The Ensign Group, Inc(NASDAQ:ENSG) 
The Ensign Group, Inc. provides health care services in the post-acute care continuum and other ancillary businesses. It operates in two segments, Transitional and Skilled Services and Real Estate. The company offers transitional and skilled services, which include short and long-term nursing care s...
Website: http://www.ensigngroup.net
Founded: 1999
Full Time Employees: 24,500
Sector: Healthcare
Industry: Medical Care Facilities
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At a glance:
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Quarterly
Annual
| Unit: USD | 2026-03-31 | 2025-12-31 | 2025-09-30 | 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 | 2010-09-30 | 2010-06-30 | 2010-03-31 | 2009-12-31 | 2009-09-30 | 2009-06-30 | 2009-03-31 | 2008-12-31 | 2008-09-30 | 2008-06-30 | 2008-03-31 | 2007-12-31 | 2007-09-30 |
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revenue | 443,391,750 | 599,255,000 | 584,699,000 | 589,613,000 | 311,152,000 | 600,507,000 | 575,651,000 | 549,214,000 | 487,705,000 | 471,594,000 | 448,279,000 | 441,739,000 | 433,048,000 | 428,065,000 | 410,517,000 | 383,234,000 | 373,155,000 | 351,086,000 | 311,056,000 | 306,529,000 | 276,869,000 | 260,841,000 | 250,043,000 | 239,653,000 | 237,008,000 | 229,261,000 | 220,086,000 | 218,201,000 | 211,101,000 | 207,150,000 | 204,308,000 | 202,160,000 | 192,662,000 | 196,346,000 | 186,326,000 | 182,943,000 | 164,653,000 | 157,948,000 | 154,174,000 | 146,615,000 | 132,924,000 | 132,178,000 | 130,285,000 | 123,947,000 | 116,328,000 | 115,318,000 | 113,779,000 | 108,979,000 | 104,092,000 | |||||||||||||||||||||||||
yoy | 42.50% | -0.21% | 1.57% | 7.36% | 12.62% | 10.17% | 9.20% | 15.27% | 16.05% | 21.93% | 31.98% | 25.02% | 34.78% | 34.60% | 24.40% | 27.91% | 16.82% | 13.77% | 13.61% | 9.83% | 12.27% | 10.67% | 7.72% | 7.93% | 9.57% | 5.50% | 9.65% | 10.50% | 17.01% | 24.31% | 20.85% | 24.78% | 23.87% | 19.50% | 18.34% | 18.29% | 14.27% | 14.62% | 14.51% | 13.73% | 11.75% | |||||||||||||||||||||||||||||||||
qoq | -26.01% | 2.49% | -0.83% | 89.49% | -48.19% | 4.32% | 4.81% | 3.42% | 5.20% | 1.48% | 2.01% | 1.16% | 4.27% | 7.12% | 2.70% | 6.29% | 12.87% | 1.48% | 10.71% | 6.14% | 4.32% | 4.34% | 1.12% | 3.38% | 4.17% | 0.86% | 3.36% | 1.91% | 1.39% | 1.06% | 4.93% | -1.88% | 5.38% | 1.85% | 11.11% | 4.25% | 2.45% | 5.16% | 10.30% | 0.56% | 1.45% | 5.11% | 6.55% | 0.88% | 1.35% | 4.40% | 4.69% | |||||||||||||||||||||||||||
service revenue | 1,382,303,000 | 1,353,885,000 | 1,289,779,000 | 1,221,414,000 | 1,167,040,000 | 1,126,374,000 | 1,076,092,000 | 1,030,574,000 | 1,004,485,000 | 974,728,000 | 935,324,000 | 916,101,000 | 881,918,000 | 805,325,000 | 765,883,000 | 728,347,000 | 709,156,000 | 688,994,000 | 664,597,000 | 634,609,000 | 623,276,000 | 497,313,000 | 476,306,000 | 459,222,000 | 456,021,000 | |||||||||||||||||||||||||||||||||||||||||||||||||
