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Condensed Consolidated Statements of Cash Flows - USD ($)
$ in Thousands
 3 Months Ended
Mar. 31, 2023
Mar. 31, 2022
Net cash flows from operating activities:    
Net loss $ (13,532) $ (3,389)
Adjustments to reconcile net loss to net cash from operating activities:    
Depreciation and amortization 5,734 5,881
Change in fair value of contingent consideration 4,800 (1,800)
Non-cash compensation 3,341 3,166
Non-cash lease expense 1,802 1,920
Write-down of inventories and deferred preservation costs 1,123 989
Deferred income taxes (2,167) (2,966)
Other 754 496
Changes in operating assets and liabilities:    
Receivables 3,540 (1,710)
Prepaid expenses and other assets (2,014) 1,494
Inventories and deferred preservation costs (3,222) (1,359)
Accounts payable, accrued expenses, and other liabilities (6,313) (3,320)
Net cash flows used in operating activities (6,154) (598)
Net cash flows from investing activities:    
Capital expenditures (2,238) (2,239)
Acquisition of intangible assets (605) (469)
Net cash flows used in investing activities (2,843) (2,708)
Net cash flows from financing activities:    
Proceeds from exercise of stock options and issuance of common stock 2,581 2,318
Redemption and repurchase of stock to cover tax withholdings (590) (1,730)
Repayment of term loan (690) (694)
Other (130) (129)
Net cash flows provided by (used in) financing activities 1,171 (235)
Effect of exchange rate changes on cash and cash equivalents (752) (61)
Decrease in cash and cash equivalents (8,578) (3,602)
Cash and cash equivalents beginning of period 39,351 55,010
Cash and cash equivalents end of period $ 30,773 $ 51,408