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CUTERA INC - Quarter Report: 2023 June (Form 10-Q)

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UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
FORM 10-Q
(Mark One)

QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934
For the quarterly period ended June 30, 2023
OR
TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934
For the transition period from _____ to_____.
Commission File Number: 000-50644
Cutera, Inc.
(Exact name of registrant as specified in its charter)
Delaware77-0492262
(State or other jurisdiction of incorporation or
organization)
(I.R.S. Employer Identification No.)
3240 Bayshore Blvd., Brisbane, California 94005
(Address of principal executive offices)
(415) 657-5500
(Registrants telephone number, including area code)
Securities registered pursuant to Section 12(b) of the Act:
Title of each classTrading Symbol(s)Name of each exchange on which registered
Common Stock ($0.001 par value)CUTRThe NASDAQ Stock Market, LLC
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    x    No    ¨
Indicate by check mark whether the registrant has submitted electronically every Interactive Data File required to be submitted 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 x     No    ¨
Indicate by check mark whether the registrant is a large accelerated filer, an accelerated filer, a non-accelerated filer, a smaller reporting company, or an emerging growth company. See the definitions of “large accelerated filer,” “accelerated filer,” “smaller reporting company,” and “emerging growth company” in Rule 12b-2 of the Exchange Act (check one):
Large accelerated filerAccelerated filer Non-accelerated filerSmaller reporting companyEmerging growth company
If an emerging growth company, indicate by check mark if the registrant has elected not to use the extended transition period for complying with any new or revised financial accounting standards provided pursuant to Section 13(a) of the Exchange Act. ¨
Indicate by check mark whether the registrant is a shell company (as defined in Rule 12b-2 of the Exchange Act.):    Yes    ☐    No    x
The number of shares of Registrant’s common stock issued and outstanding as of August 5, 2023, was 19,943,875.


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CUTERA, INC.
FORM 10-Q
TABLE OF CONTENTS
Page



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In this Quarterly Report on Form 10-Q, “Cutera,” “the Company,” “we,” “us” and “its” refer to Cutera, Inc. and its consolidated subsidiaries.
This report may contain references to its proprietary intellectual property, including among others, trademarks for its systems and ancillary products, “CUTERA®,” “AVI360®,” “AVICARE®," “AVICLEAR®," “AVICOOL®, "ACUTIP 500®," “COOLGLIDE®,” “CUCF®,” “CUTERA UNIVERSITY CLINICAL FORUM®,” “ENLIGHTEN®,” “EXCEL HR®,” “EXCEL V®,” “EXCEL V+™,” “GENESIS®,” “LASER GENESIS®,” “LIMELIGHT®,” "MYQ®," “PEARL®,” “PICO GENESIS®,” “PROWAVE 770®,” “SOLERA®,” “TITAN®,” “TRUBODY®,” “TRUFLEX™,” “TRUSCULPT®,” “TRUSCULPT ID®,” “TRUSCULPT FLEX®,” “VANTAGE®,” and “XEO®.
These trademarks and trade names are the property of Cutera or the property of its consolidated subsidiaries and are protected under applicable intellectual property laws. Solely for convenience, its trademarks and tradenames referred to in this Quarterly Report on Form 10-Q may appear without the ® or symbols, but such references are not intended to indicate in any way that the Company will not assert, to the fullest extent under applicable law, its rights to these trademarks and tradenames.

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PART I. FINANCIAL INFORMATION
ITEM 1.    FINANCIAL STATEMENTS (UNAUDITED)
CUTERA, INC.
CONDENSED CONSOLIDATED BALANCE SHEETS
(In thousands, except share, per share data and par value)
(Unaudited)
June 30,
2023
December 31,
2022
Assets
Current assets:
Cash and cash equivalents$180,654 $145,924 
Marketable investments41,949 171,390 
Accounts receivable, net of allowance for credit losses of $5,011 and $2,497, respectively
53,079 45,562 
Inventories, net68,668 63,628 
Other current assets and prepaid expenses24,900 24,036 
Restricted cash700 700 
Total current assets369,950 451,240 
Property and equipment, net65,511 40,368 
Deferred tax assets547 590 
Goodwill1,339 1,339 
Operating lease right-of-use assets11,370 12,831 
Other long-term assets15,113 14,620 
Total assets$463,830 $520,988 
Liabilities and stockholders' deficit
Current liabilities:
Accounts payable$34,240 $33,736 
Accrued liabilities53,764 57,452 
Operating lease liabilities2,602 2,810 
Deferred revenue12,457 11,841 
Total current liabilities103,063 105,839 
Deferred revenue, net of current portion1,690 1,657 
Operating lease liabilities, net of current portion10,069 11,352 
Convertible notes, net of unamortized debt issuance costs of $11,557 and $12,666, respectively
417,568 416,459 
Other long-term liabilities575 862 
Total liabilities532,965 536,169 
Commitments and Contingencies (Note 13)
Stockholders’ deficit:
Common stock, $0.001 par value; authorized: 50,000,000 shares; issued and outstanding: 19,901,600 and 19,668,603 shares at June 30, 2023 and December 31, 2022, respectively
20 20 
Additional paid-in capital128,014 125,406 
Accumulated other comprehensive income (loss)(94)
Accumulated deficit(197,173)(140,513)
Total stockholders’ deficit(69,135)(15,181)
Total liabilities and stockholders’ deficit$463,830 $520,988 
See Accompanying Notes to Condensed Consolidated Financial Statements.

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CUTERA, INC.
CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS
(In thousands, except per share data)
(Unaudited)
Three Months Ended
June 30,
Six Months Ended
June 30,
2023202220232022
Net revenue:
Products$55,568 $58,589 $105,156 $110,655 
Service5,650 5,635 11,055 11,583 
Total net revenue61,218 64,224 116,211 122,238 
Cost of revenue:
Products29,473 25,899 56,704 48,811 
Service3,691 3,281 6,526 6,595 
Total cost of revenue33,164 29,180 63,230 55,406 
Gross profit28,054 35,044 52,981 66,832 
Operating expenses:
Sales and marketing33,271 27,001 62,783 51,945 
Research and development5,784 6,859 12,252 13,358 
General and administrative18,528 11,248 31,044 24,750 
Total operating expenses57,583 45,108 106,079 90,053 
Loss from operations(29,529)(10,064)(53,098)(23,221)
Interest and other expense, net:
Amortization of debt issuance costs(557)(298)(1,109)(517)
Interest on convertible notes(2,958)(1,149)(5,897)(1,927)
Loss on extinguishment of convertible notes— (34,423)— (34,423)
Interest income2,179 382 4,658 395 
Other expense, net(453)(1,910)(616)(2,678)
Total interest and other expense, net(1,789)(37,398)(2,964)(39,150)
Loss before income taxes(31,318)(47,462)(56,062)(62,371)
Income tax expense (benefit)326 (186)598 47 
Net loss$(31,644)$(47,276)$(56,660)$(62,418)
Net loss per share:
Basic$(1.59)$(2.53)$(2.86)$(3.39)
Diluted$(1.59)$(2.53)$(2.86)$(3.39)
Weighted-average number of shares used in per share calculation:
Basic 19,858 18,700 19,819 18,392 
Diluted19,858 18,700 19,819 18,392 
See Accompanying Notes to Condensed Consolidated Financial Statements.

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CUTERA, INC.
CONDENSED CONSOLIDATED STATEMENTS OF COMPREHENSIVE LOSS
(In thousands)
(Unaudited)
Three Months Ended
June 30,
Six Months Ended
June 30,
2023202220232022
Net loss$(31,644)$(47,276)$(56,660)$(62,418)
Other comprehensive income (loss):
Net change in unrealized gain (loss) on available-for-sale investments, net of tax12 (172)98 (183)
Other comprehensive income (loss), net of tax12 (172)98 (183)
Comprehensive loss$(31,632)$(47,448)$(56,562)$(62,601)
See Accompanying Notes to Condensed Consolidated Financial Statements.

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CUTERA, INC.
CONDENSED CONSOLIDATED STATEMENTS OF CHANGES IN STOCKHOLDERS EQUITY (DEFICIT)
(In thousands, except share amounts)
(Unaudited)

Three and Six Months Ended June 30, 2023
Common StockAdditional
Paid-in
Capital
Accumulated
Deficit
Accumulated
Other
Comprehensive
Income (Loss)
Total
Stockholders’
Deficit
SharesAmount
Balance at March 31, 202319,785,107 $20 126,504 $(165,529)$(8)$(39,013)
Issuance of common stock for employee purchase plan51,786 — $711 — — 711 
Exercise of stock options3,459 — 38 — — 38 
Issuance of common stock in settlement of restricted and performance stock units, net of shares withheld for employee taxes61,248 — (789)— — (789)
Stock-based compensation expense— — 1,550 — — 1,550 
Net change in unrealized loss on available-for-sale investments— — — 12 12 
Net loss— $— $— $(31,644)$— (31,644)
Balance at June 30, 202319,901,600 $20 $128,014 $(197,173)$$(69,135)

Common StockAdditional
Paid-in
Capital
Accumulated
Deficit
Accumulated
Other
Comprehensive
Income (Loss)
Total
Stockholders’
Deficit
SharesAmount
Balance at December 31, 202219,668,603 $20 $125,406 $(140,513)$(94)$(15,181)
Issuance of common stock for employee purchase plan51,786 — 711 — — 711
Exercise of stock options9,234 — 147 — — 147 
Issuance of common stock in settlement of restricted and performance stock units, net of shares withheld for employee taxes171,977 — (3,186)— — (3,186)
Stock-based compensation expense— — 4,936 — — 4,936 
Net change in unrealized loss on available-for-sale investments— — — — 98 98 
Net loss— — — (56,660)— (56,660)
Balance at June 30, 202319,901,600 $20 $128,014 $(197,173)$$(69,135)

    
See Accompanying Notes to Condensed Consolidated Financial Statements.

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CUTERA, INC.
CONDENSED CONSOLIDATED STATEMENTS OF CHANGES IN STOCKHOLDERS’ EQUITY(DEFICIT)
(In thousands, except share amounts)
(Unaudited)

Three and Six Months Ended June 30, 2022
Common StockAdditional
Paid-in
Capital
Accumulated
Deficit
Accumulated
Other
Comprehensive
Loss
Total
Stockholders’
Equity
SharesAmount
Balance at March 31, 202218,132,949 $18 $116,468 $(73,315)$(11)$43,160 
Issuance of common stock for employee purchase plan27,810 — 1,063 — — 1,063 
Exercise of stock options7,385 — 225 — — 225 
Issuance of common stock in settlement of restricted and performance stock units, net of shares withheld for employee taxes37,671 — (1,784)— — (1,784)
Stock-based compensation expense— — 4,733 — 4,733 
Purchase of capped call— — (32,024)(32,024)
Issuance of common stock in extinguishment of convertible notes1,354,348 55,947 — — 55,949 
Net change in unrealized loss on available-for-sale investments— — — (172)(172)
Net loss(47,276)(47,276)
Balance at June 30, 202219,560,163 $20 $144,628 $(120,591)$(183)$23,874 
Common StockAdditional
Paid-in
Capital
Accumulated
Deficit
Accumulated
Other
Comprehensive
Loss
Total
Stockholders’
Equity
SharesAmount
Balance at December 31, 202117,995,344 $18 $114,724 $(58,173)$— — $56,569 
Issuance of common stock for employee purchase plan27,810 — 1,063 — — 1,063 
Exercise of stock options14,844 — 376 — — 376 
Issuance of common stock in settlement of restricted and performance stock units, net of shares withheld for employee taxes167,817 — (4,234)— — (4,234)
Stock-based compensation expense— — 8,776 — — 8,776 
Purchase of capped call— — (32,024)— — (32,024)
Issuance of common stock in repayment of convertible notes1,354,348 55,947 — — 55,949 
Net change in unrealized loss on available-for-sale investments— — — — (183)(183)
Net loss— — — (62,418)— (62,418)
Balance at June 30, 202219,560,163 $20 $144,628 $(120,591)$(183)$23,874 

    See Accompanying Notes to Condensed Consolidated Financial Statements.

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CUTERA, INC.
CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS
(In thousands)
(Unaudited)
Six Months Ended June 30,
20232022
Cash flows from operating activities
Net loss$(56,660)$(62,418)
Adjustments to reconcile net loss to net cash used in operating activities:
Stock-based compensation4,936 8,776 
Depreciation and amortization3,238 929 
Amortization of contract acquisition costs4,069 1,219 
Amortization of debt issuance costs1,109 517 
Deferred tax assets43 80 
Provision for credit losses2,514 409 
Loss on sale of property and equipment— 63 
   Loss on extinguishment of convertible notes — 34,423 
Non-cash interest income(1,995)— 
Changes in assets and liabilities:
Accounts receivable(10,031)(1,108)
Inventories, net(5,040)(17,501)
Other current assets and prepaid expenses(878)(3,034)
Other long-term assets(4,782)(1,071)
Accounts payable(1,666)14,771 
Accrued liabilities(3,806)(6,878)
Operating leases, net(30)36 
Deferred revenue649 702 
Net cash used in operating activities(68,330)(30,085)
Cash flows from investing activities
Acquisition of property and equipment(25,908)(8,238)
Proceeds from maturities of marketable investments155,000 — 
Purchase of marketable investments(23,467)(203,309)
Net cash provided by (used in) investing activities105,625 (211,547)
Cash flows from financing activities
Proceeds from exercise of stock options and employee stock purchase plan858 1,440 
Taxes paid related to net share settlement of equity awards(3,186)(4,234)
Purchase of capped call— (31,671)
Proceeds from issuance of convertible notes— 240,000 
Payment of issuance costs of convertible notes— (6,956)
Extinguishment of convertible notes— (45,777)
Payments on finance lease obligations(237)(284)
Net cash provided by (used in) financing activities(2,565)152,518 
Net increase (decrease) in cash, cash equivalents and restricted cash34,730 (89,114)
Cash, cash equivalents, and restricted cash at beginning of period146,624 164,864 
Cash, cash equivalents, and restricted cash at end of period$181,354 $75,750 
Supplemental non-cash investing and financing activities:
Assets acquired under finance lease$68 $437 
Assets acquired under operating lease$57 $549 
Transfer of inventory to property and equipment$— $12,180 
Debt issuance costs accrued$— $646 
Acquisition of property and equipment$6,301 $— 
Capped call costs accrued$— $353 
Supplemental disclosure of cash flow information:
Cash paid for interest$5,731 $1,903 
Cash paid for income taxes$483 $1,230 
See Accompanying Notes to Condensed Consolidated Financial Statements.

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CUTERA, INC.
NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS
Note 1. Summary of Significant Accounting Policies 
Description of Operations and Principles of Consolidation
Cutera, Inc. (“Cutera” or the “Company”) develops, manufactures, distributes, and markets energy-based product platforms for medical practitioners, enabling them to offer treatments to their customers. In addition, the Company distributes third-party manufactured skincare products. The Company currently markets the following system platforms: AviClear, enlighten, excel, truSculpt, Secret PRO, Secret RF, and xeo. These platforms enable medical practitioners to perform procedures including treatment for acne, body contouring, skin resurfacing and revitalization, hair and tattoo removal, removal of benign pigmented lesions, and vascular conditions. Several of the Company’s systems offer multiple hand pieces and applications, providing customers the flexibility to upgrade their systems. The sales of systems, system upgrades, and hand pieces (collectively “Systems” revenue); the leasing of AviClear devices for acne treatment ("AviClear" revenue); the replacement hand pieces, Titan, truSculpt 3D,truSculpt and truFlex cycle refills, as well as single use disposable tips applicable to Secret PRO, and Secret RF (“Consumables” revenue); and the distribution of third-party manufactured skincare products (“Skincare” revenue); are collectively classified as “Products” revenue. In addition to Products revenue, the Company generates revenue from the sale of post-warranty service contracts, parts, detachable hand piece replacements (except for Titan, truSculpt 3D, truSculpt and truFlex) and service labor for the repair and maintenance of products that are out of warranty, all of which are collectively classified as “Service” revenue.
The Company’s corporate headquarters and U.S. operations are located in Brisbane, California, where the Company conducts manufacturing, warehousing, research and development, regulatory, sales and marketing, service, and administrative activities. The Company also maintains regional distribution centers (“RDCs”) in select locations across the U.S. These RDCs serve as forward warehousing for systems and service parts in various geographies. The Company markets, sells and services the Company’s products through direct sales and service employees in North America (including Canada), Australia, Austria, Belgium, France, Germany, Hong Kong, Japan, the Netherlands, Spain, Switzerland, and the United Kingdom. Sales and services outside of these direct markets are made through a worldwide distributor network in over 39 countries. The condensed consolidated financial statements include the accounts of the Company and its subsidiaries.
Basis of Presentation
In the opinion of the Company, the accompanying unaudited condensed consolidated financial statements included in this report reflect all adjustments necessary for a fair statement of its condensed consolidated balance sheets as of June 30, 2023 and December 31, 2022, and its condensed consolidated statements of operations, condensed consolidated statements of comprehensive loss, condensed consolidated statements of changes in stockholders' equity (deficit), and condensed consolidated statements of cash flows, for the three and six months ended June 30, 2023, and 2022, respectively. The December 31, 2022 condensed consolidated balance sheet was derived from audited financial statements, but does not include all disclosures required by generally accepted accounting principles in the United States of America (“GAAP”). The results for interim periods are not necessarily indicative of results for the entire year or any other interim period. Presentation of certain prior year balances have been updated to conform with the current year presentation. All intercompany accounts and transactions have been eliminated upon consolidation. The accompanying condensed consolidated financial statements should be read in conjunction with the Company’s previously filed audited financial statements and the related notes thereto included in the Company’s annual report on Form 10-K for the year ended December 31, 2022, filed with the Securities and Exchange Commission (the “SEC”) on April 7, 2023, and as amended on May 1, 2023.
Risks and Uncertainties
The Company's future results of operations involve a number of risks and uncertainties. Factors that could affect the Company's future operating results and cause actual results to vary materially from expectations include, but are not limited to, rapid technological change, continued acceptance of the Company's products, stability of global financial markets, cybersecurity breaches and other disruptions that could compromise the Company’s information or results, business disruptions that are caused by natural disasters or pandemic events, management of international activities, competition from substitute products and larger companies, the Company's ability to obtain and maintain regulatory approvals, government regulations and oversight, patent and other types of litigation, the Company's ability to protect proprietary technology from counterfeit versions of the Company's products, the successful execution of new product launches, strategic relationships and dependence on key individuals.

