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Consolidated Statements of Cash Flows (Unaudited) - USD ($)
$ in Thousands
6 Months Ended
Jun. 30, 2018
Jun. 30, 2017
Operating Activities    
Net loss $ (35,130) $ (30,127)
Adjustments to reconcile net loss to net cash and cash equivalents used in operating activities:    
Gain from sale of SurgiBot assets, net (11,959)  
Depreciation 1,277 1,142
Amortization of intangible assets 5,570 3,323
Amortization of debt discount and debt issuance costs 495 43
Stock-based compensation 4,204 3,679
Deferred tax benefit (1,799) (1,580)
Loss on extinguishment of debt 1,400 308
Change in fair value of warrant liabilities 15,678 2,326
Change in fair value of contingent consideration 1,439 453
Changes in operating assets and liabilities:    
Accounts receivable (762) (487)
Interest receivable (24) 39
Inventories (1,560) (862)
Other current and long term assets 1,905 (1,473)
Accounts payable 404 (1,909)
Accrued expenses (359) (390)
Deferred revenue 31  
Net cash and cash equivalents used in operating activities (19,190) (25,515)
Investing Activities    
Proceeds related to sale of SurgiBot assets, net 4,496  
Purchase of property and equipment (358) (1,397)
Purchase of intellectual property   (398)
Proceeds from sale of property and equipment 32  
Net cash and cash equivalents provided by (used in) investing activities 4,170 (1,795)
Financing Activities    
Payment of notes payable (15,305) (13,343)
Proceeds from issuance of debt and warrants, net of issuance costs 18,870 13,196
Payment of contingent consideration (395)  
Proceeds from issuance of common stock and warrants, net of issuance costs 2 29,193
Taxes paid related to net share settlement of vesting of restricted stock units   (168)
Proceeds from issuance of common stock related to sale of SurgiBot assets 3,000  
Proceeds from exercise of stock options and warrants 9,813  
Net cash and cash equivalents provided by financing activities 15,985 28,878
Effect of exchange rate changes on cash and cash equivalents (78) 2
Net increase in cash, cash equivalents and restricted cash 887 1,570
Cash, cash equivalents and restricted cash, beginning of period 97,606 34,590
Cash, cash equivalents and restricted cash, end of period 98,493 36,160
Supplemental Disclosure for Cash Flow Information    
Interest paid 599 368
Supplemental Schedule of Noncash Investing and Financing Activities    
Transfer of inventories to property and equipment 1,055  
Issuance of common stock as contingent consideration   5,227
Relative fair value of warrants issued with debt   $ 300
Reclass of warrant liability to common stock and additional paid-in capital $ 7,060