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Consolidated Statements of Cash Flows (Unaudited) - USD ($)
$ in Thousands
3 Months Ended 12 Months Ended
Mar. 31, 2019
Mar. 31, 2018
Dec. 31, 2018
Operating Activities      
Net loss $ (22,525) $ (882)  
Adjustments to reconcile net loss to net cash and cash equivalents used in operating activities:      
Loss (gain) from sale of SurgiBot assets, net 97 (11,996)  
Depreciation 563 660  
Amortization of intangible assets 2,611 2,827  
Amortization of debt discount and debt issuance costs 330 274  
Amortization of short-term investment discount (220)    
Interest expense on deferred consideration - MST acquisition 204    
Stock-based compensation 2,981 1,834  
Deferred tax benefit (610) (890)  
Change in fair value of warrant liabilities 106 (1,829)  
Change in fair value of contingent consideration 998 627  
Changes in operating assets and liabilities:      
Accounts receivable (129) (296)  
Interest receivable (8) (21)  
Inventories (4,621) (604)  
Other current and long term assets (2,655) 1,171  
Accounts payable 286 (217)  
Accrued expenses (2,518) (2,871)  
Deferred revenue (197) (86)  
Other long term liabilities 1,112    
Net cash and cash equivalents used in operating activities (24,195) (12,299)  
Investing Activities      
Purchase of short-term investments (10,894)    
Proceeds from maturities of short-term investments 40,000    
Proceeds related to sale of SurgiBot assets, net   4,496  
Purchase of property and equipment (118) (218)  
Proceeds from sale of property and equipment   17  
Net cash and cash equivalents provided by investing activities 28,988 4,295  
Financing Activities      
Proceeds from issuance of common stock and warrants, net of issuance costs   11  
Taxes paid related to net share settlement of vesting of restricted stock units (499)    
Proceeds from issuance of common stock related to sale of SurgiBot assets   3,000  
Proceeds from exercise of stock options and warrants 236 1,712  
Net cash and cash equivalents (used in) provided by financing activities (263) 4,723  
Effect of exchange rate changes on cash and cash equivalents (58) 88  
Net increase (decrease) in cash, cash equivalents and restricted cash 4,472 (3,193)  
Cash, cash equivalents and restricted cash, beginning of period 21,651 97,606 $ 97,606
Cash, cash equivalents and restricted cash, end of period 26,123 94,413 $ 21,651
Supplemental Disclosure for Cash Flow Information      
Interest paid 750 304  
Supplemental Schedule of Noncash Investing and Financing Activities      
Transfer of inventories to property and equipment $ 86 71  
Reclass of warrant liability to common stock and additional paid-in capital   $ 516