7Baggers
Quarterly
Annual
    Unit: USD2025-09-30 2025-06-30 2025-03-31 2024-12-31 2024-09-30 2024-06-30 2024-03-31 2023-12-31 2023-09-30 2023-06-30 2023-03-31 2022-12-31 2022-09-30 2022-06-30 2022-03-31 2021-12-31 2021-09-30 2021-06-30 2021-03-31 2020-12-31 2020-09-30 2020-06-30 2020-03-31 2019-12-31 2019-09-30 2019-06-30 2019-03-31 2018-12-31 2018-09-30 2018-06-30 2018-03-31 2017-12-31 2017-09-30 2017-06-30 2017-03-31 2016-12-31 2016-09-30 2016-06-30 2016-03-31 2015-12-31 2015-09-30 2015-06-30 2015-03-31 2014-12-31 2014-09-30 2014-06-30 2014-03-31 2013-12-31 2013-09-30 2013-06-30 2013-03-31 2012-12-31 2012-09-30 2012-06-30 2012-03-31 2011-12-31 2011-09-30 2011-06-30 2011-03-31 2010-12-31 2010-09-30 2010-06-30 2010-03-31 2009-09-30 2009-06-30 2009-03-31 2008-12-31 2008-09-30 2008-06-30 2008-03-31 2007-09-30 2007-06-30 2007-03-31 2006-12-31 2006-09-30 2006-06-30 2006-03-31 2005-12-31 2005-09-30 2005-06-30 2005-03-31 2004-09-30 2004-06-30 2004-03-31 2003-09-30 2003-06-30 2003-03-31 2002-06-30 2002-03-31 2001-12-31 
      
    		                                                                                          
      cash flows from operating activities
    		                                                                                          
      net income
    		38,100,000 29,300,000 20,900,000 42,400,000 47,500,000 47,200,000 38,100,000 50,300,000 59,400,000 60,100,000 49,500,000 55,600,000 73,200,000 72,500,000 66,800,000 85,000,000 212,000,000 64,200,000 48,700,000 55,400,000 52,300,000 48,800,000 43,800,000 39,300,000 57,400,000 43,100,000 34,900,000 45,881,000 49,172,000 33,561,000 29,092,000 67,331,000 34,856,000 33,097,000 22,391,000 24,028,000 29,768,000 26,004,000 17,401,000 19,338,000 24,925,000 14,252,000 39,135,000 20,473,000 22,005,000 20,789,000 13,917,000 32,410,000 20,150,000 7,339,000 24,613,000 11,322,000 17,433,000 8,515,000 5,383,000 7,501,000 7,767,000 5,865,000 3,164,000 -13,698,000 3,163,000 940,000 -302,000 1,454,000 570,000 1,648,000 3,538,000 6,937,000 6,092,000 2,403,000 3,255,000 2,938,000 911,000 6,129,000 2,699,000 1,914,000 302,000 821,000 1,808,000 146,000 -2,871,000 -32,244,000 -2,990,000 -1,503,000 236,000 -79,565,000 -452,000 3,875,000 2,869,000 3,652,000 
      adjustments to reconcile net income to net cash from operating activities:
    		                                                                                          
      amortization and depreciation
    		29,300,000 28,700,000 25,600,000 23,900,000 23,400,000 24,500,000 24,500,000                                                                                    
      stock-based compensation
    		11,100,000 11,900,000 13,800,000 9,700,000 9,900,000 11,000,000 11,700,000 10,300,000 10,300,000 11,300,000 12,100,000 13,400,000 11,900,000 11,200,000 12,800,000 11,000,000 20,600,000 10,800,000 10,300,000 8,400,000 7,000,000 8,200,000 8,700,000 8,200,000 7,800,000 13,800,000 9,500,000 9,108,000 8,619,000 8,870,000 4,891,000 6,101,000 6,382,000 5,991,000 5,570,000 7,221,000 6,345,000 6,534,000 6,924,000 6,774,000 6,054,000 5,236,000 3,954,000 4,308,000 4,606,000 4,095,000 3,190,000 4,001,000 4,200,000 3,486,000 2,724,000 3,132,000 3,075,000 2,308,000 1,191,000 1,843,000 1,838,000 1,621,000 1,625,000 2,431,000 2,099,000 1,885,000 1,334,000 1,514,000 1,062,000 1,145,000 1,607,000 1,596,000 1,561,000 1,585,000 1,472,000 2,231,000 1,106,000 1,078,000 861,000 555,000 459,000 68,000             
      other
    		1,900,000 1,200,000 6,100,000 1,700,000 1,600,000 2,500,000 3,100,000 1,000,000 5,900,000 1,900,000 1,500,000 1,700,000 1,400,000 2,300,000 2,800,000 2,600,000 900,000 1,800,000 1,000,000 500,000 1,900,000 1,800,000 1,700,000 2,200,000 1,300,000 4,000,000 1,500,000 -1,395,000 4,575,000 7,235,000 1,236,000 643,000 2,176,000 801,000 2,990,000 1,577,000 2,052,000 -2,295,000 4,308,000 4,419,000 1,782,000 -995,000 1,930,000 -4,558,000 2,023,000 1,914,000 2,029,000 -1,135,000 -157,000 724,000 502,000 -382,000 73,000 10,000 -63,000 1,521,000 612,000 446,000 221,000 534,000 345,000 -349,000 -31,000 -119,000 -677,000 -1,611,000                         
      changes in operating assets and liabilities:
    		                                                                                          
