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UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
FORM 10-Q
☒
QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934
For the quarterly period ended
March 31, 2024
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: 001-31885
Apyx-medical-REG-w-tagline-REG-logo-Blue_Orange_RGB_1100px-wide.jpg
APYX MEDICAL CORPORATION
(Exact name of registrant as specified in its charter)
Delaware11-2644611
(State or other jurisdiction of
incorporation or organization)		(I.R.S. Employer
Identification No.)
5115 Ulmerton Road, Clearwater, FL 33760
(Address of principal executive offices, zip code)
(727) 384-2323
(Registrant’s telephone number)
Securities Registered Pursuant to Section 12 (b) of the Act:
Title of each classTrading symbol(s)Name of each exchange on which registered
Common StockAPYXNasdaq Global Select Market

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: ☒ No ☐
Indicate by check mark whether the registrant has submitted electronically every Interactive Data File required to be submitted pursuant to Rule 405 of Regulation S-T (§232.405 of this chapter) during the preceding 12 months (or for such shorter period that the registrant was required to submit such files). Yes: ☒ No ☐
Indicate by check mark whether the registrant is a large accelerated filer, an accelerated filer, a non-accelerated filer, a smaller reporting company, or an emerging growth company. See the definitions of “large accelerated filer”, “accelerated filer”, “smaller reporting company” and “emerging growth company” in Rule 12b-2 of the Exchange Act.
Large accelerated filer
☐
Accelerated filer
☐
Non-accelerated filer☒Smaller reporting company☒
Emerging growth company
☐
If an emerging growth company, indicate by check mark if the registrant has elected not to use the extended transition period for complying with any new or revised financial accounting standards provided pursuant to Section 13(a) of the Exchange Act.
☐
Indicate by check mark whether the registrant is a shell company (as defined in Rule 12b-2 of the Exchange Act). Yes: ☐ No ☒

As of May 8, 2024, 34,643,926Close shares of the registrant’s $0.001 par value common stock were outstanding.

Table of Contents
APYX MEDICAL CORPORATION
INDEX TO QUARTERLY REPORT ON FORM 10-Q
For the quarterly period ended March 31, 2024

Page
Part I.
Item 1.
Condensed Consolidated Financial Statements (Unaudited)
Condensed Consolidated Balance Sheets at March 31, 2024 and December 31, 2023
Condensed Consolidated Statements of Operations for the three months ended March 31, 2024 and 2023
Condensed Consolidated Statements of Changes in Equity for the three months ended March 31, 2024 and 2023
Condensed Consolidated Statements of Cash Flows for the three months ended March 31, 2024 and 2023
Item 2.
Item 3.
Item 4.
Part II.
Item 1.
Item 1A.
Item 2.
Item 3.
Item 4.
Item 5.
Item 6.
1
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PART I.     Financial Information

ITEM 1. Condensed Consolidated Financial Statements
delete

APYX MEDICAL CORPORATION
CONDENSED CONSOLIDATED BALANCE SHEETS
(In thousands, except share and per share data)
March 31, 2024
(Unaudited)		December 31, 2023
ASSETS
Current assets:
Cash and cash equivalents$37,282 $43,652 
   Trade accounts receivable, net of allowance of $605 and $608
12,487 14,023 
Inventories, net of provision for obsolescence of $880 and $875
9,795 9,923 
Prepaid expenses and other current assets2,362 2,764 
Total current assets61,926 70,362 
Property and equipment, net of accumulated depreciation and amortization of $3,642 and
   $3,522
1,779 1,915 
Operating lease right-of-use assets5,049 5,162 
Finance lease right-of-use assets64 69 
Other assets1,893 1,732 
Total assets$70,711 $79,240 
LIABILITIES AND EQUITY
Current liabilities:
Accounts payable$2,103 $2,712 
Accrued expenses and other current liabilities8,077 9,661 
Current portion of operating lease liabilities356 347 
Current portion of finance lease liabilities20 20 
Total current liabilities10,556 12,740 
Long-term debt, net of debt discounts and issuance costs33,406 33,185 
Long-term operating lease liabilities4,795 4,896 
Long-term finance lease liabilities48 53 
Long-term contract liabilities1,252 1,246 
Other liabilities194 198 
Total liabilities50,251 52,318 
EQUITY
Preferred Stock, $0.001 par value; 10,000,000 shares authorized; 0 issued and outstanding as of March 31, 2024 and December 31, 2023
— — 
Common stock, $0.001 par value; 75,000,000 shares authorized; 34,643,926 issued and outstanding as of March 31, 2024 and 34,643,888 issued and outstanding as of December 31, 2023
35 35 
Additional paid-in capital82,242 81,114 
Accumulated deficit(62,024)(54,448)
Total stockholders' equity20,25326,701
Non-controlling interest 207 221 
Total equity20,460 26,922 
Total liabilities and equity$70,711 $79,240 
The accompanying notes are an integral part of the condensed consolidated financial statements.
2
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APYX MEDICAL CORPORATION
CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS
(Unaudited)
(In thousands, except per share data)
Three Months Ended
March 31,
20242023
Sales$10,244 $12,142 
Cost of sales4,295 4,569 
Gross profit5,949 7,573 
Other costs and expenses:
Research and development1,397 1,271 
Professional services1,574 1,740 
Salaries and related costs4,696 4,918 
Selling, general and administrative4,897 5,255 
Total other costs and expenses12,564 13,184 
Loss from operations(6,615)(5,611)
Interest income495 51 
Interest expense(1,396)(234)
Other loss, net(21)(5)
Total other loss, net(922)(188)
Loss before income taxes(7,537)(5,799)
Income tax expense (benefit)53 (2,267)
Net loss(7,590)(3,532)
   Net loss attributable to non-controlling interest(14)(49)
Net loss attributable to stockholders$(7,576)$(3,483)
Loss per share:
Basic and diluted$(0.22)$(0.10)

