The following discussion contains management's discussion and analysis of our
financial condition and results of operations and should be read together with
the unaudited condensed consolidated financial statements and the notes thereto
included elsewhere in this Quarterly Report on Form 10-Q for the quarter ended
September 30, 2022 ("Form 10-Q"), with our audited consolidated financial
statements and notes thereto in our Annual Report on Form 10-K for the year
ended December 31, 2021 ("Form 10-K"), our Form 10-Q for the quarter ended March
31, 2022 and June 30, 2022, respectively, filed with the SEC and other filings
we have made with the SEC.



Overview



We are an innovative global medical technology company that develops,
commercializes and delivers minimally invasive and non-invasive medical
aesthetic and hair restoration technologies and related services. Our systems
have been designed on cost-effective, proprietary and flexible platforms that
enable us to expand beyond the aesthetic industry's traditional markets of
dermatology and plastic surgery, and into non-traditional markets, including
family and general practitioners and aesthetic medical spas. In the three and
nine months ended September 30, 2022 and 2021, respectively, a substantial
majority of our systems delivered in North America were in non-traditional
markets.



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We have had recurring net operating losses and negative cash flows from
operations. As of September 30, 2022 and December 31, 2021, we had an
accumulated deficit of $214.2 million and $180.4 million, respectively. Until we
generate revenue at a level to support our cost structure, we expect to continue
to incur substantial operating losses and negative cash flows from operations.
In order to continue our operations, we must achieve profitability and/or obtain
additional equity investment or debt financing. Until we achieve profitability,
we plan to fund our operations and capital expenditures with cash on hand,
borrowings and issuances of capital stock. As of September 30, 2022 and December
31, 2021, we had cash and cash equivalents of $6.8 million and $30.9 million,
respectively.



While the impact of Covid-19 on our business has largely subsided, we continue
to closely monitor all Covid-19 developments, including its impact on our
customers, employees, suppliers, vendors, business partners, and distribution
channels. In addition, the global economy, including the financial and credit
markets, has recently experienced extreme volatility and disruptions, including
increases to inflation rates, rising interest rates, foreign currency impacts
and declines in consumer confidence, and declines in economic growth. All these
factors point to uncertainty about economic stability, and the severity and
duration of these conditions on our business cannot be predicted.



Venus Viva®,Venus Viva® MD, Venus Legacy®, Venus Concept®, Venus Versa®, Venus
Fiore®, Venus Freedom™, Venus Bliss™, Venus Bliss Max™, NeoGraft®, Venus Glow™®,
ARTAS®, ARTAS iX®, and AIME™, are trademarks of the Company and its
subsidiaries. Our logo and our other trade names, trademarks and service marks
appearing in this document are our property. Other trade names, trademarks and
service marks appearing in this document are the property of their respective
owners. Solely for convenience, our trademarks and trade names referred to in
this document appear without the TM or the ® symbol, but those references are
not intended to indicate, in any way, that we will not assert, to the fullest
extent under applicable law, our rights, or the rights of the applicable
licensor to these trademarks and trade names.



Equity Purchase Agreement with Lincoln Park





On June 16, 2020, we entered into the Equity Purchase Agreement with Lincoln
Park, which provided that, upon the terms and subject to the conditions and
limitations set forth therein, we may sell to Lincoln Park up to $31.0 million
of shares of our common stock pursuant to our shelf registration statement. The
purchase price of shares of common stock related to a future sale was based on
the then prevailing market prices of such shares at the time of sales as
described in the Equity Purchase Agreement. Concurrently with entering into the
Equity Purchase Agreement, we also entered into the Registration Rights
Agreement. During the nine months ended September 30, 2022, we sold to Lincoln
Park 0.4 million shares of our common stock and raised net cash proceeds of $0.3
million under the Equity Purchase Agreement. See ''-Liquidity and Capital
Resources'' below. The Equity Purchase Agreement expired on July 1, 2022 and was
replaced by the 2022 LPC Purchase Agreement.



