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Consolidated Statements of Cash Flows - USD ($)
$ in Thousands
12 Months Ended
Dec. 31, 2021
Dec. 31, 2020
Dec. 31, 2019
Cash flows from operating activities      
Net loss $ (49,450) $ (69,484) $ (82,764)
Adjustments to reconcile net loss to net cash used in operating activities:      
Non-cash other income/expense, net 424 50 (40)
Non-cash interest income     22
Non-cash interest expense 404 636 519
Loss on extinguishment of debt   2,757  
Depreciation and amortization expense 356 417 396
Decrease in right-of-use assets 281 403 374
Stock-based compensation 3,291 5,219 9,748
Other, net (6) 62 48
Changes in operating assets and liabilities:      
(Increase)/decrease in other non-current assets (10) 8 50
(Increase)/decrease in accounts receivable, net and other receivables and prepaid expenses (8,117) (5,887) 2,582
Increase in inventory (8,686) (5,141) (682)
Increase/(decrease) in accounts payable 1,581 (1,813) 1,310
Increase/(decrease) in accrued expenses and other liabilities 946 714 (3,209)
Increase/(decrease) in deferred revenue (376) 750  
Decrease in other non-current liabilities (189) (2) (172)
Decrease in income tax liabilities (6) (20) (74)
Net cash used in operating activities (59,557) (71,331) (71,892)
Cash flows from investing activities      
Purchases of plant and equipment and intangible assets (25) (113) (61)
Other (56) (161)  
Other     392
Net cash (used in) provided by investing activities (81) (274) 331
Cash flows from financing activities      
Proceeds from exercise of warrants   665  
Proceeds from issuance of ordinary shares and warrants 27,911 53,460 20,138
Proceeds from at-the-market facility 42,280 7,520 27,945
Proceeds from long-term debt, net of issuance costs     9,980
Proceeds from employee stock purchase plan   43 372
Repayments of long-term borrowings   (30,000)  
Equity transaction costs (3,825) (4,764) (2,360)
Net cash provided by financing activities 66,366 26,924 56,075
Effects of exchange rate changes on the balance of cash held in foreign currencies (484) (140) (106)
Net increase/(decrease) in cash, cash equivalents and restricted cash 6,244 (44,821) (15,592)
Cash, cash equivalents, and restricted cash at beginning of year 41,590 86,411 102,003
Cash, cash equivalents and restricted cash at end of year 47,834 41,590 86,411
Supplemental disclosure of cash flow information:      
Interest paid 497 1,396 2,560
Taxes paid 513 4 11
Equity transaction costs included in accounts payable and accrued expenses $ 712 $ 765 $ 552