7Baggers
Quarterly
Annual
    Unit: USD2025-09-30 2025-06-30 2025-03-31 2024-12-31 2024-09-30 2024-06-30 2024-03-31 2023-12-31 2023-09-30 2023-06-30 2023-03-31 2022-12-31 2022-09-30 2022-06-30 2022-03-31 2021-12-31 2021-09-30 2021-06-30 2021-03-31 2020-12-31 2020-09-30 2020-06-30 2020-03-31 2019-12-31 2019-09-30 2019-06-30 2019-03-31 2018-12-31 2018-09-30 2018-06-30 2018-03-31 2017-12-31 2017-09-30 2017-06-30 2017-03-31 2016-12-31 2016-09-30 2016-06-30 2016-03-31 2015-12-31 2015-09-30 2015-06-30 2015-03-31 2014-12-31 2014-09-30 2014-06-30 2014-03-31 2013-12-31 2013-09-30 2013-06-30 2013-03-31 2012-12-31 2012-09-30 
      
                                                         
      cash flows from operating activities:
                                                         
      net income
    118,966,000 202,846,000 75,462,000 26,505,000 51,836,000 31,760,000 -7,117,000 15,034,000 998,000 57,712,000 49,129,000 50,065,000 47,430,000 54,590,000 38,084,000 15,106,000 47,211,000 41,545,000 45,329,000 52,957,000 44,216,000 -20,837,000 25,949,000 45,529,000 38,307,000 38,164,000 33,210,000 36,750,000 35,208,000 44,978,000 39,538,000 24,376,000 25,591,000 28,667,000 28,714,000 24,298,000 26,227,000 25,806,000 28,010,000 37,601,000 26,481,000 24,054,000 24,648,000 27,638,000 23,061,000 20,647,000 21,139,000 20,985,000 20,310,000 7,426,000 19,891,000 20,767,000 16,487,000 
      adjustments to reconcile net income to net cash from operating activities:
                                                         
      bargain purchase gain
    -3,800,000                                                     
      acquired in-process research and development
       12,613,000                                             
      depreciation and amortization
    71,126,000 70,631,000 66,074,000 68,228,000 66,947,000 63,588,000 55,261,000 71,162,000 37,388,000 18,075,000 18,108,000 16,910,000 17,578,000 16,927,000 16,837,000 16,829,000 16,751,000 19,130,000 17,157,000 16,904,000 16,301,000 15,101,000 14,568,000 14,046,000 13,575,000 12,859,000 12,254,000 11,936,000 10,461,000 9,757,000 9,476,000 8,294,000 10,838,000 10,695,000 12,240,000 17,235,000 7,838,000 7,022,000 6,676,000 6,415,000 6,090,000 5,905,000 5,674,000 5,697,000 5,373,000 5,387,000 5,297,000 5,186,000 4,859,000 4,742,000 4,610,000 4,608,000 4,612,000 
      amortization of premiums on marketable securities
    -53,000 -421,000 -516,000 -105,000 -38,000 24,000                                               
      benefit from excess and obsolete inventory
    5,055,000 4,973,000 5,960,000 7,165,000 5,696,000 6,584,000 3,914,000                                               
      amortization of inventory fair value step-up
    6,958,000 5,966,000 49,000                                                   
      amortization of 2025 notes fair value step-up
    6,658,000                                                   
      stock-based compensation expense
    11,538,000 13,617,000 13,206,000 11,907,000 12,211,000 12,813,000 17,260,000 12,445,000 22,755,000 8,589,000 8,953,000 8,507,000 8,314,000 7,837,000 8,152,000 7,805,000 7,451,000 7,632,000 7,698,000 5,935,000 7,020,000 7,311,000 6,807,000 6,438,000 6,898,000 6,301,000 6,448,000 4,821,000 5,545,000 5,480,000 6,053,000 4,027,000 3,597,000 3,571,000 3,491,000 2,945,000 2,747,000 2,920,000 2,770,000 2,704,000              
      allowance for expected credit losses
    757,000 1,348,000 3,206,000 1,319,000                                                  
      change in fair value of business acquisition liabilities
    -2,721,000 5,222,000 167,000 17,913,000 -4,131,000 12,904,000 -165,000 13,003,000 1,151,000 3,726,000 -446,000 7,175,000 -653,000 -1,127,000 -263,000 2,471,000 208,000 13,870,000 258,000 1,647,000 564,000 -43,000 506,000 1,208,000 579,000 393,000 176,000 182,000 234,000                       
      change in deferred income taxes
    41,761,000 -41,745,000 509,000 -33,179,000 -27,448,000 -20,184,000 -45,091,000 -11,799,000 -34,830,000 -7,181,000 -3,979,000 -5,209,000 -9,075,000 -4,945,000 -2,994,000 -14,484,000 -1,348,000 -975,000 -808,000 120,000 -3,331,000 1,768,000 -2,895,000 1,868,000 1,010,000 365,000 1,059,000 -635,000 177,000 1,553,000 -124,000 7,477,000 5,053,000 -1,839,000 -2,399,000 -2,454,000 -2,981,000 1,234,000 391,000 10,350,000 932,000 -2,830,000 -2,217,000 736,000 -884,000 -1,816,000 -2,415,000       
      (gain)/loss on disposal of assets
    2,307,000 3,518,000 2,613,000 2,865,000 2,223,000 430,000 34,000 75,000 1,337,000 48,000 81,000 58,000 41,000 85,000 115,000 81,000 192,000 88,000 103,000 95,000 89,000 418,000 207,000 348,000 223,000 201,000 94,000 137,000 253,000                         
      payment of business acquisition-related liabilities
    -661,000 -13,752,000 -2,012,000 -679,000 -1,119,000 -850,000 -16,115,000                                               
      net (gain)/income from foreign currency adjustment
    -3,279,000 -7,570,000 -3,772,000 27,566,000 -8,912,000 -4,633,000 11,191,000                                               
      increase in:
                                                         
