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Consolidated Statements of Cash Flows - USD ($) $ in Thousands | 12 Months Ended
--- | ---
Dec. 31, 2023 | Dec. 31, 2022 | Dec. 31, 2021 | Dec. 31, 2020
Cash flows from operating activities |  |  |  |
Net loss | $ (151,395) | $ (19,749) | $ (38,379) |
Adjustments to reconcile net loss to net cash from operating activities |  |  |  |
Depreciation and amortization | 53,063 | 29,019 | 29,599 |
Inventory reserve expenses | 27,576 | 14,907 | 10,826 |
Amortization of inventory fair value step up | 36,044 |  |  |
Impairment of goodwill |  |  | 11,756 |
Amortization of operating lease assets, debt costs, and other assets | 7,498 | 3,056 | 3,496 |
Provision for expected credit losses | 820 | 2,095 | 444 |
Deferred income taxes | 579 | 314 | 24,482 |
Share-based compensation expense | 35,707 | 18,443 | 15,432 |
Interest and (gain) loss on the valuation of investment securities | 596 | (308) | (1,146) |
Change in fair value of contingent consideration | (2,700) | (17,200) | (3,575) |
Other | 423 | 2,027 | 1,064 |
Changes in operating assets and liabilities, net of effects of acquisitions |  |  |  |
Accounts receivable | (10,411) | (6,735) | (7,049) |
Inventories | (58,051) | (33,040) | (10,207) |
Prepaid expenses and other current assets | 1,760 | (874) | (2,834) |
Accounts payable | 8,642 | 2,282 | 4,253 |
Other current liabilities | 4,069 | 627 | 1,013 |
Contract liability (Note 15) |  | (4,791) | (9,060) | $ 13,900
Payment of contingent consideration |  |  | (6,595) |
Other long-term assets and liabilities | 27 | (1,611) | (5,045) |
Net cash from operating activities | (45,753) | (11,538) | 18,475 |
Cash flows from investing activities |  |  |  |
Capital expenditures for property, plant and equipment | (60,256) | (21,364) | (17,785) |
Capital expenditures for intangible assets | (1,794) | (1,796) | (1,807) |
Contingent consideration payments related to asset acquisitions |  | (1,500) |  |
Purchase of investment securities |  |  | (2,171) |
Cash acquired in SeaSpine merger | 29,419 |  |  |
Other investing activities | (500) | 126 | (1,250) |
Net cash from investing activities | (33,131) | (24,534) | (23,013) |
Cash flows from financing activities |  |  |  |
Proceeds from credit facilities | 174,500 |  |  |
Repayment of borrowings from credit facilities | (79,000) |  |  |
Payment of debt acquired from SeaSpine merger | (26,899) |  |  |
Proceeds from issuance of common shares | 5,127 | 4,337 | 8,824 |
Payments related to withholdings for share-based compensation | (4,397) | (1,729) | (2,555) |
Payment of contingent consideration | (1,000) |  | (8,405) |
Payments related to finance lease obligation | (652) | (2,594) | (537) |
Payment of debt issuance costs and other financing activities | (2,357) | (92) | (948) |
Net cash from financing activities | 65,322 | (78) | (3,621) |
Effect of exchange rate changes on cash and restricted cash | 619 | (997) | (815) |
Net change in cash, cash equivalents, and restricted cash | (12,943) | (37,147) | (8,974) |
Cash, cash equivalents, and restricted cash at the beginning of the year | 50,700 | 87,847 | 96,821 |
Cash, cash equivalents, and restricted cash at the end of the year | 37,757 | 50,700 | 87,847 | 96,821
Components of cash, cash equivalents, and restricted cash at the end of the year |  |  |  |
Cash and cash equivalents | 33,107 | 50,700 | 87,847 |
Restricted cash | 4,650 |  |  |
Cash, cash equivalents, and restricted cash at the end of the year | $ 37,757 | $ 50,700 | $ 87,847 | $ 96,821

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