Item 2. Management’s Discussion and Analysis
Item 2. Management’s Discussion and Analysis of Financial Condition and Results of Operations
The following discussion and analysis of our financial condition and results of operations should be read in conjunction with the condensed consolidated financial statements and related notes thereto included elsewhere in this Quarterly Report on Form 10-Q. This discussion and other parts of this Quarterly Report on Form 10-Q contain forward-looking statements that involve risks and uncertainties, such as statements of our plans, objectives, expectations and intentions, that are based on the beliefs of our management, as well as assumptions made by, and information currently available to, our management and should be read in conjunction with the section of this Quarterly Report on Form 10-Q entitled “Risk Factors.” Our actual results could differ materially from those discussed in these forward-looking statements. Factors that could cause or contribute to such differences include, but are not limited to, those discussed in the section entitled “Risk Factors.”
Overview
IRIDEX is an ophthalmic medical technology company focused on the development and commercialization of breakthrough products and procedures used to treat sight-threatening eye conditions, including glaucoma and retinal diseases.
Our propriety MicroPulse ® Technology and Endpoint Management Technology are used for the treatment of glaucoma and retina disorders. Both technologies are offered as optional treatment modes in select laser consoles in addition to the standard continuous-wave (“CW”) treatment mode. They allow low-energy, subvisible, tissue-sparing laser therapy by different means: MicroPulse technology uses short, microsecond-long laser pulses that allow tissue to cool between pulses giving physicians finer control of thermal elevation to minimize tissue damage. Endpoint Management technology uses a delivery algorithm to titrate the laser energy. CW laser photocoagulation can stabilize vision over the long term but can also result in varying degrees of vision loss. Both MicroPulse and Endpoint Management technologies have demonstrated clinical efficacy with a safer profile compared to standard high-energy CW laser for the treatment of both retinal diseases and glaucoma.
Our products consist of laser consoles, delivery devices and consumable probes.
Our laser consoles consist of the following product lines:
• Glaucoma – Our primary glaucoma console line is the Cyclo G6 ® laser system with MicroPulse technology. In addition, our medical retina consoles have features supporting glaucoma laser treatments.
• Medical Retina – Our medical-retina product line includes our portable IQ 532 ® and IQ 577 ® laser systems with MicroPulse technology; and the Pattern Scanning Laser (“PASCAL”) System, an integrated workstation with Endpoint Management technology and MicroPulse technology. These systems are ideal for multispecialty practices because these lasers also can be used to treat glaucoma, i.e., single-spot laser trabeculoplasty using MicroPulse technology, iridotomy, and iridectomy using the IQ lasers; and pattern scanning laser trabeculoplasty (“PSLT”) using the PASCAL laser system.
• Surgical Retina – Our surgical-retina product line includes our OcuLight ® TX and OcuLight ® SLx (with MicroPulse technology) laser photocoagulation systems. These systems are often used in vitrectomy procedures, which are used to treat proliferative diabetic retinopathy, macular holes, retinal tears and detachments.
Our business generates recurring revenues through sales of consumable products, predominantly single-use laser probe devices and other instrumentation, as well as repair, service and extended service contracts for our laser systems.
Our laser probes consist of the following product lines:
• Glaucoma – Probes used in our glaucoma product line include our patented single-use delivery devices - MicroPulse P3 ® , G-Probe ® , and G-Probe Illuminate ® .
• Surgical Retina – Probes used in our surgical-retina product line include our family of single-use EndoProbe ® handpieces.
Ophthalmologists typically use our laser systems in hospital operating rooms and ambulatory surgical centers, as well as their offices and clinics. In operating rooms and ambulatory surgical centers, ophthalmologists use our laser systems with either an indirect laser ophthalmoscope or a single-use consumable probe, including MicroPulse P3 ® , G-Probe ® and G-Probe Illuminate ® delivery devices, and EndoProbe handpieces. In the offices and clinics, ophthalmologists use our laser systems with either an indirect laser ophthalmoscope or a slit-lamp adapter.
Our products are sold in the United States and Germany predominantly through a direct sales force and internationally (aside from Germany) primarily through independent distributors.
