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Statements of Cash Flows - USD ($)
9 Months Ended 12 Months Ended
Sep. 30, 2023
Sep. 30, 2022
Dec. 31, 2022
Dec. 31, 2021
Dec. 31, 2020
Cash flows from operating activities:          
Net loss $ (9,995,000) $ (21,481,000) $ (25,412,000) $ (71,067,000) $ (51,853,000)
Adjustments to reconcile net loss to net cash used in operating activities:          
Noncash inventory reserve       5,323,000  
Depreciation 77,000 1,255,000 1,280,000 2,064,000 105,000
Amortization 209,000 188,000 254,000 159,000 171,000
Loss on disposition of assets   11,122,000 11,122,000    
Loss on disposition of assets     11,122,000    
Noncash stock-based compensation 1,418,000 1,969,000 2,493,000 3,338,000 2,818,000
Noncash amortization of deferred financing costs 838,000 1,635,000 1,969,000 1,661,000 1,341,000
Unrealized gain on warrants (6,890,000) (22,171,000) (25,520,000) (3,827,000)  
Changes in operating assets and liabilities:          
Accounts receivable (144,000) (2,178,000) (1,844,000) (668,000) (865,000)
Inventory (1,079,000) (831,000) (366,000) (6,289,000)  
Prepaid expenses and other assets 2,480,000 (1,551,000) 880,000 (967,000) (2,485,000)
Accounts payable and accrued expenses 3,572,000 (2,213,000) (628,000) 5,202,000 3,641,000
Lease liability (235,000) (132,000) (175,000) (131,000) (184,000)
Net cash used in operating activities (9,749,000) (34,388,000) (35,947,000) (65,202,000) (47,311,000)
Cash flows from investing activities:          
Purchases of marketable securities         (54,837,000)
Sales and maturities of marketable securities       39,729,000 14,500,000
Acquisition of property and equipment   (133,000) (133,000) (269,000) (353,000)
Net cash used in investing activities   (133,000) (133,000) 39,460,000 (40,690,000)
Cash flows from financing activities:          
Proceeds from issuance of common stock in public offering, net of offering costs 6,509,000 21,971,000 21,936,000 21,081,000 48,434,000
Proceeds from issuance of long-term debt         20,000,000
Repayments of long-term debt (675,000) (17,150,000) (17,375,000)    
Repayments of note payable (184,000)        
Debt financing costs paid         (1,059,000)
Proceeds from exercise of stock options       75,000 610,000
Net cash provided by financing activities 7,375,000 21,523,000 22,183,000 30,422,000 67,985,000
Net decrease in cash and cash equivalents (2,374,000) (12,998,000) (13,897,000) 4,680,000 (20,016,000)
Cash and cash equivalents, beginning of period 5,246,000 19,143,000 19,143,000 14,463,000 34,479,000
Cash and cash equivalents, end of period 2,873,000 6,145,000 5,246,000 19,143,000 14,463,000
Supplemental disclosure of noncash financing activities          
Warrants issued in connection with long-term debt       1,080,000 3,570,000
Warrants issued in connection with preferred stock offering   2,101,000      
Operating right-of-use assets obtained in exchange for new operating lease liabilities       969,000  
Supplemental cash flow information          
Interest paid 276,000 1,078,000 1,162,000 2,383,000 $ 2,099,000
Series A Convertible Preferred Stock          
Supplemental disclosure of noncash financing activities          
Conversion of Series preferred stock into common stock   897,000      
Series B Convertible Preferred Stock          
Supplemental disclosure of noncash financing activities          
Conversion of Series preferred stock into common stock   887,000      
Public offering          
Cash flows from financing activities:          
Proceeds from issuance of preferred stock in registered direct offering, net of offering costs   4,129,000 4,128,000    
At-the-market sales          
Cash flows from financing activities:          
Proceeds from At-the-Market sales of common stock, net of offering costs $ 1,725,000 $ 12,573,000 $ 13,494,000 $ 9,266,000