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CONSOLIDATED STATEMENTS OF CASH FLOWS (USD $) - USD ($)
$ in Thousands
12 Months Ended
Dec. 31, 2015
Dec. 31, 2014
Dec. 31, 2013
Cash flows used in operating activities:      
Net loss $ (148,315) $ (35,286) $ (25,635)
Adjustments to reconcile net loss to net cash (used in) provided by operating activities:      
Depreciation 361 331 672
Amortization of intangibles and interest accretion of contingent consideration 94,334 32,668 8,004
Amortization of deferred financing costs 2,730 2,333 1,295
Accretion of debt discount 2,286 0 0
Interest accretion of notes receivable (127) (292) (114)
Deferred income tax expense (benefit) 6,746 (11,753) (22,516)
Gain on sale of investment 0 0 (3,605)
Loss on disposal of software and equipment 19 242 208
Loss on extinguishment of debt 1,112 0 0
Stock compensation expense 5,944 4,686 2,049
Expense for stock options issued in exchange for services 0 119 548
Cancellation of ParaPRO stock options in connection with termination of contract 0 (1,294) 0
Fair market value change in derivative liability (19,315) 0 0
Fair market value change in contingent consideration and put right (138) 0 7,556
Gain on contingent consideration and put right 0 0 (16,269)
Issuance of stock for inducement 19,500 0 0
Loss on impairment 24,352 0 19,429
Loss on sale of PML (including impairment) 0 6,659 0
(Increase) decrease in operating assets (net of effect of acquisitions):      
Accounts receivable (17,082) (18,480) 12,163
Income taxes (4,145) (6,592) 642
Inventory 444 1,880 7,406
Prepaid expenses and other assets 2,471 (2,144) (2,180)
Increase (decrease) in operating liabilities (net of effect of acquisitions):      
Accounts payable and accrued expenses 6,682 12,161 (3,398)
Accrued allowances 10,074 18,318 (3,075)
Interest payable 2,291 10,012 100
Other liabilities (4,973) (4,672) 10,189
Net cash (used in) provided by operating activities (14,749) 8,896 (6,531)
Cash flows from investing activities:      
Acquisitions (87,986) (254,950) (310)
Proceeds from sale of investment 0 0 4,605
Payments received on notes receivable 4,850 4,850 0
Proceeds from sale of PML 0 1,137 0
Proceeds from sale of certain Cypress assets 0 175 19,588
Proceeds from sale of equipment 0 43 31
Purchase of software and equipment (1,212) (1,177) (528)
Net cash (used in) provided by investing activities (84,348) (249,922) 23,386
Cash flows from financing activities:      
Proceeds from issuance of Convertible Notes 130,000 65,000 0
Cash acquired in connection with acquisition of Somaxon 0 0 2,881
Payments on contracts payable 0 (2,500) (1,700)
(Payments) proceeds from Treximet Secured Notes (10,013) 220,000 0
Net drawdowns (payments) on credit facilities 7,655 (9,515) (25,153)
Payments for financing costs (5,349) (14,149) 0
Payment of consent fee (2,150) 0 0
Payments on mortgages and capital leases (44) (46) (144)
Proceeds from issuance of common stock, net of tax and costs 395 2,149 262
Tax benefit on stock-based awards 0 404 (147)
Shares withheld for the payment of taxes (117) (1,109) (230)
Net cash provided by (used in) financing activities 120,377 260,234 (24,231)
Net increase (decrease) in cash and cash equivalents 21,280 19,208 (7,376)
Cash and cash equivalents, beginning of period 34,855 15,647 23,023
Cash and cash equivalents, end of period $ 56,135 $ 34,855 $ 15,647