| Mar'20 | Dec'19 | Sep'19 | Jun'19 | Mar'19 | Dec'18 | Sep'18 | Jun'18 | Mar'18 | Dec'17 | Sep'17 | Jun'17 | Mar'17 | Dec'16 | Sep'16 | Jun'16 | Mar'16 | Dec'15 | Sep'15 | Jun'15 | Mar'15 | Dec'14 | Sep'14 | Jun'14 | Mar'14 | Dec'13 | Sep'13 | Jun'13 | Mar'13 | Dec'12 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Cash flows from operating activities: | |||||||||||||||||||||||||||||
Net Income (Loss), Including Portion Attributable to Noncontrolling Interest | |||||||||||||||||||||||||||||
-202,021 | 145,883 | 85,414 | 83,064 | 29,312 | 250,676 | 175,568 | 72,716 | 27,716 | 292,440 | 113,158 | 65,364 | 70,230 | 125,435 | 83,441 | 44,858 | 66,497 | 93,436 | 57,213 | 34,038 | 60,105 | 85,620 | 44,510 | 46,916 | 13,117 | 44,916 | 39,104 | 27,974 | -39,904 | 43,192 |
Adjustments to reconcile net income to net cash (used in) provided by operating activities | |||||||||||||||||||||||||||||
Depreciation and amortization | |||||||||||||||||||||||||||||
147,975 | 147,936 | 145,165 | 148,779 | 147,908 | 150,721 | 152,536 | 156,933 | 152,864 | 133,849 | 129,954 | 126,440 | 125,291 | 126,527 | 125,593 | 122,363 | 120,291 | 127,518 | 128,276 | 125,332 | 125,142 | 125,283 | 134,523 | 124,917 | 125,317 | 136,824 | 137,624 | 135,808 | 135,304 | 133,400 |
Deferred income taxes | |||||||||||||||||||||||||||||
-12,027 | 29,432 | 18,642 | 18,386 | 9,239 | -5,764 | 50,761 | 9,019 | 14,162 | -178,231 | -16,762 | -10,459 | -11,454 | 819 | -1,875 | 24,459 | 8,433 | 21,399 | -15,140 | 12,361 | 10,626 | -11,955 | 83,562 | -12,307 | -12,721 | -21,162 | 28,663 | -17,497 | -10,497 | -18,460 |
Share-based compensation expense | |||||||||||||||||||||||||||||
-9,857 | 14,116 | 6,866 | 15,173 | 14,679 | 18,562 | 19,958 | 34,807 | 17,022 | 16,489 | 14,837 | 15,635 | 18,459 | 16,224 | 13,386 | 14,183 | 14,103 | 15,270 | 14,432 | 20,483 | 15,709 | 15,792 | 13,315 | 10,019 | 27,600 | 45,398 | 7,089 | 3,507 | 4,794 | 4,027 |
Net gain on sale of Healthcare Technologies | |||||||||||||||||||||||||||||
0 | 0 | 0 | 0 | -1,000 | 140,165 | 0 | 0 | 0 | 0 | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - |
Changes in operating assets and liabilities: | |||||||||||||||||||||||||||||
Changes in operating assets and liabilities | |||||||||||||||||||||||||||||
- | - | - | - | - | - | - | - | - | - | - | - | - | 296,738 | - | 67,540 | -211,232 | 429,795 | - | 120,129 | -95,641 | 455,004 | - | 55,194 | 13,693 | 493,545 | - | 58,221 | -116,245 | 386,109 |
Accounts Receivable | |||||||||||||||||||||||||||||
-81,607 | 155,284 | -9,402 | -49,616 | -7,845 | 145,634 | -55,647 | 10,843 | -31,133 | 121,828 | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - |
Inventories | |||||||||||||||||||||||||||||
9,033 | -14,199 | 12,599 | 909 | 28,366 | 7,858 | 19,145 | -8,793 | 27,475 | 2,360 | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - |
Prepayments and Other Current Assets | |||||||||||||||||||||||||||||
4,727 | 2,224 | 4,268 | 33,363 | 176 | 47 | -26,358 | -3,532 | -8,239 | -4,321 | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - |
Accounts Payable | |||||||||||||||||||||||||||||
-76,976 | -141,235 | 196,148 | -92,399 | 46,216 | -132,285 | 176,285 | 13,274 | -35,558 | -127,343 | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - |
Accrued Expenses | |||||||||||||||||||||||||||||
55,748 | -359,801 | 358,116 | -63,721 | 49,366 | -150,229 | 229,681 | -150,906 | 153,522 | -343,683 | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - |
Payments made to clients on contracts | |||||||||||||||||||||||||||||
