10-Q Filing

ESTABLISHMENT LABS HOLDINGS INC. CIK: 1688757 Q3 2022

Filing Information

Form Type	10-Q
Accession Number	`0001688757-22-000102`
Period End Date	20220930
Filing Date	20221109
Fiscal Year	2022
Fiscal Period	Q3
XBRL Instance	esta-20220930_htm.xml

Filing Contents

This filing contains the following financial statements:

Balance Sheet 68 Income Statement 80 Cash Flow Statement 94 Stockholders Equity 58 Comprehensive Income 24

Balance Sheet 68 line items

Line Item	Tag	Value	Unit	Period
Allowance for doubtful accounts	`AllowanceForDoubtfulAccountsReceivableCurrent`	$989.00K	USD	Point-in-time
Allowance for doubtful accounts	`AllowanceForDoubtfulAccountsReceivableCurrent`	$1.22M	USD	Point-in-time
Common stock, shares issued (in shares)	`CommonStockSharesIssued`	24.75M	shares	Point-in-time
Common stock, shares issued (in shares)	`CommonStockSharesIssued`	24.49M	shares	Point-in-time
Common stock, shares outstanding (in shares)	`CommonStockSharesOutstanding`	24.34M	shares	Point-in-time
Common stock, shares outstanding (in shares)	`CommonStockSharesOutstanding`	24.08M	shares	Point-in-time
Treasury stock held (in shares)	`TreasuryStockCommonShares`	408,070.00	shares	Point-in-time
Treasury stock held (in shares)	`TreasuryStockCommonShares`	408,070.00	shares	Point-in-time
Cash	`Cash`	$65.35M	USD	Point-in-time
Cash	`Cash`	$53.41M	USD	Point-in-time
Accounts receivable, net of allowance for doubtful accounts of $989 and $1,221	`AccountsReceivableNetCurrent`	$31.25M	USD	Point-in-time
Accounts receivable, net of allowance for doubtful accounts of $989 and $1,221	`AccountsReceivableNetCurrent`	$24.44M	USD	Point-in-time
Inventory, net	`InventoryNet`	$28.41M	USD	Point-in-time
Inventory, net	`InventoryNet`	$31.56M	USD	Point-in-time
Prepaid expenses and other current assets	`PrepaidExpenseAndOtherAssetsCurrent`	$7.01M	USD	Point-in-time
Prepaid expenses and other current assets	`PrepaidExpenseAndOtherAssetsCurrent`	$10.01M	USD	Point-in-time
Total current assets	`AssetsCurrent`	$138.16M	USD	Point-in-time
Total current assets	`AssetsCurrent`	$113.27M	USD	Point-in-time
Property and equipment, net of accumulated depreciation	`PropertyPlantAndEquipmentNet`	$39.21M	USD	Point-in-time
Property and equipment, net of accumulated depreciation	`PropertyPlantAndEquipmentNet`	$18.66M	USD	Point-in-time
Goodwill	`Goodwill`	$465.00K	USD	Point-in-time
Goodwill	`Goodwill`	$465.00K	USD	Point-in-time
Intangible assets, net of accumulated amortization	`IntangibleAssetsNetExcludingGoodwill`	$4.63M	USD	Point-in-time
Intangible assets, net of accumulated amortization	`IntangibleAssetsNetExcludingGoodwill`	$4.37M	USD	Point-in-time
Right-of-use operating lease assets, net	`OperatingLeaseRightOfUseAsset`	$2.21M	USD	Point-in-time
Right-of-use operating lease assets, net	`OperatingLeaseRightOfUseAsset`	$3.73M	USD	Point-in-time
Other non-current assets	`OtherAssetsNoncurrent`	$1.45M	USD	Point-in-time
Other non-current assets	`OtherAssetsNoncurrent`	$558.00K	USD	Point-in-time
Total assets	`Assets`	$187.65M	USD	Point-in-time
Total assets	`Assets`	$139.53M	USD	Point-in-time
Accounts payable	`AccountsPayableCurrent`	$14.88M	USD	Point-in-time
Accounts payable	`AccountsPayableCurrent`	$14.47M	USD	Point-in-time
Accrued liabilities	`AccruedLiabilitiesCurrent`	$16.24M	USD	Point-in-time
Accrued liabilities	`AccruedLiabilitiesCurrent`	$16.70M	USD	Point-in-time
