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v3.24.3

Consolidated Statements of Cash Flows (Unaudited) - USD ($) $ in Thousands | 9 Months Ended
--- | ---
Sep. 30, 2024 | Sep. 30, 2023
Cash flows from operating activities: |  |
Net (loss) income | $ (129,549) | $ 63,879
Adjustments to reconcile net (loss) income to net cash provided by operating activities: |  |
Depreciation and amortization | 25,353 | 27,109
Amortization of premiums, discounts and issuance costs | 703 | 1,015
Goodwill impairment | 154,243 | 0
Fixed assets impairments | 20,112 | 0
Intangible assets impairments | 7,679 | 0
Loss on disposal of businesses | 10,932 | 0
Stock-based compensation expense | 9,129 | 9,299
Deferred income taxes | (15,880) | 10,589
Other | (2,006) | (1,607)
Changes in assets and liabilities: |  |
Accounts receivable | 635 | 22,095
Prepaid expenses and other current assets | 5,945 | 4,290
Other long-term assets | 30,569 | 13,343
Accounts payable and accrued expenses | (34,154) | (56,118)
Income taxes payable | 7,527 | (5,154)
Long-term professional liabilities | 13,239 | 838
Other liabilities | (22,032) | (16,500)
Net cash provided by operating activities - continuing operations | 82,445 | 73,078
Net cash used in operating activities - discontinued operations | (8,882) | (5,003)
Net cash provided by operating activities | 73,563 | 68,075
Cash flows from investing activities: |  |
Acquisition payments, net of cash acquired | (8,167) | (1,667)
Purchases of investments | (54,402) | (26,477)
Proceeds from maturities or sales of investments | 45,324 | 16,560
Purchases of property and equipment | (18,582) | (24,284)
Other | 2,359 | 116
Net cash used in investing activities | (33,468) | (35,752)
Cash flows from financing activities: |  |
Borrowings on line of credit | 235,500 | 470,000
Payments on line of credit | (235,500) | (474,000)
Payments on term loan | (9,375) | (9,375)
Payments on finance lease obligations | (2,045) | (2,105)
Proceeds from issuance of common stock | 2,906 | 3,876
Repurchases of common stock | (1,060) | (919)
Other | 52 | (8,445)
Net cash used in financing activities | (9,522) | (20,968)
Net decrease in cash and cash equivalents | 30,573 | 11,355
Cash and cash equivalents at beginning of period | 73,258 | 9,824
Cash and cash equivalents at end of period | $ 103,831 | $ 21,179

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