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CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS - USD ($)
$ in Thousands
9 Months Ended
Sep. 30, 2022
Sep. 30, 2021
OPERATING ACTIVITIES    
Net loss $ (46,520) $ (24,862)
Adjustments to reconcile net loss to net cash used in operating activities:    
Depreciation and amortization 7,702 1,956
Stock-based compensation expense 26,398 14,889
Change in fair value of contingent consideration (17,987) 0
Deferred income taxes (1,839) 0
Accretion of discounts on marketable investment securities (184) 0
Other 186 (99)
Change in operating assets and liabilities:    
Accounts receivable (5,678) (6,087)
Prepaid expenses and other current assets (1,870) (734)
Inventory (1,502) (28)
Operating lease assets 694 641
Other assets 533 (193)
Accounts payable 2,155 673
Operating lease liabilities (559) (638)
Accrued compensation 3,669 3,012
Medicare advance payment 0 (5,351)
Other accrued liabilities (853) 619
Net cash used in operating activities (35,655) (16,202)
INVESTING ACTIVITIES    
Purchases of property and equipment (3,845) (2,590)
Asset acquisition 547  
Asset acquisition   (33,184)
Acquisition of business, net of cash and cash equivalents acquired (26,966) 0
Proceeds from sale of property and equipment 9 6
Purchases of marketable investment securities (131,808) 0
Net cash used in investing activities (162,063) (35,768)
FINANCING ACTIVITIES    
Payment of common stock offering costs 0 (336)
Proceeds from exercise of common stock options 675 3,868
Payment of employees’ taxes on vested restricted stock units (134) 0
Proceeds from contributions to the employee stock purchase plan 1,812 1,763
Repayment of principal portion of finance lease liabilities (88) 0
Net cash provided by financing activities 2,265 5,295
NET CHANGE IN CASH AND CASH EQUIVALENTS (195,453) (46,675)
Beginning of period 329,633 409,852
End of period 134,180 363,177
DISCLOSURE OF NON-CASH INVESTING AND FINANCING ACTIVITIES:    
Accrued purchases of property and equipment 1,131 190
Common stock issued in acquisition of business 17,111 0
Contingent consideration in acquisition of business 1,528 0
Operating lease assets obtained in exchange for lease obligations 5,912 427
Property and equipment acquired with tenant improvement allowance $ 51 $ 54