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Debt - Additional Information (Details) - USD ($)
$ / shares in Units, shares in Thousands
3 Months Ended
Jul. 02, 2018
Mar. 31, 2019
Mar. 31, 2018
Dec. 31, 2018
Dec. 31, 2017
Mar. 31, 2017
Feb. 28, 2017
Debt Instrument [Line Items]              
Interest expense   $ 900,000 $ 900,000        
Cash interest expense   700,000 700,000        
Non-cash interest expense   $ 200,000 $ 200,000        
$35.0 Million Credit Facility              
Debt Instrument [Line Items]              
Percentage of forecasted revenue to be achieved   75.00%          
$35.0 Million Credit Facility | Prepaid on or Before First Anniversary of Funding              
Debt Instrument [Line Items]              
Prepayment fees percentage   3.00%          
$35.0 Million Credit Facility | Prepaid After First and on or Before Second Anniversary of Funding              
Debt Instrument [Line Items]              
Prepayment fees percentage   2.00%          
$35.0 Million Credit Facility | Prepaid After Second Anniversary of Funding              
Debt Instrument [Line Items]              
Prepayment fees percentage   1.00%          
$35.0 Million Credit Facility | Oxford Finance LLC              
Debt Instrument [Line Items]              
Line of credit facility, maximum borrowing capacity           $ 35,000,000 $ 25,000,000
Borrowings outstanding under credit facility   $ 30,000,000          
Available borrowing achievement of trailing twelve month revenues           45,000,000  
Debt instrument, interest rate   8.15%          
Warrants term   7 years          
Percentage of borrowing capacity of tranche   3.95%          
Borrowing capacity of tranche   $ 5,000,000          
Credit facility maturity date   Mar. 01, 2022          
$35.0 Million Credit Facility | Oxford Finance LLC | LIBOR              
Debt Instrument [Line Items]              
Debt instrument, description of variable rate basis   30-day U.S. LIBOR          
Basis spread on variable rate   7.38%          
$35.0 Million Credit Facility | Term A Loan              
Debt Instrument [Line Items]              
Available borrowing achievement of trailing twelve month revenues       $ 45,000,000      
Interest-only period   2019-03          
Amortization period without interest-only period extension   36 months          
Extension of interest-only period upon achievement of revenues   12 months          
Interest-only period upon achievement of revenues   2020-03          
Amortization period upon extension of interest-only period   24 months          
Increase in final payment fees percentage upon extension interest only periods   8.50%          
Effective interest rates   11.87%     10.70%    
$35.0 Million Credit Facility | Term A Loan | Common Stock              
Debt Instrument [Line Items]              
Warrants to purchase shares 20,303            
Warrants, exercise price $ 9.73            
Warrants expiration period 2024-03            
$35.0 Million Credit Facility | Term A Loan | Oxford Finance LLC              
Debt Instrument [Line Items]              
Borrowings outstanding under credit facility           25,000,000  
$35.0 Million Credit Facility | Term B Loan              
Debt Instrument [Line Items]              
Available borrowing achievement of trailing twelve month revenues       $ 45,000      
Interest-only period   2019-03          
Amortization period without interest-only period extension   36 months          
Extension of interest-only period upon achievement of revenues   12 months          
Interest-only period upon achievement of revenues   2020-03          
Amortization period upon extension of interest-only period   24 months          
Increase in final payment fees percentage upon extension interest only periods   7.50%          
Effective interest rates   12.14%     11.60%    
$35.0 Million Credit Facility | Term B Loan | Common Stock              
Debt Instrument [Line Items]              
Warrants to purchase shares 20,303            
Warrants, exercise price $ 9.73            
Warrants expiration period 2024-12            
$35.0 Million Credit Facility | Term B Loan | Oxford Finance LLC              
Debt Instrument [Line Items]              
Borrowings outstanding under credit facility           5,000,000  
$35.0 Million Credit Facility | Term C Loan | Oxford Finance LLC              
Debt Instrument [Line Items]              
Line of credit facility, current borrowing capacity           $ 5,000,000  
Notification period for lenders to borrow loan upon achieving required revenue milestone   60 days          
Line of credit facility additional borrowing capacity   $ 5,000,000