Table of Contents
UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
FORM 10-Q
⌧
QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934
For the Quarterly Period Ended September 30, 2020
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 No.: 001-36534
IRADIMED CORPORATION
(Exact name of Registrant as specified in its charter)
Delaware
73-1408526
(State or other jurisdiction ofincorporation or organization)
(I.R.S. EmployerIdentification Number
1025 Willa Springs DriveWinter Springs, Florida
32708
(Address of principal executive offices)
(Zip Code)
(407) 677-8022
(Registrant’s telephone number, including area code)
N/A
(Former Name, former address and former fiscal year, if changed since last report)
Securities registered pursuant to Section 12(b) of the Act:
Title of each class:
Trading Symbol
Name of each exchange on which registered:
Common stock, par value $0.0001
IRMD
NASDAQ Capital Market
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 pursuant to Rule 405 of Regulation S-T (§232.405 of this chapter) during the preceding 12 months (or for such shorter period that the registrant was required to submit such files). Yes ⌧ No ☐
Indicate by check mark whether the registrant is a large accelerated filer, an accelerated filer, a non-accelerated filer or a smaller reporting company. See definitions of “large accelerated filer,” “accelerated filer” and “smaller reporting company” as defined in Rule 12b-2 of the Exchange Act.
Large accelerated filer ☐
Accelerated filer ☒
Non-accelerated filer ☐
Smaller reporting company ☒
Emerging growth company ☐
If an emerging growth company, indicate by check mark if the registrant has elected not to use the extended transition period for complying with any new or revised financial accounting standards provided pursuant to Section 13(a) of the Exchange Act. Yes ☐ No ☐
Indicate by check mark whether the registrant is a shell company (as defined in Rule 12b-2 of the Exchange Act). Yes ☐ No ☒
The registrant had 12,269,524 shares of common stock, par value $0.0001 per share, outstanding as of November 1, 2020.
Page
Cautionary Note Regarding Forward-Looking Statements
3
Part I
Financial Information
5
Item 1
Condensed Financial Statements
(a) Condensed Balance Sheets as of September 30, 2020 (Unaudited) and December 31, 2019
(b) Condensed Statements of Operations for the Three and Nine Months Ended September 30, 2020 and 2019 (Unaudited)
6
(c) Condensed Statements of Comprehensive Income for the Three and Nine Months Ended September 30, 2020 and 2019 (Unaudited)
7
(d) Condensed Statements of Stockholders’ Equity for the Three and Nine Months Ended September 30, 2020 and 2019 (Unaudited)
8
(e) Condensed Statements of Cash Flows for the Nine Months Ended September 30, 2020 and 2019 (Unaudited)
10
(f) Notes to Unaudited Condensed Financial Statements
11
Item 2
Management’s Discussion and Analysis of Financial Condition and Results of Operations
20
Item 3
Quantitative and Qualitative Disclosures About Market Risk
27
Item 4
Controls and Procedures
Part II
Other Information
28
Legal Proceedings
Item 1A
Risk Factors
Unregistered Sale of Equity Securities and Use of Proceeds
29
Default Upon Senior Securities
Mine Safety Disclosures
Item 5
Item 6
Exhibits
30
Signatures
31
2
CAUTIONARY NOTE REGARDING FORWARD-LOOKING STATEMENTS
This Quarterly Report on Form 10-Q contains “forward-looking statements” within the meaning of Section 27A of the Securities Act of 1933, as amended (the “Securities Act”), and Section 21E of the Securities Exchange Act of 1934, as amended (the “Exchange Act”), that involve substantial risks and uncertainties. The forward-looking statements are contained principally in the sections entitled “Risk Factors” and “Management’s Discussion and Analysis of Financial Condition and Results of Operations.” In some cases, you can identify forward-looking statements by the following words: “may,” “will,” “could,” “would,” “should,” “expect,” “intend,” “plan,” “anticipate,” “believe,” “estimate,” “predict,” “project,” “potential,” “continue,” “ongoing” or the negative of these terms or other comparable terminology, although not all forward-looking statements contain these words. These statements relate to future events or our future financial performance or condition and involve known and unknown risks, uncertainties and other factors that could cause our actual results, levels of activity, performance or achievement to differ materially from those expressed or implied by these forward-looking statements. These forward-looking statements include, but are not limited to, statements about:
Forward-looking statements are not guarantees of future performance and are subject to substantial risks and uncertainties that could cause the actual results to differ materially from those that we predicted in the forward-looking statements. Factors that may cause or contribute to such differences include, but are not limited to, those discussed in more detail in Part I, Item 2 “Management’s Discussion and Analysis of Financial Condition and Results of Operations” and Part II, Item 1A “Risk Factors” of this Quarterly Report on Form 10-Q. Readers should carefully review these risks, as well as the additional risks described in other documents we file from time to time with the Securities and Exchange Commission (“SEC”). In light of the significant risks and uncertainties inherent in the forward-looking statements included herein, the inclusion of such information should not be regarded as a representation by us or any other person that such results will be achieved, and readers are cautioned not to place undue reliance on such forward-looking statements. Except as required by law, we undertake no obligation to revise the forward-looking statements contained herein to reflect events or circumstances after the date hereof or to reflect the occurrence of unanticipated events. You should read this Quarterly Report on Form 10-Q and the documents we file with the SEC with the understanding that our actual future results, levels of activity, performance and achievements may be materially different from what we expect. We qualify all of our forward-looking statements by these cautionary statements.
Unless expressly indicated or the context requires otherwise, references in this Quarterly Report to “IRADIMED,” the “Company,” “we,” “our,” and “us” refer to IRADIMED CORPORATION.
4
PART I. FINANCIAL INFORMATION
Item 1. Condensed Financial Statements
CONDENSED BALANCE SHEETS
September 30,
December 31,
2020
2019
(unaudited)
ASSETS
Current assets:
Cash and cash equivalents
$
47,549,619
43,481,781
Accounts receivable, net of allowance for doubtful accounts of $43,286 as of September 30, 2020 and $69,093 as of December 31, 2019
4,252,329
7,293,303
Investments
2,320,407
2,768,287
Inventory, net
4,589,741
3,641,561
Prepaid expenses and other current assets
475,039
407,802
Prepaid income taxes
3,716,442
1,370,947
Total current assets
62,903,577
58,963,681
Property and equipment, net
2,164,391
2,053,806
Intangible assets, net
975,879
860,087
Operating lease right-of-use asset
2,776,599
2,955,873
Deferred income taxes, net
1,346,214
1,663,415
Other assets
258,457
232,002
Total assets
70,425,117
66,728,864
LIABILITIES AND STOCKHOLDERS’ EQUITY
Current liabilities:
Accounts payable
580,309
993,742
Accrued payroll and benefits
1,642,772
2,166,209
Other accrued taxes
123,196
596,576
Warranty reserve
87,059
81,761
Deferred revenue
1,956,180
1,671,420
Current portion of operating lease liability
251,901
240,843
Other current liability
108,421
Accrued income taxes
10,390
—
Total current liabilities
4,760,228
5,858,972
2,423,733
2,630,467
Operating lease liability, less current portion
2,524,698
2,715,030
Total liabilities
9,708,659
11,204,469
Stockholders’ equity:
Common stock; $0.0001 par value; 31,500,000 shares authorized; 12,269,123 shares issued and outstanding as of September 30, 2020 and 11,765,875 shares issued and outstanding as of December 31, 2019
1,227
1,177
Additional paid-in capital
23,636,433
19,192,394
Retained earnings
37,032,037
36,300,450
Accumulated other comprehensive income
46,761
30,374
Total stockholders’ equity
60,716,458
55,524,395
Total liabilities and stockholders’ equity
See accompanying notes to unaudited condensed financial statements.
