10-Q Filing

ESTABLISHMENT LABS HOLDINGS INC. CIK: 1688757 Q3 2023

Filing Information

Form Type	10-Q
Accession Number	`0001688757-23-000081`
Period End Date	20230930
Filing Date	20231108
Fiscal Year	2023
Fiscal Period	Q3
XBRL Instance	esta-20230930_htm.xml

Filing Contents

This filing contains the following financial statements:

Balance Sheet 68 Income Statement 80 Cash Flow Statement 102 Stockholders Equity 62 Comprehensive Income 24

Balance Sheet 68 line items

Line Item	Tag	Value	Unit	Period
Allowance for doubtful accounts	`AllowanceForDoubtfulAccountsReceivableCurrent`	$1.46M	USD	Point-in-time
Allowance for doubtful accounts	`AllowanceForDoubtfulAccountsReceivableCurrent`	$741.00K	USD	Point-in-time
Common stock, shares issued (in shares)	`CommonStockSharesIssued`	26.21M	shares	Point-in-time
Common stock, shares issued (in shares)	`CommonStockSharesIssued`	24.82M	shares	Point-in-time
Common stock, shares outstanding (in shares)	`CommonStockSharesOutstanding`	24.41M	shares	Point-in-time
Cash	`Cash`	$52.19M	USD	Point-in-time
Cash	`Cash`	$66.36M	USD	Point-in-time
Common stock, shares outstanding (in shares)	`CommonStockSharesOutstanding`	25.81M	shares	Point-in-time
Accounts receivable, net of allowance for doubtful accounts of $1,459 and $741	`AccountsReceivableNetCurrent`	$35.42M	USD	Point-in-time
Accounts receivable, net of allowance for doubtful accounts of $1,459 and $741	`AccountsReceivableNetCurrent`	$54.69M	USD	Point-in-time
Treasury stock, shares held (in shares)	`TreasuryStockCommonShares`	408,070.00	shares	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`	$67.94M	USD	Point-in-time
Prepaid expenses and other current assets	`PrepaidExpenseAndOtherAssetsCurrent`	$11.90M	USD	Point-in-time
Prepaid expenses and other current assets	`PrepaidExpenseAndOtherAssetsCurrent`	$11.54M	USD	Point-in-time
Total current assets	`AssetsCurrent`	$186.72M	USD	Point-in-time
Total current assets	`AssetsCurrent`	$149.90M	USD	Point-in-time
Property and equipment, net of accumulated depreciation	`PropertyPlantAndEquipmentNet`	$51.09M	USD	Point-in-time
Property and equipment, net of accumulated depreciation	`PropertyPlantAndEquipmentNet`	$72.64M	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`	$4.61M	USD	Point-in-time
Intangible assets, net of accumulated amortization	`IntangibleAssetsNetExcludingGoodwill`	$5.71M	USD	Point-in-time
Right-of-use operating lease assets, net	`OperatingLeaseRightOfUseAsset`	$3.56M	USD	Point-in-time
Right-of-use operating lease assets, net	`OperatingLeaseRightOfUseAsset`	$3.70M	USD	Point-in-time
Other non-current assets	`OtherAssetsNoncurrent`	$1.44M	USD	Point-in-time
Other non-current assets	`OtherAssetsNoncurrent`	$1.29M	USD	Point-in-time
Total assets	`Assets`	$211.06M	USD	Point-in-time
Total assets	`Assets`	$270.53M	USD	Point-in-time
Accounts payable	`AccountsPayableCurrent`	$20.03M	USD	Point-in-time
Accounts payable	`AccountsPayableCurrent`	$28.93M	USD	Point-in-time
Accrued liabilities	`AccruedLiabilitiesCurrent`	$19.39M	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`	$1.99M	USD	Point-in-time
Total current liabilities	`LiabilitiesCurrent`	$50.30M	USD	Point-in-time
Total current liabilities	`LiabilitiesCurrent`	$38.96M	USD	Point-in-time
Note payable, net of debt discount and issuance costs	`LongTermDebtNoncurrent`	$185.32M	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`	$2.92M	USD	Point-in-time
Operating lease liabilities, non-current	`OperatingLeaseLiabilityNoncurrent`	$3.20M	USD	Point-in-time
Other liabilities, long-term	`OtherLiabilitiesNoncurrent`	$1.50M	USD	Point-in-time
Other liabilities, long-term	`OtherLiabilitiesNoncurrent`	$1.63M	USD	Point-in-time
Total liabilities	`Liabilities`	$219.25M	USD	Point-in-time
Total liabilities	`Liabilities`	$240.05M	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; 26,213,504 and 24,815,908 shares issued at September 30, 2023 and December 31, 2022, respectively; 25,805,434 and 24,407,838 shares outstanding at September 30, 2023 and December 31, 2022, respectively	`CommonStockValue`	$223.64M	USD	Point-in-time
Common shares - zero par value, unlimited amount authorized; 26,213,504 and 24,815,908 shares issued at September 30, 2023 and December 31, 2022, respectively; 25,805,434 and 24,407,838 shares outstanding at September 30, 2023 and December 31, 2022, respectively	`CommonStockValue`	$310.61M	USD	Point-in-time
Additional paid-in-capital	`AdditionalPaidInCapital`	$49.91M	USD	Point-in-time
Additional paid-in-capital	`AdditionalPaidInCapital`	$60.34M	USD	Point-in-time
Treasury shares, at cost, 408,070 shares held at September 30, 2023 and December 31, 2022	`TreasuryStockCommonValue`	$2.85M	USD	Point-in-time
Treasury shares, at cost, 408,070 shares held at September 30, 2023 and December 31, 2022	`TreasuryStockCommonValue`	$2.85M	USD	Point-in-time
Accumulated deficit	`RetainedEarningsAccumulatedDeficit`	$-339.55M	USD	Point-in-time
Accumulated deficit	`RetainedEarningsAccumulatedDeficit`	$-281.59M	USD	Point-in-time
Accumulated other comprehensive income	`AccumulatedOtherComprehensiveIncomeLossNetOfTax`	$1.95M	USD	Point-in-time
Accumulated other comprehensive income	`AccumulatedOtherComprehensiveIncomeLossNetOfTax`	$2.71M	USD	Point-in-time
Total shareholders equity (deficit)	`StockholdersEquity`	$15.87M	USD	Point-in-time
Total shareholders equity (deficit)	`StockholdersEquity`	$-8.19M	USD	Point-in-time
Total shareholders equity (deficit)	`StockholdersEquity`	$30.49M	USD	Point-in-time
Total shareholders equity (deficit)	`StockholdersEquity`	$47.84M	USD	Point-in-time
Total shareholders equity (deficit)	`StockholdersEquity`	$1.52M	USD	Point-in-time
Total shareholders equity (deficit)	`StockholdersEquity`	$50.74M	USD	Point-in-time
Total shareholders equity (deficit)	`StockholdersEquity`	$-16.00M	USD	Point-in-time
Total shareholders equity (deficit)	`StockholdersEquity`	$54.87M	USD	Point-in-time
Total liabilities and shareholders equity (deficit)	`LiabilitiesAndStockholdersEquity`	$211.06M	USD	Point-in-time
Total liabilities and shareholders equity (deficit)	`LiabilitiesAndStockholdersEquity`	$270.53M	USD	Point-in-time

