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v3.23.3

Condensed Consolidated Statements of Cash Flows - USD ($) $ in Millions | 9 Months Ended
--- | ---
Sep. 30, 2023 | Sep. 30, 2022
Operating Activities |  |
Net loss | $ (711.0) | $ (144.6)
Adjustments to reconcile net loss to net cash used in operating activities: |  |
Stock-based compensation expense | 19.1 | 33.4
Long-term incentive plan expense | 3.7 | 0.0
Depreciation and amortization | 95.5 | 107.6
Change in fair value of contingent obligations, net | (0.4) | 2.4
Amortization of deferred financing costs | 15.6 | 3.1
Deferred income taxes | (3.7) | 25.5
Gain on sale of travel health business | (74.2) | 0.0
Goodwill impairment | 218.2 | 0.0
Impairment of long-lived assets | 306.7 | 0.0
Other | 8.9 | 13.0
Changes in operating assets and liabilities: |  |
Accounts receivable | (58.5) | 82.5
Inventories | (25.0) | (102.8)
Prepaid expenses and other assets | (18.3) | (34.3)
Accounts payable | 17.7 | (11.8)
Accrued expenses and other liabilities | (30.2) | (48.4)
Accrued compensation | (0.8) | (5.7)
Income taxes receivable and payable, net | (3.5) | (51.0)
Contract liabilities | 1.8 | 4.2
Net cash used in operating activities | (238.4) | (126.9)
Investing Activities |  |
Purchases of property, plant and equipment | (40.2) | (92.2)
Asset acquisitions | 0.0 | (243.7)
Milestone payment from prior asset acquisition | (6.3) | 0.0
Proceeds from sale of travel health business, net | 270.2 | 0.0
Net cash provided by (used in) investing activities | 223.7 | (335.9)
Financing Activities |  |
Purchases of treasury stock | 0.0 | (81.9)
Proceeds from revolving credit facility | 0.0 | 238.0
Principal payments on revolving credit facility | (386.8) | 0.0
Principal payments on term loan facility | (160.7) | (25.3)
Proceeds from stock-based compensation activity | 1.3 | 3.0
Taxes paid for stock-based compensation activity | (2.4) | (5.7)
Proceeds from at-the-market sale of stock, net of commissions and expenses | 8.2 | 0.0
Net cash provided by (used in) financing activities: | (540.4) | 128.1
Effect of exchange rate changes on cash, cash equivalents and restricted cash | 0.3 | (0.6)
Net change in cash, cash equivalents and restricted cash | (554.8) | (335.3)
Cash, cash equivalents and restricted cash, beginning of period | 642.6 | 576.3
Cash, cash equivalents and restricted cash, end of period | 87.8 | 241.0
Supplemental disclosure of cash flow information: |  |
Cash paid for interest | 56.5 | 26.7
Cash paid for income taxes | 38.3 | 23.9
Supplemental information on non-cash investing and financing activities: |  |
Purchases of property, plant and equipment unpaid at period end | $ 9.2 | $ 10.0

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