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Significant Accounting Policies (Policies)
12 Months Ended
Dec. 31, 2018
Accounting Policies [Abstract]  
Basis of Accounting, Policy [Policy Text Block]
Nature of Operations and Continuance of Operations
 
The Company was originally incorporated on
April 23, 2002
in Minnesota as BioDrain Medical, Inc. Effective
August 6, 2013,
the Company changed its name to Skyline Medical Inc. Pursuant to an Agreement and Plan of Merger effective
December 16, 2013,
the Company merged with and into a Delaware corporation with the same name that was its wholly-owned subsidiary, with such Delaware Corporation as the surviving corporation of the merger. On
August 31, 2015,
the Company completed a successful offering and concurrent uplisting to The NASDAQ Capital Market. On
February 1, 2018,
the Company filed with the Secretary of State of Delaware a Certificate of Amendment to the Certificate of Incorporation to change the Company’s corporate name from Skyline Medical Inc. to Precision Therapeutics Inc., effective
February 1, 2018.
Because of this change, the Company’s common stock began trading under the new ticker symbol “AIPT,” effective
February 2, 2018.
Skyline Medical (“Skyline”) remains as an incorporated division of Precision Therapeutics Inc.
 
As of
December 31, 2018,
the registrant had
14,091,748
shares of common stock, par value
$.01
per share, outstanding. The Company has developed an environmentally safe system for the collection and disposal of infectious fluids that result from surgical procedures and post-operative care. The Company also makes ongoing sales of its proprietary cleaning fluid and filters to users of the STREAMWAY systems. In
April 2009,
the Company received
510
(k) clearance from the FDA to authorize the Company to market and sell its STREAMWAY System products.
 
The Company acquired
25%
of the capital stock of Helomics Holding Corporation (“Helomics”), in transactions in the
first
quarter of
2018,
and in
April 2018
the Company entered into a letter of intent for a proposed merger transaction to acquire the remaining ownership of Helomics. In
June 2018,
the Company and Helomics entered into a definitive merger agreement – see Note
4.
The Company’s precision medicine services – designed to use artificial intelligence and a comprehensive disease database to improve the effectiveness of cancer therapy – were launched with the Company’s investment in Helomics. Helomics’ precision oncology services are based on its D-CHIP™ diagnostic platform, which combines a database of genomic and drug response profiles from over
149,000
tumors with an artificial intelligence based searchable bioinformatics platform. Once a patient’s tumor is excised and analyzed, the D-CHIP platform compares the tumor profile with its database, and using its extensive drug response data, provides a specific therapeutic roadmap. In addition, the Company has formed a wholly-owned subsidiary, TumorGenesis Inc. (“TumorGenesis”), to develop the next generation, patient derived tumor models for precision cancer therapy and drug development. TumorGenesis, formed during the
first
quarter, is presented as part of the consolidated financial statements (“financial statements”).
 
The accompanying financial statements have been prepared assuming the Company will continue as a going concern. The Company has incurred recurring losses from operations and has an accumulated deficit of
$63,107,945.
The Company does
not
expect to generate sufficient operating revenue to sustain its operations in the near-term. In
2018,
the Company incurred negative operating cash flows of approximately
$441,000
per month. Although the Company has attempted to curtail expenses, there is
no
guarantee that the Company will be able to reduce these expenses significantly, and expenses
may
need to be higher to prepare product lines for broader sales in order to generate sustainable revenues.
 
The Company had cash and cash equivalents of
$162,152
as of
December 31, 2018
and needs to raise significant additional capital to meet its operating needs, pay debt obligations coming due, and the continued operating needs of Helomics, therefore there is substantial doubt about the Company’s ability to continue as a going concern for
one
year after the date that the financial statements are issued. The financial statements do
not
include any adjustments that might result from the outcome of this uncertainty. The Company has available financing options including a shelf registration statement on Form S-
3,
with which the Company has raised approximately
$2.1
million in net proceeds in early
2019.
The Company
may
raise up to approximately
$1.7
million in additional gross proceeds in the next calendar year using the shelf registration statement. This amount of available financing will increase to approximately
$6.4
million in additional gross proceeds, once the Helomics acquisition is completed.
  
