2021 Q4 Form 10-K Financial Statement

#000141057822000331 Filed on March 10, 2022

View on sec.gov

Income Statement

Concept 2021 Q4 2021 Q3 2021
Revenue $10.78M $9.760M $43.17M
YoY Change -9.82% -7.45% 5.27%
Cost Of Revenue $3.123M $2.463M $11.05M
YoY Change 23.43% -14.79% -0.05%
Gross Profit $7.659M $7.297M $32.12M
YoY Change -18.76% -4.69% 7.23%
Gross Profit Margin 71.04% 74.77% 74.41%
Selling, General & Admin $11.08M $7.777M $35.75M
YoY Change 18.17% 6.79% 25.6%
% of Gross Profit 144.71% 106.57% 111.31%
Research & Development $6.137M $4.262M $16.38M
YoY Change 128.15% 143.07% 85.92%
% of Gross Profit 80.13% 58.41% 51.0%
Depreciation & Amortization $214.4K $237.1K $542.7K
YoY Change 34.0% 48.19% -2.03%
% of Gross Profit 2.8% 3.25% 1.69%
Operating Expenses $17.22M $12.70M $54.86M
YoY Change 42.8% 32.11% 36.06%
Operating Profit -$9.562M -$5.406M -$22.74M
YoY Change 262.98% 175.87% 119.33%
Interest Expense -$481.2K $12.77K $28.01K
YoY Change -157.98% -104.9% -102.33%
% of Operating Profit
Other Income/Expense, Net -$1.000M -$2.550M
YoY Change -189.32% -281.35%
Pretax Income -$10.04M -$6.406M -$25.29M
YoY Change 457.95% 662.9% 182.17%
Income Tax -$736.0K $0.00 -$736.0K
% Of Pretax Income
Net Earnings -$9.307M -$6.406M -$24.56M
YoY Change 1268.68% 662.9% 213.36%
Net Earnings / Revenue -86.32% -65.64% -56.89%
Basic Earnings Per Share -$0.25 -$0.15 -$0.57
Diluted Earnings Per Share -$0.18 -$0.15 -$0.57
COMMON SHARES
Basic Shares Outstanding 43.48M 43.40M 43.36M
Diluted Shares Outstanding 43.40M 43.36M

Balance Sheet

Concept 2021 Q4 2021 Q3 2021
SHORT-TERM ASSETS
Cash & Short-Term Investments $52.14M $61.04M $52.14M
YoY Change -26.98% -30.63% -27.0%
Cash & Equivalents $52.14M $61.04M $52.14M
Short-Term Investments
Other Short-Term Assets $2.872M $1.940M $2.872M
YoY Change -10.26% 94.02% -10.26%
Inventory $4.766M $4.528M $4.766M
Prepaid Expenses
Receivables $4.523M $5.241M $4.523M
Other Receivables $0.00 $0.00 $0.00
Total Short-Term Assets $64.30M $72.75M $64.30M
YoY Change -22.02% -24.85% -22.01%
LONG-TERM ASSETS
Property, Plant & Equipment $5.151M $3.799M $18.57M
YoY Change 142.97% 82.87% 489.66%
Goodwill
YoY Change
Intangibles
YoY Change
Long-Term Investments
YoY Change
Other Assets $4.959M $4.865M $1.944M
YoY Change 14.04% 13.95% 1395.42%
Total Long-Term Assets $25.22M $22.32M $25.22M
YoY Change 236.39% 198.38% 236.27%
TOTAL ASSETS
Total Short-Term Assets $64.30M $72.75M $64.30M
Total Long-Term Assets $25.22M $22.32M $25.22M
Total Assets $89.52M $95.07M $89.52M
YoY Change -0.48% -8.84% -0.48%
SHORT-TERM LIABILITIES
YoY Change
Accounts Payable $2.805M $3.358M $2.805M
YoY Change 52.87% 40.71% 52.46%
Accrued Expenses $1.044M $5.648M $6.472M
YoY Change 65.3% -2.62% -19.2%
Deferred Revenue $1.947M
YoY Change 167.36%
Short-Term Debt $0.00 $0.00 $0.00
YoY Change
Long-Term Debt Due
YoY Change
Total Short-Term Liabilities $13.69M $11.07M $13.69M
YoY Change 34.84% -36.22% 34.88%
LONG-TERM LIABILITIES
Long-Term Debt $0.00 $0.00 $0.00
YoY Change -100.0%
Other Long-Term Liabilities $13.25M $13.39M $13.25M
YoY Change 2108.49% 1812.28% 2184.64%
Total Long-Term Liabilities $13.25M $13.39M $13.25M
YoY Change 123.35% 2184.64%
TOTAL LIABILITIES
Total Short-Term Liabilities $13.69M $11.07M $13.69M
Total Long-Term Liabilities $13.25M $13.39M $13.25M
Total Liabilities $26.94M $24.46M $26.94M
YoY Change 150.97% 1.69% 151.08%
SHAREHOLDERS EQUITY
Retained Earnings -$221.2M -$211.9M
YoY Change 12.49% 8.13%
Common Stock $43.48K $43.48K
YoY Change 0.59% 0.69%
Preferred Stock
YoY Change
Treasury Stock (at cost)
YoY Change
Treasury Stock Shares
Shareholders Equity $62.58M $70.61M $62.58M
YoY Change
Total Liabilities & Shareholders Equity $89.52M $95.07M $89.52M
YoY Change -0.48% -8.84% -0.48%

Cashflow Statement

Concept 2021 Q4 2021 Q3 2021
OPERATING ACTIVITIES
Net Income -$9.307M -$6.406M -$24.56M
YoY Change 1268.68% 662.9% 213.36%
Depreciation, Depletion And Amortization $214.4K $237.1K $542.7K
YoY Change 34.0% 48.19% -2.03%
Cash From Operating Activities -$5.492M -$4.134M -$14.01M
YoY Change 423.01% 25.64% 149.51%
INVESTING ACTIVITIES
Capital Expenditures -$1.673M -$1.017M $3.641M
YoY Change 519.54% 154.37% 414.01%
Acquisitions
YoY Change
Other Investing Activities
YoY Change
Cash From Investing Activities -$1.673M -$1.017M -$4.281M
YoY Change 519.54% 154.37% 155.41%
FINANCING ACTIVITIES
Cash Dividend Paid
YoY Change
Common Stock Issuance & Retirement, Net $27.20M
YoY Change 0.0%
Debt Paid & Issued, Net
YoY Change
Cash From Financing Activities -80.92K 589.7K 715.2K
YoY Change -99.47% -98.95% -98.92%
NET CHANGE
Cash From Operating Activities -5.492M -4.134M -14.01M
Cash From Investing Activities -1.673M -1.017M -4.281M
Cash From Financing Activities -80.92K 589.7K 715.2K
Net Change In Cash -7.245M -4.561M -17.60M
