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CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS (USD $)
In Thousands, unless otherwise specified
3 Months Ended
Mar. 31, 2015
Mar. 31, 2014
Operating activities:    
Net income (loss) $ 243us-gaap_NetIncomeLoss $ (3,511)us-gaap_NetIncomeLoss
Adjustments to reconcile net income (loss) to net cash used in operating activities:    
Depreciation of property and equipment 1us-gaap_Depreciation 2us-gaap_Depreciation
Amortization of other assets 52us-gaap_AdjustmentForAmortization 53us-gaap_AdjustmentForAmortization
Noncash stock-based compensation, including stock options and restricted stock 26us-gaap_StockOptionPlanExpense 120us-gaap_StockOptionPlanExpense
Change in fair value of warrant liability (1,009)us-gaap_FairValueAdjustmentOfWarrants 2,751us-gaap_FairValueAdjustmentOfWarrants
Amortization of debt discount 0us-gaap_AmortizationOfDebtDiscountPremium 142us-gaap_AmortizationOfDebtDiscountPremium
Inventory reserve (2)neph_InventoryFifoReservePeriodCharge 17neph_InventoryFifoReservePeriodCharge
(Gain)/loss on foreign currency transactions (40)us-gaap_ForeignCurrencyTransactionGainLossUnrealized 1us-gaap_ForeignCurrencyTransactionGainLossUnrealized
(Increase) decrease in operating assets:    
Accounts receivable (224)us-gaap_IncreaseDecreaseInAccountsReceivable (355)us-gaap_IncreaseDecreaseInAccountsReceivable
Inventory (20)us-gaap_IncreaseDecreaseInInventories (46)us-gaap_IncreaseDecreaseInInventories
Prepaid expenses and other current assets 22us-gaap_IncreaseDecreaseInPrepaidDeferredExpenseAndOtherAssets 53us-gaap_IncreaseDecreaseInPrepaidDeferredExpenseAndOtherAssets
Increase (decrease) in operating liabilities:    
Accounts payable (39)us-gaap_IncreaseDecreaseInAccountsPayable (40)us-gaap_IncreaseDecreaseInAccountsPayable
Accrued expenses 90us-gaap_IncreaseDecreaseInAccruedLiabilities (172)us-gaap_IncreaseDecreaseInAccruedLiabilities
Deferred revenue (17)us-gaap_IncreaseDecreaseInDeferredRevenue 363us-gaap_IncreaseDecreaseInDeferredRevenue
Net cash used in operating activities (917)us-gaap_NetCashProvidedByUsedInOperatingActivitiesContinuingOperations (622)us-gaap_NetCashProvidedByUsedInOperatingActivitiesContinuingOperations
Financing activities:    
Proceeds from issuance of common stock, net of equity issuance costs of $125 0us-gaap_ProceedsFromIssuanceOfCommonStock 2,016us-gaap_ProceedsFromIssuanceOfCommonStock
Proceeds from exercise of warrants 1us-gaap_ProceedsFromWarrantExercises 1us-gaap_ProceedsFromWarrantExercises
Payment of senior secured note 0us-gaap_RepaymentsOfSeniorDebt (1,500)us-gaap_RepaymentsOfSeniorDebt
Net cash provided by financing activities 1us-gaap_NetCashProvidedByUsedInFinancingActivitiesContinuingOperations 517us-gaap_NetCashProvidedByUsedInFinancingActivitiesContinuingOperations
Effect of exchange rates on cash (1)us-gaap_EffectOfExchangeRateOnCashContinuingOperations (1)us-gaap_EffectOfExchangeRateOnCashContinuingOperations
Net decrease in cash (917)us-gaap_CashPeriodIncreaseDecrease (106)us-gaap_CashPeriodIncreaseDecrease
Cash, beginning of period 1,284us-gaap_Cash 579us-gaap_Cash
Cash, end of period 367us-gaap_Cash 473us-gaap_Cash
Supplemental disclosure of cash flow information    
Cash paid for interest $ 14us-gaap_InterestPaid $ 77us-gaap_InterestPaid