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v3.20.4

Consolidated Statements Of Cash Flows - USD ($) $ in Thousands | 12 Months Ended
--- | ---
Dec. 31, 2020 | Dec. 31, 2019 | Dec. 31, 2018
Net cash flows from operating activities: |  |  |
Net (loss) income | $ (16,682) | $ 1,720 | $ (2,840)
Adjustments to reconcile net (loss) income to net cash from operating activities: |  |  |
Depreciation and amortization | 20,712 | 18,317 | 18,095
Non-cash lease expense | 7,145 | 5,009 |
Non-cash compensation | 6,912 | 8,799 | 6,325
Change in fair value of long-term loan receivable | 4,949 |  |
Change in fair value of contingent consideration | 4,523 |  |
Deferred income taxes | 4,283 | (2,305) | (4,485)
Write-down of inventories and deferred preservation costs | 3,443 | 1,488 | 649
Other | 3,780 | 2,182 | 2,149
Changes in operating assets and liabilities: |  |  |
Receivables | 9,938 | (5,332) | (1,119)
Prepaid expenses and other assets | (2,720) | (6,177) | (2,407)
Accounts payable, accrued expenses, and other liabilities | (9,157) | 251 | (8,870)
Inventories and deferred preservation costs | (24,757) | (8,125) | 2,384
Net cash flows provided by operating activities | 12,369 | 15,827 | 9,881
Net cash flows used in investing activities: |  |  |
Ascyrus Acquisition, net of cash acquired | (59,119) |  |
Capital expenditures | (7,328) | (8,072) | (5,786)
Payments for Endospan Agreements | (5,000) | (15,000) |
Other | (1,681) | (871) | (929)
Net cash flows used in investing activities | (73,128) | (23,943) | (6,715)
Net cash flows from financing activities: |  |  |
Proceeds from issuance of convertible debt | 100,000 |  |
Proceeds from revolving line of credit | 30,000 |  |
Proceeds from financing insurance premiums | 2,815 |  |
Proceeds from exercise of stock options and issuance of common stock | 2,432 | 4,758 | 3,854
Repayment of revolving line of credit | (30,000) |  |
Repayment of debt | (5,346) | (2,780) | (2,790)
Payment of debt issuance costs | (3,647) |  | (624)
Redemption and repurchase of stock to cover tax withholdings | (1,995) | (2,743) | (2,100)
Other | (651) | (728) | (902)
Net cash flows provided by (used in) financing activities | 93,608 | (1,493) | (2,562)
Effect of exchange rate changes on cash | (5,185) | 1,667 | 879
Increase (decrease) in cash, cash equivalents, and restricted securities | 27,664 | (7,942) | 1,483
Cash, cash equivalents, and restricted securities, beginning of year | 34,294 | 42,236 | 40,753
Cash, cash equivalents, and restricted securities, end of year | $ 61,958 | $ 34,294 | $ 42,236

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- Definition The cash outflow associated with the acquisition of long-lived, physical assets that are used in the normal conduct of business to produce goods and services and not intended for resale; includes cash outflows to pay for construction of self-constructed assets. + References Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 230 -SubTopic 10 -Section 45 -Paragraph 13 -Subparagraph (c) -URI http://asc.fasb.org/extlink&oid=121586364&loc=d3e3213-108585 + Details
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- Definition The cash inflow from the issuance of a long-term debt instrument which can be exchanged for a specified amount of another security, typically the entity's common stock, at the option of the issuer or the holder. + References Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 230 -SubTopic 10 -Section 45 -Paragraph 14 -Subparagraph (b) -URI http://asc.fasb.org/extlink&oid=121586364&loc=d3e3255-108585 + Details
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- Definition The cash inflow from the additional capital contribution to the entity. + References Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 230 -SubTopic 10 -Section 45 -Paragraph 14 -Subparagraph (a) -URI http://asc.fasb.org/extlink&oid=121586364&loc=d3e3255-108585 + Details
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- Definition Amount of cash inflow from contractual arrangement with the lender, including but not limited to, letter of credit, standby letter of credit and revolving credit arrangements. + References Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 230 -SubTopic 10 -Section 45 -Paragraph 14 -Subparagraph (b) -URI http://asc.fasb.org/extlink&oid=121586364&loc=d3e3255-108585 Reference 2: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 235 -SubTopic 10 -Section S99 -Paragraph 1 -Subparagraph (SX 210.4-08.(f)) -URI http://asc.fasb.org/extlink&oid=120395691&loc=d3e23780-122690 + 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=120395691&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=121586364&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=121586364&loc=d3e3291-108585 + Details
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- Definition The cash outflow for the settlement of obligation drawn from a contractual arrangement with the lender, including letter of credit, standby letter of credit and revolving credit arrangements, under which borrowings can be made up to a specific amount at any point in time with maturities due beyond one year or the operating cycle, if longer. + 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=121586364&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=121586364&loc=d3e3291-108585 + Details
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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=121586364&loc=d3e3602-108585 + Details
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