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Significant Accounting Policies (Policies)
12 Months Ended
Dec. 31, 2018
Accounting Policies [Abstract]  
Consolidation, Subsidiaries or Other Investments, Consolidated Entities, Policy [Policy Text Block]
Description of Operations and Principles of Consolidation
 
Cutera, Inc. (“Cutera” or the “Company”) is a global provider of laser and energy-based aesthetic systems for practitioners worldwide. The Company designs, develops, manufactures, distributes and markets light and energy-based product platforms for use by physicians and other qualified practitioners, enabling them to offer safe and effective aesthetic treatments to their customers. The Company currently markets the following system platforms:
excel, enlighten, Juliet, Secret RF, truSculpt
and
xeo
. The Company’s systems offer multiple hand pieces and applications, allowing customers to upgrade their systems. The sales of (i) systems, system upgrades and hand pieces (“Systems” revenue); (ii) hand piece refills applicable to
Titan, truSculpt
3D
and
truSculpt iD
, as well as single use disposable tips applicable to
Juliet
and
Secret RF
(“Consumables” revenue); and (iii) the distribution of
third
party manufactured skincare products (“Skincare” revenue); are collectively classified as “Products” revenue. In addition to Products revenue, the Company generates revenue from the sale of post-warranty service contracts, parts, detachable hand piece replacements (except for
Titan , truSculpt
3D
and
truSculpt iD
) and service labor for the repair and maintenance of products that are out of warranty, all of which are classified as “Service” revenue.
 
Headquartered in Brisbane, California, the Company has wholly-owned subsidiaries that are currently operational in Australia, Belgium, Canada, France, Germany, Hong Kong, Japan, Spain, Switzerland and the United Kingdom. The Company’s wholly owned subsidiary in Italy is currently dormant. These active subsidiaries market, sell and service the Company’s products outside of the United States. The Consolidated Financial Statements include the accounts of the Company and its subsidiaries. All inter-company transactions and balances have been eliminated.
Use of Estimates, Policy [Policy Text Block]
Use of Estimates
 
The preparation of Consolidated Financial Statements in conformity with Generally Accepted Accounting Principles (“GAAP”) requires the Company’s management to make estimates and assumptions that affect the amounts reported of assets and liabilities and disclosure of contingent assets and liabilities at the date of the consolidated financial Statements and the accompanying notes, and the reported amounts of revenue and expenses during the reported periods. Actual results could differ materially from those estimates.
 
On an ongoing basis, management evaluates its estimates, including those related to warranty obligations, sales commission, accounts receivable and sales allowances, valuation of inventories, fair values of goodwill, useful lives of property and equipment, assumptions regarding variables used in calculating the fair value of the Company's equity awards, expected achievement of performance based vesting criteria, fair value of investments, the standalone selling price of the Company's products and services, the customer life and period of benefit used to capitalize and amortize contracts acquisition costs, variable consideration, contingent liabilities, recoverability of deferred tax assets, and effective income tax rates, among others. Management bases estimates on historical experience and on various other assumptions that are believed to be reasonable, the results of which form the basis for making judgments about the carrying values of assets and liabilities.
Risks and Uncertainties, Policy [Policy Text Block]
R
isks and Uncertainties
 
The Company's future results of operations involve a number of risks and uncertainties. Factors that could affect the Company's future operating results and cause actual results to vary materially from expectations include, but are
not
limited to, rapid technological change, continued acceptance of the Company's products, stability of world financial markets, cybersecurity breaches and other disruptions that could compromise the Company’s information or results, management of international activities, competition from substitute products and larger companies, ability to obtain and maintain regulatory approvals, government regulations and oversight, patent and other types of litigation, ability to protect proprietary technology from counterfeit versions of the Company's products, strategic relationships and dependence on key individuals.
Comparability of Prior Year Financial Data, Policy [Policy Text Block]
Comparability
 
The Company adopted the new revenue standard effective
January 1, 2018,
using the modified retrospective method. Prior period financial statements were
not
retrospectively restated. The consolidated balance sheet as of
December 31, 2018
and results of operations for
December 31, 2018
were prepared using an accounting standard that was different than that in effect for the year ended
December 31, 2017.
As a result the consolidated balance sheets as of
December 31, 2018
and
December 31, 2017
are
not
directly comparable, nor are the consolidated statement of operations for the years ended
December 31, 2018
and
December 31, 2017.
New Accounting Pronouncements, Policy [Policy Text Block]
Recent Accounting Pronouncements
Not
Yet Adopted
 
In
February 2016,
the FASB issued ASU
2016
-
02,
"Leases," (also known as ASC Topic
842
) which will require, among other items, lease accounting to recognize most leases as assets and liabilities on the balance sheet. Qualitative and quantitative disclosures will be enhanced to better understand the amount, timing and uncertainty of cash flows arising from leases. In
July 2018,
the FASB issued ASU
2018
-
11,
"Targeted Improvements," which gives the option to apply the transition provisions of ASU
2016
-
02
at its adoption date instead of at the earliest comparative period presented in its financial statements. In addition, ASU
2018
2018
-
11
provides a practical expedient that permits lessors to
not
separate nonlease components from the associated lease component if certain conditions are met. Also in
July 2018,
the FASB issued ASU
2018
-
10,
"Codification Improvements to ASC Topic
842,
Leases," which clarifies certain aspects of ASU
2016
-
02.
The Company will adopt ASU
2016
-
02
on a modified retrospective basis on its adoption date of
January 1, 2019
with practical expedients, instead of at the earliest comparative period presented in the Company’s financial statements. 
 
The Company will adopt ASC Topic
842
- Leases on
January 1, 2019,
applying the modified retrospective transition approach to all leases existing at the date of initial application. The new standard provides a number of optional practical expedients in transition. The Company elected the ‘package of practical expedients’, which permits the Company
not
to reassess under the new standard the Company’s prior conclusions about lease identification, lease classification and initial direct costs. The Company did
not
elect the practical expedient to use hindsight in determining the lease term.
 