Sales to international distributors are made on open credit terms or letters of credit and are currently denominated in U.S. dollars and accordingly, are not subject to risks associated with currency fluctuations. However, increases in the value of the U.S. dollar against any local currencies could cause our products to become relatively more expensive to customers in a particular country or region, leading to reduced revenue or profitability in that country or region. Sales to direct end users transacted through our German office are denominated in Euros and are subject to risks associated with currency fluctuations.
Cost of revenues consists primarily of our direct manufacturing costs which include the cost of components and sub-systems, assembling, packaging, shipping and testing components at our facility, direct labor and associated overhead, warranty, royalty and
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amortization of intangible assets and depot service costs. For certain of our products, we are responsible for the cost of the fully assembled product that is manufactured by a third-party.
Research and development expenses consist primarily of personnel costs, materials to support new product development and research support provided to clinicians at medical institutions developing new applications which utilize our products and regulatory expenses. Research and development costs have been expensed as incurred.
Sales and marketing expenses consist primarily of costs of personnel, sales commissions, travel expenses, advertising and promotional expenses.
General and administrative expenses consist primarily of costs of personnel, legal, accounting and other public company costs, insurance and other expenses not allocated to other departments.
Impact of Macroeconomic Conditions to our Business
Current macroeconomic conditions exhibit challenges that can affect capital equipment purchasing demand and timing, including recessionary fears, inflation concerns, heightened interest rates as a result of government actions to combat inflation, and uncertainty in the global banking and financial services market, concerns related to the upcoming presidential election in the United States, as well as other geopolitical developments, have impacted and may continue to impact business spending and the economy as a whole. As a result, we have seen customers extend purchase decision cycles. We have also experienced some demand softness due to pricing effects from the strength of the U.S. Dollar that have impacted and may continue to impact our operations.
The macroeconomic conditions on our business and operations remain uncertain, and it is not possible for us to predict the duration and extent to which they will affect our business, future results of operations, and financial condition.
For more information on risks associated with the current macroeconomic conditions, see the sections titled “Risk Factors” in Item 1A of Part II.
Results of Operations
The following table sets forth certain operating data as a percentage of revenues:
Three Months Ended
March 30, 2024
April 1, 2023
Revenues
100.0
%
100.0
%
Cost of revenues
62.1
%
56.7
%
Gross margin
37.9
%
43.3
%
Operating expenses:
Research and development
13.1
%
12.8
%
Sales and marketing
31.9
%
31.2
%
General and administrative
21.0
%
16.3
%
Total operating expenses
66.0
%
60.3
%
Loss from operations
(28.1
%)
(17.0
%)
Other income, net
(1.1
%)
1.9
%
Loss from operations before provision for income taxes
(29.2
%)
(15.1
%)
Provision for income taxes
0.3
%
0.1
%
Net loss
(29.5
%)
(15.2
%)
The following comparisons are between the three months ended March 30, 2024 and April 1, 2023 (in thousands):
Revenues
Three Months Ended
Change in $
Change in %
March 30, 2024
April 1, 2023
Cyclo G6
$
2,953
$
3,669
$
(716
)
(19.5
%)
Retina
6,774
7,214
(440
)
(6.1
%)
Other
2,034
2,823
(789
)
(27.9
%)
Total revenues
$
11,761
$
13,706
$
(1,945
)
(14.2
%)
Our total revenues decreased by $1.9 million, or 14.2%, from $13.7 million to $11.8 million. The decrease was driven by an overall softer demand in our product lines, and lower royalties due to the expiration of licensed patents.
While we believe that market for our products remains strong, however the overall capital expenditure landscape within hospitals, surgical centers and physician offices may continue to be negatively impacted by persistent macroeconomic concerns.
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Gross Profit and Gross Margin
Gross profit decreased $1.5 million, or 25% from $5.9 million to $4.5 million. Gross margin decreased by 5.4% from 43.3% to 37.9%. The decrease in gross margin was the result of lower overhead absorption in the current period and a more favorable product mix in the same period in the prior year.
Gross margins may fluctuate due to changes in the relative proportion of domestic and international sales, the product mix of sales, introduction of new products, manufacturing variances, total unit volume changes that lead to greater or lesser production efficiencies and other factors.
Research and Development
Research and development expenses decreased by $0.2 million, or 12.2% from $1.7 million to $1.5 million. Spending on investment in PASCAL product line and on new and expanded product portfolio decreased as we completed these projects.