      accounts receivable
    -8,424,000 -2,208,000 22,603,000 22,483,000 23,661,000 -87,813,000 -36,393,000 -12,961,000 -8,716,000 -18,376,000 -9,861,000 -4,643,000 -15,976,000 -28,610,000 -1,614,000 -5,967,000 5,659,000 -5,241,000 -20,346,000 2,284,000 -10,894,000 5,175,000 14,131,000 -12,939,000 1,165,000 -3,999,000 -2,533,000 -18,889,000 -643,000 2,823,000 -5,080,000 -22,755,000 972,000 -947,000 -2,225,000 -7,779,000 487,000 423,000 2,201,000 -725,000 -5,059,000 -297,000 1,888,000 -11,781,000 1,605,000 -1,679,000 -812,000 -7,469,000 2,267,000 1,787,000 -6,197,000 -1,609,000 -2,227,000 
      inventories
    -5,698,000 -4,135,000 -7,587,000 -11,887,000 4,882,000 -13,869,000 -8,986,000 -11,350,000 -20,320,000 -16,188,000 -22,470,000 -13,095,000 -17,229,000 -13,482,000 -17,939,000 -2,810,000 -3,137,000 -2,027,000 -3,997,000 -2,840,000 -12,900,000 -22,263,000 -12,108,000 -9,149,000 -12,775,000 -14,250,000 -13,844,000 -8,340,000 -11,922,000 -9,914,000 -1,206,000 1,679,000 -2,304,000 -2,550,000 -2,102,000 -3,894,000 -2,797,000 -1,560,000 -2,252,000 -2,329,000 -5,347,000 -4,290,000 -7,361,000 -5,466,000 -3,041,000 -5,501,000 -3,993,000 -963,000 -2,760,000 -5,946,000 -7,009,000 -5,954,000 -5,258,000 
      prepaid expenses and other assets
    -7,541,000 -3,682,000 4,534,000 4,167,000 -1,107,000 -3,779,000 1,778,000 2,428,000 820,000 -2,936,000 836,000 -3,426,000 -8,134,000 721,000 547,000 -5,384,000 -1,639,000 -3,671,000 4,516,000 -6,707,000 -1,506,000 -2,670,000 -205,000 -9,219,000 -111,000 -3,781,000 848,000 -7,415,000 3,222,000 -2,069,000 -1,234,000 -3,800,000 -9,480,000 -122,000 8,628,000 -2,764,000 6,218,000 -95,000 1,209,000 165,000 -471,000 -1,793,000 896,000 1,076,000 -941,000 -623,000 239,000 1,514,000 -365,000 -896,000 -850,000 209,000 958,000 
      accounts payable
    3,431,000 -3,186,000 -899,000 16,369,000 -10,267,000 17,314,000 -5,753,000 -6,271,000 -5,183,000 -6,685,000 3,916,000 4,011,000 -1,968,000 8,215,000 4,160,000 1,163,000 -216,000 -1,475,000 4,212,000 -11,753,000 2,427,000 3,257,000 -283,000 931,000 743,000 -3,728,000 2,827,000 1,850,000 893,000 -6,479,000 728,000 10,187,000 1,316,000 -1,488,000 -172,000 3,403,000 -1,719,000 -469,000 -1,238,000 -1,013,000 -2,746,000 -901,000 835,000 6,881,000 -1,432,000 275,000 -1,096,000 818,000 779,000 563,000 -320,000 3,014,000 -1,789,000 
      accrued expenses and other liabilities
    39,283,000 14,817,000 -28,658,000 4,634,000 29,340,000 4,930,000 -33,881,000 -3,452,000 21,467,000 9,081,000 -9,969,000 4,427,000 9,068,000 8,020,000 -15,428,000 10,396,000 3,941,000 8,342,000 -4,783,000 13,859,000 11,505,000 5,946,000 -13,702,000 5,818,000 9,969,000 1,240,000 -9,984,000 16,693,000 139,000 4,968,000 -7,072,000 7,313,000 -4,880,000 5,673,000 -10,170,000 12,014,000 -20,100,000 5,583,000 -15,661,000 -12,207,000 6,107,000 3,839,000 -3,904,000 163,000 3,470,000 2,400,000 -2,015,000 7,324,000 3,815,000 21,314,000 -5,490,000 4,819,000 1,441,000 
      income taxes payable/receivable
    -19,310,000 -58,234,000 19,608,000 -8,501,000 -11,653,000 -33,740,000 40,517,000 -13,794,000 10,339,000 -13,393,000 16,440,000 -2,177,000 1,254,000 -14,944,000 12,980,000 15,037,000 694,000 -22,600,000 12,081,000 1,762,000 -5,135,000 -2,833,000 7,863,000 8,658,000 -3,840,000 -11,932,000 6,441,000 4,403,000 4,952,000 -17,773,000 7,497,000 2,937,000 116,000 -20,318,000 13,493,000 -9,000 12,439,000 -20,313,000 14,517,000 -382,000 -462,000 -14,036,000 14,223,000 -5,155,000 4,452,000 -11,993,000 7,875,000 6,035,000 7,425,000 -20,091,000 10,853,000 -4,910,000 3,481,000 
      net cash provided by/(used in) operating activities
    249,695,000 77,865,000 177,300,000 210,339,000 203,654,000 54,258,000 52,387,000 104,674,000 50,484,000 35,028,000 53,313,000 63,975,000 32,920,000 36,883,000 44,690,000 76,253,000                                      
      cash flows from investing activities:
                                                         