The accompanying notes are an integral part of the condensed consolidated financial statements.
3
Table of Contents
APYX MEDICAL CORPORATION
CONDENSED CONSOLIDATED STATEMENTS OF CHANGES IN EQUITY
(Unaudited)
(In thousands)
Three Months Ended March 31, 2024 and 2023
Common StockAdditional Paid-In Capital Accumulated DeficitNon-controlling InterestTotal Equity
SharesPar Value
Balance at December 31, 202234,598 $35 $73,282 $(35,735)$211 $37,793 
Stock based compensation— — 1,367 — —1,367 
Proceeds from debt allocated to warrants— — 586 — —586 
Net loss— — — (3,483)(49)(3,532)
Balance at March 31, 202334,598 $35 $75,235 $(39,218)$162 $36,214 
Balance at December 31, 202334,644 $35 $81,114 $(54,448)$221 $26,922 
Stock based compensation— — 1,128 — —1,128 
Net loss— — — (7,576)(14)(7,590)
Balance at March 31, 202434,644 $35 $82,242 $(62,024)$207 $20,460 
 
The accompanying notes are an integral part of the condensed consolidated financial statements.
4
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APYX MEDICAL CORPORATION
CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS
(Unaudited)
(In thousands)
Three Months Ended March 31,
20242023
Cash flows from operating activities
Net loss$(7,590)$(3,532)
Adjustments to reconcile net loss to net cash used in operating activities:
Depreciation and amortization157 203 
Provision for inventory obsolescence7 — 
Loss on disposal of property and equipment20 — 
Stock based compensation1,128 1,367 
Allowance for credit losses— (142)
Non-cash lease expense31 — 
Non-cash interest expense221 67 
Changes in operating assets and liabilities:
Trade receivables1,478 837 
Prepaid expenses and other assets241 858 
Income tax receivables— (207)
Inventories138 879 
Accounts payable(599)(776)
Accrued expenses and other liabilities(1,573)(1,435)
Net cash used in operating activities(6,341)(1,881)
Cash flows from investing activities
Purchases of property and equipment(35)(110)
Net cash used in investing activities(35)(110)
Cash flows from financing activities
Proceeds from long-term debt— 9,289 
Payment of debt issuance costs— (1,754)
Proceeds from debt allocated to warrants— 586 
Repayment of finance lease liabilities(5)(9)
Net cash (used in) provided by financing activities(5)8,112 
Effect of exchange rates on cash11 (58)
Net change in cash and cash equivalents(6,370)6,063 
Cash and cash equivalents, beginning of period43,652 10,192 
Cash and cash equivalents, end of period$37,282 $16,255 
Cash paid for:
Interest$1,175 $1 
Income taxes6 125 

The accompanying notes are an integral part of the condensed consolidated financial statements.
5
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APYX MEDICAL CORPORATION
NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS
(Unaudited)

NOTE 1.     BASIS OF PRESENTATION

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, including its Helium Plasma Technology products marketed and sold as Renuvion® in the cosmetic surgery market and J-Plasma® in the hospital surgical market. Renuvion and J-Plasma offer surgeons a unique ability to provide controlled heat to tissue to achieve their desired results. The Company also leverages its deep expertise and decades of experience in unique waveforms through OEM agreements with other medical device manufacturers.