      accounts receivable
    		-20,500,000 13,700,000 -31,700,000 34,400,000 34,600,000 2,800,000 15,200,000 62,900,000 23,400,000 -6,300,000 31,000,000 37,900,000 -17,500,000 -69,000,000 -67,700,000 -11,600,000 -63,500,000 -66,300,000 30,300,000 5,500,000 -58,900,000 71,000,000 -30,500,000 6,000,000 -31,300,000 -3,600,000 4,600,000 -42,849,000 -15,810,000 -18,483,000 -13,526,000 1,475,000 -16,714,000 -25,068,000 -10,154,000 4,096,000 -12,826,000 -9,197,000 -25,362,000 938,000 -30,312,000 -9,817,000 -14,584,000 -5,028,000 -3,266,000 -20,591,000 -16,476,000 13,837,000 -663,000 -7,216,000 -26,113,000 5,628,000 -8,752,000 -7,751,000 -7,729,000 1,736,000 -13,189,000 -6,116,000 -7,510,000 -2,274,000 -6,834,000 -957,000 -467,000 1,972,000 10,909,000 16,146,000                         
      prepaid expenses and income taxes
    		3,800,000 -1,600,000 -3,000,000 -8,600,000 6,800,000 -12,200,000 6,000,000 -11,200,000 7,700,000 -9,700,000 16,500,000 -24,400,000 2,700,000 600,000 23,100,000 -30,800,000 5,800,000 3,800,000 3,000,000 -12,700,000 5,700,000 5,600,000 7,900,000 -18,900,000 3,400,000 1,600,000 -6,900,000 2,294,000 480,000 3,784,000 8,218,000 -10,903,000 1,385,000 -1,886,000 -457,000 -407,000 1,978,000 1,015,000 3,847,000 -6,483,000 -582,000 -789,000 7,954,000    3,950,000 2,973,000 1,134,000 370,000 2,151,000  -754,000                                      
      accounts payable
    		7,000,000 6,900,000 -2,300,000 600,000 2,600,000 -3,000,000 -6,800,000 100,000 7,900,000 -9,200,000 -1,200,000 -2,400,000 -2,100,000 12,600,000 -500,000 -11,600,000 -6,200,000 4,200,000 -10,000,000 -12,500,000 13,500,000 3,700,000 -3,900,000 10,600,000 3,100,000 -3,700,000 -17,300,000 13,428,000 13,134,000 -9,067,000 5,825,000 450,000 -177,000 -670,000 712,000 1,289,000 -345,000 -890,000 -2,290,000 2,740,000 -898,000 -363,000 205,000 133,000 1,046,000 134,000 -3,006,000 -1,195,000 864,000 -160,000 -1,089,000 1,186,000 193,000 -698,000 1,306,000 -4,769,000 1,239,000 624,000 1,094,000 167,000 245,000 141,000 479,000 134,000 -1,161,000 844,000 -1,105,000 -385,000 -554,000 1,235,000 -207,000 84,000 447,000    603,000              
      accrued payroll
    		3,500,000 32,800,000 -9,100,000 -18,000,000 3,600,000 1,300,000 -4,000,000 -14,600,000 -15,500,000 14,500,000 -33,800,000 -8,700,000                                                           2,082,000 -1,396,000 2,366,000 -1,795,000 1,325,000 144,000 504,000 -844,000 1,465,000            
      income taxes payable
    		15,500,000    6,000,000    15,500,000    7,100,000 9,000,000 -1,000,000 -128,900,000 113,300,000 7,400,000 9,900,000 -1,100,000 -15,900,000 11,000,000 5,700,000 -17,700,000 5,500,000 -2,300,000 12,300,000 -4,714,000 1,936,000 5,361,000 -448,000 -12,813,000 1,747,000 453,000 11,226,000 -11,724,000 4,016,000 7,987,000 3,067,000 -3,595,000 6,081,000 -9,626,000 -539,000 -6,116,000 2,507,000 8,031,000 -12,445,000      4,502,000 3,146,000 1,334,000 -2,828,000 100,000 1,087,000 410,000 167,000          12,000    -153,000 1,126,000 780,000 220,000              
      net cash from operating activities
    		83,900,000 124,900,000 16,800,000 100,200,000 135,800,000 90,700,000 73,300,000 116,400,000 147,500,000 112,500,000 80,500,000 75,300,000 88,100,000 88,400,000 56,000,000 -82,200,000 71,200,000 84,900,000 119,800,000 87,000,000 87,600,000 186,100,000 64,100,000 81,400,000 91,300,000 96,500,000 44,000,000 63,890,000 92,082,000 76,746,000 54,733,000 58,259,000 54,594,000 39,793,000 43,800,000 55,902,000 42,702,000 60,332,000 37,314,000 30,196,000 34,877,000 32,477,000 19,943,000 28,064,000 42,949,000 29,330,000 -4,321,000 36,576,000 43,621,000 26,752,000 3,575,000 26,058,000 23,531,000 -15,865,000 6,973,000 8,365,000 2,109,000 7,167,000 5,778,000 6,459,000 5,929,000 8,061,000 6,412,000 9,167,000 13,244,000 18,158,000 9,632,000 10,281,000 8,604,000 6,841,000 8,506,000 9,213,000 4,633,000 2,493,000 2,646,000 6,885,000 2,470,000 -106,000 -1,149,000 3,413,000 1,105,000   853,000 4,940,000      
      capex
    		0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1,011,000 0 662,000 -231,000 870,000 0 -12,000 174,000 819,000 0 -289,000 416,000 618,000 0 -1,374,000 -2,022,000 -2,650,000 -2,108,000 -1,358,000 -1,516,000 -1,320,000 -1,145,000 -947,000 -1,638,000 0 0 0 0 0 0 0 -188,000 202,000 -4,000 94,000 -121,000 12,000 0 0   0 0      
      free cash flows
    		83,900,000 124,900,000 16,800,000 100,200,000 135,800,000 90,700,000 73,300,000 116,400,000 147,500,000 112,500,000 80,500,000 75,300,000 88,100,000 88,400,000 56,000,000 -82,200,000 71,200,000 84,900,000 119,800,000 87,000,000 87,600,000 186,100,000 64,100,000 81,400,000 91,300,000 96,500,000 44,000,000 63,890,000 92,082,000 76,746,000 54,733,000 58,259,000 54,594,000 39,793,000 43,800,000 55,902,000 42,702,000 60,332,000 37,314,000 30,196,000 34,877,000 32,477,000 20,954,000 28,064,000 43,611,000 29,099,000 -3,451,000 36,576,000 43,609,000 26,926,000 4,394,000 26,058,000 23,242,000 -15,449,000 7,591,000 8,365,000 735,000 5,145,000 3,128,000 4,351,000 4,571,000 6,545,000 5,092,000 8,022,000 12,297,000 16,520,000 9,632,000 10,281,000 8,604,000 6,841,000 8,506,000 9,213,000 4,633,000 2,305,000 2,848,000 6,881,000 2,564,000 -227,000 -1,137,000 3,413,000 1,105,000   853,000 4,940,000      
      cash flows from investing activities
    		                                                                                          