Income Statement 80 line items

Line Item	Tag	Value	Unit	Period
Revenue	`RevenueFromContractWithCustomerExcludingAssessedTax`	$117.89M	USD	3 Qtrs
Revenue	`RevenueFromContractWithCustomerExcludingAssessedTax`	$38.51M	USD	1 Quarter
Revenue	`RevenueFromContractWithCustomerExcludingAssessedTax`	$38.24M	USD	1 Quarter
Revenue	`RevenueFromContractWithCustomerExcludingAssessedTax`	$133.59M	USD	3 Qtrs
Cost of revenue	`CostOfRevenue`	$12.45M	USD	1 Quarter
Cost of revenue	`CostOfRevenue`	$39.46M	USD	3 Qtrs
Cost of revenue	`CostOfRevenue`	$47.20M	USD	3 Qtrs
Cost of revenue	`CostOfRevenue`	$12.21M	USD	1 Quarter
Gross profit	`GrossProfit`	$26.05M	USD	1 Quarter
Gross profit	`GrossProfit`	$86.39M	USD	3 Qtrs
Gross profit	`GrossProfit`	$78.43M	USD	3 Qtrs
Gross profit	`GrossProfit`	$26.04M	USD	1 Quarter
Sales, general and administrative	`SellingGeneralAndAdministrativeExpense`	$91.14M	USD	3 Qtrs
Sales, general and administrative	`SellingGeneralAndAdministrativeExpense`	$39.96M	USD	1 Quarter
Sales, general and administrative	`SellingGeneralAndAdministrativeExpense`	$31.27M	USD	1 Quarter
Sales, general and administrative	`SellingGeneralAndAdministrativeExpense`	$108.69M	USD	3 Qtrs
Research and development	`ResearchAndDevelopmentExpense`	$13.79M	USD	3 Qtrs
Research and development	`ResearchAndDevelopmentExpense`	$5.29M	USD	1 Quarter
Research and development	`ResearchAndDevelopmentExpense`	$20.61M	USD	3 Qtrs
Research and development	`ResearchAndDevelopmentExpense`	$7.13M	USD	1 Quarter
Total operating expenses	`OperatingExpenses`	$129.30M	USD	3 Qtrs
Total operating expenses	`OperatingExpenses`	$104.93M	USD	3 Qtrs
Total operating expenses	`OperatingExpenses`	$47.09M	USD	1 Quarter
Total operating expenses	`OperatingExpenses`	$36.56M	USD	1 Quarter
Loss from operations	`OperatingIncomeLoss`	$-10.52M	USD	1 Quarter
Loss from operations	`OperatingIncomeLoss`	$-21.04M	USD	1 Quarter
Loss from operations	`OperatingIncomeLoss`	$-26.50M	USD	3 Qtrs
Loss from operations	`OperatingIncomeLoss`	$-42.91M	USD	3 Qtrs
Interest income	`InvestmentIncomeInterest`	$10.00K	USD	1 Quarter
Interest income	`InvestmentIncomeInterest`	$271.00K	USD	1 Quarter
Interest income	`InvestmentIncomeInterest`	$62.00K	USD	3 Qtrs
Interest income	`InvestmentIncomeInterest`	$516.00K	USD	3 Qtrs
Interest expense	`InterestExpense`	$11.05M	USD	3 Qtrs
Interest expense	`InterestExpense`	$3.88M	USD	1 Quarter
Interest expense	`InterestExpense`	$3.68M	USD	1 Quarter
Interest expense	`InterestExpense`	$9.56M	USD	3 Qtrs
Change in fair value of derivative instruments	`GainLossOnDerivativeInstrumentsNetPretax`	-	USD	3 Qtrs
Change in fair value of derivative instruments	`GainLossOnDerivativeInstrumentsNetPretax`	-	USD	1 Quarter
Change in fair value of derivative instruments	`GainLossOnDerivativeInstrumentsNetPretax`	-	USD	1 Quarter
