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Consolidated Statements of Cash Flows - USD ($) | 12 Months Ended
--- | ---
Dec. 31, 2023 | Dec. 31, 2022
Cash flows from operating activities: |  |
Net loss | $ (6,330,766) | $ (5,650,039)
Adjustments to reconcile net loss to net cash flows provided by operating activities: |  |
Depreciation and amortization expense | 4,935,954 | 5,328,113
Impairment loss on intangible assets | 3,343,842 | 0
Amortization of operating lease right-of-use asset | 834,500 | 0
Disposal of assets | 20,256 | 0
Stock-based compensation | 365,040 | 447,503
Decrease in non-cash contingent consideration | (1,253,840) | (2,088,296)
Decrease (increase) in cash surrender value of life insurance policies over premiums paid | (124,736) | 613,657
Noncash interest expense | 15,523 | 11,237
Noncash gain on RediTrex transaction | 0 | (37,882)
Gain on receipt of life insurance policies | (346,800) | (611,330)
Net changes in assets and liabilities affecting operating activities: |  |
Accounts receivable | 3,404,949 | (6,115,640)
Inventories, net | (23,143) | 911,078
Other current assets and other assets | 65,684 | 689,260
Operating lease liabilities | (1,405,363) | 0
Accounts payable and other current liabilities | 3,724,174 | 14,536,076
Other long-term liabilities | (1,131,453) | 419,659
Net cash provided by operating activities | 6,093,821 | 8,453,396
Cash flows from investing activities: |  |
Additions to property and equipment | (281,268) | (102,148)
Additions to intangible assets | (171,783) | (1,971,662)
Return of RediTrex | 0 | 1,000,000
Life insurance policy proceeds received | 347,356 | 877,597
Settlement of patent litigation | 0 | 21,757
Cash paid for acquisition | 0 | (13,500,000)
Net cash used in investing activities | (105,695) | (13,674,456)
Cash flows from financing activities: |  |
Borrowings on line of credit | 31,475,000 | 52,900,000
Payments on line of credit | (34,890,856) | (51,700,000)
Payments made in connection with repurchase of common shares | (740,533) | (1,053,042)
Cash settlement of contingent consideration | (3,268,083) | (2,208,744)
Net cash used in financing activities | (7,424,472) | (2,061,786)
Net decrease in cash and cash equivalents | (1,436,346) | (7,282,846)
Cash and cash equivalents, beginning of year | 19,757,970 | 27,040,816
Cash and cash equivalents, end of year | 18,321,624 | 19,757,970
Net cash paid during the year for: |  |
Interest | 647,137 | 523,161
Income taxes | 108,823 | 3,300
Total cash paid included in measurement of lease liability | 804,818 | 1,011,313
Noncash investing and financing activities: |  |
Change in unpaid invoices for intangible asset additions | (51,895) | (1,803,403)
Change in unpaid invoices for offering costs | 69,001 | (94,689)
Lease liability obtained from right-of-use assets | 1,158,367 | 4,590,978
RediTrex forgiveness of milestone payable | 0 | (1,000,000)
Return of shares related to RediTrex | $ 0 | $ 399,600

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