The accompanying unaudited condensed consolidated financial statements have been prepared based upon SEC rules that permit reduced disclosure for interim periods. For a more complete discussion of significant accounting policies and certain other information, please refer to the consolidated financial statements included in the Company’s Annual Report on Form 10-K for the year ended December 31, 2023. In the opinion of management these condensed consolidated financial statements reflect all adjustments that are necessary for a fair presentation of results of consolidated operations and financial condition for the interim periods shown, including normal recurring accruals and other items. The results for the interim periods are not necessarily indicative of results for the full year.

Reclassifications

The Company has reclassified certain amounts presented in the prior period to conform to the current period presentation. These amounts primarily relate to management salaries that were previously included within salaries and related costs and are now included within research and development. These reclassifications had no impact on previously reported net loss, accumulated deficit or cash flows for the periods presented.

NOTE 2.     RECENT ACCOUNTING PRONOUNCEMENTS

No new accounting pronouncement issued or effective during the fiscal year are expected to have a material impact on the Company’s condensed consolidated financial statements or disclosures.

NOTE 3.     INVENTORIES

Inventories consisted of the following:
(In thousands)March 31,
2024		December 31,
2023
Raw materials$3,941 $4,112 
Work in process2,338 2,257 
Finished goods 4,396 4,429 
Gross inventories10,675 10,798 
Less: provision for obsolescence(880)(875)
Inventories, net$9,795 $9,923 
6
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APYX MEDICAL CORPORATION
NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS - Continued
(Unaudited)

NOTE 4.     ACCRUED EXPENSES AND OTHER CURRENT LIABILITIES

Accrued expenses and other current liabilities consisted of the following:
(in thousands)March 31,
2024		December 31,
2023
Accrued payroll and related costs$1,277 $829 
Accrued bonuses593 1,545 
Accrued commissions576 1,489 
Accrued product warranties432 445 
Accrued product liability claim insurance deductibles3,401 3,521 
Accrued professional fees and legal related contingent liabilities328 518 
Short-term contract liabilities515 488 
Other accrued expenses and current liabilities955 826 
Total accrued expenses and other current liabilities$8,077 $9,661 

NOTE 5.     DEBT

The Company’s outstanding debt with Perceptive Credit Holdings IV, LP (as initial lender and administrative agent) (“Perceptive Credit Agreement”) at March 31, 2024 and December 31, 2023 bears interest at a floating rate based on one-month SOFR, subject to a floor of 5.0%, plus 7.0% (12.3% at March 31, 2024). Included in interest expense for the three months ended March 31, 2024 are $65,000 of amortization of the debt issuance costs and $156,000 of amortization of the debt discounts on outstanding debt. Included in interest expense for the three months ended March 31, 2023 are $29,000 of amortization of the debt issuance costs and $38,000 of amortization of the debt discounts including accretion of the exit fee on the Company’s prior credit agreement.

A $7.5 million delayed draw loan is available until December 31, 2024, conditioned upon, among other things, the achievement of a minimum revenue target. If drawn, the loan will be used for working capital and general corporate purposes.

The Perceptive debt contains customary affirmative and negative covenants, including covenants limiting the ability of the Company and its subsidiaries, among other things, to incur debt, grant liens, make distributions, enter certain restrictive agreements, pay or modify subordinated debt, dispose of assets, make investments and acquisitions, enter into certain transactions with affiliates, and undergo certain fundamental changes, in each case, subject to limitations and exceptions set forth in the Perceptive Credit Agreement. The Perceptive Credit Agreement also requires the Company to satisfy certain financial covenants, including minimum trailing twelve month net revenue targets relating to its Advanced Energy segment (tested quarterly), with year-end targets of $41.6 million, $57.0 million, $70.2 million, and $87.8 million for 2024, 2025, 2026, and 2027, respectively. Additionally, the Company must maintain a balance of $3 million in cash and cash equivalents during the duration of the Perceptive Credit Agreement’s term. As of March 31, 2024, the Company was in compliance with the financial covenants contained within the Perceptive Credit Agreement.