rental revenue | 6,893,000 | 6,741,000 | 6,626,000 | 6,355,000 | 6,001,000 | 5,878,000 | 5,684,000 | 5,711,000 | 5,687,000 | 5,650,000 | 5,467,000 | 5,244,000 | 4,923,000 | 4,207,000 | 4,122,000 | 4,139,000 | 4,289,000 | 4,148,000 | 3,933,000 | 3,927,000 | 3,977,000 | |||||||||||||||||||||||||||||||||||||||||||||||||||||
total revenue | 1,389,196,000 | 1,360,626,000 | 1,296,405,000 | 1,227,769,000 | 1,173,041,000 | 1,132,252,000 | 1,081,776,000 | 1,036,285,000 | 1,010,172,000 | 980,378,000 | 940,791,000 | 921,345,000 | 886,841,000 | 809,532,000 | 770,005,000 | 732,486,000 | 713,445,000 | 693,142,000 | 668,530,000 | 638,536,000 | 627,253,000 | 537,775,000 | 514,364,000 | 496,386,000 | 492,134,000 | |||||||||||||||||||||||||||||||||||||||||||||||||
expense: | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
cost of services | 1,095,826,000 | 1,074,788,000 | 1,044,659,000 | 971,780,000 | 927,849,000 | 897,269,000 | 859,992,000 | 820,360,000 | 799,263,000 | 781,158,000 | 741,069,000 | 722,685,000 | 696,326,000 | 633,529,000 | 601,623,000 | 563,641,000 | 555,641,000 | 535,063,000 | 514,106,000 | 488,524,000 | 482,186,000 | 493,823,000 | 465,108,000 | 451,749,000 | 454,521,000 | 255,821,000 | 477,805,000 | 457,000,000 | 430,002,000 | 427,574,000 | 413,723,000 | 396,132,000 | 390,243,000 | 393,727,000 | 381,544,000 | 366,946,000 | 355,486,000 | 355,997,000 | 348,971,000 | 330,538,000 | 306,308,000 | 297,401,000 | 280,545,000 | 248,292,000 | 241,456,000 | 221,137,000 | 209,737,000 | 202,057,000 | 189,738,000 | 187,843,000 | 186,172,000 | 175,913,000 | 176,061,000 | 171,765,000 | 164,877,000 | 162,599,000 | 160,829,000 | 156,287,000 | 155,725,000 | 145,637,000 | 143,155,000 | 131,460,000 | 125,808,000 | 123,183,000 | 117,565,000 | 107,264,000 | 105,290,000 | 104,199,000 | 98,378,000 | 94,297,000 | 92,633,000 | 91,434,000 | 87,837,000 | 86,176,000 |
rent—cost of services | 65,506,000 | 63,513,000 | 61,528,000 | 57,195,000 | 57,076,000 | 56,076,000 | 54,792,000 | 53,272,000 | 51,876,000 | 50,604,000 | 50,357,000 | 49,760,000 | 46,637,000 | 41,152,000 | 38,907,000 | 37,228,000 | 35,762,000 | 35,837,000 | 35,623,000 | 34,455,000 | 33,456,000 | 32,608,000 | 32,504,000 | 32,484,000 | 32,330,000 | 14,215,000 | 37,728,000 | 37,060,000 | 35,786,000 | 35,339,000 | 34,851,000 | 34,472,000 | 33,850,000 | 33,652,000 | 33,782,000 | 32,585,000 | 31,900,000 | 33,507,000 | 33,342,000 | 30,741,000 | 26,991,000 | 26,245,000 | 24,500,000 | 19,066,000 | 18,966,000 | |||||||||||||||||||||||||||||