Change in fair value of derivative instruments	`GainLossOnDerivativeInstrumentsNetPretax`	$703.00K	USD	3 Qtrs
Other expense, net	`OtherNonoperatingIncomeExpense`	$-4.16M	USD	1 Quarter
Other expense, net	`OtherNonoperatingIncomeExpense`	$-5.77M	USD	3 Qtrs
Other expense, net	`OtherNonoperatingIncomeExpense`	$-3.62M	USD	1 Quarter
Other expense, net	`OtherNonoperatingIncomeExpense`	$-2.09M	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	3 Qtrs
Loss on extinguishment of debt	`GainsLossesOnExtinguishmentOfDebt`	-	USD	1 Quarter
Loss before income taxes	`IncomeLossFromContinuingOperationsBeforeIncomeTaxesExtraordinaryItemsNoncontrollingInterest`	$-28.60M	USD	1 Quarter
Loss before income taxes	`IncomeLossFromContinuingOperationsBeforeIncomeTaxesExtraordinaryItemsNoncontrollingInterest`	$-60.08M	USD	3 Qtrs
Loss before income taxes	`IncomeLossFromContinuingOperationsBeforeIncomeTaxesExtraordinaryItemsNoncontrollingInterest`	$-55.54M	USD	3 Qtrs
Loss before income taxes	`IncomeLossFromContinuingOperationsBeforeIncomeTaxesExtraordinaryItemsNoncontrollingInterest`	$-18.00M	USD	1 Quarter
Provision for income taxes	`IncomeTaxExpenseBenefit`	$2.42M	USD	3 Qtrs
Provision for income taxes	`IncomeTaxExpenseBenefit`	$1.57M	USD	3 Qtrs
Provision for income taxes	`IncomeTaxExpenseBenefit`	$603.00K	USD	1 Quarter
Provision for income taxes	`IncomeTaxExpenseBenefit`	$669.00K	USD	1 Quarter
Net loss	`NetIncomeLoss`	$-16.75M	USD	1 Quarter
Net loss	`NetIncomeLoss`	$-11.94M	USD	1 Quarter
Net loss	`NetIncomeLoss`	$-37.11M	USD	1 Quarter
Net loss	`NetIncomeLoss`	$-5.93M	USD	1 Quarter
Net loss	`NetIncomeLoss`	$-57.96M	USD	3 Qtrs
Net loss	`NetIncomeLoss`	$-29.27M	USD	1 Quarter
Net loss	`NetIncomeLoss`	$-18.61M	USD	1 Quarter
Net loss	`NetIncomeLoss`	$-61.65M	USD	3 Qtrs
Basic net loss per share (in dollars per share)	`EarningsPerShareBasic`	$-1.12	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`	$-2.53	USD	3 Qtrs
Basic net loss per share (in dollars per share)	`EarningsPerShareBasic`	$-2.28	USD	3 Qtrs
Diluted net loss per share (in dollars per share)	`EarningsPerShareDiluted`	$-2.28	USD	3 Qtrs
Diluted net loss per share (in dollars per share)	`EarningsPerShareDiluted`	$-1.12	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`	$-0.76	USD	1 Quarter
Weighted average outstanding shares used for basic net loss per share (in shares)	`WeightedAverageNumberOfSharesOutstandingBasic`	26.03M	shares	1 Quarter
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`	25.44M	shares	3 Qtrs
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`	24.41M	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`	26.03M	shares	1 Quarter
Weighted average outstanding shares used for diluted net loss per share (in shares)	`WeightedAverageNumberOfDilutedSharesOutstanding`	25.44M	shares	3 Qtrs

