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CONSOLIDATED STATEMENTS OF CASH FLOWS - USD ($)
$ in Thousands
12 Months Ended
Dec. 31, 2016
Dec. 31, 2015
Dec. 31, 2014
Cash flows from operating activities:      
Net loss $ (6,250) $ (2,864) $ (1,107)
Adjustments to reconcile net loss to net cash provided by operating activities:      
Depreciation and amortization 5,115 3,933 1,817
Amortization of deferred financing costs and debt discount 1,279 2,148 259
Payment of imputed interest on debt (3,893) (105) (13)
Deferred taxes 498 290 (422)
Issuance of common stock warrants   16 31
Stock-based compensation 4,250 565 254
Change in fair value of warrant liability (639) 2,786 269
Change in fair value of acquisition-related contingent consideration (338) (2,059) 790
Change in fair value of acquisition-related consideration 55    
Loss on extinguishment of debt 6,411    
Write-off in-process software development costs     63
Other noncash items   (10)  
Changes in operating assets and liabilities, net of effect from acquisitions:      
Accounts receivable, net (633) (1,711) (1,388)
Inventories (607) (264) (792)
Rebates receivable 752 (96) (715)
Prepaid expenses and other current assets (929) (259) (77)
Other assets 1 (4) (30)
Acquisition-related contingent consideration   (610) (60)
Accounts payable 665 440 1,383
Accrued expenses and other liabilities (1,168) 1,060 604
Other long-term liabilities 2,205   4
Net cash provided by operating activities 6,774 3,256 870
Cash flows from investing activities:      
Purchases of property and equipment (3,813) (234) (230)
Software development costs (1,854) (940) (738)
Purchase of intangible assets (29)    
Change in restricted cash 200 300 (500)
Purchase of businesses, net of cash acquired (5,400) (2,403) (13,448)
Net cash used in investing activities (10,896) (3,277) (14,916)
Cash flows from financing activities:      
Proceeds from exercise of stock options 153 12 59
Payments for debt financing costs (1,521) (69) (212)
Proceeds from notes payable to related parties     100
Repayments of notes payable to related parties (250) (354) (175)
Borrowings on line of credit 6,000 10,000  
Repayments of line of credit (16,000) (6,860)  
Payments of acquisition-related consideration (180) (1,895) (487)
Repayment of note payable related to acquisition (14,337)    
Payments of initial public offering costs (3,346) (481)  
Payments of contingent consideration (1,895) (267) (440)
Proceeds from long-term debt 30,000   15,000
Repayments of long-term debt (47,369) (2,161) (1,704)
Proceeds from issuance of common stock under initial public offering, net of underwriting costs 55,186    
Net cash provided by (used in) financing activities 6,441 (2,075) 12,141
Net increase (decrease) in cash 2,319 (2,096) (1,905)
Cash, beginning of period 2,026 4,122 6,027
Cash, end of period 4,345 2,026 4,122
Supplemental disclosure of cash flow information      
Acquisition of equipment under capital leases 1,605 373 326
Additions to property, equipment, and software development purchases included in accounts payable 373 46 53
Deferred offering costs included in accounts payable 132 1,817  
Cash paid for interest 8,457 2,409 1,080
(Decretion) accretion of redeemable convertible preferred stock to redemption value $ (2,439) $ 9,966 3,884
Fair value of promissory notes entered into connection with Medliance acquisition     14,347
Fair value of preferred stock warrants issued to lender     $ 1,835