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Basis of preparation - Going concern (Details) - USD ($)
1 Months Ended 12 Months Ended
Mar. 20, 2023
Jul. 14, 2022
Mar. 31, 2023
Dec. 31, 2022
Dec. 31, 2021
Dec. 31, 2020
Oct. 29, 2021
Dec. 31, 2019
Basis of preparation                
Cash flow from operating activities       $ 13,211,417 $ 16,339,266 $ 7,948,248    
Cash balance, excluding restricted cash       1,623,957 10,699,679 17,756,742   $ 6,673,205
Working capital       18,104,352 $ 6,333,702      
Proceeds from bank loans       55,000,000        
Subsequent Debt Financing                
Basis of preparation                
Proceeds from bank loans $ 7,750,000              
Credit Facility                
Basis of preparation                
Borrowing limit             $ 30,000,000  
Proceeds from bank loans       $ 55,000,000        
Amount repaid to Madryn credit facility   $ 15,446,546            
Term Loan                
Basis of preparation                
Borrowing limit           $ 15,000,000    
Madryn Credit Facility                
Basis of preparation                
Borrowing limit   75,000,000            
Proceeds from bank loans   55,000,000            
Maximum additional permissible draw amount   20,000,000            
Various loans held                
Basis of preparation                
Amount repaid to Madryn credit facility   $ 15,154,845            
Unsecured notes | Subsequent Debt Financing                
Basis of preparation                
Proceeds from bank loans     $ 1,750,000