Since inception to
December 31, 2018,
the Company raised approximately
$36,490,000
in equity and
$7,870,000
in debt financing. Equity raises include: a
January 2017
public offering of units with gross proceeds to the Company of
$3,937,500;
a
November 2017
private placement with gross proceeds of
$1,300,000;
and, a
January 2018
public offering with gross proceeds of
$2,755,000.
Included in debt financing were raises in
September 2018
on senior secured promissory notes with net proceeds of
$1,815,000,
and in
November 2018
the Company received a loan from the CEO for
$370,000.
Subsequent to
December 31, 2018,
the Company’s CEO made an additional loan to the Company and made a private investment in the Company’s common stock, which in total, generated an additional
$1,300,000.
 
The Company has
no
commitments or contingencies.
New Accounting Pronouncements, Policy [Policy Text Block]
Recent Accounting Developments
 
Accounting Policies and Estimates
 
The presentation of financial statements in conformity with accounting principles generally accepted in the United States of America requires management to make estimates and assumptions that affect the reported amounts of assets and liabilities and disclosure of contingent assets and liabilities at the date of the financial statements and the reported amounts of revenues and expenses during the reporting period. Actual results could differ from those estimates.
 
In 
May 2014, 
the Financial Accounting Standards Board (“FASB”) issued Accounting Standards Update (“ASU”) 
No.
 
2014
-
09,
 
Revenue from Contracts with Customers (Topic
606
), 
which outlines a single comprehensive model for entities to use in accounting for revenue arising from contracts with customers. The standard’s core principle is that an entity will recognize revenue when it transfers promised goods or services to customers in an amount that reflects the consideration to which the entity expects to be entitled in exchange for those goods or services. The Company adopted the standard on 
January 1, 2018 
using the modified retrospective method applied to those contracts which were
not
completed as of 
December 31, 2017.
Results for reporting periods beginning
January 
1,
2018
 are presented under Topic
606,
while prior-period amounts have
not
been retrospectively adjusted and continue to be reported in accordance with Topic
605,
Revenue Recognition
. Based upon the Company’s contracts which were
not
completed as of
December 31, 2017,
the Company was
not
required to make an adjustment to the opening balance of retained earnings as of
January 1, 2018,
and there was
no
material impact. See Note
3
for further discussion.
 
In
January 2016,
the FASB issued ASU
No.
2016
-
01,
Financial Instruments-Overall (Subtopic
825
-
10
): Recognition and Measurement of Financial Assets and Financial Liabilities
(“ASU
2016
-
01”
). The standard changes how entities measure certain equity investments and present changes in the fair value of financial liabilities measured under the fair value option that are attributable to their own credit. Under the new guidance, entities will be required to measure equity investments that do
not
result in consolidation and are
not
accounted for under the equity method at fair value and recognize any changes in fair value in net income unless the investments qualify for the new practicability exception. The Company adopted the standard as of
January 1, 2018.
As of
December 31, 2018,
there is
no
material impact on the Company’s financial statements and disclosures.
 
In
February 2016,
the FASB issued ASU
No.
2016
-
02,
Leases (Topic
842
)
” (“ASU
2016
-
02”
), which requires lessees to put most leases on their balance sheets but recognize the expenses on their income statements in a manner similar to current practice. The standard states that a lessee would recognize a lease liability for the obligation to make lease payments and a right-to-use asset for the right to use the underlying asset for the lease term. The standard is effective for fiscal years and interim periods within those fiscal years beginning after
December 15, 2018.
Early adoption is permitted. The Company adopted ASU
2016
-
02
on
January 1, 2019,
using the transition relief to the modified retrospective approach, presenting prior year information based on the previous standard. The adoption resulted in
no
material impact to the Company’s balance sheet, results of operations, equity or cash flows.
 
