10-Q Filing

ESTABLISHMENT LABS HOLDINGS INC. CIK: 1688757 Q2 2023

Filing Information

Form Type	10-Q
Accession Number	`0001688757-23-000075`
Period End Date	20230630
Filing Date	20230809
Fiscal Year	2023
Fiscal Period	Q2
XBRL Instance	esta-20230630_htm.xml

Filing Contents

This filing contains the following financial statements:

Balance Sheet 66 Income Statement 78 Cash Flow Statement 92 Stockholders Equity 45 Comprehensive Income 20

Balance Sheet 66 line items

Line Item	Tag	Value	Unit	Period
Allowance for doubtful accounts	`AllowanceForDoubtfulAccountsReceivableCurrent`	$741.00K	USD	Point-in-time
Allowance for doubtful accounts	`AllowanceForDoubtfulAccountsReceivableCurrent`	$1.22M	USD	Point-in-time
Common stock, shares issued (in shares)	`CommonStockSharesIssued`	26.18M	shares	Point-in-time
Common stock, shares issued (in shares)	`CommonStockSharesIssued`	24.82M	shares	Point-in-time
Cash	`Cash`	$66.36M	USD	Point-in-time
Common stock, shares outstanding (in shares)	`CommonStockSharesOutstanding`	25.77M	shares	Point-in-time
Cash	`Cash`	$90.18M	USD	Point-in-time
Common stock, shares outstanding (in shares)	`CommonStockSharesOutstanding`	24.41M	shares	Point-in-time
Treasury stock, shares held (in shares)	`TreasuryStockCommonShares`	408,070.00	shares	Point-in-time
Accounts receivable, net of allowance for doubtful accounts of $1,223 and $741	`AccountsReceivableNetCurrent`	$35.42M	USD	Point-in-time
Accounts receivable, net of allowance for doubtful accounts of $1,223 and $741	`AccountsReceivableNetCurrent`	$51.40M	USD	Point-in-time
Treasury stock, shares held (in shares)	`TreasuryStockCommonShares`	408,070.00	shares	Point-in-time
Inventory, net	`InventoryNet`	$36.58M	USD	Point-in-time
Inventory, net	`InventoryNet`	$56.37M	USD	Point-in-time
Prepaid expenses and other current assets	`PrepaidExpenseAndOtherAssetsCurrent`	$11.07M	USD	Point-in-time
Prepaid expenses and other current assets	`PrepaidExpenseAndOtherAssetsCurrent`	$11.54M	USD	Point-in-time
Total current assets	`AssetsCurrent`	$149.90M	USD	Point-in-time
Total current assets	`AssetsCurrent`	$209.02M	USD	Point-in-time
Property and equipment, net of accumulated depreciation	`PropertyPlantAndEquipmentNet`	$66.21M	USD	Point-in-time
Property and equipment, net of accumulated depreciation	`PropertyPlantAndEquipmentNet`	$51.09M	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`	$4.23M	USD	Point-in-time
Intangible assets, net of accumulated amortization	`IntangibleAssetsNetExcludingGoodwill`	$4.61M	USD	Point-in-time
Right-of-use operating lease assets, net	`OperatingLeaseRightOfUseAsset`	$3.70M	USD	Point-in-time
Right-of-use operating lease assets, net	`OperatingLeaseRightOfUseAsset`	$3.81M	USD	Point-in-time
Other non-current assets	`OtherAssetsNoncurrent`	$1.29M	USD	Point-in-time
Other non-current assets	`OtherAssetsNoncurrent`	$1.57M	USD	Point-in-time
Total assets	`Assets`	$211.06M	USD	Point-in-time
Total assets	`Assets`	$285.30M	USD	Point-in-time
Accounts payable	`AccountsPayableCurrent`	$24.36M	USD	Point-in-time
Accounts payable	`AccountsPayableCurrent`	$20.03M	USD	Point-in-time
Accrued liabilities	`AccruedLiabilitiesCurrent`	$17.43M	USD	Point-in-time
Accrued liabilities	`AccruedLiabilitiesCurrent`	$17.24M	USD	Point-in-time
Other liabilities, short-term	`OtherLiabilitiesCurrent`	$1.69M	USD	Point-in-time
