ITEM 2. | Management’s Discussion and Analysis of Financial Condition and Results of Operations. |
The following discussion of our financial condition and results of operations should be read in conjunction with the condensed consolidated financial statements and notes to condensed consolidated financial statements included elsewhere in this Quarterly Report on Form 10-Q (this “Report”). This discussion contains forward-looking statements that involve risks and uncertainties. These forward-looking statements include, but are not limited to, statements about the plans, objectives, expectations and intentions of STRATA Skin Sciences, Inc., a Delaware corporation (referred to in this Report as “we,” “us,” “our,” “STRATA,” “STRATA Skin Sciences” or “registrant”) and other statements contained in this Report that are not historical facts. When reviewing the discussion below, you should keep in mind the substantial risks and uncertainties that characterize our business including the scope and duration of the COVID-19 outbreak and its impact on global economic systems. In particular, we encourage you to review the risks and uncertainties described in Part II-Item 1A “Risk Factors” in our Annual Report on Form 10-K for the year ended December 31, 2020. These risks and uncertainties could cause actual results to differ materially from those projected in forward-looking statements contained in this report or implied by past results and trends. Forward-looking statements are statements that attempt to forecast or anticipate future developments in our business, financial condition or results of operations and statements — see “Cautionary Note Regarding Forward-Looking Statements” that appears at the end of this discussion. These statements, like all statements in this Report, speak only as of their date (unless another date is indicated), and we undertake no obligation to update or revise these statements in light of future developments.
The following financial data, in this narrative, are expressed in thousands, except for the earnings per share and prices per treatment.
Introduction, Outlook and Overview of Business Operations
STRATA Skin Sciences is a medical technology company in dermatology dedicated to developing, commercializing and marketing innovative products for the treatment of dermatologic conditions. Its products include the XTRAC® excimer laser and VTRAC® lamp systems utilized in the treatment of psoriasis, vitiligo and various other skin conditions.
The XTRAC ultraviolet light excimer laser system utilized to treat psoriasis, vitiligo and other skin diseases. The XTRAC excimer laser system received clearance from the United States Food and Drug Administration in 2000 and has since become a widely recognized treatment among dermatologists. The system delivers targeted 308nm ultraviolet light to affected areas of skin, leading to psoriasis clearing and vitiligo repigmentation, following a series of treatments. As of June 30, 2021, there were 848 XTRAC systems placed in dermatologists’ offices in the United States under our dermatology recurring procedure model, an increase from 832 at the end of December 31, 2020. Under the dermatology recurring procedure model, the XTRAC system is placed in a physician’s office and fees are charged on a per procedure basis or a fee is charged on a periodic basis not to exceed an agreed upon number of procedures. The XTRAC system’s use for psoriasis is covered by nearly all major insurance companies, including Medicare. The VTRAC Excimer Lamp system, offered internationally in addition to the XTRAC, provides targeted therapeutic efficacy demonstrated by excimer technology with the simplicity of design and reliability of a lamp system. We believe there are approximately 7.5 million people in the United States and up to 125 million people worldwide suffering from psoriasis, and 1% to 2% of the world’s population suffers from vitiligo.
In September 2020, we signed a direct distribution agreement with our Japanese distributor for a combination of direct capital sales and recurring revenue for the country of Japan.
In February 2021, we signed an agreement with our Chinese distributor for a combination of direct capital sales and recurring revenues for the country of China.
In late 2019, there was an outbreak of a new strain of coronavirus (“COVID-19”) which became a global pandemic. The COVID-19 pandemic has negatively impacted the global economy, disrupted global supply chains, constrained work force participation and created significant volatility and disruption of financial markets. In addition, the pandemic lead to the suspension of elective procedures in the U.S. and to the temporary closure of many physician practices which are our primary customers. We do not know the extent of the impact on our customers including their potential for permanent closure. While many offices have reopened, the impact of the ongoing COVID-19 pandemic and its variants on our operational and financial performance, including its ability to execute its business strategies and initiatives in the expected time frames, will depend on future developments, including the duration and ongoing spread of the COVID-19 outbreak and its variants, continued or renewed restrictions on business operations and transport, any governmental and societal responses thereto, including legislative or regulatory as well as the distribution of vaccines and effectiveness of COVID-19 vaccines and the continued impact on worldwide economic and geopolitical conditions, all of which are uncertain and cannot be predicted.