      cash paid for property and equipment
    		-11,900,000 -9,100,000 -10,200,000 -11,300,000 -7,900,000 -5,300,000 -10,800,000 -7,200,000 -9,800,000 -11,200,000 -11,700,000 -10,500,000 -8,600,000 -8,800,000 -9,600,000 -9,100,000 -8,000,000 -8,300,000 -9,300,000 -4,300,000 -5,700,000 -7,300,000 -15,300,000 -9,900,000 -6,900,000 -8,400,000 -7,500,000 -6,608,000 -7,500,000 -8,395,000 -6,198,000 -6,227,000 -4,830,000 -6,416,000 -6,792,000 -6,587,000 -6,642,000 -6,627,000 -7,282,000 -6,512,000 -4,846,000 -5,331,000 -8,000,000 -5,469,000 -4,622,000 -5,618,000 -4,020,000 -4,238,000 -4,965,000 -4,543,000 -2,785,000 -3,471,000 -3,712,000 -5,052,000 -2,119,000                                    
      cash paid for acquisitions, net of cash acquired
    		0 0 -306,100,000         -132,800,000    1,600,000 -138,600,000   -34,700,000 -66,000,000 0 -85,500,000 -67,900,000 0 300,000 -48,800,000 37,000 264,000           17,000 0      -222,000     0 -296,000                                      
      net cash from investing activities
    		-11,900,000 -9,100,000 -316,300,000 -11,300,000 -8,000,000 -5,200,000 -10,800,000 -7,200,000 -9,800,000 -11,200,000 -12,300,000 -143,400,000 -360,500,000 -6,300,000 200,000 -2,700,000 352,600,000 -94,000,000 -9,400,000 -38,900,000 -71,700,000 -7,400,000 -101,000,000 -77,700,000 -6,100,000 -8,300,000 -57,000,000 -6,207,000 -7,296,000 -769,012,000 -6,218,000 -6,251,000 -30,510,000 -6,581,000 -6,775,000 -6,646,000 -7,079,000 -7,153,000 -1,106,000 -6,015,000 -4,246,000 -558,165,000 106,896,000 -5,825,000 -4,503,000 -5,342,000 -3,890,000 -86,383,000 -4,694,000 -1,697,000 24,419,000 -2,455,000 -5,300,000 -353,140,000 -2,071,000 -2,660,000 -16,959,000 -2,316,000 -19,185,000 -2,306,000 -6,227,000 -6,837,000 -1,211,000 -759,000 -5,870,000 -1,748,000                   -1,241,000 -923,000 3,017,000    
      cash flows from financing activities
    		                                                                                          