Other liabilities, short-term	`OtherLiabilitiesCurrent`	$1.48M	USD	Point-in-time
Total current liabilities	`LiabilitiesCurrent`	$43.27M	USD	Point-in-time
Total current liabilities	`LiabilitiesCurrent`	$38.96M	USD	Point-in-time
Note payable, net of debt discount and issuance costs	`LongTermDebtNoncurrent`	$181.97M	USD	Point-in-time
Note payable, net of debt discount and issuance costs	`LongTermDebtNoncurrent`	$175.46M	USD	Point-in-time
Operating lease liabilities, non-current	`OperatingLeaseLiabilityNoncurrent`	$3.20M	USD	Point-in-time
Operating lease liabilities, non-current	`OperatingLeaseLiabilityNoncurrent`	$3.19M	USD	Point-in-time
Other liabilities, long-term	`OtherLiabilitiesNoncurrent`	$1.63M	USD	Point-in-time
Other liabilities, long-term	`OtherLiabilitiesNoncurrent`	$1.99M	USD	Point-in-time
Total liabilities	`Liabilities`	$219.25M	USD	Point-in-time
Total liabilities	`Liabilities`	$230.43M	USD	Point-in-time
Commitments and contingencies (Note 12)	`CommitmentsAndContingencies`	-	USD	Point-in-time
Commitments and contingencies (Note 12)	`CommitmentsAndContingencies`	-	USD	Point-in-time
Common shares - zero par value, unlimited amount authorized; 26,181,033 and 24,815,908 shares issued at June 30, 2023 and December 31, 2022, respectively; 25,772,963 and 24,407,838 shares outstanding at June 30, 2023 and December 31, 2022, respectively	`CommonStockValue`	$309.73M	USD	Point-in-time
Common shares - zero par value, unlimited amount authorized; 26,181,033 and 24,815,908 shares issued at June 30, 2023 and December 31, 2022, respectively; 25,772,963 and 24,407,838 shares outstanding at June 30, 2023 and December 31, 2022, respectively	`CommonStockValue`	$223.64M	USD	Point-in-time
Additional paid-in-capital	`AdditionalPaidInCapital`	$56.47M	USD	Point-in-time
Additional paid-in-capital	`AdditionalPaidInCapital`	$49.91M	USD	Point-in-time
Treasury shares, at cost, 408,070 shares held at June 30, 2023 and December 31, 2022	`TreasuryStockCommonValue`	$2.85M	USD	Point-in-time
Treasury shares, at cost, 408,070 shares held at June 30, 2023 and December 31, 2022	`TreasuryStockCommonValue`	$2.85M	USD	Point-in-time
Accumulated deficit	`RetainedEarningsAccumulatedDeficit`	$-310.28M	USD	Point-in-time
Accumulated deficit	`RetainedEarningsAccumulatedDeficit`	$-281.59M	USD	Point-in-time
Accumulated other comprehensive income	`AccumulatedOtherComprehensiveIncomeLossNetOfTax`	$2.71M	USD	Point-in-time
Accumulated other comprehensive income	`AccumulatedOtherComprehensiveIncomeLossNetOfTax`	$1.81M	USD	Point-in-time
Total shareholders equity (deficit)	`StockholdersEquity`	$-8.19M	USD	Point-in-time
Total shareholders equity (deficit)	`StockholdersEquity`	$54.87M	USD	Point-in-time
Total shareholders equity (deficit)	`StockholdersEquity`	$50.74M	USD	Point-in-time
Total shareholders equity (deficit)	`StockholdersEquity`	$15.87M	USD	Point-in-time
Total shareholders equity (deficit)	`StockholdersEquity`	$-16.00M	USD	Point-in-time
Total shareholders equity (deficit)	`StockholdersEquity`	$47.84M	USD	Point-in-time
Total liabilities and shareholders equity (deficit)	`LiabilitiesAndStockholdersEquity`	$285.30M	USD	Point-in-time
Total liabilities and shareholders equity (deficit)	`LiabilitiesAndStockholdersEquity`	$211.06M	USD	Point-in-time

