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CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS - USD ($)
$ in Thousands
9 Months Ended
Sep. 30, 2022
Sep. 30, 2021
Operating activities:    
Net loss $ (81,316) $ (86,386)
Adjustments to reconcile net loss to net cash used in operating activities:    
Early termination of operating lease (454)  
Stock-based compensation expense 10,808 12,082
Non-cash interest expense 1,361 1,256
Depreciation and amortization 789 1,062
Changes in operating assets and liabilities:    
Receivables 24,301 (30,057)
Prepaid expenses and other 1,769 5,740
OMIDRIA contract royalty asset (6,815)  
Accounts payable and accrued expense (11,544) 4,796
Net cash used in operating activities (61,101) (91,507)
Investing activities:    
Purchases of investments (103,573) (5)
Proceeds from the sale and maturities of investments 84,600 81,500
Purchases of property and equipment (100) (203)
Net cash provided by (used in) investing activities (19,073) 81,292
Financing activities:    
Proceeds from OMIDRIA liability for future royalties 125,000  
Proceeds upon exercise of stock options and warrants 414 8,076
Payments on finance lease obligations (515) (706)
At the market offering costs   (241)
Net cash provided by financing activities 124,899 7,129
Net decrease in cash and cash equivalents 44,725 (3,086)
Cash and cash equivalents at beginning of period 100,808 10,501
Cash and cash equivalents at end of period 145,533 7,415
Supplemental cash flow information    
Cash paid for interest 13,437 14,889
Property acquired under finance lease $ 806 $ 139