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Condensed Statements of Cash Flows - USD ($)
$ in Thousands
6 Months Ended
Jun. 30, 2016
Jun. 30, 2015
Operating activities    
Net loss $ (21,318) $ (16,746)
Adjustments to reconcile net loss to net cash used in operating activities:    
Depreciation and amortization 1,703 996
Bad debt expense 68 54
Loss on disposal of property and equipment 12 0
Genzyme co-promotion fee amortization (721) (949)
Stock-based compensation 3,173 2,712
Conversion of accrued interest to long-term debt 192 0
Amortization and write-off of debt discount and issuance costs 119 23
Interest on debt balloon payment and prepayment penalty 206 39
Changes in operating assets and liabilities:    
Accounts receivable 48 (589)
Supplies inventory 265 (279)
Prepaid expenses and current other assets 47 (349)
Other assets (13) (39)
Accounts payable (805) (4,637)
Accrued liabilities and deferred rent 712 (569)
Net cash used in operating activities (16,312) (20,333)
Investing activities    
Purchases of property and equipment (3,587) (852)
Change in restricted cash (2) (533)
Net cash used in investing activities (3,589) (1,385)
Financing activities    
Proceeds from the issuance of long-term debt, net of debt issuance costs 24,452 0
Proceeds from the issuance of common stock in a private placement, net of costs 0 37,258
Payment of long-term debt (5,000) 0
Payment of end-of-term debt obligation and prepayment penalty (288) 0
Proceeds from the exercise of common stock options and employee stock purchases 646 491
Net cash provided by financing activities 19,810 37,749
Net (decrease) increase in cash and cash equivalents (91) 16,031
Cash and cash equivalents at beginning of period 39,084 35,014
Cash and cash equivalents at end of period 38,993 51,045
Supplementary cash flow information of non-cash investing and financing activities:    
Purchases of property and equipment included in accounts payable and accrued liabilities $ 42 $ 285