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CONSOLIDATED STATEMENTS OF CASH FLOWS (Unaudited) - USD ($)
$ in Thousands
 9 Months Ended
Sep. 30, 2021
Sep. 30, 2020
Cash flows from operating activities:    
Net income (loss) $ 48,955 $ (19,373)
Adjustments to reconcile net income (loss) to net cash provided by operating activities:    
Depreciation 14,536 15,510
Amortization of intangibles 88,393 67,555
Operating lease expense 12,897 15,044
Asset impairment charges 0 101,749
Amortization of prepaid product discounts 23,425 21,725
Deferred income taxes 13,733 (9,607)
Employee share-based compensation expense 21,801 15,335
Other non-cash items, net 10,459 15,231
Changes in assets and liabilities, net of effect of acquisition:    
Trade accounts receivable 15,164 21,376
Inventories and supplies 3,787 (11,938)
Other current assets (27,495) 2,158
Non-current assets (35,821) (13,335)
Accounts payable 8,538 (9,830)
Prepaid product discount payments (27,049) (24,947)
Other accrued and non-current liabilities (22,094) (19,842)
Net cash provided by operating activities 149,229 166,811
Cash flows from investing activities:    
Payment for acquisition, net of cash, cash equivalents, restricted cash and restricted cash equivalents acquired (956,717) 0
Purchases of capital assets (81,081) (42,707)
Proceeds from sales of facilities 2,648 9,713
Purchases of customer funds marketable securities (73) (3,742)
Proceeds from customer funds marketable securities 73 3,742
Other (1,211) 1,326
Net cash used by investing activities (1,036,361) (31,668)
Cash flows from financing activities:    
Proceeds from issuing long-term debt, net of discount 1,852,850 309,000
Payments on long-term debt (903,438) (152,500)
Payments for debt issuance costs (18,153) 0
Net change in customer funds obligations 14,913 (9,375)
Proceeds from issuing shares 16,031 3,048
Employee taxes paid for shares withheld (4,634) (2,023)
Payments for common shares repurchased 0 (14,000)
Cash dividends paid to shareholders (38,695) (38,057)
Other (7,254) (2,734)
Net cash provided by financing activities 911,620 93,359
Effect of exchange rate change on cash, cash equivalents, restricted cash and restricted cash equivalents (793) (3,297)
Net change in cash, cash equivalents, restricted cash and restricted cash equivalents 23,695 225,205
Cash, cash equivalents, restricted cash and restricted cash equivalents, beginning of year 229,409 174,811
Cash, cash equivalents, restricted cash and restricted cash equivalents, end of period $ 253,104 $ 400,016