CONDENSED STATEMENTS OF OPERATIONS
(Unaudited)
For the Three Months Ended
For the Nine Months Ended
Revenue
7,699,096
9,963,299
23,171,329
27,626,488
Cost of revenue
1,958,036
2,168,208
6,036,353
6,074,323
Gross profit
5,741,060
7,795,091
17,134,976
21,552,165
Operating expenses:
General and administrative
2,196,935
2,609,722
10,062,089
7,482,790
Sales and marketing
2,282,491
2,297,002
7,090,192
6,607,477
Research and development
476,876
369,526
1,389,812
1,053,409
Total operating expenses
4,956,302
5,276,250
18,542,093
15,143,676
Income (loss) from operations
784,758
2,518,841
(1,407,117)
6,408,489
Other income, net
9,352
110,064
125,706
280,663
Income (loss) before provision for income taxes
794,110
2,628,905
(1,281,411)
6,689,152
Provision for income tax (benefit) expense
(280,536)
174,035
(2,012,998)
299,876
Net income
1,074,646
2,454,870
731,587
6,389,276
Net income per share:
Basic
0.09
0.22
0.06
0.57
Diluted
0.20
0.52
Weighted average shares outstanding:
12,243,362
11,369,404
12,071,027
11,188,761
12,493,309
12,309,948
12,414,932
12,248,102
CONDENSED STATEMENTS OF COMPREHENSIVE INCOME
Other comprehensive (loss) income:
Change in fair value of available-for-sale securities, net of tax (benefit) expense of $(1,402) and $4,429 for the three months ended September 30, 2020 and 2019, respectively, and $9,071 and $24,756 for the nine months ended September 30, 2020 and 2019, respectively
(7,181)
11,615
23,049
74,233
Realized gain on available-for-sale securities reclassified to net income, net of tax expense of $0 and $1,895 for the three months ended September 30, 2020 and 2019, respectively, and $2,199 and $958 for the nine months ended September 30, 2020 and 2019, respectively
(5,742)
(6,662)
(2,901)
Other comprehensive (loss) income
5,873
16,387
71,332
Comprehensive income
1,067,465
2,460,743
747,974
6,460,608
CONDENSED STATEMENTS OF STOCKHOLDERS’ EQUITY
Accumulated
Additional
Other
Common Stock
Paid-in
Retained
Comprehensive
Stockholders’
Shares
Amount
Capital
Earnings
Income
Equity
Balances, December 31, 2019
11,765,875
1,769,211
Other comprehensive income
10,433
Stock-based compensation expense
568,958
Net share settlement of restricted stock units
14,521
1
(133,873)
(133,872)
Exercise of stock options
190,541
19
322,160
322,179
Balances, March 31, 2020
11,970,937
1,197
19,949,639
38,069,661
40,807
58,061,304
Net loss
(2,112,270)
13,135
2,658,632
76,381
(725,393)
(725,385)
150,519
15
468,795
468,810
Balances, June 30, 2020
12,197,837
1,220
22,351,673
35,957,391
53,942
58,364,226
416,525
8,245
(63,491)
(63,490)
63,041
931,726
931,732
Balances, September 30, 2020
12,269,123
CONDENSED STATEMENTS OF STOCKHOLDERS’ EQUITY (continued)
Balances, December 31, 2018
10,989,111
1,099
15,317,335
26,669,491
(42,192)
41,945,733
1,845,565
38,194
382,353
4,322
(22,507)
150,763
456,724
456,739
Balances, March 31, 2019
11,144,196
1,114
16,133,905
28,515,056
(3,998)
44,646,077
2,088,841
27,265
468,436
23,331
(125,708)
(125,705)
28,875
43,505
43,508
Balances, June 30, 2019
11,196,402
1,120
16,520,138
30,603,897
23,267
47,148,422
455,641
121
(1,186)
234,944
23
1,709,255
1,709,278
Balances, September 30, 2019
11,431,467
1,143
18,683,848
33,058,767
29,140
51,772,898
9
CONDENSED STATEMENTS OF CASH FLOWS
Nine Months Ended
Operating activities:
Adjustments to reconcile net income to net cash provided by operating activities:
Change in allowance for doubtful accounts
41,786
27,532
Change in provision for excess and obsolete inventory
29,209
104,407
Depreciation and amortization
999,812
961,597
Stock-based compensation
3,644,115
1,306,430
310,329
26,071
Gain on maturities of investments
(8,861)
(3,859)
Changes in operating assets and liabilities:
Accounts receivable
2,999,188
(2,742,517)
Inventory
(1,062,455)
(570,242)
(642,982)
(547,694)
(40,899)
(150,386)
(468,615)
293,810
(523,437)
434,328
(473,380)
(48,216)
5,298
2,973
119,658
537,700
(Prepaid) accrued income taxes
(2,335,105)
261,805
(3,820)
859
Net cash provided by operating activities
3,321,428
6,283,874
Investing activities:
Proceeds from maturity of investments
480,000
2,522,000
Purchases of property and equipment
(349,283)
(196,369)
Capitalized intangible assets
(184,281)
(59,912)
Net cash (used in) provided by investing activities
(53,564)
2,265,719
Financing activities:
Proceeds from exercises of stock options
1,722,721
2,209,525
Taxes paid related to the net share settlement of equity awards
(922,747)
(149,398)
Net cash provided by financing activities
799,974
2,060,127
Net increase in cash and cash equivalents
4,067,838
10,609,720
Cash and cash equivalents, beginning of period
28,027,688
Cash and cash equivalents, end of period
38,637,408
Supplemental disclosure of cash flow information:
Cash paid for income taxes
12,000
Right-of-use asset recognized in exchange for new lease obligation
3,182,724
Operating and short-term lease payments recorded within cash flow from operating activities
321,856
320,907
Notes to Unaudited Condensed Financial Statements
1 — Basis of Presentation
The accompanying interim condensed financial statements of IRADIMED CORPORATION (“IRADIMED”, the “Company”, “we”, “our”) have been prepared pursuant to the rules and regulations of the SEC. Certain information and footnote disclosures normally presented in annual financial statements prepared in accordance with U.S. generally accepted accounting principles ("GAAP") have been condensed or omitted pursuant to such rules and regulations. The interim financial information is unaudited, but reflects all normal adjustments that are, in the opinion of management, necessary for the fair presentation of our financial position, results of operations and cash flows for the interim periods presented. Operating results for the three and nine months ended September 30, 2020 are not necessarily indicative of the results that may be expected for the year ending December 31, 2020.