      purchases of marketable securities
    -35,359,000 -1,750,000 -100,138,000 -1,192,000 -4,157,000 -8,017,000 -19,262,000 -12,240,000 -69,141,000 -97,434,000 -143,004,000 -36,951,000 -142,145,000 -275,302,000 -53,965,000 -107,982,000 -185,110,000 -166,122,000 -57,418,000 -69,080,000 -66,840,000 -82,695,000 -127,911,000 -155,595,000 -73,124,000 -190,820,000 -118,403,000 -189,286,000 -84,413,000 -67,981,000 -51,215,000 -63,640,000 -50,737,000 -68,678,000 -104,208,000 -90,300,000 -63,716,000 -70,817,000 -72,874,000 -90,273,000 -56,134,000 -29,672,000 -75,343,000 -54,144,000 -42,686,000 -50,875,000 -93,187,000   
      maturities of marketable securities
    58,630,000 10,920,000 26,037,000 21,624,000 85,000 25,760,000 55,102,000 73,782,000 85,546,000 73,095,000 68,554,000 64,023,000 106,549,000 56,022,000 40,147,000 91,889,000 39,850,000 33,632,000 12,447,000 16,617,000 71,766,000 41,190,000 44,250,000 71,114,000 90,454,000 67,983,000 51,964,000 84,772,000 73,330,000 73,900,000 63,720,000 47,453,000 55,280,000 70,747,000 81,643,000 59,839,000 69,656,000 57,384,000 45,874,000 20,870,000 64,574,000 40,360,000 48,915,000 49,042,000 46,250,000 21,560,000 15,100,000     
      sales of marketable securities
    115,608,000 2,207,000 2,240,000 4,839,000 2,565,000 317,736,000 198,199,000 8,548,000 13,240,000 12,455,000 23,323,000 23,982,000 42,673,000 27,016,000 24,728,000 24,336,000 33,818,000 28,953,000 22,539,000 12,031,000 5,374,000 7,312,000 20,984,000 13,717,000 11,773,000 21,154,000 21,493,000 62,408,000 1,333,000 110,946,000 2,063,000 2,998,000 6,505,000 5,693,000 30,507,000 8,804,000 7,798,000 11,664,000 6,979,000 19,321,000 19,764,000 3,709,000 6,873,000 2,875,000 14,280,000 8,658,000      
      purchases of property and equipment
    -35,817,000 -46,562,000 -36,103,000 -17,111,000 -41,952,000 -27,798,000 -28,568,000 -22,881,000 -21,534,000 -17,868,000 -15,991,000 -18,340,000 -11,983,000 -23,753,000 -19,971,000 -17,045,000 -17,795,000 -8,386,000 -13,672,000 -14,063,000 -17,325,000 -9,956,000 -22,314,000 -15,793,000 -12,062,000 -14,740,000 -28,155,000 -17,159,000 -15,371,000 -14,793,000 -12,374,000 -13,425,000 -12,817,000 -13,528,000 -11,533,000 -14,208,000 -6,559,000 -10,776,000 -9,366,000 -14,154,000 -11,480,000 -17,898,000 -7,228,000 -9,095,000 -3,428,000 -6,067,000 -6,164,000 -5,205,000 -5,519,000 -6,184,000 -6,772,000 -7,652,000 -5,183,000 
      acquisition of businesses, net of cash acquired and purchases of intangible and other assets
      -100,000 -4,886,000 -12,649,000 -293,366,000 -2,662,000 -30,260,000 -175,000 -1,000,000         336,000                             
      acquisition of intangible assets
    -4,666,000 -5,000,000                                                   
      proceeds from credit facility
                                                        