The 2022 LPC Purchase Agreement





On July 12, 2022, we entered into the 2022 LPC Purchase Agreement with Lincoln
Park, which will enhance our balance sheet and financial condition to support
our future growth initiatives. As part of the 2022 LPC Purchase Agreement, we
issued and sold to Lincoln Park 0.7 million shares of our common stock as
a commitment fee in connection with entering into the 2022 LPC Purchase
Agreement with the total value of $0.3 million. Through September 30, 2022, the
Company issued an additional 0.5 million shares of common stock to Lincoln Park
at an average price of $0.50 per share, for a total value of $0.3 million. For
additional information regarding the 2022 LPC Purchase Agreement, see Note
14 "Stockholders Equity" in the notes to our unaudited condensed consolidated
financial statements included elsewhere in this report.



Products and Services


We derive revenue from the sale of products and services. Product revenue includes revenue from the following:

? the sale, including traditional sales and subscription-based sales, of

systems, inclusive of the main console and applicators/handpieces (referred to


    as system revenue);


  ? marketing supplies and kits;


  ? consumables and disposables;


  ? service revenue; and


  ? replacement applicators/handpieces.



Service revenue includes revenue derived from our extended warranty service contracts provided to our existing customers and VeroGrafters technician services (which were discontinued in the fourth quarter of 2021).





Systems are sold through our subscription model, or through traditional sales
contracts directly and through distributors. In the third quarter of 2022 we
commenced an initiative to reduce our reliance on system sales sold under
subscription agreements in the United States. This strategic shift is designed
to improve cash generation and reduce our exposure to defaults and increased bad
debt expense given the increasingly challenging economic environment caused by
the coexistence of high inflation and high interest rates.



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We generate recurring monthly revenue under our subscription-based business
model and from traditional system sales. Venus Ltd. commenced a
subscription-based model in North America in 2011. Our subscription model is
also available in targeted international markets in which we operate directly.
Approximately 41% and 61% of our aesthetic revenues were derived from our
subscription model in the three months ended September 30, 2022 and 2021,
respectively. Approximately 47% and 56% of our aesthetic revenues were derived
from our subscription model in the nine months ended September 30, 2022 and
2021, respectively. We currently do not offer the ARTAS iX system under the
subscription model. For additional details related to our subscription model,
see Item 1. Business - Subscription-Based Business Model as filed in our Form
10-K for the year ended December 31, 2021.



Our subscription model includes an up-front fee and a monthly payment schedule,
typically over a period of 36 months, with approximately 40% to 45% of total
contract payments collected in the first year. To ensure that each monthly
payment is made on time and that the customer's system is serviced in accordance
with the terms of the warranty, every product purchased under a subscription
agreement requires a monthly activation code, which we provide to the customer
upon receipt of the monthly payment. These recurring monthly payments provide
our customers with enhanced financial transparency and predictability. If
economic circumstances are appropriate, we provide customers in good standing
with the opportunity to "upgrade" into our newest available or alternative Venus
Concept technology throughout the subscription period. This structure can
provide greater flexibility than traditional equipment leases secured through
financing companies. We work closely with our customers to provide business
recommendations that improve the quality of service outcomes, build patient
traffic and improve financial returns for the customer's business.



We have developed and commercialized eleven technology platforms, including our
ARTAS and NeoGraft systems. We believe our ARTAS and NeoGraft systems are
complementary and give us a hair restoration product offering that can serve a
broad segment of the market. Our medical aesthetic technology platforms have
received regulatory clearance for a variety of indications, including treatment
of facial wrinkles in certain skin types, temporary reduction of appearance of
cellulite, non-invasive fat reduction (lipolysis) in the abdomen and flanks for
certain body types and relief of minor muscle aches and pains in jurisdictions
around the world.



In the United States, we have obtained 510(k) clearance from the FDA for our
Venus Viva, Venus Viva MD, Venus Legacy, Venus Versa, Venus Velocity, Venus
Bliss, Venus Bliss Max, Venus Epileve, Venus Fiore, ARTAS and ARTAS iX systems.
Outside the United States, we market our technologies in over 60 countries
across Europe, the Middle East, Africa, Asia-Pacific and Latin America. Because
each country has its own regulatory scheme and clearance process, not every
device is cleared or authorized for the same indications in each market in which
a particular system is marketed.