general and administrative expense | 74,210,000 | 70,791,000 | 67,367,000 | 69,107,000 | 62,555,000 | 55,611,000 | 56,180,000 | 56,194,000 | 57,158,000 | 106,557,000 | 51,127,000 | 53,430,000 | 51,891,000 | 42,775,000 | 39,247,000 | 38,527,000 | 38,256,000 | 42,026,000 | 38,554,000 | 36,908,000 | 34,273,000 | 33,250,000 | 32,817,000 | 31,427,000 | 32,249,000 | 15,578,000 | 31,710,000 | 30,561,000 | 33,024,000 | 28,216,000 | 24,601,000 | 22,386,000 | 25,104,000 | 22,833,000 | 19,261,000 | 17,253,000 | 21,270,000 | 14,814,000 | 17,306,000 | 19,657,000 | 17,387,000 | 17,246,000 | 17,165,000 | 15,335,000 | 14,416,000 | 12,525,000 | 12,956,000 | 18,257,000 | 13,157,000 | 11,782,000 | 10,601,000 | 8,872,000 | 8,848,000 | 7,886,000 | 8,099,000 | 8,137,000 | 7,697,000 | 7,578,000 | 7,195,000 | 7,592,000 | 7,401,000 | 6,713,000 | 6,407,000 | 5,774,000 | 5,506,000 | 4,883,000 | 5,417,000 | 4,961,000 | 5,389,000 | 4,565,000 | 4,971,000 | 5,092,000 | 4,307,000 | 3,995,000 |
depreciation and amortization | 28,801,000 | 27,721,000 | 26,633,000 | 25,785,000 | 24,188,000 | 22,519,000 | 21,474,000 | 20,488,000 | 19,657,000 | 19,233,000 | 18,446,000 | 17,596,000 | 17,112,000 | 16,880,000 | 15,941,000 | 14,858,000 | 14,676,000 | 14,602,000 | 13,929,000 | 13,795,000 | 13,659,000 | 13,489,000 | 13,757,000 | 13,605,000 | 13,720,000 | 10,953,000 | 14,319,000 | 13,184,000 | 12,598,000 | 12,199,000 | 11,902,000 | 11,621,000 | 11,622,000 | 11,760,000 | 11,448,000 | 10,750,000 | 10,514,000 | 9,701,000 | 10,911,000 | 9,772,000 | 8,298,000 | 7,926,000 | 7,288,000 | 6,379,000 | 6,517,000 | 5,087,000 | 4,677,000 | 7,804,000 | 8,862,000 | 8,711,000 | 8,795,000 | 8,671,000 | 7,732,000 | 7,319,000 | 7,179,000 | 7,042,000 | 6,924,000 | 6,502,000 | 6,179,000 | 5,546,000 | 5,059,000 | 4,260,000 | 4,023,000 | 3,955,000 | 3,863,000 | 3,239,000 | 3,209,000 | 2,965,000 | 2,513,000 | 2,350,000 | 2,173,000 | 1,990,000 | 1,962,000 | 1,818,000 |
total expenses | 1,264,343,000 | 1,236,813,000 | 1,200,187,000 | 1,123,867,000 | 1,071,668,000 | 1,031,475,000 | 992,438,000 | 950,314,000 | 927,954,000 | 957,552,000 | 860,999,000 | 843,471,000 | 811,966,000 | 734,336,000 | 695,718,000 | 654,254,000 | 644,335,000 | 627,528,000 | 602,212,000 | 573,682,000 | 563,574,000 | 573,170,000 | 544,186,000 | 529,265,000 | 532,820,000 | 296,567,000 | 561,562,000 | 537,805,000 | 511,410,000 | 503,328,000 | 485,077,000 | 464,611,000 | 459,155,000 | 461,562,000 | 446,035,000 | 426,248,000 | 434,187,000 | 397,364,000 | 408,025,000 | 390,708,000 | 366,919,000 | 348,818,000 | 329,498,000 | 289,072,000 | 281,355,000 | 257,229,000 | 245,546,000 | 236,401,000 | 215,306,000 | 211,893,000 | 208,972,000 | 196,794,000 | 228,955,000 | 205,226,000 | 183,529,000 | 181,146,000 | 178,771,000 | 173,712,000 | 172,430,000 | 162,208,000 | 159,231,000 | 146,064,000 | 139,854,000 | 136,487,000 | 130,505,000 | 119,093,000 | 117,640,000 | 115,826,000 | 109,983,000 | 104,494,000 | 103,725,000 | 102,515,000 | 98,270,000 | 96,166,000 |
