICM’s operations was $125,000.

    

Liquidity and Capital Resources

 

Comparison of the NineThree Months Ended September 30, 2017March 31, 2019 and 20162018

 

Liquidity isAt March 31, 2019, we had $17.8 million in cash and cash equivalents. During 2018, we raised $53.8 million from the sale of common stock. At the date our financial statements for the three months ended March 31, 2019 are issued, we did not have sufficient cash to fund our operation through May 9, 2020, without additional financing and, therefore, we concluded there was substantial doubt about our ability to continue as a going concern within one year after the date the financial statements are issued. Based on management’s plans to reduce operating expenses, including the reduction in force in January 2019, and the availability of our November 2017 ATM Facility, we believe that this substantial doubt has been alleviated.

Accordingly, we expect to satisfy our estimated liquidity needs for at least 12 months from the issuance of these condensed consolidated financial statements and have mitigated our going concern risk. However, we cannot predict, with certainty, the outcome of our future actions to generate sufficient cash flows fromliquidity, including the availability of additional financing.

Management currently believes that it will be necessary for us to raise additional funding in the form of an equity financing of common stock, but there can be no assurance that such funding will be available to us on favorable terms, if at all. The failure to raise capital when needed could have a material adverse effect on our business and financial condition. We may not be able to obtain additional financing as needed on acceptable terms, or at all, which may require us to reduce our operating activitiescosts and other expenditures, including reductions of personnel, salaries and capital expenditures. Alternatively, or in addition to meetsuch potential measures, we may elect to implement additional cost reduction actions as we may determine are necessary and in our obligations and commitments. In addition, liquidity includesbest interests. Any such actions undertaken might limit the Company’s ability to obtain appropriate financing or to raise capital. We have funded our operations since inception through the sale of our securities, loans from related parties and bank term loans. To date, we have not generated sufficient cash flows from operating activities to meet our obligations and commitments, and we anticipate that we will continue to incur losses for the foreseeable future. We expect that our cash, additional borrowing capacity under our debt facility, and our forecasted operating results will be sufficient to fund our activities for the next 12 months, however, we will continue to require funds to fully implement our plan of operation.achieve its strategic objectives. 


 

The following table summarizes the primary sources and uses of cash for the periods presented below (in thousands): 

 

 

Nine Months Ended

  

Three Months Ended

 
 

September 30,

  

March 31,

 
 

2017

  

2016

  

2019

  

2018

 
                

Net cash used in operating activities

 $(26,274) $(12,194) $(11,558) $(15,191)

Net cash used in investing activities

  (3,310)  (224)  (179)  (462)

Net cash provided by financing activities

  40,705   19,069   35   33,301 

Net increase in cash and cash equivalents

 $11,121  $6,651  $(11,702) $17,648 

 

Operating Activities

 

We have incurred, and expect to continue to incur, significant expenses in the areas of research and development, regulatory and clinical study costs, associated with the Viveve System.

 

Operating activities used $26,274,000$11,558,000 for the ninethree months ended September 30, 2017March 31, 2019 compared to $12,194,000$15,191,000 used for the ninethree months ended September 30, 2016.March 31, 2018. The primary use of our cash was to fund selling, general and administrative expenses and research and development expenses associated with the Viveve System. Net cash used during the ninethree months ended September 30, 2017March 31, 2019 consisted of a net loss of $26,735,000$10,029,000 adjusted for non-cash expenses including provision for doubtful accounts of $111,000, depreciation and amortization of $318,000,$311,000, stock-based compensation of $1,314,000, fair value of common stock issued of $260,000,$496,000, non-cash interest expense of $762,000,$399,000, loss from minority interest in limited liability company of $125,000 and cash outflows from changes in operating assets and liabilities of $2,193,000.$2,981,000. The change in operating assets and liabilities was primarily due to a decrease in accounts receivable of $815,000, decrease in inventory $206,000, an increase in prepaid expenses and other current assets of $559,000 and an increase in other noncurrent assets of $17,000, a decrease in accrued and other liabilities of $2,202,000 and a decrease in accounts payable $1,310,000, partially offset by an increase of other noncurrent liabilities of $52,000. Net cash used during the three months ended March 31, 2018 consisted of a net loss of $12,669,000 adjusted for non-cash expenses including provision for doubtful accounts of $42,000, depreciation and amortization of $150,000, stock-based compensation of $753,000, non-cash interest expense of $386,000, loss from minority interest in limited liability company of $249,000, and cash outflows from changes in operating assets and liabilities of $4,102,000. The change in operating assets and liabilities was primarily due to an increase in accounts receivable of $2,742,000 and$828,000, increase in inventory of $1,497,000, an increase in prepaid expenses and other current assets of $2,151,000, partially offset by$561,000, a decrease in inventory of $422,000, an increase of accounts payable of $483,000$934,000, and an increasea decrease in accrued and other liabilities of $1,747,000. Net cash used during the nine months ended September 30, 2016 consisted of a net loss of $14,291,000 adjusted for non-cash expenses including depreciation and amortization of $78,000, stock-based compensation of $662,000, fair value of warrants issued to service providers (primarily related to nonemployee contractors) of $162,000, and non-cash interest expense of $422,000, and cash inflows from changes$366,000, partially offset by an increase in operating assets andother noncurrent liabilities of $773,000.$86,000.

