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CONSOLIDATED STATEMENTS OF CASH FLOWS - USD ($) $ in Thousands | 12 Months Ended
--- | ---
Dec. 31, 2023 | Dec. 31, 2022 | Dec. 31, 2021
CASH FLOWS FROM OPERATING ACTIVITIES: |  |  |
Net income | $ 94,411 | $ 74,516 | $ 48,454
Adjustments to reconcile net income to net cash provided by operating activities: |  |  |
Depreciation and amortization | 89,985 | 81,804 | 84,066
(Gain) Loss on disposition of business | (431) | 1,417 |
Loss on sale or abandonment of property and equipment | 5,838 | 380 | 1,303
Write-off of certain intangible assets and other long-term assets | 506 | 2,281 | 4,412
Acquired in-process research and development | 1,550 | 6,671 |
Amortization of right-of-use operating lease assets | 11,307 | 10,394 | 11,718
Fair value adjustments related to contingent consideration liabilities | 1,704 | 4,611 | 3,161
Amortization of deferred credits | (104) | (107) | (108)
Amortization and write-off of long-term debt issuance costs | 1,717 | 604 | 604
Deferred income taxes | (12,643) | (14,924) | (4,631)
Stock-based compensation expense | 21,333 | 18,042 | 16,090
Changes in operating assets and liabilities, net of acquisitions and divestitures: |  |  |
Trade receivables | (11,916) | (15,116) | (8,618)
Other receivables | 2,429 | 4,154 | (10,418)
Inventories | (32,105) | (47,929) | (25,183)
Prepaid expenses and other current assets | 1,281 | (1,798) | (3,555)
Prepaid income taxes | (92) | (379) | 125
Income tax refund receivables | (58) | 1,952 | 739
Other assets | (5,976) | 657 | (1,670)
Trade payables | (7,297) | 12,661 | 6,050
Accrued expenses | (2,484) | (16,379) | 36,462
Income taxes payable | (1,685) | 4,521 | (119)
Liabilities related to unrecognized tax benefits |  | (45) | 314
Deferred compensation payable | 1,903 | (2,848) | 1,303
Operating lease liabilities | (11,492) | (11,127) | (12,410)
Other long-term obligations | (2,530) | 278 | (858)
Total adjustments | 50,740 | 39,775 | 98,777
Net cash, cash equivalents, and restricted cash provided by operating activities | 145,151 | 114,291 | 147,231
Capital expenditures for: |  |  |
Property and equipment | (34,290) | (45,029) | (27,939)
Intangible assets | (2,411) | (3,175) | (2,834)
Proceeds from the sale of property and equipment | 201 | 65 | 1,037
Proceeds (payments) from disposition of business | 431 | (971) |
Cash received for settlement of note receivable |  |  | 2,000
Issuance of note receivable | (1,000) |  | (2,254)
Cash paid in acquisitions, net of cash acquired | (138,278) | (8,287) | (7,171)
Net cash, cash equivalents, and restricted cash used in investing activities | (175,347) | (57,397) | (37,161)
CASH FLOWS FROM FINANCING ACTIVITIES: |  |  |
Proceeds from issuance of common stock | 15,584 | 20,070 | 21,306
Proceeds from issuance of long-term debt | 1,199,203 | 215,205 | 98,421
Payments on long-term debt | (579,624) | (260,143) | (206,921)
Purchase of capped call option | (66,528) |  |
Long-term debt issuance costs | (677) |  |
Contingent payments related to acquisitions | (3,569) | (32,918) | (10,665)
Payment of taxes related to an exchange of common stock | (5,123) | (2,474) | (576)
Net cash, cash equivalents, and restricted cash provided by (used in) financing activities | 559,266 | (60,260) | (98,435)
Effect of exchange rates on cash, cash equivalents, and restricted cash | (484) | (3,826) | (801)
Net increase (decrease) in cash, cash equivalents and restricted cash | 528,586 | (7,192) | 10,834
CASH, CASH EQUIVALENTS AND RESTRICTED CASH: |  |  |
Beginning of period | 60,558 | 67,750 | 56,916
End of period | 589,144 | 60,558 | 67,750
RECONCILIATION OF CASH, CASH EQUIVALENTS AND RESTRICTED CASH TO THE CONSOLIDATED BALANCE SHEETS: |  |  |
Cash and cash equivalents | 587,036 | 58,408 | 67,750
Restricted cash reported in prepaid expenses and other current assets | $ 2,108 | 2,150 |
Restricted Cash and Cash Equivalents, Current, Statement of Financial Position [Extensible Enumeration] | Prepaid Expense and Other Assets, Current |  |
Total cash, cash equivalents and restricted cash | $ 589,144 | 60,558 | 67,750
SUPPLEMENTAL DISCLOSURES OF CASH FLOW INFORMATION |  |  |
Interest (net of capitalized interest of $XXX, $858 and $480, respectively) | 14,051 | 6,258 | 5,261
Income taxes | 31,534 | 17,092 | 8,828
SUPPLEMENTAL DISCLOSURES OF NON-CASH INVESTING AND FINANCING ACTIVITIES |  |  |
Property and equipment purchases in accounts payable | 8,267 | 3,702 | 2,558
Acquisition purchases in accrued expenses and other long-term obligations | 3,713 | 3,526 |
Merit common stock surrendered (XX, 18 and 3 shares, respectively) in exchange for exercise of stock options | 5,809 | 1,140 | 180
Right-of-use operating lease assets obtained in exchange for operating lease liabilities | $ 8,891 | $ 11,130 | $ 1,524

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- Definition This element represents the cash inflow during the period from the sale of a component of the entity. + References Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef -Name Accounting Standards Codification -Topic 230 -SubTopic 10 -Section 45 -Paragraph 12 -Subparagraph (b) -Publisher FASB -URI https://asc.fasb.org//1943274/2147482740/230-10-45-12 + Details