      proceeds from long-term debt
    		100,000,000 0 265,000,000                 0 0 0 65,500,000 594,000,000 9,000,000 6,000,000 44,000,000 0 0   0 35,000,000 0 2,000,000 4,000,000 0   0 0   21,000,000 43,500,000                                              
      principal payments of long-term debt
    		-142,900,000 -71,200,000 -16,300,000 -1,200,000 -1,300,000 -1,200,000 -1,300,000             0 0 -33,000,000 -32,500,000 -558,200,000 -51,000,000 -89,000,000 -38,000,000 -55,000,000 -88,000,000 -133,000,000 -10,000,000 -35,500,000 -5,500,000 -38,000,000 -26,000,000 -23,000,000 -34,000,000 -39,000,000 -33,000,000 -30,000,000 -46,000,000 -359,562,000 -80,563,000 -9,563,000 -16,562,000 -17,063,000 -105,500,000 -4,000,000 -11,500,000 -397,775,000 -43,000,000 -12,500,000 -50,500,000 -103,913,000 -6,250,000 -1,250,000 -4,250,000 -1,250,000 -13,750,000     -18,000,000 -10,000,000 -15,000,000                         
      proceeds from employee stock purchase plan
    		5,500,000 0 8,700,000 0 7,700,000 0 9,500,000 0 7,800,000 0 11,100,000 0                                                                               
      repurchase of common stock
    		-46,000,000 -9,500,000 -50,400,000 -43,900,000 -95,600,000 -108,000,000 -79,700,000         -62,900,000    0 0 0 -27,900,000 0        -1,116,000 -46,813,000 0 -12,136,000 -19,626,000 -18,683,000   1,000 -1,000 0 -1,645,000 -31,814,000            -205,000                                   
      payment of employment taxes related to release of restricted stock awards
    		-800,000 -1,200,000 -5,800,000 -2,100,000 -3,700,000 -1,500,000 -8,500,000 -2,600,000 -1,500,000 -10,000,000 -4,200,000 -3,700,000 -1,600,000 -2,500,000 -8,800,000 -2,100,000 -6,800,000 -2,300,000 -4,800,000 -5,000,000 -1,100,000 -1,000,000 -4,900,000 -4,500,000 -900,000 -1,300,000 -5,500,000 -1,247,000 -1,203,000 -1,144,000 -2,055,000 -7,101,000 -922,000 -1,081,000 -5,782,000 -1,056,000 -702,000 -1,676,000 -3,590,000 -2,223,000 -1,063,000 -1,546,000 -3,991,000                 -1,104,000 -167,000 -214,000 -470,000                            
      net cash from financing activities
    		   -49,600,000 -92,900,000 -110,700,000 -80,000,000 -79,300,000 -85,600,000 -72,600,000 -73,400,000 -72,800,000 -6,600,000 -93,700,000 -83,400,000 -65,000,000 -119,500,000 -2,800,000 2,900,000 -4,600,000 4,800,000 -35,300,000 6,100,000 23,500,000 -57,100,000 -84,300,000 7,400,000 -56,218,000 -88,466,000 660,150,000 -7,667,000 -43,652,000 -15,525,000 -39,077,000 -40,215,000 -38,860,000 -53,656,000 -46,815,000 -31,653,000 -28,808,000 -43,775,000 491,729,000 -81,487,000 -20,115,000 -38,718,000 -16,900,000 -5,359,000 42,142,000 -8,269,000 -22,843,000 -43,420,000 -10,164,000 -22,816,000 370,042,000 -5,184,000 -924,000 9,315,000 -2,395,000 11,513,000 -15,940,000 -162,000 -211,000 -301,000 -18,104,000 -10,073,000 -15,814,000 -9,863,000 832,000 55,000 573,000 722,000 84,000 141,401,000 73,111,000 -14,000 630,000 1,209,000 1,159,000 1,737,000 12,000 201,000 157,000 9,000 175,000       
      effect of exchange rate changes on cash and cash equivalents
    		100,000 1,000,000 100,000 -700,000 -500,000   400,000   -100,000 0 -400,000   100,000 -300,000 800,000 -1,200,000 1,200,000 1,100,000 500,000 -400,000 500,000   -600,000 -527,000 -89,000 -1,127,000 385,000 334,000 455,000 823,000 151,000 -324,000   -55,000 -420,000 197,000 -541,000 -703,000 -291,000 -600,000 271,000 -386,000 -62,000 308,000 125,000 -279,000 167,000 35,000 -299,000 228,000 -287,000 -403,000 906,000 -694,000 -82,000 255,000 -780,000 -624,000 259,000 738,000 -401,000   -29,000 519,000 280,000 58,000 78,000 137,000 2,000 186,000 66,000        -140,000 384,000 123,000  -53,000  
      net decrease in cash and cash equivalents
    		-12,400,000 31,900,000 -98,200,000    -17,500,000    -5,300,000                                   7,359,000 -13,956,000    -15,705,000    -54,000                                    
      cash and cash equivalents at beginning of year
    		0 0 205,200,000 0 0 0 175,900,000 0 0 0 70,300,000 0 0 0 529,600,000 0 0 0 274,400,000 0 0 0 95,200,000 0 0 0 41,800,000 0 0 0 36,667,000  0 0 27,044,000 0 0 0 23,869,000 0 0 0 31,714,000 0 0 0 37,350,000 0 0 0 27,479,000 0 0 0 17,739,000 0 0 0 18,409,000                                
      cash and cash equivalents at end of period
    		-12,400,000 31,900,000 107,000,000  34,400,000 -26,200,000 158,400,000  51,800,000 28,800,000 65,000,000  -279,400,000 -11,800,000 502,400,000  304,000,000 -11,100,000 386,500,000  21,800,000 143,900,000 64,000,000  27,400,000 4,500,000 35,600,000  -3,769,000 -33,243,000 77,900,000  9,014,000 -5,042,000 24,005,000  -17,810,000 6,413,000 28,369,000  -12,947,000 -34,500,000 76,363,000  -872,000 7,359,000 23,394,000  30,966,000 2,337,000 11,774,000  -4,550,000 738,000 17,685,000  -5,938,000 3,362,000 15,821,000  -205,000 233,000 30,250,000 -9,437,000 -1,961,000 46,466,000  8,686,000 -2,894,000 42,945,000 7,659,000 6,806,000 22,577,000 75,089,000 1,783,000 5,841,000 22,770,000 62,000 1,630,000 3,984,000 14,811,000 -4,917,000 -3,536,000 34,608,000 3,706,000 2,161,000 29,488,000 -60,745,000 95,256,000  
      net cash from (used) in financing activities
    		 -84,900,000 201,200,000                                                                                        
      deferred income taxes
    		           31,200,000                                                                               
      changes in operating assets and liabilities, net of effects of acquisitions:
    		                                                                                          
      payroll tax deferral and other
    		                   34,000,000 30,200,000                                                                      
      cash received from sale of business
    		                                                                                          
      debt issuance or amendment costs
    		                               0 -832,000 -38,000 -2,403,000 0    0 3,000 -23,407,000 -486,000                                                
      net increase in cash and cash equivalents
    		   38,600,000 34,400,000   30,300,000 51,800,000   -140,900,000 -279,400,000 -11,800,000 -27,200,000 -149,800,000 304,000,000 -11,100,000 112,100,000 44,700,000 21,800,000 143,900,000 -31,200,000 27,700,000 27,400,000 4,500,000 -6,200,000 938,000 -3,769,000 -33,243,000 41,233,000  9,014,000 -5,042,000 -3,039,000   6,413,000 4,500,000   -34,500,000 44,649,000 1,833,000    -7,727,000 30,966,000        -5,938,000 3,362,000 -2,588,000 -11,869,000 -205,000 233,000 4,276,000 -9,437,000 -1,961,000 195,000 -2,466,000 8,686,000 -2,894,000 5,181,000    75,089,000 1,783,000 5,841,000 2,283,000           -60,745,000 29,562,000  
      cash and cash equivalents at end of year
    		                                                                                          
