T2 Biosystems(TTOO) - 2022 Q4 - Annual Report

Financial Condition - As of December 31, 2022, the company had cash, cash equivalents, and restricted cash of $11.9 million, which is insufficient to fund its current operating plan for at least a year [196]. - The company raised approximately $12 million in gross proceeds from a public offering in February 2023, but anticipates needing additional financing in the first half of 2023 [196]. - The company has an accumulated deficit of $534.2 million as of December 31, 2022, with net losses of $62.0 million and $49.2 million for the years ended December 31, 2022 and 2021, respectively [206]. - The company is subject to a minimum liquidity covenant requiring a cash balance of $5.0 million under its Term Loan Agreement with CRG Servicing LLC [197]. - Future capital needs are uncertain, and the company may need to raise substantial additional capital to fund operations and expand product offerings [229]. Market and Competition - The company relies heavily on sales from its T2Dx Instrument and related products, which may adversely affect its financial condition if sales do not meet expectations [215]. - The company faces intense competition from established diagnostics companies with significant financial resources and market presence [240]. - The company has encountered difficulties in gaining market acceptance for its diagnostic products, which could hinder revenue generation [216]. - Future sales growth will largely depend on the ability to expand the direct sales force and medical affairs team in the United States [221]. Regulatory and Compliance Risks - The company received a letter from Nasdaq indicating that its Market Value of Listed Securities was below the $35 million minimum requirement for continued listing [202]. - The company has until May 22, 2023, to regain compliance with Nasdaq's listing requirements, or it may face delisting [204]. - Compliance with various foreign healthcare regulations and anti-bribery laws is required, impacting operational costs and sales [269]. - The company must keep pace with rapidly changing technology and customer requirements to avoid adverse impacts on revenue and operations [244]. - Regulatory approval processes for diagnostic tests are lengthy and costly, potentially delaying revenue generation [276]. Operational Challenges - The company has faced significant challenges due to the COVID-19 pandemic, impacting its marketing and research activities [212]. - The sales cycle can take up to 12 months or longer, making revenue forecasting challenging [223]. - The company experienced a raw material issue in February 2023 that limited manufacturing capacity, but resumed production in March 2023 [233]. - The company must effectively manage its growth to avoid escalating operating costs and ensure operational efficiency [228]. Intellectual Property and Litigation - The company holds over 35 issued U.S. patents and over 15 pending U.S. patent applications, which are critical for protecting its proprietary technologies [325]. - The company may face substantial litigation costs related to patent and intellectual property rights, which could adversely impact its business and stock price [337]. - The company has received notices of claims regarding infringement of proprietary rights, which may lead to costly litigation and affect its ability to commercialize products [338]. - The company cannot guarantee that it has identified all relevant third-party intellectual property rights that may be infringed, which could lead to future legal challenges [340]. Financial Reporting and Stock Market - The trading market for the company's common stock has historically been limited since its initial listing in August 2014, raising concerns about future market activity [357]. - The company continues to incur significant costs related to compliance with public company regulations, impacting financial resources [360]. - The company faces risks related to the volatility of its stock price, which may not reflect its operational performance [359]. - There is uncertainty regarding the effectiveness of the company's internal control over financial reporting, which could affect the accuracy of financial results [362]. Product Development and Clinical Studies - The company may face challenges in developing new product candidates and applications, which could compromise its growth objectives [246]. - Clinical studies are lengthy and expensive, with uncertain outcomes, and reliance on contract research organizations may lead to increased costs and program delays [302]. - Ongoing clinical studies may experience delays due to various factors, including the impact of the COVID-19 pandemic, which could adversely affect costs and completion timelines [305]. - The company’s diagnostic products depend heavily on third-party reimbursement, with significant uncertainty surrounding coverage and reimbursement for new technologies [309].