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v3.25.0.1

Consolidated Statements of Cash Flows - USD ($) $ in Thousands | 12 Months Ended
--- | ---
Dec. 31, 2024 | Dec. 31, 2023 | Dec. 31, 2022
Net cash flows from operating activities: |  |  |
Net loss | $ (13,359) | $ (30,690) | $ (19,192)
Adjustments to reconcile net loss to net cash from operating activities: |  |  |
Depreciation and amortization | 24,205 | 23,076 | 22,442
Non-cash compensation | 14,242 | 14,422 | 12,344
Non-cash lease expense | 4,915 | 4,541 | 4,666
Write-down of inventories and deferred preservation costs | 4,434 | 4,785 | 4,374
Non-cash interest expense | 3,866 | 1,858 | 1,832
Deferred income taxes | (1,511) | (1,385) | (1,717)
Change in fair value of contingent consideration | (11,010) | 23,490 | (9,000)
Endospan fair value adjustments | 4,329 | 5,000 | 0
Loss on extinguishment of debt | 3,669 | 0 | 0
Gain from sale of non-financial assets | 0 | (14,250) | 0
Other | 5,699 | 1,358 | 2,268
Changes in operating assets and liabilities: |  |  |
Receivables | (15,395) | (4,050) | (13,340)
Inventories and deferred preservation costs | (6,137) | (14,360) | (8,404)
Prepaid expenses and other assets | (5,209) | 535 | (2,234)
Accounts payable, accrued expenses, and other liabilities | 9,498 | 4,495 | 808
Net cash flows provided by (used in) operating activities | 22,236 | 18,825 | (5,153)
Net cash flows from investing activities: |  |  |
Capital expenditures | (11,188) | (9,752) | (10,715)
Payments under Endospan agreements | (17,000) | (5,000) | 0
Proceeds from sale of non-financial assets, net | 0 | 14,250 | 0
Net cash flows used in investing activities | (28,188) | (502) | (10,715)
Net cash flows from financing activities: |  |  |
Proceeds from issuance of long-term debt | 184,000 | 0 | 0
Proceeds from revolving credit facility | 28,500 | 0 | 0
Repayment of debt | (211,831) | (2,772) | (2,753)
Proceeds from exercise of stock options and issuance of common stock | 5,728 | 3,955 | 3,368
Payment of debt issuance costs | (2,544) | (249) | 0
Proceeds from financing insurance premiums | 0 | 3,558 | 0
Principal payments on short-term notes payable | (1,027) | (2,531) | 0
Redemption and repurchase of stock to cover tax withholdings | 0 | (559) | (1,795)
Other | (623) | (537) | (459)
Net cash flows provided by (used in) financing activities | 2,203 | 865 | (1,639)
Effect of exchange rate changes on cash and cash equivalents | (1,728) | 401 | 1,848
(Decrease) increase in cash and cash equivalents | (5,477) | 19,589 | (15,659)
Cash and cash equivalents, beginning of year | 58,940 | 39,351 | 55,010
Cash and cash equivalents, end of year | $ 53,463 | $ 58,940 | $ 39,351

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