v3.22.4

CONSOLIDATED STATEMENTS OF CASH FLOWS - USD ($) | 12 Months Ended
--- | ---
Dec. 31, 2022 | Dec. 31, 2021 | Dec. 31, 2020
OPERATING ACTIVITIES |  |  |
Net income (loss) | $ 1,258,000 | $ (16,260,000) | $ (32,944,000)
Adjustments to reconcile net income (loss) to net cash used in operating activities: |  |  |
Impairment | 3,609,000 | 0 | 0
Depreciation and amortization | 13,099,000 | 10,680,000 | 8,010,000
Stock-based compensation | 6,679,000 | 5,842,000 | 6,196,000
Fair value adjustment of contingent consideration | (25,930,000) | (1,800,000) | 3,520,000
Acquisition installment payable | 2,307,000 | 2,154,000 | 2,397,000
Deferred income taxes | (5,032,000) | (1,128,000) | (723,000)
Changes in certain current assets and liabilities: |  |  |
Accounts receivable - trade | (3,983,000) | (466,000) | (451,000)
Inventories | (16,938,000) | (5,050,000) | (12,070,000)
Prepaid expenses and other current assets | (506,000) | (637,000) | (719,000)
Accounts payable - trade | (209,000) | (567,000) | 3,071,000
Accrued legal settlements | 0 | (6,342,000) | 6,342,000
Accrued expenses and other liabilities | 3,344,000 | 1,095,000 | (1,074,000)
Other | 536,000 | (584,000) | (85,000)
Net cash used in operating activities | (21,766,000) | (13,063,000) | (18,530,000)
INVESTING ACTIVITIES |  |  |
Acquisition of MDO, net of cash acquired | (8,360,000) | 0 | 0
Acquisition of Pega, net of cash acquired | (31,730,000) | 0 | 0
Acquisition of Devise Ortho assets | 0 | (650,000) | 0
Acquisition of Telos, net of cash acquired | 0 | 0 | (1,670,000)
Acquisition of ApiFix, net of cash acquired | 0 | 0 | (1,723,000)
Sale of short-term marketable securities | 46,872,000 | 9,250,000 | 0
Purchase of short-term marketable securities | (110,122,000) | 0 | (55,000,000)
Purchases of property and equipment | (10,031,000) | (8,103,000) | (10,504,000)
Net cash used in investing activities | (113,371,000) | (7,411,000) | (69,693,000)
FINANCING ACTIVITIES |  |  |
Payments on debt with affiliate | (31,000,000) | 0 | (25,000,000)
Proceeds from issuance of debt with affiliate | 31,000,000 | 0 | 0
Proceeds from issuance of common stock, net of issuance costs | 139,282,000 | 0 | 70,207,000
Proceeds from exercise of stock options | 63,000 | 137,000 | 1,650,000
Installment payment for ApiFix | (3,234,000) | 0 | 0
Payments on mortgage notes | (137,000) | (131,000) | (125,000)
Net cash provided by financing activities | 135,974,000 | 6,000 | 46,732,000
Effect of exchange rate changes on cash | 619,000 | (658,000) | (404,000)
NET INCREASE (DECREASE) IN CASH AND RESTRICTED CASH | 1,456,000 | (21,126,000) | (41,895,000)
Cash and restricted cash, beginning of period | 9,006,000 | 30,132,000 | 72,027,000
Cash and restricted cash, end of period | 10,462,000 | 9,006,000 | 30,132,000
SUPPLEMENTAL DISCLOSURES |  |  |
Cash paid for interest | 700,000 | 56,000 | 1,233,000
Transfer of instruments from property and equipment to inventory | (234,000) | 453,000 | 415,000
Telos |  |  |
SUPPLEMENTAL DISCLOSURES |  |  |
Issuance of common shares in acquisition | 0 | 0 | 1,568,000
ApiFix |  |  |
Adjustments to reconcile net income (loss) to net cash used in operating activities: |  |  |
Impairment | 3,609,000 |  |
SUPPLEMENTAL DISCLOSURES |  |  |
Issuance of common shares in acquisition | 0 | 0 | 35,176,000
ApiFix acquisition installment |  |  |
SUPPLEMENTAL DISCLOSURES |  |  |
Issuance of common shares in acquisition | 10,410,000 | 0 | 0
Band-Lok |  |  |
SUPPLEMENTAL DISCLOSURES |  |  |
Issuance of common shares in acquisition | 0 | 0 | 2,644,000
Devise Ortho |  |  |
SUPPLEMENTAL DISCLOSURES |  |  |
Issuance of common shares in acquisition | 0 | 298,000 | 0
MDO |  |  |
SUPPLEMENTAL DISCLOSURES |  |  |
Issuance of common shares in acquisition | 9,707,000 | 0 | 0
Band-Lok intangible assets |  |  |
INVESTING ACTIVITIES |  |  |
Payments to acquire intangible assets | 0 | 0 | (796,000)
Licenses |  |  |
INVESTING ACTIVITIES |  |  |
Payments to acquire intangible assets | $ 0 | $ (7,908,000) | $ 0

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