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CONSOLIDATED STATEMENTS OF CASH FLOWS - USD ($) $ in Thousands | 9 Months Ended
--- | ---
Sep. 30, 2025 | Sep. 30, 2024
CASH FLOWS FROM OPERATING ACTIVITIES: |  |
Net Income (Loss) | $ 90,483 | $ 92,410
Adjustments to reconcile net income to net cash provided by operating activities: |  |
Depreciation and amortization | 91,629 | 74,093
Gain on disposition of business | (249) |
Loss on sale or abandonment of property and equipment | 546 | 215
Write-off of certain intangible assets and other long-term assets | 152 | 401
Amortization of right-of-use operating lease assets | 8,693 | 9,043
Fair value adjustments related to contingent consideration liabilities | 1,198 | 292
Amortization of deferred credits | (77) | (77)
Amortization and write-off of long-term debt issuance costs | 4,242 | 4,431
Stock-based compensation expense | 33,563 | 18,958
Changes in operating assets and liabilities, net of acquisitions: |  |
Trade receivables | (13,656) | (9,540)
Other receivables | 2,116 | (4,670)
Inventories | (15,073) | (2,844)
Prepaid expenses and other current assets | (3,038) | (5,871)
Income tax refund receivables | (140) | (7,530)
Other assets | (1,829) | (3,860)
Trade payables | 3,428 | (6,489)
Accrued expenses | 4,849 | (614)
Income taxes payable | 3,485 | (2,246)
Deferred compensation payable | (2,114) | 2,051
Operating lease liabilities | (8,578) | (9,056)
Other long-term obligations | (769) | 2,958
Total adjustments | 108,378 | 59,645
Net cash, cash equivalents, and restricted cash provided by operating activities | 198,861 | 152,055
Capital expenditures for: |  |
Property and equipment | (57,252) | (31,668)
Intangible assets | (2,327) | (2,138)
Proceeds from the sale of property and equipment | 49 | 5
Proceeds from disposition of business | 249 |
Cash paid for notes receivable and other investments | (14,936) | (10,223)
Cash paid in acquisitions, net of cash acquired | (122,834) | (110,182)
Net cash, cash equivalents, and restricted cash used in investing activities | (197,051) | (154,206)
CASH FLOWS FROM FINANCING ACTIVITIES: |  |
Proceeds from issuance of common stock | 22,179 | 15,424
Payments on long-term debt |  | (76,063)
Contingent payments related to acquisitions | (2,645) | (209)
Payment of taxes related to an exchange of common stock | (8,597) | (1,592)
Net cash, cash equivalents, and restricted cash provided by (used in) financing activities | 10,937 | (62,440)
Effect of exchange rates on cash, cash equivalents, and restricted cash | 3,047 | 724
Net (decrease) increase in cash, cash equivalents and restricted cash | 15,794 | (63,867)
CASH, CASH EQUIVALENTS AND RESTRICTED CASH: |  |
Beginning of period | 378,767 | 589,144
End of period | 394,561 | 525,277
RECONCILIATION OF CASH, CASH EQUIVALENTS AND RESTRICTED CASH TO THE CONSOLIDATED BALANCE SHEETS: |  |
Cash and cash equivalents | 392,457 | 523,128
Restricted cash reported in prepaid expenses and other current assets | $ 2,104 | $ 2,149
Restricted Cash and Cash Equivalents, Current, Statement of Financial Position [Extensible Enumeration] | Prepaid Expense and Other Assets, Current | Prepaid Expense and Other Assets, Current
Total cash, cash equivalents and restricted cash | $ 394,561 | $ 525,277
SUPPLEMENTAL DISCLOSURES OF CASH FLOW INFORMATION |  |
Interest (net of capitalized interest of $934 and $712, respectively) | 25,890 | 20,977
Income taxes | 23,323 | 33,054
SUPPLEMENTAL DISCLOSURES OF NON-CASH INVESTING AND FINANCING ACTIVITIES |  |
Property and equipment purchases in accounts payable | 5,022 | 8,907
Acquisition purchases in accrued expenses and other long-term obligations | 4,772 | 4,894
Merit common stock surrendered (118 and 0 shares, respectively) in exchange for exercise of stock options | 10,863 |
Right-of-use operating lease assets obtained in exchange for operating lease liabilities | $ 30,757 | $ 9,191

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- Definition Amount of cash and cash equivalent restricted as to withdrawal or usage, classified as current. Cash includes, but is not limited to, currency on hand, demand deposit with financial institution, and account with general characteristic of demand deposit. Cash equivalent includes, but is not limited to, short-term, highly liquid investment that is both readily convertible to known amount of cash and so near maturity that it presents insignificant risk of change in value because of change in interest rate. + 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 equivalent 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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