Annual report pursuant to Section 13 and 15(d)

Consolidated Statements Of Cash Flows

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Consolidated Statements Of Cash Flows (USD $)
In Thousands, unless otherwise specified
12 Months Ended
Dec. 31, 2011
Dec. 31, 2010
Dec. 31, 2009
Operating activities      
Net income (loss) $ (3,651) $ 64,546 $ 57,814
Adjustments to reconcile net income to net cash provided by operating activities:      
Depreciation and amortization expense 7,521 7,496 4,831
Provision for bad debts 12,320 7,607 4,724
Stock based compensation expense 4,092 3,742 2,393
Deferred income taxes 4,378 2,771 4,646
Loss on impairment of intangible assets     542
Changes in operating assets and liabilities, net of acquisitions:      
Receivables (21,024) (16,195) (19,278)
Prepaid expenses, other assets 6,247 (2,319) (1,617)
Prepaid taxes (17,926) (2,194) (3,130)
Accounts payable and accrued expenses 4,478 5,777 (168)
Net amounts due from governmental entities 189 706 (1,565)
Net cash provided by (used in) operating activities (3,376) 71,937 49,192
Investing activities      
Cash paid for acquisitions, primarily goodwill, intangible assets and advance payment on acquisitions (11,680) (31,747) (33,427)
Purchases of property, building and equipment (7,945) (11,586) (8,236)
Net cash used in investing activities (19,625) (43,333) (41,663)
Financing activities      
Proceeds from line of credit 142,995 9,023 69,206
Payments on line of credit (108,175) (14,746) (63,483)
Principal payments on debt   (4,483) (508)
Payments on capital leases (14) (31) (80)
Payment of contingent consideration   (1,726)  
Excess tax benefits from vesting of restricted stock 320 476 121
Proceeds from issuance of common stock under ESPP 860 781 618
Proceeds from exercise of stock options   74  
Noncontrolling interest distributions (11,857) (15,666) (13,971)
Purchase of additional controlling interest (891) (1,914) (2,286)
Sale of noncontrolling interest 308    
Payment of deferred financing fees   (498) (263)
Payments on repurchasing common stock (577)    
Net cash provided by (used in) financing activities 22,969 (28,710) (10,646)
Change in cash (32) (106) (3,117)
Cash at beginning of period 288 394 3,511
Cash at end of period 256 288 394
Supplemental disclosures of cash flow information      
Interest paid 1,018 134 142
Income taxes paid $ 11,363 $ 30,605 $ 35,869