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FY2020
12 months to Dec 31, 2020
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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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|---|---|---|---|---|---|
| Cash flows from operating activities: | |||||
| Net income | |||||
| Adjustments to reconcile net income to net cash provided by operating activities: | |||||
| Depreciation and amortization expense | |||||
| Amortization of debt issuance costs and discount | |||||
| Amortization of terminated interest rate swaps | |||||
| Stock-based compensation expense | |||||
| Non-cash transaction related stock-based compensation expense | |||||
| Unrealized foreign currency losses (gains) | |||||
| Loss on modification or extinguishment of debt | |||||
| Loss on disposal of fixed assets | |||||
| Change in fair value of acquisition-related contingent consideration | |||||
| Equity in income of unconsolidated joint ventures | |||||
| Excess tax benefit from stock-based compensation | |||||
| Deferred income taxes | |||||
| Other reconciling items | |||||
| Changes in operating assets and liabilities, net of acquired assets and assumed liabilities: | |||||
| Accounts receivable and unbilled services | |||||
| Prepaid expenses and other assets | |||||
| Accounts payable and other liabilities | |||||
| Income taxes | |||||
| Advanced billings | |||||
| Payment of acquisition-related contingent consideration | |||||
| Net cash provided by operating activities | |||||
| Cash flows from investing activities: | |||||
| Purchase of fixed assets | |||||
| Proceeds from the sale of fixed assets | |||||
| Cash (paid) received for interest on interest rate swap | |||||
| Return of joint venture capital contribution | |||||
| Cash received from the sale of marketable securities | |||||
| Acquisition of Symphony Health Solutions Corporation, net of cash acquired | |||||
| Payment of Symphony Health Solutions Corporation contingent consideration | |||||
| Acquisition of Parallel 6, Inc., net of cash acquired | |||||
| Acquisition of Takeda PRA Development Center KK, net of cash acquired | |||||
| Acquisition of Takeda Pharmaceutical Data Services, Ltd., net of cash acquired | |||||
| Acquisition of Nextrials, Inc., net of cash acquired | |||||
| Acquisition of Care Innovations, Inc., net of cash acquired | |||||
| Net cash used in investing activities | |||||
| Cash flows from financing activities: | |||||
| Proceeds from issuance of long-term debt | |||||
| Repayment of long-term debt | |||||
| Proceeds from accounts receivable financing agreement | |||||
| Repayment on accounts receivable financing agreement | |||||
| Borrowings on line of credit | |||||
| Repayments of line of credit | |||||
| Payment of debt prepayment and debt extinguishment costs | |||||
| Payment for debt issuance costs | |||||
| Excess tax benefit from stock-based compensation | |||||
| Acquisition of noncontrolling interest | |||||
| Proceeds from stock issued under employee stock purchase plan and stock option exercises | |||||
| Taxes paid related to net shares settlement of equity awards | |||||
| Payment of acquisition-related contingent consideration | |||||
| Net cash provided by (used in) financing activities | |||||
| Effects of foreign exchange changes on cash, cash equivalents, and restricted cash | |||||
| Change in cash, cash equivalents, and restricted cash | |||||
| Cash, cash equivalents, and restricted cash, beginning of year | |||||
| Cash, cash equivalents, and restricted cash, end of year | |||||
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