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CONSOLIDATED STATEMENTS OF CASH FLOWS - USD ($)
$ in Thousands
9 Months Ended
Sep. 30, 2019
Sep. 30, 2018
Operating Activities    
Net income $ 151,790 $ 257,110
Adjustments to reconcile net income to cash provided by operating activities:    
Depreciation and amortization 311,905 307,551
Amortization of upfront incentive consideration 59,825 57,324
Stock-based compensation expense 51,083 41,445
Deferred income taxes (26,622) 74,263
Allowance for doubtful accounts 16,746 7,433
Amortization of debt issuance costs 2,979 2,988
Joint venture equity income (1,973) (2,455)
Dividends received from joint venture investments 1,352 1,193
Loss (income) from discontinued operations 698 (3,217)
Loss on extinguishment of debt 0 633
Debt modification costs 0 1,558
Other (699) 5,146
Changes in operating assets and liabilities:    
Accounts and other receivables (66,875) (114,043)
Prepaid expenses and other current assets (9,191) 3,417
Capitalized implementation costs (20,297) (29,781)
Upfront incentive consideration (64,979) (67,697)
Other assets 12,768 (18,989)
Accrued compensation and related benefits (25,873) (31,308)
Accounts payable and other accrued liabilities 34,888 234
Deferred revenue including upfront solution fees (3,160) 43,388
Cash provided by operating activities 424,365 536,193
Investing Activities    
Additions to property and equipment (92,124) (205,664)
Other investing activities (16,358) 0
Cash used in investing activities (108,482) (205,664)
Financing Activities    
Cash dividends paid to common stockholders (115,185) (115,557)
Payments on Tax Receivable Agreement (101,482) (58,908)
Payments on borrowings from lenders (87,608) (35,483)
Repurchase of common stock (77,636) (26,281)
Proceeds of borrowings from lenders 45,000 0
Net (payments) receipts on the settlement of equity-based awards (5,738) 2,758
Debt issuance and modification costs 0 (1,567)
Other financing activities (8,775) (17,371)
Cash used in financing activities (351,424) (252,409)
Cash Flows from Discontinued Operations    
Cash (used in) provided by operating activities (2,243) 633
Cash (used in) provided by discontinued operations (2,243) 633
Effect of exchange rate changes on cash and cash equivalents 1,947 4,187
(Decrease) increase in cash and cash equivalents (35,837) 82,940
Cash and cash equivalents at beginning of period 509,265 361,381
Cash and cash equivalents at end of period $ 473,428 $ 444,321