Domestically, as the procedures in which our devices are used are elective in nature; and as social distancing, travel restrictions, quarantines and other restrictions became prevalent in the United States, this had a negative impact on our recurring revenue model and its financial position and cash flow. The virus has disrupted the supply chain from China and other countries and we depend upon its supply chain to provide a steady source of components to manufacture and repair our devices.
To mitigate the impact of COVID-19, we have taken a variety of measures to ensure the availability and functioning of our critical infrastructure by implementing business continuity plans to promote the safety and security of our employees, while complying with various government mandates, including work-from-home arrangements and social-distancing initiatives to reduce the transmission of COVID-19, we are providing face masks for employees at facilities significantly impacted and requiring on-site body temperature monitoring before entering facilities. In addition, we created and executed programs utilizing our direct to consumer advertising and call center to contact patients and partner clinics to restart our partners’ businesses. To conserve our cash in order to mitigate the ongoing impact of the COVID-19 pandemic, in the second quarter of 2020, we furloughed employees who returned to work after we received proceeds from the PPP Loan. In 2020, we also reduced discretionary spending and we continue to delay payments to vendors. Delayed payments to vendors were approximately $472 as of June 30, 2021.
In the event our own employees are impacted through direct or ancillary contact with a person who has the virus, we may need to devise other methods of transacting business in our offices by working from home and or potentially ceasing operations for a period of time.
The ongoing COVID-19 pandemic has had a negative impact on our results of operations and financial performance for the first half of fiscal 2021, and we expect it will continue to have a negative impact on revenues, earnings and cash flows in fiscal 2021. Accordingly, current results and financial condition discussed herein may not be indicative of future operating results and trends.
Key Technology
| • | XTRAC® Excimer Laser. XTRAC received FDA clearance in 2000 and has since become a widely recognized treatment among dermatologists for psoriasis and other skin diseases. The XTRAC System delivers ultra-narrowband ultraviolet B (“UVB”) light to affected areas of skin. Following a series of treatments typically performed twice weekly, psoriasis remission can be achieved, and vitiligo patches can be re-pigmented. XTRAC is endorsed by the National Psoriasis Foundation, and its use for psoriasis is covered by nearly all major insurance companies, including Medicare. We estimate that more than half of all major insurance companies now offer reimbursement for vitiligo as well, a figure that is increasing. |
| • | In the third quarter of 2018, we announced the FDA granted clearance for our Multi Micro Dose (MMD) tip for our XTRAC excimer laser. The MMD Tip accessory is indicated for use in conjunction with the XTRAC laser system to filter the Narrow Band UVB (“NB-UVB”) light at delivery in order to calculate and individualize the maximum non-blistering dose for a particular patient. |
| • | In the third quarter of 2018, we announced the launch of our S3®, the next generation XTRAC. The S3 is smaller, faster and has a smart user interface. |
| • | In January 2020, we announced the FDA granted clearance of our XTRAC Momentum Excimer Laser Platform. |
| • | VTRAC® Lamp. VTRAC received FDA clearance in 2005 and provides targeted therapeutic efficacy demonstrated by excimer technology with the simplicity of design and reliability of a lamp system. |
Recent Developments
Acquisition of the U.S. dermatology Pharos business of Ra Medical Systems
On August 16, 2021, we acquired the Pharos dermatology business from Ra Medical Systems, Inc. for a cash payment of $3,700 for certain assets and the assumption of estimated existing customer warranty and service agreement liabilities and certain other assumed liabilities. We also signed a services agreement to cover services to be provided by Ra Medical Systems.
Paycheck Protection Program
On April 22, 2020, we closed on a loan of $2.0 million (the “PPP loan”) from a commercial bank, pursuant to the Paycheck Protection Program (“PPP”) of the Coronavirus Aid, Relief and Economic Security Act (the “Cares Act”). The PPP loan would have matured on May 1, 2022 and bore an interest rate of 1% per annum. Payments of principal and interest of any unforgiven balance was scheduled to commence December 1, 2020, but was deferred until the SBA approves of the forgiveness amount.
