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Consolidated Statements of Cash Flows - USD ($) $ in Thousands | 12 Months Ended
--- | ---
Dec. 31, 2024 | Dec. 31, 2023 | Dec. 31, 2022
Cashflows provided by operating activities: |  |  |  |
Net Loss of ZimVie Inc. |  | $ (25,825) | $ (393,282) | $ (63,881)
Adjustments to reconcile net loss to net cash provided by operating activities: |  |  |  |
Depreciation and amortization |  | 34,312 | 121,686 | 122,789
Share-based compensation |  | 16,592 | 27,020 | 30,289
Deferred income tax provision |  | (4,243) | (17,088) | (70,422)
Loss on disposal of fixed assets |  | 5,518 | 2,996 | 3,358
Other non-cash items |  | 4,985 | 3,245 | 1,172
Gain on sale of spine disposal group (Note 3) |  | (11,079) | 0 | 0
Adjustment of spine disposal group to fair value (Note 3) | [1] | (11,143) | 289,456 | 0
Changes in operating assets and liabilities, net of acquired assets and liabilities |  |  |  |
Income taxes |  | 3,253 | (15,054) | 5,485
Accounts receivable |  | (4,202) | 21,083 | (26,156)
Related party receivables |  | 0 | 8,483 | (8,483)
Inventories |  | 6,443 | 25,446 | 10,210
Prepaid expenses and other current assets |  | (3,015) | 5,340 | (19,951)
Accounts payable and accrued liabilities |  | 8,323 | (24,759) | 21,842
Related party payable |  | 0 | (13,176) | 13,176
Other assets and liabilities |  | (5,745) | (4,248) | 5,200
Net cash provided by operating activities |  | 14,174 | 37,148 | 24,628
Cash flows provided by (used in) investing activities |  |  |  |
Additions to instruments |  | (1,330) | (5,978) | (10,089)
Additions to other property, plant and equipment |  | (5,352) | (6,509) | (16,457)
Net cash proceeds from sale of spine disposal group |  | 290,918 | 0 | 0
Other investing activities |  | (1,940) | (2,687) | (2,117)
Net cash provided by (used in) investing activities |  | 282,296 | (15,174) | (28,663)
Cash flows used in financing activities |  |  |  |
Net transactions with Zimmer Biomet |  | 0 | 0 | 6,920
Dividend paid to Zimmer Biomet |  | 0 | 0 | (540,567)
Proceeds from debt |  | 0 | 4,760 | 595,000
Payments on debt |  | (290,000) | (29,304) | (58,544)
Debt issuance costs |  | 0 | 0 | (5,170)
Payments related to tax withholding for share-based compensation |  | (2,825) | (3,402) | 0
Proceeds from stock option activity |  | 1,872 | 2,280 | 1,059
Business combination contingent consideration payments |  | (3,712) | 0 | 0
Other financing activities |  | 0 | 0 | (5)
Net cash used in financing activities |  | (294,665) | (25,666) | (1,307)
Effect of exchange rates on cash and cash equivalents |  | (13,001) | 1,859 | (5,456)
Decrease in cash and cash equivalents |  | (11,196) | (1,833) | (10,798)
Cash and cash equivalents, beginning of year |  | 87,768 | 89,601 | 100,399
Cash and cash equivalents, end of period |  | 76,572 | 87,768 | 89,601
Supplemental cash flow information: |  |  |  |
Income taxes paid, net |  | 8,691 | 20,152 | 25,730
Interest paid |  | 21,753 | 37,709 | 17,283
Promissory note receivable issued in connection with the sale of spine disposal group |  | 60,000 | 0 | 0
Interest received in-kind |  | 4,643 | 0 | 0
Recognition (derecognition) of right-of-use assets |  | 3,689,000 | (1,222,000) | (14,174,000)
(Recognition) derecognition of lease liabilities |  | $ (3,692,000) | $ 1,225,000 | $ 15,303,000
[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, immediately prior to the sale, which resulted in a reduction of the December 2023 write-down of $11.1 million.

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