YoY Change -56.01% -108.66% -129.73%
FREE CASH FLOW
Cash From Operating Activities -$5.492M -$4.134M -$14.01M
Capital Expenditures -$1.673M -$1.017M $3.641M
Free Cash Flow -$3.819M -$3.116M -$17.65M
YoY Change 389.6% 7.82% 179.15%

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CY2020 us-gaap Net Cash Provided By Used In Financing Activities
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CY2021 us-gaap Basis Of Accounting
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<p style="font-family:'Times New Roman','Times','serif';font-size:10pt;font-weight:bold;margin:0pt 0pt 12pt 0pt;">1. BASIS OF PRESENTATION:</p><p style="font-family:'Times New Roman','Times','serif';font-size:10pt;text-align:justify;text-indent:36pt;margin:0pt 0pt 12pt 0pt;">The accompanying consolidated financial statements include the results of CytoSorbents Corporation (the “Parent”), CytoSorbents Medical Inc., its wholly-owned operating subsidiary (the “Subsidiary”), and CytoSorbents Europe GmbH, its wholly-owned European subsidiary (the “European Subsidiary”). In addition, the consolidated financial statements include CytoSorbents Switzerland GmbH and CytoSorbents Poland Sp. z.o.o., wholly owned subsidiaries of CytoSorbents Europe GmbH, and CytoSorbents UK Limited, a wholly-owned subsidiary of CytoSorbents Medical, Inc. These entities are collectively referred to as “the Company”.</p><p style="font-family:'Times New Roman','Times','serif';font-size:10pt;text-align:justify;text-indent:36pt;margin:0pt;">In years prior to December 31, 2020, the Company’s consolidated financial statements were prepared on a going concern basis, which contemplates the realization of assets and satisfaction of liabilities in the normal course of business. On July 24, 2020, the Company closed an underwritten public offering of 6,052,631 shares of its common stock at a public offering price of $9.50 per share (the “Offering”).  Gross proceeds from the Offering amounted to approximately $57.5 million and, after deducting the underwriting discounts and commissions and expenses related to the Offering, the Company received total net proceeds of approximately  $53.8 million. See Note 11. As of December 31, 2021, the Company’s cash, cash equivalents and restricted cash balances were approximately $53.8 million, which the Company expects will fund the Company’s operations well beyond twelve months from the issuance of these financial statements. As a result, the Company has determined that the going concern risk has been substantially mitigated.</p>
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<p style="font-family:'Times New Roman','Times','serif';font-size:10pt;font-weight:bold;margin:0pt 0pt 12pt 0pt;">Use of Estimates</p><p style="font-family:'Times New Roman','Times','serif';font-size:10pt;text-align:justify;text-indent:36pt;margin:0pt 0pt 10pt 0pt;">The preparation of consolidated financial statements in conformity with accounting principles generally accepted in the United States of America requires management to make estimates and assumptions that affect the reported amounts of assets and liabilities and disclosure of contingent assets and liabilities. Actual results could differ from these estimates. The valuation of options granted is a significant estimate in these consolidated financial statements.</p>
CY2021 us-gaap Concentration Risk Credit Risk
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<p style="font-family:'Times New Roman','Times','serif';font-size:10pt;font-weight:bold;margin:0pt 0pt 12pt 0pt;">Concentration of Credit Risk</p><p style="font-family:'Times New Roman','Times','serif';font-size:10pt;text-align:justify;text-indent:36pt;margin:0pt 0pt 12pt 0pt;">The Company maintains cash balances, at times, with financial institutions in excess of amounts insured by the Federal Deposit Insurance Corporation. Management monitors the soundness of these institutions in an effort to minimize its collection risk of these balances.</p><p style="font-family:'Times New Roman','Times','serif';font-size:10pt;text-align:justify;text-indent:36pt;margin:0pt 0pt 12pt 0pt;">A significant portion of the Company’s revenues are from product sales in Germany. Substantially all of the Company’s grant and other income are from grant agencies in the United States. (See Note 3 for further information relating to the Company’s revenue.)</p><p style="font-family:'Times New Roman','Times','serif';font-size:10pt;text-align:justify;text-indent:36pt;margin:0pt;">As of December 31, 2021, one distributor accounted for approximately 12% of outstanding grants and accounts receivables. As of December 31, 2020, no agency, distributor/strategic partners or direct customer represented more than 10% of outstanding grants </p><p style="font-family:'Times New Roman','Times','serif';font-size:10pt;text-align:justify;margin:0pt 0pt 12pt 0pt;">and accounts receivable. For the years ended December 31, 2021, 2020 and 2019 no agency, distributor/strategic partners or direct customer represented more than 10% of the Company’s total revenue.</p>