In the second quarter of 2021, we received notification the PPP loan had been forgiven and recorded a gain on extinguishment of debt in the amount of the loan of $2,028.
Economic Injury Disaster Loan
On May 22, 2020, we executed the standard loan documents required for securing a loan (the “EIDL Loan”) from the SBA under its Economic Injury Disaster Loan (“EIDL”) assistance program in light of the impact of the COVID-19 pandemic on our business. The principal amount of the EIDL Loan is up to $500, with proceeds to be used for working capital purposes and is collateralized by all of our assets. On June 12, 2020, we received these funds from the SBA. Interest accrues at the rate of 3.75% per annum. Installment payments, including principal and interest, were originally due monthly beginning March 26, 2021 (twelve months from the date of the promissory note) in the amount of $2. In March 2021, the SBA deferred payments on the EIDL loans by an additional 12 months. The balance of principal and interest is payable over the next thirty years from the date of the promissory note. There are no penalties for prepayment. Based upon guidance issued by the SBA on June 19, 2020, the EIDL Loan was not required to be refinanced by the PPP loan. The balance of the loan at June 30, 2021 was $500.
Critical Accounting Policies and Estimates
There have been no changes to our critical accounting policies in the six months ended June 30, 2021. Critical accounting policies and the significant estimates made in accordance with such policies are regularly discussed with our Audit Committee. Those policies are discussed under “Critical Accounting Policies” in our “Management’s Discussion and Analysis of Financial Condition and Results of Operations” included in Item 7, as well as in our consolidated financial statements and the footnotes thereto for the fiscal year ended December 31, 2020, of our Annual Report on Form 10-K as filed with the SEC on March 25, 2021.
Results of Operations
Revenues
The following table presents revenues from our segments for the periods indicated below:
| | For the Three Months Ended June 30, | | | For the Six Months Ended June 30, | |
| | 2021 | | | 2020 | | | 2021 | | | 2020 | |
Dermatology Recurring Procedures | | $ | 5,452 | | | $ | 2,796 | | | $ | 10,131 | | | $ | 8,497 | |
Dermatology Procedures Equipment | | | 1,930 | | | | 1,234 | | | | 3,078 | | | | 2,263 | |
Total Revenues | | $ | 7,382 | | | $ | 4,030 | | | $ | 13,209 | | | $ | 10,760 | |
Dermatology Recurring Procedures
The ongoing COVID-19 pandemic has had a negative impact on our results for the adjusted second quarter of 2021 and 2020, and we expect it will have a negative impact on its revenue for as long as the pandemic continues. Recognized recurring treatment revenue for the three months ended June 30, 2021, was $5,452, which we estimate is approximately 78,000 treatments, with prices between $65 to $95 per treatment compared to recognized recurring treatment revenue for the three months ended June 30, 2020 of $2,796, which we estimate is approximately 40,000 treatments, with prices between $65 to $95 per treatment.
Recognized treatment revenue for the six months ending June 30, 2021, was $10,131, which we estimate is approximately 145,000 treatments with prices between $65 and $95 per treatment compared to recognized treatment revenue for the six months ended June 30, 2020, of $8,497, which is approximately 122,000 treatments with prices between $65 and $95 per treatment.
Increases in procedures are dependent upon building market acceptance through marketing programs with our physician partners and their patients to show that the XTRAC procedures will be of clinical benefit and will be generally reimbursed by insurers. We believe that several factors have an impact on the prescribed use of XTRAC treatments for psoriasis and vitiligo patients. Specifically, we believe that there is a lack of awareness of the positive effects of XTRAC treatments among both sufferers and providers; and the treatment regimen, which can sometimes require up to 12 or more treatments, has limited XTRAC use to certain patient populations. Therefore, our strategy is to continue to execute a direct-to-patient program for XTRAC advertising in the United States, targeting psoriasis and vitiligo patients through a variety of media including television and radio; and through our use of social media such as Facebook and Twitter. We monitor the results of our advertising expenditures in this area to reach the more than 10 million patients in the United States we believe are afflicted with these diseases. During 2020, we reduced our direct to consumer advertising spend, but in 2021, subject to governmental responses to variants of COVID-19, we expect to increase spending in the direct-to-patient programs to drive patients to our partner clinics to increase recurring revenue and increase spend in marketing activities as well. The increase in spending on these programs usually precedes the recurring revenue in our past experience as there is a lag between our advertising and patients then receiving treatment, which we estimate to be three to nine months.
