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v3.20.4

Consolidated Statements of Cash Flows - USD ($) $ in Thousands | 12 Months Ended
--- | ---
Dec. 31, 2020 | Dec. 31, 2019 | Dec. 31, 2018
Cash flows from operating activities: |  |  |
Net income (loss) | $ (23,982) | $ 27,193 | $ 18,722
Adjustments to reconcile net income (loss) to net cash provided by operating activities: |  |  |
Depreciation and amortization | 13,464 | 5,991 | 5,910
Interest expense | (25) | 0 | 0
Non-cash operating lease cost | 1,531 | 1,179 | 0
Goodwill impairment charge | 42,520 | 0 | 0
Change in fair value of contingent consideration | (28,666) | 0 | 0
Loss on disposal of fixed assets | 265 | 927 | 152
Loss on impairment of intangible asset | 2,439 | 389 | 0
Stock-based compensation expense | 5,386 | 6,087 | 11,046
Deferred income taxes | (3,543) | 794 | (1,817)
Provision (recovery) for doubtful accounts | 549 | (499) | 57
Provision for inventory | 5,490 | 1,612 | 4,419
Amortization of acquisition related inventory step-up | 11,082 | 0 | 0
Amortization of premium and accretion of discount on investments and cash equivalents | 13 | (25) | (371)
Changes in operating assets and liabilities: |  |  |
Accounts receivable | 5,855 | (1,839) | 2,914
Inventories | (14,177) | (5,585) | (7,577)
Prepaid expenses, other current and long-term assets | (1,783) | (1,641) | 899
Accounts payable | 822 | 767 | (1,671)
Operating lease liabilities | (1,439) | (1,065) | 0
Accrued expenses, other current and long-term liabilities | (142) | 3,805 | 1,313
Income taxes | (2,072) | (1,085) | 922
Contingent consideration | (522) | 0 | 0
Net cash provided by operating activities | 13,065 | 37,005 | 34,918
Cash flows from investing activities: |  |  |
Acquisition of Parcus Medical and Arthrosurface, net of cash acquired | (94,601) | 0 | 0
Proceeds from maturities of investments | 45,000 | 146,366 | 46,000
Purchases of investments | (20,035) | (103,848) | (91,601)
Purchases of property and equipment | (1,628) | (2,827) | (4,656)
Net cash provided by (used in) investing activities | (71,264) | 39,691 | (50,257)
Cash flows from financing activities: |  |  |
Payments made on finance leases | (208) | 0 | 0
Proceeds from long term debt | 50,000 | 0 | 0
Repayments of long term debt | (50,350) | 0 | 0
Repurchases of common stock | 0 | (30,000) | (30,000)
Cash paid for tax withheld on vested restricted stock awards | (262) | (293) | (1,790)
Proceeds from exercises of equity awards | 1,524 | 22,151 | 2,886
Contingent consideration paid | (4,478) | 0 | 0
Net cash provided by (used in) provided by financing activities | (3,774) | (8,142) | (28,904)
Exchange rate impact on cash | 327 | (133) | 29
Increase (decrease) in cash and cash equivalents | (61,646) | 68,421 | (44,214)
Cash and cash equivalents at beginning of period | 157,463 | 89,042 | 133,256
Cash and cash equivalents at end of period | 95,817 | 157,463 | 89,042
Supplemental disclosure of cash flow information: |  |  |
Cash paid for income taxes | 993 | 9,257 | 5,560
Right-of-use assets obtained in exchange for operating lease liabilities as of January 1, 2019 | 2,340 | 1,980 |
Non-cash investing activities: |  |  |
Purchases of property and equipment included in accounts payable and accrued expenses | 17 | 137 | 351
Consideration for acquisitions included in accounts payable and accrued expenses | 476 | 0 | 0
Contingent consideration fair value on acquisition date | 69,076 | 0 | 0
Accounting Standards Update 2016-02 [Member] |  |  |
Supplemental disclosure of cash flow information: |  |  |
Right-of-use assets obtained in exchange for operating lease liabilities as of January 1, 2019 | $ 0 | $ 24,110 | $ 0

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