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CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS - USD ($)
$ in Thousands
3 Months Ended 12 Months Ended
Mar. 31, 2021
Mar. 31, 2020
Dec. 31, 2020
Cash flows from operating activities:      
Net loss $ (13,445) $ (865)  
Adjustments to reconcile net loss to net cash provided by operating activities:      
Depreciation and amortization 218 456  
Remeasurement of acquisition-related contingent consideration 0 2,478  
Remeasurement of financing-related contingent consideration 0 310  
Amortization of debt discount and debt issuance costs 312 1,573  
Change in deferred tax and income tax deferred charge (2,534) (8,440)  
Stock-based compensation expense 1,728 742  
Gain from the release of certain liabilities (78) 0  
Other adjustments 561 573  
Net changes in assets and liabilities      
Accounts receivable 0 (517)  
Inventories 0 47  
Prepaid expenses and other current assets (3,736) 899  
Research and development tax credit receivable 80 160  
Accounts payable & other current liabilities (3,789) (1,187)  
Accrued expenses (2,112) (4,905)  
Accrued income taxes 0 2,253  
Earn-out payments for contingent consideration in excess of acquisition-date fair value 0 (1,774)  
Royalty payments for contingent consideration payable in excess of original fair value 0 (291)  
Other assets and liabilities (618) (3,148)  
Net cash used in operating activities (23,413) (11,636)  
Cash flows from investing activities:      
Purchases of property and equipment (26) 0  
Proceeds from the disposition of the hospital products 8,250 0  
Proceeds from sales of marketable securities 40,736 14,788  
Purchases of marketable securities (37,769) (1,562)  
Net cash provided by investing activities 11,191 13,226  
Cash flows from financing activities:      
Proceeds from the February 2020 private placement 0 60,733  
Proceeds from stock option exercises and employee stock purchase plan 149 1,477  
Net cash provided by financing activities 149 62,210  
Effect of foreign currency exchange rate changes on cash and cash equivalents (477) (68)  
Net change in cash and cash equivalents (12,550) 63,732  
Cash and cash equivalents at January 1, 71,722 9,774 $ 9,774
Cash and cash equivalents at March 31, 59,172 73,506 $ 71,722
Supplemental disclosures of cash flow information:      
Interest paid 3,234 3,234  
Income taxes paid $ 0 $ 0