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v3.24.3

Condensed Consolidated Statements of Cash Flows - USD ($) $ in Thousands | 9 Months Ended
--- | ---
Sep. 30, 2024 | Sep. 30, 2023
Net cash flows from operating activities: |  |
Net income (loss) | $ 3,124 | $ (26,715)
Adjustments to reconcile net income (loss) to net cash from operating activities: |  |
Depreciation and amortization | 17,910 | 17,260
Change in fair value of contingent consideration | (12,170) | 21,900
Non-cash compensation | 11,499 | 10,466
Non-cash lease expense | 5,860 | 5,467
Deferred income taxes | (4,187) | (7,250)
Non-cash debt extinguishment expense | 3,669 | 0
Write-down of inventories and deferred preservation costs | 2,911 | 3,726
Fair value adjustment of Endospan agreements | (195) | 5,000
Gain from sale of non-financial assets | 0 | (14,250)
Other | 1,818 | 2,325
Changes in operating assets and liabilities: |  |
Accounts payable, accrued expenses, and other liabilities | (5,237) | 412
Inventories and deferred preservation costs | (4,791) | (10,592)
Prepaid expenses and other assets | (4,758) | (527)
Receivables | (3,356) | 765
Net cash flows provided by operating activities | 12,097 | 7,987
Net cash flows from investing activities: |  |
Capital expenditures | (9,763) | (7,083)
Payments for Endospan agreements | (7,000) | (5,000)
Proceeds from sale of non-financial assets, net | 0 | 14,250
Net cash flows (used in) provided by investing activities | (16,763) | 2,167
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 | 5,285 | 3,467
Proceeds from financing insurance premiums | 0 | 3,558
Repayment of debt | (211,765) | (2,063)
Payment of debt issuance costs | (10,044) | 0
Principal payments on short-term notes payable | (1,027) | (1,522)
Other | (420) | (945)
Net cash flows provided by financing activities | 2,029 | 2,495
Effect of exchange rate changes on cash and cash equivalents | (130) | 1,481
(Decrease) increase in cash and cash equivalents | (2,767) | 14,130
Cash and cash equivalents beginning of period | 58,940 | 39,351
Cash and cash equivalents end of period | $ 56,173 | $ 53,481

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