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FY2025
12 months to Dec 31, 2025
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FY2024
12 months to Dec 31, 2024
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FY2023
12 months to Dec 31, 2023
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FY2022
12 months to Dec 31, 2022
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FY2021
12 months to Dec 31, 2021
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|---|---|---|---|---|---|
| Cash flows from operating activities: | |||||
| Net loss | |||||
| Adjustments to reconcile net loss to cash and cash equivalents used in operating activities: | |||||
| Depreciation and amortization | |||||
| Amortization of debt issuance costs and debt discount | |||||
| Goodwill impairment charges | |||||
| Write-off of assets from clinical trials segment | |||||
| Share-based compensation | |||||
| Change in fair value of liability classified warrants | |||||
| Change in fair value of liability classified earnouts | |||||
| Change in fair value of liability classified conversion option derivatives | |||||
| Unrealized (gain) loss on investments | |||||
| Accretion of discount on investment securities | |||||
| Deferred taxes | |||||
| Gain on loan forgiveness | |||||
| Bad debt expense | |||||
| Loss on disposal of property and equipment | |||||
| Changes in operating assets and liabilities: | |||||
| Accounts receivable | |||||
| Inventories | |||||
| Other receivables | |||||
| Prepaid expenses | |||||
| Operating lease right-of-use assets | |||||
| Other assets | |||||
| Accrued expenses and other current liabilities | |||||
| Income taxes payable | |||||
| Accounts payable | |||||
| Change in operating leases | |||||
| Other non-current liabilities | |||||
| Net cash and cash equivalents used in operating activities | |||||
| Cash flows from investing activities: | |||||
| Purchases of property and equipment | |||||
| Cash paid for practice acquisitions, net | |||||
| Purchases of marketable securities/investments | |||||
| Proceeds from asset disposition | |||||
| Sales of marketable securities/investments | |||||
| Net cash and cash equivalents provided by (used in) investing activities | |||||
| Cash flows from financing activities: | |||||
| Proceeds from issuance of long-term debt | |||||
| Transactions costs related to issuance of long-term debt | |||||
| Proceeds from private placement, net of offering costs | |||||
| Proceeds from at-the-market offering, net of offering costs | |||||
| Proceeds from employee stock purchase plan | |||||
| Payments made for financing of insurance payments | |||||
| Payment of deferred consideration liability for acquisition | |||||
| Principal payments on long-term debt | |||||
| Principal payments on financing leases | |||||
| Common stock repurchase | |||||
| Common stock issued for warrants exercised | |||||
| Common stock issued for options exercised | |||||
| Taxes for common stock net settled | |||||
| Net cash and cash equivalents provided by (used in) financing activities | |||||
| Net (decrease) increase in cash and cash equivalents | |||||
| Cash and cash equivalents at beginning of period | |||||
| Cash and cash equivalents at end of period | |||||
| Supplemental disclosure of cash flow information: | |||||
| Cash paid for: | |||||
| Income taxes | |||||
| Interest | |||||
| Supplemental disclosure of noncash investing and financing activities: | |||||
| Deferred consideration as part of practice acquisitions | |||||
| Discount on senior secured convertible note | |||||
| Principal exchange of convertible note for preferred stock | |||||
| Right-of-use assets in connection with operation lease modifications | |||||
| Financed insurance premiums | |||||
| Purchases of property and equipment included in accounts payable | |||||
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