 

Investing Activities

 

Net cash used in investing activities during the ninethree months ended September 30, 2017March 31, 2019 and 20162018 was $3,310,000$179,000 and $224,000,$462,000 respectively. Net cash used in investing activities during the ninethree months ended September 30, 2017March 31, 2019 and 2018 was used for the $2,500,000 equity investment in ICM and the purchase of property and equipment. During the nine months ended September 30, 2016, net cash used in investing activities was due to the purchase of property and equipment. We expect to continue to purchase property and equipment in the normal course of our business. The amount and timing of these purchases and the related cash outflows in future periods is difficult to predict and is dependent on a number of factors including, but not limited to, any increase in the number of our employees and any changes to the capital equipment requirements related to our development programs and clinical trials.

   

Financing Activities

 

Net cash provided by financing activities during the ninethree months ended September 30,March 31, 2019 was $35,000, which was the result of the proceeds from purchases of common shares under the 2017 ESPP.

Net cash provided by financing activities during the three months ended March 31, 2018 was $40,705,000,$33,301,000, which was the result of the gross proceeds of $34,500,000 from our March 2017February 2018 Offering (partially offset by transaction costs of $3,060,000), the proceeds of $20,000,000 from the drawdown of funds under the 2017 Loan Agreement (partially offset by debt issuance costs of $786,000),$2,275,000) and proceeds from the exercise of a warrant and stock options, partially offset by the repayment of the term loan under the 2016 Loan Agreement of $10,000,000. Net cash provided by financing activities during the nine months ended September 30, 2016 was $19,069,000, which was primarily the result of the gross proceeds of $15,525,000$1,057,000 from our June 2016 OfferingNovember 2017 ATM Facility (partially offset by transaction costs of $1,639,000), the proceeds$46,000).

As of $10,000,000 from the drawdownMarch 31, 2019, there is a balance of funds from the first and second tranches of the term loan$25,000,000 available for future issuance under the 2016 Loan Agreement (partially offset by debt2017 Shelf Registration Statement, and approximately $23,369,000 available for future issuance costs of $90,000), and proceeds fromunder the exercise of warrants and stock options $106,000, partially offset by the repayment of the outstanding existing indebtedness of $4,833,000.November 2017 ATM Facility.

     


 

Contractual Payment Obligations

 

We have obligations under a bank term loan and non-cancelable operating lease and a bank term loan.leases. As of September 30, 2017,March 31, 2019, our contractual obligations are as follows (in thousands):

  

      

Less than

          

More than

 

Contractual Obligations:

 

Total

  

1 Year

  

1 - 3 Year

  

3 -5 Years

  

5 Years

 

Non-cancellable operating lease obligations

 $859  $418  $441  $-  $- 

Debt obligations (including interest)

  34,408   1,775   3,778   21,568   7,287 

Total

 $35,267  $2,193  $4,219  $21,568  $7,287 

In January 2012, we entered into a lease agreement for office and laboratory facilities in Sunnyvale, California. The lease agreement, as amended in September 2016, commenced in March 2012 and will terminate in March 2018.

      

Less than

          

More than

 

Contractual Obligations:

 

Total

  

1 Year

  

1 - 3 Year

  

3 -5 Years

  

5 Years

 

Debt obligations (including interest)

 $47,203  $2,814  $23,888  $20,501  $- 

Non-cancellable operating lease obligations

  389   298   91   -   - 

Total

 $47,592  $3,112  $23,979  $20,501  $- 

 

On February 1, 2017, we entered into a Sublease for approximately 12,400 square feet of building space for the relocation of the Company’sCompany’s corporate headquarters to Englewood, Colorado. The lease term is 36 months and the monthly base rent for the first, second and third years is $20.50, $21.12 and $21.75 per rentable square foot, respectively. In connection with the execution of the Sublease, the Company paid a security deposit of approximately $22,000. The Company is also entitled to an allowance of approximately $88,000 for certain tenant improvements relating to the engineering, design and construction of the Sublease Premises. The lease term commenced onin June 1, 2017 and will terminate in May 2020.