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- Definition The cash inflow from the additional capital contribution to the entity. + References Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef -Name Accounting Standards Codification -Section 45 -Paragraph 14 -Subparagraph (a) -SubTopic 10 -Topic 230 -Publisher FASB -URI https://asc.fasb.org//1943274/2147482740/230-10-45-14 + Details
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- Definition The cash inflow from a borrowing with the highest claim on the assets of the entity in case of bankruptcy or liquidation (with maturities initially due after one year or beyond the operating cycle, if longer). + References Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef -Name Accounting Standards Codification -Topic 230 -SubTopic 10 -Section 45 -Paragraph 14 -Subparagraph (b) -Publisher FASB -URI https://asc.fasb.org//1943274/2147482740/230-10-45-14 + Details
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- Definition The cash inflow from the sale of long-lived, physical assets that are used in the normal conduct of business to produce goods and services and not intended for resale. + References Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef -Topic 230 -SubTopic 10 -Name Accounting Standards Codification -Section 45 -Paragraph 12 -Subparagraph (c) -Publisher FASB -URI https://asc.fasb.org//1943274/2147482740/230-10-45-12 + Details
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- Definition The cash outflow for a long-term debt where the holder has highest claim on the entity's asset in case of bankruptcy or liquidation during the period. + References Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef -Name Accounting Standards Codification -Topic 230 -SubTopic 10 -Section 45 -Paragraph 15 -Subparagraph (b) -Publisher FASB -URI https://asc.fasb.org//1943274/2147482740/230-10-45-15 + Details
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- Definition The amount of the write-off for research and development assets that were acquired in a transaction other than a business combination. + References Reference 1: http://www.xbrl.org/2009/role/commonPracticeRef -Topic 730 -SubTopic 10 -Name Accounting Standards Codification -Section 50 -Paragraph 1 -Publisher FASB -URI https://asc.fasb.org//1943274/2147482916/730-10-50-1 Reference 2: http://fasb.org/us-gaap/role/ref/legacyRef -Name Accounting Standards Codification -Topic 350 -SubTopic 30 -Section 50 -Paragraph 1 -Subparagraph (c) -Publisher FASB -URI https://asc.fasb.org//1943274/2147482665/350-30-50-1 + Details
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- Definition Amount of cash and cash equivalents restricted as to withdrawal or usage, classified as current. Cash includes, but is not limited to, currency on hand, demand deposits with banks or financial institutions, and other accounts with general characteristics of demand deposits. Cash equivalents include, but are not limited to, short-term, highly liquid investments that are both readily convertible to known amounts of cash and so near their maturity that they present insignificant risk of changes in value because of changes in interest rates. + References Reference 1: http://www.xbrl.org/2003/role/disclosureRef -Topic 210 -SubTopic 10 -Name Accounting Standards Codification -Section S99 -Paragraph 1 -Subparagraph (SX 210.5-02(1)) -Publisher FASB -URI https://asc.fasb.org//1943274/2147480566/210-10-S99-1 Reference 2: http://www.xbrl.org/2003/role/disclosureRef -Topic 230 -SubTopic 10 -Name Accounting Standards Codification -Section 50 -Paragraph 8 -Publisher FASB -URI https://asc.fasb.org//1943274/2147482913/230-10-50-8 Reference 3: http://fasb.org/us-gaap/role/ref/legacyRef -Name Accounting Standards Codification -Topic 230 -SubTopic 10 -Section 45 -Paragraph 4 -Publisher FASB -URI https://asc.fasb.org//1943274/2147482740/230-10-45-4 + Details
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- Definition Indicates line item in statement of financial position that includes cash and cash equivalents restricted to withdrawal or usage, classified as current. + References Reference 1: http://www.xbrl.org/2003/role/disclosureRef -Topic 230 -SubTopic 10 -Name Accounting Standards Codification -Section 50 -Paragraph 8 -Publisher FASB -URI https://asc.fasb.org//1943274/2147482913/230-10-50-8 + Details
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- Definition Amount of increase in right-of-use asset obtained in exchange for operating lease liability. + References Reference 1: http://www.xbrl.org/2003/role/exampleRef -Topic 842 -SubTopic 20 -Name Accounting Standards Codification -Section 55 -Paragraph 53 -Publisher FASB -URI https://asc.fasb.org//1943274/2147479589/842-20-55-53 Reference 2: http://www.xbrl.org/2003/role/disclosureRef -Topic 842 -SubTopic 20 -Name Accounting Standards Codification -Section 50 -Paragraph 4 -Subparagraph (g)(2) -Publisher FASB -URI https://asc.fasb.org//1943274/2147478964/842-20-50-4 + Details
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- Definition Amount of noncash expense for share-based payment arrangement. + References Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef -Name Accounting Standards Codification -Section 45 -Paragraph 28 -Subparagraph (a) -SubTopic 10 -Topic 230 -Publisher FASB -URI https://asc.fasb.org//1943274/2147482740/230-10-45-28 + Details
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