Cash Flow Statement 102 line items

Line Item	Tag	Value	Unit	Period
Net loss	`NetIncomeLoss`	$-16.75M	USD	1 Quarter
Net loss	`NetIncomeLoss`	$-11.94M	USD	1 Quarter
Net loss	`NetIncomeLoss`	$-37.11M	USD	1 Quarter
Net loss	`NetIncomeLoss`	$-5.93M	USD	1 Quarter
Net loss	`NetIncomeLoss`	$-57.96M	USD	3 Qtrs
Net loss	`NetIncomeLoss`	$-29.27M	USD	1 Quarter
Net loss	`NetIncomeLoss`	$-18.61M	USD	1 Quarter
Net loss	`NetIncomeLoss`	$-61.65M	USD	3 Qtrs
Depreciation and amortization	`DepreciationandAmortizationExcludingDebtDiscountPremium`	$2.88M	USD	3 Qtrs
Depreciation and amortization	`DepreciationandAmortizationExcludingDebtDiscountPremium`	$2.94M	USD	3 Qtrs
Provision for doubtful accounts	`ProvisionForDoubtfulAccounts`	$393.00K	USD	3 Qtrs
Provision for doubtful accounts	`ProvisionForDoubtfulAccounts`	$712.00K	USD	3 Qtrs
Provision for inventory obsolescence	`InventoryWriteDown`	$1.06M	USD	3 Qtrs
Provision for inventory obsolescence	`InventoryWriteDown`	$1.49M	USD	3 Qtrs
Share-based compensation	`ShareBasedCompensation`	$10.91M	USD	3 Qtrs
Share-based compensation	`ShareBasedCompensation`	$10.10M	USD	3 Qtrs
Loss from disposal of property and equipment	`GainLossOnSaleOfPropertyPlantEquipment`	$-242.00K	USD	3 Qtrs
Loss from disposal of property and equipment	`GainLossOnSaleOfPropertyPlantEquipment`	$-121.00K	USD	3 Qtrs
Unrealized foreign currency (gain)/ loss, net	`ForeignCurrencyTransactionGainLossUnrealized`	$621.00K	USD	3 Qtrs
Unrealized foreign currency (gain)/ loss, net	`ForeignCurrencyTransactionGainLossUnrealized`	$-5.83M	USD	3 Qtrs
Amortization of right-to-use asset	`OperatingLeaseRightOfUseAssetAmortizationExpense`	$542.00K	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	3 Qtrs
Loss on extinguishment of debt	`GainsLossesOnExtinguishmentOfDebt`	-	USD	1 Quarter
Change in reserve for PP&E impairment	`PropertyPlantAndEquipmentWriteDown`	-	USD	3 Qtrs
Change in reserve for PP&E impairment	`PropertyPlantAndEquipmentWriteDown`	$-341.00K	USD	3 Qtrs
Change in fair value of derivative instruments	`UnrealizedGainLossOnDerivatives`	-	USD	3 Qtrs
Change in fair value of derivative instruments	`UnrealizedGainLossOnDerivatives`	$703.00K	USD	3 Qtrs
Issuance of common stock in lieu of cash compensation	`StockCompensationIssuedInLieuOfCashFees`	-	USD	3 Qtrs
Issuance of common stock in lieu of cash compensation	`StockCompensationIssuedInLieuOfCashFees`	$-70.00K	USD	3 Qtrs
Interest capitalized for construction in progress	`InterestCostsCapitalizedConstructionInProgress`	-	USD	3 Qtrs
Interest capitalized for construction in progress	`InterestCostsCapitalizedConstructionInProgress`	$3.02M	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`	$9.86M	USD	3 Qtrs
Accounts receivable	`IncreaseDecreaseInAccountsReceivable`	$19.63M	USD	3 Qtrs
Accounts receivable	`IncreaseDecreaseInAccountsReceivable`	$9.88M	USD	3 Qtrs
Inventory	`IncreaseDecreaseInInventories`	$8.31M	USD	3 Qtrs
Inventory	`IncreaseDecreaseInInventories`	$32.96M	USD	3 Qtrs
Prepaid expenses and other current assets	`IncreaseDecreaseInPrepaidDeferredExpenseAndOtherAssets`	$3.19M	USD	3 Qtrs
