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Consolidated Statements of Cash Flows - USD ($)
$ in Thousands
12 Months Ended
Dec. 31, 2024
Dec. 31, 2023
Dec. 31, 2022
Cash flows from operating activities:      
Net loss $ (37,841) $ (46,664) $ (44,296)
Adjustments to reconcile net loss to net cash used in operating activities:      
Depreciation expense 632 428 383
Noncash interest expense 609 599 657
Noncash loss on extinguishment of debt     1,228
Amortization of intangible assets 380 380 804
Net changes in operating lease ROU assets and liabilities (99) (49) (36)
Inventory excess and obsolescence charge 2,955 1,414 1,866
Stock-based compensation expense 4,362 5,032 3,989
Deferred income tax expense (benefit) 144    
Gain on disposal of fixed assets   (12)  
Gain on sale of product line (7,580)    
Change in operating assets and liabilities:      
Accounts receivable, net (762) (3,058) (2,421)
Inventory (2,972) (2,718) (6,073)
Prepaid expenses and other current assets 227 (81) 1,216
Accounts payable 482 11 (884)
Accrued expenses and other current and long-term liabilities (1,809) 4,177 2,399
Foreign currency transaction (gain) loss (35) (316) 420
Net cash used in operating activities (41,595) (40,857) (40,748)
Cash flows from investing activities:      
Payment for intangible asset     (1,000)
Purchase of property and equipment (989) (611) (872)
Proceeds from the sale of product line 5,440    
Proceeds from the sale of property and equipment   12  
Net cash provided by (used in) investing activities 4,451 (599) (1,872)
Cash flows from financing activities:      
Proceeds from sale of common stock and pre-funded warrants, net 42,919 46,341 34,400
Proceeds from issuance of long-term debt     40,000
Repayment of long-term debt     (30,000)
Payment of debt financing costs     (3,460)
Proceeds from exercise of stock options 226 127 19
Payment of withholding taxes related to stock-based compensation to employees (369) (289) (157)
Proceeds from issuance of common stock under the employee stock purchase plan 281 88 50
Net cash provided by financing activities 43,057 46,267 40,852
Effect of exchange rate on cash and cash equivalents 28 164 (144)
Net increase (decrease) in cash and cash equivalents and restricted cash 5,941 4,975 (1,912)
Cash and cash equivalents and restricted cash, beginning of year 46,994 42,019 43,931
Cash and cash equivalents and restricted cash, end of year 52,935 46,994 42,019
Supplemental disclosure of cash flow information:      
Cash paid during the period for interest $ 4,071 4,624 3,394
Supplemental disclosures of noncash investing and financing activities:      
Property and equipment in accounts payable and accrued expenses and other current liabilities   119 7
Operating lease ROU asset exchanged for operating lease liabilities   $ 895 1,376
Tenant improvement and deferred rent reclassified to operating lease liabilities     380
Operating lease liabilities assumed for operating lease ROU assets     $ 1,756