 

On May 22, 2017, the Company entered into the 2017 Loan Agreement with affiliates of CRG LP (“CRG”). The new credit facility consists of $20,000,000 that was drawn at closing and the ability to access additional funding of up to an aggregate of $10,000,000 for a total of $30,000,000 under the credit facility, based onfacility. On December 29, 2017, the achievement of certain revenue and market capitalization milestones.Company accessed the remaining $10,000,000 available under the credit facility. The term of the loan is six years with the first four years being interest only. The outstanding principal balance under the 2017 Loan Agreement is $20,285,000 $32,068,000 as of September 30, 2017.March 31, 2019.

 

In September 2018, the Company entered into a 36-month noncancelable operating lease agreement for office equipment.  The lease commenced on September 20, 2018.  The monthly payment is approximately $3,000. 

Critical Accounting Policies and Estimates

 

The discussion and analysis of financial condition and results of operations is based upon our condensed consolidated financial statements, which have been prepared in conformity with accounting principles generally accepted in the United States of America (“U.S. GAAP”). Certain accounting policies and estimates are particularly important to the understanding of our financial position and results of operations and require the application of significant judgment by our management or can be materially affected by changes from period to period in economic factors or conditions that are outside of our control. As a result, they are subject to an inherent degree of uncertainty. In applying these policies, management uses their judgment to determine the appropriate assumptions to be used in the determination of certain estimates. Those estimates are based on our historical operations, our future business plans and projected financial results, the terms of existing contracts, observance of trends in the industry, information provided by our customers and information available from other outside sources, as appropriate. Please see Note 2 to our audited consolidated financial statements included in our Annual Report on Form 10-K for the year ended December 31, 2016,2018, that was filed with the SEC on February 16, 2017,March 15, 2019, for a more complete description of our significant accounting policies. WithExcept for the exceptionadoption of the new leases accounting policy for Investments in Unconsolidated Affiliates described below,standard on January 1, 2019, there have been no material changes to the significant accounting policies during the ninethree months ended September 30, 2017.

Investments in Unconsolidated Affiliates

The Company uses the equity method to account for its investments in entities that it does not control, but have the ability to exercise significant influence over the investee. Equity method investments are recorded at original cost and adjusted periodically to recognize (1) the proportionate share of the investees’ net income or losses after the date of investment, (2) additional contributions made and dividends or distributions received, and (3) impairment losses resulting from adjustments to net realizable value. The Company eliminates all intercompany transactions in accounting for equity method investments. The Company records the proportionate share of the investees’ net income or losses in equity in earnings of unconsolidated affiliates on the consolidated statements of income.


The Company assesses the potential impairment of the equity method investments when indicators such as a history of operating losses, a negative earnings and cash flow outlook, and the financial condition and prospects for the investee’s business segment might indicate a loss in value. The carrying value of the investments are reviewed annually for changes in circumstances or the occurrence of events that suggest the investment may not be recoverable. During the three and nine months ended September 30, 2017, no impairment charges have been recorded.March 31, 2019.

 

Recent Accounting Pronouncements

 

