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v3.8.0.1

Consolidated Statements Of Cash Flows - USD ($) | 12 Months Ended
--- | ---
Dec. 31, 2017 | Dec. 31, 2016 | Dec. 31, 2015
Net cash flows from operating activities: |  |  |
Net income | $ 3,704,000 | $ 10,778,000 | $ 4,005,000
Adjustments to reconcile net income to net cash from operating activities: |  |  |
Gain from sale of business components |  | (7,915,000) |
Gain on sale of Medafor investment |  |  | (891,000)
Depreciation and amortization | 9,745,000 | 8,384,000 | 5,863,000
Non-cash compensation | 6,919,000 | 6,328,000 | 5,089,000
Write-down of inventories and deferred preservation costs | 2,110,000 | 1,364,000 | 1,341,000
Deferred income taxes | (1,483,000) | 595,000 | 3,681,000
Other non-cash adjustments to income | 676,000 | 268,000 | 268,000
Changes in operating assets and liabilities: |  |  |
Receivables | (7,258,000) | 4,142,000 | (3,809,000)
Inventories and deferred preservation costs | (9,369,000) | (9,460,000) | (2,262,000)
Prepaid expenses and other assets | (2,968,000) | 515,000 | (1,187,000)
Accounts payable, accrued expenses, and other liabilities | 8,727,000 | 4,720,000 | (656,000)
Net cash flows provided by operating activities | 10,803,000 | 19,719,000 | 11,442,000
Net cash flows used in investing activities: |  |  |
Acquisition of JOTEC, net of cash acquired | (164,661,000) |  |
Acquisition of On-X, net of cash acquired |  | (91,152,000) |
Acquisition of PhotoFix technology | (409,000) | (1,226,000) |
Acquisition of French distribution business |  |  | (1,349,000)
Capital expenditures | (6,632,000) | (6,198,000) | (3,490,000)
Proceeds from sale of business components | 740,000 | 19,795,000 |
Proceeds from sale of Medafor investment |  |  | 891,000
Decrease in restricted cash |  | 5,000,000 |
Sales and maturities of restricted securities and investments | 1,010,000 | 1,067,000 | 1,157,000
Purchases of restricted securities and investments | (954,000) | (1,014,000) | (1,085,000)
Other | (86,000) | (126,000) | (610,000)
Net cash flows provided by (used in) investing activities | (170,992,000) | (73,854,000) | (4,486,000)
Net cash flows from financing activities: |  |  |
Proceeds from issuance of term loan | 225,000,000 | 75,000,000 |
Payoff of debt agreement | (67,219,000) |  |
Payment of debt issuance costs | (10,144,000) | (2,289,000) |
Repayment of term loan | (4,994,000) | (1,406,000) |
Proceeds from exercise of stock options and issuance of common stock | 3,126,000 | 2,203,000 | 1,526,000
Cash dividends paid |  |  | (3,408,000)
Redemption and repurchase of stock to cover tax withholdings | (1,614,000) | (697,000) | (1,386,000)
Other | (910,000) | 617,000 | 458,000
Net cash flows used in financing activities | 143,245,000 | 73,428,000 | (2,810,000)
Effect of exchange rate changes on cash | 279,000 | (239,000) | 67,000
(Decrease) increase in cash and cash equivalents | (16,665,000) | 19,054,000 | 4,213,000
Cash and cash equivalents, beginning of period | 56,642,000 | 37,588,000 | 33,375,000
Cash and cash equivalents, end of period | $ 39,977,000 | $ 56,642,000 | $ 37,588,000

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- Definition The cash inflow associated with the amount received from the sale of a portion of the company's business, for example a segment, division, branch or other business, during the period. + References Reference 1: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 230 -SubTopic 10 -Section 45 -Paragraph 12 -Subparagraph (b) -URI http://asc.fasb.org/extlink&oid=98514028&loc=d3e3179-108585 + Details
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- Definition The cash inflow from the additional capital contribution to the entity. + References Reference 1: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 230 -SubTopic 10 -Section 45 -Paragraph 14 -Subparagraph (a) -URI http://asc.fasb.org/extlink&oid=98514028&loc=d3e3255-108585 + Details
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- Definition The cash inflow from a borrowing supported by a written promise to pay an obligation. + References Reference 1: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 230 -SubTopic 10 -Section 45 -Paragraph 14 -Subparagraph (b) -URI http://asc.fasb.org/extlink&oid=98514028&loc=d3e3255-108585 + Details
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- Definition Amount of cash inflow (outflow) from financing activities classified as other. + References Reference 1: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 230 -SubTopic 10 -Section 45 -Paragraph 8 -URI http://asc.fasb.org/extlink&oid=98514028&loc=d3e3095-108585 Reference 2: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 230 -SubTopic 10 -Section 45 -Paragraph 9 -URI http://asc.fasb.org/extlink&oid=98514028&loc=d3e3098-108585 + Details
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- Definition Amount of cash inflow from the sale of investments classified as other. + References Reference 1: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 230 -SubTopic 10 -Section 45 -Paragraph 12 -URI http://asc.fasb.org/extlink&oid=98514028&loc=d3e3179-108585 Reference 2: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 230 -SubTopic 10 -Section 45 -Paragraph 24 -URI http://asc.fasb.org/extlink&oid=98514028&loc=d3e3521-108585 Reference 3: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 230 -SubTopic 10 -Section 45 -Paragraph 26 -URI http://asc.fasb.org/extlink&oid=98514028&loc=d3e3574-108585 + Details
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- Definition The cash inflow associated with the sale of investments that are pledged or subject to withdrawal restrictions during the period. + References Reference 1: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 230 -SubTopic 10 -Section 45 -Paragraph 12 -URI http://asc.fasb.org/extlink&oid=98514028&loc=d3e3179-108585 + Details
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- Definition The cash outflow for a borrowing supported by a written promise to pay an obligation. + References Reference 1: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 230 -SubTopic 10 -Section 45 -Paragraph 15 -Subparagraph (b) -URI http://asc.fasb.org/extlink&oid=98514028&loc=d3e3291-108585 + Details
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- Definition The aggregate amount of noncash, equity-based employee remuneration. This may include the value of stock or unit options, amortization of restricted stock or units, and adjustment for officers' compensation. As noncash, this element is an add back when calculating net cash generated by operating activities using the indirect method. + References Reference 1: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 230 -SubTopic 10 -Section 45 -Paragraph 28 -Subparagraph (a) -URI http://asc.fasb.org/extlink&oid=98514028&loc=d3e3602-108585 + Details
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