The Company expects that this standard will have a material effect on our financial statements. While the Company continues to assess all of the effects of adoption, the Company currently believes the most significant effects relate to the recognition of new right-of-use (“ROU”) assets and lease liabilities on our balance sheet for our auto, office, and embedded leases; and the requirement to provide significant new disclosures about our leasing activities.
 
Upon the adoption of ASC Topic
842,
the Company will recognize additional operating liabilities ranging from
$10.0
million to
$11.0
million, with corresponding ROU assets of the same amount based on the present value of the remaining minimum rental payments under current leasing standards for existing operating leases.
 
The new standard also provides practical expedients for an entity’s ongoing accounting. The Company will elect the short-term lease recognition exemption for all leases that qualify. This means, for those leases that qualify, the Company will
not
recognize ROU assets or lease liabilities, and this includes
not
recognizing ROU assets or lease liabilities for existing short-term leases of those assets in transition. The Company also will
not
elect the practical expedient to
not
separate lease and non-lease components for all of our leases.
 
Recently Adopted Accounting Pronouncements
 
In
May 2014,
the Financial Accounting Standards Board (“FASB”) issued Accounting Standards Update (“ASU”)
2014
-
09,
“Revenue from Contracts with Customers,” amending revenue recognition guidance and requiring more detailed disclosures to enable users of financial statements to understand the nature, amount, timing, and uncertainty of revenue and cash flows arising from contracts with customers. The amended guidance, herein referred to as ASC Topic
606,
is effective for annual and interim reporting periods beginning after
December 15, 2017,
with early adoption permitted for public companies effective for annual and interim reporting periods beginning after
December 15, 2016.
The Company adopted the new revenue standard in the
first
quarter of fiscal year
2018
using the modified retrospective method. The Company recognized the cumulative effect of applying the new revenue standard as an adjustment to retained earnings. The comparative information has
not
been restated and continues to be reported under the accounting standards in effect for the periods presented.
 
See “Revenue Recognition,” for additional accounting policy and transition disclosures.
 
On
January 26, 2017,
the FASB issued Accounting Standards Update
No.
2017
-
04,
Intangibles—Goodwill and Other (Topic
350
): Simplifying the Test for Goodwill Impairment. The new guidance requires only a
one
-step quantitative impairment test, whereby a goodwill impairment loss will be measured as the excess of a reporting unit’s carrying amount over its fair value (
not
to exceed the total goodwill allocated to that reporting unit). The new guidance eliminates Step
2
of the current
two
-step goodwill impairment test, and requires companies to perform the goodwill impairment test by comparing the fair value of a reporting unit with its carrying amount. Companies will continue to have the option of performing a qualitative assessment of goodwill impairment; however, if a company performs a qualitative assessment of its goodwill and fails, it must proceed with quantitative impairment testing (ASC
350
-
20
-
35
-
3A
).
 
The amendment is effective for the Company for its fiscal years beginning after
December 15, 2019.
The amendment is required to be adopted prospectively. Early adoption is permitted for interim or annual goodwill impairment tests performed on testing dates after
January 1, 2017 (
350
-
20
-
65
-
3
). The Company early adopted ASU
2017
-
04—Intangibles—Goodwill
and Other (Topic
350
): Simplifying the Test for Goodwill Impairment, on
October 1, 2018.
There was
no
material impact upon adoption of the new standard to the financial statements.
 
See ” Goodwill and Other Intangible Assets” in Note
3
– Balance Sheet Detail.
 
In
June 2018,
the FASB issued ASU
No.
2018
-
07,
"Compensation -Stock Compensation (Topic
718
): Improvement to Nonemployee Share-Based Payment Accounting". The new guidance changes the accounting for nonemployee awards including: (
1
) equity-classified share-based payment awards issued to nonemployees will be measured on the grant date, instead of the previous requirement to remeasure the awards through the performance completion date, (
2
) for performance conditions, compensation cost associated with the award will be recognized when the achievement of the performance condition is probable, rather than upon achievement of the performance condition, and (
3
) the current requirement to reassess the classification (equity or liability) for nonemployee awards upon vesting will be eliminated, except for awards in the form of convertible instruments. The new guidance also clarifies that any share-based payment awards issued to customers should be evaluated under ASC Topic
606.
The amendments in the new guidance are effective for annual and interim reporting periods beginning after
December 15, 2018,
with early adoption permitted for public companies, but
no
earlier than an entity’s adoption date of ASC Topic
606.
The Company will adopt the new standard effective
January 1, 2019
and the Company does
not
expect to have a material impact upon adoption of the new standard to the financial statements.
Revenue from Contract with Customer [Policy Text Block]
Revenue
 
The Company adopted ASC Topic
606,
"Revenue from Contracts with Customers," on
January 1, 2018,
applying the modified retrospective method to all agreements that were
not
completed as of
January 1, 2018.
Results for reporting periods beginning after
January 1, 2018
are presented under ASC Topic
606,
while prior period amounts are
not
adjusted and continue to be reported under the accounting standards in effect for the prior periods. A cumulative catch up adjustment was recorded to beginning retained earnings to reflect the impact of all existing arrangements under ASC Topic
606.
 
Upon adoption of ASC Topic
606,
the Company recorded an increase to retained earnings, net of deferred tax liability, of
$3.8
million (Note
7
) for contracts still in force as of
January 1, 2018
for the following items in the
first
quarter of
2018:
 
 
$237,000
reduction in deferred revenue balances for the differences in the amount of revenue recognized for the Company’s revenue streams as a result of allocation of revenue based on standalone selling prices to the Company’s various performance obligations.
 
$151,000
increase in deferred revenue balances, related to the accretion of financing costs for multi-year post-warranty service contracts for customers who pay more than
one
year in advance of receiving the service. The Company estimated interest expense for such advance payments under the new revenue standard.
 