      supplemental disclosure of cash flow information
    		                                                                                          
      cash paid for —
    		                                                                                          
      income taxes
    		                                          1,142,000  13,495,000 8,141,000 21,034,000  7,229,000 8,719,000 3,861,000  21,463,000 2,823,000 1,018,000                                    
      interest
    		                                          2,695,000  2,791,000 2,812,000 3,087,000  3,409,000 3,862,000 4,673,000  5,719,000 3,238,000 630,000                                    
      debt issuance and amendment costs
    		                -900,000    100,000        1,000                                                              
      payment of contingent consideration
    		       0 0   0 0 0 -8,100,000                                                                            
      gain on sale of discontinued operations
    		               1,700,000                                                                           
      cash received from sale of the oxford business
    		           0 0 0 9,800,000                                                                            
      depreciation and amortization
    		        24,800,000 24,900,000 24,900,000 26,600,000 25,000,000 19,700,000 20,100,000 22,100,000 24,100,000 21,400,000 22,000,000 24,100,000 22,600,000 21,600,000 21,400,000 22,400,000 22,200,000 23,100,000 23,500,000 23,677,000 28,299,000 28,586,000 14,413,000 15,111,000 14,651,000 14,367,000 14,475,000 16,078,000 15,340,000 15,404,000 15,427,000 16,074,000 15,682,000 11,148,000 8,665,000 10,207,000 9,626,000 9,504,000 8,959,000 8,224,000 7,224,000 7,190,000 7,244,000                       1,322,000 1,349,000 1,270,000 1,688,000 1,670,000 1,759,000 1,311,000 1,523,000 1,714,000 1,604,000 1,664,000 1,638,000 2,060,000 1,799,000    
      changes in operating assets and liabilities, net of effects of acquisitions and divestiture:
    		                                                                                          
      cash received from the sale of a business
    		                                                                                          
      proceeds from long term debt
    		        498,800,000 37,000,000 36,000,000                                                                                
      principal payments of long term debt
    		        -490,800,000 -37,000,000 -67,500,000                                                                                
      repurchases of common stock
    		        -91,300,000 -57,600,000 -48,800,000  -59,500,000 -91,200,000 -76,900,000                                                                            
      accrued payroll and contract professional pay
    		             25,300,000 6,600,000 -7,900,000 24,800,000 31,200,000 19,300,000 -15,300,000 28,000,000 -9,200,000 9,100,000 -20,100,000 24,600,000 8,300,000 -7,800,000 -1,515,000 4,720,000 15,749,000 6,473,000 -13,251,000 7,989,000 6,158,000 144,000 -1,796,000 -4,609,000 7,321,000 22,640,000 -25,209,000 12,158,000 10,133,000 3,160,000 -3,537,000 6,687,000 7,526,000 599,000 -2,373,000 7,434,000 5,290,000 7,203,000 -7,069,000 4,351,000 -27,629,000 2,294,000 850,000 431,000 1,670,000 3,449,000 -530,000 1,175,000 328,000 2,907,000 -379,000 -2,084,000 -4,283,000 -4,260,000 2,370,000 -1,658,000 4,425,000                     
      proceeds from option exercises and employee stock purchase plan
    		             0 10,400,000 0 6,600,000 0 7,700,000 400,000 5,800,000 0 5,900,000 0 5,800,000 0 6,900,000 30,000 4,923,000 31,000 4,388,000 65,000 3,542,000 42,000 4,106,000 300,000 3,537,000 1,898,000 4,023,000 193,000 2,596,000 247,000 3,555,000                                                
      benefit from deferred income taxes
    		                                                                                          
      write-off of loan costs
    		                                       0 0       0 0                                          
      cash received from sale of discontinued operations
    		               4,700,000                    0 0 0 6,000,000 0 0 556,000 114,884,000     27,977,000 0                                          
      operating lease right-of-use assets
    		                  8,900,000                                                                        
      operating lease liabilities
    		                  -9,500,000 -10,200,000 -6,200,000 -7,200,000 -7,400,000 -5,400,000 -7,600,000 -6,900,000 -6,800,000                                                                
      operating lease right of use assets
    		                    7,400,000 7,200,000 7,200,000 7,100,000 7,000,000 7,100,000 6,800,000                                                                
      cash flows from operating activities:
    		                                                                                          
      cash flows from investing activities:
    		                                                                                          
      cash flows from financing activities:
    		                                                                                          
      allowance for doubtful accounts
    		                       700,000 1,300,000 1,100,000 600,000                                                                
      benefit for deferred income taxes
    		                                                                                          
      workers’ compensation provision
    		                       1,000,000 1,000,000 700,000 600,000 1,118,000 1,058,000 588,000 813,000 525,000 701,000 1,037,000 645,000  877,000 513,000 549,000                                                    
      workers' compensation loss reserve
    		                                                                                          
      workers’ compensation loss reserves
    		                        -800,000 -700,000 -900,000  -771,000 -769,000 -747,000  -601,000 -858,000 -493,000  -541,000 -673,000 -699,000                                                    
      benefit from accounts receivable allowances
    		                           1,159,000 818,000 832,000 483,000                                                            
      payments of earn-outs
    		                                                                                          