Income Statement 78 line items

Line Item	Tag	Value	Unit	Period
Revenue	`RevenueFromContractWithCustomerExcludingAssessedTax`	$79.64M	USD	2 Qtrs
Revenue	`RevenueFromContractWithCustomerExcludingAssessedTax`	$41.19M	USD	1 Quarter
Revenue	`RevenueFromContractWithCustomerExcludingAssessedTax`	$48.56M	USD	1 Quarter
Revenue	`RevenueFromContractWithCustomerExcludingAssessedTax`	$95.08M	USD	2 Qtrs
Cost of revenue	`CostOfRevenue`	$18.30M	USD	1 Quarter
Cost of revenue	`CostOfRevenue`	$13.74M	USD	1 Quarter
Cost of revenue	`CostOfRevenue`	$27.25M	USD	2 Qtrs
Cost of revenue	`CostOfRevenue`	$34.74M	USD	2 Qtrs
Gross profit	`GrossProfit`	$52.39M	USD	2 Qtrs
Gross profit	`GrossProfit`	$60.34M	USD	2 Qtrs
Gross profit	`GrossProfit`	$30.26M	USD	1 Quarter
Gross profit	`GrossProfit`	$27.45M	USD	1 Quarter
Sales, general and administrative	`SellingGeneralAndAdministrativeExpense`	$59.87M	USD	2 Qtrs
Sales, general and administrative	`SellingGeneralAndAdministrativeExpense`	$37.03M	USD	1 Quarter
Sales, general and administrative	`SellingGeneralAndAdministrativeExpense`	$68.73M	USD	2 Qtrs
Sales, general and administrative	`SellingGeneralAndAdministrativeExpense`	$32.96M	USD	1 Quarter
Research and development	`ResearchAndDevelopmentExpense`	$13.48M	USD	2 Qtrs
Research and development	`ResearchAndDevelopmentExpense`	$4.90M	USD	1 Quarter
Research and development	`ResearchAndDevelopmentExpense`	$6.95M	USD	1 Quarter
Research and development	`ResearchAndDevelopmentExpense`	$8.50M	USD	2 Qtrs
Total operating expenses	`OperatingExpenses`	$68.37M	USD	2 Qtrs
Total operating expenses	`OperatingExpenses`	$43.97M	USD	1 Quarter
Total operating expenses	`OperatingExpenses`	$37.86M	USD	1 Quarter
Total operating expenses	`OperatingExpenses`	$82.21M	USD	2 Qtrs
Loss from operations	`OperatingIncomeLoss`	$-10.41M	USD	1 Quarter
Loss from operations	`OperatingIncomeLoss`	$-13.71M	USD	1 Quarter
Loss from operations	`OperatingIncomeLoss`	$-21.87M	USD	2 Qtrs
Loss from operations	`OperatingIncomeLoss`	$-15.98M	USD	2 Qtrs
Interest income	`InvestmentIncomeInterest`	$32.00K	USD	1 Quarter
Interest income	`InvestmentIncomeInterest`	$52.00K	USD	2 Qtrs
Interest income	`InvestmentIncomeInterest`	$170.00K	USD	1 Quarter
Interest income	`InvestmentIncomeInterest`	$245.00K	USD	2 Qtrs
Interest expense	`InterestExpense`	$7.38M	USD	2 Qtrs
Interest expense	`InterestExpense`	$5.68M	USD	2 Qtrs
Interest expense	`InterestExpense`	$3.39M	USD	1 Quarter
Interest expense	`InterestExpense`	$3.62M	USD	1 Quarter
Change in fair value of derivative instruments	`GainLossOnDerivativeInstrumentsNetPretax`	-	USD	1 Quarter
Change in fair value of derivative instruments	`GainLossOnDerivativeInstrumentsNetPretax`	$1.10M	USD	1 Quarter
Change in fair value of derivative instruments	`GainLossOnDerivativeInstrumentsNetPretax`	-	USD	2 Qtrs
Change in fair value of derivative instruments	`GainLossOnDerivativeInstrumentsNetPretax`	$703.00K	USD	2 Qtrs
Other income (expense), net	`OtherNonoperatingIncomeExpense`	$1.34M	USD	1 Quarter
Other income (expense), net	`OtherNonoperatingIncomeExpense`	$2.07M	USD	2 Qtrs
Other income (expense), net	`OtherNonoperatingIncomeExpense`	$-2.15M	USD	2 Qtrs
Other income (expense), net	`OtherNonoperatingIncomeExpense`	$-4.86M	USD	1 Quarter
Loss on extinguishment of debt	`GainsLossesOnExtinguishmentOfDebt`	-	USD	2 Qtrs
