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Condensed Consolidated Statements of Cash Flows (Unaudited) - USD ($) $ in Thousands | 3 Months Ended | 12 Months Ended
--- | --- | ---
Mar. 31, 2024 | Mar. 31, 2023 | Dec. 31, 2023
Cash flows used in operating activities: |  |  |  |  |
Net Loss of ZimVie Inc. | $ (7,761) |  | $ (29,968) |  |
Adjustments to reconcile net loss to net cash used in operating activities: |  |  |  |  |
Depreciation and amortization | 8,430 |  | 32,631 |  |
Share-based compensation | 3,473 |  | 4,841 |  |
Deferred income tax provision | (233) |  | (4,208) |  |
Loss on disposal of fixed assets | 413 |  | 0 |  |
Other non-cash items | 1,596 |  | 1,556 |  |
Adjustment of spine disposal group to fair value (Note 2) | (11,143) | [1] | 0 | [1] | $ 289,500
Changes in operating assets and liabilities |  |  |  |  |
Income taxes | 6,586 |  | 7,047 |  |
Accounts receivable | (6,651) |  | (4,958) |  |
Related party receivable | 0 |  | 8,483 |  |
Inventories | 4,588 |  | 5,431 |  |
Prepaid expenses and other current assets | 323 |  | 1,311 |  |
Accounts payable and accrued liabilities | (10,264) |  | (11,572) |  |
Related party payable | 0 |  | (13,176) |  |
Other assets and liabilities | (868) |  | (4,614) |  |
Net cash used in operating activities | (11,511) |  | (7,196) |  |
Cash flows used in investing activities: |  |  |  |  |
Additions to instruments | (1,316) |  | (1,951) |  |
Additions to other property, plant and equipment | (835) |  | (1,887) |  |
Other investing activities | (1,987) |  | (1,994) |  |
Net cash used in investing activities | (4,138) |  | (5,832) |  |
Cash flows used in financing activities: |  |  |  |  |
Payments on debt | 0 |  | (10,519) |  |
Payments related to tax withholding for share-based compensation | (1,437) |  | (417) |  |
Net cash used in financing activities | (1,437) |  | (10,936) |  |
Effect of exchange rates on cash and cash equivalents | (2,098) |  | 777 |  |
Decrease in cash and cash equivalents | (19,184) |  | (23,187) |  |
Cash and cash equivalents, beginning of year | 87,768 |  | 89,601 |  | 89,601
Cash and cash equivalents, end of period | 68,584 |  | 66,414 |  | $ 87,768
Supplemental cash flow information: |  |  |  |  |
Income taxes (refunded) paid, net | (2,366) |  | 1,664 |  |
Interest paid | $ 9,360 |  | $ 8,121 |  |
[1] | We performed an impairment analysis of the spine segment in December 2023 on a held-for-sale basis. The fair value of consideration to be received upon closure of the transaction was less than the carrying value of the spine segment's net assets resulting in a write-down of $289.5 million. We updated our analysis as of March 31, 2024, which resulted in a reduction of the December 2023 write-down of $11.1 million.

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