Revenues from Dermatology Recurring Procedures are recognized as revenue over the estimated usage period of the agreed upon number of treatments, as the treatments are being used. As of June 30, 2021, and 2020, we deferred net revenues of $1,897 and $546, respectively, which will be recognized as revenue over the remaining usage period for domestic placements. Lower deferred revenue from the fourth quarter 2020 negatively impacted the first half of 2021 as compared to the first half of 2020 when higher deferred revenue favorable impacted that period.
We have recently signed direct distribution contracts with our international distributors for a combination of direct capital sales and recurring revenue. If the recurring model is accepted in these countries and the business model can be executed by these distributors, these agreements are expected to increase recurring revenue over time, but will have an initial impact of reducing sales of dermatology procedures equipment.
Dermatology Procedures Equipment
The ongoing COVID-19 pandemic has had a negative impact on our results for the first and second quarters of 2021 and 2020, and we expect it will have a negative impact on its revenue for as long as the pandemic continues. For the three months ended June 30, 2021, dermatology equipment revenues were $1,930. Internationally, we sold 14 systems (all XTRAC). Domestically, there were five systems sold during the three months ended June 30, 2021.
For the three months ended June 30, 2020, dermatology equipment revenues were $1,234. Internationally, we sold 5 systems (2 XTRAC and 3 VTRAC). Domestically, there were no XTRAC systems sold during the three months ended June 30, 2020.
For the six months ended June 30, 2021, dermatology equipment revenues were $3,078. Internationally, we sold 16 systems (all XTRAC). Domestically, we sold five XTRAC systems during the six months ended June 30, 2021.
For the six months ended June 30, 2020, dermatology equipment revenues were $2,263. Internationally, we sold 10 systems (2 XTRAC and 8 VTRAC). Domestically, we sold 1 XTRAC system for the six months ended June 30, 2020.
Cost of Revenues
The following table illustrates cost of revenues from our two business segments for the periods listed below:
| | For the Three Months Ended June 30, | | | For the Six Months Ended June 30, | |
| | 2021 | | | 2020 | | | 2021 | | | 2020 | |
Dermatology Recurring Procedures | | $ | 1,635 | | | $ | 1,364 | | | $ | 3,136 | | | $ | 3,166 | |
Dermatology Procedures Equipment | | | 986 | | | | 702 | | | | 1,599 | | | | 1,231 | |
Total Revenues | | $ | 2,621 | | | $ | 2,066 | | | $ | 4,735 | | | $ | 4,397 | |
Gross Profit Analysis
The following tables present changes in our gross margin for the periods presented below:
Company Profit Analysis | | For the Three Months Ended June 30, | | | For the Six Months Ended June 30, | |
| | 2021 | | | 2020 | | | 2021 | | | 2020 | |
Revenues | | $ | 7,382 | | | $ | 4,030 | | | $ | 13,209 | | | $ | 10,760 | |
Percent increase | | | 83.2 | % | | | | | | | 22.8 | % | | | | |
Cost of revenues | | | 2,621 | | | | 2,066 | | | | 4,735 | | | | 4,397 | |
Percent increase | | | 26.9 | % | | | | | | | 7.7 | % | | | | |
Gross profit | | $ | 4,761 | | | $ | 1,964 | | | $ | 8,474 | | | $ | 6,363 | |
Gross profit percentage | | | 64.5 | % | | | 48.7 | % | | | 64.2 | % | | | 59.1 | % |
Gross profit increased to $4,761 for the three months ended June 30, 2021 from $1,964 during the same period in 2020. As a percent of revenue, the gross margin was 64.5% for the three months ended June 30, 2021, as compared to 48.7% for the same period in 2020.
