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Consolidated Statements of Cash Flows - USD ($)
9 Months Ended
Sep. 30, 2023
Sep. 30, 2022
Cash flows from operating activities:    
Net loss $ (27,412,260) $ (22,162,767)
Adjustments to reconcile net loss to net cash used in operating activities:    
Depreciation and amortization 2,098,935 194,698
Gain on forgiveness of debt (1,201,857) (178,250)
Amortization of debt discount 867,572
Share-based payments 13,109,135 13,957,145
Change in operating assets and liabilities:    
Inventory (1,675,394) (549,825)
Accounts receivable (512,826)
Prepaid expenses and other assets 79,224 (795,365)
Deferred charges 1,200,916
Deferred revenues (74,111)
Operating lease liabilities (215,743) (28,521)
Accretion operating lease liabilities 890,474
Other assets (161,358)
Royalty obligation (900,000)
Accounts payable and accrued expenses 2,753,572 897,256
Net cash used in operating activities (10,092,363) (9,726,987)
Cash flows from investing activities:    
Purchase of debt securities (136,033) (7,441,617)
Proceeds from disposition of debt securities 7,572,136
Acquisition, net of cash acquired (4,206,200)
Purchase of property and equipment (119,942) (257,907)
Payment of patent costs and other intangibles (137,645)
Net cash provided by (used in) investing activities 3,109,961 (7,837,169)
Cash flows from financing activities:    
Proceeds from issuance of common stock- offerings 8,723,461 23,100,000
Placement costs (491,932) (2,548,000)
Proceeds from exercise of options and warrants 390,624
Proceeds from line of credit 6,197,695
Proceeds from issuance of convertible notes 10,350,000
Dividends paid (32,504)
Principal repayments of notes payable (5,147,300) (202,503)
Net cash provided by financing activities 19,631,924 20,707,617
Increase in cash, cash equivalents and restricted cash 12,649,522 3,143,461
Cash, cash equivalents, and restricted cash at beginning of period 9,461,597 10,426,249
Cash, cash equivalents and restricted cash at end of period 22,111,119 13,569,710
Supplementary disclosure of non-cash financing activities:    
Preferred stock conversion to common 220,099 3,094,134
Assets acquired excluding identifiable intangible assets and goodwill and cash 7,090,094
Liabilities assumed and consideration payable 19,755,903
Identifiable intangible assets and goodwill, net of cash outlay 19,993,525
Debt discount 5,569,978
Fair value of shares issued pursuant to antidilutive provisions 4,691,022
Fair value of shares issued pursuant to acquisition 7,327,716
Fair value of shares issued pursuant to extinguishment of debt 2,040,231
Right-of-use assets and operating lease liabilities   23,621,267
Cash paid during the period for:    
Interest $ 666,539 $ 303,957