As of September 30, 2022, we operated directly in 18 international markets through our 15 direct offices in the United States, Canada, United Kingdom, Japan, South Korea, Mexico, Argentina, Colombia, Spain, France, Germany, Australia, China, Hong Kong, and Israel.





Our revenues for the three months ended September 30, 2022, and 2021 were $21.5
million and $24.6 million, respectively. Our revenues for the nine months ended
September 30, 2022, and 2021 were $75.2 million and $73.0 million, respectively.
We had a net loss attributable to Venus Concept of $14.6 million and
$9.8 million in the three months ended September 30, 2022, and 2021,
respectively. We had a net loss attributable to Venus Concept of $33.8 million
and $18.7 million in the nine months ended September 30, 2022, and 2021,
respectively. We had an Adjusted EBITDA loss of $7.7 million and $3.5 million
for the three months ended September 30, 2022, and 2021, respectively. We had an
Adjusted EBITDA loss of $19.0 million and $8.1 million for the nine months ended
September 30, 2022, and 2021, respectively.



Use of Non-GAAP Financial Measures





Adjusted EBITDA is a non-GAAP measure defined as net income (loss) before
foreign exchange loss (gain), financial expenses, income tax expense (benefit),
depreciation and amortization, stock-based
compensation and non-recurring items for a given period. Adjusted EBITDA is not
a measure of our financial performance under U.S. GAAP and should not be
considered an alternative to net income or any other performance measures
derived in accordance with U.S. GAAP. Accordingly, you should consider Adjusted
EBITDA along with other financial performance measures, including net income,
and our financial results presented in accordance with U.S. GAAP. Other
companies, including companies in our industry, may calculate Adjusted EBITDA
differently or not at all, which reduces its usefulness as a comparative
measure. We understand that although Adjusted EBITDA is frequently used by
securities analysts, lenders and others in their evaluation of companies,
Adjusted EBITDA has limitations as an analytical tool, and you should not
consider it in isolation, or as a substitute for analysis of our results as
reported under U.S. GAAP. Some of these limitations are: Adjusted EBITDA does
not reflect our cash expenditures or future requirements for capital
expenditures or contractual commitments; Adjusted EBITDA does not reflect
changes in, or cash requirements for, our working capital needs; and although
depreciation and amortization are non-cash charges, the assets being depreciated
will often have to be replaced in the future, and Adjusted EBITDA does not
reflect any cash requirements for such replacements.



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We believe that Adjusted EBITDA is a useful measure for analyzing the
performance of our core business because it facilitates operating performance
comparisons from period to period and company to company by backing out
potential differences caused by changes in foreign exchange rates that impact
financial assets and liabilities denominated in currencies other than the U.S.
dollar, tax positions (such as the impact on periods or companies of changes in
effective tax rates), the age and book depreciation of fixed assets (affecting
relative depreciation expense), amortization of intangible assets, stock-based
compensation expense (because it
is a non-cash expense) and non-recurring items as explained below.



The following is a reconciliation of net loss to Adjusted EBITDA for the periods
presented:



                                      Three Months Ended September 30,          Nine Months Ended September 30,
                                         2022                2021                 2022                   2021

Reconciliation of net loss to
adjusted EBITDA                                (in thousands)                           (in thousands)
Net loss                              $   (14,496 )     $        (8,838 )   $        (33,644 )     $        (18,031 )
Foreign exchange loss                       2,014                 1,645                4,389                  2,489
Finance expenses                            1,219                 1,000                3,176                  4,046
Income tax (benefit) expense                 (162 )                 616                   92                    609
Depreciation and amortization               1,081                 1,305                3,293                  3,756
Stock-based compensation expense              551                   536                1,552                  1,602
Gain on forgiveness of government
assistance loans                                -                     -                    -                 (2,775 )
Inventory provision (1)                     1,388                     -                1,388                      -
Other adjustments (2)                         726                   188                  726                    188
Adjusted EBITDA                       $    (7,679 )     $        (3,548 )   $        (19,028 )     $         (8,116 )



(1) For the three and nine months ended September 30, 2022, the inventory provision represents a strategic review of our product offerings which culminated in a decision to discontinue production and sale of certain models and component parts, resulting in an inventory adjustment of $1.4 million.