      benefit from doubtful accounts and billing adjustments
    		                               2,834,000 3,472,000 2,937,000 2,807,000 2,110,000 2,753,000   2,995,000 2,715,000           -421,000 -107,000   245,000 398,000 410,000 74,000 152,000 317,000 146,000 29,000 -51,000 -46,000 172,000 364,000 82,000 -121,000 316,000 217,000 124,000 217,000    125,000              
      gain on sale of discontinued operations, net of income taxes
    		                                       0 0 0 -25,703,000     -16,428,000 0 0 -14,412,000                                        
      net increase in cash, cash equivalents and restricted cash
    		                                                                                          
      cash, cash equivalents and restricted cash at beginning of year
    		                                                                                          
      cash, cash equivalents and restricted cash at end of year
    		                                                                                          
      fair value adjustment for contingent consideration
    		                                    0    896,000                                                  
      payments of accrued earn-outs
    		                                   0 -2,843,000       0 0    0        0                                  
      cash paid for acquisitions
    		                                                                                          
      gross excess tax benefits from stock-based compensation
    		                                   -522,000 -81,000 -1,564,000 -914,000 -3,221,000 -690,000 -997,000 -1,643,000 -1,044,000 -682,000 -1,129,000 -2,088,000 -1,217,000 -1,387,000 -1,936,000 -768,000 -1,925,000 -1,597,000 -203,000 -913,000 -522,000 -56,000 -49,000 -486,000 -117,000 -16,000 -13,000 -59,000    -396,000 25,000 29,000 15,000                     
      workers’ compensation and medical malpractice provision
    		                                       494,000 630,000 407,000 586,000 79,000 737,000 913,000 1,592,000 837,000 2,048,000 1,783,000 1,288,000 767,000 1,247,000 650,000 930,000 978,000 727,000 686,000 805,000 542,000 1,779,000 905,000 1,084,000 902,000 1,117,000 1,544,000                         
      workers' compensation and medical malpractice loss reserve
    		                                                                                          
      changes in operating assets and liabilities, net of effects of acquisitions and divestitures:
    		                                                                                          
      deferred compensation
    		                                              -20,000 -5,130,000 0 0 -4,850,000  836,000 -722,000 -631,000 96,000 -333,000 -144,000 78,000 32,000 203,000 -155,000 48,000 175,000 260,000 -83,000   65,000 52,000 109,000 263,000 187,000 269,000 171,000 111,000 126,000              
      workers’ compensation and medical malpractice loss reserves
    		                                        133,000 -525,000 -309,000         -431,000 -536,000 -266,000 -816,000 -322,000 -427,000 -514,000 -204,000 -373,000 -1,735,000 -868,000 -972,000 -998,000 -930,000 -913,000 -5,367,000 702,000 -581,000 695,000                     
      changes in operating assets and liabilities, net of effects of divestiture:
    		                                                                                          
      supplemental disclosure of cash flow information:
    		                                                                                          
      cash paid for:
    		                                                                                          
      supplemental disclosure of non-cash transactions:
    		                                                                                          
      acquisition of property and equipment through accounts payable
    		                                          1,011,000  662,000 -231,000 870,000  -12,000 174,000 819,000  -289,000 416,000 618,000                   -188,000 202,000 -4,000 94,000 -121,000 12,000            
      prepaid expenses
    		                                            521,000          157,000 -1,985,000 -160,000 7,000 505,000 -2,045,000 723,000 226,000 595,000 1,061,000 945,000 571,000 -1,849,000 1,262,000 29,000 147,000 812,000 550,000 89,000 -956,000 614,000 385,000 359,000  558,000            
      proceeds from stock transactions
    		                                            2,875,000 301,000 2,967,000 331,000 2,811,000 1,469,000 2,443,000 1,945,000 3,861,000 395,000 2,183,000 521,000 725,000 643,000 812,000 159,000 18,000 29,000 127,000                            
      payments of employment taxes related to release of restricted stock awards
    		                                            -977,000 -1,267,000 -3,277,000  -971,000 -1,991,000 -3,611,000  -225,000 -146,000 -1,941,000  -130,000 -95,000 -1,524,000                                
      debt issuance costs
    		                                            -1,000    4,000    -531,000                                      
      proceeds from term debt
    		                                              99,500,000 46,000,000 0   0 23,000,000                                      
      payments of other long-term liabilities
    		                                                           0 -18,000 -17,000 -17,000 -41,000 -41,000 -40,000                         
      acquisition accounting
    		                                                    9,000 0 -991,000                                    
      equity consideration for acquisition
    		                                                    0                                      
      cash received for sale of discontinued operations
    		                                                  28,893,000                                        
      depreciation
    		                                                   1,860,000 1,817,000 1,580,000 1,429,000 1,594,000 1,677,000 1,686,000 1,548,000 1,478,000 1,501,000 1,477,000 1,425,000 1,377,000 1,460,000 1,512,000 1,331,000 1,202,000 1,217,000 1,356,000 1,624,000 1,551,000 1,341,000                  
      amortization of intangible assets
    		                                                   11,857,000 3,320,000 2,205,000 634,000 713,000 663,000 554,000 416,000 520,000 522,000 448,000 625,000 1,495,000 1,538,000 1,538,000 2,368,000                        
      deferred income tax benefit
    		                                                                   0 0 13,000                     
      amortization of deferred loan costs
    		                                                   722,000 734,000 401,000 103,000 114,000 115,000 118,000 113,000 196,000 255,000 255,000 255,000 255,000 237,000 148,000 147,000 148,000 148,000 148,000 148,000 146,000 99,000                  
      impairment of goodwill
    		                                                                                    0      
      prepaid income taxes
    		                                                      1,403,000 -1,473,000 273,000 196,000 -288,000 -494,000 1,671,000 3,472,000 -426,000 899,000 1,025,000 343,000    13,000                     
      deferred income tax provision
    		                                                    -139,000                                      
      write-off of deferred loan costs
    		                                                    0                                      
      change in accrued earn-outs
    		                                                    -1,038,000                                      
      tenant improvement allowances
    		                                                       7,000 112,000 353,000 836,000                                
      accrued earn-out
    		                                                                                          