16,349 | 10,006 | 70,242 | -56,720 | 4,129 | 22,422 | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - |
Other operating activities | |||||||||||||||||||||||||||||
64,918 | 7,500 | 5,590 | -1,804 | 19,751 | -19,217 | 39,363 | -13,440 | -8,549 | 14,897 | 4,226 | -2,002 | 32,845 | 1,707 | 29,087 | 20,750 | -96 | 3,179 | -636 | 6,782 | 15,324 | -3,566 | 3,879 | -4,371 | 14,218 | 6,311 | -28,205 | -6,308 | 44,060 | 25,011 |
Net cash (used in) provided by operating activities | |||||||||||||||||||||||||||||
217,858 | -309,484 | 776,040 | 119,204 | 292,645 | -203,662 | 906,363 | 123,885 | 333,076 | -311,449 | 603,637 | 20,985 | 454,230 | -26,026 | 456,774 | 159,073 | 420,460 | -168,993 | 644,608 | 78,867 | 322,547 | -243,830 | 415,599 | 109,980 | 153,838 | -281,258 | 559,581 | 85,263 | 250,002 | -198,939 |
Cash flows from investing activities: | |||||||||||||||||||||||||||||
Purchases of property and equipment and other | |||||||||||||||||||||||||||||
114,373 | 99,196 | 162,641 | 110,047 | 116,002 | 114,400 | 195,825 | 184,375 | 129,497 | 118,907 | 212,435 | 125,157 | 108,537 | 106,600 | 162,362 | 112,337 | 146,334 | 91,499 | 170,255 | 128,832 | 97,565 | 127,732 | 218,877 | 154,094 | 86,501 | 85,722 | 129,341 | 96,384 | 91,786 | 75,421 |
Disposals of property and equipment | |||||||||||||||||||||||||||||
4,592 | 3,646 | 6,851 | 3,464 | 6,602 | 954 | 2,805 | 2,698 | 3,828 | 1,160 | 3,989 | 9,786 | 3,782 | 1,349 | 8,795 | 14,029 | 1,983 | 2,017 | 11,470 | 3,099 | 2,746 | 1,813 | 12,687 | 3,171 | 3,845 | 8,791 | 2,558 | 2,271 | 2,247 | 4,222 |
Proceeds from divestiture | |||||||||||||||||||||||||||||
0 | 0 | 0 | 0 | 0 | 293,711 | 0 | 0 | 0 | 0 | - | - | - | - | - | - | - | - | - | - | - | - | 0 | 0 | 0 | 24,000 | 0 | 0 | 783 | 136 |
Acquisition of certain businesses, net of cash acquired | |||||||||||||||||||||||||||||
7,820 | 7,102 | - | 4,400 | 25,858 | 5,257 | - | 11,816 | 906,097 | 1,321,688 | - | 62,577 | 66,472 | 1,045 | - | 1,281 | 57,865 | 231 | - | 1,875 | 530 | 944 | - | 9,515 | 2,644 | 8,176 | - | 89 | 10,806 | 11,671 |
Proceeds from governmental agencies related to property and equipment | |||||||||||||||||||||||||||||
8,300 | 15,250 | - | - | 0 | 16,200 | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - |
Other investing activities | |||||||||||||||||||||||||||||
-64 | -51 | 18,016 | -19,596 | 698 | -2,943 | -606 | 2,426 | 1,708 | 3,351 | 4,240 | -179 | -1,356 | -166 | 1,854 | -4,599 | 984 | -3,579 | -1,326 | -732 | -16 | -2,225 | -360 | -3,445 | -2,851 | -2,278 | 6,532 | -1,451 | -18,961 | -4,013 |
Net cash (used in) provided by investing activities | |||||||||||||||||||||||||||||
-109,237 | -87,351 | -160,129 | -107,587 | -135,956 | 194,151 | -193,097 | -195,919 | -1,033,474 | -1,442,786 | -224,714 | -177,769 | -169,871 | -106,130 | -295,421 | -94,990 | -203,200 | -86,134 | -157,487 | -126,876 | -95,333 | -124,638 | -206,951 | -156,993 | -82,449 | -58,829 | -133,315 | -92,751 | -80,601 | -78,721 |
Cash flows from financing activities: | |||||||||||||||||||||||||||||
Proceeds from long-term borrowings | |||||||||||||||||||||||||||||
1,764,284 | 58,671 | -30,166 | 7,725 | 27,348 | 72,723 | 31,244 | 54,292 | 812,490 | 2,279,287 | 144,009 | 152,336 | 3,509,085 | 45,987 | 1,593 | 1,003,867 | -37,208 | 431,736 | -162,930 | 62,505 | -198,359 | 370,710 | -154,229 | -9,296 | 1,536,374 | 197,969 | -142,663 | -7,583 | 2,267,056 | 963,654 |
Payments of long-term borrowings | |||||||||||||||||||||||||||||