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Accounting Policies
These unaudited condensed consolidated financial statements are prepared in accordance with the rules and regulations of the SEC applicable to interim financial statements. While these statements reflect all normal recurring adjustments that are, in the opinion of management, necessary for fair presentation of the results of the interim period, they do not include all of the information and footnotes required by GAAP for complete financial statements. The Company uses the same accounting policies in preparing quarterly and annual financial statements.
Leases
The Company incurs costs to fulfill its lease agreement obligations with its AviClear device lessees. These costs consist of freight, installation, and training. In addition to these mobilization costs, the Company incurs commission costs associated with the placement of the AviClear device. The Company capitalizes commission costs and has made a policy election to capitalize the mobilization costs.
In the six months ended June 30, 2023, the Company capitalized $2.2 million of mobilization costs and $3.2 million of deferred commission costs related to placements of the AviClear device. These costs are recorded in Other long-term assets in the Company's condensed consolidated balance sheets and will be amortized over the expected lease term. The amortization of the mobilization costs and amortization of deferred commission costs are recorded in cost of revenue and sales and marketing, respectively, in the Company's condensed consolidated statement of operations. Total capitalized mobilization costs were $2.6 million and $1.3 million as of June 30, 2023 and December 31, 2022, respectively. Total capitalized commissions as of June 30, 2023, and December 31, 2022, were $4.3 million and $3.3 million, respectively, and are included in Other long-term assets in the Company’s condensed consolidated balance sheet.
Use of Estimates
The preparation of condensed consolidated financial statements in conformity with GAAP requires the Company’s management to make estimates and assumptions that affect the amounts reported of assets and liabilities and disclosure of contingent assets and liabilities at the date of the condensed consolidated financial statements and the accompanying notes, and the reported amounts of revenue and expenses during the reported periods. Actual results could differ materially from those estimates.
On an ongoing basis, management evaluates its estimates, including those related to warranty obligations, sales commissions, allowance for credit losses, sales allowances, fair value of investments, valuation of inventories, fair value of goodwill, useful lives of property and equipment, impairment testing for long-lived-assets, implicit and incremental borrowing rates related to the Company’s leases, variables used in calculating the fair value of the Company's equity awards, expected achievement of performance based vesting criteria and management performance bonuses, assumptions used in operating and sales-type lease classifications, the standalone selling price of the Company's products and services, the period of benefit used to capitalize and amortize contract acquisition costs, variable considerations, contingent liabilities, recoverability of deferred tax assets, residual value of leased equipment, lease term and effective income tax rates. Management bases estimates on historical experience and on various other assumptions that are believed to be reasonable, the results of which form the basis for making judgments about the carrying values of assets and liabilities.
Supplier Concentration
The Company generates revenue from the distribution of skincare products, which are manufactured by ZO Skin Health, Inc. (“ZO”), and sold in the Japanese market. In the six months ended June 30, 2023, and 2022, revenue from the distribution of skincare products represented 15% and 17% of the Company’s consolidated revenue, respectively.

The Company‘s exclusive distribution agreement with ZO to distribute ZO’s proprietary skincare products in Japan expires in June 2024. ZO has indicated its intent not to extend the distribution agreement and assume distribution of the ZO product line beginning in the third quarter of 2024. The Company is currently negotiating the terms of the transition of the distribution of the ZO product line to ZO, but anticipates there may be an adverse effect to the Company’s future revenue, results of operations, cash flows and stock price beginning in July 2024.
Note 2. Cash, Cash Equivalents, Restricted Cash and Marketable Investments
The Company determines the appropriate classification of its investments in marketable securities at the time of purchase and re-evaluates such designation at each balance sheet date. The Company’s marketable securities have been classified and

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accounted for as available-for-sale securities. Investments with remaining maturities of more than one year are viewed by the Company as available to support current operations and are classified as current assets under the caption marketable investments in the accompanying consolidated balance sheets. Investments in available-for-sale debt securities are measured at fair value under the guidance in ASC 320. Credit losses on impaired available-for-sale debt securities are recognized through an allowance for credit losses. Under ASC 326, credit losses recognized on an available-for-sale debt security should not reduce the net carrying amount of the available-for-sale debt security below its fair value. Any changes in fair value unrelated to credit are recognized as an unrealized gain or loss in other comprehensive income.
The following table summarizes the Company's cash and cash equivalents and marketable investments (in thousands):

GrossGrossFair
AmortizedUnrealizedUnrealizedMarket
June 30, 2023CostGainsLossesValue
Cash and cash equivalentsN/AN/AN/A$180,654 
Current restricted cashN/AN/AN/A700 
Cash, cash equivalents, and restricted cash as reported within the Condensed Consolidated Statements of Cash FlowsN/AN/AN/A181,354 
Marketable investments - U.S. Treasury41,945 74 (70)41,949 
Total$223,303 


GrossGrossFair
AmortizedUnrealizedUnrealizedMarket
December 31, 2022CostGainsLossesValue
Cash and cash equivalentsN/AN/AN/A$145,924 
Current restricted cashN/AN/AN/A700 
Cash, cash equivalents, and restricted cash as reported within the Condensed Consolidated Statements of Cash FlowsN/AN/AN/A146,624 
Marketable investments - U.S. Treasury171,484 (102)171,390 
Total$318,014 

At June 30, 2023 and December 31, 2022, net unrealized losses were nil and $0.1 million, respectively, and were related to interest rate changes on available-for-sale marketable investments. The Company has concluded that it is more-likely-than-not that the securities will be held until maturity or the recovery of their cost basis. No securities were in an unrealized loss position for more than 12 months. The restricted cash balance relates to an outstanding letter of credit provided to a supplier.

All the marketable investments will mature less than one year from June 30, 2023.
Note 3. Fair Value of Financial Instruments
The Company measures certain financial assets at fair value, including cash and cash equivalents.
The fair value hierarchy contains the following three levels of inputs that may be used to measure fair value, in accordance with ASC 820:
Level 1 inputs, which include quoted prices in active markets for identical assets or liabilities;
Level 2 inputs, which include observable inputs other than Level 1 inputs, such as quoted prices for similar assets or liabilities, quoted prices for identical or similar assets or liabilities in markets that are not active, or other inputs that are observable or can be corroborated by observable market data for substantially the full term of the asset or liability. When sufficient quoted pricing for identical securities is not available, the Company uses market pricing and other observable market inputs for similar securities obtained from various third-party data providers. These inputs either represent quoted prices for similar assets in active markets or have been derived from observable market data; and

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Level 3 inputs, which include unobservable inputs that are supported by little or no market activity and that are significant to the fair value of the underlying asset or liability. Level 3 assets and liabilities include those whose fair value measurements are determined using pricing models, discounted cash flow methodologies, or similar valuation techniques, as well as significant management judgment or estimation.
In determining fair value, the Company utilizes valuation techniques that maximize the use of observable inputs and minimize the use of unobservable inputs to the extent possible as well as considering counterparty credit risk in its assessment of fair value.
As of June 30, 2023, financial assets measured and recognized at fair value on a recurring basis and classified under the appropriate level of the fair value hierarchy as described above were as follows (in thousands):
June 30, 2023Level 1Level 2
Cash equivalents:
      Money market funds $155,330 $— 
Marketable investments:
      Available-for-sale securities41,949 — 
Derivative assets:
      Foreign exchange forward— — 
            Total $197,279 $— 

As of December 31, 2022, financial assets and liabilities measured and recognized at fair value on a recurring basis and classified under the appropriate level of the fair value hierarchy as described above were as follows (in thousands):
December 31, 2022Level 1Level 2
Cash equivalents:
      Money market funds $26,408 $— 
Marketable investments:
      Available-for-sale securities171,390 — 
Derivative liabilities:
      Foreign exchange forward— (558)
            Total $197,798 $(558)
See Note 14 - Debt for the carrying amount and estimated fair value of the Company’s 2.25% Convertible Senior Notes due 2026 (the “2026 Notes”), the 2.25% Convertible Senior Notes due 2028 (the “2028 Notes”), and the 4.00% Convertible Senior Notes due 2029 (the “2029 Notes”).
Note 4. Derivative Instruments
The Company uses foreign currency exchange forward contracts to manage the impact of currency exchange fluctuations on earnings and cash flow. The Company does not enter into derivative instruments for speculative purposes. The Company is exposed to potential credit loss in the event of nonperformance by counterparties on its outstanding derivative instruments but the Company does not anticipate nonperformance by any of its counterparties. Should a counterparty default, the Company's maximum loss exposure would be the potential asset balance of the instrument.
At June 30, 2023, the Company did not have any foreign currency exchange forward contracts outstanding. At December 31, 2022, the following foreign exchange forward contract was outstanding:

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December 31, 2022ClassificationForeign Exchange Forward
(Dollars in thousands)
Gross notional amountN/A$6,128 
Fair valueAccrued liabilities$558 
Unrealized lossOther expense, net$(558)
Note 5. Balance Sheet Details
Inventories, net
As of June 30, 2023 and December 31, 2022, inventories consist of the following (in thousands):
June 30,
2023
December 31,
2022
Raw materials$39,953 $36,323 
Work in process2,670 2,117 
Finished goods26,045 25,188 
Total$68,668 $63,628 
Other current assets and prepaid expenses
Other current assets and a prepaid expenses, consists of the following (in thousands):
June 30,
2023
December 31,
2022
Deposits with vendors$12,053 $13,917 
Foreign tax receivable9,563 7,147 
Prepayments3,284 2,972 
Total$24,900 $24,036 
Property and Equipment, net
Property and equipment, net, consists of the following (in thousands):
June 30,
2023
December 31,
2022
Leasehold improvements$793 $793 
AviClear devices39,107 19,904 
Office equipment and furniture2,026 1,936 
Machinery and equipment5,697 5,106 
Assets under construction26,050 17,876 
73,673 45,615 
Less: Accumulated depreciation(8,162)(5,247)
Property and equipment, net$65,511 $40,368 

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Accrued Liabilities
As of June 30, 2023 and December 31, 2022, accrued liabilities consist of the following (in thousands):
June 30,
2023
December 31,
2022
Bonus and payroll-related accruals$18,709 $18,951 
Sales and marketing accruals4,832 5,347 
Liability for inventory in transit3,762 7,028 
Product warranty3,104 3,254 
Accrued sales tax10,420 9,066 
Other accrued liabilities12,937 13,806 
Total$53,764 $57,452 
Note 6. Product Warranty
The Company has a direct field service organization in North America (including Canada). Internationally, the Company provides direct service support in Australia, Austria, Belgium, France, Germany, Hong Kong, Japan, the Netherlands, Spain, Switzerland, and the United Kingdom. In several other countries, where the Company does not have a direct presence, the Company provides service through a network of distributors and third-party service providers.
After the original warranty period, maintenance and support are offered on an extended service contract basis or on a time and materials basis. The Company provides the estimated cost to repair or replace products under standard warranty at the time of sale. Costs incurred in connection with extended service contracts are generally recognized at the time when costs are incurred.
The following table provides the changes in the product warranty accrual for the three and six months ended June 30, 2023 and 2022 (in thousands):
Three Months Ended
June 30,
Six Months Ended
June 30,
2023202220232022
Beginning Balance$3,154 $3,874 $3,254 $3,947 
Add: Accruals for warranties issued during the period1,534 1,769 2,550 3,232 
Less: Settlements made during the period(1,584)(1,454)(2,700)(2,990)
Ending Balance$3,104 $4,189 $3,104 $4,189 
Note 7. Deferred Revenue
The Company records deferred revenue when revenue is to be recognized subsequent to invoicing. For extended service contracts, the Company generally invoices customers at the beginning of the extended service contract term. The Company’s extended service contracts typically have one to three-year terms. Deferred revenue also includes payments for training. Approximately 88% of the Company’s deferred revenue balance of $14.1 million as of June 30, 2023 will be recognized over the next 12 months.
The following table provides changes in the deferred revenue balance for the three and six months ended June 30, 2023 and 2022 (in thousands):
Three Months Ended
June 30,
Six Months Ended
June 30,
2023202220232022
Beginning balance$13,886 $11,064 $13,498 $10,825 
Add: Payments received5,939 5,199 11,087 10,032 
Less: Revenue from current period sales(589)(443)(2,291)(1,374)
Less: Revenue recognized from beginning balance(5,089)(4,293)(8,147)(7,956)
Ending balance$14,147 $11,527 $14,147 $11,527 

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The fixed annual license fees received related to the AviClear contracts are deferred and recognized over the annual lease periods. The AviClear deferred license fee balance included in the total deferred revenue balance at June 30, 2023, and December 31, 2022, was $3.4 million and $2.3 million, respectively.
Costs for extended service contracts were $2.1 million and $3.7 million for the three and six months ended June 30, 2023, respectively, and were $1.5 million and $3.2 million for three and six months ended June 30, 2022, respectively.
Note 8. Revenue
Revenue is recognized upon transfer of control of promised products or services to customers in an amount that reflects the consideration to which the Company expects to be entitled in exchange for promised goods or services. The Company’s performance obligations are satisfied either over time or at a point in time. Revenue from performance obligations that are transferred to customers over time accounted for approximately 9% and 9% of the Company's total revenue for the three and six months ended June 30, 2023, respectively and 7% and 8% for the three and six months ended June 30, 2022, respectively.
The Company has certain system sale arrangements that contain multiple products and services. For these bundled sale arrangements, the Company accounts for individual products and services as separate performance obligations if they are distinct. The Company’s products and services are distinct if a customer can benefit from the product or service on its own or with other resources that are readily available to the customer, and if the Company’s promise to transfer the products or service to the customer is separately identifiable from other promises in the sale arrangements. The Company’s system sale arrangements can include all or a combination of the following performance obligations: the system and software license (considered one performance obligation), system accessories (hand pieces), training, AviClear license agreements, other accessories, extended service contracts, marketing services, and time and materials services.
For the Company’s system sale arrangements that include an extended service contract, the period of service commences at the expiration of the Company’s standard warranty offered at the time of the system sale. The Company considers the extended service contracts terms in the arrangements that are legally enforceable to be performance obligations. Other than extended service contracts and marketing services, which are satisfied over time, the Company generally satisfies all performance obligations at a point in time. Systems, system accessories (hand pieces), service contracts, training, and time and materials services are also sold on a stand-alone basis. For contracts with multiple performance obligations, the Company allocates the transaction price of the contract to each performance obligation on a relative standalone selling price basis.
The Company leases the AviClear device to customers and receives a fixed annual lease fee over the term of the arrangement and variable revenue related to the treatments performed by the lessee.
Nature of Products and Services
Systems
Systems revenue is generated from the sale of systems and from the sale of upgrades to existing systems. A system consists of a console that incorporates a universal graphic user interface, a laser or other energy-based module, control system software and high voltage electronics, as well as one or more hand pieces. In certain applications, the laser or other energy-based module is contained in the hand piece, rather than within the console.
The Company offers customers the ability to select the system that best fits their practice at the time of purchase and then to cost-effectively add applications to their system as their practice grows. This provides customers the flexibility to upgrade their systems whenever they choose and provides the Company with a source of additional Systems revenue.
The system or upgrade and the right to use the embedded software represent a single performance obligation as the software license is integral to the functionality of the system or upgrade.
For systems sold directly to end-customers that are credit approved, revenue is recognized when the Company transfers control to the end-customer, which occurs when the product is shipped to the customer or when the customer receives the product, depending on the nature of the arrangement. When collectability is not established in advance of receipt of payment from the customer, revenue is recognized upon the later of the receipt of payment or the satisfaction of the performance obligation. For systems sold through credit approved distributors, revenue is recognized at the time of shipment to the distributor.
The Company's invoice terms typically require payment for its system consoles and other accessories within 30 days of shipment. Certain international distributor arrangements allow for longer payment terms.