These accompanying interim condensed financial statements should be read with the financial statements and related footnotes to financial statements included in our Annual Report on Form 10-K for the year ended December 31, 2019. The accounting policies followed in the preparation of these interim condensed financial statements, except as described in Note 1, are consistent in all material respects with those described in Note 1 of our Form 10-K.
We operate in one reportable segment which is the development, manufacture and sale of MRI compatible medical devices, related accessories, disposables and service for use by hospitals and acute care facilities during MRI procedures.
Certain Significant Risks and Uncertainties
We market our products to end users in the U.S. and to distributors internationally. Sales to end users in the U.S. are generally made on open credit terms. Management maintains an allowance for potential credit losses.
COVID-19 Considerations
We are subject to risks and uncertainties as a result of the spread of COVID-19. We have experienced a decline in operating results, which has limited our generation of capital resources. The extent of the impact of COVID-19 on our business is highly uncertain and difficult to predict. Our future results of operations and liquidity could be adversely impacted by, among other things, delays in payments from customers, supply chain disruptions, and uncertain demand. As of the date of the issuance of these financial statements, the extent to which COVID-19 may materially impact our financial condition, liquidity, or results of operations in future periods is uncertain.
Recent Accounting Pronouncements
Recently Issued Accounting Pronouncements to be Implemented
In December 2019, the FASB issued ASU No. 2019-12, Income Taxes (Topic 740): Simplifying the Accounting for Income Taxes. ASU 2019-12 will be effective for fiscal years, and interim periods within those years, beginning after December 15, 2020. We do not expect ASU 2019-12 to have a material impact on financial condition, results of operations or cash flows.
In June 2016, the FASB issued ASU 2016-13, Financial Instruments - Credit Losses (Topic 326): Measurement of Credit Losses on Financial Instruments, which requires the Company to measure and recognize expected credit losses for financial assets held and not accounted for at fair value through net income. In November 2018, April 2019 and May 2019, the FASB issued ASU 2018-19, Codification Improvements to Topic 326, Financial Instruments - Credit Losses, ASU 2019-04, Codification Improvements to Topic 326, Financial Instruments - Credit Losses and ASU 2019-05, Financial Instruments - Credit Losses (Topic 326): Targeted Transition Relief, which provided additional implementation guidance on ASU 2016-03. The previously mentioned ASUs are effective for fiscal years beginning after December 15, 2022, with early adoption permitted. We do not expect the adoption of these ASUs to have a material impact on our financial condition, results of operations or cash flows.
2 — Revenue Recognition
Disaggregation of Revenue
We disaggregate revenue from contracts with customers by geographic region and revenue type as we believe it best depicts the nature, amount, timing and uncertainty of our revenue and cash flow.
Revenue information by geographic region is as follows:
Three Months Ended
United States
6,465,184
8,281,854
17,430,206
22,916,642
International
1,233,912
1,681,445
5,741,123
4,709,846
Total revenue
Revenue information by type is as follows:
Devices:
MRI Compatible IV Infusion Pump Systems
2,153,699
4,769,252
6,693,692
13,512,548
MRI Compatible Patient Vital Signs Monitoring Systems
2,282,943
2,557,889
6,829,932
6,215,528
Total Devices revenue
4,436,642
7,327,141
13,523,624
19,728,076
Disposables, service and other
2,802,039
2,162,602
8,269,487
6,513,030
Amortization of extended warranty agreements
460,415
473,556
1,378,218
1,385,382
Contract Liabilities
Our contract liabilities consist of:
Advance payments from customers
103,669
12,765
Shipments in-transit
41,632
4,250
Extended warranty agreements
4,234,612
4,284,872
Total
4,379,913
4,301,887
Changes in the contract liabilities during the periods presented are as follows:
Deferred
Contract liabilities, December 31, 2019
Increases due to cash received from customers
1,655,021
Decreases due to recognition of revenue
(1,576,995)
Contract liabilities, September 30, 2020
12
Contract liabilities, December 31, 2018
3,605,789
2,530,978
(2,033,473)
Contract liabilities, September 30, 2019
4,103,294
Capitalized Contract Costs
Our capitalized contract costs consist of:
Capitalized contract costs
362,123
352,250
3 — Basic and Diluted Net Income per Share
Basic net income per share is based upon the weighted-average number of common shares outstanding during the period. Diluted net income per share reflects the potential dilution that could occur if securities or other contracts to issue common stock were exercised or converted into common stock. Stock options and restricted stock units granted by us represent the only dilutive effect reflected in diluted weighted-average shares outstanding.
The following table presents the computation of basic and diluted net income per share:
Three Months Ended September 30,
Nine Months Ended September 30,
Weighted-average shares outstanding — Basic
Effect of dilutive securities:
Underwriters’ warrants
41,124
69,183
Stock Options
204,108
822,128
294,202
899,311
Restricted Stock Units
45,839
77,292
49,703
90,847
Weighted-average shares outstanding — Diluted
Basic net income per share
Diluted net income per share
Stock options and restricted stock units excluded from the calculation of diluted net income per share because the effect would have been anti-dilutive are as follows:
Anti-dilutive stock options and restricted stock units
10,024
117,584
48,706
14,991
13
4 — Inventory
Inventory consists of:
Raw materials
3,734,471
2,939,451
Work in process
246,227
229,479
Finished goods
778,085
697,483
Inventory before allowance for excess and obsolete
4,758,783
3,866,413
Allowance for excess and obsolete
(169,042)
(224,852)
5 — Property and Equipment
Property and equipment consist of:
Computer software and hardware
673,576
627,624
Furniture and fixtures
1,246,566
1,112,550
Leasehold improvements
225,841
Machinery and equipment
1,818,023
1,778,524
Tooling in-process
433,168
163,105
4,397,174
3,907,644
Accumulated depreciation
(2,232,783)
(1,853,838)
Depreciation expense of property and equipment was $128,513 and $122,834 for the three months ended September 30, 2020 and 2019, respectively, and $382,766 and $373,828 for the nine months ended September 30, 2020 and 2019, respectively.
Property and equipment, net, information by geographic region is as follows:
1,857,493
1,689,740
306,898
364,066
Total property and equipment, net
Long-lived assets held outside of the United States consist principally of tooling and machinery and equipment, which are components of property and equipment, net.