Other liabilities, short-term	`OtherLiabilitiesCurrent`	$793.00K	USD	Point-in-time
Other liabilities, short-term	`OtherLiabilitiesCurrent`	$1.18M	USD	Point-in-time
Total current liabilities	`LiabilitiesCurrent`	$31.89M	USD	Point-in-time
Total current liabilities	`LiabilitiesCurrent`	$32.38M	USD	Point-in-time
Madryn put option	`DerivativeLiabilitiesNoncurrent`	$703.00K	USD	Point-in-time
Madryn put option	`DerivativeLiabilitiesNoncurrent`	-	USD	Point-in-time
Operating lease liabilities, non-current	`OperatingLeaseLiabilityNoncurrent`	$1.90M	USD	Point-in-time
Operating lease liabilities, non-current	`OperatingLeaseLiabilityNoncurrent`	$3.32M	USD	Point-in-time
Other liabilities, long-term	`OtherLiabilitiesNoncurrent`	$2.24M	USD	Point-in-time
Other liabilities, long-term	`OtherLiabilitiesNoncurrent`	$2.39M	USD	Point-in-time
Total liabilities	`Liabilities`	$88.79M	USD	Point-in-time
Total liabilities	`Liabilities`	$186.13M	USD	Point-in-time
Commitments and contingencies (Note 13)	`CommitmentsAndContingencies`	-	USD	Point-in-time
Commitments and contingencies (Note 13)	`CommitmentsAndContingencies`	-	USD	Point-in-time
Common shares - zero par value, unlimited amount authorized; 24,750,397 and 24,488,335 shares issued at September 30, 2022 and December 31, 2021, respectively; 24,342,327 and 24,080,265 shares outstanding at September 30, 2022 and December 31, 2021, respectively	`CommonStockValue`	$219.74M	USD	Point-in-time
Common shares - zero par value, unlimited amount authorized; 24,750,397 and 24,488,335 shares issued at September 30, 2022 and December 31, 2021, respectively; 24,342,327 and 24,080,265 shares outstanding at September 30, 2022 and December 31, 2021, respectively	`CommonStockValue`	$223.14M	USD	Point-in-time
Additional paid-in-capital	`AdditionalPaidInCapital`	$46.66M	USD	Point-in-time
Additional paid-in-capital	`AdditionalPaidInCapital`	$36.58M	USD	Point-in-time
Treasury shares, at cost, 408,070 shares held at September 30, 2022 and December 31, 2021	`TreasuryStockCommonValue`	$2.85M	USD	Point-in-time
Treasury shares, at cost, 408,070 shares held at September 30, 2022 and December 31, 2021	`TreasuryStockCommonValue`	$2.85M	USD	Point-in-time
Accumulated deficit	`RetainedEarningsAccumulatedDeficit`	$-206.38M	USD	Point-in-time
Accumulated deficit	`RetainedEarningsAccumulatedDeficit`	$-268.03M	USD	Point-in-time
Accumulated other comprehensive income	`AccumulatedOtherComprehensiveIncomeLossNetOfTax`	$3.66M	USD	Point-in-time
Accumulated other comprehensive income	`AccumulatedOtherComprehensiveIncomeLossNetOfTax`	$2.60M	USD	Point-in-time
Total shareholders equity	`StockholdersEquity`	$68.83M	USD	Point-in-time
Total shareholders equity	`StockholdersEquity`	$47.84M	USD	Point-in-time
Total shareholders equity	`StockholdersEquity`	$72.55M	USD	Point-in-time
Total shareholders equity	`StockholdersEquity`	$50.74M	USD	Point-in-time
Total shareholders equity	`StockholdersEquity`	$61.56M	USD	Point-in-time
Total shareholders equity	`StockholdersEquity`	$74.96M	USD	Point-in-time
Total shareholders equity	`StockholdersEquity`	$15.87M	USD	Point-in-time
Total shareholders equity	`StockholdersEquity`	$1.52M	USD	Point-in-time
Total liabilities and shareholders equity	`LiabilitiesAndStockholdersEquity`	$139.53M	USD	Point-in-time
Total liabilities and shareholders equity	`LiabilitiesAndStockholdersEquity`	$187.65M	USD	Point-in-time