Prepaid expenses and other current assets	`IncreaseDecreaseInPrepaidDeferredExpenseAndOtherAssets`	$1.10M	USD	3 Qtrs
Other assets	`IncreaseDecreaseInOtherNoncurrentAssets`	$937.00K	USD	3 Qtrs
Other assets	`IncreaseDecreaseInOtherNoncurrentAssets`	$149.00K	USD	3 Qtrs
Accounts payable	`IncreaseDecreaseInAccountsPayable`	$610.00K	USD	3 Qtrs
Accounts payable	`IncreaseDecreaseInAccountsPayable`	$8.67M	USD	3 Qtrs
Accrued liabilities	`IncreaseDecreaseInAccruedLiabilities`	$787.00K	USD	3 Qtrs
Accrued liabilities	`IncreaseDecreaseInAccruedLiabilities`	$2.69M	USD	3 Qtrs
Operating lease liabilities	`IncreaseDecreaseInOperatingLeaseLiabilities`	$-511.00K	USD	3 Qtrs
Operating lease liabilities	`IncreaseDecreaseInOperatingLeaseLiabilities`	$-251.00K	USD	3 Qtrs
Other liabilities	`IncreaseDecreaseInOtherOperatingLiabilities`	$-157.00K	USD	3 Qtrs
Other liabilities	`IncreaseDecreaseInOtherOperatingLiabilities`	$130.00K	USD	3 Qtrs
Net cash used in operating activities	`NetCashProvidedByUsedInOperatingActivities`	$-80.36M	USD	3 Qtrs
Net cash used in operating activities	`NetCashProvidedByUsedInOperatingActivities`	$-38.15M	USD	3 Qtrs
Purchases of property and equipment	`PaymentsToAcquirePropertyPlantAndEquipment`	$7.25M	USD	3 Qtrs
Purchases of property and equipment	`PaymentsToAcquirePropertyPlantAndEquipment`	$1.89M	USD	3 Qtrs
Cash used in asset acquisitions	`PaymentstoAcquireAssetsIncludingReceivablesHeld`	$525.00K	USD	3 Qtrs
Cash used in asset acquisitions	`PaymentstoAcquireAssetsIncludingReceivablesHeld`	-	USD	3 Qtrs
Cost incurred for intangible assets	`PaymentsToAcquireIntangibleAssets`	$1.21M	USD	3 Qtrs
Cost incurred for intangible assets	`PaymentsToAcquireIntangibleAssets`	$370.00K	USD	3 Qtrs
Capital expenditures on construction in progress	`PaymentsToAcquireOtherProductiveAssets`	$12.30M	USD	3 Qtrs
Capital expenditures on construction in progress	`PaymentsToAcquireOtherProductiveAssets`	$20.74M	USD	3 Qtrs
Net cash used in investing activities	`NetCashProvidedByUsedInInvestingActivities`	$-19.93M	USD	3 Qtrs
Net cash used in investing activities	`NetCashProvidedByUsedInInvestingActivities`	$-24.36M	USD	3 Qtrs
Issuance of common stock, net of underwriters discount and issuance costs	`ProceedsFromIssuanceOfCommonStock`	-	USD	3 Qtrs
Issuance of common stock, net of underwriters discount and issuance costs	`ProceedsFromIssuanceOfCommonStock`	$84.54M	USD	3 Qtrs
Borrowings under Oaktree credit agreement, net of debt discount and issuance costs	`ProceedsFromLongTermLinesOfCredit`	-	USD	3 Qtrs
Borrowings under Oaktree credit agreement, net of debt discount and issuance costs	`ProceedsFromLongTermLinesOfCredit`	$143.59M	USD	3 Qtrs
Repayment of Madryn debt agreement	`RepaymentsOfLinesOfCredit`	$71.68M	USD	3 Qtrs
Repayment of Madryn debt agreement	`RepaymentsOfLinesOfCredit`	-	USD	3 Qtrs
Repayments on finance leases	`FinanceLeasePrincipalPayments`	-	USD	3 Qtrs
Repayments on finance leases	`FinanceLeasePrincipalPayments`	$17.00K	USD	3 Qtrs
Proceeds from stock option exercises	`ProceedsFromStockOptionsExercised`	$2.07M	USD	3 Qtrs
Proceeds from stock option exercises	`ProceedsFromStockOptionsExercised`	$3.39M	USD	3 Qtrs
