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Consolidated Statements of Cash Flows - USD ($)
$ in Thousands
12 Months Ended
Dec. 31, 2024
Dec. 31, 2023
Cash flow from operating activities:    
Net loss $ (57,892) $ (196,295)
Adjustments to reconcile net loss to net cash used in operations:    
Depreciation and amortization 7,922 9,324
Non cash lease expense 160 (13)
Provision for credit losses 457 1,233
Provision for inventory obsolescence (186) 1,328
Change in fair value of warrant liabilities (398) (6,164)
Inventory impairment 466 5,384
Goodwill impairment 112,347
IPR&D impairment 107,800
Stock-based compensation expense 11,569 15,017
Change in fair value of contingent consideration (193) (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 to Yorkville for debt extension and SEPA commitment fee 317 712
Issuance of common stock as compensation expense 158
Discounts arising from RWI loan arrangement - related party 2,151
Fair value of warrant modification for professional services 403
Loss on debt extinguishment 3,908
Change in fair value of debt 492 1,177
Change in fair value of contingent stock consideration (159)
Non cash interest expense 4,144
Other, net 300 4,157
Changes in operating assets and liabilities:    
Accounts receivable (3,968) (6,827)
Inventory 6,284 (865)
Prepaid expenses and other assets 905 5,606
Accounts payable 9,239 8,497
Accrued expenses and other liabilities 12,634 (1,128)
Accrued R&D software (3,500) (3,834)
Lease liabilities - operating 371 275
Deferred revenue 235 1,528
Net cash used in operating activities (6,401) (38,685)
Cash flow from investing activities:    
Capital expenditures (161) (1,048)
Rebound asset acquisition (1,500)
Purchase of acquired in-process research and development (3,000)
Proceeds from Sanuwave convertible note 2,175
Net cash provided by (used in) investing activities 514 (4,048)
Cash flow from financing activities:    
Proceeds from warrants and short-term debt - related parties 15,000 18,369
Repayments of short-term debt - unaffiliated (17,374) (16,811)
Proceeds from the sale of common stock in ATM offering 136
Proceeds from issuance of short-term debt - unaffiliated 3,622 2,000
Payment of SEPA commitment fee (25)
Repayments of short-term debt - related parties (146)
Proceeds from PIPE financing 6,000 12,750
Proceeds from the exercise of stock options 58 304
Tax withholding on vesting of restricted stock units (434) (101)
Proceeds from registered direct offering 9,000
Payments of PIPE and other issuance costs (1,553)
Net cash provided by financing activities 6,701 24,094
Net increase (decrease) in cash, cash equivalents and restricted cash 814 (18,639)
Cash, cash equivalents and restricted cash at beginning of year 10,163 28,802
Cash, cash equivalents and restricted cash at end of year 10,977 10,163
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 (87) (223)
Common stock issued for short-term debt conversion 1,700 4,599
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
Reduction of right-of-use assets and associated lease liabilities - operating due to lease modification (2,083)
PIPE related costs included in accrued expenses (69)
Interest accrued on senior secured loans within long-term debt - related parties (1,770)
Contingent consideration accrued in connection with Rebound asset acquisition 650
Inventory acquired in connection with Rebound asset acquisition 2,150
Reclassification of warrants from liability classified to equity classified 2,970
Assumption of short-term debt - unaffiliated by related party $ 2,333