CONSOLIDATED STATEMENTS OF CASH FLOWS - USD ($) $ in Thousands	12 Months Ended
Dec. 31, 2018	Dec. 31, 2017	Dec. 31, 2016
Cash flows from operating activities:
Net (loss) income	$ (29,979)	$ 64,727	$ 390
Adjustments to reconcile net income (loss) to net cash provided by operating activities:
Depreciation	5,882	4,087	3,333
Amortization of intangible assets	1,034	1,678	2,137
Amortization of inventory fair value step-up	0	203	1,485
Amortization of deferred financing costs	137	176	151
Amortization of discount on notes receivable	(190)	(12)	0
Change in fair value of earn-out consideration	0	(3,560)	(1,650)
Intangible asset impairment	0	590	0
Share-based compensation	14,768	21,195	17,732
Change in deferred income taxes	25,541	(26,670)	(5,992)
Loss on divestiture of Stability	0	1,048	0
Increase (decrease) in cash, net of effects of acquisition and divestiture, resulting from changes in:
Accounts receivable	0	(479)	73
Inventory	(6,519)	2,747	(895)
Prepaid expenses	(4,548)	(305)	(793)
Income tax receivable	202	(656)	0
Other assets	3,562	225	(1,567)
Accounts payable	6,585	(1,324)	(3,478)
Accrued compensation	2,083	8,397	(2,586)
Accrued expenses	16,074	(3,534)	9,530
Income taxes	0	(5,611)	5,201
Other liabilities	1,164	17	778
Net cash flows provided by operating activities	35,796	62,939	23,849
Cash flows from investing activities:
Purchases of property and equipment	(9,419)	(5,126)	(6,205)
Proceeds from property and equipment sale	30	0	0
Principal payments from note receivable	778	0	0
Stability acquisition	0	0	(7,631)
Fixed maturity securities redemption	0	0	3,000
Patent application costs	(609)	(271)	(842)
Net cash flows used in investing activities	(9,220)	(5,397)	(11,678)
Cash flows from financing activities:
Proceeds from exercise of stock options	3,555	11,987	3,494
Shares repurchased under repurchase plan	(7,572)	(68,263)	(10,378)
Shares repurchased for tax withholdings on vesting of restricted stock	(4,914)	(4,082)	(1,165)
Payments under capital lease obligations	(3)	(29)	(102)
Net cash flows used in financing activities	(8,934)	(60,387)	(8,151)
Net change in cash	17,642	(2,845)	4,020
Cash and cash equivalents, beginning of year	27,476	30,321	26,301
Cash and cash equivalents, end of year	$ 45,118	$ 27,476	$ 30,321

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The cash outflow for acquisition of machinery and equipment.

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Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef
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-SubTopic 10
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The cash inflow associated with principal collections from a borrowing supported by a written promise to pay an obligation.

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Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef
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The net cash inflow or outflow resulting from the entity's share transaction.

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Reference 1: http://www.xbrl.org/2009/role/commonPracticeRef
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-Name Accounting Standards Codification
-Topic 235
-SubTopic 10
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-Paragraph 3
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Amount of cash inflow from the sale or maturity of long-term held-to-maturity securities.

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The cash inflow from the sale of long-lived, physical assets that are used in the normal conduct of business to produce goods and services and not intended for resale.

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Amount of cash inflow from exercise of stock options granted under share-based compensation arrangement.

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Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef
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The aggregate amount of noncash, equity-based employee remuneration. This may include the value of stock or unit options, amortization of restricted stock or units, and adjustment for officers' compensation. As noncash, this element is an add back when calculating net cash generated by operating activities using the indirect method.

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