Income Statement 80 line items

Line Item	Tag	Value	Unit	Period
Revenue	`RevenueFromContractWithCustomerExcludingAssessedTax`	$29.04M	USD	1 Quarter
Revenue	`RevenueFromContractWithCustomerExcludingAssessedTax`	$117.89M	USD	3 Qtrs
Revenue	`RevenueFromContractWithCustomerExcludingAssessedTax`	$91.37M	USD	3 Qtrs
Revenue	`RevenueFromContractWithCustomerExcludingAssessedTax`	$38.24M	USD	1 Quarter
Cost of revenue	`CostOfRevenue`	$30.19M	USD	3 Qtrs
Cost of revenue	`CostOfRevenue`	$12.21M	USD	1 Quarter
Cost of revenue	`CostOfRevenue`	$9.42M	USD	1 Quarter
Cost of revenue	`CostOfRevenue`	$39.46M	USD	3 Qtrs
Gross profit	`GrossProfit`	$78.43M	USD	3 Qtrs
Gross profit	`GrossProfit`	$61.18M	USD	3 Qtrs
Gross profit	`GrossProfit`	$19.62M	USD	1 Quarter
Gross profit	`GrossProfit`	$26.04M	USD	1 Quarter
Sales, general and administrative	`SellingGeneralAndAdministrativeExpense`	$31.27M	USD	1 Quarter
Sales, general and administrative	`SellingGeneralAndAdministrativeExpense`	$91.14M	USD	3 Qtrs
Sales, general and administrative	`SellingGeneralAndAdministrativeExpense`	$64.67M	USD	3 Qtrs
Sales, general and administrative	`SellingGeneralAndAdministrativeExpense`	$24.78M	USD	1 Quarter
Research and development	`ResearchAndDevelopmentExpense`	$12.28M	USD	3 Qtrs
Research and development	`ResearchAndDevelopmentExpense`	$3.88M	USD	1 Quarter
Research and development	`ResearchAndDevelopmentExpense`	$13.79M	USD	3 Qtrs
Research and development	`ResearchAndDevelopmentExpense`	$5.29M	USD	1 Quarter
Total operating expenses	`OperatingExpenses`	$36.56M	USD	1 Quarter
Total operating expenses	`OperatingExpenses`	$28.66M	USD	1 Quarter
Total operating expenses	`OperatingExpenses`	$104.93M	USD	3 Qtrs
Total operating expenses	`OperatingExpenses`	$76.95M	USD	3 Qtrs
Loss from operations	`OperatingIncomeLoss`	$-10.52M	USD	1 Quarter
Loss from operations	`OperatingIncomeLoss`	$-15.77M	USD	3 Qtrs
Loss from operations	`OperatingIncomeLoss`	$-26.50M	USD	3 Qtrs
Loss from operations	`OperatingIncomeLoss`	$-9.04M	USD	1 Quarter
Interest income	`InvestmentIncomeInterest`	$62.00K	USD	3 Qtrs
Interest income	`InvestmentIncomeInterest`	$10.00K	USD	1 Quarter
Interest income	`InvestmentIncomeInterest`	$7.00K	USD	1 Quarter
Interest income	`InvestmentIncomeInterest`	$15.00K	USD	3 Qtrs
Interest expense	`InterestExpense`	$2.29M	USD	1 Quarter
Interest expense	`InterestExpense`	$3.88M	USD	1 Quarter
Interest expense	`InterestExpense`	$6.74M	USD	3 Qtrs
Interest expense	`InterestExpense`	$9.56M	USD	3 Qtrs
Change in fair value of derivative instruments	`GainLossOnDerivativeInstrumentsNetPretax`	$546.00K	USD	3 Qtrs
Change in fair value of derivative instruments	`GainLossOnDerivativeInstrumentsNetPretax`	$703.00K	USD	3 Qtrs
Change in fair value of derivative instruments	`GainLossOnDerivativeInstrumentsNetPretax`	-	USD	1 Quarter
Change in fair value of derivative instruments	`GainLossOnDerivativeInstrumentsNetPretax`	$57.00K	USD	1 Quarter
Other expense, net	`OtherNonoperatingIncomeExpense`	$-3.62M	USD	1 Quarter
Other expense, net	`OtherNonoperatingIncomeExpense`	$-3.34M	USD	1 Quarter
Other expense, net	`OtherNonoperatingIncomeExpense`	$-5.77M	USD	3 Qtrs
Other expense, net	`OtherNonoperatingIncomeExpense`	$-4.36M	USD	3 Qtrs
Loss on extinguishment of debt	`GainsLossesOnExtinguishmentOfDebt`	$-19.02M	USD	3 Qtrs
Loss on extinguishment of debt	`GainsLossesOnExtinguishmentOfDebt`	-	USD	1 Quarter
