7Baggers

MiMedx Group, Inc
(NASDAQ:MDXG) 

MDXG stock logo

MiMedx Group, Inc. develops and distributes placental tissue allografts for various sectors of healthcare. It processes the human placental tissues utilizing its patented and proprietary PURION process to produce allografts. The company's patented and proprietary processing method employs aseptic pr...

Founded: 2008
CEO: Tim Wright  
Sector: Manufacturing
Industry: Small Arms, Ordnance, and Ordnance Accessories Manufacturing

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    Unit: USD2025-12-31 2025-09-30 2025-06-30 2025-03-31 2024-12-31 2024-09-30 2024-06-30 2024-03-31 2023-12-31 2023-09-30 2023-06-30 2023-03-31 2022-12-31 2022-09-30 2022-06-30 2022-03-31 2021-12-31 2021-09-30 2021-06-30 2021-03-31 2020-12-31 2020-09-30 2020-06-30 2020-03-31 2019-12-31 2019-09-30 2019-06-30 2019-03-31 2018-12-31 2017-09-30 2017-06-30 2017-03-31 2016-12-31 2016-09-30 2016-06-30 2016-03-31 2015-12-31 2015-09-30 2015-06-30 2015-03-31 2014-12-31 2014-09-30 2014-06-30 2014-03-31 2013-12-31 2013-09-30 2013-06-30 2013-03-31 2012-12-31 2012-09-30 2012-06-30 2012-03-31 2011-12-31 2011-09-30 2011-06-30 2011-03-31 2010-12-31 2010-09-30 2010-06-30 2010-03-31 2009-09-30 2009-06-30 2009-03-31 2008-12-31 2008-09-30 2008-06-30 2008-03-31 
                                                                       
      net sales
    118,095,000 113,725,000 98,605,000 88,205,000 92,907,000 84,057,000 87,207,000 84,709,000 86,832,000 81,712,000 81,257,000 71,676,000 74,375,000 67,689,000 66,883,000 58,894,000 67,409,000 63,074,000 68,165,000 59,967,000 68,548,000 64,303,000 53,647,000 61,736,000 76,400,000 88,863,000 67,437,000 66,555,000 125,519,000 84,573,000 76,412,000 72,607,000 69,876,000 64,429,000 57,342,000 53,367,000 51,835,000 49,015,000 45,679,000 40,767,000 39,572,852 33,517,762 25,573,198 19,559,188 17,993,791 16,115,708 13,514,743 11,556,493 10,509,663 7,954,046 4,884,256 3,705,808 2,635,466 2,152,094 1,929,399 1,043,487 -801 108,027 322,075 114,855        
      yoy
    27.11% 35.30% 13.07% 4.13% 7.00% 2.87% 7.32% 18.18% 16.75% 20.72% 21.49% 21.70% 10.33% 7.32% -1.88% -1.79% -1.66% -1.91% 27.06% -2.87% -10.28% -27.64% -20.45% -7.24% -39.13% 5.07% -11.75% -8.34% 79.63% 31.27% 33.26% 36.05% 34.80% 31.45% 25.53% 30.91% 30.99% 46.24% 78.62% 108.43% 119.93% 107.98% 89.22% 69.25% 71.21% 102.61% 176.70% 211.85% 298.78% 269.60% 153.15% 255.14% -329121.97% 1892.18% 499.05% 808.53%            
      qoq
    3.84% 15.33% 11.79% -5.06% 10.53% -3.61% 2.95% -2.44% 6.27% 0.56% 13.37% -3.63% 9.88% 1.21% 13.57% -12.63% 6.87% -7.47% 13.67% -12.52% 6.60% 19.86% -13.10% -19.19% -14.02% 31.77% 1.33% -46.98% 48.41% 10.68% 5.24% 3.91% 8.45% 12.36% 7.45% 2.96% 5.75% 7.30% 12.05% 3.02% 18.07% 31.07% 30.75% 8.70% 11.65% 19.25% 16.95% 9.96% 32.13% 62.85% 31.80% 40.61% 22.46% 11.54% 84.90% -130373.03% -100.74% -66.46% 180.42%         
      cost of sales
    19,055,000 18,719,000 18,681,000 16,558,000 16,909,000 15,322,000 14,855,000 12,987,000 13,842,000 14,790,000 13,583,000 12,419,000 14,369,000 12,188,000 11,823,000 9,936,000 10,753,000 10,129,000 12,760,000 9,641,000 10,817,000 10,289,000 8,198,000 10,025,000 12,709,000 13,205,000 9,749,000 7,418,000 9,414,000 9,599,000 8,631,000 8,743,000 9,069,000 7,997,000 7,394,000 7,946,000 4,985,000 4,979,000 5,089,000 5,148,000 3,599,752 3,348,005 2,739,967 2,977,275 3,111,174 2,113,438 2,198,482 1,905,020                    
      gross profit
    99,040,000 95,006,000 79,924,000 71,647,000 75,998,000 68,735,000 72,352,000 71,722,000 72,990,000 66,922,000 67,674,000 59,257,000 60,006,000 55,501,000 55,060,000 48,958,000 56,656,000 52,945,000 55,405,000 50,326,000 57,731,000 54,014,000 45,449,000 51,711,000                                            
      yoy
    30.32% 38.22% 10.47% -0.10% 4.12% 2.71% 6.91% 21.04% 21.64% 20.58% 22.91% 21.04% 5.91% 4.83% -0.62% -2.72% -1.86% -1.98% 21.91% -2.68%                                                
      qoq
    4.25% 18.87% 11.55% -5.73% 10.57% -5.00% 0.88% -1.74% 9.07% -1.11% 14.20% -1.25% 8.12% 0.80% 12.46% -13.59% 7.01% -4.44% 10.09% -12.83% 6.88% 18.85% -12.11%                                             
      gross margin %
    83.86% 83.54% 81.05% 81.23% 81.80% 81.77% 82.97% 84.67% 84.06% 81.90% 83.28% 82.67% 80.68% 81.99% 82.32% 83.13% 84.05% 83.94% 81.28% 83.92% 84.22% 84.00% 84.72% 83.76% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% NaN% NaN% NaN% NaN% NaN% NaN%  
      operating expenses:
                                                                       
      selling, general and administrative
    73,073,000 69,001,000 64,151,000 59,969,000 61,043,000 53,516,000 55,401,000 55,129,000 54,351,000 52,571,000 51,925,000 52,279,000 49,951,000 53,475,000 55,793,000 49,570,000 53,068,000 46,289,000 53,599,000 45,404,000 48,706,000 48,046,000 37,329,000 46,942,000 45,444,000 51,258,000 50,641,000 50,862,000                                        
      research and development
    4,761,000 3,703,000 3,303,000 3,328,000 3,571,000 2,918,000 3,012,000 2,841,000 -5,503,000 3,175,000 8,497,000 6,496,000 5,400,000 5,953,000 5,512,000 5,964,000 4,574,000 4,368,000 4,063,000 4,339,000 3,434,000 3,372,000 2,259,000 2,650,000 2,719,000 2,691,000 2,828,000 2,902,000                                        
      investigation, restatement and related
        43,000 649,000 -9,701,000 311,000 524,000 -38,000 1,017,000 3,673,000 3,406,000 3,001,000 3,218,000 2,552,000 -4,513,000 3,170,000 -2,062,000 7,196,000 20,400,000 12,027,000 11,446,000 15,592,000 20,130,000 7,242,000 21,025,000 18,107,000                                        
      amortization of intangible assets
    129,000 112,000 100,000 99,000 193,000 192,000 190,000 189,000 192,000 190,000 191,000 190,000 182,000 175,000 173,000 172,000 173,000 193,000 215,000 239,000 255,000 276,000 271,000 271,000 270,000 269,000 267,000 233,000 -417,000 418,000 507,000 526,000 238,000 631,000 447,000 810,000 234,000 234,000 233,000 233,000 232,632 232,079 231,959 231,331 264,162 259,575 267,638 262,596                    
      impairment of intangible assets
        94,000 298,000  54,000                    446,000                      1,798,495                  
      operating income
    21,077,000 22,190,000 12,370,000 8,251,000 11,054,000 11,162,000 23,450,000 13,198,000 26,890,000 10,816,000 2,788,000 -3,381,000 1,067,000 -7,103,000 -9,636,000 -9,300,000 3,301,000 -1,075,000 -410,000 -6,852,000 -16,091,000 -9,707,000 -5,856,000 -13,744,000 -4,872,000 14,198,000 -17,073,000 -13,413,000 -26,165,000 8,842,000 7,213,000 6,185,000 8,715,000 4,703,000 3,561,000 1,467,000 7,751,000 6,714,000 5,652,000 4,247,000 4,651,885 3,730,893 -391,763 -891,015 -306,749.5 -255,891 -744,217 -226,890                    
      yoy
    90.67% 98.80% -47.25% -37.48% -58.89% 3.20% 741.10% -490.36% 2420.15% -252.27% -128.93% -63.65% -67.68% 560.74% 2250.24% 35.73% -120.51% -88.93% -93.00% -50.15% 230.28% -168.37% -65.70% 2.47% -81.38% 60.57% -336.70% -316.86% -400.23% 88.01% 102.56% 321.61% 12.44% -29.95% -37.00% -65.46% 66.62% 79.96% -1542.71% -576.65% -1616.51% -1558.00% -47.36% 292.71%                        
      qoq
    -5.02% 79.39% 49.92% -25.36% -0.97% -52.40% 77.68% -50.92% 148.61% 287.95% -182.46% -416.87% -115.02% -26.29% 3.61% -381.73% -407.07% 162.20% -94.02% -57.42% 65.77% 65.76% -57.39% 182.10% -134.31% -183.16% 27.29% -48.74% -395.92% 22.58% 16.62% -29.03% 85.31% 32.07% 142.74% -81.07% 15.45% 18.79% 33.08% -8.70% 24.69% -1052.33% -56.03% 190.47% 19.88% -65.62% 228.01%                     
      operating margin %
    17.85% 19.51% 12.55% 9.35% 11.90% 13.28% 26.89% 15.58% 30.97% 13.24% 3.43% -4.72% 1.43% -10.49% -14.41% -15.79% 4.90% -1.70% -0.60% -11.43% -23.47% -15.10% -10.92% -22.26% -6.38% 15.98% -25.32% -20.15% -20.85% 10.45% 9.44% 8.52% 12.47% 7.30% 6.21% 2.75% 14.95% 13.70% 12.37% 10.42% 11.76% 11.13% -1.53% -4.56% -1.70% -1.59% -5.51% -1.96% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% NaN% NaN% NaN% NaN% NaN% NaN%  
      other expense
    -186,000 -126,000 -101,000 -145,000 -208,000 -21,000 -237,000  16,000 -11,000 -32,000  -3,000      -3,000         -29,000                                        
      interest income
    904,000 785,000 738,000 506,000 -352,250 278,000 3,000                 -2,387,000 -2,395,000 -2,255,000 -269,000 211,000     -63,500 -87,000 -111,000  -4,500 -5,000 1,000              -141,319 -113,366 -87,070             
      income from continuing operations before income tax
    21,795,000 22,849,000 13,007,000 8,612,000    11,409,000                                                            
      income tax provision
    -2,770,000 -6,101,000 -3,389,000 -1,589,000                             -746,000 -1,295,000 -1,475,000 -214,000 5,695,000 -158,000 -223,000 -146,000 -809,938 -22,062 10,033 -10,033 -24,243.75 -46,700  -50,275                    
      net income from continuing operations
    15,191,000 16,748,000 9,618,000 7,023,000 7,438,000 7,878,000 17,621,000 9,061,000                                                            
      income from discontinued operations, net of tax
         217,000 4,000 200,000                                                            
      net income
    15,191,000 16,748,000 9,618,000 7,023,000 7,438,000 8,095,000 17,625,000 9,261,000 53,477,000 8,534,000 1,200,000 -4,983,000 -414,000 -8,426,000 -10,868,000 -10,489,000 2,215,000 -2,339,000 -1,779,000 -8,382,000 -16,580,000 -19,417,000 -8,466,000 -4,821,000 -7,476,000 12,379,000 -17,210,000 -13,273,000 -59,832,000 17,457,000 8,069,000 4,327,000 5,481,000 3,321,000 1,975,000 1,197,000 13,378,000 6,551,000 5,430,000 4,087,000 3,832,526 3,699,705 -390,159 -922,072 -1,426,938 -307,118 -757,389 -1,620,408 -1,605,284 -4,219,372 -744,069 -1,093,652 -2,577,195 -1,765,723 -2,503,505 -3,347,562 -2,726,657 -2,854,442 -2,696,569 -3,142,085 -4,486,576 -1,597,543 -2,871,984 -2,309,055 -3,586,350 -3,151,882  
      yoy
    104.24% 106.89% -45.43% -24.17% -86.09% -5.14% 1368.75% -285.85% -13017.15% -201.28% -111.04% -52.49% -118.69% 260.24% 510.91% 25.14% -113.36% -87.95% -78.99% 73.86% 121.78% -256.85% -50.81% -63.68% -87.51% -29.09% -313.29% -406.75% -1191.63% 425.65% 308.56% 261.49% -59.03% -49.31% -63.63% -70.71% 249.06% 77.07% -1491.74% -543.24% -368.58% -1304.65% -48.49% -43.10% -11.11% -92.72% 1.79% 48.16% -37.71% 138.96% -70.28% -67.33% -5.48% -38.14% -7.16% 6.54% -39.23% 78.68% -6.11% 36.08% 25.10% -49.31%      
      qoq
    -9.30% 74.13% 36.95% -5.58% -8.12% -54.07% 90.31% -82.68% 526.63% 611.17% -124.08% 1103.62% -95.09% -22.47% 3.61% -573.54% -194.70% 31.48% -78.78% -49.45% -14.61% 129.35% 75.61% -35.51% -160.39% -171.93% 29.66% -77.82% -442.74% 116.35% 86.48% -21.05% 65.04% 68.15% 65.00% -91.05% 104.21% 20.64% 32.86% 6.64% 3.59% -1048.26% -57.69% -35.38% 364.62% -59.45% -53.26% 0.94% -61.95% 467.07% -31.96% -57.56% 45.96% -29.47% -25.21% 22.77% -4.48% 5.85% -14.18% -29.97% 180.84% -44.37% 24.38% -35.62% 13.78%   
      net income margin %
    12.86% 14.73% 9.75% 7.96% 8.01% 9.63% 20.21% 10.93% 61.59% 10.44% 1.48% -6.95% -0.56% -12.45% -16.25% -17.81% 3.29% -3.71% -2.61% -13.98% -24.19% -30.20% -15.78% -7.81% -9.79% 13.93% -25.52% -19.94% -47.67% 20.64% 10.56% 5.96% 7.84% 5.15% 3.44% 2.24% 25.81% 13.37% 11.89% 10.03% 9.68% 11.04% -1.53% -4.71% -7.93% -1.91% -5.60% -14.02% -15.27% -53.05% -15.23% -29.51% -97.79% -82.05% -129.76% -320.81% 340406.62% -2642.34% -837.25% -2735.70% -Infinity% -Infinity% -Infinity% -Infinity% -Infinity% -Infinity%  
      basic net income per common share:
                                                                       
