|
Net Income
|
|
—
|
—
|
—
|
($149.5m)
|
($148.0m)
|
($128.0m)
|
($724k)
|
|
Net Income From Continuing Operations
|
|
—
|
—
|
—
|
($149.6m)
|
($148.2m)
|
($128.1m)
|
($978k)
|
|
Depreciation and amortization
|
|
$16.6m
|
$15.5m
|
$16.0m
|
$17.5m
|
$21.7m
|
$27.1m
|
$30.5m
|
|
Amortization-debt issuance costs
|
|
$1.9m
|
$2.2m
|
$2.3m
|
$1.9m
|
$1.3m
|
$1.3m
|
$1.8m
|
|
Amortization-investment discount
|
|
—
|
—
|
—
|
$0
|
($4.9m)
|
($2.6m)
|
($1.3m)
|
|
Amortization Cash Flow
|
|
—
|
—
|
—
|
$386k
|
$226k
|
$702k
|
$634k
|
|
Amortization Of Intangibles
|
|
—
|
—
|
—
|
$386k
|
$226k
|
$702k
|
$634k
|
|
Amortization Of Securities
|
|
—
|
—
|
—
|
$0
|
($4.9m)
|
($2.6m)
|
($1.3m)
|
|
Depreciation Amortization Depletion
|
|
—
|
—
|
—
|
$17.5m
|
$21.7m
|
$27.1m
|
$30.5m
|
|
Gain on sale of property and equipment
|
|
$418k
|
$1.0m
|
$0
|
$101k
|
$0
|
$0
|
($72k)
|
|
Loss on extinguishment of debt
|
|
—
|
$0
|
$0
|
$2.2m
|
$0
|
$3.0m
|
$0
|
|
Net loss
|
|
($44.7m)
|
($22.9m)
|
($195.3m)
|
($149.6m)
|
($148.2m)
|
($128.1m)
|
($978k)
|
|
Provision for credit loss
|
|
$1.4m
|
$118k
|
$111k
|
$150k
|
$91k
|
$123k
|
$833k
|
|
(Gain) loss on right of use assets
|
|
—
|
—
|
$0
|
$510k
|
($289k)
|
$143k
|
$0
|
|
Equity-based compensation
|
|
—
|
—
|
—
|
$81.7m
|
$66.8m
|
$71.1m
|
$62.1m
|
|
Non-cash lease expense
|
|
$0
|
$2.3m
|
$2.7m
|
$2.8m
|
$2.3m
|
$1.8m
|
$1.6m
|
|
Accounts receivable
|
|
($5.8m)
|
($4.6m)
|
($17.6m)
|
($34.4m)
|
($26.9m)
|
($34.3m)
|
($100.1m)
|
|
Prepaid expenses and other current assets
|
|
($2.7m)
|
($12.0m)
|
($10.3m)
|
($14.4m)
|
($2.9m)
|
$7.9m
|
($57.1m)
|
|
Other assets
|
|
$1.2m
|
$2.8m
|
$644k
|
($86k)
|
($142k)
|
$60k
|
($50k)
|
|
Medical expenses payable
|
|
$36.6m
|
$6.5m
|
$12.5m
|
$44.2m
|
$35.3m
|
$84.4m
|
$184.8m
|
|
Accounts payable and accrued expenses
|
|
$1.3m
|
$645k
|
$437k
|
$13.7m
|
($6.3m)
|
($1.5m)
|
$10.4m
|
|
Accrued compensation
|
|
($196k)
|
$12.7m
|
($1.2m)
|
$3.6m
|
$6.6m
|
$5.8m
|
$9.1m
|
|
Lease liabilities
|
|
$0
|
$1.3m
|
($3.8m)
|
($4.2m)
|
($3.5m)
|
($1.5m)
|
($1.5m)
|
|
Sale of property and equipment
|
|
$0
|
$100k
|
$0
|
$0
|
$0
|
$14k
|
$75k
|
|
Sale of business
|
|
—
|
—
|
—
|
—
|
$0
|
$0
|
$1.1m
|
|
Acquisition of property and equipment, net
|
|
$0
|
$100k
|
$0
|
($23.8m)
|
($36.0m)
|
($41.4m)
|
($26.8m)
|
|
Payment of employment taxes related to release of restricted stock
|
|
—
|
—
|
—
|
$0
|
$0
|
($350k)
|
$0
|
|
Proceeds from exercise of stock options
|
|
—
|
—
|
—
|
$0
|
$0
|
$155k
|
$18.1m
|
|
Acquisition of property in accounts payable
|
|
$366k
|
$106k
|
$347k
|
$505k
|
$0
|
$70k
|
$97k
|
|
Debt issuance costs in accounts payable