Loss on extinguishment of debt	`GainsLossesOnExtinguishmentOfDebt`	-	USD	1 Quarter
Loss on extinguishment of debt	`GainsLossesOnExtinguishmentOfDebt`	-	USD	3 Qtrs
Loss before income taxes	`IncomeLossFromContinuingOperationsBeforeIncomeTaxesExtraordinaryItemsNoncontrollingInterest`	$-18.00M	USD	1 Quarter
Loss before income taxes	`IncomeLossFromContinuingOperationsBeforeIncomeTaxesExtraordinaryItemsNoncontrollingInterest`	$-60.08M	USD	3 Qtrs
Loss before income taxes	`IncomeLossFromContinuingOperationsBeforeIncomeTaxesExtraordinaryItemsNoncontrollingInterest`	$-26.31M	USD	3 Qtrs
Loss before income taxes	`IncomeLossFromContinuingOperationsBeforeIncomeTaxesExtraordinaryItemsNoncontrollingInterest`	$-14.61M	USD	1 Quarter
Provision for income taxes	`IncomeTaxExpenseBenefit`	$603.00K	USD	1 Quarter
Provision for income taxes	`IncomeTaxExpenseBenefit`	$1.57M	USD	3 Qtrs
Provision for income taxes	`IncomeTaxExpenseBenefit`	$639.00K	USD	3 Qtrs
Provision for income taxes	`IncomeTaxExpenseBenefit`	$66.00K	USD	1 Quarter
Net loss	`NetIncomeLoss`	$-37.11M	USD	1 Quarter
Net loss	`NetIncomeLoss`	$-26.95M	USD	3 Qtrs
Net loss	`NetIncomeLoss`	$-5.32M	USD	1 Quarter
Net loss	`NetIncomeLoss`	$-14.68M	USD	1 Quarter
Net loss	`NetIncomeLoss`	$-61.65M	USD	3 Qtrs
Net loss	`NetIncomeLoss`	$-6.95M	USD	1 Quarter
Net loss	`NetIncomeLoss`	$-5.93M	USD	1 Quarter
Net loss	`NetIncomeLoss`	$-18.61M	USD	1 Quarter
Basic net loss per share (in dollars per share)	`EarningsPerShareBasic`	$-0.76	USD	1 Quarter
Basic net loss per share (in dollars per share)	`EarningsPerShareBasic`	$-0.61	USD	1 Quarter
Basic net loss per share (in dollars per share)	`EarningsPerShareBasic`	$-2.53	USD	3 Qtrs
Basic net loss per share (in dollars per share)	`EarningsPerShareBasic`	$-1.13	USD	3 Qtrs
Diluted net loss per share (in dollars per share)	`EarningsPerShareDiluted`	$-0.61	USD	1 Quarter
Diluted net loss per share (in dollars per share)	`EarningsPerShareDiluted`	$-0.76	USD	1 Quarter
Diluted net loss per share (in dollars per share)	`EarningsPerShareDiluted`	$-2.53	USD	3 Qtrs
Diluted net loss per share (in dollars per share)	`EarningsPerShareDiluted`	$-1.13	USD	3 Qtrs
Weighted average outstanding shares used for basic net loss per share (in shares)	`WeightedAverageNumberOfSharesOutstandingBasic`	24.09M	shares	1 Quarter
Weighted average outstanding shares used for basic net loss per share (in shares)	`WeightedAverageNumberOfSharesOutstandingBasic`	23.89M	shares	3 Qtrs
Weighted average outstanding shares used for basic net loss per share (in shares)	`WeightedAverageNumberOfSharesOutstandingBasic`	24.51M	shares	1 Quarter
Weighted average outstanding shares used for basic net loss per share (in shares)	`WeightedAverageNumberOfSharesOutstandingBasic`	24.41M	shares	3 Qtrs
Weighted average outstanding shares used for diluted net loss per share (in shares)	`WeightedAverageNumberOfDilutedSharesOutstanding`	24.51M	shares	1 Quarter
Weighted average outstanding shares used for diluted net loss per share (in shares)	`WeightedAverageNumberOfDilutedSharesOutstanding`	24.41M	shares	3 Qtrs
Weighted average outstanding shares used for diluted net loss per share (in shares)	`WeightedAverageNumberOfDilutedSharesOutstanding`	24.09M	shares	1 Quarter
Weighted average outstanding shares used for diluted net loss per share (in shares)	`WeightedAverageNumberOfDilutedSharesOutstanding`	23.89M	shares	3 Qtrs

