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Condensed Consolidated Statements of Cash Flows - USD ($) $ in Thousands | 6 Months Ended
--- | ---
Jun. 30, 2024 | Jun. 30, 2023
Net cash flows from operating activities: |  |
Net income (loss) | $ 5,412 | $ (16,914)
Adjustments to reconcile net income (loss) to net cash from operating activities: |  |
Depreciation and amortization | 11,800 | 11,501
Non-cash compensation | 7,730 | 7,279
Non-cash lease expense | 3,897 | 3,631
Loss on extinguishment of debt | 3,669 | 0
Write-down of inventories and deferred preservation costs | 1,508 | 2,021
Deferred income taxes | 994 | (8,073)
Fair value adjustment of long-term loan | 0 | 5,000
Gain from sale of non-financial assets | 0 | (14,250)
Change in fair value of contingent consideration | (15,680) | 15,700
Other | 1,178 | 1,836
Changes in operating assets and liabilities: |  |
Inventories and deferred preservation costs | (2,165) | (6,921)
Prepaid expenses and other assets | (5,224) | (2,317)
Accounts payable, accrued expenses, and other liabilities | (6,031) | 1,607
Receivables | (6,446) | 655
Net cash flows provided by operating activities | 642 | 755
Net cash flows from investing activities: |  |
Proceeds from sale of non-financial assets, net | 0 | 14,250
Payments for Endospan Agreement | 0 | (5,000)
Capital expenditures | (6,124) | (5,015)
Net cash flows (used in) provided by investing activities | (6,124) | 4,235
Net cash flows from financing activities: |  |
Proceeds from issuance of debt | 190,000 | 0
Proceeds from revolving credit facility | 30,000 | 0
Proceeds from exercise of stock options and issuance of common stock | 3,587 | 2,581
Proceeds from financing insurance premiums | 0 | 3,558
Principal payments on short-term notes payable | (1,027) | (529)
Payment of debt issuance costs | (10,044) | 0
Repayment of debt | (211,688) | (1,381)
Other | (272) | (825)
Net cash flows provided by financing activities | 556 | 3,404
Effect of exchange rate changes on cash and cash equivalents | 1,005 | 1,030
(Decrease) increase in cash and cash equivalents | (3,921) | 9,424
Cash and cash equivalents beginning of period | 58,940 | 39,351
Cash and cash equivalents end of period | $ 55,019 | $ 48,775

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