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FY2019
12 months to Dec 31, 2019
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FY2018
12 months to Dec 31, 2018
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FY2017
12 months to Dec 31, 2017
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FY2016
12 months to Dec 31, 2016
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FY2015
12 months to Dec 31, 2015
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|---|---|---|---|---|---|
| Net income (loss) | |||||
| OPERATING ACTIVITIES | |||||
| Net income/(loss) | |||||
| Adjustments to Reconcile Net Income (Loss) to Cash Provided by (Used in) Operating Activities | |||||
| Bad debt expense | |||||
| Depreciation | |||||
| Amortization of intangibles | |||||
| Depreciation and amortization | |||||
| Impairment charge | |||||
| Stock-based compensation | |||||
| Equity method investment loss | |||||
| Write off of derivative premium | |||||
| Accretion of debt discount | |||||
| Loss on extinguishment of debt | |||||
| Gain on legal settlement | |||||
| Non-cash lease (income)/expense | |||||
| Deferred income taxes | |||||
| Change in fair value of acquisition-related contingent consideration | |||||
| Other non-cash items | |||||
| Changes in operating assets and liabilities: | |||||
| Healthcare and other accounts receivable | |||||
| Inventory | |||||
| Prepaid expenses and other assets | |||||
| Accounts payable | |||||
| Accrued and other liabilities | |||||
| Liability associated with the Civil Investigative Demand | |||||
| Net cash provided by operating activities | |||||
| Net cash provided by operating activities | |||||
| INVESTING ACTIVITIES | |||||
| Acquisition of businesses, net of cash acquired | |||||
| Purchases of property and equipment and investment in internally developed software | |||||
| Purchase of derivative instrument | |||||
| Investment in equity method investee | |||||
| Proceeds related to the exercising of stock options and employee stock purchase plan | |||||
| Net cash used in investing activities | |||||
| FINANCING ACTIVITIES | |||||
| Proceeds related to the exercising of stock options and employee stock purchase plan | |||||
| Payments of tax withholdings related to vesting of share-based awards | |||||
| Issuance of long-term debt | |||||
| Borrowings under revolving loans | |||||
| Repayments on revolving loans | |||||
| Payment of debt issuance costs | |||||
| Principal payments on long-term debt | |||||
| Principal payments on finance lease obligations | |||||
| Acquisition of noncontrolling interests | |||||
| Effect of exchange rate changes on cash | |||||
| Net cash (used in)/provided by financing activities | |||||
| Effect of exchange rate changes on cash | |||||
| Net (decrease)/increase in cash and cash equivalents | |||||
| Cash and cash equivalents—beginning of period | |||||
| Cash and cash equivalents—end of period | |||||
| SUPPLEMENTAL DISCLOSURE OF CASH FLOW INFORMATION | |||||
| Non-cash purchases of property and equipment | |||||
| Non-cash fair value of common stock returned in legal settlement | |||||
| Non-cash fair value of equity issued for acquisition of business | |||||
| Non-cash fair value of non-trade receivables exchanged for investment in equity method investee | |||||
| Cash paid for interest | |||||
| Cash paid for taxes, net of refunds | |||||
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