14
6 — Intangible Assets
The following table summarizes the components of intangible asset balances:
Patents — in use
325,434
304,270
Patents — in process
139,595
120,581
Internally developed software — in use
867,569
Internally developed software — in process
223,710
80,721
Trademarks
27,247
26,133
1,583,555
1,399,274
Accumulated amortization
(607,676)
(539,187)
Amortization expense of intangible assets was $22,999 and $22,491 for the three months ended September 30, 2020 and 2019, respectively, and $68,489 and $67,472 for the nine months ended September 30, 2020 and 2019, respectively.
Expected annual amortization expense for the remaining portion of 2020 and the next five years related to intangible assets is as follows (excludes in process intangible assets):
Three months ending December 31, 2020
22,999
2021
91,998
2022
91,427
2023
90,775
2024
90,474
2025
89,481
7 — Investments
Our investments consist of bonds that we have classified as available-for-sale and are summarized in the following tables:
September 30, 2020
Gross
Unrealized
Fair
Cost
Gains
Losses
Value
U.S. corporate bonds
2,258,686
61,721
December 31, 2019
Corporate bonds:
U.S. corporations
29,123
2,287,809
International corporations
471,139
9,339
480,478
2,729,825
38,462
8 — Fair Value Measurements
The fair values of cash equivalents, accounts receivables, net and accounts payable approximate their carrying amounts due to their short duration.
The fair value of our assets and liabilities subject to recurring fair value measurements are as follows:
Fair Value at September 30, 2020
Quoted Prices
Significant
in Active
Market for
Observable
Unobservable
Identical Assets
Inputs
(Level 1)
(Level 2)
(Level 3)
Fair Value at December 31, 2019
Our corporate bonds are valued by a third-party custodian at closing prices from secondary exchanges or pricing vendors on the valuation date.
There were no transfers into or out of any Levels during the nine months ended September 30, 2020 or the year ended December 31, 2019.
9 — Accumulated Other Comprehensive Income
The components of accumulated other comprehensive income, net of tax, for the three months ended September 30, 2020 and 2019 are as follows:
Unrealized (Losses)
Gains on
Available-For-Sale
Securities
Balance at June 30, 2020
Loss on available-for-sale securities, net
Reclassification realized in net earnings
Balance at September 30, 2020
Balance at June 30, 2019
Gains on available-for-sale securities, net
Balance at September 30, 2019
16
The components of accumulated other comprehensive income, net of tax, for the nine months ended September 30, 2020 and 2019 are as follows:
Balance at December 31, 2019
Balance at December 31, 2018
10 — Stock-Based Compensation
Stock-based compensation was recognized as follows in the Condensed Statements of Operations:
28,751
67,452
145,258
188,295
291,100
279,125
3,153,886
802,205
77,607
89,274
286,134
258,573
19,067
19,790
58,837
57,357
As of September 30, 2020, we had $2,074,580 of unrecognized compensation cost related to unvested restricted stock units, which is expected to be recognized over a weighted-average period of 2.6 years.
The following table presents a summary of our stock-based compensation activity for the nine months ended September 30, 2020 (shares):
Stock
Restricted
Options
Stock Units
Outstanding beginning of period
638,860
297,048
Awards granted
18,129
Awards exercised/vested
(404,100)
(139,890)
Awards canceled
(3,500)
(33,443)
Outstanding end of period
231,260
141,844
11 — Income Taxes
For the three and nine months ended September 30, 2020, we recorded a provision for income tax benefit of $(280,536) and $(2,012,998), respectively. Our effective tax rate was (35.3) percent and 157.1 percent, respectively, and differed from the U.S. Federal statutory rate primarily due to discrete items related to tax benefits associated with stock-based compensation and a U.S. state tax benefit, partially offset by a limitation on the deductibility of certain executive compensation associated with the separation of our former Chief Executive Officer. Additionally, we recognized a benefit in our effective tax rate resulting from the Coronavirus Aid, Relief, and Economic Security Act, which allowed us to carryback net operating losses to years prior to the enactment of the Tax Cuts and Jobs Act.
17
For the three and nine months ended September 30, 2019, we recorded a provision for income tax expense of $174,035 and $299,876, respectively. Our effective tax rate was 6.6 percent and 4.5 percent, respectively, and differed from the U.S. Federal statutory rate primarily due to discrete items related to tax benefits associated with stock-based compensation and the foreign derived intangible income deduction, partially offset by U.S. state tax expense.
As of September 30, 2020, and December 31, 2019, we had not identified or accrued for any uncertain tax positions. We are currently unaware of any uncertain tax positions that could result in significant payments, accruals or other material deviations in this estimate over the next 12 months. We believe that our tax positions comply in all material respects with applicable tax law. However, tax law is subject to interpretation, and interpretations by taxing authorities could be different from ours, which could result in the imposition of additional taxes and penalties.
We file tax returns in the U.S. Federal jurisdiction and many U.S. state jurisdictions. The Company is subject to income tax examinations for our U.S. Federal and certain U.S. state income taxes for 2016 and subsequent years and various other U.S. state income taxes for 2015 and subsequent years.
12 — Leases
We have one material lease contract outstanding. In January 2014, we entered into a non-cancelable operating lease, commencing July 1, 2014, for our manufacturing and headquarters facility in Winter Springs, Florida owned by Susi, LLC, an entity controlled by our President, Chief Executive Officer, and Chairman of the Board, Roger Susi. Pursuant to the terms of our lease for this property, the monthly base rent is $34,133, adjusted annually for changes in the consumer price index. Under the terms of the lease, we are responsible for property taxes, insurance and maintenance expenses. Prior to May 31, 2019, the expiration date of the initial lease term, and pursuant to the terms of the lease contract, we renewed the lease for an additional five years, resulting in a new lease expiration date of May 31, 2024. Unless advance written notice of termination is timely provided, the lease will automatically renew for one additional successive term of five years beginning in 2024, and thereafter, will be renewed for successive terms of one year each. For purposes of Topic 842, we concluded that we will exercise both of the five-year options, resulting in a remaining lease term of 8.7 years as of September 30, 2020. This lease agreement does not contain any residual value guarantee or material restrictive covenants.
Operating lease cost recognized in the Condensed Statements of Operations is as follows:
46,533
46,535
139,603
139,604
46,045
46,044
138,133
2,605
2,604
7,813
7,216
7,215
21,646
102,399
102,398
307,195
307,196
Lease costs for short-term leases were immaterial for the three and nine months ended September 30, 2020 and 2019.
Maturity of operating lease liability as of September 30, 2020 is as follows:
409,596
Thereafter
1,809,050
Total lease payments
3,549,833
Imputed interest
(773,234)
Present value of lease liability
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13 — Commitments and Contingencies
Purchase commitments. We had various purchase orders for goods or services totaling $2,596,996 and $3,208,174 as of September 30, 2020 and December 31, 2019, respectively. No amounts related to these purchase orders have been recognized in our balance sheet.
