v3.26.3
CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS - USD ($)
$ in Thousands
 9 Months Ended
Sep. 30, 2026
Sep. 30, 2025
Operating Activities:    
Net income (loss) $ 165,157 $ (273,377)
Adjustments to reconcile net income (loss) to net cash provided by operating activities:    
Deferred income tax (benefit) expense (86,892) 4,066
Share-based compensation 39,707 26,904
Remeasurement of derivative instruments 29,395 (16,990)
Depreciation 26,156 21,008
Amortization of intangible assets 17,609 13,186
Amortization of debt issuance costs 14,843 17,259
Remeasurement of contingent consideration to fair value 13,777 5,464
Gain on sale of investment (13,648) 0
Amortization of operating lease assets 7,820 10,732
Impairment of investment 1,132 1,112
Loss on debt extinguishment 857 2,651
Loss on investment revaluation - Ceribell, Inc. 0 3,622
Other, net 256 2,427
Changes in operating assets and liabilities:    
Accounts receivable, net (22,488) (5,830)
Inventories (15,422) (8,100)
Other current and non-current assets (25,777) 50,582
Accounts payable and accrued current and non-current liabilities (14,728) (36,051)
Taxes payable (11,250) (13,575)
Litigation provision liability 28,963 3,038
SNIA environmental liability 0 363,815
Net cash provided by operating activities 155,467 171,943
Investing Activities:    
Purchases of property, plant, and equipment (76,614) (48,817)
Proceeds from investments 9,068 6,522
Purchases of investments (2,115) 0
Other, net 55 (358)
Net cash used in investing activities (69,606) (42,653)
Financing Activities:    
Repayment of long-term debt obligations (95,938) (216,813)
Payment of contingent consideration (50,429) 0
Shares repurchased from employees for minimum tax withholding (11,724) (3,625)
Other, net 4,480 (2,338)
Net cash used in financing activities (153,611) (222,776)
Effect of exchange rate changes on cash, cash equivalents, and restricted cash (4,335) 16,009
Net decrease in cash, cash equivalents, and restricted cash (72,085) (77,477)
Cash, cash equivalents, and restricted cash at beginning of period 635,552 723,556
Cash and cash equivalents at end of period $ 563,467 $ 646,079