Cash Flow Statement 94 line items

Line Item	Tag	Value	Unit	Period
Net loss	`NetIncomeLoss`	$-37.11M	USD	1 Quarter
Net loss	`NetIncomeLoss`	$-26.95M	USD	3 Qtrs
Net loss	`NetIncomeLoss`	$-5.32M	USD	1 Quarter
Net loss	`NetIncomeLoss`	$-14.68M	USD	1 Quarter
Net loss	`NetIncomeLoss`	$-61.65M	USD	3 Qtrs
Net loss	`NetIncomeLoss`	$-6.95M	USD	1 Quarter
Net loss	`NetIncomeLoss`	$-5.93M	USD	1 Quarter
Net loss	`NetIncomeLoss`	$-18.61M	USD	1 Quarter
Depreciation and amortization	`DepreciationandAmortizationExcludingDebtDiscountPremium`	$2.88M	USD	3 Qtrs
Depreciation and amortization	`DepreciationandAmortizationExcludingDebtDiscountPremium`	$2.79M	USD	3 Qtrs
Provision for doubtful accounts	`ProvisionForDoubtfulAccounts`	$477.00K	USD	3 Qtrs
Provision for doubtful accounts	`ProvisionForDoubtfulAccounts`	$393.00K	USD	3 Qtrs
Provision for inventory obsolescence	`InventoryWriteDown`	$1.49M	USD	3 Qtrs
Provision for inventory obsolescence	`InventoryWriteDown`	$93.00K	USD	3 Qtrs
Share-based compensation	`ShareBasedCompensation`	$7.38M	USD	3 Qtrs
Share-based compensation	`ShareBasedCompensation`	$10.10M	USD	3 Qtrs
Loss from disposal of property and equipment	`GainLossOnSaleOfPropertyPlantEquipment`	$-133.00K	USD	3 Qtrs
Loss from disposal of property and equipment	`GainLossOnSaleOfPropertyPlantEquipment`	$-121.00K	USD	3 Qtrs
Unrealized foreign currency loss, net	`ForeignCurrencyTransactionGainLossUnrealized`	$-5.83M	USD	3 Qtrs
Unrealized foreign currency loss, net	`ForeignCurrencyTransactionGainLossUnrealized`	$-3.32M	USD	3 Qtrs
Amortization of right-to-use asset	`OperatingLeaseRightOfUseAssetAmortizationExpense`	$305.00K	USD	3 Qtrs
Amortization of right-to-use asset	`OperatingLeaseRightOfUseAssetAmortizationExpense`	$311.00K	USD	3 Qtrs
Loss on extinguishment of debt	`GainsLossesOnExtinguishmentOfDebt`	$-19.02M	USD	3 Qtrs
Loss on extinguishment of debt	`GainsLossesOnExtinguishmentOfDebt`	-	USD	1 Quarter
Loss on extinguishment of debt	`GainsLossesOnExtinguishmentOfDebt`	-	USD	1 Quarter
Loss on extinguishment of debt	`GainsLossesOnExtinguishmentOfDebt`	-	USD	3 Qtrs
Gain from write-off of liability	`GainLossFromLiabilityWriteOff`	$-1.87M	USD	3 Qtrs
Gain from write-off of liability	`GainLossFromLiabilityWriteOff`	-	USD	3 Qtrs
Change in fair value of derivative instruments	`UnrealizedGainLossOnDerivatives`	$703.00K	USD	3 Qtrs
Change in fair value of derivative instruments	`UnrealizedGainLossOnDerivatives`	$546.00K	USD	3 Qtrs
Non-cash interest expense and amortization of debt discount	`AmortizationOfFinancingCostsAndDiscounts`	$5.36M	USD	3 Qtrs
Non-cash interest expense and amortization of debt discount	`AmortizationOfFinancingCostsAndDiscounts`	$1.51M	USD	3 Qtrs
Accounts receivable	`IncreaseDecreaseInAccountsReceivable`	$9.88M	USD	3 Qtrs
Accounts receivable	`IncreaseDecreaseInAccountsReceivable`	$6.79M	USD	3 Qtrs
Inventory	`IncreaseDecreaseInInventories`	$5.29M	USD	3 Qtrs
Inventory	`IncreaseDecreaseInInventories`	$8.31M	USD	3 Qtrs
Prepaid expenses and other current assets	`IncreaseDecreaseInPrepaidDeferredExpenseAndOtherAssets`	$3.32M	USD	3 Qtrs
Prepaid expenses and other current assets	`IncreaseDecreaseInPrepaidDeferredExpenseAndOtherAssets`	$3.19M	USD	3 Qtrs
Other assets	`IncreaseDecreaseInOtherNoncurrentAssets`	$-204.00K	USD	3 Qtrs
Other assets	`IncreaseDecreaseInOtherNoncurrentAssets`	$937.00K	USD	3 Qtrs
Accounts payable	`IncreaseDecreaseInAccountsPayable`	$610.00K	USD	3 Qtrs
Accounts payable	`IncreaseDecreaseInAccountsPayable`	$660.00K	USD	3 Qtrs
Accrued liabilities	`IncreaseDecreaseInAccruedLiabilities`	$6.83M	USD	3 Qtrs
Accrued liabilities	`IncreaseDecreaseInAccruedLiabilities`	$2.69M	USD	3 Qtrs
Operating lease liabilities	`IncreaseDecreaseInOperatingLeaseLiabilities`	$-309.00K	USD	3 Qtrs
Operating lease liabilities	`IncreaseDecreaseInOperatingLeaseLiabilities`	$-251.00K	USD	3 Qtrs
Other liabilities	`IncreaseDecreaseInOtherOperatingLiabilities`	$-314.00K	USD	3 Qtrs
Other liabilities	`IncreaseDecreaseInOtherOperatingLiabilities`	$-157.00K	USD	3 Qtrs
Net cash used in operating activities	`NetCashProvidedByUsedInOperatingActivities`	$-19.82M	USD	3 Qtrs
Net cash used in operating activities	`NetCashProvidedByUsedInOperatingActivities`	$-38.15M	USD	3 Qtrs
Purchases of property and equipment	`PaymentsToAcquirePropertyPlantAndEquipment`	$1.89M	USD	3 Qtrs
Purchases of property and equipment	`PaymentsToAcquirePropertyPlantAndEquipment`	$2.67M	USD	3 Qtrs