      continuing operations
    100 110 70 50 50 50 120 60                                                            
      discontinued operations
                                                                       
      basic net income per common share
    57.5 110 70 50 60 50 120 60                                                            
      diluted net income per common share:
                                                                       
      diluted net income per common share
    55 110 60 50 57.5 50 120 60                                                            
      weighted-average common shares outstanding - basic
    147,793,069,000 148,035,283,000 147,761,332,000 147,272,324,000 146,979,354,000 146,958,986,000 147,326,273,000 146,404,587,000 116,495,810,000 116,298,146,000 115,866,371,000 114,398,813,000 112,909,266,000 113,448,251,000 112,867,912,000 111,615,839,000 110,353,406,000 110,717,073,000 110,276,636,000 109,401,383,000 108,257,112,000                                               
      weighted-average common shares outstanding - diluted
    149,724,507,000 149,713,653,000 149,317,281,000 149,677,452,000 149,049,197,000 148,373,631,000 148,897,920,000 150,028,107,000 145,962,462,000 119,327,709,000 115,866,371,000 114,398,813,000 112,909,266,000 113,448,251,000 112,867,912,000 111,615,839,000 110,353,406,000 110,717,073,000 110,276,636,000 109,401,383,000 108,257,112,000                                               
      continuing operations:
       50                                                                
      discontinued operations:
                                                                       
      income from continuing operations before income tax provision
        11,249,000 11,419,000 23,216,000                                                             
      income tax provision from continuing operations
        -2,871,250 -3,541,000                                                              
      net income available to common stockholders from continuing operations
        7,438,000 7,878,000 17,621,000                                                             
      income tax provision benefit from continuing operations
          -5,595,000                                                             
      interest expense
           -1,690,000 -1,593,000 -1,680,000 -1,630,000 -1,553,000 -1,450,000 -1,270,000 -1,170,000 -1,126,000 -1,174,000 -963,000 -1,371,000 -1,472,000 -1,608,250 -1,472,000 -2,574,000      -84,250 -43,000 -149,000 -145,000        -14,000 -9,421 -9,126 -8,429 -21,024 -8,125.75 -4,527 -13,172 -14,804 -141,696 -145,582 -153,804 -243,586    -91,216            
      other income
           -99,000    2,000     -20,000    -1,000 1,000 -9,000 6,000 11,000 127,000 174,000                                    14,714.25 5,703 15,169 37,985  
      income tax expense from continuing operations
           -2,348,000                                                            
      net income from continuing operations available to common stockholders
           9,061,000                                                            
      restructuring
            866,000 208,000 3,256,000                                                         
      income before income tax provision
            1,330,000 9,125,000 1,126,000          -10,985,750 -19,379,000   -7,256,000 12,070,000 -17,168,000 -13,231,000 -29,575,000 13,073,000 7,064,000 6,040,000 8,630,000 4,616,000 3,450,000 1,411,000 7,683,000 6,709,000 5,653,000 4,233,000 4,642,464 3,721,767 -400,192 -912,039 -646,985 -260,418 -757,389 -1,570,133                    
      income tax provision expense
            -142,250 -591,000  -51,000 -44,500 -53,000  -63,000                                                    
      net income available to common shareholders
            -108,250 6,761,000                                                          
      net income per common share - basic
             60               -70 120 -160 -120 -560 160 80 40 50 30 20 10 130 60 50 40 59.98 0.03                          
      net income per common share - diluted
             60               -70 110 -160 -120 -540 150 70 40 50 30 20 10 120 60 50 40 49.98 0.03                          
      income tax provision benefit
              74,000    -62,000  108,000 -301,000 5,000 -58,000 1,020,000 -38,000 -27,000 11,304,000 -220,000 309,000 -42,000 -42,000 -30,257,000 4,384,000  -1,713,000                                    
      net loss available to common shareholders
              -528,000     -12,075,000 -4,259,750 -3,913,000                                                  
      net loss per common share - basic
               -60 -20 -90 -110 -110  -40 -30 -90 -170 -480 -80 -40                                            
      net loss per common share - diluted
               -60 -20 -90 -110 -110  -40 -30 -90 -170 -480 -80 -40                                            
      loss before income tax provision
               -4,932,000 -386,000 -8,373,000 -10,806,000 -10,426,000 2,107,000 -2,038,000 -1,784,000 -8,324,000   -8,439,000 -16,125,000                                            
      net loss available to common stockholders
               -6,667,000 -2,110,000 -10,096,000 -12,496,000    -3,276,000 -9,850,000                                                
      loss on extinguishment of debt
                         -8,201,000                                              
      net income available to common stockholders
                        -16,317,250 -51,982,000                                              
      weighted-average shares outstanding - basic
                         108,493,208,000 108,119,461,000 107,538,509,000 106,946,384,000 107,157,561,000 106,942,429,000 106,420,317,000 105,596,256,000 106,871,436,000 106,805,162,000 105,708,526,000 105,928,348,000 105,991,990,000 106,191,932,000 105,538,271,000 105,929,205,000 106,511,294,000 106,211,120,000 105,820,335,000 105,793,008,000 105,756,945                          
      weighted-average shares outstanding - diluted
                         108,493,208,000 108,119,461,000 107,538,509,000 106,946,384,000 109,590,008,000 106,942,429,000 106,420,317,000 105,596,256,000 117,501,925,000 117,285,865,000 113,730,591,000 112,441,709,000 112,361,179,000 112,148,415,000 112,039,860,000 113,628,482,000 114,556,036,000 114,186,329,000 113,638,551,000 113,295,504,000 112,814,658                          
      impairment of intangible asset
                            111,500                                           
      gross margin
                            48,120,750 75,658,000 57,688,000 59,137,000 51,655,000 74,974,000 67,781,000 63,864,000 60,807,000 56,432,000 49,948,000 45,421,000 46,850,000 44,036,000 40,590,000 35,619,000 35,973,100 30,169,757 22,833,231 16,581,913 14,882,617 14,002,270 11,316,261 9,651,473                    
      research and development expenses
                                3,607,500 5,481,000 4,747,000 4,202,000 3,456,000 2,919,000 3,168,000 2,496,000 2,341,000 2,187,000 2,054,000 1,831,000 1,845,847 2,014,306 1,799,803 1,390,044 1,384,872 1,287,361 924,468 1,246,757 1,135,699 838,690 503,086 407,072 607,125 485,236 662,487 847,903 585,288 842,929 752,711 572,404 949,281 773,517 957,084 886,270 1,225,809 953,546  
      selling, general and administrative expenses
                                42,124,500 60,233,000 55,314,000 52,951,000 48,398,000 48,179,000 42,772,000 40,648,000 36,524,000 34,901,000 32,651,000 29,308,000 29,242,736 24,192,479 21,193,232 15,851,553 14,277,050 12,711,225 10,868,372 8,369,010 8,409,430 6,206,251 3,383,760 2,971,246 3,601,270 2,475,849 2,893,942 2,793,055 1,726,202 1,579,259 1,831,236 1,711,438        
      gain on divestiture
                                1,068,500 4,274,000                                      
      income tax benefit
                                  1,005,000                                     
      interest (expense)
                                       -56,000                                
      amortization of debt discount
                                                -332,109.75   -1,328,439                    
      net income per common share - basic and diluted
                                               -0.01 -0.01  -0.01 -0.02                    
      weighted-average shares outstanding - basic and diluted
                                              105,757,178 105,358,694 96,285,504 96,914,856 95,988,100 93,128,466                    
      fair value adjustment of earn-out liability
                                                    247,050 1,320,000                  
      revenues:
                                                                       
      operating costs and expenses:
                                                                       
      cost of products sold
                                                    1,689,261 1,425,336 1,114,926 958,855 862,947 843,366 789,405 658,875 364,853 539,697 435,925 379,588        
      income from operations
                                                    -971,777 -3,634,726 -117,516 -631,365 -2,435,876 -1,652,357 -2,416,435 -3,256,346 -2,432,425 -2,853,858 -2,697,797 -2,548,575 -2,408,627 -2,107,833 -2,872,678 -2,314,758 -3,601,519 -3,189,867  
      financing expense associated with the debt discount recognized in connection with the senior secured promissory notes
                                                    -305,572.5 -439,064 -472,749 -218,701                
      income before income taxes
                                                    -1,605,284 -4,219,372 -744,069 -1,093,652 -2,577,195 -1,765,723 -2,503,505 -3,347,562 -2,726,657 -2,854,442 -2,696,569 -3,142,085 -4,486,576 -1,597,543 -2,871,984 -2,309,055 -3,586,350 -3,151,882  
      income taxes
                                                                       
