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Condensed Consolidated Statements of Cash Flows (Unaudited) - USD ($)
3 Months Ended 12 Months Ended
Mar. 31, 2021
Mar. 31, 2020
Dec. 31, 2020
Dec. 31, 2019
Cash flow from operating activities:        
Net income (loss) $ (81,539,000) $ (30,200,000) $ (208,233,000) $ (211,881,000)
Adjustments to reconcile net loss to net cash used in operations:        
Depreciation and amortization 1,936,000 1,678,000 8,174,000 6,186,000
Deferred income tax provision (4,653,000) (8,482,000) (56,139,000)
Impairment charges     129,400,000 118,100,000
Provision for doubtful accounts (59,000) 563,000 292,000 707,000
Stock-based compensation expense 1,009,000 828,000 4,371,000 3,668,000
Expense related to warrant liabilities 36,505,000 13,866,000 58,686,000 4,226,000
Amortization of inventory step-up     57,000 113,000
Loss on sale of business     4,434,000
Change in fair value of contingent consideration 20,656,000 1,725,000 (55,566,000) 68,867,000
Other, net (47,000) 70,000
Changes in assets and liabilities:        
Accounts receivable 185,000 403,000 1,652,000 134,000
Inventory (1,162,000) (498,000) (643,000) (1,708,000)
Prepaid expenses and other assets (780,000) (2,425,000) (5,761,000) (564,000)
Sale of net operating losses and research and development tax credits     3,765,000
Accounts payable 85,000 (746,000) 314,000 (1,933,000)
Accrued expenses and other liabilities (1,272,000) (5,950,000) 184,000 3,078,000
Deferred revenue (597,000) (13,000) 4,093,000 353,000
Net cash used in operating activities (25,080,000) (25,422,000) (63,193,000) (66,793,000)
Cash flow from investing activities:        
Capital expenditures (1,479,000) (3,829,000) (27,834,000) (31,575,000)
Proceeds from the sale of business     15,019,000
Proceeds from the sale of assets     101,000
Net cash provided by (used in) investing activities (1,479,000) (3,829,000) (12,815,000) (31,474,000)
Cash flow from financing activities:        
Proceeds from issuance of Series B redeemable convertible preferred stock and warrants, net of issuance costs 102,535,000 102,535,000 119,178,000
Repurchase of common stock     (256,000)
Proceeds from the exercise of stock options 15,000 138,000 76,000
Payments of PIPE/SPAC related costs (4,842,000) (403,000)
Net cash (used in) provided by financing activities (4,842,000) 102,550,000 102,014,000 119,254,000
Net Change in Cash (31,401,000) 73,299,000 26,006,000 20,987,000
Cash, cash equivalents and restricted cash at beginning of period 69,513,000 43,507,000 43,507,000 22,520,000
Cash, cash equivalents and restricted cash at end of period 38,112,000 116,806,000 69,513,000 43,507,000
Supplemental disclosure of cash flow information:        
Cash paid for income taxes 13,000 62,000
Supplemental non-cash investing and financing activities:        
Property and equipment included in accounts payable and accrued expenses (287,000) (1,711,000) (806,000) (4,517,000)
Change in PIPE/SPAC related costs captured in accounts payable and accrued expenses 1,026,000    
PIPE/SPAC related costs in accounts payable and accrued expenses     (2,130,000)
Recognition of asset and financing obligation related to facility build out (216,000) (216,000) (27,867,000)
Receipt of convertible note in connection with the Sanuwave Transaction     4,524,000
UltraMIST systems reclass from inventory to fixed assets 76,000 79,000 460,000
Fair value of warrants issued in connection with Series B preferred stock sale 17,954,000 17,954,000
Issuance of warrants at estimated fair value 11,988,000 11,988,000
Issuance of Series B convertible preferred stock in connection with CariCord acquisition     250,000
Fair value of acquisition-related contingent consideration     (3,574,000)
Gx Acquisition Corp [Member]        
Cash flow from operating activities:        
Net income (loss) 38,028,962 6,368,437 (49,260,297) 5,878,770
Adjustments to reconcile net loss to net cash used in operations:        
Interest earned on marketable securities held in Trust Account (27,883) (1,109,075) (1,779,071) (3,753,411)
Change in fair value of warrant liability (40,007,500) (5,343,750) 46,630,000 (4,485,000)
Unrealized (gain) loss on marketable securities held in Trust Account (429,890) (2,236) 7,871
Deferred income tax provision (43,700) 91,930 2,255 (1,653)
Non-cash compensation expense related to private placement warrants     280,000
Allocation of initial public offering costs to derivative liability     839,201
Changes in assets and liabilities:        
Prepaid income taxes (10,381)
Prepaid expenses (26,254) (26,831) 57,938 (92,150)
Accounts payable and accrued expenses 1,630,283 (143,607) 3,199,661 209,656
Income taxes payable 43,209 (18,883) 18,883
Net cash used in operating activities (446,092) (549,577) (1,181,014) (1,097,833)
Cash flow from investing activities:        
Investment of cash in Trust Account     (137,500) (287,500,000)
Cash withdrawn from Trust Account to pay franchise and income taxes 40,050 137,500 716,203 651,000
Net cash provided by (used in) investing activities 40,050 137,500 578,703 (286,849,000)
Cash flow from financing activities:        
Proceeds from sale of Units, net of underwriting discounts paid     282,500,000
Proceeds from sale of Private Placement Warrants     7,000,000
Proceeds from promissory notes – related party 120,000 130,000
Repayment of promissory notes – related party     (280,000)
Payment of offering costs     (510,867)
Net cash (used in) provided by financing activities 120,000 288,839,133
Net Change in Cash (286,042) (412,077) (602,311) 892,300
Cash – Beginning 314,696 917,007 917,007 24,707
Cash – Ending 28,654 504,930 314,696 917,007
Supplemental disclosure of cash flow information:        
Cash paid for income taxes 137,500 218,653 651,000
Non-cash investing and financing activities:        
Change in value of common stock subject to possible redemption $ 82,611,901 $ 6,368,430    
Non-cash investing and financing activities:        
Initial classification of Class A common stock subject to redemption     251,393,700
Change in value of Class A common stock subject to possible redemption     (49,260,298) 7,000,055
Initial classification of warrant liability     21,655,000
Deferred underwriting fee payable     $ 10,812,500