      liability awards reclassified to equity
    		                                                    0 0 -546,000                                    
      cash paid (received) for:
    		                                                                                          
      gain on officers’ life insurance policies
    		                                                      -167,000  319,000 14,000 -69,000  -181,000                              
      accrued equity issuance costs
    		                                                      302,000                                    
      write-down of deferred loan costs
    		                                                                                          
      change in fair value of interest rate swap
    		                                                               0 -685,000 -660,000   -1,071,000 1,222,000                     
      (gain) loss on officers’ life insurance policies
    		                                                              -72,000    333,000 356,000                       
      (gain) loss on disposal of property and equipment
    		                                                             10,000 -40,000                            
      changes in operating assets and liabilities, net of effect of acquisitions:
    		                                                                                          
      proceeds from insurance settlements
    		                                                              42,000                            
      gain on disposal of property and equipment
    		                                                          -3,000                                
      settlement of earn-out
    		                                                        0                                  
      purchase of property and equipment
    		                                                        -1,374,000 -2,022,000 -2,650,000 -2,108,000 -1,358,000 -1,516,000 -1,320,000 -1,145,000 -947,000 -1,638,000                         
      net cash paid for acquisitions
    		                                                        -15,711,000 0 -17,107,000 0 -5,097,000 -5,350,000 -11,000 -41,000                           
      proceeds from borrowings on revolving credit facility
    		                                                        15,000,000                                  
      payments for previous acquisitions
    		                                                         -11,000 -11,000  -11,000                              
      changes in operating assets and liabilities, net of effect of acquisition:
    		                                                                                          
      proceeds from borrowings on line of credit
    		                                                          25,500,000                                
      proceeds from term loan and credit facility
    		                                                                                          
      cash and cash equivalents at beginning of period
    		                                                            0 0 25,974,000 0 0 46,271,000  0 0 37,764,000 0 0 105,483,000 0 0 0 20,487,000 0 0 0 20,787,000 0 0 35,134,000 0 0 31,990,000 0 65,694,000  
      deferred income tax (benefit) expense
    		                                                                                          
      proceeds from insurance claim
    		                                                                                          
      net proceeds from stock transactions
    		                                                               -63,000 -32,000 291,000 -82,000 845,000 64,000 826,000 936,000 526,000 1,161,000                  
      deferred loan costs
    		                                                               0 0 -1,065,000                         
      deferred income tax expense
    		                                                                -67,000 13,000                         
      loss on disposal of property and equipment
    		                                                                3,000 28,000 11,000   13,000   3,000 66,000 23,000   -36,000 4,000 411,000 17,000 316,000 0 3,000 280,000 3,000 9,000    
      loss on officers’ life insurance policies
    		                                                                 56,000                         
      increase in other assets
    		                                                                 -110,000                       -525,000 -463,000 
      decrease in restricted cash
    		                                                                        4,678,000    200,000              
      proceeds from shelf offering
    		                                                                                          
      shelf offering costs
    		                                                                                          
      proceeds from issuance of long-term debt
    		                                                                      0 0 145,000,000                  
      payments of long-term liabilities
    		                                                                                          
      advances and deposits
    		                                                                   11,000                       
      other current liabilities
    		                                                                                          
      proceeds from sale of property and equipment
    		                                                                      0   0 1,000 0 1,000 2,000 0 0 1,000          
      capital lease payments
    		                                                                                          
      amortization
    		                                                                    2,372,000 2,328,000                     
      other accrued expenses
    		                                                                                          
      (gain)/loss on officers’ life insurance policies
    		                                                                     170,000                     
      amortization of intangibles
    		                                                                      3,745,000 3,778,000 4,165,000                  
      excess tax benefits from stock-based compensation
    		                                                                      139,000 232,000 524,000                  
      accrued workers’ compensation and medical malpractice insurance
    		                                                                      139,000 -48,000 83,000                  
      acquisition of property and equipment
    		                                                                                          
      decrease (increase) in restricted cash
    		                                                                      0                    
      increase in advances and deposits
    		                                                                            7,000         51,000 136,000 1,000 -35,000  
      accrued shelf offering costs
    		                                                                                          
      deferred shelf offering costs
    		                                                                                          
      income related to market value of swap agreement
    		                                                                                          
      income taxes receivable
    		                                                                       119,000 238,000     683,000 -282,000            
      income taxes, net of refunds
    		                                                                            117,000  309,000   30,000     1,460,000    
      acquisitions:
    		                                                                                          
      goodwill
    		                                                                                          
      intangible assets acquired
    		                                                                                          
      net tangible assets acquired
    		                                                                                          
      fair value of assets acquired
    		                                                                                          
      issuance of common stock for acquisition
    		                                                                         0                 
      decrease in advances and deposits
    		                                                                        33,000                  
      impairment of identifiable intangible assets
    		                                                                                          
      benefit from doubtful accounts
    		                                                                             356,000 -7,000 -95,000 147,000 23,000 -162,000 369,000       
      increase in deferred income taxes
    		                                                                                      603,000    
      income tax benefit of disqualifying dispositions
    		                                                                                 0 0 8,000 4,000 3,000 2,000    
      increases/decreases in operating assets and liabilities:
    		                                                                                          
      deferred rent expense
    		                                                                         -5,000 141,000 66,000 279,000              
      accrued workers’ compensation
    		                                                                                          
