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Condensed Consolidated Statements of Cash Flows (Unaudited) - USD ($)
$ in Thousands
3 Months Ended
Mar. 31, 2022
Mar. 31, 2021
CASH FLOWS FROM OPERATING ACTIVITIES:    
Net income (loss) $ 204,261 $ (123,351)
Adjustments to reconcile net income (loss) to net cash provided by (used in) operating activities:    
Depreciation and amortization expense 95,112 70,820
Equity-settled share-based compensation 47,300 61,166
Acquired in-process research and development expense 2,000  
Amortization of debt discount and deferred financing costs 1,577 773
Impairment of long-lived asset   12,371
Deferred income taxes (33,896) (28,771)
Foreign exchange and other adjustments 1,190 (5,440)
Changes in operating assets and liabilities:    
Accounts receivable (51,665) 224,575
Inventories (785) (13,660)
Prepaid expenses and other current assets (33,205) (65,575)
Accounts payable 36,067 993
Accrued trade discounts and rebates 47,279 (28,736)
Accrued expenses and other current liabilities (113,775) (111,963)
Other non-current assets and liabilities 14,331 3,070
Net cash provided by (used in) operating activities 215,791 (3,728)
CASH FLOWS FROM INVESTING ACTIVITIES:    
Payment related to license agreement (25,000)  
Purchases of property, plant and equipment (14,198) (18,333)
Payments for acquisitions, net of cash acquired (3,122) (2,707,358)
Receipts (payments) for long-term investments, net 1,596 (3,808)
Net cash used in investing activities (40,724) (2,729,499)
CASH FLOWS FROM FINANCING ACTIVITIES:    
Net proceeds from term loans   1,577,612
Repayment of term loans (4,000)  
Proceeds from the issuance of ordinary shares in connection with stock option exercises 9,071 19,843
Payment of employee withholding taxes relating to share-based awards (115,108) (128,261)
Net cash (used in) provided by financing activities (110,037) 1,469,194
Effect of foreign exchange rate changes on cash, cash equivalents and restricted cash (1,921) (3,998)
Net increase (decrease) in cash, cash equivalents and restricted cash 63,109 (1,268,031)
Cash, cash equivalents and restricted cash, beginning of the period 1,584,156 2,083,479
Cash, cash equivalents and restricted cash, end of the period 1,647,265 815,448
SUPPLEMENTAL CASH FLOW INFORMATION:    
Cash paid for interest 28,095 18,988
Cash paid for income taxes, net of refunds received 1,496 1,201
Cash paid for amounts included in the measurement of operating lease liabilities 2,208 2,084
SUPPLEMENTAL NON-CASH FLOW INFORMATION:    
Purchases of property, plant and equipment included in accounts payable and accrued expenses and other current liabilities $ 3,627 10,523
Milestone payments for TEPEZZA intangible asset included in accrued expenses and other current liabilities   $ 69,962