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CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS (UNAUDITED) - USD ($)
$ in Thousands
9 Months Ended
Sep. 30, 2020
Sep. 30, 2019
OPERATING ACTIVITIES:    
Net income (loss) $ 64,601 $ (203,993)
Adjustments to reconcile Net income (loss) to Net cash provided by operating activities:    
Depreciation and amortization 391,463 468,409
Share-based compensation 33,452 48,909
Amortization of debt issuance costs and discount 12,058 13,799
Deferred income taxes (4,147) (2,452)
Change in fair value of contingent consideration 17,100 (26,983)
Gain on extinguishment of debt 0 (119,828)
Asset impairment charges 106,197 258,652
Gain on sale of business and other assets (16,730) (3,101)
Changes in assets and liabilities which (used) provided cash:    
Accounts receivable (8,631) 58,630
Inventories (33,062) (32,761)
Prepaid and other assets (18,455) 15,577
Accounts payable, accrued expenses and other liabilities (147,176) (378,547)
Income taxes payable/receivable, net (107,227) 22,933
Net cash provided by operating activities 289,443 119,244
INVESTING ACTIVITIES:    
Purchases of property, plant and equipment, excluding capitalized interest (52,692) (47,812)
Capitalized interest payments (1,915) (3,207)
Product acquisition costs and license fees (2,000) 0
Proceeds from sale of business and other assets, net 6,377 4,780
Other investing activities 0 912
Net cash used in investing activities (50,230) (45,327)
FINANCING ACTIVITIES:    
Proceeds from issuance of notes, net 0 1,483,125
Repayments of notes (57,649) (1,501,788)
Repayments of term loans (25,612) (25,614)
Proceeds from draw of revolving debt 0 300,000
Repayments of other indebtedness (3,626) (7,826)
Payments for debt issuance and extinguishment costs 0 (6,414)
Payments for contingent consideration (3,535) (11,846)
Payments of tax withholding for restricted shares (7,935) (10,077)
Proceeds from exercise of options 0 4
Net cash (used in) provided by financing activities (98,357) 219,564
Effect of foreign exchange rate (458) 780
NET INCREASE IN CASH, CASH EQUIVALENTS, RESTRICTED CASH AND RESTRICTED CASH EQUIVALENTS 140,398 294,261
CASH, CASH EQUIVALENTS, RESTRICTED CASH AND RESTRICTED CASH EQUIVALENTS, BEGINNING OF PERIOD 1,720,388 1,476,837
CASH, CASH EQUIVALENTS, RESTRICTED CASH AND RESTRICTED CASH EQUIVALENTS, END OF PERIOD 1,860,786 1,771,098
SUPPLEMENTAL INFORMATION:    
Cash paid into Qualified Settlement Funds for mesh legal settlements 0 185,745
Cash paid out of Qualified Settlement Funds for mesh legal settlements 107,225 266,958
Other cash distributions for mesh legal settlements $ 26,559 $ 13,334