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CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS - USD ($)
$ in Millions
9 Months Ended
Sep. 30, 2019
Sep. 30, 2018
Cash Flows from Operating Activities:    
Net income $ 135.4 $ 111.8
Adjustments to reconcile net income to net cash provided by operating activities:    
Depreciation and amortization 68.8 71.3
Stock-based compensation 31.1 22.4
Allowance for doubtful accounts 3.0 2.1
Workers’ compensation provision 2.3 2.5
Other 6.8 13.0
Changes in operating assets and liabilities:    
Accounts receivable (30.3) (47.8)
Prepaid expenses and income taxes (1.9) 12.5
Accounts payable (17.9) 9.9
Accrued payroll and contract professional pay 25.1 26.9
Income taxes payable 15.5 6.8
Workers’ compensation loss reserves (2.4) (2.3)
Operating lease right of use assets 20.9 0.0
Operating lease liabilities (21.3) 0.0
Other (3.3) (5.5)
Net Cash Provided by Operating Activities 231.8 223.6
Cash Flows from Investing Activities:    
Cash paid for property and equipment (22.8) (22.1)
Cash paid for acquisitions, net of cash acquired (48.5) (760.3)
Other (0.1) (0.1)
Net cash used in investing activities (71.4) (782.5)
Cash Flows from Financing Activities:    
Proceeds from long-term debt 59.0 822.0
Principal payments of long-term debt (178.0) (231.0)
Payments of Debt Issuance Costs 0.0 22.5
Proceeds from option exercises and employee stock purchase plan 12.7 9.3
Payment of employment taxes related to release of restricted stock awards (7.7) (4.4)
Payments for Repurchase of Common Stock (20.0) 0.0
Proceeds from (Payments for) Other Financing Activities 0.0 (9.5)
Net Cash provided by (used in) Financing Activities (134.0) 563.9
Effect of exchange rate changes on cash and cash equivalents (0.7) (0.8)
Net Increase (Decrease) in Cash and Cash Equivalents 25.7 4.2
Cash and Cash Equivalents at Beginning of Year 41.8 36.7
Cash and Cash Equivalents at End of Period 67.5 40.9
Supplemental Disclosure of Cash Flow Information:    
Income taxes 36.6 10.2
Interest 37.0 37.8
Supplemental Disclosure of Non-Cash Transactions:    
Unpaid portion of additions to property and equipment $ 1.1 $ 1.7