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Consolidated Statements Of Cash Flows - USD ($)
$ in Thousands
12 Months Ended
Dec. 31, 2019
Dec. 31, 2018
Dec. 31, 2017
Cash flows from operating activities:      
Net income (loss) $ (3,777) $ 5,547 $ 1,120
Loss from discontinued operations, net of tax 1,713 1,215 1,334
Income (loss) from continuing operations (2,064) 6,762 2,454
Adjustments to reconcile net income (loss) from continuing operations to net cash provided by operating activities:      
Depreciation and amortization 3,277 2,891 2,134
Impariment of goodwill and intangible assets 3,765    
Loss on disposition of property     9
Equity in loss of partnerships 288 390 421
Amortization of debt issuance costs   158 80
Stock-based compensation 1,886 1,395 844
Change in allowance for doubtful accounts (482) 475 162
Changes in operating assets and liabilities:      
Accounts receivable 2,769 (3,219) (2,042)
Inventories 1,609 (5,086) (2,643)
Contract assets (4,613) (2,645) (1,117)
Other assets 440 (403) (933)
Accounts payable (3,057) 1,851 3,767
Accrued expenses (2,077) (700) 2,120
Other liabilities (216) (394) 106
Net cash provided by operating activities of continuing operations 1,525 1,475 5,362
Net cash (used in) operating activities of discontinued operations (55) (1,298) (1,132)
Net cash provided by operating activities 1,470 177 4,230
Cash flows from investing activities:      
Proceeds from sale of machinery and equipment     19
Purchases of machinery and equipment (4,593) (5,503) (2,266)
Payments for acquistion of other assets (818)    
Purchase of investment securities (43,797) (38,093)  
Proceeds from sale of investment securities 38,015    
Proceeds from maturities of investment securities 11,575    
Purchase of Hearing Help Express     (650)
Investment in partnerships (609) (1,397) (1,776)
Net cash provided by (used in) investing activities of continuing operations (227) (44,993) (4,673)
Net cash (used in) investing activities of discontinued operations (15) (4) (47)
Net cash (used in) investing activities (242) (44,997) (4,720)
Cash flows from financing activities:      
Proceeds from long-term debt   14,169 19,162
Repayments of long-term debt   (25,868) (19,373)
Payment of debt issuance costs   (88) (139)
Proceeds from issuance of common stock, net of costs   88,967  
Payments for repurchase of common stock and related costs   (25,907)  
Payment of financing leases (111)    
Exercise of stock options and employee stock purchase plan shares 306 727 314
Withholding of common stock upon vesting of restricted stock units (304)    
Net cash provided by (used in) financing activities (109) 52,000 (36)
Effect of exchange rate changes on cash of continuing operations 1 (141) 268
Effect of exchange rate changes on cash of discontinued operations (5) (9) 13
Effect of exchange rate changes on cash (4) (150) 281
Net change in cash, cash equivalents and restricted cash 1,115 7,030 (245)
Cash, cash equivalents and restricted cash, beginning of period 8,047 1,017 1,262
Cash, cash equivalents and restricted cash, end of period $ 9,162 $ 8,047 $ 1,017