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Condensed Consolidated Statements of Cash Flows (Unaudited) - USD ($)
$ in Thousands
6 Months Ended
Jun. 30, 2024
Jun. 30, 2023
Cash flow from operating activities:    
Net loss $ (28,501) $ (111,966)
Adjustments to reconcile net loss to net cash used in operating activities:    
Depreciation and amortization 4,152 4,685
Non cash lease expense 87 (40)
Provision for doubtful accounts 306 374
Provision for inventory obsolescence (50)  
Change in fair value of warrant liabilities 1,870 (1,601)
Goodwill impairment 0 29,633
IPR&D impairment   107,800
Stock-based compensation expense 5,956 7,844
Change in fair value of contingent consideration   (104,339)
Acquired in-process research and development   3,000
Issuance of common stock for stem-cells to be used in research and development   1,000
Issuance of common stock to Palantir as consideration for settlement agreement 175  
Issuance of common stock relating to Yorkville for debt extension and SEPA commitment fee 317  
Discounts arising from RWI loan arrangement - related party   2,151
Change in fair value of contingent stock consideration   (120)
Loss on extinguishment of debt 3,908 0
Change in fair value of debt (14) 2,357
Non cash interest expense 2,310  
Other, net (286) 876
Changes in assets and liabilities:    
Accounts receivable (3,732) 1,266
Inventory 5,150 (2,820)
Prepaid expenses and other assets 850 2,981
Accounts payable (397) 6,043
Accrued expenses and other liabilities 3,159 645
Accrued R&D software (3,500) 23,917
Lease liabilities - operating 179 117
Deferred revenue 210 175
Net cash used in operating activities (7,851) (26,022)
Cash flow from investing activities:    
Capital expenditures (70) (240)
Proceeds from Sanuwave convertible note receivable 2,175  
Purchase of acquired in-process research and development   (3,000)
Net cash provided by (used in) investing activities 2,105 (3,240)
Cash flow from financing activities:    
Proceeds from warrants and short-term debt - related parties 15,000 17,369
Proceeds from registered direct offering   6,000
Proceeds from the exercise of stock options   304
Repayments of short-term debt - unaffiliated (17,374) (16,811)
Proceeds from issuance of short-term debt - unaffiliated 2,993  
Payment of SEPA commitment fee (25)  
Repayments of short-term debt - related parties (100)  
Proceeds from PIPE financing 6,000 12,750
Proceeds from the sale of common stock in ATM offering   136
Payments of PIPE and other issuance costs   (1,293)
Tax withholding on vesting of restricted stock units (357) (86)
Net cash provided by financing activities 6,137 18,369
Net increase (decrease) in cash, cash equivalents and restricted cash 391 (10,893)
Cash, cash equivalents and restricted cash at beginning of period 10,163 28,802
Cash, cash equivalents and restricted cash at end of period 10,554 17,909
Supplemental disclosure of cash flow information:    
Cash paid for interest 144 1,073
Supplemental non-cash investing and financing activities:    
Property and equipment included in accounts payable and accrued expenses (21) (1,010)
Modification of C.V. Starr warrants in connection with forbearance 51  
Issuance of RWI warrants in connection with forbearance $ 1,162  
Issuance of warrants on senior secured bridge loan   2,002
PIPE related costs included in accrued expenses   (69)
Common stock issued for short-term debt conversion   3,792
Interest accrued on senior secured loans within long-term debt - related parties   $ (307)