      repayment of borrowings from credit facility
                                                        
      net cash provided by/(used in) investing activities
    -75,842,000 -299,108,000 131,385,000 -104,122,000 -14,967,000 -10,378,000 -46,584,000 320,615,000 -80,861,000 52,222,000 10,992,000 -60,484,000 -63,110,000 27,126,000 -13,894,000 -243,797,000                                      
      cash flows from financing activities:
                                                         
      net proceeds from exercise of stock options
    11,079,000 4,697,000 11,223,000 69,283,000 23,505,000 14,238,000 3,413,000                                               
      payments related to tax withholdings for share-based compensation
    255,000 -660,000 -2,293,000 66,000 -840,000 -612,000 -5,343,000                                               
      repurchase of common stock
    -40,000,000 -25,000,000 -190,451,000 -1,000,000 -1,471,000 -83,316,000           -30,805,000 -73,864,000                               
      repayment of senior convertible notes
    -449,985,000                                                   
      net cash provided by/(used in) financing activities
    -32,042,000 -24,937,000 -635,396,000 59,733,000 19,583,000 8,709,000 -115,721,000 -237,270,000 1,425,000 1,084,000 2,940,000 13,591,000 13,162,000 -142,762,000 6,047,000 -1,023,000               3,867,000                   4,953,000 788,000 5,460,000  
      effect of foreign exchange rates on cash
    512,000 14,360,000 3,539,000 -4,278,000 4,072,000 3,773,000 -3,312,000 -347,000 2,120,000 433,000 -26,000 -839,000 479,000 -264,000 -123,000  38,000 -39,000 -569,000                                   
      net increase/(decrease) in cash and cash equivalents
    142,323,000 -231,820,000 -323,172,000 161,672,000 212,342,000 56,362,000 -113,230,000 187,672,000 -26,832,000 88,767,000 67,219,000 16,243,000 -16,549,000                       42,447,000 -5,150,000 14,067,000 21,123,000  8,942,000 -33,447,000 -7,259,000 -87,184,000 32,949,000 31,898,000 14,640,000 -11,945,000 9,593,000 -39,229,000 -80,857,000   
      cash and cash equivalents at beginning of period
    784,438,000 467,292,000 150,466,000 193,069,000                                       
      cash and cash equivalents at end of period
    142,323,000 -231,820,000 461,266,000 161,672,000 212,342,000 56,362,000 354,062,000 187,672,000 -26,832,000 88,767,000 217,685,000 16,243,000 -16,549,000 -79,017,000 229,789,000                                       
      supplemental disclosures of cash flow information:
                                                         