$210,000
decrease in accrued liabilities.
 
$4.7
million for the capitalization of the incremental contract acquisition costs, such as sales commissions paid in connection with system sales. These contract acquisition costs were capitalized and are being amortized over the period of anticipated support renewals which is estimated to be approximately
2.5
years. The Company expensed such costs when incurred under the prior guidance.
 
$1.2
million deferred tax liability related to the direct tax effect of the ASC Topic
606
adoption.
 
The following table summarizes the effects of adopting ASC Topic
606
on the Company’s consolidated balance sheet as of
December 31, 2018:
 
   
As reported
under
ASC Topic 606
   
Adjustments
   
Balances under
Prior GAAP
 
   
(In thousands)
 
                         
Other long-term assets
  $
5,971
    $
5,217
    $
754
 
Deferred revenue
   
12,566
     
(106)
     
12,460
 
Retained earnings (deficit)
   
(24,010)
     
4,176
     
(19,834)
 
 
The following table summarizes the effects of adopting ASC Topic
606
on Company’s consolidated income statement for the year ended
December 31, 2018:
 
   
As reported
under
Topic 606
   
Adjustments
   
Balances under
Prior GAAP
 
   
(In thousands)
 
Products revenue
  $
142,535
    $
274
    $
61
 
Service revenue
   
20,185
     
280
     
19,905
 
Sales and marketing
   
58,420
     
540
     
58,960
 
Interest and other income, net*
   
(123)
     
297
     
174
 
 
* Included in interest and other income, net, is the estimated interest expense for advance payment related to service contracts under the new revenue standard.
 
Adoption of the standard had
no
impact on total net cash from or used in operating, investing, or financing activities within the consolidated statements of cash flows.
 
As part of the Company's adoption of ASC Topic
606,
the Company elected to use the following practical expedients: (i)
not
to adjust the promised amount of consideration for the effects of a significant financing component when the Company expects, at contract inception, that the period between the Company's transfer of a promised product or service to a customer and when the customer pays for that product or service will be
one
year or less; (ii) to expense costs as incurred for costs to obtain a contract when the amortization period would have been
one
year or less; (iii)
not
to recast revenue for contracts that begin and end in the same fiscal year; and (iv)
not
to assess whether promised goods or services are performance obligations if they are immaterial in the context of the contract with the customer.
 
Revenue recognition
 
Revenue recognition- Period before
January 1, 2018 -
ASC Topic
606
Adoption
 
The Company recognized revenue under ASC Topic
605
prior to the adoption of ASC Topic
606
effective
January 1 2018.
Under ASC
605,
the Company recognized products revenue when title and risk of ownership was transferred, provided that:
 
● Persuasive evidence of an arrangement exists;
● The price is fixed or determinable;
● Delivery has occurred or services have been rendered; and
● Collectability is reasonably assured.
 
Transfer of title and risk of ownership occurs when the product is shipped to the customer or when the customer receives the product, depending on the nature of the arrangement. Revenue is recorded net of customer and distributor discounts. When collectability is
not
reasonably assured, the Company recognizes revenue upon receipt of cash payment. Sales to customers and distributors do
not
include any return or exchange rights. In addition, the Company’s distributor agreements obligate the distributor to pay the Company for the sale regardless of whether the distributor is able to resell the product. Shipping and handling charges are invoiced to customers based on the amount of products sold. Shipping and handling fees are recorded as revenue and the related expense as a component of Products cost of revenue.
 
Multiple-element Arrangements
 
A multiple-element arrangement includes the sale of
one
or more tangible product offerings with
one
or more associated services offerings, each of which are individually considered separate units of accounting. The Company determined that its multiple-element arrangements are generally comprised of the following elements that are recognized as separate units of accounting: Product, service contracts, training, and in some cases, marketing support and installation.
 
For multiple-element arrangements, judgments are required as to the allocation of the proceeds received from an arrangement to the multiple elements of the arrangement. For multiple element arrangements the Company allocates revenue to all deliverables based on their relative selling prices in accordance with the FASB Accounting Standards Codification (“ASC”)
605
-
25.
Because the Company has neither vendor specific objective evidence (“VSOE”) nor
third
-party evidence of selling price for the Company's systems, the allocation of revenue has been based on the Company's best estimate of selling prices (“BESP”). The objective of BESP is to determine the price at which the Company would transact a sale if the product or service was sold on a stand-alone basis. The Company determines BESP for the Company's deliverables by considering multiple factors including, but
not
limited to, features and functionality of the system, geographies, type of customer and market conditions
 
With respect to the sale of its earlier generation of the
truSculpt
product, the Company includes unlimited refills as part of the
truSculpt
standard warranty and the Company does
not
account for the
truSculpt
warranty as a separate deliverable under the multiple-element arrangement revenue guidance. Upon a
truSculpt
sale, the Company recognizes the estimated costs which will be incurred under the warranty obligation in Products cost of revenue. Revenue from the sale of refills is recorded as Product revenue in the period in which such sales are made.
 
Customer Marketing Arrangements
 
The Company has a customer marketing and incentive program called “Cutera Bucks” for its North America customers through which it offers various sales incentives and discounts and pays or reimburses customers for qualifying expenses associated with practice set-up, advertising procedures related to the system purchased, and other expenses. The Company records such incentives as a reduction of revenue at the time when the sale of the system is recorded.
 
Service Revenue
 
The Company also offers customers extended service contracts. Revenue under service contracts is recognized on a straight-line basis over the period of the applicable service contract. Revenue from services performed in the absence of a service contract, including installation and training revenue, is recognized when the related services are performed and collectability is reasonably assured. Service revenue billed on a time and material basis, from customers whose systems are
not
under a service contact, is recognized as the services are provided. Service revenue for the years ended
December 31, 2017
and
2016
was
$18.8
million, and
$19.0
million.
 