Cash used in asset acquisitions	`PaymentstoAcquireAssetsIncludingReceivablesHeld`	$525.00K	USD	3 Qtrs
Cash used in asset acquisitions	`PaymentstoAcquireAssetsIncludingReceivablesHeld`	$434.00K	USD	3 Qtrs
Cost incurred for intangible assets	`PaymentsToAcquireIntangibleAssets`	$1.21M	USD	3 Qtrs
Cost incurred for intangible assets	`PaymentsToAcquireIntangibleAssets`	$447.00K	USD	3 Qtrs
Capital expenditures on construction in progress	`PaymentsToAcquireOtherProductiveAssets`	$20.74M	USD	3 Qtrs
Capital expenditures on construction in progress	`PaymentsToAcquireOtherProductiveAssets`	-	USD	3 Qtrs
Net cash used in investing activities	`NetCashProvidedByUsedInInvestingActivities`	$-3.55M	USD	3 Qtrs
Net cash used in investing activities	`NetCashProvidedByUsedInInvestingActivities`	$-24.36M	USD	3 Qtrs
Borrowings under Oaktree debt agreement, net of debt discount and issuance costs	`ProceedsFromLongTermLinesOfCredit`	-	USD	3 Qtrs
Borrowings under Oaktree debt agreement, net of debt discount and issuance costs	`ProceedsFromLongTermLinesOfCredit`	$143.59M	USD	3 Qtrs
Repayment of Madryn debt agreement	`RepaymentsOfLinesOfCredit`	-	USD	3 Qtrs
Repayment of Madryn debt agreement	`RepaymentsOfLinesOfCredit`	$71.68M	USD	3 Qtrs
Repayments on finance leases	`FinanceLeasePrincipalPayments`	$17.00K	USD	3 Qtrs
Repayments on finance leases	`FinanceLeasePrincipalPayments`	$163.00K	USD	3 Qtrs
Proceeds from stock option exercises	`ProceedsFromStockOptionsExercised`	$3.39M	USD	3 Qtrs
Proceeds from stock option exercises	`ProceedsFromStockOptionsExercised`	$4.10M	USD	3 Qtrs
Tax payments related to shares withheld upon vesting of restricted stock	`PaymentsRelatedToTaxWithholdingForShareBasedCompensation`	$88.00K	USD	3 Qtrs
Tax payments related to shares withheld upon vesting of restricted stock	`PaymentsRelatedToTaxWithholdingForShareBasedCompensation`	$5.00K	USD	3 Qtrs
Net cash provided by financing activities	`NetCashProvidedByUsedInFinancingActivities`	$75.28M	USD	3 Qtrs
Net cash provided by financing activities	`NetCashProvidedByUsedInFinancingActivities`	$3.85M	USD	3 Qtrs
Effect of exchange rate changes on cash	`EffectOfExchangeRateOnCashCashEquivalentsRestrictedCashAndRestrictedCashEquivalents`	$-831.00K	USD	3 Qtrs
Effect of exchange rate changes on cash	`EffectOfExchangeRateOnCashCashEquivalentsRestrictedCashAndRestrictedCashEquivalents`	$-374.00K	USD	3 Qtrs
Net increase (decrease) in cash	`CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalentsPeriodIncreaseDecreaseIncludingExchangeRateEffect`	$-19.90M	USD	3 Qtrs
Net increase (decrease) in cash	`CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalentsPeriodIncreaseDecreaseIncludingExchangeRateEffect`	$11.93M	USD	3 Qtrs
Cash at beginning of period	`CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalents`	$65.35M	USD	Point-in-time
Cash at beginning of period	`CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalents`	$64.62M	USD	Point-in-time
Cash at beginning of period	`CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalents`	$84.52M	USD	Point-in-time
Cash at beginning of period	`CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalents`	$53.41M	USD	Point-in-time
Cash at end of period	`CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalents`	$65.35M	USD	Point-in-time
Cash at end of period	`CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalents`	$64.62M	USD	Point-in-time
Cash at end of period	`CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalents`	$84.52M	USD	Point-in-time
Cash at end of period	`CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalents`	$53.41M	USD	Point-in-time
Cash paid for interest	`InterestPaidNet`	$5.18M	USD	3 Qtrs
Cash paid for interest	`InterestPaidNet`	$4.18M	USD	3 Qtrs
Cash paid for income taxes	`IncomeTaxesPaidNet`	$429.00K	USD	3 Qtrs
Cash paid for income taxes	`IncomeTaxesPaidNet`	$1.30M	USD	3 Qtrs
Unpaid balance for property and equipment	`CapitalExpendituresIncurredButNotYetPaid`	$32.00K	USD	3 Qtrs
Unpaid balance for property and equipment	`CapitalExpendituresIncurredButNotYetPaid`	$34.00K	USD	3 Qtrs
Consideration payable related to asset acquisition	`NoncashConsiderationPayableRelatedtoAssetAcquisition`	$412.00K	USD	3 Qtrs
Consideration payable related to asset acquisition	`NoncashConsiderationPayableRelatedtoAssetAcquisition`	-	USD	3 Qtrs
Cashless option exercise	`NoncashProceedsFromStockOptionsExercised`	$1.64M	USD	3 Qtrs
Cashless option exercise	`NoncashProceedsFromStockOptionsExercised`	-	USD	3 Qtrs

