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Quarterly Financial Information (Unaudited) (as restated), Statements of Cash Flows (Details) - USD ($)
$ in Thousands
3 Months Ended 6 Months Ended 9 Months Ended 12 Months Ended
Sep. 30, 2018
Jun. 30, 2018
Mar. 31, 2018
Sep. 30, 2017
Jun. 30, 2017
Mar. 31, 2017
Jun. 30, 2018
Jun. 30, 2017
Sep. 30, 2018
Sep. 30, 2017
Dec. 31, 2018
Dec. 31, 2017
Cash Flows From Operating Activities: [Abstract]                        
Net loss $ (1,582) $ (1,868) $ (2,042) $ (19,077) $ 2,459 $ (3,974) $ (3,910) $ (1,515) $ (5,492) $ (20,592) $ (4,033) $ (21,514)
Adjustments to reconcile net loss to net cash provided by operating activities: [Abstract]                        
Depreciation and amortization     1,463     1,543 2,841 3,209 4,143 4,811 5,397 6,336
Provision for doubtful accounts     0     0 (49) 22 53 58 (30) 109
Gain on cancelation of distributor rights agreement     226     0 (11) 0 (11) (40) (11) (40)
Impairment of intangible assets     0     0 0 0 0 23 0 23
Stock-based compensation     19     52 203 73 570 136 904 186
Deferred taxes     40     60 80 120 (22) 180 (303) 55
Loss on disposal of property and equipment                     407 0
Loss on disposal of property and equipment and impairment of lasers placed in service     182       411   503      
Loss on extinguishment of debentures       20,160 0 0   0   20,160 0 20,160
Amortization of debt discount     19     247 39 764 44 928 50 944
Amortization of deferred financing costs     20     54 42 115 79 171 107 188
Change in fair value of warrant liability 1,053 263 (40) (421) (657) 671 222 14 1,275 (407) 0 (595)
Change in fair value of embedded conversion feature     0 (1,993) (2,903) 1,738 0 (1,165) 0 (3,158) 0 (3,158)
Changes in operating assets and liabilities: [Abstract]                        
Accounts receivable     650     102 710 (147) 361 130 (222) 184
Inventories     (20)     147 596 (670) 521 (716) 215 (193)
Prepaid expenses and other assets     (669)     (188) (296) 243 (137) 406 (383) 475
Accounts payable     381     354 (895) 403 (614) 71 (513) 381
Other accrued liabilities     (16)     74 (3) 167 (754) 255 1,006 602
Other liabilities     227     36 255 84 (3) 108 (60) 159
Deferred revenues     (380)     (98) (303) (20) (229) (278) 171 (358)
Net cash provided by (used in) operating activities     60     818 (68) 1,697 1,795 2,246 2,896 4,140
Cash Flows From Investing Activities:                        
Lasers placed-in-service     (375)     (683) (885) (1,205) (1,254) (1,450) (1,749) (1,739)
Purchases of property and equipment     (6)     (200) (6) (206) (6) (321) (13) (320)
Payments on distributor rights liability     (24)     0 (23) (75) (23) (115) (23) (135)
Net cash used in investing activities     (405)     (883) (914) (1,486) (1,283) (1,886) (1,785) (2,194)
Cash Flows From Financing Activities:                        
Proceeds from issuance of common stock     0       14,664   14,664   17,000 0
Offering costs     (202)       0   0   (2,336) 0
Repayments of long-term debt     0     0 (3,000) 1 (3,000) (857) (3,000) (1,429)
Payments on notes payable     (105)     (100) (306) (201) (357) (304) (357) (374)
Net cash provided by (used in) financing activities     (307)     (100) 11,358 (201) 11,307 (1,161) 11,307 (1,803)
Effect of exchange rate changes on cash     0       0   0   0 (2)
Net (decrease) increase in cash and cash equivalents     (652)     (165) 10,376 10 11,819 (801) 12,418 141
Cash and cash equivalents, beginning of period 14,445 3,417 4,069 3,938 3,763 3,928 4,069 3,928 4,069 3,928 4,069 3,928
Cash and cash equivalents, end of period $ 15,888 $ 14,445 3,417 $ 3,127 $ 3,938 3,763 14,445 3,938 15,888 3,127 16,487 4,069
Other accrued liabilities     (16)     74 (3) 167 (754) 255 $ 1,006 602
Effect of Adoption Higher / (Lower) [Member]                        
Cash Flows From Operating Activities: [Abstract]                        
Net loss     (181)     (1,739) (332) (1,925) (1,624) (3,481)   (2,683)
Adjustments to reconcile net loss to net cash provided by operating activities: [Abstract]                        
Depreciation and amortization     50       100   150      
Impairment of intangible assets                       (500)
Loss on extinguishment of debentures                   (8,361)   (8,361)
Amortization of debt discount           (476)   (854)   (1,416)   (1,416)
Change in fair value of warrant liability     40     539 200 10 1,174 330   493
Change in fair value of embedded conversion feature           (1,738)   1,165   3,158   (3,158)
Changes in operating assets and liabilities: [Abstract]                        
Other accrued liabilities           135   282   417   304
Deferred revenues     (295)     (197) (171) (198) (31) (393)    
Cash Flows From Financing Activities:                        
Other accrued liabilities           $ 135   $ 282   $ 417   $ 304
Accrued expenses     $ 104       $ 203   $ 331