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v3.22.2.2

Consolidated Statements of Cash Flows (Unaudited) - USD ($) $ in Thousands | 9 Months Ended
--- | ---
Sep. 30, 2022 | Sep. 30, 2021
Cash flows from operating activities: |  |
Net income | $ 36,676 | $ 83,448
(Loss) income from discontinued operations | 1,892 | (15,716)
Adjustments to reconcile net income to net cash from operating activities: |  |
Depreciation and amortization | 26,500 | 24,288
Amortization of premiums, discounts and issuance costs | 1,346 | 3,520
Loss on early extinguishment of debt | 57,016 | 14,532
Stock-based compensation expense | 12,891 | 14,947
Deferred income taxes | (8,702) | (30,191)
Other | (2,379) | (1,639)
Gain on sale of building | 0 | (7,280)
Changes in assets and liabilities: |  |
Accounts receivable | (501) | (42,027)
Prepaid expenses and other current assets | 22,709 | 26,391
Other long-term assets | 11,160 | 9,412
Accounts payable and accrued expenses | (76,439) | (5,316)
Income taxes | 799 | (16,391)
Long-term professional liabilities | 7,360 | 557
Other liabilities | (10,309) | (19,817)
Net cash provided by operating activities - continuing operations | 80,019 | 38,718
Net cash used in operating activities - discontinued operations | (11,764) | (6,217)
Net cash provided by operating activities | 68,255 | 32,501
Cash flows from investing activities: |  |
Acquisition payments, net of cash acquired | (28,167) | (19,550)
Purchases of investments | (14,938) | (11,431)
Proceeds from maturities or sales of investments | 15,889 | 15,495
Purchases of property and equipment | (20,650) | (29,081)
Proceeds from sale of building | 0 | 24,728
Strategic investments | 0 | (20,000)
Other | 2,153 | 0
Net cash used in investing activities - continuing operations | (45,713) | (39,839)
Net cash provided by investing activities - discontinued operations | 0 | 2,350
Net cash used in investing activities | (45,713) | (37,489)
Cash flows from financing activities: |  |
Borrowings on revolving credit line | 674,500 | 0
Payments on revolving credit line | (579,500) | 0
Payments on term loan | (6,250) | 0
Redemption of senior notes, including call premium | (1,046,880) | (759,848)
Proceeds from senior notes and term loan | 650,000 | 0
Payments for financing costs | (8,621) | 0
Payment on Finance lease obligation | (2,176) | (1,796)
Proceeds from issuance of common stock | 4,220 | 5,611
Repurchases of common stock | (87,041) | (4,719)
Other | 483 | (189)
Net cash used in financing activities | (401,265) | (760,941)
Net decrease in cash and cash equivalents | (378,723) | (765,929)
Cash and cash equivalents at beginning of period | 387,391 | 1,123,843
Cash and cash equivalents at end of period | $ 8,668 | $ 357,914

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