      net loss per common share
                                                                       
      basic and diluted
                                                    -0.02 -0.05 -0.01 -0.01 -0.03 -0.02 -0.03 -0.05 -0.04 -0.05 -0.04 -0.06  -0.04 -0.07 -0.08  -0.09  
      shares used in computing net loss per common share
                                                                       
      basic and diluted
                                                    -2,444,719 84,493,164 79,952,542 74,872,122 367,732 73,767,674 71,819,017 70,333,476 1,264,264 61,049,942 60,635,877 51,227,540 41,576,491 39,244,628 271,262 37,833,267 37,314,628 37,073,595  
      acquired in-process research and development
                                                                       
      gain on sale of assets
                                                                       
      financing expense associated with issuance of common stock for registration rights waivers
                                                                       
      financing expense associated with warrants issued in connection with convertible promissory note
                                                                       
      net interest income
                                                            -148,216.5 -584 1,228 -593,510 -90,814 -54,548      
      change in fair value of investment, related party
                                                                       
      accretion of redeemable common stock and common stock with registration rights to fair value
                                                                   -735,000    
      loss attributable to common shareholders
                                                            -2,173,274 -2,854,442 -2,696,569 -3,142,085 -4,486,576  -2,871,984 -3,044,055 -5,010,173   
      general and administrative expenses
                                                                1,459,346 1,334,316 1,915,594 1,428,488 2,375,710 2,236,321  
      other income:
                                                                       
      gain on settlement of payables
                                                                1,381 564,838      
      financing expense associated with registration rights/waivers
                                                                -1,305,100       
      derivative expense
                                                                -683,416       
      accretion of redeemable common stock to fair value
                                                                    -1,423,823   
      loss attributable to common shareholders per common share
                                                                       
      basic and diluted
                                                                -0.11    -0.13   
    Balance Sheets:
    Quarterly
    Annual
      Unit: USD2025-12-31 2025-09-30 2025-06-30 2025-03-31 2024-12-31 2024-09-30 2024-06-30 2024-03-31 2023-12-31 2023-09-30 2023-06-30 2023-03-31 2022-12-31 2022-09-30 2022-06-30 2022-03-31 2021-12-31 2021-09-30 2021-06-30 2021-03-31 2020-12-31 2020-09-30 2020-06-30 2020-03-31 2019-12-31 2019-09-30 2019-06-30 2019-03-31 2018-12-31 2017-09-30 2017-06-30 2017-03-31 2016-12-31 2016-09-30 2016-06-30 2016-03-31 2015-12-31 2015-09-30 2015-06-30 2015-03-31 2014-12-31 2014-09-30 2014-06-30 2014-03-31 2013-12-31 2013-09-30 2013-06-30 2013-03-31 2012-12-31 2012-09-30 2012-06-30 2012-03-31 2011-12-31 2011-09-30 2011-06-30 2011-03-31 2010-12-31 2010-09-30 2010-06-30 2010-03-31 2009-09-30 2009-06-30 2009-03-31 2008-12-31 2008-09-30 2008-06-30 2008-03-31 
                                                                         
        assets
                                                                         
        current assets:
                                                                         
        cash and cash equivalents
      166,121,000 142,083,000 118,869,000 106,431,000 104,416,000 88,801,000 69,037,000 48,487,000 82,000,000  68,652,000 61,221,000 65,950,000 73,217,000 72,502,000 75,676,000 87,083,000 90,607,000 85,007,000 84,746,000 95,812,000 109,595,000 48,189,000 53,525,000 69,069,000 94,122,000 96,929,000 28,381,000 45,118,000 36,522,000 47,533,000 30,924,000 34,391,000 18,338,000 23,803,000 15,117,000 28,486,000 41,073,000 38,601,000 38,696,000 46,582,000 47,253,003 39,245,237 43,019,559 44,077,751 6,061,756 4,193,583 5,725,107 6,754,485 7,621,226 2,654,694 3,021,266 4,112,326 637,192 1,614,350 1,020,533 1,340,922 428,493 2,728,205 1,627,505 5,785 1,620,900 34,828 864,768 2,347,237 3,875,106 6,749,609 
        accounts receivable
      75,707,000 78,186,000 69,228,000 62,288,000 55,828,000 54,030,000 52,798,000 57,016,000 53,871,000 49,005,000 48,963,000 44,694,000 43,084,000 40,830,000 37,661,000 37,674,000 40,353,000 36,536,000 37,243,000 35,420,000 35,423,000 33,042,000 30,097,000 31,932,000 32,327,000 21,389,000    59,581,000 60,738,000 66,846,000 67,151,000 63,427,000 54,861,000 53,882,000 53,755,000 46,778,000 39,448,000 31,001,000 26,672,000 23,304,472 20,499,578 18,966,543 16,092,836 13,706,524 11,761,874 9,821,503 7,653,561 6,170,124 3,946,333 2,853,552 1,891,919 1,501,565 1,212,594 503,185 162,376 259,476          
        inventory
      25,340,000 26,502,000 24,890,000 24,070,000 23,807,000 24,249,000 25,056,000 24,454,000 21,021,000 19,068,000 16,815,000 14,657,000 13,183,000 13,976,000 13,382,000 13,170,000 11,389,000 11,196,000 10,137,000 11,582,000 10,361,000 11,023,000 10,565,000 9,247,000 9,104,000 12,034,000 14,952,000 16,428,000 15,986,000 10,419,000 15,033,000 16,050,000 17,814,000 18,313,000 17,207,000 17,967,000 7,460,000 5,653,000 3,860,000 4,248,000 5,133,000 4,738,690 4,229,291 3,639,094 3,880,776 4,533,062 4,220,284 3,956,339 3,022,784 1,802,335 961,939 795,516 712,602 609,139 561,917 570,643 111,554 117,821 95,328 68,276        
        other current assets
      10,303,000 3,076,000 3,026,000 1,972,000 2,817,000 2,152,000 3,097,000 2,801,000 1,745,000 2,311,000 3,110,000 2,306,000 2,631,000 2,582,000 2,570,000 2,571,000 2,809,000 860,000 1,816,000 3,530,000 3,371,000 5,469,000 5,191,000 5,216,000 6,058,000 3,739,000 7,537,000 7,292,000 5,818,000 926,000 1,024,000 1,200,000 1,288,000                                   
        total current assets
      277,471,000 254,095,000 220,876,000 200,112,000 191,886,000 172,139,000 154,018,000 138,853,000 164,261,000 154,502,000 141,223,000 131,702,000 134,198,000 136,040,000 131,009,000 135,907,000 148,523,000 141,902,000 147,691,000 149,964,000 160,617,000 171,474,000 107,592,000 115,888,000 123,245,000 134,022,000 122,500,000 57,187,000 74,049,000 114,110,000 132,546,000 121,898,000 126,538,000 106,290,000 101,841,000 95,240,000 96,310,000 102,745,000 91,806,000 82,286,000 85,677,000 77,264,455 66,299,641 67,904,192 65,388,771 25,845,711 21,527,689 20,689,366 18,088,791 16,140,400 7,855,189 7,047,829 6,881,511 3,002,590 3,623,053 2,343,073 1,705,798 929,459 3,326,079 1,983,290 186,039 1,669,982 117,781 873,089 2,406,072 3,942,683 6,938,862 
        property and equipment
      4,713,000 5,003,000 5,390,000 5,773,000 5,944,000 6,451,000 6,822,000 7,340,000 6,974,000 7,094,000 7,261,000 7,562,000 7,856,000 7,912,000 8,328,000 8,759,000 9,165,000 9,856,000 10,273,000 11,044,000 11,437,000 10,255,000 10,820,000 11,833,000 12,328,000 13,180,000 14,672,000 16,377,000 17,424,000 13,264,000 14,419,000 13,763,000 13,786,000 13,757,000 13,049,000 12,123,000 9,475,000 8,376,000 7,184,000 6,440,000 5,447,000 5,052,209 4,680,476 4,288,743 4,086,106 3,761,633 2,990,746 1,153,667 1,071,625 999,866 948,720 805,817 869,411 916,871 741,387 825,569 756,956 861,189 946,704 954,260 1,159,250 1,268,065 1,375,896 1,470,489 1,548,131 1,582,818 1,452,436 
        deferred tax assets
      19,596,000    28,306,000    40,777,000                                                           
        goodwill
      19,441,000 19,441,000 19,441,000 19,441,000 19,441,000 19,441,000 19,441,000 19,441,000 19,441,000 19,441,000 19,441,000 19,976,000 19,976,000 19,976,000 19,976,000 19,976,000 19,976,000 19,976,000 19,976,000 19,976,000 19,976,000 19,976,000 19,976,000 19,976,000 19,976,000 19,976,000 19,976,000 19,976,000 19,976,000 19,894,000 20,203,000 20,203,000 20,203,000 26,951,000 26,951,000 30,730,000 4,040,000 4,040,000 4,040,000 4,040,000 4,040,000 4,040,443 4,040,443 4,040,443 4,040,443 4,040,443 4,040,443 4,040,443 4,040,443 4,040,443 4,040,443 4,040,443 4,040,443 4,040,443 4,040,443 4,040,443 857,597 857,597 857,597 857,597 857,597 857,597 857,597 857,597 857,597 857,597 857,597 
        intangible assets
      14,158,000 11,147,000 12,028,000 11,062,000 11,626,000 11,201,000 12,047,000 12,550,000 5,257,000 5,395,000 5,565,000 5,706,000 5,852,000 4,992,000 5,141,000 5,265,000 5,383,000 5,620,000 5,750,000 5,918,000 6,004,000 7,168,000 7,386,000 7,581,000 7,777,000 7,952,000 8,104,000 8,292,000 9,608,000                                  5,116,337    5,783,153 
        other assets
      7,274,000 2,987,000 990,000 1,048,000 1,106,000 1,180,000 1,239,000 1,251,000 205,000 149,000 146,000 147,000 148,000 150,000 164,000 172,000 186,000 270,000 313,000 344,000 375,000 420,000 2,227,000 473,000 443,000 507,000 1,206,000 1,535,000 1,787,000 3,391,000        26,000 26,000 26,000                            
        total assets
      342,653,000 318,988,000 291,109,000 270,420,000 263,915,000 243,891,000 230,183,000 221,681,000 239,047,000 189,022,000 176,378,000 168,159,000 171,430,000 172,798,000 168,667,000 174,443,000 187,929,000 180,523,000 187,147,000 190,813,000 202,032,000 213,324,000 150,912,000 158,909,000 167,166,000 179,267,000 170,310,000 107,442,000 122,844,000 178,707,000 199,865,000 188,491,000 193,263,000 181,665,000 177,055,000 177,220,000 135,913,000 125,927,000 113,837,000 106,105,000 109,259,000 97,317,407 86,024,633 87,348,566 84,693,893 45,296,293 40,283,088 37,852,174 35,182,608 33,535,481 27,471,686 26,860,192 27,096,192 23,551,623 24,282,404 23,420,585 7,352,245 6,847,122 9,486,240 8,336,670 7,344,986 9,121,250 7,616,813 8,633,518 10,410,847 12,149,661 15,178,481 
        liabilities and stockholders’ equity
                                                                         
        current liabilities:
                                                                         