income from operations | 124,853,000 | 123,813,000 | 96,218,000 | 103,902,000 | 101,373,000 | 100,777,000 | 89,338,000 | 85,971,000 | 82,218,000 | 22,826,000 | 79,792,000 | 77,874,000 | 74,875,000 | 75,196,000 | 74,287,000 | 78,232,000 | 69,110,000 | 65,614,000 | 66,318,000 | 64,854,000 | 63,679,000 | 55,859,000 | 55,069,000 | 55,434,000 | 56,793,000 | 14,585,000 | 38,945,000 | 37,846,000 | 37,804,000 | 34,447,000 | 29,287,000 | 31,775,000 | 32,979,000 | 26,143,000 | 25,559,000 | 22,031,000 | 7,552,000 | 35,684,000 | 20,040,000 | 19,809,000 | 16,315,000 | 24,337,000 | 21,588,000 | 21,984,000 | 25,174,000 | 19,640,000 | 15,295,000 | 13,642,000 | 24,347,000 | 25,115,000 | 20,289,000 | 23,292,000 | -10,754,000 | 5,875,000 | 23,621,000 | 23,162,000 | 23,389,000 | 18,950,000 | 23,916,000 | 24,118,000 | 23,712,000 | 18,589,000 | 18,094,000 | 17,687,000 | 16,110,000 | 13,831,000 | 14,538,000 | 14,459,000 | 13,964,000 | 11,834,000 | 11,593,000 | 11,264,000 | 10,709,000 | 7,926,000 |
yoy | 23.16% | 22.86% | 7.70% | 20.86% | 23.30% | 341.50% | 11.96% | 10.40% | 9.81% | -69.64% | 7.41% | -0.46% | 8.34% | 14.60% | 12.02% | 20.63% | 8.53% | 17.46% | 20.43% | 16.99% | 12.12% | 282.99% | 41.40% | 46.47% | 50.23% | -57.66% | 32.98% | 19.11% | 14.63% | 31.76% | 14.59% | 44.23% | 336.69% | -26.74% | 27.54% | 11.22% | -53.71% | 46.62% | -7.17% | -9.89% | -35.19% | 23.92% | 41.14% | 61.15% | 3.40% | -21.80% | -24.61% | -41.43% | -326.40% | 327.49% | -14.11% | 0.56% | -145.98% | -69.00% | -1.23% | -3.96% | -1.36% | 1.94% | 32.18% | 36.36% | 47.19% | 34.40% | 24.46% | 22.33% | 15.37% | 16.88% | 25.40% | 28.36% | 30.39% | 49.31% | ||||
qoq | 0.84% | 28.68% | -7.40% | 2.49% | 0.59% | 12.80% | 3.92% | 4.56% | 260.19% | -71.39% | 2.46% | 4.01% | -0.43% | 1.22% | -5.04% | 13.20% | 5.33% | -1.06% | 2.26% | 1.85% | 14.00% | 1.43% | -0.66% | -2.39% | 289.39% | -62.55% | 2.90% | 0.11% | 9.75% | 17.62% | -7.83% | -3.65% | 26.15% | 2.28% | 16.01% | 191.72% | -78.84% | 78.06% | 1.17% | 21.42% | -32.96% | 12.73% | -1.80% | -12.67% | 28.18% | 28.41% | 12.12% | -43.97% | -3.06% | 23.79% | -12.89% | -316.59% | -283.05% | -75.13% | 1.98% | -0.97% | 23.42% | -20.76% | -0.84% | 1.71% | 27.56% | 2.74% | 2.30% | 9.79% | 16.48% | -4.86% | 0.55% | 3.54% | 18.00% | 2.08% | 2.92% | 5.18% | 35.11% | |
operating margin % | Infinity% | Infinity% | Infinity% | Infinity% | Infinity% | Infinity% | Infinity% | Infinity% | Infinity% | Infinity% | Infinity% | Infinity% | Infinity% | Infinity% | Infinity% | Infinity% | Infinity% | Infinity% | Infinity% | Infinity% | Infinity% | 12.60% | 9.19% | 9.48% | 9.63% | 4.69% | 6.49% | 6.57% | 6.88% | Infinity% | Infinity% | Infinity% | Infinity% | 5.36% | 5.42% | 4.91% | 1.71% | 8.24% | 4.68% | 4.83% | 4.26% | 6.52% | 6.15% | 7.07% | 8.21% | 7.09% | 5.86% | 5.46% | 10.16% | 10.60% | 8.85% | 10.58% | -4.93% | 2.78% | 11.40% | 11.34% | 11.57% | 9.84% | 12.18% | 12.94% | 12.96% | 11.29% | 11.46% | 11.47% | 10.99% | 10.41% | 11.00% | 11.10% | 11.27% | 10.17% | 10.05% | 9.90% | 9.83% | 7.61% |
