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v3.21.1

Condensed Consolidated Statements of Cash Flows - USD ($) $ in Thousands | 3 Months Ended
--- | ---
Mar. 31, 2021 | Mar. 31, 2020
Operating Activities: |  |
Net (loss) income | $ (29,698) | $ 37,583
Non-cash items included in net loss: |  |
Remeasurement of derivative instruments | 7,268 | (9,752)
Stock-based compensation | 9,536 | 9,043
Amortization | 6,699 | 10,267
Depreciation | 6,079 | 6,796
Amortization of operating lease assets | 5,389 | 3,136
Remeasurement of Respicardia investment and loan | (4,640) | 0
Amortization of debt issuance costs | 4,409 | 543
Remeasurement of contingent consideration to fair value | 453 | (17,283)
Deferred tax expense (benefit) | 37 | (22,884)
Other | 673 | (1,968)
Changes in operating assets and liabilities: |  |
Accounts receivable, net | (3,372) | 24,336
Inventories | (2,900) | (12,513)
Other current and non-current assets | 26,820 | (15,948)
Accounts payable and accrued current and non-current liabilities | (1,858) | (1,792)
Taxes payable | (3,337) | 0
Litigation provision liability | (2,078) | (115,609)
Net cash provided by (used in) operating activities | 19,480 | (106,045)
Investing Activities: |  |
Purchases of property, plant and equipment | (8,220) | (8,597)
Purchase of investments | (1,800) | (3,000)
Proceeds from asset sales | 162 | 834
Other | 0 | (322)
Net cash used in investing activities | (9,858) | (11,085)
Financing Activities: |  |
Payment of contingent consideration | (4,387) | (4,604)
Shares repurchased from employees for minimum tax withholding | (3,740) | (3,997)
Change in short-term borrowing, net | (643) | (2,477)
Proceeds from long-term debt obligations | 0 | 162,899
Proceeds from short term borrowings (maturities greater than 90 days) | 0 | 46,115
Closing adjustment payment for sale of CRM business | 0 | (14,891)
Other | 442 | 48
Net cash (used in) provided by financing activities | (8,328) | 183,093
Effect of exchange rate changes on cash and cash equivalents | (1,587) | (1,277)
Net (decrease) increase in cash and cash equivalents | (293) | 64,686
Cash and cash equivalents at beginning of period | 252,832 | 61,137
Cash and cash equivalents at end of period | $ 252,539 | $ 125,823

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