Tax payments related to shares withheld upon vesting of restricted stock	`PaymentsRelatedToTaxWithholdingForShareBasedCompensation`	$5.00K	USD	3 Qtrs
Tax payments related to shares withheld upon vesting of restricted stock	`PaymentsRelatedToTaxWithholdingForShareBasedCompensation`	$450.00K	USD	3 Qtrs
Net cash provided by financing activities	`NetCashProvidedByUsedInFinancingActivities`	$86.16M	USD	3 Qtrs
Net cash provided by financing activities	`NetCashProvidedByUsedInFinancingActivities`	$75.28M	USD	3 Qtrs
Effect of exchange rate changes on cash	`EffectOfExchangeRateOnCashCashEquivalentsRestrictedCashAndRestrictedCashEquivalents`	$-35.00K	USD	3 Qtrs
Effect of exchange rate changes on cash	`EffectOfExchangeRateOnCashCashEquivalentsRestrictedCashAndRestrictedCashEquivalents`	$-831.00K	USD	3 Qtrs
Net increase in cash	`CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalentsPeriodIncreaseDecreaseIncludingExchangeRateEffect`	$11.93M	USD	3 Qtrs
Net increase in cash	`CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalentsPeriodIncreaseDecreaseIncludingExchangeRateEffect`	$-14.16M	USD	3 Qtrs
Cash at beginning of period	`CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalents`	$53.41M	USD	Point-in-time
Cash at beginning of period	`CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalents`	$66.36M	USD	Point-in-time
Cash at beginning of period	`CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalents`	$52.19M	USD	Point-in-time
Cash at beginning of period	`CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalents`	$65.35M	USD	Point-in-time
Cash at end of period	`CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalents`	$53.41M	USD	Point-in-time
Cash at end of period	`CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalents`	$66.36M	USD	Point-in-time
Cash at end of period	`CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalents`	$52.19M	USD	Point-in-time
Cash at end of period	`CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalents`	$65.35M	USD	Point-in-time
Cash paid for interest	`InterestPaidNet`	$4.18M	USD	3 Qtrs
Cash paid for interest	`InterestPaidNet`	$4.20M	USD	3 Qtrs
Cash paid for income taxes	`IncomeTaxesPaidNet`	$1.81M	USD	3 Qtrs
Cash paid for income taxes	`IncomeTaxesPaidNet`	$1.30M	USD	3 Qtrs
Unpaid balance for property and equipment	`CapitalExpendituresIncurredButNotYetPaid`	$1.27M	USD	3 Qtrs
Unpaid balance for property and equipment	`CapitalExpendituresIncurredButNotYetPaid`	$32.00K	USD	3 Qtrs
Unpaid balance for intangible assets	`NoncashOrPartNoncashAcquisitionIntangibleAssetsAcquired1`	-	USD	3 Qtrs
Unpaid balance for intangible assets	`NoncashOrPartNoncashAcquisitionIntangibleAssetsAcquired1`	$1.28M	USD	3 Qtrs
Equity consideration in an asset acquisition	`NoncashOrPartNoncashAcquisitionNoncashEquityInstrumentConsideration`	$250.00K	USD	3 Qtrs
Equity consideration in an asset acquisition	`NoncashOrPartNoncashAcquisitionNoncashEquityInstrumentConsideration`	-	USD	3 Qtrs
Interest capitalized for construction in progress	`InterestCostsCapitalized`	$3.02M	USD	3 Qtrs
Interest capitalized for construction in progress	`InterestCostsCapitalized`	-	USD	3 Qtrs

