On August 23, 2021, the Company entered into a fifth amendment to its Credit Agreement and Guaranty with Perceptive Credit Holdings, LP (the "Perceptive Loan"), which transferred the loan of $30.0 million to Perceptive Credit Holdings III, LP ("Perceptive"). In connection with this transfer and assignment, the Company entered into an

amended and restated credit agreement and guaranty with Perceptive (as it may be amended, restated, supplemented or modified from time to time, the "Amended Perceptive Loan Agreement"), which provides for two additional tranches of delayed-draw term loans of $10.0 million each, for an aggregate amount of $20.0 million (the "Amended Perceptive Loan"), and extended the maturity date for repayment, including with respect to amounts owed in connection with the existing delayed-draw term loan, to August 23, 2026. In conjunction with the Amended Perceptive Loan, the Company paid a closing fee equal to $0.5 million as well as the lender’s legal fees and expenses. The Company accounted for the amendment as a modification.

In connection with the Amended Perceptive Loan Agreement, the Company issued a warrant to purchase 150,685 shares of its Series E convertible preferred stock at a purchase price of $20.08 per share to Perceptive. Upon the closing of the Company's IPO, this convertible preferred stock warrant was converted into a warrant to purchase 150,685 shares of its common stock at a purchase price of $20.08 per share.

On April 6, 2022, the Company entered into Amendment No. 1 (the “First Amendment”) to the Amended Perceptive Loan Agreement. The First Amendment extended the borrowing deadline for the first tranche of $10.0 million of delayed-draw term loans from December 31, 2021 to September 30, 2022, subject to the Company having generated at least $36.0 million in revenue for the 12 consecutive month period most recently ended prior to the borrowing date. The First Amendment also extended the borrowing deadline for the second tranche of $10.0 million delayed-draw term loans from March 31, 2022 to June 30, 2023, subject to (i) the Company having generated at least $46.0 million in revenue for the 12 consecutive month period most recently ended prior to the borrowing date; and (ii) the closing market capitalization of the Company being at least $100.0 million on each trading day of the period of 15 consecutive trading days ending on the business day the borrowing notice for the tranche is delivered to Perceptive. The Company borrowed the first tranche of $10.0 million on July 29, 2022 and received a net proceeds of $9.9 million.

As a condition to entering into the First Amendment, on April 6, 2022, the Company also amended the warrants previously issued to Perceptive and certain of its affiliates to purchase an aggregate of 304,105 shares of its common stock. Such warrants were amended solely to reduce the exercise price of the warrants to $12.00 per share. In August 2022, a portion of these warrants representing 153,421 shares were transferred to a third party and its affiliates.

For the years ended December 31, 2022 and 2021, the interest rate for amounts borrowed under the Amended Perceptive Loan Agreement, was the greater of the one-month LIBOR and 2.00% plus the applicable margin of 9.25%. On January 13, 2023, the Company entered into Amendment No. 2 (the "Second Amendment") to the Amended Perceptive Loan Agreement to replace the existing benchmark rate from the one-month LIBOR with a one-month Secured Overnight Financing Rate("SOFR"). All other terms remain unchanged on the original agreement.

For the year ended December 31, 2022 and 2021, the effective interest rate of the Amended Perceptive Loan, was 16.15% and 14.59%, respectively. As of December 31, 2022 and 2021, the fair value of the Amended Perceptive Loan approximates its carrying amount.

Future principal repayments on the Amended Perceptive Loan, as of December 31, 2022, are as follows:


	Principal
	(in thousands)
2026	$	40,000
Total	$	40,000

The Amended Perceptive Loan Agreement, includes financial covenants that require the Company to (i) maintain, at all times, a minimum aggregate balance of $3.0 million in cash in one or more controlled accounts, and (ii) satisfy certain minimum revenue thresholds, measured for the 12 consecutive month period on each calendar quarter-end until June 30, 2026. These thresholds increase over time and range from $26.4 million for the twelve-month period ended September 30, 2021 to $95.3 million for the twelve month period ended June 30, 2026. Failure to satisfy these financial covenants would constitute an event of default under the agreement. For the year ended December 31, 2022, the Company was in compliance with all financial covenants and conditions required by the outstanding Amended Perceptive Loan Agreement.