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CONSOLIDATED STATEMENTS OF CASH FLOWS
12 Months Ended
Dec. 31, 2020
USD ($)
Dec. 31, 2019
USD ($)
Cash flows from operating activities    
Net loss $ (33,809,000) $ (38,539,000)
Adjustments to reconcile net loss to net cash used in operating activities:    
Depreciation and amortization expense 1,727,000 1,737,000
Impairment of indefinite-lived intangible assets 0 4,000,000
Interest paid on the conversion of debt to equity 611,000  
Loss on recourse obligation on secured borrowing 15,000  
Loss on extinguishment of debt and conversion of Series D perpetual preferred stock 1,864,000 4,941,000
Amortization of operating lease right-of-use-assets 553,000 191,000
Expense on modification of warrants 86,000  
Series B convertible preferred stock inducement expense 1,647,000  
Series 3 warrants issued as an inducement to exercise equity-classified Series 1, Series 2 and Bridge warrants 3,696,000  
Stock-based compensation 2,824,000 2,989,000
Issuance of common stock in exchange for services 984,000 140,000
Issuance of common stock in Tempesta settlement agreement   49,000
Issuance of warrants and common stock in underwriter settlement agreement 76,000  
Issuance of common stock as consideration paid under the Oasis Capital Equity Purchase Agreement 33,000  
Tempesta settlement note expense   550,000
Amortization of debt issuance costs and debt discount 2,670,000 5,157,000
Shares issued to Atlas for settlement of Trial Delay Fee 612,000  
Shares issued on conversion of warrants of Atlas for settlement of Trial Delay Fee 1,904,000  
Change in fair value of financial instruments 2,696,000 (1,010,000)
Changes in assets and liabilities    
Accounts receivable (2,840,000) (696,000)
Other receivable (26,000) (8,000)
Inventory (653,000) 1,213,000
Prepaid expenses and other current assets (955,000) (247,000)
Other non-current assets 893,000 109,000
Operating lease liabilities (337,000) (133,000)
Deferred rent   222,000
Accounts payable (743,000) (63,000)
Accrued expenses 1,194,000 (1,059,000)
Total cash used in operating activities (15,278,000) (20,457,000)
Cash flows from investing activities    
Purchase of equipment (7,000)  
Total cash used in investing activity (7,000)  
Cash flows from financing activities    
Proceeds from issuance of notes payable, net of issuance costs of $50 and debt discount 12,300,000  
Proceeds from receivables secured borrowing, net of debt discount and issuance costs of $640 7,057,000  
Proceeds from issuance of short-term notes payable   5,050,000
Repayment of short-term notes payable   (5,050,000)
Repayment of notes payable (406,000) (100,000)
Repayment of insurance premium financing (681,000)  
Repayment of receivables secured borrowing (6,207,000)  
Proceeds from issuance of common stock   2,878,000
Payment of underwriting discounts, commissions and other associated offering costs   (65,000)
Payments of deferred offering costs (142,000)  
Total cash provided by financing activities 19,492,000 21,772,000
Net increase in cash and restricted cash 4,207,000 1,315,000
Cash and restricted cash at beginning of period 3,883,000 2,568,000
Cash and restricted cash at end of period 8,090,000 3,883,000
Supplemental schedule of cash flow information    
Cash paid for interest 757,000 142,000
Supplemental schedule of non-cash financing and investing activities    
Insurance premium financing 776,000  
Accretion to redemption value of Series A contingently redeemable convertible preferred stock (1,332,000)  
Common stock issued as redemption of Series D perpetual preferred stock 6,575,000  
Cash 8,090,000 3,495,000
Restricted cash   388,000
Cash and restricted cash at end of period 8,090,000 3,883,000
PoC Capital, LLC    
Supplemental schedule of non-cash financing and investing activities    
Shares issued to PoC Capital in payment of contracted research fees 437,000  
Private Investment in Public Entities March 2018    
Cash flows from financing activities    
Proceeds from issuance of common stock in PIPE financing, net of issuance costs 668,000 1,500,000
2019 Bridge Note Warrants    
Cash flows from financing activities    
Proceeds from shares issued on exercise of Oasis Capital an Equity Purchase Agreement put options, net of issuance costs of $13 5,797,000  
Notes payable    
Supplemental schedule of non-cash financing and investing activities    
Common stock issued as redemption of notes payable and related interest 6,165,000 15,345,000