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AviClear
The Company leases the AviClear device to customers and receives a fixed annual license fee over the term of the arrangement and variable lease income related to the treatments performed by the lessee. The Company classifies its lease income as product revenue and classifies the AviClear contracts as operating leases. The fixed annual license fee is recognized evenly over the period of the lease contract on a straight-line basis. The treatment fee is recognized in the period the treatment protocol is initiated.
Consumables and other accessories
The Company classifies its customers' purchases of replacement cycles for truSculpt and truFlex, as well as replacement hand pieces, xeo and truSculpt 3D hand pieces, and single use disposable tips applicable to Secret PRO, and Secret RF as Consumable revenue. The Secret PRO and Secret RF products' single use disposable tips must be replaced after every treatment. The Company’s systems offer multiple hand pieces and applications, which allow customers to upgrade their systems.
Skincare products
The Company sells third-party manufactured skincare products in Japan. The skincare products are purchased from a third-party manufacturer and sold to medical offices and licensed physicians. The Company warrants that the skincare products are free of significant defects in workmanship and materials for 90 days from shipment. The Company acts as the principal in this arrangement, as the Company determines the price to charge customers for the skincare products and controls the products before they are transferred to the customer. The Company recognizes revenue for skincare products at a point in time upon shipment.
Extended service contract
The Company offers post-warranty services to its customers through extended service contracts that cover parts and labor for a term of one to three years. Service contract revenue is recognized over time, using a time-based measure of progress, as customers benefit from the service throughout the service period. The Company also offers services on a time-and-materials basis for systems and detachable hand piece replacements. Revenue related to services performed on a time-and-materials basis is recognized when performed.
Training
Sales of systems to customers include training on the use of the system to be provided within 180 days of purchase. The Company considers training a separate performance obligation as customers can immediately benefit from the training together with the customer’s system. Training is also sold separately from systems. The Company recognizes revenue for training when the training is provided.
Significant Judgments
The Company determines standalone selling price ("SSP") for each performance obligation as follows:
Systems: The SSPs for systems are based on directly observable sales in similar circumstances to similar customers.
Extended warranty/Service contracts: SSP is based on observable price when sold on a standalone basis to similar customers.
Loyalty Program
The Company operates a customer loyalty program for qualified customers located in the U.S. and Canada. Under the loyalty program, customers accumulate points based on their purchasing levels which can be redeemed for such rewards as the right to attend the Company’s advanced training event for a product, or a ticket for the Company’s annual forum. A customer’s account must be in good standing to receive the benefits of the rewards program. Rewards are earned on a quarterly basis and must be used in the following quarter. All unused rewards are forfeited. The fair value of the reward earned by loyalty program members is included in accrued liabilities and recorded as a reduction. of net revenue at the time the reward is earned. As of June 30, 2023 and December 31, 2022, the liability for the loyalty program included in accrued liabilities was $0.2 million and $0.3 million, respectively.

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Deferred Sales Commissions
Incremental costs of obtaining a contract related to the sale of a system, which consist primarily of commissions and related payroll taxes, are capitalized, and amortized on a straight-line basis over the expected period of benefit, except for costs that are recognized when product is sold. The Company uses the portfolio method to recognize the amortization expense related to these capitalized costs related to initial contracts and such expense is recognized over a period associated with the revenue of the related portfolio, which is generally two to three years.
Total capitalized commissions as of June 30, 2023 and December 31, 2022 were $3.2 million and $3.8 million, respectively, and are included in Other long-term assets in the Company’s condensed consolidated balance sheet. Amortization expense for these assets was $0.6 million and $1.3 million during the three and six months ended June 30, 2023, respectively and $0.5 million and $1.2 million during the three and six months ended June 30, 2022, respectively. The amortization related to these capitalized costs is included in sales and marketing expense in the Company’s condensed consolidated statement of operations.
Note 9. StockholdersEquity and Stock-based Compensation Expense
The Company’s equity incentive plans are broad-based, long-term programs intended to attract and retain talented employees and align stockholder and employee interests. The 2019 Equity Incentive Plan (the "2019 Plan") provides for the grant of incentive stock options, non-statutory stock options, restricted stock units (“RSUs”), performance stock units ("PSUs"), and other stock or cash awards.
Activity under the Company's equity incentive plans is summarized as follows:
Shares
Available
for Grant
Balance, December 31, 20221,070,925 
Options and RSUs granted(735,978)
Stock awards canceled / forfeited / expired279,567 
Options canceled / forfeited / expired84,629 
Balance, June 30, 2023699,143 

Options Outstanding
Number of
Stock Options
Outstanding
Weighted-
Average
Exercise
Price
Weighted Average Remaining Term
 (in Years)
Balance, December 31, 2022513,935 $34.41 6.63
Options granted309,214 $18.80 
Options exercised(9,234)$15.92 
Options canceled / forfeited / expired(84,629)$27.32 
Balance, June 30, 2023729,286 $28.85 6.95


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Stock Awards Outstanding
Number of Awards OutstandingWeighted Average Grant Date Fair Value per Share
Balance, December 31, 2022906,211 $40.39 
RSUs granted426,764 $20.03 
Awards released(262,629)$34.72 
Stock awards canceled / forfeited / expired(279,567)$43.08 
Balance, June 30, 2023790,779 $30.32 
Stock-based Compensation Expense
Stock-based compensation expense by department recognized during the three and six months ended June 30, 2023 and 2022 was as follows (in thousands):
Three Months Ended
June 30,
Six Months Ended
June 30,
2023202220232022
Cost of revenue$361 $500 $725 $959 
Sales and marketing1,283 1,638 2,431 2,214 
Research and development415 1,067 1,108 2,047 
General and administrative(509)1,528 672 3,556 
Total stock-based compensation expense$1,550 $4,733 $4,936 $8,776 

In the three months ended June 30, 2023, the Company had a significant number of executives and directors leave Cutera and this resulted in a reversal of previously-reported stock compensation expense related to forfeited awards. The total reversal of stock compensation expense in the three months ended June 2023 relating to all forfeited awards was $2.1 million, of which $1.9 million was categorized as general and administrative expense. In the first and second quarters of 2022 and first quarter of 2023, the aggregate stock compensation expense reversal related to forfeited awards was approximately $0.5 million in each quarter.
Note 10. Net Loss Per Share

As of June 30, 2023, the Company’s Convertible Notes were potentially convertible into 8,696,792 shares of common stock.

The denominator for diluted net loss per share does not include any effect from the capped call transactions the Company entered into concurrently with the issuances of convertible notes, as this effect would be anti-dilutive. In the event of conversion of a convertible note, shares delivered to the Company under the capped call will offset the dilutive effect of the shares that the Company would issue under the convertible notes. In the three and six months ended June 30, 2023 and June 30, 2022, the if-converted method was not applied as the effect would have been anti-dilutive.

For the three and six months ended June 30, 2023 and June 30, 2022, a basic loss per common share and diluted loss per common share are the same in each period as the inclusion of any potentially issuable shares would be anti-dilutive.


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The following table sets forth the computation of basic and diluted net loss and the weighted average number of shares used in computing basic and diluted net loss per share (in thousands, except per share data):
Three Months Ended
June 30,
Six Months Ended
June 30,
2023202220232022
Numerator:
Net loss used in calculating net loss per share, basic $(31,644)$(47,276)$(56,660)$(62,418)
Denominator:
Weighted average shares of common stock outstanding used in computing net loss per share, basic19,858 18,700 19,819 18,392 
Dilutive effect of incremental shares and share equivalents:
     Convertible notes— — — — 
Options— — — — 
RSUs— — — — 
PSUs— — — — 
ESPP— — — — 
Weighted average shares of common stock outstanding used in computing net loss per share, diluted19,858 18,700 19,819 18,392 
Net loss per share:
Net loss per share, basic $(1.59)$(2.53)$(2.86)$(3.39)
Net loss per share, diluted$(1.59)$(2.53)$(2.86)$(3.39)
The following numbers of shares outstanding, prior to the application of the treasury stock method and the if-converted method, were excluded from the computation of diluted net loss per common share for the periods presented because including them would have had an anti-dilutive effect (in thousands):
Three Months Ended
June 30,
Six Months Ended
June 30,
2023202220232022
Capped call10,780 8,724 10,780 8,724 
Convertible notes8,697 6,640 8,697 6,640 
Options694 542 694 542 
RSU's489 550 489 550 
PSU's265 489 265 489 
ESPP45 29 45 29 
Total20,970 16,974 20,970 16,974 
Note 11. Income Taxes
For the three and six months ended June 30, 2023, the Company's income tax expense was $0.3 million and $0.6 million, respectively, compared to $0.2 million tax benefit and $47 thousand expense, respectively, for the three and six months ended June 30, 2022.
The Company's income tax expense for the three and six months ended June 30, 2023 and 2022 is due to income taxes in foreign jurisdictions. The Company continues to maintain a full valuation allowance on its U.S. deferred tax assets.
Note 12. Leases
The Company is a party to certain operating and finance leases for vehicles, office space and storage facilities. The Company’s material operating leases consist of office space, as well as storage facilities and finance leases consist of automobile leases. The Company’s leases generally have remaining terms of one to 10 years, some of which include options to renew the leases for up to five years. The Company leases space for operations in the United States, Japan, Belgium, France, and Spain.

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The Company determines if a contract contains a lease at inception. Operating lease assets and liabilities are recognized at the lease commencement date. Operating lease liabilities represent the present value of lease payments not yet paid. Operating lease assets represent the right to use an underlying asset and are based upon the operating lease liabilities adjusted for prepayments or accrued lease payments, initial direct costs, lease incentives, and impairment of operating lease assets. To determine the present value of lease payments not yet paid, the Company estimates the incremental secured borrowing rates corresponding to the maturities of the leases. The Company based the rate estimates on prevailing financial market conditions, credit analysis, and management judgment.
Tenant incentives used to fund leasehold improvements are recognized when earned and reduce the Company’s right-of-use asset related to the lease. These are amortized through the right-of-use asset as reductions of expense over the lease term. 
Supplemental balance sheet information related to leases was as follows (in thousands):
LeasesClassificationJune 30,
2023
December 31,
2022
Assets
Right-of-use assetsOperating lease right-of-use assets$11,370 $12,831 
Finance leaseProperty and equipment, net1,465 1,606 
Total leased assets$12,835 $14,437 

LiabilitiesClassificationJune 30,
2023
December 31,
2022
Operating lease liabilities
Operating lease liabilities, currentOperating lease liabilities$2,602 $2,810 
Operating lease liabilities, non-currentOperating lease liabilities, net of current portion10,069 11,352 
Total Operating lease liabilities$12,671 $14,162 
Finance lease liabilities
Finance lease liabilities, currentAccrued liabilities$463 $485 
Finance lease liabilities, non-currentOther long-term liabilities540 825 
Total Finance lease liabilities$1,003 $1,310 



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Lease costs during the three and six months ended June 30, 2023 and 2022 (in thousands) was as follows:
Three Months Ended
June 30,
Six Months Ended
June 30,
Lease costsClassification2023202220232022
Finance lease costAmortization expense$148 $178 $298 $339 
Finance lease costInterest for finance lease$18 $16 $38 $37 
Operating lease costOperating lease expense$889 $880 $1,780 $1,795 
Cash paid for amounts included in the measurement of lease liabilities during the six months ended June 30, 2023 and 2022 was as follows (in thousands):
Six Months Ended
June 30,
Cash paid for amounts included in the measurement of lease liabilitiesClassification20232022
Operating cash flowFinance lease$38 $24 
Financing cash flowFinance lease$237 $284 
Operating cash flowOperating lease$686 $851 
Operating leases
Maturities of facility leases were as follows as of June 30, 2023 (in thousands):
As of June 30, 2023Amount
Remainder of 2023$2,458 
20242,929 
20252,934 
20263,029 
20273,132 
2028 and thereafter468 
Total lease payments14,950 
Less: imputed interest2,279 
Present value of lease liabilities$12,671 
Finance Leases
As of June 30, 2023, the Company was committed to minimum lease payments for vehicles leased under long-term non-cancelable finance (vehicle) leases as follows (in thousands):
As of June 30, 2023Amount
Remainder of 2023$266 
2024624 
2025314 
202517 
Total lease payments1,221 
Less: imputed interest218 
Present value of lease liabilities$1,003 


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Weighted-average remaining lease term and discount rate, as of June 30, 2023, were as follows:
Lease Term and Discount RateJune 30, 2023
Weighted-average remaining lease term (years)
Operating leases4.6
Finance leases2.0
Weighted-average discount rate
Operating leases4.8 %
Finance leases6.2 %
Lessor - AviClear
Lessor revenue
The Company leases the AviClear device to customers and receives a fixed annual license fee over the term of the arrangement and variable revenue related to the number of treatments performed by the lessee. The contractual term of the lease agreement is three years with a one-year auto-renewal feature. Certain lease agreements' terms in excess of one year can be terminated without financial penalty, and these agreements are accounted for as having a lease term of one year. The AviClear lease agreements are accounted for as operating leases. The fixed annual license fee is recognized evenly throughout the period of the lease agreement on a straight-line basis. The treatment revenue is recognized in the period the lessee has the ability to perform the patient treatment.
The following table summarizes the amount of operating lease income included in product revenue in the accompanying condensed consolidated statements of operations (in thousands):
Three Months Ended
June 30,
Six Months Ended
June 30,
2023202220232022
AviClear operating lease license fee revenue$1,414 $39 $2,452 $39 
AviClear operating lease revenue2,582 97 5,939 97 
Total AviClear revenue$3,996 $136 $8,391 $136 
The AviClear device being leased has a useful life of seven years. The Company expects that a device will be leased for two consecutive lease terms at the end of which its residual value will be immaterial.
The following is the minimum future lease payments as of June 30, 2023, under non-cancelable operating leases, assuming the minimum contractual lease term (in thousands):
As of June 30, 2023Amount
Remainder of 2023$2,463 
20245,896 
20253,434 
Total AviClear revenue$11,793 
Practical Expedients
The Company elected to apply a practical expedient to operating leases and elected not to separate lease and nonlease components as long as the lease and at least one nonlease component have the same timing and pattern of transfer. As such, updates or upgrades on a when-and-if available basis to the AviClear device are combined with the operating lease revenue. The combined component is being accounted for under ASC 842. Additionally, the Company made an accounting policy election to present AviClear revenue net of sales and other similar taxes.

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Capitalized sales commissions
Sales commissions related to obtaining AviClear lease agreements are accounted for as initial direct costs and are capitalized and amortized on a straight-line basis over the lease term. Amortization expenses for these assets were $1.1 million and $2.2 million for the three and six-month periods ended June 30, 2023, respectively, and nil for the comparative periods, and were included in Sales and marketing expense in the Company’s condensed consolidated statement of operations. Total capitalized commissions as of June 30, 2023, and December 31, 2022, were $4.3 million and $3.3 million, respectively, and are included in Other long-term assets in the Company’s condensed consolidated balance sheet.
Lease installment costs
The Company capitalizes fulfillment costs incurred before AviClear lease commencement and these costs include freight, installation, and training costs. Amortization expenses for these assets were $0.8 million and $1.3 million for the three and six-month periods ended June 30, 2023, respectively, and nil for the comparative periods, and were included in Cost of revenue in the Company’s condensed consolidated statement of operations. Total lease installment costs as of June 30, 2023, and December 31, 2022, were $2.6 million and $1.3 million, respectively, and are included in Other long-term assets in the Company’s condensed consolidated balance sheet.
Note 13. Contingencies
The Company is named from time to time as a party to other legal proceedings, product liability, intellectual property disputes, commercial disputes, employee disputes, and contractual lawsuits. A liability and related charge are recorded to earnings in the Company’s consolidated financial statements for legal contingencies when the loss is considered probable and the amount can be reasonably estimated. The assessment is re-evaluated each accounting period and is based on all available information, including discussion with outside legal counsel. If a reasonable estimate of a known or probable loss cannot be made, but a range of probable losses can be estimated, the low-end of the range of losses is recognized if no amount within the range is a better estimate than any other. If a material loss is reasonably possible, but not probable and can be reasonably estimated, the estimated loss or range of loss is disclosed in the notes to the consolidated financial statements. The Company expenses legal fees as incurred. Certain of the cases below are still in the preliminary stages, and the Company is not able to quantify the extent of its potential liability, if any, other than as described. The outcome of litigation is inherently unpredictable and subject to significant uncertainties. If any of these matters are resolved adversely to the Company, this could have a material adverse effect on its business, financial condition, results of operations, and cash flows. In addition, defending these legal proceedings is likely to be costly, which may have a material adverse effect on the Company's financial condition, results of operations and cash flows, and may divert management's attention from the day-to-day operations of its business.
On January 31, 2020, the Company filed a lawsuit against Lutronic Aesthetics in the United States District Court for the Eastern District of California. Lutronic employs numerous former Cutera employees. The complaint against Lutronic generally alleges claims for (1) misappropriation of trade secrets in violation of state and federal law; (2) violation of the Racketeer Influenced and Corrupt Organizations Act ("RICO"); (3) interference with contractual relations; (4) interference with prospective economic advantage; (5) unfair competition; and (6) aiding and abetting. On March 13, 2020, the court entered a temporary restraining order ("TRO") against Lutronic generally prohibiting it from using or disseminating the Company's confidential, proprietary, or trade secret information. The order also prohibited Lutronic, for two years, from using such information for the purpose of soliciting, or conducting business with, certain specified customers. On April 9, 2020, the parties stipulated to the entry of a preliminary injunction providing for the same relief afforded by the TRO. The Company filed a First Amended Complaint on September 14, 2020. On August 4, 2022, Cutera filed a second amended complaint. On April 24, 2023 Lutronic filed a complaint for trade libel, intentional interference with prospective economic advantage, misappropriation of trade secrets and unfair business practices in violation of California Business and Professions Code §17200 against Cutera in California State Court. The Company has not yet been served in this case. In addition to the above referenced claims, Cutera alleged claims for violation of the Lanham Act, unlawful business practices, false advertising and trademark infringement. Discovery is ongoing. No trial date has been scheduled.
In March 2023, Serendia, LLC (“Serendia”), filed patent infringement complaints against the Company with the International Trade Commission (“ITC”) and in U.S. District Court for the District of Delaware alleging infringement of six Serendia patents by the Secret RF and Secret Pro systems, which the Company distributes in the U.S. on behalf of ILOODA Co. Ltd., a Korean company. The Company is defending the lawsuits. Given the inherent uncertainties of litigation, the Company cannot guarantee that it will not be held liable for infringing one or more claims of Serendia patents. If the Company is held liable for infringement, it may be subject to monetary damages and/or an injunction prohibiting the applicable products in the United States.

