
Financial Performance - Total revenues for the three months ended March 31, 2024, were $14,880,000, an increase of 25.7% compared to $11,846,000 for the same period in 2023[21]. - The net loss for the first quarter of 2024 was $14,067,000, a decrease from a net loss of $18,847,000 in the first quarter of 2023, representing a 25.5% improvement[21]. - The company reported a basic and diluted net loss per share of $0.12 for the first quarter of 2024, compared to $0.17 for the same period in 2023[21]. - Total operating expenses decreased to $22.9 million in Q1 2024 from $26.2 million in Q1 2023, with a net loss of $14.1 million compared to $18.8 million in the prior year[137]. Cash and Liquidity - Cash and cash equivalents decreased to $51,644,000 as of March 31, 2024, down from $73,684,000 at the end of 2023, reflecting a decrease of 30%[19]. - Cash used in operating activities for the first quarter of 2024 was $22,025,000, compared to $10,478,000 in the same period of 2023, indicating an increase in cash outflow[28]. - As of March 31, 2024, the company believes existing cash and cash equivalents, along with net proceeds from a registered direct offering completed on May 10, 2024, will be sufficient to fund operations and debt service obligations through 2025[157]. - The company anticipates requiring additional capital in the future through equity or debt financings, partnerships, or collaborations to meet debt obligations[156]. Expenses - Research and development expenses for the first quarter of 2024 were $1,206,000, down from $1,785,000 in the first quarter of 2023, a reduction of 32.4%[21]. - Selling, general and administrative expenses decreased to $20,518,000 in Q1 2024 from $22,723,000 in Q1 2023, a decline of 9.7%[21]. - Stock-based compensation expense for the three months ended March 31, 2024, totaled $1,456, compared to $1,522 for the same period in 2023[99]. Debt and Liabilities - The company had a total stockholders' deficit of $99,216,000 as of March 31, 2024, compared to a deficit of $86,606,000 at the end of 2023[19]. - The Pharmakon debt balance as of March 31, 2024, was $130,653, classified as long-term due to expected compliance with covenants for at least the next 12 months[90]. - The effective interest rate on the Pharmakon Senior Secured Notes as of March 31, 2024, is 14.80%[79]. - Total current liabilities decreased significantly to $32,705,000 from $176,524,000 at the end of 2023, indicating a reduction of 81.5%[19]. Revenue Recognition and Sales - The Company recognizes revenue from XHANCE sales at the point customers obtain control of the product, which generally occurs upon delivery[48]. - XHANCE generated net product revenues of $14.9 million for Q1 2024, a 26.3% increase from $11.8 million in Q1 2023[124]. - Average net product revenues per prescription for XHANCE were $227 in Q1 2024, representing a 63% increase compared to $139 in Q1 2023[118]. - The total estimated number of XHANCE prescriptions in Q1 2024 was 65,500, a 23% decrease from 85,200 in Q1 2023[118]. Market and Product Development - The FDA approved XHANCE for the treatment of chronic rhinosinusitis without nasal polyps on March 15, 2024, expanding its market opportunity[113]. - The company continues to support the commercialization of XHANCE through advertising, patient affordability programs, and clinical development activities[156]. - The company is evaluating product candidates and may in-license, acquire, or partner in the development of other products or technologies[156]. Inventory and Assets - The company reported a total inventory of $10,315,000 as of March 31, 2024, compared to $8,052,000 as of December 31, 2023, representing an increase of 28.2%[71]. - The Company’s property and equipment, net, was valued at $754,000 as of March 31, 2024, down from $815,000 as of December 31, 2023[73]. Accounting and Compliance - The company has not materially changed its critical accounting policies as reported in its annual Form 10-K for the year ended December 31, 2023[158]. - Recent accounting pronouncements applicable to the company's consolidated financial statements are detailed in the unaudited interim consolidated financial statements[159]. - The company is classified as a smaller reporting company and is not required to provide certain market risk disclosures[160].