v3.25.1

CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS (Unaudited) - USD ($) $ in Thousands | 3 Months Ended
--- | ---
Mar. 31, 2025 | Mar. 31, 2024
OPERATING ACTIVITIES |  |
Net loss | $ (10,659) | $ (7,805)
Adjustments to reconcile net loss to net cash used in operating activities: |  |
Depreciation and amortization | 5,048 | 5,028
Stock-based compensation | 3,859 | 2,799
Accretion of acquisition installment payable | 62 | 281
Deferred income taxes | 196 | (2,445)
Non-cash other | 139 | 0
Changes in certain operating assets and liabilities: |  |
Accounts receivable - trade | (1,497) | 1,155
Inventories | (1,906) | (6,631)
Prepaid expenses and other current assets | (519) | (953)
Accounts payable - trade | 5,207 | 6,562
Accrued expenses and other liabilities | (2,528) | (5,049)
Other | (1,558) | 368
Net cash used in operating activities | (4,156) | (6,690)
INVESTING ACTIVITIES |  |
Acquisition of Boston O&P, net of cash acquired | 0 | (20,693)
Clinic acquisition, net of cash acquired | (220) | 0
Sale of short-term marketable securities | 0 | 23,474
Investment in private companies | (1,540) | 0
Purchases of property and equipment | (4,227) | (6,460)
Net cash used in investing activities | (5,987) | (3,679)
FINANCING ACTIVITIES |  |
Payments on mortgage notes | (39) | (35)
Payments on clinic acquisition notes | (87) | (538)
Net cash used in financing activities | (126) | (573)
Effect of exchange rate changes on cash, cash equivalents and restricted cash | (79) | 1,479
NET DECREASE IN CASH, CASH EQUIVALENTS AND RESTRICTED CASH | (10,348) | (9,463)
Cash, cash equivalents and restricted cash, beginning of year | 45,777 | 33,027
Cash, cash equivalents and restricted cash, end of period | 35,429 | 23,564
SUPPLEMENTAL DISCLOSURES |  |
Cash paid for interest | 1,269 | 223
Transfer of instruments between property and equipment and inventory | (461) | 117
Right-of-use assets obtained in exchange for lease liabilities | 1,682 | 347
Issuance of common shares in connection with Boston O&P acquisition | $ 233 | $ 0

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