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UNAUDITED CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS - USD ($) $ in Thousands | 9 Months Ended
--- | ---
Sep. 30, 2025 | Sep. 30, 2024
Cash flows from operating activities: |  |
Net income | $ 248,730 | $ 218,708
Adjustments to reconcile net income to net cash provided by operating activities: |  |
Depreciation and amortization | 76,606 | 61,619
Amortization of deferred financing fees | 793 | 796
Non-cash leasing arrangement | 632 | 590
Impairment of long-lived assets | 1,073 | 1,849
Deferred income taxes | 10,156 | 1,931
Provision for doubtful accounts | 1,509 | 1,419
Stock-based compensation | 35,375 | 26,406
Cash received from insurance proceeds | 3,877 | 199
(Gain) loss on insurance claims, other investments and asset disposals | (5,953) | 849
Change in operating assets and liabilities |  |
Accounts receivable | (44,356) | (69,025)
Prepaid income taxes | (19,507) | (22,130)
Prepaid expenses and other assets | (7,716) | (16,668)
Cash surrender value of life insurance policy premiums | (16,332) | (14,840)
Deferred compensation liability | 16,332 | 14,941
Operating lease obligations | (3,265) | 331
Accounts payable | 5,449 | (5,237)
Accrued wages and related liabilities | 27,549 | 25,303
Other accrued liabilities | 27,081 | 2,308
Accrued self-insurance liabilities | 22,917 | 17,381
NET CASH PROVIDED BY OPERATING ACTIVITIES | 380,950 | 246,730
Cash flows from investing activities: |  |
Purchase of property and equipment | (143,714) | (110,079)
Cash payments for acquisitions | (240,300) | (83,384)
Escrow deposits | 0 | (3,846)
Cash from insurance proceeds | 3,567 | 1,562
Cash proceeds from the sale of assets | 124 | 2,808
Purchases of investments | (91,791) | (52,262)
Maturities of investments | 82,278 | 22,553
Other restricted assets | 599 | (817)
NET CASH USED IN INVESTING ACTIVITIES | (389,237) | (223,465)
Cash flows from financing activities: |  |
Proceeds from debt (Note 14) | 0 | 400
Payments on debt | (3,050) | (3,350)
Issuance of common stock upon exercise of options | 22,726 | 18,296
Repurchase of shares of common stock to satisfy tax withholding obligations | (1,071) | (1,209)
Repurchase of shares of common stock (Note 20) | (20,000) | 0
Dividends paid | (10,791) | (10,234)
Non-controlling interest distribution | 0 | (278)
Purchase of non-controlling interest | (457) | (4,450)
NET CASH USED IN FINANCING ACTIVITIES | (12,643) | (825)
Net (decrease)/increase in cash and cash equivalents | (20,930) | 22,440
Cash and cash equivalents beginning of period | 464,598 | 509,626
Cash and cash equivalents end of period | 443,668 | 532,066
Cash paid during the period for: |  |
Interest | 5,220 | 5,276
Income taxes | 86,181 | 81,962
Lease liabilities | 178,699 | 159,487
Non-cash financing and investing activity |  |
Accrued capital expenditures | 9,300 | 7,300
Accrued dividends declared | 3,619 | 3,437
Right-of-use assets obtained in exchange for new and modified operating lease obligations | $ 258,486 | $ 220,815

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