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Condensed Consolidated Statements of Cash Flows (Unaudited) - USD ($)
$ in Thousands
3 Months Ended
Mar. 31, 2019
Mar. 31, 2018
Cash flows from operating activities:    
Net loss $ (14,770) $ (10,533)
Adjustments to reconcile net loss to net cash used in operating activities:    
Provision for uncollectible accounts 170
Write-downs of excess and obsolete inventories 106 101
Depreciation and amortization 386 445
Debt related amortization included in interest expense 301 268
Stock-based compensation 1,126 551
Amortization of operating lease right-of-use assets 104
Changes in operating assets and liabilities:    
Trade accounts receivable 1,909 1,795
Inventories (1,566) 399
Prepaid expenses and other current assets 469 94
Accounts payable and other current liabilities (1,847) (1,350)
Accrued compensation (3,955) (1,594)
Other long-term liabilities (130) 13
Net cash used in operating activities (17,697) (9,811)
Cash flows from investing activities:    
Acquisition of property, plant and equipment (526) (90)
Net cash used in investing activities (526) (90)
Cash flows from financing activities:    
Borrowings under credit facility, net 11,711
Proceeds from the sale of common stock 24,046
Payments of financing costs related to issuance of common stock (246)
Proceeds from the exercise of stock options 301 76
Payment of debt issuance costs and other financing activities (8)
Net cash provided by financing activities 293 35,587
Net (decrease) increase in cash and cash equivalents (17,930) 25,686
Cash and cash equivalents, beginning of period 99,240 28,165
Cash and cash equivalents, end of period 81,310 53,851
Supplemental Disclosure of Cash Flow Information:    
Income taxes paid
Interest paid 1,076 622
Acquisition of property, plant and equipment accrued not paid $ 48 $ 96