Legal matters. We may from time to time become party to various legal proceedings or claims that arise in the ordinary course of business.
Item 2. Management’s Discussion and Analysis of Financial Condition and Results of Operations
The following discussion and analysis should be read in conjunction with our condensed financial statements and the related notes to those statements included in this Quarterly Report, the discussion of certain risks and uncertainties contained in Part II, Item 1A of this Quarterly Report, the discussion under “Management’s Discussion and Analysis of Financial Condition and Results of Operations” and “Business” included in our Annual Report filed on Form 10-K for the fiscal year ended December 31, 2019 and the cautionary information regarding forward-looking statements at the beginning of this Quarterly Report.
Our Business
We develop, manufacture, market and distribute Magnetic Resonance Imaging (“MRI”) compatible medical devices and accessories and services relating to them.
We are a leader in the development of innovative MRI compatible medical devices. We are the only known provider of a non-magnetic intravenous (“IV”) infusion pump system that is specifically designed to be safe for use during MRI procedures. We were the first to develop an infusion delivery system that largely eliminates many of the dangers and problems present during MRI procedures. Standard infusion pumps contain magnetic and electronic components which can create radio frequency interference and are dangerous to operate in the presence of the powerful magnet that drives an MRI system. Our patented MRidium® MRI compatible IV infusion pump system has been designed with a non-magnetic ultrasonic motor, uniquely designed non-ferrous parts and other special features to safely and predictably deliver anesthesia and other IV fluids during various MRI procedures. Our pump solution provides a seamless approach that enables accurate, safe and dependable fluid delivery before, during and after an MRI scan, which is important to critically-ill patients who cannot be removed from their vital medications, and children and infants who must generally be sedated to remain immobile during an MRI scan.
Each IV infusion pump system consists of an MRidium® MRI compatible IV infusion pump, non-magnetic mobile stand, proprietary disposable IV tubing sets and many of these systems contain additional optional upgrade accessories.
Our 3880 MRI compatible patient vital signs monitoring system has been designed with non-magnetic components and other special features to safely and accurately monitor a patient’s vital signs during various MRI procedures. The IRADIMED 3880 system operates dependably in magnetic fields up to 30,000 gauss, which means it can operate virtually anywhere in the MRI scanner room. The IRADIMED 3880 has a compact, lightweight design allowing it to travel with the patient from their critical care unit, to the MRI and back, resulting in increased patient safety through uninterrupted vital signs monitoring and decreasing the amount of time critically ill patients are away from critical care units. The features of the IRADIMED 3880 include: wireless ECG with dynamic gradient filtering; wireless SpO2 using Masimo® algorithms; non-magnetic respiratory CO2; invasive and non-invasive blood pressure; patient temperature, and; optional advanced multi-gas anesthetic agent unit featuring continuous Minimum Alveolar Concentration measurements. The IRADIMED 3880 MRI compatible patient vital signs monitoring system has an easy-to-use design and allows for the effective communication of patient vital signs information to clinicians.
We generate revenue from the sale of MRI compatible medical devices and accessories, extended warranty agreements, services related to maintaining our products and the sale of disposable products used with our devices. The principal customers for our MRI compatible products include hospitals and acute care facilities, both in the U.S. and internationally.
Selling cycles for our devices have varied widely and have historically ranged between three and six months in duration with more recent trends lengthening beyond this historical range due to the COVID-19 pandemic. We also enter into agreements with healthcare supply contracting companies in the U.S., which enable us to sell and distribute our products to their member hospitals. Under these agreements, we are required to pay these group purchasing organizations (“GPOs”) a fee of three percent of the sales of our products to their member hospitals. Our current GPO contracts effectively give us the ability to sell to more than 95 percent of all U.S. hospitals and acute care facilities.
Financial Highlights
Our revenue decreased $(2.3) million, or (22.7) percent, to $7.7 million for the third quarter ended September 30, 2020, compared to $10.0 million for the third quarter last year. Net income was $1.1 million, or $0.09 per diluted share in the third quarter ended September 30, 2020, compared to net income of $2.5 million, or $0.20 per diluted share in the third quarter last year.
COVID-19 Impact
In March 2020, the World Health Organization declared the outbreak of COVID-19 a global pandemic, which continues to spread throughout the U.S. and the world and has resulted in authorities implementing numerous measures to contain the virus, including travel bans and restrictions, quarantines, shelter-in-place orders, business limitations and shutdowns. Subsequent relaxations of these measures have been locally irregular and unpredictable and, in some jurisdictions, been reimposed based on reported incidence rates. While we are unable to accurately predict the full impact that COVID-19 will have on our results from operations, financial condition, liquidity and cash flows due to numerous uncertainties, including the duration and severity of the pandemic and containment measures, our compliance with these changing measures has impacted our day-to-day operations and could disrupt our business and operations, as well as that of our customers and suppliers, for an indefinite period of time. Considering the significant uncertainties created by COVID-19, we withdrew our 2020 financial guidance on April 7, 2020.
We have taken several steps to support the health and well-being of our employees as a result of the pandemic, including implementing more stringent cleaning procedures at our headquarters and manufacturing facility and, adopting a policy allowing all employees to donate their accrued time off to other employees unable to work due to COVID-19 issues.
The COVID-19 pandemic has resulted in significant economic disruption across the globe and has and will likely continue to adversely affect our business. Many of our hospital customers have and will likely continue to restrict access to healthcare workers only, diminishing our ability to generate sales, which has resulted in declining revenue during 2020 and may delay the timing of future orders. Resulting from hospitals restricting access to their facilities, we made certain investments in equipment to facilitate virtual meetings to enhance our selling process and perform product demonstrations and training.
Our business may also be adversely impacted as a result of the pandemic’s global economic impact. For example, hospitals may curtail their overall capital spending, or we may be unable to collect receivables from customers significantly impacted by COVID-19. Also, a decrease in orders in a given period could negatively affect our revenues in future periods from sales of our disposables and extended maintenance contracts, particularly if experienced on a sustained basis.
We believe that our current cash, investments and any cash generated from operations will be sufficient to meet our ongoing operating requirements for at least the next 12 months. We do not anticipate requiring additional capital; however, if required or desirable, we may seek to obtain a credit facility, raise debt or issue additional equity in private or public markets.
We continue to monitor the situation and may take further actions altering our business operations that we determine are in the best interest of our employees, customers, partners, suppliers, and stockholders, or as required by federal, state, or local authorities.
Application of Critical Accounting Policies
We prepare our financial statements in conformity with GAAP. The preparation of these financial statements requires us to make estimates and use assumptions that affect the reported amounts of assets, liabilities and related disclosures at the date of the financial statements and the reported amounts of revenue and expenses during the reporting period. Actual results could differ from those estimates.