In
August 2016,
the FASB issued ASU
No.
2016
-
15,
Statement of Cash Flows (Topic
230
): Classification of Certain Cash Receipts and Cash Payments,
to address diversity in how certain cash receipts and cash payments are presented and classified in the statements of cash flows. The amendments are effective for public business entities for fiscal years beginning after
December 15, 2017,
and interim periods within those fiscal years. The amendments should be applied using a retrospective transition method to each period presented. If retrospective application is impractical for some of the issues addressed by the update, the amendments for those issues would be applied prospectively as of the earliest date practicable. Early adoption is permitted, including adoption in an interim period. The Company adopted the standard as of
January 1, 2018.
As of
December 31, 2018,
there is
no
material impact on the Company’s financial statements and disclosures.
Impairment or Disposal of Long-Lived Assets, Including Intangible Assets, Policy [Policy Text Block]
Valuation of Intangible Assets
 
The Company reviews identifiable intangible assets for impairment in accordance with ASC
360
— Intangibles —Goodwill and Other, whenever events or changes in circumstances indicate the carrying amount
may
not
be recoverable. The Company’s intangible assets are definite lived and currently solely the costs of obtaining licensing fees, trademarks, and patents. Events or changes in circumstances that indicate the carrying amount
may
not
be recoverable include, but are
not
limited to, a significant change in the medical device marketplace and a significant adverse change in the business climate in which the Company operates.
Advertising Costs, Policy [Policy Text Block]
Advertising
 
Advertising costs are expensed as incurred. Advertising expenses were
$43,548
in
2018
and
$37,060
in
2017.
Research and Development Expense, Policy [Policy Text Block]
Research and Development
 
Research and development costs are charged to operations as incurred.  Research and development costs were approximately
$526,000
and
$289,000
for
2018
and
2017,
respectively.
Revenue from Contract with Customer [Policy Text Block]
Revenue Recognition
 
The Company’s revenue consists primarily of sales of the STREAMWAY System, as well as sales of the proprietary cleaning fluid and filters for use with the STREAMWAY System. The Company sells its products directly to hospitals and other medical facilities using employed sales representatives and independent contractors. Purchase orders, which are governed by sales agreements in all cases, state the final terms for unit price, quantity, shipping and payment terms. The unit price is considered the observable stand-alone selling price for the arrangements. The Company sales agreement, Terms and Conditions, is a dually executed contract providing explicit criteria supporting the sale of the STREAMWAY System. The Company considers the combination of a purchase order and the Terms and Conditions to be a customer’s contract in all cases.
 
The Company recognizes revenue when it satisfies a performance obligation by transferring control of the promised goods or services to its customers, in an amount that reflects the consideration the Company expects to be entitled to in exchange for those goods or services. Sales taxes are imposed on the Company’s sales to nonexempt customers. The Company collects the taxes from the customers and remits the entire amounts to the governmental authorities. The Company has elected the accounting policy to exclude sales taxes from revenue and expenses.
 
Product sales consist of a single performance obligation that the Company satisfies at a point in time. The Company recognizes product revenue when the following events have occurred: (a) the Company has transferred physical possession of the products, (b) the Company has a present right to payment, (c) the customer has legal title to the products, and (d) the customer bears significant risks and rewards of ownership of the products. Based on the shipping terms specified in the sales agreements and purchase orders, these criteria are generally met when the products are shipped from the Company’s facilities (“FOB origin”, which is the Company’s standard shipping terms). As a result, the Company determined that the customer is able to direct the use of, and obtain substantially all of the benefits from, the products at the time the products are shipped. The Company
may,
at its discretion, negotiate different shipping terms with customers which
may
affect the timing of revenue recognition. The Company’s standard payment terms for its customers are generally
30
to
60
days after the Company transfers control of the product to its customer. The Company allows returns of defective disposable merchandise if the customer requests a return merchandise authorization from the Company.
 
Customers
may
also purchase a maintenance plan from the Company, which requires the Company to service the STREAMWAY System for a period of
one
year subsequent to the
one
-year anniversary date of the original STREAMWAY System invoice. The maintenance plan is considered a separate performance obligation from the product sale, is charged separately from the product sale, and is recognized over time (ratably over the
one
-year period) as maintenance services are provided. A time-elapsed output method is used to measure progress because the Company transfers control evenly by providing a stand-ready service. The Company has determined that this method provides a faithful depiction of the transfer of services to its customers.
 
