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v3.25.3

Consolidated Statements of Cash Flows (Unaudited) - USD ($) $ in Thousands | 9 Months Ended
--- | ---
Sep. 30, 2025 | Sep. 30, 2024
Cash flows from operating activities: |  |
Net income (loss) | $ 131,705 | $ (129,549)
Adjustments to reconcile net income (loss) to net cash from operating activities: |  |
Depreciation and amortization | 16,196 | 25,353
Amortization of premiums, discounts and issuance costs | 698 | 703
Impairment losses | 0 | 182,034
Loss on disposal of businesses | 0 | 10,932
Net gain on investments in divested businesses | (20,906) | 0
Stock-based compensation expense | 12,700 | 9,129
Deferred income taxes | 27,639 | (15,880)
Other | (3,386) | (2,006)
Changes in assets and liabilities: |  |
Accounts receivable | 29,101 | 635
Prepaid expenses and other current assets | (784) | 5,945
Other long-term assets | 16,972 | 30,569
Accounts payable and accrued expenses | (38,833) | (34,154)
Payment of contingent consideration liability | (318) | 0
Income taxes payable | 9,377 | 7,527
Long-term professional liabilities | (7,406) | 13,239
Other liabilities | (12,620) | (22,032)
Net cash provided by operating activities - continuing operations | 160,135 | 82,445
Net cash used in operating activities - discontinued operations | (3,146) | (8,882)
Net cash provided by operating activities | 156,989 | 73,563
Cash flows from investing activities: |  |
Acquisition payments, net of cash acquired | (19,196) | (8,167)
Purchases of investments | (23,484) | (54,402)
Proceeds from maturities or sales of investments | 21,424 | 45,324
Proceeds from investment in divested business | 30,000 | 0
Purchases of property and equipment | (13,171) | (18,582)
Other | (3,587) | 2,359
Net cash used in investing activities | (8,014) | (33,468)
Cash flows from financing activities: |  |
Borrowings on line of credit | 0 | 235,500
Payments on line of credit | 0 | (235,500)
Payments on term loan | (14,063) | (9,375)
Payment on finance lease obligation | (1,346) | (2,045)
Payment of contingent consideration liability | (3,182) | 0
Proceeds from issuance of common stock | 2,538 | 2,906
Repurchases of common stock | (22,645) | (1,060)
Other | (158) | 52
Net cash provided by financing activities | (38,856) | (9,522)
Net increase in cash and cash equivalents | 110,119 | 30,573
Cash and cash equivalents at beginning of period | 229,940 | 73,258
Cash and cash equivalents at end of period | $ 340,059 | $ 103,831

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