        current portion of long term debt
      1,500,000 1,375,000 1,250,000 1,125,000 1,000,000 1,000,000 1,000,000 1,000,000               3,750,000 3,750,000 3,750,000 3,750,000 3,750,000                                         
        accounts payable
      14,528,000 11,415,000 8,499,000 8,868,000 7,409,000 6,924,000 7,603,000 9,697,000 9,048,000 9,170,000 8,150,000 7,823,000 8,847,000 8,820,000 8,075,000 8,120,000 7,385,000 6,881,000 10,563,000 6,925,000 8,765,000 9,049,000 11,946,000 9,756,000 8,710,000 9,420,000 10,792,000 10,691,000 14,864,000 8,767,000 11,504,000 10,892,000 11,436,000 11,162,000 9,678,000 13,059,000 6,633,000 7,244,000 5,614,000 5,379,000 3,661,000 2,759,409 2,445,627 2,618,753 2,490,531 2,205,778 1,837,711 1,056,707 1,251,684                   
        accrued compensation
      31,065,000 27,650,000 22,025,000 18,744,000 23,667,000 20,170,000 17,645,000 17,913,000 22,353,000 23,159,000 21,602,000 18,212,000 21,852,000 24,090,000 17,280,000 17,102,000 23,595,000 19,475,000 21,257,000 16,153,000 18,467,000 18,528,000 20,784,000 17,116,000 21,302,000 21,076,000 19,210,000 15,523,000 23,024,000 15,092,000 14,719,000 11,602,000 12,365,000 10,812,000 10,245,000 9,394,000 15,034,000 12,997,000 9,661,000 8,720,000 11,523,000 9,448,245 6,154,401 5,413,595 5,588,811 4,560,380 2,974,709 3,518,769                    
        accrued expenses
      11,383,000 12,825,000 15,105,000 9,447,000 9,012,000 8,396,000 9,281,000 9,196,000 9,361,000 9,444,000 12,645,000 13,041,000 11,024,000 10,986,000 10,002,000 9,812,000 9,812,000 13,692,000 17,073,000 30,676,000 30,460,000 28,363,000 25,768,000 30,661,000 32,161,000 37,438,000 42,817,000 35,737,000 31,842,000 8,613,000 7,986,000 9,940,000 10,941,000 6,664,000 6,988,000 5,137,000 4,644,000 4,097,000 3,725,000 3,615,000 2,504,000 1,989,997 1,137,508 1,369,048 1,405,974 1,410,159 1,075,916 1,227,485 3,743,934                   
        other current liabilities
      5,790,000 4,417,000 3,411,000 4,435,000 3,086,000 2,591,000 2,070,000 4,071,000 3,894,000 1,854,000 2,063,000 1,794,000 1,834,000 1,962,000 1,781,000 1,557,000 1,565,000 1,698,000 1,678,000 1,657,000 1,470,000 1,357,000 1,415,000 2,416,000 1,399,000 1,683,000 1,534,000 2,396,000 1,817,000 358,000 550,000 587,000 1,482,000 3,298,000 1,985,000 1,252,000 466,000 14,000 461,000 746,000 716,000 251,578 175,247 192,522 122,551 155,077 252,343 167,600 75,154 78,634 69,981                 
        total current liabilities
      64,266,000 57,682,000 50,290,000 42,619,000 45,595,000 41,941,000 40,012,000 42,221,000 46,008,000 43,627,000 44,460,000 40,870,000 43,557,000 45,858,000 37,138,000 36,591,000 42,357,000 41,746,000 50,571,000 55,411,000 59,162,000 57,297,000 63,663,000 63,699,000 67,322,000 73,367,000 78,103,000 64,347,000 71,547,000 35,159,000 51,511,000 49,600,000 50,732,000 41,578,000 38,538,000 28,842,000 26,777,000 24,352,000 19,461,000 18,460,000 18,404,000 14,449,229 9,912,783 9,593,918 9,607,867 8,331,394 6,140,679 5,970,561 5,070,772 10,548,110 8,239,835 6,796,440 7,917,267 6,827,561 5,564,192 2,698,032 1,251,717 1,143,645 1,261,289 928,050 1,911,462 1,106,925 1,699,337 1,190,689 1,532,054 841,898 948,478 
        long term debt
      16,467,000 16,839,000 17,211,000 17,533,000 17,830,000 18,018,000 18,249,000 18,453,000 48,099,000 48,966,000 48,838,000 48,714,000 48,594,000 48,475,000 48,356,000 48,239,000 48,127,000 48,015,000 47,905,000 47,799,000 47,697,000 47,627,000 61,472,000 61,637,000 61,906,000 62,174,000 63,071,000                                         
        other liabilities
      5,372,000 5,521,000 6,984,000 7,492,000 7,383,000 2,924,000 3,882,000 5,276,000 2,223,000 2,605,000 3,252,000 4,027,000 4,773,000 5,491,000 4,282,000 4,553,000 4,869,000 4,076,000 3,314,000 3,624,000 3,755,000 4,422,000 2,917,000 3,234,000 3,540,000 4,151,000 4,452,000 4,743,000 1,642,000 1,076,000 1,084,000 1,086,000 821,000 832,000 934,000 895,000 1,148,000 1,053,000 1,136,000 1,244,000 1,526,000 1,611,927 1,623,171 1,516,464 1,517,956 1,426,469 1,250,866 288,438 299,762 311,085 320,055 322,464 312,493 48,862              
        total liabilities
      86,105,000 80,042,000 74,485,000 67,644,000 70,808,000 62,883,000 62,143,000 65,950,000 96,330,000 95,198,000 96,550,000 93,611,000 96,924,000 99,824,000 89,776,000 89,383,000 95,353,000 93,837,000 101,790,000 106,834,000 110,614,000 109,346,000 128,052,000 128,570,000 132,768,000 139,692,000 145,626,000 69,090,000 73,189,000 36,235,000 52,595,000 59,455,000 60,263,000 58,388,000 55,450,000 62,977,000 27,925,000 25,405,000 20,597,000 19,704,000 19,930,000 16,061,156 11,535,954 11,110,382 11,125,823 9,757,863 7,391,545 6,258,999 15,175,306 14,352,735 11,803,377 14,363,512 15,199,627 11,699,467 11,356,879 11,035,847 1,251,717 1,143,645 1,261,289 928,050 4,826,707 3,948,072      
        stockholders’ equity
                                                                         
        common stock; .001 par value...
      148,000    147,000    146,000    114,000    113,000    113,000 113,000 113,000 113,000  113,000 113,000 113,000  112,000 112,000 111,000  110,000 110,000 109,000  109,000 109,000 109,000  107,834 106,165 105,843 104,426 97,686 96,356 95,824 88,423 86,792 81,052 78,139 74,307 74,307 73,697 71,251 64,382 61,771 61,771 58,550 42,185 37,340 37,340 37,340 37,282 37,282 36,864 
        additional paid-in capital
      299,081,000 296,670,000 291,096,000 286,864,000 284,219,000 279,558,000 274,685,000 280,000,000 276,249,000 188,369,000 182,907,000 178,829,000 173,804,000 171,865,000 169,352,000 165,490,000 165,695,000 162,003,000 158,720,000 156,733,000 158,610,000 158,318,000 151,625,000 149,765,000 147,231,000 143,647,000 136,298,000 166,296,000 164,744,000 163,446,000 161,883,000 153,735,000 161,261,000 159,940,000 156,457,000 151,659,000 163,133,000 156,074,000 156,401,000 158,401,000 162,433,000 157,893,595 154,078,653 150,874,988 147,284,219 107,834,381 104,881,706 102,826,481 89,627,601 87,199,392 79,471,324 75,558,539 73,868,604 71,247,000 70,555,255 67,513,409 57,888,506 54,767,409 54,434,441 50,924,762 40,697,152 35,084,069 34,230,824 33,409,193 33,233,660 32,456,207 32,226,983 
        accumulated deficit
      -42,681,000 -57,872,000 -74,620,000 -84,236,000 -91,259,000 -98,697,000 -106,792,000 -124,417,000 -133,678,000 -187,155,000 -195,689,000 -196,889,000 -191,906,000 -191,492,000 -183,066,000 -172,198,000 -161,709,000 -163,924,000 -161,585,000 -159,806,000 -151,424,000 -134,844,000 -115,427,000 -106,961,000 -102,140,000 -94,664,000 -107,043,000 -89,833,000 -76,560,000  -13,759,000 -21,828,000 -26,155,000 -31,637,000 -34,958,000 -36,933,000 -38,129,000 -51,507,000 -58,058,000 -63,488,000 -67,575,000 -71,408,101 -75,107,806 -74,717,647  -72,368,637 -72,061,519 -71,304,130 -69,683,722 -68,078,438 -63,859,067 -63,114,998 -62,021,346 -59,444,151 -57,678,427 -55,174,922 -51,827,360           
        total stockholders’ equity
      256,548,000    193,107,000    142,717,000        82,000        34,398,000   38,352,000 49,655,000                           12,384,738 6,100,528 5,703,477 8,224,951 7,408,620 2,518,279 1,411,928 2,156,226 4,206,579 6,876,685 11,307,763 14,230,003 
        total liabilities and stockholders’ equity
      342,653,000 318,988,000 291,109,000 270,420,000 263,915,000 243,891,000 230,183,000 221,681,000                 167,166,000   107,442,000 122,844,000                           23,420,585 7,352,245 6,847,122 9,486,240 8,336,670 7,344,986 9,121,250 7,616,813 8,633,518 10,410,847 12,149,661 15,178,481 
        prepaid expenses
       4,248,000 4,863,000 5,351,000 5,018,000 2,907,000 4,030,000 6,095,000 5,624,000 2,954,000 3,683,000 8,824,000 8,646,000 4,679,000 4,085,000 6,136,000 6,146,000 2,078,000 3,350,000 4,695,000 5,605,000 1,492,000 2,850,000 5,239,000 6,669,000 1,895,000 2,548,000 4,620,000 6,673,000 6,662,000 8,218,000 6,878,000 5,894,000            1,337,408                       
        right of use asset
       4,668,000 4,987,000 5,299,000  2,843,000 3,175,000 3,499,000  2,441,000 2,742,000 3,066,000 3,400,000 3,728,000 4,049,000 4,364,000 4,696,000 2,899,000 3,144,000 3,567,000 3,623,000 4,031,000 2,911,000 3,158,000 3,397,000 3,630,000 3,852,000 4,075,000                                        
        deferred tax asset
       21,647,000 27,397,000 27,685,000  30,636,000 33,441,000 38,747,000                      17,671,000 10,144,000 9,530,000 9,114,000 7,019,000 7,077,000 4,940,000 14,838,000                               
        stockholders' equity
                                                                         
        common stock; 0.001 par value...
       148,000 148,000 148,000  147,000 147,000 148,000  116,000 116,000 115,000  114,000 114,000 114,000  113,000 113,000 113,000     113,000    113,000    110,000    109,000    108,000                           
        total stockholders' equity
       238,946,000 216,624,000 202,776,000  181,008,000 168,040,000 155,731,000  1,330,000            12,870,000 22,860,000 30,339,000  39,575,000 24,684,000   142,472,000 147,270,000 129,036,000 133,000,000 123,277,000 121,605,000 114,243,000 107,988,000 100,522,000 93,240,000 86,401,000 89,329,000 81,256,251 74,488,679 76,238,184 73,568,070 35,538,430 32,891,543 31,593,175 20,007,302 19,182,746 15,668,309 12,496,680 11,896,565 11,852,156 12,925,525             
        right of use assets
          5,606,000    2,132,000                                                           
        current portion of profit share payments
          1,421,000 2,860,000 2,196,000                                                             
        current liabilities of discontinued operations
            217,000 344,000 1,352,000                                                           
        commitments and contingencies
                                                                         