The Company adopted FASB’s ASU No. 2016-02, Leases (Topic 842), as of January 1, 2019, using the modified retrospective approach. The modified retrospective approach provides a method for recording existing leases at the beginning of the period of adoption. In May 2014,addition, the Company elected the package of practical expedients permitted under the transition guidance within the new standard, which among other things, allowed us to carry forward the historical lease classification and we elected the hindsight practical expedient to determine the lease term for existing leases. We determined that the renewal options for the facilities lease would be reasonably certain to be renewed and as partsuch, included that renewal period in determining the expected lease term of its ongoing efforts to assist in the convergence of U.S. GAAP and International Financial Reporting Standards (“IFRS”), the Financial Accounting Standards Board (“FASB”) issued Accounting Standards Update (“ASU”) 2014-09, “Revenue from Contracts with Customers (Topic 606).” The new guidance sets forth a new five-step revenue recognition model which replaces the prior revenue recognition guidance in its entirety and is intended to eliminate numerous industry-specific pieces of revenue recognition guidance that have historically existed in U.S. GAAP. The underlying principlelease. Adoption of the new standard is that a business or other organization will recognize revenue to depict the transfer of promised goods or services to customers in an amount that reflects what it expects in exchange for the goods or services. The standard also requires more detailed disclosures and provides additional guidance for transactions that were not addressed completelyresulted in the prior accounting guidance. The ASU provides alternative methodsrecording of initial adoptionoperating lease right-of-use assets of $629,000 and is effective for annual and interim periods beginning after December 15, 2017. The FASB has issued several updates to the standard which i) defer the original effective date from January 1, 2017 to January 1, 2018, while allowing for early adoptionoperating lease liabilities of $629,000, as of January 1, 2017 (ASU 2015-14); ii) clarify2019. The standard did not have an impact on our consolidated results of operations, cash flows or stockholders’ equity previously reported. The comparative information has not been restated and continues to be reported under the application of the principal versus agent guidance (ASU 2016-08); iii) clarify the guidance on inconsequential and perfunctory promises and licensing (ASU 2016-10); and clarify the guidance on certain sections of the guidance providing technical corrections and improvements (ASU 2016-10). accounting standards in effect for those periods.

In May 2016,June 2018, the FASB issued ASU 2016-12, “Revenue from Contracts with Customers2018-07, “Stock Compensation (Topic 606) Narrow-Scope718) – Improvements and Practical Expedients”, to address certain narrow aspects of the guidance including collectibility criterion, collection of sales taxes from customers, noncash consideration, contract modifications and completed contracts. This issuance does not change the core principle of the guidance in the initial topic issued in May 2014.

We have set up a team for the implementation of the new revenue recognition accounting standard.Nonemployee Share- Based on preliminary analysis, we expect that the new standard will not significantly impact the recognition of product sales given their point of sale nature. We are still in the process of evaluating our arrangements. We will adopt this new standard effective January 1, 2018.Payment Accounting”. The guidance permits the use of either a full retrospective or modified retrospective transition method as of the adoption date. We have not yet selected a transition method and are still finalizing the analysis to quantify the adoption impact of the provisionsintent of this guidance on our condensed consolidated financial statements.

In February 2016,is to simplify the FASB issued ASU 2016-02, “Leases (Topic 842)”. Underaccounting for nonemployee share-based payment accounting. The amendments in this guidance expand the scope of Topic 718 to include share-based payment transactions for acquiring goods and services from nonemployees. Consistent with the accounting requirement for employee share-based payment awards, nonemployee share-based payment awards within the scope of Topic 718 are measured at grant-date fair value of the equity instruments that an entity is requiredobligated to recognize right-of-use assetsissue when the good has been delivered or the service has been rendered and lease liabilities on its balance sheet and disclose key information about leasing arrangements. This guidance offers specific accounting guidance for a lessee, a lessor and sale and leaseback transactions. Lessees and lessorsany other conditions necessary to earn the right to benefit from the instruments have been satisfied. Equity- classified nonemployee share-based payment awards are required to disclose qualitative and quantitative information about leasing arrangements to enable a user ofmeasured at the financial statements to assess the amount, timing and uncertainty of cash flows arising from leases. This guidance is effective for annual reporting period beginning after December 15, 2018, including interim periods within that reporting period, and requires a modified retrospective adoption, with early adoption permitted. We are currently evaluating the impact on its condensed consolidated financial statements upon the adoption of this guidance.

In August 2016, the FASB issued ASU No. 2016-15, “Statement of Cash Flows, Classification of Certain Cash Receipts and Cash Payments (Topic 230)”. This guidance addresses specific cash flow issuesgrant date. Consistent with the objectiveaccounting for employee share-based payment awards, an entity considers the probability of reducing the diversity in practice for the treatment of these issues. The areas identified include: debt prepayment or debt extinguishment costs; settlement of zero-coupon debt instruments; contingent consideration payments made after a business combination; proceeds from the settlement of insurance claims; proceeds from the settlement of corporate-owned life insurance policies; distributions received from equity method investees; beneficial interests in securitization transactions and application of the predominance principle with respect to separately identifiable cash flows.satisfying performance conditions when nonemployee share-based payment awards contain such conditions. This guidance is effective for annual reporting periods beginning after December 15, 2017,2018, including interim periods within thatthe reporting period, with early adoption permitted.period. We are currently evaluating the effectadopted this guidance as of January 1, 2019 and the adoption of thisthe guidance did not have a significant impact on ourthe condensed consolidated financial statements.

