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Consolidated Statements of Cash Flows - USD ($)
$ in Thousands
12 Months Ended
Dec. 31, 2019
Dec. 31, 2018
Dec. 31, 2017
Operating activities      
Net loss $ (40,796) $ (31,536) $ (27,019)
Adjustments to reconcile net loss to net cash used in operating activities:      
Depreciation and amortization expense 3,009 1,352 482
Inventory valuation adjustment amortization 611    
Stock-based compensation expense 6,388 4,884 2,168
Non-cash interest expense 89 170 238
Loss (gain) on disposal of fixed assets 140 (14)  
Change in fair value of preferred stock warrants     90
Changes in operating assets and liabilities:      
Accounts receivable (3,365) (983) (1,682)
Prepaid expenses and other assets 289 (1,828) (273)
Inventory (3,447) (1,603) (2,043)
Other non-current assets (21) 267  
Accounts payable 621 1,318 1,003
Accrued compensation and benefits, other accrued expenses and other current liabilities 822 1,101 2,035
Contract acquisition costs 336    
Other non-current liabilities 9,845    
Deferred revenue (708) (1,849) 2,895
Net cash used in operating activities (26,187) (28,721) (22,106)
Investing activities      
Purchases of property and equipment (10,847) (1,518) (1,132)
Purchase of investments   (150)  
Acquisition of UmanDiagnostics AB, net of cash acquired (14,529) (3,801)  
Proceeds from sale of assets   15  
Net cash used in investing activities (25,376) (5,454) (1,132)
Financing activities      
Proceeds from sale of preferred stock, net of issuance costs     65,575
Proceeds from sale of common stock, net of issuance costs   (20) 8,423
Proceeds from exercise of stock warrants     29
Proceeds from stock options exercised 2,820 1,871 202
Proceeds from ESPP purchase 879    
Proceeds from the issuance of notes payable and warrants, net of issuance costs     (59)
Payments on notes payable (50) (1,929) (921)
Net cash provided by (used in) financing activities 116,197 (78) 73,249
Net increase (decrease) in cash and cash equivalents 64,634 (34,253) 50,011
Effect of foreign currency exchange rate on cash 118    
Cash, restricted cash, and cash equivalents at beginning of period 45,429 79,682 29,671
Cash, restricted cash, and cash equivalents at end of period 110,181 45,429 79,682
Supplemental cash flow information      
Accretion of preferred stock to redemption value     4,110
Cash paid for interest 656 606 743
Warrants issued to lenders     119
Purchases of property and equipment included in accounts payable 164 78  
191,152 shares of common stock issued in connection with the acquisition of UmanDiagnostics AB 5,468    
Purchases of property and equipment included in other non-current liabilities 7,572   74
Fair value of common stock warrants exercised and reclassified as shares of common stock   196 2,187
Reconciliation of cash, cash equivalents, and restricted cash:      
Total cash, cash equivalents, and restricted cash 110,181 $ 45,429 $ 79,682
At-the-market offering      
Financing activities      
Proceeds from sale of common stock, net of issuance costs 48,019    
Underwritten public offering      
Financing activities      
Proceeds from sale of common stock, net of issuance costs $ 64,529