896,873 | 38,385 | 282,392 | 26,710 | 31,427 | 314,031 | 272,627 | 17,960 | 35,480 | 647,622 | 350,492 | 22,819 | 3,525,072 | 13,609 | 118,085 | 974,074 | 98,853 | 172,522 | 169,768 | 15,132 | 10,126 | 14,595 | 58,626 | 2,912 | 1,539,534 | 377,534 | 266,812 | 4,410 | 2,384,714 | 658,917 |
Net change in funding under the Receivables Facility | |||||||||||||||||||||||||||||
-50,000 | 450,000 | -255,000 | 50,000 | -185,000 | 390,000 | -400,000 | 50,000 | -40,250 | 136,050 | -95,800 | 50,000 | -100,000 | 132,000 | -72,270 | -9,730 | -25,000 | 25,000 | - | - | - | 25,000 | - | - | - | 0 | 0 | 0 | 0 | 36,200 |
Payments of dividends | |||||||||||||||||||||||||||||
27,774 | 27,483 | 27,134 | 27,085 | 27,059 | 27,161 | 25,798 | 25,770 | 25,747 | 25,800 | 25,270 | 25,165 | 25,132 | 25,246 | 23,201 | 23,078 | 22,942 | 22,853 | 20,662 | 20,551 | 20,460 | 20,225 | 17,490 | 17,390 | 17,306 | 0 | - | - | - | - |
Proceeds from initial public offering, net | |||||||||||||||||||||||||||||
- | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | 0 | 0 | 0 | 524,081 | 0 | 0 | 0 | 0 |
Proceeds from issuance of common stock | |||||||||||||||||||||||||||||
58,959 | 26,089 | 17,748 | 10,967 | 9,295 | 1,077 | 5,546 | 5,405 | 5,627 | 4,929 | 5,731 | 11,729 | 8,198 | 3,121 | 12,409 | 6,772 | 9,012 | 7,512 | 15,837 | 7,457 | 12,868 | 3,784 | 707 | 282 | 1,582 | 1,837 | 715 | 510 | 1,126 | 3,246 |
Distribution in connection with spin-off of Seamless | |||||||||||||||||||||||||||||
- | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | 0 | 0 | 0 | 47,352 |
Repurchase of common stock | |||||||||||||||||||||||||||||
6,540 | 0 | 0 | 0 | 0 | 50,000 | 0 | 0 | 0 | 24,410 | 0 | 0 | 100,000 | 0 | - | - | - | - | - | - | - | - | - | - | - | - | 3,980 | 5,264 | 17,582 | 15,573 |
Other financing activities | |||||||||||||||||||||||||||||
-8,329 | -57,329 | -7,288 | -2,202 | -4,631 | -24,489 | -2,140 | -6,837 | -18,922 | -21,354 | 26,461 | -107 | -52,905 | -15,726 | -4,977 | -19,057 | -9,903 | -20,804 | -102,712 | 4,682 | 27,803 | 12,918 | 14,991 | 9,564 | -28,919 | -1,666 | -349 | 2,341 | -44,525 | -11,393 |
Net cash provided by (used in) financing activities | |||||||||||||||||||||||||||||
833,727 | 411,563 | -584,232 | 12,695 | -211,474 | 48,119 | -663,775 | 59,130 | 697,697 | 1,701,101 | -295,361 | 165,974 | -285,826 | 126,527 | -205,280 | -15,300 | -184,894 | 248,069 | -482,541 | 31,091 | -213,274 | 377,592 | -219,377 | 30,248 | -47,803 | 344,687 | -413,089 | -14,406 | -178,639 | 269,865 |
Effect of foreign exchange rates on cash and cash equivalents | |||||||||||||||||||||||||||||
-4,002 | 3,247 | -5,091 | 356 | 291 | -3,752 | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - |
Increase (decrease) in cash and cash equivalents | |||||||||||||||||||||||||||||
938,346 | 17,975 | 26,588 | 24,668 | -54,494 | 34,856 | 49,057 | -19,565 | -130 | -53,134 | 84,123 | 9,190 | -1,467 | -5,629 | -43,927 | 48,783 | 32,366 | -7,058 | 4,580 | -16,918 | 13,940 | 9,124 | -10,729 | -16,765 | 23,586 | 4,600 | 13,177 | -21,894 | -9,238 | -7,795 |
Supplemental Cash Flow Information | |||||||||||||||||||||||||||||
Interest paid | |||||||||||||||||||||||||||||
92,000 | 87,300 | - | 68,100 | 100,000 | 80,200 | - | 79,400 | 79,000 | 69,300 | - | 42,500 | 77,300 | 27,500 | - | 46,500 | 75,800 | 51,700 | - | 52,700 | 81,500 | 52,600 | - | 30,800 | 126,100 | 66,600 | - | - | - | - |
Income taxes paid | |||||||||||||||||||||||||||||
20,400 | 15,700 | - | 18,500 | 61,200 | 57,700 | - | 13,500 | 17,300 | 63,200 | - | 38,600 | 24,900 | 17,800 | - | 10,100 | 5,300 | 10,800 | - | 4,100 | 23,900 | 13,800 | - | 17,900 | 27,100 | 16,500 | - | - | - | - |