Loss on extinguishment of debt	`GainsLossesOnExtinguishmentOfDebt`	$-19.02M	USD	1 Quarter
Loss on extinguishment of debt	`GainsLossesOnExtinguishmentOfDebt`	$-19.02M	USD	2 Qtrs
Loss on extinguishment of debt	`GainsLossesOnExtinguishmentOfDebt`	-	USD	1 Quarter
Loss before income taxes	`IncomeLossFromContinuingOperationsBeforeIncomeTaxesExtraordinaryItemsNoncontrollingInterest`	$-42.08M	USD	2 Qtrs
Loss before income taxes	`IncomeLossFromContinuingOperationsBeforeIncomeTaxesExtraordinaryItemsNoncontrollingInterest`	$-36.54M	USD	1 Quarter
Loss before income taxes	`IncomeLossFromContinuingOperationsBeforeIncomeTaxesExtraordinaryItemsNoncontrollingInterest`	$-26.93M	USD	2 Qtrs
Loss before income taxes	`IncomeLossFromContinuingOperationsBeforeIncomeTaxesExtraordinaryItemsNoncontrollingInterest`	$-15.82M	USD	1 Quarter
Provision for income taxes	`IncomeTaxExpenseBenefit`	$925.00K	USD	1 Quarter
Provision for income taxes	`IncomeTaxExpenseBenefit`	$963.00K	USD	2 Qtrs
Provision for income taxes	`IncomeTaxExpenseBenefit`	$564.00K	USD	1 Quarter
Provision for income taxes	`IncomeTaxExpenseBenefit`	$1.75M	USD	2 Qtrs
Net loss	`NetIncomeLoss`	$-16.75M	USD	1 Quarter
Net loss	`NetIncomeLoss`	$-37.11M	USD	1 Quarter
Net loss	`NetIncomeLoss`	$-11.94M	USD	1 Quarter
Net loss	`NetIncomeLoss`	$-43.04M	USD	2 Qtrs
Net loss	`NetIncomeLoss`	$-5.93M	USD	1 Quarter
Net loss	`NetIncomeLoss`	$-28.69M	USD	2 Qtrs
Basic net loss per share (in dollars per share)	`EarningsPerShareBasic`	$-1.77	USD	2 Qtrs
Basic net loss per share (in dollars per share)	`EarningsPerShareBasic`	$-1.52	USD	1 Quarter
Basic net loss per share (in dollars per share)	`EarningsPerShareBasic`	$-0.65	USD	1 Quarter
Basic net loss per share (in dollars per share)	`EarningsPerShareBasic`	$-1.14	USD	2 Qtrs
Diluted net loss per share (in dollars per share)	`EarningsPerShareDiluted`	$-1.77	USD	2 Qtrs
Diluted net loss per share (in dollars per share)	`EarningsPerShareDiluted`	$-1.14	USD	2 Qtrs
Diluted net loss per share (in dollars per share)	`EarningsPerShareDiluted`	$-0.65	USD	1 Quarter
Diluted net loss per share (in dollars per share)	`EarningsPerShareDiluted`	$-1.52	USD	1 Quarter
Weighted average outstanding shares used for basic net loss per share (in shares)	`WeightedAverageNumberOfSharesOutstandingBasic`	24.35M	shares	2 Qtrs
Weighted average outstanding shares used for basic net loss per share (in shares)	`WeightedAverageNumberOfSharesOutstandingBasic`	24.40M	shares	1 Quarter
Weighted average outstanding shares used for basic net loss per share (in shares)	`WeightedAverageNumberOfSharesOutstandingBasic`	25.62M	shares	1 Quarter
Weighted average outstanding shares used for basic net loss per share (in shares)	`WeightedAverageNumberOfSharesOutstandingBasic`	25.14M	shares	2 Qtrs
Weighted average outstanding shares used for diluted net loss per share (in shares)	`WeightedAverageNumberOfDilutedSharesOutstanding`	25.62M	shares	1 Quarter
Weighted average outstanding shares used for diluted net loss per share (in shares)	`WeightedAverageNumberOfDilutedSharesOutstanding`	25.14M	shares	2 Qtrs
Weighted average outstanding shares used for diluted net loss per share (in shares)	`WeightedAverageNumberOfDilutedSharesOutstanding`	24.35M	shares	2 Qtrs
Weighted average outstanding shares used for diluted net loss per share (in shares)	`WeightedAverageNumberOfDilutedSharesOutstanding`	24.40M	shares	1 Quarter