The Company’s term loan under the Perceptive Credit Agreement, net consists of the following:
(In thousands)March 31,
2024		December 31,
2023
Term loan$37,500 $37,500 
Unamortized debt issuance costs(1,175)(1,240)
Unamortized debt discount(2,919)(3,075)
Term loan, net$33,406 $33,185 

7
Table of Contents
APYX MEDICAL CORPORATION
NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS - Continued
(Unaudited)

As of March 31, 2024, principal repayments on the debt are as follows:
(In thousands)
2024$— 
2025— 
2026— 
20272,216 
202835,284 
Total repayments$37,500 

NOTE 6.     CHINA JOINT VENTURE

In 2019, the Company executed a joint venture agreement with its Chinese supplier (the “China JV”) whereby the Company has a 51% ownership interest. The China JV has been consolidated in these condensed consolidated financial statements. The agreement required the Company to make capital contributions into the newly formed entity of approximately $357,000, which were made in prior years. In June 2023, the Company executed an amendment to the joint venture agreement to increase the amount of its registered capital. The amendment requires the Company to make additional capital contributions to the China JV of $255,000, of which $153,000 has been made as of March 31, 2024. As of the date of these condensed consolidated financial statements, the joint venture has not commenced principal operations.

Changes in the Company’s ownership investment in the China JV were as follows:

Three Months Ended March 31,
(In thousands)20242023
Beginning interest in China JV$229 $219 
Net loss attributable to Apyx(14)(51)
Ending interest in China JV$215 $168 

NOTE 7.     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 (loss) 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 loss per share.
Three Months Ended
March 31,
(in thousands, except per share data)20242023
Numerator:
Net loss attributable to stockholders$(7,576)$(3,483)
Denominator:
Weighted average shares outstanding - basic and diluted
34,644 34,598 
Loss per share:
Basic and diluted$(0.22)$(0.10)
Anti-dilutive instruments excluded from diluted loss per common share:
Options8,513 7,783 
Warrants1,500 250 

8
Table of Contents
APYX MEDICAL CORPORATION
NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS - Continued
(Unaudited)

NOTE 8.     STOCK-BASED COMPENSATION

Under the Company's stock option plans, the Board of Directors may grant restricted stock and options to purchase common shares to the Company's employees, officers, directors and consultants. The Company accounts for stock options in accordance with FASB ASC Topic 718, Compensation - Stock Compensation, with stock-based compensation expense recognized over the vesting period based on the grant date fair value utilizing the Black Scholes model, which includes a number of estimates that affect the grant date fair value and the amount of expense to recognize.

The Company recognized approximately $1,128,000 in stock-based compensation expense for the three months ended March 31, 2024, as compared with $1,367,000 for the three months ended March 31, 2023.

Stock option activity is summarized as follows:
Number of optionsWeighted average exercise price
Outstanding at December 31, 2023
7,342,883 $6.31 
Granted1,468,929 2.36 
Exercised(569)2.50 
Canceled and forfeited(298,079)7.63 
Outstanding at March 31, 2024
8,513,164 $5.58 

The Company allows stock option holders 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. For the three months ended March 31, 2024, we received 531 options as payment in the exercise of 38 options. There were no such exercises for the three months ended March 31, 2023.

Common shares required to be issued upon the exercise of stock options would be issued from authorized and unissued shares. The Company calculated the grant date fair value of options granted in 2024 (“2024 Grants”) utilizing a Black Scholes model.
2024 Grants
Strike price$1.27-$2.42
Risk-free rate4.0%-4.2%
Expected dividend yield—
Expected volatility92.1%-94.3%
Expected term (in years)6


NOTE 9.     INCOME TAXES

Income tax expense (benefit) was approximately $53,000 and $(2,267,000) with effective tax rates of (0.7)% and 39.1% for the three months ended March 31, 2024 and 2023, respectively. For the three months ended March 31, 2024, the effective rate differs from the statutory rate primarily due to the full valuation allowance recorded on the net operating loss (“NOL”) and net deferred tax assets generated during the period. For the three months ended March 31, 2023, the effective rate differs from the statutory rate primarily due to the reversal of the Company’s liability for uncertain tax positions, including accrued interest and penalties of approximately $2.1 million which were sustained upon the completion in January 2023 of the IRS examination of the Company’s 2018 through 2020 income tax returns, partially offset by a valuation allowance on the NOL and net deferred tax assets generated during the period.


9
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APYX MEDICAL CORPORATION
NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS - Continued
(Unaudited)

NOTE 10.     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 the Company’s 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 control and may not be known for prolonged periods of time. Management 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.

The Company accrues a liability in its condensed 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.

During 2022, the Company was notified of certain procedures alleged to have been performed by the same physician and which are currently the subject of two related products liability cases within the courts. During 2023, the Company was notified by its insurance carriers that all or most of the ten individual plaintiff’s allegations could be subject to separate deductibles notwithstanding the commonality of each underlying occurrence. During March 2024, two of the plaintiffs claims were dismissed by the courts. The Company has determined that a loss, comprised of estimated costs to defend the Company against the lawsuits, is probable and that the range of estimated losses is approximately $1,450,000 to $1,950,000. The Company recorded an estimated loss of $1,450,000 related to the matters during 2022. It is at least reasonably possible that a change in the actual amount of loss will occur in the near term, though management expects the actual amount of loss will be within the estimated range of losses.

