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Condensed Consolidated Statements of Cash Flows (Unaudited) - USD ($)
$ in Thousands
3 Months Ended 9 Months Ended 12 Months Ended
Sep. 30, 2019
Mar. 31, 2019
Sep. 30, 2018
Mar. 31, 2018
Sep. 30, 2019
Sep. 30, 2018
Dec. 31, 2018
OPERATING ACTIVITIES:              
Net loss $ (744) $ (1,349) $ (550) $ (1,429) $ (3,035) $ (2,661)  
Adjustments to reconcile net loss to net cash used in operating activities:              
Depreciation of property and equipment 4   8   20 22  
Amortization of intangible assets and license and supply agreement         132 101  
Non-cash stock-based compensation, including stock options and restricted stock         662 588  
Loss on extinguishment of debt     199  
Amortization of debt discount         34  
Inventory reserve         37 65  
Allowance for doubtful accounts reserve 19     19 21  
Change in fair value of contingent consideration (94)     (113)  
Accretion of contingent consideration         41  
Loss on disposal of equipment         10  
Gain on foreign currency transactions         (2) (1)  
(Increase) decrease in operating assets:              
Accounts receivable         (461) (684)  
Inventory         (301) (850)  
Prepaid expenses and other current assets         21 22  
Operating right-of-use assets and operating lease liabilities         49  
Other assets         (21)  
Increase (decrease) in operating liabilities:              
Accounts payable         (144) (309)  
Accrued expenses         456 309  
Net cash used in operating activities         (2,640) (3,134)  
INVESTING ACTIVITIES:              
Purchase of equipment         (14)  
Acquisition of Biocon         (137)  
Net cash used in investing activities         (151)  
FINANCING ACTIVITIES:              
Proceeds from issuance of common stock, net of equity issuance costs of $8 and $19, respectively         1,992 3,778  
Net payments on secured revolving credit facility         (9) (548)  
Proceeds from sale of subsidiary preferred shares to noncontrolling interest         3,000  
Proceeds from equipment financing         14  
Principal payments on equipment financing debt         (1)  
Payments on secured note payable         (159) (99)  
Proceeds from exercise of warrants         292 138  
Proceeds from exercise of stock options         21  
Payment of contingent consideration         (78)  
Proceeds from issuance of secured note         1,187  
Repayment of unsecured long term note payable         (1,187)  
Net cash provided by financing activities         2,072 6,269  
Effect of exchange rates on cash         (7) (7)  
Net (decrease) increase in cash         (726) 3,128  
Cash, beginning of period   $ 4,581   $ 2,194 4,581 2,194 $ 2,194
Cash, end of period $ 3,855   $ 5,322   3,855 5,322 $ 4,581
Supplemental disclosure of cash flow information              
Cash paid for interest         98 124  
Cash paid for income taxes         4 7  
Supplemental disclosure of noncash investing and financing information              
Right-of-use asset obtained in exchange for lease liability         $ 800