other income: | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
interest expense | -1,932,000 | -1,955,000 | -1,971,000 | -2,025,000 | -2,037,000 | -2,258,000 | -2,024,000 | -2,040,000 | -1,964,000 | -2,004,000 | -2,024,000 | -2,023,000 | -2,036,000 | -2,067,000 | -2,108,000 | -2,688,000 | -2,068,000 | -1,865,000 | -1,709,000 | -1,634,000 | -1,641,000 | -1,664,000 | -1,740,000 | -2,293,000 | -3,665,000 | -4,149,000 | -3,900,000 | -3,941,000 | -3,672,000 | -3,711,000 | -3,989,000 | -3,869,000 | -3,613,000 | -3,599,000 | -3,519,000 | -3,053,000 | -3,445,000 | -2,185,000 | -2,135,000 | -1,446,000 | -1,370,000 | -793,000 | -802,000 | -567,000 | -667,000 | -486,000 | -407,000 | -8,720,000 | -3,363,000 | -3,346,000 | -3,181,000 | -3,145,000 | -3,115,000 | -3,098,000 | -3,092,000 | -3,114,000 | -2,925,000 | -2,989,000 | -5,323,000 | -2,739,000 | -2,727,000 | -2,283,000 | -2,308,000 | -2,280,000 | -1,973,000 | -1,249,000 | -1,141,000 | -1,328,000 | -1,231,000 | -1,183,000 | -1,169,000 | -1,201,000 | ||
interest income | 6,536,000 | 6,221,000 | 6,168,000 | 5,240,000 | 6,883,000 | 7,598,000 | 7,607,000 | 7,084,000 | 698,000 | 766,000 | 736,000 | 572,000 | 575,000 | 586,000 | 467,000 | 562,000 | 448,000 | 636,000 | 395,000 | 288,000 | 290,000 | 358,000 | 236,000 | 278,000 | 234,000 | 242,000 | 242,000 | 195,000 | 166,000 | 159,000 | 142,000 | 134,000 | 159,000 | 143,000 | 141,000 | 129,000 | 93,000 | 83,000 | 69,000 | 52,000 | 51,000 | 51,000 | 68,000 | 75,000 | 55,000 | 58,000 | 63,000 | 67,000 | 59,000 | 81,000 | 69,000 | 70,000 | 280,000 | 239,000 | 372,000 | 483,000 | 585,000 | 275,000 | ||||||||||||||||
other income | -885,000 | 2,005,000 | 6,185,000 | 5,241,000 | 361,000 | -359,000 | 3,753,000 | 1,049,000 | 9,344,000 | 10,460,000 | 4,277,000 | 5,202,000 | 5,543,000 | 4,322,000 | 276,000 | -2,587,000 | -816,000 | 2,271,000 | 248,000 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||
income before provision for income taxes | 128,572,000 | 130,084,000 | 106,600,000 | 112,358,000 | 106,580,000 | 105,758,000 | 98,674,000 | 92,064,000 | 89,598,000 | 31,282,000 | 82,045,000 | 81,053,000 | 78,382,000 | 77,451,000 | 72,455,000 | 72,957,000 | 66,226,000 | 66,020,000 | 64,857,000 | 64,341,000 | 62,786,000 | 55,378,000 | 54,179,000 | 54,223,000 | 53,826,000 | 11,202,000 | 35,781,000 | 34,477,000 | 34,707,000 | 31,322,000 | 25,765,000 | 28,468,000 | 29,814,000 | 23,180,000 | 22,435,000 | 19,266,000 | 4,397,000 | 33,857,000 | 18,141,000 | 18,641,000 | 15,179,000 | 23,786,000 | 21,028,000 | 21,612,000 | 24,673,000 | 19,313,000 | 15,030,000 | 5,056,000 | 21,143,000 | 21,912,000 | 17,249,000 | 20,276,000 | -13,776,000 | 2,860,000 | 20,598,000 | 20,100,000 | 20,515,000 | 16,012,000 | 18,661,000 | 21,454,000 | 21,040,000 | 16,364,000 | 15,849,000 | 15,474,000 | 14,196,000 | 12,663,000 | 13,466,000 | 13,201,000 | 13,013,000 | 10,890,000 | 10,796,000 | 10,546,000 | 10,087,000 | 6,913,000 |
