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v3.10.0.1

Consolidated Statements Of Cash Flows - USD ($) $ in Thousands | 12 Months Ended
--- | ---
Dec. 31, 2018 | Dec. 31, 2017 | Dec. 31, 2016
Net cash flows from operating activities: |  |  |
Net (loss) income | $ (2,840) | $ 3,704 | $ 10,778
Adjustments to reconcile net income to net cash from operating activities: |  |  |
Depreciation and amortization | 18,095 | 9,745 | 8,384
Non-cash compensation | 6,325 | 6,919 | 6,328
Write-down of inventories and deferred preservation costs | 649 | 2,110 | 1,364
Deferred income taxes | (4,485) | (1,483) | 595
Gain from sale of business components |  |  | (7,915)
Other non-cash adjustments to income | 2,149 | 676 | 268
Changes in operating assets and liabilities: |  |  |
Receivables | (1,119) | (7,258) | 4,142
Inventories and deferred preservation costs | 2,384 | (9,369) | (9,460)
Prepaid expenses and other assets | (2,407) | (2,968) | 515
Accounts payable, accrued expenses, and other liabilities | (8,870) | 8,727 | 4,720
Net cash flows provided by operating activities | 9,881 | 10,803 | 19,719
Net cash flows from investing activities: |  |  |
Capital expenditures | (5,786) | (6,632) | (6,198)
Acquisition of JOTEC, net of cash acquired |  | (164,661) |
Acquisition of On-X, net of cash acquired |  |  | (91,152)
Acquisition of PhotoFix technology |  | (409) | (1,226)
Proceeds from sale of business component |  | 740 | 19,795
Other | (929) | (86) | (126)
Net cash flows used in investing activities | (6,715) | (171,048) | (78,907)
Net cash flows from financing activities: |  |  |
Repayment of term loan | (2,790) | (4,994) | (1,406)
Payment of debt issuance costs | (624) | (10,144) | (2,289)
Proceeds from issuance of term loan |  | 225,000 | 75,000
Payoff of debt agreement |  | (67,219) |
Proceeds from exercise of stock options and issuance of common stock | 3,854 | 3,126 | 2,203
Redemption and repurchase of stock to cover tax withholdings | (2,100) | (1,614) | (697)
Other | (902) | (910) | 617
Net cash flows (used in) provided by financing activities | (2,562) | 143,245 | 73,428
Effect of exchange rate changes on cash cash equivalents, and restricted securities | 879 | 412 | (317)
Increase (Decrease) in cash, cash equivalents, and restricted securities | 1,483 | (16,588) | 13,923
Cash, cash equivalents, and restricted securities beginning of year | 40,753 | 57,341 | 43,418
Cash, cash equivalents, and restricted securities end of year | $ 42,236 | $ 40,753 | $ 57,341

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- Definition The increase (decrease) during the reporting period in deferred preservation costs and inventories, associated with underlying transactions that are classified as operating activities. Preservation costs consists primarily of directlabor and materials and indirect costs which are deferred until revenue is recognized upon shipment of the tissue to an implanting facility. + References No definition available. + Details
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- Definition Amount of cash inflow (outflow) from financing activities classified as other. + References Reference 1: http://www.xbrl.org/2009/role/commonPracticeRef -Publisher FASB -Name Accounting Standards Codification -Topic 235 -SubTopic 10 -Section S99 -Paragraph 3 -Subparagraph (SX 210.12-04(a)) -URI http://asc.fasb.org/extlink&oid=26873400&loc=d3e24072-122690 Reference 2: http://www.xbrl.org/2009/role/commonPracticeRef -Publisher FASB -Name Accounting Standards Codification -Topic 230 -SubTopic 10 -Section 45 -Paragraph 14 -URI http://asc.fasb.org/extlink&oid=109223946&loc=d3e3255-108585 Reference 3: http://www.xbrl.org/2009/role/commonPracticeRef -Publisher FASB -Name Accounting Standards Codification -Topic 230 -SubTopic 10 -Section 45 -Paragraph 15 -URI http://asc.fasb.org/extlink&oid=109223946&loc=d3e3291-108585 + 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://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 230 -SubTopic 10 -Section 45 -Paragraph 15 -Subparagraph (b) -URI http://asc.fasb.org/extlink&oid=109223946&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://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 230 -SubTopic 10 -Section 45 -Paragraph 28 -Subparagraph (a) -URI http://asc.fasb.org/extlink&oid=109223946&loc=d3e3602-108585 + Details
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