v3.23.2

CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS (Unaudited) - USD ($) $ in Thousands	6 Months Ended
	Jun. 30, 2023	Jun. 30, 2022
OPERATING ACTIVITIES
Net loss	$ (9,692)	$ (9,433)
Adjustments to reconcile net loss to net cash used in operating activities:
Depreciation and amortization	7,928	6,292
Stock-based compensation	5,415	3,296
Fair value adjustment of contingent consideration	(2,974)	(2,440)
Accretion of acquisition installment payable	812	1,545
Deferred income taxes	(975)	(756)
Changes in certain operating assets and liabilities:
Accounts receivable - trade	(8,964)	(6,614)
Inventories	(11,860)	(10,905)
Prepaid expenses and other current assets	72	557
Accounts payable - trade	9,724	5,298
Accrued expenses and other liabilities	1,325	1,133
Other	(1,645)	(340)
Net cash used in operating activities	(10,834)	(12,367)
INVESTING ACTIVITIES
Sale of short-term marketable securities	72,347	31,600
Payments to Acquire Marketable Securities	(44,600)	0
Purchases of property and equipment	(10,563)	(9,465)
Net cash provided by investing activities	14,087	13,775
FINANCING ACTIVITIES
Proceeds from issuance of debt with affiliate	0	31,000
Installment payment for ApiFix	(2,000)	(3,234)
Proceeds from exercise of stock options	0	42
Payments on mortgage notes	(71)	(67)
Net cash (used in) provided by financing activities	(2,071)	27,741
Effect of exchange rate changes on cash, cash equivalents and restricted cash	(335)	400
NET INCREASE IN CASH, CASH EQUIVALENTS AND RESTRICTED CASH	847	29,549
Cash, cash equivalents and restricted cash, beginning of year	10,462	9,006
Cash, cash equivalents and restricted cash, end of period	11,309	38,555
SUPPLEMENTAL DISCLOSURES
Cash paid for interest	11	60
Transfer of instruments between property and equipment and inventory	367	(130)
Right-of-use assets obtained in exchange for lease liabilities	293	116
MD Ortho
INVESTING ACTIVITIES
Business acquisitions	0	(8,360)
SUPPLEMENTAL DISCLOSURES
Issuance of common shares in acquisition	0	9,707
Medtech
INVESTING ACTIVITIES
Business acquisitions	(3,097)	0
SUPPLEMENTAL DISCLOSURES
Issuance of common shares in acquisition	2,274	0
ApiFix Ltd
SUPPLEMENTAL DISCLOSURES
Issuance of common shares in acquisition	$ 6,178	$ 10,410

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