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v3.20.4

Consolidated Statements of Cash Flows - USD ($) $ in Thousands | 12 Months Ended
--- | ---
Dec. 31, 2020 | Dec. 31, 2019 | Dec. 31, 2018
Cash flows from operating activities: |  |  |
Net (loss) income | $ (796,488) | $ (1,497,702) | $ 268,629
Loss (income) from discontinued operations | 786,908 | 1,539,910 | (147,115)
Adjustments to reconcile net income to net cash provided from operating activities: |  |  |
Depreciation and amortization | 28,441 | 25,931 | 24,355
Amortization of premiums, discounts and issuance costs | 7,163 | 5,672 | 4,572
Stock-based compensation expense | 39,042 | 33,410 | 36,589
Deferred income taxes | 36,292 | (55,715) | (35,894)
Other | (198) | 6,553 | (1,886)
Changes in assets and liabilities: |  |  |
Accounts receivable | 37,937 | 6,512 | (35,262)
Prepaid expenses and other current assets | (47,956) | (24,621) | 15,087
Other long-term assets | 13,916 | 32,121 | (1,736)
Accounts payable and accrued expenses | 47,908 | 46,196 | (3,039)
Income taxes payable | (6,931) | (24,120) | (61,408)
Payment of contingent consideration liabilities | 0 | 0 | (1,093)
Long-term professional liabilities | 4,336 | 5,413 | (6,393)
Other liabilities | 3,518 | (25,469) | 3,615
Net cash provided by operating activities – continuing operations | 153,888 | 74,091 | 59,021
Net cash provided by operating activities – discontinued operations | 50,732 | 283,620 | 254,687
Net cash provided by operating activities | 204,620 | 357,711 | 313,708
Cash flows from investing activities: |  |  |
Acquisition payments, net of cash acquired | (2,225) | (46,975) | (65,370)
Purchases of investments | (61,845) | (35,101) | (15,884)
Proceeds from maturities or sales of investments | 33,432 | 51,105 | 13,710
Purchases of property and equipment | (28,788) | (19,269) | (17,120)
Proceeds from sales of businesses, net of cash sold | 1,080 | 0 | 0
Net cash (used in) provided by investing activities – continuing operations | (58,346) | (50,240) | (84,664)
Net cash provided by (used in) investing activities – discontinued operations | 873,857 | 152,695 | (58,105)
Net cash provided by (used in) investing activities | 815,511 | 102,455 | (142,769)
Cash flows from financing activities: |  |  |
Borrowings on credit agreement | 527,500 | 1,247,300 | 1,723,500
Payments on credit agreement | (527,500) | (1,986,800) | (2,094,500)
Proceeds from issuance of senior notes | 0 | 500,000 | 500,000
Payments for credit facility amendment and financing costs | (510) | (9,194) | (7,090)
Payments of contingent consideration liabilities | 0 | (1,394) | (5,263)
Payments on finance lease obligations | (1,161) | 0 | 0
Proceeds from issuance of common stock | 7,009 | 11,258 | 16,258
Contribution from noncontrolling interests | 245 | 0 | 0
Repurchases of common stock | (8,493) | (145,280) | (302,160)
Net cash used in financing activities – continuing operations | (2,910) | (384,110) | (169,255)
Net cash used in financing activities – discontinued operations | (1,248) | (8,960) | (1,355)
Net cash used in financing activities | (4,158) | (393,070) | (170,610)
Net increase in cash and cash equivalents | 1,015,973 | 67,096 | 329
Cash, cash equivalents at beginning of year | 107,870 | 40,774 | 40,445
Cash and cash equivalents at end of year | 1,123,843 | 107,870 | 40,774
Supplemental disclosure of cash flow information: |  |  |
Interest | 110,488 | 95,444 | 82,540
Income taxes | (27,775) | 86,268 | 185,416
Non-cash investing and financing activities: |  |  |
Equipment financed through finance leases | 12,507 | 0 | 0
Property and equipment included in accounts payable | $ 2,305 | $ 2,400 | $ 2,415

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- Definition Amount of cash inflow (outflow) from investing activities, including discontinued operations. Investing activity cash flows include making and collecting loans and acquiring and disposing of debt or equity instruments and property, plant, and equipment and other productive assets. + References Reference 1: http://www.xbrl.org/2003/role/disclosureRef -Publisher FASB -Name Accounting Standards Codification -Topic 230 -SubTopic 10 -Section 45 -Paragraph 24 -URI http://asc.fasb.org/extlink&oid=121586364&loc=d3e3521-108585 + Details
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- Definition Amount of cash inflow (outflow) from operating activities, including discontinued operations. Operating activity cash flows include transactions, adjustments, and changes in value not defined as investing or financing activities. + References Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 230 -SubTopic 10 -Section 45 -Paragraph 25 -URI http://asc.fasb.org/extlink&oid=121586364&loc=d3e3536-108585 Reference 2: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 230 -SubTopic 10 -Section 45 -Paragraph 24 -URI http://asc.fasb.org/extlink&oid=121586364&loc=d3e3521-108585 Reference 3: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 230 -SubTopic 10 -Section 45 -Paragraph 28 -URI http://asc.fasb.org/extlink&oid=121586364&loc=d3e3602-108585 + Details
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- Definition Amount of cash outflow, not made soon after acquisition date of business combination, to settle contingent consideration liability exceeding amount recognized at acquisition date. Includes, but is not limited to, measurement period adjustment and less amount paid soon after acquisition date. + References Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 230 -SubTopic 10 -Section 45 -Paragraph 17 -Subparagraph (ee) -URI http://asc.fasb.org/extlink&oid=121586364&loc=d3e3367-108585 + Details
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- Definition The cash outflow to reacquire common stock during the period. + References Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 230 -SubTopic 10 -Section 45 -Paragraph 15 -Subparagraph (a) -URI http://asc.fasb.org/extlink&oid=121586364&loc=d3e3291-108585 + Details
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- Definition The cash inflow associated with the sale, maturity and collection of all investments such as debt, security and so forth during the period. + References Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 230 -SubTopic 10 -Section 45 -Paragraph 12 -URI http://asc.fasb.org/extlink&oid=121586364&loc=d3e3179-108585 + Details
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