Gross profit increased to $8,474 for the six months ended June 30, 2021 from $6,363 during the same period in 2020. As a percent of revenue, the gross margin was 64.2% for the six months ended June 30, 2021, as compared to 59.1% for the same period in 2020 and the increase was primarily the result of higher sales due to a reduction of cases in the COVID-19 pandemic.
The following tables present changes in our gross margin, by segment for the periods presented below:
Dermatology Recurring Procedures | | For the Three Months Ended June 30, | | | For the Six Months Ended June 30, | |
| | 2021 | | | 2020 | | | 2021 | | | 2020 | |
Revenues | | $ | 5,452 | | | $ | 2,796 | | | $ | 10,131 | | | $ | 8,497 | |
Percent increase | | | 95.0 | % | | | | | | | 19.2 | % | | | | |
Cost of revenues | | | 1,635 | | | | 1,364 | | | | 3,136 | | | | 3,166 | |
Percent increase (decrease) | | | 19.9 | % | | | | | | | (0.9 | %) | | | | |
Gross profit | | $ | 3,817 | | | $ | 1,432 | | | $ | 6,995 | | | $ | 5,331 | |
Gross profit percentage | | | 70.0 | % | | | 51.2 | % | | | 69.0 | % | | | 62.7 | % |
The primary reasons for the increase in gross profit for the three and six months ended June 30, 2021 was the result of higher sales, partially offset by higher depreciation expenses in the second quarter of 2021 and partially offset by an unfavorable impact of deferred revenue in 2021 as compared to 2020.
Dermatology Procedures Equipment | | For the Three Months Ended June 30, | | | For the Six Months Ended June 30, | |
| | 2021 | | | 2020 | | | 2021 | | | 2020 | |
Revenues | | $ | 1,930 | | | $ | 1,234 | | | $ | 3,078 | | | $ | 2,263 | |
Percent increase | | | 56.4 | % | | | | | | | 36.0 | % | | | | |
Cost of revenues | | | 986 | | | | 702 | | | | 1,599 | | | | 1,231 | |
Percent increase | | | 40.5 | % | | | | | | | 29.9 | % | | | | |
Gross profit | | | 944 | | | $ | 532 | | | $ | 1,479 | | | $ | 1,032 | |
Gross profit percentage | | | 48.9 | % | | | 43.1 | % | | | 48.1 | % | | | 45.6 | % |
The primary reason for the change in gross margin percent for the three and six months ended June 30, 2021 as compared to the same period in 2020 was the result of product mix and higher sales.
Engineering and Product Development
For the three months ended June 30, 2021, engineering and product development expenses were $403 as compared to $247 for the three months ended June 30, 2020. Engineering and product development costs for the six months ending June 30, 2021 were $787, compared to $539 for the six months ended June 30, 2020. Engineering and product development costs were higher primarily as a result of consulting costs associated with certain development projects.
Selling and Marketing Expenses
As of June 30, 2021, our sales and marketing personnel consisted of 60 full-time positions, inclusive of a vice president of sales, direct sales organization as well as an in-house call center staffed with patient advocates and a reimbursement group that provides necessary insurance information to our physician partners and their patients.
For the three months ended June 30, 2021, selling and marketing expenses were $3,160 as compared to $1,442 for the three months ended June 30, 2020. For the six months ended June 30, 2021 selling and marketing costs were $6,092 as compared to $4,395 for the six months ended June 30, 2020. Sales and marketing expenses for the three and six months ended June 30, 2021 were higher, as compared to the same periods in 2020, as we made investments in sales and marketing and direct to consumer advertising, while in 2020 we managed our costs due to the downturn in business as a result of the COVID-19 pandemic, with lower tradeshow costs, compensation costs and direct-to-consumer advertising costs.
