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v3.25.1

Consolidated Statements of Cash Flows (Unaudited) - USD ($) $ in Thousands | 3 Months Ended
--- | ---
Mar. 31, 2025 | Mar. 31, 2024
Cash flows from operating activities: |  |
Net income | $ 20,737 | $ 4,035
Adjustments to reconcile net income to net cash from operating activities: |  |
Depreciation and amortization | 5,332 | 10,308
Amortization of premiums, discounts and issuance costs | 230 | 200
Stock-based compensation expense | 3,641 | 3,067
Deferred income taxes | 4,398 | 686
Other | (758) | (1,265)
Changes in assets and liabilities: |  |
Accounts receivable | 17,461 | (9,936)
Prepaid expenses and other current assets | (1,125) | 3,756
Other long-term assets | 4,649 | 5,900
Accounts payable and accrued expenses | (159,685) | (141,463)
Income taxes payable | 2,748 | 3,017
Long-term professional liabilities | (7,590) | 4,082
Other liabilities | (6,149) | (5,011)
Net cash used in operating activities - continuing operations | (116,111) | (122,624)
Net cash used in operating activities - discontinued operations | (1,352) | (2,602)
Net cash used in operating activities | (117,463) | (125,226)
Cash flows from investing activities: |  |
Acquisition payments, net of cash acquired | 0 | (8,167)
Purchases of investments | (7,761) | (16,896)
Proceeds from maturities or sales of investments | 7,300 | 14,155
Purchases of property and equipment | (3,318) | (5,330)
Other | (3,685) | 0
Net cash used in investing activities | (7,464) | (16,238)
Cash flows from financing activities: |  |
Borrowings on line of credit | 0 | 170,500
Payments on line of credit | 0 | (90,500)
Payments on term loan | (4,688) | (3,125)
Payment on finance lease obligation | (339) | (690)
Proceeds from issuance of common stock | 662 | 860
Repurchases of common stock | (1,569) | (887)
Other | (101) | 46
Net cash provided by financing activities | (6,035) | 76,204
Net decrease in cash and cash equivalents | (130,962) | (65,260)
Cash and cash equivalents at beginning of period | 229,940 | 73,258
Cash and cash equivalents at end of period | $ 98,978 | $ 7,998

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