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CONSOLIDATED STATEMENTS OF CASH FLOWS - USD ($) $ in Thousands | 12 Months Ended
--- | ---
Dec. 31, 2024 | Dec. 31, 2023 | Dec. 31, 2022
Cash flows from operating activities: |  |  |
Net income | $ 298,458 | $ 209,850 | $ 224,652
Adjustments to reconcile net income to net cash provided by operating activities: |  |  |
Depreciation and amortization | 84,138 | 72,387 | 62,355
Amortization of deferred financing fees | 1,061 | 1,067 | 1,036
Non-cash leasing arrangement | 808 | 870 | 493
Impairment of long-lived assets | 1,849 | 0 | 0
Write-off of deferred financing fees | 200 | 0 | 566
Deferred income taxes | 635 | (27,481) | (6,496)
Provision for doubtful accounts | 1,739 | 3,408 | 2,390
Stock-based compensation | 36,226 | 30,767 | 22,720
Cash received from insurance proceeds | 199 | 1,396 | 1,282
Loss (gain) on sale of assets | 486 | (123) | (3,467)
Loss (gain) on insurance claims and asset disposals | 833 | (550) | (627)
Litigation | (4,289) | 47,182 | 4,553
Change in operating assets and liabilities |  |  |
Accounts receivable | (84,397) | (79,818) | (82,426)
Prepaid income taxes | (9,227) | 814 | 809
Prepaid expenses and other assets | (19,055) | 6,993 | (9,141)
Deferred employer portion of social security taxes | 0 | 0 | (24,155)
Cash surrender value of life insurance policy premiums | (14,833) | (16,072) | (7,614)
Deferred compensation liability | 14,986 | 16,044 | 7,637
Operating lease obligations | 287 | (6,564) | 345
Accounts payable | 2,835 | 15,924 | 17,870
Accrued wages and related liabilities | 19,992 | 47,967 | 38,982
Other accrued liabilities | (30,670) | 23,828 | 3,010
Accrued self-insurance liabilities | 44,014 | 28,827 | 17,785
Other long-term liabilities | 911 | (50) | (46)
NET CASH PROVIDED BY OPERATING ACTIVITIES | 347,186 | 376,666 | 272,513
Cash flows from investing activities: |  |  |
Purchase of property and equipment | (158,240) | (106,180) | (87,545)
Cash payments for acquisitions | (156,547) | (69,014) | (101,136)
Cash from insurance proceeds | 3,334 | 2,029 | 1,339
Cash proceeds from the sale of assets | 2,818 | 248 | 8,630
Purchases of investments | (105,149) | (29,603) | (21,975)
Maturities of investments | 26,397 | 18,852 | 14,356
Other restricted assets | (2,665) | 970 | 149
NET CASH USED IN INVESTING ACTIVITIES | (390,052) | (182,698) | (186,182)
Cash flows from financing activities: |  |  |
Proceeds from debt | 400 | 150 | 411
Payments on debt | (4,350) | (4,033) | (4,106)
Issuance of common stock upon exercise of options | 22,286 | 18,369 | 12,677
Repurchase of shares of common stock to satisfy tax withholding obligations | (1,209) | (1,929) | (1,702)
Repurchase of shares of common stock | 0 | 0 | (29,882)
Dividends paid | (13,671) | (12,890) | (12,168)
Proceeds from sale of subsidiary shares | 0 | 0 | 6,693
Non-controlling interest distribution | (543) | (4) | (284)
Purchase of non-controlling interest | (4,450) | (256) | (704)
Payment of contingent consideration | (625) | 0 | 0
Payments of deferred financing costs | 0 | (19) | (3,197)
NET CASH USED IN FINANCING ACTIVITIES | (2,162) | (612) | (32,262)
Net (decrease) increase in cash and cash equivalents | (45,028) | 193,356 | 54,069
Cash and cash equivalents beginning of period | 509,626 | 316,270 | 262,201
Cash and cash equivalents end of period | 464,598 | 509,626 | 316,270
Cash paid during the period for: |  |  |
Interest | 7,063 | 7,025 | 7,604
Income taxes | 96,337 | 89,730 | 70,055
Lease liabilities | 215,677 | 196,942 | 151,870
Non-cash financing and investing activity |  |  |
Accrued capital expenditures | 7,900 | 4,600 | 4,800
Accrued dividends declared | 3,589 | 3,396 | 3,201
Right-of-use assets obtained in exchange for new and modified operating lease obligations | $ 232,918 | $ 376,550 | $ 370,753

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