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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