Stockholders Equity 58 line items

Line Item	Tag	Value	Unit	Period
Beginning balance (in shares)	`CommonStockSharesIssued`	24.75M	shares	Point-in-time
Beginning balance (in shares)	`CommonStockSharesIssued`	24.49M	shares	Point-in-time
Beginning balance	`StockholdersEquity`	$68.83M	USD	Point-in-time
Beginning balance	`StockholdersEquity`	$47.84M	USD	Point-in-time
Beginning balance	`StockholdersEquity`	$72.55M	USD	Point-in-time
Beginning balance	`StockholdersEquity`	$50.74M	USD	Point-in-time
Beginning balance	`StockholdersEquity`	$61.56M	USD	Point-in-time
Beginning balance	`StockholdersEquity`	$74.96M	USD	Point-in-time
Beginning balance	`StockholdersEquity`	$15.87M	USD	Point-in-time
Beginning balance	`StockholdersEquity`	$1.52M	USD	Point-in-time
Beginning balance, treasury stock (in shares)	`TreasuryStockCommonShares`	408,070.00	shares	Point-in-time
Beginning balance, treasury stock (in shares)	`TreasuryStockCommonShares`	408,070.00	shares	Point-in-time
Stock option exercises (in shares)	`StockIssuedDuringPeriodSharesStockOptionsExercised`	244,896.00	shares	3 Qtrs
Stock option exercises	`StockIssuedDuringPeriodValueStockOptionsExercised`	$635.00K	USD	1 Quarter
Stock option exercises	`StockIssuedDuringPeriodValueStockOptionsExercised`	$3.08M	USD	1 Quarter
Stock option exercises	`StockIssuedDuringPeriodValueStockOptionsExercised`	$1.70M	USD	1 Quarter
Stock option exercises	`StockIssuedDuringPeriodValueStockOptionsExercised`	$1.88M	USD	1 Quarter
Stock option exercises	`StockIssuedDuringPeriodValueStockOptionsExercised`	$1.27M	USD	1 Quarter
Stock option exercises	`StockIssuedDuringPeriodValueStockOptionsExercised`	$411.00K	USD	1 Quarter
Share-based compensation	`StockIssuedDuringPeriodValueShareBasedCompensation`	$1.76M	USD	1 Quarter
Share-based compensation	`StockIssuedDuringPeriodValueShareBasedCompensation`	$2.56M	USD	1 Quarter
Share-based compensation	`StockIssuedDuringPeriodValueShareBasedCompensation`	$3.43M	USD	1 Quarter
Share-based compensation	`StockIssuedDuringPeriodValueShareBasedCompensation`	$3.74M	USD	1 Quarter
Share-based compensation	`StockIssuedDuringPeriodValueShareBasedCompensation`	$3.06M	USD	1 Quarter
Share-based compensation	`StockIssuedDuringPeriodValueShareBasedCompensation`	$2.92M	USD	1 Quarter
Warrant exercises	`StockIssuedDuringPeriodValueWarrantExercises`	-	USD	1 Quarter
Shares withheld to cover income tax obligation upon vesting of restricted stock	`AdjustmentsRelatedToTaxWithholdingForShareBasedCompensation`	$5.00K	USD	1 Quarter
Shares withheld to cover income tax obligation upon vesting of restricted stock	`AdjustmentsRelatedToTaxWithholdingForShareBasedCompensation`	$34.00K	USD	1 Quarter
Shares withheld to cover income tax obligation upon vesting of restricted stock	`AdjustmentsRelatedToTaxWithholdingForShareBasedCompensation`	$41.00K	USD	1 Quarter
Shares withheld to cover income tax obligation upon vesting of restricted stock	`AdjustmentsRelatedToTaxWithholdingForShareBasedCompensation`	$13.00K	USD	1 Quarter
Foreign currency translation gain (loss)	`OtherComprehensiveIncomeForeignCurrencyTransactionAndTranslationAdjustmentNetOfTaxPortionAttributableToParent`	$-2.11M	USD	1 Quarter
Foreign currency translation gain (loss)	`OtherComprehensiveIncomeForeignCurrencyTransactionAndTranslationAdjustmentNetOfTaxPortionAttributableToParent`	$663.00K	USD	3 Qtrs
Foreign currency translation gain (loss)	`OtherComprehensiveIncomeForeignCurrencyTransactionAndTranslationAdjustmentNetOfTaxPortionAttributableToParent`	$69.00K	USD	1 Quarter
Foreign currency translation gain (loss)	`OtherComprehensiveIncomeForeignCurrencyTransactionAndTranslationAdjustmentNetOfTaxPortionAttributableToParent`	$-1.05M	USD	3 Qtrs
Foreign currency translation gain (loss)	`OtherComprehensiveIncomeForeignCurrencyTransactionAndTranslationAdjustmentNetOfTaxPortionAttributableToParent`	$1.28M	USD	1 Quarter
Foreign currency translation gain (loss)	`OtherComprehensiveIncomeForeignCurrencyTransactionAndTranslationAdjustmentNetOfTaxPortionAttributableToParent`	$941.00K	USD	1 Quarter
Foreign currency translation gain (loss)	`OtherComprehensiveIncomeForeignCurrencyTransactionAndTranslationAdjustmentNetOfTaxPortionAttributableToParent`	$-1.56M	USD	1 Quarter
Foreign currency translation gain (loss)	`OtherComprehensiveIncomeForeignCurrencyTransactionAndTranslationAdjustmentNetOfTaxPortionAttributableToParent`	$984.00K	USD	1 Quarter
Net loss	`NetIncomeLoss`	$-37.11M	USD	1 Quarter
Net loss	`NetIncomeLoss`	$-26.95M	USD	3 Qtrs
Net loss	`NetIncomeLoss`	$-5.32M	USD	1 Quarter
Net loss	`NetIncomeLoss`	$-14.68M	USD	1 Quarter
Net loss	`NetIncomeLoss`	$-61.65M	USD	3 Qtrs
Net loss	`NetIncomeLoss`	$-6.95M	USD	1 Quarter
Net loss	`NetIncomeLoss`	$-5.93M	USD	1 Quarter
Net loss	`NetIncomeLoss`	$-18.61M	USD	1 Quarter
Ending balance (in shares)	`CommonStockSharesIssued`	24.75M	shares	Point-in-time
Ending balance (in shares)	`CommonStockSharesIssued`	24.49M	shares	Point-in-time
Ending balance, treasury stock (in shares)	`TreasuryStockCommonShares`	408,070.00	shares	Point-in-time
Ending balance, treasury stock (in shares)	`TreasuryStockCommonShares`	408,070.00	shares	Point-in-time
Ending balance	`StockholdersEquity`	$68.83M	USD	Point-in-time
Ending balance	`StockholdersEquity`	$47.84M	USD	Point-in-time
Ending balance	`StockholdersEquity`	$72.55M	USD	Point-in-time
Ending balance	`StockholdersEquity`	$50.74M	USD	Point-in-time
Ending balance	`StockholdersEquity`	$61.56M	USD	Point-in-time
Ending balance	`StockholdersEquity`	$74.96M	USD	Point-in-time
Ending balance	`StockholdersEquity`	$15.87M	USD	Point-in-time
Ending balance	`StockholdersEquity`	$1.52M	USD	Point-in-time