Bill and Hold Arrangement
 
Under ASC
605
in
2017
the Company segregated certain products for
one
order at the request of a customer for a limited period of time at a
third
-party storage facility (“bill -and -hold”). Revenue recognition for the bill-and-hold transaction requires consideration of, among other things, whether the customer has made a written fixed commitment to purchase the product; the existence of a substantial business purpose for the arrangement; the bill-and-hold arrangement is at the request of the customer; the scheduled delivery date must be reasonable and consistent with the buyer's business purpose; title and risk of ownership must pass to the customer and
no
additional performance obligations exist by the Company, at the time of the bill-and-hold the product is complete and ready for shipment and the product has been segregated from the Company's inventory. The Company recognized revenue of
$938,000
for a bill-and-hold transaction in
2017.
There were
no
such transactions in
2016.
 
Revenue recognition- Period after
January 1, 2018 -
ASC Topic
606
Adoption
 
Revenue is recognized upon transfer of control of promised products or services to customers in an amount that reflects the consideration to which the Company expects to be entitled in exchange for promised goods or services. The Company’s performance obligations are satisfied either over time or at a point in time. Revenue from performance obligations that are transferred to customers over time accounted for approximately
12%
of the Company’s total revenue for the
twelve
months ended
December 31, 2018.
 
The Company has certain system sale arrangements that contain multiple products and services. For these bundled sale arrangements, the Company accounts for individual products and services as separate performance obligations if they are distinct. The Company’s products and services are distinct if a customer can benefit from the product or service on its own or with other resources that are readily available to the customer, and if the Company’s promise to transfer the products or service to the customer is separately identifiable from other promises in the contract. The Company’s system sale arrangements include a combination of the following performance obligations: the system and software license (considered as
one
performance obligation), system accessories (hand pieces), training, other accessories, extended service contracts and marketing services.
 
For the Company’s system sale arrangements that include an extended service contract, the period of service commences at the expiration of the Company’s standard warranty offered at the time of the system sale. The Company considers the extended service contracts terms in the arrangements that are legally enforceable to be performance obligations. Other than extended service contracts and marketing services (which are satisfied over time), the Company generally satisfies all of the performance obligations at a point in time. Systems, system accessories (hand pieces), training, time and materials services are also sold on a stand-alone basis, and related performance obligations are satisfied at a point in time. For contracts with multiple performance obligations, the Company allocates the transaction price of the contract to each performance obligation on a relative standalone selling price basis.
 
Nature of Products and Services
 
Systems
 
System revenue represents the sale of a system or an upgrade of an existing system. A system consists of a console that incorporates a universal graphic user interface, a laser or other energy based module, control system software and high voltage electronics, as well as
one
or more hand pieces. However, depending on the application, the laser or other energy based module is sometimes contained in the hand piece such as with the Company’s
Pearl
and
Pearl Fractional
applications instead of within the console.
 
The Company offers customers the ability to select the system that best fits their practice at the time of purchase and then to cost-effectively add applications to their system as their practice grows. This provides customers the flexibility to upgrade their systems whenever they choose and provides the Company with a source of additional Systems revenue.
 
The Company concludes that the system or upgrade and the right to use the embedded software represent a single performance obligation as the software license is integral to the functionality of the system or upgrade.
 
The Company does
not
identify calibration and installation services for systems other than
enlighten
as performance obligations because such services are immaterial in the context of the contract. The related costs to complete calibration and installation for systems other than
enlighten
are immaterial. Calibration and installation services for
enlighten
systems are identified as separate performance obligations.
 
For systems sold directly to end-customers that are credit approved, revenue is recognized when the Company transfers control to the end-customer, which occurs when the product is shipped to the customer or when the customer receives the product, depending on the nature of the arrangement. The Company recognizes revenue on a cash basis for system sales to international direct end-customer sales that have
not
been credit approved, as the performance obligations in the contract are satisfied. For systems sold through credit approved distributors, revenue is recognized at the time of shipment.
 
The Company typically receives payment for its system consoles and other accessories within
30
days of shipment. Certain international distributor arrangements allow for longer payment terms.
 
Skincare products
 
The Company sells
third
-party manufactured skincare products in Japan. The
third
-party skincare products are purchased from the
third
-party manufacturers and sold to licensed physicians. The Company acts as the principal in this arrangement, as it determines the price to charge customers for the skincare products, and controls the products before they are transferred to the customer. Skincare products are typically sold in contracts in which the skincare products represent the sole performance obligations. The Company recognizes revenue for skincare products at a point in time, upon shipment.
 
Consumables (Other accessories)
 
The Company treats its customers' purchases of replacement
Titan
,
truSculpt
3D
and
truSculpt iD
hand pieces as Consumable revenue, which provides the Company with a source of recurring revenue from existing customers. The Company’s recently launched
Juliet
and
Secret RF
products have single use disposable tips which must be replaced after every treatment. Sales of these consumable tips further enhance the Company’s recurring revenue. Hand piece refills of the Company’s legacy
truSculpt
product are accounted for in accordance with the Company’s standard warranty and service contract policies.
 
Extended contract services
 
The Company offers post-warranty services to its customers through extended service contracts that cover parts and labor for a term of one, two, or
three
years. Service contract revenue is recognized over time, using a time based measure of progress, as the customers benefit from the service throughout the service period. The Company also offers services on a time-and-materials basis for detachable hand piece replacements, parts and labor. Revenue related to services performed on a time-and-materials basis is recognized when performed. These post-warranty services serve as additional sources of recurring revenue from the Company’s installed product base
 
Training
 
Sales of system to customers include training on the system to be provided within
180
days of purchase. The Company considers training as a separate performance obligation as customers can immediately benefit from the training together with the customer’s system. Training is also sold separately from systems. The Company recognizes revenue for training when the training is provided. Training is
not
required for customers to use the systems.
 