|
|
—
|
—
|
—
|
$0
|
$0
|
$512k
|
$0
|
|
Restricted cash in other assets
|
|
$0
|
$500k
|
$1.8m
|
$1.8m
|
$2.0m
|
$2.1m
|
$2.1m
|
|
Beginning Cash Position
|
|
—
|
—
|
—
|
$468.4m
|
$411.3m
|
$205.0m
|
$434.9m
|
|
Cash Flow From Continuing Financing Activities
|
|
—
|
—
|
—
|
$16.6m
|
$105k
|
$156.0m
|
$18.0m
|
|
Cash Flow From Continuing Investing Activities
|
|
—
|
—
|
—
|
($28.2m)
|
($147.3m)
|
$39.2m
|
($15.0m)
|
|
Change In Account Payable
|
|
—
|
—
|
—
|
$13.7m
|
($6.3m)
|
($1.5m)
|
$10.4m
|
|
Change In Accrued Expense
|
|
—
|
—
|
—
|
($10.5m)
|
$6.6m
|
$5.8m
|
$9.1m
|
|
Change In Interest Payable
|
|
—
|
—
|
$0
|
($14.1m)
|
$0
|
$0
|
—
|
|
Change In Other Current Assets
|
|
—
|
—
|
—
|
($86k)
|
($142k)
|
$60k
|
($50k)
|
|
Change In Other Current Liabilities
|
|
—
|
—
|
—
|
($4.2m)
|
($3.5m)
|
($1.5m)
|
($1.5m)
|
|
Change In Other Working Capital
|
|
—
|
—
|
($1.2m)
|
$3.6m
|
—
|
—
|
—
|
|
Change In Payable
|
|
—
|
—
|
—
|
$58.0m
|
$28.9m
|
$82.9m
|
$195.1m
|
|
Change In Payables And Accrued Expense
|
|
—
|
—
|
—
|
$47.5m
|
$35.5m
|
$88.7m
|
$204.2m
|
|
Change In Prepaid Assets
|
|
—
|
—
|
—
|
($14.4m)
|
($2.9m)
|
$7.9m
|
($57.1m)
|
|
Change In Receivables
|
|
—
|
—
|
—
|
($34.4m)
|
($26.9m)
|
($34.3m)
|
($100.1m)
|
|
Change In Working Capital
|
|
—
|
—
|
—
|
($5.6m)
|
$2.0m
|
$60.9m
|
$45.5m
|
|
Changes In Account Receivables
|
|
—
|
—
|
—
|
($34.4m)
|
($26.9m)
|
($34.3m)
|
($100.1m)
|
|
Changes In Cash
|
|
—
|
—
|
—
|
($57.1m)
|
($206.3m)
|
$230.0m
|
$143.0m
|
|
End Cash Position
|
|
—
|
—
|
—
|
$411.3m
|
$205.0m
|
$434.9m
|
$577.9m
|
|
Financing Cash Flow
|
|
—
|
—
|
—
|
$16.6m
|
$105k
|
$156.0m
|
$18.0m
|
|
Free Cash Flow
|
|
—
|
—
|
—
|
($69.2m)
|
($95.2m)
|
($6.6m)
|
$113.1m
|
|
Gain Loss On Sale Of PPE
|
|
—
|
—
|
—
|
$611k
|
($289k)
|
$134k
|
($72k)
|
|
Investing Cash Flow
|
|
—
|
—
|
—
|
($28.2m)
|
($147.3m)
|
$39.2m
|
($15.0m)
|
|
Issuance Of Capital Stock
|
|
—
|
—
|
$390.6m
|
$0
|
$0
|
—
|
—
|
|
Net Business Purchase And Sale
|
|
—
|
—
|
—
|
($4.0m)
|
$0
|
$0
|
$1.1m
|
|
Net PPE Purchase And Sale
|
|
—
|
—
|
—
|
($23.8m)
|
($36.0m)
|
($41.4m)
|
($26.7m)
|
|
Operating Gains Losses
|
|
—
|
—
|
—
|
$2.8m
|
($289k)
|
$3.2m
|
($72k)
|
|
Other Non Cash Items
|
|
—
|
—
|
—
|
$7.6m
|
$3.6m
|
$3.1m
|
$3.4m
|
|
Proceeds From Stock Option Exercised
|
|
—
|
—
|
—
|
$0
|
$0
|
$155k
|
$18.1m
|
|
Provisionand Write Offof Assets
|
|
—
|
—
|
—
|
$150k
|
$91k
|
$123k
|
$833k
|
|
Purchase Of Business
|
|
—
|
—
|
$0
|
($4.0m)
|
$0
|
$0
|
—
|
|
Purchase Of PPE
|
|
—
|
—
|
—
|
($23.8m)
|
($36.0m)
|
($41.4m)
|
($26.8m)
|
|
Repurchase Of Capital Stock
|
|
—
|
—
|
($1.5m)
|
$0
|
$0
|
—