Cash Flow Statement 92 line items

Line Item	Tag	Value	Unit	Period
Net loss	`NetIncomeLoss`	$-16.75M	USD	1 Quarter
Net loss	`NetIncomeLoss`	$-37.11M	USD	1 Quarter
Net loss	`NetIncomeLoss`	$-11.94M	USD	1 Quarter
Net loss	`NetIncomeLoss`	$-43.04M	USD	2 Qtrs
Net loss	`NetIncomeLoss`	$-5.93M	USD	1 Quarter
Net loss	`NetIncomeLoss`	$-28.69M	USD	2 Qtrs
Depreciation and amortization	`DepreciationandAmortizationExcludingDebtDiscountPremium`	$1.90M	USD	2 Qtrs
Depreciation and amortization	`DepreciationandAmortizationExcludingDebtDiscountPremium`	$1.88M	USD	2 Qtrs
Provision for doubtful accounts	`ProvisionForDoubtfulAccounts`	$425.00K	USD	2 Qtrs
Provision for doubtful accounts	`ProvisionForDoubtfulAccounts`	$156.00K	USD	2 Qtrs
Provision for inventory obsolescence	`InventoryWriteDown`	$654.00K	USD	2 Qtrs
Provision for inventory obsolescence	`InventoryWriteDown`	$1.27M	USD	2 Qtrs
Share-based compensation	`ShareBasedCompensation`	$7.18M	USD	2 Qtrs
Share-based compensation	`ShareBasedCompensation`	$6.94M	USD	2 Qtrs
Loss from disposal of property and equipment	`GainLossOnSaleOfPropertyPlantEquipment`	$-80.00K	USD	2 Qtrs
Loss from disposal of property and equipment	`GainLossOnSaleOfPropertyPlantEquipment`	$-347.00K	USD	2 Qtrs
Unrealized foreign currency (gain)/ loss, net	`ForeignCurrencyTransactionGainLossUnrealized`	$-2.04M	USD	2 Qtrs
Unrealized foreign currency (gain)/ loss, net	`ForeignCurrencyTransactionGainLossUnrealized`	$3.76M	USD	2 Qtrs
Amortization of right-to-use asset	`OperatingLeaseRightOfUseAssetAmortizationExpense`	$187.00K	USD	2 Qtrs
Amortization of right-to-use asset	`OperatingLeaseRightOfUseAssetAmortizationExpense`	$359.00K	USD	2 Qtrs
Loss on extinguishment of debt	`GainsLossesOnExtinguishmentOfDebt`	-	USD	2 Qtrs
Loss on extinguishment of debt	`GainsLossesOnExtinguishmentOfDebt`	$-19.02M	USD	1 Quarter
Loss on extinguishment of debt	`GainsLossesOnExtinguishmentOfDebt`	$-19.02M	USD	2 Qtrs
Loss on extinguishment of debt	`GainsLossesOnExtinguishmentOfDebt`	-	USD	1 Quarter
Change in reserve for PP&E impairment	`PropertyPlantAndEquipmentWriteDown`	$-341.00K	USD	2 Qtrs
Change in reserve for PP&E impairment	`PropertyPlantAndEquipmentWriteDown`	-	USD	2 Qtrs
Change in fair value of derivative instruments	`UnrealizedGainLossOnDerivatives`	$703.00K	USD	2 Qtrs
Change in fair value of derivative instruments	`UnrealizedGainLossOnDerivatives`	-	USD	2 Qtrs
Interest capitalized for construction in progress	`InterestCostsCapitalizedConstructionInProgress`	-	USD	2 Qtrs
Interest capitalized for construction in progress	`InterestCostsCapitalizedConstructionInProgress`	$1.92M	USD	2 Qtrs
Non-cash interest expense and amortization of debt discount	`AmortizationOfFinancingCostsAndDiscounts`	$2.65M	USD	2 Qtrs
Non-cash interest expense and amortization of debt discount	`AmortizationOfFinancingCostsAndDiscounts`	$6.51M	USD	2 Qtrs
Accounts receivable	`IncreaseDecreaseInAccountsReceivable`	$14.98M	USD	2 Qtrs
Accounts receivable	`IncreaseDecreaseInAccountsReceivable`	$9.02M	USD	2 Qtrs
Inventory	`IncreaseDecreaseInInventories`	$964.00K	USD	2 Qtrs
Inventory	`IncreaseDecreaseInInventories`	$19.08M	USD	2 Qtrs
Prepaid expenses and other current assets	`IncreaseDecreaseInPrepaidDeferredExpenseAndOtherAssets`	$205.00K	USD	2 Qtrs
Prepaid expenses and other current assets	`IncreaseDecreaseInPrepaidDeferredExpenseAndOtherAssets`	$-912.00K	USD	2 Qtrs
Other assets	`IncreaseDecreaseInOtherNoncurrentAssets`	$656.00K	USD	2 Qtrs
Other assets	`IncreaseDecreaseInOtherNoncurrentAssets`	$259.00K	USD	2 Qtrs
Accounts payable	`IncreaseDecreaseInAccountsPayable`	$1.38M	USD	2 Qtrs
Accounts payable	`IncreaseDecreaseInAccountsPayable`	$3.67M	USD	2 Qtrs
Accrued liabilities	`IncreaseDecreaseInAccruedLiabilities`	$1.61M	USD	2 Qtrs
Accrued liabilities	`IncreaseDecreaseInAccruedLiabilities`	$-159.00K	USD	2 Qtrs
Operating lease liabilities	`IncreaseDecreaseInOperatingLeaseLiabilities`	$-181.00K	USD	2 Qtrs
Operating lease liabilities	`IncreaseDecreaseInOperatingLeaseLiabilities`	$-337.00K	USD	2 Qtrs
Other liabilities	`IncreaseDecreaseInOtherOperatingLiabilities`	$81.00K	USD	2 Qtrs
Other liabilities	`IncreaseDecreaseInOtherOperatingLiabilities`	$14.00K	USD	2 Qtrs
Net cash used in operating activities	`NetCashProvidedByUsedInOperatingActivities`	$-16.17M	USD	2 Qtrs
Net cash used in operating activities	`NetCashProvidedByUsedInOperatingActivities`	$-48.85M	USD	2 Qtrs
Purchases of property and equipment	`PaymentsToAcquirePropertyPlantAndEquipment`	$1.41M	USD	2 Qtrs
