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CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS - USD ($)
$ in Thousands
9 Months Ended
Sep. 30, 2019
Sep. 30, 2018
OPERATING ACTIVITIES    
Net loss $ (8,302) $ (9,557)
Adjustments to reconcile net loss to net cash used in operating activities:    
Depreciation and amortization 3,258 2,177
Stock-based compensation 1,896 2,899
Changes in certain current assets and liabilities:    
Accounts receivable - trade (5,126) (4,077)
Inventories (6,491) (5,274)
Prepaid expenses and other current assets (360) (214)
Accounts payable - trade 3,680 408
Accrued expenses and other liabilities 11 798
Other 1 (15)
Net cash used in operating activities - continuing operations (11,433) (12,855)
Net cash provided by operating activities - discontinued operations 590 0
Net cash used in operating activities (10,843) (12,855)
INVESTING ACTIVITIES    
Acquisition of Vilex and Orthex, net of cash acquired (49,687) 0
Purchases of licenses (170) (195)
Purchases of property and equipment (10,536) (5,311)
Net cash used in investing activities (60,393) (5,506)
FINANCING ACTIVITIES    
Payments on mortgage notes (88) (84)
Proceeds from issuance of debt with affiliate 30,000 0
Proceeds from exercise of stock options 1,141 326
Net cash provided by financing activities 31,053 242
NET DECREASE IN CASH (40,183) (18,119)
Cash, beginning of year 60,691 42,582
Cash, end of period 20,508 24,463
Less cash of discontinued operations, end of period 839 0
Cash of continuing operations, end of period 19,669 24,463
SUPPLEMENTAL DISCLOSURES    
Cash paid for interest 2,232 1,722
Transfer of instruments from property and equipment to inventory 593 1,061
Acquisition consideration of common shares $ 10,000 $ 0