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On April 11, 2023, J. Daniel Plants, the Company’s former Executive Chairperson, and David Mowry, the Company’s former Chief Executive Officer, filed a complaint in the Delaware Court of Chancery against directors Gregory Barrett, Sheila Hopkins, Timothy O’Shea, Juliane Park and Janet Widmann, as defendants, and the Company, as nominal defendant (the “Delaware Litigation”) seeking a declaration that the individual defendants breached their fiduciary duties and to enjoin them from enforcing the nomination deadline under the Company’s Amended and Restated Bylaws (the “Bylaws”) in connection with the 2023 annual meeting of stockholders, or in the alternative, a declaration that the Company must hold a special meeting of the stockholders on June 2, 2023. Mr. Plants and Mr. Mowry filed a motion for expedited proceedings with their complaint. Mr. Plants and Mr. Mowry subsequently agreed that the determination made by the Special Committee of the Board to hold a special meeting of the stockholders on June 9, 2023 mooted their request in the Delaware Litigation for a declaration that the Company hold a special meeting of the stockholders. On April 18, 2023, the Court of Chancery denied in part Mr. Plants and Mr. Mowry’s motion for expedited proceedings.

On May 16, 2023, Mr. Mowry filed a letter with the Court of Chancery disclosing that he had resolved his dispute with the defendants and agreed to dismiss his claims with prejudice. On May 17, 2023, the Court of Chancery granted an order for voluntary dismissal of Mr. Mowry as a plaintiff in the Delaware Litigation. Mr. Plants subsequently publicly voiced opposition to certain aspects of the Company's corporate governance and strategy but did not submit a notice of nomination of director candidates for the Company’s 2023 annual meeting of stockholders and did not purport to nominate any director candidates at the Company’s annual meeting of stockholders held on July 13, 2023. On August 7, 2023, the defendants filed a motion for an order to show cause why the Delaware Litigation should not be dismissed with prejudice. The Delaware litigation remains pending.
On May 24, 2023, purported shareholder Erie County Employees’ Retirement System filed a putative class action securities fraud complaint in the U.S. District Court for the Northern District of California against the Company, David H. Mowry, Rohan Seth, and J. Daniel Plants, asserting claims for violation of Sections 10(b) and 20(a) of the Securities Exchange Act of 1934. The California litigation remains pending.
As of June 30, 2023, and December 31, 2022, the Company had accrued $0.6 million and $0.5 million, respectively, related to various pending commercial and product liability lawsuits. The Company does not believe that a material loss in excess of accrued amounts is reasonably likely.
Note 14. Debt
Convertible notes, net of unamortized debt issuance costs
The following table presents the outstanding principal amount and carrying value of the Company’s Convertible Notes (in thousands):


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June 30,
2023
December 31,
2022
Notes due in 2026
Outstanding principal amount$69,125 $69,125 
Unamortized debt issuance costs(1,320)(1,553)
Carrying Value$67,805 $67,572 
Notes due in 2028
Outstanding principal amount$240,000 $240,000 
Unamortized debt issuance costs(6,315)(6,908)
Carrying Value$233,685 $233,092 
Notes due in 2029
Outstanding principal amount$120,000 $120,000 
Unamortized debt issuance costs(3,922)(4,205)
Carrying Value$116,078 $115,795 
Convertible notes, net$417,568 $416,459 

Issuance of convertible notes due in 2026

In March 2021, the Company issued $138.3 million aggregate principal amount of 2026 Notes in a private placement offering. In May 2022, the Company entered into privately-negotiated exchange agreements with certain holders of the Company’s outstanding 2026 Notes. Following the exchange, approximately $69.1 million in aggregate principal amount of the 2026 Notes remained outstanding.
The 2026 Notes bear interest at a rate of 2.25% per year payable semiannually in arrears on March 15 and September 15 of each year. Upon conversion, the 2026 Notes will be convertible into either cash, shares of the Company’s common stock or a combination thereof, at the Company’s election. The Convertible notes are presented as Convertible notes, net of unamortized debt issuance costs, on the condensed consolidated balance sheet. The aggregate proceeds from the offering were approximately $133.6 million, net of issuance costs, including initial purchasers fees.
Each $1,000 principal amount of the 2026 Notes is initially convertible into 30.1427 shares of the Company’s common stock, which is equivalent to a conversion price of approximately $33.18 per share. The conversion rate for the 2026 Notes is subject to adjustment for certain events as set forth in the indenture governing the 2026 Notes. The 2026 Notes will mature on March 15, 2026, unless earlier converted, redeemed, or repurchased in accordance with the terms of the 2026 Notes.
Issuance of convertible notes due in 2028

In May 2022, the Company issued $240.0 million aggregate principal amount of 2028 Notes. A total of $230.0 million of aggregate principal amount of 2028 Notes was issued in a private placement offering and concurrently with this private placement, the Company entered into a purchase agreement with Voce Capital Management LLC ("Voce"), an entity affiliated with J. Daniel Plants, the Company’s former Executive Chairperson, pursuant to which the Company issued to Voce $10.0 million aggregate principal amount of 2028 Notes on the same terms and conditions. The 2028 Notes are presented as Convertible notes, net of unamortized debt issuance costs, on the condensed consolidated balance sheet. The aggregate proceeds from the offering of 2028 Notes were approximately $232.4 million, net of issuance costs, including initial purchaser fees.

The 2028 Notes bear interest at a rate of 2.25% per year payable semiannually in arrears on June 1 and December 1 of each year, beginning on December 1, 2022. Upon conversion, the 2028 Notes will be convertible into either cash, shares of the Company’s common stock or a combination thereof, at the Company’s election. Each $1,000 principal amount of the 2028 Notes is initially convertible into 18.9860 shares of the Company’s common stock, which is equivalent to an initial conversion price of approximately $52.67 per share. The conversion rate for the 2028 Notes is subject to adjustment for certain events as set forth in the indenture governing the 2028 Notes. The 2028 Notes will mature on June 1, 2028, unless earlier converted, redeemed, or repurchased in accordance with the terms of the 2028 Notes.

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Issuance of convertible notes due in 2029
In December 2022, the Company issued $120.0 million aggregate principal amount of 2029 Notes in a private placement offering. The 2029 Notes bear interest at a rate of 4.00% per year payable semiannually in arrears on June 1 and December 1 of each year. Upon conversion, the 2029 Notes will be convertible into either cash, shares of the Company’s common stock or a combination thereof, at the Company’s election. The convertible notes are presented as Convertible notes, net of unamortized debt issuance costs, on the condensed consolidated balance sheet. The aggregate proceeds from the offering were approximately $115.8 million, net of issuance costs, including initial purchasers fees.
Each $1,000 principal amount of the 2029 Notes is initially convertible into 17.1378 shares of the Company’s common stock, which is equivalent to a conversion price of approximately $58.35 per share. The conversion rate for the 2029 Notes is subject to adjustment for certain events as set forth in the indenture governing the 2029 Notes. The 2029 Notes will mature on June 1, 2029, unless earlier converted, redeemed, or repurchased in accordance with the terms of the 2029 Notes.

2026 Notes exchange

In May 2022, the Company entered into privately-negotiated exchange agreements with certain holders of the Company’s outstanding 2026 Notes with respect to the exchange of $45.8 million in cash (excluding $0.3 million in cash for the payment of accrued interest) and 1,354,348 shares of common stock for $69.1 million in aggregate principal amount of the Company’s outstanding 2026 Notes (the “2026 Notes Exchange”). Immediately following the closing of the 2026 Notes Exchange, approximately $69.1 million in aggregate principal amount of the 2026 Notes remained outstanding.

The 2026 Notes Exchange was accounted for as an extinguishment of debt. The Company recorded the difference between the proceeds paid and the carrying amount of the debt as an extinguishment loss, with a corresponding entry to common stock and Additional-paid-in capital for the issuance of the shares at the then-trading price of $41.31 per share. The table below presents the components of the Loss on debt extinguishment recorded in the Company's condensed consolidated statements of operations in the three months ended June 30, 2022 (amounts in thousands, except share and per share amounts):

Shares issued for repurchase1,354,348
Closing price of Cutera common stock on May 24, 2022$41.31 
Value of shares issued$55,948 
Cash used for repurchase45,776 
Total shares and cash$101,724 
2026 Note principal exchanged(69,125)
32,599 
2026 Notes: Unamortized debt issuance costs on May 24, 2022$3,648 
Portion of 2026 Note principal exchanged50 %1,824 
Loss on debt extinguishment$34,423 

Conversion and other features

2026 Notes:
Holders may convert their 2026 Notes at their option prior to the close of business on the business day immediately preceding December 15, 2025, in multiples of $1,000 principal amount, only under the following circumstances:
During any fiscal quarter (and only during such fiscal quarter), if the last reported sale price of the common stock for at least 20 trading days (whether or not consecutive) during a period of 30 consecutive trading days ending on and including, the last trading day of the immediately preceding fiscal quarter, is greater than or equal to 130% of the conversion price for the 2026 Notes on each applicable trading day;
During the five-business day period after any five consecutive trading day period (the “measurement period”) in which the “trading price” per $1,000 principal amount of 2026 Notes for each trading day of the measurement period was less than 98%

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of the product of the last reported sale price of the Company's common stock and the conversion rate on each such trading day;
The Company calls such 2026 Notes for redemption, at any time prior to the close of business on the second scheduled trading day immediately preceding the redemption date; or
Upon the occurrence of specified corporate events.
On or after December 15, 2025, and until the close of business on the second scheduled trading day immediately preceding the maturity date, holders may convert all or any portion of their 2026 Notes, in multiples of $1,000 principal amount, at the option of the holder regardless of the foregoing circumstances.
The circumstances described in the first bullet of the paragraph above were not met during the first and second quarters of 2023. As of June 30, 2023, the 2026 Notes are not convertible. The 2026 Notes may become convertible in future periods. Upon any conversion requests of the 2026 Notes, the Company would be required to pay or deliver, as the case may be, cash, shares of its common stock, or a combination of cash and shares of its common stock, at the Company’s election with respect to such conversion requests. To the extent there are any conversion requests during the twelve months ending June 30, 2024, the Company intends to settle such conversion requests in shares of common stock. Therefore, as of June 30, 2023, the 2026 Notes have been included as Long-term debt on the condensed consolidated balance sheet.
The Company may not redeem the 2026 Notes prior to March 20, 2024. On or after March 20, 2024, the Company may redeem for cash all or any portion of the 2026 Notes, at the Company’s option, if the last reported sale price of the Company’s common stock has been at least 130% of the conversion price then in effect for at least 20 trading days (whether or not consecutive) during any 30 consecutive trading day period (including the last trading day of such period) ending on, and including, the trading day immediately preceding the date on which the Company provides notice of redemption at a redemption price equal to 100% of the principal amount of the 2026 Notes to be redeemed, plus accrued and unpaid interest to, but excluding, the redemption date. If the Company elects to redeem fewer than all of the outstanding 2026 Notes, at least $50.0 million aggregate principal amount of 2026 Notes must be outstanding and not subject to redemption as of the relevant redemption notice date.
If a specified corporate event occurs, 2026 Note holders have the option to require the Company to repurchase any portion or all of their 2026 Notes in $1,000 principal increments for cash. The price for such repurchase is calculated as 100% of the principal amounts of 2026 Notes, plus accrued and unpaid interest to the day immediately preceding the Fundamental Change repurchase date. Additionally, holders of the 2026 Notes who convert in connection with a fundamental change are, under certain circumstances, entitled to an increase in conversion rate.
The 2026 Notes are general senior unsecured obligations that rank senior to any of the Company’s indebtedness that is explicitly subordinated to the 2026 Notes. The 2026 Notes have equal rank in right of payment with all existing and future unsecured indebtedness that is not subordinated to the 2026 Notes (including the 2028 Notes and 2029 Notes). The 2026 Notes will be junior to any of the Company’s secured indebtedness to the extent of the value of the assets securing such indebtedness. The 2026 Notes do not contain any financial or operating covenants or any restrictions on the payment of dividends, the issuance of other indebtedness or the issuance or repurchase of securities by the Company.
The estimated fair value of the 2026 Notes was approximately $58.4 million as of June 30, 2023, which the Company determined through consideration of market prices. The fair value measurement is classified as Level 2, as defined in Note 3.
2028 Notes:

Holders may convert their 2028 Notes at their option, in multiples of $1,000 principal amount, only under the following circumstances:

During any fiscal quarter commencing after the fiscal quarter ending on September 30, 2022 (and only during such fiscal quarter), if the last reported sale price of the common stock for at least 20 trading days (whether or not consecutive) during a period of 30 consecutive trading days ending on and including, the last trading day of the immediately preceding fiscal quarter, is greater than or equal to 130% of the conversion price for the 2028 Notes on each applicable trading day;
During the five-business day period after any five consecutive trading day period (the “measurement period”) in which the “trading price” per $1,000 principal amount of 2028 Notes for each trading day of the measurement period was less than 98%

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of the product of the last reported sale price of the Company's common stock and the conversion rate on each such trading day;
The Company calls such 2028 Notes for redemption, at any time prior to the close of business on the second scheduled trading day immediately preceding the redemption date; or
Upon the occurrence of specified corporate events.

On or after March 1, 2028, and until the close of business on the second scheduled trading day immediately preceding the maturity date, holders may convert all or any portion of their 2028 Notes, in multiples of $1,000 principal amount, at the option of the holder regardless of the foregoing circumstances.

The circumstances described in the bullets in the paragraph above were not met during the first and second quarters of 2023. As of June 30, 2023, the 2028 Notes are not convertible. The 2028 Notes may become convertible in future periods. Upon any conversion requests of the 2028 Notes, the Company would be required to pay or deliver, as the case may be, cash, shares of its common stock, or a combination of cash and shares of its common stock, at the Company’s election with respect to such conversion requests. To the extent there are any conversion requests during the twelve months ending June 30, 2024, the Company intends to settle such conversion requests in shares of common stock. Therefore, as of June 30, 2023, the 2028 Notes have been included as long-term debt on the condensed consolidated balance sheet.

The Company may not redeem the 2028 Notes prior to June 5, 2025. On or after June 5, 2025, the Company may redeem for cash all or any portion of the 2028 Notes, at the Company’s option, if the last reported sale price of the Company’s common stock has been at least 130% of the conversion price then in effect for at least 20 trading days (whether or not consecutive) during any 30 consecutive trading day period (including the last trading day of such period) ending on, and including, the trading day immediately preceding the date on which the Company provides notice of redemption at a redemption price equal to 100% of the principal amount of the 2028 Notes to be redeemed, plus accrued and unpaid interest to, but excluding, the redemption date. If the Company elects to redeem fewer than all of the outstanding 2028 Notes, at least $100.0 million aggregate principal amount of 2028 Notes must be outstanding and not subject to redemption as of the relevant redemption notice date.

If a specified corporate event occurs, note holders have the option to require the Company to repurchase any portion or all of their 2028 Notes in $1,000 principal increments for cash. The price for such repurchase is calculated as 100% of the principal amounts of 2028 Notes, plus accrued and unpaid interest to the day immediately preceding the Fundamental Change repurchase date. Additionally, holders of the 2028 Notes who convert in connection with a fundamental change are, under certain circumstances, entitled to an increase in conversion rate.

The 2028 Notes are general senior unsecured obligations that rank senior to any of the Company’s indebtedness that is explicitly subordinated to the 2028 Notes. The 2028 Notes have equal rank in right of payment with all existing and future unsecured indebtedness that is not subordinated to the 2028 Notes (including the 2026 Notes and 2029 Notes). The 2028 Notes will be junior to any of the Company’s secured indebtedness to the extent of the value of the assets securing such indebtedness. The 2028 Notes do not contain any financial or operating covenants or any restrictions on the payment of dividends, the issuance of other indebtedness or the issuance or repurchase of securities by the Company.

