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Condensed Consolidated Statements of Cash Flows (Unaudited) - USD ($)
9 Months Ended
Sep. 30, 2019
Sep. 30, 2018
Cash flows from operating activities:    
Net loss $ (27,709,000) $ (36,489,000)
Adjustments to reconcile net loss to net cash used in operating activities:    
Provision for doubtful accounts 260,000 103,000
Depreciation and amortization 819,000 545,000
Stock-based compensation 1,634,000 2,294,000
Fair value of common shares issued 256,000
Non-cash interest expense 1,266,000 1,176,000
Amortization of operating lease right-of-use assets and accretion of operating lease liabilities 4,000
Loss from minority interest in limited liability company 431,000 539,000
Loss on disposal of property and equipment 93,000
Changes in assets and liabilities:    
Accounts receivable 2,638,000 1,119,000
Inventory (236,000) (2,317,000)
Prepaid expenses and other current assets (493,000) 61,000
Other noncurrent assets 40,000 1,000
Accounts payable (2,203,000) (1,297,000)
Accrued and other liabilities (2,566,000) 502,000
Other noncurrent liabilities 160,000 262,000
Net cash used in operating activities (25,862,000) (33,245,000)
Cash flows from investing activities:    
Purchase of property and equipment (848,000) (983,000)
Net cash used in investing activities (848,000) (983,000)
Cash flows from financing activities:    
Proceeds from sale of common stock, net of issuance costs 6,322,000 33,407,000
Proceeds from issuance of common shares from employee stock purchase plan 56,000 188,000
Transaction costs in connection with note payable (100,000)
Reverse stock split - cancellation and payout of fractional shares (5,000)
Net cash provided by financing activities 6,273,000 33,595,000
Net decrease in cash and cash equivalents (20,437,000) (633,000)
Cash and cash equivalents - beginning of period 29,523,000 [1] 20,730,000
Cash and cash equivalents - end of period 9,086,000 20,097,000
Supplemental disclosure:    
Cash paid for interest 2,067,000 1,991,000
Cash paid for income taxes 2,000
Supplemental disclosure of cash flow information as of end of period:    
Issuance of note payable in settlement of accrued interest 973,000 934,000
Net transfer of equipment between inventory and property and equipment 214,000 210,000
Operating cash outflows from operating leases 220,000
Right-of-use assets obtained in exchange for operating lease liabilities (upon adoption of ASC 842) $ 629,000
[1] The condensed consolidated balance sheet as of December 31, 2018 has been derived from the audited consolidated financial statements as of that date.