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CONSOLIDATED STATEMENTS OF CASH FLOWS - USD ($)
$ in Thousands
 9 Months Ended
Sep. 30, 2023
Sep. 30, 2022
Cash Flows From Operating Activities:    
Net income $ 101,378 $ 57,473
Reconciliation to net cash provided by operating activities:    
Loss (gain) on disposal of assets 474 (52)
Impairment of long-lived assets 2,700  
Gain on interest rate swaps and foreign currency transactions, net (1,019) (1,124)
Depreciation of property, plant, and equipment 18,559 17,615
Amortization of product rights, trademarks, and patents 6,651 730
Operating lease right-of-use asset amortization 2,778 2,604
Amortization of discounts, premium, and debt issuance costs 8,486 436
Equity in losses of unconsolidated affiliate 1,476 1,120
Share-based compensation 15,620 13,556
Changes in operating assets and liabilities:    
Accounts receivable, net (30,175) 1,423
Inventories (6,537) (12,922)
Prepaid expenses and other assets 105 1,342
Income tax refunds, deposits, and payable, net 25,185 (18,789)
Operating lease liabilities (2,667) (2,303)
Accounts payable and accrued liabilities 16,625 12,846
Net cash provided by operating activities 159,639 73,955
Cash Flows From Investing Activities:    
BAQSIMI acquisition (506,406)  
Purchases and construction of property, plant, and equipment (28,724) (17,724)
Proceeds from the sale of property, plant and equipment   421
Purchase of investments (52,802) (30,568)
Maturity of investments 38,801 15,465
Deposits and other assets (3,064) 142
Net cash used in investing activities (546,067) (32,548)
Cash Flows From Financing Activities:    
Proceeds from equity plans, net of withholding tax payments 7,414 13,620
Purchase of treasury stock (58,144) (21,840)
Debt issuance costs (24,589) (404)
Proceeds from issuance of long-term debt 845,000  
Principal payments on long-term debt (268,506) (1,653)
Net cash provided by financing activities 501,176 (10,277)
Effect of exchange rate changes on cash (44) (239)
Net increase in cash, cash equivalents, and restricted cash 114,704 30,891
Cash, cash equivalents, and restricted cash at beginning of period 156,333 126,588
Cash, cash equivalents, and restricted cash at end of period 271,037 157,479
Noncash Investing and Financing Activities:    
Deferred payment for BAQSIMI acquisition 121,699  
Capital expenditures included in accounts payable 4,496 3,431
Operating lease right-of-use assets in exchange for operating lease liabilities 9,890 2,166
Equipment acquired under finance leases   453
Supplemental Disclosures of Cash Flow Information:    
Interest paid, net of capitalized interest 12,098 1,960
Income taxes paid $ 2,136 $ 35,166