(2) For the three and nine months ended September 30, 2022, the other
adjustments are represented by severance payments associated with a workforce
reduction in Venus Spain and Venus Canada of $0.7 million. For the three and
nine months ended September 30, 2021, the other adjustments are represented by a
loss on the sale of a subsidiary in South Africa ($0.2 and $0.2 million,
respectively).



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Key Factors Impacting Our Results of Operations

Our results of operations are impacted by several factors, but we consider the following to be particularly significant to our business:





Number of systems delivered. The majority of our revenue is generated from the
delivery of systems, both under traditional sales contracts and subscription
agreements. The following table sets forth the number of systems we have
delivered in the geographic regions indicated:



                    Three Months Ended September 30,               Nine 

Months Ended September 30,


                     2022                      2021                 2022                     2021
United States                95                       122                  325                      307
International               255                       261                  908                      838
Total systems
delivered                   350                       383                1,233                    1,145




Mix between traditional sales, subscription model sales and distributor
sales. We deliver systems through (1) traditional direct system sales contracts
to customers, (2) our subscription model, and (3) system sales through
distribution agreements. Unit deliveries under direct system sales contracts and
subscription agreements have higher per unit revenues and gross margins, while
revenues and gross margins on systems sold through distributors are lower.
However, distributor sales do not require significant sales and marketing
support as these expenses are borne by the distributors. In addition, while
traditional system sales and subscription agreements have similar gross margins,
cash collections on subscription agreements generally occur over a three-year
period, with approximately 40% to 45% collected in the first year and the
balance collected evenly over the remaining two years of the subscription
agreement. In the third quarter of 2022 we commenced an initiative to reduce our
reliance on system sales sold under subscription agreements in the United
States. This strategic shift is designed to improve cash generation and reduce
our exposure to defaults and increased bad debt expense given the increasingly
challenging economic environment caused by the coexistence of high inflation and
high interest rates.





Investment in Sales, Marketing and Operations. In recent years, we made a
strategic decision to penetrate the global market by investing in sales and
marketing expenses across all geographic segments. This included the opening of
direct offices and hiring experienced sales, marketing, and operational staff.
While we generated incremental product sales in these new markets, these
revenues and the related margins did not fully offset the startup investments
made in certain countries. We are evaluating our profitability and growth
prospects in these countries post-COVID-19, and have taken and will continue to
take steps to exit countries which we do not believe will produce sustainable
results. Since June 2020 we have closed 9 direct offices across Europe, Asia
Pacific, Latin America and Africa and have increased our investment and focus in
the United States market.


In the three and nine months ended September 30, 2022, and 2021, respectively, we did not open any direct sales offices.





Bad Debt Expense. We maintain an allowance for doubtful accounts for estimated
losses that may primarily arise from subscription customers that are unable to
make the remaining payments required under their subscription agreements. During
the three and nine months ended September 30, 2022, our collections results were
negatively impacted by macroeconomic headwinds, including increased interest
rates and inflationary factors impacting the operating costs and
liquidity positions of our customers. In addition, we increased the allowance
for doubtful accounts as a percentage of gross outstanding accounts receivable
from the period ended September 30, 2021 to the period ended September 30,
2022. We incurred a bad debt expense of $2.4 million and $5.9 million during
the three and nine months ended September 30, 2022, respectively. We recovered a
bad debt expense of $nil and $2.1 million during the three and nine months ended
September 30, 2022 respectively. As of September 30, 2022, our allowance for
doubtful accounts stands at $13.1 million which represents 17.0% of the gross
outstanding accounts receivable as of this date. As of September 30, 2021, our
allowance for doubtful accounts stands at $11.5 million which represents 13.9%
of the gross outstanding accounts receivable as of this date.



