Financial Performance - Net revenues for the year ended December 31, 2024, decreased by 91thousandto225 thousand compared to 316thousandin2023,primarilyduetoadecreaseinbatteryreplacementsalescausedbysupplychainlimitations[4].−Thecompanyreportedanetlossof20.8 million for the year ended December 31, 2024, compared to a net loss of 29.9millionin2023,resultinginanetlosspershareattributabletocommonstockholdersof1.49 [17]. - Net loss for the year ended December 31, 2024, was 20,795,000,animprovementfromanetlossof29,922,000 in 2023, representing a reduction of approximately 30% [19]. Cash and Liquidity - As of December 31, 2024, cash and cash equivalents were approximately 5.5million,anincreasefrom4.2 million in 2023 [7]. - The company reported a net increase in cash of 1,265,000,comparedtoanincreaseof4,035,000 in 2023, ending the year with cash of 5,483,000[19].−Cashflowsfromoperatingactivitiesresultedinanetcashusedof17,949,000, slightly higher than the 17,091,000usedinthepreviousyear[19].−Proceedsfromtheissuanceoftermloans(relatedparty)amountedto20,000,000, contributing to a net cash provided by financing activities of 20,198,000[19].−Cashpaidforinterestincreasedto41,000 from 26,000in2023,reflectinghigherfinancingcosts[19].ResearchandDevelopment−Researchanddevelopmentexpensesincreasedby1.2 million to 10.2millionfortheyearendedDecember31,2024,comparedto9.0 million in 2023, driven by increased headcount in engineering and clinical departments [5]. - The company has enrolled six out of ten planned participants in the first stage of its pivotal clinical trial for the fully implanted Acclaim cochlear implant, with two participants activated [3]. - The Acclaim cochlear implant received FDA approval to initiate a staged pivotal clinical trial, marking a significant milestone for the company [3]. Assets and Expenditures - The company reported a total assets increase to 11.5millionasofDecember31,2024,comparedto8.3 million in 2023 [15]. - The company incurred 980,000incapitalexpendituresforpropertyandequipment,upfrom153,000 in 2023, indicating increased investment in assets [19]. Administrative and General Expenses - General and administrative expenses decreased by 438thousandto6.8 million for the year ended December 31, 2024, compared to 7.3millionin2023,primarilyduetoreducedprofessionalservicecosts[7].InventoryandFinancialInstruments−Thecompanyreportedachangeininventoryreserveof76,000, compared to a reversal of 99,000inthepreviousyear,suggestingadjustmentsininventorymanagement[19].−Thechangeinfairvalueofconvertiblenotespayable(relatedparty)was13,332,000 in 2023, indicating significant fluctuations in financial instruments [19]. Dividends and Reimbursement Opportunities - The company recognized accrued and unpaid dividends on Series A Preferred Stock totaling 3,074,000,anincreasefrom1,349,000 in the previous year [20]. - The establishment of new CPT codes for fully implanted active middle ear implants is expected to enhance reimbursement opportunities for the Esteem implant starting July 2025 [3]. - The company continues to advocate for the Hearing Device Coverage Clarification Act, which could provide a pathway for Medicare coverage of the Esteem implant [2].