| • |
Continued progress toward historic expansion of CPT codes for reimbursement for inflammatory and auto-immune skin diseases, effectively tripling the covered patient population in the US, including
recent recognition of expanded CPT codes by the Center for Medicare and Medicaid Services (CMS) 2026 final PFS (Physician Fee Schedule) rule
|
| • |
COFEPRIS (Mexican regulatory agency) clearance of TheraClearX in Mexico and first commercial placements
|
| • |
Multiple new peer-reviewed publications further validating the XTRAC® gold standard clinical outcomes in treatment of autoimmune diseases – in vitiligo in combination therapy with JAK inhibitors,
in psoriasis in combination therapy with topical drug, as breakthrough therapy for localized atopic dermatitis, and in treating mycosis fungiodes (a rare variant of cutaneous lymphoma). The Company holds patents for these combination
treatments, further positioning XTRAC as the only clinically proven and intellectual property protected solution
|
| • |
Positive developments in the ongoing lawsuit against LaserOptek with the addition of LaserOptek Korea and C. Dalton, LLC as defendants, improving the opportunity for collecting damages
|
| • |
Recapturing of dozens of partner clinics previously lost to LaserOptek under false representation of ability to claim insurance reimbursement with anything but Excimer Laser
|
| • |
Average gross billings per device of $5,981 increased 8.5% over the comparable prior-year period, and represents the highest gross billings per device per quarter since the fourth quarter of 2022
|
| • |
U.S. install base of XTRAC devices declined by 6 during the third quarter of 2025, to 838
|
| • |
US install base of TheraClearX of 161
|
| • |
Gross margin for the quarter came in at 60%, roughly in line with third quarter 2024
|
| • |
EBITDA was slightly positive in the third quarter of 2025 vs. negative $0.2 million in the comparable prior-year period
|
| • |
Total revenue declined by ~$1.9 million due to softness in international markets driven primarily by instability in international trade policy
|
| • |
Ended the second quarter of 2025 with $7.1 million of cash following $2.4 million registered direct offering
|
|
Three Months Ended
September 30,
|
Nine Months Ended
September 30,
|
|||||||||||||||
|
(in thousands)
|
2025
|
2024
|
2025
|
2024
|
||||||||||||
|
Net loss
|
$
|
(1,622
|
)
|
$
|
(2,074
|
)
|
$
|
(6,319
|
)
|
$
|
(5,531
|
)
|
||||
|
Adjustments:
|
||||||||||||||||
|
Depreciation and amortization
|
864
|
1,239
|
3,302
|
3,738
|
||||||||||||
|
Amortization of operating lease right-of-use asset
|
87
|
81
|
259
|
255
|
||||||||||||
|
Loss on disposal of property and equipment
|
20
|
19
|
83
|
38
|
||||||||||||
|
Interest expense, net
|
449
|
469
|
1,131
|
1,425
|
||||||||||||
|
Non-GAAP EBITDA
|
(202
|
)
|
(266
|
)
|
(1,544
|
)
|
(75
|
)
|
||||||||
|
Employee retention credit
|
-
|
-
|
-
|
(864
|
)
|
|||||||||||
|
Stock-based compensation
|
212
|
26
|
469
|
301
|
||||||||||||
|
Inventory write-off
|
-
|
-
|
-
|
141
|
||||||||||||
|
Non-GAAP adjusted EBITDA
|
$
|
10
|
$
|
(240
|
)
|
$
|
(1,075
|
)
|
$
|
(497
|
)
|
|||||
|
Three Months Ended
September 30,
|
Nine Months Ended
September 30,
|
|||||||||||||||
|
(in thousands)
|
2025
|
2024
|
2025
|
2024
|
||||||||||||
|
Gross domestic recurring billings
|
$
|
5,012
|
$
|
4,813
|
$
|
13,750
|
$
|
14,126