We believe that the following critical accounting policies require the use of significant estimates, assumptions, and judgments:
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These critical accounting policies are described in more detail in our Annual Report filed on Form 10-K, under Management’s Discussion and Analysis and Results of Operations. Except as disclosed in Note 1 to the unaudited condensed financial statements contained herein related to the adoption of recent accounting pronouncements, there have been no changes to these policies during the three and nine months ended September 30, 2020.
The use of different estimates, assumptions, and judgments could have a material effect on the reported amounts of assets, liabilities and related disclosures as of the date of the financial statements and revenue and expenses during the reporting period.
Results of Operations
The following table sets forth selected statements of operations data as a percentage of total revenue for the periods indicated. Our historical operating results are not necessarily indicative of the results for any future period.
Percent of Revenue
Three Months
Nine Months
Ended September 30,
100.0
%
25.4
21.8
26.1
22.0
74.6
78.2
73.9
78.0
28.5
26.2
43.4
27.1
29.6
23.1
30.6
23.9
6.2
3.7
6.0
3.8
64.4
53.0
80.0
54.8
10.2
25.3
(6.1)
23.2
0.1
1.1
0.5
1.0
10.3
26.4
(5.5)
24.2
(3.6)
1.7
(8.7)
14.0
24.6
3.2
Revenue by Geographic Region
Change
(21.9)
(23.9)
(26.6)
21.9
Total Revenue
(22.7)
(16.1)
22
Revenue by Type
(54.8)
(50.5)
(10.7)
9.9
(39.4)
(31.4)
27.0
(2.8)
(0.5)
For the three months ended September 30, 2020, revenue decreased $(2.3) million, or (22.7) percent, to $7.7 million from $10.0 million for the same period in 2019.
Revenue from sales in the U.S. decreased $(1.8) million, or (21.9) percent, to $6.5 million for the third quarter 2020, from $8.3 million for the third quarter 2019. Revenue from sales internationally decreased $(0.5) million, or (26.6) percent, to $1.2 million for the third quarter 2020, from $1.7 million for the third quarter 2019. Domestic sales accounted for 84.0 percent of revenue for the third quarter 2020, compared to 83.1 percent for the third quarter 2019.
Revenue from sales of devices decreased $(2.9) million, or (39.4) percent, to $4.4 million for the three months ended September 30, 2020, from $7.3 million for the same period in 2019.
The average selling price of our MRI compatible IV infusion pump system during the three months ended September 30, 2020 was approximately $37,800, compared to approximately $35,100 for the same period in 2019. The increase in ASP relates to a favorable product sales mix when compared to the same period in 2019.
The average selling price of our MRI compatible patient vital signs monitoring system during the three months ended September 30, 2020 was approximately $43,000, compared to approximately $33,700 for the same period in 2019. The increase in ASP relates to a favorable product sale mix and higher domestic sales of our MRI compatible patient vital signs monitoring system recognized in revenue when compared to the same period in 2019.
Revenue from sales of our disposables, service and other increased $0.6 million, or 29.6 percent, to $2.8 million for the three months ended September 30, 2020, from $2.2 million for the same period in 2019. Revenue from the amortization of extended maintenance contracts was consistent at $0.5 million for the three months ended September 30, 2020 and 2019.
For the nine months ended September 30, 2020, revenue decreased $(4.4) million, or (16.1) percent, to $23.2 million from $27.6 million for the same period in 2019.
Revenue from sales in the U.S. decreased $(5.5) million, or (23.9) percent, to $17.4 million for the nine months ended September 30, 2020, from $22.9 million for the same period in 2019. Revenue from sales internationally increased $1.0 million, or 21.9 percent, to $5.7 million for the nine months ended September 30, 2020, from $4.7 million for the same period in 2019. Domestic sales accounted for 75.2 percent of revenue for the nine months ended September 30, 2020, compared to 83.0 percent for the same period 2019.
Revenue from sales of devices decreased $(6.2) million, or (31.4) percent, to $13.5 million for the nine months ended September 30, 2020, from $19.7 million for the same period in 2019.
The average selling price of our MRI compatible IV infusion pump system during the nine months ended September 30, 2020 was approximately $32,200, compared to approximately $35,400 for the same period in 2019. The decrease in ASP relates to higher international sales of our MRI compatible IV infusion pump recognized in revenue when compared to the same period in 2019.
The average selling price of our MRI compatible patient vital signs monitoring system during the nine months ended September 30, 2020 was approximately $35,800, compared to approximately $32,800 for the same period in 2019. The increase in ASP relates to a favorable product sales mix, partially offset by higher international sales of our 3880 MRI compatible patient vital signs monitoring system recognized in revenue when compared to the same period in 2019.
Revenue from sales of our disposables, service and other increased $1.8 million, or 27.0 percent, to $8.3 million from $6.5 million for the same period in 2019. Revenue from the amortization of extended maintenance contracts was consistent at $1.4 million for the nine months ended September 30, 2020 and 2019.
Cost of Revenue and Gross Profit
Gross profit percentage
For the three months ended September 30, 2020, cost of revenue decreased $(0.2) million, or (9.7) percent, to $2.0 million from $2.2 million for the same period in 2019. Gross profit decreased $(2.1) million, or (26.4) percent, to $5.7 million for the third quarter 2020 from $7.8 million for the same period in 2019. The decrease in gross profit is primarily due to lower revenue and unfavorable overhead variances.
Gross profit margin was 74.6 percent for third quarter 2020, compared to 78.2 percent for the third quarter 2019. The decrease in gross profit margin is due to unfavorable overhead variances.
For the nine months ended September 30, 2020, cost of revenue decreased $(0.1) million, or (0.6) percent, to $6.0 million from $6.1 million for the same period in 2019. Gross profit decreased $(4.5) million, or (20.5) percent, to $17.1 million for the nine months ended September 30, 2020 from $21.6 million for the same period in 2019. The decrease in cost of revenue and gross profit is primarily due to lower revenue and unfavorable overhead variances, partially offset by favorable inventory cost variances.
Gross profit margin was 73.9 percent for the nine months ended September 30, 2020, compared to 78.0 percent for the same period in 2019. The decrease in gross profit margin is due to higher international revenue as a percent of total revenue and unfavorable overhead variances, partially offset by favorable inventory cost variances.
Operating Expenses
Percentage of revenue
General and Administrative
For the three months ended September 30, 2020, general and administrative expense decreased $(0.4) million, or (15.8) percent, to $2.2 million from $2.6 million for the same period last year. This decrease is primarily due to lower expenses from employee bonuses, legal and professional expenses and regulatory expenses.
