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FY2025
12 months to Dec 31, 2025
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FY2024
12 months to Dec 31, 2024
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FY2023
12 months to Dec 31, 2023
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FY2022
12 months to Dec 31, 2022
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FY2021
12 months to Dec 31, 2021
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|
|---|---|---|---|---|---|
| OPERATING ACTIVITIES | |||||
| Net loss | |||||
| Adjustments to reconcile net income (loss) to net cash used in operating activities: | |||||
| Impairment | |||||
| Total impairment | |||||
| Goodwill and other intangible asset impairments | |||||
| Depreciation and amortization | |||||
| Loss on early extinguishment of debt | |||||
| Stock-based compensation | |||||
| Fair value adjustment of contingent consideration | |||||
| ApiFix | |||||
| Total fair value adjustment of contingent consideration | |||||
| Accretion of acquisition installment payable | |||||
| Deferred income taxes | |||||
| Non-cash other | |||||
| Changes in certain operating assets and liabilities, net of acquisitions: | |||||
| Accounts receivable - trade | |||||
| Inventories | |||||
| Prepaid expenses and other current assets | |||||
| Accounts payable - trade | |||||
| Accrued legal settlements | |||||
| Accrued expenses and other liabilities | |||||
| Other | |||||
| Net cash used in operating activities | |||||
| INVESTING ACTIVITIES | |||||
| Other acquisitions, including clinics, net of cash acquired | |||||
| Acquisition of MedTech, net of cash acquired | |||||
| Acquisition of Rhino assets | |||||
| Acquisition of MDO, net of cash acquired | |||||
| Acquisition of Pega, net of cash acquired | |||||
| Acquisition of Devise Ortho assets | |||||
| Sale of short-term marketable securities | |||||
| Purchase of short-term marketable securities | |||||
| Investment in private companies and purchases of licenses | |||||
| Total investment in private companies and purchases of licenses | |||||
| Purchases of property and equipment | |||||
| Net cash (used in) provided by investing activities | |||||
| FINANCING ACTIVITIES | |||||
| Payments on debt with affiliate | |||||
| Proceeds from issuance of debt with affiliate | |||||
| Related Party | |||||
| Nonrelated Party | |||||
| Proceeds from issuance of debt | |||||
| Related Party | |||||
| Nonrelated Party | |||||
| Total proceeds from issuance of debt | |||||
| Payment of debt issuance costs | |||||
| Proceeds from issuance of common stock, net of issuance costs | |||||
| Proceeds from exercise of stock options | |||||
| Installment payments | |||||
| ApiFix | |||||
| Medtech | |||||
| Clinic Acquisitions | |||||
| Total installment payments | |||||
| Payments on mortgage notes | |||||
| Payment on debt | |||||
| Related Party | |||||
| Nonrelated Party | |||||
| Total payment on debt | |||||
| Net cash provided by financing activities | |||||
| Effect of exchange rate changes on cash | |||||
| NET (DECREASE) INCREASE IN CASH AND RESTRICTED CASH | |||||
| Cash and restricted cash, beginning of period | |||||
| Cash and restricted cash, end of period | |||||
| SUPPLEMENTAL DISCLOSURES | |||||
| Cash paid for interest | |||||
| Transfer of instruments between property and equipment and inventory | |||||
| Issuance of common shares in acquisition | |||||
| ApiFix | |||||
| Medtech | |||||
| Boston Brace International, Inc. | |||||
| Rhino | |||||
| MD Orthopaedics | |||||
| Devise Ortho | |||||
| Vendor | |||||
| Distributor | |||||
| Right-of-use assets obtained in exchange for lease liabilities | |||||
| Capital contribution associated with reclassification of liability to equity | |||||
| Debt issuance costs not yet paid | |||||
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