The estimated fair value of the 2028 Notes was approximately $149.9 million as of June 30, 2023, which the Company determined through consideration of market prices. The fair value measurement is classified as Level 2, as defined in Note 3.
2029 Notes:
Holders may convert their 2029 Notes at their option prior to the close of business on the business day immediately preceding March 1, 2029 in multiples of $1,000 principal amount, only under the following circumstances:
During any fiscal quarter commencing after the fiscal quarter ending March 31, 2023 (and only during such fiscal quarter), if the last reported sale price of the common stock for at least 20 trading days (whether or not consecutive) during a period of 30 consecutive trading days ending on and including, the last trading day of the immediately preceding fiscal quarter, is greater than or equal to 130% of the conversion price for the 2029 Notes on each applicable trading day;
During the five-business day period after any five consecutive trading day period (the “measurement period”) in which the “trading price” per $1,000 principal amount of 2029 Notes for each trading day of the measurement period was less than 98% of the product of the last reported sale price of the Company's common stock and the conversion rate on each such trading day;

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The Company calls such 2029 Notes for redemption, at any time prior to the close of business on the second scheduled trading day immediately preceding the redemption date; or
Upon the occurrence of specified corporate events.
On or after March 1, 2029, and until the close of business on the second scheduled trading day immediately preceding the maturity date, holders may convert all or any portion of their 2029 Notes, in multiples of $1,000 principal amount, at the option of the holder regardless of the foregoing circumstances.

The circumstances described in the first bullet of the paragraph above were not met during the first and second quarters of 2023. As of June 30, 2023, the 2029 Notes are not convertible. The 2029 Notes may become convertible in future periods. Upon any conversion requests of the 2029 Notes, the Company would be required to pay or deliver, as the case may be, cash, shares of its common stock, or a combination of cash and shares of its common stock, at the Company’s election with respect to such conversion requests. To the extent there are any conversion requests during the twelve months ending June 30, 2024, the Company intends to settle such conversion requests in shares of common stock. Therefore, as of June 30, 2023, the 2029 Notes have been included as Long-term debt on the consolidated balance sheet.

The Company may not redeem the 2029 Notes prior to December 5, 2025. On or after December 5, 2025, the Company may redeem for cash all or any portion of the 2029 Notes, at the Company’s option, if the last reported sale price of the Company’s common stock has been at least 130% of the conversion price then in effect for at least 20 trading days (whether or not consecutive) during any 30 consecutive trading day period (including the last trading day of such period) ending on, and including, the trading day immediately preceding the date on which the Company provides notice of redemption at a redemption price equal to 100% of the principal amount of the 2029 Notes to be redeemed, plus accrued and unpaid interest to, but excluding, the redemption date. If the Company elects to redeem fewer than all of the outstanding 2029 Notes, at least $100.0 million aggregate principal amount of 2029 Notes must be outstanding and not subject to redemption as of the relevant redemption notice date.

If a specified corporate event occurs, 2029 Note holders have the option to require the Company to repurchase any portion or all of their 2029 Notes in $1,000 principal increments for cash. The price for such repurchase is calculated as 100% of the principal amounts of 2029 Notes, plus accrued and unpaid interest to the day immediately preceding the Fundamental Change repurchase date. Additionally, holders of the 2029 Notes who convert in connection with a fundamental change are, under certain circumstances, entitled to an increase in conversion rate.

The 2029 Notes are general senior unsecured obligations that rank senior to any of the Company’s indebtedness that is explicitly subordinated to the 2029 Notes. The 2029 Notes have equal rank in right of payment with all existing and future unsecured indebtedness that is not subordinated to the 2029 Notes (including the 2026 Notes and 2028 Notes). The 2029 Notes will be junior to any of the Company’s secured indebtedness to the extent of the value of the assets securing such indebtedness. The 2029 Notes do not contain any financial or operating covenants or any restrictions on the payment of dividends, the issuance of other indebtedness or the issuance or repurchase of securities by the Company.

The estimated fair value of the 2029 Notes was approximately $76.2 million as of June 30, 2023, which the Company determined through consideration of market prices. The fair value measurement is classified as Level 2, as defined in Note 3.

Capped Call Transactions

In connection with the issuance of each series of the Convertible Notes, the Company entered into capped call transactions with certain option counterparties. The capped call transactions are generally intended to reduce the potential dilution of the Company's common stock upon any conversion or settlement of the applicable series of Convertible Notes or to offset any cash payment the Company is required to make in excess of the principal amount upon conversion of the applicable series of Convertible Notes, as the case may be, with such reduction or offset subject to a cap based on the cap price. If the market price per share of the Company’s common stock exceeds the cap price of the applicable capped call transactions, then the Company’s stock would experience some dilution and/or such capped call transactions would not fully offset the potential cash payments, in each case, to the extent the then-market price per share of its common stock exceeds the applicable cap price.

In connection with the offering of the 2026 Notes, the Company purchased from the option counterparties capped call options that in the aggregate relate to the total number of shares of the Company's common stock underlying the convertible notes, with a strike price equal to the conversion price of the convertible notes and with an initial cap price equal to $45.535, which represented a 75% premium over the last reported sale price of the Company's common stock of $26.02 per share on March 4, 2021, with certain adjustments to the settlement terms that reflect standard anti-dilution provisions. The capped call transactions

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expire over 40 consecutive scheduled trading days ended on March 12, 2026. The capped calls were purchased for $16.1 million.

In connection with the offering of the 2028 Notes, the Company purchased from the option counterparties capped call options that in the aggregate related to the total number of shares of the Company's common stock underlying the 2028 Notes sold to the initial purchasers in the offering of 2028 Notes, with a strike price equal to the conversion price of the 2028 Notes and with an initial cap price equal to $82.62, which represents a 100% premium over the last reported sale price of the Company's common stock of $41.31 per share on May 24, 2022, with certain adjustments to the settlement terms that reflect standard anti-dilution provisions. These capped call transactions expire over 40 consecutive scheduled trading days ended on May 30, 2028. The capped calls were purchased for $32.0 million, net of issuance costs.

In connection with the offering of the 2029 Notes, the Company purchased from the option counterparties capped call options that in the aggregate related to the total number of shares of the Company's common stock underlying the 2029 Notes sold to the initial purchasers in the offering of 2029 Notes, with a strike price equal to the conversion price of the 2029 Notes and with an initial cap price equal to $99.21, which represents a 100% premium over the last reported sale price of the Company's common stock of $49.66 per share on December 7, 2022, with certain adjustments to the settlement terms that reflect standard anti-dilution provisions. These capped call transactions expire over 40 consecutive scheduled trading days ended on May 30, 2029. The capped calls were purchased for $25.1 million, net of issuance costs.

The Company evaluated the capped call transactions under authoritative accounting guidance and determined that they should be accounted for as a separate transaction and classified as a net reduction to Additional paid-in capital within stockholders’ equity with no recurring fair value measurement recorded.
The Company early adopted ASU 2020-6, Debt—Debt with Conversion and Other Options (Subtopic 470-20) and Derivatives and Hedging— Contracts in Entity’s Own Equity (Subtopic 815-40) on January 1, 2021. In accordance with Subtopic 470-20 and 815-40, as revised by ASU 2020-6, the Company records the convertible notes in long-term debt with no separation between the Notes and the conversion option. Each reporting period, the Company will determine whether any criteria is met for the note holders to have the option to redeem the Notes early, which could result in a change in the classification of the Notes to current liabilities.
Debt Issuance Cost
The issuance costs related to the Convertible Notes are presented in the condensed consolidated balance sheet as a direct deduction from the carrying amount of the Convertible Notes. The issuance costs are amortized using an effective interest method basis over the term of the Convertible Notes. The effective interest rates on the 2026 Notes, 2028 Notes, and 2029 Notes are 2.98%, 2.82%, and 4.63%, respectively. Interest expense for the three and six-month periods ended June 30, 2023 including the amortization of debt issuance cost, totaled approximately $3.5 million and $7.0 million, respectively. Interest expense for the three and six-month periods ended June 30, 2022, including the amortization of debt issuance cost, totaled approximately $1.4 million and $2.4 million respectively.
Loan and Security Agreement
On July 9, 2020, the Company entered into a Loan and Security Agreement with Silicon Valley Bank for a four-year secured revolving loan facility (“SVB Revolving Line of Credit”) in an aggregate principal amount of up to $30.0 million. The SVB Revolving Line of Credit matures on July 9, 2024.
In order to draw on the full amount of the SVB Revolving Line of Credit, the Company must satisfy certain liquidity ratios. If the Company is unable to meet these liquidity ratios, then availability under the revolving line is calculated as 80% of the Company’s qualifying accounts receivable. The proceeds of the revolving loans may be used for general corporate purposes. The Company’s obligations under the Loan and Security Agreement with Silicon Valley Bank are secured by substantially all of the assets of the Company. Interest on principal amount outstanding under the revolving line shall accrue at a floating per annum rate equal to the greater of either 1.75% above the Prime Rate or five percent (5.0%). The Company paid a non-refundable revolving line commitment fee of $0.3 million, on the effective date of the Loan and Security Agreement with Silicon Valley Bank of July 9, 2020, and the Company is required to pay an anniversary fee of $0.3 million on each twelve-month anniversary of the effective date of the Loan and Security Agreement.
The Loan and Security Agreement with Silicon Valley Bank contains customary affirmative covenants, such as financial statement reporting requirements and delivery of borrowing base certificates, as well as customary covenants that restrict the Company’s ability to, among other things, incur additional indebtedness, sell certain assets, guarantee obligations of third parties, declare dividends, or make certain distributions, and undergo a merger or consolidation or certain other transactions.

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The Loan and Security Agreement also contains certain financial covenants, including maintaining a quarterly minimum revenue of $90.0 million, determined in accordance with GAAP on a trailing twelve-month basis, but which is only applicable if the Company has an outstanding balance under the loan facility.
The Loan and Security Agreement has been amended since inception to permit the issuance of the Convertible Notes and related capped call transactions and to remove the quarterly minimum revenue requirement. On March 26, 2023, the FDIC announced that it had entered into a purchase and assumption agreement with First Citizens Bank & Trust Company under which all deposits of the former Silicon Valley Bank were assumed by First Citizens Bank & Trust Company. In addition, under the purchase and assumption agreement, First Citizens Bank & Trust Company assumed Silicon Valley Bank’s obligations under the Company’s Loan and Security Agreement.
The Company and First Citizens Bank & Trust Company agreed to amend the requirement for Cutera to maintain substantially all of its funds with First Citizens Bank & Trust Company and allowed up to 50% of the Company’s funds to be invested with institutions other than First Citizens Bank & Trust Company.
As of June 30, 2023, the Company had not drawn on the loan facility and the Company is in compliance with all financial covenants.
Note 15. Segment Reporting
Segment reporting is based on the “management approach,” following the method that management organizes the Company’s reportable segments for which separate financial information is made available to, and evaluated regularly by, the chief operating decision maker in allocating resources and in assessing performance. The Company’s chief operating decision maker ("CODM") is its Chief Executive Officer ("CEO"), who makes decisions on allocating resources and assessing performance.

Beginning in the fourth quarter of 2022, the Company segregates its operations into two reportable business segments: (i) Cutera Core and (ii) AviClear. This segregation aligns the Company’s operating business segments with the way the CEO reviews the Company's operations.

The Company measures the financial results of its reportable segments using an internal performance measure that excludes certain non-cash and non-recurring expenses.

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Three Months Ended
June 30,
Six Months Ended
June 30,
2023202220232022
(Dollars in thousands)(Dollars in thousands)
Net revenue
   Cutera Core$57,222 $64,088 $107,820 $122,102 
   AviClear3,996 136 8,391 136 
       Total net revenue$61,218 $64,224 $116,211 $122,238 
Loss from operations
   Cutera Core(4,342)5,871 (12,872)10,221 
   AviClear(7,260)(7,507)(13,256)(15,662)
        Segment loss from operations(11,602)(1,636)(26,128)(5,441)
Items not allocated to segments
  Stock-based compensation(1,550)(4,733)(4,936)(8,776)
  ERP implementation costs(770)(2,385)(1,288)(6,361)
  Depreciation and amortization(3,991)(1,068)(7,578)(2,147)
Board of Directors legal and advisory fees(7,709)— (7,709)— 
Retention plan costs(2,972)— (2,972)— 
  Legal fees, severance, and other(935)(242)(2,487)(496)
Consolidated loss from operations(29,529)(10,064)(53,098)(23,221)
  Interest and other expense, net(1,789)(37,398)(2,964)(39,150)
Consolidated loss before income taxes$(31,318)$(47,462)$(56,062)$(62,371)
Six Months Ended
June 30,
Capital spending20232022
   Cutera Core$64 $603 
   AviClear25,844 7,635 
Total segment capital spending$25,908 $8,238 
   Corporate— — 
    Total capital spending$25,908 $8,238 
Total assetsJune 30, 2023December 31, 2022
   Cutera Core$164,906 $154,978 
   AviClear75,074 47,406 
Total segment assets$239,980 $202,384 
   Corporate223,850 318,604 
Total assets$463,830 $520,988 

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The following table presents a summary of revenue by geography and product category for the three and six months ended June 30, 2023 and 2022 (in thousands):
Three Months Ended
June 30,
Six Months Ended
June 30,
2023202220232022
Revenue mix by geography:
United States$24,995 $26,742 $47,964 $51,216 
Japan12,810 15,174 25,718 32,677 
Asia, excluding Japan4,323 5,106 11,054 8,715 
Europe5,495 5,925 10,613 10,116 
Rest of the World, other than United States, Asia and Europe13,595 11,277 20,862 19,514 
Total consolidated revenue$61,218 $64,224 $116,211 $122,238 
Revenue mix by product category:
Systems$37,895 $43,653 $71,213 $80,167 
AviClear3,996 136 8,391 136 
Consumables4,255 5,162 7,998 9,065 
Skincare9,422 9,638 17,554 21,287 
Total product revenue55,568 58,589 105,156 110,655 
Service5,650 5,635 11,055 11,583 
Total consolidated revenue$61,218 $64,224 $116,211 $122,238 




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ITEM 2.    MANAGEMENT’S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF OPERATIONS
This Managements Discussion and Analysis should be read in conjunction with the Companys financial condition and results of operations in conjunction with the Companys unaudited condensed consolidated financial statements and notes thereto included in Part I, Item 1 of this Quarterly Report on Form 10-Q and the Companys audited financial statements and notes thereto for the year ended December 31, 2022, included in its annual report on Form 10-K filed with the U.S. Securities and Exchange Commission (SEC) on April 7, 2023, as amended on May 1, 2023.
Unless otherwise indicated, all results presented are prepared in a manner that complies, in all material respects, with accounting principles generally accepted in the United States of America (GAAP). Additionally, unless otherwise indicated, all changes identified for the current-period results represent comparisons to results for the prior corresponding fiscal period.
Special Note Regarding Forward-Looking Statements
This report contains forward-looking statements that involve risks and uncertainties. The Company’s actual results could differ materially from those discussed in the forward-looking statements. The statements contained in this report that are not purely historical are forward-looking statements within the meaning of Section 27A of the Securities Act and Section 21E of the Securities Exchange Act of 1934, as amended, (the "Exchange Act"). Forward-looking statements are often identified by the use of words such as, but not limited to, “anticipate,” “believe,” “can,” “continue,” “could,” “estimate,” “expect,” “intend,” “may,” “plan,” “project,” “seek,” “should,” “strategy,” “target,” “will,” “would” and similar expressions or variations intended to identify forward-looking statements. These statements are based on the beliefs and assumptions of the Company’s management based on information currently available to management. Such forward-looking statements are subject to risks, uncertainties and other important factors that could cause actual results and the timing of certain events to differ materially from future results expressed or implied by such forward-looking statements. Factors that could cause or contribute to such differences include, but are not limited to, those identified below and those discussed in the section titled “Risk Factors” included under Part II, Item 1A below.
Furthermore, such forward-looking statements speak only as of the date of this report. Except as required by law, the Company undertakes no obligation to update any forward-looking statements to reflect events or circumstances after the date of such statements.
Introduction
The Management’s Discussion and Analysis, or MD&A, is organized as follows:
Executive Summary. This section provides a general description and history of the Company’s business, a brief discussion of its product lines and the opportunities, trends, challenges and risks the Company focuses on in the operation of its business.
Critical Accounting Policies and Estimates. This section describes the key accounting policies that are affected by critical accounting estimates.
Results of Operations. This section provides the Company’s analysis and outlook for the significant line items on its condensed consolidated statements of operations.
Liquidity and Capital Resources. This section provides an analysis of the Company’s liquidity and cash flows, as well as a discussion of its commitments that existed as of June 30, 2023.
Executive Summary
Company Description 
The Company develops, manufactures, distributes, and markets energy-based product platforms for medical practitioners, enabling them to offer safe and effective treatments to their customers. In addition, the Company distributes third-party manufactured skincare products. The Company currently markets the following system platforms: AviClear, enlighten, excel, truSculpt, Secret PRO, Secret RF, and xeo. These platforms enable medical practitioners to perform procedures including treatment for acne, body contouring, skin resurfacing and revitalization, hair and tattoo removal, removal of benign pigmented lesions, and vascular conditions. Several of the Company’s systems offer multiple hand pieces and applications, providing customers the flexibility to upgrade their systems.
The Company’s corporate headquarters and U.S. operations are located in Brisbane, California, where the Company conducts manufacturing, warehousing, research and development, regulatory, sales and marketing, service, and administrative activities. The Company also maintains regional distribution centers (“RDCs”) in selection locations across the U.S. These RDCs serve as