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CY2020Q4 ctso Sales Payroll And Income Taxes Payable Current
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1159215
CY2021Q4 ctso Accrued Travel And Entertainment Expense Current
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88850
CY2020Q4 ctso Accrued Travel And Entertainment Expense Current
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24267
CY2021Q4 ctso Accrued Director Fees Current
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71381
CY2020Q4 ctso Accrued Director Fees Current
AccruedDirectorFeesCurrent
62140
CY2021Q4 ctso Congresses Payable Current
CongressesPayableCurrent
40861
CY2020Q4 ctso Congresses Payable Current
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35589
CY2021Q4 ctso Accrued Expenses And Other Current Liabilities
AccruedExpensesAndOtherCurrentLiabilities
10314341
CY2020Q4 ctso Accrued Expenses And Other Current Liabilities
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7870687
CY2021 ctso Debt Instrument Non Refundable Fee Upon Termination Or Maturity Percent
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0.025
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1411000
CY2021Q4 us-gaap Lessee Operating Lease Discount Rate
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0.098
CY2021Q4 us-gaap Operating Lease Right Of Use Asset
OperatingLeaseRightOfUseAsset
13423472
CY2020Q4 us-gaap Operating Lease Right Of Use Asset
OperatingLeaseRightOfUseAsset
1029123
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13821509
CY2020Q4 us-gaap Operating Lease Liability
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1029123
CY2021Q4 us-gaap Operating Lease Liability Current
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570566
CY2020Q4 us-gaap Operating Lease Liability Current
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447485
CY2021Q4 us-gaap Operating Lease Liability Noncurrent
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13250943
CY2020Q4 us-gaap Operating Lease Liability Noncurrent
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581638
CY2019 us-gaap Operating Lease Payments
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906000
CY2021Q4 us-gaap Lessee Operating Lease Liability Payments Due In Rolling Year Two
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1266346
CY2021Q4 us-gaap Lessee Operating Lease Liability Payments Due In Rolling Year Three
LesseeOperatingLeaseLiabilityPaymentsDueInRollingYearThree
1656678
CY2021Q4 us-gaap Lessee Operating Lease Liability Payments Due In Rolling Year Four
LesseeOperatingLeaseLiabilityPaymentsDueInRollingYearFour
1695677
CY2021Q4 us-gaap Lessee Operating Lease Liability Payments Due In Rolling Year Five
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1735747
CY2021Q4 us-gaap Lessee Operating Lease Liability Payments Due After Rolling Year Five
LesseeOperatingLeaseLiabilityPaymentsDueAfterRollingYearFive
19009219
CY2021Q4 us-gaap Lessee Operating Lease Liability Payments Due
LesseeOperatingLeaseLiabilityPaymentsDue
27260319
CY2021Q4 us-gaap Lessee Operating Lease Liability Undiscounted Excess Amount
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13438810
CY2021Q4 us-gaap Operating Lease Liability
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13821509
CY2021 us-gaap Operating Lease Payments
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1968000
CY2020 us-gaap Operating Lease Payments
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937000
CY2021Q4 us-gaap Lessee Operating Lease Liability Payments Due Next Rolling Twelve Months
LesseeOperatingLeaseLiabilityPaymentsDueNextRollingTwelveMonths
1896652
CY2021Q4 us-gaap Operating Lease Weighted Average Remaining Lease Term1
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P14Y3M18D
CY2020Q4 us-gaap Operating Lease Weighted Average Remaining Lease Term1
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CY2021 us-gaap Income Loss From Continuing Operations Before Income Taxes Domestic
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CY2020 us-gaap Income Loss From Continuing Operations Before Income Taxes Domestic
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CY2019 us-gaap Income Loss From Continuing Operations Before Income Taxes Domestic
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CY2021 us-gaap Income Loss From Continuing Operations Before Income Taxes Foreign
