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Condensed Consolidated Statements of Cash Flows (Unaudited) - USD ($)
$ in Thousands
3 Months Ended 9 Months Ended 12 Months Ended
Sep. 30, 2021
Sep. 30, 2020
Sep. 30, 2021
Sep. 30, 2020
Dec. 31, 2020
Cash flow from operating activities:          
Net loss $ 49,938 $ (46,325) $ (96,078) $ (212,143) $ (208,233)
Adjustments to reconcile net loss to net cash used in operations:          
Depreciation and amortization     6,211 6,341  
Deferred income taxes     (1,356) (8,402)  
Impairment on acquired IPR&D   129,400   129,400  
Provision for doubtful accounts     113 1,005  
Share-based compensation expense     38,077 3,355  
(Income) expense related to warrant liabilities     (2,258) 52,065  
Change in fair value of contingent consideration     (17,845) (26,136)  
Loss on sale of business, net of tax   4,434   4,434  
Other, net     3,206 (41)  
Changes in assets and liabilities:          
Accounts receivable     (754) 1,465  
Inventory     (3,778) (745)  
Prepaid expenses and other assets     (1,522) (5,336)  
Sale of NOL and R&D tax credits     1,356 3,765  
Accounts payable     1,364 237  
Accrued expenses and other liabilities     3,846 (939)  
Deferred revenue     (8,633) 5,313  
Net cash used in operating activities     (78,051) (46,362)  
Cash flow from investing activities:          
Capital expenditures     (3,900) (18,462)  
Proceeds from promissory note     300    
Proceeds from sale of business       15,019  
Net cash used in investing activities     (3,600) (3,443)  
Cash flow from financing activities:          
Proceeds from issuance of Series B redeemable convertible preferred stock and warrants, net of issuance costs       102,535  
Repurchase of common stock       (256)  
Proceeds from short term borrowings - related party     5,000    
Payment of short term borrowings - related party     (5,000)    
Proceeds from the exercise of stock options     223 52  
Proceeds from PIPE financing     83,400    
Proceeds from Palantir investment     20,000    
Payments of PIPE/SPAC related costs     (9,433)    
Net cash provided by financing activities     99,576 102,331  
Net increase in cash, cash equivalents and restricted cash     17,925 52,526  
Cash, cash equivalents and restricted cash at beginning of period     69,513 43,507 43,507
Cash, cash equivalents and restricted cash at end of period $ 87,438 $ 96,033 87,438 96,033 $ 69,513
Supplemental disclosure of cash flow information:          
Cash paid for income taxes     11 4  
Supplemental non-cash investing and financing activities:          
Property and equipment included in accounts payable and accrued expenses     (1,601) (5,153)  
Conversion of Series A, Series B and Series X preferred stock into common stock     550,113    
Cancellation of treasury stock     256    
Issuance of common stock as payment for PIPE/merger related costs     10,795    
Reclassification of warrant liabilities to equity     96,398    
Issuance of convertible note in connection with the Sanuwave Transaction       4,524  
Change in PIPE/SPAC related costs captured in accounts payable and accrued expenses     1,103    
Commencement of capital lease obligations       (216)  
UltraMIST systems reclass from inventory to fixed assets       79  
Fair value of warrants issued in connection with Series B preferred stock sale       17,954  
Issuance of warrants at estimated fair value       $ 11,988  
Gx Acquisition Corp.          
Cash flow from financing activities:          
Cash received on recapitalization     5,386    
Supplemental non-cash investing and financing activities:          
Non-cash assets acquired from the merger     163    
Warrant liability assumed from the merger     $ 59,202