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CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS (Unaudited) - USD ($)
$ in Thousands
6 Months Ended
Jun. 30, 2023
Jun. 30, 2022
Cash flows from operating activities:    
Net loss $ (49,530) $ (31,988)
Adjustments to reconcile net loss to net cash used in operating activities:    
Depreciation and amortization 1,617 1,435
Amortization of investment discount 0 79
Equity-based compensation 2,208 6,950
Loss on disposal of property and equipment 68 283
Unrealized (gain) loss on equity investments (90) 157
Loss on fair value adjustments 5,030 0
(Increase) decrease in assets:    
Contributions to deferred compensation plan 0 (110)
Accounts receivable 74 (615)
Inventory (30) (416)
Prepaid expense and other (77) (719)
Increase (decrease) in liabilities:    
Accounts payable (451) 658
Accrued liabilities and other 125 2,288
Deferred revenue and income (69) (116)
Deferred compensation 223 (51)
Net cash used in operating activities (24,188) (25,605)
Cash flows from investing activities:    
Purchases of equipment (167) (447)
Purchase of marketable securities 0 (27,504)
Maturities of marketable securities 9,291 18,738
Net cash provided (used) by investing activities 9,124 (9,213)
Cash flows from financing activities:    
Payments on finance leases (540) (424)
Proceeds from exercise of options 0 7
Proceeds from issuance of common stock under employee purchase plan 0 137
Proceeds from issuance of convertible notes 10,000 0
Transaction costs related to debt and equity issuances (3,731) 0
Net cash provided (used) by financing activities 9,729 (280)
Effect of exchange rate on cash (288) (219)
Decrease in cash and cash equivalents (5,623) (35,317)
Cash and cash equivalents, beginning of period 34,905 39,898
Cash and cash equivalents, end of period 29,282 4,581
Non-cash investing activities:    
Net transfer of instruments from inventory to property and equipment 88 202
Non-cash financing activities:    
Extinguishment of 2.50% Convertible Senior Notes through issuance of common stock 0 10,180
Exchange of 2.50% Convertible Senior Notes and accrued interest for 5.00% Convertible Senior Secured Notes 56,893 0
Debt premium on issuance of 5.00% Convertible Senior Secured Notes 6,023 0
Derivative liability 38,160 0
Supplemental cash flow information:    
Interest paid 0 1,506
Nonrelated Party    
Adjustments to reconcile net loss to net cash used in operating activities:    
Amortization of debt discount and issuance costs 692 284
Loss (gain) on extinguishment of debt 6,550 (3,565)
Increase (decrease) in liabilities:    
Accrued interest 900 (159)
Related Party    
Adjustments to reconcile net loss to net cash used in operating activities:    
Amortization of debt discount and issuance costs 1,033 0
Loss (gain) on extinguishment of debt 6,755 0
Increase (decrease) in liabilities:    
Accrued interest 784 0
Cash flows from financing activities:    
Proceeds from issuance of common stock to related party 4,000 0
Non-cash financing activities:    
Capital contribution from the exchange of secured note and accrued interest through the issuance of common stock with related party $ 25,363 $ 0