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Outlook



While the impact of Covid-19 on our business has largely subsided, we continue
to closely monitor all Covid-19 developments  including its impact on our
customers, employees, suppliers, vendors, business partners, and distribution
channels. In addition, the global economy, including the financial and credit
markets, has recently experienced extreme volatility and disruptions, including
increases to inflation rates, rising interest rates, foreign currency impacts,
declines in consumer confidence, and declines in economic growth. All these
factors point to uncertainty about economic stability, and the severity and
duration of these conditions on our business cannot be predicted. The momentum
and strength in our overall performance demonstrated in the first half of this
fiscal year slowed in the three months ended September 30, 2022. The bulk of the
third quarter revenue decline was due to a strategy shift to prioritize cash
deals over subscription deals in order to improve cash generation and preserve
liquidity. However, we remain focused on adapting to the challenges presented by
the current macro economic environment.



Supply chain. In the second half of 2021 we were impacted by the global supply
disruptions related to COVID-19, which resulted in our inability to fulfil
demand for certain of our products. The value of such purchase order backlog in
the third and the fourth quarters of 2021 was $2.4 million and $1.0 million,
respectively, which was substantially fulfilled during the fourth quarter of
2021 and the first quarter of 2022. We did not experience significant supply
issues during the three and nine months ended September 30, 2022 as we continue
to actively work with our suppliers and third-party manufacturers to mitigate
supply issues and build inventory of key component parts. We anticipate some
supply challenges throughout the remainder of 2022, including long production
lead times and shortages of certain materials or components that may impact our
ability to manufacture the number of systems required to meet customer
demand. In addition, since the second quarter of 2021 we have experienced
significant inflationary pressures throughout our supply chain, which we expect
to continue through the balance of 2022. We expect to mitigate such pressures,
where possible, through price increases and margin management.



Sales markets. We are a global business, having established a commercial
presence in more than 60 countries during our history. While the continued
economic recovery in individual countries during the first nine months of
2022 progressed well in most countries in which we operate, we continue to
evaluate our direct operations, particularly those outside of North America. The
COVID-19 outbreak continues to be fluid, and the extent to which the pandemic
will continue to impact our business remains largely uncertain and could
continue to be significant for the foreseeable future.



Accounts receivable collections. We remain fully focused on reactivating
collections with those at-risk accounts that have struggled through the pandemic
but show signs of viability. As of September 30, 2022, our allowance for
doubtful accounts stands at $13.1 million, which represents 17.0% of the gross
outstanding accounts receivable as of that date. This represents an increase of
$1.1 million from our December 31, 2021 allowance for doubtful accounts balance
of $12.0 million.



With the successful rollout of COVID-19 vaccines, combined with a relaxation of
government restrictions in certain markets we operate in, our collection
experience in 2022 improved relative to earlier stages of the pandemic, with
collections in our largest subscription markets averaging 85% of our billings in
January 2022, 93% in February 2022, 106% in March 2022, 98% in April 2022,
92% in May 2022,96% in June 2022, 89% in July 2022, 90% in August 2022, and 93%
in September 2022. We incurred a bad debt expense of $5.9 million in the first
nine months of 2022. We will continue our proactive approach to collections of
our accounts receivable and will revisit our allowance for doubtful accounts
during the next quarter.



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Basis of Presentation



Revenues


We generate revenue from (1) sales of systems through our subscription model, traditional system sales to customers and distributors, (2) other product revenues from the sale of marketing supplies and kits, consumables and (3) service revenue from our extended warranty service contracts provided to existing customers and the sale of our VeroGrafters technician services. VeroGrafters services were discontinued in the fourth quarter of 2021.





System Revenue



For the three and nine months ended September 30, 2022, approximately 41% and
47%, respectively, of our system revenues were derived from our subscription
model. For the three and nine months ended September 30, 2021, approximately 61%
and 56%, respectively, of our system revenues were derived from our subscription
model. The relative decrease in subscription revenues in the third quarter of
2022 is in line with our strategy to prioritize cash deals over subscription
deals in order to improve cash generation and preserve liquidity.