General and Administrative Expenses
For the three months ended June 30, 2021, general and administrative expenses increased to $2,121 from $1,890 for the three months ended June 30, 2020. For the six months ended June 30, 2021 general and administration costs were $4,910 compared to $3,992 for the six months ended June 30, 2020. General and administrative expenses were higher for the three and six months ended June 30, 2021, as compared to the same periods in 2020, as a result of higher compensation, severance and stock option costs, primarily as a result of the CEO transition in the first quarter of 2021.
Other income (expense), net
Other income for the three and six months ended June 30, 2021 was $2,009 and $1,987 as compared to an expense of $18 and $17 for the three and six months ended June 30, 2020, respectively. In the second quarter of 2021, we received notification the PPP loan had been forgiven and recorded a gain on extinguishment of debt in the amount of the loan of $2,028.
Income Taxes
We recognized income tax expense of $4 for the three months ended June 30, 2021 as compared to $47 for the three months ended June 30, 2020, all of which were comprised primarily of changes in deferred tax liability related to goodwill. Our pre-tax income for the three months ended June 30, 2021 was the result of a gain on extinguishment of debt as a result of the forgiveness of the PPP loan. There are no federal and state taxes on the PPP loan forgiveness so therefore there was no impact on our income taxes. We recognized an income tax expense of $8 for the six months ended June 30, 2021 as compared to $135 for the six months ended June 30, 2020 all of which were comprised primarily of changes in deferred tax liability related to goodwill.
Non-GAAP adjusted EBITDA
We have determined to supplement our condensed consolidated financial statements, prepared in accordance with accounting principles generally accepted in the United States of America (“U.S. GAAP”), presented elsewhere within this report, with certain non-GAAP measures of financial performance. These non-GAAP measures include non-GAAP adjusted EBITDA, “Earnings Before Interest, Taxes, Depreciation, and Amortization.”
This non-GAAP disclosure has limitations as an analytical tool, should not be viewed as a substitute for Net Earnings (Loss) determined in accordance with U.S. GAAP, and should not be considered in isolation or as a substitute for analysis of the Company’s results as reported under U.S. GAAP, nor is it necessarily comparable to non-GAAP performance measures that may be presented by other companies. We consider these non-GAAP measures in addition to our results prepared under current accounting standards, but they are not a substitute for, nor superior to, U.S. GAAP measures. These non-GAAP measures are provided to enhance readers’ overall understanding of our current financial performance and to provide further information for comparative purposes. This supplemental presentation should not be construed as an inference that the Company’s future results will be unaffected by similar adjustments to Net Earnings (Loss) determined in accordance with U.S. GAAP. Specifically, we believe the non-GAAP measures provide useful information to management and investors by isolating certain expenses, gains and losses that may not be indicative of our core operating results and business outlook. In addition, we believe non-GAAP measures enhance the comparability of results against prior periods. Reconciliation to the most directly comparable U.S. GAAP measure of all non-GAAP measures included in this report is as follows:
| | For the Three Months Ended June 30, | | | For the Six Months Ended June 30 | |
| | 2021 | | | 2020 | | | 2021 | | | 2020 | |
| | | | | | | | | | | | |
Net income (loss) | | $ | 1,082 | | | $ | (1,680 | ) | | $ | (1,336 | ) | | $ | (2,715 | ) |
| | | | | | | | | | | | | | | | |
Adjustments: | | | | | | | | | | | | | | | | |
Depreciation/amortization* | | | 961 | | | | 1,028 | | | | 1,880 | | | | 2,145 | |
Income taxes | | | 4 | | | | 47 | | | | 8 | | | | 135 | |
Loss on lasers placed in service | | | 63 | | | | 19 | | | | 63 | | | | 19 | |
Gain on extinguishment of debt | | | (2,028 | ) | | | - | | | | (2,028 | ) | | | - | |
Interest expense, net | | | 19 | | | | 18 | | | | 41 | | | | 17 | |
Non-GAAP EBITDA | | | 101 | | | | (568 | ) | | | (1,372 | ) | | | (399 | ) |
Stock compensation | | | 581 | | | | 410 | | | | 1,243 | | | | 840 | |
Non-GAAP adjusted EBITDA | | $ | 682 | | | $ | (158 | ) | | $ | (129 | ) | | $ | 441 | |
*Includes depreciation of lasers placed-in-service of $506 and $975 and $463 and $1,029 for the three and six months ended June 30, 2021 and, 2020, respectively.