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forward warehousing for systems and service parts in various geographies. The Company markets sells and services the Company’s products through direct sales and service employees in North America (including Canada), Australia, Austria, Belgium, France, Germany, Hong Kong, Japan, the Netherlands, Spain, Switzerland, and the United Kingdom. Sales and services outside of these direct markets are made through a worldwide distributor network in over 39 countries. The consolidated financial statements include the accounts of the Company and its subsidiaries. All inter-company transactions and balances have been eliminated.
Products and Services
The Company derives revenue from the sale of products and services. Product revenue includes revenue from the sale of systems, hand pieces and upgrade of systems (collectively “Systems” revenue), leasing of AviClear devices for acne treatment ("AviClear" revenue), replacement hand pieces, truSculpt cycle refills, and truFlex cycle refills, as well as single use disposable tips applicable to Secret RF (“Consumables” revenue), and the sale of third-party manufactured skincare products (“Skincare” revenue). A system consists of a console that incorporates a universal graphic user interface, a laser and (or) an energy-based module, control system software and high voltage electronics, as well as one or more hand pieces. However, depending on the application, the laser or other energy-based module is sometimes contained in the hand piece such as with the Company’s Pearl and Pearl Fractional applications instead of within the console.
The Company currently markets the following key platforms: AviClear, enlighten, excel, truSculpt, Secret PRO, Secret RF, and xeo. These platforms enable medical practitioners to perform procedures including treatment for acne, body contouring, skin resurfacing and revitalization, hair and tattoo removal, removal of benign pigmented lesions, and vascular conditions.
Several of the Company’s systems offer multiple hand pieces and applications, providing customers the flexibility to upgrade their systems whenever they choose and provides the Company with a source of additional Systems revenue.
Skincare revenue relates to the distribution of ZO Skin Health, Inc's. ("ZO") skincare products in Japan. The skincare products are purchased from a third-party manufacturer and sold to medical offices and licensed physicians. The Company acts as the principal in this arrangement, as the Company determines the price to charge customers for the skincare products and controls the products before they are transferred to the customer.
Service includes prepaid service contracts, and labor, time and material on out-of-warranty products.
Significant Business Trends
The Company believes that the ability to grow revenue will be primarily impacted by the following:
capturing market share in the acne space and capitalizing on the momentum in AviClear;
continuing to expand the Company’s product offerings, both through internal development and sourcing from other vendors;
ongoing investment in the Company’s global sales and marketing infrastructure;
use of clinical results to support new aesthetic products and applications;
enhanced physician development and reference selling efforts (to develop a location where Company’s products can be displayed and used to assist in selling efforts);
customer demand for the Company’s products;
consumer demand for the application of the Company’s products;
marketing to physicians in the core dermatology and plastic surgeon specialties, as well as outside those specialties; and
generating recurring revenue from the Company’s growing installed base of customers through the sale of system upgrades, services, hand piece refills, truSculpt cycles, skincare products and replacement tips for Secret RF products.
For a detailed discussion of the significant business trends impacting the Company’s business, please see the section titled “Results of Operations” below.
Factors that May Impact Future Performance
The Company’s industry is impacted by numerous competitive, regulatory and other significant factors. The Company’s industry is highly competitive and the Company’s future performance depends on the Company’s ability to compete successfully. Additionally, the Company’s future performance is dependent upon the ability to continue to expand the Company’s product offerings with innovative technologies, obtain regulatory clearances for the Company’s products, protect the proprietary technology of the products and manufacturing processes, manufacture the products cost-effectively, and successfully market and distribute the products in a profitable manner. If the Company fails to execute on the aforementioned initiatives, the Company’s business would be adversely affected.

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The Company supports any reasonable action that helps ensure patient safety going forward. The Company has a robust, multi-functional process that reviews its promotional claims and materials to ensure they are truthful, not misleading, fair and balanced, and supported by sound scientific evidence.
A detailed discussion of these and other factors that could impact the Company’s future performance are provided in (1) the Company’s Annual Report on Form 10-K for the year ended December 31, 2022- Part I, Item 1A “Risk Factors,” and (2) other announcements the Company makes from time to time.
Risks and Uncertainties
The world is currently experiencing widespread inflation. Household budgets are tight and cash is generally being conserved and spent on essential items like housing, gas, food, clothing and healthcare. Given the inflationary environment, fewer funds may be spent on aesthetic treatments, which may translate into less demand for the Company's products and less revenue as a result.
The Company continues to assess whether any impairment of its goodwill or its long-lived assets has occurred and has determined that no charges were necessary during the three months ended June 30, 2023. The Company will continue to monitor future conditions important to its assessment of potential impairment of its long-lived assets and goodwill. Impairments of the Company's goodwill or long-term assets could occur in future periods.
In 2021, the Company experienced a significant increase in sales of skincare products under the exclusive distribution agreement with ZO Skin Health, Inc., which allows the Company to sell ZO’s skincare products in Japan and which expires in June 2024. The Company relies on ZO as the sole supplier for skincare products. The reason for the increase in skincare products sales may have been the result of the COVID-19 pandemic changing customers’ spending habits, resulting in customers purchasing aesthetic treatments that were able to be applied at home, due to limitations on in-person aesthetic procedures. If customers revert to original spending habits after the COVID-19 pandemic, such changes may have a material adverse effect on the Company’s revenue, operating results, and cash flows.
Furthermore, there are certain economic requirements in the distribution agreement with ZO that were not met for the 2022 fiscal year. ZO has indicated its intent not to extend the distribution agreement and assume distribution of the ZO product line beginning in the third quarter of 2024. The Company is currently negotiating the terms of the transition of the distribution of the ZO product line to ZO, but anticipates there may be an adverse effect to the Company’s future revenue, results of operations, cash flows and stock price beginning in July 2024.
Critical Accounting Policies, Significant Judgments and Use of Estimates
The preparation of the Company’s consolidated financial statements and related notes requires the Company to make judgments, estimates and assumptions that affect the reported amounts of assets, liabilities, revenues and expenses, and related disclosure of contingent assets and liabilities. The Company has based its estimates on historical experience and on various other assumptions that the Company believes to be reasonable under the circumstances. The Company periodically reviews its estimates and makes adjustments when facts and circumstances dictate. To the extent that there are material differences between these estimates and actual results, its financial condition or results of operations will be affected.
An accounting policy is considered to be critical if it requires an accounting estimate to be made based on assumptions about matters that are highly uncertain at the time the estimate is made, and if different estimates that reasonably could have been used, or changes in the accounting estimates that are reasonably likely to occur periodically, could materially impact the consolidated financial statements. The Company believes that its critical accounting policies reflect the more significant estimates and assumptions used in the preparation of its audited consolidated financial statements.
The accounting policies and estimates that the Company considers to be critical, subjective, and requiring judgment in their application are summarized in “Item 7-Management’s Discussion and Analysis of Financial Condition and Results of Operations” in its Annual Report on Form 10-K for the year ended December 31, 2022 filed with the SEC on April 7, 2023, as amended on May 1, 2023. There have been no new or material changes to the significant accounting policies discussed in the Company’s Annual Report on Form 10-K that are of significance, or potential significance, to the Company.

The Company established new accounting policies to account for the 2.25% Convertible Senior Notes due 2026 (the “2026 Notes” and, together with the 2028 Notes and 2029 Notes, the “Convertible Notes”) and related transactions during the first quarter of 2021.

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In March 2021, the Company issued $138.3 million aggregate principal amount of 2026 Notes in a private placement offering. In May 2022, the Company issued $240.0 million aggregate principal amount of 2028 Notes in a private placement offering. In December 2022, the Company issued $120.0 million aggregate principal amount of 2029 Notes in a private placement offering. The notes issued in March 2021 and May 2022 each bear interest at a rate of 2.25% per year and the notes issued in December 2022 bear interest at 4.00% per year. In accordance with ASU 2020-06, the Company recorded the Convertible Notes in long-term debt with no separation between the notes and the conversion option. Each reporting period, the Company will determine whether any criteria are met for the note holders to have the option to redeem the notes early. To the extent there are any conversion requests, the Company intends to settle such conversion requests in shares of common stock. Therefore, the convertible notes have been included as Long-term debt on the condensed consolidated balance sheet.
The issuance costs related to the Convertible Notes are presented in the balance sheet as a direct deduction from the carrying amount of the Convertible Notes. See Note 14 of the unaudited condensed consolidated financial statements included in Item I, Part 1 of this Quarterly Report on Form 10-Q.
Results of Operations
The following table sets forth selected consolidated financial data for the periods indicated, expressed as a percentage of total net revenue. Percentages in this table and throughout its discussion and analysis of financial condition and results of operations may reflect rounding adjustments.
Three Months Ended
June 30,
Six Months Ended
June 30,
2023202220232022
Net revenue100 %100 %100 %100 %
Cost of revenue54 %45 %54 %45 %
Gross margin46 %55 %46 %55 %
Operating expenses:
Sales and marketing54 %42 %54 %42 %
Research and development%11 %11 %11 %
General and administrative30 %18 %27 %20 %
Total operating expenses94 %70 %91 %74 %
Loss from operations(48)%(16)%(46)%(19)%
Amortization of debt issuance costs(1)%— %(1)%— %
Interest on convertible notes(5)%(2)%(5)%(2)%
Loss on extinguishment of convertible notes— %(54)%%(28)%
Interest income%%%— %
Other expense, net(1)%(3)%(1)%(2)%
Loss before income taxes(51)%(74)%(48)%(51)%
Income tax benefit%— %%— %
Net loss(52)%(74)%(49)%(51)%
Revenue
The timing of the Company’s revenue is significantly affected by the mix of system products, training, consumables and extended service contracts. The revenue generated in any given period is also impacted by whether the revenue is recognized over time or at a point in time. For an additional description on revenue, see Note 1 in the notes to consolidated financial statements on the Company’s Annual Report on Form 10-K for the fiscal year ended December 31, 2022 and Note 8 to the unaudited condensed consolidated financial statements included in Item I, Part 1 of this Quarterly Report on Form 10-Q.
Revenue is recognized upon transfer of control of promised products or services to customers in an amount that reflects the consideration to which the Company expects to be entitled in exchange for promised goods or services. The Company’s performance obligations are satisfied either over time or at a point in time. Revenue from performance obligations that are

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transferred to customers over time accounted for approximately 9% and 8% of the Company’s total revenue for the six months ended June 30, 2023 and 2022, respectively. Revenue recognized over time relates to revenue from the Company’s extended service contracts and marketing services. Revenue recognized upon delivery is primarily generated by the sales of systems, consumables and skincare.
Total Net Revenue
Three Months Ended June 30,Six Months Ended June 30,
(Dollars in thousands)2023% Change20222023% Change2022
Revenue mix by geography:
North America$31,830 (1)%$32,239 $59,499 (3)%$61,092
Japan12,810 (16)%15,174 25,718 (21)%32,677 
Rest of World16,578 (1)%16,811 30,994 %28,469 
Consolidated total revenue$61,218 (5)%$64,224 $116,211 (5)%$122,238 
North America as a percentage of total revenue52 %50 %51 %50 %
Japan as a percentage of total revenue21 %24 %22 %27 %
Rest of World as a percentage of total revenue27 %26 %27 %23 %
Revenue mix by product category:
Systems - North America$22,243 (12)%$25,232 $40,203 (16)%$47,939
Systems - Rest of World (including Japan)15,652 (15)%18,421 31,010 (4)%32,228
Total Systems37,895 (13)%43,653 71,213 (11)%80,167
AviClear3,996 2,838 %136 8,391 6,070 %136
Consumables4,255 (18)%5,162 7,998 (12)%9,065
Skincare9,422 (2)%9,638 17,554 (18)%21,287
Total Products55,568 (5)%58,589 105,156 (5)%110,655
Service5,650 — %5,635 11,055 (5)%11,583
Total Net Revenue$61,218 (5)%$64,224 $116,211 (5)%$122,238
The Company’s total net revenue decreased by $3.0 million, or 5%, in the three months ended June 30, 2023, compared to the same period in 2022. This decrease was primarily driven by Systems revenue, partially offset by AviClear revenue. In March 2022, the Company received FDA clearance for the AviClear treatment device and began limited commercial release in April 2022.
The Company's total net revenue decreased by $6.0 million, or 5%, in the six months ended June 30, 2023, compared to the same period in 2022. This decrease in the six-month comparison was primarily driven by Systems revenue and a decline in Japanese Skincare revenue, partially offset by AviClear revenue.
Revenue by Geography
The Company’s North America revenue decreased by $0.4 million, or 1%, and decreased by $1.6 million, or 3%, in the three and six months ended June 30, 2023, respectively, compared to the same periods in 2022. The $1.6 million, or 3%, decrease in the six-month comparison was primarily driven by a decline in Systems revenue, partially offset by AviClear revenue.
Revenue in Japan decreased by $2.4 million, or 16%, in the three months ended June 30, 2023, compared to the same period in 2022, due to a decrease in Systems revenue. Revenue in Japan decreased by $7.0 million, or 21% in six months ended June 30, 2023, compared to the same period in 2022, due to a decrease in Skincare revenue and systems revenue.
The Company’s Rest of World revenue decreased by $0.2 million, or 1%, in the three months ended June 30, 2023, compared to the same period in 2022. The Company’s Rest of World revenue increased by $2.5 million, or 9%, in the six months ended June 30, 2023, compared to the same period in 2022 driven by strong System sales in Europe and global distributor markets.

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Revenue by Product Type
Systems Revenue
Systems revenue in North America decreased by $3.0 million, or 12%, and $7.7 million, or 16%, in the three and six months ended June 30, 2023, respectively, compared to the same periods in 2022, due to a decrease in average selling prices ("ASPs") and unit volumes in both the three-month and six-month comparisons and a $1.0 million increase in the Company's sale return reserve recorded in the three months ended June 30, 2023. The decrease in ASPs in the six months ended June 30, 2023, reflects financing challenges the Company's customers experienced and the Company's resulting decision to use price as a lever to close certain sales. Although the Company saw slight improvement in its ASPs in the three months ended June 30, 2023, compared to the preceding quarter, the Company expects continued pressure on its ASPs through the remainder of 2023.
System revenue in the Rest of the World (including Japan) decreased by $2.8 million, or 15%, and $1.2 million, or 4%, in the three and six months ended June 30, 2023, respectively, compared to the same periods in 2022. The decrease in revenue in the three-month comparison reflects a decrease in Systems revenue in Japan, which was partially offset in the six-month comparison by increased revenue in the three months ended June 30, 2023, in Europe, the Middle East, and Asia.
AviClear Revenue
The AviClear revenue in the three months ended June 30, 2023, consisted of $1.4 million of lease revenue related to the fixed annual license fees and variable lease revenue of $2.6 million related to treatments performed by the lessee.
The AviClear revenue in the six months ended June 30, 2023, consisted of $2.5 million of lease revenue related to the fixed annual license fees and variable lease revenue of $5.9 million related to treatments performed by the lessee.
Consumables Revenue
Consumables revenue decreased by $0.9 million, or 18%, and $1.1 million, or 12%, in the three and six months ended June 30, 2023, respectively, compared to the same periods in 2022. The decrease in revenue in the three and six-month periods reflects a sales promotion that was in effect in the three months ended June 30, 2022, and that resulted in an increase in Consumable revenue for that period.
Skincare Revenue
The Company’s revenue from Skincare products in Japan decreased by $0.2 million, or 2%, and $3.7 million, or 18%, in the three and six-month periods ended June 30, 2023, respectively, compared to the same periods in 2022. The decrease in the three-month comparison included a $0.7 million adverse impact from the weakening Japanese Yen and also increased competition from alternative products. The decrease in the six-month comparison included a $2.0 million adverse impact from the weakening Japanese Yen and also reflects increased competition from alternative products and procedures that also contributed to the decrease in Skincare revenue.
Service Revenue
The Company’s Service revenue remained flat and decreased by $0.5 million, or 5%, in the three and six months ended June 30, 2023, respectively, compared to the same periods in 2022. This decrease in the six-month comparison was due primarily to decreased sales of service contracts, and support and maintenance services.
Gross Profit
Three Months Ended June 30,Six Months Ended June 30,
(Dollars in thousands)20232022Change20232022Change
Gross profit$28,054 $35,044 $(6,990)$52,981 $66,832 $(13,851)
As a percentage of total net revenue45.8 %54.6 %(8.8)%45.6 %54.7 %(9.1)%
The Company’s cost of revenue consists primarily of material, personnel expenses, product warranty costs, depreciation on AviClear devices, amortization of capitalized AviClear device mobilization costs, and manufacturing overhead expenses.

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Gross profit as a percentage of revenue for the three months ended June 30, 2023, was 45.8% compared to 54.6% in the same period in 2022. This 8.8 percentage point decrease in gross profit in the three-month comparison mainly reflects the following factors:
In April 2022, the Company began leasing the AviClear device. Depreciation expense on installed AviClear devices and amortization expense on capitalized lease installment costs adversely impacted the Company’s gross margin rate by 3.5 percentage points;
Geographic and product revenue mix and increased pressure on ASPs adversely impacted the Company’s gross margin rate by 2.7 percentage points;
Increases in the Company's reserve for excess inventory parts, partially driven by the an end of life decision on certain accessories, adversely impacted the Company's gross margin rate by 1.0 percentage points;
Weakening foreign currencies adversely impacted the Company’s gross margin rate by 1.4 percentage points, primarily a result of the Company’s Skincare revenue being denominated in Japanese Yen and costs being dominated in U.S. Dollar; and
Cost increases in parts adversely impacted the Company's gross margin rate by 1.7 percentage points.

