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Condensed Consolidated Statements of Cash Flows (Unaudited) - USD ($)
$ in Thousands
3 Months Ended 9 Months Ended 12 Months Ended
Sep. 30, 2020
Mar. 31, 2020
Sep. 30, 2019
Mar. 31, 2019
Sep. 30, 2020
Sep. 30, 2019
Dec. 31, 2019
Operating Activities:              
Net loss $ (15,082) $ (16,598) $ (97,771) $ (22,525) $ (45,521) $ (140,469)  
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  
Goodwill and intangible assets impairment         0 86,881  
Depreciation         2,015 1,651  
Amortization of intangible assets 2,780   2,558   7,964 7,754  
Amortization of debt discount and debt issuance costs         0 1,437  
Amortization of short-term investment discount         0 (328)  
Stock-based compensation         5,800 9,727  
Interest expense on deferred consideration - MST acquisition         0 762  
Deferred tax benefit         (1,386) (2,549)  
Bad debt expense 0   1,600   0 1,630  
Write down of inventory 0   800   0 761  
Change in fair value of warrant liabilities (63)   (614)   206 (3,036)  
Change in fair value of contingent consideration 502   (11,647)   1,770 (9,689)  
Changes in operating assets and liabilities:              
Accounts receivable         (252) 4,313  
Interest receivable         0 3  
Inventories         (4,410) (14,141)  
Other current and long term assets         2,233 (2,313)  
Accounts payable         (706) (914)  
Accrued expenses         (1,191) (1,439)  
Deferred revenue         (56) (867)  
Other long term liabilities         (376) 1,613  
Net cash and cash equivalents used in operating activities         (33,910) (59,116)  
Investing Activities:              
Purchase of short-term investments         0 (12,883)  
Proceeds from maturities of short-term investments         0 65,000  
Purchase of property and equipment         (3) (392)  
Net cash and cash equivalents (used in) provided by investing activities         (3) 51,725  
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         24,861 23,725  
Proceeds from notes payable and warrants, net of issuance costs         2,815 (30)  
Payment of note payable         0 (15,000)  
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 stock options and warrants         3,340 539  
Net cash and cash equivalents provided by financing activities         44,434 8,735  
Effect of exchange rate changes on cash and cash equivalents         30 (191)  
Net increase in cash, cash equivalents and restricted cash         10,551 1,153  
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 $ 21,118   $ 22,804   21,118 22,804 $ 10,567
Supplemental Disclosure for Cash Flow Information:              
Interest paid         0 2,073  
Supplemental Schedule of Non-cash Investing and Financing Activities:              
Transfer of inventories to property and equipment         5,839 478  
Exchange of common stock for Series B Warrants         2,470 0  
Transfer of in-process research and development to intellectual property         2,425 0  
Issuance of common stock - MST acquisition         0 6,600  
Conversion of preferred stock to common stock         $ 79 $ 0