Liquidity and Capital Resources
As of June 30, 2021, we had $5,683 of working capital compared to $5,993 as of December 31, 2020. The change in working capital was primarily the result of higher accrued expenses, the extinguishment of debt for the forgiveness of the PPP loan, lower accounts receivables and inventories. Cash, cash equivalents and restricted cash were $17,033 as of June 30, 2021, as compared to $18,112 as of December 31, 2020. As a result of cash conservation measures implemented after the COVID-19 outbreak, we delayed payment of approximately $472 in payables from the first quarter into the second quarter.
On April 22, 2020, we closed on the PPP loan of $2.0 million from a commercial bank, pursuant to the Paycheck Protection Program of the Coronavirus Aid, Relief and Economic Security Act (the “CARES Act”). The PPP loan would have matured on May 1, 2022 and bore an interest rate of 1% per annum. Payments of principal and interest of any unforgiven balance was scheduled to commence December 1, 2020, but was deferred until the SBA approves of the forgiveness amount.
In the second quarter of 2021, the Company received notification the PPP loan had been forgiven. The Company recorded a gain on extinguishment of debt in the amount of the loan of $2,028.
In June 2020, we obtained an EIDL loan with principal amount of $500. Interest accrues at the rate of 3.75% per annum. Installment payments, including principal and interest, were originally due monthly beginning March 26, 2021 (twelve months from the date of the promissory note) in the amount of $2. In March of 2021, the SBA deferred payments on the EIDL loans by an additional 12 months. The balance of principal and interest is payable over the next thirty years from the date of the promissory note. There are no penalties for prepayment. Based upon guidance issued by the SBA on June 19, 2020, the EIDL Loan was not required to be refinanced by the PPP loan. The balance of the loan at June 30, 2021 was $500.
We have been negatively impacted by the ongoing COVID-19 pandemic, have historically experienced recurring losses and have been dependent on raising capital from the sale of securities in order to continue to operate and meet our obligations in the ordinary course of business. Since the equity financing in May 2018 and pre-COVID, we have improved revenues and gross profit, generated positive cash flow from operations, refinanced our debt at a lower interest rate. During the COVID-19 pandemic, we received cash proceeds from the PPP loan, which was forgiven, and the EIDL loan. Management believes that our cash and cash equivalents, combined with the anticipated revenues from the sale or use of our products and the proceeds from the PPP loan and the EIDL loan, will be sufficient to satisfy our working capital needs, capital asset purchases, outstanding commitments and other liquidity requirements associated with our existing operations through the next 12 months following the date of the issuance of these unaudited condensed consolidated financial statements. However, the negative impact of the ongoing COVID-19 outbreak and its variants on the financial markets could interfere with our ability to access financing and on favorable terms.
Net cash and cash equivalents and restricted cash provided by operating activities was $387 for the six months ended June 30, 2021, compared to cash provided by operating activities of $1,201 the six months ended June 30, 2020. The decrease in cash flows provided by operating activities for the six months ended June 30, 2021 was the result of a higher net loss, after adjusting for the gain on extinguishment of debt, decrease in cash provided by accounts receivable partially offset by a decrease in inventory, accounts payable and an increases in accrued expenses.
Net cash and cash equivalents and restricted cash used in investing activities was $1,466 for the six months ended June 30, 2021, compared to cash used in investing activities of $730 for the six months ended June 30, 2020. The increase is the result of the cost of lasers placed in service in 2021 as compared to 2020, and other purchases of property and equipment.
There were no cash flows from financing activities for the six months ended June 30, 2021 and $2,528 in net cash from financing activities for the six months ended June 30, 2020 as a result of the proceeds from the PPP loan and EIDL loan.
Commitments and Contingencies
There were no items, except as described above, that significantly impacted our commitments and contingencies as discussed in the notes to our 2020 annual financial statements included in our Annual Report on Form 10-K.
Off-Balance Sheet Arrangements
At June 30, 2021, we had no off-balance sheet arrangements.