Issuance of warrants   5,006,000
At The Market Offering    
Cash flows from financing activities    
Proceeds from issuance of common stock 1,281,000  
Payment of underwriting discounts, commissions and other associated offering costs (40,000)  
PIPE Financing Warrants, Dec 2019    
Cash flows from financing activities    
Proceeds from issuance of warrants   1,500,000
Bridge Note Warrants    
Supplemental schedule of non-cash financing and investing activities    
Reclassification of warrants from liability to equity   4,259,000
Series 1 warrants    
Supplemental schedule of non-cash financing and investing activities    
Deemed dividend attributable to preferred stock   522,000
March 2019 letter of credit warrant    
Supplemental schedule of non-cash financing and investing activities    
Issuance of warrants   116,000
Reclassification of warrants from liability to equity   71,000
Series 1 Warrants via Put option Oct 2019    
Cash flows from financing activities    
Proceeds from issuance of warrants   1,750,000
Pre-funded Warrants    
Cash flows from financing activities    
Issuance costs from shares issued on underwriter settlement agreement   (65,000)
Series 1, Series 2, and 2019 Bridge Note warrants May 2020    
Cash flows from financing activities    
Payment of underwriting discounts, commissions and other associated offering costs (486,000)  
Series 1 and Series 2 warrants    
Supplemental schedule of non-cash financing and investing activities    
Deemed dividend attributable to preferred stock 856,000  
Series 3 warrants    
Supplemental schedule of non-cash financing and investing activities    
Shares Issued 6,057,000  
Underwriter Settlement Agreement    
Cash flows from financing activities    
Issuance costs from shares issued on underwriter settlement agreement (185,000)  
Common Stock To Oasis Put Exercise    
Cash flows from financing activities    
Payment of underwriting discounts, commissions and other associated offering costs (13,000)  
Proceeds from shares issued on exercise of Oasis Capital an Equity Purchase Agreement put options, net of issuance costs of $13 10,000  
Series B convertible preferred stock    
Cash flows from financing activities    
Payment of underwriting discounts, commissions and other associated offering costs   (875,000)
Proceeds from issuance of common stock in PIPE financing, net of issuance costs   4,240,000
Supplemental schedule of non-cash financing and investing activities    
Deemed dividend attributable to preferred stock   4,240,000
Shares Issued 476,000 2,128,000
Conversion of Series B-2 convertible preferred stock into common stock 476,000  
Series A convertible preferred stock    
Supplemental schedule of non-cash financing and investing activities    
Deemed dividend attributable to preferred stock 1,332,000 895,000
Accretion to redemption value of Series A contingently redeemable convertible preferred stock 1,332,000 894,000
Extinguishment of Series A redeemable convertible preferred stock 11,227,000  
Series B-2 convertible preferred stock    
Supplemental schedule of non-cash financing and investing activities    
Conversion of Series B-2 convertible preferred stock into common stock 1,236,000  
Series B-2 convertible preferred stock | Pre-funded Warrants | Private Investment In Public Entities November 2019 offering    
Cash flows from financing activities    
Proceeds from issuance of convertible preferred stock   1,778,000
Series C perpetual preferred stock    
Supplemental schedule of non-cash financing and investing activities    
Deemed dividend attributable to preferred stock 2,521,000  
Shares Issued 4,717,000  
Stock dividend attributable to Series C perpetual preferred stock 130,000  
Series D perpetual preferred stock    
Supplemental schedule of non-cash financing and investing activities    
Shares Issued $ 6,404,000  
Class A units    
Cash flows from financing activities    
Proceeds from issuance of common stock   2,249,000
Payment of underwriting discounts, commissions and other associated offering costs   (875,000)
Class B units    
Cash flows from financing activities    
Payment of underwriting discounts, commissions and other associated offering costs   (1,635,000)
Class A and B units | Series 1 warrants    
Cash flows from financing activities    
Proceeds from issuance of warrants   5,026,000
Class A and B units | Series 2 warrants    
Cash flows from financing activities    
Proceeds from issuance of warrants   $ 5,026,000