 

We have reviewed other recent accounting pronouncements and concluded they are either not applicable to the business, or no material effect is expected on the condensed consolidated financial statements as a result of future adoption.

  

Off-Balance Sheet Transactions

 

We do not have any off-balance sheet transactions.

  


 

Trends, Events and Uncertainties

 

Research, development and commercialization of new technologies and products is, by its nature, unpredictable. Although we will undertake development efforts, including efforts with commercially reasonable diligence, there can be no assurance that we will have adequate capital to develop or commercialize our technology to the extent needed to create future sales to sustain our operations.

 

We cannot assure you that our technology will be adopted, that we will ever earn revenues sufficient to support our operations, or that we will ever be profitable. Furthermore, since we have no committed source of financing, we cannot assure you that we will be able to raise money as and when we need it to continue our operations. If we cannot raise funds as and when we need them, we may be required to severely curtail, or even to cease, our operations.

 

Other than as discussed above and elsewhere in this Quarterly Report on Form 10-Q, we are not aware of any trends, events or uncertainties that are likely to have a material effect on our financial condition.

Item 3.Quantitative and Qualitative Disclosures About Market Risk.

 

Item 3.        QuantitativeWe are exposed to market risk related to changes in interest rates. As of March 31, 2019, our cash and Qualitative Disclosures About Market Risk.cash equivalents consisted of cash and interest-bearing accounts. Our primary exposure to market risk is interest income sensitivity, which is affected by changes in the general level of U.S. interest rates. However, since a majority of our investments are in highly liquid interest-bearing accounts, we do not believe we are subject to any material market risk exposure.  As of March 31, 2019, we did not have any material derivative financial instruments.  The fair value of our cash and cash equivalents was $17.8 million as of March 31, 2019.

 

We are also exposed to market risk related to changes in foreign currency exchange rates. From time to time, we contract with vendors or service providers that are located outside the U.S., which are denominated in foreign currencies. We are subject to fluctuations in foreign currency rates in connection with these agreements. We do not currently hedge our foreign currency exchange rate risk. As of March 31, 2019, and December 31, 2018, we had minimal liabilities denominated in foreign currencies.

We do not believe that inflation had a "smaller reporting company" as defined by Item 10material effect on our business, financial condition or results of Regulation S-K,operations during the Company is not required to provide information required by this Item.three months ended March 31, 2019 and 2018.

Item 4.        Controls and Procedures.

Item 4.Controls and Procedures.

 

Evaluation of Disclosure Controls and Procedures

 

We maintain disclosure controls and procedures (as defined in Rules 13a-15(e) and 15d-15(e) under the Exchange Act) that are designed to ensure that information required to be disclosed in our reports filed under the Exchange Act, is recorded, processed, summarized and reported within the time periods specified in the Securities and Exchange Commission’sCommission’s rules and forms, and that such information is accumulated and communicated to our management, including our principal executive officer and principal financial and accounting officer, as appropriate, to allow timely decisions regarding required disclosure. 

 

We carried out an evaluation under the supervision and with the participation of management, including our principal executive officer and principal financial and accounting officer, of the effectiveness of the design and operation of our disclosure controls and procedures as of September 30, 2017,March 31, 2019 , the end of the period covered by this Quarterly Report. Based upon the evaluation of our disclosure controls and procedures as of September 30, 2017,March 31, 2019, our Chief Executive Officer (principal executive officer) and Chief Financial OfficerVice President of Finance and Administration (principal financial and accounting officer) concluded that, as of such date, our disclosure controls and procedures were effective at the reasonable assurance level.

 

Changes in Internal Control over Financial Reporting

 

No changes in the Company's internal control over financial reporting have come to management's attention during the Company's last fiscal quarter that have materially affected, or are likely to materially affect, the Company's internal control over financial reporting.

  

PART II-OTHER INFORMATION

Item 1.        Legal Proceedings.

Item 1.Legal Proceedings.

  

Except as disclosed below and in our Annual Report on Form 10-K for the year ended December 31, 2016,2018, we are not subject to any material pending legal proceedings. From time to time, we may be involved in routine legal proceedings, as well as demands, claims and threatened litigation, which arise in the normal course of our business.


Item 1A.     Risk Factors.

Item 1A.Risk Factors.

 

We incorporate herein by reference the risk factors included in the Annual Report on Form 10-K filed with the Securities and Exchange Commission on February 16, 2017.March 15, 2019. 

