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Condensed Consolidated Statements of Cash Flows (unaudited) - USD ($)
$ in Thousands
9 Months Ended
Sep. 30, 2022
Sep. 30, 2021
Cash flow from operating activities:    
Net loss $ (28,288) $ (21,459)
Adjustments to reconcile net loss to net cash used in operating activities:    
Depreciation and amortization of property and equipment 812 242
Impairment loss on long-lived assets 0 114
Amortization of intangible assets 1,112 0
Accretion of debt discount 635 0
Change in fair value of contingent consideration (268) 0
Stock-based compensation 1,343 (84)
Foreign currency transaction loss 0 676
Gain on debt extinguishment (4,340) (956)
Changes in operating assets and liabilities:    
Accounts receivable 9,674 4,399
Inventory 122 0
Prepaid expenses and other current assets 2,600 2,137
Accounts payable 990 (45)
Accrued expenses (1,110) 820
Deferred revenue (1,939) (2,174)
Research and development service obligation liabilities (851) 93
Other long-term assets and liabilities (266) 201
Net cash used in operating activities (19,774) (16,036)
Cash flow from investing activities:    
Purchases of property and equipment (3,209) (4,515)
Landlord reimbursement of tenant improvement allowance 508 1,015
Payment for EPI Health Acquisition (15,093) 0
Net cash used in investing activities (17,794) (3,500)
Cash flow from financing activities:    
Proceeds from issuance of common stock and issuance and exercise of pre-funded warrants, net of underwriting fees and commissions 14,252 37,600
Proceeds from exercise of common stock warrants 0 461
Proceeds from issuance of common stock under common stock purchase agreement 0 6,334
Payment of note payable (10,000) 0
Proceeds from common stock issued pursuant to equity distribution agreement (at-the-market facility) 1,334 0
Payments related to offering costs (200) (364)
Proceeds from exercise of stock options 0 58
Net cash provided by financing activities 5,386 44,089
Net (decrease) increase in cash, cash equivalents and restricted cash (32,182) 24,553
Cash, cash equivalents and restricted cash as of beginning of period 47,668 35,879
Cash, cash equivalents and restricted cash as of end of period 15,486 60,432
Supplemental disclosure for cash flow information:    
Interest paid 339 0
Supplemental disclosure of non-cash investing and financing activities:    
Purchases of property and equipment with accounts payable and accrued expenses 694 3,892
Right-of-use assets obtained in exchange for lease liabilities 0 1,343
Non-cash gain on debt extinguishment 4,340 956
Deferred offering costs reclassified to additional paid-in capital 0 364
Contingent consideration related to EPI Health Acquisition 3,648 0
Note payable issued for EPI Health Acquisition 13,305 0
Reconciliation to condensed consolidated balance sheets:    
Cash and cash equivalents 14,903 59,960
Restricted cash included in noncurrent assets 583 472
Total cash, cash equivalents and restricted cash shown in the statement of cash flows $ 15,486 $ 60,432