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v3.24.0.1

Consolidated Statements of Cash Flows - USD ($) $ in Thousands | 12 Months Ended
--- | ---
Dec. 31, 2023 | Dec. 31, 2022 | Dec. 31, 2021
Cash flows from operating activities: |  |  |
Net Income (Loss) | $ (60,408) | $ 66,335 | $ 130,964
Income from discontinued operations | 0 | (3,767) | (22,950)
Adjustments to reconcile net income to net cash provided from operating activities: |  |  |
Depreciation and amortization | 36,171 | 35,636 | 32,147
Amortization of premiums, discounts and issuance costs | 1,239 | 1,765 | 4,335
Goodwill impairment | 168,312 | 0 | 0
Loss on early extinguishment of debt | 0 | 57,016 | 14,532
Stock-based compensation expense | 12,323 | 16,127 | 18,968
Deferred income taxes | 3,239 | (22,771) | (31,239)
Gain on sale of building | 0 | 0 | (7,280)
Other | (3,167) | 144 | (2,350)
Changes in assets and liabilities: |  |  |
Accounts receivable | 26,276 | (5,543) | (72,731)
Prepaid expenses and other current assets | 514 | 15,928 | 41,530
Other long-term assets | 22,851 | 17,196 | 9,799
Accounts payable and accrued expenses | (11,921) | 420 | 21,326
Income taxes (payable) receivable | (21,677) | 18,225 | (2,285)
Long-term professional liabilities | 837 | 5,600 | 1,523
Other liabilities | (28,508) | (19,999) | (22,529)
Net cash provided by operating activities - continuing operations | 146,081 | 182,312 | 113,760
Net cash used in operating activities - discontinued operations | (8,756) | (15,371) | (37,023)
Net cash provided by operating activities | 137,325 | 166,941 | 76,737
Cash flows from investing activities: |  |  |
Acquisition payments, net of cash acquired | (6,667) | (28,167) | (29,930)
Purchases of investments | (31,893) | (17,346) | (15,052)
Proceeds from maturities or sales of investments | 22,905 | 16,889 | 16,496
Purchases of property and equipment | (33,328) | (29,708) | (32,249)
Proceeds from Sale of Buildings | 0 | 0 | 24,728
Strategic investments | 0 | 0 | (20,000)
Other | 807 | 1,378 | 584
Net cash used in investing activities - continuing operations | (48,176) | (56,954) | (55,423)
Net cash provided by investing activities - discontinued operations | 0 | 0 | 2,350
Net cash used in investing activities | (48,176) | (56,954) | (53,073)
Cash flows from financing activities: |  |  |
Borrowings on credit agreement | 470,000 | 830,000 | 0
Payments on credit agreement | (474,000) | (826,000) | 0
Redemption of senior notes, including call premium | 0 | (1,046,880) | (759,848)
Proceeds from issuance of senior notes and term loan | 0 | 650,000 | 0
Payments on term loan | (12,500) | (9,375) | 0
Payments for credit facility amendment and financing costs | 0 | (8,621) | 0
Payments of contingent consideration liabilities | (1,817) | 0 | (189)
Payments on finance lease obligations | (2,618) | (2,916) | (2,809)
Proceeds from Issuance of Common Stock | 4,912 | 5,396 | 6,853
Repurchases of common stock | (919) | (88,511) | (4,719)
Other | (8,773) | 9,353 | 596
Net cash used in financing activities - continuing operations | (25,715) | (487,554) | (760,116)
Net cash used in financing activities - discontinued operations | 0 | 0 | 0
Net Cash Provided by (Used in) Financing Activities, Total | (25,715) | (487,554) | (760,116)
Net increase (decrease) in cash and cash equivalents | 63,434 | (377,567) | (736,452)
Cash, cash equivalents at beginning of year | 9,824 | 387,391 | 1,123,843
Cash and cash equivalents at end of year | 73,258 | 9,824 | 387,391
Supplemental disclosure of cash flow information: |  |  |
Interest | 42,278 | 116,235 | 86,537
Income taxes | 30,835 | 26,908 | 54,728
Non-cash investing and financing activities: |  |  |
Equipment financed through finance leases | 132 | 282 | 6,762
Property and equipment included in accounts payable | $ 2,874 | $ 2,589 | $ 2,300

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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 -Name Accounting Standards Codification -Topic 230 -SubTopic 10 -Section 45 -Paragraph 12 -Publisher FASB -URI https://asc.fasb.org//1943274/2147482740/230-10-45-12 + Details
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- Definition The cash inflow from sale of buildings. + References Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef -Topic 230 -SubTopic 10 -Name Accounting Standards Codification -Section 45 -Paragraph 12 -Subparagraph (c) -Publisher FASB -URI https://asc.fasb.org//1943274/2147482740/230-10-45-12 + Details
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- Definition Amount of cash inflow from the sale of tangible or intangible assets used to produce goods or deliver services, classified as other. + References Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef -Topic 230 -SubTopic 10 -Name Accounting Standards Codification -Section 45 -Paragraph 12 -Subparagraph (c) -Publisher FASB -URI https://asc.fasb.org//1943274/2147482740/230-10-45-12 + Details
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- Definition Amount of cash outflow for payment of an obligation from a lender, including but not limited to, letter of credit, standby letter of credit and revolving credit arrangements. + References Reference 1: http://www.xbrl.org/2009/role/commonPracticeRef -Topic 235 -SubTopic 10 -Name Accounting Standards Codification -Section S99 -Paragraph 1 -Subparagraph (SX 210.4-08(f)) -Publisher FASB -URI https://asc.fasb.org//1943274/2147480678/235-10-S99-1 Reference 2: http://fasb.org/us-gaap/role/ref/legacyRef -Name Accounting Standards Codification -Topic 230 -SubTopic 10 -Section 45 -Paragraph 15 -Subparagraph (b) -Publisher FASB -URI https://asc.fasb.org//1943274/2147482740/230-10-45-15 + Details
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- Definition The cash outflow for a long-term debt where the holder has highest claim on the entity's asset in case of bankruptcy or liquidation during the period. + References Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef -Name Accounting Standards Codification -Topic 230 -SubTopic 10 -Section 45 -Paragraph 15 -Subparagraph (b) -Publisher FASB -URI https://asc.fasb.org//1943274/2147482740/230-10-45-15 + Details
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- Definition Amount of noncash expense for share-based payment arrangement. + References Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef -Name Accounting Standards Codification -Section 45 -Paragraph 28 -Subparagraph (a) -SubTopic 10 -Topic 230 -Publisher FASB -URI https://asc.fasb.org//1943274/2147482740/230-10-45-28 + Details
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