Stockholders Equity 62 line items

Line Item	Tag	Value	Unit	Period
Beginning balance (in shares)	`CommonStockSharesIssued`	26.21M	shares	Point-in-time
Beginning balance (in shares)	`CommonStockSharesIssued`	24.82M	shares	Point-in-time
Beginning balance	`StockholdersEquity`	$15.87M	USD	Point-in-time
Beginning balance	`StockholdersEquity`	$-8.19M	USD	Point-in-time
Beginning balance	`StockholdersEquity`	$30.49M	USD	Point-in-time
Beginning balance	`StockholdersEquity`	$47.84M	USD	Point-in-time
Beginning balance	`StockholdersEquity`	$1.52M	USD	Point-in-time
Beginning balance	`StockholdersEquity`	$50.74M	USD	Point-in-time
Beginning balance	`StockholdersEquity`	$-16.00M	USD	Point-in-time
Beginning balance	`StockholdersEquity`	$54.87M	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`	$250.00K	USD	1 Quarter
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
Issuance of common stock in lieu of cash compensation	`StockIssuedDuringPeriodValueIssuedForServices`	$35.00K	USD	1 Quarter
Warrant exercises	`StockIssuedDuringPeriodValueWarrantExercises`	-	USD	1 Quarter
Stock option exercises (in shares)	`StockIssuedDuringPeriodSharesStockOptionsExercised`	89,291.00	shares	3 Qtrs
Stock option exercises	`StockIssuedDuringPeriodValueStockOptionsExercised`	$593.00K	USD	1 Quarter
Stock option exercises	`StockIssuedDuringPeriodValueStockOptionsExercised`	$1.27M	USD	1 Quarter
Stock option exercises	`StockIssuedDuringPeriodValueStockOptionsExercised`	$1.70M	USD	1 Quarter
Stock option exercises	`StockIssuedDuringPeriodValueStockOptionsExercised`	$411.00K	USD	1 Quarter
Stock option exercises	`StockIssuedDuringPeriodValueStockOptionsExercised`	$1.27M	USD	1 Quarter
Stock option exercises	`StockIssuedDuringPeriodValueStockOptionsExercised`	$210.00K	USD	1 Quarter
Share-based compensation	`StockIssuedDuringPeriodValueShareBasedCompensation`	$3.43M	USD	1 Quarter
Share-based compensation	`StockIssuedDuringPeriodValueShareBasedCompensation`	$3.62M	USD	1 Quarter
Share-based compensation	`StockIssuedDuringPeriodValueShareBasedCompensation`	$2.92M	USD	1 Quarter
Share-based compensation	`StockIssuedDuringPeriodValueShareBasedCompensation`	$3.32M	USD	1 Quarter
Share-based compensation	`StockIssuedDuringPeriodValueShareBasedCompensation`	$3.97M	USD	1 Quarter
Share-based compensation	`StockIssuedDuringPeriodValueShareBasedCompensation`	$3.74M	USD	1 Quarter
Shares withheld to cover income tax obligation upon vesting of restricted stock	`AdjustmentsRelatedToTaxWithholdingForShareBasedCompensation`	$106.00K	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`	$62.00K	USD	1 Quarter
Shares withheld to cover income tax obligation upon vesting of restricted stock	`AdjustmentsRelatedToTaxWithholdingForShareBasedCompensation`	$282.00K	USD	1 Quarter
Foreign currency translation gain (loss)	`OtherComprehensiveIncomeForeignCurrencyTransactionAndTranslationAdjustmentNetOfTaxPortionAttributableToParent`	$144.00K	USD	1 Quarter
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`	$69.00K	USD	1 Quarter
Foreign currency translation gain (loss)	`OtherComprehensiveIncomeForeignCurrencyTransactionAndTranslationAdjustmentNetOfTaxPortionAttributableToParent`	$-2.11M	USD	1 Quarter
Foreign currency translation gain (loss)	`OtherComprehensiveIncomeForeignCurrencyTransactionAndTranslationAdjustmentNetOfTaxPortionAttributableToParent`	$-402.00K	USD	1 Quarter
Foreign currency translation gain (loss)	`OtherComprehensiveIncomeForeignCurrencyTransactionAndTranslationAdjustmentNetOfTaxPortionAttributableToParent`	$-1.05M	USD	3 Qtrs
Foreign currency translation gain (loss)	`OtherComprehensiveIncomeForeignCurrencyTransactionAndTranslationAdjustmentNetOfTaxPortionAttributableToParent`	$-761.00K	USD	3 Qtrs
Net loss	`NetIncomeLoss`	$-16.75M	USD	1 Quarter
Net loss	`NetIncomeLoss`	$-11.94M	USD	1 Quarter
Net loss	`NetIncomeLoss`	$-37.11M	USD	1 Quarter
Net loss	`NetIncomeLoss`	$-5.93M	USD	1 Quarter
Net loss	`NetIncomeLoss`	$-57.96M	USD	3 Qtrs
Net loss	`NetIncomeLoss`	$-29.27M	USD	1 Quarter
Net loss	`NetIncomeLoss`	$-18.61M	USD	1 Quarter
Net loss	`NetIncomeLoss`	$-61.65M	USD	3 Qtrs
Ending balance (in shares)	`CommonStockSharesIssued`	26.21M	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`	$15.87M	USD	Point-in-time
Ending balance	`StockholdersEquity`	$-8.19M	USD	Point-in-time
Ending balance	`StockholdersEquity`	$30.49M	USD	Point-in-time
Ending balance	`StockholdersEquity`	$47.84M	USD	Point-in-time
Ending balance	`StockholdersEquity`	$1.52M	USD	Point-in-time
Ending balance	`StockholdersEquity`	$50.74M	USD	Point-in-time
Ending balance	`StockholdersEquity`	$-16.00M	USD	Point-in-time
Ending balance	`StockholdersEquity`	$54.87M	USD	Point-in-time