The above adverse impacts on the Company's gross margin rate were partially offset by the positive impact of AviClear revenue on gross margin rate by 1.3 percentage points.
Gross profit as a percentage of revenue for the six months ended June 30, 2023, was 45.6% compared to 54.7% in the same period in 2022. This 9.1% percentage point decrease in gross profit in the six-month comparison mainly reflects the following factors:
In April 2022, the Company began leasing the AviClear device. Depreciation expense on installed AviClear devices and amortization expense on capitalized lease installment costs adversely impacted the Company’s gross margin rate by 3.1 percentage points in the three-month comparison;
Geographic and product revenue mix and increased pressure on ASPs adversely impacted the Company’s gross margin rate by 3.3 percentage points in the six-month comparison;
Weakening foreign currencies adversely impacted the Company’s gross margin rate by 1.7 percentage points in the six-month comparison. This was primarily a result of the Company’s Skincare revenue being denominated in Japanese Yen and costs being dominated in U.S. Dollars;
Cost increases in parts adversely impacted the Company's gross margin rate by 1.9 percentage points;
Increases in the Company's reserve for excess inventory parts adversely impacted the Company's gross margin rate by 0.7 percentage points; and
Lower than planned production in the in the three months ended March 31, 2023, impacted the Company's inventory absorption by 0.5 percentage points.

The above adverse impacts on the Company's gross margin rate were partially offset by the positive impact of AviClear revenue on gross margin rate by 2.0 percentage points.

Sales and Marketing
Three Months Ended June 30,Six Months Ended June 30,
(Dollars in thousands)20232022Change20232022Change
Sales and Marketing$33,271 $27,001 $6,270 $62,783 $51,945 $10,838 
As a percentage of total net revenue54.3 %42.0 %12.3 %54.0 %42.5 %11.5 %
Sales and marketing expenses consist primarily of personnel expenses, expenses associated with customer-attended workshops and trade shows, post-marketing studies, advertising, and training.

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Sales and marketing expenses for the three and six months ended June 30, 2023, increased $6.3 million and $10.8 million, respectively, compared to the same periods in 2022. These increases reflect headcount growth related to the launch of AviClear, as payroll-related costs, including commission expense and consulting services, increased $4.4 million and $5.5 million, respectively, in the three and six-month comparisons. Also contributing to the increase in sales and marketing expenses was an increase in promotional and marketing activities of $1.7 million and $3.2 million, respectively, in the three and six-month comparisons.
Research and Development (R&D)
Three Months Ended June 30,Six Months Ended June 30,
(Dollars in thousands)20232022Change20232022Change
Research and development$5,784 $6,859 $(1,075)$12,252 $13,358 $(1,106)
As a percentage of total net revenue9.4 %10.7 %(1.2)%10.5 %10.9 %(0.4)%
R&D expenses consist primarily of personnel expenses, clinical research, regulatory and material costs. R&D expenses decreased by $1.1 million in both the three and six-month comparisons. These decreases reflect clinical research expense associated with the launch of the AviClear device in April 2022.
General and Administrative (G&A)
Three Months Ended June 30,Six Months Ended June 30,
(Dollars in thousands)20232022Change20232022Change
General and administrative$18,528 $11,248 $7,280 $31,044 $24,750 $6,294 
As a percentage of total net revenue30.3 %17.5 %12.8 %26.7 %20.2 %6.5 %
G&A expenses consist primarily of personnel expenses, legal, accounting, audit and tax consulting fees, as well as other general and administrative expenses. G&A expenses increased by $7.3 million and $6.3 million, respectively, for the three and six-month comparisons. These increases were primarily due to $7.7 million of legal and advisory expenses incurred during the three months ended June 30, 2023 in connection with the Company's response to litigation and shareholder activism related to the Company's 2023 annual meeting of stockholders. Bad debt expense associated with an increase in the Company's allowance for credit losses resulted in an increase in expense of $2.0 million and $2.4 million, respectively, in the three and six-month comparisons.These increases in bad debt expense were offset by a decrease in stock compensation expense resulting from the departure of several executives and Board directors in the three months ended June 30, 2023, which resulted in the reversal of previously-recorded stock compensation expense related to forfeited awards..
Interest and Other Expense, Net
Interest and other expense, net, consists of the following:
Three Months Ended June 30,Six Months Ended June 30,
(Dollars in thousands)20232022Change20232022Change
Amortization of debt issuance costs$(557)$(298)$(259)$(1,109)$(517)$(592)
Interest on convertible notes(2,958)(1,149)(1,809)(5,897)(1,927)(3,970)
Loss on extinguishment of convertible notes— (34,423)34,423 — (34,423)34,423 
Interest income2,179 382 1,797 4,658 395 4,263 
Other expense, net(453)(1,910)1,457 (616)(2,678)2,062 
Interest and other expense, net$(1,789)$(37,398)$35,609 $(2,964)$(39,150)$36,186 


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Interest and other expense, net, decreased $35.6 million and $36.2 million for the three and six months ended June 30, 2023, respectively, compared to the same periods in 2022. In the three months ended June 30, 2022, the Company recorded a $34.4 million loss for the extinguishment of half of the 2026 Notes.

The issuance of the 2028 Notes and 2029 Notes in May 2022 and December 2022 resulted in an increase in interest income due to the increase in the Company's cash and marketable investments, and an increase in convertible note interest expense.
Provision for Income Taxes
Three Months Ended June 30,Six Months Ended June 30,
(Dollars in thousands)20232022Change20232022Change
Income tax expense$326 $(186)$512 $598 $47 $551 
The Company's income tax expense was $0.3 million and $0.6 million for the three and six months ended June 30, 2023, respectively, compared to a $0.2 million benefit and $47 thousand expense for the same periods in 2022.
Segment Results of Operations

Three Months Ended June 30, 2023Three Months Ended June 30, 2022
(Dollars in thousands)Cutera CoreAviClearTotalCutera CoreAviClearTotal
Revenue$57,222 $3,996 $61,218 $64,088 $136 $64,224 
Loss from operations$(18,689)$(10,840)$(29,529)$(1,880)$(8,184)$(10,064)
Interest and other income (expense), net(1,789)(37,398)
Loss before income taxes$(31,318)$(47,462)

Six Months Ended June 30, 2023Six Months Ended June 30, 2022
(Dollars in thousands)Cutera CoreAviClearTotalCutera CoreAviClearTotal
Revenue$107,820 $8,391 $116,211 $122,102 $136 $122,238 
Loss from operations$(33,384)$(19,714)(53,098)$(6,752)$(16,469)$(23,221)
Interest and other income (expense), net(2,964)(39,150)
Loss before income taxes$(56,062)$(62,371)

Cutera Core
The Cutera Core reportable segment consists of the Company’s systems, consumables, skincare, and service businesses. The Cutera Core segment develops and manufactures energy-based systems for medical practitioners in addition to distributing third-party manufactured skincare products in Japan. The installed base of systems provides opportunities for the segment to earn revenues through service contracts, consumables, and replacement handpieces.
Three months ended June 30, 2023, compared to three months ended June 30, 2022
The Cutera Core segment’s revenue decreased by $6.9 million in the three months ended June 30, 2023, compared to the three months ended June 30, 2022. This decrease reflected a decrease in system sales of $5.8 million due to ASP and unit volume decreases, and a decrease in Consumables revenue of $0.9 million.
The Cutera Core segment recorded a loss from operations of $18.7 million in the three months ended June 30, 2023, compared to a loss from operations of $1.9 million in the three months ended June 30, 2022. This $16.8 million adverse change mainly reflects a decrease in gross margin contribution of $8.2 million, legal and advisory expenses of $7.7 million incurred in connection with the Company's response to litigation and shareholder activism related to the Company's 2023 annual meeting

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of stockholders, and an increase in bad debt expense of $2.0 million. The decrease in gross margin contribution reflects Geographic revenue mix, primarily lower North American volume sales and higher foreign distributor sales, an increase in the Company's reserve for excess inventory parts, the effects of a weakening Japanese Yen on the Company's Skincare business, and cost increases in parts.
Six months ended June 30, 2023, compared to six months ended June 30, 2022
The Cutera Core segment’s revenue decreased by $14.3 million in the six months ended June 30, 2023, compared to the six months ended June 30, 2022. This decrease reflected a decrease in system sales of $9.0 million due to ASP and unit volume decreases, a decrease of $3.7 million in Skincare revenue due mainly to the weakening Japanese Yen, and a $1.1 million decrease in Consumable revenue.
The Cutera Core segment recorded a loss from operations of $33.4 million in the six months ended June 30, 2023, compared to a loss from operations of $6.8 million in the six months ended June 30, 2022. This $26.6 million adverse change mainly reflects a decrease in gross margin contribution of $17.3 million, legal and advisory expenses of $7.7 million incurred in connection with the Company's response to litigation and shareholder activism related to the Company's 2023 annual meeting of stockholders, and an increase in bad debt expense of $2.4 million. The decrease in gross margin contribution reflects Geographic revenue mix, primarily lower North America volume sales and higher foreign distributor sales, an increase in the Company's reserve for excess inventory parts, the effects of a weakening Japanese Yen on the Company's Skincare business, and cost increases in manufacturing.
AviClear
The Company’s AviClear reportable segment consists of the AviClear business. The Company’s acne solution, AviClear, is a prescription-free, drug-free laser treatment for the treatment of mild to severe acne. The Company began earning revenue from its AviClear device following FDA approval in March 2022. The Company leases the AviClear device to customers in North America and receives a fixed annual license fee over the term of the arrangement and variable revenue related to number of treatments performed by the lessee.
Three months ended June 30, 2023, compared to three months ended June 30, 2022
In the three months ended June 30, 2023, the Company recorded $1.4 million in lease license fee revenue and $2.6 million in treatment revenue.
The AviClear segment recorded a loss from operations of $10.8 million in the three months ended June 30, 2023, compared to a loss from operations of $8.2 million in the three months ended June 30, 2022. This $3.2 million adverse change reflects an increase in operating expenses of $4.1 million, partially offset by an increase of $0.9 million in gross margin contribution. The increase in operating expenses reflects additional sales and marketing headcount associated with the commercialization of the AviClear device.
Six months ended June 30, 2023, compared to six months ended June 30, 2022
In the six months ended June 30, 2023, the Company recorded $2.5 million in lease license fee revenue and $5.9 million in treatment revenue.
The AviClear segment recorded a loss from operations of $19.7 million in the six months ended June 30, 2023, compared to a loss from operations of $16.5 million in the three months ended June 30, 2022. This $3.7 million adverse change reflects an increase in operating expenses of $6.9 million, partially offset by an increase of $3.2 million in gross margin contribution. The increase in operating expenses reflects additional sales and marketing headcount associated with the commercialization of the AviClear device.

Liquidity and Capital Resources
The Company’s principal source of liquidity in the three months ended June 30, 2023, was cash generated from net proceeds from the issuance of the Convertible Notes in March 2021, May 2022 and December 2022. The Company actively manages its cash usage to ensure the maintenance of sufficient funds to meet its cash requirements. The majority of the Company’s cash, cash equivalents, and investments are held in U.S. banks. The Company's foreign subsidiaries maintain a limited amount of cash in their local banks to cover short-term operating expenses.

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As of June 30, 2023 and December 31, 2022, the Company had $266.9 million and $345.4 million of working capital, respectively. Cash, cash equivalents, restricted cash and marketable investments decreased by $94.7 million to $223.3 million as of June 30, 2023, from $318.0 million as of December 31, 2022, driven by net loss adjusted for non-cash items of $42.7 million, and an increase in asset balances of $51.5 million.
Cash, Cash Equivalents, Restricted Cash and Marketable Investments
The following table summarizes the Company's cash, cash equivalents, restricted cash and marketable investments:
(Dollars in thousands)June 30, 2023December 31, 2022Change
Cash and cash equivalents$180,654 $145,924 $34,730 
Restricted cash700 700 — 
Marketable investments41,949 171,390 (129,441)
       Total $223,303 $318,014 $(94,711)
Cash Flows
Six Months Ended June 30,
(Dollars in thousands)20232022
Net cash flow provided by (used in):
Operating activities$(68,330)$(30,085)
Investing activities105,625 (211,547)
Financing activities(2,565)152,518 
Net increase (decrease) in cash and cash equivalents$34,730 $(89,114)
Cash Flows from Operating Activities
Net cash used in operating activities in the six months ended June 30, 2023, was $68.3 million, which reflected net loss adjusted for non-cash items of $42.7 million, and changes in assets and liabilities of $25.6 million. The increase in current assets mainly reflects an increase in inventories, accounts receivable and other long-term assets.
Cash Flows from Investing Activities
Net cash provided by investing activities was $105.6 million in the six months ended June 30, 2023, which was attributable to the net sale of marketable investments of $131.5 million, partially offset by an $27.4 million increase in the AviClear device and assets under construction balances.
Cash Flows from Financing Activities
Net cash used in financing activities was $2.6 million in the six months ended June 30, 2023, which was primarily due to taxes paid related to net share settlement of equity awards.
Adequacy of Cash Resources to Meet Future Needs
The Company had cash and cash equivalents of $180.7 million and marketable investments of $41.9 million as of June 30, 2023. For the three months ended June 30, 2023, the Company’s principal source of liquidity was cash generated from proceeds received from the issuance of the Convertible Notes in March 2021, May 2022, and December 2022. The Company intends to use the net proceeds of the issuances to fund growth initiatives and market development activities and to provide for general corporate purposes, which may include working capital, capital expenditures, clinical trials, other corporate expenses and acquisitions of complementary products, technologies, or businesses.
The Company believes that the existing cash and cash equivalents and the cash available under the revolving credit facility will be sufficient to meet the Company’s anticipated cash needs for at least the next 12 months from the date the financial statements are issued, but there can be no assurances.
Debt

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In March 2021, the Company issued $138.3 million aggregate principal amount of 2026 Notes in a private placement offering. The 2026 Notes bear interest at a rate of 2.25% per year payable semiannually in arrears on March 15 and September 15 of each year. Upon conversion, the 2026 Notes will be convertible into either cash, shares of the Company’s common stock or a combination thereof, at the Company’s election. The convertible notes are presented as convertible notes, net of unamortized debt issuance costs, on the condensed consolidated balance sheet. The aggregate proceeds from the offering were approximately $133.6 million, net of issuance costs, including initial purchasers fees.
In May 2022, the Company issued $240.0 million aggregate principal amount of 2028 Notes. A total of $230.0 million of aggregate principal amount of 2028 Notes was issued in a private placement offering and concurrently with this private placement, the Company entered into a purchase agreement with Voce Capital Management LLC, an entity affiliated with J. Daniel Plants, the Company’s former Executive Chairperson, pursuant to which the Company issued to Voce $10.0 million aggregate principal amount of 2028 Notes on the same terms and conditions. The aggregate proceeds from the offering of 2028 Notes were approximately $232.4 million, net of issuance costs, including initial purchaser fees.
In December 2022, the Company issued $120.0 million aggregate principal amount of 2029 Notes in a private placement offering. The 2029 Notes bear interest at a rate of 4.00% per year payable semiannually in arrears on June 1 and December 1 of each year. Upon conversion, the 2029 Notes will be convertible into either cash, shares of the Company’s common stock or a combination thereof, at the Company’s election. The Convertible notes are presented as Convertible notes, net of unamortized debt issuance costs, on the consolidated balance sheet. The aggregate proceeds from the offering were approximately $115.8 million, net of issuance costs, including initial purchasers fees.
On July 9, 2020, the Company entered into a Loan and Security Agreement with Silicon Valley Bank for a four-year secured revolving loan facility (“SVB Revolving Line of Credit”) in an aggregate principal amount of up to $30.0 million. See Note 14 – Debt in the accompanying notes to the Company's condensed consolidated financial statements for more information.
The Loan and Security Agreement with Silicon Valley Bank contains customary affirmative covenants, such as financial statement reporting requirements and delivery of borrowing base certificates, as well as customary covenants that restrict the Company’s ability to, among other things, incur additional indebtedness, sell certain assets, guarantee obligations of third parties, declare dividends, or make certain distributions, and undergo a merger or consolidation or certain other transactions. The Loan and Security Agreement also contains certain financial condition covenants.
The Loan and Security Agreement has been amended since inception to permit the issuance of the Convertible Notes and related capped call transactions and to remove the quarterly minimum revenue requirement. On March 26, 2023, the FDIC announced that it had entered into a purchase and assumption agreement with First Citizens Bank & Trust Company under which all deposits of the former Silicon Valley Bank were assumed by First Citizens Bank & Trust Company. In addition, under the purchase and assumption agreement, First Citizens Bank & Trust Company assumed Silicon Valley Bank’s obligations under the Company’s Loan and Security Agreement.
The Company and First Citizens Bank & Trust Company agreed to amend the requirement for Cutera to maintain substantially all of its funds with First Citizens Bank & Trust Company and allowed up to 50% of the Company’s funds to be invested with institutions other than First Citizens Bank & Trust Company.
As of June 30, 2023, the Company had not drawn on the loan facility and the Company is in compliance with all financial covenants.
Commitments and Contingencies
As of the date of this report, there were no material changes to the Company’s contractual obligations and commitments outside the ordinary course of business since April 7, 2023, the filing date of the Company’s Annual Report on Form 10-K, as amended May 1, 2023.

