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Consolidated Statements of Cash Flows - USD ($)
shares in Thousands, $ in Thousands
12 Months Ended
Dec. 31, 2015
Dec. 31, 2014
Dec. 31, 2013
Operating Activities      
Net loss $ (46,948) $ (37,652) $ (28,358)
Adjustments to reconcile net loss to net cash and cash equivalents used in operating activities:      
Depreciation 1,248 807 983
Amortization of intangible assets 2,185 503 500
Amortization of debt discount and debt issuance costs 142 83 103
Remeasurement of fair value of preferred stock warrant liability     1,800
Accretion/amortization of bond discount/premium     52
Stock-based compensation 3,311 1,840 941
Loss on disposal of property and equipment 34 86 31
Impairment loss on property and equipment     450
Deferred tax benefit (1,024)    
Change in fair value of contingent consideration (400)    
Changes in operating assets and liabilities, net of effect of acquisition:      
Accounts receivable 133 55 402
Interest receivable (5) 67 (52)
Inventories (1,928) 701 731
Other current and long term assets (1,974) (170) (328)
Restricted cash 250 125  
Accounts payable 1,096 (36) 641
Accrued expenses 5,371 363 868
Net cash and cash equivalents used in operating activities (38,509) (33,228) (21,236)
Investing Activities      
Purchase of investments     (6,240)
Proceeds from sale and maturities of investments   6,191 904
Cash received in acquisition of a business, net of cash paid     246
Proceeds from sale of property and equipment   25  
Payments for acquisition of a business (25,000)    
Purchase of property and equipment (1,234) (2,174) (1,377)
Net cash and cash equivalents (used in) provided by investing activities (26,234) 4,042 (6,467)
Financing Activities      
Payment of debt   (2,877) (1,519)
Proceeds from issuance of common stock, net of issuance costs 58,331 52,433  
Proceeds from issuance of debt, net of debt discount 9,887 4,291 1,998
Proceeds from issuance of preferred stock, net of issuance costs     28,199
Taxes paid related to net share settlement of vesting of restricted stock units (73)    
Proceeds from exercise of stock options and warrants 259 91 143
Net cash and cash equivalents provided by financing activities 68,404 53,938 28,821
Effect of exchange rate changes on cash and cash equivalents 22    
Net increase in cash and cash equivalents 3,683 24,752 1,118
Cash and Cash Equivalents, beginning of period 34,766 10,014 8,896
Cash and Cash Equivalents, end of period 38,449 34,766 10,014
Supplemental Disclosure for Cash Flow Information      
Interest paid $ 973 $ 904 824
Supplemental Schedule of Noncash Investing and Financing Activities      
Issuance of common stock warrants 97 54  
Contingent consideration related to acquisition $ 23,900    
Issuance of common stock related to acquisition $ 43,677    
Conversion of bridge notes to preferred stock     1,998
Conversion of preferred stock warrants to common stock warrants     1,909
Conversion of preferred stock to common stock     $ 30,197