provision for income taxes | 28,816,000 | 34,550,000 | 22,689,000 | 27,892,000 | 26,227,000 | 26,008,000 | 20,107,000 | 20,883,000 | 20,638,000 | 9,459,000 | 18,077,000 | 16,963,000 | 18,413,000 | 16,932,000 | 16,213,000 | 15,154,000 | 16,138,000 | 17,059,000 | 16,513,000 | 13,758,000 | 12,949,000 | 9,216,000 | 10,866,000 | 13,535,000 | 12,625,000 | 3,349,000 | 7,953,000 | 5,552,000 | 7,100,000 | 4,763,000 | 5,415,000 | 6,142,000 | 6,521,000 | 11,958,000 | 8,160,000 | 6,886,000 | 1,441,000 | 12,851,000 | 6,957,000 | 7,278,000 | 5,889,000 | 9,349,000 | 7,869,000 | 8,379,000 | 9,585,000 | 8,517,000 | 6,659,000 | 3,523,000 | 8,102,000 | 8,563,000 | 6,607,000 | 7,846,000 | -3,013,000 | 1,195,000 | 7,562,000 | 7,821,000 | 7,687,000 | 5,657,000 | 7,063,000 | 8,478,000 | 8,294,000 | 6,477,000 | 6,230,000 | 6,126,000 | 5,503,000 | 4,977,000 | 5,282,000 | 5,278,000 | 5,154,000 | 4,093,000 | 4,277,000 | 4,212,000 | 3,858,000 | 2,447,000 |
net income | 99,756,000 | 95,534,000 | 83,911,000 | 84,466,000 | 80,353,000 | 79,750,000 | 78,567,000 | 71,181,000 | 68,960,000 | 21,823,000 | 63,968,000 | 64,090,000 | 59,969,000 | 60,519,000 | 56,242,000 | 57,803,000 | 50,088,000 | 48,961,000 | 48,344,000 | 50,583,000 | 49,837,000 | 46,162,000 | 43,313,000 | 40,688,000 | 41,201,000 | 27,326,000 | 27,828,000 | 28,925,000 | 27,607,000 | 26,559,000 | 20,350,000 | 22,326,000 | 23,293,000 | 11,222,000 | 14,275,000 | 12,380,000 | 2,956,000 | 21,006,000 | 11,184,000 | 11,363,000 | 9,290,000 | 14,437,000 | 13,159,000 | 13,233,000 | 15,088,000 | 10,796,000 | 8,371,000 | 1,533,000 | 13,041,000 | 13,349,000 | 10,612,000 | 12,404,000 | -12,511,000 | 1,665,000 | 13,036,000 | 12,279,000 | 12,828,000 | 10,355,000 | 11,598,000 | 12,976,000 | 12,746,000 | 9,887,000 | 9,619,000 | 9,348,000 | 8,693,000 | 7,686,000 | 8,184,000 | 7,923,000 | 7,859,000 | 6,797,000 | 6,519,000 | 6,334,000 | 6,229,000 | 4,466,000 |
yoy | 24.15% | 19.79% | 6.80% | 18.66% | 16.52% | 265.44% | 22.82% | 11.06% | 14.99% | -63.94% | 13.74% | 10.88% | 19.73% | 23.61% | 16.34% | 14.27% | 0.50% | 6.06% | 11.62% | 24.32% | 20.96% | 68.93% | 55.65% | 40.67% | 49.24% | 2.89% | 36.75% | 29.56% | 18.52% | 136.67% | 42.56% | 80.34% | 687.99% | -46.58% | 27.64% | 8.95% | -68.18% | 45.50% | -15.01% | -14.13% | -38.43% | 33.73% | 57.20% | 763.21% | 15.70% | -19.13% | -21.12% | -87.64% | -204.24% | 701.74% | -18.59% | 1.02% | -197.53% | -83.92% | 12.40% | -5.37% | 0.64% | 4.73% | 20.57% | 38.81% | 46.62% | 28.64% | 17.53% | 17.99% | 10.61% | 13.08% | 25.54% | 25.09% | 26.17% | 52.19% | ||||