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ITEM 3.    QUANTITATIVE AND QUALITATIVE DISCLOSURES ABOUT MARKET RISK
A summary of the key market risks facing the Company is disclosed below. For a detailed discussion, please see the Company’s Annual Report on Form 10-K for the year ended December 31, 2022, filed with the SEC on April 7, 2023, as amended on May 1, 2023, and other announcements the Company makes from time to time.
The conditional conversion feature of the Company's convertible notes, if triggered, may adversely affect the Company's financial condition and operating results.
The Company has outstanding the 2.25% Convertible Senior Notes due 2026 (the “2026 Notes”), the 2.25% Convertible Senior Notes due 2028, and the 4.00% Convertible Senior Notes due 2029. During any fiscal quarter commencing after the fiscal quarter ending on June 30, 2021 in the case of the 2026 Notes, commencing after the fiscal quarter ending on September 30, 2022 in the case of the 2028 Notes, and commencing after the fiscal quarter ending on March 31, 2023 in the case of the 2029 Notes, if the last reported sale price of the common stock for at least 20 trading days (whether or not consecutive) during a period of 30 consecutive trading days ending on and including, the last trading day of the immediately preceding fiscal quarter is greater than or equal to 130% of conversion price for the applicable series of Convertible Notes on each applicable trading day then holders may convert their notes in the subsequent quarter. This condition was not met for any of the Company’s Convertible Notes in the three months ended June 30, 2023. Upon any future conversion requests of the Convertible Notes, the Company would be required to pay or deliver, as the case may be, cash, shares of its common stock, or a combination of cash and shares of its common stock, at the Company’s election with respect to such conversion requests.
Interest Rate and Market Risk
As of June 30, 2023, the Company had not drawn on the Original Revolving Line of Credit, as amended. Overall interest rate sensitivity is primarily influenced by any amount borrowed on the line of credit and the prevailing interest rate on the line of credit facility. The effective interest rate on the line of credit facility is based on a floating per annum rate equal to the Prime rate. The Prime rate was 8.25% as of June 30, 2023, and accordingly the Company may incur additional expenses if the Company has an outstanding balance on the line of credit and the Prime rate increases in future periods.
Inflation
The Company has experienced inflationary pressure on its business. If the Company’s costs were to become subject to significant inflationary pressures, the Company may not be able to fully offset such higher costs through price increases. The Company’s inability or failure to do so could harm the Company’s business, financial condition, and results of operations.
Foreign Exchange Fluctuations
The Company generates revenue in Japanese Yen, Euros, Australian Dollars, Canadian Dollars, British Pounds, and Swiss Francs. Additionally, a portion of the Company’s operating expenses, and assets and liabilities are denominated in each of these currencies. Therefore, fluctuations in these currencies against the U.S. dollar could materially and adversely affect the Company’s results of operations upon translation of the Company’s revenue denominated in these currencies, as well as the re-measurement of the Company’s international subsidiaries’ financial statements into U.S. dollars.
In 2022, the Company experienced an adverse impact on revenues and gross margin from the weakening Japanese Yen. The Company will continue to be exposed to fluctuations in the exchange rate between U.S. Dollars and Japanese Yen, as the Company's skincare revenue is denominated in Japanese Yen. In July 2022, the Company implemented a hedging program to mitigate this exposure to the Japanese Yen fluctuation against the U.S. Dollar.

ITEM 4.    CONTROLS AND PROCEDURES
Evaluation of Disclosure Controls and Procedures
The Company maintains disclosure controls and procedures (as defined in Rules 13a-15(e) and 15d-15(e) under the Securities Exchange Act of 1934, as amended) that are designed to ensure that information required to be disclosed in the Company’s Exchange Act reports is recorded, processed, summarized and reported within the time periods specified in the SEC’s rules and forms and that such information is accumulated and communicated to the Company’s management, including the Company’s principal executive officer and principal financial officer, as appropriate, to allow for timely decisions regarding required disclosure.

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Management identified material weaknesses in the year ended December 31, 2022, over the Company’s internal controls over financial reporting. These material weaknesses are related to information technology general controls (“ITGCs”) including, segregation of duties, user access, and reports produced by certain IT systems that support the Company's financial reporting process including those related to the implementation of an ERP system; inventory controls related to the completeness, existence, and cut-off of inventories held at third parties, inventories held by sales personnel, and inventories in transit, and controls related to the calculation of adjustments to inventory for items considered excessive and obsolete; and the completeness and accuracy of expense for routine and non-routine equity-based awards. Although these material weaknesses did not result in any material misstatement of the Company's consolidated financial statements for the periods presented, they could lead to a material misstatement of account balances or disclosures. Accordingly, management concluded that these deficiencies constitute material weaknesses.
As required by SEC Rule 13a-15(b), the Company carried out an evaluation, under the supervision and with the participation of the Company’s management, including the Company’s principal executive officer and principal financial officer, of the effectiveness of the design and operation of the Company’s disclosure controls and procedures as of the end of the period covered by this Quarterly Report on Form 10-Q. The Company’s Chief Executive Officer (“CEO”) and Chief Financial Officer (“CFO”) concluded that the Company’s disclosure controls and procedures were not effective as of June 30, 2023, at the reasonable assurance level, because of the material weaknesses in internal controls, which were disclosed in the Company's Annual Report on Form 10-K for the year ended December 31, 2022. Notwithstanding these material weaknesses, the Company’s management, including the CEO and CFO, has concluded that the condensed consolidated financial statements, included in the Form 10-Q, for the three months ended June 30, 2023, fairly present, in all material respects, the Company's financial condition, results of operations and cash-flows for the periods presented in conformity with generally accepted accounting principles.
Remediation Plans
The Company’s management has been engaged in developing and implementing remediation plans to address the material weaknesses. The Company has hired three senior employees and a professional services firm in 2023 to support the remediation efforts. The Company's remediation efforts are ongoing and are expected to include the following:
ITGC remediation actions:
Developing a training program addressing ITGCs and policies, including educating control owners concerning the principles and requirements of each control, with a focus on those related to user access and change-management over IT systems impacting financial reporting;
Developing enhanced risk assessment procedures and controls related to changes in IT systems; and
Implementing an IT management review and testing plan to monitor ITGCs with focus on systems supporting the financial reporting processes.
Inventory control remediation actions:
Evaluating the effectiveness of the current annual inventory count program and controls;
Implementing a global inventory count policy and standard operating procedures to ensure consistent communication of the inventory count process and adherence to these policies at facilities managed by the Company and third-party logistics service providers;
Providing training of standard operating procedures and internal controls to key stakeholders within the supply chain, logistics, and inventory process; and
Enhancing existing management review controls related to inventory in transit, inventories held by sales personnel, and key reports used in in the inventory count process.
Equity-based awards expense calculation remediation actions:
• Enhancing current review controls around the calculation of stock-based compensation expense.

The actions the Company is taking are subject to ongoing executive management review and are also subject to audit committee oversight. The Company will not be able to fully remediate these material weaknesses until these remediation steps have been completed and have been operating effectively for a sufficient period. This remediation process will require resources and time to implement. The Company will continue to monitor the effectiveness of these remediation measures, and will make any changes to the design of the remediation plans and take such other actions deemed necessary given the circumstances. If the Company is unable to successfully remediate these material weaknesses, or if in the future, the Company identifies further

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material weaknesses in its internal control over financial reporting, the Company may not detect errors on a timely basis, and its condensed financial statements may be materially misstated.
Changes in Internal Control over Financial Reporting
Except for the remediation measures in connection with the material weaknesses described above, there were no changes in the Company's internal control over financial reporting during the quarter ended June 30, 2023, that have materially affected, or are reasonably likely to materially affect, the Company's internal control over financial reporting.
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 a company have been detected. Accordingly, the Company’s disclosure controls and procedures are designed to provide reasonable, not absolute, assurance that the objectives of the Company’s disclosure control system are met.
PART II. OTHER INFORMATION
ITEM 1.    LEGAL PROCEEDINGS
From time to time, the Company may be involved in legal and administrative proceedings and claims of various types. For a description of the Company’s material pending legal and regulatory proceedings and settlements, see Note 11 to the Company’s consolidated financial statements entitled “Commitments and Contingencies,” in the Annual Report on Form 10-K for the year ended December 31, 2022, filed with the SEC on April 7, 2023, and Note 13 to the Company's condensed consolidated financial statements entitled "Contingencies", in this Quarterly Report on Form 10-Q for the three and six months ended June 30, 2023.
ITEM 1A.    RISK FACTORS
There are no material changes from the Risk Factors previously disclosed in the Company’s Annual Report on Form 10-K for the fiscal year ended December 31, 2022, filed with the SEC on April 7, 2023 (the “Annual Report”), as amended on May 1, 2023, as supplemented by the additional Risk Factors included in our Quarterly Report for the period ended March 31, 2023, filed with the SEC on May 10, 2023, other than those noted below:
Our business could be negatively affected by litigation initiated by J. Daniel Plants in relation to his prior activist campaign to remove directors, as well as by potential actions of other activist stockholders.

On April 11, 2023, J. Daniel Plants and David H. Mowry, our former Executive Chairperson and former Chief Executive Officer, respectively, filed a complaint in the Delaware Court of Chancery against five of the Company’s independent directors, Gregory Barrett, Sheila Hopkins, Timothy O’Shea, Juliane Park and Janet Widmann, as defendants, and the Company, as nominal defendant (the “Delaware Litigation”), seeking a declaration that the individual defendants breached their fiduciary duties and to enjoin them from enforcing the nomination deadline under the Company’s Bylaws in connection with the 2023 annual meeting of stockholders, or in the alternative, a declaration that the Company must hold a special meeting of the stockholders on June 2, 2023. On May 16, 2023, Mr. Mowry filed a letter with the Court of Chancery disclosing that he had resolved his dispute with the defendants and agreed to dismiss his claims with prejudice. On May 17, 2023, the Court of Chancery granted an order for voluntary dismissal of Mr. Mowry as a plaintiff in the Delaware Litigation. The Delaware Litigation remains pending with respect to Mr. Plants. The Delaware Litigation was initiated by Mr. Plants in connection with the campaign of Mr. Plants and Voce Capital Management LLC to remove certain directors of the Board at a special meeting of stockholders and subsequently nominate new directors for election at the Company’s 2023 annual meeting of stockholders. Mr. Plants withdrew his demand for a special meeting of stockholders, and the Company held the 2023 annual meeting of stockholders on July 13, 2023, having received no additional director nominations from Mr. Plants.

Activist campaigns that contest or conflict with our strategic direction or seek changes in the composition of our Board or management could have an adverse effect on our operating results and financial condition. A proxy contest could require us to incur significant legal and advisory fees, proxy solicitation expenses and administrative and associated costs. In addition, proxy contests require significant time and attention by our Board and management to address stockholder matters, diverting their attention from executing on our business strategy. Any perceived uncertainties as to our future direction and control, our ability to execute on our strategy, or changes to the composition of our Board or senior management team arising from a proxy contest could lead to the perception of a change in the direction of our business or instability which may result in the loss of potential

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business opportunities, be exploited by our competitors, cause concern for those enrolling in our clinical trials, make it more difficult to pursue our strategic initiatives, or limit our ability to attract and retain qualified personnel and business partners, any of which could adversely affect our business and operating results.

Actions such as those described above could cause significant fluctuations in our stock price based upon temporary or speculative market perceptions or other factors that do not necessarily reflect the underlying fundamentals and prospects of our business.
Our business could be negatively affected as a result of the pending securities fraud action brought against the Company and certain former officers and directors.

On May 24, 2023, purported shareholder Erie County Employees’ Retirement System filed a putative class action securities fraud complaint in the U.S. District Court for the Northern District of California against the Company, David H. Mowry, Rohan Seth, and J. Daniel Plants, asserting claims for violation of Sections 10(b) and 20(a) of the Securities Exchange Act of 1934. The case is styled Erie County Employees’ Retirement System v. Cutera, Inc., et al., Case No. 4:23-cv-02560 (N.D. Cal.) (Tigar, J.).

The complaint purports to be brought on behalf of all investors who purchased or otherwise acquired Cutera stock between February 17, 2021 and May 9, 2023. According to the complaint, during that time period, defendants allegedly made materially false and misleading statements in SEC filings and press releases and during investor calls. In particular, the complaint alleges that defendants overstated the sustainability of the Company’s revenue growth and failed to disclose material adverse facts regarding conflicts among senior officers and the Board of Directors and regarding weaknesses in the Company’s internal controls over financial reporting. Additional information concerning this action is publicly available in court filings in the Northern District of California under docket number 4:23-cv-02560.

This action could divert our management’s attention and resources from our ordinary business operations, and we could incur significant expenses associated with defending it (including, without limitation, substantial attorneys’ fees and other fees of professional advisors and potential obligations to indemnify current and former officers and directors who are or may become parties to this action, to the extent not covered by insurance). There can also be no assurance that we will be successful in any defense.

We also may be required to pay material damages, consent to injunctions on future conduct and suffer other penalties, remedies or sanctions. In addition, the action could adversely impact our reputation and harm our ability to generate revenue. Accordingly, the ultimate resolution of this matter could have a material adverse effect on our business, financial condition, results of operations and cash flow and, consequently, could negatively impact the trading price of our common stock.

We have recently experienced turnover in our executive management and Board of Directors, which creates uncertainties and could harm our business.

We have experienced significant changes in our executive leadership and Board of Directors during 2023. As discussed above, on April 11, 2023, the Board of Directors terminated Mr. Plants as Executive Chairman and Mr. Mowry as Chief Executive Officer, and appointed Ms. Widmann as Chair of the Board and Ms. Hopkins as Interim Chief Executive Officer. On May 3, 2023, Rohan Seth, the Company’s Chief Financial Officer, resigned effective May 26, 2023 and Stuart Drummond was appointed as Interim Chief Financial Officer. Additionally, the Company appointed Kevin Cameron, Taylor Harris, Nicholas Lewin and Keith Sullivan to the Board in May 2023 and each of Mr. Mowry, Mr. Plants and Joseph Whitters resigned from the board of directors and Gregory Barrett and Timothy O’Shea did not stand for re-election at the 2023 annual meeting of stockholders. A new Board of Directors of Mmes. Hopkins, Widmann and Park, and Messrs. Cameron, Harris, Lewin and Sullivan were elected by the Company’s stockholders on July 13, 2023. Taylor Harris was subsequently announced as the full-time President and Chief Executive Officer on July 27, 2023.

Changes to strategic or operating goals, which can often times occur with the appointment of new executives, can create uncertainty, may negatively impact our ability to execute quickly and effectively, and may ultimately be unsuccessful. In addition, executive leadership transition periods are often difficult as the new executives gain detailed knowledge of our operations, and friction can result from changes in strategy and management style. Management turnover inherently causes some loss of institutional knowledge, which can negatively affect strategy and execution. If we do not integrate new executives and board members successfully, we may be unable to manage and grow our business, and our financial condition and profitability may suffer as a result. In addition, to the extent we experience additional management turnover, competition for top management is high and it may take months to find a candidate that meets our requirements. If we are unable to attract and retain qualified management personnel, our business could suffer.

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Our distribution agreement with ZO requires us to meet certain minimum purchase requirements during each calendar year. Since we did not meet these minimum requirements in 2022 and have not reached a mutually agreed upon resolution with ZO, ZO has indicated its intent to terminate the distribution agreement and assume distribution of the ZO product line beginning in the third quarter of 2024.

we have an exclusive distribution agreement with ZO to distribute ZO’s proprietary skincare products in Japan, which distribution agreement requires us to meet certain minimum purchase requirements during each calendar year. Such minimum purchase requirements were not met for the 2022 fiscal year because of global economic factors, such as the unprecedented decline in the value of the Japanese Yen compared to the U.S. Dollar over the course of 2022. Since we did not meet these minimum purchase requirements in 2022 and have not reached a mutually agreed upon resolution with ZO whereby we would continue serving as a distributor of the ZO product line, ZO has indicated its intent to terminate the distribution agreement and assume distribution of the ZO product line beginning in the third quarter of 2024.

We are currently negotiating the terms of the transition of the distribution of the ZO product line to ZO, but anticipate there may be an adverse effect to our future revenue, results of operations, cash flows and stock price beginning in July 2024.
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.
ITEM 5.    OTHER INFORMATION
None.

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ITEM 6.    EXHIBITS
Exhibit
No.
Description
3.2 

3.4 
4.1 
31.1 
31.2 
32.1 
101.schInline XBRL Taxonomy Extension Schema Document
101.calInline XBRL Taxonomy Extension Calculation Linkbase Document
101.defInline XBRL Taxonomy Extension Definition Linkbase Document
101.labInline XBRL Taxonomy Extension Label Linkbase Document
101.preInline XBRL Taxonomy Extension Presentation Linkbase Document
104 Cover Page Interactive Data File (formatted as inline XBRL and contained in Exhibit 101)

*    Management contract or compensatory plan


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SIGNATURE
Pursuant to the requirements of Section 13 or 15(d) 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, in the city of Brisbane, State of California, on the 9th day of August, 2023.
CUTERA, INC.
/s/ Stuart Drummond
Stuart Drummond
Interim Chief Financial Officer


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