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Consolidated Statements of Cash Flows - USD ($)
$ in Thousands
12 Months Ended
Dec. 31, 2020
Dec. 31, 2019
Dec. 31, 2018
Cash flows from operating activities      
Net loss $ (47,365) $ (52,415) $ (37,630)
Adjustments to reconcile net loss to net cash used in operating activities:      
Depreciation and amortization expense 789 712 517
Stock-based compensation expense 7,226 2,977 911
Change in fair value of redeemable convertible preferred stock warrant liability 0 21,030 11,906
Amortization of premiums (accretion of discounts) on investments, net 304 (309) 0
Amortization of debt discount and debt issuance costs 66 46 68
Amortization of right-of-use asset 602 582  
Non-cash interest expense 241 672 1,555
Loss on debt extinguishment 1,119 0 0
Loss on disposal of property and equipment 52 0 159
Change in provision for doubtful accounts receivable (32) 23 (123)
Provision for excess and obsolete inventories 117 118 23
Changes in assets and liabilities      
Accounts receivable (437) (2,241) (446)
Inventories (2,161) (4,696) (2,565)
Prepaid expenses and other current assets 250 (1,471) (1,128)
Other assets 210 552 (62)
Accounts payable 592 615 (309)
Accrued liabilities 146 4,964 5,023
Other liabilities 26 (769) 406
Repayment of interest paid in kind (3,813) 0 0
Net cash used in operating activities (42,068) (29,610) (21,695)
Cash flows from investing activities      
Purchase of property and equipment (842) (535) (2,276)
Proceeds from sale of property and equipment 0 0 6
Purchases of investments (79,906) (69,421) 0
Proceeds from maturity of investments 71,355 0 0
Net cash used in investing activities (9,393) (69,956) (2,270)
Cash flows from financing activities      
Proceeds from public offerings, net of underwriting discount, commissions and offering costs paid 70,568 109,352 (233)
Proceeds from long-term debt, net 48,506 0 15,000
Proceeds from issuance of common stock 5,168 2,590 656
Principal repayment of long-term debt (40,000) 0 0
Payments of prepayment penalty and lender fees (2,496) 0 0
Non-controlling interest 0 0 1
Net cash provided by financing activities 81,746 113,757 15,424
Net change in cash, cash equivalents and restricted cash 30,285 14,191 (8,541)
Cash, cash equivalents and restricted cash, beginning of year 39,491 25,300 33,841
Cash, cash equivalents and restricted cash, end of year 69,776 39,491 25,300
Supplemental disclosure of cash flow information      
Cash paid for interest 7,917 4,234 2,738
Non-cash investing and financing activities:      
Accounts payable and accrued liabilities for purchases of property and equipment 108 32 6
Landlord paid tenant improvements 0 0 794
Unpaid deferred offering costs 25 0 717
Right-of-use asset obtained in exchange for lease obligation 0 3,982  
Net exercise of redeemable convertible preferred stock warrants to preferred stock 0 37,121 0
Conversion of redeemable convertible preferred stock to common stock upon initial public offering 0 144,140 0
Redeemable convertible preferred stock warrants outstanding      
Cash flows from financing activities      
Proceeds from exercise of warrants 0 1,784 0
Common stock warrants outstanding      
Cash flows from financing activities      
Proceeds from exercise of warrants $ 0 $ 31 $ 0