Customer Marketing Support
 
In North America, the Company offers marketing and consulting phone support to its customers who purchase
truSculpt
3D
and
truSculpt iD
systems. These customer marketing support services include a practice development model and marketing training, performed remotely with ongoing phone consultations for
six
months from date of purchase. The Company considers customer marketing support a separate performance obligation, and recognizes revenue over the
six
-month term of the contracts.
 
Significant Judgments
 
The Company combines
two
or more contracts entered into at or near the same time with the same customer and accounts for the contracts as a single contract. The contracts are negotiated as a package with a single commercial objective. The Company exercises significant judgment to evaluate the relevant facts and circumstances in determining whether the separate contracts of contracts comprise a single contract can affect the allocation of consideration to the distinct performance obligations, which could have an effect on results of operations for the periods involved.
 
The Company is required to estimate the total consideration expected to be received from contracts with customers. In limited circumstances, the consideration expected to be received is variable based on the specific terms of the contract The Company has
not
experienced significant returns or refunds to customers. Estimating consideration expected to be received from contracts with customers requires significant judgment and the change in these estimates could have an effect on its results of operations during the periods involved.
 
The Company determines standalone selling price ("SSP") for each performance obligation as follows:
 
Systems: The SSPs for systems are based on directly observable sales in similar circumstances to similar customers. When SSP is
not
directly observable, the Company estimates SSP using the expected cost plus margin approach.
 
Training: SSP is based on observable price when sold on a standalone basis.
 
Extended warranty/Service contracts: SSP is based on observable price when sold on a standalone basis (by customer type).
 
Customer Marketing Support: SSP is estimated based on cost plus a margin.
 
Set-up /Installation: Set-up or installation for all other systems (excluding the enlighten system) is immaterial in the context of the contract as the set-up or installation for systems other than enlighten. The related costs to complete set-up or installation are immaterial.
 
The calibration and installation service of the enlighten system are treated as separate performance obligations because the Company regularly sells enlighten systems without the calibration and installation service.
 
Loyalty Program
 
The Company launched a customer loyalty program during the
third
quarter of
2018
for qualified customers located in the U.S. and Canada. Under the programs, customers accumulate points based on their purchasing levels. Once a loyalty program member achieves a certain tier level, the member earns a reward. A customer’s account has to be in good standing in order to receive the benefits of the rewards program. Rewards are given on a quarterly basis and must be used in the following quarter. Customers receive a notification regarding their rewards tier by the
fifth
(
5
th
) day of the following quarter. All unused rewards are forfeited.
 
The fair value of the reward earned by loyalty program members is included in accrued liabilities and recorded as a reduction of net sales at the time the reward is earned.
Cash and Cash Equivalents Marketable Investments and Long-term Investments [Policy Text Block]
Cash Equivalents, and
Marketable Investments
 
The Company invests its cash primarily in money market funds and in highly liquid debt instruments of U.S. federal and municipal governments and their agencies, commercial paper and corporate debt securities. All highly liquid investments with stated maturities of
three
months or less from date of purchase are classified as cash equivalents; all highly liquid investments with stated maturities of greater than
three
months are classified as marketable investments. The majority of the Company’s cash and investments are held in U.S. banks and the Company's foreign subsidiaries maintain a limited amount of cash in their local banks to cover their short term operating expenses.
 
The Company determines the appropriate classification of its investments in marketable securities at the time of purchase and re-evaluates such designation at each balance sheet date. The Company’s marketable securities have been classified and accounted for as available-for-sale securities. Investments with remaining maturities of more than
one
year are viewed by the Company as available to support current operations, and are classified as current assets under the caption marketable investments in the accompanying consolidated balance sheets. Investments in marketable securities are carried at fair value, with the unrealized gains and losses reported as a component of stockholders’ equity. Any realized gains or losses on the sale of marketable securities are determined on a specific identification method, and such gains and losses are reflected as a component of interest and other income, net.
Fair Value Measurement, Policy [Policy Text Block]
Fair Value of Financial Instruments
 
Fair value is defined as the price that would be received to sell an asset or paid to transfer a liability in an orderly transaction between market participants at the measurement date. In determining fair value, the Company utilizes valuation techniques that maximize the use of observable inputs and minimize the use of unobservable inputs to the extent possible as well as considers counterparty credit risk in its assessment of fair value. The Company’s financial instruments include cash equivalents, accounts receivable, accounts payable and accrued liabilities. Carrying amounts of the Company's financial instruments, approximate their fair values as of the balance sheet dates given their generally short maturities. The fair value hierarchy distinguishes between (
1
) market participant assumptions developed based on market data obtained from independent sources (observable inputs) and (
2
) an entity’s own assumptions about market participant assumptions developed based on the best information available in the circumstances (unobservable inputs). The fair value hierarchy consists of
three
broad levels, which gives the highest priority to unadjusted quoted prices in active markets for identical assets or liabilities (Level
1
) and the lowest priority to unobservable inputs (Level
3
). The
three
levels of the fair value hierarchy are described below in accordance with ASC
820:
 
 
Level
1:
Quoted prices (unadjusted) in active markets that are accessible at the measurement date for assets or liabilities.
 
Level
2:
Directly or indirectly observable inputs as of the reporting date through correlation with market data, including quoted prices for similar assets and liabilities in active markets and quoted prices in markets that are
not
active. Level
2
also includes assets and liabilities that are valued using models or other pricing methodologies that do
not
require significant judgment since the input assumptions used in the models, such as interest rates and volatility factors, are corroborated by readily observable data from actively quoted markets for substantially the full term of the financial instrument.
 
Level
3:
Unobservable inputs that are supported by little or
no
market activity and reflect the use of significant management judgment. These values are generally determined using pricing models for which the assumptions utilize management’s estimates of market participant assumptions.
 
