v3.25.2
Consolidated Statements of Cash Flows (Unaudited) - USD ($)
$ in Thousands
 6 Months Ended
Jun. 30, 2025
Jun. 30, 2024
Cash flows from operating activities:    
Net income (loss) $ 59,997 $ (148,990)
Adjustments to reconcile net income (loss) to net cash from operating activities:    
Depreciation and amortization 10,645 19,099
Amortization of premiums, discounts and issuance costs 458 440
Impairment losses 0 182,034
Loss on disposal of businesses 0 10,873
Stock-based compensation expense 7,550 5,019
Deferred income taxes 16,504 (25,028)
Other (1,501) (1,678)
Changes in assets and liabilities:    
Accounts receivable 21,231 (934)
Prepaid expenses and other current assets 204 3,703
Other long-term assets 9,601 16,955
Accounts payable and accrued expenses (89,951) (82,917)
Income taxes payable 4,763 11,735
Long-term professional liabilities (8,166) 8,039
Other liabilities (9,315) (11,630)
Net cash provided by (used in) operating activities - continuing operations 22,020 (13,280)
Net cash used in operating activities - discontinued operations (2,316) (4,995)
Net cash provided by (used in) operating activities 19,704 (18,275)
Cash flows from investing activities:    
Acquisition payments, net of cash acquired 0 (8,167)
Purchases of investments (21,529) (39,915)
Proceeds from maturities or sales of investments 18,380 31,244
Purchases of property and equipment (7,833) (12,292)
Other (3,636) 0
Net cash used in investing activities (14,618) (29,130)
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 (9,375) (6,250)
Payment on finance lease obligation (844) (1,391)
Proceeds from issuance of common stock 1,838 2,009
Repurchases of common stock (1,778) (898)
Other (135) 79
Net cash provided by financing activities (10,294) (6,451)
Net decrease in cash and cash equivalents (5,208) (53,856)
Cash and cash equivalents at beginning of period 229,940 73,258
Cash and cash equivalents at end of period $ 224,732 $ 19,402