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Apyx Medical Corporation

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FY2020 Annual Report · Apyx Medical Corporation
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UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

FORM 10-K 

☒

☐

ANNUAL REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934

For the fiscal year ended  December 31, 2020

or

TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934

For the transition period from _____ to _____

Commission File Number:  0-12183

APYX MEDICAL CORPORATION

(Exact name of registrant as specified in its charter)

Delaware
(State or other jurisdiction of
incorporation or organization)

11-2644611
(I.R.S. Employer
Identification No.)

5115 Ulmerton Road, Clearwater, FL 33760 

(Address of principal executive offices, zip code)
(727) 384-2323 

(Issuer’s telephone number)
Securities registered pursuant to Section 12(b) of the Act:

Title of each Class
Common Stock, $.001 Par Value

Trading Symbol
APYX

Name of each Exchange on which registered
NASDAQ Stock Market LLC

Securities registered under Section 12(g) of the Exchange Act: None

Indicate by check mark if the registrant is a well-known seasoned issuer, as defined in Rule 405 of the Securities Act. Yes: o No ý

Indicate by check mark if the registrant is not required to file reports pursuant to Section 13 or Section 15(d) of the Act. Yes: o No ý
Indicate  by  check  mark  whether  the  registrant  (1)  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: ý No o
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: ý No o

 
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 filer

Non-accelerated filer

o

ý

Accelerated filer
o
Smaller reporting company ý
Emerging growth company o

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  has  filed  a  report  on  and  attestation  to  its  management’s  assessment  of  the 
effectiveness of its internal control over financial reporting under Section 404(b) of the Sarbanes-Oxley Act (15 U.S.C. 7262(b)) 
by the registered public accounting firm that prepared or issued its audit report.

o

☐

Indicate by check mark whether the registrant is a shell company (as defined in Rule 12b-2 of the Exchange Act). Yes: o No ý
The  aggregate  market  value  of  the  common  stock  held  by  non-affiliates  and  non-voting  equity  held  by  non-affiliates  computed  by 
reference to the price at which the common stock was last sold, or the average bid and asked prices of such common stock as of June 
30, 2020, the registrant’s most recently completed second fiscal quarter, was approximately $189.8 million.

As of March 29, 2021, 34,317,863 shares of the registrant’s $.001 par value common stock were outstanding.

None.

DOCUMENTS INCORPORATED BY REFERENCE

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APYX MEDICAL CORPORATION
INDEX TO ANNUAL REPORT ON FORM 10-K

December 31, 2020 

Part I
Item 1
Item 1A
Item 1B
Item 2
Item 3
Item 4

Part II
Item 5

Item 6
Item 7
Item 7A
Item 8
Item 9
Item 9A
Item 9B

Part III
Item 10
Item 11
Item 12
Item 13
Item 14

Part IV
Item 15
Signatures

Business
Risk Factors
Unresolved Staff Comments
Properties
Legal Proceedings
Mine Safety Disclosures

Market for Registrant’s Common Equity, Related Stockholder Matters and Issuer Purchases of Equity 
Securities
Selected Financial Data
Management’s Discussion and Analysis of Financial Condition and Results of Operations
Quantitative and Qualitative Disclosures about Market Risk
Financial Statements and Supplementary Data
Changes in and Disagreements with Accountants on Accounting and Financial Disclosure
Controls and Procedures
Other Information

Directors, Executive Officers and Corporate Governance
Executive Compensation Discussion and Analysis
Security Ownership of Certain Beneficial Owners and Management and Related Stockholder Matters
Certain Relationships and Related Transactions and Director Independence
Principal Accounting Fees and Services

Exhibits and Financial Statement Schedules

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Cautionary Notes Regarding “Forward-Looking” Statements

We have included or incorporated by reference into this report, and from time to time may make in our public filings, press 
releases or other public statements, certain statements that may constitute forward-looking statements. These include without 
limitation those under “Business” in Part I, Item 1, “Risk Factors” in Part I, Item 1A, “Legal Proceedings” in Part I, Item 3, 
“Management's Discussion and Analysis of Financial Condition and Results of Operations” in Part II, Item 7, and “Quantitative 
and  Qualitative  Disclosures  about  Market  Risk”  in  Part  II,  Item  7A.  In  addition,  our  management  my  make  forward-looking 
statements to analysts, investors, representatives of the media and others. These forward-looking statements are not historical 
facts and represent only our beliefs regarding future events, many of which, by their nature, are inherently uncertain and beyond 
our  control.  We  may,  in  some  cases,  use  words  such  as  “project”,  “believe”,  “anticipate”,  “plan”,  “expect”,  “estimate”, 
“intend”, “should”, “would”, “could”, “potentially”, “may” or other words that convey uncertainty of future events or outcomes 
to identify these forward-looking statements.

In  connection  with  the  “safe  harbor”  provisions  of  the  Private  Securities  Litigation  Reform  Act  of  1995,  we  are  identifying 
important factors that, individually or in the aggregate, could cause actual results to differ materially from those contained in 
any forward- looking statements made by us. Any such forward-looking statements are qualified by reference to the following 
cautionary statements.

Forward-looking  statements  in  this  report  are  subject  to  a  number  of  risks  and  uncertainties,  some  of  which  are  beyond  our 
control, including, among other things: 

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changes  in  general  economic,  business  or  demographic  conditions  or  trends  in  the  U.S.  or  throughout  the  world  or 
changes in the political environment, including changes in GDP, interest rates and inflation;
our ability to conclude a sufficient number of attractive growth projects, deploy growth capital in amounts consistent 
with  our  objectives  in  the  prosecution  of  those  and  achieve  targeted  risk-adjusted  returns  on  any  growth  project, 
including the commercialization of our Helium Plasma Technology;
the regulatory environment, including our ability to gain requisite approval from the Food and Drug Administration 
and  other  governmental  and  regulatory  bodies,  both  domestically  and  internationally,  and  the  ability  to  estimate 
compliance costs, comply with any changes thereto, rates implemented by regulators, and our relationships and rights 
under, and contracts with, governmental agencies and authorities;
disruptions or other extraordinary or force majeure events and the ability to insure against losses resulting from such 
events or disruptions, including disruptions caused by COVID-19 or other global pandemics;
sudden or extreme volatility in commodity prices and availability;
changes in competitive dynamics affecting our business and the medical device industry as a whole;
technological innovations leading to increased competition in the medical device industry;
changes in healthcare policy;
our  ability  to  make  alternate  arrangements  to  account  for  any  disruptions  or  shutdowns  that  may  affect  suppliers’ 
facilities or the operations upon which our business is dependent;
continued  aggressive  EPA  state  regulation  of  Ethylene  oxide  sterilization  (EtO)  commercial  plants  resulting  in 
additional plant closures, leading to a reduced availability of our handpieces, which are commercially sterilized;
our ability to implement operating and internal growth strategies;
environmental risks, including the impact of climate change and weather conditions;
the impact of weather events, including potentially hurricanes, tornadoes and/or seasonal extremes;
unplanned outages and/or failures of technical and mechanical systems;
cybersecurity breaches impacting critical systems or data;
work interruptions or other labor stoppages;

Our  actual  results,  performance,  prospects  or  opportunities  could  differ  materially  from  those  expressed  in  or  implied  by  the 
forward-looking statements. A description of risks that could cause our actual results to differ appears under the caption “Risk 
Factors” in Part I, Item 1A and elsewhere in this report. It is not possible to predict or identify all risk factors and you should 
not consider that description to be a complete discussion of all potential risks or uncertainties that could cause actual results to 
differ.

In light of these risks, uncertainties and assumptions, you should not place undue reliance on any forward-looking statements. 
The forward-looking events discussed in this report may not occur. These forward-looking statements are made as of the date of 
this report. We undertake no obligation to publicly update or revise any forward-looking statements, whether as a result of new 

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information, future events or otherwise. You should, however, consult further disclosures we may make in future filings with 
the Securities and Exchange Commission. Past performance is not an indicator of future results.

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PART I

APYX MEDICAL CORPORATION

1

 
Table of Contents

ITEM 1. Business

General

APYX MEDICAL CORPORATION

Apyx Medical Corporation (“Company”, “Apyx Medical”, “we”, “us”, or “our”) was incorporated in 1982, under the laws of 
the State of Delaware and has its principal executive office at 5115 Ulmerton Road, Clearwater, FL 33760.

We are an advanced energy technology company with a passion for elevating people’s lives through innovative products in the 
cosmetic  and  surgical  markets.    Known  for  our  innovative  Helium  Plasma  Technology,  Apyx  is  solely  focused  on  bringing 
transformative  solutions  to  the  physicians  and  patients  we  serve.  Our  Helium  Plasma  Technology  is  marketed  and  sold  as 
Renuvion® in the cosmetic surgery market and J-Plasma® in the hospital surgical market. Renuvion® offers plastic surgeons, 
fascial plastic surgeons and cosmetic physicians a unique ability to provide controlled heat to the tissue to achieve their desired 
results. The J-Plasma® system allows surgeons to operate with a high level of precision, and virtually eliminating unintended 
tissue trauma. We also leverage our deep expertise and decades of experience in unique waveforms through original equipment 
manufacturing (OEM) agreements with other medical device manufacturers. 

On  August  30,  2018,  we  closed  on  a  definitive  asset  purchase  agreement  with  Specialty  Surgical  Instrumentation  Inc.,  a 
Tennessee Corporation and wholly owned subsidiary of Symmetry Surgical Inc. (“Symmetry”), pursuant to which we divested 
and  sold  our  electrosurgical  "Core"  business  segment  and  related  intellectual  property,  including  the  Bovie®  brand  and 
trademarks, to Symmetry for gross proceeds of $97 million in cash. The divestiture and sale of our Core business segment to 
Symmetry  has  allowed  us  to  further  focus  on  our  strategic  objective  of  commercializing  our  Helium  Plasma  Technology, 
including the expansion of our Renuvion® brand in the cosmetic surgery market.

Our  objective  is  to  achieve  profitable,  sustainable  growth  by  increasing  our  market  share  in  the  Advanced  Energy  category, 
including  the  commercialization  of  products  that  have  the  potential  to  be  transformational  with  respect  to  the  results  they 
produce for surgeons and patients. In order to achieve this objective, we plan to leverage our long history in the industry, along 
with the reputation for quality and reliability that our brand enjoys within the medical community.

While  our  revenues  were  affected  by  the  continued  impacts  of  the  COVID-19  pandemic,  in  the  latter  half  of  2020  we  saw 
strong  utilization  of  our  Renuvion®  handpieces  from  existing  customers  in  the  U.S.,  along  with  shipments  to  several  new 
customers in our international markets, which helped to offset sluggish global demand for capital equipment.  Throughout the 
year, we continued our efforts to support our customers during this challenging time. 

While we were also pleased to see overall improvements in our Advanced Energy business trends during the third and fourth 
quarters,  demand  for  handpieces  remains  uneven  across,  and  within,  the  primary  markets  that  we  serve,  and  global  demand 
trends  for  generator  adoption  remain  in  the  early  stages  of  recovery.    Although  the  timing  of  a  return  to  a  more  normalized 
environment  remains  uncertain,  we  remain  cautiously  optimistic  with  respect  to  the  continued  recovery  of  the  cosmetic  and 
plastic surgery market. 

Subject to the ongoing effects of the COVID-19 pandemic, we continued to see trends leading to year-over-year growth in our 
U.S. Advanced Energy business in the fourth quarter 2020, and year-over-year growth in our international Advanced Energy 
business in early 2021. We remain well-capitalized and well-positioned to weather the continued impacts of COVID-19, while 
investing in our primary initiatives to drive strong, long-term growth in the global cosmetic and plastic surgery market as the 
recovery continues.

Significant Subsidiaries

Apyx  Bulgaria,  EOOD  is  a  wholly  owned  limited  liability  company  incorporated  under  Bulgarian  law,  located  in  Sofia, 
Bulgaria.  It  is  engaged  in  the  business  of  development  and  manufacturing  of  our  advanced  energy  generators,  as  well  as  the 
manufacturing  of  disposable  hand  piece  subassemblies  and  OEM  generators  and  accessories.    The  facility  also  distributes 
products directly to customers in certain international markets and provides warranty and repair services.

Industry

The cosmetic surgery market is a special segment of the medical field which is involved in the restoration, reconstruction, or 
alteration  of  the  human  body  so  as  to  enhance  the  body’s  appearance.  The  market  for  cosmetic  surgery  includes  surgical, 
minimally invasive, and nonsurgical cosmetic procedures. This market is expected to have steady growth year over year and 

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this  growth  is  driven  by  social  and  cultural  factors  such  as  the  influence  of  social  media,  peer  pressure  for  appearance  and 
beauty, and increasing disposable income.

We  believe  that  Apyx  Medical  has  sustainable,  competitive  advantages  in  the  cosmetic  market  for  several  reasons:  our  long 
history of developing unique energy devices to meet the needs of physicians, our unique Helium Plasma Technology, and our 
outstanding product quality supported by strong engineering and research and development capabilities.   We believe that our 
equipment and devices have, and will continue to improve, the lives of doctors and their patients.  

Intellectual Property

We rely on our intellectual property that we have developed or acquired over the years including patents, trade secrets, technical 
innovations and various licensing agreements to provide our future growth and build our competitive position. We have been 
issued 39 patents in the United States and 27 foreign patents. We have 13 pending patent applications in the United States and 
36  pending  foreign  applications.  We  have  8  U.S.  registered  trademarks  and  1  pending  U.S.  trademark  application.  As  we 
continue  to  expand  our  intellectual  property  portfolio,  we  believe  it  is  critical  for  us  to  continue  to  invest  in  filing  patent 
applications to protect our technology, inventions and improvements. However, we can give no assurance that competitors will 
not infringe on our patent rights or otherwise create similar or non-infringing competing products that are technically patentable 
in their own right.

Manufacturing and Suppliers

We  are  committed  to  producing  the  most  technically  advanced  and  highest  quality  products  of  their  kind  available  on  the 
market. We manufacture the majority of our products on our premises in Clearwater, Florida and at our facility located in Sofia, 
Bulgaria, both of which are certified under the ISO international quality standards and are subject to continuing regulation and 
routine inspections by the FDA to ensure compliance with regulations relating to our quality system, medical device complaint 
reporting, and adherence to FDA restrictions on promotion and advertising. In addition, we are subject to regulations under the 
Occupational Safety and Health Act, the Environmental Protection Act and other federal, state and local regulations, as well as 
international laws and regulations.

Apyx Bulgaria, EOOD operates an approximately 20,000 square foot, ISO13485 certified and FDA registered manufacturing 
facility located in the capital city of Sofia, which houses manufacturing, development and assembly operations.

We maintain collaborative arrangements with three foreign suppliers, including our contract component manufacturer located in 
Ningbo, China, under which we request the development of certain products which we purchase pursuant to purchase orders. 
Our purchase order commitments are never more than one year in duration and are supported by our sales forecasts.  During 
late 2019, we entered into a joint venture with our Chinese supplier to establish a foundation for the manufacturing and sale of 
our products into the Chinese market. The joint venture is in the early stages of startup, and accordingly, the activity associated 
with it is not material.

Backlog

The value of unshipped factory orders is not material.

Employees

At December 31, 2020, we had 266 full-time employees world-wide, of whom 4 were executive officers, 30 were supervisory 
personnel,  34  were  sales  personnel  and  198  were  technical  support,  administrative  and  production  employees.  None  of  our 
current employees are covered by a collective bargaining agreement and we have never experienced a work stoppage. 

The implementation of our growth strategy largely depends on our ability to hire, train, and retain our sales professionals. We 
train  our  sales  professionals  to  thoroughly  understand  our  Helium  Plasma  Technology  and  the  marketplace  in  which  we 
compete, including how our technologies can increase our customer's revenue and the results they are able to achieve for their 
patients. 

In addition, our compensation programs are designed to align the compensation of our employees with our performance, and to 
provide the proper incentives to attract, retain and motivate them to achieve superior results. The structure of our compensation 
programs balances incentive earnings for both short-term and long-term performance, specifically:

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• We offer wages that are competitive and consistent with employee positions, skill levels, experience, knowledge and 

geographic location; 

• We  work  with  both  local  and  nationally  recognized  outside  compensation  and  benefits  consulting  firms  to 
independently evaluate the effectiveness of our executive and non-executive compensation and benefit programs and 
to provide benchmarking against our peers within our industry; 

• We may provide our non-hourly U.S-based employees long term incentives in the form of stock options; 
•

Annual increases and incentive compensation are based on merit, which is communicated to employees at the time of 
hiring  and  documented  through  our  talent  management  process  as  part  of  our  annual  review  procedures  and  upon 
internal transfer and/or promotion; 
All  employees  are  eligible  for  health  insurance,  paid  and  unpaid  leaves,  a  retirement  plan,  and  life  and  disability/
accident coverage. We also offer a variety of voluntary benefits that allow employees to select the options that meet 
their needs.

•

The  health  and  safety  of  our  employees  is  our  highest  priority,  and  this  is  consistent  with  our  operating  philosophy.    In  our 
response to the COVID-19 pandemic around the globe, we supported our employees and their families by:

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Adding work from home flexibility; 
Adjusting attendance policies to encourage those who are sick to stay home; 
Increasing cleaning protocols; 
Establishing new physical distancing procedures for employees who need to be onsite; 
Providing additional personal protective equipment and cleaning supplies; 
Implementing protocols to address actual and suspected COVID-19 cases and potential exposure; 
Limiting all domestic and international non-essential travel for all employees; and 
Requiring masks to be worn at all locations where allowed by local law.

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Our Two Business Segments 

We currently have two reportable segments: Advanced Energy and OEM. The Corporate and Other category includes certain 
unallocated corporate and administrative costs which are not specifically attributed to any reportable segment. Net assets are 
shared, therefore, not allocated to the reportable segments.

For  the  year  ended  December  31,  2020,  our  OEM  segment  contributed  19.8%  of  our  consolidated  total  revenue  and  our 
Advanced Energy segment contributed 80.2% of our consolidated total revenue.

Advanced Energy Segment

Overview

Our  product  portfolio  consists  of  our  Helium  Plasma  Technology  that  is  marketed  and  sold  as  Renuvion®  in  the  cosmetic 
surgery market and J-Plasma® in the hospital surgical market. Renuvion® offers plastic surgeons, facial plastic surgeons and 
cosmetic  physicians  a  unique  ability  to  provide  controlled  heat  to  the  tissue  to  achieve  their  desired  results.  The  J-Plasma® 
system  allows  surgeons  to  operate  with  a  high  level  of  precision,  virtually  eliminating  unintended  tissue  trauma.  This 
technology has U.S. FDA clearance, CE mark, and clearance for sale in multiple other countries and is generally indicated for 
the  cutting,  coagulation  and  ablation  of  soft  tissue.  The  system  consists  of  an  electrosurgical  generator  unit  ("ESU"),  a 
handpiece and a supply of helium gas. The proprietary radiofrequency ("RF") energy is delivered to the handpiece by the ESU 
and  used  to  energize  an  electrode.  When  helium  gas  passes  over  the  energized  electrode,  helium  plasma  is  generated  which 
allows  for  conduction  of  the  RF  energy  from  the  electrode  to  the  patient  in  the  form  of  a  precise  helium  plasma  beam.  The 
energy delivered to the patient via the helium plasma beam is very precise and cooler in temperature in comparison to other 
surgical energy modalities such as standard RF monopolar energy. This technology has been the subject of thirty eight peer-
reviewed journal articles, book chapters, abstracts, and posters. It also continues to be the subject of numerous presentations at 
traditional and cosmetic surgery conferences around the world.

This  technology  initially  received  FDA  clearance  in  2012  and  a  CE  mark  in  December  2014,  which  enables  us  to  sell  the 
product in the European Union. In 2014, we created and trained a direct sales force dedicated to sell this technology. In 2015, 
we  continued  the  commercialization  process  for  our  Helium  Plasma  Technology  with  a  multi-faceted  strategy  designed  to 
accelerate adoption of the product. This strategy primarily involved deployment of a dedicated sales force, developing product 
line extensions and expanding the specialties in which this technology can become the “standard of care“ for certain procedures.

During 2020, we continued our full-scale commercialization efforts for Renuvion®. As of December 31, 2020 we had a direct 
sales force of 31 field-based selling professionals and utilized 2 independent sales agencies. We also had 5 sales managers. This 
selling  organization  is  focused  on  the  use  of  Renuvion®  in  the  cosmetic  surgery  market.  In  addition,  we  have  invested  in 
training programs and marketing-related activities to support accelerated adoption of Renuvion® into physicians' practices.

From 2015 through 2020, we launched numerous new extensions to our Helium Plasma product lines in an effort to target new 
surgical procedures, users, and markets.   Most notably, in early 2020 we launched our Renuvion® APR handpieces which were 
designed  with  improved  ergonomics  and  usability  for  our  Renuvion®  customers.  As  a  result  of  our  sales,  marketing  and 
product  development  initiatives,  we  have  significantly  increased  the  number  of  physicians  using  our  Helium  Plasma 
Technology by expanding usage to include the cosmetic surgery market in the U.S., and the cosmetic surgery market as well as 
the surgical oncology market outside the U.S..

In order to assist us in leveraging our Helium Plasma Technology's precision and effectiveness in multiple surgical specialties, 
in 2019 we added 4 additional doctors to our Medical Advisory Board, which currently consists of 5 members representing the 
plastic surgery, facial plastic surgery, and cosmetic procedure specialties.

Our commercial strategy in the U.S. is primarily focused on advancing the usage of Renuvion® in the cosmetic surgery market. 
In  our  international  markets,  we  focus  on  both  the  cosmetic  surgery,  and  on  our  J-Plasma®  technology  for  the  surgical 
oncology  market.  We  continue  to  develop  a  clinical  and  regulatory  strategy,  and  corresponding  marketing  campaigns,  to 
support our market focus. 

We continue to make substantial investments in the development and marketing of our Renuvion® technology for the long-term 
benefit  of  the  Company  and  its  stakeholders,  and  this  may  adversely  affect  our  short-term  profitability  and  cash  flows, 
particularly over the next 12 to 18 months. While we believe that these investments have the potential to generate additional 

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revenues and profits in the future, there can be no assurance that our Helium Plasma Technology will continue to be successful 
or that such future revenues and profitability will be realized.

Customers

In the U.S., we primarily sell our Renuvion® products through our direct sales force to physicians, cosmetic surgery offices and 
surgical centers. Outside of the U.S., all of our products are sold primarily through our distributor network.

Products

Our Advanced Energy Products consist of our Helium Plasma Technology lines (Renuvion® and J-Plasma®). These product 
lines consist of a multifunction generator, a handpiece and a supply of helium gas. Radiofrequency ("RF") energy is delivered 
to  the  handpiece  by  the  generator  and  used  to  energize  an  electrode.  When  helium  gas  passes  over  the  energized  electrode, 
helium  plasma  is  generated  which  allows  for  conduction  of  the  RF  energy  from  the  electrode  to  the  patient  in  the  form  of  a 
precise  helium  plasma  beam.  The  energy  delivered  to  the  patient  via  the  helium  plasma  beam  is  very  precise  and  cooler  in 
temperature in comparison to other surgical energy modalities such as standard RF monopolar energy. 

Helium Plasma Generator

In  early  2020,  we  launched  the  newest  versions  of  our  Helium  Plasma  generator  –  The  Renuvion  System  3  and  J-Plasma 
System  3  generators.  These  are  high  frequency  electrosurgical  generators  that  can  be  used  for  delivery  of  RF  energy  and/or 
helium plasma to cut, coagulate and ablate soft tissue during open and laparoscopic surgical procedures.  These new generators 
were  built  for  use  with  our  Renuvion  APR  handpieces  and  feature  enhanced  capabilities  such  as  a  joule  counter,  capable  of 
displaying  energy  delivered  to  the  patient,  and  new  Auto-Bipolar  functionality,  which  expands  surgical  capabilities  of  the 
system.  These new product releases continue to expand the procedure base for our Helium Plasma Technology by providing 
surgeons with the tools they need to access additional anatomic locations and perform specific procedures.

Disposable Portfolio

We  offer  a  variety  of  different  hand  pieces  for  open  and  laparoscopic  procedures.  The  helium-based  plasma  generated  from 
these  devices  has  been  shown  to  provide  increased  precision  and  control  and  cause  less  thermal  damage  to  tissue  than  CO2 
laser, argon plasma and RF energy products currently available on the market. The technology has a general indication and can 
be used for cutting, coagulating and ablating soft tissue. The two primary specialties that are targeted are the cosmetic surgery 
and surgical oncology markets. The advantages of helium plasma continue to be studied throughout the medical and scientific 
communities.  We  believe  that  surgical  applications  are  just  one  area  of  opportunity  for  this  technology.  During  2020,  we 
launched  our  new  generation  APR  hand  pieces,  designed  specifically  for  percutaneous  use,  with  improved  ergonomics  and 
safety features. 

Competition

Currently,  we  are  the  only  company  with  helium-based  plasma  and  retractable  blade  products.  However,  there  are  RF  based 
competitors, argon plasma competitors, and CO2 laser competitors for our target market. We believe our competitive position 
did not change in 2020.

OEM Segment 

Overview

We leverage our expertise in the design, development and manufacturing of electrosurgical equipment by producing generators 
and  related  accessories  for  large,  well-known  medical  device  manufacturers  through  original  equipment  manufacturing 
("OEM") agreements, as well as start-up companies with the need for our energy-based designs.  In connection with the Asset 
Purchase  Agreement  with  Symmetry  Surgical,  we  entered  into  a  Manufacturing  and  Supply  Agreement  for  a  ten-year  term, 
whereby we will manufacture certain products and sell to them at agreed upon prices.  Revenue, costs and expenses resulting 
from  this  agreement  are  reported  in  our  Consolidated  Statements  of  Operations  as  a  component  of  income  or  loss  from 
operations of our OEM reporting segment. 

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ITEM 1A. Risk Factors 

APYX MEDICAL CORPORATION

In addition to risks and uncertainties in the ordinary course of business, important risk factors that may affect us are discussed 
below. Additional risks not presently known to us, or that we currently believe are immaterial, may also significantly impact or 
impair our business operations.

Regulatory Compliance Risk

Product Approval and Monitoring

Many countries where we sell medical devices subject our technologies to their own approval and other regulatory requirements 
regarding  performance,  safety,  and  quality.    The  global  regulatory  environment  is  increasingly  unpredictable  and  stringent. 
Countries that did not have regulatory requirements for medical devices have established such requirements in recent years, and 
other countries have expanded, or plan to expand, their existing regulations. While there are efforts at some harmonization of 
global  regulations,  requirements  continue  to  differ  significantly  among  countries.  We  expect  that  as  this  global  regulatory 
environment continues to evolve, it could impact the cost, the time needed to approve, and ultimately, our ability to maintain 
existing approvals or obtain future approvals for our products. Regulations of the U.S. FDA and other regulatory agencies in 
and outside the U.S. impose significant compliance and monitoring obligations on our business.

Regulatory approval delays due to COVID-19 

COVID-19  may  impede  clinical  trials  and  slow  down  regulatory  actions.  It  could  adversely  affect  the  entire  clinical  trial 
spectrum from enrollment to data analysis. Assuming patients enroll, clinical trials may face disruptions to protocol schedules 
for  treatment  and  follow-up  visits.  Reports  from  Europe  have  noted  overwhelmed  facilities  where  all  non-critical  visits  have 
been  postponed  or  canceled.  Many  U.S.  hospitals  have  followed  suit  to  limit  exposure  and  allow  for  care  of  COVID-19 
patients.  Deviations  from  trial  protocols  could  present  challenges  when  it  comes  time  to  analyze  the  related  data  set.  Some 
clinics  may  stop  allowing  clinical  trial  monitors  on  site.  Without  reconciling  the  data,  we  may  be  unable  to  "lock"  the  trial 
database, an essential step that precedes the analysis of the data. 

