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Condensed Consolidated Statements of Cash Flows (Unaudited) - USD ($)
$ in Thousands
3 Months Ended
Mar. 31, 2018
Mar. 31, 2017
Cash flows from operating activities:    
Net loss $ (13,424) $ (16,360)
Adjustments to reconcile net loss to net cash used in operating activities:    
Stock-based compensation expense 1,048 603
Depreciation and amortization 286 256
Gain on sale of fixed assets (15)
Paid in-kind interest (13)
Non-cash interest expense 63 61
Change in fair value of contingent consideration liability 800 1,900
Changes in assets and liabilities:    
Accounts receivable 491 2,767
Other current assets (204) 638
Other assets
Accounts payable (1,757) 402
Accrued expenses (1,632) (3,066)
Other current liabilities
Other liabilities 73 81
Net cash used in operating activities (14,256) (12,746)
Cash flows from investing activities:    
Purchases of property and equipment (16) (145)
Proceeds from sale of fixed assets 32
Net cash used in investing activities (16) (113)
Cash flows from financing activities:    
Net proceeds from issuance of common stock in connection with at-the-market offering 9,524
Proceeds from exercise of stock options 232
Net cash provided by financing activities 9,524 232
Effect of currency rate changes on cash, cash equivalents and restricted cash (17) 25
Net decrease in cash, cash equivalents, and restricted cash (4,765) (12,602)
Cash, cash equivalents, and restricted cash at beginning of period 92,164 140,910
Cash, cash equivalents, and restricted cash at end of period 87,399 128,308
Cash, cash equivalents, and restricted cash information    
Cash, cash equivalents, and restricted cash at beginning of period $ 92,164 $ 140,910