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For the nine months ended September 30, 2020, general and administrative expense increased $2.6 million, or 34.5 percent, to $10.1 million from $7.5 million for the same period last year. This increase is primarily due to higher expenses from stock and cash compensation related to the separation of our former Chief Executive Officer, higher payroll and benefits costs related to higher headcount, partially offset by lower legal and professional expenses. During the nine months ended September 30, 2020, the Company recognized total general and administrative expense of $3.2 million related to our former Chief Executive Officer, of which $2.7 million relates to the separation.
Sales and Marketing
For the three months ended September 30, 2020 and 2019, sales and marketing expense was consistent at $2.3 million. For the three months ended September 30, 2020, sales and marketing expense was 29.6 percent of revenue compared to 23.1 percent for the same period in 2019. This is primarily the result of higher payroll and employee benefits costs higher sales commissions expense, offset by lower sales activities expenses.
For the nine months ended September 30, 2020, sales and marketing expense increased $0.5 million, or 7.3 percent, to $7.1 million from $6.6 million for the same period last year. This increase is primarily the result of higher payroll and employee benefits costs and higher sales commissions, partially offset by lower sales activities expenses.
Research and Development
For the three months ended September 30, 2020, research and development expense increased $0.1 million, or 29.1 percent, to $0.5 million from $0.4 million for the same period last year. This increase is primarily the result of higher payroll and employee benefits costs due to increased headcount, partially offset by lower consulting expenses.
For the nine months ended September 30, 2020 and 2019, research and development expense increased $0.3 million, or 31.9 percent, to $1.4 million from $1.1 million for the same period last year. This increase is primarily the result of higher payroll and employee benefits expenses due to increased headcount and higher employee recruiting expenses, partially offset by lower consulting expenses.
Other Income, Net
Other income, net consists of interest income, foreign currency gains and losses, and other miscellaneous income. For the three months ended September 30, 2020 and 2019, we reported other income of approximately $9,000 and $110,000, respectively. This decrease is primarily due to lower interest income.
For the nine months ended September 30, 2020 and 2019, we reported other income of approximately $126,000 and $281,000, respectively. This decrease is primarily due to lower interest income.
Income Taxes
For the three and nine months ended September 30, 2020, we recorded a provision for income tax benefit of $(0.3) million and $(2.0) million, respectively. Our effective tax rate was (35.3) percent and 157.1 percent, respectively, and differed from the U.S. Federal statutory rate primarily due to discrete items related to tax benefits associated with stock-based compensation and a U.S. state tax benefit, partially offset by a limitation on the deductibility of certain executive compensation associated with the separation of our former Chief Executive Officer. Additionally, we recognized a benefit in our effective tax rate resulting from the Coronavirus Aid, Relief, and Economic Security Act, which allowed us to carryback net operating losses to years prior to the enactment of the Tax Cuts and Jobs Act.
For the three and nine months ended September 30, 2019, we recorded a provision for income tax expense of $0.2 million and $0.3 million, respectively. Our effective tax rate was 6.6 percent and 4.5 percent, respectively, and differed from the U.S. Federal statutory rate primarily due to discrete items related to tax benefits associated with stock-based compensation and the foreign derived intangible income deduction, partially offset by U.S. state tax expense.
As of September 30, 2020, and December 31, 2019, we had not identified or accrued for any uncertain tax positions. We are currently unaware of any uncertain tax positions that could result in significant payments, accruals or other material deviations in this estimate over the next 12 months. We believe that our tax positions comply in all material respects with applicable tax law. However,
25
tax law is subject to interpretation, and interpretations by taxing authorities could be different from ours, which could result in the imposition of additional taxes and penalties.
Liquidity and Capital Resources
Our principal sources of liquidity have historically been our cash and cash equivalents balances, our investments, cash flow from operations and access to the financial markets. Our principal uses of cash are operating expenses, working capital requirements and capital expenditures.
As of September 30, 2020, we had cash and investments of $49.9 million, stockholders’ equity of $60.7 million, and working capital of $58.1 million. As of December 31, 2019, we had cash and investments of $46.3 million, stockholders’ equity of $55.5 million, and working capital of $53.1 million.
Cash provided by operating activities decreased $(3.0) million to $3.3 million for the nine months ended September 30, 2020, compared to $6.3 million for the same period in 2019. During the nine months ended September 30, 2020, cash provided by operations was positively impacted by cash inflows from accounts receivable and deferred revenue, and negatively impacted by prepaid income taxes, inventory, prepaid expenses and other current assets, accrued payroll and benefits, other accrued taxes and accounts payable.
Cash used in investing activities decreased $(2.4) million to $(0.1) million for the nine months ended September 30, 2020, compared to cash provided by investing activities of $2.3 million for the same period in 2019. This decrease is primarily due to proceeds from the maturity of investments.
Cash provided by financing activities decreased $(1.3) million to $0.8 million for the nine months ended September 30, 2020, compared to $2.1 million for the same period in 2019. This decrease is due to higher taxes paid for the net share settlement of restricted stock units and lower proceeds from the exercise of stock options.
Our manufacturing and headquarters facility has been leased from Susi, LLC, an entity controlled by our Chairman of the Board and Chief Executive Officer, Roger Susi. Pursuant to the terms of our lease, the monthly base rent is $34,133, adjusted annually for changes in the consumer price index.
Off-Balance Sheet Arrangements
As of September 30, 2020 and December 31, 2019, we did not have any off-balance sheet arrangements, as such term is defined under Item 303 of Regulation S-K, that have or are reasonably likely to have a current or future effect on our financial condition, changes in financial condition, revenues or expenses, results of operations, liquidity, capital expenditures or capital resources that is material to investors.
26
Contractual Obligations
There have been no material changes outside the ordinary course of business to our contractual obligations and commercial commitments since December 31, 2019.
See Note 1 to the unaudited condensed financial statements contained herein for a full description of recent accounting pronouncements including the respective expected dates of adoption and status of evaluation of expected effects on results of our operations and financial condition.
Item 3. Quantitative and Qualitative Disclosures about Market Risk
Foreign Currency Exchange Risk
We have foreign currency risks related to our revenue and operating expenses denominated in currencies other than the U.S. Dollar, principally the Japanese yen (“Yen”). The volatility of the Yen depends on many factors that we cannot forecast with reliable accuracy. We have experienced and will continue to experience fluctuations in our net income because of transaction gains (losses) related to revaluing Yen denominated accounts payable balances. In the event our Yen denominated accounts payable or expenses increase, our operating results may be affected by fluctuations in the Yen exchange rate. If the U.S. Dollar uniformly increased or decreased in strength by 10 percent relative to the Yen, our net income would have correspondingly increased or decreased by an immaterial amount for the three and nine months ended September 30, 2020 and 2019.
