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Consolidated Statements Of Cash Flows - USD ($) $ in Thousands | 12 Months Ended
--- | ---
Dec. 31, 2019 | Dec. 31, 2018 | Dec. 31, 2017
Net cash flows from operating activities: |  |  |
Net income (loss) | $ 1,720 | $ (2,840) | $ 3,704
Adjustments to reconcile net income to net cash from operating activities: |  |  |
Depreciation and amortization | 18,317 | 18,095 | 9,745
Non-cash compensation | 8,799 | 6,325 | 6,919
Non-cash lease expense | 5,009 |  |
Write-down of inventories and deferred preservation costs | 1,488 | 649 | 2,110
Deferred income taxes | (2,305) | (4,485) | (1,483)
Other | 2,182 | 2,149 | 676
Changes in operating assets and liabilities: |  |  |
Receivables | (5,332) | (1,119) | (7,258)
Inventories and deferred preservation costs | (8,125) | 2,384 | (9,369)
Prepaid expenses and other assets | (6,177) | (2,407) | (2,968)
Accounts payable, accrued expenses, and other liabilities | 251 | (8,870) | 8,727
Net cash flows provided by operating activities | 15,827 | 9,881 | 10,803
Net cash flows used in investing activities: |  |  |
Payments for Endospan Agreements | (15,000) |  |
Capital expenditures | (8,072) | (5,786) | (6,632)
Acquisition of JOTEC, net of cash acquired |  |  | (164,661)
Acquisition of PhotoFix technology |  |  | (409)
Proceeds from sale of business components |  |  | 740
Other | (871) | (929) | (86)
Net cash flows used in investing activities | (23,943) | (6,715) | (171,048)
Net cash flows from financing activities: |  |  |
Repayment of term loan | (2,780) | (2,790) | (4,994)
Payment of debt issuance costs |  | (624) | (10,144)
Proceeds from issuance of term loan |  |  | 225,000
Payoff of debt agreement |  |  | (67,219)
Proceeds from exercise of stock options and issuance of common stock | 4,758 | 3,854 | 3,126
Redemption and repurchase of stock to cover tax withholdings | (2,743) | (2,100) | (1,614)
Other | (728) | (902) | (910)
Net cash flows (used in) provided by financing activities | (1,493) | (2,562) | 143,245
Effect of exchange rate changes on cash | 1,667 | 879 | 412
(Decrease) increase in cash, cash equivalents, and restricted securities | (7,942) | 1,483 | (16,588)
Cash, cash equivalents, and restricted securities, beginning of year | 42,236 | 40,753 | 57,341
Cash, cash equivalents, and restricted securities, end of year | $ 34,294 | $ 42,236 | $ 40,753

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- Definition Amount of noncash expense for share-based payment arrangement. + 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=118932676&loc=d3e3602-108585 + Details
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