|
||||||||
|
Co-Pay adjustments
|
(87
|
)
|
(84
|
)
|
(242
|
)
|
(247
|
)
|
||||||||
|
Other Discounts
|
(14
|
)
|
(19
|
)
|
(28
|
)
|
(76
|
)
|
||||||||
|
Deferred revenue from prior quarters
|
1,656
|
1,812
|
1,545
|
1,624
|
||||||||||||
|
Deferral of revenue to future quarters
|
(1,779
|
)
|
(1,867
|
)
|
(1,779
|
)
|
(1,867
|
)
|
||||||||
|
GAAP domestic revenue
|
$
|
4,787
|
$
|
4,655
|
$
|
13,245
|
$
|
13,560
|
||||||||
|
September 30, 2025
|
December 31, 2024
|
|||||||
|
(unaudited)
|
||||||||
|
Assets
|
||||||||
|
Current assets:
|
||||||||
|
Cash and cash equivalents
|
7,076
|
7,261
|
||||||
|
Restricted cash
|
-
|
1,334
|
||||||
|
Accounts receivable, net of allowance for credit losses of $538 and $433 at September 30, 2025
and December 31, 2024, respectively
|
3,504
|
5,253
|
||||||
|
Inventories
|
3,058
|
2,246
|
||||||
|
Prepaid expenses and other current assets
|
634
|
501
|
||||||
|
Total current assets
|
14,272
|
16,595
|
||||||
|
Property and equipment, net
|
9,557
|
10,061
|
||||||
|
Operating lease right-of-use assets
|
1,005
|
1,264
|
||||||
|
Intangible assets, net
|
4,223
|
5,348
|
||||||
|
Goodwill
|
1,429
|
1,429
|
||||||
|
Other assets
|
231
|
231
|
||||||
|
Total assets
|
30,717
|
34,928
|
||||||
|
Liabilities and Stockholders' Equity
|
||||||||
|
Current liabilities:
|
||||||||
|
Current portion of long-term debt
|
1,875
|
-
|
||||||
|
Accounts payable
|
2,955
|
2,433
|
||||||
|
Accrued expenses and other current liabilities
|
6,210
|
7,364
|
||||||
|
Deferred revneues
|
2,551
|
2,241
|
||||||
|
Current portion of oeprating lease liabilities
|
266
|
328
|
||||||
|
Current portion of contingent consideration
|
1,176
|
1,030
|
||||||
|
Total current liabilities
|
15,033
|
13,396
|
||||||
|
Long-term debt, net
|
13,435
|
15,192
|
||||||
|
Deferred revenues and other liabilities
|
199
|
353
|
||||||
|
Operating lease liabilities, net of current portion
|
736
|
919
|
||||||
|
Contingent consideration, net of current portion
|
-
|
96
|
||||||
|
Total liabilities
|
29,403
|
29,956
|
||||||
|
Commitments and contingencies
|
||||||||
|
Stockholders equity:
|
||||||||
|
Series C covertible preferred stock, $0.10 par value; 10,000,000 shars authorised, no shares
issued and outstanding
|
-
|
-
|
||||||
|
Common stock, $0.001 par value; 150,000,000 shares authorised; 5,268,708 and 4,171,161 shares
issued and outstanding at September 30, 2025 and December 31, 2024, respectively
|
5
|
4
|
||||||
|
Additional paid-in capital
|
255,772
|
253,112
|
||||||
|
Accumulated deficit
|
(254,463
|
)
|
(248,144
|
)
|
||||
|
Total stockholders' equity
|
1,314
|
4,972
|
||||||
|
Total liabilities and stockholders' equity
|
30,717
|
34,928
|
||||||
|
Three Months Ended
September 30,
|
Nine Months Ended
September 30,
|
|||||||||||||||
|
2025
|
2024
|
2025
|
2024
|
|||||||||||||
|
Revenues, net
|
$
|
6,929
|
$
|
8,797
|
$
|
21,404
|
$
|
23,986
|
||||||||
|
Cost of revenue
|
2,745
|
3,511
|
9,137
|
10,527
|
||||||||||||
|
Gross profit
|
4,184
|
5,286
|
12,267
|
13,459
|
||||||||||||
|
Operating expenses
|
||||||||||||||||
|
Engineering and product development
|
172
|
243
|
354
|
683
|
||||||||||||
|
Selling and marketing
|
3,201
|
3,027
|
9,857
|
9,215
|
||||||||||||
|
General and administrative
|
2,668
|
3,621
|
7,928
|
8,531
|
||||||||||||
|
Other
|
(684
|
)
|
-
|
(684
|
)
|
-
|
||||||||||
|
Total operating expenses
|
5,357
