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v3.23.3

Consolidated Statements of Cash Flows (Unaudited) - USD ($) $ in Thousands | 9 Months Ended
--- | ---
Sep. 30, 2023 | Sep. 30, 2022
Cash flows from operating activities: |  |
Net income | $ 63,879 | $ 36,676
Loss from discontinued operations | 0 | 1,892
Adjustments to reconcile net income to net cash from operating activities: |  |
Depreciation and amortization | 27,109 | 26,500
Amortization of premiums, discounts and issuance costs | 1,015 | 1,346
Loss on early extinguishment of debt | 0 | 57,016
Stock-based compensation expense | 9,299 | 12,891
Deferred income taxes | 10,589 | (8,702)
Other | (1,607) | (2,379)
Changes in assets and liabilities: |  |
Accounts receivable | 22,095 | (501)
Prepaid expenses and other current assets | 4,290 | 22,709
Other long-term assets | 13,343 | 11,160
Accounts payable and accrued expenses | (56,118) | (76,439)
Income taxes payable | (5,154) | 799
Long-term professional liabilities | 838 | 7,360
Other liabilities | (16,500) | (10,309)
Net cash provided by operating activities - continuing operations | 73,078 | 80,019
Net cash used in operating activities - discontinued operations | (5,003) | (11,764)
Net cash provided by operating activities | 68,075 | 68,255
Cash flows from investing activities: |  |
Acquisition payments, net of cash acquired | (1,667) | (28,167)
Purchases of investments | (26,477) | (14,938)
Proceeds from maturities or sales of investments | 16,560 | 15,889
Purchases of property and equipment | (24,284) | (20,650)
Other | 116 | 2,153
Net cash used in investing activities | (35,752) | (45,713)
Cash flows from financing activities: |  |
Borrowings on credit agreement | 470,000 | 674,500
Payments on credit agreement | (474,000) | (579,500)
Payments on term loan | (9,375) | (6,250)
Redemption of senior notes, including call premium | 0 | (1,046,880)
Proceeds from senior notes and term loan | 0 | 650,000
Payments for financing costs | 0 | (8,621)
Payment on finance lease obligation | (2,105) | (2,176)
Proceeds from issuance of common stock | 3,876 | 4,220
Repurchases of common stock | (919) | (87,041)
Other | (8,445) | 483
Net cash used in financing activities | (20,968) | (401,265)
Net increase (decrease) in cash and cash equivalents | 11,355 | (378,723)
Cash and cash equivalents at beginning of period | 9,824 | 387,391
Cash and cash equivalents at end of period | $ 21,179 | $ 8,668

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