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Condensed Consolidated Statements of Cash Flows (Unaudited) - USD ($)
$ in Thousands
9 Months Ended
Sep. 30, 2024
Sep. 30, 2023
Operating activities:    
Net (loss) income $ (13,284) $ 4,963
Adjustments to reconcile net (loss) income to net cash used in operating activities:    
Depreciation and amortization 3,076 2,157
Gain on disposal of fixed assets (182) (104)
Non-cash interest 369 266
Non-cash rent (18) 5
Stock-based compensation 3,277 1,801
Provision for expected credit losses 330 316
Provision for excess and obsolete inventory 695 398
Release of valuation allowance (2,394)
Gain on bargain purchase (11,028)
Other 17
Changes in operating assets and liabilities, net of the effects of the acquisition:    
Accounts receivable (128) (7,047)
Inventories (5,657) (1,669)
Prepaid and other assets (503) 69
Accounts payable 1,290 1,298
Accrued liabilities (1,843) 2,369
Net cash used in operating activities (12,561) (8,600)
Investing activities:    
Purchases of property and equipment (3,441) (1,093)
Proceeds from sale of fixed assets 278 70
Acquisition of Surgalign SPV, Inc. (17,000)
Acquisition of Surgalign Holdings, Inc.’s hardware and biologics business, net of cash acquired (4,448)
Net cash used in investing activities (3,163) (22,471)
Financing activities:    
Payments on financing leases (49) (46)
Borrowings on line of credit 86,315 55,345
Repayments on line of credit (78,050) (54,724)
Proceeds from private placement, net of cash issuance costs 4,456 14,011
Net proceeds from issuance of long-term debt, net of issuance costs 5,000 4,899
Payments on long term debt (648)
Proceeds from the exercise of stock based compensation 13
Payments of taxes from withholding of common stock on vesting of restricted stock units (110) (119)
Net cash provided by financing activities 16,927 19,366
Effect of exchange rate changes on cash and cash equivalents and restricted cash (40) (53)
Net change in cash and cash equivalents and restricted cash 1,163 (11,758)
Cash and cash equivalents and restricted cash at beginning of period 5,923 20,507
Cash and cash equivalents and restricted cash at end of period 7,086 8,749
Reconciliation of cash and cash equivalents and restricted cash reported in the condensed consolidated balance sheets    
Cash and cash equivalents 6,596 8,664
Restricted cash 490 85
Total cash and restricted cash reported in condensed consolidated balance sheets $ 7,086 $ 8,749