Purchases of property and equipment	`PaymentsToAcquirePropertyPlantAndEquipment`	$3.55M	USD	2 Qtrs
Cash used in asset acquisitions	`PaymentstoAcquireAssetsIncludingReceivablesHeld`	-	USD	2 Qtrs
Cash used in asset acquisitions	`PaymentstoAcquireAssetsIncludingReceivablesHeld`	$525.00K	USD	2 Qtrs
Cost incurred for intangible assets	`PaymentsToAcquireIntangibleAssets`	$656.00K	USD	2 Qtrs
Cost incurred for intangible assets	`PaymentsToAcquireIntangibleAssets`	$126.00K	USD	2 Qtrs
Capital expenditures on construction in progress	`PaymentsToAcquireOtherProductiveAssets`	$9.65M	USD	2 Qtrs
Capital expenditures on construction in progress	`PaymentsToAcquireOtherProductiveAssets`	$16.97M	USD	2 Qtrs
Net cash used in investing activities	`NetCashProvidedByUsedInInvestingActivities`	$-19.55M	USD	2 Qtrs
Net cash used in investing activities	`NetCashProvidedByUsedInInvestingActivities`	$-13.33M	USD	2 Qtrs
Issuance of common stock, net of underwriters discount and issuance costs	`ProceedsFromIssuanceOfCommonStock`	-	USD	2 Qtrs
Issuance of common stock, net of underwriters discount and issuance costs	`ProceedsFromIssuanceOfCommonStock`	$84.54M	USD	2 Qtrs
Borrowings under Oaktree credit agreement, net of debt discount and issuance costs	`ProceedsFromLongTermLinesOfCredit`	$143.59M	USD	2 Qtrs
Borrowings under Oaktree credit agreement, net of debt discount and issuance costs	`ProceedsFromLongTermLinesOfCredit`	-	USD	2 Qtrs
Repayment of Madryn debt agreement	`RepaymentsOfLinesOfCredit`	-	USD	2 Qtrs
Repayment of Madryn debt agreement	`RepaymentsOfLinesOfCredit`	$71.68M	USD	2 Qtrs
Repayments on finance leases	`FinanceLeasePrincipalPayments`	$12.00K	USD	2 Qtrs
Repayments on finance leases	`FinanceLeasePrincipalPayments`	-	USD	2 Qtrs
Proceeds from stock option exercises	`ProceedsFromStockOptionsExercised`	$1.48M	USD	2 Qtrs
Proceeds from stock option exercises	`ProceedsFromStockOptionsExercised`	$2.11M	USD	2 Qtrs
Tax payments related to shares withheld upon vesting of restricted stock	`PaymentsRelatedToTaxWithholdingForShareBasedCompensation`	$344.00K	USD	2 Qtrs
Tax payments related to shares withheld upon vesting of restricted stock	`PaymentsRelatedToTaxWithholdingForShareBasedCompensation`	-	USD	2 Qtrs
Net cash provided by financing activities	`NetCashProvidedByUsedInFinancingActivities`	$74.01M	USD	2 Qtrs
Net cash provided by financing activities	`NetCashProvidedByUsedInFinancingActivities`	$85.67M	USD	2 Qtrs
Effect of exchange rate changes on cash	`EffectOfExchangeRateOnCashCashEquivalentsRestrictedCashAndRestrictedCashEquivalents`	$333.00K	USD	2 Qtrs
Effect of exchange rate changes on cash	`EffectOfExchangeRateOnCashCashEquivalentsRestrictedCashAndRestrictedCashEquivalents`	$-446.00K	USD	2 Qtrs
Net increase in cash	`CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalentsPeriodIncreaseDecreaseIncludingExchangeRateEffect`	$23.83M	USD	2 Qtrs
Net increase in cash	`CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalentsPeriodIncreaseDecreaseIncludingExchangeRateEffect`	$37.84M	USD	2 Qtrs
Cash at beginning of period	`CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalents`	$53.41M	USD	Point-in-time
Cash at beginning of period	`CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalents`	$90.18M	USD	Point-in-time
Cash at beginning of period	`CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalents`	$91.26M	USD	Point-in-time
Cash at beginning of period	`CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalents`	$66.36M	USD	Point-in-time
Cash at end of period	`CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalents`	$53.41M	USD	Point-in-time
Cash at end of period	`CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalents`	$90.18M	USD	Point-in-time
Cash at end of period	`CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalents`	$91.26M	USD	Point-in-time
Cash at end of period	`CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalents`	$66.36M	USD	Point-in-time
Cash paid for interest	`InterestPaidNet`	$3.01M	USD	2 Qtrs
Cash paid for interest	`InterestPaidNet`	$2.78M	USD	2 Qtrs
Cash paid for income taxes	`IncomeTaxesPaidNet`	$998.00K	USD	2 Qtrs
Cash paid for income taxes	`IncomeTaxesPaidNet`	$845.00K	USD	2 Qtrs
Unpaid balance for property and equipment	`CapitalExpendituresIncurredButNotYetPaid`	$37.00K	USD	2 Qtrs
Unpaid balance for property and equipment	`CapitalExpendituresIncurredButNotYetPaid`	$1.61M	USD	2 Qtrs