      purchase of marketable securities
    		                                                                                          
      proceeds from the maturity of marketable securities
    		                                                                             0 2,000,000      0 0 2,000,000    
      decrease (increase) in other assets
    		                                                                             -10,000         70,000    
      increase in restricted cash
    		                                                                                          
      shelf offering proceeds
    		                                                                                          
      cash paid (refunds) for:
    		                                                                                          
      net income taxes (refunded) paid
    		                                                                                          
      acquisition:
    		                                                                                          
      property and equipment acquired
    		                                                                                          
      fair value of assets acquired, net of cash received
    		                                                                                          
      supplemental disclosure of non-cash transactions
    		                                                                                          
      shelf offering costs in accounts payable and other accrued expenses
    		                                                                                          
      deferred acquisition costs in accounts payable and other accrued expenses
    		                                                                                          
      provisions for doubtful accounts and billing adjustments
    		                                                                          131,000                
      accrued worker’s compensation
    		                                                                          22,000 164,000 182,000  -371,000            
      deferred offering costs
    		                                                                                          
      net proceeds from common stock transactions
    		                                                                                          
      net cash received for income tax refunds
    		                                                                                          
      decrease (increase) in advances and deposits
    		                                                                                          
      proceeds from exercise of common stock options
    		                                                                           630,000 951,000 1,159,000 1,597,000 12,000 85,000 14,000 9,000 13,000    1,739,000 3,038,000 3,097,000 
      proceeds from issuance of common stock - employee stock purchase plan
    		                                                                           0 258,000  140,000 0 116,000 143,000 0 162,000 139,000 0 141,000  126,000  
      cash paid (refunds received) for income taxes
    		                                                                                          
      gain on deferred compensation liability stock distribution
    		                                                                                          
      adjustment to hpo purchase price
    		                                                                                          
      proceeds from recovery of hpo escrow
    		                                                                                    0 0 2,500,000    
      proceeds from issuance of common stock—employee stock purchase plan
    		                                                                                          
      net income taxes paid
    		                                                                                          
      cash from acquisition, net of cash received
    		                                                                                          
      supplemental disclosure of non-cash
    		                                                                                          
      deferred compensation liability stock disbursement
    		                                                                                      241,000    
      decrease in deferred income taxes
    		                                                                                          
      cash (received) paid for:
    		                                                                                          
      proceeds from cash surrender value of life insurance policies
    		                                                                                          
      decrease in other assets
    		                                                                                          
      cash flows from operating activities :
    		                                                                                          
      decrease in accounts receivable
    		                                                                                1,357,000          
      increase in income taxes receivable
    		                                                                                          
      decrease in prepaid expenses
    		                                                                                203,000          
      decrease in income taxes payable
    		                                                                                          
      increase in accounts payable and all other liabilities
    		                                                                                937,000          
      cash flows from financing activities :
    		                                                                                          
      increase in accounts receivable
    		                                                                                          
      decrease (increase) in prepaid expenses
    		                                                                                   466,000       
      decrease in workers’ compensation deposits
    		                                                                                          
      increase in accounts payable and accrued expenses
    		                                                                                 1,869,000 857,000 553,000  -3,645,000 3,802,000    
      acquisition of property, equipment and software, including software development
    		                                                                                          
      proceeds from the sale of property and equipment
    		                                                                                          
      cash paid during the period for:
    		                                                                                          
      supplemental disclosure of noncash transactions:
    		                                                                                          
      increase in prepaid expenses
    		                                                                                          
      acquisition and development of software, property, and equipment
    		                                                                                          
      decrease (increase) in accounts receivable
    		                                                                                   665,000 2,196,000      
      (increase) in income taxes receivable
    		                                                                                          
      (decrease) in income taxes payable
    		                                                                                          
      decrease in accounts payable and accrued expenses
    		                                                                                          
      proceeds from the return of advances or deposits
    		                                                                                          
      restricted cash – hpo earn-out provision
    		                                                                                          
      payments on notes payable
    		                                                                                          
      payments on capital leases
    		                                                                                          
      increase in allowance for doubtful accounts
    		                                                                                     255,000 290,000    
      decrease (increase) in workers’ compensation deposits
    		                                                                                          
      borrowings on line of credit
    		                                                                                          
      payments on capital lease
    		                                                                                          
      increase in income taxes payable
    		                                                                                          
      acquisition of office furniture, equipment and leasehold improvements
    		                                                                                       -314,000 -469,000  
      restricted cash — hpo earn-out provision
    		                                                                                          
      proceeds from issuance of common stock -
    		                                                                                          
      cash flows from operating activities:
    		                                                                                          
      adjustments to reconcile net income to net cash provided by operating activities
    		                                                                                          
      cash flows from investing activities:
    		                                                                                          
      acquisition of furniture, equipment and leasehold improvements
    		                                                                                          
      proceeds from sale of furniture and equipment
    		                                                                                          
      (disbursements for) repayments of officer loan receivable
    		                                                                                          
      acquisition
    		                                                                                          
      cash flows from financing activities:
    		                                                                                          
      proceeds from issuance of common stock —
    		                                                                                          
      common stock registration fee
    		                                                                                         -1,000 
      effect of exchange rate changes on cash and cash equivalents
    		                                                                                          
      net increase in cash and cash equivalents
    		                                                                                          
      goodwill paid
    		                                                                                          
      repayments of officer loan receivable
    		                                                                                          
      cash and cash equivalents, beginning of period
    		                                                                                          
      cash and cash equivalents, end of period
    		                                                                                          
    The information provided in this report is taken from www.sec.gov and many other data providers. While we have conducted our best efforts to ensure that the parsed data is accurate, we cannot guarantee its accuracy. Please use caution and understand that any consequences of its use are your own responsibility.