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Consolidated Statements of Cash Flows - USD ($)
$ in Thousands
12 Months Ended
Dec. 31, 2020
Dec. 31, 2019
Dec. 31, 2018
Cash flows from operating activities      
Net loss $ (69,484) $ (82,764) $ (114,780)
Adjustments to reconcile net loss to net cash used in operating activities:      
Non-cash other income/expense, net 50 (40) 362
Non-cash interest income   22 45
Non-cash interest expense 636 519 (104)
Loss on extinguishment of debt 2,757    
Depreciation and amortization expense 417 396 510
Amortization of right-of-use assets 403 374  
Stock-based compensation 5,219 9,748 5,154
In-process research and development in connection with acquisition     32,048
Other, net 62 48 14
Changes in operating assets and liabilities:      
Increase/(decrease) in long-term receivables 8 50 (3)
Increase/(decrease) in accounts receivable, net and other receivables and prepaid expenses (5,887) 2,582 1,139
Increase in inventory (5,141) (682)  
Increase/(decrease) in accounts payable (1,813) 1,310 (2,969)
Increase/(decrease) in accrued expenses and other liabilities 714 (3,209) 5,742
Increase in deferred revenue 750    
Increase/(decrease) in other non-current liabilities (2) (172) 61
Increase/(decrease) in income tax liabilities (20) (74) 58
Net cash used in operating activities (71,331) (71,892) (72,723)
Cash flows from investing activities      
Purchases of plant and equipment and intangible assets (113) (61) (229)
Purchases of term deposits     (115)
Changes in restricted cash (161) 392  
Transaction costs related to Zavante acquisition, net of cash acquired     (4,260)
Net cash used in investing activities (274) 331 (4,604)
Cash flows from financing activities      
Proceeds from exercise of warrants 665    
Proceeds from issuance of ordinary shares and warrants 53,460 20,138 50,000
Proceeds from at-the-market facility 7,520 27,945 24,219
Proceeds from long-term debt, net of issuance costs   9,980 23,545
Proceeds from employee stock purchase plan 43 372  
Repayments of long-term borrowings (30,000)    
Equity transaction costs (4,764) (2,360) (4,841)
Net cash provided by financing activities 26,924 56,075 92,923
Effects of exchange rate changes on the balance of cash and cash equivalents held in foreign currencies (140) (106) (362)
Net increase/(decrease) in cash, cash equivalents and restricted cash (44,821) (15,592) 15,234
Cash, cash equivalents, and restricted cash at beginning of year 86,411 102,003 86,769
Cash, cash equivalents and restricted cash at end of year 41,590 86,411 102,003
Supplemental disclosure of cash flow information:      
Interest paid 1,396 2,560 7
Taxes paid (4) (11) (4)
Equity transaction costs incurred in prior periods and paid in current period $ 765 $ 552 $ 120