XML 15 R6.htm IDEA: XBRL DOCUMENT 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