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CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS Unaudited - USD ($)
$ in Thousands
6 Months Ended
Jun. 30, 2022
Jun. 30, 2021
Cash flows from operating activities:    
Net loss $ (31,988) $ (45,913)
Adjustments to reconcile net loss to net cash used in operating activities:    
Depreciation and amortization 1,435 1,248
Amortization of investment discount 79 97
Equity-based compensation 6,950 15,429
Amortization of debt discount and issuance costs 284 6,079
Loss (gain) on disposal of property and equipment 283 (100)
Unrealized loss on equity investments 157 0
Gain on extinguishment of debt (3,565) 0
(Increase) decrease in assets:    
Contributions to deferred compensation plan (110) (236)
Accounts receivable (615) (564)
Inventory (416) (524)
Prepaid expense and other (719) 60
Increase (decrease) in liabilities:    
Accounts payable 658 564
Accrued liabilities 2,288 736
Accrued interest (159) 45
Deferred revenue and income (116) (94)
Deferred compensation (51) 245
Net cash used in operating activities (25,605) (22,928)
Cash flows from investing activities:    
Purchases of equipment (447) (29)
Purchase of marketable securities (27,504) (15,699)
Maturities of marketable securities 18,738 23,993
Net cash (used in) provided by investing activities (9,213) 8,265
Cash flows from financing activities:    
Proceeds from issuance of common stock 0 22,122
Payments on finance leases (424) 0
Proceeds from exercise of options 7 1,222
Proceeds from issuance of common stocks under employee purchase plan 137 161
Net cash (used in) provided by financing activities (280) 23,505
Effect of exchange rate on cash (219) (43)
(Decrease) increase in cash and cash equivalents (35,317) 8,799
Cash and cash equivalents, beginning of period 39,898 35,781
Cash and cash equivalents, end of period 4,581 44,580
Non-cash investing activities:    
Net transfer of instruments from inventory to property and equipment 202 500
Supplemental cash flow information:    
Interest paid 1,506 2,144
Extinguishment of Convertible Senior Notes through issuance of common stock $ 10,180 $ 0