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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 $ (82,764) $ (114,780) $ (74,356)
Adjustments to reconcile net loss to net cash used in operating activities:      
Non-cash other income/expense, net (40) 362 (1,371)
Non-cash interest income 22 45  
Non-cash interest expense 519 (104)  
Depreciation and amortization expense 396 510 432
Amortization of right-of-use assets 374    
Stock-based compensation 9,748 5,154 5,732
In-process research and development in connection with acquisition   32,048  
Deferred income taxes     1,410
Other, net 48 14 131
Changes in operating assets and liabilities:      
(Increase)/decrease in long-term receivables 50 (3) (5)
(Increase)/decrease in accounts receivable, net and other receivables and prepaid expenses 2,582 1,139 (223)
Increase in inventory (682)    
Increase/(decrease) in accounts payable 1,310 (2,969) 2,585
Increase/(decrease) in accrued expenses and other liabilities (3,209) 5,742 (3,778)
Increase/(decrease) in other non-current liabilities (172) 61 96
Increase/(decrease) in income tax liabilities (74) 58 (1)
Net cash used in operating activities (71,892) (72,723) (69,348)
Cash flows from investing activities      
Purchases of plant and equipment and intangible assets (61) (229) (1,173)
Purchases of term deposits   (115) (30)
Changes in restricted cash 392    
Proceeds from sale of property, plant and equipment     2
Transaction costs related to Zavante acquisition, net of cash acquired   (4,260) 50,950
Net cash provided by (used in) investing activities 331 (4,604) 49,749
Cash flows from financing activities      
Proceeds from equity offerings and warrants 20,138 50,000 80,000
Proceeds from at-the-market facility 27,944 24,219  
Proceeds from long-term debt, net of issuance costs 9,980 23,545 228
Proceeds from exercise of stock options     83
Proceeds from employee share purchase plan 372    
Equity transaction costs (2,359) (4,841) (8,092)
Net cash provided by financing activities 56,075 92,923 72,219
Effects of foreign currency translation on cash and cash equivalents (106) (362) 1,371
Net increase/(decrease) in cash, cash equivalents and restricted cash (15,592) 15,234 53,991
Cash, cash equivalents, and restricted cash at beginning of year 102,003 86,769 32,778
Cash, cash equivalents and restricted cash at end of year 86,411 102,003 86,769
Supplemental disclosure of cash flow information:      
Interest paid (2,560) (7) (1)
Taxes paid (11) (4) (5)
Equity transaction costs included in accounts payable and accrued expenses $ 555 $ 120 $ 28