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Condensed Consolidated Statements of Cash Flows (Unaudited) - USD ($)
$ in Thousands
9 Months Ended
Sep. 30, 2023
Sep. 30, 2022
Operating activities:    
Net loss $ (108,745) $ (81,316)
Adjustments to reconcile net loss to net cash used in operating activities:    
Stock-based compensation expense 8,959 10,808
Non-cash interest expense on unsecured convertible debt 1,450 1,361
Depreciation and amortization 715 789
Non-cash interest earned on OMIDRIA contract royalty asset (11,484) (13,739)
Remeasurement on OMIDRIA contract royalty asset (14,924) (40,631)
Accretion on U.S. government treasury bills, net (7,280) 0
Early termination of operating lease 0 (454)
Changes in operating assets and liabilities:    
Receivables 206,343 24,301
Prepaid expenses and other 876 1,769
OMIDRIA contract royalty asset 29,900 47,555
Accounts payable and accrued expense 3,741 (11,544)
Net cash provided by (used in) operating activities 109,551 (61,101)
Investing activities:    
Purchases of investments and other (839,595) (103,573)
Proceeds from the sale and maturities of investments 751,114 84,600
Purchases of property and equipment (308) (100)
Net cash used in investing activities (88,789) (19,073)
Financing activities:    
Proceeds from sale of future royalties 0 125,000
Principal payments on OMIDRIA royalty obligation (854) 0
Principal payments on finance lease obligations (427) (515)
Proceeds upon exercise of stock options and warrants 150 414
Net cash provided by (used in) financing activities (1,131) 124,899
Net increase in cash and cash equivalents 19,631 44,725
Cash and cash equivalents at beginning of period 11,009 100,808
Cash and cash equivalents at end of period 30,640 145,533
Supplemental cash flow information    
Cash paid for interest 23,801 13,437
Property acquired under finance lease $ 632 $ 806