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

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

 

Unregistered Sales of Securities

 

None.On March 12, 2019, the Company issued 27,473 shares of its common stock (the “Acorn Shares”) to Acorn Management Partners, L.L.C., an accredited investor, at a price per share of $0.91, or an aggregate offering price of approximately $25,000, in a private offering pursuant to Section 4(a)(2) of the Securities Act of 1933, as amended (the “Securities Act”). The Company did not receive any cash proceeds from the sale, as the Acorn Shares were issued as compensation for services rendered under a consulting agreement between the parties and pursuant to the terms set forth in such consulting agreement. The Company did not engage in general solicitation or general advertising with respect to the offering.

 


Use of Proceeds

Not applicable.

Issuer Repurchases of Company Equity Securities.

None.

Item 3.        Defaults Upon Senior Securities.

Item 3.Defaults Upon Senior Securities.

 

Not applicable.      

Item 4.        Mine Safety Disclosures.

Item 4.Mine Safety Disclosures.

 

Not applicable.

Item 5.        Other Information.

Item 5.Other Information.

 

Not applicable.

 


 

Item 6.                 Exhibits.

Item 6.Exhibits.

 

Exhibit
Number

Document

  

  

3.1.1(1)

Certificate of Conversion for Delaware

 

 

3.1.2(2)

Amended and Restated Certificate of Incorporation

 

 

3.1.3(3)

Articles of Amendment to the Articles of Continuance of Viveve Medical, Inc.

  

  

3.2(2)

Amended and Restated Bylaws

10.1*Relocation Agreement, by and between Viveve Medical, Inc. and Jim Robbins, dated August 22, 2017

 

 

10.1*#

Exclusive Distributorship Agreement, dated August 8, 2017, by and between Viveve Medical, Inc. and InControl Medical, LLC.

10.2*#

Membership Subscription Agreement, dated August 1, 2017, by and between Viveve Medical, Inc. and InControl Medical, LLC.

31.1*

Certification of the Company’sCompany’s Principal Executive Officer pursuant to Rule 13a-14(a) and 15d-14(a), as adopted pursuant to Section 302 of the Sarbanes-Oxley Act of 2002.

  

  

31.2*

Certification of the Company’sCompany’s Principal FinancialAccounting and AccountingFinancial Officer pursuant to Rule 13a-14(a) and 15d-14(a), as adopted pursuant to Section 302 of the Sarbanes-Oxley Act of 2002.

  

  

32.1+

Certification of the Company’sCompany’s Principal Executive Officer pursuant to 18 U.S.C. Section 1350, as adopted pursuant to Section 906 of the Sarbanes-Oxley Act of 2002.

  

  

32.2+

Certification of the Company’sCompany’s Principal FinancialAccounting and AccountingFinancial Officer pursuant to 18 U.S.C. Section 1350, as adopted pursuant to Section 906 of the Sarbanes-Oxley Act of 2002.

 

 

101.INS*

XBRL Instance

 

 

101.SCH*

XBRL Taxonomy Extension Schema Document

 

 

101.CAL*

XBRL Taxonomy Extension Calculation Linkbase Document

 

101.DEF*

XBRL Taxonomy Extension Definition Linkbase Document

 

101.LAB*

XBRL Taxonomy Extension Label Linkbase Document

 

101.PRE*

XBRL Taxonomy Extension Presentation Linkbase Document

 

* Filed herewith.

+ This document is deemed not filed for purposes of Section 18 of the Exchange Act, or otherwise subject to the liability of that section, nor shall it be deemed incorporated by reference into any filing under the Securities Act or the Exchange Act.

 # Certain provisions of this Exhibit have been omitted pursuant to a request for confidential treatment.

 

 

(1)

Incorporated by reference from the Form 10-Q filed with the Securities and Exchange Commission on May 13, 2016.

 

 

(2)

Incorporated by reference from the Form 8-K filed with the Securities and Exchange Commission on August 16, 2017.

 

(3)

(3)

Incorporated by reference from the Form 8-K filed with the Securities and Exchange Commission on April 14, 2016.

 


 

SIGNATURES

 

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

 

Dated:  November 8, 2017May 9, 2019

VIVEVE MEDICAL, INC.

  

(Registrant)

  

  

  

By:

/s/ Patricia Scheller

Patricia Scheller

Chief Executive Officer

Principal Executive Officer

By:

/s/ Scott Durbin

  

  

Scott Durbin

  

  

Chief FinancialExecutive Officer

(Principal Executive Officer)

By:

/s/ Jim Robbins

Jim Robbins

Vice President of Finance and Administration

(Principal Accounting and Financial and Accounting OfficerOfficer)

 

34

32