| Dec'19 | Dec'18 | Dec'17 | Dec'16 | Dec'15 | Dec'14 | Dec'13 |
|---|---|---|---|---|---|---|
OPERATING ACTIVITIES: | ||||||
Net Income (Loss) Attributable to Parent | ||||||
-39,276 | -33,524 | -32,115 | -43,212 | -55,532 | -24,545 | -25,746 |
Adjustments to reconcile net loss to net cash used in operating activities: | ||||||
Depreciation and amortization | ||||||
10,347 | 10,695 | 10,871 | 11,758 | 12,445 | 12,961 | 13,579 |
Instrument replacement expense | ||||||
2,300 | 1,818 | 1,800 | 1,389 | 1,228 | 1,732 | 2,417 |
Impairment of spinal instruments | ||||||
30 | 500 | 0 | 919 | 175 | 0 | 0 |
Impairment of Intangible Assets, Finite-lived | ||||||
4,993 | 0 | - | - | - | - | - |
Other Asset Impairment Charges | ||||||
- | - | - | 0 | 419 | 0 | - |
Provision for excess and obsolete inventories | ||||||
3,623 | 3,430 | 4,399 | 5,402 | 7,327 | 2,500 | 2,431 |
Amortization of debt issuance costs | ||||||
76 | 113 | 139 | 139 | 0 | 0 | - |
Loss on disposal of property and equipment | ||||||
- | - | - | - | - | -292 | 0 |
Deferred income tax provision | ||||||
285 | 126 | -78 | -10 | -282 | -673 | -697 |
Stock-based compensation | ||||||
7,806 | 5,800 | 6,067 | 6,438 | 3,816 | 551 | 706 |
Amortization of inventory step-up | ||||||
- | - | - | - | - | 258 | 795 |
(Gain)/loss from change in fair value of contingent consideration liabilities | ||||||
-263 | -1,802 | -975 | -270 | 0 | 0 | - |
Gain from release of foreign tax liability | ||||||
- | - | 1,512 | 0 | 0 | - | - |
Allocation of non-cash charges from Integra | ||||||
- | - | - | 0 | 563 | 1,934 | 1,415 |
Changes in assets and liabilities: | ||||||
Accounts receivable | ||||||
4,621 | -1,383 | 612 | -4,295 | 2,004 | -2,997 | -2,314 |
Inventories | ||||||
5,924 | 3,454 | -1,206 | -1,404 | 8,365 | 5,185 | 12,633 |
Prepaid expenses and other current assets | ||||||
420 | 963 | 211 | -1,877 | 2,867 | -256 | -754 |
Other non-current assets | ||||||
50 | 249 | -72 | -79 | -1,335 | -499 | -149 |
Accounts payable | ||||||
-1,458 | 1,860 | -2,080 | -5,006 | 5,818 | 5,797 | 7,944 |
Income taxes payable | ||||||
25 | 16 | 0 | 0 | -320 | 507 | 101 |
Accrued commissions | ||||||
2,385 | -341 | 1,394 | 166 | 335 | 344 | 1,282 |
Other accrued expenses and current liabilities | ||||||
-26 | 2,297 | 2,630 | 167 | 3,316 | 875 | -2,826 |
Other non-current liabilities | ||||||
-90 | -290 | 335 | 195 | 27 | -294 | 535 |
Net cash used in operating activities | ||||||
-20,277 | -12,558 | -8,622 | -14,270 | -32,566 | 806 | -7,480 |
INVESTING ACTIVITIES: | ||||||
Purchases of property and equipment | ||||||
12,834 | 8,348 | 7,446 | 7,569 | 11,555 | 3,804 | 5,550 |
Payments to Acquire Intangible Assets | ||||||
- | - | 200 | 1,150 | 150 | 0 | 0 |
Payments to Acquire Debt Securities, Available-for-sale | ||||||
0 | 29,756 | 0 | - | - | - | - |
Proceeds from Sale and Maturity of Debt Securities, Available-for-sale | ||||||
30,000 | 0 | - | - | - | - | - |
Net cash (used in) provided by investing activities | ||||||
17,166 | -38,104 | -7,646 | -8,719 | -11,705 | -3,804 | -5,550 |
FINANCING ACTIVITIES: | ||||||
Borrowings under credit facility | ||||||
0 | 7,000 | 0 | 3,300 | 0 | 0 | - |
Borrowings under short term debt | ||||||
- | - | - | 1,202 | 0 | 0 | - |
Repayments of credit facility | ||||||
0 | 7,000 | 4,020 | 0 | 0 | - | - |
Repayments of short term debt | ||||||
- | - | 445 | 757 | 0 | 0 | - |
Proceeds from issuance of common stock- employee stock purchase plan and exercise of stock options | ||||||
1,440 | 2,520 | 1,021 | 691 | 0 | - | - |
Proceeds from issuance of common stock, net of offering costs- ATM transactions | ||||||
0 | 62,611 | 15,557 | 0 | 0 | 0 | - |
Repurchases of common stock for income tax withheld upon vesting of restricted stock awards and restricted stock units | ||||||
2,129 | 627 | 50 | 160 | 0 | 0 | - |
Payment of contingent consideration liabilities in connection with acquisition of business | ||||||
140 | 137 | 23 | 0 | 0 | - | - |
Integra net investment prior to the spin-off | ||||||
- | - | - | 0 | 77,173 | 3,012 | - |
Debt issuance costs | ||||||
0 | 170 | 0 | 0 | 80 | 0 | 0 |
Integra net investment prior to the spin-off | ||||||
- | - | - | - | - | - | 13,581 |
Excess tax benefits from stock-based compensation arrangements | ||||||
- | - | - | 0 | 37 | 0 | 0 |
Net cash provided by (used in) financing activities | ||||||
-829 | 64,197 | 12,040 | 4,276 | 77,130 | 3,012 | 13,581 |
Effect of exchange rate changes on cash and cash equivalents | ||||||
-94 | -90 | 450 | -150 | -82 | -8 | 4 |
Net change in cash and cash equivalents | ||||||
-4,034 | 13,445 | -3,778 | -18,863 | 32,777 | 6 | 555 |
Fair value of intangible assets acquired through acquisition of business (see Note 6) | ||||||
- | - | - | 8,250 | 0 | 0 | - |
Fair value of contingent consideration liabilities in connection with acquisition of business (see Note 6) | ||||||
- | - | - | 7,980 | 0 | 0 | - |
Settlement of related-party payable to Integra net investment | ||||||
- | - | - | 0 | 29,022 | 0 | 0 |
Debt issuance cost | ||||||
- | - | - | 0 | 328 | 0 | 0 |
Supplemental cash flow information | ||||||
Income taxes refunded | ||||||
- | - | - | 513 | - | - | - |
Income taxes paid | ||||||
101 | 130 | 89 | - | 2,982 | 4,200 | 3,900 |
Interest Paid, Excluding Capitalized Interest, Operating Activities | ||||||
155 | 441 | - | - | - | - | - |
Interest Paid, Including Capitalized Interest, Operating and Investing Activities | ||||||
- | - | 373 | 0 | 0 | - | - |
Non-cash investing activities: | ||||||
Fair Value of Assets Acquired | ||||||
850 | 0 | - | - | - | - | - |
Property and equipment in liabilities | ||||||
713 | 973 | 925 | 802 | 638 | 300 | 500 |