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CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS - USD ($)
$ in Thousands
6 Months Ended
Jun. 30, 2022
Jun. 30, 2021
Cash flows from operating activities:    
Net (loss) income before equity in losses of unconsolidated affiliates $ (15,232) $ 1,304
Adjustments to reconcile net (loss) income to cash (used in) provided by operating activities:    
Depreciation and amortization 6,826 6,680
Non-cash impact of operating leases 1,321 1,050
Deferred tax benefit (3,556) (3,294)
Stock-based compensation 9,990 9,457
Change in fair value of contingent consideration (294) 0
Provision for credit losses on convertible note receivable 3,499 0
Equity in losses of unconsolidated affiliates 736 529
Accretion of discounts and issuance costs 20 35
Other losses (gains), net 211 768
Changes in operating assets and liabilities (net of the effect of acquisitions):    
Accounts receivable (43) 3,046
Inventories (9,145) (4,080)
Lease receivables (3,494) (2,196)
Other assets 296 (2,208)
Accounts payable (2,913) (334)
Other liabilities (4,836) (3,603)
Net cash (used in) provided by operating activities (16,614) 7,154
Cash flows from investing activities:    
Promissory note receivable issuance 0 (9,000)
Capital expenditures (1,093) (546)
Proceeds from disposition of property and equipment 0 41
Net cash used in investing activities (30,602) (13,387)
Cash flows from financing activities:    
Payment of stock issuance costs 0 (314)
Proceeds from issuance of common stock 2,245 167,198
Payments for taxes related to shares withheld for employee taxes (5,001) (932)
Repayments of other debt (115) (653)
Net cash (used in) provided by financing activities (2,871) 165,299
Foreign exchange effect on cash and cash equivalents (1,559) (247)
Net (decrease) increase in cash and cash equivalents (51,646) 158,819
Cash and cash equivalents, beginning of period 223,574 86,334
Cash and cash equivalents, end of period 171,928 245,153
Supplemental disclosure of cash flow information:    
Non-cash transfers of equipment between inventory and property and equipment, net 1,535 2,562
Contingent consideration for acquisitions 3,860 1,700
Indemnity holdback and net working capital adjustment for acquisitions 867 370
Lacuna Diagnostics, Inc.    
Cash flows from investing activities:    
Acquisition 0 (3,882)
Biotech    
Cash flows from investing activities:    
Acquisition $ (29,509) $ 0