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CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS (USD $) In Thousands, unless otherwise specified | 9 Months Ended
--- | ---
Sep. 30, 2012 | Sep. 30, 2011
Cash Flows from Operating Activities: |  |
Net income | $ 31,331 | $ 16,796
Adjustments to reconcile net income to net cash provided by operating activities: |  |
Depreciation | 4,826 | 4,911
Amortization of intangible assets | 6,159 | 1,633
Provision for doubtful accounts and billing adjustments | 255 | 882
Deferred income tax provision | (517) | 0
Stock-based compensation | 6,574 | 5,084
Amortization of deferred loan costs | 1,238 | 346
Write-off of deferred loan costs | 813 | 0
Gross excess tax benefits from stock-based compensation | (2,713) | (591)
Change in accrued earn-outs | (1,408) | (1,369)
Workers’ compensation and medical malpractice provision | 2,827 | 2,218
Other | 20 | 286
Changes in operating assets and liabilities, net of effects of acquisitions: |  |
Accounts receivable | (24,232) | (26,815)
Prepaid expenses and income taxes | 826 | 533
Accounts payable | 801 | 2,957
Accrued payroll and contract professional pay | (20,984) | 5,550
Income taxes payable | 8,982 | 1,597
Deferred compensation | (517) | (399)
Workers’ compensation and medical malpractice loss reserves | (1,618) | (1,145)
Tenant improvement allowances | 0 | 1,301
Other | 1,976 | 1,279
Net cash provided by operating activities | 14,639 | 15,054
Cash Flows from Investing Activities: |  |
Cash paid for property and equipment | (10,883) | (6,046)
Cash paid for acquisitions, net of cash acquired | (347,743) | (32,818)
Other | (1,885) | 404
Net cash used in investing activities | (360,511) | (38,460)
Cash Flows from Financing Activities: |  |
Principal payments of long-term debt | (160,663) | (19,250)
Proceeds from term debt | 513,000 | 40,500
Proceeds from stock transactions | 6,439 | 2,180
Payments of employment taxes related to release of restricted stock awards | (2,312) | (1,749)
Gross excess tax benefits from stock-based compensation | 2,713 | 591
Repurchase of Common Stock | 0 | (2,025)
Debt issuance costs | (17,103) | 0
Payments of accrued earn-outs | 0 | (1,731)
Other | (32) | (83)
Net cash provided by financing activities | 342,042 | 18,433
Effect of exchange rate changes on cash and cash equivalents | (36) | (191)
Net Increase in Cash and Cash Equivalents | (3,866) | (5,164)
Cash and Cash Equivalents at Beginning of Year | 17,739 | 18,409
Cash and Cash Equivalents at End of Period | 13,873 | 13,245
Supplemental Disclosure of Cash Flow Information: |  |
Income taxes | 25,304 | 9,076
Interest | 9,587 | 2,018
Supplemental Disclosure of Non-Cash Transactions: |  |
Accrued earn-out | 0 | 10,177
Acquisition of property and equipment through accounts payable | 745 | 487
Liability awards reclassified to equity | (546) | (412)
Acquisition accounting | (982) | 0
Equity consideration for acquisition | $ (225,558) | $ 0

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- Definition The net cash inflow or outflow from other financing activities. This element is used when there is not a more specific and appropriate element in the taxonomy. + References Reference 1: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Statement of Financial Accounting Standard (FAS) -Number 95 -Paragraph 18, 19, 20 -LegacyDoc This reference is SUPERSEDED by the Accounting Standards Codification effective for interim and annual periods ending after September 15, 2009. This reference is included to help users transition from the previous accounting hierarchy and will be removed from future versions of this taxonomy. Reference 2: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Glossary Financing Activities -URI http://asc.fasb.org/extlink&oid=6513228 Reference 3: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 230 -SubTopic 10 -Section 45 -Paragraph 8 -URI http://asc.fasb.org/extlink&oid=6943989&loc=d3e3095-108585 Reference 4: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 230 -SubTopic 10 -Section 45 -Paragraph 9 -URI http://asc.fasb.org/extlink&oid=6943989&loc=d3e3098-108585 + Details
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- Definition Amount of the current period expense charged against operations, the offset which is generally to the allowance for doubtful accounts for the purpose of reducing receivables, including notes receivable, to an amount that approximates their net realizable value (the amount expected to be collected). + References Reference 1: http://www.xbrl.org/2003/role/presentationRef -Publisher SEC -Name Regulation S-X (SX) -Number 210 -Section 03 -Paragraph 5 -Article 5 Reference 2: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Statement of Financial Accounting Standard (FAS) -Number 95 -Paragraph 28 -LegacyDoc This reference is SUPERSEDED by the Accounting Standards Codification effective for interim and annual periods ending after September 15, 2009. This reference is included to help users transition from the previous accounting hierarchy and will be removed from future versions of this taxonomy. Reference 3: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 230 -SubTopic 10 -Section 45 -Paragraph 28 -Subparagraph (a) -URI http://asc.fasb.org/extlink&oid=6943989&loc=d3e3602-108585 Reference 4: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 225 -SubTopic 10 -Section S99 -Paragraph 2 -Subparagraph (SX 210.5-03.5) -URI http://asc.fasb.org/extlink&oid=6880815&loc=d3e20235-122688 + Details
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- Definition The cash outflow for debt initially having maturity due after one year or beyond the normal operating cycle, if longer. + References Reference 1: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Statement of Financial Accounting Standard (FAS) -Number 95 -Paragraph 18 -LegacyDoc This reference is SUPERSEDED by the Accounting Standards Codification effective for interim and annual periods ending after September 15, 2009. This reference is included to help users transition from the previous accounting hierarchy and will be removed from future versions of this taxonomy. Reference 2: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Glossary Financing Activities -URI http://asc.fasb.org/extlink&oid=6513228 Reference 3: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 230 -SubTopic 10 -Section 45 -Paragraph 15 -Subparagraph (b) -URI http://asc.fasb.org/extlink&oid=6943989&loc=d3e3291-108585 Reference 4: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Statement of Financial Accounting Standard (FAS) -Number 95 -Paragraph 20 -Subparagraph b -LegacyDoc This reference is SUPERSEDED by the Accounting Standards Codification effective for interim and annual periods ending after September 15, 2009. This reference is included to help users transition from the previous accounting hierarchy and will be removed from future versions of this taxonomy. + Details
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- Definition Write-off of amounts previously capitalized as debt issuance cost in an extinguishment of debt. + References Reference 1: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Statement of Financial Accounting Standard (FAS) -Number 95 -Paragraph 28 -LegacyDoc This reference is SUPERSEDED by the Accounting Standards Codification effective for interim and annual periods ending after September 15, 2009. This reference is included to help users transition from the previous accounting hierarchy and will be removed from future versions of this taxonomy. Reference 2: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 225 -SubTopic 10 -Section S99 -Paragraph 2 -Subparagraph (SX 210.5-03.8) -URI http://asc.fasb.org/extlink&oid=6880815&loc=d3e20235-122688 + Details
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