| Dec'19 | Dec'18 | Dec'17 | ||||
|---|---|---|---|---|---|---|
Cash flows from operating activities: | ||||||
Net Income (Loss) Attributable to Parent | ||||||
-38,150 | -21,098 | -34,897 | ||||
Adjustments to reconcile net loss to net cash used in operating activities: | ||||||
Depreciation and amortization | ||||||
3,288 | 2,810 | 1,939 | ||||
Provision for doubtful accounts | ||||||
111 | -547 | 943 | ||||
Provision for inventory obsolescence | ||||||
143 | 204 | 0 | ||||
Share-based compensation | ||||||
6,526 | 7,320 | 3,303 | ||||
Loss from disposal of property and equipment | ||||||
-67 | -79 | 0 | ||||
Write off of deferred offering costs | ||||||
- | - | 1,585 | ||||
Unrealized foreign currency loss, net | ||||||
-3,533 | -2,217 | 0 | ||||
Change in fair value of derivative instruments | ||||||
3,052 | 15,894 | -2,428 | ||||
Business Combination, Contingent Consideration Arrangements, Change in Amount of Contingent Consideration, Liability | ||||||
-276 | 1,727 | 0 | ||||
Amortization of debt discount | ||||||
2,428 | 3,317 | 7,054 | ||||
Changes in operating assets and liabilities: | ||||||
Accounts receivable | ||||||
5,511 | 4,667 | 6,911 | ||||
Inventory | ||||||
3,372 | 6,984 | 6,437 | ||||
Prepaid expenses and other current assets | ||||||
2,538 | 2,192 | 1,681 | ||||
Other assets | ||||||
54 | 45 | 570 | ||||
Accounts payable | ||||||
1,830 | -3,905 | -878 | ||||
Accrued liabilities | ||||||
4,644 | 3,801 | 1,103 | ||||
Other liabilities | ||||||
400 | -28 | 1,049 | ||||
Net cash used in operating activities | ||||||
-29,983 | -33,885 | -31,970 | ||||
Cash flows from investing activities: | ||||||
Purchases of property and equipment | ||||||
6,288 | 1,731 | 901 | ||||
Cash used in asset acquisition | ||||||
767 | 3,959 | 0 | ||||
Cost incurred for intangible assets | ||||||
711 | 41 | 40 | ||||
Increase (decrease) in restricted cash | ||||||
- | - | -96 | ||||
Net cash used in investing activities | ||||||
-7,766 | -5,731 | -845 | ||||
Cash flows from financing activities: | ||||||
Borrowings on short-term notes payable | ||||||
- | - | 1,000 | ||||
Borrowings under Madryn credit agreement, net of issuance costs | ||||||
24,748 | 0 | 38,465 | ||||
Repayments on short term notes payable | ||||||
- | - | 1,200 | ||||
Repayments of Related Party Debt | ||||||
0 | 5,083 | 0 | ||||
Repayments under Perceptive credit agreement | ||||||
- | - | 15,000 | ||||
Payments of deferred offering costs | ||||||
- | - | 914 | ||||
Repayments on capital leases | ||||||
242 | 311 | 291 | ||||
Deferred equity issuance costs, IPO | ||||||
0 | -1,468 | 0 | ||||
Cash used to repurchase warrants | ||||||
2,261 | 0 | 2,400 | ||||
Proceeds from stock option exercises | ||||||
712 | 643 | 0 | ||||
Proceeds from warrant exercises | ||||||
56 | 121 | 0 | ||||
Tax payments related to shares withheld upon vesting of restricted stock | ||||||
224 | 0 | - | ||||
Payments for Repurchase of Common Stock | ||||||
- | - | 4,507 | ||||
Net cash provided by (used in) financing activities | ||||||
22,789 | 81,527 | 42,993 | ||||
Effect of exchange rate changes on cash | ||||||
-24 | -136 | - | ||||
Effect of exchange rate changes on cash | ||||||
- | - | 207 | ||||
Net (decrease)/increase in cash | ||||||
-14,984 | 41,775 | - | ||||
Net increase in cash | ||||||
- | - | 10,385 | ||||
Supplemental disclosures: | ||||||
Cash paid for interest | ||||||
5,947 | 5,379 | 2,862 | ||||
Cash paid for income taxes | ||||||
649 | 136 | 147 | ||||
Supplemental disclosures of non-cash investing and financing activities: | ||||||
Unpaid balance for property and equipment | ||||||
465 | 717 | 783 | ||||
Assets acquired under capital leases | ||||||
69 | 94 | 209 | ||||
Extinguishment of warrants with related party | ||||||
- | - | 958 | ||||
Equity consideration in an asset acquisition | ||||||
337 | 120 | 0 | ||||
Conversion of related party convertible notes payable into ordinary shares | ||||||
- | - | 24,252 | ||||
Liability to issues shares in business acquisition | ||||||
- | - | 964 | ||||
Consideration payable related to business acquisition | ||||||
- | - | 1,704 | ||||
Goodwill recorded in business combination | ||||||
- | - | 210 | ||||
Inventory acquired in an asset acquisition | ||||||
1,257 | 0 | 1,498 | ||||
Consideration payable related to asset acquisition | ||||||
1,271 | 1,276 | 0 | ||||
Intangible assets acquired in business acquisition | ||||||
- | - | 1,304 | ||||
Issuance of common shares in partial settlement of contingent consideration | ||||||
630 | 863 | 0 | ||||
Transfer from restricted cash to prepaid expenses and other current assets | ||||||
0 | 75 | 0 | ||||
Ordinary Shares | ||||||
Proceeds from Issuance of Common Stock | ||||||
0 | 16,102 | 27,840 | ||||
Common Shares | ||||||
Proceeds from issuance of ordinary shares, net of issuance costs | ||||||
0 | 71,523 | 0 | ||||