        current assets of discontinued operations
                                                                         
        noncurrent assets of discontinued operations
                                                                         
        liabilities, convertible preferred stock, and stockholders’ equity
                                                                         
        convertible preferred stock series b; .001 par value...
                  92,494,000    92,494,000    91,568,000 91,108,000                                              
        total liabilities, convertible preferred stock, and stockholders’ equity
              239,047,000 189,022,000       187,929,000     213,324,000                                              
        cash
               81,164,000                                                          
        convertible preferred stock series b; 0.001 par value...
               92,494,000 92,494,000 92,494,000  92,494,000 92,494,000 92,494,000  92,494,000 92,494,000 92,030,000                                                
        preferred stock series a; 0.001 par value...
                                                                         
        liabilities, convertible preferred stock, and stockholders’ deficit
                                                                         
        stockholders' deficit
                                                                         
        total stockholders' deficit
                -12,666,000 -17,946,000      -5,808,000 -7,137,000 -8,051,000                                                
        total liabilities, convertible preferred stock, and stockholders’ deficit
                176,378,000 168,159,000      180,523,000 187,147,000 190,813,000                                                
        treasury stock
                 -1,000  -7,000 -3,000 -840,000 -4,017,000 -4,000,000 -4,385,000 -5,091,000 -7,449,000 -10,717,000 -13,451,000 -12,578,000 -10,806,000 -9,521,000 -4,684,000 -38,224,000 -38,642,000 -24,784,000 -966,000 -2,982,000 -2,216,000 -5,136,000 -4,000 -592,000 -17,125,000 -4,154,000 -5,212,000 -8,621,000 -5,637,000 -5,337,077 -4,588,333 -25,000  -25,000 -25,000 -25,000 -25,000 -25,000 -25,000 -25,000 -25,000 -25,000 -25,000 -25,000 -25,000 -25,000 -25,000 -25,000 -25,000       
        income tax receivable
                  704,000 756,000 809,000 680,000 743,000 625,000 10,138,000 9,991,000 10,045,000 10,853,000 10,700,000 10,729,000 18,000 843,000 534,000 466,000 454,000                                       
        liabilities, convertible preferred stock, and stockholders’ (deficit) equity
                                                                         
        stockholders’ (deficit) equity:
                                                                         
        preferred stock series a; .001 par value...
                                                                         
        total stockholders’ (deficit) equity
                  -17,988,000        -150,000                                               
        total liabilities, convertible preferred stock, and stockholders’ (deficit) equity
                  171,430,000 172,798,000 168,667,000 174,443,000     202,032,000                                               
        net sales
                  267,841,000 67,689,000 66,883,000 58,894,000     248,234,000                                               
        cost of sales
                  48,316,000 12,188,000 11,823,000 9,936,000     39,330,000                                               
        gross profit
                  219,525,000 55,501,000 55,060,000 48,958,000     208,904,000                                               
        operating expenses:
                                                                         
        selling, general and administrative
                  208,789,000 53,475,000 55,793,000 49,570,000     181,022,000                                               
        research and development
                  22,829,000 5,953,000 5,512,000 5,964,000     11,715,000                                               
        investigation, restatement and related
                  12,177,000 3,001,000 3,218,000 2,552,000     59,465,000                                               
        amortization of intangible assets
                  701,000 175,000 173,000 172,000     1,073,000                                               
        impairment of intangible assets
                          1,027,000                                               
        operating income
                  -24,971,000 -7,103,000 -9,636,000 -9,300,000     -45,398,000                                               
        other income
                  -4,000        -3,000                                               
        interest expense
                  -5,016,000 -1,270,000 -1,170,000 -1,126,000                                                    
        loss on extinguishment of debt
                          -8,201,000                                               
        income before income tax provision
                  -29,991,000 -8,373,000 -10,806,000 -10,426,000     -61,543,000                                               
        income tax provision benefit
                  -206,000  -62,000      12,259,000                                               
        net income
                  -30,197,000 -8,426,000 -10,868,000 -10,489,000     -49,284,000                                               
        net income available to common stockholders
                  -36,777,000 -10,096,000 -12,496,000      -83,328,000                                               
        net income per common share - basic
                  -330 -90 -110 -110     -770                                               
        net income per common share - diluted
                  -330 -90 -110 -110     -770                                               
        weighted-average common shares outstanding - basic
                  112,909,266,000 113,448,251,000 112,867,912,000 111,615,839,000     108,257,112,000                                               
        weighted-average common shares outstanding - diluted
                  112,909,266,000 113,448,251,000 112,867,912,000 111,615,839,000     108,257,112,000                                               
        stockholders' (deficit) equity
                                                                         
        total stockholders' (deficit) equity
                   -19,520,000 -13,603,000 -7,434,000                                                    
        income tax provision expense
                   -53,000  -63,000                                                    
        net income available to common shareholders
                     -12,075,000                                                    
        interest income
                          -7,941,000                                               
        liabilities and stockholders' equity
                                                                         
        stockholders' equity:
                                                                         
        preferred stock; .001 par value...
                                                                         
        total liabilities and stockholders' equity
                            150,912,000 158,909,000  179,267,000 170,310,000   178,707,000 199,865,000 188,491,000 193,263,000 181,665,000 177,055,000 177,220,000 135,913,000 125,927,000 113,837,000 106,105,000 109,259,000 97,317,407 86,024,633 87,348,566 84,693,893 45,296,293 40,283,088 37,852,174 35,182,608 33,535,481 27,471,686 26,860,192 27,096,192 23,551,623 24,282,404             
        stockholders’ equity:
                                                                         
        preferred stock; 0.001 par value...
                                                                         
        current liabilities
                                                                         
        intangible assets, net of accumulated amortization
                                   10,377,000 22,289,000 22,788,000 23,268,000 27,249,000 27,693,000 33,710,000 10,763,000 10,740,000 10,781,000 10,813,000 10,845,000 10,960,300 11,004,073 11,115,188 11,178,573                       
        current portion of earn out liability
                                    17,574,000 8,740,000 8,740,000 9,642,000 9,642,000                                 
        income taxes
                                   2,329,000 -822,000 7,839,000 5,768,000                                   
        earn out liability
                                     8,769,000 8,710,000 15,978,000 15,978,000 33,240,000                                
        accumulated earnings
                                   3,698,000                                      
        deferred financing costs and other assets
                                    264,000 309,000 354,000 399,000 444,000 477,000 487,000                               
        short term investments
                                         2,500,000 3,000,000 6,500,000 7,250,000 6,000,000 5,750,000                           
        prepaid expenses and other current assets
                                       6,212,000 5,970,000 5,774,000 3,609,000 2,741,000 2,647,000 2,341,000 1,540,000 1,968,290 2,325,535 2,278,996  1,544,369 1,351,948 1,186,417 657,961 546,715 292,223 377,495 164,664 254,694 234,192 248,712 90,946 123,669 121,981 171,854 180,254 49,082 82,953 8,321 58,835 67,577 189,253 
        investments
                                             2,500,000 3,250,000                           
        earn-out liability payable in mimedx common stock
                                                      5,792,330                   
        convertible senior secured promissory notes
                                                      4,012,442                   
        intangible assets, net of accumulated amortization of 5,638,565 and 4,848,756, respectively
                                                   11,648,506                      
        deposits and other long term assets
                                                     319,545 70,000 180,428 204,803 209,595 214,342 167,257 119,082 119,083 102,500 102,500          
        intangible assets, net of accumulated amortization of 5,378,990 and 4,848,756, respectively
                                                    11,724,210                     
        intangible assets, net of accumulated amortization of 5,111,352 and 4,848,756, respectively
                                                     11,649,153                    
        intangible assets, net of accumulated amortization of 4,848,756 and 3,468,515, respectively
                                                      11,911,749                   
        current portion of line of credit with related party
                                                                         
        current portion of long term convertible debt related to acquisition
                                                                         
        commitments and contingency
                                                                         
        intangible assets, net of accumulated amortization and impairments of 6,384,656 and 3,468,515, respectively
                                                       12,174,344                  
        accounts payable and accrued expenses
                                                       3,750,350 1,902,349 1,825,765 2,300,638 1,877,402 1,618,907 1,686,272 848,285 1,143,645  928,050 932,741 1,106,925 1,699,337 1,190,689 1,532,054 841,898 948,478 
        convertible line of credit with related party, net of unamortized discount of 217,678 and 46,746, respectively, plus accrued interest of 91,521 and 42,726, respectively
                                                       1,173,846                  
        convertible debt related to acquisition, net of unamortized discount of 170,509, plus accrued interest of 49,315
                                                                         
        current portion of earn-out liability payable in mimedx common stock
                                                       5,545,280 4,225,280 3,185,223 3,185,223 3,850,000              
        earn-out liability payable in mimedx common stock, net of current portion
                                                         4,225,280 4,225,280 3,554,700              
        convertible senior secured promissory notes, net of unamortized discount of 1,569,592 and 2,263,145, respectively, plus accrued interest of 63,133 and 7,732, respectively
                                                       3,493,540                  
        intangible assets, net of accumulated amortization of 4,136,469 and 3,468,515, respectively
                                                        14,422,531                 
        convertible line of credit with related party, net of unamortized discount of 398,899 and 46,746, respectively, plus accrued interest of 75,137 and 42,726, respectively
                                                        976,238                 
        convertible debt related to acquisition, net of unamortized discount of 3,821 and 170,509, respectively, plus accrued interest of 69,808 and 49,315, respectively
                                                        1,065,987                 
        convertible senior secured promissory notes, net of unamortized discount of 1,818,446 and 2,263,145, respectively, plus accrued interest of 61,933 and 7,732, respectively
                                                        3,243,487                 
        intangible assets, net of accumulated amortization of 3,802,492 and 3,468,515, respectively
                                                         14,756,508                
        deferred rent current
                                                         6,620 6,620 6,620  6,620            
        convertible line of credit with related party, net of unamortized discount of 549,779 and 46,746, respectively, plus accrued interest of 58,931 and 42,726, respectively
                                                         809,152                
        convertible debt related to acquisition, net of unamortized discount of 90,156 and 170,509, respectively, plus accrued interest of 59,836 and 49,315, respectively
                                                         969,680                
        convertible senior secured promissory notes, net of unamortized discount of 2,049,190 and 2,263,145, respectively, plus accrued interest of 68,518 and 7,732, respectively
                                                         3,019,328                
        intangible assets, net of accumulated amortization of 3,468,515and 2,132,606, respectively
                                                          15,090,485               
        convertible notes, plus accrued interest of 3,432
                                                                         
        convertible line of credit with related party, net of unamortized discount of 46,746 plus accrued interest of 42,726
                                                          1,295,980               
        convertible debt related to acquisition, net of unamortized discount of 170,509 plus accrued interest of 49,315
                                                          1,128,806               
        convertible senior secured promissory notes, net of unamortized discount of 2,263,145 plus accrued interest of 7,732
                                                          2,744,587               
        intangible assets, net of accumulated amortization of 3,134,538 and 2,132,606, respectively
                                                           15,424,462              
        notes payable, plus accrued interest of 268
                                                           37,398              
        customer deposits
                                                           14,725 43,125             
        current portion of convertible debt, net of unamortized discount of 245,296 plus accrued interest of 36,712
                                                           1,041,416              
        convertible line of credit with related party, net of unamortized discount of 52,698 plus accrued interest of 21,042
                                                           1,268,344              
        intangible assets, net of accumulated amortization of 2,800,561and 2,132,606, respectively
                                                            15,758,439             
        short-term convertible notes, plus accrued interest of 3,432
                                                              403,432           
        short-term notes payable, plus accrued interest of 97
                                                            45,540             
        deferred rent
                                                            6,620             
        earn-out liability, payable in mimedx stock
                                                            3,850,000             
        convertible debt, plus accrued interest of 24,110
                                                            959,209             
        convertible line of credit with related party, plus accrued
                                                            1,240,877             
        interest of 9,959 and amortized discount of 10,918
                                                                         
