v3.21.2
CONSOLIDATED STATEMENTS OF CASH FLOWS - USD ($)
$ in Thousands
9 Months Ended
Sep. 30, 2021
Sep. 30, 2020
CASH FLOWS FROM OPERATING ACTIVITIES    
Net income (loss) $ 33,412 $ (11,245)
Adjustments to reconcile net income (loss) to net cash used in operating activities:    
Depreciation 21,807 18,705
Amortization of intangibles 14,683 7,387
Non-cash stock-based compensation 12,396 7,536
Non-cash operating lease expense 6,167 6,365
Amortization of convertible debt discount 1,904 2,705
Amortization of debt issue costs 133 138
Loss on extinguishment of debt 0 1,400
Loss on termination of cash flow hedge 0 3,506
Gain on investment in and loan receivable from non-consolidated affiliate, net (109,260) 0
Interest receivable on loan receivable from non-consolidated affiliate (391) 0
Write-off of COVID-19 PCR testing inventory and equipment 6,061 0
Other non-cash items 1,388 371
Changes in assets and liabilities, net    
Accounts receivable, net 2,475 (9,455)
Inventories 3,196 (5,704)
Prepaid lease asset (4,435) (10,142)
Prepaid and other assets (11,796) (6,757)
Accounts payable, accrued and other liabilities 15,313 (9,335)
Net cash used in operating activities (6,947) (4,525)
CASH FLOWS FROM INVESTING ACTIVITIES    
Purchases of marketable securities (180,961) (53,396)
Proceeds from sales and maturities of marketable securities 44,736 3,000
Purchases of property and equipment (52,155) (17,591)
Business acquisitions, net of cash acquired (419,404) (37,000)
Loan receivable from non-consolidated affiliate (15,000) 0
Investment in non-consolidated affiliate 0 (25,600)
Net cash used in investing activities (622,784) (130,587)
CASH FLOWS FROM FINANCING ACTIVITIES    
Repayment of equipment financing obligations (2,537) (4,331)
Repayment of term loan 0 (97,540)
Cash flow hedge termination 0 (3,317)
Issuance of common stock, net 12,110 10,761
Proceeds from issuance of convertible debt, net of issuance costs 334,410 194,466
Premiums paid for capped call confirmations (29,291) 0
Proceeds from equity offerings, net of issuance costs 408,133 127,293
Net cash provided by financing activities 722,825 227,332
Net change in cash, cash equivalents and restricted cash 93,094 92,220
Cash, cash equivalents and restricted cash, beginning of period 250,632 173,016
Cash, cash equivalents and restricted cash, end of period 343,726 265,236
Cash and cash equivalents 340,565 233,233
Restricted cash 3,161 32,003
Supplemental disclosure of cash flow information:    
Interest paid 1,792 1,638
Income taxes paid, net 113 209
Supplemental disclosure of non-cash investing and financing information:    
Fair value of common stock issued to fund business acquisition 29,174 0
Equipment acquired under financing obligations 0 428
Property and equipment included in accounts payable $ 2,184 $ 3,521

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