Cutera(CUTR) - 2020 Q4 - Annual Report

Financial Obligations and Debt - The Company has a senior credit facility of up to $30.0 million, which includes various restrictive covenants that may impact its operations [186]. - The Company had $7.2 million of indebtedness for borrowed money outstanding as of December 31, 2020, all of which would be effectively senior to the notes [373]. - The notes will rank senior in right of payment to all indebtedness that is expressly subordinated in right of payment to the notes and equal in right of payment to all unsecured indebtedness that is not subordinated [369]. - In the event of bankruptcy, the Company's assets securing secured indebtedness will be available to pay obligations on the notes only after all such secured indebtedness has been repaid in full [370]. - The Company's ability to service its debt, including the notes, depends on the results of operations of its subsidiaries and their ability to provide cash to the Company [372]. - The Company may incur substantial additional debt in the future, which could diminish its ability to make payments on the notes when due [379]. - Holders of the notes have the right to require the Company to repurchase all or a portion of their notes upon a fundamental change at a repurchase price equal to 100% of the principal amount [381]. - The conditional conversion feature of the notes, if triggered, may adversely affect the Company's liquidity and financial condition [384]. - The Company expects that the trading price of the notes will be significantly affected by the market price of its common stock, which has experienced significant fluctuations [378]. - Regulatory actions may impact the trading price and liquidity of the notes, particularly concerning short selling activities [376]. Market and Competitive Environment - The Company's annual and quarterly operating results may fluctuate significantly due to factors such as market acceptance of products and debt repayment obligations [188]. - The Company must continue to innovate and develop new products to maintain its competitive position in the aesthetic equipment market [201]. - The Company faces competition for skilled sales professionals, which can affect its ability to retain talent and maintain sales performance [197]. - The Company must effectively compete in a dynamic market characterized by rapid technological development and substantial competition from established players [265]. - The aesthetic product market's growth relies on consumer demand for elective procedures, which may be influenced by economic conditions and alternative treatment costs [268]. Sales and Distribution - The Company relies heavily on its sales professionals to market its products, and their productivity is crucial for future revenue and profitability [195]. - The Company relies on a direct sales force in major markets and third-party distributors in other regions, which poses risks if distributor relationships are lost or not renewed [238][241]. - The Company experienced significant turnover in its sales professionals, which negatively impacted sales performance in the first half of 2020 [197]. - The Company experienced significant turnover in its North America sales team during Q1 2020, which added pressure on the global sales team but did not adversely affect international sales [239]. - International revenue represented 48% of the Company's total revenue in 2020, up from 42% in 2019, highlighting the importance of international expansion in the Company's growth strategy [238]. Regulatory Compliance and Risks - The Company must navigate regulatory requirements and market conditions to successfully launch new products and expand its market presence [205]. - The impact of Brexit on the Company's operations and regulatory compliance remains uncertain, potentially affecting its business [213]. - Compliance with international laws, including the U.S. Foreign Corrupt Practices Act and various anti-bribery laws, is critical; failure to comply could result in civil and criminal sanctions [247]. - The Company is monitoring Brexit's impact on operations, with new UK regulations requiring medical devices to be registered with the Medicines and Healthcare Products Regulatory Agency by July 1, 2023 [248]. - The Company is subject to complex and increasingly stringent regulations, which could lead to operational restrictions, higher costs, or lower sales [278]. - Non-compliance with FDA regulations could result in enforcement actions, including fines, product recalls, or shutdown of manufacturing operations [280]. - The FDA's Quality System Regulation (QSR) requires compliance in design, testing, and manufacturing, with potential sanctions for non-compliance [291]. - Legislative changes could significantly alter the regulatory landscape, impacting the approval and marketing of medical devices [282]. - The Company may face delays in obtaining international regulatory approvals, which could hinder its ability to market products globally [299]. - The Company is required to report adverse medical events to the FDA, with potential sanctions for failure to comply [305]. Product Development and Clinical Trials - The Company introduced several new products between 2017 and 2020, including Juliet and Secret RF, to enhance its product offerings [203]. - The Company’s clinical trials are lengthy and expensive, with uncertain outcomes, potentially delaying the commercialization of new products [312]. - The Company may face significant costs and delays in clinical trials due to challenges in patient enrollment and compliance with regulatory requirements [320]. - The Company may need to conduct additional clinical trials if initial results are negative or inconclusive, impacting product development timelines [314]. - The Company’s clinical trial results may not support product claims, leading to potential abandonment of product candidates [322]. Supply Chain and Manufacturing - The Company’s manufacturing operations depend on third-party suppliers, making it vulnerable to supply shortages and price fluctuations [333]. - The Company relies on a limited number of suppliers for components and materials, which poses risks such as supply interruptions and delays in product shipments [334]. - The Company has a sole supplier, ZO, for all skincare products, increasing vulnerability to supply chain disruptions [334]. - Manufacturing operations are based in Brisbane, California, with some products only produced at this single site, risking operational halts due to disasters [341]. Legal and Litigation Risks - The Company is involved in litigation that could adversely affect its business and financial results [325]. - The Company faces potential litigation regarding intellectual property, which could result in significant financial liabilities and operational disruptions [347]. - Customers are experiencing difficulties in obtaining liability insurance, which may adversely affect the Company's product sales and financial condition [350]. Tax and Financial Reporting - The Company is subject to income tax audits, which could lead to additional costs and impact its financial position [351]. - Changes in U.S. tax laws and importation taxes could significantly affect the Company's effective tax rate and overall financial performance [355]. - The Company is in the process of implementing a new accounting and ERP system, which carries risks of significant additional costs and potential delays in reporting accurate financial information [230]. Quality Control and Product Liability - Any defects in product design or manufacturing could lead to increased expenses, loss of customer orders, and damage to the Company's reputation [302]. - A government-mandated or voluntary recall could negatively impact the Company's reputation and financial results [310]. - The FDA's authority to require recalls is based on the potential for serious injury or death, which could significantly affect the Company's operations [307]. - The Company’s products may be subject to recalls, which could harm its reputation and financial results [311]. - The Company does not require training for users of its products, increasing the risk of misuse and potential product liability litigation [330].