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Consolidated Statements of Cash Flows - USD ($) | 12 Months Ended
--- | ---
Dec. 31, 2019 | Dec. 31, 2018 | Dec. 31, 2017
Cash flows from operating activities: |  |  |
Net income (loss) | $ (3,546,511) | $ (7,038,772) | $ (8,049,815)
Discontinued operations net of tax | 5,665,177 | 3,782,224 | 4,798,025
Net income (loss) from continuing operations | (9,211,688) | (10,820,996) | (12,847,840)
Adjustments to reconcile net income (loss) to net cash flows provided by (used in) operating activities: |  |  |
Depreciation and amortization expense | 4,404,175 | 2,982,703 | 2,647,753
Deferred tax expense | 65,408 | 81,886 | 4,206,753
Share-based compensation | 1,485,898 | 1,364,698 | 1,115,063
Share-based compensation (foundation contribution) | 0 | 0 | 372,500
Excess tax (benefit) expense derived from exercise of stock options | 0 | (81,886) | (91,109)
Decrease in non-cash contingent consideration | (804,167) | 0 | 0
Noncash interest expense | 47,525 | 99,883 | 77,911
Noncash investment gains | (26,315) | (168,440) | (52,012)
Net changes in assets and liabilities affecting operating activities: |  |  |
Accounts receivable | (1,399,012) | (47,288) | 753,521
Inventories | 1,106,175 | 528,153 | (292,710)
Prepaid, other current assets and other assets | (615,199) | 676,750 | (1,155,630)
Accounts payable and other current liabilities | 3,221,780 | 4,153,287 | 339,751
Other long-term liabilities | (729,820) | (159,558) | 413,097
Net cash (used in) operating activities from continuing operations | (2,455,240) | (1,390,808) | (4,512,952)
Discontinued operations | 5,511,596 | 4,503,545 | 3,955,238
Net cash provided by (used in) operating activities | 3,056,356 | 3,112,737 | (557,714)
Cash flows from investing activities: |  |  |
Additions to property and equipment | (246,202) | (455,569) | (275,960)
Additions to intangible assets | (772,944) | (3,819,486) | (1,213,110)
Cash paid for acquisition | (5,000,000) | (20,000,000) | 0
Proceeds from sale of marketable securities | 20,062,132 | 16,122,376 | 13,381,061
Purchases of marketable securities | (11,745,138) | (19,572,139) | (2,379,414)
Net cash provided by (used in) investing activities | 2,297,848 | (27,724,818) | 9,512,577
Cash flows from financing activities: |  |  |
Borrowings on line of credit | 76,000,000 | 56,000,000 | 24,500,000
Repayments on line of credit | (77,500,000) | (45,800,000) | (18,800,000)
Repurchase of common shares | (3,494,921) | (2,879,426) | (3,724,375)
Payments of deferred equity offering costs | 0 | (383,310) | (27,950)
Sales of shares of common stock, net of offering costs | 0 | 200,909 | 0
Payments of financing costs | (52,500) | 0 | 0
Cash payments of contingent consideration | (1,033,108) | 0 | 0
Sale of subsidiary shares to noncontrolling interest | 1,000,000 | 0 | 0
Net cash provided by (used in) financing activities | (5,080,529) | 7,138,173 | 1,947,675
Net increase (decrease) in cash and cash equivalents | 273,675 | (17,473,908) | 10,902,538
Cash and cash equivalents, beginning of year | 27,938,960 | 45,412,868 | 34,510,330
Cash and cash equivalents, end of year | 28,212,635 | 27,938,960 | 45,412,868
Net cash paid (refunded) during the year for: |  |  |
Interest | 198,661 | 95,965 | 14,993
Income taxes | 16,694 | 15,441 | 18,000
Noncash investing and financing activities: |  |  |
Change in unpaid invoices for purchases of intangibles | (576,837) | (539,467) | (513,481)
Deferred offering costs included in accounts payable and other accrued expenses | 0 | 0 | 97,254
Non cash increase in liabilities related to acquisition (see Note 3) | 0 | 14,034,000 | 0
Recognition of operating lease assets and liabilities through adoption of ASC 842 | 3,629,320 |  |
Vesting of shares related to RediTrex approval | 862,200 | 0 | 0
Repurchase of subsidiary shares from noncontrolling interests | (800,000) | 0 | 0
Additions to intangible assets from final purchase price allocation | $ 148,000 | $ 0 | $ 0

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