Stockholders Equity 45 line items

Line Item	Tag	Value	Unit	Period
Beginning balance (in shares)	`CommonStockSharesIssued`	26.18M	shares	Point-in-time
Beginning balance (in shares)	`CommonStockSharesIssued`	24.82M	shares	Point-in-time
Beginning balance	`StockholdersEquity`	$-8.19M	USD	Point-in-time
Beginning balance	`StockholdersEquity`	$54.87M	USD	Point-in-time
Beginning balance	`StockholdersEquity`	$50.74M	USD	Point-in-time
Beginning balance	`StockholdersEquity`	$15.87M	USD	Point-in-time
Beginning balance	`StockholdersEquity`	$-16.00M	USD	Point-in-time
Beginning balance	`StockholdersEquity`	$47.84M	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
Issuance of common stock, net of underwriters discount and issuance costs	`StockIssuedDuringPeriodValueNewIssues`	$84.54M	USD	1 Quarter
Issuance of common stock in lieu of cash compensation	`StockIssuedDuringPeriodValueIssuedForServices`	$35.00K	USD	1 Quarter
Stock option exercises (in shares)	`StockIssuedDuringPeriodSharesStockOptionsExercised`	65,441.00	shares	2 Qtrs
Stock option exercises	`StockIssuedDuringPeriodValueStockOptionsExercised`	$1.70M	USD	1 Quarter
Stock option exercises	`StockIssuedDuringPeriodValueStockOptionsExercised`	$411.00K	USD	1 Quarter
Stock option exercises	`StockIssuedDuringPeriodValueStockOptionsExercised`	$210.00K	USD	1 Quarter
Stock option exercises	`StockIssuedDuringPeriodValueStockOptionsExercised`	$1.27M	USD	1 Quarter
Share-based compensation	`StockIssuedDuringPeriodValueShareBasedCompensation`	$3.32M	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`	$3.62M	USD	1 Quarter
Shares withheld to cover income tax obligation upon vesting of restricted stock	`AdjustmentsRelatedToTaxWithholdingForShareBasedCompensation`	$282.00K	USD	1 Quarter
Shares withheld to cover income tax obligation upon vesting of restricted stock	`AdjustmentsRelatedToTaxWithholdingForShareBasedCompensation`	$62.00K	USD	1 Quarter
Foreign currency translation gain (loss)	`OtherComprehensiveIncomeForeignCurrencyTransactionAndTranslationAdjustmentNetOfTaxPortionAttributableToParent`	$-2.11M	USD	1 Quarter
Foreign currency translation gain (loss)	`OtherComprehensiveIncomeForeignCurrencyTransactionAndTranslationAdjustmentNetOfTaxPortionAttributableToParent`	$-1.12M	USD	2 Qtrs
Foreign currency translation gain (loss)	`OtherComprehensiveIncomeForeignCurrencyTransactionAndTranslationAdjustmentNetOfTaxPortionAttributableToParent`	$984.00K	USD	1 Quarter
Foreign currency translation gain (loss)	`OtherComprehensiveIncomeForeignCurrencyTransactionAndTranslationAdjustmentNetOfTaxPortionAttributableToParent`	$-503.00K	USD	1 Quarter
Foreign currency translation gain (loss)	`OtherComprehensiveIncomeForeignCurrencyTransactionAndTranslationAdjustmentNetOfTaxPortionAttributableToParent`	$-905.00K	USD	2 Qtrs
Foreign currency translation gain (loss)	`OtherComprehensiveIncomeForeignCurrencyTransactionAndTranslationAdjustmentNetOfTaxPortionAttributableToParent`	$-402.00K	USD	1 Quarter
Net loss	`NetIncomeLoss`	$-16.75M	USD	1 Quarter
Net loss	`NetIncomeLoss`	$-37.11M	USD	1 Quarter
Net loss	`NetIncomeLoss`	$-11.94M	USD	1 Quarter
Net loss	`NetIncomeLoss`	$-43.04M	USD	2 Qtrs
Net loss	`NetIncomeLoss`	$-5.93M	USD	1 Quarter
Net loss	`NetIncomeLoss`	$-28.69M	USD	2 Qtrs
Ending balance (in shares)	`CommonStockSharesIssued`	26.18M	shares	Point-in-time
Ending balance (in shares)	`CommonStockSharesIssued`	24.82M	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`	$-8.19M	USD	Point-in-time
Ending balance	`StockholdersEquity`	$54.87M	USD	Point-in-time
Ending balance	`StockholdersEquity`	$50.74M	USD	Point-in-time
Ending balance	`StockholdersEquity`	$15.87M	USD	Point-in-time
Ending balance	`StockholdersEquity`	$-16.00M	USD	Point-in-time
Ending balance	`StockholdersEquity`	$47.84M	USD	Point-in-time

