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Consolidated Statements of Cash Flows - USD ($)
$ in Thousands
12 Months Ended
Dec. 31, 2020
Dec. 31, 2019
Cash flows from operating activities:    
Net loss $ (55,783) $ (66,246)
Adjustments to reconcile net loss to net cash (used for) operating activities:    
Depreciation, amortization, and impairment 3,443 2,905
Share-based compensation 6,581 7,071
Amortization of debt issuance costs and discounts 2,587 1,929
Interest expense related to the sale of future revenue 1,938 0
Loss on the extinguishment of debt 0 4,896
All other non-cash expenses 188 359
Changes in operating assets and liabilities:    
Trade receivables and other receivables, net 6,175 (6,815)
Inventories 398 2,582
Prepaid expenses and other assets (7,953) (1,366)
Accounts payable (5,185) (7,872)
Accrued expenses and other liabilities 2,980 746
Deferred revenue (828) 1,601
Net cash used for operating activities (45,459) (60,210)
Cash flows from investing activities:    
Capital expenditures (517) (663)
Net cash used for investing activities (517) (663)
Cash flows from financing activities:    
Proceeds from issuance of common stock and warrant exercises 6,215 39,317
Proceeds from sale of future revenue 50,000 0
Proceeds from issuance of debt 0 70,000
Debt repayment (22,500) (50,000)
Payments for financing costs (2,909) (3,946)
Premium paid to retire debt (2,250) (2,944)
Payments for taxes on share-based compensation (99) (2,827)
Net cash provided by financing activities 28,457 49,600
Net decrease in cash and cash equivalents (17,519) (11,273)
Cash and cash equivalents:    
Beginning of period 49,326 60,599
End of period 31,807 49,326
Supplemental disclosures of cash flow information:    
Cash payments for interest 8,491 7,340
Net increase (decrease) in capital expenditures included in accounts payable and accrued expenses (77) 104
Deferred financing costs charged to additional paid in capital 473 540
Warrants issued in connection with long-term debt 735 6,800
Debt issued in lieu of prepayment penalty $ 4,000 $ 0