We rely on regular interaction and guidance from the FDA, European Medicines Agency (EMA), and other regulatory bodies to 
plan research and development activities across all stages. Due to the COVID-19 pandemic, the FDA and worldwide regulatory 
bodies  have  a  great  deal  of  resources  dedicated  to  COVID-19  related  matters,  resulting  in  disruption  in  their  ability  to  fully 
support  the  regulatory  approval  process.    As  resources  continue  to  be  diverted,  regulatory  approvals  will  more  and  more 
become non-essential matters until the pandemic is under control. Delays of approvals, clearances, inspections, and meetings 
are currently being experienced and will continue for the foreseeable future.  Postponement of these interactions could delay us 
from bringing new products to market.

We are subject to costly and complex laws and governmental regulations and any adverse regulatory action may materially 
adversely affect our financial condition and business operations. 

As a part of the regulatory process of obtaining marketing clearance for new products and new indications for existing products, 
we conduct and participate in numerous clinical trials with a variety of study designs, patient populations, and trial endpoints. 
Unfavorable  or  inconsistent  clinical  data  from  existing  or  future  clinical  trials,  or  the  market’s  or  FDA’s  perception  of  this 
clinical data, may adversely impact our ability to obtain product approvals, our position in, and share of, the markets in which 
we participate.  We cannot guarantee that we will be able to obtain or maintain marketing clearance for our new products or 
enhancements or modifications to existing products, and the failure to maintain approvals or obtain approval or clearance could 
have a material adverse effect on our business, results of operations, financial condition and cash flows. Even if we are able to 
obtain approval or clearance, it may:

•
•
•
•
•

take a significant amount of time; 
require the expenditure of considerable resources; 
involve rigorous clinical and pre-clinical testing, as well as increased post-market surveillance; 
involve modifications, repairs, corrections, or replacements of our products; and 
limit the proposed intended uses of our products. 

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Before  and  after  a  product  is  commercially  released,  we  have  ongoing  responsibilities  under  the  U.S.  FDA,  Health  Canada, 
Australia, Brazil, EU, and other applicable world-wide government agency regulations. For instance, many of our processes and 
facilities,  as  well  as  those  of  our  suppliers,  are  also  subject  to  periodic  audits  to  determine  compliance  with  applicable 
regulations.  The  results  of  these  audits  can  include  major  inspectional  observations,  warning  letters,  or  other  forms  of 
enforcement. 

If  the  FDA  were  to  conclude  that  we  are  not  in  compliance  with  applicable  laws  or  regulations,  or  that  any  of  our  medical 
products  are  ineffective  or  pose  an  unreasonable  health  risk,  they  could  ban  such  medical  products,  seize  adulterated  or 
misbranded medical products, order a recall, repair, replacement, correction, or refund of such products, refuse to grant pending 
pre-market  approval  applications,  refuse  to  issue  export  certificates  for  foreign  governments,  or  require  us  to  notify  health 
professionals and others that the devices present unreasonable risks of substantial harm to the public health. 

The  FDA  and  other  non-U.S.  government  agencies  may  also  assess  civil  or  criminal  penalties  against  us,  our  officers  or 
employees  and  impose  operating  restrictions  on  a  company-wide  basis.  The  FDA  may  also  recommend  prosecution  to  the 
Department of Justice. Any adverse regulatory action, depending on its magnitude, may restrict us from effectively marketing 
and  selling  our  products  and  limit  our  ability  to  obtain  future  pre-market  clearances  or  approvals,  and  could  result  in  a 
substantial modification to our business practices and operations. These potential consequences, as well as any adverse outcome 
from government investigations, could have a material adverse effect on our business, results of operations, financial condition, 
and cash flows. 

In addition, the FDA has taken the position  that device manufacturers are prohibited from promoting their products other than 
for the uses and indications set forth in the cleared product labeling. Any failure to comply could subject us to significant civil 
or criminal exposure, administrative obligations and costs, other potential penalties from, and/or agreements with, the federal 
government. Governmental regulations worldwide have, and may continue to become, increasingly stringent and customary. 

In  the  EU,  a  single  regulatory  approval  process  exists,  and  conformity  with  the  legal  requirements  is  represented  by  the  CE 
Mark.  To  obtain  a  CE  Mark,  defined  products  must  meet  minimum  standards  of  performance,  safety,  and  quality  (i.e.,  the 
essential  requirements),  and  then,  according  to  their  classification,  comply  with  one  or  more  of  a  selection  of  conformity 
assessment routes. The competent authorities of the EU countries separately regulate the clinical research for medical devices 
and the market surveillance of products once they are placed on the market. A new Medical Device Regulation ("EU MDR") 
was published by the EU in 2017, which imposes significant additional premarket and postmarket requirements. 

The EU MDR represents the first major changes to the EU medical device regulatory environment, has significantly raised the 
compliance  bar  for  the  medical  device  industry,  and  will  cause  significant  changes  to  the  regulatory  obligations  of 
manufacturers,  importers  and  distributors  involved  in  the  medical  device  distribution  chain.    Classification  has  changed  for 
some  product  categories,  and  strict  new  requirements  have  been  imposed  on  clinical  data,  risk  management,  post  market 
surveillance,  and  supplier  management.    Penalties  for  regulatory  non-compliance  could  be  severe,  including  fines  and 
revocation or suspension of a company’s business license, and criminal sanctions. The regulation initially provided a three-year 
implementation period to May 2020, but that timeline was delayed to May 2021 due to COVID-19 and its impact on audits and 
technical  file  review  by  Notified  Bodies.  After  that  time,  medical  devices  marketed  in  the  EU  will  require  certification 
according  to  these  new  requirements,  except  for  devices  with  valid  CE  certificates,  issued  pursuant  to  the  Medical  Device 
Directives before May 2020, which can be placed in the market until May 2024.

Outside of the EU, regulations vary significantly from country to country and are becoming increasingly stringent and country 
specific. Territories and countries around the world continue to develop their own unique regulatory requirements, and these 
individual governments are passing laws that enforce these new regulations, and also impose fees, to register products in their 
country.  The time and effort required to obtain approval to market products may be longer or shorter than that required in the 
U.S. or the EU. Certain European countries outside of the EU, and other countries around the world do not recognize the CE 
mark certification or FDA clearance and have their own regulatory requirements to register and sell products in these territories. 

Environmental Regulation

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The medical device industry continues to be the subject of intense scrutiny and stringent regulation and the demand for green, 
sustainable products is rapidly increasing.  There are increasing requirements for efficient and accurate processes for hazardous 
substance  handling,  supplier  disclosures,  and  regulatory  reporting  in  order  to  comply  with  numerous  global  health  and 
environmental regulatory requirements and restrictions, including but not limited to: 

•
•
•
•
•

Restriction on Hazardous Substances (RoHS) Directive 
Packaging and Packing Waste Directive
REACH Regulation
Proposition 65
Hazardous Air Pollutants: Ethylene Oxide

Compliance with existing and future environmental regulations may have an impact on the manufacturing and sterilization of 
our medical devices.  Environmental regulations in the U.S. and EU limit or prohibit the use of certain chemicals, substances 
and materials in the manufacture of our medical devices such as Prop 65 in California and others in the EU such as REACH, 
RoHS, and WEEE Directive.  With the current global concerns over climate change and the tangible effects human beings are 
having on the environment, there is no doubt that the amount of environmental legislation is primed to increase still further, 
with the EU being at the forefront of this movement. 

Ethylene oxide (EtO) is used to sterilize approximately 50% of medical devices in the U.S.  While some alternative methods 
currently exist, potential device incompatibility issues exist with these alternatives.  The U.S. Environmental Protection Agency 
(EPA) classified EtO as a carcinogen after linking it to cases of breast cancer, lymphoma and leukemia. Currently, shortages 
due to current closures are not expected, but any additional commercial sterilization facility closures could result in shortages 
for  certain  devices.    Our  devices  are  not  currently  impacted  by  these  closures,  however,  it  is  unknown  if  the  current  EtO 
facilities utilized by Apyx Medical could be impacted in the future.

The FDA is closely monitoring the supply chain effects of closures and potential closures of certain facilities that use EtO to 
sterilize  medical  devices  prior  to  their  use,  and,  is  concerned  about  the  future  availability  of  sterile  medical  devices  and  the 
potential for medical device shortages that might impact patient care. However, they do not have oversight authority over EtO 
emissions, which is within the purview of the EPA.

Our  operations  and  those  of  certain  third-party  suppliers  involve  the  use  of  substances  subject  to  these  laws  and  regulations, 
primarily those used in manufacturing and sterilization processes. If we or our suppliers violate these environmental laws and 
regulations,  facilities  could  be  shut  down  and  violators  could  be  fined,  criminally  charged  or  otherwise  sanctioned. 
Furthermore, environmental laws outside of the U.S. are becoming more stringent, resulting in increased costs and compliance 
burdens. In addition, certain environmental laws assess liability on current or previous owners or operators of real property for 
the costs of investigation, removal or remediation of hazardous substances or materials at their properties or at properties which 
they have disposed of hazardous substances. In addition to cleanup actions brought by governmental authorities, private parties 
could bring personal injury or other claims due to the presence of, or exposure to, hazardous substances. The ultimate cost of 
site cleanup and timing of future cash outflows is difficult to predict, given the uncertainties regarding the extent of the required 
cleanup, the interpretation of applicable laws and regulations, and alternative cleanup methods. The costs of complying with 
current or future environmental protection and health and safety laws and regulations, or liabilities arising from past or future 
releases of, or exposures to, hazardous substances, may exceed our estimates, or have a material adverse effect on our business, 
results of operations, financial condition, and cash flows.

Anti-Corruption Regulation

As we grow our international presence and global operations, we will be increasingly exposed to statutes, anti-corruption trade 
policies,  economic  sanctions  and  other  restrictions  imposed  by  the  United  States  and  other  foreign  governments  and 
organizations,  including  the  U.S.  Foreign  Corrupt  Practices  Act,  or  the  FCPA,  and  other  federal  statutes  and  regulations, 
including those established by the Office of Foreign Assets Control, or OFAC. In addition, other foreign statutes, such as the 
U.K. Bribery Act of 2010, or the Bribery Act, prohibits both domestic and international bribery, as well as bribery across both 
private and public sectors. 

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We  have  implemented  policies  and  procedures  designed  to  ensure  compliance  by  our  directors,  officers,  employees, 
representatives,  consultants  and  agents  with  the  FCPA,  OFAC  restrictions,  the  Bribery  Act  and  other  export  control,  anti-
corruption, anti-money-laundering and anti-terrorism laws and regulations. However, there can be no assurance that our policies 
and procedures are or will be sufficient to prevent violations from occurring.  Violations of the FCPA, OFAC restrictions, the 
Bribery Act or other export control, anti-corruption, anti-money laundering and anti-terrorism laws or regulations may result in 
severe criminal or civil sanctions, and we may be subject to other liabilities, which could have a material adverse effect on our 
reputation, financial condition, and results of operations.

Risks Relating to Our Business

We  manufacture  the  majority  of  our  products  at  our  Clearwater,  Florida  and  Sofia,  Bulgaria  facilities.  Components,  labor-
intensive  assemblies  and  sub-assemblies,  and  sterilization  services  are  outsourced  to  third  parties  and  produced  to  our 
specifications.

We are also dependent on OEM customers who have no legal obligation to purchase products from us. Should such customers 
fail to give us purchase orders for products after development, our future business could be negatively affected. Furthermore, no 
assurance can be given that such customers will give sufficient high priority to our products. Finally, disagreements or disputes 
may arise between us and our customers, which could adversely affect production and sales of our products.

If we are unable to successfully introduce new products or fail to keep pace with competitive advances in technology, our 
business, financial condition, results of operations and cash flows could be adversely affected. In addition, our research and 
development efforts rely upon investments and alliances, and we cannot guarantee that any previous or future investments 
or alliances will be successful.

Our research and development activities are an essential component of our efforts to develop new and innovative products for 
introduction  in  the  marketplace.  New  and  improved  products  play  a  critical  role  in  our  sales  growth.  We  continue  to  place 
emphasis  on  the  development  of  proprietary  products,  such  as  our  J-Plasma®/Renuvion®  technology,  and  product 
improvements to complement and expand our existing product lines. We maintain close working relationships with physicians 
and medical personnel in hospitals and universities who assist in product research and areas of development. 

These activities are primarily conducted internally and are expensed as incurred. Expenses include direct expenses for wages, 
materials, and services associated with the development of our products, net of any reimbursements from customers. Research 
and development expenses do not include any portion of general and administrative expenses. Our research and development 
activities  are  conducted  at  our  Clearwater,  Florida  and  Sofia,  Bulgaria  facilities.  We  expect  to  continue  making  future 
investments to enable us to develop and market new technologies and products to further our strategic objectives and strengthen 
our existing business. However, we cannot guarantee that any of our previous or future investments in both facilities will be 
successful or that our new products will gain market acceptance, the failure of which would have a material adverse effect on 
our business and results of operations.

The  amount  expended  by  us  on  research  and  development  of  our  products  during  the  years  2020  and  2019,  totaled 
approximately  $3.9  million  and  $3.7  million,  respectively.  We  have  invested  substantial  resources  in  the  development  and 
marketing  of  our  Advanced  Energy  product  technologies  but  have  not  incurred  any  direct  costs  relating  to  environmental 
regulations or requirements. For 2021, we expect to invest approximately 10% to 15% of revenue for research and development 
activities.

Even if we are successful in developing new, or enhancing our existing products, there are various circumstances that could 
prevent their successful commercialization.

Our ability to successfully commercialize our products will depend on a number of factors, any of which could delay or prevent 
commercialization, including:

•

•

our inability to obtain the necessary regulatory clearances or approvals for expanded indications, new products, or 
product modifications;
we  are  unable  to  demonstrate,  if  required,  the  safety  and  efficacy  of  new  products  with  data  from  preclinical 
studies and clinical trials;

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•

•

•
•
•
•

•
•

•

our product is determined to be ineffective or unsafe following approval, and is removed from the market or we 
are required to perform additional research and development to further prove the safety and effectiveness of the 
product before re-entry into the market;
the regulatory approvals of our new products are delayed or denied, or we are required to conduct further research 
and development of our products prior to receiving regulatory approval;
we are unable to build and maintain a sales and marketing group to successfully launch and sell our new products;
we are required to allocate available funds to litigation matters;
the needs of our physicians or their patients are not sufficiently met;
we  are  unable  to  manufacture  the  quantity  of  products  needed,  in  accordance  with  quality  manufacturing 
standards, to meet market demand;
competition from other products or technologies prevents or reduces market acceptance of our products;
we do not have, and cannot obtain, the intellectual property rights needed to manufacture or market our products 
without infringing on another company’s patents; or
we  are  unsuccessful  in  defending  against  patent  infringement,  or  other  intellectual  property  rights  claims,  that 
could be brought against us, our products or technologies;

The  failure  to  successfully  commercialize  our  products  will  have  a  material  and  adverse  effect  on  the  future  growth  of  our 
business, financial condition and results of operations.

If we are unable to protect our patents or other proprietary rights, or if we infringe on the patents or other proprietary rights 
of others, our competitiveness and business prospects may be materially damaged.

We  have  been  issued  39  patents  in  the  United  States  and  27  foreign  patents.  We  have  13  pending  patent  applications  in  the 
United States and 36 pending foreign applications. Our intellectual property portfolio for our J-Plasma®/Renuvion® products 
continues  to  grow  on  an  annual  basis.    We  intend  to  continue  to  seek  legal  protection,  primarily  through  patents,  for  our 
proprietary technology. Seeking patent protection is a lengthy and costly process and there can be no assurance that patents will 
be issued from any pending applications, or that any claims allowed from existing or pending patents will be sufficiently broad 
or  strong  to  protect  our  proprietary  technology.  There  is  also  no  guarantee  that  any  patents  we  hold  will  not  be  challenged, 
invalidated or circumvented, or that the patent rights granted will provide competitive advantages to us. Our competitors have 
developed, and may continue to develop and obtain, patents for technologies that are similar or superior to our technologies. In 
addition,  the  laws  of  foreign  jurisdictions  in  which  we  develop,  manufacture  or  sell  our  products  may  not  protect  our 
intellectual property rights to the same extent as the laws of the United States.

Adverse outcomes in current or future legal disputes regarding patent and other intellectual property rights could result in the 
loss of our intellectual property rights, subject us to significant liabilities to third parties, require us to seek licenses from third 
parties  on  terms  that  may  not  be  reasonable  or  favorable  to  us,  prevent  us  from  manufacturing,  importing  or  selling  our 
products, or compel us to redesign our products to avoid infringing third parties’ intellectual property. As a result, our product 
offerings may be delayed, and we may be unable to meet customers’ requirements in a timely manner. Regardless of the merit 
of any related legal proceeding, we have incurred in the past, and may be required to incur in the future, substantial costs to 
prosecute,  enforce  or  defend  our  intellectual  property  rights.  Even  in  the  absence  of  infringement  by  our  products  on  third 
parties’ intellectual property rights, or litigation related to trade secrets, we have elected in the past, and may in the future, elect 
to enter into settlements to avoid the costs and risks of protracted litigation and the diversion of resources and management’s 
attention. If the terms of settlements entered into with certain of our competitors are not observed or enforced, we may suffer 
further costs and risks. Any of these circumstances could have a material adverse effect on our business, financial condition, 
results of operations or cash flows.

In  addition  to  patent,  copyright,  and  trademark  protection,  we  also  rely  on  trade  secrets,  including  unpatented  know-how, 
technology and other proprietary information, to maintain our competitive position. We seek to protect our trade secrets, in part, 
by entering into non-disclosure and confidentiality agreements with parties who have access to them, such as our consultants, 
vendors,  and  our  former  or  current  employees.    Despite  these  efforts,  however,  any  of  these  parties  may  breach  those 
agreements and disclose our trade secrets and other unpatented or unregistered proprietary information, and once disclosed, we 
are likely to lose trade secret protection. Monitoring unauthorized uses and disclosures of our trade secrets is difficult, and we 
cannot be certain that the steps we have taken to protect our intellectual property will be effective. In addition, our remedies 
may not be sufficient to cover our losses. 

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In 2020, the Coronavirus outbreak was declared a pandemic by the World Health Organization and spread to the United 
States  and  many  other  parts  of  the  world  and  may  continue  to  adversely  affect  our  business  operations,  employee 
availability, financial condition, results of operations and cash flows for an extended period of time.

The  outbreak  of  COVID-19  continues  to  grow  both  in  the  U.S.  and  globally,  and  related  government  and  private  sector 
responsive actions may continue to adversely affect our business operations. It is impossible to predict the effect and ultimate 
impact of the COVID-19 pandemic as the situation continues to evolve. 

Ongoing  significant  reductions  in  business-related  activities  could  result  in  further  loss  of  sales  and  profits,  as  well  as  other 
material adverse effects. The extent of the impact of COVID-19 worldwide on our business, financial results, liquidity and cash 
flows  will  depend  largely  on  future  developments,  including  new  information  that  may  emerge  concerning  the  severity  and 
action taken to contain or prevent further spread within the U.S. and the related impact on consumer confidence and spending, 
all of which are highly uncertain and cannot be predicted.

As COVID-19 continues and persists for an extended period of time, there may be significant and material disruptions to our 
supply chain and operations, and delays in the manufacturing and shipment of our products, which may have a material adverse 
effect on our business, financial condition, results of operations and cash flows.

We have been, and may in the future, become subject to litigation proceedings that could materially and adversely affect our 
business.

The medical device industry is characterized by frequent claims and litigation, and we are and may become subject to various 
claims,  lawsuits  and  proceedings  in  the  ordinary  course  of  our  business,  including  claims  by  current  or  former  employees, 
distributors and competitors, and with respect to our products and product liability claims, lawsuits and proceedings. 

We are involved in a number of legal actions relating to the use of our technology. The outcomes of these legal actions are not 
within our complete control and may not be known for prolonged periods of time. In the opinion of management, the Company 
has  meritorious  defenses,  and  such  claims  are  adequately  covered  by  insurance,  or  are  not  expected,  individually  or  in  the 
aggregate, to result in a material, adverse effect on our financial condition, results of operations and cash flows. However, in the 
event  that  damages  exceed  the  aggregate  coverage  limits  of  our  policy,  or  if  our  insurance  carriers  disclaim  coverage,  we 
believe it is possible that costs associated with these claims could have a material adverse impact on our consolidated financial 
position, results of operations and cash flows (see below ITEM 3:  Legal Proceedings).

We rely on certain suppliers, subcontractors, and manufacturers for raw materials and other products and are vulnerable to 
fluctuations in the availability and price of such products and services.

Fluctuations in the price, availability and quality of the raw materials (including plastics and other petroleum-based materials, 
along with precious metals) and subcontracting services we use in our manufacturing could have a negative effect on our cost of 
sales and our ability to meet the demands of our customers. Inability to meet the demands of our customers could result in the 
loss of future sales.

In  addition,  the  costs  to  manufacture  our  products  depend  in  part  on  the  market  prices  of  the  raw  materials  used  to  produce 
them. We may not be able to pass along to our customers all or a portion of our higher costs of raw materials due to competitive 
and market pressures, which could decrease our earnings and profitability.

We also have collaborative arrangements with three key foreign suppliers under which we request the development of certain 
items and components, which we purchase pursuant to purchase orders. Our purchase order commitments are never more than 
one year in duration and are supported by our sales forecasts. The majority of our raw materials are purchased from sole-source 
suppliers.  While  we  believe  we  could  ultimately  procure  other  sources  for  these  components,  should  we  experience  any 
significant disruptions in this key supply chain, there are no assurances that we could do so in a timely manner which could 
render us unable to meet the demands of our customers, resulting in a material and adverse effect on our business and results of 
operations.   

Our manufacturing facilities are located in Clearwater, Florida and Sofia, Bulgaria and could be affected due to multiple 
weather risks, including risks to our Florida facility from hurricanes and similar phenomena.

Our manufacturing facilities are located in Clearwater, Florida and Sofia, Bulgaria and could be affected by multiple weather 

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risks,  most  notably  hurricanes  in  Clearwater,  Florida.  Although  we  carry  property  and  casualty  insurance  and  business 
interruption insurance, future possible disruptions of operations or damage to property, plant and equipment due to hurricanes 
or other weather risks could result in impaired production and affect our ability to meet our commitments to our customers and 
impair  important  business  relationships,  the  loss  of  which  could  adversely  affect  our  operations  and  profitability.  We  do, 
however,  maintain  a  backup  generator  at  our  Clearwater  facility,  are  working  to  establish  deeper  redundancies  between  both 
facilities, and have a disaster recovery plan in place to help mitigate this risk.

Quality Management and Product Liability 

The success of our business depends on the quality of our products, and we have global processes, procedures and programs 
that are intended to help us maintain the highest possible level of quality.  We operate in an industry susceptible to significant 
product  liability  claims;  these  claims  may  be  brought  by  individuals  seeking  relief  on  their  own  behalf  or  purporting  to 
represent a class.

Quality  problems  and  product  liability  claims  could  lead  to  recalls  or  safety  alerts,  reputational  harm,  adverse  verdicts  or 
costly settlements, and could have a material adverse effect on our business, results of operations, financial condition and 
cash flows.

Quality  is  extremely  important  to  us  and  our  customers  due  to  the  impact  on  patients,  and  the  serious  and  potentially  costly 
consequences  of  product  failure.  Our  business  exposes  us  to  potential  product  liability  risks  that  are  inherent  in  the  design, 
manufacture, and marketing of medical devices. If they were to occur, component failures, manufacturing nonconformances, 
design defects, off-label use, or inadequate disclosure of product-related risks or product related information, could result in an 
unsafe condition, injury to, or even death of, a patient. These problems could lead to recall or issuance of safety notices relating 
to our products and could result in product liability claims and lawsuits, including class actions. Further, we may be exposed to 
unpredictable  or  accelerated  changes  in  demand  for  certain  of  our  products  in  connection  with  COVID-19,  and  its  related 
impacts could impact production of products that could increase the risk of regulatory enforcement actions, product defects or 
related claims, as well as adversely impact our customer relationships and reputation.

Risks Related to Our Industry

The energy-based medical device industry in the aesthetics market is highly competitive and we may be unable to compete 
effectively.

The energy-based medical device industry for the aesthetics market is highly competitive. Many competitors in this industry are 
well-established, do a substantially greater amount of business, and have greater financial resources and facilities than we do.

We have invested and continue to invest, substantial resources to develop and monetize our J-Plasma®/Renuvion® technology. 
We believe we must continue to develop new applications for our products and obtain new indications for use in order to stay 
competitive. If we are unable to gain acceptance of our technology in the marketplace, or obtain new indications for use, our 
business and results of operations and cash flows may be materially and adversely affected.

Part  of  our  strategy  depends  on  developing  strong  working  relationships  with  key  plastic  surgeons,  cosmetic  physicians  and 
other  healthcare  professionals.    The  guidance  we  get  from  these  relationships  is  important  from  both  a  commercialization 
strategy  and  product  development  standpoint.    Without  these  relationships,  the  development  and  commercialization  of  our 
products could suffer which could have a material adverse impact on our business. 

Risks Related to Our Stock

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APYX MEDICAL CORPORATION

The market price of our stock has been and may continue to be highly volatile.

Our common stock is listed on The NASDAQ Stock Market LLC under the ticker symbol “APYX”. The market price of our 
stock  has  been,  and  may  continue  to  be,  highly  volatile  and  announcements  by  us  or  by  third  parties  may  have  a  significant 
impact on our stock price. These announcements may include:

•
•
•
•
•
•
•

our listing status on the The NASDAQ Stock Market LLC;
our operating results falling below the expectations of public market analysts and investors;
developments in our relationships with or developments affecting our major customers;
negative regulatory action or regulatory non-approval with respect to our new products;
government regulation, governmental investigations, or audits related to us or to our products;
developments related to our patents or other proprietary rights or those of our competitors and
changes in the position of securities analysts with respect to our stock.

The stock market has from time-to-time experienced extreme price and volume fluctuations, which have particularly affected 
the  market  prices  for  the  medical  technology  sector  companies,  and  which  have  often  been  unrelated  to  their  operating 
performance. These broad market fluctuations may adversely affect the market price of our common stock. In addition, future 
sales by our security holders may lower the price of our common stock, which could result in losses to our stockholders.

We have no present intention to pay dividends on our common stock and, even if we change that policy, we may be unable to 
pay dividends on it. 

We  currently  do  not  anticipate  paying  any  dividends  on  our  common  stock  in  the  foreseeable  future.  We  currently  intend  to 
retain future earnings, if any, to finance operations and invest in our business. Any declaration and payment of future dividends 
to holders of our common stock will be at the discretion of our board of directors and will depend on many factors, including 
our financial condition, earnings, capital requirements, level of indebtedness, statutory and contractual restrictions applying to 
the payment of dividends, and other considerations that our board of directors deems relevant.

If we change that policy and commence paying dividends, we will not be obligated to continue paying those dividends, and our 
stockholders will not be guaranteed, or have contractual or other rights, to receive dividends. If we commence paying dividends 
in the future, our board of directors may decide, at its discretion, at any time, to decrease the number of dividends, otherwise 
modify  or  repeal  the  dividend  policy  or  discontinue  entirely  the  payment  of  dividends.  Under  Delaware  law,  our  board  of 
directors may not authorize the payment of a dividend unless it is paid out of our statutory surplus.

Exercise of options issued by us will dilute the ownership interest of existing stockholders.

As  of  December  31,  2020,  our  outstanding  stock  options  to  our  employees,  officers,  directors  and  consultants  amounted  to  
4,938,943 shares of our common stock, representing approximately 14.4% of our outstanding common stock.

The exercise of some or all of our stock options will dilute the ownership interests of existing stockholders. Any sales in the 
public market of the common stock issuable upon such conversion or exercise could adversely affect prevailing market prices 
of our common stock.

General Risks

We may, in the future, identify deficiencies in controls over financial reporting. 

