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UNAUDITED CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS - USD ($)
$ in Thousands
3 Months Ended 6 Months Ended 9 Months Ended 12 Months Ended
Sep. 30, 2020
Mar. 31, 2020
Sep. 30, 2019
Mar. 31, 2019
Jun. 30, 2020
Sep. 30, 2020
Sep. 30, 2019
Dec. 31, 2019
Cash flows from operating activities:                
Net (loss) income $ (11,703) $ (865) $ (8,864) $ (13,018)   $ 18,306 $ (30,487)  
Adjustments to reconcile net income (loss) to net cash provided by operating activities:                
Depreciation and amortization           1,297 1,690  
Loss on disposal of property and equipment           0 478  
Remeasurement of acquisition-related contingent consideration           3,327 2,384  
Remeasurement of financing-related contingent consideration           435 496  
Amortization of debt discount and debt issuance costs           4,835 4,424  
Change in deferred tax and income tax deferred charge           (4,582) 1,333  
Stock-based compensation expense           1,705 177  
Gain on the disposition of the hospital products 0   0   $ (45,760) (45,760) 0  
Loss on deconsolidation of subsidiary           0 1,750  
Other adjustments           306 (667)  
Net changes in assets and liabilities                
Accounts receivable           8,281 2,026  
Inventories           (1,352) 2,465  
Prepaid expenses and other current assets           1,759 (1,859)  
Research and development tax credit receivable           2,036 (749)  
Accounts payable & other current liabilities           (4,051) 259  
Accrued expenses           (6,625) (2,379)  
Earn-out payments for contingent consideration in excess of acquisition-date fair value           (5,323) (8,640)  
Royalty payments for contingent consideration payable in excess of original fair value           (866) (1,374)  
Other assets and liabilities           (3,337) (1,399)  
Net cash used in operating activities           (29,609) (30,072)  
Cash flows from investing activities:                
Purchases of property and equipment           (33) (29)  
Proceeds from the disposal of property and equipment           0 154  
Proceeds from the disposition of the hospital products           17,250 0  
Proceeds from sales of marketable securities           30,075 57,242  
Purchases of marketable securities           (124,254) (23,814)  
Net cash (used in) provided by investing activities           (76,962) 33,553  
Cash flows from financing activities:                
Proceeds from the February 2020 private placement           60,570 0  
Proceeds from the May 2020 public offering           116,924 0  
Proceeds from stock option exercises and ESPP           2,006 123  
Other financing activities, net           0 (109)  
Net cash provided by financing activities           179,500 14  
Effect of foreign currency exchange rate changes on cash and cash equivalents           406 47  
Net change in cash and cash equivalents           73,335 3,542  
Cash and cash equivalents at January 1,   $ 9,774   $ 9,325 $ 9,774 9,774 9,325 $ 9,325
Cash and cash equivalents at September 30, $ 83,109   $ 12,867     83,109 12,867 $ 9,774
Supplemental disclosures of cash flow information:                
Interest paid           6,469 6,469  
Income taxes (refund) paid, net           $ (1,788) $ 140