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Condensed Consolidated Statements of Cash Flows (Unaudited) - USD ($)
3 Months Ended 6 Months Ended 12 Months Ended
Jun. 30, 2019
Jun. 30, 2018
Mar. 31, 2018
Jun. 30, 2019
Jun. 30, 2018
Dec. 31, 2018
Operating activities:            
Net loss       $ (15,516,309) $ (7,158,838)  
Adjustments to reconcile net loss to net cash used by operating activities:            
Depreciation $ 266,963 $ 387,104   536,802 778,555  
Change in fair value of preferred stock warrants and expirations 0 (1,517,723)   0 (2,470,921)  
Interest payment-in-kind       166,524 0  
Stock-based compensation       625,061 107,426  
Provision for bad debt expense       0 238,000  
Accretion of debt discount       128,518 60,655  
Loss on debt extinguishment 0 342,164   921,496 342,164  
Long-term debt prepayment fees     $ 0 412,000    
Employee stock purchase plan compensation       102,815 0  
Changes in operating assets and liabilities:            
Accounts receivable       (469,177) 228,009  
Inventory       (1,953,533) (172,578)  
Prepaid expenses and other current assets       287,647 (697,361)  
Accounts payable       2,257,359 (1,058,391)  
Accrued expenses and other liabilities       (367,628) 49,359  
Net cash used in operating activities       (12,868,425) (9,753,921) $ 19,900,000
Investing activities:            
Purchases of property and equipment       (29,649) (189,401)  
Net cash used in investing activities       (29,649) (189,401)  
Financing activities:            
Repayment of long-term debt       (10,812,000) (7,447,571)  
Proceeds from issuance of long-term debt, net of issuance costs       19,207,403 9,662,430  
Proceeds from issuance of convertible note, net of issuance costs       0 14,329,843  
Proceeds from borrowing on line of credit       1,105,745 0  
Repayments of borrowing from line of credit       (305,930) 0  
Proceeds from sale of common stock, net of offering costs       2,409,593 0  
Proceeds from option exercises       65,060 1,012  
Net cash provided by financing activities       11,669,871 16,545,714  
Net (decrease) increase in cash and cash equivalents       (1,228,203) 6,602,392  
Cash and cash equivalents at beginning of period     $ 1,021,897 16,522,729 1,021,897 1,021,897
Cash and cash equivalents at end of period $ 15,294,526 $ 7,624,289   15,294,526 7,624,289 $ 16,522,729
Supplemental schedule on non-cash transactions:            
Property and equipment costs incurred but not paid included in accounts payable and accrued expenses       8,740 130,484  
Transfer of instruments from property and equipment into inventory       0 106,617  
Fair value of warrants issued with debt classified as a liability       629,830 176,813  
Fair value of stock issued with debt classified as a liability       201,789 0  
Final payment due in connection with the repayment of debt classified in other long-term liabilities       0 400,000  
Deferred equity issuance costs in accounts payable and accrued liabilities       0 1,401,350  
Debt issuance costs incurred but not paid       $ 0 $ 129,474