During March 2024, the Company was named as a defendant in a number of product liability lawsuits filed under the direction of a single plaintiff’s tort firm in connection with off-label use of Renuvion products and the Company’s alleged mismarketing of the same. The suits are based predominantly in Florida and nearly all involve procedures conducted prior to 2023, which was before the Company received FDA 510k clearance for the use of Renuvion in the types of procedures at issue. The Company denies liability and intends vigorously to defend these suits and believes that it has applicable substantive and procedural defenses. The Company has determined that a loss, comprised of estimated costs to defend the Company against the lawsuits, is probable and currently estimates the range of losses in connection with these matters to be between $1,300,000 and $1,500,000. The Company recorded an estimated loss of $1,300,000 related to these matters during 2023. The Company has also determined that there is a reasonable possibility that there will be an additional loss related to the matters, but the Company is unable to provide an estimate of the range of such additional loss at this time.

Purchase Commitments

At March 31, 2024, the Company had purchase commitments totaling approximately $2.7 million, substantially all of which is expected to be purchased within the next twelve months.

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APYX MEDICAL CORPORATION
NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS - Continued
(Unaudited)

NOTE 11.     RELATED PARTY TRANSACTIONS

Two 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. Svetoslav Shilev, Mr. Shilev’s son, is a quality manager in the quality assurance department.

The partner in the Company’s China JV is also a supplier to the Company. For the three months ended March 31, 2024 and 2023, the Company made purchases from this supplier of approximately $51,000 and $44,000, respectively. At March 31, 2024 and December 31, 2023, respectively, the Company had net deposits with and payables to this supplier approximately $31,000 and $82,000, respectively.

NOTE 12.     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:

Three Months Ended March 31, 2024
(In thousands)Advanced EnergyOEMCorporate & OtherTotal
Sales$7,453 $2,791 $— $10,244 
(Loss) income from operations(2,940)732 (4,407)(6,615)
Interest income— — 495 495 
Interest expense— — (1,396)(1,396)
Other loss, net— — (21)(21)
Income tax expense— — 53 53 
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APYX MEDICAL CORPORATION
NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS - Continued
(Unaudited)

Three Months Ended March 31, 2023
(In thousands)Advanced EnergyOEMCorporate & OtherTotal
Sales$9,690 $2,452 $— $12,142 
(Loss) income from operations(1,476)851 (4,986)(5,611)
Interest income— — 51 51 
Interest expense— — (234)(234)
Other loss, net— — (5)(5)
Income tax benefit— — (2,267)(2,267)

International sales represented approximately 31.9% of total revenues for the three months ended March 31, 2024, as compared with approximately 26.9% of total revenues for the three months ended March 31, 2023.

Revenue by geographic region, based on the customer's “ship to” location on the invoice, are as follows:
Three Months Ended
March 31,
(In thousands)20242023
Sales by Domestic and International
Domestic$6,979 $8,871 
International3,265 3,271 
Total$10,244 $12,142 

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


ITEM 2. Management’s Discussion and Analysis of Financial Condition and Results of Operations
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You should read the following discussion and analysis in conjunction with our financial statements and related notes contained elsewhere in this report and with the audited consolidated financial statements and footnotes as of and for the year ended December 31, 2023 contained within our Annual Report on Form 10-K filed with the Securities and Exchange Commission, on March 21, 2024. 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 and 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, including our Helium Plasma Technology products marketed and sold as Renuvion® in the cosmetic surgery market and J-Plasma® in the hospital surgical market. Renuvion and J-Plasma offer surgeons a unique ability to provide controlled heat to tissue to achieve their desired results. We also leverage our deep expertise and decades of experience in unique waveforms through OEM agreements with other medical device manufacturers.

We continue to drive sales in our Advanced Energy business by increasing the adoption of our multifunction generator and utilization of our single-use 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 60 countries. As of March 31, 2024, we had a direct sales force of 31 field-based selling professionals and utilized 3 independent sales agencies. We also had 4 sales managers. This selling organization, along with our international network of distributors, is focused on the use of Renuvion and J-Plasma in the cosmetic and hospital surgical markets, supported by our global medical affairs team. This global team of clinical support specialists focuses on supporting our users to ensure optimal outcomes for their patients. In 2023, we also began our direct to consumer marketing efforts, and began to further enhance our marketing to surgeons. In addition, we have invested in training programs and marketing-related activities to support accelerated adoption of Renuvion into surgeons’ practices.