In determining fair value, the Company utilizes valuation techniques that maximize the use of observable inputs and minimize the use of unobservable inputs to the extent possible. The Company also considers counterparty credit risk in its assessment of fair value.
Marketable Securities, Policy [Policy Text Block]
Impairment of Marketable Investments
 
After determining the fair value of available-for-sales debt instruments, gains or losses on these securities are recorded to other comprehensive income, until either the security is sold or the Company determines that the decline in value is other-than-temporary. The primary differentiating factors that the Company considers in classifying impairments as either temporary or other-than-temporary impairments are the Company’s intent and ability to retain the investment in the issuer for a period of time sufficient to allow for any anticipated recovery in market value or the maturity of the investment, the length of the time and the extent to which the market value of the investment has been less than cost and the financial condition and near-term prospects of the issuer. There were
no
other-than-temporary impairments in the years ended
December 31, 2018,
2017,
and
2016.
Allowances for Sales Returns and Doubtful Accounts [Policy Text Block]
Allowance for Sales Returns and Doubtful Accounts
 
The allowance for sales returns is based on the Company’s estimates of potential future product returns and other allowances related to current period product revenue. The Company analyzes historical returns, current economic trends and changes in customer demand and acceptance of the Company's products.
 
In cases where the Company is aware of circumstances that
may
impair a specific customer’s ability to meet its obligations to the Company, the Company records a specific allowance against amounts due from the customer, and thereby reduces the net recognized receivable to the amounts it reasonably believes will be collected
Concentration Risk, Credit Risk, Policy [Policy Text Block]
Concentration of Credit Risk and Other Risks and Uncertainties
 
The Company operates in markets that are highly competitive and rapidly changing. Significant technological changes, shifting customer needs, the emergence of competitive products or services with new capabilities and other factors could negatively impact our operating results.
 
The Company is also subject to risks related to changes in the value of our significant balance of financial instruments. Financial instruments that potentially subject the Company to concentrations of risk consist principally of cash, cash equivalents, marketable investments and accounts receivable. The Company’s cash and cash equivalents are primarily invested in deposits and money market accounts with
three
major financial institutions in the U.S. In addition, the Company has operating cash balances in banks in each of the international locations in which it operates. Deposits in these banks
may
exceed the amount of insurance provided on such deposits, if any. Management believes that these financial institutions are financially sound and, accordingly, believes that minimal credit risk exists. To date, the Company has
not
experienced any losses on its deposits of cash and cash equivalents.
 
The Company invests in debt instruments, including bonds of the U.S. Government, its agencies and municipalities. The Company has also invested in other high grade investments such as commercial paper and corporate debt securities. The Company has established guidelines relative to credit ratings, diversification and maturities that seek to maintain safety and liquidity. By policy, the Company restricts its exposure to any single issuer by imposing concentration limits. To minimize the exposure due to adverse shifts in interest rates, the Company maintains investments at an average maturity of generally less than 
twelve
months.
 
Accounts receivable are recorded net of an allowance for doubtful accounts, and are typically unsecured and are derived from revenue earned from worldwide customers. The Company controls credit risk through credit approvals, credit limits, and monitoring procedures. The Company performs credit evaluations of its customers and maintains reserves for potential credit losses. As of
December 31, 2018
and
2017,
there was
one
customer who represented
4.9%
of the Company’s net accounts receivable. During the years ended
December 31, 2018,
2017,
and
2016,
domestic revenue accounted for
62%,
65%,
and
55%,
respectively, of total revenue, while international revenue accounted for
37%,
38%,
and
45%,
respectively, of total revenue.
No
single customer represented more than
10%
of total revenue for any of the years ended
December 31, 2018,
2017,
and
2016.
 
Supplier concentration
 
The Company relies on
third
parties for the supply of components of its products, as well as
third
-party logistics providers. In instances where these parties fail to perform their obligations, the Company
may
be unable to find alternative suppliers or satisfactorily deliver its products to its customers.
Inventory, Policy [Policy Text Block]
Inventories
 
Inventories are stated at the lower of cost and net realizable value, cost being determined on a standard cost basis which approximates actual cost on a
first
-in,
first
-out basis. Net realizable value is the estimated selling prices in the ordinary course of business, less reasonably predictable costs of completion, disposal, and transportation. The cost basis of the Company’s inventory is reduced for any products that are considered excessive or obsolete based upon assumptions about future demand and market conditions.
 
The Company includes demonstration units within inventories. Demonstration units are carried at cost and amortized over an estimated economic life of
two
years. Amortization expense related to demonstration units is recorded in Products cost of revenue or in the respective operating expense line based on which function and purpose for which the demonstration units are being used. Proceeds from the sale of demonstration units are recorded as revenue and all costs incurred to refurbish the systems prior to sale are charged to cost of revenue.
 
As of
December 31, 2018
and
2017,
demonstration inventories, net of accumulated depreciation, included in finished goods inventory balance was
$2.9
million and
$1.9
million, respectively.
Property, Plant and Equipment, Policy [Policy Text Block]
Property and Equipment
 
Property and equipment are stated at cost, net of accumulated depreciation. Depreciation expense recognized is on a straight-line basis over the estimated useful lives of the assets, generally as follows:
 
   
Useful Lives
Leasehold improvements
 
Lesser of useful life or term of lease
Office equipment and furniture (in years)
 
3
Machinery and equipment (in years)
 
3
 
Upon sale or retirement of property and equipment, the costs and related accumulated depreciation and amortization are removed from the balance sheet and the resulting gain or loss is reflected in operating expenses. Maintenance and repairs are charged to operations as incurred.
 
Depreciation expense related to property and equipment for
2018,
2017
and
2016,
was
$1.2
million,
$1.0
million and
$0.8
million respectively. Amortization expense for vehicles leased under capital leases is included in depreciation expense.
Goodwill and Intangible Assets, Intangible Assets, Policy [Policy Text Block]
Goodwill and Intangible Assets
 
Goodwill and intangible assets with indefinite useful lives are
not
amortized, but are tested for impairment at least annually during the
fourth
fiscal quarter, or if circumstances indicate their value
may
no
longer be recoverable. Goodwill represents the excess of the purchase price over the fair value of net identifiable assets and liabilities.
 
