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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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|---|---|---|---|---|---|
| Operating activities: | |||||
| Net income | |||||
| Adjustments to reconcile net income to net cash (used in) provided by operating activities: | |||||
| Depreciation and amortization | |||||
| Deferred income taxes | |||||
| Share-based compensation | |||||
| Loss on debt repayment | |||||
| Impairment | |||||
| Other, net | |||||
| Changes in operating assets and liabilities, net of the effect of acquisitions: | |||||
| Receivables | |||||
| Prepaid expenses and other current assets | |||||
| Medical claims and benefits payable | |||||
| Amounts due government agencies | |||||
| Accounts payable, accrued liabilities and other | |||||
| Deferred revenue | |||||
| Income taxes | |||||
| Net cash (used in) provided by operating activities | |||||
| Investing activities: | |||||
| Purchases of investments | |||||
| Proceeds from sales and maturities of investments | |||||
| Net cash paid in business combinations | |||||
| Purchases of property, equipment and capitalized software | |||||
| Other, net | |||||
| Net cash provided by (used in) investing activities | |||||
| Financing activities: | |||||
| Proceeds from borrowings under credit facility and term loans | |||||
| Repayment of credit facility and term loans | |||||
| Common stock purchases | |||||
| Proceeds from senior notes offerings, net of issuance costs | |||||
| Repayment of senior notes | |||||
| Common stock withheld to settle employee tax obligations | |||||
| Contingent consideration liabilities settled | |||||
| Other, net | |||||
| Net cash used in financing activities | |||||
| Net (decrease) increase in cash and cash equivalents, and restricted cash and cash equivalents | |||||
| Cash and cash equivalents, and restricted cash and cash equivalents at beginning of period | |||||
| Cash and cash equivalents, and restricted cash and cash equivalents at end of period | |||||
| Supplemental cash flow information: | |||||
| Income taxes, net | |||||
| Cash paid during the period for interest | |||||
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