Comprehensive Income 20 line items

Line Item	Tag	Value	Unit	Period
Net loss	`NetIncomeLoss`	$-16.75M	USD	1 Quarter
Net loss	`NetIncomeLoss`	$-37.11M	USD	1 Quarter
Net loss	`NetIncomeLoss`	$-11.94M	USD	1 Quarter
Net loss	`NetIncomeLoss`	$-43.04M	USD	2 Qtrs
Net loss	`NetIncomeLoss`	$-5.93M	USD	1 Quarter
Net loss	`NetIncomeLoss`	$-28.69M	USD	2 Qtrs
Foreign currency translation gain (loss)	`OtherComprehensiveIncomeForeignCurrencyTransactionAndTranslationAdjustmentNetOfTaxPortionAttributableToParent`	$-2.11M	USD	1 Quarter
Foreign currency translation gain (loss)	`OtherComprehensiveIncomeForeignCurrencyTransactionAndTranslationAdjustmentNetOfTaxPortionAttributableToParent`	$-1.12M	USD	2 Qtrs
Foreign currency translation gain (loss)	`OtherComprehensiveIncomeForeignCurrencyTransactionAndTranslationAdjustmentNetOfTaxPortionAttributableToParent`	$984.00K	USD	1 Quarter
Foreign currency translation gain (loss)	`OtherComprehensiveIncomeForeignCurrencyTransactionAndTranslationAdjustmentNetOfTaxPortionAttributableToParent`	$-503.00K	USD	1 Quarter
Foreign currency translation gain (loss)	`OtherComprehensiveIncomeForeignCurrencyTransactionAndTranslationAdjustmentNetOfTaxPortionAttributableToParent`	$-905.00K	USD	2 Qtrs
Foreign currency translation gain (loss)	`OtherComprehensiveIncomeForeignCurrencyTransactionAndTranslationAdjustmentNetOfTaxPortionAttributableToParent`	$-402.00K	USD	1 Quarter
Other comprehensive income (loss)	`OtherComprehensiveIncomeLossNetOfTaxPortionAttributableToParent`	$984.00K	USD	1 Quarter
Other comprehensive income (loss)	`OtherComprehensiveIncomeLossNetOfTaxPortionAttributableToParent`	$-905.00K	USD	2 Qtrs
Other comprehensive income (loss)	`OtherComprehensiveIncomeLossNetOfTaxPortionAttributableToParent`	$-503.00K	USD	1 Quarter
Other comprehensive income (loss)	`OtherComprehensiveIncomeLossNetOfTaxPortionAttributableToParent`	$-1.12M	USD	2 Qtrs
Comprehensive loss	`ComprehensiveIncomeNetOfTax`	$-17.25M	USD	1 Quarter
Comprehensive loss	`ComprehensiveIncomeNetOfTax`	$-29.59M	USD	2 Qtrs
Comprehensive loss	`ComprehensiveIncomeNetOfTax`	$-36.12M	USD	1 Quarter
Comprehensive loss	`ComprehensiveIncomeNetOfTax`	$-44.16M	USD	2 Qtrs

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