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.


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

Results of Operations

Sales
Three Months Ended
March 31,
(In thousands)20242023Change
Sales by Reportable Segment
Advanced Energy$7,453 $9,690 (23.1)%
OEM2,791 2,452 13.8 %
Total$10,244 $12,142 (15.6)%
Sales by Domestic and International
Domestic$6,979 $8,871 (21.3)%
International3,265 3,271 (0.2)%
Total$10,244 $12,142 (15.6)%

Total revenue decreased by 15.6%, or approximately $1.9 million, for the three months ended March 31, 2024 when compared with the three months ended March 31, 2023. Advanced Energy segment sales decreased 23.1%, or approximately $2.2 million, for the three months ended March 31, 2024 when compared with the three months ended March 31, 2023. The Advanced Energy sales decrease was driven by domestic sales, where we had decreases in the sales of our generators as a result of economic uncertainty in the capital equipment market that is being experienced in the aesthetic space, as well as a decrease in single-use handpieces over the same period in 2023.

OEM segment sales increased 13.8%, or approximately $0.3 million, for the three months ended March 31, 2024 when compared with the three months ended March 31, 2023. The increase in OEM sales was due to increases in sales volume to Symmetry Surgical under our 10-year generator manufacturing and supply agreement.

International sales represented approximately 31.9% of total revenues for the three months ended March 31, 2024, as compared with 26.9% of total revenues for the same prior year period. Management estimates our products have been sold in more than 60 countries through local dealers coordinated by sales and marketing personnel through our facilities in Clearwater, Florida and Sofia, Bulgaria.

Gross Profit
Three Months Ended
March 31,
(In thousands)20242023Change
Cost of sales$4,295 $4,569 (6.0)%
Percentage of sales41.9 %37.6 %
Gross profit$5,949 $7,573 (21.4)%
Percentage of sales58.1 %62.4 %
Gross profit for the three months ended March 31, 2024, decreased 21.4% to $5.9 million, compared to $7.6 million for the same period in the prior year. Gross margin for the three months ended March 31, 2024, was 58.1%, compared to 62.4% for the same period in 2023.

The decrease in gross profit margins for the three months ended March 31, 2024 from the prior year period is primarily attributable to changes in the sales mix between our two segments, with our OEM segment comprising a higher percentage of total sales and geographic mix within our Advanced Energy segment, with international sales comprising a higher percentage of total sales.

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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
Three Months Ended
March 31,
(In thousands)20242023Change
Research and development$1,397 $1,271 9.9 %
Percentage of sales13.6 %10.5 %

Research and development expenses increased 9.9% for the three months ended March 31, 2024, primarily due to higher spending on our product development initiatives and clinical studies ($0.1 million).

Professional services
Three Months Ended
March 31,
(In thousands)20242023Change
Professional services$1,574 $1,740 (9.5)%
Percentage of sales15.4 %14.3 %

Professional services expense decreased 9.5% for the three months ended March 31, 2024 as compared to the same period in the prior year, primarily attributable to decreases in physician consulting fees ($0.1 million) and non-employee option expense ($0.1 million).

Salaries and related costs
Three Months Ended
March 31,
(In thousands)20242023Change
Salaries and related costs$4,696 $4,918 (4.5)%
Percentage of sales45.8 %40.5 %

During the three months ended March 31, 2024, salaries and related expenses decreased 4.5%, primarily driven by lower stock based compensation expense ($0.1 million) and temporary labor expenses ($0.1 million).

Selling, general and administrative expenses
Three Months Ended
March 31,
(In thousands)20242023Change
Selling, general and administrative$4,897 $5,255 (6.8)%
Percentage of sales47.8 %43.3 %

During the three months ended March 31, 2024, selling, general and administrative expense decreased 6.8%, primarily driven by decreases in commissions ($0.7 million) and travel and entertainment expense ($0.1 million). These decreases were partially offset by increases in regulatory and regulatory audit costs ($0.2 million), building lease expense ($0.1 million) and bad debt expenses ($0.1 million).
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APYX MEDICAL CORPORATION
MANAGEMENT'S DISCUSSION AND ANALYSIS OF
FINANCIAL CONDITION AND RESULTS OF OPERATIONS - Continued

Interest Income (Expense)
Three Months Ended
March 31,
(In thousands)20242023Change
Interest income$495 $51 870.6 %
Percentage of sales4.8 %0.4 %
Interest expense(1,396)(234)496.6 %
Percentage of sales(13.6)%(1.9)%

Interest income increased approximately $0.4 million for the three months ended March 31, 2024, compared with same period in the prior year. This increase is due to a higher average balance in our investments in money market funds and U.S. Treasury securities included in cash and cash equivalents.