        notes payable, plus accrued interest of 301
                                                            7,704             
        other long term liabilities
                                                            30,197 22,285            
        intangible assets, net of accumulated amortization of 2,466,583 and 2,132,606, respectively
                                                             16,092,417            
        line of credit with a related party
                                                             800,000            
        short-term notes payable, plus accrued interest of 146
                                                             205,140            
        accrued contingent consideration
                                                             7,404,700            
        long-term convertible debt, plus accrued interest of 11,644
                                                             897,061            
        long-term notes payable, plus accrued interest of 362
                                                             13,769            
        intangible assets, net of accumulated amortization of 2,132,606 and 1,464,674, respectively
                                                              3,929,394           
        deferred financing costs
                                                                  209,971 226,771      
        long-term convertible debt, face value 3,472,000, less unamortized discount of 550,748 and including accrued interest of 69,604
                                                                         
        intangible assets, net of accumulated amortization of 1,965,623 and 1,464,674, respectively
                                                               4,096,377          
        long term convertible debt, face value 3,472,000, less unamortized discount of 550,748 and including accrued interest of 69,604
                                                                         
        deficit accumulated during the development stage
                                                               -49,100,703 -46,246,261 -43,549,692 -38,196,058 -33,709,481 -32,111,938 -29,239,954 -26,195,899 -21,185,726 -18,033,844 
        trade accounts receivable
                                                                380,565 115,655        
        intangible assets, net of accumulated amortization of 1,798,640 and 1,464,674
                                                                4,263,360         
        deposits and other long term receivables
                                                                92,500 111,180        
        accounts payable & accrued expenses
                                                                1,261,289         
        intangible assets, net of accumulated amortization of 1,631,657
                                                                 4,430,343        
        intangible assets, net of accumulated amortization of 1,324,070
                                                                  4,782,927       
        deposits
                                                                  149,202 149,202 149,202 149,302 149,302 150,114 146,433 
        hybrid debt instrument
                                                                  369,055       
        warrant derivative liability
                                                                  609,666       
        long term convertible debt, face value 3,472,000 less unamortized discount of 600,319 and including accrued interest of 43,564
                                                                  2,915,245       
        common stock with registration rights,1,905,000 shares issued and outstanding march
                                                                         
        intangible assets, net of accumulated amortization of 1,157,364
                                                                   4,949,633      
        long term convertible debt, face value 3,472,000, less unamortized discount of 648,377 and including accrued interest of 17,524
                                                                   2,841,147      
        common stock with registration rights,1,905,000 shares issued and outstanding
                                                                   3,761,250      
        common stock with registration rights, 1,905,000 shares issued and outstanding
                                                                    3,761,250     
        intangible assets, net of accumulated amortization of 823,960
                                                                     5,283,041    
        common stock with registration rights, 210,000 shares issued and outstanding
                                                                     945,000    
        redeemable common stock, 487,500 shares issued and outstanding
                                                                     2,291,250 2,002,108   
        intangible assets, net of accumulated amortization of 657,256
                                                                      5,449,745   
        stock subscriptions receivable
                                                                      -198,358   
        intangible assets, net of accumulated amortization of 490,552
                                                                       5,616,449  
        due from related parties
                                                                         
        investment, related party
                                                                         
        deferred interest income
                                                                         
        due to related party
                                                                         
        convertible preferred stock series a; .0001 par value...
                                                                         
        note receivable, related party
                                                                         
      Cashflow Statements:
      Quarterly
      Annual
        Unit: USD2025-12-31 2025-09-30 2025-06-30 2025-03-31 2024-12-31 2024-09-30 2024-06-30 2024-03-31 2023-12-31 2023-09-30 2023-06-30 2023-03-31 2022-12-31 2022-09-30 2022-06-30 2022-03-31 2021-12-31 2021-09-30 2021-06-30 2021-03-31 2020-12-31 2020-09-30 2020-06-30 2020-03-31 2019-12-31 2019-09-30 2019-06-30 2019-03-31 2018-12-31 2017-09-30 2017-06-30 2017-03-31 2016-12-31 2016-09-30 2016-06-30 2016-03-31 2015-12-31 2015-09-30 2015-06-30 2015-03-31 2014-12-31 2014-09-30 2014-06-30 2014-03-31 2013-12-31 2013-09-30 2013-06-30 2013-03-31 2012-12-31 2012-09-30 2012-06-30 2012-03-31 2011-12-31 2011-09-30 2011-06-30 2011-03-31 2010-11-22 2010-09-30 2010-06-30 2010-03-31 2009-09-30 2009-06-30 2009-03-31 2008-09-30 2008-06-30 
                                                                         
          cash flows from operating activities:
                                                                         
          net income from continuing operations
        15,191,000 16,748,000 9,616,000 7,023,000 7,438,000 7,878,000 17,621,000 9,061,000                                                          
          adjustments to reconcile net income from continuing operations to net cash flows from operating activities from continuing operations:
                                                                         
          share-based compensation
        2,463,000 4,919,000 4,752,000 4,262,000 4,693,000 3,809,000 4,091,000 4,340,000 4,166,000 4,388,000 4,060,000 4,345,000 1,868,000 2,372,000 4,428,000 3,998,000 3,642,000 3,811,000 4,060,000 3,244,000 3,905,000 3,669,000 4,434,000 3,349,000 2,865,000 2,686,000 3,499,000 3,014,000 -464,000 5,306,000 5,255,000 4,671,000 3,992,000 4,702,000 4,509,000 4,615,000 4,332,000 4,378,000 4,253,000 3,933,000 3,292,322 3,021,962 2,766,352 2,372,364 1,854,171 1,667,766 1,502,447 984,792                  
          depreciation and amortization
        3,220,000 5,290,000 3,168,000 3,203,000                                                              
          deferred income taxes
        2,051,000 5,751,000 287,000 621,000                                                              
          credit loss expense
        3,366,000 2,056,000 351,000 742,000                                                              
          non-cash lease expenses
        325,000 318,000 312,000 307,000 338,000 331,000 324,000 317,000 309,000 301,000 324,000 334,000  321,000 315,000 295,000  244,000 243,000 237,000  216,000 247,000 239,000   223,000 269,000                                      
          shares received in settlement of litigation
                                                                         
          loss on extinguishment of debt
            1,401,000                                                         
          other
        98,000 249,000   682,000 -77,000                                                            
          increase in cash resulting from changes in:
                                                                         
          accounts receivable
        -887,000 -11,014,000 -7,290,000 -7,203,000 -2,253,000 -953,000 3,998,000 -3,344,000 -5,578,000 -489,000 -4,619,000 -1,551,000 -2,255,000 -3,596,000 -2,378,000 2,679,000 -3,817,000 707,000 -1,823,000 3,000 -1,765,000 -3,327,000 1,601,000 395,000      -1,248,000 6,108,000 305,000 -3,725,000 -8,565,000 -980,000 1,874,000 -6,977,000 -7,330,000 -8,447,000 -4,329,000 -3,367,364 -2,804,894 -1,533,035 -2,873,707 -2,386,312 -1,944,650 -1,940,371 -2,167,942 -1,483,437 -2,223,791 -1,092,781 -961,633 -390,354 -259,058 -709,409 150,365 -115,655 149,834 -264,910 -115,655      
          inventory
        1,162,000 -1,612,000 -820,000 -263,000 440,000 807,000 -663,000 -2,941,000 -1,953,000 -2,252,000 -2,159,000 -1,474,000 792,000 -593,000 -212,000 -1,781,000 -193,000 -1,059,000 1,445,000 -1,221,000 491,000 -505,000 -1,100,000 -143,000 2,930,000 2,918,000 1,476,000 -442,000 -10,257,000 1,110,000 939,000 1,689,000 762,000 -1,354,000 -1,981,000 -264,000 -1,807,000 -1,794,000 389,000 885,000 -394,086 -509,399 -590,197 241,682 652,286 -312,778 -263,945 -933,555 -1,220,449 -840,396 -166,423 -82,914 -103,463 -47,222 8,726 -111,983 -37,356 -22,493 -27,052 -37,356      
          other assets
        -3,117,000 -3,440,000 -1,562,000 -699,000 -437,000 943,000 -463,000 -1,001,000 511,000 798,000 -804,000 1,030,000 -46,000 11,000 -298,000 -1,315,000 603,000 1,068,000 319,000 -1,752,000   812,000     3,964,000     101,000 -473,000 209,000  -26,000     319,545 -249,545 77,444    -32,201    63,021 -10,000 33,681 63,021      
          accounts payable
        -1,586,000 2,913,000 -668,000 1,460,000 713,000 -1,045,000 -1,361,000 283,000 460,000 453,000 893,000 -1,023,000 -37,000 648,000 -14,000 456,000 502,000 -3,622,000 3,730,000 -936,000 -162,000 -2,897,000 2,190,000 1,046,000 -727,000 -1,372,000 101,000 -4,173,000 6,107,000 244,000 613,000 -379,000 276,000 1,656,000 -1,332,000 -4,265,000 -611,000 1,687,000 271,000 1,789,000 931,731 400,173 -173,126 128,222 254,653 368,067 781,004 -194,977                  
          accrued compensation
        3,415,000 6,362,000 3,282,000 -4,073,000 3,496,000 4,109,000 -269,000 -4,440,000 318,000 1,856,000 3,002,000 -3,347,000 -2,239,000 6,811,000 178,000 -6,494,000 3,043,000 -705,000 5,104,000 -2,314,000 316,000 -2,257,000 3,668,000 -4,186,000 226,000 1,866,000 3,687,000 -7,501,000 -790,000 519,000 3,117,000 -763,000 1,554,000 566,000 851,000 -5,640,000 2,037,000 3,336,000 941,000 -2,803,000 2,075,566 3,293,844 740,806 -175,216 1,028,431 1,585,671 -544,060 765,532                  
          accrued expenses
        -1,441,000 284,000 3,601,000 -73,000 142,000 -1,682,000 229,000 522,000 -419,000 -2,507,000 -992,000 2,210,000 38,000 984,000 190,000 550,000 -4,429,000 -3,016,000 -13,268,000 -484,000 6,581,000 7,274,000 -9,264,000 -2,845,000 -5,653,000 -5,379,000 7,080,000 3,895,000 18,302,000 605,000 -1,891,000 -942,000 4,277,000 -324,000 1,851,000 493,000 548,000 371,000 110,000 1,111,000 513,977 852,489 -231,540 -36,926 -66,581 334,243 -151,569 236,788                  
          other liabilities
        1,466,000 -110,000 -1,226,000 159,000 437,000 129,000 -1,241,000 -195,000 544,000 -467,000 -176,000 -398,000 -867,000 1,408,000 -139,000 -364,000 -319,000 -326,000 -337,000 -177,000 -878,000 -231,000 -1,318,000 709,000 -892,000 -5,000 -1,155,000 -665,000 1,958,000 -142,000 -34,000 -618,000 -1,816,000 1,221,000 775,000 543,000 576,000 -501,000 -363,000 -223,000 406,480 92,863 116,849 101,808 -161,271 85,940 57,686 -11,324 -11,323 -9,286 -2,093 9,971 26,208 -66,952 51,039 6,088          
          net cash flows from operating activities of continuing operations
        24,956,000 29,329,000 14,419,000 5,299,000                                                              
          net cash flows from operating activities of discontinued operations
               -807,000                                                          
          net cash flows from operating activities
        24,956,000 29,329,000 14,419,000 5,299,000 18,782,000 19,624,000 21,814,000 5,978,000 10,257,000 12,791,000 7,775,000 -4,048,000 -5,624,000 959,000 -3,005,000 -10,223,000 -3,232,000 6,330,000 1,599,000 -6,679,000 -10,267,000 -4,618,000   -23,122,000 -3,160,000 2,130,000 -15,260,000 -6,278,000 17,951,000 13,483,000 10,640,000 16,680,000 2,845,000 7,280,000 -977,000 4,356,000 7,308,000 2,933,000 4,210,000 8,284,508 8,949,243 1,179,220 -1,610,971 839,186 1,728,885 -755,362 -2,098,186 -923,718 -862,302 -310,872 -1,287,939 -1,655,688 -1,089,563 -2,129,676 -1,789,844 -1,897,252 -2,270,896 -2,003,308 -1,897,252 -1,908,035 -1,750,103 -1,332,373 -2,431,932 -2,643,150 
          cash flows from investing activities:
                                                                         