The Company continues to operate in
one
segment, which is considered to be the sole reporting unit and, therefore, goodwill was tested for impairment at the enterprise level. As of
December 31, 2018,
there has been
no
impairment of goodwill. All acquired intangible assets have been fully amortized as of
December 31, 2018.
Standard Product Warranty, Policy [Policy Text Block]
Warranty Obligations
 
The Company offers post-warranty services to its customers through extended service contracts that cover replacement parts and labor for a term of one, two, or
three
years. For sales to distributors, the Company generally provides a
14
to
16
month warranty for parts only, with labor being provided to the end customer by the distributor.
 
The Company also offers services on a time-and-materials basis for detachable hand piece replacements, parts and labor. These post-warranty services serve as additional sources of recurring revenue from the Company’s installed product base.
Deferred Charges, Policy [Policy Text Block]
Deferred Sales Commissions
 
Incremental costs of obtaining a contract, including sales commissions, are capitalized and amortized on a straight-line basis over the expected customer relationship period. The Company uses the portfolio method to recognize the amortization expense related to these capitalized costs related to initial contracts and such expense is recognized over a period associated with the revenue of the related portfolio, which is generally
two
to
three
years for the Company’s product and service arrangements.
 
Total capitalized costs for the year ended
December 31, 2018
was
$5.2
million and are included in other long-term assets in the Company’s consolidated balance sheet. Amortization of this asset was $
$1.3
million during the year ended
December 31, 2018
and is included in sales and marketing expense in the Company’s consolidated statements of operations.
Cost of Sales, Policy [Policy Text Block]
Cost of Revenue
 
Cost of revenue consists primarily of material, finished and semi-finished products purchased from
third
-party manufacturers, labor, stock-based compensation expenses, overhead involved in the Company's internal manufacturing processes, service contracts technology license amortization and royalties, costs associated with product warranties and any inventory write-downs.
 
The Company's system sales include a control console, universal graphic user interface, control system software, high voltage electronics and a combination of applications (referred to as hand pieces). Hand pieces are programmed to have a limited number of uses to ensure the safety of the device to patients. The Company sells refurbished hand pieces, or "refills," of its
Titan
and
truSculpt
3D
products and provides for the cost of refurbishment of these hand pieces as part of cost of revenue. When customers purchase a replacement hand piece or are provided a replacement hand piece under a warranty or service contract, the Company ships the customer a previously refurbished unit. Upon the receipt of the expended hand piece from the customer, the Company capitalizes the expended hand piece as inventory at the estimated fair value. Cost of revenue includes the costs incurred to refurbish hand pieces.
Research and Development Expense, Policy [Policy Text Block]
Research and Development Expenditures
 
Research and development costs are expensed as incurred and include costs related to research, design, development, testing of products, salaries, benefits and other headcount related costs, facilities, material,
third
party contractors, regulatory affairs, clinical and development costs.
Advertising Costs, Policy [Policy Text Block]
Advertising Costs
 
Advertising costs are included as part of sales and marketing expense and are expensed as incurred. Advertising expenses for
2018,
2017
and
2016
were
$2.8
million,
$1.8
million and
$1.3
million, respectively.
Share-based Compensation, Option and Incentive Plans Policy [Policy Text Block]
Stock-based Compensation
 
The Company accounts for share-based employee compensation plans using the fair value recognition and measurement provisions under U.S. GAAP. The Company’s share-based compensation cost is measured at the grant date, based on the fair value of the award, and is recognized as expense on a straight-line basis over the requisite service period. The Company estimates expected forfeitures at the time of grant and revises, if necessary, in subsequent periods if actual forfeitures differ from those estimated.
 
Expected Term
: The expected term represents the weighted-average period that the stock options are expected to be outstanding prior to being exercised. The Company determines expected term based on historical exercise patterns and its expectation of the time it will take for employees to exercise options still outstanding.
 
Expected Volatility:
The underlying stock price volatility of our stock. The Company estimates volatility based on a
50
-
50
blend of our historical volatility and the implied volatility of freely traded options of our stock in the open market.
 
Risk-Free Interest Rate:
The risk-free interest rate is based on the U.S. treasury yield curve in effect at the time of grant for the expected term of the stock option.
 
 
The fair value of stock options ("options") on the grant date is estimated using the Black-Scholes option-pricing model using the single-option approach. The Black-Scholes option pricing model requires the use of highly subjective and complex assumptions, including the option's expected term and the price volatility of the underlying stock, to determine the fair value of award. The Company recognizes the expense associated with options using a single award approach over the requisite service period. The Company accounts for all stock options awarded to non-employees at the fair value of the consideration received or the fair value of the equity instrument issued, as calculated using the Black-Scholes model.
 
 
The fair value of restricted stock units is determined based on the closing quoted
50
-day moving average price of the Company’s common stock on the day of the grant.
 
 
The fair value of Performance Stock Units (“PSUs”) that have operational measurement goals, are measured at the 
50
-day moving average price of the Company’s stock on the date of grant. PSUs with market-based measurement goals are valued using the Monte-Carlo simulation option-pricing model. The Monte-Carlo simulation option-pricing model uses the same input assumptions as the Black-Scholes model, however, it further incorporates into the fair-value determination the possibility that the market condition
may
not
be satisfied.
 