While we have successfully remediated the control deficiencies that led to the material weaknesses reported in 2018 and 2019, 
as  disclosed,  in  Part  II,  Item  9A,  there  can  be  no  assurance  that  the  remedial  measures  taken  will  prevent  future  control 
deficiencies or material weaknesses from occurring. If we identify additional material weaknesses in our internal controls over 
financial reporting in the future, our ability to analyze, record and report financial information free of material misstatements, 
and  to  prepare  our  financial  statements  within  the  time  periods  specified  by  the  rules  and  forms  of  the  SEC,  will  likely  be 
adversely affected. 

We are at risk of being the victim of a cyber-attack or a security breach that may expose confidential customer, product and 
Company data or compromise our internal IT infrastructure.  This could lead to liabilities resulting from failure to comply 

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APYX MEDICAL CORPORATION

with US and foreign data security and privacy regulations and negative impacts to our business operations. 

We store in our computer systems and network various elements of data and information related to our customers, products and 
company that could be compromised as the result of a cyber-attack or security breach.   If an individual or group of individuals, 
including  a  Company  employee,  were  to  compromise  confidential  information,  or  if  customer  confidential  information  is 
inappropriately  disclosed  due  to  a  security  breach  of  our  computer  systems,  system  failures  or  otherwise,  we  may  face 
substantial liabilities or incur penalties in connection with any violation of applicable privacy laws or regulations.   We also rely 
heavily on our internal systems, network and data.  Any attacks on our IT infrastructure could have a significant impact on our 
daily manufacturing and customer service functions which could result in a material adverse impact on our financial results. 

Our business is dependent on the security of our IT networks and those of our customers. Internal or external attacks on any of 
those  could  disrupt  the  normal  operations  of  our  engagements  and  impede  our  ability  to  provide  critical  services  to  our 
customers,  thereby  subjecting  us  to  liability  under  our  contracts.  Additionally,  our  business  involves  the  use,  storage  and 
transmission  of  information  about  our  employees,  our  customers  and  clients  of  our  customers.  While  we  take  measures  to 
protect the security of, and unauthorized access to, our systems, as well as the privacy of personal and proprietary information, 
it is possible that our security controls over our systems, as well as other security practices we follow or those systems of our 
customers into which we operate and rely upon, may not prevent the improper access to or disclosure of personally identifiable 
or proprietary information. Such disclosure could harm our reputation and subject us to liability under our contracts and laws 
that protect personal data, resulting in increased costs or loss of revenue.

Data privacy is subject to frequently changing rules and regulations, which sometimes conflict among the various jurisdictions 
and countries in which we operate and continue to develop in ways which we cannot predict. We are subject to U.S. federal and 
state laws regarding data privacy and security including Section 5 of the Federal Trade Commission Act, or FTC Act. We are 
also subject to foreign data privacy and security laws, including the Global Data Protection Regulation, or GDPR, the European 
Union-wide  legal  framework  to  govern  data  collection,  use  and  sharing  and  related  consumer  privacy  rights.  The  GDPR 
includes significant penalties for non-compliance. Our failure to adhere to, or successfully implement processes in response to, 
changing regulatory requirements in this area could result in legal liability or impairment to our reputation in the marketplace, 
which could have a material adverse effect on our business, financial condition and results of operations.

Changes  in  U.S.  trade  policies  could  significantly  increase  the  cost  of  imported  goods  into  the  United  States,  which  may 
materially reduce our sales or profitability. 

Changes in U.S. trade policy could trigger retaliatory actions by affected countries, resulting in "trade wars," in increased costs 
for goods imported into the United States, which may reduce customer demand for these products if the parties having to pay 
those tariffs increase their prices, or in trading partners limiting their trade with the United States. If these consequences are 
realized, the volume of economic activity in the United States, may be materially reduced. Such a reduction may materially and 
adversely affect our sales volumes. Further, the realization of these matters may increase our cost of goods and, if those costs 
cannot be passed on to our customers, our business and profits may be materially and adversely affected.

ITEM 1B. Unresolved Staff Comments

None

ITEM 2. Properties

We currently own and maintain a 60,000 square foot facility which consists of office, warehousing, manufacturing and research 
space located at 5115 Ulmerton Rd., Clearwater, Florida. 

Apyx Bulgaria EOOD leases approximately 20,000 square feet of office, warehousing and manufacturing facilities located in 
Sofia, Bulgaria. The rental cost of the facility is approximately $10,000 per month.

ITEM 3. Legal Proceedings

See Note 18 of Notes to Consolidated Financial Statements in Part II, Item 8 of this Form 10-K.

15

ITEM 4. Mine Safety Disclosures

Not Applicable.

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PART II

APYX MEDICAL CORPORATION

ITEM  5.  Market  for  Registrant’s  Common  Equity,  Related  Stockholder  Matters  and  Issuer  Purchases  of  Equity 
Securities

Our common stock currently is traded on the NASDAQ Stock Market LLC. As of March 29, 2021, we had approximately 600 
stockholders  of  record.  Since  many  stockholders  choose  to  hold  their  shares  under  the  name  of  their  brokerage  firm,  we 
estimate that the actual number of stockholders was over 3,500 stockholders. 

Securities Authorized for Issuance Under Equity Compensation Plans

Number of Securities to 
be Issued Upon Exercise 
of Outstanding Options, 
Warrants and Rights
(a)

Weighted Average 
Exercise Price of 
Outstanding Options, 
Warrants and Rights
(b)

Number of Securities 
Remaining Available for 
Future Issuance Under 
Equity Compensation 
Plans (excluding 
securities reflected in 
column (a))
(c)

4,872,800  $ 

66,143  $ 

4,938,943  $ 

5.48 

4.05 

5.46 

2,351,369 

— 

2,351,369 

Equity compensation plans approved 
by security holders
Equity compensation plans not 
approved by security holders (1)
Total

(1) Represents inducement grants for new hires

Dividend Policy

We  have  never  declared  or  paid  any  cash  dividends  on  our  common  stock  and  we  currently  do  not  anticipate  paying  cash 
dividends in the foreseeable future. We currently expect to retain any future earnings to fund the operation and expansion of our 
business.

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APYX MEDICAL CORPORATION

Five Year Performance Graph 

The following line graph compares the cumulative total return of our common shares with the cumulative total return of the 
Russell 2000 Stock Index and the Russell 3000 Stock Index. The line graph assumes, in each case, an initial investment of $100 
on December 31, 2016, based on the market prices at the end of each fiscal year through and including December 31, 2020, and 
reinvestment of dividends.

Apyx Medical Corporation

Russell 2000 Index

Russell 3000 Index

2016

2017

December 31,
2018

100.00 

100.00 

100.00 

72.42 

113.14 

118.85 

180.49 

99.37 

110.54 

2019

2020

235.64 

122.94 

142.09 

200.54 

145.52 

168.03 

18

Apyx Medical CorporationRussell 2000 IndexRussell 3000 Index201620172018201920205075100125150175200225250 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
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APYX MEDICAL CORPORATION

ITEM 6. Selected Financial Data 

Not Required.

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APYX MEDICAL CORPORATION
MANAGEMENT'S DISCUSSION AND ANALYSIS OF
FINANCIAL CONDITION AND RESULTS OF OPERATIONS

ITEM 7. Management’s Discussion and Analysis of Financial Condition and Results of Operations

You  should  read  the  following  discussion  and  analysis  in  conjunction  with  our  consolidated  financial  statements  and  related 
notes contained elsewhere in this report. This discussion contains forward-looking statements that involve risks, uncertainties 
and assumptions. Our actual results may differ materially from those anticipated in these forward-looking statements as a result 
of a variety of factors discussed in this report and those discussed in other documents we file with the SEC. In light of these 
risks,  uncertainties  and  assumptions,  readers  are  cautioned  not  to  place  undue  reliance  on  such  forward-looking  statements. 
These forward-looking statements represent beliefs and assumptions as of the date of this report. While we may elect to update 
forward-looking statements at some point in the future, we specifically disclaim any obligation to do so, even if our estimates 
change. Past performance does not guarantee future results.

Executive Level Overview

We are an advanced energy technology company with a passion for elevating people’s lives through innovative products in the 
cosmetic  and  surgical  markets.  Known  for  our  innovative  Helium  Plasma  Technology,  Apyx  is  solely  focused  on  bringing 
transformative  solutions  to  the  physicians  and  patients  it  serves.  Our  Helium  Plasma  Technology  is  marketed  and  sold  as 
Renuvion® in the cosmetic surgery market and J-Plasma® in the hospital surgical market. Renuvion® offers plastic surgeons, 
fascial plastic surgeons and cosmetic physicians a unique ability to provide controlled heat toe tissue to achieve their desired 
results. The J-Plasma® system allows surgeons to operate with a high level of precision, virtually eliminating unintended tissue 
trauma. We also leverage our deep expertise and decades of experience in unique waveforms through OEM agreements with 
other medical device manufacturers.

As discussed in our Annual Report on Form 10-K for the year ended December 31, 2019 ("2019 Form 10-K"), an outbreak of a 
novel strain of the coronavirus, COVID-19, was identified in China and subsequently recognized as a pandemic by the World 
Health Organization. The COVID-19 outbreak continues to severely restrict the level of economic activity around the world. In 
response to the COVID-19 outbreak the governments of many countries, states, cities and other geographic regions have taken 
preventative  or  protective  actions,  such  as  imposing  restrictions  on  travel  and  business  operations  and  advising  or  requiring 
individuals to limit or forego their time outside of their homes. Temporary closures of businesses in some jurisdictions were 
ordered,  and  numerous  other  businesses  closed  permanently.    Many  other  businesses  continue  to  be  operated  at  reduced 
capacity.   

Ongoing significant reductions in business-related activities could result in further loss of sales and profits and other material 
adverse effects. The extent of the impact of COVID-19 on our business, financial results, liquidity and cash flows will depend 
largely  on  future  developments,  including  new  information  that  may  emerge  concerning  actions  taken  to  contain  or  prevent 
further spread of the virus, or its newly forming variants, within the U.S. and the related impact on consumer confidence and 
spending, all of which are highly uncertain and cannot be predicted.

While  our  revenues  were  affected  by  the  continued  impacts  of  the  COVID-19  pandemic,  in  the  latter  half  of  2020  we  saw 
strong  utilization  of  our  Renuvion®  handpieces  from  existing  customers  in  the  U.S.,  along  with  shipments  to  several  new 
customers in our international markets, which helped to offset sluggish global demand for capital equipment.  Throughout the 
year, we continued our efforts to support our customers during this challenging time. 

While we were also pleased to see overall improvements in our Advanced Energy business trends during the third and fourth 
quarters,  demand  for  handpieces  remains  uneven  across,  and  within,  the  primary  markets  that  we  serve,  and  global  demand 
trends  for  generator  adoption  remain  in  the  early  stages  of  recovery.    Although  the  timing  of  a  return  to  a  more  normalized 
environment  remains  uncertain,  we  remain  cautiously  optimistic  with  respect  to  the  continued  recovery  of  the  cosmetic  and 
plastic surgery market. 

We source the components used in our products from a variety of suppliers and we have collaborative arrangements with three 
key foreign suppliers. At this time our suppliers have experienced no significant disruptions as a result of COVID-19. We have 
experienced minor delays in our procurement from these suppliers as a result of the availability of shipping from third party 
freight carriers. These delays have not, to date, had a significant impact on our operations.

In response to COVID-19, we took action in these key areas:

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APYX MEDICAL CORPORATION
MANAGEMENT'S DISCUSSION AND ANALYSIS OF
FINANCIAL CONDITION AND RESULTS OF OPERATIONS - Continued

•

Protecting the Health and Safety of our Employees: To reduce the risk to our employees and their families to potential 
exposure to COVID-19, we required that all non-essential employees work remotely until further notice. We also split 
the shifts of our manufacturing personnel to allow for adequate social distancing, and require all personnel to utilize 
personal protective equipment while on site at our facilities. We also significantly reduced business travel and outside 
access to our facilities.

• Maintaining Engagement of or Sales Team and Our Customers: In addition to the initiatives we put in place to protect 
health and safety for all employees, we focused our direct sales team on remaining in close contact with their existing 
surgeon customers to do everything they can to provide them with support during this difficult time. With this goal in 
mind,  we    implemented  additional  training  for  our  sales  reps  in  order  to  sharpen  their  ability  to  engage  with  our 
customers  virtually.  In  addition  to  engaging  with  existing  customers  via  virtual  methods,  our  reps  also  continued  to 
target  and  reach  out  to  prospective  customers,  and  outside  the  U.S.,  we  continued  to  monitor  the  activities  of  our 
distributor partners and helped them navigate the challenges they faced as a result of the slower demand they have seen 
in their respective countries.
Operating  Expenses:  We  continued  to  take  preemptive  steps  to  curtail  spending,  including  implementing  hiring 
restrictions, reducing most discretionary spending, reducing capital expenditures, and delaying certain R&D projects 
and clinical research studies.
Governmental  Policy:  On  March  27,  2020,  the  U.S.  government  enacted  the  CARES  Act  to  provide  relief  from 
COVID-19. We have taken advantage of certain provisions of the CARES Act which are applicable to us, including 
utilizing  net  operating  loss  (NOL)  carryback  provisions.  We  expect  that  utilizing  these  provisions  will  significantly 
help mitigate the working capital impact COVID-19 has had on our sales and operations.

•

•

During the first two months of 2020, our plans to host new Physician Mentor Programs, or “PMPs,” and expand our presence 
and educational programming at industry conferences and trade shows proceeded as expected. Our events planned for March, 
through the present time, however, were canceled or postponed due to COVID-19. In lieu of this in-person programming, our 
sales,  marketing  and  field  clinical  teams  have  been  very  active  in  engaging  with  our  customers  -  and  prospects  -  around  the 
world. We have hosted educational events virtually where we featured some of our leading clinician customers speaking on a 
wide range of topics, including side-by-side results comparing Renuvion® to a leading competitor's technology.

Our virtual educational events have also included case studies to illustrate how our leading clinician customers have adopted 
Renuvion®, their strategies for marketing and selling to new patients, and their thoughts on pricing and return on investment. 
We  hosted  the  first  installment  of  a  planned  series  of  webinars  designed  to  assist  our  customers  and  prospects  with  opening 
their  practices  post-COVID  19.  We  also  engaged  with  clinician  customers  outside  the  U.S.  including  hosting  multiple 
continuing education training sessions on J-Plasma® and Renuvion® with our current international distributors and conducting 
multiple calls with groups of international prospects interested in learning about our Renuvion® technology.

During 2020, we continued to drive sales in our Advanced Energy business by increasing the adoption and utilization of our 
handpieces  in  the  U.S.  cosmetic  surgery  market  and  fulfilling  demand  from  distributors  in  our  international  markets. 
Management estimates that our products have been sold in more than 55 countries. As of December 31, 2020, we had a direct 
sales force of 31 field-based selling professionals and utilized 2 independent sales agencies. We also had 5 sales managers. This 
selling  organization  is  focused  on  the  use  of  Renuvion®  in  the  cosmetic  surgery  market.  In  addition,  we  have  invested  in 
training programs and marketing-related activities to support accelerated adoption of Renuvion® into physicians' practices.

We believe that our continued investment and focus on the following strategic initiatives in 2020 and beyond will position the 
Company for long-term growth in the cosmetic surgery market:

•

•
•
•

To formalize our regulatory strategy to pursue specific clinical indications that will enable us to sell our 
Renuvion® products for targeted procedures
To secure new clinical evidence demonstrating the safety and efficacy of our Helium Plasma Technology
To provide enhanced physician and practice support for our cosmetic surgery customers
To improve our manufacturing capabilities and efficiencies

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APYX MEDICAL CORPORATION
MANAGEMENT'S DISCUSSION AND ANALYSIS OF
FINANCIAL CONDITION AND RESULTS OF OPERATIONS - Continued

In regards to our operating segments, our results are aggregated into reportable segments only if they exhibit similar economic 
characteristics.  In  addition  to  similar  economic  characteristics,  we  also  consider  the  following  factors  in  determining  the 
reportable  segments:  the  nature  of  business  activities,  the  management  structure  directly  accountable  to  our  chief  operating 
decision  maker  for  operating  and  administrative  activities,  availability  of  discrete  financial  information,  and  information 
presented to the Board of Directors and investors. Asset information is not reviewed by the chief operating decision maker by 
segment and is not available by segment and, accordingly, we have not presented a measure of assets by reportable segment.

Our reportable segments are disclosed as principally organized and managed as two operating segments: Advanced Energy and 
OEM.  "Corporate & Other" includes certain unallocated corporate and administrative costs which are not specifically attributed 
to any reportable segment. The OEM segment is primarily development and manufacturing contract and product driven, and all 
related expenses are recorded as cost of sales, therefore no segment specific operating expenses are incurred.

We strongly encourage investors to visit our website: www.apyxmedical.com to view the most current news and to review our 
filings with the Securities and Exchange Commission.

Results of Operations 

Sales

(In thousands)
Sales by Reportable Segment

Advanced Energy
OEM
Total

Sales by Domestic and International

Domestic

International

Total

Year Ended
December 31,

2020

2019

Change

$ 

$ 

22,214  $ 
5,497 
27,711  $ 

22,676 
5,559 
28,235 

$ 

18,812  $ 

19,584 

8,899 

8,651 

$ 

27,711  $ 

28,235 

 (2.0) %
 (1.1) %
 (1.9) %

 (3.9) %

 2.9 %

 (1.9) %

Total revenue decreased by 1.9% or approximately $(0.5) million for the year ended December 31, 2020 when compared with 
2019. Advanced Energy segment sales decreased 2.0% or approximately $(0.5) million for the year ended December 31, 2020 
when  compared  with  2019.  The  impact  of  COVID-19  resulted  in  decreased  demand  for  our  products,  both  domestically  and 
internationally throughout 2020, although sales began to recover late in the second quarter, and through the end of the year, as 
many of our customers resumed operations in a limited capacity. We continue to see improved demand domestically for our 
products  from  pre-COVID-19  levels  and  have  experienced  improvements  internationally,  driven  primarily  by  entry  into  new 
markets, the largest of which was Brazil. 

The OEM product line consists of proprietary products designed specifically for third party equipment manufacturers. Revenue 
for this product line decreased (1.1)% or approximately $(0.1) million when compared to 2019.  

International sales represented approximately 32.1% and 30.6% of total revenues for the years ended December 31, 2020 and 
2019,  respectively.  Management  estimates  our  products  have  been  sold  in  more  than  55  countries  through  local  dealers 
coordinated by sales and marketing personnel through our facilities in Clearwater, Florida and Sofia, Bulgaria.

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Gross Profit

(In thousands)
Cost of sales

Percentage of sales

Gross profit

Percentage of sales

APYX MEDICAL CORPORATION
MANAGEMENT'S DISCUSSION AND ANALYSIS OF
FINANCIAL CONDITION AND RESULTS OF OPERATIONS - Continued

Year Ended
December 31,

2020
$  10,207 

2019
$  9,141 

Change

 11.7 %

 36.8 %

 32.4 %

$  17,504 

$  19,094 

 63.2 %

 67.6 %

 (8.3) %

 (4.4) %

Our gross profit margin as a percentage of sales decreased by 4.4% during the year ended December 31, 2020 compared with 
2019.  During  the  second  quarter,  we  reassessed  our  forecasted  product  mix  due  to  COVID-19,  increased  availability  of  our 
newer  handpiece  designs,  and  improved  timing  of  product  registrations  in  some  of  our  foreign  markets.  As  a  result,  certain 
products  were  reduced  to  a  lower  carrying  value,  and  some  components  were  also  written  off  as  it  was  determined  to  cease 
further production on these models. This resulted in a decrease in gross profit of approximately $0.3 million which is reflective 
of small recoveries on the impairments later in the year through the manufacture and sale of handpieces utilizing the impaired 
components.  The  remaining  decrease  in  gross  profit  margin  is  driven  by  product  mix  within  our  Advanced  Energy  segment, 
offset  by  improved  product  margins  in  our  Advanced  Energy  segment  as  a  result  of  our  continued  manufacturing  efficiency 
initiatives and introduction of newer product models.

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APYX MEDICAL CORPORATION
MANAGEMENT'S DISCUSSION AND ANALYSIS OF
FINANCIAL CONDITION AND RESULTS OF OPERATIONS - Continued

Other Costs and Expenses

Research and development

(In thousands)
Research and development expense

Percentage of sales

Year Ended
December 31,

2020
$  3,920 

2019
$  3,731 

Change

 5.1 %

 14.1 %

 13.2 %

Our expenditures for R&D related activities increased by 5.1% or approximately $0.2 million for the year ended December 31, 
2020, compared with 2019. This increase was primarily due to continued spending on our two investigational device exemption 
(IDE) clinical studies, which had applications submitted to the FDA in late 2019.

Professional services

(In thousands)
Professional services expense

Percentage of sales

Year Ended
December 31,

2020
$  7,350 

2019
$  8,507 

Change

 (13.6) %

 26.5 %

 30.1 %

Professional services expenses decreased 13.6% for the year ended December 31, 2020, compared with 2019. The change was 
primarily  attributable  to  decreases  in  legal  expense  ($0.7  million)  associated  with  our  now  settled  class  action  lawsuit,  a 
decrease in Medical Advisory Board consulting fees ($0.5 million), and a decrease in option expense related to options granted 
to  our  Medical  Advisory  Board  physicians  ($0.3  million),  as  additional  grants  did  not  occur  in  2020.  These  decreases  were 
partially offset by an increase in accounting and auditing fees ($0.5 million) related to recent financial statement restatements, 
the change in our independent accountants and reaudit of the 2019 consolidated financial statements, and continued efforts to 
remediate our internal control deficiencies and material weaknesses.

Salaries and related costs

(In thousands)
Salaries and related expenses

Percentage of sales

Year Ended
December 31,

2020
$  14,630 

2019
$  14,025 

Change

 4.3 %

 52.8 %

 49.7 %

During 2020, salaries and related expenses increased approximately 4.3% or approximately $0.6 million compared to 2019. The 
increase was primarily attributable to additional employee stock option grants in 2020, which drove an increase in employee 
stock  option  expense  of  $1.2  million  in  2020.  This  increase  was  partially  offset  by  lower  bonus  expense  during  2020  of 
approximately $0.6 million.

Selling, general and administrative expenses

(In thousands)
SG&A expenses

Percentage of sales

Year Ended
December 31,

2020
$  11,687 

2019
$  13,700 

Change

 (14.7) %

 42.2 %

 48.5 %

Selling, general and administrative expense decreased by 14.7% or approximately $2.0 million for the year ended December 31, 
2020, compared with 2019. The decrease is primarily related to decreases in travel and entertainment expense ($1.2 million), 
advertising including show fees and related costs ($0.6 million), regulatory registration and related quality audit expenses ($0.4 

24

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APYX MEDICAL CORPORATION
MANAGEMENT'S DISCUSSION AND ANALYSIS OF
FINANCIAL CONDITION AND RESULTS OF OPERATIONS - Continued

million),  and  commissions  on  Advanced  Energy  sales  ($0.2  million),  all  of  which  are  associated  with  restricted  travel, 
decreased sales activity, or delayed regulatory activity as a result of COVID-19. These decreases were partially offset by higher 
bad debt expense ($0.4 million).

Interest Income

(In thousands)
Interest income 

Percentage of sales

Year Ended
December 31,

2020

$ 

241 

2019
$  1,392 

Change

 (82.7) %

 0.9 %

 4.9 %

Interest income decreased (82.7)% for the year ended December 31, 2020 as compared with the prior year. This decrease is due 
to a lower yield, as well as a lower average balance, on our investments in U.S. Treasury securities included in cash and cash 
equivalents.

Other Income (Loss), net

(In thousands)
Other income (loss), net

Percentage of sales

Year Ended
December 31,

2020

2019

Change

$ 

479 

$ 

(351) 

 236.5 %

 1.7 %

 (1.2) %

Other  income  (loss),  net  increased  236.5%  for  the  year  ended  December  31,  2020,  as  compared  with  the  prior  year.  This 
increase is primarily due to the receipt of refunds on tariffs paid in the prior year during the first quarter of 2020, combined with 
the recognition of a joint and several liability for not collecting and remitting payroll taxes related to stock option exercises in 
the prior year.

Income Taxes

The income tax benefit was approximately $7.5 million, with an effective tax rate of 38.7%, for the year ended December 31, 
2020 as compared to an income tax benefit of approximately $0.1 million, with an effective tax rate of 0.7%, in 2019. For the 
year ended December 31, 2020, the effective tax rate differs from the statutory rate primarily due to the release of the valuation 
allowance on our Federal NOL from 2019 as a result of the CARES Act, partially offset by a valuation allowance on our State 
NOL for 2020 and accrued interest and penalties on our uncertain tax positions. For the year ended December 31, 2019, the 
effective tax rate differs from the statutory rate primarily due to the valuation allowance on our Federal and State NOL for 2019 
and accrued interest and penalties on our uncertain tax positions.

On March 27, 2020, the U.S. government enacted the CARES Act to provide relief from COVID-19. The CARES Act includes 
a provision that allows companies to carryback NOLs generated in the period 2018 through 2020 to prior years. As a result, we 
released  the  full  valuation  allowance  of  approximately  $3.7  million  on  our  Federal  NOL  carryforward  from  2019  during  the 
first  quarter  of  2020.  In  2020,  our  income  tax  benefit  is  composed  primarily  of  a  benefit  of  $3.7  million  associated  with  the 
current year net loss and $3.7 million associated with the release of the valuation allowance on the net operating loss from 2019 
from the CARES Act. In 2019, our income tax benefit is composed primarily of return to provision adjustments related to the 
2018 tax year (benefit of approximately $0.3 million), partially offset by the accrual of interest and penalties on our uncertain 
tax positions (expense of approximately $0.2 million).

We expect to receive refunds of approximately $7.5 million during 2021 related to the carryback of our 2020 and 2019 pre-tax 
losses.

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APYX MEDICAL CORPORATION
MANAGEMENT'S DISCUSSION AND ANALYSIS OF
FINANCIAL CONDITION AND RESULTS OF OPERATIONS - Continued

Liquidity and Capital Resources

At December 31, 2020, we had approximately $41.9 million in cash and cash equivalents as compared to approximately $58.8  
in  cash  and  cash  equivalents  at  December  31,  2019.    Our  working  capital  at  December  31,  2020  was  approximately  $56.9 
million  compared  with  $64.4  million  at  December  31,  2019.  The  decrease  in  working  capital  at  December  31,  2020  was 
primarily due to the net loss incurred by the Company in 2020, excluding non-cash activity, comprised primarily of stock-based 
compensation expense.

For the year ended December 31, 2020, net cash used in operating activities was approximately $16.0 million compared with 
net cash used in operating activities of approximately $18.5 million in 2019.  

Net cash used in investing activities for the year ended December 31, 2020, was $0.6 million, related to purchases of capital 
equipment. Net cash from investing activities for the year ended December 31, 2019 was $60.5 million, primarily related to the 
maturity of short-term investments and reinvestment in cash equivalents, as well as approximately $1.3 million in purchases of 
capital equipment.

At December 31, 2020, we had purchase commitments for inventories totaling approximately $1.9 million, substantially all of 
which is expected to be purchased by the end of 2021. 

Critical Accounting Estimates

In  preparing  the  consolidated  financial  statements  in  accordance  with  accounting  principles  generally  accepted  in  the  United 
States  of  America  (U.S.  GAAP),  we  have  adopted  various  accounting  policies.  Our  most  significant  accounting  policies  are 
disclosed in Note 2 to the consolidated financial statements.

The  preparation  of  the  consolidated  financial  statements  in  conformity  with  U.S.  GAAP  requires  us  to  make  estimates  and 
assumptions that affect the amounts reported in the consolidated financial statements and accompanying notes. Our estimates 
and  assumptions,  including  those  related  to  inventories,  legal  proceedings,  research  and  development,  warranty  obligations, 
product liability, sales returns and discounts, stock-based compensation and income taxes are updated as appropriate, which in 
most cases is at least quarterly. We base our estimates on historical experience, or various assumptions that are believed to be 
reasonable  under  the  circumstances  and  the  results  form  the  basis  for  making  judgments  about  the  reported  values  of  assets, 
liabilities, revenues and expenses. Actual results may materially differ from these estimates.