Comprehensive Income 24 line items

Line Item	Tag	Value	Unit	Period
Net loss	`NetIncomeLoss`	$-37.11M	USD	1 Quarter
Net loss	`NetIncomeLoss`	$-26.95M	USD	3 Qtrs
Net loss	`NetIncomeLoss`	$-5.32M	USD	1 Quarter
Net loss	`NetIncomeLoss`	$-14.68M	USD	1 Quarter
Net loss	`NetIncomeLoss`	$-61.65M	USD	3 Qtrs
Net loss	`NetIncomeLoss`	$-6.95M	USD	1 Quarter
Net loss	`NetIncomeLoss`	$-5.93M	USD	1 Quarter
Net loss	`NetIncomeLoss`	$-18.61M	USD	1 Quarter
Foreign currency translation gain (loss)	`OtherComprehensiveIncomeForeignCurrencyTransactionAndTranslationAdjustmentNetOfTaxPortionAttributableToParent`	$-2.11M	USD	1 Quarter
Foreign currency translation gain (loss)	`OtherComprehensiveIncomeForeignCurrencyTransactionAndTranslationAdjustmentNetOfTaxPortionAttributableToParent`	$663.00K	USD	3 Qtrs
Foreign currency translation gain (loss)	`OtherComprehensiveIncomeForeignCurrencyTransactionAndTranslationAdjustmentNetOfTaxPortionAttributableToParent`	$69.00K	USD	1 Quarter
Foreign currency translation gain (loss)	`OtherComprehensiveIncomeForeignCurrencyTransactionAndTranslationAdjustmentNetOfTaxPortionAttributableToParent`	$-1.05M	USD	3 Qtrs
Foreign currency translation gain (loss)	`OtherComprehensiveIncomeForeignCurrencyTransactionAndTranslationAdjustmentNetOfTaxPortionAttributableToParent`	$1.28M	USD	1 Quarter
Foreign currency translation gain (loss)	`OtherComprehensiveIncomeForeignCurrencyTransactionAndTranslationAdjustmentNetOfTaxPortionAttributableToParent`	$941.00K	USD	1 Quarter
Foreign currency translation gain (loss)	`OtherComprehensiveIncomeForeignCurrencyTransactionAndTranslationAdjustmentNetOfTaxPortionAttributableToParent`	$-1.56M	USD	1 Quarter
Foreign currency translation gain (loss)	`OtherComprehensiveIncomeForeignCurrencyTransactionAndTranslationAdjustmentNetOfTaxPortionAttributableToParent`	$984.00K	USD	1 Quarter
Other comprehensive gain (loss)	`OtherComprehensiveIncomeLossNetOfTaxPortionAttributableToParent`	$1.28M	USD	1 Quarter
Other comprehensive gain (loss)	`OtherComprehensiveIncomeLossNetOfTaxPortionAttributableToParent`	$663.00K	USD	3 Qtrs
Other comprehensive gain (loss)	`OtherComprehensiveIncomeLossNetOfTaxPortionAttributableToParent`	$69.00K	USD	1 Quarter
Other comprehensive gain (loss)	`OtherComprehensiveIncomeLossNetOfTaxPortionAttributableToParent`	$-1.05M	USD	3 Qtrs
Comprehensive loss	`ComprehensiveIncomeNetOfTax`	$-26.29M	USD	3 Qtrs
Comprehensive loss	`ComprehensiveIncomeNetOfTax`	$-13.40M	USD	1 Quarter
Comprehensive loss	`ComprehensiveIncomeNetOfTax`	$-62.70M	USD	3 Qtrs
Comprehensive loss	`ComprehensiveIncomeNetOfTax`	$-18.54M	USD	1 Quarter

Data is extracted from SEC EDGAR XBRL filings. Values shown are as reported in the filing.