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v3.22.4

Consolidated Statements of Cash Flows - USD ($) $ in Thousands | 12 Months Ended
--- | ---
Dec. 31, 2022 | Dec. 31, 2021 | Dec. 31, 2020
Net cash flows from operating activities: |  |  |
Net loss | $ (19,192) | $ (14,834) | $ (16,682)
Adjustments to reconcile net loss to net cash from operating activities: |  |  |
Depreciation and amortization | 22,442 | 23,977 | 20,712
Non-cash compensation | 12,344 | 10,711 | 6,912
Non-cash lease expense | 7,432 | 7,521 | 7,145
Write-down of inventories and deferred preservation costs | 4,374 | 5,377 | 3,443
Non-cash interest expense | 1,832 | 2,005 | 3,656
Write-off of Endospan Option | 0 | 4,944 | 0
Change in fair value of long-term loan receivable | 0 | 409 | 4,949
Gain from sale of non-financial assets | 0 | (15,923) | 0
Deferred income taxes | (1,717) | (4,470) | 4,283
Change in fair value of contingent consideration | (9,000) | 8,870 | 4,523
Other | 2,268 | 2,060 | 124
Changes in operating assets and liabilities: |  |  |
Accounts payable, accrued expenses, and other liabilities | (1,958) | (1,893) | (9,157)
Prepaid expenses and other assets | (2,234) | (1,404) | (2,720)
Inventories and deferred preservation costs | (8,404) | (18,375) | (24,757)
Receivables | (13,340) | (11,560) | 9,938
Net cash flows (used in) provided by operating activities | (5,153) | (2,585) | 12,369
Net cash flows from investing activities: |  |  |
Proceeds from sale of non-financial assets, net | 0 | 19,000 | 0
Payments for Endospan agreement | 0 | 0 | (5,000)
Ascyrus Acquisition, net of cash acquired | 0 | 0 | (59,119)
Acquisition of intangible assets | (1,699) | (972) | (1,157)
Capital expenditures | (9,016) | (13,091) | (7,328)
Other | 0 | 723 | (524)
Net cash flows (used in) provided by investing activities | (10,715) | 5,660 | (73,128)
Net cash flows from financing activities: |  |  |
Proceeds from exercise of stock options and issuance of common stock | 3,368 | 3,756 | 2,432
Proceeds from issuance of convertible debt | 0 | 0 | 100,000
Proceeds from revolving line of credit | 0 | 0 | 30,000
Proceeds from financing insurance premiums | 0 | 0 | 2,815
Repayment of revolving line of credit | 0 | 0 | (30,000)
Payment of debt issuance costs | 0 | (2,219) | (3,647)
Payment of contingent consideration | 0 | (8,200) | 0
Redemption and repurchase of stock to cover tax withholdings | (1,795) | (1,914) | (1,995)
Repayment of debt | (2,753) | (3,085) | (5,346)
Other | (459) | (561) | (651)
Net cash flows (used in) provided by financing activities | (1,639) | (12,223) | 93,608
Effect of exchange rate changes on cash and cash equivalents | 1,848 | 2,200 | (5,185)
(Decrease) increase in cash and cash equivalents | (15,659) | (6,948) | 27,664
Cash and cash equivalents, beginning of year | 55,010 | 61,958 | 34,294
Cash and cash equivalents, end of year | $ 39,351 | $ 55,010 | $ 61,958

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