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Condensed Consolidated Statements of Cash Flows (Unaudited) - USD ($)
$ in Thousands
6 Months Ended
Jun. 30, 2018
Jun. 30, 2017
Cash flows from operating activities:    
Net loss $ (28,596) $ (32,996)
Adjustments to reconcile net loss to net cash used in operating activities:    
Stock-based compensation expense 3,178 2,189
Depreciation and amortization 590 544
Gain on sale of fixed assets 10
Paid in-kind interest (13)
Non-cash interest expense 137 122
Deferred income tax (96)
Change in fair value of contingent consideration liability 2,100 2,600
Changes in assets and liabilities:    
Accounts receivable 164 2,148
Other current assets 63 1,026
Other assets
Accounts payable (2,797) 557
Accrued expenses (77) (1,718)
Other current liabilities
Other liabilities 145 162
Net cash used in operating activities (25,189) (25,369)
Cash flows from investing activities:    
Purchases of property and equipment (502) (240)
Proceeds from sale of fixed assets 37
Net cash used in investing activities (502) (203)
Cash flows from financing activities:    
Net proceeds from issuance of common stock in connection with at-the-market offering 24,815
Return of estimated interest payment for noncontrolling interest 153
Proceeds from exercise of stock options 411
Repayment of debt (2,179)
Net cash provided by financing activities 22,636 564
Effect of currency rate changes on cash, cash equivalents and restricted cash (93) 60
Net decrease in cash, cash equivalents, and restricted cash (3,148) (24,948)
Cash, cash equivalents, and restricted cash at beginning of period 92,164 140,910
Cash, cash equivalents, and restricted cash at end of period 89,016 115,962
Cash, cash equivalents, and restricted cash information    
Cash, cash equivalents, and restricted cash at beginning of period $ 92,164 $ 140,910