Syneos health, inc. (SYNH)
CashFlow / Yearly
Dec'19Dec'18Dec'17Dec'16Dec'15Dec'14Dec'13Dec'12
Cash flows from operating activities:
Net income (loss)

131,258

24,284

-138,469

112,630

117,047

-23,470

-41,529

-59,114

Adjustments to reconcile net income (loss) to net cash used in operating activities:
Depreciation and amortization

242,465

273,685

179,936

59,204

56,014

54,543

58,473

78,811

Stock repurchase costs

-

-

-

-

1,637

0

0

-

Amortization of Senior Notes premium, net of capitalized loan fees and original issue discount

-

-

-

-

1,346

5,700

7,073

5,165

Share-based compensation

55,193

34,323

59,696

14,020

5,074

3,370

2,419

1,248

Provision for doubtful accounts

1,897

-4,587

4,167

2,570

-144

2,435

77

777

Provision for deferred income taxes

-40,069

240

14,431

-22,260

4,134

-14,837

3,646

-45,195

Foreign currency transaction gains

-11,166

16,165

-7,912

-20,681

795

7,390

-409

2,474

Asset impairment charges

0

0

30,000

0

3,931

17,245

0

-

Fair value adjustment of contingent obligations

17,260

-11,590

-12,276

0

0

-

-

-

Loss on extinguishment of debt

10,395

-4,153

-622

-439

-9,795

-49,227

0

0

Gain on purchase of equity affiliate

-

-

-

-

-

-

-

2,735

Impairment of goodwill and intangible assets

-

-

-

-

-

-

-

4,000

Excess income tax benefits from share-based awards

-

-

-

-

975

0

0

-

Other non-cash items

-2,766

-2,849

-5,212

-1,258

82

853

-477

-3,404

Changes in operating assets and liabilities:
Accounts receivable, unbilled services, and deferred revenue

120,389

97,621

-60,623

99,688

54,073

24,259

2,537

-37,537

Restricted cash

-

-

-

-

-

-

-

-1,530

Accounts payable and accrued expenses

28,316

60,024

-16,982

6,658

8,186

25,743

-438

-2,105

Deferred revenue

-

-

-

-

68,500

42,742

7,036

8,363

Other assets and liabilities

987

-33,853

-3,386

-13,978

14,855

-1,251

-2,164

-13,787

Net cash used in operating activities

318,481

303,448

198,258

109,490

204,740

131,447

37,270

42,999

Cash flows from investing activities:
Payments associated with business combinations, net of cash acquired

712

90,890

1,678,381

0

0

2,302

0

3,383

Purchases of property and equipment

63,973

54,595

43,896

31,353

21,111

25,551

17,714

9,591

Investments in unconsolidated affiliates

16,976

0

0

-

-

-

-

-

Other, net

0

0

567

0

0

-

-

-

Net cash used in investing activities

-81,661

-145,485

-1,722,844

-31,353

-21,111

-27,853

-17,714

-12,974

Cash flows from financing activities:
Proceeds from issuance of long-term debt, net of discount

582,000

0

2,598,000

0

525,000

288,365

2,835

0

Payments of debt financing costs

2,636

3,062

25,476

868

4,987

5,364

0

0

Repayments of long-term debt

437,936

390,646

525,097

0

475,001

164,095

3,520

10,000

Proceeds from accounts receivable financing agreement

127,815

187,700

0

0

-

-

-

-

Repayments of accounts receivable financing agreement

22,400

18,300

0

0

-

-

-

-

Proceeds from revolving line of credit

0

0

15,000

100,000

45,000

0

0

-

Repayments of revolving line of credit

0

0

40,000

105,000

15,000

0

0

-

Redemption of Senior Notes and associated breakage fees

418,112

0

292,425

0

0

336,385

0

0

Payments of contingent consideration related to business combinations

178

23,102

0

0

973

0

1,266

2,663

Payments of finance leases

14,493

15,423

8,145

0

452

2,680

3,307

3,420

Payments of stock repurchase costs

-

-

-

-

1,423

0

0

-

Payments for repurchases of common stock

56,716

74,985

0

64,500

285,000

38

1,390

2,755

Proceeds from the issuance of common stock

-

-

-

-

-

156,113

0

375

Proceeds from exercises of stock options

40,322

21,821

19,335

17,891

3,656

145

307

31

Payments related to tax withholdings for share-based compensation

13,135

3,359

6,824

839

3,194

0

0

-

Excess income tax benefits from share-based awards

-

-

-

-

975

0

0

-

Dividends paid

-

-

-

-

-

375

500

500

Redemption of New Class C and D common stock

-

-

-

-

-

3,384

0

0

Net cash provided by (used in) financing activities

-215,469

-319,356

1,734,368

-53,316

-211,399

-67,698

-6,841

-18,932

Effect of exchange rate changes on cash, cash equivalents, and restricted cash

-13,594

-4,651

9,116

-7,206

-13,672

-6,415

2,894

-690

Net change in cash, cash equivalents, and restricted cash

7,757

-166,044

218,898

17,615

-41,442

29,481

15,609

10,403

Supplemental disclosure of cash flow information
Cash paid for income taxes

-

-

-

-

8,251

6,304

2,896

3,419

Cash paid for interest

-

-

-

-

17,533

64,347

54,191

57,035

Supplemental disclosures of non-cash investing activities:
Fair value of shares issued and share-based awards assumed in business combinations

-

-

-

-

0

-

-

-

Purchases of property and equipment included in liabilities

-

-

-

-

2,869

-

-

-

Vehicles acquired through capital lease agreements

-

-

-

-

0

-

470

713