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CONSOLIDATED STATEMENTS OF CASH FLOWS - USD ($) $ in Thousands | 12 Months Ended
--- | ---
Dec. 31, 2025 | Dec. 31, 2024 | Dec. 31, 2023
Operating Activities: |  |  |
Net (loss) income | $ (242,471) | $ 63,234 | $ 17,546
Adjustments to reconcile net (loss) income to net cash provided by operating activities: |  |  |
Share-based compensation | 36,292 | 33,933 | 36,352
Depreciation | 28,563 | 25,104 | 24,737
Amortization of debt issuance costs | 23,059 | 21,599 | 19,053
Amortization | 17,701 | 17,212 | 25,472
Amortization of operating lease assets | 13,368 | 8,828 | 10,647
Remeasurement of contingent consideration to fair value | 7,857 | 3,316 | 9,360
Remeasurement of derivative instruments, net | (6,899) | (25,345) | (22,911)
Gain on sale of asset | (4,128) | 0 | 0
Loss (gain) on investment revaluation - Ceribell, Inc. | 3,622 | (7,144) | 0
Loss on debt extinguishment | 2,651 | 25,482 | 0
Deferred income tax expense (benefit) | 455 | 6,795 | (114,428)
Impairment of investments | 1,112 | 5,768 | 0
Impairment of long-lived assets | 0 | 0 | 89,974
ACS inventory obsolescence adjustment | 0 | 0 | 12,621
Other | 3,188 | 2,950 | 1,111
Changes in operating assets and liabilities: |  |  |
Accounts receivable, net | (10,705) | 11,060 | (28,864)
Inventories | (5,291) | (6,757) | (28,478)
Other current and non-current assets | 38,538 | (1,645) | 15,302
Accounts payable and accrued current and non-current liabilities | (13,446) | (14,478) | 19,190
Taxes payable | (3,591) | 10,851 | 7,361
SNIA environmental liability | 365,553 | 0 | 0
Litigation provision liability | (1,088) | 2,275 | (19,131)
Net cash provided by operating activities | 254,340 | 183,038 | 74,914
Investing Activities: |  |  |
Purchases of property, plant, and equipment | (81,050) | (47,107) | (34,981)
Proceeds from sale of investment | 6,522 | 0 | 0
Proceeds from asset sales | 7,281 | 89 | 1,154
Purchases of investments | (5,665) | (1,142) | (6,504)
Net cash used in investing activities | (72,912) | (48,160) | (40,331)
Financing Activities: |  |  |
Repayment of long-term debt obligations | (280,927) | (247,546) | (21,624)
Shares repurchased from employees for minimum tax withholding | (4,430) | (8,439) | (7,503)
Proceeds from exercise of stock options | 35 | 6,341 | 19
Proceeds from long-term debt obligations | 0 | 335,513 | 50,000
Payment of debt extinguishment costs | 0 | (38,953) | 0
Purchase of capped calls | 0 | (31,637) | 0
Proceeds from unwind of capped calls | 0 | 22,523 | 0
Payment of contingent consideration | 0 | (13,750) | 0
Payment of debt issuance costs | 0 | (5,939) | 0
Other | (338) | 438 | 592
Net cash (used in) provided by financing activities | (285,660) | 18,551 | 21,484
Effect of exchange rate changes on cash, cash equivalents, and restricted cash | 16,228 | (7,745) | 6,187
Net (decrease) increase in cash, cash equivalents, and restricted cash | (88,004) | 145,684 | 62,254
Cash, cash equivalents, and restricted cash at beginning of period | 723,556 | 577,872 | 515,618
Cash, cash equivalents, and restricted cash at end of period | $ 635,552 | $ 723,556 | $ 577,872

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