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Condensed Consolidated Statements of Cash Flows (Unaudited) - USD ($)
$ in Thousands
3 Months Ended 6 Months Ended 12 Months Ended
Jun. 30, 2020
Mar. 31, 2020
Jun. 30, 2019
Mar. 31, 2019
Jun. 30, 2020
Jun. 30, 2019
Dec. 31, 2019
Operating Activities:              
Net loss $ (13,840) $ (16,598) $ (20,171) $ (22,525) $ (30,438) $ (42,696)  
Adjustments to reconcile net loss to net cash and cash equivalents used in operating activities:              
Loss from sale of SurgiBot assets, net 0   0   0 97  
Depreciation         1,162 1,126  
Amortization of intangible assets 2,619   2,585   5,183 5,196  
Amortization of debt discount and debt issuance costs         0 622  
Amortization of short-term investment discount         0 (300)  
Stock-based compensation         3,856 6,336  
Interest expense on deferred consideration - MST acquisition         0 387  
Deferred tax benefit         (1,388) (1,479)  
Write down of inventory 0   800   0 761  
Change in fair value of warrant liabilities 114   (2,528)   269 (2,422)  
Change in fair value of contingent consideration 212   960   1,268 1,958  
Changes in operating assets and liabilities:              
Accounts receivable         (350) 2,808  
Interest receivable         0 (4)  
Inventories         (2,332) (10,301)  
Other current and long term assets         827 (3,689)  
Accounts payable         (1,221) 2,499  
Accrued expenses         (1,736) (1,454)  
Deferred revenue         22 (862)  
Other long term liabilities         (258) 1,879  
Net cash and cash equivalents used in operating activities         (25,136) (39,538)  
Investing Activities:              
Purchase of short-term investments         0 (12,883)  
Proceeds from maturities of short-term investments         0 55,000  
Purchase of property and equipment         (3) (189)  
Net cash and cash equivalents (used in) provided by investing activities         (3) 41,928  
Financing Activities:              
Proceeds from issuance of common stock, preferred stock and warrants under 2020 financing, net of issuance costs         13,525 0  
Proceeds from issuance of common stock, net of issuance costs         11,212 0  
Proceeds from notes payable, net of issuance costs         2,815 (30)  
Taxes paid related to net share settlement of vesting of restricted stock units         (33) (499)  
Payment of contingent consideration         (74) 0  
Proceeds from exercise of warrants         3,340 534  
Net cash and cash equivalents provided by (used in) financing activities         30,785 5  
Effect of exchange rate changes on cash and cash equivalents         17 (32)  
Net increase in cash, cash equivalents and restricted cash         5,663 2,363  
Cash, cash equivalents and restricted cash, beginning of period   $ 10,567   $ 21,651 10,567 21,651 $ 21,651
Cash, cash equivalents and restricted cash, end of period $ 16,230   $ 24,014   16,230 24,014 $ 10,567
Supplemental Disclosure for Cash Flow Information:              
Interest paid         0 1,528  
Supplemental Schedule of Non-cash Investing and Financing Activities:              
Transfer of inventories to property and equipment         3,403 415  
Exchange of common stock for Series B Warrants         2,470 0  
Transfer of in-process research and development to intellectual property         2,425 0  
Conversion of preferred stock to common stock         $ 79 $ 0