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CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS (UNAUDITED) - USD ($) $ in Thousands | 3 Months Ended | 9 Months Ended | 12 Months Ended
--- | --- | --- | ---
Sep. 30, 2023 | Mar. 31, 2023 | Sep. 30, 2022 | Mar. 31, 2022 | Sep. 30, 2023 | Sep. 30, 2022 | Dec. 31, 2022
OPERATING ACTIVITIES: |  |  |  |  |  |  |
Net income | $ 19,497 | $ 24,226 | $ 49,915 | $ 32,901 | $ 47,907 | $ 127,604 |
Adjustments to reconcile net income to net cash provided by operating activities: |  |  |  |  |  |  |
Depreciation and amortization |  |  |  |  | 92,527 | 88,803 |
Deferred income tax provision |  |  |  |  | 2,963 | 1,439 |
Share-based compensation |  |  |  |  | 14,350 | 21,994 |
Amortization of debt issuance costs and expenses associated with debt refinancing |  |  |  |  | 4,731 | 5,142 |
Non-cash lease expense |  |  |  |  | 2,120 | 3,040 |
Loss (gain) on disposal of property and equipment |  |  |  |  | (4) | 914 |
Gain from the sale of business | 0 |  | (644) |  | 0 | (644) |
Change in fair value of contingent consideration and others |  |  |  |  | 8,278 | (19,481) |
Changes in assets and liabilities: |  |  |  |  |  |  |
Accounts receivable |  |  |  |  | 5,050 | (23,870) |
Inventories |  |  |  |  | (43,350) | (24,443) |
Prepaid expenses and other current assets |  |  |  |  | (21,700) | 1,629 |
Other non-current assets |  |  |  |  | (8,774) | 9,575 |
Accounts payable, accrued expenses and other current liabilities |  |  |  |  | (22,141) | (803) |
Contract liabilities |  |  |  |  | 141 | 2,524 |
Other non-current liabilities |  |  |  |  | (893) | (14,288) |
Net cash provided by operating activities |  |  |  |  | 81,205 | 179,135 |
INVESTING ACTIVITIES: |  |  |  |  |  |  |
Purchases of property and equipment |  |  |  |  | (42,330) | (27,887) |
Proceeds from Sale of Business |  |  |  |  | 0 | 23,960 |
Acquired in-process research and development milestone |  |  |  |  | 0 | (4,742) |
Net proceeds from swaps designated as net investment hedges |  |  |  |  | 5,381 | 4,909 |
Net cash used in investing activities |  |  |  |  | (36,949) | (3,760) |
FINANCING ACTIVITIES: |  |  |  |  |  |  |
Proceeds from borrowings of long-term indebtedness |  |  |  |  | 146,900 | 34,250 |
Payments on debt |  |  |  |  | (85,900) | (40,750) |
Payment of debt issuance costs |  |  |  |  | (7,578) | 0 |
Purchases of treasury stock |  |  |  |  | (275,000) | (125,000) |
Proceeds from exercised stock options |  |  |  |  | 4,092 | 1,592 |
Cash taxes paid in net equity settlement |  |  |  |  | (5,549) | (24,346) |
Net cash used in financing activities |  |  |  |  | (223,035) | (154,254) |
Effect of exchange rate changes on cash and cash equivalents |  |  |  |  | (4,150) | (22,632) |
Net decrease in cash and cash equivalents |  |  |  |  | (182,929) | (1,511) |
Cash and cash equivalents at beginning of period |  | $ 456,661 |  | $ 513,448 | 456,661 | 513,448 | $ 513,448
Cash and cash equivalents at end of period | $ 273,732 |  | $ 511,937 |  | $ 273,732 | $ 511,937 | $ 456,661

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