          cash paid for acquisitions
        -3,064,000                                                                
          purchases of equipment
        -285,000 -192,000 -179,000 -377,000 -263,000 -171,000 -105,000 -1,144,000 -427,000 -628,000 -299,000 -633,000  -349,000 -380,000 -118,000  -547,000 -405,000 -1,941,000  -652,000 -410,000 -1,011,000  -156,000 -251,000 -648,000  -1,304,000 -1,771,000 -923,000 -968,000 -1,546,000 -1,747,000 -2,008,000 -1,651,000 -1,663,000 -1,166,000 -1,347,000 -727,739 -684,910 -679,583 -465,768 -328,110 -955,477 -979,396 -73,534 -181,067 -163,366 -191,704 -46,794 -68,191 -274,473            
          other investments
        -89,000                                                                 
          net cash flows from investing activities
        -335,000 -5,258,000 -887,000 -406,000 -2,767,000 113,000 -905,000 -6,024,000 -481,000 -649,000 -348,000 -677,000 -1,709,000 -374,000 -429,000 -148,000 -314,000 -580,000 -422,000 -2,079,000 -2,273,000 -710,000   -793,000 2,060,000 -330,000 -433,000 -5,078,000 -1,394,000 -1,779,000 -969,000 -1,295,000 -1,734,000 573,000 -9,286,000 1,592,000 -1,105,000 -117,000 -1,048,000 -9,844,644 -873,215 -800,427 -633,714 -490,441 -1,139,348 -1,322,091 -73,534 -181,067 -163,366 -191,704 -46,794 181,809 -274,473 -181,500 -428,344 -15,655 -28,816 -104,712 -15,655 -2,080 -8,285 -22,567 -70,937 -231,353 
          cash flows from financing activities:
                                                                         
          stock repurchased for tax withholdings on vesting of restricted stock
        -51,000 -83,000 -526,000 -2,458,000 -30,000 -110,000       1,000 -1,191,000 -188,000 -1,347,000 -3,216,000 75,000 -79,000 -792,000 -1,538,000                                          
          cash paid for profit share payment
        -282,000 -524,000                                                                
          proceeds from citizens revolving credit facility
            30,000,000                                                          
          proceeds from citizens term loan
                                                                         
          prepayment premium on previous term loan
                                                                         
          deferred financing cost
            -1,101,000              -2,759,000                                            
          repayment of previous term loan
                                                                         
          repayment of citizens revolving credit facility
            -30,000,000                                                          
          principal payments on citizens term loan facility
            -250,000 -250,000 -250,000 -250,000                                                          
          proceeds from exercise of stock options
            -1,000 388,000 244,000 766,000 591,000 386,000   77,000 137,000 271,000 166,000 33,000 45,000 444,000 915,000 41,000 72,000 298,000   -8,035,000 2,398,000 7,327,000 1,865,000 946,000 532,000 878,000 1,138,000 1,164,000 724,000 1,465,000 1,276,000 972,910 614,383 437,635 445,072 464,838 973,739 310,310 232,531 167,634 569,739 144,295 171,000 295,750   101,875 751 101,875      
          repurchase of series b preferred shares
                                                                         
          net cash flows from financing activities
        -583,000 -857,000 -1,094,000 -2,878,000 -400,000 27,000 -359,000 -33,467,000 -8,940,000   -4,000 66,000 130,000 260,000 -1,036,000 22,000 -150,000 -916,000 -2,308,000 -1,243,000 66,734,000   -1,138,000 -1,707,000 66,748,000 -1,044,000 26,867,000 -27,568,000 4,905,000 -13,138,000 668,000 -6,576,000 833,000 -3,106,000 -18,535,000 -3,731,000 -2,911,000 -11,048,000 888,884 -68,262 -4,153,115 1,186,493 37,667,250 1,278,636 545,929 1,142,342 238,044 5,992,200 136,004 243,673 4,949,013 386,878 2,904,993 1,897,799 886,875 3,208,720 886,875 295,000 3,344,460 525,000   
          net change in cash
        24,038,000 23,214,000 12,438,000 2,015,000 15,615,000 19,764,000 20,550,000 -33,513,000  12,512,000 7,431,000 -4,729,000 -7,267,000 715,000 -3,174,000 -11,407,000 -3,524,000 5,600,000 261,000 -11,066,000 -13,783,000 61,406,000 -5,336,000 -15,544,000 -25,053,000 -2,807,000 68,548,000 -16,737,000 15,511,000 -11,011,000 16,609,000 -3,467,000 16,053,000 -5,465,000 8,686,000 -13,369,000 -12,587,000 2,472,000 -95,000 -7,886,000 -671,252 8,007,766 -3,774,322 -1,058,192 38,015,995 1,868,173 -1,531,524 -1,029,378 -866,741 4,966,532 -366,572 -1,091,060 3,475,134 -977,158 593,817 -320,389 -1,026,032 -2,299,712 1,100,700 -1,026,032 -1,615,115 1,586,072  -1,527,869 -2,874,503 
          cash and cash equivalents, beginning of period
        104,416,000 82,000,000 65,950,000  87,083,000  95,812,000  69,069,000  45,118,000  34,391,000 28,486,000 46,582,000 249 44,077,751 6,754,485                  
          cash and cash equivalents, end of period
        24,038,000 23,214,000 12,438,000 106,431,000 15,615,000 19,764,000 20,550,000 48,487,000 836,000 12,512,000 7,431,000 61,221,000  715,000 -3,174,000 75,676,000  5,600,000 261,000 84,746,000  61,406,000 -5,336,000 53,525,000  -2,807,000 68,548,000 28,381,000  -11,011,000 16,609,000 30,924,000 16,053,000 -5,465,000 8,686,000 15,117,000 -12,587,000 2,472,000 -95,000 38,696,000 -671,003 8,007,766 -3,774,322 43,019,559 38,015,995 1,868,173 -1,531,524 5,725,107                  
          prepaid expenses
         615,000 488,000 -333,000 -2,111,000 1,123,000 2,065,000 -471,000 -4,001,000 886,000 3,010,000 -178,000 -3,967,000 -594,000 2,050,000 11,000 -4,069,000 1,273,000 1,344,000 910,000 -4,113,000 1,358,000 2,389,000 1,430,000 -4,774,000 653,000 2,072,000 2,053,000 -3,756,000 1,532,000 -1,340,000 -984,000             206,961 -192,421 -165,531 -555,692                  
          patent application costs
         -2,000 -8,000 -29,000  284,000 -434,000 120,000 -54,000 -21,000 -49,000 -44,000 -42,000 -25,000 -49,000 -54,000 11,000 -63,000 -47,000 -153,000 -118,000 -58,000 -76,000 -75,000 -96,000 -117,000 -79,000 -174,000 -465,000 -90,000 -8,000 -46,000 -327,000 -188,000 -180,000 -147,000 -257,000 -192,000 -201,000 -201,000 -116,905 -188,305 -120,844 -167,946 -162,331 -183,871                    
          principal payment on citizens term loan facility
         -250,000 -250,000 -250,000                                                              
          proceeds from citizens term loan facility
            19,783,000                                                          
          principal payments on finance lease
             -1,000 -4,000 -13,000  -16,000 -16,000 -4,000  -7,000 -11,000 -11,000  -7,000 -13,000 -7,000                                              
          prepayment premium on hayfin term loan
            -500,000                                                          
          repayment of hayfin term loan
            -50,000,000                                                          
          amortization of deferred financing costs
           135,000    69,000 132,000 128,000 124,000 121,000  119,000 117,000 112,000  110,000 418,000 415,000  370,000       2,000 45,000 45,000 45,000 45,000 45,000 42,000 49,000                              
          accretion of asset retirement obligation
           24,000    22,000 23,000 27,000 21,000 22,000 23,000 23,000 24,000 22,000 24,000 20,000 20,000 17,000                                              
          loss on fixed asset disposal
               185,000     -2,000 -15,000 26,000 236,000       312,000 1,000                 28,441                     
          change in the fair value of earnout liability
           7,000                                                              
          profit share payment
           -170,000                                                              
          adjustments to reconcile net income from continuing operations to net cash flows from operating activities of continuing operations:
                                                                         
          deferred income tax provision
                                                                         
          amortization of intangible assets
            2,426,000 575,000 572,000 189,000 192,000 190,000 190,000 190,000 182,000 174,000 173,000 172,000 173,000 193,000 215,000 239,000 255,000 276,000 271,000 271,000 270,000 269,000 267,000 233,000 -417,000 418,000 507,000 526,000 238,000 632,000 447,000 810,000 234,000 234,000 232,000 233,000 232,632 232,078 231,959 231,331 264,162 259,575 267,638 262,596 262,595 449,692 333,977 333,977 333,977 333,977 333,977 333,977 166,983 166,983 166,983 166,983 166,706 166,704 166,704 166,704 166,704 
          depreciation
            564,000 580,000 577,000 558,000 611,000 653,000 687,000 714,000 796,000 831,000 858,000 860,000 973,000 923,000 1,306,000 1,161,000 1,288,000 1,566,000 1,422,000 1,506,000 1,565,000 1,641,000 1,645,000 1,695,000 2,808,000 1,013,000 1,115,000 946,000 939,000 839,000 821,000 734,000 552,000 471,000 422,000 354,000 332,842 313,177 287,850 263,131 223,081 176,231 139,183 98,751 110,942 122,934 121,103 110,388 115,651 98,989 115,682 116,180 110,992 114,330 112,272 110,992 110,895 116,116 111,820 106,436 97,290 
          fair value of shares received in settlement of litigation
                                                                        
          change in deferred income taxes
             2,805,000 5,306,000 2,031,000                     34,098,000 -7,527,000 -614,000 -416,000                                  
          impairment of intangible assets
                                 1,258,000                                     
          bad debt expense
             -278,000 220,000 199,000 712,000 448,000 349,000 -60,000 3,000 426,000        382,000                                            
          net cash flows from operating activities from continuing operations
             19,625,000 21,937,000 6,785,000                                                          
          net cash flows from operating activities from discontinued operations
             -1,000                                                            
          consideration paid pursuant to tela apa
             -366,000 -5,000,000                                                          
          stock repurchased for tax withholdings on vesting of restricted stock units
               -2,152,000                                                          
          sales of equipment
                                                                         
          cash paid for licensing agreement
                                                                         
          principal payments from note receivable
                        30,000 30,000 15,000       389,000                                      
          payments under finance lease obligations
                                                                         
          net change in cash and cash equivalents
                                                                         
          net income
                                -7,476,000 12,379,000 -17,210,000 -13,273,000 -59,832,000 17,457,000 8,069,000 4,327,000 5,481,000 3,321,000 1,975,000 1,197,000 13,378,000 6,551,000 5,430,000 4,087,000 3,832,526 3,699,705 -390,159 -922,072 -1,426,938 -307,118 -757,389 -1,620,408         -3,142,085         
          adjustments to reconcile net income to net cash flows from operating activities:
                                                                         
          impairment of clinical trial assets
                 -156,000                                                        
          impairment of goodwill
                                                                        