Estimates are considered to be critical if they meet both of the following criteria: (1) the estimate requires assumptions about 
material  matters  that  are  uncertain  at  the  time  the  accounting  estimates  are  made  and  (2)  other  materially  different  estimates 
could have been reasonably made or material changes in the estimates are reasonably likely to occur from period to period. Our 
critical accounting estimates include the following:

Stock-Based Compensation

Under our stock option plans, options to purchase common shares of the Company may be granted to employees, officers and 
directors  of  the  Company  by  the  Board  of  Directors.  We  account  for  stock  options  in  accordance  with  FASB  ASC  Topic 
718-10, Compensation-Stock Compensation, with compensation expense recognized over the vesting period. Options are valued 
using  the  Black-Scholes  model,  which  includes  a  number  of  estimates  that  affect  the  amount  of  our  expense.  We  have 
determined that the most critical of these estimates are the estimates of expected life and volatility used in the calculations. 

Expected life

For employee stock-based compensation awards, we estimate the expected life of awards utilizing the SEC's simplified method. 
We  utilize  this  method,  as  we  have  not  historically  granted  stock-based  compensation  awards  to  employees  in  sufficient 
volumes to determine a reasonable estimate of the life of awards. For awards granted to non-employees, we calculate expected 
life using a combination of past exercise behavior, the contractual term and expected remaining exercise behavior.  

Volatility

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APYX MEDICAL CORPORATION
MANAGEMENT'S DISCUSSION AND ANALYSIS OF
FINANCIAL CONDITION AND RESULTS OF OPERATIONS - Continued

We determine the volatility by utilizing the historical volatility of our stock over the period of the awards expected life. The 
SEC allows us to include periods in excess of the useful life if we determine that they provide a more reasonable basis for the 
volatility of our stock. Additionally, ASC 718-10 allows us to exclude periods from the volatility if they pertain to events or 
circumstances that in our judgment are specific to us and if the event or transaction is not reasonably expected to occur again 
during  the  expected  term  of  the  awards.  We  have  not  included  any  additional  periods,  nor  disregarded  any  periods,  in 
calculating our volatility.

Accounts Receivable Allowance

We  maintain  a  reserve  for  uncollectible  accounts  receivable.  When  evaluating  the  adequacy  of  the  allowance  for  doubtful 
accounts,  we  analyze  specific  unremitted  customer  balances  for  known  collectability  issues,  review  historical  bad  debt 
experience,  customer  credit  worthiness  and  economic  trends,  and  we  make  estimates  in  connection  with  establishing  the 
allowance for doubtful accounts, including the future impacts of current trends. Changes in estimates are reflected in the period 
they are made. If the financial condition of our customers deteriorates, resulting in an inability to make payments, additional 
allowances may be required.

Inventory Obsolescence Allowance

We maintain a reserve for excess and obsolete inventory resulting from the potential inability to sell our products at prices in 
excess  of  current  carrying  costs.  The  markets  in  which  we  operate  are  highly  competitive,  with  new  products  and  surgical 
procedures introduced on an ongoing basis. Such marketplace changes may cause our products to become obsolete. We make 
estimates  regarding  the  future  recoverability  of  the  costs  of  these  products  and  record  a  provision  for  excess  and  obsolete 
inventories  based  on  historical  experience  and  expected  future  trends.  If  actual  product  life  cycles,  product  demand  or 
acceptance  of  new  product  introductions  are  less  favorable  than  projected  by  management,  additional  inventory  write-downs 
may be required, which would unfavorably affect future operating results.

Litigation Contingencies

In accordance with authoritative guidance, we record a liability in our consolidated financial statements for these actions when a 
loss is known or considered probable and the amount can be reasonably estimated. If the reasonable estimate of a known or 
probable loss is a range, and no amount within the range is a better estimate than any other, the minimum amount of the range is 
accrued.  If  a  loss  is  reasonably  possible,  but  not  known  or  probable,  and  can  be  reasonably  estimated,  the  estimated  loss  or 
range of loss is disclosed in the notes to the consolidated financial statements. In most cases, significant judgment is required to 
estimate the amount and timing of a loss to be recorded; actual results may differ from these estimates.

Income Taxes 

The  provision  for  income  taxes  includes  federal,  foreign,  state  and  local  income  taxes  currently  payable  and  those  deferred 
because of temporary differences between the financial statement and tax bases of assets and liabilities. Deferred tax assets or 
liabilities are computed based on the difference between the financial statement and income tax bases of assets and liabilities 
using enacted marginal tax rates. Valuation allowances are recorded to reduce deferred tax assets when it is more likely than not 
that a tax benefit will not be realized. Deferred income tax expenses or credits are based on the changes in the asset or liability 
from period to period.

As a result of historical losses exclusive of discontinued operations, and our expectation to continue to generate losses in the 
near  future,  we  recorded  a  valuation  allowance  on  the  our  deferred  tax  asset.  Exclusive  of  the  carryback  provisions  of  the 
CARES ACT and the associated income tax benefit recognized in 2020, we do not anticipate recording an income tax benefit 
related to these deferred tax assets. We will reassess the realization of deferred tax assets each reporting period and will be able 
to  reduce  the  valuation  allowance  to  the  extent  the  financial  results  of  continuing  operations  improve,  and  it  becomes  more 
likely  than  not  that  the  deferred  tax  assets  will  be  realizable.  As  management  expects  the  Company  to  continue  to  generate 
losses  in  the  foreseeable  future  after  2020,  we  will  continue  to  record  a  valuation  allowance  on  the  net  deferred  tax  assets 
balance as of December 31, 2020.

We assess the financial statement impact of an uncertain tax position taken or expected to be taken on an income tax return at 
the largest amount that is more-likely-than-not to be sustained upon audit by the relevant taxing authority. An uncertain income 
tax position will not be recognized in the financial statements unless it is more likely than not of being sustained.

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Inflation

APYX MEDICAL CORPORATION
MANAGEMENT'S DISCUSSION AND ANALYSIS OF
FINANCIAL CONDITION AND RESULTS OF OPERATIONS - Continued

Inflation has not materially impacted the operations of our Company.

Off-Balance Sheet Arrangements

We have no off-balance sheet arrangements at this time.

Recent Accounting Pronouncements

See Note 4 of the Notes to Consolidated Financial Statements.

ITEM 7A. Quantitative and Qualitative Disclosures about Market Risk

Not required.

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APYX MEDICAL CORPORATION

ITEM 8. Financial Statements and Supplementary Data 

INDEX TO FINANCIAL INFORMATION

Report of Independent Registered Public Accounting Firm

Consolidated Balance Sheets at December 31, 2020 and 2019

Consolidated Statements of Operations for the years ended December 31, 2020 and 2019

Consolidated Statements of Changes in Equity for the years ended December 31, 2020 and 2019

Consolidated Statements of Cash Flows for the years ended December 31, 2020 and 2019

Notes to Consolidated Financial Statements

Page

30

31

32

33

34

35

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Report of Independent Registered Public Accounting Firm

To the Stockholders and the Board of Directors of Apyx Medical Corporation

Opinion on the Financial Statements
We have audited the accompanying consolidated balance sheets of Apyx Medical Corporation and its subsidiaries 
(the Company) as of December 31, 2020 and 2019, the related consolidated statements of operations, changes in 
equity  and  cash  flows  for  the  years  then  ended,  and  the  related  notes  to  the  consolidated  financial  statements 
(collectively, the financial statements). In our opinion, the financial statements present fairly, in all material respects, 
the financial position of the Company as of December 31, 2020 and 2019, and the results of its operations and its 
cash  flows  for  the  years  then  ended,  in  conformity  with  accounting  principles  generally  accepted  in  the  United 
States of America.

Basis for Opinion
These financial statements are the responsibility of the Company’s management. Our responsibility is to express an 
opinion on the Company’s financial statements based on our audits. We are a public accounting firm registered with 
the Public Company Accounting Oversight Board (United States) (PCAOB) and are required to be independent with 
respect to the Company in accordance with U.S. federal securities laws and the applicable rules and regulations of 
the Securities and Exchange Commission and the PCAOB.

We  conducted  our  audits  in  accordance  with  the  standards  of  the  PCAOB. Those  standards  require  that  we  plan 
and perform the audit to obtain reasonable assurance about whether the financial statements are free of material 
misstatement,  whether  due  to  error  or  fraud.  The  Company  is  not  required  to  have,  nor  were  we  engaged  to 
perform, an audit of its internal control over financial reporting. As part of our audits we are required to obtain an 
understanding  of  internal  control  over  financial  reporting  but  not  for  the  purpose  of  expressing  an  opinion  on  the 
effectiveness of the Company’s internal control over financial reporting. Accordingly, we express no such opinion.

Our audits included performing procedures to assess the risks of material misstatement of the financial statements, 
whether  due  to  error  or  fraud,  and  performing  procedures  that  respond  to  those  risks.  Such  procedures  included 
examining, on a test basis, evidence regarding the amounts and disclosures in the financial statements. Our audits 
also included evaluating the accounting principles used and significant estimates made by management, as well as 
evaluating  the  overall  presentation  of  the  financial  statements.  We  believe  that  our  audits  provide  a  reasonable 
basis for our opinion.

Critical Audit Matters
Critical  audit  matters  are  matters  arising  from  the  current  period  audit  of  the  financial  statements  that  were 
communicated or required to be communicated to the audit committee and that: (1) relate to accounts or disclosures 
that  are  material  to  the  financial  statements  and  (2)  involved  our  especially  challenging,  subjective,  or  complex 
judgments. We determined that there are no critical audit matters.

/s/ RSM US LLP

We have served as the Company's auditor since 2020.

Orlando, Florida
March 31, 2021

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ASSETS
Current assets:

APYX MEDICAL CORPORATION
CONSOLIDATED BALANCE SHEETS

(In thousands, except share and per share data)

December 31,
2020

December 31, 
2019

$ 

$ 

$ 

Cash and cash equivalents
Trade accounts receivable, net of allowance of $300 and $273
Income tax receivables
Other receivables
Inventories, net of provision for obsolescence of $388 and $392
Prepaid expenses and other current assets
Total current assets
Property and equipment, net
Operating lease right-of-use assets
Finance lease right-of-use assets
Other assets

Total assets

LIABILITIES AND EQUITY
Current liabilities:

Accounts payable
Accrued expenses and other current liabilities
Current portion of operating lease liabilities
Current portion of finance lease liabilities
Related party note payable
Total current liabilities
Long-term operating lease liabilities
Long-term finance lease liabilities
Contract liabilities
Other liabilities

Total liabilities

COMMITMENTS AND CONTINGENCIES (NOTE 18)
EQUITY

Common stock, $0.001 par value; 75,000,000 shares authorized; 34,289,222 issued and 
outstanding as of December 31, 2020, and 34,312,527 issued and 34,169,952 outstanding 
as of December 31, 2019
Additional paid-in capital
Retained earnings
Total stockholders’ equity
Non-controlling interest
Total equity
Total liabilities and equity

$ 

41,915  $ 
8,399 
7,654 
1,275 
4,051 
2,795 
66,089 
6,541 
237 
437 
807 
74,111  $ 

1,511  $ 
7,278 
126 
238 
— 
9,153 
129 
183 
621 
166 

10,252 

34 
61,066 
2,621 
63,721 
138 
63,859 
74,111  $ 

58,812 
7,987 
426 
1,233 
5,068 
3,207 
76,733 
6,618 
350 
653 
391 
84,745 

2,438 
9,396 
108 
229 
140 
12,311 
235 
421 
405 
114 

13,486 

34 
56,708 
14,517 
71,259 
— 
71,259 
84,745 

The accompanying notes are an integral part of the consolidated financial statements.

31

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
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APYX MEDICAL CORPORATION
CONSOLIDATED STATEMENTS OF OPERATIONS

(In thousands, except per share data)

Sales

Cost of sales

Gross profit

Other costs and expenses:

Research and development

Professional services

Salaries and related costs

Selling, general and administrative

Total other costs and expenses

Loss from operations

Interest income

Interest expense

Other income (loss), net

Total other income, net

Loss from operations before income taxes

Income tax benefit
Net loss
Net loss attributable to non-controlling interest

Net loss attributable to stockholders

Loss per share

Basic and Diluted

Year Ended December 31,

2020

2019

$ 

27,711  $ 

10,207 

17,504 

3,920 

7,350 

14,630 

11,687 

37,587 

28,235 

9,141 

19,094 

3,731 

8,507 

14,025 

13,700 

39,963 

(20,083)   

(20,869) 

241 

(46)   

479 

674 

1,392 

(8) 

(351) 

1,033 

(19,409)   

(19,836) 

(7,503)   

(130) 

(11,906)   

(19,706) 

(10)   

— 

$ 

(11,896)  $ 

(19,706) 

$ 

(0.35)  $ 

(0.58) 

Weighted average number of shares outstanding - basic and diluted

34,212 

34,069 

The accompanying notes are an integral part of the consolidated financial statements.

32

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
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APYX MEDICAL CORPORATION
CONSOLIDATED STATEMENTS OF CHANGES IN EQUITY

(In thousands)

Common Stock

Shares

Par Value

Additional 
Paid-In 
Capital

Retained 
Earnings

Non-
controlling 

interest equity Total  Equity

33,705

$ 

34  $ 

52,920 

$ 

34,223  $ 

—  $ 

87,177 

61 

— 

223 

181 

— 

— 

— 

— 

— 

— 

207 

3,581 

— 

— 

— 

— 

— 

— 

— 

(19,706) 

— 

— 

— 

— 

207 

3,581 

— 

— 

(19,706) 

34,170

$ 

34  $ 

56,708 

$ 

14,517  $ 

—  $ 

71,259 

— 

27 
— 

47 
45 
— 

— 

— 
— 

— 
— 
— 

— 

148 
4,210 

— 
— 
— 

— 

— 
— 

— 
— 
(11,896) 

148 

— 
— 

— 
— 
(10) 

148 

148 
4,210 

— 
— 
(11,906) 

34,289

$ 

34  $ 

61,066 

$ 

2,621  $ 

138  $ 

63,859 

Balance
December 31, 2018
Shares issued on stock options exercised 
for cash

Stock based compensation

Shares issued on net settlement of stock 
options

Vested restricted stock issued

Net loss

Balance
December 31, 2019
Contributions from non-controlling 
interest
Shares issued on stock options exercised 
for cash
Stock based compensation
Shares issued on net settlement of stock 
options
Vested restricted stock issued
Net loss
Balance
December 31, 2020

The accompanying notes are an integral part of the consolidated financial statements.

33

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
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APYX MEDICAL CORPORATION
CONSOLIDATED STATEMENTS OF CASH FLOWS

(In thousands) 

Cash flows from operating activities
Net loss
Adjustments to reconcile net loss to net cash used in operating activities:

Depreciation and amortization
Provision for inventory obsolescence
Provision for product warranties
Loss on disposal of property and equipment
Stock based compensation
Realized and unrealized gains on short term investments
Provision (benefit) for allowance for doubtful accounts
Changes in current assets and liabilities:
Trade receivables
Income tax receivables
Prepaid expenses and other assets
Inventories
Accounts payable
Accrued expenses and other liabilities

Net cash used in operating activities
Cash flows from investing activities

Purchases of property and equipment
Purchases of marketable securities
Proceeds of marketable securities

Net cash (used in) provided by investing activities
Cash flows from financing activities
Proceeds from stock option exercises
Repayment of related party note payable
Repayment of finance lease liabilities
Contributions from non-controlling interests

Net cash (used in) provided by financing activities
Effect of exchange rates on cash
Net change in cash and cash equivalents
Cash and cash equivalents, beginning of year
Cash and cash equivalents, end of year

Cash paid for:
Interest expense
Income taxes

Non cash operating and investing activities:
Transfer of other assets to fixed assets
Transfer of inventory to fixed assets

Year Ended December 31,

2020

2019

$ 

(11,906)  $ 

(19,706) 

887 
506 
215 
13 
4,210 
— 
262 

(558)   
(7,228)   
(27)   
615 
(965)   
(2,090)   
(16,066)   

(581)   
— 
— 
(581)   

148 
(140)   
(229)   
148 
(73)   
(177)   
(16,897)   
58,812 
41,915  $ 

46  $ 
82 

—  $ 
23 

754 
132 
321 
89 
3,581 
(164) 
(163) 

(3,970) 
180 
(586) 
(2,367) 
1,054 
2,370 
(18,475) 

(1,301) 
(18,884) 
80,726 
60,541 

207 
— 
(60) 
— 
147 
3 
42,216 
16,596 
58,812 

8 
325 

42 
277 

$ 

$ 

$ 

The accompanying notes are an integral part of the consolidated financial statements.

34

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
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APYX MEDICAL CORPORATION
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

NOTE 1.  

DESCRIPTION OF BUSINESS 

Apyx Medical Corporation (“Company", "Apyx", "it" and similar terms) was incorporated in 1982, under the laws of the State 
of Delaware and has its principal executive office at 5115 Ulmerton Road, Clearwater, FL 33760.

The  Company  is  an  advanced  energy  technology  company  with  a  passion  for  elevating  people’s  lives  through  innovative 
products in the cosmetic and surgical markets. Known for its innovative Helium Plasma Technology, Apyx is solely focused on 
bringing transformative solutions to the physicians and patients they serve. It's Helium Plasma Technology is marketed and sold 
as  Renuvion®  in  the  cosmetic  surgery  market  and  J-Plasma®  in  the  hospital  surgical  market.  Renuvion®  offers  plastic 
surgeons, fascial plastic surgeons and cosmetic physicians a unique ability to provide controlled heat to the tissue to achieve 
their  desired  results.  The  J-Plasma®  system  allows  surgeons  to  operate  with  a  high  level  of  precision,  virtually  eliminating 
unintended  tissue  trauma.  The  Company  also  leverages  its  deep  expertise  and  decades  of  experience  in  unique  waveforms 
through original equipment manufacturing (OEM) agreements with other medical device manufacturers.

NOTE 2.  

SIGNIFICANT ACCOUNTING POLICIES 

Consolidated Financial Statements

The  accompanying  consolidated  financial  statements  include  the  accounts  of  Apyx,  its  wholly  owned  subsidiary,  Apyx 
Bulgaria, EOOD, and its 51% owned subsidiary, Apyx SY Medical Devices (Ningbo) Co., Ltd. (collectively, "Apyx," or the 
“Company”). All significant intercompany transactions and balances have been eliminated in consolidation. 

Use of Estimates in the Preparation of Financial Statements

The preparation of consolidated financial statements in conformity with accounting principles generally accepted in the United 
States of America requires the Company to make certain estimates and assumptions that affect the reported amounts of assets 
and liabilities and disclosure of contingent assets and liabilities at the date of the consolidated financial statements. The reported 
amounts of revenues and expenses during the reporting period may be affected by the estimates and assumptions the Company 
is required to make.

Cash and Cash Equivalents

Holdings of highly liquid investments with original maturities of three months or less from the date of purchase are considered 
to be cash equivalents. As of December 31, 2020 and 2019, all of the Company’s U.S. Treasury Bills have original maturities of 
three months or less and are included in cash and cash equivalents.  

Concentration of Credit Risk

Financial instruments, which potentially subject the Company to significant concentrations of credit risk, consist primarily of 
trade accounts receivable. With respect to cash, the Company frequently maintains cash and cash equivalent balances in excess 
of federally insured limits; it has not experienced any losses in such accounts.

Trade Accounts Receivable and Allowance for Doubtful Accounts

The Company's standard credit terms for billings range from net 10 days to net 90 days, depending on the customer agreement. 
Accounts  receivable  are  determined  to  be  past  due  if  payments  are  not  made  in  accordance  with  such  agreements  and  an 
allowance is generally recorded for accounts that become three months past due, or sooner if there are other indicators that the 
receivables may not be recovered. Customary collection efforts are initiated, and receivables are written off when the Company 
determines they are not collectible and abandons these collection efforts.

The Company evaluates the allowance for doubtful accounts on a regular basis for adequacy based upon its periodic review of 
the collectability of the receivables in light of historical experience, adverse situations that may affect its customers’ ability to 
pay and prevailing economic conditions. This evaluation is inherently subjective, as it requires estimates that are susceptible to 
significant revision as more information becomes available. Management believes that the allowances for doubtful accounts of 
approximately $0.3 million at December 31, 2020 and 2019, are adequate to provide for possible bad debts.

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Inventories

APYX MEDICAL CORPORATION
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS - Continued

Inventories are stated at the lower of cost or net realizable value. Cost is determined on a first in, first out basis. Finished goods 
and  work-in-process  inventories  include  material,  labor  and  overhead  costs.  Factory  overhead  costs  are  allocated  to 
manufactured inventory based upon labor hours. 

The  Company  monitors  inventory  usage  to  determine  if  the  carrying  value  of  any  items  should  be  adjusted  due  to  lack  of 
demand for the item and adjusts inventory for estimated obsolescence or unusable inventory equal to the difference between the 
cost of inventory and the estimated net realizable value based upon assumptions about future demand and market conditions. If 
actual  market  conditions  are  less  favorable  than  those  projected  by  management,  additional  inventory  write-downs  may  be 
required.

Property and Equipment

Property and equipment are recorded at cost. Depreciation and amortization are provided for using the straight-line method over 
the estimated useful lives of the assets. The amortization of leasehold improvements is based on the shorter of the lease term or 
the life of the improvement. Betterments and major improvements, which extend the life of the asset, are capitalized, whereas 
maintenance  and  repairs  and  routine  improvements  are  expensed  as  incurred.  The  estimated  useful  lives  are:  buildings  and 
improvements,  39  years;  machinery  and  equipment,  3-10  years;  furniture  and  fixtures,  5-10  years;    computer  equipment  and 
software, 3-5 years; and molds, 7-15 years.

Valuation of Long-Lived Assets

The  Company  reviews  long-lived  assets  for  recoverability  if  events  or  changes  in  circumstances  indicate  that  the  assets  may 
have been impaired. This circumstance exists when the carrying amount of the asset exceeds the sum of the undiscounted cash 
flows expected to result from its use and eventual disposition. In those cases, an impairment loss is recognized to the extent that 
the  assets’  carrying  amount  exceeds  its  fair  value.  Any  impairment  losses  are  not  restored  in  the  future  if  the  fair  value 
increases. At December 31, 2020, the Company believes the remaining carrying values of its long-lived assets are recoverable.

Product Warranties

The  Company  provides  a  four  year  limited  warranty  on  end-user  sales  of  its  Renuvion®/J-Plasma®  generators,  a  two  year 
warranty on mounting fixtures, and a one-year warranty on certain accessories. The Company estimates and provides for future 
costs for product warranties in cost of sales at the time revenue is recognized. The Company bases its product warranty costs on 
related material costs, repair labor costs and shipping costs. The Company estimates the future cost of product warranties by 
considering historical material, repair labor, and shipping costs, and applying the experience rates to the outstanding warranty 
period for products sold. It is reasonably possible that actual results could differ from those estimates. 

Revenue Recognition

Revenue  is  recognized  when  a  customer  obtains  control  of  promised  goods  or  services  in  an  amount  that  reflects  the 
consideration that the Company expects to receive for those goods or services. To recognize revenue, the Company (i) identifies 
the contract(s) with a customer; (ii) identifies the performance obligations in the contract; (iii) determines the transaction price; 
(iv)  allocates  the  transaction  price  to  the  performance  obligations  in  the  contract;  and  (v)  recognizes  revenue  when,  or  as,  it 
satisfies the performance obligation(s). For sales of the Company's Advanced Energy products (Renuvion®/J-Plasma®), this is 
at  a  point  in  time  when  title  has  been  transferred  to  the  customer,  which  is  generally  at  the  time  of  shipment  or  receipt  by 
customer for FOB destination terms. For sales of products under its OEM agreements, the Company recognizes revenue over 
time  when  no  alternative  use  exists  for  the  manufactured  goods  and  the  Company  has  rights  to  payment.  Presently,  the 
Company does not stock any significant completed goods under its OEM agreements, accordingly, the recognition of revenue 
under these agreements approximates point in time recognition. The following policies apply to its major categories of revenue 
transactions:

•

The  majority  of  sales  to  customers  are  evidenced  by  firm  purchase  orders.  Generally,  title  and  the  risks  and 
rewards of ownership are transferred to the customer when the product is shipped. Payment by the customer is 
due under fixed payment terms.

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APYX MEDICAL CORPORATION
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS - Continued

•

•

•

Product  returns  are  only  accepted  at  the  Company's  discretion  and  in  accordance  with  its  “Returned  Goods 
Policy”. Historically, the level of product returns has not been significant. Accruals for sales returns, rebates and 
allowances are made as a reduction of revenue based upon an analysis of historical customer returns and credits, 
rebates, discounts and current market conditions.

The  terms  of  sale  to  customers  generally  do  not  include  any  obligations  to  perform  future  services.  Limited 
warranties are generally provided for sales and provisions for warranty are provided at the time of product sale 
based upon an analysis of historical data.

In connection with the execution of OEM supply agreements, the Company may enter into an accompanying 
product  development  agreement.  If  the  Company  enters  into  a  product  development  agreement,  and 
development  of  the  goods  does  not  represent  a  performance  obligation  on  a  standalone  basis,  the  Company 
defers  the  development  fees  billed  to  customers  and  the  associated  costs.  At  December  31,  2020  and  2019, 
respectively, the Company had recorded approximately $0.6 million and $0.4 million of contract liabilities and 
$0.2  million  and  $0.1  million  of  contract  assets  related  to  the  deferral  of  revenues  and  expenses  under  these 
agreements.  Recognition  of  the  deferred  billings  and  costs  will  occur  as  the  Company  performs  on  the 
accompanying supply arrangements. 

Advertising Costs

Advertising costs are expensed as incurred. The amounts of advertising costs, including trade shows, were approximately $0.8 
million and $1.5 million for the years ended December 31, 2020 and 2019, respectively.

Stock-Based Compensation

The  Company  accounts  for  stock-based  compensation  in  accordance  with  FASB  ASC  Topic  718,  Compensation-Stock 
Compensation.  FASB  ASC  718  requires  recognizing  compensation  expense  for  all  share-based  payment  awards  made  to 
employees, directors and non-employees based upon the awards’ grant date fair value. It accounts for forfeitures as they occur. 
The standard covers employee stock options, restricted stock and other equity awards. The Company utilizes a Black-Scholes 
model to estimate the grant date fair value of stock option awards. For employee and director awards, compensation expense is 
recognized on a straight-line basis over the vesting periods. For  non-employee awards, compensation expense is recorded for 
non-forfeitable,  fully  vested  awards  at  the  grant  date.  For  other  awards  granted  to  non-employees,  compensation  cost  is 
recognized as services are provided, which approximates a straight-line basis over the vesting period.

Litigation Contingencies

In  accordance  with  authoritative  guidance,  the  Company  accrues  a  liability  in  its  consolidated  financial  statements  for  these 
actions when a loss is known or considered probable and the amount can be reasonably estimated. If the reasonable estimate of 
a known or probable loss is a range, and no amount within the range is a better estimate than any other, the minimum amount of 
the range is accrued. If a loss is reasonably possible, but not known or probable, and can be reasonably estimated, the estimated 
loss  or  range  of  loss  is  disclosed  in  the  notes  to  the  consolidated  financial  statements.  In  most  cases,  significant  judgment  is 
required to estimate the amount and timing of a loss to be recorded; actual results may differ from those estimates.

