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FY2025
12 months to Dec 31, 2025
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FY2024
12 months to Dec 31, 2024
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FY2023
12 months to Dec 31, 2023
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FY2022
12 months to Dec 31, 2022
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FY2021
12 months to Dec 31, 2021
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|---|---|---|---|---|---|
| Cash flows from operating activities: | |||||
| Net Income Loss | |||||
| Income from discontinued operations | |||||
| Adjustments to reconcile net (loss) income to net cash provided from operating activities: | |||||
| Depreciation and amortization | |||||
| Amortization of premiums, discounts and issuance costs | |||||
| Impairment losses | |||||
| Loss on disposal of businesses | |||||
| Loss on early extinguishment of debt | |||||
| Net gain on investments in divested businesses | |||||
| Stock-based compensation expense | |||||
| Deferred income taxes | |||||
| Gain on sale of building | |||||
| Other | |||||
| Changes in assets and liabilities: | |||||
| Accounts receivable | |||||
| Prepaid expenses and other current assets | |||||
| Other long-term assets | |||||
| Accounts payable and accrued expenses | |||||
| Income taxes (payable) receivable | |||||
| Long-term professional liabilities | |||||
| Other liabilities | |||||
| Net cash provided by operating activities - continuing operations | |||||
| Net cash used in operating activities - discontinued operations | |||||
| Net cash provided by operating activities | |||||
| Cash flows from investing activities: | |||||
| Acquisition payments, net of cash acquired | |||||
| Purchases of investments | |||||
| Proceeds from maturities or sales of investments | |||||
| Proceeds from investment in divested business | |||||
| Purchases of property and equipment | |||||
| Proceeds from Sale of Buildings | |||||
| Strategic investments | |||||
| Net cash used in investing activities - continuing operations | |||||
| Net cash provided by investing activities - discontinued operations | |||||
| Other | |||||
| Net cash used in investing activities | |||||
| Cash flows from financing activities: | |||||
| Borrowings on credit agreement | |||||
| Payments on credit agreement | |||||
| Redemption of senior notes, including call premium | |||||
| Proceeds from issuance of senior notes and term loan | |||||
| Payments on term loan | |||||
| Payments for credit facility amendment and financing costs | |||||
| Payments of contingent consideration liabilities | |||||
| Payments on finance lease obligations | |||||
| Proceeds from issuance of common stock | |||||
| Repurchases of common stock | |||||
| Other | |||||
| Net cash used in financing activities - continuing operations | |||||
| Net cash used in financing activities - discontinued operations | |||||
| Net cash used in financing activities | |||||
| Net increase in cash and cash equivalents | |||||
| Cash, cash equivalents at beginning of year | |||||
| Cash and cash equivalents at end of year | |||||
| Supplemental disclosure of cash flow information: | |||||
| Cash paid for interest | |||||
| Income taxes | |||||
| Non-cash investing and financing activities: | |||||
| Equipment financed through finance leases | |||||
| Property and equipment included in accounts payable | |||||
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