          gain on fixed asset disposal
                                                                         
          proceeds from sale of equipment
                     24,000                                                  
          net loss
                  1,200,000 -4,983,000 -414,000 -8,426,000 -10,868,000 -10,489,000 2,215,000 -2,339,000 -1,779,000 -8,382,000 -16,580,000 -19,417,000 -8,466,000 -4,821,000                         -1,605,284 -4,219,371 -744,069 -1,093,652 -2,577,195 -1,765,724 -2,503,505 -3,347,562  -2,854,442 -2,696,569 -3,142,085 -4,486,577 -1,597,543 -2,871,984 -3,586,350 -3,151,882 
          adjustments to reconcile net loss to net cash flows from operating activities:
                                                                         
          adjustments to reconcile net loss to net cash from operating activities:
                                                                         
          non cash lease expenses
                                233,000                                         
          amortization of deferred financing costs and debt discount
                               668,000                                          
          income taxes
                    52,000 53,000 -129,000 63,000 -118,000 9,513,000 -147,000 54,000 808,000         3,152,000 -8,661,000 2,071,000                                  
          purchases of property and equipment
                                                                         
          proceeds from property and equipment sale
                                                                         
          proceeds from sale of series b convertible preferred stock
                                                                        
          stock issuance costs
                            -906,000                                             
          proceeds from term loans
                                                                        
          deferred financing costs
                                        76,000 -45,000 -41,000 -20,000                              
          repayment of term loans
                                                                        
          prepayment premium on early repayment of term loan
                                                                        
          cash and cash equivalents, beginning of year
                                                                         
          cash and cash equivalents, end of year
                                                                         
          effect of change in revenue recognition
                                                                        
          amortization of discount on notes receivable
                                                                         
          stock repurchase under repurchase plan
                                       -12,666,000 -6,848,000 -3,530,000                              
          payments under capital lease obligations
                                    19,000 -7,000 -5,000 -10,000 -81,000 -7,000 -4,000 -10,000  -28,000 -30,000 -29,000        -14,813                  
          reserve for inventory obsolescence
                             46,000                                            
          income tax receivable
                              29,000 -10,711,000 825,000 -309,000 -68,000 -12,000                                      
          other current assets
                                 -1,988,000 85,000 -1,612,000   177,000 87,000                                  
          proceeds from term loan
                                                                       
          repayment of term loan
                              -10,938,000 -937,000 -937,000                                         
          adjustments to reconcile net income to net cash from operating activities:
                                                                         
          cash flows from operating activities
                               -12,281,000                                          
          cash flows from investing activities
                               -1,086,000                                          
          cash flows from financing activities
                               -2,177,000                                          
          amortization of inventory fair value step-up
                                     50,000 78,000 75,000 14,000 247,000                                
          change in fair value of earn-out consideration
                                                                         
          intangible asset impairment
                                                                         
          loss on divestiture of stability
                                                                         
          increase in cash, net of effects of divestiture, resulting from changes in:
                                                                         
          shares repurchased for tax withholdings on vesting of restricted stock
                                   -1,044,000                                      
          mimedx group, inc. and subsidiariesconsolidated statements of cash flows
                                                                         
          shares repurchased under repurchase plan
                                                                         
          loss of fixed asset disposal
                                                                         
          proceeds from sale of property and equipment
                                                                         
          payment under capital lease obligations
                                                                         
          amortization of deferred financing costs and discount
                                                                         
          principal payments on note receivable
                                                                         
          share repurchase for tax withholdings on vesting of restricted stock
                                     -671,000                                    
          share repurchase under repurchase plan
                                     -29,288,000                                    
          increase in cash, net of effects of acquisition and divestiture, resulting from changes in:
                                                                         
          stability acquisition
                                                                         
          fixed maturity securities redemption
                                        2,500,000 500,000  750,000 1,250,000 500,000                          
          gain on divestiture
                                                                         
          increase in cash, net of effects of acquisition, resulting from changes in:
                                                                         
          purchase of stability inc., net of cash acquired
                                        -7,631,000                              
          stock repurchase for tax withholdings on vesting of restricted stock
                                       -2,327,000 -273,000 -208,000 -684,000                              
          proceeds from exercise of warrants
                                                244,375 93,875 774,750 627,759 312,500 243,000 924,624 75,524 5,601,901 965 322,673              
          prepaid expenses and other current assets
                                         -242,000 285,000 -2,066,000  -95,000 -305,000 -801,000 427,882 357,245 -46,539 -941,588     -84,009 -254,492 85,272 -212,831 90,030 -20,502 14,517 -155,025 -35,576 -1,688 34,872 -35,576 -89,172 33,871 -74,632 8,742 121,676 
          amortization of inventory fair value step - up
                                           734,000                              
          amortization of debt discount and deferred financing costs
                                                    1,328,439 491,812 439,063 472,748 310,478 68,345 113,290 60,599 72,918 568,636 -69,026 568,636 98,228 37,966    
          prepaid expenses and other assets
                                                                         
          accrued interest
                                                    -41,641 75,121 80,668 82,095 150,012 42,605 27,583 22,315 15,383          
          maturity (purchases) of fixed maturity securities
                                                                         
          proceeds from public offering, net of expenses
                                                                         
          stock repurchase
                                            -19,211,000 -4,427,000 -4,346,000 -12,295,000 -299,923 -748,744                        
          principal payments of equipment leases
                                                -28,478 -27,776 -27,417 -33,329 -27,653 -7,603                    
          change in fair value of earn-out liability
                                                        247,050                 
          purchases of fixed maturity securities
                                                                         
          repayment of convertible debt related to acquisition
                                                        -177,126 -250,000              
          repurchase of warrants
                                                                        
          cash paid for acquisition, net of cash acquired of 33,583
                                                                         
          proceeds from grant
                                                                         
          proceeds from senior secured promissory notes
                                                                         
          proceeds from line of credit with related party
                                                                         
          proceeds from sale of common stock and warrants and common stock with registration rights
                                                            -13,001   1,212,175 785,000 785,000      
          repayment of line of credit
                                                            -99,000          
          repayment of note payable
                                                                         
          employee share-based compensation expense
                                                        643,053 554,136 478,442 400,049 275,608 222,792 429,096 380,373 189,467 270,460 271,289 189,467 183,765 47,006 456,367 151,217 193,058 
          other share-based compensation expense
                                                        139,999 115,333 106,773 100,936 66,060 62,946 114,648 107,560 9,667 62,508 32,887 9,667 77,616 31,165 365,264 31,163 36,584 
          increase in cash resulting from changes in
                                                                         
          repayment of equipment lease
                                                        -5,114 -1,746                
          cash, beginning of period
                                                        4,112,326 1,340,922 2,653,537 2,653,537 34,828 6,749,609 
          cash, end of period
                                                        -866,741 4,966,532 -366,572 3,021,266 3,475,134 -977,158 593,817 1,020,533 1,627,505 -2,299,712 1,100,700 1,627,505 -1,615,115 1,620,900 -829,940 -1,527,869 3,875,106 
          accounts payable and accrued expenses
                                                         1,785,500 14,084 -352,720 423,238 258,492 -67,361 641,882 324,654 -117,643 402,265 324,654 -4,631 -20,550 508,648 690,156 -106,580 
          cash paid for acquisition, net of cash aquired of 33,583
                                                                        
          supplemental disclosure of cash flow information:
                                                                         
          cash paid for interest
                                                         3,303 3,000 2,435 10,614 2,009 -406 3,239          
          cash paid for income taxes
                                                                         
          financing expense associated with warrants issued in connection with convertible promissory note
                                                                         
          proceeds from reba grant
                                                                         
          proceeds from note payable with related party
                                                                        
          proceeds from bridge loan
                                                                         
          repayment of notes payable
                                                            -37,986 -19,739 -15,556 -15,376          
          adjustments to reconcile net loss to net cash flows from operating activities, net of effects of acquisition:
                                                                         
          increase in cash resulting from changes, net of effects of acquisition, in:
                                                                         
          net proceeds from line of credit with related party
                                                                         
          proceeds from sale of common stock and warrants
                                                                         
          increase in cash resulting from changes in assets and liabilities, net of effects of acquisition:
                                                                         
          purchase of equipment
                                                               -111,927 -15,655 -28,816 -104,712 -15,655 -2,080 -8,285  -71,749 -227,672 
          cash paid in conjunction with acquisition, net of cash received of 33,583
                                                               -316,417          
          proceeds from line of credit
                                                               800,000          
          gain on settlement of payables
                                                                    -1,381 -564,838    
          loss on sale of assets
                                                                         
          financing expense associated with issuance of common stock for waivers of registration rights
                                                                         
          modifications of options and purchase of treasury stock
                                                                         
          proceeds from sale of assets
                                                                         
          cash paid in conjunction with sales of assets
                                                                         
          proceeds from convertible debt offering
                                                                    3,472,000    
          proceeds from convertible promissory note
                                                                         
          repayment of convertible promissory note
                                                                         
          net proceeds from exercise of warrants
                                                                        
          offering costs paid in connection with convertible debt offering
                                                                    -127,540    
          adjustments to reconcile net income to net cash flows from operating activities, net of effects of acquisition:
                                                                         
          (gain)/loss on sale of equipment
                                                                         
          acquired in-process research and development
                                                                         
          issuance of common stock for transaction fees
                                                                         
          accrued interest on notes receivable, related party
                                                                         
          change in fair value of investment, related party
                                                                         
          deferred interest income
                                                                         
          cash paid for intangible asset
                                                                         
          cash received in acquisition of spinemedica corp.
                                                                         
          cash paid for acquisition costs of spinemedica corp.
                                                                         
          payments from (advances to) related party
                                                                         
          proceeds from series a preferred stock
                                                                         
          proceeds from series c preferred stock
                                                                         
          offering costs paid in connection with series a preferred stock offering
                                                                         
          balances, november 22, 2006
                                                                         
          issuance of common stock at inception
                                                                         
          common stock issued in connection with purchase of license agreement
                                                                         
          issuance of note receivable, related party
                                                                         
          sale of series a preferred stock
                                                                11,212,800         
          accrued interest income
                                                                         
          net income for the period
                                                                         
          balances, march 31, 2007
                                                                11,212,800         
          collection of stock subscription receivable
                                                                         
          spinemedica corp. acquisition
                                                                         
          sale of series c preferred stock
                                                                         
          stock options issued in connection with purchase of intellectual property
                                                                         
          exercise of stock options
                                                                         
          alynx merger — recapitalization
                                                                7,207,398         
          alynx merger — transaction costs
                                                                         
          conversion of preferred stock
                                                                -18,420,198         
          balances, march 31, 2008
                                                                         
          provision for bad debts
                                                                         
          loss on sale of equipment
                                                                         
          advances to related party
                                                                         
          net costs related to the acquisition of spinemedica corp.
                                                                         
          supplemental disclosure of non-cash financing activity:
                                                                         
          during the six months ended june 30, 2010 the company converted its outstanding convertible debt and accrued interest to equity by issuing 7,135,114 shares of common stock
                                                                         
          payments for purchase of equipment
                                                                         
          cash paid for security deposits
                                                                      100 812 -3,681 
          repayments of related party borrowing
                                                                         
          supplemental disclosure of cash flow information
                                                                         
          cash paid for:
                                                                         
          interest
                                                                         
          issuance of common stock for waivers of registration rights
                                                                         
          derivative expense
                                                                         
          proceeds from common stock sale
                                                                         
          during the three months ended june 30, 2009, the company issued 315,520 warrants to purchase common stock, valued at 98,574 and recognized a beneficial conversion feature of 676,500 in conjunction with our convertible debt offering
                                                                         
          payments on related party borrowing
                                                                         
          proceeds from sale of redeemable common stock and warrants and common stock with registration rights
                                                                         
          proceeds from sale of common stock and exercise of stock options
                                                                         
          1.
                                                                         
          proceeds from sale of warrants and redeembable common stock
                                                                         
          proceeds from (repayments of) related party borrowing