Income (Loss) Per Share

The  Company  computes  basic  (loss)  earnings  attributable  to  common  stockholders  per  share  by  dividing  net  (loss)  income 
attributable to common stockholders by the weighted average number of common shares outstanding for the reporting period. 
Diluted (loss) earnings per share attributable to common stockholders gives effect to all potential dilutive shares outstanding 
during  the  period.  The  number  of  dilutive  shares  is  calculated  using  the  treasury  stock  method  which  reduces  the  effective 
number of shares by the amount of shares the Company could purchase with the proceeds of assumed exercises. Anti-dilutive 
units are excluded from the calculation of diluted shares. In periods of loss, all potentially dilutive units are anti-dilutive and are 
excluded from the calculation of diluted income (loss) per share.

Research and Development Costs

Research and development expenses are charged to operations as incurred. 

37

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Income Taxes 

APYX MEDICAL CORPORATION
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS - Continued

The  Company  utilizes  the  liability  method  of  accounting  for  income  taxes  as  set  forth  in  FASB  ASC  Topic  740,  "Income 
Taxes".    Under  the  liability  method,  deferred  taxes  are  determined  based  on  temporary  differences  between  the  financial 
statement and tax bases of assets and liabilities using tax rates expected to be in effect during the years in which the deferred 
taxes reverse.  The Company accounts for interest and penalties on income taxes as income tax expense. A valuation allowances 
is  recorded  when  it  is  more  likely  than  not  that  a  tax  benefit  will  not  be  realized.    In  determining  the  need  for  valuation 
allowances the Company considers projected future taxable income, the timing of reversals of temporary differences, and the 
availability of tax planning strategies.  As of December 31, 2020 and 2019, the Company recorded a valuation allowance on the 
net deferred tax asset. 

The  Company  assesses  the  realizability  of  deferred  tax  assets  each  reporting  period  and  will  be  able  to  reduce  the  valuation 
allowance  to  the  extent  the  financial  results  of  continuing  operations  improve,  and  it  becomes  more  likely  than  not  that  the 
deferred tax assets will be realizable. As Management expects the Company to continue to generate losses in the foreseeable 
future after 2020, the Company will continue to record a full valuation allowance on the net deferred tax assets as of December 
31, 2020. As a result of the CARES ACT, during 2020, the Company released the valuation allowance on the Federal NOLs 
that can now be carried back to prior taxable years.

The Company assesses the financial statement impact of an uncertain tax position taken or expected to be taken on an income 
tax  return  at  the  largest  amount  that  is  more-likely-than-not  to  be  sustained  upon  audit  by  the  relevant  taxing  authority.    An 
uncertain  income  tax  position  will  not  be  recognized  in  the  financial  statements  unless  it  is  more  likely  than  not  of  being 
sustained. 

Foreign Currency Transactions

The  functional  currency  of  Apyx  Bulgaria  is  the  U.S.  dollar.  The  monetary  assets  and  liabilities  that  are  denominated  in  a 
currency  other  than  U.S.  dollar  are  remeasured  into  U.S.  dollars  at  the  exchange  rate  on  the  balance  sheet  date,  while 
nonmonetary  items  are  remeasured  at  historical  rates.  Revenue  and  expenses  are  remeasured  at  weighted  average  exchange 
rates during the period. Transaction gains and losses that arise from exchange rate fluctuations on transactions denominated in a 
currency  other  than  the  functional  currency  are  included  in  selling,  general  and  administrative  expenses  in  the  Consolidated 
Statements of Operations and were not material for the years ended December 31, 2020 and 2019. 

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APYX MEDICAL CORPORATION
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS - Continued

NOTE 3.  

CHANGE IN ACCOUNTING POLICY

During  2019,  the  Company  began  granting  stock  option  awards  deeper  within  the  organization.  It  does  not  have  sufficient 
experience  with  grants  to  these  employees  and  has  experienced  challenges  in  developing  reliable  forfeiture  estimates  at  the 
grant  date.  Accounting  for  revising  the  forfeiture  estimates  has  been  burdensome.  Accounting  Standards  Codification  718, 
Compensation- Stock Compensation, prescribes two methods for accounting for forfeitures on stock option awards, either the 
estimation method utilized by the Company previously, or by accounting for forfeitures as they occur. On January 1, 2020, the 
Company made an accounting policy election change and began accounting for forfeitures on stock option awards using actual 
forfeitures. This accounting policy election change was made on a retrospective basis. However, the changes to the current and 
prior period were determined to be immaterial and there have been no changes to previously reported results as a result of the 
change.

39

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APYX MEDICAL CORPORATION
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS - Continued

NOTE 4.  

RECENT ACCOUNTING PRONOUNCEMENTS

In  June  2016,  the  FASB  issued  ASU  2016-13,  Financial  Instruments—Credit  Losses  (Topic  326).  The  update  changes  the 
impairment model for most financial assets and certain other instruments, including trade and other receivables, contract assets, 
held-to-maturity  debt  securities  and  loans,  and  requires  entities  to  use  a  new  forward-looking  expected  loss  model  that  will 
result in the earlier recognition of allowance for losses. This update, as originally issued, was effective for annual and interim 
periods beginning after December 15, 2019, with early adoption permitted. In November 2019, the FASB issued ASU 2019-10, 
Financial  Instruments  -  Credit  Losses  (Topic  326),  Derivatives  and  Hedging  (Topic  815),  and  Leases  (Topic  842)  Effective 
Dates, which deferred the effective dates of these standards for Smaller Reporting Companies until fiscal years beginning after 
December 15, 2022. The Company currently expects to continue to qualify as a Smaller Reporting Company, based upon the 
current  SEC  definition  and,  as  a  result,  will  be  utilizing  the  deferred  elective  date.  While  the  Company  is  in  the  process  of 
determining the effects of the adoption of the standard on the consolidated financial statements, it does not expect the impact to 
be material.

No other new accounting pronouncement issued or effective during the fiscal year had or is expected to have a material impact 
on the Company's consolidated financial statements or disclosures.

NOTE 5.  

DISPOSITION OF THE CORE BUSINESS

On  August  30,  2018,  the  Company  closed  on  a  definitive  asset  purchase  agreement  (the  "Asset  Purchase  Agreement")  with 
Specialty  Surgical  Instrumentation  Inc.,  a  Tennessee  Corporation  and  wholly  owned  subsidiary  of  Symmetry  Surgical  Inc. 
(“Symmetry”), pursuant to which the Company divested and sold the Company's electrosurgical "Core" business segment and 
related  intellectual  property,  including  the  Bovie®  brand  and  trademarks,  to  Symmetry  for  gross  proceeds  of  $97  million  in 
cash.

In connection with the Asset Purchase Agreement, the Company entered into an Electro Surgical Disposables and Accessories, 
Cauteries and Other Products Supply Agreement with Symmetry for a four-year term, whereby it will manufacture certain Core 
products and sell them to Symmetry at agreed upon prices. Any activity resulting from this agreement is netted and reported in 
the Consolidated Statements of Operations as other income (loss). Core activity for 2020 amounted to $9.4 million with cost of 
sales equivalents of $8.1 million and other related expenses of $0.8 million for net other income of $0.5 million.  Core activity 
in 2019 amounted to $9.4 million with cost of sales equivalents of $8.8 million and related operating expenses of $0.5 million 
for net other income of $0.1 million. 

40

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APYX MEDICAL CORPORATION
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS - Continued

NOTE 6.  

INTEREST IN JOINT VENTURE INVESTMENT

In 2019, the Company executed a joint venture agreement with its Chinese supplier ("China JV"). The agreement requires the 
Company  to  make  a  capital  contribution  into  the  newly  formed  entity  of  approximately  $357,000,  of  which  approximately 
$154,000 was contributed during the year ended December 31, 2020. As of the date of these consolidated financial statements, 
the joint venture has not commenced principal operations. 

Changes in the Company's ownership interest in its 51% owned China JV were as follows:

(In thousands)

Beginning interest in China JV

Contributions 

Net loss attributable to Apyx

Ending interest in China JV

Year Ended
December 31, 2020

— 

154 

(10) 

144 

$ 

$ 

41

 
 
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APYX MEDICAL CORPORATION
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS - Continued

NOTE 7.  

INVENTORIES

Inventories consisted of the following:

(In thousands)
Raw materials

Work in process
Finished goods
Gross inventories
Less: provision for obsolescence
Inventories, net

December 31,
2020

December 31, 
2019

$ 

$ 

2,243  $ 
1,109 
1,087 
4,439 
(388)   
4,051  $ 

2,935 
1,209 
1,316 
5,460 
(392) 
5,068 

During 2020, the Company reassessed its forecasted product mix due to COVID-19, increased availability of newer handpiece 
designs,  and  improved  timing  of  product  registrations  in  some  of  our  foreign  markets.  As  a  result,  certain  products  were 
reduced to a lower carrying value, and some components were also written down as the Company determined to cease further 
production  on  these  older  models.  The  total  impairment  was  approximately  $400,000  and  is  included  in  cost  of  sales  in  the 
accompanying  Consolidated  Statement  of  Operations  for  2020.  Later  in  2020,  the  Company's  forecasts  were  revised,  and  it 
subsequently utilized a portion of the written down components and approximately $100,000 of the impairment was recovered 
through the sale of the corresponding manufactured handpieces.

42

 
 
 
 
 
 
 
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APYX MEDICAL CORPORATION
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS - Continued

NOTE 8.  

PROPERTY AND EQUIPMENT

Property and equipment consisted of the following:

(In thousands)
Land

Building and improvements

Machinery and equipment

Furniture and fixtures

Computer equipment and software

Leasehold improvements

Molds

Total property, plant and equipment

Less: accumulated depreciation and amortization

Property and equipment in service

Construction in progress
Property and equipment, net

December 31,
2020

December 31,
2019

$ 

1,600  $ 

4,454 

2,113 

290 

1,505 

156 

813 

10,931 

(4,813)   

6,118 

423 

$ 

6,541  $ 

1,600 

4,423 

2,187 

292 

1,409 

156 

805 

10,872 

(4,403) 

6,469 

149 

6,618 

Total  depreciation  expense  was  $0.7  million  for  the  years  ended  December  31,  2020  and  2019.  Depreciation  expense  is 
included  within  cost  of  goods  sold  and  selling,  general  and  administrative  expense  in  the  Consolidated  Statements  of 
Operations.

NOTE 9.  

LEASES

The Company does not recognize leases with terms less than twelve months in duration, or that have variable only payments, in 
its  Consolidated  Balance  Sheet  as  right-of-use  assets  and  lease  liabilities.  The  Company  has  adopted  the  practical  expedient 
which  allows  for  the  Company  to  not  separate  lease  and  non-lease  components  of  contracts.  Accordingly,  non-lease 
components are included in the measurement of the Company's lease liabilities and right-of-use assets. If the Company is aware 
of the implicit rate in leases, the Company determines the operating lease liability using the implicit rate. For those leases where 
the Company is not aware of the implicit rate in the lease, the Company utilizes an incremental borrowing rate of 4.00%, which 
is indicative of its collateralized borrowing rate. 

Operating Leases

The  Company  leases  its  facility  in  Sofia,  Bulgaria  and  vehicles  in  Clearwater,  Florida  under  non-cancelable  operating  lease 
agreements. The Company's lease on the Bulgaria facility includes rent escalation over the term of the lease. Rent expense on 
the lease is accounted for on a straight-line basis over the lease term. During 2019, the Bulgaria facility lease was extended for 
an additional 2 years. In accordance with operating lease guidance under Topic 842, the extension was accounted for as a lease 
modification and the right-of-use asset and lease liability were remeasured at the modification date. These operating leases have 
terms expiring through December 2022. 

Finance Leases

During  2019,  the  Company  entered  into  non-cancelable  finance  leases  for  certain  computer  equipment  and  a  vehicle  in 
Clearwater, Florida. These finance leases have terms expiring through August 2023. 

Information about the Company’s lease costs are as follows:

43

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Lease costs (in thousands):

Operating lease costs

Finance lease costs:

Amortization of right-of-use assets

Interest on lease liabilities

Variable lease costs

Total lease costs

Year Ended 
December 31,

2020

2019

$ 

$ 

$ 

$ 

$ 

124  $ 

216  $ 

22  $ 

13  $ 

375  $ 

115 

57 

8 

16 

196 

Cash and non-cash information related to our leases are as follows:

(in thousands)

Non cash information:
Right-of-use assets capitalized and lease liabilities recognized 
upon adoption of Topic 842
Right-of-use assets capitalized and lease liabilities recognized 
upon lease remeasurement
Right-of-use assets capitalized and lease liabilities recognized 
upon execution of lease

Cash information:

Cash paid for lease liabilities

Year Ended 
December 31, 2020

Year Ended 
December 31, 2019

Operating

Finance

Operating

Finance

$ 

$ 

$ 

$ 

—  $ 

—  $ 

—  $ 

—  $ 

212  $ 

—  $ 

207  $ 

— 

— 

—  $ 

28  $ 

710 

110  $ 

251  $ 

106  $ 

68 

Information about the Company’s weighted average remaining lease terms and discount rate assumptions are as follows:

Weighted average remaining lease term (in years)

Weighted average discount rate

Maturities of lease liabilities as of December 31, 2020 are as follows:

Year Ended 
December 31, 2020

Year Ended 
December 31, 2019

Operating

Finance

Operating

Finance

2.0

4.03%

1.7

4.00%

3.0

4.04%

2.7

4.00%

(In thousands)
2021
2022
2023
Total lease payments
Less imputed interest
Present value of lease liabilities
Less current portion of lease liabilities
Long-term portion of lease liabilities

Operating
$ 

Finance

236 
183 
18 
437 
(16) 
421 
(238) 
183 

134  $ 
131   
—   
265   
(10)  
255   
(126)  
129  $ 

$ 

44

 
 
 
 
 
 
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APYX MEDICAL CORPORATION
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS - Continued

NOTE 10.  

ACCRUED EXPENSES AND OTHER CURRENT LIABILITIES

Accrued expenses and other current liabilities consisted of the following:

(in thousands)

Accrued payroll

Accrued bonus

Accrued commissions

Accrued product warranties

Accrued product liability claim insurance deductibles

Accrued professional fees

Joint and several payroll liability

Uncertain tax positions

Sales tax payable

Other accrued expenses and current liabilities

Total accrued expenses and other current liabilities

NOTE 11.  

PRODUCT WARRANTIES

Product warranty activity consisted of the following for the years ended:

(In thousands)
Beginning balance

Provision for product warranties
Product warranty expenses incurred
Accrued product warranties

December 31, 2020 December 31, 2019

$ 

808  $ 

811 

1,001 

498 

435 

222 

1,027 

1,658 

591 

227 

$ 

7,278  $ 

694 

1,306 

877 

452 

1,170 

1,383 

1,045 

1,491 

492 

486 

9,396 

December 31,
2020

December 31,
2019

$ 

$ 

452  $ 
215 
(169)   
498  $ 

348 
321 
(217) 
452 

NOTE 12.  

JOINT AND SEVERAL PAYROLL LIABILITY

During 2017, 2018 and 2019, the Company improperly calculated and reported the amount of income to certain employees, and 
did  not  collect  and  remit  the  correct  amount  of  its  employees'  portion  of  income  and  payroll  taxes,  related  to  stock  option 
exercises  as  required  by  the  IRS.  Due  to  IRS  statutory  requirements,  the  Company  has  joint  and  several  liability  for  the  full 
amount  that  was  not  withheld  and  remitted  to  the  proper  taxing  authorities.  This  amount  of  the  liability  was  approximately 
$1.0  million  at  December  31,  2020  and  2019.  Included  in  other  income  (loss),  net  in  the  accompanying  Consolidated 
Statements of Operations for 2019 is approximately $0.3 million related to the liability. If the Company can establish that its 
employees have in fact paid these obligations, either presently or in the future, it will be relieved of its liability. 

45

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
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APYX MEDICAL CORPORATION
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS - Continued

NOTE 13.  

EARNINGS (LOSS) PER SHARE

Basic earnings (loss) per share (“basic EPS”) is computed by dividing the net income or loss by the weighted average number 
of common shares outstanding for the reporting period. Diluted earnings per share (“diluted EPS”) gives effect to all dilutive 
potential shares outstanding. As the Company is in a net loss position for all periods presented, all potential shares outstanding 
are anti-dilutive. The following table provides the computation of basic and diluted earnings (loss) per share.

(in thousands, except per share data)

Numerators:

Net loss attributable to stockholders

Year Ended December 31,

2020

2019

$ 

(11,896)  $ 

(19,706) 

Weighted average shares outstanding - basic and diluted

34,212 

34,069 

Loss per share - basic and diluted

$ 

(0.35)  $ 

(0.58) 

Anti-dilutive instruments excluded from diluted loss per common share:

Options

4,939 

3,967 

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APYX MEDICAL CORPORATION
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS - Continued

NOTE 14. 

FINANCIAL INSTRUMENTS

Cash and Cash Equivalents at December 31, 2020 and 2019, respectively, consisted of approximately $2,250,000 and 
$2,237,000 in cash and $39,665,000 and $56,575,000 in U.S. Treasury Securities with maturities of 3 months or less. 

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APYX MEDICAL CORPORATION
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS - Continued

NOTE 15.  

INCOME TAXES

Components of the provision for income taxes are as follows:

(In thousands)

Current:

Federal

State

Foreign

Release of valuation allowance due to CARES Act

Deferred:

Federal

State

December 31,
2020

December 31, 
2019

$ 

(3,682)  $ 

(120)   

(37)   

(3,839)   

(3,664)   

(7,503)   

(25)   

(1,004)   

(1,029)   

(12) 

(205) 

87 

(130) 

— 

(130) 

(3,989) 

(741) 

(4,730) 

Valuation allowance

1,029 

4,730 

Total provision for income tax

$ 

(7,503)  $ 

(130) 

Below is a reconciliation of the statutory federal income tax rate to the Company's effective tax rate:

Federal tax provision

State taxes (net of federal benefit)
Valuation allowance
NOL carryback from CARES Act
Other
Total

Major components of the Company’s deferred tax assets (liabilities) are as follows: 

Year Ended December 31,

2020

2019

 21.0 %

 5.1 %
 (5.3) %
 18.9 %
 (1.0) %
 38.7 %

 21.0 %

 4.3 %
 (23.8) %
 — %
 (0.8) %
 0.7 %

48

 
 
 
 
 
 
 
 
 
 
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APYX MEDICAL CORPORATION
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS - Continued

(In thousands)

Deferred tax assets:

Loss and credit carryforwards

Stock-based compensation

Other

Total deferred tax assets

Valuation allowance

Total deferred tax assets, net of valuation allowance

Deferred tax liabilities:

Property and equipment

Other

Total deferred tax liabilities

Net deferred tax assets

December 31,
2020

December 31, 
2019

$ 

1,888  $ 

1,603 

745 

4,236 

(3,837)   

399 

(278)   

(121)   

(399)   

$ 

—  $ 

4,779 

1,004 

1,133 

6,916 

(6,472) 

444 

(245) 

(199) 

(444) 

— 

On March 27, 2020, the U.S. government enacted the CARES Act to provide relief from COVID-19. The CARES Act includes 
a provision that allows companies to carryback net operating losses (NOL’s) generated in the period 2018 through 2020 to prior 
years. In conjunction with the disposition of the Core business in 2018, the Company generated a significant amount of taxable 
income  in  2018.  Subsequent  to  this,  the  Company  generated  NOLs  in  2019  and  2020.  For  the  NOLs  generated  in  2019,  the 
Company previously recorded a full valuation allowance on the deferred tax assets associated with the NOL due to realization 
not being probable under then existing tax law. The CARES Act makes these assets realizable and, as of the date of the CARES 
Act,  the  Company  has  recognized  an  income  tax  benefit  of  approximately  $3.7  million  associated  with  the  release  of  the 
valuation allowance on its Federal NOL deferred tax asset from 2019. Additionally, using the provisions of the CARES Act, the 
Company is carrying back its 2020 Federal NOL of approximately $3.7 million.

The  Company  considers  all  positive  and  negative  evidence  regarding  the  realization  of  deferred  tax  assets,  including  past 
operating results and future sources of taxable income. 

The Company considers the earnings of Apyx Bulgaria, EOOD to be indefinitely invested outside the United States on the basis 
of estimates that future domestic cash generation will be sufficient to meet future domestic cash needs and our specific plans for 
reinvestment  of  those  subsidiary  earnings.  It  has  not  recorded  a  deferred  tax  liability  related  to  the  U.S.  Federal  and  State 
income  taxes  and  foreign  withholding  taxes  on  the  undistributed  earnings  of  Apyx  Bulgaria,  EOOD  indefinitely  invested 
outside  the  United  States.  If  it  decides  to  repatriate  the  foreign  earnings,  the  Company  will  need  to  adjust  its  income  tax 
provision in the period it determines that the earnings will no longer be indefinitely invested outside the United States.  

The Company assesses the financial statement impact of an uncertain tax position taken or expected to be taken on an income 
tax  return  at  the  largest  amount  that  is  more-likely-than-not  to  be  sustained  upon  audit  by  the  relevant  taxing  authority.   An 
uncertain  income  tax  position  will  not  be  recognized  in  the  financial  statements  unless  it  is  more  likely  than  not  of  being 
sustained. As of December 31, 2020 and 2019, the Company has recorded a liability of approximately $1.3 million related to 
uncertain tax positions and accrued approximately $0.4 million and $0.2 million, respectively, of interest and penalties on these 
positions. It is expected that the change in unrecognized tax benefits within the next 12 months will not be significant.  

The following is a roll-forward of the Company's total gross unrecognized tax benefits, not including interest and penalties, for 
the years ended December 31:

(in thousands)

Beginning of year balance

Additions of tax positions related to the current year

Additions of tax positions related to the prior year

Decreases for tax positions related to prior year

End of year balance

Gross Unrealized Tax Benefits

2020

2019

$ 

$ 

1,313  $ 

1,313 

— 

— 

— 

— 

— 

— 

1,313  $ 

1,313 

49

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
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APYX MEDICAL CORPORATION
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS - Continued

The Company is subject to U.S. federal and state income tax examination.  The Company’s 2017 through 2019 U.S. federal 
income tax returns are subject to examination by the Internal Revenue Service.  The Company’s state income tax returns are 
subject to examination for the 2016 through 2019 tax years.

NOTE 16.  

RETIREMENT PLAN

The Company provides a tax-qualified profit-sharing retirement plan under section 401(k) of the Internal Revenue Code for the 
benefit  of  eligible  employees  with  an  accumulation  of  funds  for  retirement  on  a  tax-deferred  basis  and  provides  for  annual 
discretionary contribution to individual trust funds.

All  employees  are  eligible  to  participate  upon  completing  three  months  of  service.  The  employees  may  make  voluntary 
contributions to the plan up to the maximum percentage allowed by the Internal Revenue Code. Vesting in employee matching 
contributions is graded and depends on the years of service. After three years from their date of hire, the employees are 100% 
vested. The Company makes matching contributions of 50% of the employee contributions up to a total of 3% of participant 
payroll.  Matching  contributions  made  by  the  Company  totaled  approximately  $0.3  million  for  each  of  the  years  ended 
December 31, 2020 and 2019, respectively.

NOTE 17.  

RELATED PARTY TRANSACTIONS

Several relatives of Nikolay Shilev, Apyx Bulgaria’s Managing Director, are considered related parties. Teodora Shileva, Mr. 
Shilev’s  spouse,  is  an  employee  of  the  Company  working  in  the  accounting  department.  Antoaneta  Dimitrova  Shileva-
Toromanova, Mr. Shilev’s sister, is the manager of human resources. Svetoslav Shilev, Mr. Shilev’s son, is a quality manager in 
the quality assurance department.  

In addition, as part of the purchase of the Apyx Bulgaria manufacturing facility, Mr. Shilev was issued a note payable for $0.1 
million, which was paid in full on October 20, 2020.

The partner in the Company's China joint venture is also a supplier of the Company. For the years ended December 31, 2020 
and  2019,  the  Company  made  purchases  from  this  supplier  of  approximately  $1,441,000  and  $2,643,000,  respectively.  At 
December 31, 2020 and 2019, respectively, the Company owed this supplier approximately $38,000 and $29,000, respectively.

NOTE 18.  

COMMITMENTS AND CONTINGENCIES

Litigation 

The medical device industry is characterized by frequent claims and litigation, and the Company may become subject to various 
claims, lawsuits and proceedings in the ordinary course of our business. Such claims may include claims by current or former 
employees, distributors and competitors, claims concerning the marketing and promotion of our products and product liability 
claims.

The Company is involved in a number of legal actions relating to the use of our Helium Plasma technology. The outcomes of 
these  legal  actions  are  not  within  the  Company’s  complete  control  and  may  not  be  known  for  prolonged  periods  of  time.  It 
believes  that  such  claims  are  adequately  covered  by  insurance;  however,  in  the  case  of  one  of  the  Company’s  carriers,  the 
Company  is  in  a  dispute  regarding  the  total  level  of  coverage  available.  Notwithstanding  the  foregoing,  in  the  opinion  of 
management,  the  Company  has  meritorious  defenses,  and  such  claims  are  not  expected,  individually  or  in  the  aggregate,  to 
result in a material, adverse effect on its financial condition, results of operations and cash flows. However, in the event that 
damages  exceed  the  aggregate  coverage  limits  of  the  Company’s  policies  or  if  its  insurance  carriers  disclaim  coverage, 
management  believes  it  is  possible  that  costs  associated  with  these  claims  could  have  a  material  adverse  impact  on  the 
consolidated financial condition, results of operations and cash flows.

On  April  17,  2019,  a  complaint  (the  “Complaint”)  was  filed  in  the  United  States  District  Court  for  the  Middle  District  of 
Florida, against the Company and Charles D. Goodwin, the Company’s President and Chief Executive Officer and a member of 
the Company’s Board of Directors, alleging certain violations of the Securities Exchange Act of 1934, as amended.  On July 16, 
2019,  the  Court  appointed  lead  plaintiff  for  the  putative  class  and  approved  the  lead  plaintiff’s  selection  of  counsel.  On 
September 3, 2019, lead plaintiff filed an amended complaint (the “Amended Complaint”) with the Court. 

50

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APYX MEDICAL CORPORATION
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS - Continued

The Amended Complaint seeks class action status on behalf of all persons and entities that acquired the Company’s securities 
between  December  21,  2018  and  April  1,  2019,  and  alleges  violations  by  the  Company  and  Goodwin  of  Sections  10(b)  and 
20(a)  of  the  Securities  Exchange  Act  of  1934,  as  amended  and  Rule  10b-5  thereunder,  primarily  related  to  certain  public 
statements concerning the Premarket Notification 510(k) submission made to the US Food and Drug Administration for a new 
indication for the Company’s J-Plasma® technology for use in dermal resurfacing procedures.  On October 3, 2019, defendants 
filed a motion to dismiss the Amended Complaint, and on March 11, 2020, the Court denied that motion.  On July 10, 2020, the 
parties executed a settlement agreement, which was subject to Court approval. The Court preliminarily approved the settlement 
on July 21, 2020. The settlement agreement provides for the dismissal of the action with prejudice. On November 6, 2020, the 
Court  issued  its  final  order  approving  the  settlement  and  dismissing  the  action  and  all  claims  contained  in  the  Amended 
Complaint with prejudice. At December 31, 2020, the Company has settled and fully paid all obligations related to this matter. 
Included in selling, general and administrative expenses for the year ended December 31, 2019 is $1,000,000 for the matter. At 
December 31, 2019, the Company had accrued $820,000 for the matter.

The Company accrues a liability in our consolidated financial statements for these actions when a loss is known or considered 
probable and the amount can be reasonably estimated. If the reasonable estimate of a known or probable loss is a range, and no 
amount  within  the  range  is  a  better  estimate  than  any  other,  the  minimum  amount  of  the  range  is  recorded.  If  a  loss  is 
reasonably  possible,  but  not  known  or  probable,  and  can  be  reasonably  estimated,  the  estimated  loss  or  range  of  loss  is 
disclosed in the notes to the consolidated financial statements. In most cases, significant judgment is required to estimate the 
amount and timing of a loss to be recorded, actual results may differ from these estimates.