Interest expense increased approximately $1.2 million for the three months ended March 31, 2024, compared with same period in the prior year. This increase is due to cash and noncash interest expense on the Perceptive Credit Agreement.

Income Taxes
Three Months Ended
March 31,
(In thousands)20242023
Income tax expense (benefit)$53 $(2,267)
Effective tax rate(0.7)%39.1 %

Our income tax expense (benefit) was approximately $53,000 and $(2,267,000) with effective tax rates of (0.7)% and 39.1% for the three months ended March 31, 2024 and 2023, respectively. For the three months ended March 31, 2024, the effective rate differs from the statutory rate primarily due to the full valuation allowance recorded on the NOL and net deferred tax assets generated during the period. For the three months ended March 31, 2023, the effective rate differs from the statutory rate primarily due to the reversal of our liability for uncertain tax positions, including accrued interest and penalties, of approximately $2.1 million which were sustained upon the completion in January 2023 of the IRS examination of our 2018 through 2020 income tax returns, partially offset by a valuation allowance on our NOL and net deferred tax assets generated during the period.

Liquidity and Capital Resources

At March 31, 2024, we had approximately $37.3 million in cash and cash equivalents as compared to approximately $43.7 million in cash and cash equivalents at December 31, 2023. Our working capital at March 31, 2024 was approximately $51.5 million compared with $57.6 million at December 31, 2023. The decrease in working capital at March 31, 2024 was primarily due to the net loss incurred in the first quarter of 2024, excluding non-cash activity, comprised primarily of stock-based compensation.

For the three months ended March 31, 2024, net cash used in operating activities was approximately $6.3 million, which principally funded our loss from operations of $6.6 million, compared with net cash used in operating activities of approximately $1.9 million in 2023. The increase in cash used in operations is primarily due to the payment of accrued bonuses in the first quarter of 2024, no bonuses were paid in 2023, and the increase in operating loss driven by lower Advanced Energy sales compared to the same period in the prior year.

Net cash used in investing activities for the three months ended March 31, 2024 and 2023, were $35 thousand and $0.1 million, respectively, related to purchases of property and equipment.

Net cash provided by financing activities for the three months ended March 31, 2023 was $8.1 million related to proceeds received upon the execution of the prior debt agreement ($9.9 million) less debt issuance costs incurred in the transaction ($1.8 million). This agreement was paid off in November 2023 with proceeds from the Perceptive Credit Agreement.
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APYX MEDICAL CORPORATION
MANAGEMENT'S DISCUSSION AND ANALYSIS OF
FINANCIAL CONDITION AND RESULTS OF OPERATIONS - Continued

We have incurred recurring net losses and cash outflows from operations and we anticipate that losses will continue in the near term. We plan to continue to fund our operations and capital funding needs through existing cash, sales of our products and if necessary additional equity and/or debt financing. However, we cannot be certain that additional financing will be available when needed or that, if available, financing will be obtained on terms favorable to us or our existing stockholders. The sale of additional equity would result in dilution to our stockholders. Incurring additional debt financing would result in further debt service obligations, and the instruments governing such debt could provide for operating and financing covenants that would restrict our operations. If we are unable to raise additional capital in sufficient amounts or on acceptable terms, we may be required to delay, limit, reduce, or terminate our sales, marketing and product development. Any of these actions could harm our business, results of operations and prospects.

On November 22, 2022, we filed a shelf registration statement providing us the ability to register and sell our securities in the aggregate amount up to $100 million. The shelf registration statement included an embedded ATM facility for up to $40 million. To date we have not utilized this facility.

On November 8, 2023, we entered into a Credit and Guaranty Agreement (the “Perceptive Credit Agreement”), by and among Apyx Medical (as borrower), Apyx China Holding Corp. and Apyx Bulgaria EOOD, our wholly-owned subsidiaries (as subsidiary guarantors), and Perceptive Credit Holdings IV, LP (as initial lender and administrative agent) (“Perceptive”), and the lenders from time to time party thereto. The Perceptive Credit Agreement provides for a facility of up to $45 million, consisting of senior secured term loans. The Perceptive Credit Agreement provides for (i) an initial loan of $37.5 million and (ii) a delayed draw loan of $7.5 million.

