v3.26.1
CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS - USD ($)
$ in Thousands
 6 Months Ended
Jun. 30, 2026
Jun. 30, 2025
Operating Activities:    
Net income (loss) $ 130,863 $ (300,161)
Adjustments to reconcile net income (loss) to net cash provided by operating activities:    
Deferred income tax (benefit) expense (89,945) 2,763
Remeasurement of derivative instruments 52,213 (27,260)
Share-based compensation 25,152 16,957
Depreciation 17,052 13,293
Gain on sale of investment (13,648) 0
Amortization of intangible assets 11,226 8,656
Remeasurement of contingent consideration to fair value 10,504 3,709
Amortization of debt issuance costs 9,707 11,397
Amortization of operating lease assets 5,515 7,762
Impairment of investment 1,132 0
Loss on debt extinguishment 857 2,651
Loss on investment revaluation - Ceribell, Inc. 0 3,622
Other, net (304) 968
Changes in operating assets and liabilities:    
Accounts receivable, net (17,153) (13,672)
Inventories (10,145) (6,038)
Other current and non-current assets (17,446) 35,540
Accounts payable and accrued current and non-current liabilities (32,711) (33,171)
Taxes payable (8,900) (897)
Litigation provision liability 7,835 (1,303)
SNIA environmental liability 0 362,070
Net cash provided by operating activities 81,804 86,886
Investing Activities:    
Purchases of property, plant, and equipment (45,840) (25,937)
Proceeds from investments 0 6,522
Other, net (657) (181)
Net cash used in investing activities (46,497) (19,596)
Financing Activities:    
Repayment of long-term debt obligations (95,938) (210,250)
Payment of contingent consideration (50,429) 0
Other, net (4,326) (3,153)
Net cash used in financing activities (150,693) (213,403)
Effect of exchange rate changes on cash, cash equivalents, and restricted cash (3,547) 16,195
Net decrease in cash, cash equivalents, and restricted cash (118,933) (129,918)
Cash, cash equivalents, and restricted cash at beginning of period 635,552 723,556
Cash and cash equivalents at end of period $ 516,619 $ 593,638