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CY2020 us-gaap Income Loss From Continuing Operations Before Income Taxes Foreign
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CY2019 us-gaap Income Loss From Continuing Operations Before Income Taxes Foreign
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-8436291
CY2021 ctso Income Loss From Continuing Operations Before Income Taxes Noncontrolling Interests
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CY2020 ctso Income Loss From Continuing Operations Before Income Taxes Noncontrolling Interests
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-8964262
CY2019 ctso Income Loss From Continuing Operations Before Income Taxes Noncontrolling Interests
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-20358090
CY2021 us-gaap State And Local Income Tax Expense Benefit Continuing Operations
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CY2021 us-gaap Foreign Income Tax Expense Benefit Continuing Operations
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0
CY2020 us-gaap State And Local Income Tax Expense Benefit Continuing Operations
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CY2019 us-gaap State And Local Income Tax Expense Benefit Continuing Operations
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CY2021Q4 us-gaap Deferred Tax Liabilities Property Plant And Equipment
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4069166
CY2020Q4 us-gaap Deferred Tax Liabilities Property Plant And Equipment
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431490
CY2020 us-gaap Foreign Income Tax Expense Benefit Continuing Operations
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0
CY2019 us-gaap Foreign Income Tax Expense Benefit Continuing Operations
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0
CY2021 us-gaap Income Tax Expense Benefit
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CY2020 us-gaap Income Tax Expense Benefit
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-1127074
CY2019 us-gaap Income Tax Expense Benefit
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CY2021Q4 us-gaap Operating Loss Carryforwards
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83500000
CY2021 us-gaap Operating Loss Carryforwards Limitations On Use
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80% limitation on taxable income
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0.21
CY2021 ctso Proceeds From Sale Of Net Operating Loss Carryforwards
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736000
CY2021Q4 us-gaap Deferred Tax Assets Operating Loss Carryforwards
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CY2020Q4 us-gaap Deferred Tax Assets Operating Loss Carryforwards
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22301154
CY2019Q4 us-gaap Deferred Tax Assets Operating Loss Carryforwards
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CY2021Q4 us-gaap Deferred Tax Assets Tax Deferred Expense Compensation And Benefits Employee Compensation
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1203272
CY2020Q4 us-gaap Deferred Tax Assets Tax Deferred Expense Compensation And Benefits Employee Compensation
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305982
CY2019Q4 us-gaap Deferred Tax Assets Tax Deferred Expense Compensation And Benefits Employee Compensation
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329726
CY2021Q4 us-gaap Deferred Tax Assets Tax Credit Carryforwards Research
DeferredTaxAssetsTaxCreditCarryforwardsResearch
2687591
CY2020Q4 us-gaap Deferred Tax Assets Tax Credit Carryforwards Research
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2194211
CY2019Q4 us-gaap Deferred Tax Assets Tax Credit Carryforwards Research
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1720558
CY2021Q4 us-gaap Deferred Tax Assets Tax Deferred Expense Reserves And Accruals
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232665
CY2020Q4 us-gaap Deferred Tax Assets Tax Deferred Expense Reserves And Accruals
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135330
CY2019Q4 us-gaap Deferred Tax Assets Tax Deferred Expense Reserves And Accruals
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56461
CY2021Q4 ctso Deferred Tax Assets Tax Credit Carryforwards Lease Liability
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3997114
CY2020Q4 ctso Deferred Tax Assets Tax Credit Carryforwards Lease Liability
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289287
CY2019Q4 ctso Deferred Tax Assets Tax Credit Carryforwards Lease Liability
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300991
CY2021Q4 us-gaap Deferred Tax Assets Gross
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35311296
CY2020Q4 us-gaap Deferred Tax Assets Gross
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25225964