      income taxes paid
    1,870,000 86,027,000 7,199,000 41,034,000 45,888,000 69,619,000 1,967,000 35,422,000 26,192,000 37,255,000 1,724,000 19,522,000 21,605,000 36,124,000 572,000 5,577,000 7,853,000 31,027,000 570,000 6,109,000 17,181,000 356,000 1,791,000 83,000 10,081,000 22,525,000 1,450,000 5,658,000 2,227,000 21,470,000 1,197,000 10,103,000 13,533,000 32,819,000 2,656,000 13,078,000 4,795,000 31,440,000 774,000 11,145,000 14,075,000 31,371,000 509,000 14,734,000 9,240,000 23,954,000 3,168,000 7,763,000 5,065,000 25,473,000 418,000 8,558,000 12,895,000 
      non-cash investing and financing activities:
                                                         
      accrued purchases of property and equipment
    3,440,000 10,014,000 4,479,000 -4,706,000 4,082,000 5,426,000 1,129,000                                              
      equity issued in conjunction with the nuvasive merger
                                                        
      amortization of inventory fair value step up
        60,756,000 53,671,000 53,670,000 52,591,000                                              
      amortization of 2025 note fair value step up
        6,658,000 6,657,000 6,658,000                                               
      allowance for doubtful accounts
         8,513,000 2,968,000 -626,000 2,421,000 1,053,000 810,000 395,000 132,000 200,000 -728,000 317,000 293,000 510,000 80,000 219,000 286,000 1,699,000 756,000 294,000 1,503,000 1,196,000 33,000 569,000 76,000 95,000 217,000 583,000 177,000 164,000 794,000 365,000 172,000 60,000 88,000 508,000 240,000 670,000 47,000 82,000 124,000 23,000 89,000 459,000 145,000 35,000 54,000 27,000 21,000 
      payment of business acquisition related liabilities
           -635,000 -880,000 -718,000 -772,000 -626,000 -922,000 -356,000 -743,000   -1,568,000 -1,537,000                                  
      amortization of premium (discount) on marketable securities
            -56,000 304,000 482,000 943,000 1,238,000 1,518,000 1,690,000 1,018,000 632,000 611,000 520,000 372,000 111,000 84,000 20,000 -81,000 -272,000 -340,000 -396,000                           
      write-down for excess and obsolete inventories
            2,728,000 1,917,000 2,055,000 510,000 1,822,000 2,234,000 1,834,000     5,330,000 5,195,000 6,537,000 679,000 559,000 -529,000 301,000 2,167,000 2,149,000 2,920,000 2,923,000 2,483,000 3,361,000 3,196,000 3,291,000 1,671,000 5,917,000 2,383,000 2,311,000 2,225,000 2,802,000 2,392,000             
      (increase)/decrease in:
                                                         
      increase/(decrease) in:
                                                         
