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CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS - USD ($)
$ in Thousands
3 Months Ended
Mar. 31, 2022
Mar. 31, 2021
OPERATING ACTIVITIES:    
Net loss $ (8,149) $ (5,067)
Adjustments to reconcile net loss to net cash used in operating activities:    
Depreciation and amortization 929 933
Amortization of deferred financing costs 15 30
Interest expense recorded as additional revenue interest obligation 660 663
Stock-based compensation 1,105 677
Changes in operating assets and liabilities:    
Accounts receivable (14) (1,596)
Inventory (309) (101)
Prepaid expenses and other (1,580) 465
Accounts payable and accrued expenses (492) (1,387)
Obligations to tissue suppliers 417 276
Deferred revenue and other liabilities 68 (67)
Net cash used in operating activities (7,350) (5,174)
INVESTING ACTIVITIES:    
Expenditures for property, plant and equipment (34) (131)
Net cash used in investing activities (34) (131)
FINANCING ACTIVITIES:    
Proceeds from Private Placement, net of offering costs (110)  
Net borrowings (repayments) under revolving line of credit 1,397 (3,064)
Proceeds from stock option exercises   3
Repayments of long-term debt (1,667)  
Payments on revenue interest obligation (681) (665)
Proceeds from sales of common stock through Employee Stock Purchase Plan 192  
Net cash used in financing activities (869) (3,726)
Net decrease in cash and restricted cash (8,253) (9,031)
Cash and restricted cash, beginning of period 30,428 39,532
Cash and restricted cash, end of period 22,175 30,501
Supplemental Cash Flow and Non-Cash Financing Activities Disclosures:    
Cash paid for interest $ 1,162 $ 1,243