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v3.19.3

Condensed Consolidated Statements of Cash Flows - USD ($) $ in Thousands | 9 Months Ended
--- | ---
Sep. 30, 2019 | Sep. 30, 2018
Cash flows from operating activities: |  |
Net (loss) income | $ (1,507,033) | $ 208,415
Loss (income) from discontinued operations | 323,956 | (11,466)
Adjustments to reconcile net income to net cash from operating activities: |  |
Depreciation and amortization | 59,450 | 62,399
Goodwill impairment | 1,449,215 | 0
Amortization of premiums, discounts and issuance costs | 4,293 | 3,314
Stock-based compensation expense | 28,972 | 28,754
Deferred income taxes | (154,689) | (18,031)
Other | (1,069) | (3,030)
Changes in assets and liabilities: |  |
Accounts receivable | 12,024 | (25,563)
Prepaid expenses and other current assets | (7,620) | (5,696)
Other long-term assets | 30,528 | (2,131)
Accounts payable and accrued expenses | 24,479 | (10,947)
Income taxes payable | (25,837) | (70,186)
Payments of contingent consideration liabilities | (764) | (686)
Long-term professional liabilities | 821 | (2,608)
Other liabilities | (25,880) | (2,095)
Net cash provided by operating activities – continuing operations | 210,846 | 150,442
Net cash provided by operating activities - discontinued operations | 8,170 | 11,889
Net cash provided by operating activities | 219,016 | 162,331
Cash flows from investing activities: |  |
Acquisition payments, net of cash acquired | (31,200) | (27,035)
Purchases of investments | (13,907) | (15,884)
Proceeds from maturities or sales of investments | 26,240 | 10,510
Purchases of property and equipment | (25,009) | (24,818)
Proceeds from sale of controlling interest in assets |  | 22,764
Net cash used in investing activities – continuing operations | (43,876) | (34,463)
Net cash used in investing activities - discontinued operations | (10,646) | (13,317)
Net cash used in investing activities | (54,522) | (47,780)
Cash flows from financing activities: |  |
Borrowings on credit agreement | 1,225,800 | 1,364,500
Payments on credit agreement | (1,755,500) | (1,211,000)
Proceeds from issuance of senior notes | 500,000 |
Payments for financing costs | (9,194) |
Payments of contingent consideration liabilities | (8,726) | (3,869)
Payments on finance lease obligations | (183) | (996)
Proceeds from issuance of common stock | 9,157 | 13,253
Repurchases of common stock | (144,925) | (302,160)
Net cash used in financing activities – continuing operations | (183,571) | (140,272)
Net cash used in financing activities - discontinued operations |  | (17)
Net cash used in financing activities | (183,571) | (140,289)
Net decrease in cash and cash equivalents | (19,077) | (25,738)
Cash, cash equivalents and restricted cash at beginning of period | 56,745 | 80,200
Less cash and cash equivalents of discontinued operations at end of period | (8,778) | (12,399)
Cash and cash equivalents of continuing operations at end of period | $ 28,890 | $ 42,063

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