CY2019Q4 us-gaap Deferred Tax Assets Gross
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23251638
CY2021Q4 us-gaap Deferred Tax Assets Valuation Allowance
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31242130
CY2020Q4 us-gaap Deferred Tax Assets Valuation Allowance
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24794474
CY2019Q4 us-gaap Deferred Tax Assets Valuation Allowance
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4069166
CY2020Q4 us-gaap Deferred Tax Assets Net
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431490
CY2019Q4 us-gaap Deferred Tax Assets Net
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393897
CY2019Q4 us-gaap Deferred Tax Liabilities Property Plant And Equipment
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393897
CY2021Q4 us-gaap Deferred Tax Assets Liabilities Net
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0
CY2020Q4 us-gaap Deferred Tax Assets Liabilities Net
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0
CY2019Q4 us-gaap Deferred Tax Assets Liabilities Net
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0
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6447656
CY2020 us-gaap Valuation Allowance Deferred Tax Asset Change In Amount
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1936732
CY2019 us-gaap Valuation Allowance Deferred Tax Asset Change In Amount
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4623931
CY2019 ctso Effective Income Tax Rate Reconciliation Permanent Income Tax Rate Percent
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0.118
CY2020 us-gaap Effective Income Tax Rate Reconciliation Change In Enacted Tax Rate
EffectiveIncomeTaxRateReconciliationChangeInEnactedTaxRate
0.170
CY2019 us-gaap Effective Income Tax Rate Reconciliation Change In Enacted Tax Rate
EffectiveIncomeTaxRateReconciliationChangeInEnactedTaxRate
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CY2021 us-gaap Effective Income Tax Rate Reconciliation Change In Deferred Tax Assets Valuation Allowance
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-0.255
CY2020 us-gaap Effective Income Tax Rate Reconciliation Change In Deferred Tax Assets Valuation Allowance
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-0.216
CY2019 us-gaap Effective Income Tax Rate Reconciliation Change In Deferred Tax Assets Valuation Allowance
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-0.227
CY2021 us-gaap Effective Income Tax Rate Reconciliation Tax Credits Research
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0.017
CY2020 us-gaap Effective Income Tax Rate Reconciliation Tax Credits Research
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0.044
CY2019 us-gaap Effective Income Tax Rate Reconciliation Tax Credits Research
EffectiveIncomeTaxRateReconciliationTaxCreditsResearch
0.018
CY2021 us-gaap Effective Income Tax Rate Continuing Operations
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0.028
CY2020 us-gaap Effective Income Tax Rate Continuing Operations
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0.126
CY2019 us-gaap Effective Income Tax Rate Continuing Operations
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0.054
CY2020 us-gaap Effective Income Tax Rate Reconciliation At Federal Statutory Income Tax Rate
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0.210
CY2019 us-gaap Effective Income Tax Rate Reconciliation At Federal Statutory Income Tax Rate
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0.210
CY2021 us-gaap Effective Income Tax Rate Reconciliation State And Local Income Taxes
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-0.020
CY2020 us-gaap Effective Income Tax Rate Reconciliation State And Local Income Taxes
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-0.095
CY2019 us-gaap Effective Income Tax Rate Reconciliation State And Local Income Taxes
EffectiveIncomeTaxRateReconciliationStateAndLocalIncomeTaxes
-0.044
CY2021Q4 us-gaap Income Tax Examination Interest Accrued
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598000
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154000
CY2020Q4 us-gaap Employee Related Liabilities Current
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131000
CY2021 us-gaap Effective Income Tax Rate Reconciliation Foreign Income Tax Rate Differential
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0.023
CY2020 us-gaap Effective Income Tax Rate Reconciliation Foreign Income Tax Rate Differential
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0.033
CY2019 us-gaap Effective Income Tax Rate Reconciliation Foreign Income Tax Rate Differential
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0.037
CY2021 ctso Effective Income Tax Rate Reconciliation Permanent Income Tax Rate Percent