For a more in-depth description of the terms of the Perceptive Credit Agreement, see Note 11 in Item 8 of our Annual Report on Form 10-K for the year ended December 31, 2023.

At March 31, 2024, we had purchase commitments for inventories totaling approximately $2.7 million, substantially all of which is expected to be purchased in the next twelve months.

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

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 included in our Annual Report on Form 10-K for the year ended December 31, 2023, filed with the SEC on March 21, 2024.

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, intangible assets, property, plant and equipment, 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 may be granted to employees, officers and directors by our 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

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 historical bad debt experience, the composition of outstanding receivables by customer class, and the age of outstanding balances, and we make estimates in connection with establishing the allowance for doubtful accounts, including the expected impacts of changes in the operating environment and other 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.
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APYX MEDICAL CORPORATION
MANAGEMENT'S DISCUSSION AND ANALYSIS OF
FINANCIAL CONDITION AND RESULTS OF OPERATIONS - Continued

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 and our expectation to continue to generate losses in the near future, we recorded a valuation allowance on our net deferred tax assets. 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 our 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 our results of operations improve, and it becomes more likely than not that the deferred tax assets will be realized. As Management has not fully determined the timing of when it will generate taxable income in the U.S., we continued to record a valuation allowance on the net deferred tax assets balance as of March 31, 2024.

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 based on the technical merit of the position.

Inflation

The consequences of global supply chain instability and inflationary cost increases and their adverse impact to the global economy, continue to evolve. Accordingly, the significance of the future impact to our business and financial statements remains subject to significant uncertainty. We continue to work on initiatives to combat inflation, including finding alternative suppliers that meet our quality standards, streamlining our supplier network to reduce the use of middlemen and redesigning some components to achieve better volume purchase prices. Inflation has not, to date, materially impacted our operations or financial performance. However, as these trends continue for raw materials, freight, and labor costs, our future financial performance could be adversely impacted.

Off-Balance Sheet Arrangements

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

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

Recent Accounting Pronouncements

See Note 2 of the Notes to Condensed Consolidated Financial Statements in Part I, Item 1 of the Quarterly Report on from 10-Q.

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APYX MEDICAL CORPORATION
ITEM 3. Quantitative and Qualitative Disclosures about Market Risk
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Not applicable.

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APYX MEDICAL CORPORATION
ITEM 4. Controls and Procedures
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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 March 31, 2024, the Company's disclosure controls and procedures were effective.

Changes in Internal Control Over Financial Reporting

There were no changes in our internal control over financial reporting identified in connection with the evaluation required by Rule 13a-15(d) and 15d-15(d) of the Exchange Act that occurred during the period covered by the Quarterly Report on Form 10-Q that has materially affected, or is reasonably likely to materially affect, our internal control over financial reporting.
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APYX MEDICAL CORPORATION
PART II.     Other Information

ITEM 1. Legal Proceedings

See Note 10 of Notes to Condensed Consolidated Financial Statements in Part I, Item 1 of this Form 10-Q.


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APYX MEDICAL CORPORATION
ITEM 1A. Risk factors

There have been no material changes to the risk factors described under Item 1A of our Annual Report on Form 10-K for the fiscal year ended December 31, 2023.


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APYX MEDICAL CORPORATION
ITEM 2. Unregistered Sales of Equity Securities and Use of Proceeds

None.

ITEM 3. Defaults Upon Senior Securities

None.

ITEM 4. Mine Safety Disclosures

Not Applicable.

ITEM 5. Other Information
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None.
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APYX MEDICAL CORPORATION
ITEM 6. Exhibits
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3.1
3.2
3.3
Certificate of Amendment of the Certificate of Incorporation of the Registrant (Incorporated by reference to Exhibit 3.5 to the Registrant’s Quarterly Report on Form 10-Q filed on November 3, 2017)
3.4
Certificate of Elimination (Incorporated by reference to Exhibit 3.1 to the Registrant’s Current Report on Form 8-K filed on May 3, 2018)
3.5
Certificate of Amendment of the Certificate of Incorporation of the Registrant (Incorporated by reference to Exhibit 3.1 to the Registrant’s Current Report on Form 8-K filed on December 28, 2018)
31.1*
31.2*
32.1*
32.2*
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.

** 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 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.
Apyx Medical Corporation
Date: May 9, 2024By:/s/ Charles D. Goodwin II
Charles D. Goodwin II
President, Chief Executive Officer and Director
(Principal Executive Officer)
Date: May 9, 2024By:/s/ Matthew Hill
Matthew Hill
Chief Financial Officer,
Treasurer and Secretary
(Principal Financial Officer)

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