      payment of business acquisition liabilities
            -1,874,000 -2,115,000 -1,919,000 -1,897,000 -1,735,000 -1,854,000 -1,699,000       -287,000 -566,000 -501,000 -463,000 -283,000 -5,350,000 -226,000 -563,000 -510,000 -5,440,000 -4,875,000 -233,000 -5,001,000 -5,004,000 -100,000 -300,000 -300,000 -300,000 -300,000 -300,000 -300,000 -300,000 -400,000 -200,000 -300,000 -300,000 -300,000 -400,000 -300,000 -200,000 
      proceeds from exercise of stock options
            3,299,000 3,199,000 4,859,000 15,488,000 14,897,000 3,585,000 7,746,000 3,563,000 24,336,000 26,496,000 9,101,000 28,201,000 28,157,000 10,201,000 5,763,000 11,686,000 7,082,000 2,013,000 10,255,000 3,064,000 3,114,000 23,824,000 9,307,000 4,792,000 1,032,000 3,921,000 1,990,000 1,446,000 853,000 1,680,000 1,895,000 1,164,000 1,298,000             
      purchases of property and equipment included in accounts payable and accrued expenses
             -1,127,000 6,493,000 2,082,000 322,000 914,000 4,105,000 1,060,000 -46,000 917,000 2,620,000 279,000                                  
      net increase in cash and cash equivalents
                  36,720,000                  5,186,000 -32,766,000 49,796,000                 17,244,000  
      effect of foreign exchange rate on cash
                       486,000 461,000 -66,000 -16,000 75,000 -417,000 226,000 -40,000 -60,000 -125,000 -1,042,000 971,000 1,201,000 328,000 129,000 321,000 430,000 -2,443,000 28,000 91,000 36,000 82,000 -6,000 41,000 140,000 162,000 -61,000 -56,000 32,000 163,000 -3,000 38,000 -14,000 -24,000 
      net increase in cash, cash equivalents, and restricted cash
                   -168,807,000 93,093,000 83,935,000 -54,549,000 -11,210,000   -28,982,000 29,534,000 48,400,000 -12,186,000 -9,771,000  25,351,000 108,000 1,019,000                       
      cash, cash equivalents, and restricted cash at beginning of period
                   239,397,000 195,724,000 139,747,000 118,817,000                       
      cash, cash equivalents, and restricted cash at end of period
                   -168,807,000 93,093,000 83,935,000 184,848,000 -11,210,000 85,053,000 -1,188,000 166,742,000 29,534,000 48,400,000 -12,186,000 129,976,000 -5,548,000 25,351,000 108,000 119,836,000                       
      write-down of excess and obsolete inventories
                    570,000 3,450,000 1,550,000                                   
      acquisition of businesses, net of cash acquired, and purchases of intangible and other assets
                                                        
      net cash from operating activities
                     59,189,000 63,570,000 80,184,000 53,248,000 23,068,000 42,293,000 54,309,000 55,866,000 22,597,000 39,203,000 44,291,000 51,788,000 33,269,000 52,295,000 44,837,000 35,273,000 25,976,000 53,449,000 51,896,000 41,934,000 23,016,000 55,047,000 44,080,000 30,046,000 13,161,000 34,670,000 1,945,000 35,645,000 12,350,000 29,232,000 32,658,000 33,557,000 8,980,000 18,276,000 19,450,000 22,189,000 
      capex
                     -7,469,000 -11,052,000 -13,784,000 -17,325,000 -9,956,000 -22,314,000 -15,793,000 -12,062,000 -14,740,000 -28,155,000 -17,159,000 -15,371,000 -14,793,000 -12,374,000 -13,425,000 -12,817,000 -13,528,000 -11,533,000 -14,208,000 -6,559,000 -10,776,000 -9,366,000 -14,154,000 -11,480,000 -17,898,000 -7,228,000 -9,095,000 -3,428,000 -6,067,000 -6,164,000 -5,205,000 -5,519,000 -6,184,000 -6,772,000 -7,652,000 -5,183,000 
      free cash flows
                     51,720,000 52,518,000 66,400,000 35,923,000 13,112,000 19,979,000 38,516,000 43,804,000 7,857,000 11,048,000 27,132,000 36,417,000 18,476,000 39,921,000 31,412,000 22,456,000 12,448,000 41,916,000 37,688,000 35,375,000 12,240,000 45,681,000 29,926,000 18,566,000 -4,737,000 27,442,000 -7,150,000 32,217,000 6,283,000 23,068,000 27,453,000 28,038,000 2,796,000 11,504,000 11,798,000 17,006,000 
      net cash from investing activities
                     -143,000 -125,114,000 -119,092,000 7,661,000 -3,299,000 -2,592,000 -36,035,000 -13,668,000 -36,739,000 -53,839,000 -52,617,000 -28,863,000 -55,433,000 -56,114,000 -16,308,000 -31,447,000 -62,559,000 -963,000 -6,408,000 -46,214,000 -10,811,000 -36,120,000 -35,406,000 -22,840,000 -48,525,000 -43,779,000 -91,427,000 -3,774,000 16,178,000 -20,977,000 -45,906,000 -28,126,000 -53,159,000 -99,959,000 -7,652,000 -11,214,000 
      net cash provided by/used in financing activities
                     24,928,000 7,564,000                                   
      collections/(issuance) of note receivable
                                                         