|
6,891
|
17,455
|
18,429
|
||||||||||||
|
Loss from operations
|
(1,173
|
)
|
(1,605
|
)
|
(5,188
|
)
|
(4,970
|
)
|
||||||||
|
Other income (expense):
|
||||||||||||||||
|
Interest expense
|
(498
|
)
|
(537
|
)
|
(1,475
|
)
|
(1,592
|
)
|
||||||||
|
Interest income
|
49
|
68
|
344
|
167
|
||||||||||||
|
Other Income
|
-
|
-
|
-
|
864
|
||||||||||||
|
Total other expense
|
(449
|
)
|
(469
|
)
|
(1,131
|
)
|
(561
|
)
|
||||||||
|
Net loss
|
$
|
(1,622
|
)
|
$
|
(2,074
|
)
|
$
|
(6,319
|
)
|
$
|
(5,531
|
)
|
||||
|
Net loss per share of common stock, basic and diluted
|
$
|
(0.36
|
)
|
$
|
(0.51
|
)
|
$
|
(1.48
|
)
|
$
|
(1.50
|
)
|
||||
|
Weighted aveage shares of common stock outstanding, basic and diluted
|
4,481,337
|
4,038,988
|
4,275,689
|
3,684,976
|
||||||||||||
|
Nine Months Ended September 30,
|
||||||||
|
2025
|
2024
|
|||||||
|
Cash flows from operating activities:
|
||||||||
|
Net loss
|
$
|
(6,319
|
)
|
$
|
(5,531
|
)
|
||
|
Adjustments to reconcile net loss ot net cash provided by (used in) operating activities:
|
||||||||
|
Depreciation and amortization
|
3,302
|
3,738
|
||||||
|
Amortization of operating lease right-of-use assets
|
259
|
255
|
||||||
|
Amortization of deferred financing costs and debt discount
|
118
|
109
|
||||||
|
Change in provision for credit losses
|
116
|
(40
|
)
|
|||||
|
Stock-based compensation expense
|
469
|
301
|
||||||
|
Loss on disposal of property and equipment
|
83
|
38
|
||||||
|
Settlement gains
|
(684
|
)
|
-
|
|||||
|
Inventory write-off
|
-
|
141
|
||||||
|
Changes in operating assets and liabilities:
|
||||||||
|
Account receivable
|
1,633
|
37
|
||||||
|
Inventories
|
(630
|
)
|
14
|
|||||
|
Prepaid expenses and other assets
|
(133
|
)
|
15
|
|||||
|
Accounts payable
|
474
|
(1,638
|
)
|
|||||
|
Accrued expenses and other liabilities
|
(1,200
|
)
|
2,118
|
|||||
|
Deferred revenues
|
202
|
170
|
||||||
|
Operating lease liabilities
|
(245
|
)
|
(242
|
)
|
||||
|
Net cash provided by (used in) operating activities
|
(2,555
|
)
|
(515
|
)
|
||||
|
Cash flows from investing activities:
|
||||||||
|
Purchase of property and equipment
|
(1,156
|
)
|
(1,132
|
)
|
||||
|
Net cash used in investing activities
|
(1,156
|
)
|
(1,132
|
)
|
||||
|
Cash flows from Financing activities:
|
||||||||
|
Payment of contingent consideration
|
-
|
(18
|
)
|
|||||
|
Sale of common stock, net of offering costs
|
2,192
|
1,943
|
||||||
|
Net cash provided by financing activities
|
2,192
|
1,925
|
||||||
|
Net decrease in cash, cash equivalents and restricted cash
|
(1,519
|
)
|
278
|
|||||
|
Cash, cash equivalents and restricted cash at beginning of period
|
8,595
|
8,118
|
||||||
|
Cash, cash equivalents and restricted cash at end of period
|
$
|
7,076
|
$
|
8,396
|
||||
|
Supplemental disclosure of cash flow information:
|
||||||||
|
Cash paid during the year for interest
|
$
|
1,366
|
$
|
1,490
|
||||
|
Supplemental schedule of non-cash operating, investing, and financing activities:
|
||||||||
|
Operating lease right-of-use assets obtained in exchange for operating lease
|
$
|
-
|
$
|
977
|
||||
|
Transfer of property and equipment to inventories
|
$
|
182
|
$
|
266
|
||||
|
Accrued payment of contingent consideration
|
$
|
-
|
$
|
44
|
||||
|
Property and equipment included in accounts payable
|
$
|
98
|
$
|
-
|
||||
|
Accrued exit fee recorded as debt discount
|
$
|
-
|
$
|
150
|
||||