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Condensed Consolidated Statements of Cash Flows (Unaudited) - USD ($)
9 Months Ended
Sep. 30, 2023
Sep. 30, 2022
Cash flow from operating activities:    
Net loss $ (205,842,000) $ (10,242,000)
Adjustments to reconcile net loss to net cash used in operations:    
Depreciation and amortization 7,028,000 6,997,000
Non cash lease expense (62,000) (41,000)
Provision for doubtful accounts 456,000 981,000
Goodwill impairment 112,347,000 0
Change in fair value of warrant liabilities (6,788,000) (31,613,000)
Stock-based compensation expense 11,442,000 11,470,000
Change in fair value of contingent consideration (104,339,000) (73,441,000)
Acquired in-process research and development 3,000,000  
Issuance of common stock for stem-cells to be used in research and development 1,000,000  
Issuance of common stock relating to Yorkville debt extension 712,000  
Discounts arising from RWI loan arrangement - related party 2,151,000  
Fair value of warrant modification for professional services 403,000  
Change in fair value of contingent stock consideration (159,000) 415,000
Change in fair value of debt 354,000 291,000
Other, net 2,012,000 (1,432,000)
Changes in assets and liabilities:    
Accounts receivable (118,000) (2,688,000)
Inventory (1,605,000) (16,830,000)
Prepaid expenses and other assets 2,179,000 510,000
Accounts payable 6,754,000 297,000
Accrued expenses and other liabilities 1,533,000 6,546,000
Accrued R&D Software 24,161,000  
Right-of-use assets and lease liabilities 172,000 195,000
Deferred revenue 1,065,000 294,000
Net cash used in operating activities (34,344,000) (108,291,000)
Cash flow from investing activities:    
Capital expenditures (468,000) (4,457,000)
Purchase of acquired in-process research and development (3,000,000)  
Net cash used in investing activities (3,468,000) (4,457,000)
Cash flow from financing activities:    
Proceeds from RWI senior secured bridge loan and warrants - related party 12,375,000  
Principal payments of Yorkville short-term debt (16,811,000)  
Proceeds from issuance of senior secured C.V. Starr bridge loan and warrants - related party 4,994,000  
Proceeds from the exercise of stock options 304,000 647,000
Proceeds from the exercise of warrants   46,490,000
Proceeds from PIPE financings 12,750,000 30,000,000
Proceeds from the sale of common stock in ATM offering 136,000 4,570,000
Proceeds from other short-term debt 2,000,000 39,200,000
Proceeds from other short-term debt - related party 1,000,000  
Tax withholding on vesting of restricted stock units (87,000)  
Proceeds from registered direct offerings 9,000,000  
Payments of PIPE and other issuance costs (1,553,000) (2,754,000)
Net cash provided by financing activities 24,108,000 118,153,000
Net (decrease) increase in cash, cash equivalents and restricted cash (13,704,000) 5,405,000
Cash, cash equivalents and restricted cash at beginning of period 28,802,000 52,076,000
Cash, cash equivalents and restricted cash at end of period 15,098,000 57,481,000
Supplemental disclosure of cash flow information:    
Cash paid for interest 1,073,000  
Supplemental non-cash investing and financing activities:    
Property and equipment included in accounts payable and accrued expenses (752,000) (1,014,000)
Issuance of warrants on senior secured bridge loans 2,002,000  
Common stock issued for short-term debt conversion 4,599,000  
Reduction of right-of-use assets and associated lease liability due to lease modification (2,083,000)  
ATM related costs included in accrued expenses   (234,000)
PIPE related costs included in accrued expenses (69,000) (55,000)
Interest accrued on senior secured loans within long-term debt - related parties (1,229,000)  
Reclassification of option liabilities to equity   $ 441,000
IPR&D    
Adjustments to reconcile net loss to net cash used in operations:    
Impairment of intangible assets, excluding goodwill $ 107,800,000