Purchase Commitments

At  December  31,  2020,  the  Company  has  purchase  commitments  for  inventories  totaling  approximately  $1.9  million, 
substantially all of which is expected to be purchased by the end of 2021. 

China Joint Venture

The Company's agreement in the China joint venture requires it to make a capital contribution into the newly formed entity of 
$357,000. As of the date of these consolidated financial statements, approximately $203,000 of its capital commitment remains 
to be funded.

Concentrations

Sales to one customer within the OEM segment represented 10% and 11% of total sales for the year ended December 31, 2020 
and 2019, respectively. 

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NOTES TO CONSOLIDATED FINANCIAL STATEMENTS - Continued

NOTE 19.  

STOCK OPTIONS 

On October 30, 2007, the Company's stockholders approved, and the Board of Directors adopted an amendment to the 2003 
Executive  and  Employee  Stock  Option  Plan  (the  “Plan”)  to  increase  the  maximum  aggregate  number  of  shares  of  common 
stock reserved for issuance under the Plan from 1.2 million shares (already reserved against outstanding options) to 1.7 million 
shares. Except for the increase in the number of shares covered by the Plan, the Plan remained otherwise unchanged. In 2001, 
the Board of Directors adopted the 2001 Executive and Employee Stock Option Plan which reserved for issuance 1.2 million 
stock options. Stock options to employees typically have a ten-year life and currently vest over periods between one and seven 
years. 

In  July  2012,  the  Company's  stockholders  approved  the  2012  Share  Incentive  Plan  covering  a  total  of  750,000  shares  of 
common stock issuable upon exercise of options to be granted under the plan. At December 31, 2020 approximately 60,000 are 
available to be issued in this plan.

In July 2015, the Company's stockholders approved the 2015 Executive and Employee Stock Option Plan covering a total of 
2,000,000  shares  of  common  stock  issuable  upon  exercise  of  options  to  be  granted  under  the  plan.  At  December  31,  2020 
approximately 230,000 are available to be issued in this plan.

In August 2017, the Company's stockholders approved the 2017 Executive and Employee Stock Option Plan covering a total of 
3,000,000  shares  of  common  stock  issuable  upon  exercise  of  options  to  be  granted  under  the  plan.  At  December  31,  2020 
approximately 70,000 are available to be issued in this plan.

In August 2019, the Company's stockholders approved the 2019 Share Incentive Plan covering a total of 2,000,000 shares of 
common  stock  issuable  upon  exercise  of  options  to  be  granted  under  the  plan.  At  December  31,  2020,  all  2,000,000  are 
available to be issued in this plan.

On January 29, 2021, the Company granted employees approximately 700,000 options to purchase common shares of the 
Company's stock. All options granted were pursuant to the plans noted above. The options vest over a period of three years. 

The status of the Company's stock options is summarized as follows:

Outstanding at December 31, 2018
Granted
Exercised
Canceled and forfeited
Outstanding at December 31, 2019
Granted
Exercised
Canceled and forfeited
Outstanding at December 31, 2020

Non-vested at December 31, 2019

Granted

Vested

Forfeited

Non-vested at December 31, 2020

52

Number of 
options 
3,254,779  $ 
1,379,500 
(410,635)   
(256,785)   
3,966,858  $ 
1,376,900 
(112,965)   
(291,850)   
4,938,943  $ 

Weighted 
average 
exercise price
3.18 
7.70 
2.99 
4.76 
4.67 
7.94 
3.37 
7.19 
5.46 

Number of 
options

Weighted 
average grant 
date fair 
value

1,484,929  $ 

1,376,900 

(665,510)   

(151,850)   

2,044,469  $ 

4.11 

4.78 

3.77 

4.53 

4.61 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
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APYX MEDICAL CORPORATION
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS - Continued

Common shares required to be issued upon the exercise of stock options would be issued from authorized and unissued shares. 
Options  are  valued  using  the  Black-Scholes  model.  For  employee  grants,  the  Company  calculates  expected  life  via  the 
simplified  method  as  it  does  not  have  sufficient  history  to  determine  actual  expected  life.  For  non-employee  grants,  the 
Company calculates expected life using a combination of past exercise behavior, the contractual term and expected remaining 
exercise behavior. Inputs used in the valuation models are as follows:

Option value

Risk-free rate

Expected dividend yield

Expected volatility

Expected term (in years)

2020 Grants

2019 Grants

$4.98 — $8.18

$7.15 — $7.91

0.3% -

1.7%

1.7% — 2.6%

—%

—%

65.9% - 70.1% 64.9% — 66.4%

6

4.5

-

6

The  Company  recognized  approximately  $4,210,000  and  $3,581,000  in  stock-based  compensation  expense  during  the  years 
ended December 31, 2020 and 2019, respectively.

The intrinsic value of each option share is the difference between the fair value of our common stock and the exercise price of 
such  option  share  to  the  extent  it  is  “in-the-money”.  Aggregate  intrinsic  value  represents  the  value  that  would  have  been 
received by the holders of in-the-money options had they exercised their options on the last trading day of the year and sold the 
underlying shares at the closing stock price on such day. The intrinsic value calculation at December 31, 2020 is based on the 
$7.20 closing stock price of the Company's common stock on December 31, 2020, the last trading day of 2020. 

As  of  December  31,  2020,  there  were  4,530,049  stock  options  outstanding  and  expected  to  vest  with  an  aggregate  intrinsic 
value of approximately $10,250,000. These options have a weighted average exercise price of $5.26 and a weighted average 
remaining contractual term of approximately 7 years. 

As of December 31, 2020, there were 2,894,474 stock options outstanding and exercisable with an aggregate intrinsic value of 
approximately $9,800,000. These options have a weighted average exercise price of $3.89 and a weighted average remaining 
contractual term of approximately 6 years. 

The  total  intrinsic  value  of  in  the  money  options  exercised  during  the  years  ended  December  31,  2020  and  2019,  was 
approximately $200,000 and $1,420,000, respectively. Intrinsic value of exercised shares is the total value of such shares on the 
date of exercise less the cash received from the option holder to exercise the options or other consideration paid. 

The total fair value of options granted during the years ended December 31, 2020 and 2019, was approximately $6,580,000 and 
$6,300,000, respectively. The weighted average fair value of options granted during the years ended December 31, 2020 and 
2019, was $4.78 and $4.57, respectively. The total fair value of option shares vested during the years ended December 31, 2020 
and 2019, was approximately $2,510,000 and $2,130,000, respectively.

The  Company  allows  employees  to  exercise  stock-based  awards  by  surrendering  stock-based  awards  with  an  intrinsic  value 
equal  to  the  cumulative  exercise  price  of  the  stock-based  awards  being  exercised,  referred  to  as  net  settlements.  These 
surrenders are included in stock options exercised in the options rollforward above. During the years ended December 31, 2020 
and  2019,  the  Company  received  39,448  and  125,948  options  as  payment  in  the  exercise  of  47,088  and  222,601  options, 
respectively.

As  of  December  31,  2020,  there  was  approximately  $5,910,000  of  total  unrecognized  stock-based  compensation  expense, 
related to unvested stock options granted under the plans above. This expense is expected to be recognized over a weighted-
average period of approximately 1 year.

During  October  2015,  the  Company  granted  225,922  restricted  stock  units  that  vest  ratably  over  a  period  of  5  years.  As  of 
December 31, 2020, all of the restricted stock units had vested. 

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NOTES TO CONSOLIDATED FINANCIAL STATEMENTS - Continued

NOTE 20.  

GEOGRAPHIC AND SEGMENT INFORMATION 

Operating segments are aggregated into reportable segments only if they exhibit similar economic characteristics. In addition to 
similar economic characteristics, the Company also considers the following factors in determining the reportable segments: the 
nature of business activities, the management structure directly accountable to its chief operating decision maker for operating 
and administrative activities, availability of discrete financial information and information presented to the Board of Directors 
and  investors.  Asset  information  is  not  reviewed  by  the  chief  operating  decision  maker  by  segment  and  is  not  available  by 
segment, accordingly, the Company has not presented a measure of assets by segment.

The Company's reportable segments are disclosed as principally organized and managed as two operating segments: Advanced 
Energy  and  OEM.  "Corporate  &  Other"  includes  certain  unallocated  corporate  and  administrative  costs  which  were  not 
specifically attributed to any reportable segment. The OEM segment is primarily development and manufacturing contract and 
product driven, all related expenses are recorded as cost of sales, therefore no segment specific operating expenses are incurred.

Summarized financial information with respect to reportable segments is as follows:

(In thousands)

Sales

Year ended December 31, 2020

Advanced 
Energy

OEM

Corporate 
(Other)

Total

$ 

22,214 

$ 

5,497 

$ 

— 

27,711 

Income (loss) from operations

(7,128) 

1,838 

(14,793)   

(20,083) 

Interest income 
Interest expense
Other income, net

Income tax benefit

(In thousands)

Sales

— 
— 
— 

— 

— 
— 
— 

— 

241 
(46)   
479 

241 
(46) 
479 

7,503 

7,503 

Year ended December 31, 2019

Advanced 
Energy

OEM

Corporate 
(Other)

Total

$ 

22,676 

$ 

5,559 

$ 

—  $ 

28,235 

Income (loss) from operations

(8,045) 

2,136 

(14,960)   

(20,869) 

Interest income 
Interest expense
Other losses, net

Income tax benefit

— 
— 
— 

— 

— 
— 
— 

— 

1,392 

(8)   
(351)   

130 

1,392 
(8) 
(351) 

130 

International  sales  in  2020  and  2019,  were  32.1%  and  30.6%  of  sales,  respectively.  Substantially  all  of  these  sales  are 
denominated in U.S. dollars. Revenue by geographic region, based on the "ship to" location on the invoice are as follows:

(In thousands)

Sales by Domestic and International

Domestic

International

Total

Year Ended December 31,

2020

2019

$ 

$ 

18,812 

8,899 

27,711 

$ 

$ 

19,584 

8,651 

28,235 

ITEM 9. Changes in and Disagreements with Accountants on Accounting and Financial Disclosure

54

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
APYX MEDICAL CORPORATION

Table of Contents

None.

ITEM 9A. Controls and Procedures

Disclosure Controls and Procedures

Our  management  has  established  and  maintains  disclosure  controls  and  procedures  that  are  designed  to  ensure  that  the 
information  required  to  be  disclosed  by  us  in  reports  that  we  file  or  submit  under  the  Securities  Exchange  Act  of  1934,  as 
amended  (the  "Exchange  Act"),  is  recorded,  processed,  summarized  and  reported  within  the  time  periods  specified  in  the 
Securities  and  Exchange  Commission's  rules  and  forms,  and  that  such  information  is  accumulated  and  communicated  to 
management,  including  the  Chief  Executive  Officer  and  Chief  Financial  Officer,  as  appropriate,  to  allow  timely  decisions 
regarding required disclosure. Management carried out an evaluation, under the supervision and with the participation of our 
Chief  Executive  Officer  and  Chief  Financial  Officer,  of  the  effectiveness  of  our  disclosure  controls  and  procedures  (as  such 
term is defined in Rules 13a-15(e) and 15d-15(e) under the Exchange Act) as of the end of the period covered by this report. 
Based  on  such  evaluation,  our  Chief  Executive  Officer  and  Chief  Financial  Officer  have  concluded  that  as  of  December  31, 
2020, the Company's disclosure controls and procedures were effective.

Management’s Report on Internal Control Over Financial Reporting

Our management is responsible for establishing and maintaining adequate internal control over financial reporting (as such term 
is  defined  in  Exchange  Act  Rule  13a-15(f)  and  15d-15(f)  under  the  Exchange  Act).  The  Company's  internal  control  over 
financial  reporting  is  designed  to  provide  reasonable  assurance  regarding  the  reliability  of  financial  reporting  and  the 
preparation of financial statements for external purposes in accordance with generally accepted accounting principles. Because 
of its inherent limitations, internal control over financial reporting may not prevent or detect misstatements. Also, projections of 
any evaluation of effectiveness to future periods are subject to the risk that controls may become inadequate because of changes 
in conditions, or that the degree of compliance with the policies or procedures may deteriorate.

Under  the  supervision  and  with  the  participation  of  our  Chief  Executive  Officer  and  Chief  Financial  Officer,  management 
carried  out  an  evaluation  of  the  effectiveness  of  the  Company's  internal  control  over  financial  reporting  as  of  December  31, 
2020,  based  on  the  framework  set  forth  by  the  Committee  of  Sponsoring  Organizations  of  the  Treadway  Commission  in 
Internal Control—Integrated Framework (2013). Based on that evaluation, management concluded that the Company's internal 
control over financial reporting was effective as of December 31, 2020. 

Remediation of Previously Reported Material Weaknesses in Internal Control over Financial Reporting

We  have  remediated  the  material  weaknesses  previously  disclosed  in  our  Annual  Report  on  Form  10-K  for  the  year  ended 
December 31, 2019 and improved our internal control over financial reporting specifically in the areas of the overall control 
environment and documentation of control activities through the completion of remediation steps described below.

Control Environment

We  have  remediated  the  material  weakness  associated  with  the  lack  of  sufficient  qualified  accounting  personnel  with  an 
appropriate level of knowledge and experience with generally accepted accounting principle by (i) hiring a new Chief Financial 
Officer  and  a  new  Corporate  Controller  in  2019  with  experience  in  internal  controls  and  financial  reporting  that  have  been 
actively engaged in remediation efforts to address the material weaknesses (ii) enhancing our policies, procedures, and controls 
for  all  key  business  processes  and  (iii)  training  personnel  to  ensure  consistent  application  of  accounting  principles  and 
adherence to the Company’s policies, procedures, and controls.

Control Activities

We have remediated the material weakness associated with the ineffective control activities due to the lack of documentation 
and timeliness in executing certain business process controls specifically related to procure to pay and inventory processes and 
footnote reporting disclosures related to income tax accounts, primarily related to our United States operations by (i) enhancing 
our processes and review controls associated with the processes noted above (ii) ensuring the appropriate criteria for controls, 
including  evidence  of  review,  timeliness  and  variance  thresholds  are  documented,  (iii)  engaging  third-party  specialists  for 

55

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APYX MEDICAL CORPORATION

income  tax  calculations  and  disclosures  .and  (iv)  increasing  management  oversight  of  performance  of  such  procedures  and 
controls.

We  have  remediated  the  material  weakness  associated  with  the  ineffective  control  over  financial  reporting  in  our  Bulgarian 
subsidiary  related  to  the  purchasing  of  goods  and  services,  including  the  processing  and  payment  of  vendor  invoices  by  (i) 
enhancing  controls  over  purchasing  and  disbursements  in  our  Bulgarian  subsidiary  (ii)  approving  and  validating  vendor 
invoices received by verifying the related purchase authorization and the receipt of the goods or services and (iii) ensuring that 
documentation of approval was retained and performed timely.

Changes in Internal Control Over Financial Reporting

Except as noted above, there were no changes in our internal control over financial reporting that occurred during the quarter 
ended December 31, 2020, that materially affected, or that are reasonably likely to materially affect, our internal control over 
financial reporting.

ITEM 9B. Other Information

None.

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ITEM 10. Directors, Executive Officers and Corporate Governance

BACKGROUND AND EXPERIENCE OF DIRECTORS 

When considering whether directors and nominees have the experience, qualifications, attributes or skills, taken as a whole, to 
enable the Board of Directors (“Board”) to satisfy its oversight responsibilities effectively in light of the Company’s business 
and structure, the Governance and Nominating Committee focused primarily on each person’s background and experience as 
reflected in the information discussed in each of the directors’ individual biographies set forth immediately below. We believe 
that our directors provide an appropriate mix of experience and skills relevant to the size and nature of our business. As more 
specifically  described  in  such  person’s  individual  biographies  set  forth  below,  our  directors  possess  relevant  and  industry-
specific  experience  and  knowledge  in  the  medical,  engineering  and  business  fields,  as  the  case  may  be,  which  we  believe 
enhances  the  Board’s  ability  to  oversee,  evaluate  and  direct  our  overall  corporate  strategy.  The  Governance  and  Nominating 
Committee annually reviews and makes recommendations to the Board regarding the composition and size of the Board so that 
the Board consists of members with the proper expertise, skills, attributes and personal and professional backgrounds needed by 
the Board, consistent with applicable regulatory requirements.

The  Governance  and  Nominating  Committee  believes  that  all  directors,  including  nominees,  should  possess  the  highest 
personal  and  professional  ethics,  integrity  and  values  and  be  committed  to  representing  the  long-term  interests  of  our 
stockholders.  The  Governance  and  Nominating  Committee  will  consider  criteria  including  the  nominee’s  current  or  recent 
experience as a senior executive officer, whether the nominee is independent, as that term is defined in existing independence 
requirements of The NASDAQ Stock Market LLC, the business, scientific or engineering experience currently desired on the 
Board, geography, the nominee’s industry experience and the nominee’s general ability to enhance the overall composition of 
the Board.

The Governance and Nominating Committee does not have a formal policy on diversity; however, in recommending directors, 
the  Board  and  the  Committee  consider  the  specific  background  and  experience  of  the  Board  members  and  other  personal 
attributes in an effort to provide a diverse mix of capabilities, contributions and viewpoints which the Board believes enables it 
to function effectively as the Board of Directors of a company with our size and nature of business..  Moreover, our corporate 
governance guidelines commit the Company to maintaining a Board with a strong and diverse membership.  

Directors serve for one-year terms and are elected at the annual stockholders’ meeting. Set forth below is information regarding 
the executive officers, directors and key employees of Apyx Medical Corporation as of March 29, 2021.

Name
Charles D. Goodwin

Tara Semb

Todd Hornsby

Moshe Citronowicz

Andrew Makrides

Lawrence J. Waldman

Michael Geraghty

John Andres

Craig Swandal

Minnie Baylor-Henry

Age Position
55

Chief Executive Officer and Director

51

45

68

79

Chief Financial Officer, Treasurer and Secretary

Executive Vice President

Senior Vice President

Chairman of the Board

74 Director

73 Director

63 Vice-Chairman of the Board

60 Director

73 Director

Director Since
December 2017

N/A

N/A

N/A

December 1982

March 2011

March 2011

July 2014

March 2018

August 2019

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Andrew Makrides, Esq. age 79, Chairman of the Board of Directors since December 1982, received a Bachelor of Arts degree 
in Psychology from Hofstra University and a Juris Doctor Degree from Brooklyn Law School. He is a member of the Bar of the 
State of New York and practiced law from 1968 until joining Apyx Medical Corporation as a co-founder and Executive Vice 
President and director, in 1982. Mr. Makrides became President of the Company in 1985 and the CEO in December 1998 and 
served as such until March 18, 2011 at which point he relinquished his position as President, but remained CEO until December 
2013. Mr. Makrides employment contract expired December 31, 2016. Mr. Makrides has over 30 years of executive experience 
in the medical industry. The Company believes Mr. Makrides is qualified to serve as Chairman because of his over 30 years of 
experience in the medical device industry as well as with his previous tenure with the Company.

Charles  D.  Goodwin,  age  55,  Chief  Executive  Officer  and  a  Director  of  Apyx  Medical  since  December  2017,  is  an 
accomplished  senior  executive  with  over  25  years  of  experience  in  the  healthcare  industry.  Before  joining  Apyx  Medical  in 
December 2017, Mr. Goodwin was the Chief Executive Officer of MIS Implants Technologies, Inc., a privately held company 
specializing in dental implants. Prior to this position, Mr. Goodwin spent more than 11 years with Olympus/Gyrus ACMI in a 
variety  of  commercial  and  leadership  roles  of  increasing  responsibility.  Mr.  Goodwin  began  as  a  regional  sales  director  for 
Gyrus  in  2002  and  was  later  promoted  to  Vice  President  of  Sales,  overseeing  the  Company’s  strong  commercial  ramp  and 
assisting Gyrus’ executive leadership team in the successful acquisition of American Cytoscope Makers, or “ACMI”, for $500 
million in 2005. As President of Gyrus ACMI’s surgical division, Mr. Goodwin developed the company’s global distribution 
network and achieved average annual sales growth of 35% for three consecutive years, resulting in a promotion to President of 
Worldwide  Sales  in  2007.  As  President  of  Worldwide  Sales  for  Gyrus  ACMI,  Mr.  Goodwin  was  responsible  for  a  global 
business with approximately 700 employees and was a key contributor to the successful sale of Gyrus ACMI to Olympus for 
$2.2  billion  in  2008.  Mr.  Goodwin  served  as  Group  Vice  President  of  Olympus  Corporation’s  global  surgical  energy  group, 
where  he  was  responsible  for  commercial  strategy,  R&D  and  operations  for  a  business  with  more  than  500  employees 
worldwide.  Mr.  Goodwin  held  this  position  for  five  years  before  joining  MIS  Implants  Technologies,  Inc.  in  2014.  Mr. 
Goodwin holds a B.A. Finance and Economics from Eastern Washington University. The Company believes Mr. Goodwin is 
qualified to serve as a Director given his over 25 years of experience in the medical device industry.

Tara Semb, age 51, Chief Financial Officer, Treasurer and Secretary since January 2019. Prior to joining Apyx Medical, Ms. 
Semb was the Chief Financial Officer for AVAIL Vapor LLC, a manufacturer and retailer of e-liquid for use in electronic vapor 
devices,  from  2015  until  2018.  Ms.  Semb  previously  worked  for  Amsted  Industries,  a  diversified  global  manufacturer  of 
industrial components, in multiple positions of increasing responsibility from 2006 until 2015, culminating in her promotion to 
Director of Finance for the company’s rail bearings division in 2013. Before joining Amsted Industries as Director of Internal 
Audit  in  2006,  she  held  financial  and  operational  roles  at  Blyth  Industries,  a  manufacturer  and  seller  of  candles  and  home 
fragrance products, and Anixter International, a global distributor of network & security solutions. She began her career in 1991 
as an auditor at Price Waterhouse. Ms. Semb holds a Bachelor of Science degree in Accounting from the University of Illinois, 
as well as an MBA from Washington University in St. Louis. She is a Certified Public Accountant (CPA).

Todd Hornsby, age 45, Executive Vice President since January 2019, has responsibility for global Commercial operations. He 
is  an  accomplished  Senior  Executive  with  more  than  19  years  of  success  in  the  medical  device  and  biotech  industries. 
Throughout his career, Todd has held various leadership positions and has extensive experience in sales, sales management, and 
with building strong teams and launching new technologies. Since joining Apyx™ Medical in August 2014, Todd has focused 
primarily on the commercialization of Apyx’s Renuvion / J-Plasma advanced energy system. Prior to joining Apyx, Todd held 
roles  of  increasing  seniority  and  responsibility  at  CryoLife,  Inc.  During  his  tenure,  Todd  directed  the  US  Sales  team,  with  a 
diversified product portfolio of biological heart valves and vascular grafts, surgical adhesives and hemostatic agents, dialysis 
access and CHF chronic heart failure products. Todd also directed successful integrations of three acquisitions into the US sales 
channel. Early in his medical device career, Todd held positions with Ethicon - Endo Surgery and Medex Medical. Todd holds 
a BA in Psychology from Hope College. He is also the recipient of many awards for sales achievement and growth.

Moshe Citronowicz, age 68, Senior Vice President since 2012, came to the United States in 1978 and has worked in a variety 
of manufacturing and high technology industries. In October 1993, Mr. Citronowicz joined the Company as Vice President of 
Operations  and  served  as  our  Chief  Operating  Officer  until  November  2011.  Currently,  he  is  serving  as  the  Senior  Vice 
President. Mr. Citronowicz’s employment contract extends to December 31, 2021.

Lawrence J. Waldman, CPA, age 74, Director, Audit Committee Chair, and Lead Independent Director since March 2011. 
Mr. Waldman has over thirty-five years of experience in public accounting. Mr. Waldman currently serves as a senior advisor 
to First Long Island Investors, LLC, an investment and wealth management firm since May 2016. Prior to that Mr. Waldman 
served  as  an  advisor  to  the  accounting  firm  of  EisnerAmper  LLP,  where  he  was  previously  the  Partner-in-Charge  of 
Commercial  Audit  Practice  Development  for  Long  Island  since  September  2011.  Prior  to  joining  EisnerAmper  LLP,  Mr. 

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Waldman  was  the  Partner-in-Charge  of  Commercial  Audit  Practice  Development  for  Holtz  Rubenstein  Reminick,  LLP  from 
July  2006  to  August  2011.  Mr.  Waldman  was  the  Managing  Partner  of  the  Long  Island  office  of  KPMG  LLP  from  1994 
through 2006, the accounting firm where he began his career in 1972. Mr. Waldman was elected to the Board of Directors of 
Comtech Telecommunications Corp. in August of 2015 and since December 2015, serves as Chair of its audit committee. In 
October  2016,  Mr.  Waldman  was  appointed  and  subsequently  in  December  2016  elected  to  the  Board  of  Directors  of  CVD 
Equipment Corporation, and serves as the Chair of the audit committee and as Lead Independent Director. In January 2021, Mr. 
Waldman  was  appointed  to  serve  as  non-Executive  Chairman  of  the  Board  of  CVD  Equipment  Corporation.  Mr.  Waldman 
served through October 2018 as a member of the Board of Directors of Northstar/ RXR Metro Income Fund, a non-traded Real 
Estate Investment Trust and has served as a member of its audit committee since 2014. Mr. Waldman is also the Chair of the 
Supervisory Committee of Bethpage Federal Credit Union. Mr. Waldman also served as a member of the State University of 
New  York’s  Board  of  Trustees  and  as  chair  of  its  audit  committee.  He  previously  served  as  the  Chairman  of  the  Board  of 
Trustees of the Long Island Power Authority and as Chair and a member of the finance and audit committee of its Board of 
Trustees. Mr. Waldman meets the definition of a financial expert as defined by the SEC and The NASDAQ Stock Market LLC. 
The Company believes Mr. Waldman is qualified to serve as Director, Audit Committee Chair and Lead Independent Director 
because of his over 35 years experience in public accounting and his positions on various boards.

Michael Geraghty, age 73, has served as a director since March 2010 and was previously employed as the President of Global 
Sales  at  Optos,  Inc.,  a  developer  and  manufacturer  of  retinal  imaging  devices  for  screening,  detection  and  diagnosis  of  eye 
related conditions. From 2005 through 2008, he was the President of International Sales at Gyrus Acmi where he first started in 
2000  as  Senior  Vice  President  of  Sales  for  Gyrus  Medical.  Prior  to  this,  Mr.  Geraghty  was  the  Vice  President  of  Sales  and 
Marketing  for  Everest  Medical,  Inc.  and  before  that  was  the  Director  of  Marketing  for  Advanced  Products  at  Arthrocare 
Corporation.  Mr.  Geraghty  specializes  in  building  independent  direct  sales  teams  in  the  medical  device  industry  and  has 
extensive  domestic  and  international  sales  and  marketing  experience.  He  received  his  bachelor’s  degree  from  St.  Mary’s 
University and graduate degree in Executive Sales Management from the University of Minnesota. The Company believes Mr. 
Geraghty  is  qualified  to  serve  as  Director  and  Compensation  Committee  Chair  because  of  his  extensive  domestic  and 
international sales, marketing, and management experience.

Craig Swandal, age 60, Director since March 2018. Mr. Swandal has over 30 years of experience at public and privately-held 
medical  technology  and  electronics  manufacturing  companies.  He  began  his  career  in  1981  at  Unisys  Corporation,  a 
manufacturer of main frame computer systems, where he held a variety of manufacturing positions of increasing responsibility. 
In 1995 he joined Silent Knight, a manufacturer of industrial fire and security systems, as a Manufacturing Manager and was 
promoted to Vice President of Operations.

