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Consolidated Statements of Cash Flows - USD ($)
$ in Thousands
12 Months Ended
Dec. 31, 2019
Dec. 31, 2018
Dec. 31, 2017
Cash flows from operating activities:      
Net loss $ (22,425) $ (21,092) $ (21,334)
Adjustments to reconcile net loss to net cash used in operating activities:      
Depreciation expense 278 463 761
Noncash interest expense 523 712 2,113
Noncash loss on extinguishment of debt   1,469  
Amortization of intangible assets 304 785  
Inventory excess and obsolescence charge 1,591 2,224 452
Beneficial conversion feature upon conversion of promissory notes     1,408
Change in fair value of warrants 5 (244) (54)
Stock-based compensation expense 457 216 197
Loss (gain) on sale of property and equipment   (2) 14
Change in operating assets and liabilities:      
Accounts receivable (1,528) (541) (578)
Inventory (1,839) (4,757) (127)
Prepaid expenses and other assets (1,977) 99 (58)
Restricted cash   24  
Accounts payable (773) 1,914 (748)
Accrued expenses and other liabilities (118) (1,194) 1,586
Foreign currency remeasurement gain (21)    
Net cash used in operating activities (25,523) (19,924) (16,368)
Cash flows from investing activities:      
Purchases of short-term investments (9,284)    
Payment for intangible asset (2,500) (1,500)  
Purchase of property and equipment (197) (62) (114)
Proceeds from sale of property and equipment   4 13
Net cash used in investing activities (11,981) (1,558) (101)
Cash flows from financing activities:      
Proceeds from initial public offering net of underwriting discounts, commissions and offering costs 51,151    
Proceeds from issuance of long-term debt with related party   30,000  
Proceeds from issuance of long‑term debt and preferred stock warrants   8,000 5,000
Repayment of long-term debt   (13,000)  
Borrowings under revolving credit facility   5,732  
Repayments of revolving credit facility   (5,732)  
Proceeds from issuance of Series B redeemable convertible preferred stock, net of offering costs 14,367 3,978 14,731
Proceeds from issuance of convertible promissory notes and preferred stock warrants     7,386
Payment of deferred financing costs   (1,569) (596)
Payment of capital lease obligations     (188)
Proceeds from exercise of stock options 14 5 2
Net cash provided by financing activities 65,532 27,414 26,335
Effect of exchange rate on cash (4)    
Net increase in cash and cash equivalents 28,024 5,932 9,866
Cash and cash equivalents, beginning of year 17,278 11,346 1,480
Cash and cash equivalents, end of year 45,302 17,278 11,346
Supplemental disclosure of cash flow information:      
Cash paid during the period for interest 3,086 1,090 329
Cash paid on loss on extinguishment of debt   353  
Supplemental disclosures of noncash investing and financing activities:      
Fair value of warrants issued in connection with equity and debt financing   187 1,751
Accretion of redeemable convertible preferred stock 7,783 8,823 5,893
Conversion of convertible preferred stock to common stock in connection with the initial public offering 146,300    
Conversion of outstanding preferred stock warrants 1,645    
Offering costs in accounts payable 522    
Conversion of convertible promissory notes and accrued interest to Series B redeemable convertible preferred stock     8,054
Intangible assets in accrued expenses and other liabilities   2,500  
Recognition of exit fee for debt discount   3,400  
Issuance of common stock for early exercised stock options 4 $ 5 $ 31
Unrealized loss on short-term investments $ 4