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Consolidated Statements of Cash Flows (Unaudited) - USD ($)
$ in Thousands
3 Months Ended
Mar. 31, 2018
Mar. 31, 2017
Operating Activities    
Net loss $ (882) $ (15,414)
Adjustments to reconcile net loss to net cash and cash equivalents used in operating activities:    
Gain from sale of SurgiBot assets, net (11,996)  
Depreciation 660 532
Amortization of intangible assets 2,827 1,636
Amortization of debt discount and debt issuance costs 274 31
Stock-based compensation 1,834 2,139
Deferred tax benefit (890) (858)
Change in fair value of warrant liabilities (1,829)  
Change in fair value of contingent consideration 627 1,227
Changes in operating assets and liabilities, net of effect of acquisition:    
Accounts receivable (296) (753)
Interest receivable (21) 2
Inventories (604) (320)
Other current and long term assets 1,171 (251)
Accounts payable (217) (759)
Accrued expenses (2,871) (1,161)
Deferred revenue (86)  
Net cash and cash equivalents used in operating activities (12,299) (13,949)
Investing Activities    
Proceeds related to sale of SurgiBot assets, net 4,496  
Purchase of property and equipment (218) (501)
Proceeds from sale of property and equipment 17  
Net cash and cash equivalents provided by (used in) investing activities 4,295 (501)
Financing Activities    
Payment of notes payable   (1,966)
Proceeds from issuance of common stock and warrants, net of issuance costs 11 5,304
Proceeds from issuance of common stock related to sale of SurgiBot assets 3,000  
Proceeds from exercise of stock options and warrants 1,712  
Net cash and cash equivalents provided by financing activities 4,723 3,338
Effect of exchange rate changes on cash and cash equivalents 88 40
Net decrease in cash, cash equivalents and restricted cash (3,193) (11,072)
Cash, cash equivalents and restricted cash, beginning of period 97,606 34,590
Cash, cash equivalents and restricted cash, end of period 94,413 23,518
Supplemental Disclosure for Cash Flow Information    
Interest paid 304 233
Supplemental Schedule of Noncash Investing and Financing Activities    
Transfer of inventories to property and equipment 71  
Issuance of common stock as contingent consideration   $ 5,227
Reclass of warrant liability to common stock and additional paid-in capital $ 516