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-0.065
CY2020 ctso Effective Income Tax Rate Reconciliation Permanent Income Tax Rate Percent
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CY2021 us-gaap Effective Income Tax Rate Reconciliation At Federal Statutory Income Tax Rate
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0.210
CY2019Q4 us-gaap Employee Related Liabilities Current
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175000
CY2018Q4 us-gaap Employee Related Liabilities Current
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138000
CY2021 ctso Executive Employment Agreements Initial Term
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P3Y
CY2021 ctso Employment Agreements Automatic Renewal Period
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P1Y
CY2021 ctso Employment Agreements Automatic Renewed Period
EmploymentAgreementsAutomaticRenewedPeriod
P1Y
CY2021 ctso License Period
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P18Y
CY2021 ctso License Period
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P18Y
CY2019Q2 us-gaap Preferred Stock Shares Authorized
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5000000
CY2019Q2 us-gaap Common Stock Shares Authorized
CommonStockSharesAuthorized
50000000
CY2019Q2 us-gaap Common Stock Shares Authorized
CommonStockSharesAuthorized
100000000
CY2019 us-gaap Share Based Compensation Arrangement By Share Based Payment Award Options Expirations In Period
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16320
CY2020 us-gaap Share Based Compensation Arrangements By Share Based Payment Award Options Forfeitures In Period Weighted Average Exercise Price
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7.50
CY2020 us-gaap Share Based Compensation Arrangement By Share Based Payment Award Options Expirations In Period
ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsExpirationsInPeriod
226440
CY2020 us-gaap Share Based Compensation Arrangements By Share Based Payment Award Options Expirations In Period Weighted Average Exercise Price
ShareBasedCompensationArrangementsByShareBasedPaymentAwardOptionsExpirationsInPeriodWeightedAverageExercisePrice
5.60
CY2020 us-gaap Stock Issued During Period Shares Stock Options Exercised
StockIssuedDuringPeriodSharesStockOptionsExercised
371007
CY2020 us-gaap Share Based Compensation Arrangements By Share Based Payment Award Options Exercises In Period Weighted Average Exercise Price
ShareBasedCompensationArrangementsByShareBasedPaymentAwardOptionsExercisesInPeriodWeightedAverageExercisePrice
4.46
CY2020Q4 us-gaap Share Based Compensation Arrangement By Share Based Payment Award Options Outstanding Number
ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsOutstandingNumber
5165204
CY2018Q3 ctso Aggregate Registered Amount For Offerings
AggregateRegisteredAmountForOfferings
150000000
CY2021Q3 ctso Aggregate Registered Amount For Offerings
AggregateRegisteredAmountForOfferings
150000000
CY2021 us-gaap Stock Issued During Period Shares New Issues
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4301869
CY2021Q4 us-gaap Share Price
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6.53
CY2021 us-gaap Proceeds From Issuance Of Common Stock
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27200000
CY2020 us-gaap Payments Of Stock Issuance Costs
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49000
CY2021 us-gaap Payments Of Stock Issuance Costs
PaymentsOfStockIssuanceCosts
90000
CY2021Q4 ctso Number Of Long Term Incentive Plans
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2
CY2021 us-gaap Allocated Share Based Compensation Expense
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4021000
CY2020 us-gaap Allocated Share Based Compensation Expense
AllocatedShareBasedCompensationExpense
3514000
CY2019 us-gaap Allocated Share Based Compensation Expense
AllocatedShareBasedCompensationExpense
1666000
CY2018Q4 us-gaap Share Based Compensation Arrangement By Share Based Payment Award Options Outstanding Number
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3658462
CY2018Q4 us-gaap Share Based Compensation Arrangement By Share Based Payment Award Options Outstanding Weighted Average Exercise Price
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5.82
CY2018 us-gaap Sharebased Compensation Arrangement By Sharebased Payment Award Options Outstanding Weighted Average Remaining Contractual Term2
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P7Y
CY2019 us-gaap Share Based Compensation Arrangement By Share Based Payment Award Options Grants In Period Gross
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1557300
CY2019 us-gaap Share Based Compensation Arrangements By Share Based Payment Award Options Grants In Period Weighted Average Exercise Price