Interest Rate Risk
When able, we invest excess cash in bank money-market funds, corporate debt securities or discrete short-term investments. The fair value of our cash equivalents and short-term investments is sensitive to changes in the general level of interest rates in the U.S., and the fair value of these investments will decline if market interest rates increase. As of September 30, 2020, we had $2.3 million in corporate bonds, with $1.4 million maturing in less than 1 year and $0.9 million maturing between 1 and 3 years. These corporate bonds have fixed interest rates and semi-annual interest payment dates. If market interest rates were to change by 100 basis points from levels at September 30, 2020, we expect the corresponding change in fair value of our investments would be approximately $21,000. This is based on sensitivity analyses performed on our financial position as of September 30, 2020. Actual results may differ as our analysis of the effects of changes in interest rates does not account for, among other things, sales of securities prior to maturity and repurchase of replacement securities, the change in mix or quality of the investments in the portfolio, and changes in the relationship between short-term and long-term interest rates.
Item 4. Controls and Procedures
Evaluation of Disclosure Controls and Procedures
Our management, with the participation of our Chief Executive Officer and our Chief Financial Officer, has evaluated the effectiveness of our disclosure controls and procedures as of the end of the period covered by this Quarterly Report on Form 10-Q. The term “disclosure controls and procedures,” as defined in Rules 13a-15(e) and 15d-15(e) under the Exchange Act, means controls and other procedures of a company that are designed to ensure that information required to be disclosed by a company in the reports that it files or submits under the Exchange Act is recorded, processed, summarized and reported, within the time periods specified in the SEC’s rules and forms. Disclosure controls and procedures include, without limitation, controls and procedures designed to ensure that information required to be disclosed by a company in the reports that it files or submits under the Exchange Act is accumulated and communicated to the company’s management, including its principal executive and principal financial officers, or persons performing similar functions, as appropriate to allow timely decisions regarding required disclosure. Management recognizes that any controls and procedures, no matter how well designed and operated, can provide only reasonable assurance of achieving their objectives and management necessarily applies its judgment in evaluating the cost-benefit relationship of possible controls and procedures. Based on such evaluation, our Chief Executive Officer and Chief Financial Officer have 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
There was no change in our internal control over financial reporting identified in connection with the evaluation required by Rule 13a-15(d) and 15d-15(d) of the Exchange Act that occurred during the period covered by this Quarterly Report on Form 10-Q that has materially affected, or is reasonably likely to materially affect, our internal control over financial reporting.
PART II. OTHER INFORMATION
Item 1. Legal Proceedings
We may from time to time become party to various legal proceedings or claims that arise in the ordinary course of business. Our management reviews these matters if and when they arise and believes that the resolution of any such matters currently known will not have a material effect on our results of operations or financial position.
Item 1A. Risk Factors
We operate in a rapidly changing environment that involves a number of risks that could materially affect our business, financial condition or future results, some of which are beyond our control. The occurrence of any of these risks could harm our business, financial condition, results of operations and/or growth prospects or cause our actual results to differ materially from those contained in forward-looking statements we have made in this report and those we may make from time to time. In evaluating the Company and its business, you should carefully consider the information included in this Quarterly Report on Form 10-Q and the factors discussed under Part I, Item 1A “Risk Factors” in our Annual Report on Form 10-K for the fiscal year ended December 31, 2019, as well as in other documents we file with the SEC. Except as described below, there have been no material changes to the risk factors previously disclosed in our Annual Report on Form 10-K for the fiscal year ended December 31, 2019.
Our business, financial condition and operations may be materially adversely affected by the COVID-19 pandemic or other public health crises.
The COVID-19 pandemic, and the resulting restrictions intended to slow the spread of COVID-19, including stay-at-home orders, business shut downs and other restrictions, has and will likely continue to adversely affect our business in a number of ways. To respond to the demands of managing COVID-19 and the resulting economic uncertainties, healthcare organizations may be forced to adjust spending priorities by increased spending related to COVID-19, which may have a significant effect on the demand and available budget for our products and related services. The financial strains on healthcare systems may also lead to an increased risk of delays in customer payments. In addition, a recession resulting from the spread of COVID-19 could materially affect our business, especially if a recession results in higher unemployment causing potential patients to not have access to health insurance. Our ability to generate sales may be further disrupted by hospitals restricting access to hospital workers only. A decline in operating results has limited and could further limit our generation of capital resources and cause financial stress if we are unable to increase revenues or adjust our costs appropriately to changes in revenue. We believe that COVID-19’s adverse impact on our operating results, cash flows and financial condition will be primarily driven by the severity and duration of the pandemic and its impact on the U.S. and global economy.
In addition to adversely impacting demand for our products, COVID-19 or other public health crises could have an adverse impact on our manufacturing capacity, supply chains, and distribution systems as we and other businesses and governments take preventative and precautionary measures designed to slow the spread of COVID-19. We could experience other negative impacts of COVID-19 relating to lack of availability of our key personnel or temporary closures of our office or the facilities of our suppliers or third-party service providers.
The future progression of the COVID-19 pandemic and its resulting impacts on our customers, sales activity, supply chain and distribution networks are highly uncertain at this time. However, the foregoing and other disruptions as a result of COVID-19 could have a material adverse effect on our business, operating results and financial condition, especially to the extent these impacts persist or exacerbate over an extended period of time.
Item 2. Unregistered Sale of Equity Securities and Use of Proceeds
None.
Item 3. Default Upon Senior Securities
Not Applicable.
Item 4. Mine Safety Disclosures.
Item 5. Other Information
Item 6. Exhibits
ExhibitNumber
Description of Document
31.1
Certification of Chief Executive Officer pursuant to Exchange Act 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 Chief Financial Officer pursuant to Exchange Act Rule, 13a-14(a) and 15d-14(a), as adopted pursuant to Section 302 of the Sarbanes-Oxley Act of 2002.
32.1*
Certifications of Chief Executive Officer and Chief Financial Officer pursuant to 18 I.S.C Section 1350, as adopted pursuant to Section 906 of the Sarbanes-Oxley Act of 2002.
101.INS**
XBRL Instance Document
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
104**
Inline XBRL for the cover page of this Quarterly Report on Form 10-Q, included as part of this Exhibit 101 inline XBRL Document set
*
This exhibit shall not be deemed “filed” for purposes of Section 18 of the Exchange Act or otherwise subject to the liabilities of that section, nor shall it be deemed incorporated by reference in any filing under the Securities Act or the Exchange Act, whether made before or after the date hereof and irrespective of any general incorporation language in any filings.
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In accordance with Rule 402 of Regulation S-T, this interactive data file is deemed not filed or part of this Quarterly Report on Form 10-Q for purposes of Sections 11 or 12 of the Securities Act or Section 18 of the Exchange Act and otherwise is not subject to liability under these sections.
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 6, 2020
/s/ Roger Susi
By:
Roger Susi
Its:
Chief Executive Officer and President (Principal Executive Officer and Authorized Officer)
/s/ Chris Scott
Chris Scott
Chief Financial Officer and Secretary (Principal Financial and Accounting Officer)