Condensed Consolidated Statements of Cash Flows - USD ($)
$ in Thousands |
9 Months Ended |
Sep. 30, 2020 |
Sep. 30, 2019 |
| Cash flows from operating activities: |
|
|
| Net loss |
$ (32,477)
|
$ (32,594)
|
| Adjustments to reconcile net loss to net cash used in operating activities: |
|
|
| Depreciation and amortization |
2,502
|
2,210
|
| Provision for doubtful accounts |
758
|
70
|
| Provision for inventory obsolescence |
1,512
|
(93)
|
| Share-based compensation |
4,534
|
5,174
|
| Loss from disposal of property and equipment |
152
|
75
|
| Unrealized foreign currency loss, net |
5,043
|
2,890
|
| Change in fair value of derivative instruments |
(442)
|
(2,843)
|
| Change in fair value of contingent consideration |
(304)
|
(567)
|
| Amortization of debt discount |
1,232
|
2,056
|
| Changes in operating assets and liabilities: |
|
|
| Accounts receivable |
3,291
|
(5,279)
|
| Inventory |
(1,722)
|
(2,007)
|
| Prepaid expenses and other current assets |
1,043
|
(2,949)
|
| Other assets |
(30)
|
(3)
|
| Accounts payable |
(3,267)
|
3,683
|
| Accrued liabilities |
1,725
|
3,964
|
| Other liabilities |
506
|
256
|
| Net cash used in operating activities |
(15,944)
|
(25,957)
|
| Cash flows from investing activities: |
|
|
| Purchases of property and equipment |
(2,136)
|
(5,623)
|
| Cash used in asset acquisitions |
(1,652)
|
(767)
|
| Cost incurred for intangible assets |
(647)
|
(17)
|
| Net cash used in investing activities |
(4,435)
|
(6,407)
|
| Cash flows from financing activities: |
|
|
| Borrowings under Madryn credit agreement, net of issuance costs |
0
|
24,748
|
| Repayments on capital leases |
(224)
|
(264)
|
| Proceeds from issuance of ordinary shares, net of issuance costs |
63,855
|
0
|
| Cash used to repurchase warrants |
0
|
(2,261)
|
| Proceeds from stock option exercises |
566
|
278
|
| Proceeds from warrant exercises |
0
|
58
|
| Tax payments related to shares withheld upon vesting of restricted stock |
(65)
|
(135)
|
| Net cash provided by financing activities |
64,132
|
22,424
|
| Effect of exchange rate changes on cash |
23
|
(140)
|
| Net (decrease)/increase in cash |
43,776
|
(10,080)
|
| Cash at beginning of period |
37,655
|
52,639
|
| Cash at end of period |
81,431
|
42,559
|
| Supplemental disclosures: |
|
|
| Cash paid for interest |
5,213
|
4,192
|
| Cash paid for income taxes |
2
|
201
|
| Supplemental disclosures of non-cash investing and financing activities: |
|
|
| Unpaid balance for property and equipment |
252
|
540
|
| Assets acquired under capital leases |
0
|
69
|
| Issuance of common stock, net of underwriters’ discount and issuance costs |
618
|
630
|
| Equity consideration in an asset acquisition |
0
|
337
|
| Inventory acquired in an asset acquisition |
1,009
|
1,257
|
| Intangible assets acquired in an asset acquisition |
138
|
0
|
| Consideration payable related to asset acquisition |
$ 818
|
$ 1,234
|