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Condensed Consolidated Statements of Cash Flows (Unaudited) - USD ($)
$ in Thousands
3 Months Ended
Mar. 31, 2024
Mar. 31, 2023
Cash flows from operating activities    
Net Loss $ (11,149) $ (12,254)
Adjustments to reconcile net loss to net cash used in operating activities:    
Stock based compensation 1,274 1,481
Depreciation and amortization 40 17
Impairment loss on operating lease 0 66
Loss on disposal of fixed assets 0 73
Equity investment in Lighthouse, Inc. 0 (70)
Change in the fair value of contingent consideration liabilities 2,545 0
Change in fair value of long-term debt 388 0
Non-cash intangible impairment charge 0 5,900
Amortization of discount on available-for-sale investments (646) (139)
Change in deferred tax liabilities due to acquisition of Novosteo, Inc. 0 (248)
Changes in operating assets and liabilities, net of acquisitions:    
Prepaid expenses and other current assets (440) 1,413
Right of use assets, operating leases and operating lease liabilities (35) (45)
Other assets (8) 0
Accounts payable 59 1,081
Accrued expenses and other current liabilities (381) (844)
Net cash used in operating activities (8,353) (3,569)
Cash flow from investing activities:    
Purchase of investments (39,292) (7,691)
Proceeds from maturities of investments 48,245 13,277
Proceeds from disposal of assets 0 90
Purchase of property and equipment (39) (136)
Net cash provided by investing activities 8,914 5,540
Cash flows from financing activities:    
Payments of finance leases 0 (6)
Proceeds from issuance of common stock on exercise of stock options 190 56
Net cash provided by financing activities 190 50
Effect of exchange rate changes on cash 310 114
Net increase in cash and cash equivalents 1,061 2,135
Cash and cash equivalents at beginning of period 20,752 44,579
Cash and cash equivalents at end of period 21,813 46,714
Supplemental disclosures of non-cash information:    
Right-of-use assets obtained in exchange for new operating lease liabilities 227 0
Right-of-use asset and financing lease liability reduction as a result of lease modification $ 0 $ (70)