      proceeds from sale of assets
                               1,000,000 1,000,000                         
      net cash used in/provided by financing activities
                       27,212,000 23,683,000                                 
      net increase/(decrease) in cash, cash equivalents, and restricted cash
                                                         
      interest paid
                         6,000 1,000 22,000 53,000 2,000 2,000     -31,000 13,000 13,000 8,000 12,000 21,000 1,000 1,000   7,000 12,000 13,000 54,000 12,000 13,000 17,000 24,000 13,000 
      net cash from financing activities
                          -68,667,000 11,185,000 6,619,000 1,730,000 4,905,000 2,838,000 2,551,000   -83,000 1,032,000   -3,471,000 1,573,000 1,834,000 2,105,000 941,000 1,654,000 1,923,000 1,809,000 2,158,000 916,000 3,431,000 6,441,000       
      impairment of intangible assets
                                                         
      amortization of premium on marketable securities
                               -131,000 331,000 692,000 785,000 413,000 403,000 847,000 1,008,000 1,001,000 982,000 1,132,000 953,000 1,002,000 982,000 730,000 640,000 607,000 507,000         
      non-cash settlement of accrued expenses
                                                         
      acquisition of businesses, net of cash acquired
                                   1,557,000      -497,000 -1,000 -48,015,000           
      change in fair value of contingent consideration
                                     333,000 478,000                 96,000 63,000 
      restricted cash
                                   478,000   -1,000 10,758,000 -784,000 15,668,000 -734,000 -703,000             
      accounts payable to related party
                                                   -630,000 -1,915,000 1,323,000 1,322,000 -2,281,000 4,354,000 
      issuance of note receivable
                                       -5,000,000                  
      cash and cash equivalents, beginning of period
                                   -65,685,000 132,639,000 60,152,000 82,265,000 89,962,000 212,400,000 
      cash and cash equivalents, end of period
                                   -36,038,000 5,186,000 -32,766,000 182,435,000 42,447,000 -5,150,000 14,067,000 81,275,000 9,651,000 8,942,000 -33,447,000 75,006,000 -87,184,000 32,949,000 31,898,000 104,602,000 -11,945,000 9,593,000 -39,229,000 131,543,000 17,244,000 29,579,000 
      net cash (used in)/provided by financing activities
                                      -3,011,000                   
      excess tax benefit related to nonqualified stock options
                                       -87,000 -720,000 -254,000 -510,000 -77,000 -656,000 -2,001,000 684,000 364,000 203,000 1,055,000 2,786,000 237,000 2,332,000 1,884,000 303,000 5,305,000 -2,701,000 
      accounts payable to related-party
                                            -5,359,000  -214,000 319,000 1,184,000       
      net decrease in cash and cash equivalents
                                                         
      stock-based compensation
                                             2,538,000 2,131,000 1,900,000 1,661,000 1,623,000 1,927,000 1,312,000 1,387,000 1,166,000 1,312,000 953,000 1,545,000 
      benefit from excess and obsolete inventories
                                              2,529,000 1,523,000 1,904,000 1,722,000 1,813,000 1,807,000 2,942,000 1,463,000 2,000,000 733,000 1,686,000 
      proceeds from issuance of common stock
                                              1,425,000  1,013,000 2,776,000 3,855,000       
      adjustments to reconcile net income to net cash from operating activities
                                                         
      acquisition of businesses
                                                        
      net proceeds from initial public offering
                                                       -3,000  
      net proceeds from issuance of common stock
                                                   1,334,000 1,967,000 3,369,000 885,000 458,000  
      repayments of long-term debt
                                                         
      purchase of common stock
                                                         
      deferred income taxes
                                                    -5,332,000 -3,906,000 -1,900,000  -3,185,000 
      acquisition of business
                                                         
      change in fair value of interest rate swap
                                                         
      sales of short-term investments
                                                         
      net proceeds from issuance of common and preferred stock
                                                         
    The information provided in this report is taken from www.sec.gov and many other data providers. While we have conducted our best efforts to ensure that the parsed data is accurate, we cannot guarantee its accuracy. Please use caution and understand that any consequences of its use are your own responsibility.