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CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS - USD ($)
$ in Thousands
3 Months Ended 6 Months Ended
Jun. 30, 2023
Jun. 30, 2023
Jun. 30, 2022
Cash flows from operating activities:      
Net income (loss) $ 1,200 $ (3,783) $ (21,357)
Adjustments to reconcile net loss to net cash flows provided by (used in) operating activities:      
Share-based compensation 4,060 8,405 8,426
Impairment of clinical trial assets   2,130 0
Depreciation 687 1,401 1,718
Non-cash lease expenses   658 610
Impairment of goodwill 535 535 0
Amortization of intangible assets 191 380 345
Bad debt expense 349 289 2,391
Amortization of deferred financing costs   245 229
Accretion of asset retirement obligation   43 46
Gain on fixed asset disposal   0 (15)
Increase (decrease) in cash resulting from changes in:      
Accounts receivable   (6,170) 301
Inventory   (3,633) (1,993)
Prepaid expenses   2,832 2,061
Other assets   226 (353)
Accounts payable   (130) 442
Accrued compensation   (345) (6,316)
Accrued expenses   1,218 740
Other liabilities   (574) (503)
Net cash flows provided by (used in) operating activities   3,727 (13,228)
Cash flows from investing activities:      
Purchases of equipment   (932) (498)
Patent application costs   (93) (103)
Proceeds from sale of equipment   0 24
Net cash flows used in investing activities   (1,025) (577)
Cash flows from financing activities:      
Proceeds from exercise of stock options   20 437
Principal payments on finance lease   (20) (22)
Stock repurchased for tax withholdings on vesting of restricted stock   0 (1,191)
Net cash flows used in financing activities   0 (776)
Net change in cash   2,702 (14,581)
Cash and cash equivalents, beginning of period   65,950 87,083
Cash and cash equivalents, end of period $ 68,652 $ 68,652 $ 72,502