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v3.25.3

Consolidated Statements of Cash Flows (Unaudited) - USD ($) | 9 Months Ended
--- | ---
Sep. 30, 2025 | Sep. 30, 2024
Cash flows from operating activities: |  |
Net loss | $ (35,957,889) | $ (8,211,297)
Adjustments to reconcile net loss to net cash provided by (used in) operating activities: |  |
Depreciation and amortization | 3,277,569 | 3,314,781
Asset impairment charge | 26,472,407 |
Gain on disposal of property and equipment | (9,674) |
Credit loss expense | 459,233 | 230,930
Inventory obsolescence | 489,572 | 356,261
Share-based compensation | 3,972,788 | 3,240,362
Noncash lease expense | 446,285 | 306,240
Share of losses from equity method investments | 627,732 | 31,448
Back-end fee | 578,901 | 219,689
Paid-in-kind interest | 1,593,416 | 424,067
Accretion of finance liabilities | 120,022 | 166,595
Amortization and write-off of debt issuance costs | 206,363 | 150,219
Change in fair value of earnout liabilities |  | 67,549
Changes in operating assets and liabilities: |  |
Accounts receivable, net | (144,959) | (2,777,243)
Accounts receivable – related parties | 40,566 | (35,009)
Inventory, net | (1,122,497) | 1,352,923
Prepaid and other assets | 318,266 | 178,963
Accounts payable | (359,968) | (622,719)
Accounts payable – related parties | (3,575) | 72,806
Accrued royalties and expenses | 403,767 | 249,910
Accrued bonuses and commissions | 1,879,615 | 580,031
Operating lease liabilities | (446,372) | (252,337)
Net cash provided by (used in) operating activities | 2,841,568 | (955,831)
Cash flows from investing activities: |  |
Purchases of property and equipment | (4,543,491) | (133,676)
Proceeds from disposal of property and equipment | 60,000 |
Purchases of intangible assets | (23,452) |
Investment in equity securities | (5,899,524) | (5,268,582)
Convertible loan receivable |  | (1,079,391)
CarePICS Acquisition | (2,122,146) |
Net cash used in investing activities | (12,528,613) | (6,481,649)
Cash flows from financing activities: |  |
Loan proceeds, net of debt issuance costs of $228,183 in 2025 and $1,160,740 in 2024 | 12,021,817 | 29,339,260
Pay off line of credit |  | (9,750,000)
Pay off debt assumed in CarePICS Acquisition | (1,650,000) |
Equity offering net expenses |  | (75,000)
Net settlement of equity-based awards | (764,421) | (87,807)
Cash payment of finance and earnout liabilities | (859,000) | (859,000)
Net cash provided by financing activities | 8,748,396 | 18,567,453
Net increase (decrease) in cash | (938,649) | 11,129,973
Cash, beginning of period | 15,878,295 | 5,147,216
Cash, end of period | 14,939,646 | 16,277,189
Cash paid during the period for: |  |
Interest | 2,428,062 | 948,759
Supplemental noncash investing and financing activities: |  |
Non-monetary exchange to acquire intangible assets | 2,084,278 |
Conversion of note receivable into equity method investment | 1,101,478 |
Earnout liability generated by CarePICS Acquisition | 1,355,603 |
Right of use assets obtained in exchange for lease obligations | $ 1,153,099 |

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