See Note 
9
- Stockholders’ Equity, Stock Plans and Stock-Based Compensation Expense for a detailed discussion of the Company’s stock plans and share-based compensation expense.
Income Tax, Policy [Policy Text Block]
Income Taxes
 
The Company is subject to taxes on earnings in both the U.S. and various foreign jurisdictions. As a global taxpayer, significant judgments and estimates are required in evaluating our uncertain tax positions and determining our provision for income taxes on earnings. The Company recognizes tax benefits from uncertain tax positions only if it is more likely than
not
that the tax position will be sustained on examination by the taxing authorities, based on the technical merits of the position. The tax benefits recognized in the financial statements from such positions are then measured based on the largest benefit that has a greater than
50%
likelihood of being realized upon ultimate settlement.
 
The Company’s effective tax rates have differed from the statutory rate primarily due to changes in the valuation allowance, foreign operations, research and development tax credits, state taxes, and certain benefits realized related to stock option activity. The Company’s current effective tax rate does
not
assume U.S. taxes on undistributed profits of foreign subsidiaries. These earnings could become subject to incremental foreign withholding or U.S. federal and state taxes, should they either be deemed or actually remitted to the U.S. The Company’s future effective tax rates could be adversely affected by earnings being lower in countries where the Company has lower statutory rates and being higher in countries where the Company has higher statutory rates, or by changes in tax laws, accounting principles, interpretations thereof, net operating loss carryback, research and development tax credits, and due to changes in the valuation allowance of its U.S. deferred tax assets. In addition, the Company is subject to the examination of our income tax returns by the Internal Revenue Service and other tax authorities. The Company regularly assesses the likelihood of adverse outcomes resulting from these examinations to determine the adequacy of our provision for income taxes.
 
Undistributed earnings of the Company’s foreign subsidiaries at
December 31, 2018
are considered to be indefinitely reinvested and, accordingly,
no
provision for federal and state income taxes has been provided thereon. Due to the Transition Tax and Global Intangible Low-Tax Income (“GILTI”) regimes as enacted by the
2017
Tax Act, those foreign earnings will
not
be subject to federal income taxes when actually distributed in the form of a dividend or otherwise. The Company, however, could still be subject to state income taxes and withholding taxes payable to various foreign countries. The amounts of taxes which the Company could be subject to are
not
material to the accompanying financial statements.
 
In
December 
2017,
the SEC staff issued Staff Accounting Bulletin
No.
 
118,
Income Tax Accounting Implications of the Tax Cuts and Jobs Act (“SAB 
118”
), which allows companies to record provisional amounts during a measurement period
not
to extend beyond
one
year of the enactment date. Since the
2017
Tax Act was passed late in the
fourth
quarter of
2017,
and ongoing guidance and accounting interpretation was yet to be issued, the Company’s accounting of the transition tax and deferred tax re-measurements was incomplete as of
December 
31,
2017.
The Company filed its
2017
Federal corporate income tax return in the
fourth
quarter of
2018.
The Company’s final analysis and impact of the
2017
Tax Act is reflected in the tax provision and related tax disclosures for the year ended
December 
31,
2018.
There was a net increase of approximately
$0.4
 million to the originally estimated
$7.3
 million remeasurement of deferred tax assets. The Company considers the
$0.4
 million true-up to be an immaterial change in estimate which has been reflected within the measurement period in accordance with SAB 
118.
 
 
In
January 
2018,
the FASB released guidance on the accounting for tax on the GILTI provisions of the
2017
Tax Act. The GILTI provisions impose a tax on foreign income in excess of a deemed return on tangible assets of foreign corporations. The guidance indicates that either accounting for deferred taxes related to GILTI inclusions or treating any taxes on GILTI inclusions as a period cost are both acceptable methods subject to an accounting policy election. The Company has elected to treat any taxes on GILTI inclusions as a period cost.
Earnings Per Share, Policy [Policy Text Block]
Computation of Net Income (
Loss)
per Share
 
Basic net income per share is computed using the weighted average number of shares outstanding during the period. Diluted net income per share is computed using the weighted average number of the Company’s shares and dilutive potential shares outstanding during the period. Dilutive potential shares primarily consist of employee stock options, restricted stock units, and shares to be purchased by employees under the Company’s employee stock purchase plan.
 
GAAP requires that employee equity share options, non-vested shares, and similar equity instruments granted by the Company be treated as potential common shares outstanding in computing diluted earnings per share. Diluted shares outstanding include the dilutive effect of equity awards, which is calculated based on the average share price for each fiscal period using the treasury stock method. Under the treasury stock method, the amount the employee must pay for exercising stock options and the amount of compensation cost for future service that the Company has
not
yet recognized are assumed to be used to repurchase shares. Diluted earnings per share (“EPS”) is same as basic when the Company incurs a loss.
Comprehensive Income, Policy [Policy Text Block]
Comprehensive Income (Loss)
 
Comprehensive income (loss) includes all changes in stockholders’ equity except those resulting from investments or contributions by stockholders. For the periods presented, the accumulated other comprehensive income (loss) consisted solely of the unrealized gains or losses on the Company's available for- sale investments, net of tax.
Foreign Currency Transactions and Translations Policy [Policy Text Block]
Foreign Currency
 
The U.S. Dollar is the functional currency of the Company’s subsidiaries. Monetary assets and liabilities are re-measured into U.S. Dollars at the applicable period end exchange rate. Sales and operating expenses are re-measured at average exchange rates in effect during each period. Gains or losses resulting from foreign currency transactions are included in net income (loss) and are insignificant for each of the
three
years ended
December 31, 2017.
The effect of exchange rate changes on cash and cash equivalents was insignificant for each of the
three
years presented in the period ended
December 31, 2018.
Segment Reporting, Policy [Policy Text Block]
Segments
 
The Company operates in
one
segment. Management uses
one
measurement of profitability and does
not
segregate its business for internal reporting. As of
December 31, 2018,
and
2017,
89%
and
98%
of long-lived assets were in the United States, respectively. Revenue is attributed to a geographic region based on the location of the end customer. See Note
13
– Segment Information and Revenue by Geography and Products for details relating to revenue by geography.