Our subscription model is designed to provide a low barrier to ownership of our
systems and includes an up-front fee followed by monthly payments, typically
over a 36-month period. The up-front fee serves as a down payment. The
significantly reduced up-front financial commitment, coupled with less onerous
credit and disclosure requirements, is intended to make our subscription-based
sales program more appealing and affordable to customers, including
non-traditional providers of aesthetic services such as family practice
physicians, general practice physicians, and operators of medical aesthetic
spas. For accounting purposes, these arrangements are considered to be
sales-type finance leases, where the present value of all cash flows to be
received under the subscription agreement is recognized as revenue upon shipment
to the customer and achievement of the required revenue recognition criteria.



For the three and nine months ended September 30, 2022, approximately 48% and
43%, respectively, of our system revenues were derived from traditional
sales. For the three and nine months ended September 30, 2021, approximately 27%
and 34%, respectively, of our system revenues were derived from traditional
sales. The increased focus on traditional sales is in line with our strategy to
prioritize cash deals over subscription deals in order to improve cash
generation and preserve liquidity.



Customers generally demand higher discounts in connection with these types of
sales. We recognize revenues from products sold to customers based on the
following five steps: (1) identification of the contract(s) with the customer;
(2) identification of the performance obligations in the contract; (3)
determination of the transaction price; (4) allocation of the transaction price
to the separate performance obligations in the contract; and (5) recognition of
revenue when (or as) the entity satisfies a performance obligation.



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We do not grant rights of return or early termination rights to our customers
under either our traditional sales or subscription models. These traditional
sales are generally made through our sales team in the countries in which the
team operates.



For the three and nine months ended September 30, 2022, approximately 11% of our
system revenues were derived from distributor sales. For the three and
nine months ended September 30, 2021, approximately 12% and 10%, respectively,
of our system revenues were derived from distributor sales. Under the
traditional distributor relationship, we do not sell directly to the end
customer and, accordingly, achieve a lower overall margin on each system sold
compared to our direct sales. These sales are non-refundable, non-returnable and
without any rights of price protection or stock rotation. Accordingly, we
consider distributors as end customers, or the sell-in method.



Procedure Based Revenue



We generate revenue from the harvesting, site making, and implantation
procedures performed with our ARTAS system. The harvesting procedure, as the
name suggests, is the act of harvesting hair follicles from the patient's scalp
for implantation in the prescribed areas. To perform these procedures, a
disposable clinical kit is required. These kits can be large (with an unlimited
number of harvests) or small (with a maximum of 1,100 harvests). The customer
must place an online order with us for the number and type of kits desired and
make a payment. Upon receipt of the order and the related payment, we ship the
kit(s) and the customer must scan the barcode on the kit label in order to
perform the procedure. Once the kits are exhausted, the customer must purchase
additional kits. The site making procedure uses the ARTAS system to create a
recipient site (i.e., site making) in the patient's scalp affected by androgenic
alopecia (or male pattern baldness). The site making procedure also requires a
disposable site making kit. The site making kits are sold to customers in the
same manner as the kits for harvesting procedures. The implantation procedure
utilizes the same disposal kit that is used for site making and involves
immediately implanting follicles into the created recipient site. The
implantation kits are sold to customers in the same manner as the harvesting and
site making kits.



Other Product Revenue


We also generate revenue from our customer base by selling Glide (a cooling/conductive gel which is required for use with many of our systems), marketing supplies and kits, various consumables and disposables, replacement applicators and handpieces, and ARTAS system training.





Service Revenue



We generate ancillary revenue from our existing customers by selling additional
services including extended warranty service contracts and, formerly through
VeroGrafters technician services for hair restoration using our NeoGraft and
ARTAS systems. In the fourth quarter of 2021 we discontinued our VeroGrafters
technician services in order to focus on higher margin products and services.



