Financial Performance - Total revenues for the three months ended September 30, 2023, were 589.1million,anincreasefrom553.3 million in the same period last year, representing a growth of 6.5%[12] - Gross profit for the three months ended September 30, 2023, was 204.9million,comparedto183.9 million in the prior year, reflecting a gross margin increase from 33.3% to 34.8%[12] - The net loss for the three months ended September 30, 2023, was 33.0million,comparedtoanetincomeof7.2 million in the same period last year, marking a significant decline[12] - Total revenues for the three months ended September 30, 2024, were 589.1million,a6.5553.3 million in the same period of 2023[48] - For the nine months ended September 30, 2024, total revenues reached 1.75billion,comparedto1.67 billion for the same period in 2023, reflecting a growth of approximately 4.8%[48] Expenses and Costs - Operating expenses for the three months ended September 30, 2023, totaled 196.6million,upfrom161.1 million, indicating a rise of 22% year-over-year[12] - The company incurred interest expense of 24.7millionforthethreemonthsendedSeptember30,2023,comparedto24.2 million in the prior year[12] - The total cost of goods sold for the three months ended September 30, 2023, was 384.3million,anincreasefrom369.4 million year-over-year[12] - SG&A expenses increased to 162.7millionforthethreemonthsendedSeptember30,2024,up9.5148.6 million in the same period last year, primarily due to higher compensation and dealer fees[199][200] - Restructuring, strategic transaction, and integration expenses were 16.8millionforthethreemonthsendedSeptember30,2024,comparedto7.2 million for the same period in 2023[203] Research and Development - Research and development expenses for the three months ended September 30, 2023, were 21.0million,slightlyupfrom20.9 million year-over-year[12] - R&D expenses were 21.0millionforthethreemonthsendedSeptember30,2024,aslightincreaseof0.520.9 million in the same period in 2023, reflecting ongoing support for R&D projects[201] Cash Flow and Investments - Cash provided by operating activities for the nine months ended September 30, 2024, was 163.84million,upfrom74.93 million in 2023[20] - The company reported a net cash used in investing activities of 62.41millionfortheninemonthsendedSeptember30,2024,comparedto57.30 million in 2023[20] - Purchases of property, plant, and equipment totaled 55.29millionfortheninemonthsendedSeptember30,2024,comparedto53.96 million in 2023[20] Debt and Financing - The company entered into a Credit Agreement for 2.2billioninseniorsecuredcreditfacilities,includinga850 million Term Loan A and a 850millionTermLoanB[121]−TheeffectiveinterestratesforTermLoanAandTermLoanBare8.2238.3 million, compared to 22.3millionforthesameperiodin2023[134]AssetsandLiabilities−AsofSeptember30,2024,totalassetsamountedto16,473 million, a decrease from 35,399millionasofDecember31,2023[72]−TotalliabilitiesasofSeptember30,2024,were11,503 million, compared to 2,830millionasofDecember31,2023[72]−Thecarryingvalueofgoodwillincreasedto1,478,293 thousand as of September 30, 2024, from 1,472,446thousandatthebeginningoftheyear[104]RevenueSegmentation−RevenuesfromtheConsumablessegmentforthethreemonthsendedSeptember30,2024,were264.9 million, up from 242.0millionin2023,representingagrowthof9.4159.8 million for the three months ended September 30, 2024, a 10.8% increase from 149.0millioninthesameperiodlastyear[195]−VitalCarerevenueroseto164.5 million for the three months ended September 30, 2024, a 1.4% increase from 162.3millioninthesameperiodin2023,drivenbyhighersalesofIVSolutionsandRespiratoryproducts[196][197]LegalandCompliance−Thecompanyisinvolvedinvariouslegalproceedingsbutdoesnotexpectanymaterialadverseimpactonitsfinancialposition[152]−Thecompanyiscurrentlyassessingtheimpactofnewaccountingstandardsonitsconsolidatedfinancialstatementsandrelateddisclosures[26]StrategicInitiatives−Thecompanyplanstocontinuefocusingonstrategictransactionsandintegration,withrestructuringexpensesamountingto16.8 million for the three months ended September 30, 2023, compared to 7.2millionintheprioryear[12]−ThecompanyisformingaDelawareLLCtotransferitsIVSolutionsproductline,withOtsukaPharmaceuticalFactoryAmericaacquiringa60200 million at closing[165]