ITEM 3. | Quantitative and Qualitative Disclosure about Market Risk |
Not applicable.
ITEM 4. | Controls and Procedures |
Evaluation of Disclosure Controls and Procedures
Our management, with the participation of our Chief Executive Officer and Chief Financial Officer, has evaluated the effectiveness of the design and operation of our disclosure controls and procedures, (as such term is defined in Rules 13a-15(e) and 15d-15(e) under the Securities Exchange Act of 1934 (the “Exchange Act”), as of June 30, 2021. Based on that evaluation, management has concluded that, as of such date, our disclosure controls and procedures were effective at the reasonable assurance level.
Limitations on the Effectiveness of Controls
A control system, no matter how well conceived and operated, can provide only reasonable, not absolute, assurance that the objectives of the control system are met. Because of inherent limitations in all control systems, no evaluation of controls can provide absolute assurance that all control issues, if any, within an organization have been detected. Accordingly, our disclosure controls and procedures are designed to provide reasonable, not absolute, assurance that the objectives of our disclosure control system are met and, as set forth above, our Chief Executive Officer and Chief Financial Officer have concluded, based on their evaluation as of the end of the period covered by this report, that our disclosure controls and procedures were effective to provide reasonable assurance that the objectives of our disclosure control system were met.
Changes in Internal Control over Financial Reporting
There have been no changes in our internal control over financial reporting in our most recent fiscal quarter that has materially affected, or is reasonably likely to materially affect, our internal control over financial reporting.
PART II - Other Information
From time to time in the ordinary course of our business, we may be a party to certain legal proceedings, incidental to the normal course of our business. These may include controversies relating to contract claims and employment related matters, some of which claims may be material, in which case, we will make separate disclosure as required.
A description of the risks associated with our business, financial conditions and results of operations is set forth in Item 1A of our Annual Report on Form 10-K for the fiscal year ended December 31, 2020, and filed with the SEC on March 25, 2021.
ITEM 2. | Unregistered Sales of Equity Securities and Use of Proceeds |
None
ITEM 3. | Defaults Upon Senior Securities. |
None.
ITEM 4. | Mine Safety Disclosures |
None.
None.
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3.8 | | |
3.9 | | |
4.1 | | |
| | |
| | Rule 13a-14(a) Certificate of Chief Executive Officer |
| | Rule 13a-14(a) Certificate of Chief Financial Officer |
| | Certifications of Chief Executive Officer and Chief Financial Officer pursuant to 18 U.S.C. Section 1350, as adopted pursuant to Section 906 of the Sarbanes-Oxley Act of 2002 |
101.INS | | XBRL Instance Document (the instance document does not appear in the Interactive Data File because its XBRL tags are embedded within the Inline XBRL document.) |
101.SCH | | Inline XBRL Taxonomy Extension Schema Document |
101.CAL | | Inline XBRL Taxonomy Extension Calculation Linkbase Document |
101.DEF | | Inline XBRL Taxonomy Extension Definition Document |
101.LAB | | Inline XBRL Taxonomy Extension Label Linkbase Document |
101.PRE | | Inline XBRL Taxonomy Extension Presentation Linkbase Document |
104
| | Cover Page Interactive Data File (formatted as inline XBRL and contained in Exhibit 101). |
| * | The certifications attached as Exhibit 32.1 accompany this Quarterly Report on Form 10-Q pursuant to 18 U.S.C. Section 1350, as adopted pursuant to Section 906 of the Sarbanes-Oxley Act of 2002, and shall not be deemed “filed” by the Registrant for purposes of Section 18 of the Securities Exchange Act of 1934, as amended. |
Pursuant to the requirements of the Securities Act of 1934, the registrant has duly caused this Report to be signed on its behalf by the undersigned, thereunto duly authorized.
| STRATA SKIN SCIENCES, INC. |
Date August 16, 2021 | By: | /s/ Robert J. Moccia | |
| | Name Robert J. Moccia | |
| | Title President & Chief Executive Officer | |
Date August 16, 2021 | By: | /s/ Matthew C. Hill | |
| | Name Matthew C. Hill | |
| | Title Chief Financial Officer | |