CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS (USD $) In Thousands, unless otherwise specified	9 Months Ended
Sep. 30, 2014	Sep. 30, 2013
Cash Flows from Operating Activities:
Net income	$ 56,711	$ 52,102
Adjustments to reconcile net income to net cash provided by operating activities:
Gain on sale of discontinued operations, net of income taxes	0	(14,412)
Depreciation and amortization	28,089	21,658
Stock-based compensation	11,891	10,410
Write-off of loan costs	0	14,958
Gross excess tax benefits from stock-based compensation	(3,899)	(4,091)
Workers’ compensation and medical malpractice provision	3,242	5,119
Other	5,966	1,069
Changes in operating assets and liabilities, net of effects of acquisitions and divestitures:
Accounts receivable	(40,333)	(33,992)
Prepaid expenses	1,982	3,655
Accounts payable	(1,826)	(385)
Accrued payroll and contract professional pay	14,812	19,927
Income taxes payable	(1,907)	3,129
Workers’ compensation and medical malpractice loss reserves	(1,384)	(1,904)
Other	(5,386)	(3,295)
Net cash provided by operating activities	67,958	73,948
Cash Flows from Investing Activities:
Cash paid for property and equipment	(14,260)	(12,293)
Cash received from sale of discontinued operations, net	0	31,922
Other	525	(1,601)
Net cash provided by (used in) investing activities	(13,735)	18,028
Cash Flows from Financing Activities:
Principal payments of long-term debt	(139,125)	(452,275)
Proceeds from long-term debt	143,000	383,500
Proceeds from stock transactions	6,143	6,723
Payments of employment taxes related to release of restricted stock awards	(5,521)	(6,573)
Gross excess tax benefits from stock-based compensation	3,899	4,091
Repurchase of common stock	(68,235)	0
Debt issuance costs	(447)	(6,559)
Payments of accrued earn-outs	(691)	(3,425)
Other	0	(14)
Net cash used in financing activities	(60,977)	(74,532)
Effect of exchange rate changes on cash and cash equivalents	(715)	154
Net Increase (Decrease) in Cash and Cash Equivalents	(7,469)	17,598
Cash and Cash Equivalents at Beginning of Year	37,350	27,479
Cash and Cash Equivalents at End of Period	29,881	45,077
Supplemental Disclosure of Cash Flow Information:
Income taxes	42,670	19,809
Interest	8,690	11,944
Supplemental Disclosure of Non-Cash Transactions:
Acquisition of property and equipment through accounts payable	$ 1,301	$ 981

The increase (decrease) during the reporting period in the amount of outstanding money paid in advance for goods or services that bring economic benefits for future periods. This concept also represents income taxes receivable, which represents the amount due from tax authorities for refunds of overpayments or recoveries of income taxes paid.

No definition available.