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Consolidated Statements of Cash Flows - USD ($) $ in Thousands | 12 Months Ended
--- | ---
Dec. 31, 2023 | Dec. 31, 2022 | Dec. 31, 2021
Cash Flows From Operating Activities: |  |  |
Net loss | $ (99,587) | $ (37,333) | $ (275,528)
Adjustments to reconcile net loss to net cash used in operating activities: |  |  |
Goodwill impairment | 49,569 |  |
Depreciation and amortization | 27,487 | 22,765 | 20,247
Amortization of debt discount | 2,526 | 2,581 | 1,236
Non-cash operating lease expense | 5,103 | 3,645 | 3,367
Unrealized (gain) loss on investments in equity securities | (1,308) | 11,406 | 1,386
Realized loss on available-for-sale debt securities | 67 | 102 | 81
Stock-based compensation expense | 22,808 | 20,082 | 15,345
Loss on disposal of property and equipment | 954 | 800 | 542
(Gain) loss on extinguishment of debt, net | (5,679) |  | 251,754
Gain on insurance settlement | (2,642) | (4,815) |
Change in expected credit losses | 822 | 234 | 26
Excess and obsolete inventory |  | 651 |
Insurance proceeds for operations | 1,212 | 9,883 |
Change in contingent consideration | (890) | 216 |
Changes in operating assets and liabilities: |  |  |
Accounts receivable | 3,673 | (4,137) | (7,270)
Inventories | 1,508 | (14,204) | (5,979)
Prepaid expenses and other current assets | (103) | (1,598) | 3,056
Deposits | (663) | (60) | 211
Operating lease liabilities | (4,595) | (3,076) | (2,805)
Accounts payable and other accrued expenses | (2,766) | (6,483) | (398)
Accrued compensation and related expenses | 2,884 | (1,569) | 2,522
Deferred revenue | 842 | (530) | 102
Net deferred tax (asset) liability | (1,979) | (411) | 231
Net cash provided by (used in) operating activities | (757) | (1,851) | 8,126
Cash Flows From Investing Activities: |  |  |
Purchases of property and equipment | (38,785) | (22,107) | (23,882)
Insurance proceeds for loss of fixed assets | 976 | 3,000 |
Purchases of short-term investments | (42,677) | (163,788) | (482,707)
Sales/maturities of short-term investments | 129,987 | 131,858 | 44,000
Patent and trademark costs | (871) | (614) | (255)
Software development costs | (5,244) | (1,476) | (870)
Cash paid for acquisitions | (7,341) | (6,554) | (5,540)
Net cash provided by (used in) investing activities | 36,045 | (59,681) | (469,254)
Cash Flows From Financing Activities: |  |  |
Proceeds from exercise of stock options | 1,478 | 2,048 | 8,995
Repurchase of common stock |  | (37,960) |
Cash paid for repurchase of 2026 Senior Notes | (25,003) |  |
Proceeds from issuance of Series C convertible preferred stock, net of issuance costs |  |  | 248,911
Proceeds from public offering, net of offering costs |  |  | 269,825
Repayment of finance lease liabilities | (202) | (82) | (60)
Repayment of notes payable | (71) | (3,180) | (3,397)
Proceeds from issuance of convertible senior notes |  |  | 40,068
Net cash provided by (used in) financing activities | (23,798) | (39,174) | 564,342
Effect of exchange rates on cash and cash equivalents | (1,739) | (1,800) | (986)
Net change in cash and cash equivalents | 9,751 | (102,506) | 102,228
Cash and cash equivalents - beginning of period | 36,595 | 139,101 | 36,873
Cash and cash equivalents - end of period | 46,346 | 36,595 | 139,101
Supplemental Disclosure of Cash Flow Information: |  |  |
Cash paid for interest | 3,399 | 3,628 | 3,297
Cash paid for income taxes | 1,462 | 1,979 | 1,315
Supplemental Disclosure of Non-Cash Financing Activities: |  |  |
Net unrealized gain (loss) on available-for-sale debt securities | 6,742 | 23,439 | 3,958
Reclassification of realized gain (loss) on available-for-sale debt securities to earnings | (3,008) | 46 | 27
Fixed assets included in accounts payable and accrued liabilities | 442 | 1,003 | 1,412
Paid-in-kind preferred stock dividend, including beneficial conversion feature | 8,000 | 8,000 | 8,196
Intangible assets included in property and equipment | 8,710 |  |
Purchase of equipment through finance lease obligations | 1,112 |  |
Operating lease right-of-use assets and operating lease liabilities | $ 11,109 | $ 12,384 | 10,175
Common stock issued for conversion of debt and accrued interest |  |  | $ 765

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- Definition Amount of expense related loan transactions, lease transactions, credit loss from transactions other than loan and lease transactions, and other loss based on assessment of uncollectability from the counterparty to reduce the account to their net realizable value. + References Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef -Name Accounting Standards Codification -Section 45 -Paragraph 28 -Subparagraph (a) -SubTopic 10 -Topic 230 -Publisher FASB -URI https://asc.fasb.org//1943274/2147482740/230-10-45-28 Reference 2: http://fasb.org/us-gaap/role/ref/legacyRef -Name Accounting Standards Codification -Section 50 -Paragraph 11B -Subparagraph (c)(2) -SubTopic 10 -Topic 310 -Publisher FASB -URI https://asc.fasb.org//1943274/2147481962/310-10-50-11B Reference 3: http://fasb.org/us-gaap/role/ref/legacyRef -Topic 942 -SubTopic 220 -Name Accounting Standards Codification -Section S99 -Paragraph 1 -Subparagraph (SX 210.9-04.11) -Publisher FASB -URI https://asc.fasb.org//1943274/2147483589/942-220-S99-1 + Details
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- Definition The cash outflow for a long-term debt where the holder has highest claim on the entity's asset in case of bankruptcy or liquidation during the period. + References Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef -Name Accounting Standards Codification -Topic 230 -SubTopic 10 -Section 45 -Paragraph 15 -Subparagraph (b) -Publisher FASB -URI https://asc.fasb.org//1943274/2147482740/230-10-45-15 + Details
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- Definition Amount of unrealized gain (loss) on investment. + References Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef -Name Accounting Standards Codification -Section 45 -Paragraph 28 -Subparagraph (b) -SubTopic 10 -Topic 230 -Publisher FASB -URI https://asc.fasb.org//1943274/2147482740/230-10-45-28 + Details
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