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v3.21.2

Consolidated Statements of Cash Flows (Unaudited) - USD ($) $ in Thousands | 9 Months Ended
--- | ---
Sep. 30, 2021 | Sep. 30, 2020
Cash flows from operating activities: |  |
Net income (loss) | $ 83,448 | $ (732,192)
(Income) loss from discontinued operations | (15,716) | 718,125
Adjustments to reconcile net income (loss) to net cash from operating activities: |  |
Depreciation and amortization | 24,288 | 20,749
Amortization of premiums, discounts and issuance costs | 3,520 | 4,076
Loss on early extinguishment of debt | 14,532 |
Stock-based compensation expense | 14,947 | 36,120
Deferred income taxes | (30,191) | 30,214
Other | (1,639) | (30)
Gain on sale of building | (7,280) |
Changes in assets and liabilities: |  |
Accounts receivable | (42,027) | 30,006
Prepaid expenses and other current assets | 26,391 | (1,716)
Other long-term assets | 9,412 | 7,703
Accounts payable and accrued expenses | (5,316) | (36,433)
Income taxes receivable | (16,391) | (28,837)
Long-term professional liabilities | 557 | 15,703
Other liabilities | (19,817) | 8,157
Net cash provided by operating activities - continuing operations | 38,718 | 71,645
Net cash (used in) provided by operating activities - discontinued operations | (6,217) | 144,841
Net cash provided by operating activities | 32,501 | 216,486
Cash flows from investing activities: |  |
Acquisition payments, net of cash acquired | (19,550) | (2,225)
Purchases of investments | (11,431) | (36,090)
Proceeds from maturities or sales of investments | 15,495 | 30,865
Purchases of property and equipment | (29,081) | (21,809)
Proceeds from sale of building | 24,728 | 0
Strategic investments | (20,000) | 0
Other | 0 | 1,080
Net cash used in investing activities - continuing operations | (39,839) | (28,179)
Net cash provided by investing activities-discontinued operations | 2,350 | 3,079
Net cash used in investing activities | (37,489) | (25,100)
Cash flows from financing activities: |  |
Borrowings on credit agreement | 0 | 527,500
Payments on credit agreement | 0 | (527,500)
Redemption of senior notes, including call premium | (759,848) | 0
Payments for credit facility amendment | 0 | (510)
Payments of contingent consideration liabilities | (189) | 0
Payments on finance lease obligations | (1,796) | (433)
Proceeds from issuance of common stock | 5,611 | 5,697
Repurchases of common stock | (4,719) | (8,495)
Contribution from noncontrolling interest | 0 | 245
Net cash used in from financing activities - continuing operations | (760,941) | (3,496)
Net cash used in financing activities - discontinued operations | 0 | (1,248)
Net cash used in financing activities | (760,941) | (4,744)
Net (decrease) increase in cash and cash equivalents | (765,929) | 186,642
Cash and cash equivalents at beginning of period | 1,123,843 | 107,870
Cash and cash equivalents at end of period | $ 357,914 | $ 294,512

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