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CONSOLIDATED STATEMENTS OF CASH FLOWS - USD ($)
$ in Thousands
12 Months Ended
Dec. 31, 2017
Dec. 31, 2016
Dec. 31, 2015
Operating activities      
Net loss $ (74,865) $ (94,176) $ (27,255)
Adjustments to reconcile net loss to net cash used in operating activities:      
Depreciation and amortization 594 655 171
Non-cash impairment charges 1,845    
Lease incentive obligation (34) (34) (34)
Stock-based compensation expense 7,945 5,787 2,209
Non cash interest expense     6
Changes in operating assets and liabilities:      
Accounts receivable (7,840) (2,129)  
Inventories (497) (1,316)  
Prepaid expenses and other assets (1,057) (923) (659)
Refundable PDUFA fee     2,335
Accounts payable (3,422) 5,569 1,298
Accrued expenses (527) 6,570 362
Accrued rebates, returns and discounts 15,784    
Deferred revenue (4,944) 4,944  
Net cash used in operating activities (67,018) (75,053) (21,567)
Investing activities      
Purchase of intangible assets   (2,500)  
Purchases of property and equipment (990) (477) (362)
Net cash used in investing activities (990) (2,977) (362)
Financing activities      
Proceeds from issuances of common stock from public offerings, net of issuance costs of $1,198, $845 and $2,408, respectively 34,338 137,340 72,029
Proceeds from issuances of common stock from employee stock purchase plans 1,141 442  
Proceeds from issuance of Series D convertible redeemable preferred stock, net of issuance costs of $193     44,807
Repayment of term note (2,667) (2,667) (1,286)
Repayment of lease note payable     (59)
Restricted cash     (16)
Proceeds from the exercise of stock options 736 443 517
Payments made for employee restricted stock tax withholdings (68)    
Net cash provided by financing activities 33,480 135,558 115,992
Net (decrease) increase in cash and cash equivalents (34,528) 57,528 94,063
Cash and cash equivalents at beginning of period 153,225 95,697 1,634
Cash and cash equivalents at end of period 118,697 153,225 95,697
Supplemental disclosure of cash flow information      
Cash paid for offering costs 1,228    
Cash paid for interest 139 284 353
Supplemental disclosure of non-cash activities      
Offering costs in accrued expenses 55    
Acquisition of property and equipment in accrued expenses $ 216 $ 81  
Preferred stock conversion to common stock     120,302
Extinguishment of preferred stock     31,184
Accruals of dividends and accretion to redemption value     24,572
Conversion of bridge note to preferred stock     $ 5,000