Workflow
Apyx Medical(APYX) - 2023 Q4 - Annual Report

Financial Performance - For the year ended December 31, 2023, Apyx Medical incurred a loss from operations of $17.3 million and used $5.2 million of cash in operations, despite receiving a tax refund of approximately $8.1 million[21]. - As of December 31, 2023, Apyx Medical had cash and cash equivalents of $43.7 million, indicating a need for continued funding through existing cash and potential equity or debt financing[21]. - The company has a history of operating losses that have impacted overall cash flows and may affect its ability to continue as a going concern[85]. - The company anticipates needing to raise additional capital to fund future operations due to recurring net losses and the impact of FDA Safety Communication on demand[86]. - Higher inflation and interest rates could adversely impact the company's operating expenses and cash flows[81]. - Adverse macroeconomic conditions, including inflation and higher interest rates, could materially affect demand for the company's products and services[145]. Product Development and Regulatory Approvals - Apyx Medical received 510(k) clearance from the FDA for the Renuvion APR handpiece for coagulation of subcutaneous soft tissues following liposuction, which is expected to enhance product adoption[18]. - The company has received multiple 510(k) clearances from the FDA for its Renuvion products, including the Renuvion Dermal handpiece for dermal resurfacing and the Renuvion APR handpiece for subcutaneous procedures[111][112][113][114]. - The global regulatory environment for medical devices is becoming increasingly stringent, impacting the time and cost required for product approvals[108][121]. - The company may face challenges in successfully commercializing new products due to regulatory approvals and market acceptance[90]. Market and Competitive Landscape - The cosmetic surgery market is expected to grow steadily, with liposuction procedures increasing by 21.1% year-over-year, making it the number one aesthetic surgical procedure globally[30]. - The Advanced Energy segment contributed 82.9% of the consolidated total revenue for the year ended December 31, 2023, while the OEM segment contributed 17.1%[54]. - Apyx Medical Corporation's Renuvion technology is the only FDA-approved device for treating skin laxity post-liposuction, potentially increasing the total available market for its products[32]. - The cosmetic surgery market is adapting to the effects of GLP-1 drugs, which may initially reduce liposuction procedures but ultimately drive demand for body contouring solutions[32]. Operational Strategy and Management - Apyx Medical's management is reassessing operating expenditures to align with expected revenue levels, indicating a proactive approach to cost management[25]. - The company has entered into a Credit and Guaranty Agreement providing for a facility of up to $45 million, consisting of senior secured term loans, to support its operations[23]. - The company plans to sell and leaseback its Clearwater, FL property for a purchase price of $7.65 million, which will provide additional liquidity[24]. - The company has sold its facility in Clearwater, FL for $7.65 million and entered into a 10-year leaseback agreement, which is part of its strategy to enhance liquidity[24]. Innovation and Intellectual Property - Apyx Medical Corporation has been issued 39 patents in the United States and 46 foreign patents, with 17 pending patent applications in the United States and 48 pending foreign applications[35]. - The company has invested substantial resources in developing its Renuvion technology for the cosmetic surgery market, emphasizing the need for ongoing innovation[93]. - The company has significantly increased the number of physicians using its Helium Plasma Technology, expanding usage to include the U.S. cosmetic surgery market and surgical oncology market outside the U.S.[58]. Employee and Organizational Health - The voluntary employee turnover rate for 2023 was approximately 10.2%, with a total of 252 full-time employees worldwide[42]. - The company has a strong focus on employee health and safety, achieving no lost time accidents in 2023[51]. - The company relies on key personnel for its operations and may face challenges in attracting and retaining qualified individuals[139]. Supply Chain and Production Challenges - The company has experienced some delays in obtaining materials necessary for production but has not caused a meaningful backlog of sales orders[37]. - Fluctuations in the price and availability of raw materials could negatively affect the company's cost of sales and ability to meet customer demands[102]. - The company relies on certain suppliers and subcontractors for raw materials, making it vulnerable to supply chain disruptions[103]. Environmental, Social, and Governance (ESG) Initiatives - Apyx Medical Corporation maintains a commitment to environmental, social, and governance (ESG) initiatives, publishing its first ESG report in July 2022[41]. - The company is committed to sustainability, having published its first ESG report in July 2022, aligned with SASB Medical Equipment industry standards[41]. - Environmental regulations are tightening, potentially increasing compliance costs and impacting manufacturing processes for medical devices[124][127]. Risk Factors - The company is subject to increasing regulatory scrutiny, which may impact its financial condition and business operations[68]. - The company is subject to significant product liability risks, which could result in costly recalls or legal claims if quality issues arise[107][106]. - The company is exposed to anti-corruption regulations as it expands internationally, which could lead to severe penalties if violations occur[128][129]. - The company is subject to changing data privacy regulations, including the GDPR, which could result in legal liability if not adhered to[143]. - The company’s financial condition could be materially impacted by adverse regulatory actions or product liability claims[118][119]. - The company is subject to U.S. export control laws and regulations, which could impair its ability to compete internationally and may result in significant fines or penalties for non-compliance[130].