All amounts billed to a customer in a sales transaction related to shipping and handling, if any, represent revenues earned for the goods provided, and these amounts have been included in revenue. Costs related to such shipping and handling billing are classified as cost of goods sold.
 
Variable Consideration
 
The Company records revenue from distributors and direct end customers in an amount that reflects the transaction price it expects to be entitled to after transferring control of those goods or services. The Company’s current contracts do
not
contain any features that create variability in the amount or timing of revenue to be earned.
Cash and Cash Equivalents, Policy [Policy Text Block]
Cash Equivalents
 
The Company considers all highly liquid debt instruments with a maturity of
three
months or less when purchased to be cash equivalents. Cash equivalents are stated at cost, which approximate fair value.
Certificates of Deposit Policy [Policy Text Block]
Certificates of Deposit
 
Short-term interest-bearing investments are those with maturities of less than
one
year but greater than
three
months when purchased. Certificates with maturity dates beyond
one
year are classified as noncurrent assets. These investments are readily convertible to cash and are stated at cost plus accrued interest, which approximates fair value.
Fair Value Measurement, Policy [Policy Text Block]
Fair Value Measurements
 
Under generally accepted accounting principles as outlined in the FASB’s
Accounting Standards Certification
(ASC)
820,
fair value is 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. The accounting standards ASC
820
establishes a
three
-level fair value hierarchy that prioritizes information used in developing assumptions when pricing an asset or liability as follows:
 
Level
1
– Observable inputs such as quoted prices in active markets;
 
Level
2
– Inputs other than quoted prices in active markets, that are observable either directly or indirectly; and
 
Level
3
– Unobservable inputs where there is little or
no
market data, which requires the reporting entity to develop its own assumptions.
 
The Company uses observable market data, when available, in making fair value measurements. Fair value measurements are classified according to the lowest level input that is significant to the valuation.
 
The fair value of the Company’s investment securities, which in
2018
are cash equivalents only, were determined based on Level
1
inputs.
Receivables, Policy [Policy Text Block]
Receivables
 
Receivables are reported at the amount the Company expects to collect on balances outstanding. The Company provides for probable uncollectible amounts through charges to earnings and credits to the valuation based on management’s assessment of the current status of individual accounts. Changes to the valuation allowance have
not
been material to the financial statements.
Inventory, Policy [Policy Text Block]
Inventories
 
Inventories are stated at the net realizable value, with cost determined on a
first
-in,
first
-out basis. Inventory balances are as follows:
 
    December 31,
2018
  December 31,
2017
         
Finished goods   $
58,701
    $
62,932
 
Raw materials    
127,003
     
141,028
 
Work-In-Process    
55,362
     
61,085
 
Total   $
241,066
    $
265,045
 
Property, Plant and Equipment, Policy [Policy Text Block]
Property and Equipment
 
Property and equipment are stated at cost less accumulated depreciation and amortization. Depreciation of property and equipment is computed using the straight-line method over the estimated useful lives of the respective assets. Depreciation is shown in the financial statements under fixed assets, net on the balance sheet, and amortization is shown under intangibles, net on the balance sheet. Estimated useful asset life by classification is as follows:
 
   
Years
Computers and office equipment
   
3
-
7
 
Leasehold improvements
   
 
5
 
 
Manufacturing Tooling
   
3
-
7
 
Demo Equipment
   
 
3
 
 
 
The Company’s investment in fixed assets consists of the following:
 
    December 31,
2018
  December 31,
2017
Computers and office equipment   $
204,903
    $
183,528
 
Leasehold Improvements    
140,114
     
25,635
 
Manufacturing Tooling    
108,955
     
108,955
 
Demo Equipment    
85,246
     
43,368
 
Total    
539,218
     
361,486
 
Less: Accumulated Depreciation    
358,765
     
273,770
 
Total Fixed Assets, Net   $
180,453
    $
87,716
 
 
Upon retirement or sale, the cost and related accumulated depreciation are removed from the balance sheet and the resulting gain or loss is reflected in operations. Maintenance and repairs are charged to operations as incurred.
 
