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Condensed Consolidated Statements of Cash Flows - USD ($)
$ in Thousands
9 Months Ended
Sep. 30, 2025
Sep. 30, 2024
Cash Flows From Operating Activities    
Net income (loss) $ 50,847 $ (8,246)
Adjustments to reconcile net income to net cash and cash equivalents provided by operating activities:    
Stock-based compensation 28,161 22,283
Deferred taxes 11,881 (4,383)
Depreciation and amortization 68,804 45,131
Unrealized gain on investment in equity securities (2,551) (8,298)
Non-cash operating lease expense 1,204 1,134
Non-cash interest 1,005 319
Contingent consideration fair value adjustment (25,285) 1,274
Loss (gain) on disposal of assets 295 (5,347)
Loss on debt extinguishment 0 7,468
Amortization of inventory step up 0 3,224
Asset impairment charges 767 0
Changes in operating assets and liabilities:    
Accounts receivable, net (30,674) 4,426
Inventories (9,693) (20,612)
Prepaid expenses and other assets (564) 3,822
Accounts payable 22,391 7,300
Accrued royalties 28,621 7,171
Income taxes (16,003) (14,268)
Accrued government rebates 18,318 (1,475)
Returned goods reserve 10,731 4,296
Accrued expenses, accrued compensation, and other (3,397) 2,938
Net Cash and Cash Equivalents Provided by Operating Activities 154,858 48,157
Cash Flows From Investing Activities    
Acquisition of Alimera, net of cash acquired 0 (393,079)
Acquisition of product rights, intangible assets, and other related assets (20,327) (631)
Acquisition of property and equipment, net (12,591) (13,842)
Proceeds from the sale of building 0 13,514
Net Cash and Cash Equivalents Used in Investing Activities (32,918) (394,038)
Cash Flows From Financing Activities    
Proceeds from convertible notes 0 316,250
Proceeds from term loan 0 325,000
Purchase of capped call transaction 0 (40,575)
Repayment on borrowings under credit agreement 0 (292,500)
Debt issuance costs 0 (15,376)
Principal payments on borrowings (6,093) (1,500)
Series A convertible preferred stock dividends paid (1,157) (1,219)
Proceeds from stock option exercises and ESPP purchases 13,566 4,788
Treasury stock purchases for restricted stock vests (11,598) (10,641)
Payments on contingent consideration (26) (12,500)
Payment of accrued licensor payments 0 (1,875)
Net Cash and Cash Equivalents (Used in) Provided by Financing Activities (5,308) 269,852
Effect of Exchange Rate Changes on Cash, Cash Equivalents and Restricted Cash 1,120 (75)
Net Change in Cash, Cash Equivalents, and Restricted Cash 117,752 (76,104)
Cash, cash equivalents, and restricted cash, beginning of period 144,894 221,121
Cash, cash equivalents, and restricted cash end of period 262,646 145,017
Cash, Cash Equivalent, Restricted Cash, and Restricted Cash Equivalent, Continuing Operation [Abstract]    
Cash and cash equivalents 262,610 144,982
Restricted cash 36 35
Total cash, cash equivalents, and restricted cash 262,646 145,017
Supplemental disclosure for cash flow information:    
Cash paid for interest, net of amounts capitalized 22,318 19,232
Cash paid for income taxes 16,613 17,214
Supplemental non-cash investing and financing activities:    
Conversion of convertible preferred stock into common stock 24,850 0
Right of use assets obtained in exchange for new operating lease liabilities 5,244 0
Property and equipment purchased and included in accounts payable 1,029 635
Purchase consideration for Alimera Acquisition 0 (16,523)
Accrued deferred financing costs $ 0 $ (1,976)