In  2001,  Mr.  Swandal  joined  Gyrus,  a  manufacturer  of  surgical  devices,  where  he  was  responsible  for  the  company’s 
manufacturing operations as Director of Operations and later Vice President of Operations. Following Gyrus’s acquisition of 
ACMI  in  2005,  Mr.  Swandal  was  promoted  to  Senior  Vice  President  and  was  responsible  for  the  global  operations  of  the 
combined  company.  He  developed  and  executed  Gyrus  ACMI’s  strategy  to  consolidate  its  manufacturing,  distribution, 
customer service and service and repair operations and was a member of the leadership team that successfully sold the company 
to Olympus Corporation for $2.2 billion in 2008. 

Following  the  acquisition  of  Gyrus  ACMI,  Mr.  Swandal  served  on  the  executive  leadership  teams  of  several  companies, 
including  ATS  Medical,  ACELL  and  Tendyne,  where  he  was  focused  on  operational  development  and  currently  holds  a 
position.  He  is  currently  the  Principal  of  Lead  2  Change  Consulting,  where  he  assists  companies  in  identifying  and 
implementing new manufacturing initiatives. Mr. Swandal serves as a member of the Board of Managers for Tiumed LLC a 
nontraded  Medical  Device  start  up.  Mr.  Swandal  holds  a  Bachelor’s  degree  in  Organizational  Management  and 
Communications from Concordia University, as well as a mini Master of Business Administration in Medical Technology from 
the  University  of  St  Thomas.  The  Company  believes  Mr.  Swandal  is  qualified  to  serve  as  Director  because  of  his  extensive 
experience in manufacturing operations.

John Andres, age 63, Vice Chairman of the Board of Directors and Nominating Chair since July 2014, has over thirty years of 
experience in the medical device industry. Since April, 2004, Mr. Andres has been a private consultant, doing business through 
John  C.  Andres,  LLC,  specializing  in  patent/business  strategy  development  and  execution.  He  also  is  a  partner  of  Hawk 
Healthcare,  LLC,  which  provides  strategic  transaction  management  to  private  individuals  and  companies.  Since  2011,  Mr. 
Andres has served as the Legal Compliance Officer of Electrocore, Inc., a medical device company.

In  2017,  Mr.  Andres  joined  the  Longeviti  Neuro  Solutions,  LLC  Board  of  Directors  which  is  developing  cranial  implant 
products for cranial reconstruction. In 2004, Mr. Andres helped found K2M, Inc. (KTWO) and from 2004 until 2010 served as 

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a  member  of  the  Board  of  Directors  of  K2M,  Inc.  Prior  to  2004,  Mr.  Andres  held  various  legal  and  strategic  business 
development  positions  at  the  Surgical  Division  of  Tyco  Healthcare  Group,  LLP,  now  Medtronic  (NYSE:  MDT)  and  its 
predecessor, United States Surgical Corporation. Before joining U.S. Surgical, Mr. Andres worked at the New York law firm of 
Morgan  &  Finnegan.  He  received  his  Associate  of  Applied  Science  degree  from  Rochester  Institute  of  Technology,  his 
Bachelor  of  Arts  degree  from  Lehigh  University  and  his  Juris  Doctor  from  Pace  University  School  of  Law.  The  Company 
believes  Mr.  Andres  is  qualified  to  serve  as  a  director  because  of  his  extensive  experience  in  patent  and  business  strategy 
development and execution in the medical device industry.

Minnie  Baylor-Henry,  age  73,  Director  and  Regulator  Compliance  Committee  Chair  since  August  2019.  Ms.  Baylor-Henry 
has over 25 years of regulatory affairs experience. She is the President of B-Henry & Associates, LLC, a consulting firm that 
she founded to provide regulatory strategic support to life sciences companies. Prior to starting her consulting company, she 
held various executive level positions over a 15-year period at Johnson & Johnson (J&J). Before retiring from J&J in 2015, she 
was the Worldwide Vice President of Regulatory Affairs-Medical Devices. During her time at J&J, she also had served as the 
Vice President-Medical & Regulatory Affairs in the Over-the Counter Group, as well as Senior Director, Regulatory Affairs- 
Pharmaceuticals.  Ms.  Baylor-Henry  also  worked  for  Deloitte  &  Touche  (2008-2010)  as  the  National  Director  Regulatory 
Affairs- Life Sciences. Prior to joining the private sector, she worked for the US Food & Drug Administration (1991-1999) in 
many  roles,  including  serving  as  the  Director  of  the  Division  of  Drug,  Marketing,  Advertising  &  Communications  and  the 
FDA’s National Health Fraud Coordinator.

In  2018,  Ms.  Baylor-Henry  joined  the  Board  of  Directors  of  scPharmaceuticals,  a  publicly-held  company  focused  on 
developing technologies that enable subcutaneous administration of therapies and in 2019 the Board of Directors of PolarityTE, 
a publicly- held regenerative medicine company. Ms. Baylor-Henry received her pharmacy degree from Howard University’s 
College  of  Pharmacy  and  a  law  degree  from  Catholic  University’s  Columbus  School  of  Law.  The  Company  believes  Ms. 
Baylor-Henry  is  qualified  to  serve  as  Director  and  Regulatory  and  Compliance  Committee  Chair  because  of  her  extensive 
experience in global and regulatory management and compliance.

Involvement in Certain Legal Proceedings

None

Independent Board Members

The Board currently has six independent members, Andrew Makrides, John Andres, Michael Geraghty, Lawrence J. Waldman, 
Craig  Swandal  and  Minnie  Baylor-Henry  who  meet  the  existing  independence  requirements  of  The  NASDAQ  Stock  Market 
LLC and the Securities and Exchange Commission.

Board Leadership

The independent directors appointed Lawrence J. Waldman as the Lead Independent Director. The Lead Independent Director 
is appointed by the Board and is responsible for coordinating the activities of the independent directors and coordinating with 
the Chief Executive Officer of the Company to set agendas for Board meetings and chair executive sessions of the independent 
directors. The Lead Independent Director is also responsible for meeting, from time to time, with the Company’s Compensation 
Committee to discuss the Chief Executive Officer’s performance.

The Company’s Corporate Governance Policies also contain several features which the Company believes will ensure that the 
Board maintains effective and independent oversight of management, including the following:

•

•
•

Executive sessions without management and non-independent directors present are a standing Board agenda 
item.  Executive  sessions  of  the  independent  directors  are  held  at  any  time  requested  by  an  independent 
director and, in any event, are held in connection with all regularly scheduled Board meetings.
The Board regularly meets in executive session with the CEO without other members of management present.
All  Board  committee  members  are  independent  directors.  The  committee  chairs  have  authority  to  hold 
executive sessions without management and non-independent directors present.

The Board has no formal policy with respect to separation of the positions of Chairman and CEO or with respect to whether the 
Chairman should be a member of management or an independent director, and believes that these are matters that should be 

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discussed and determined by the Board from time to time. The Chief Executive Officer of the Company, Charles D. Goodwin, 
is  tasked  with  the  responsibility  of  implementing  our  corporate  strategy.  We  believe  Mr.  Goodwin  is  best  suited  for  leading 
discussions,  at  the  Board  level,  regarding  performance  relative  to  our  corporate  strategy  and  this  discussion  accounts  for  a 
significant portion of the time devoted at our Board meetings.

Board Evaluations

The Board has adopted a policy to evaluate its performance and effectiveness as well as that of the four standing committees on 
an annual basis. The purpose of the evaluation is to track progress in certain areas targeted for improvement from year to year 
and  to  identify  ways  to  enhance  the  Board’s  effectiveness.  As  part  of  the  evaluation,  each  Director  may  complete  a  written 
questionnaire developed by the Governance and Nominating Committee to provide feedback on the effectiveness of the Board, 
the Committees, as well as each individual Director’s own contributions. The collective ratings and comments of the Directors 
are compiled and then presented to the Governance and Nominating Committee and to the full Board for discussion and action 
as necessary.

Risk Management

The  Board  believes  that  risk  management  is  an  important  component  of  the  Company’s  corporate  strategy.  While  we  assess 
specific risks at our committee levels, the Board, as a whole, oversees our risk management process, and discusses and reviews 
with management major policies with respect to risk assessment and risk management. The Board is regularly informed through 
its interactions with management and committee reports about risks we face in the course of our business. Our Audit Committee 
also takes an active role in risk assessment and risk management.

Audit Committee

The Audit Committee assists the Board in its general oversight of our financial reporting, internal controls, and audit functions, 
and is directly responsible for the appointment, compensation and oversight of the work of our independent registered public 
accounting  firm.  The  Audit  Committee  reviews  and  discusses  with  management  and  our  independent  accountants  the  annual 
audited  and  quarterly  financial  statements  (including  the  disclosures  under  “Management’s  Discussion  and  Analysis  of 
Financial  Condition  and  Results  of  Operations”  and  matters  required  to  be  discussed  by  the  applicable  requirements  of  the 
PCAOB),  reviews  the  integrity  of  the  financial  reporting  processes,  both  internal  and  external,  reviews  the  qualifications, 
performance  and  independence  of  our  independent  accountants,  and  prepares  the  Audit  Committee  Report  included  in  its 
Annual Report in accordance with rules and regulations of the Securities and Exchange Commission. The Audit Committee has 
the  power  to  investigate  any  matter  brought  to  its  attention  within  the  scope  of  its  duties.  It  also  has  the  authority  to  retain 
counsel  and  advisors  to  fulfill  its  responsibilities  and  duties.  The  Audit  Committee  also  acts  as  a  qualified  legal  compliance 
committee.

The meetings of the Committee are designed to facilitate and encourage communication among the Committee, the Company 
and the Company’s independent auditor. The Committee discussed with the Company’s Independent Auditor the overall scope 
and plans for their respective audits. The Committee meets with the independent auditor, with and without management present, 
to discuss the results of their examinations; their evaluations of the Company’s internal controls; and the overall quality of the 
Company’s financial reporting.

During 2020, our Audit Committee consisted of four independent members of the Board of Directors, Lawrence J. Waldman, 
John  Andres,  Michael  Geraghty  and  Craig  Swandal.  As  a  smaller  reporting  company,  we  are  required  to  have  at  least  two 
independent members comprising our Audit Committee in accordance with Rule 10A-3 of the Securities Exchange Act of 1934 
and the rules of The NASDAQ Stock Market LLC. During 2020, Mr. Waldman served as the Audit Committee Chairman and 
financial expert. The Audit Committee meets as often as it determines necessary but not less frequently than once every fiscal 
quarter.

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Governance and Nominating Committee

The  Governance  and  Nominating  Committee  is  responsible  for  matters  relating  to  the  corporate  governance  of  our  company 
and  the  nomination  of  members  of  the  board  and  committees  thereof.  During  2020,  our  Governance  and  Nominating 
Committee consisted of three independent members of the Board of Directors, John Andres who serves as Chairman, Lawrence 
J. Waldman and Michael Geraghty. The Governance and Nominating Committee meets as often as it determines necessary, but 
not less than once a year. 

Compensation Committee

The  Compensation  Committee  is  responsible  for  overseeing  our  compensation  and  employee  benefit  plans  (including  those 
involving  the  issuance  of  our  equity  securities)  and  practices,  including  formulating,  evaluating  and  approving  the 
compensation of our executive officers and reviewing and recommending to the full Board of Directors the compensation of our 
Chief Executive Officer. During 2020, our Compensation Committee consisted of three independent members of the Board of 
Directors, Michael Geraghty who served as Chairman, John Andres and Lawrence J. Waldman. The Compensation Committee 
meets as often as it determines necessary, but not less than once a year. 

Regulatory Compliance Committee

The  Regulatory  Compliance  Committee,  formed  in  the  third  quarter  of  2019,  is  responsible  for  matters  relating  to  the 
Company’s  overall  non-financial  regulatory  and  compliance  strategies  and  systems.  Specifically,  the  Committee  provides 
oversight  of  management’s  efforts  to  comply  with  the  requirements  for  a  medical  device  company  operating  in  a  highly 
regulated  environment  with  respect  to  healthcare  compliance,  product  quality  and  safety,  and  other  areas  as  directed  by  the 
Board. During 2020, our Regulatory Compliance Committee consisted of three independent members of the Board of Directors, 
Minnie  Baylor-Henry  who  serves  as  Chairperson,  John  Andres  and  Craig  Swandal.  The  Regulatory  Compliance  Committee 
meets as often as it determines necessary, but not less than once a year.  

Code of Ethics

The Company made revisions to the Code of Ethics in the fourth quarter of 2019.

A  copy  of  the  code  of  ethics,  which  expressly  includes  the  fiduciary  responsibilities  of  the  CEO  and  CFO,  along  with  a 
summary of the changes made in 2019, is available on our website at https://apyxmedical.com/code-of-ethics-and-conduct/.

ITEM 11. Executive Compensation Discussion and Analysis

General Compensation Philosophy

The primary objective of our compensation program for employees, including our compensation program for executive officers, 
is to attract, retain and motivate qualified individuals and reward them in a manner that is fair to all stockholders. We strive to 
provide incentives for every employee that rewards them for their contribution to the Company.

Our compensation program is designed to be competitive with other employment opportunities and to align the interests of all 
employees,  including  executive  officers,  with  the  long-term  interests  of  our  stockholders.  Historically,  for  our  executive 
officers, we link a much higher percentage of total compensation to incentive compensation such as stock-based compensation 
than we do for other employees.

With these objectives in mind, our Board has built executive and non-executive compensation programs that consist of three 
principal elements - base salary, performance bonuses and grants of stock options and/or shares of restricted stock.

To understand the competitiveness of compensation arrangements provided to our executive officers, in 2014 the Compensation 
Committee  engaged  Pearl  Meyer  &  Partners  to  perform  a  competitive  assessment  of  base  salaries,  bonuses  for  on-target 
performance and grants of equity incentives. In 2018 and again in 2019, Pearl Meyer & Partners updated the competitive frame 
of reference for the study to consist of the following group of pre-selected companies that were of comparable size and operated 
in our industry category.

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Corindus Vascular Robotics, Inc.
Cutera, Inc.
Ekso Bionics Holdings, Inc.
iCAD, Inc.
IRadimed Corporation

IRIDEX Corporation
Misonix, Inc.
Neuronetics, Inc.
Nuvectra Corporation
OrthoPediatrics Corp.

Restoration Robotics, Inc.
Sensus Healthcare, Inc.
Utah Medical Products Inc.
Viveve Medical, Inc.

In addition to the peer group, Pearl Meyer referenced industry-specific, size-adjusted market survey data where appropriate.

The  results  of  the  survey  confirmed  that,  consistent  with  our  desired  philosophy,  our  compensation  arrangements  were 
competitive with the marketplace, with some variation by individual.

Compensation Program

Base Salary

We pay base salaries to our Executive Officers in order to provide a consistent, minimum level of pay that sustained individual 
performance warrants. We also believe that a competitive annual base salary is important to attract and retain an appropriate 
caliber of talent for each position over time.

The annual base salaries of our Executive Officers are determined by our Compensation Committee and approved by the Board 
of Directors. All salary decisions are based on each Executive Officer’s level of responsibility, experience and recent and past 
performance, as determined by the Compensation Committee. The Compensation Committee benchmarks base salaries using a 
major  independent  consulting  firm  and  using  their  recommendations  and  other  information  the  Committee  evaluates  and 
establishes the base compensation for our executives.

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Performance Bonus

APYX MEDICAL CORPORATION

The  second  component  of  executive  compensation  is  performance  bonuses  which  are  earned  when  defined  metrics  are 
achieved.

For  2020,  the  Company  established  a  combination  of  financial,  operational  and  personal  objectives  as  the  broad  criteria  that 
would determine annual performance bonus amounts for the year. As a result of COVID-19, the Compensation Committee, in 
consultation with Pearl Meyer, revised the financial portion of these objectives to non-financial objectives that correlate with 
the long-term growth of the Company. Based on the achievement of the non-financial objectives, the Compensation Committee 
approved payout of the 2020 bonuses at 50% of the levels paid in 2019. 

After  careful  review  and  consideration  of  the  revised  measures  that  comprise  the  2020  bonus,  the  Compensation  Committee 
approved the following performance bonuses for the named executive officers:

Name
Charles D. Goodwin
Moshe Citronowicz
Todd Hornsby
Tara Semb
Total

Stock Options

Bonus

168,750 
44,850 
86,750 
73,800 
374,150 

$ 

$ 

The  third  component  of  executive  compensation  is  equity  grants  which  have  mainly  come  in  the  form  of  stock  options.  We 
believe that equity ownership in our Company is important to provide our Executive Officers and key employees with long-
term incentives to better align interests of executives with the interests of stockholders and build value for our stockholders. In 
addition, the equity compensation is designed to attract and retain the executive management team. Stock options have value 
only  if  the  stock  price  increases  over  time  and,  therefore,  provide  executives  with  an  incentive  to  build  Apyx’s  value.  This 
characteristic ensures that the Executive Officers and key employees have a meaningful portion of their compensation tied to 
future stock price increases and rewards management for long-term strategic planning through the resulting enhancement of the 
stock price.

Stock  option  awards  to  Executive  Officers  and  key  employees  are  entirely  discretionary.  The  CEO  recommends  to  the 
Compensation  Committee  awards  for  individuals  other  than  himself.  The  Compensation  Committee  considers  this 
recommendation along with the prior contribution of these individuals and their expected future contributions to our growth. 
The  Committee  formulates  and  presents  its  recommended  allocation  of  stock  option  awards  to  the  Board  of  Directors  for 
approval. The Compensation Committee then would make an independent determination on CEO stock option awards, again 
formulating and presenting its recommendation for the allocation of stock option awards to the Board of Directors for approval. 
The Board of Directors approves, rejects, or, if necessary, modifies the Committee’s recommendations.

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Perquisites and Other Benefits

Our Executive Officers are eligible for the same health and welfare programs and benefits as the rest of our employees in their 
respective locations.

Our  Executive  Officers  are  entitled  to  participate  in  and  receive  employer  contributions  to  Apyx's  401(k)  Savings  Plan.  For 
more  information  on  employer  contributions  to  the  401(k)  Savings  Plan  see  the  Summary  Compensation  Table  and  its 
footnotes.

Tax and Accounting Considerations

Section 162(m) of the Internal Revenue Code of 1986, as amended (the “Code”), places a limit of $1.0 million on the amount of 
compensation that we may deduct as a business expense in any year with respect to each of our most highly paid executives 
unless,  among  other  things,  such  compensation  is  performance-based  and  has  been  approved  by  stockholders.  The  non-
performance-based compensation paid to our executive officers for the 2020 fiscal year did not exceed the $1.0 million limit per 
executive officer. Accounting considerations also play an important role in the design of our executive compensation program. 
Accounting  rules,  such  as  FASB  ASC  Topic  718-10-10,  Share-Based  Payment,  require  us  to  expense  the  cost  of  our  stock 
option grants which reduces the amount of our reported profits. Because of option expensing and the impact of dilution on our 
stockholders, we pay close attention to the number and value of the shares underlying stock options we grant.

Compensation of Executive Officers

The following table sets forth the compensation paid to each of our Executive Officers for the three years ended December 31, 
2020 and 2019 for services to our Company in all capacities:

Name and 
Principal Position

Year

Salary

Bonus
($)

Stock 
Awards
($)

Option 
Awards
($) (1)

Non-Equity 
Incentive Plan 
Compensation 
Earnings
($)

Change in 
Pension Value 
and 
Nonqualified 
Deferred 
Compensation 
Earnings
($)

All Other 
Compensation
($) (2)

Total
($)

Charles D. Goodwin

2020

$  450,000  $  168,750 

$  — 

 1,195,074 

CEO and Director

2019

$  450,000  $  344,250 

$  — 

 1,135,160 

Moshe Citronowicz

2020

$  299,000  $ 

44,850 

$  — 

  354,096 

Senior Vice 
President

2019

$  270,000  $ 

82,620 

$  — 

  346,320 

Todd Hornsby

2020

$  347,000  $ 

86,750 

$  — 

  491,800 

Executive Vice 
President(*)

2019

$  330,000  $  168,300 

$  — 

  365,560 

Tara Semb(**)

2020

$  328,000  $ 

73,800 

$  — 

  472,128 

CFO,  Treasurer  and 
Secretary

2019

$  271,000  $  110,265 

$  — 

  312,000 

$ 

$ 

$ 

$ 

$ 

$ 

$ 

$ 

—  $ 

— 

$ 

19,056 

$ 1,832,880 

—  $ 

— 

$ 

15,848 

$ 1,945,258 

—  $ 

— 

$ 

22,402 

$  720,348 

—  $ 

— 

$ 

22,415 

$  721,355 

—  $ 

— 

$ 

28,722 

$  954,272 

—  $ 

— 

$ 

28,400 

$  892,260 

—  $ 

— 

$ 

9,257 

$  883,185 

—  $ 

— 

$ 

5,922 

$  699,187 

*Assumed role as Executive Vice President on January 2, 2019.  **Assumed role as CFO, Treasurer and Secretary on January 2, 2019. 

(1)

These  columns  represent  the  grant  date  fair  value  of  the  awards  as  calculated  in  accordance  with  FASB  ASC  718 
(Stock Compensation). 

(2)

The amounts for 2020 include compensation under the following plans and programs:

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Long-term disability premiums

Health insurance premiums

Employer 401(k) contribution

C.D.
Goodwin

M.
Citronowicz

T.
Hornsby

T.
Semb

186 

10,320 

8,550 

186 

13,931 

8,285 

186 

19,925 

8,611 

186 

— 

9,071 

Total

$ 

19,056  $ 

22,402  $ 

28,722  $ 

9,257 

Amounts in the table above are pro-rated where applicable.

Employment Agreements and Potential Payments Upon Termination or Change in Control

At December 31, 2020, we were obligated under four employment agreements.

Name
Charles D. Goodwin
Tara Semb
Todd Hornsby
Moshe Citronowicz

Contract Expiration Date

N/A(1)
N/A(1)
N/A(1)
December 31, 2021

(1)

Employment  contracts  provide  for  the  Executives  to  remain  employed  by  the  Company  until  such  time  as  their 
employment is terminated pursuant to the terms of their Employment Agreement.

Charles D. Goodwin Employment Agreement

On  September  17,  2020,  the  Company  entered  into  an  Amended  and  Restated  Employment  Agreement,  effective  as  of 
September  17,  2020,  with  Charles  D.  Goodwin  II,  the  Company’s  President  and  Chief  Executive  Officer  (the  “Goodwin 
Agreement”).  The  Goodwin  Agreement  amends  and  restates  Mr.  Goodwin’s  original  employment  agreement,  dated  as  of 
December 15, 2017, in its entirety. The term of Mr. Goodwin’s employment under the Goodwin Agreement commenced as of 
the effective date thereof and shall continue until terminated in accordance with the terms of the Goodwin Agreement. Under 
the Goodwin Agreement, Mr. Goodwin will receive an initial annual base salary of $450,000, which shall be reviewed from 
time  to  time  and  may  be  increased,  but  not  decreased,  by  the  Compensation  Committee  of  the  Board  of  Directors  (the 
“Committee”) in its sole and exclusive discretion. Mr. Goodwin shall be entitled to participate in (i) any bonus or incentive plan 
available to the Company’s executives generally, on such terms as the Committee may determine in its discretion, and (ii) the 
equity-based  incentive  plans  of  the  Company,  pursuant  to  which  he  may  receive  awards  thereunder,  as  determined  by  the 
Company’s Board of Directors in its sole discretion from time to time and subject to the terms and conditions of such plans and 
any applicable award agreement.

In  the  event  Mr.  Goodwin’s  employment  is  terminated  as  a  result  of  death  or  disability,  Mr.  Goodwin  or  his  estate  shall  be 
entitled  to  receive  (i)  any  unpaid  base  salary  earned  and  accrued  prior  to  the  date  of  termination,  (ii)  reimbursement  for 
expenses incurred prior to the date of termination, (iii) a pro rata bonus for the year of termination, and, (iv) if Mr. Goodwin is 
eligible  for  and  elects  continuation  benefits  under  COBRA,  the  Company  will  pay  the  employer  portion  of  the  COBRA 
coverage premium for the shorter of (x) the 12-month period following the date of termination, or (y) the time at which Mr. 
Goodwin becomes eligible for medical and dental benefits through another employer. In addition, Mr. Goodwin’s outstanding 
option grants shall continue to be treated in accordance with the terms of the applicable plan and award agreement, provided 
that the portion of Mr. Goodwin’s options (i) that were exercisable as of the effective date of the Goodwin Agreement and (ii) 
that would have become exercisable on the next anniversary of the effective date following the date of termination shall become 
and remain exercisable for a period of 12 months following the date of termination.

In the event Mr. Goodwin’s employment is terminated by the Company for cause or by Mr. Goodwin without good reason, Mr. 
Goodwin  shall  be  entitled  to  receive  any  unpaid  base  salary  earned  and  accrued  prior  to  the  date  of  termination,  and 
reimbursement for expenses incurred prior to the date of termination. In addition, in the event Mr. Goodwin’s employment is 
terminated by Mr. Goodwin without good reason, Mr. Goodwin’s stock option grants shall continue to be treated in accordance 
with  the  terms  of  the  applicable  plan  and  award  agreement,  provided  that  the  portion  of  Mr.  Goodwin’s  options  which  were 
exercisable as of the date of termination shall remain exercisable for a period of 3 months following the date of termination.

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In the event Mr. Goodwin’s employment is terminated by Mr. Goodwin for good reason, by the Company without cause, or in 
connection with a change of control (as defined in the Goodwin Agreement), Mr. Goodwin shall be entitled to receive (i) any 
unpaid  base  salary  and  other  benefits  earned  and  accrued  prior  to  the  date  of  termination,  (ii)  reimbursement  for  expenses 
incurred prior to the date of termination, (iii) a pro rata bonus for the year of termination, (iv) continued payment of his base 
salary  for  the  twelve  (12)  month  period  following  the  date  of  termination,  and  (v)  if  Mr.  Goodwin  is  eligible  for  and  elects 
continuation  benefits  under  COBRA,  the  Company  will  pay  the  employer  portion  of  the  COBRA  coverage  premium  for  the 
shorter of (x) the 12-month period following the date of termination, or (y) the time at which Mr. Goodwin becomes eligible for 
medical and dental benefits through another employer. In addition, Mr. Goodwin’s outstanding option grants shall continue to 
be treated in accordance with the terms of the applicable plan and award agreement, provided that the portion of Mr. Goodwin’s 
options that (i) were exercisable as of the date of termination and (ii) would have become exercisable on the next anniversary of 
the effective date following the date of termination, shall become and remain exercisable for a period of 12 months following 
the date of termination.

The Goodwin Agreement contains customary non-competition, non-solicitation, and confidentiality provisions in favor of the 
Company. 

Tara Semb Employment Agreement

On  September  16,  2020,  the  Company  entered  into  an  Amended  and  Restated  Employment  Agreement,  effective  as  of 
September  16,  2020,  with  Tara  Harris  Semb,  the  Company’s  Chief  Financial  Officer,  Secretary  and  Treasurer  (the  “Semb 
Agreement”). The Semb Agreement amends and restates Ms. Semb’s original employment agreement, dated as of January 2, 
2019,  in  its  entirety.  The  term  of  Ms.  Semb’s  employment  under  the  Semb  Agreement  commenced  as  of  the  effective  date 
thereof and shall continue until terminated in accordance with the terms of the Semb Agreement. Under the Semb Agreement, 
Ms.  Semb  will  receive  an  initial  annual  base  salary  of  $328,000,  which  shall  be  reviewed  from  time  to  time  and  may  be 
increased, but not decreased, by the Committee in its sole and exclusive discretion. Ms. Semb shall be entitled to participate in 
any bonus or incentive plan available to the Company’s executives generally, on such terms as the Committee may determine in 
its discretion.

