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CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS - USD ($)
$ in Thousands
9 Months Ended
Sep. 30, 2024
Sep. 30, 2023
Cash Flows From Operating Activities:    
Net income $ 121,555 $ 101,378
Reconciliation to net cash provided by operating activities:    
Loss (gain) on disposal of assets 110 474
Impairment of long-lived assets   2,700
Gain on interest rate swaps and foreign currency transactions, net 1,496 (1,019)
Depreciation of property, plant, and equipment 20,992 18,559
Amortization of product rights, trademarks, and patents 18,539 6,651
Operating lease right-of-use asset amortization 3,010 2,778
Amortization of discounts, premium, and debt issuance costs 5,308 8,486
Equity in losses of unconsolidated affiliate 573 1,476
Share-Based Payment Arrangement, Noncash Expense 18,736 15,620
Changes in operating assets and liabilities:    
Accounts receivable, net (24,577) (30,175)
Inventories (24,329) (6,537)
Prepaid expenses and other assets (10,489) 105
Income tax refunds, deposits, and payable, net (5,147) 25,185
Operating lease liabilities (2,866) (2,667)
Accounts payable and accrued liabilities 61,451 16,625
Net cash provided by operating activities 184,362 159,639
Cash Flows From Investing Activities:    
BAQSIMI acquisition (129,000) (506,406)
Purchases and construction of property, plant, and equipment (28,630) (28,724)
Purchase of investments (47,507) (52,802)
Maturity of investments 118,538 38,801
Deposits and other assets 2,653 (3,064)
Net cash provided by (used in) investing activities (89,252) (546,067)
Cash Flows From Financing Activities:    
Proceeds from equity plans, net of withholding tax payments   7,414
Proceeds from equity plans, net of withholding tax payments (8,234)  
Purchase of treasury stock (43,456) (58,144)
Debt issuance costs (838) (24,589)
Proceeds from Lines of Credit 13,565  
Proceeds from Issuance of Long-Term Debt   845,000
Principal payments on long-term debt (8,148) (268,506)
Net cash used in financing activities (47,111) 501,176
Effect of Exchange Rate on Cash, Cash Equivalents, Restricted Cash, and Restricted Cash Equivalents, Continuing Operations (179) (44)
Net increase in cash, cash equivalents, and restricted cash 47,820 114,704
Cash, cash equivalents, and restricted cash at beginning of period 144,531 156,333
Cash, cash equivalents, and restricted cash at end of period 192,351 271,037
Noncash Investing and Financing Activities:    
Deferred payment for BAQSIMI acquisition   121,699
Capital expenditures included in accounts payable 5,120 4,496
Operating lease right-of-use assets in exchange for operating lease liabilities 2,386 9,890
Supplemental Disclosures of Cash Flow Information:    
Interest Paid, Excluding Capitalized Interest, Operating Activities 22,389 12,098
Income Taxes Paid $ 29,000 $ 2,136