Comprehensive Income 24 line items

Line Item	Tag	Value	Unit	Period
Net loss	`NetIncomeLoss`	$-16.75M	USD	1 Quarter
Net loss	`NetIncomeLoss`	$-11.94M	USD	1 Quarter
Net loss	`NetIncomeLoss`	$-37.11M	USD	1 Quarter
Net loss	`NetIncomeLoss`	$-5.93M	USD	1 Quarter
Net loss	`NetIncomeLoss`	$-57.96M	USD	3 Qtrs
Net loss	`NetIncomeLoss`	$-29.27M	USD	1 Quarter
Net loss	`NetIncomeLoss`	$-18.61M	USD	1 Quarter
Net loss	`NetIncomeLoss`	$-61.65M	USD	3 Qtrs
Foreign currency translation gain (loss)	`OtherComprehensiveIncomeForeignCurrencyTransactionAndTranslationAdjustmentNetOfTaxPortionAttributableToParent`	$144.00K	USD	1 Quarter
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`	$69.00K	USD	1 Quarter
Foreign currency translation gain (loss)	`OtherComprehensiveIncomeForeignCurrencyTransactionAndTranslationAdjustmentNetOfTaxPortionAttributableToParent`	$-2.11M	USD	1 Quarter
Foreign currency translation gain (loss)	`OtherComprehensiveIncomeForeignCurrencyTransactionAndTranslationAdjustmentNetOfTaxPortionAttributableToParent`	$-402.00K	USD	1 Quarter
Foreign currency translation gain (loss)	`OtherComprehensiveIncomeForeignCurrencyTransactionAndTranslationAdjustmentNetOfTaxPortionAttributableToParent`	$-1.05M	USD	3 Qtrs
Foreign currency translation gain (loss)	`OtherComprehensiveIncomeForeignCurrencyTransactionAndTranslationAdjustmentNetOfTaxPortionAttributableToParent`	$-761.00K	USD	3 Qtrs
Other comprehensive income (loss)	`OtherComprehensiveIncomeLossNetOfTaxPortionAttributableToParent`	$-761.00K	USD	3 Qtrs
Other comprehensive income (loss)	`OtherComprehensiveIncomeLossNetOfTaxPortionAttributableToParent`	$69.00K	USD	1 Quarter
Other comprehensive income (loss)	`OtherComprehensiveIncomeLossNetOfTaxPortionAttributableToParent`	$144.00K	USD	1 Quarter
Other comprehensive income (loss)	`OtherComprehensiveIncomeLossNetOfTaxPortionAttributableToParent`	$-1.05M	USD	3 Qtrs
Comprehensive loss	`ComprehensiveIncomeNetOfTax`	$-58.72M	USD	3 Qtrs
Comprehensive loss	`ComprehensiveIncomeNetOfTax`	$-29.13M	USD	1 Quarter
Comprehensive loss	`ComprehensiveIncomeNetOfTax`	$-18.54M	USD	1 Quarter
Comprehensive loss	`ComprehensiveIncomeNetOfTax`	$-62.70M	USD	3 Qtrs

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