Sales and Marketing
Sales and marketing expenses decreased $0.6 million, or 12.5%, from $4.3 million to $3.7 million. The decrease was related to lower sales costs associated with lower commissions and reduction on headcount.
General and Administrative
General and administrative expenses increased by $0.2 million, or 10% from $2.3 million to $2.5 million. The increase is a result of higher consulting costs.
Other Income (Expense), Net
Other income (expense), net was $0.1 million for the three months ended March 30, 2024 compared to other income (expense), net, of $0.3 million for the three months ended April 1, 2023. Other income (expense), net, consisted primarily of interest income or expense and foreign currency gain or loss.
Income Taxes
We recorded an income tax provision of $38 thousand and $12 thousand for the three months ended March 30, 2024 and April 1, 2023, respectively.
Liquidity, Capital Resources and Management Plans
Liquidity is our ability to generate sufficient cash flows from operating activities to meet our obligations and commitments. In addition, liquidity includes the ability to obtain appropriate financing or to raise capital.
As of March 30, 2024, we had cash and cash equivalents of $5.4 million and working capital of $11.5 million compared to cash and cash equivalents of $7.0 million and working capital of $14.5 million as of December 30, 2023.
Net cash used in operating activities was $1.6 million in the three months ended March 30, 2024 compared to net cash used in operating activities of $2.8 million in the three months ended April 1, 2023. The decrease in net cash used in operating activities, expressed in direct cash flow terms, was primarily due to cash provided by inventory, accounts receivable from related parties, prepaids, and other long-term assets, offset by increases in cash used in accounts payable and deferred revenue.
For the three months ended March 30, 2024, net cash used in investing activities was $3 thousand, which consisted of capital expenditures. For the three months ended April 1, 2023, net cash used in investing activities was $43 thousand, which consisted of capital expenditures.
For the three months ended March 30, 2024, no net cash was used in financing activities. For the three months ended April 1, 2023, net cash provided by financing activities was $37 thousand, primarily from payroll taxes related to net share settlement of equity awards partially offset by the net proceeds arising from the proceeds from stock option exercises.
We have historically funded our operations primarily through sales of our products to customers, sales of our common stock and borrowing arrangements. As of March 30, 2024, our principal sources of liquidity consisted of cash and cash equivalents of $5.4 million. We have incurred net losses over the last several years, and as of March 30, 2024, have an accumulated deficit of approximately $82.5 million. We expect to continue to incur operating losses and negative cash flows from operations.
Management evaluates whether there are relevant conditions and events that, in the aggregate, raise substantial doubt about the Company’s ability to continue as a going concern and to meet its obligations as they become due within one year after the date that the financial statements are issued.
The accompanying condensed consolidated financial statements have been prepared assuming we will continue as a going concern. However, we have sustained operating losses in the current quarter and expect to incur losses in the next five quarters. Accordingly, we concluded there was substantial doubt about our ability to continue as a going concern for 12 months from the date of
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the filing of this Quarterly Report on Form 10-Q. However, management currently believes that it has plans in place to reduce cash expenditure and can alleviate this substantial doubt as of the date of this filing.
To fund further operations, we will need to raise additional capital. We may obtain additional financing in the future through the issuance of common stock, other equity or debt financing. Our ability to continue as a going concern or meet the minimum liquidity requirements in the future is dependent on our ability to raise additional capital, of which there can be no assurance. If the necessary financing is not obtained or achieved, we will likely be required to reduce our planned expenditures, which could have a material adverse impact on our results of operations, financial condition and our ability to achieve our strategic objective. There can be no assurance that financing will be available on acceptable terms, or at all. In addition, any debt financing obtained by us in the future could also involve restrictive covenants relating to our capital-raising activities and other financial and operational matters, which may make it more difficult for us to obtain additional capital and to pursue business opportunities.
Off-Balance Sheet Arrangements
We do not have any off-balance sheet arrangements that have or are reasonably likely to have a material current or future effect on our financial condition, changes in financial condition, revenues or expenses, results of operations, liquidity, capital expenditures or capital resources.
Item 3. Quantitative and Qualitat ive Disclosure about Market Risk
As a “smaller reporting company,” as defined in Rule 12b-2 of the Exchange Act, we are not required to provide the information called for by this Item.
Text extracted from the filing as submitted to EDGAR. Formatting, tables and exhibits are simplified for reading; the original document is authoritative for anything you rely on.