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CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS (unaudited) - USD ($) $ in Thousands | 6 Months Ended
--- | ---
Jun. 30, 2023 | Jun. 30, 2022
CASH FLOWS FROM OPERATING ACTIVITIES: |  |
Net income (loss) | $ 195,220 | $ (66,039)
Adjustments to reconcile net income (loss) to cash flows from operating activities: |  |
Depreciation and amortization | 37,725 | 38,588
Share-based compensation expense | 51,147 | 41,720
Deferred income taxes | (38,137) | (40,815)
Change in the fair value of contingent consideration |  | 18,197
Other non-cash charges | 691 | 637
Changes in assets and liabilities: |  |
Receivables | (46,511) | 67,382
Contract assets | 8,929 | (3,123)
Inventory | (6,879) | (4,569)
Prepaid expenses and other assets | (774) | (1,986)
Right-of-use assets | 8,498 | 8,331
Accounts payable and accrued expenses | 19,995 | (20,802)
Accrued sales discounts, allowances and reserves | (29,347) | (8,243)
Contract liabilities | (5,032) | (4,071)
Operating lease liabilities | (8,471) | (8,911)
Other long-term liabilities | 7,354 | 3,076
Cash flows provided by operating activities | 194,408 | 19,372
CASH FLOWS FROM INVESTING ACTIVITIES: |  |
Additions of property, plant and equipment | (16,565) | (17,753)
Proceeds from the sale of equipment | 3 |
Proceeds from contingent consideration |  | 1,043
Return of Fountain Healthcare Partners II, L.P. investment |  | 485
Purchases of investments | (30,284) | (194,879)
Sales and maturities of investments | 240,544 | 109,925
Cash flows provided by (used in) investing activities | 193,698 | (101,179)
CASH FLOWS FROM FINANCING ACTIVITIES: |  |
Proceeds from the issuance of ordinary shares under share-based compensation arrangements | 12,000 | 17,992
Employee taxes paid related to net share settlement of equity awards | (25,284) | (17,583)
Principal payments of long-term debt | (1,500) | (1,500)
Cash flows used in financing activities | (14,784) | (1,091)
NET INCREASE (DECREASE) IN CASH AND CASH EQUIVALENTS | 373,322 | (82,898)
CASH AND CASH EQUIVALENTS—Beginning of period | 292,473 | 337,544
CASH AND CASH EQUIVALENTS—End of period | 665,795 | 254,646
Non-cash investing and financing activities: |  |
Purchased capital expenditures included in accounts payable and accrued expenses | $ 4,863 | $ 4,863

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