|
—
|
|
Sale Of PPE
|
|
—
|
—
|
—
|
$0
|
$0
|
$14k
|
$75k
|
|
Stock Based Compensation
|
|
—
|
—
|
—
|
$81.7m
|
$66.8m
|
$71.1m
|
$62.1m
|
|
Net cash provided by (used in) operating activities
|
|
$9.2m
|
$7.6m
|
($78.8m)
|
($45.4m)
|
($59.2m)
|
$34.8m
|
$139.9m
|
|
Capital Expenditure
|
|
—
|
—
|
—
|
($23.8m)
|
($36.0m)
|
($41.4m)
|
($26.8m)
|
|
Purchase of investments
|
|
($320k)
|
($1.6m)
|
($2.5m)
|
($2.8m)
|
($379.1m)
|
($82.2m)
|
($65.6m)
|
|
Net Investment Purchase And Sale
|
|
—
|
—
|
—
|
($400k)
|
($111.3m)
|
$80.6m
|
$10.7m
|
|
Purchase Of Investment
|
|
—
|
—
|
—
|
($2.8m)
|
($379.1m)
|
($82.2m)
|
($65.6m)
|
|
Maturities of investments
|
|
—
|
—
|
—
|
$2.4m
|
$267.8m
|
$162.8m
|
$76.3m
|
|
Sale Of Investment
|
|
—
|
—
|
—
|
$2.4m
|
$267.8m
|
$162.8m
|
$76.3m
|
|
Net cash provided by (used in) investing activities
|
|
($10.2m)
|
($16.4m)
|
($20.8m)
|
($28.2m)
|
($147.3m)
|
$39.2m
|
($15.0m)
|
|
Proceeds from long-term debt
|
|
$55.0m
|
$0
|
$0
|
$165.0m
|
$0
|
$380.0m
|
$0
|
|
Debt issuance costs
|
|
($854k)
|
$0
|
$0
|
($5.2m)
|
$0
|
($8.8m)
|
($26k)
|
|
Issuance Of Debt
|
|
—
|
—
|
—
|
$165.0m
|
$0
|
$380.0m
|
$0
|
|
Long Term Debt Issuance
|
|
—
|
—
|
—
|
$165.0m
|
$0
|
$380.0m
|
$0
|
|
Net Issuance Payments Of Debt
|
|
—
|
—
|
—
|
$21.8m
|
$0
|
$165.0m
|
$0
|
|
Net Long Term Debt Issuance
|
|
—
|
—
|
—
|
$21.8m
|
$0
|
$165.0m
|
$0
|
|
Repayment of long-term debt
|
|
—
|
$0
|
$0
|
($143.2m)
|
$0
|
($215.0m)
|
$0
|
|
Long Term Debt Payments
|
|
—
|
—
|
—
|
($143.2m)
|
$0
|
($215.0m)
|
$0
|
|
Repayment Of Debt
|
|
—
|
—
|
—
|
($143.2m)
|
$0
|
($215.0m)
|
$0
|
|
Common Stock Issuance
|
|
—
|
—
|
$390.6m
|
$0
|
$0
|
—
|
—
|
|
Net Common Stock Issuance
|
|
—
|
—
|
$389.1m
|
$0
|
$0
|
—
|
—
|
|
Common Stock Payments
|
|
—
|
—
|
($1.5m)
|
$0
|
$0
|
—
|
—
|
|
Contributions from noncontrolling interest holders
|
|
—
|
$0
|
$15k
|
$68k
|
$105k
|
$15k
|
$0
|
|
Net Other Financing Charges
|
|
—
|
—
|
—
|
($5.2m)
|
$105k
|
($9.1m)
|
($26k)
|
|
Net cash provided by financing activities
|
|
$52.7m
|
$130.1m
|
$360.1m
|
$16.6m
|
$105k
|
$156.0m
|
$18.0m
|
|
Net increase (decrease) in cash
|
|
$51.6m
|
$121.3m
|
$260.5m
|
($57.1m)
|
($206.3m)
|
$230.0m
|
$143.0m
|
|
Cash, cash equivalents and restricted cash at beginning of period
|
|
$86.5m
|
$207.8m
|
$468.4m
|
$411.3m
|
$205.0m
|
$434.9m
|
$577.9m
|
|
Cash and cash equivalents
|
|
$86.5m
|
$207.3m
|
$466.6m
|
$409.5m
|
$202.9m
|
$432.9m
|
$575.8m
|
|
Change In Cash Supplemental As Reported
|
|
—
|
—
|
—
|
($57.1m)
|
($206.3m)
|
$230.0m
|
$143.0m
|
|
Cash paid for interest
|
|
$9.5m
|
$10.7m
|
$11.0m
|
$22.4m
|
$19.2m
|
$22.2m
|
$13.8m
|