Depreciation expense was
$84,995
in
2018
and
$58,872
in
2017.
Goodwill and Intangible Assets, Intangible Assets, Policy [Policy Text Block]
Intangible Assets
 
The components of intangible assets all of which are finite-lived were as follows:
 
    12/31/2018   12/31/2017
    Gross Carrying
Costs
  Accumulated
Amortization
  Net Carrying
Amount
  Gross Carrying
Costs
  Accumulated
Amortization
  Net Carrying
Amount
Patents & Trademarks   $
318,304
    $
(182,559
)   $
135,745
    $
264,032
    $
(168,676
)   $
95,356
 
Licensing Fees    
877,500
     
(48,750
)    
828,750
     
-
     
-
     
-
 
Total   $
1,195,804
    $
(231,309
)   $
964,495
    $
264,032
    $
(168,676
)   $
95,356
 
 
The following table outlines the estimated future amortization expense related to intangible assets held as of
December 31, 2018
 
Year ending   Expense
2019    
72,383
 
2020    
72,383
 
2021    
72,383
 
2022    
72,383
 
2023    
72,383
 
Thereafter    
602,580
 
Total    
964,495
 
 
Intangible assets consist of trademarks, patent costs and licensing fees. Amortization expense was
$62,633
in
2018
and
$12,689
in
2017.
The assets are reviewed for impairment annually, and impairment losses, if any, are charged to operations when identified.
Income Tax, Policy [Policy Text Block]
Income Taxes
 
On
December 22, 2017,
the Tax Cuts and Jobs Act of
2017
(Tax Reform Act) was signed into law making significant changes to the Internal Revenue Code. Changes include a reduction in the corporate tax rates, changes to operating loss carry-forwards and carrybacks, and a repeal of the corporate alternative minimum tax. The legislation reduced the U.S. corporate income tax rates from
34%
to
21%.
As a result of the enacted law, the Company was required to value its deferred tax assets and liabilities at the new enacted rate. There was
no
income tax impact from the re-measurement due to the
100%
valuation allowance on the Company’s deferred tax assets.
 
The Company accounts for income taxes in accordance with ASC
740
-
Income Taxes
(“ASC
740”
). Under ASC
740,
deferred tax assets and liabilities are determined based on the differences between the financial reporting and tax bases of assets and liabilities and net operating loss and credit carryforwards using enacted tax rates in effect for the year in which the differences are expected to impact taxable income. Valuation allowances are established when necessary to reduce deferred tax assets to the amounts expected to be realized.
 
The Company reviews income tax positions expected to be taken in income tax returns to determine if there are any income tax uncertainties. The Company recognizes tax benefits from uncertain tax positions only if it is more likely than
not
that the tax positions will be sustained on examination by taxing authorities, based on technical merits of the positions. The Company has identified
no
income tax uncertainties.
Offering Costs [Policy Text Block]
Offering Costs
 
Costs incurred which are direct and incremental to an offering of the Company’s securities are deferred and charged against the proceeds of the offering, unless such costs are deemed to be insignificant in which case they are expensed as incurred.
Concentration Risk, Credit Risk, Policy [Policy Text Block]
Credit Risk
 
Financial instruments which potentially subject the Company to concentrations of credit risk consist principally of cash. The Company places its cash with high credit quality financial institutions and, by policy, generally limits the amount of credit exposure to any
one
financial institution. The Company has
no
credit risk concentration because there are
no
funds in excess of insurance limits in a single bank.
Standard Product Warranty, Policy [Policy Text Block]
Product Warranty Costs
 
In
2018
and in
2017,
the Company incurred approximately
$10,682
and
$6,209,
respectively in warranty costs.
Segment Reporting, Policy [Policy Text Block]
Segments
 
The Company operates in
two
segments for the sale of its medical device and consumable products. These segments are its domestic operations and international operations. Substantially all the Company’s assets, revenues, and expenses for the years ended
December 31, 2018
and
2017
were located at or derived from operations in the United States. In
2018
and
2017,
business activity within the Company’s international segment was immaterial.
Risks and Uncertainties Policy [Policy Text Block]
Risks and Uncertainties
 
The Company is subject to risks common to companies in the medical device industry, including, but
not
limited to, development by the Company or its competitors of new technological innovations, dependence on key personnel, protection of proprietary technology, and compliance with regulations of the FDA and other governmental agencies.