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7.19
CY2019 ctso Share Based Compensation Arrangement By Share Based Payment Award Options Outstanding Granted In Period Weighted Average Remaining Contractual Term
ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsOutstandingGrantedInPeriodWeightedAverageRemainingContractualTerm
P9Y6M
CY2019 us-gaap Share Based Compensation Arrangement By Share Based Payment Award Options Forfeitures In Period
ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsForfeituresInPeriod
747671
CY2019 us-gaap Share Based Compensation Arrangements By Share Based Payment Award Options Forfeitures In Period Weighted Average Exercise Price
ShareBasedCompensationArrangementsByShareBasedPaymentAwardOptionsForfeituresInPeriodWeightedAverageExercisePrice
7.39
CY2019 us-gaap Share Based Compensation Arrangements By Share Based Payment Award Options Expirations In Period Weighted Average Exercise Price
ShareBasedCompensationArrangementsByShareBasedPaymentAwardOptionsExpirationsInPeriodWeightedAverageExercisePrice
4.16
CY2019 us-gaap Stock Issued During Period Shares Stock Options Exercised
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233582
CY2019 us-gaap Share Based Compensation Arrangements By Share Based Payment Award Options Exercises In Period Weighted Average Exercise Price
ShareBasedCompensationArrangementsByShareBasedPaymentAwardOptionsExercisesInPeriodWeightedAverageExercisePrice
4.09
CY2019Q4 us-gaap Share Based Compensation Arrangement By Share Based Payment Award Options Outstanding Number
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4218189
CY2019Q4 us-gaap Share Based Compensation Arrangement By Share Based Payment Award Options Outstanding Weighted Average Exercise Price
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6.16
CY2019 us-gaap Sharebased Compensation Arrangement By Sharebased Payment Award Options Exercisable Weighted Average Remaining Contractual Term1
SharebasedCompensationArrangementBySharebasedPaymentAwardOptionsExercisableWeightedAverageRemainingContractualTerm1
P7Y
CY2020 us-gaap Share Based Compensation Arrangement By Share Based Payment Award Options Grants In Period Gross
ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsGrantsInPeriodGross
1579106
CY2020 us-gaap Share Based Compensation Arrangements By Share Based Payment Award Options Grants In Period Weighted Average Exercise Price
ShareBasedCompensationArrangementsByShareBasedPaymentAwardOptionsGrantsInPeriodWeightedAverageExercisePrice
6.37
CY2020 ctso Share Based Compensation Arrangement By Share Based Payment Award Options Outstanding Granted In Period Weighted Average Remaining Contractual Term
ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsOutstandingGrantedInPeriodWeightedAverageRemainingContractualTerm
P9Y
CY2020 us-gaap Share Based Compensation Arrangement By Share Based Payment Award Options Forfeitures In Period
ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsForfeituresInPeriod
34644
CY2020Q4 us-gaap Share Based Compensation Arrangement By Share Based Payment Award Options Outstanding Weighted Average Exercise Price
ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsOutstandingWeightedAverageExercisePrice
6.36
CY2020 us-gaap Sharebased Compensation Arrangement By Sharebased Payment Award Options Exercisable Weighted Average Remaining Contractual Term1
SharebasedCompensationArrangementBySharebasedPaymentAwardOptionsExercisableWeightedAverageRemainingContractualTerm1
P7Y3M3D
CY2021 us-gaap Share Based Compensation Arrangement By Share Based Payment Award Options Grants In Period Gross
ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsGrantsInPeriodGross
2051980
CY2021 us-gaap Share Based Compensation Arrangements By Share Based Payment Award Options Grants In Period Weighted Average Exercise Price
ShareBasedCompensationArrangementsByShareBasedPaymentAwardOptionsGrantsInPeriodWeightedAverageExercisePrice
8.78
CY2021 ctso Share Based Compensation Arrangement By Share Based Payment Award Options Outstanding Granted In Period Weighted Average Remaining Contractual Term
ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsOutstandingGrantedInPeriodWeightedAverageRemainingContractualTerm
P9Y3M18D
CY2021 us-gaap Share Based Compensation Arrangement By Share Based Payment Award Options Forfeitures In Period
ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsForfeituresInPeriod
138037
CY2021 us-gaap Share Based Compensation Arrangements By Share Based Payment Award Options Forfeitures In Period Weighted Average Exercise Price
ShareBasedCompensationArrangementsByShareBasedPaymentAwardOptionsForfeituresInPeriodWeightedAverageExercisePrice
6.73
CY2021 us-gaap Share Based Compensation Arrangement By Share Based Payment Award Options Expirations In Period
ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsExpirationsInPeriod
21756
CY2021 us-gaap Share Based Compensation Arrangements By Share Based Payment Award Options Expirations In Period Weighted Average Exercise Price
ShareBasedCompensationArrangementsByShareBasedPaymentAwardOptionsExpirationsInPeriodWeightedAverageExercisePrice
7.46
CY2021 us-gaap Stock Issued During Period Shares Stock Options Exercised
StockIssuedDuringPeriodSharesStockOptionsExercised
171413
CY2021 us-gaap Share Based Compensation Arrangements By Share Based Payment Award Options Exercises In Period Weighted Average Exercise Price
ShareBasedCompensationArrangementsByShareBasedPaymentAwardOptionsExercisesInPeriodWeightedAverageExercisePrice
5.73
CY2021Q4 us-gaap Share Based Compensation Arrangement By Share Based Payment Award Options Outstanding Number
ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsOutstandingNumber
6885978
CY2021Q4 us-gaap Share Based Compensation Arrangement By Share Based Payment Award Options Outstanding Weighted Average Exercise Price
ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsOutstandingWeightedAverageExercisePrice
7.09
CY2021 us-gaap Sharebased Compensation Arrangement By Sharebased Payment Award Options Exercisable Weighted Average Remaining Contractual Term1
SharebasedCompensationArrangementBySharebasedPaymentAwardOptionsExercisableWeightedAverageRemainingContractualTerm1
P7Y1M24D
CY2021 us-gaap Share Based Compensation Arrangement By Share Based Payment Award Fair Value Assumptions Risk Free Interest Rate Maximum
ShareBasedCompensationArrangementByShareBasedPaymentAwardFairValueAssumptionsRiskFreeInterestRateMaximum
0.0139
CY2021Q4 us-gaap Share Based Compensation Arrangement By Share Based Payment Award Fair Value Assumptions Exercise Price
ShareBasedCompensationArrangementByShareBasedPaymentAwardFairValueAssumptionsExercisePrice
4.19
CY2021Q4 us-gaap Share Based Compensation Shares Authorized Under Stock Option Plans Exercise Price Range Number Of Exercisable Options
ShareBasedCompensationSharesAuthorizedUnderStockOptionPlansExercisePriceRangeNumberOfExercisableOptions
3891132
CY2021Q4 us-gaap Sharebased Compensation Shares Authorized Under Stock Option Plans Exercise Price Range Exercisable Options Weighted Average Exercise Price1
SharebasedCompensationSharesAuthorizedUnderStockOptionPlansExercisePriceRangeExercisableOptionsWeightedAverageExercisePrice1
6.45
CY2021Q4 us-gaap Sharebased Compensation Arrangement By Sharebased Payment Award Options Exercisable Intrinsic Value1
SharebasedCompensationArrangementBySharebasedPaymentAwardOptionsExercisableIntrinsicValue1
166383
CY2020Q4 us-gaap Sharebased Compensation Arrangement By Sharebased Payment Award Options Nonvested Number Of Shares
SharebasedCompensationArrangementBySharebasedPaymentAwardOptionsNonvestedNumberOfShares
1998117
CY2020Q4 us-gaap Sharebased Compensation Arrangement By Sharebased Payment Award Options Nonvested Weighted Average Grant Date Fair Value
SharebasedCompensationArrangementBySharebasedPaymentAwardOptionsNonvestedWeightedAverageGrantDateFairValue
4.12
CY2021 us-gaap Share Based Compensation Arrangement By Share Based Payment Award Options Grants In Period Gross
ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsGrantsInPeriodGross
2051980
CY2021 us-gaap Share Based Compensation Arrangement By Share Based Payment Award Options Grants In Period Weighted Average Grant Date Fair Value
ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsGrantsInPeriodWeightedAverageGrantDateFairValue
5.26
CY2021 us-gaap Sharebased Compensation Arrangement By Sharebased Payment Award Options Nonvested Options Forfeited Number Of Shares
SharebasedCompensationArrangementBySharebasedPaymentAwardOptionsNonvestedOptionsForfeitedNumberOfShares
138037
CY2021 us-gaap Sharebased Compensation Arrangement By Sharebased Payment Award Options Nonvested Options Forfeited Weighted Average Grant Date Fair Value
SharebasedCompensationArrangementBySharebasedPaymentAwardOptionsNonvestedOptionsForfeitedWeightedAverageGrantDateFairValue
4.05
CY2021 us-gaap Sharebased Compensation Arrangement By Sharebased Payment Award Options Vested Number Of Shares
SharebasedCompensationArrangementBySharebasedPaymentAwardOptionsVestedNumberOfShares
917214
CY2021 us-gaap Sharebased Compensation Arrangement By Sharebased Payment Award Options Vested Weighted Average Grant Date Fair Value
SharebasedCompensationArrangementBySharebasedPaymentAwardOptionsVestedWeightedAverageGrantDateFairValue
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CY2021Q4 us-gaap Sharebased Compensation Arrangement By Sharebased Payment Award Options Nonvested Number Of Shares
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