Cost of Goods Sold and Gross Profit





Cost of goods sold consists primarily of costs associated with manufacturing our
different systems, including direct product costs from third-party
manufacturers, warehousing and storage costs and fulfillment and supply chain
costs inclusive of personnel-related costs (primarily salaries, benefits,
incentive compensation and stock-based compensation). Cost of goods sold also
includes the cost of upgrades, technology amortization, royalty fees, parts,
supplies, and cost of product warranties.



Operating Expenses



Sales and Marketing. We currently sell our products and services using direct
sales representatives in North America and in select international markets. Our
sales costs primarily consist of salaries, commissions, benefits, incentive
compensation and stock-based compensation. Costs also include expenses for
travel and other promotional and sales-related activities.



Our marketing costs primarily consist of salaries, benefits, incentive
compensation and stock-based compensation. They also include expenses for
travel, trade shows, and other promotional and marketing activities, including
direct and online marketing. As the business environment improves, we expect
sales and marketing expenses to continue to increase, but at a rate slightly
below our rate of revenue growth.



General and Administrative. Our general and administrative costs primarily
consist of expenses associated with our executive, accounting and finance, legal
and human resource departments and intellectual property portfolio. These
expenses consist of personnel-related expenses (primarily salaries, benefits,
incentive compensation and stock-based compensation) and allocated facilities
costs, audit fees, legal fees, consultants, travel, insurance, and bad debt
expense. During the normal course of operations, we may incur bad debt expense
on accounts receivable balances that are deemed to be uncollectible.



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Research and Development. Our research and development costs primarily consist
of personnel-related costs (primarily salaries, benefits, incentive
compensation, and stock-based compensation), material costs, amortization of
intangible assets, regulatory affairs, clinical costs, and facilities costs in
our Yokneam, Israel and San Jose, California research centers. Our ongoing
research and development activities are primarily focused on improving and
enhancing our current technologies, products, and services, and on expanding our
current product offering with the introduction of new products and expanded
indications.



We expense all research and development costs in the periods in which they are
incurred. We expect our research and development expenses to increase in
absolute dollars as we continue to invest in research, clinical studies,
regulatory affairs, and development activities, but to decline as a percentage
of revenue as our revenue increases over time.



Finance Expenses



Finance expenses consists of interest income, interest expense and other banking
charges. Interest income consists of interest earned on our cash, cash
equivalents and short-term bank deposits. We expect interest income to vary
depending on our average investment balances and market interest rates during
each reporting period. Interest expense consists of interest on long-term debt
and other borrowings. The interest rates on our long-term debt were 6.1% for the
MSLP Loan and 8.0% for the Notes as of September 30, 2022 and 3.10% for the MSLP
Loan and 8.0% for the Notes as of December 31, 2021 .


Foreign Exchange (Gain) Loss



Foreign currency exchange (gain) loss changes reflect foreign exchange gains or
losses related to the change in value of assets and liabilities denominated in
currencies other than the U.S. dollar.



Income Tax Expense



We estimate our current and deferred tax liabilities based on current tax laws
in the statutory jurisdictions in which we operate. These estimates include
judgments about liabilities resulting from temporary differences between assets
and liabilities recognized for financial reporting purposes and such amounts
recognized for tax purposes. In certain jurisdictions, only the payments
invoiced in the current period are subject to tax, but for accounting purposes,
the discounted value of the total subscription agreements is reported and tax
affected. This results in a deferred tax credit which is settled in the future
period when the monthly installment payment is issued and settled with the
customer. Since our inception, we have not recorded any tax benefits for the net
operating losses we have incurred in each year or for the research and
development tax credits we generated in the United States. We believe, based
upon the weight of available evidence, that it is more likely than not that all
of our net operating loss carryforwards and tax credits will not be realized.



Income tax expense is recognized based on the actual taxable loss incurred during the three and nine months ended September 30, 2022.





Non-Controlling Interests



We have minority shareholders in one jurisdiction in which we have direct
operations. For accounting purposes, these minority partners are referred to as
non-controlling interests, and we record the non-controlling interests' share of
earnings in our subsidiaries as a separate balance within stockholders' equity
in the consolidated balance sheets and consolidated statements of stockholders'
equity.



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