In the event Ms. Semb’s employment is terminated as a result of death or disability, Ms. Semb or her estate shall be entitled to 
receive (i) any unpaid base salary earned and accrued prior to the date of termination, (ii) reimbursement for expenses incurred 
prior to the date of termination, (iii) a pro rata bonus for the year of termination, and, (iv) if Ms. Semb is eligible for and elects 
continuation  benefits  under  COBRA,  the  Company  will  pay  the  employer  portion  of  the  COBRA  coverage  premium  for  the 
shorter of (x) the 12-month period following the date of termination, or (y) the time at which Ms. Semb becomes eligible for 
medical and dental benefits through another employer. In addition, Ms. Semb’s outstanding option grants shall continue to be 
treated  in  accordance  with  the  terms  of  the  applicable  plan  and  award  agreement,  provided  that  the  portion  of  Ms.  Semb’s 
options (i) that were exercisable as of the effective date of the Semb Agreement and (ii) that would have become exercisable on 
the next anniversary of the effective date following the date of termination shall become and remain exercisable for a period of 
12 months following the date of termination.

In the event Ms. Semb’s employment is terminated for by the Company for cause or by Ms. Semb without good reason, Ms. 
Semb shall be entitled to receive any unpaid base salary earned and accrued prior to the date of termination, and reimbursement 
for expenses incurred prior to the date of termination. In addition, in the event Ms. Semb’s employment is terminated by Ms. 
Semb  without  good  reason,  Ms.  Semb’s  stock  option  grants  shall  continue  to  be  treated  in  accordance  with  the  terms  of  the 
applicable plan and award agreement, provided that the portion of Ms. Semb’s options which were exercisable as of the date of 
termination shall remain exercisable for a period of 3 months following the date of termination.

In  the  event  Ms.  Semb’s  employment  is  terminated  by  Ms.  Semb  for  good  reason,  by  the  Company  without  cause,  or  in 
connection with a change of control (as defined in the Semb Agreement), Ms. Semb shall be entitled to receive (i) any unpaid 
base  salary  and  other  benefits  earned  and  accrued  prior  to  the  date  of  termination,  (ii)  reimbursement  for  expenses  incurred 
prior to the date of termination, (iii) a pro rata bonus for the year of termination, (iv) continued payment of her base salary for 
the  twelve  (12)  month  period  following  the  date  of  termination,  and  (v)  if  Ms.  Semb  is  eligible  for  and  elects  continuation 
benefits under COBRA, the Company will pay the employer portion of the COBRA coverage premium for the shorter of (x) the 
12-month period following the date of termination, or (y) the time at which Ms. Semb becomes eligible for medical and dental 
benefits through another employer. In addition, Ms. Semb’s outstanding option grants shall continue to be treated in accordance 
with  the  terms  of  the  applicable  plan  and  award  agreement,  provided  that  the  portion  of  Ms.  Semb’s  options  that  (i)  were 
exercisable as of the date of termination and (ii) would have become exercisable on the next anniversary of the effective date 
following  the  date  of  termination,  shall  become  and  remain  exercisable  for  a  period  of  12  months  following  the  date  of 
termination.

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The  Semb  Agreement  contains  customary  non-competition,  non-solicitation,  and  confidentiality  provisions  in  favor  of  the 
Company.

Todd Hornsby Employment Agreement

On  September  17,  2020,  the  Company  entered  into  an  Amended  and  Restated  Employment  Agreement,  effective  as  of 
September 17, 2020, with Todd Hornsby, the Company’s Executive Vice President (the “Hornsby Agreement”). The Hornsby 
Agreement amends and restates Mr. Hornsby’s original employment agreement, dated as of January 1, 2018, in its entirety. The 
term  of  Mr.  Hornsby’s  employment  under  the  Hornsby  Agreement  commenced  as  of  the  effective  date  thereof  and  shall 
continue until terminated in accordance with the terms of the Hornsby Agreement. Under the Hornsby Agreement, Mr. Hornsby 
will receive an initial annual base salary of $347,000, which shall be reviewed from time to time and may be increased, but not 
decreased, by the Committee in its sole and exclusive discretion. Mr. Hornsby shall be entitled to participate in (i) any bonus or 
incentive  plan  available  to  the  Company’s  executives  generally,  on  such  terms  as  the  Committee  may  determine  in  its 
discretion, and (ii) the equity-based incentive plans of the Company, pursuant to which he may receive awards thereunder, as 
determined by the Company’s Board of Directors in its sole discretion from time to time and subject to the terms and conditions 
of such plans and any applicable award agreement.

In  the  event  Mr.  Hornsby’s  employment  is  terminated  as  a  result  of  death  or  disability,  Mr.  Hornsby  or  his  estate  shall  be 
entitled  to  receive  (i)  any  unpaid  base  salary  earned  and  accrued  prior  to  the  date  of  termination,  (ii)  reimbursement  for 
expenses incurred prior to the date of termination, (iii) a pro rata bonus for the year of termination, and, (iv) if Mr. Hornsby is 
eligible  for  and  elects  continuation  benefits  under  COBRA,  the  Company  will  pay  the  employer  portion  of  the  COBRA 
coverage premium for the shorter of (x) the 12-month period following the date of termination, or (y) the time at which Mr. 
Hornsby becomes eligible for medical and dental benefits through another employer. In addition, Mr. Hornsby’s outstanding 
option grants shall continue to be treated in accordance with the terms of the applicable plan and award agreement, provided 
that the portion of Mr. Hornsby’s options (i) that were exercisable as of the effective date of the Hornsby Agreement and (ii) 
that would have become exercisable on the next anniversary of the effective date following the date of termination shall become 
and remain exercisable for a period of 12 months following the date of termination.

In the event Mr. Hornsby’s employment is terminated by the Company for cause or by Mr. Hornsby without good reason, Mr. 
Hornsby  shall  be  entitled  to  receive  any  unpaid  base  salary  earned  and  accrued  prior  to  the  date  of  termination,  and 
reimbursement for expenses incurred prior to the date of termination. In addition, in the event Mr. Hornsby’s employment is 
terminated by Mr. Hornsby without good reason, Mr. Hornsby’s stock option grants shall continue to be treated in accordance 
with  the  terms  of  the  applicable  plan  and  award  agreement,  provided  that  the  portion  of  Mr.  Hornsby’s  options  which  were 
exercisable as of the date of termination shall remain exercisable for a period of 3 months following the date of termination.

In the event Mr. Hornsby’s employment is terminated by Mr. Hornsby for good reason, by the Company without cause, or in 
connection with a change of control (as defined in the Hornsby Agreement), Mr. Hornsby shall be entitled to receive (i) any 
unpaid  base  salary  and  other  benefits  earned  and  accrued  prior  to  the  date  of  termination,  (ii)  reimbursement  for  expenses 
incurred prior to the date of termination, (iii) a pro rata bonus for the year of termination, (iv) continued payment of his base 
salary  for  the  twelve  (12)  month  period  following  the  date  of  termination,  and  (v)  if  Mr.  Hornsby  is  eligible  for  and  elects 
continuation  benefits  under  COBRA,  the  Company  will  pay  the  employer  portion  of  the  COBRA  coverage  premium  for  the 
shorter of (x) the 12-month period following the date of termination, or (y) the time at which Mr. Hornsby becomes eligible for 
medical and dental benefits through another employer. In addition, Mr. Hornsby’s outstanding option grants shall continue to be 
treated in accordance with the terms of the applicable plan and award agreement, provided that the portion of Mr. Hornsby’s 
options that (i) were exercisable as of the date of termination and (ii) would have become exercisable on the next anniversary of 
the effective date following the date of termination, shall become and remain exercisable for a period of 12 months following 
the date of termination.

The  Hornsby  Agreement  contains  customary  non-competition,  non-solicitation,  and  confidentiality  provisions  in  favor  of  the 
Company.

Moshe Citronowicz Employment Agreement

Mr. Citronowicz employment agreement contains an automatic extension for a period of one year after the initial term unless 
we  provide  Mr.  Citronowicz  with  appropriate  60  days  written  notice  pursuant  to  the  his  contract.  Mr.  Citronowicz’s 
employment agreement provides, among other things, that the Mr. Citronowicz may be terminated as follows: 

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a. Upon  the  death  of  the  Mr.  Citronowicz,  in  which  case  Mr.  Citronowicz’sestate  shall  be  paid  the  basic  annual 

compensation due to Mr. Citronowicz pro-rated through the date of death.

b. By the resignation of Mr. Citronowicz at any time upon at least thirty (30) days prior written notice to Apyx in which 
case Apyx shall be obligated to pay Mr. Citronowicz the basic annual compensation due him pro-rated to the effective 
date of termination.

c. By Apyx, “for cause” if during the term of the employment agreement Mr. Citronowicz violates the non-competition 
provisions of his employment agreement, or is found guilty in a court of law of any crime of moral turpitude in which 
case the contract would be terminated and provisions for future compensation forfeited.

d. By Apyx, without cause, with the majority approval of the Board of Directors, for Mr. Citronowicz at any time upon at 
least  thirty  (30)  days  prior  written  notice  to  Mr.  Citronowicz.  In  this  case  Apyx  shall  be  obligated  to  pay  Mr. 
Citronowicz  compensation  in  effect  at  such  time,  including  all  bonuses,  accrued  or  prorated  and  expenses  up  to  the 
date  of  termination.  Thereafter,  Apyx  shall  pay  Mr.  Citronowicz  three  times  the  salary  in  effect  at  the  time  of 
termination payable in one lump sum.
If Apyx fails to meet its obligations to Mr. Citronowicz on a timely basis, or if there is a change in the control of Apyx, 
the executive may elect to terminate Mr. Citronowicz’s employment agreement. Upon any such termination or breach 
of  any  of  its  obligations  under  the  employment  agreement,  Apyx  shall  pay  Mr.  Citronowicz  a  lump  sum  severance 
equal to three times the annual salary and bonus in effect the month preceding such termination or breach as well as 
any other sums which may be due under the terms of the employment agreement up to the date of termination. 

e.

There are no other employment contracts that have non-cancelable terms in excess of one year.

Outstanding Equity Awards

The following table presents information with respect to each unexercised stock option held by our Executive Officers as of 
December 31, 2020:

Name
Charles D. Goodwin

Moshe Citronowicz

Todd Hornsby

Tara Semb

# of Securities
Underlying
Unexercised
Options
(# Exercisable)

# of Securities 
Underlying 
Unexercised 
Options 
(# Unexercisable)

Weighted 
Average Option
Exercise Price
($/Sh)

Option Expiration
Range After Grant Date

1,078,667 

143,500 

179,417 

21,667 

400,333  $ 

137,500  $ 

176,583  $ 

139,333  $ 

4.63 

5.44 

5.50 

8.07 

12/15/2027

7/12/2022

8/27/2024

1/9/2029

-

-

-

-

1/15/2030

1/15/2030

1/15/2030

1/15/2030

*** These columns represent the grant date fair value of the awards as calculated in accordance with FASB ASC 718 (Stock Compensation).

In 2003, the Board of Directors adopted, and our stockholders approved Apyx's 2003 Executive and Employee Stock Option 
Plan covering a total of 1,200,000 shares of common stock issuable upon exercise of options to be granted under the Plan.

On October 30, 2007, our stockholders approved, and the Board of Directors adopted an amendment to the 2003 Executive and 
Employee  Stock  Option  Plan  to  increase  the  maximum  aggregate  number  of  shares  of  common  stock  reserved  for  issuance 
under the 2003 Plan from 1.2 million shares (already reserved against outstanding options) to 1.7 million shares, or an increase 
of 500,000 shares of common stock for future issuance pursuant to the terms of the plan. Except for the increase in the number 
of shares covered by the plan, the plan remains otherwise unchanged from its present status. In 2011, the Board of Directors 
granted 25,000 options to purchase a like number of shares of common stock.

In  July  2012,  our  stockholders  approved  the  2012  Share  Incentive  Plan  covering  a  total  of  750,000  shares  of  common  stock 
issuable upon exercise of options to be granted under the plan. At December 31, 2020 approximately 60,000 are available to be 
issued in this plan.

In  July  2015,  our  stockholders  approved  the  2015  Executive  and  Employee  Stock  Option  Plan  covering  a  total  of  2,000,000 
shares of common stock issuable upon exercise of options to be granted under the plan. At December 31, 2020 approximately 
230,000 are available to be issued in this plan.

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In August 2017, our stockholders approved the 2017 Executive and Employee Stock Option Plan covering a total of 3,000,000 
shares of common stock issuable upon exercise of options to be granted under the plan. At December 31, 2020 approximately 
70,000 are available to be issued in this plan.

In August 2019, our stockholders approved the 2019 Share Incentive Plan covering a total of 2,000,000 shares of common stock 
issuable upon exercise of options to be granted under the plan. At December 31, 2020, all 2,000,000 are available to be issued 
in this plan.

There have been no changes in the pricing of any options previously or currently awarded.

Compensation Committee Interlocks and Insider Participation

The Compensation Committee of the Board of Directors is responsible for determining the compensation of executive officers 
of the Company, as well as compensation awarded pursuant to the Company’s equity incentive plans.

In 2020, our Compensation Committee consisted of three independent members of the Board of Directors, Michael Geraghty 
(Chairman), John Andres and Lawrence J. Waldman.

No member of the Compensation Committee is or has been an officer or employee of the Company or any of its subsidiaries. In 
addition, no member of the Compensation Committee had any relationships with the Company or any other entity that require 
disclosure under the proxy rules and regulations promulgated by the SEC.

COMPENSATION COMMITTEE REPORT

Our Compensation Committee has reviewed and discussed the Compensation Discussion and Analysis contained in this Annual 
Report  on  Form  10-K  with  management.  Based  on  our  Compensation  Committee’s  review  of  and  the  discussions  with 
management  with  respect  to  the  Compensation  Discussion  and  Analysis,  our  Compensation  Committee  recommended  to  the 
Board  of  Directors  that  the  Compensation  Discussion  and  Analysis  be  included  in  our  Proxy  Statement  and  in  this  Annual 
Report on Form 10-K for the fiscal year ended December 31, 2020 for filing with the SEC. During 2020, our Compensation 
Committee  consisted  of  three  independent  members  of  the  Board  of  Directors,  Michael  Geraghty,  who  served  as  Chairman, 
John Andres and Lawrence J. Waldman.

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ITEM 12. Security Ownership of Certain Beneficial Owners and Management and Related Stockholder Matters

Equity Compensation Plan Information 

See “ITEM 5. Market for Registrant’s Common Equity and Related Stockholder Matters”.

Security Ownership of Certain Beneficial Owners 

The  following  table  sets  forth  certain  information  as  of  March  29,  2021,  with  respect  to  the  beneficial  ownership  of  the 
Company’s common stock by its executive officers, directors, all persons known by the Company to be the beneficial owners of 
more than 5% of its outstanding shares and by all officers and directors as a group. 

Name and Address
RTW Investments

250 West 55th St. 16th Floor

New York, NY 10019

William Weeks Vanderfelt

Coralis 44, Azzuri Village 44

Roches Noires, 31201 Mauritius

Archon Capital Management, LLC

1100 19th Avenue E

Seattle, WA 98122

BlackRock, Inc.

4400 Computer Drive

Westborough, MA 01581

Andrew Makrides

5115 Ulmerton Rd.

Clearwater, FL 33760

Charles D. Goodwin II

5115 Ulmerton Rd.
Clearwater, FL 33760

Moshe Citronowicz

5115 Ulmerton Rd.
Clearwater, FL 33760

Number of Shares

Title

Common

Owned (i)

3,391,279 

Nature of 
Ownership

Beneficial

Percentage of 
Ownership (i)

 9.9 %

Common

3,158,414 

Beneficial

 9.2 %

Common

2,502,077 

Beneficial

 7.3 %

Common

2,328,764 

Beneficial

 6.8 %

Common

692,712  (ii)

Beneficial

 2.0 %

Common

1,266,583  (iii)

Beneficial

 3.6 %

Common

635,504  (iv)

Beneficial

 1.8 %

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Lawrence Waldman

5115 Ulmerton Rd.
Clearwater, FL 33760

Todd Hornsby

5115 Ulmerton Rd.
Clearwater, FL 33760

Michael E. Geraghty

5115 Ulmerton Rd.
Clearwater, FL 33760

Craig Swandal

5115 Ulmerton Rd.

Clearwater, FL 33760

John Andres

5115 Ulmerton Rd.

Clearwater, FL 33760

Tara Semb

5115 Ulmerton Rd.
Clearwater, FL 33760

Minnie Baylor-Henry

5115 Ulmerton Rd.

Clearwater, FL 33760

APYX MEDICAL CORPORATION

Common

177,817  (v)

Beneficial

 0.5 %

Common

239,000  (vi)

Beneficial

 0.7 %

Common

128,740  (vii)

Beneficial

 0.4 %

Common

66,740  (viii)

Beneficial

 0.2 %

Common

101,240  (ix)

Beneficial

 0.3 %

Common

75,333  (x)

Beneficial

 0.2 %

Common

30,740  (xi)

Beneficial

 0.1 %

Officers and Directors as a group (10 people)

3,414,409 

 9.9 %

(i) Based on 34,317,863 outstanding shares of Common Stock as of March 29, 2021, of which officers and directors owned a total of 2,285,606 
shares at March 29, 2021. We have calculated the percentage on the basis of the number of outstanding securities plus, for each person or group, any 
securities that person or group has current or future right to acquire pursuant to options, warrants, conversion privileges or other rights based on the 
13G and 13D SEC filings at March 29, 2021 (and exercisable within 60 days thereafter).

(ii) Includes 607,972 shares and 84,740 vested options (and exercisable within 60 days thereafter).

(iii) Includes 28,250 shares and 1,238,333 vested options (and exercisable within 60 days thereafter).

(iv) Includes 426,504 shares and 209,000 vested options (and exercisable within 60 days thereafter).

(v) Includes 5,577 shares and 172,240 vested options (and exercisable within 60 days thereafter).

(vi) Includes 0 shares and 239,000 vested options (and exercisable within 60 days thereafter).

(vii) Includes 7,500 shares and 121,240 vested options (and exercisable within 60 days thereafter).

(viii) Includes 53,000 shares and 13,740 vested options (and exercisable within 60 days thereafter).

(ix) Includes 0 shares and 101,240 vested options (and exercisable within 60 days thereafter).

(x) Includes 0 shares and 75,333 vested options (and exercisable within 60 days thereafter).

(xi) Includes 0 shares and 30,740 vested options (and exercisable within 60 days thereafter).

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APYX MEDICAL CORPORATION

Section 16(a) Beneficial Ownership Reporting Compliance

Section 16(a) of the Securities Exchange Act of 1934 requires our officers and directors and persons who own more than ten 
percent of a registered class of our equity securities, to file reports of ownership and changes in ownership with the Securities 
and Exchange Commission. Officers, directors and greater than ten-percent shareholders (the “Reporting Persons”) are required 
by SEC regulation to furnish us with copies of all Section 16(a) forms they file.

To the Company’s knowledge, based solely on its review of the copies of such reports received or written representations from 
certain  Reporting  Persons  that  no  other  reports  were  required,  the  Company  believes  that  during  its  fiscal  year  ended 
December 31, 2020 all filing requirements applicable to the Reporting Persons were timely met, with the exception of Craig A. 
Swandal who did not timely file his Form 4s for 2 separate transactions and Lawrence J. Waldman who did not timely file his 
Form 4 for 1 transaction.

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APYX MEDICAL CORPORATION

ITEM 13. Certain Relationships and Related Transactions and Director Independence

Certain Relationships and Related Transactions

Several relatives of Nikolay Shilev, Apyx Bulgaria’s Managing Director, are considered related parties. Teodora Shileva, Mr. 
Shilev’s  spouse,  is  an  employee  of  the  Company  working  in  the  accounting  department.  Antoaneta  Dimitrova  Shileva-
Toromanova, Mr. Shilev’s sister, is the manager of human resources. Svetoslav Shilev, Mr. Shilev’s son, is a quality manager in 
the quality assurance department.  In addition, as part of the purchase of the Bulgaria manufacturing facility, Mr. Shilev was 
issued a note payable for $0.1 million to be paid 5 years after the original purchase date, which is in October 2020. The note 
was paid in full on October 20, 2020. 

Independent Board Members

The Board currently has six independent members, Andrew Makrides, John Andres, Michael Geraghty, Lawrence J. Waldman, 
Craig Swandal, and Minnie Baylor-Henry, who meet the existing independence requirements of The NASDAQ Stock Market 
LLC and the Securities and Exchange Commission.

ITEM 14. Principal Accountant Fees and Services 

The following table sets forth the aggregate fees billed to us and expected to be billed to us by RSM US, LLP, our principal 
accountant for 2020 and 2019:

Year Ended December 31,

(In thousands)
Audit fees (1)
238 
Audit related fees (2)
— 
Tax fees (3)
— 
All other fees (4)
— 
Total fees billed
238 
In 2019, we reported BDO USA, LLP as our principal accountant. The 2019 year was subsequently reaudited by RSM US, 
LLP, and we have included them as our principal accountant in the table above. Fees paid to BDO USA, LLP in conjunction 
with their 2019 audit work was $0.8 million.

325  $ 
— 
— 
— 
325  $ 

2019

2020

$ 

$ 

(1)

(2)

(3)

(4)

Audit fees consist of billed and unbilled fees for professional services rendered for the audit of Apyx's annual financial statements 
and reviews of its interim consolidated financial statements included in quarterly reports and other services related to statutory and 
regulatory filings or engagements.
Audit  related  fees  consist  of  billed  and  unbilled  fees  for  assurance  and  related  services  that  are  reasonably  related  to  the 
performance of the audit or reviews of Apyx's consolidated financial statements and are not reported under “Audit Fees”.
Tax  fees  consist  of  billed  and  unbilled  fees  for  professional  services  rendered  for  tax  compliance  and  tax  advice  (domestic  and 
international).  These  services  include  assistance  regarding  federal,  state  and  international  tax  compliance,  acquisitions  and 
international tax planning.
All other fees consist of fees for products and services other than the services reported above.

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PART IV

APYX MEDICAL CORPORATION

ITEM 15. Exhibits and Financial Statement Schedules

(a)(1) LISTING OF FINANCIAL STATEMENTS

The following consolidated financial statements of the Company are included in Item 8 of this Report:

Consolidated Balance Sheets at December 31, 2020 and 2019

Consolidated Statements of Operations for the years ended December 31, 2020 and 2019
Consolidated Statement of Changes in Equity for the years ended December 31, 2020 and 2019

Consolidated Statements of Cash Flows for the years ended December 31, 2020 and 2019

Notes to Consolidated Financial Statements

(a)(2) FINANCIAL STATEMENT SCHEDULES

All financial statement schedules have been omitted, since the required information is not applicable or is 
not present in amounts sufficient to require submission of the schedule, or because the information 
required is included in the consolidated financial statements and notes thereto included in this Report.

(a)(3) EXHIBITS

Page

31

32

33
34

35

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APYX MEDICAL CORPORATION

3.1

3.2

3.3

3.4

3.5

4.1

4.2

10.1**

10.2**

10.3**

10.4**

10.5**

10.6**

14.1

16.1

21.1

23.1*

31.1*

31.2*

32.1*

32.2*

Articles of Incorporation of the Registrant (Incorporated by reference to the Registrant’s report on Form 10-K/
A filed on March 31, 2011)
By laws of the Registrant (Incorporated by reference to the Registrant’s report on Form 10-K/A filed on 
March 31, 2011)

Certificate of Amendment of the Certificate of Incorporation of the Registrant (Incorporated by reference to 
the Registrant's Quarterly Report on Form 10-Q filed on November 3, 2017)
Certificate of Elimination of the Series A 6% Convertible Preferred Stock and Series B Convertible Preferred 
Stock (Incorporated by reference to the Registrant's Current Report on Form 8-K filed on May 3, 2018)
Certificate of Amendment of the Certificate of Incorporation of the Registrant (Incorporated by reference to 
the Registrant's Current Report on Form 8-K filed on December 28, 2018)
Indenture (Incorporated by reference to the Registrant's Registration Statement on Form S-3 filed on May 4, 
2018)
Description of the Registrant’s Securities (Incorporated by the reference to the Registrant's Annual Report on 
Form 10-K filed on March 31, 2020)
Charles D. Goodwin II Employment Agreement, dated December 15, 2017 (Incorporated by the reference to 
the Registrant's Annual Report on Form 10-K filed on March 13, 2018)
Separation Agreement and General Release, dated November 12, 2018, by and between the Company and Jay 
D. Ewers (Incorporated by the reference to the Registrant's Annual Report on Form 10-K filed on March 14, 
2019)

Tara Semb Employment Agreement, dated January 2, 2019 (Incorporated by the reference to the Registrant's 
Annual Report on Form 10-K filed on March 14, 2019)
Tara Semb Amended and Restated Employment Agreement, dated September 16, 2020 (Incorporated by 
reference to the Registrant's Current Report on Form 8-K filed on September 18, 2020)
Charles D. Goodwin II Amended and Restated Employment Agreement, dated September 17, 2020 
(Incorporated by reference to the Registrant's Current Report on Form 8-K filed on September 18, 2020)
Todd Hornsby Amended and Restated Employment Agreement, dated September 17, 2020 (Incorporated by 
reference to the Registrant's Current Report on Form 8-K filed on September 18, 2020)
Code of Ethics (Incorporated by the reference to the Registrant's Annual Report on Form 10-K filed on March 
31, 2020)
Letter from BDO USA, LLP (Incorporated by the reference to the Registrant's Current Report on Form 8-K 
filed on August 20, 2020)
List of Subsidiaries (Incorporated by the reference to the Registrant's Annual Report on Form 10-K filed on 
March 31, 2020)
Consent of RSM US, LLP

Certification pursuant to Section 302 of Sarbanes-Oxley Act of 2002

Certification pursuant to Section 302 of Sarbanes-Oxley Act of 2002

Certification pursuant to Section 906 of Sarbanes-Oxley Act of 2002

Certification pursuant to Section 906 of Sarbanes-Oxley Act of 2002

101.INS*** XBRL Instance Document

101.SCH*** XBRL Taxonomy Extension Schema Document

101.CAL*** XBRL Taxonomy Extension Calculation Linkbase Document

101.DEF*** XBRL Taxonomy Extension Definition Linkbase Document

101.LAB*** XBRL Taxonomy Extension Label Linkbase Document

101.PRE*** XBRL Taxonomy Extension Label Presentation Document

* Filed herewith.

** Management contract or compensatory arrangement.

*** XBRL (Extensible Business Reporting Language) information is furnished and not filed or a part of registration statement 
or prospectus for purposes of Sections 11 or 12 of the Securities Act of 1933, as amended is deemed not filed for purposes of 
Section 18 of the Securities Exchange Act of 1934, as amended and otherwise is not subject to liability under these sections.

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APYX MEDICAL CORPORATION

SIGNATURES

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 Clearwater, Florida on March 31, 2021.

Apyx Medical Corporation

By:

/s/ Charles D. Goodwin II

Charles D. Goodwin II

President, Chief Executive Officer and Director

(Principal Executive Officer)

By:

/s/ Tara Semb

Tara Semb
Chief Financial Officer,

Treasurer and Secretary

(Principal Financial Officer)

Pursuant  to  the  requirements  of  the  Securities  Exchange  Act  of  1934,  this  report  has  been  signed  below  by  the  following 
persons on behalf of the registrant and in the capacities and on the dates indicated.

Name

Directors:

/s/ ANDREW MAKRIDES
Andrew Makrides

/s/ CHARLES D. GOODWIN II
Charles D. Goodwin II

/s/ TARA SEMB
Tara Semb

/s/ JOHN ANDRES
John Andres

/s/ LAWRENCE J. WALDMAN
Lawrence J. Waldman

/s/ MICHAEL GERAGHTY
Michael Geraghty

/s/ CRAIG SWANDAL
Craig Swandal

/s/ MINNIE BAYLOR-HENRY
Minnie Baylor-Henry

Title

Date

Chairman of the Board

March 31, 2021

Chief Executive Officer and Director

March 31, 2021

Chief  Financial  Officer,  Treasurer  and 
Secretary

March 31, 2021

Vice Chairman of the Board

March 31, 2021

March 31, 2021

March 31, 2021

March 31, 2021

March 31, 2021

Director

Director

Director

Director

77