qoq | 4.42% | 13.85% | -0.66% | 5.12% | 0.76% | 1.51% | 10.38% | 3.22% | 216.00% | -65.88% | -0.19% | 6.87% | -0.91% | 7.60% | -2.70% | 15.40% | 2.30% | 1.28% | -4.43% | 1.50% | 7.96% | 6.58% | 6.45% | -1.25% | 50.78% | -1.80% | -3.79% | 4.77% | 3.95% | 30.51% | -8.85% | -4.15% | 107.57% | -21.39% | 15.31% | 318.81% | -85.93% | 87.82% | -1.58% | 22.31% | -35.65% | 9.71% | -0.56% | -12.29% | 39.76% | 28.97% | 446.05% | -88.24% | -2.31% | 25.79% | -14.45% | -199.14% | -851.41% | -87.23% | 6.16% | -4.28% | 23.88% | -10.72% | -10.62% | 1.80% | 28.92% | 2.79% | 2.90% | 7.53% | 13.10% | -6.09% | 3.29% | 0.81% | 15.62% | 4.26% | 2.92% | 1.69% | 39.48% | |
net income margin % | Infinity% | Infinity% | Infinity% | Infinity% | Infinity% | Infinity% | Infinity% | Infinity% | Infinity% | Infinity% | Infinity% | Infinity% | Infinity% | Infinity% | Infinity% | Infinity% | Infinity% | Infinity% | Infinity% | Infinity% | Infinity% | 10.41% | 7.23% | 6.96% | 6.99% | 8.78% | 4.63% | 5.02% | 5.03% | Infinity% | Infinity% | Infinity% | Infinity% | 2.30% | 3.03% | 2.76% | 0.67% | 4.85% | 2.61% | 2.77% | 2.42% | 3.87% | 3.75% | 4.25% | 4.92% | 3.90% | 3.21% | 0.61% | 5.44% | 5.63% | 4.63% | 5.64% | -5.73% | 0.79% | 6.29% | 6.01% | 6.35% | 5.37% | 5.91% | 6.96% | 6.97% | 6.00% | 6.09% | 6.06% | 5.93% | 5.78% | 6.19% | 6.08% | 6.34% | 5.84% | 5.65% | 5.57% | 5.72% | 4.29% |
less: | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
net income attributable to noncontrolling interests | 88,000 | 80,000 | 67,000 | 70,000 | 76,000 | 63,000 | 123,000 | 174,000 | 125,000 | 132,000 | 105,000 | 97,000 | 117,000 | 48,000 | 63,000 | 112,000 | -252,000 | 221,000 | 1,063,000 | 1,158,000 | 631,000 | -159,000 | 253,000 | 440,000 | 352,000 | |||||||||||||||||||||||||||||||||||||||||||||||||
net income attributable to the ensign group, inc. | 99,668,000 | 95,454,000 | 83,844,000 | 84,396,000 | 80,277,000 | 79,687,000 | 78,444,000 | 71,007,000 | 68,835,000 | 21,691,000 | 63,863,000 | 63,993,000 | 59,852,000 | 60,471,000 | 56,179,000 | 57,691,000 | 50,340,000 | 48,740,000 | 47,281,000 | 49,425,000 | 49,206,000 | 46,321,000 | 43,060,000 | 40,248,000 | 40,849,000 | 27,394,000 | 27,159,000 | 28,609,000 | 27,372,000 | 26,360,000 | 20,861,000 | 22,011,000 | 23,132,000 | 11,206,000 | 14,212,000 | 12,217,000 | 2,840,000 | 18,337,000 | 11,155,000 | 11,326,000 | 9,172,000 | 13,601,000 | 13,472,000 | 13,188,000 | 15,170,000 | 11,511,000 | 8,906,000 | 2,007,000 | 13,526,000 | 13,356,000 | 10,464,000 | 12,367,000 | -12,147,000 | 1,937,000 | 13,294,000 | 12,456,000 | 12,904,000 | |||||||||||||||||
net income per share | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
basic | 1.73 | 1.66 | 1.46 | 1.48 | 1.41 | 1.4 | 1.38 | 1.26 | 1.22 | 0.38 | 1.14 | 1.15 | 1.08 | 1.09 | 1.02 | 1.05 | 0.92 | 0.67 | 0.87 | 0.91 | 0.91 | 0.388 | 0.5 | 0.54 | 0.52 | 0.51 | 0.4 | 0.42 | 0.45 | 0.21 | 0.28 | 0.24 | 0.06 | 0.36 | 0.22 | 0.23 | 0.18 | 0.418 | 0.53 | 0.52 | 0.63 | 0.08 | 0.62 | 0.58 | 0.61 | 0.49 | 0.55 | 0.62 | 0.61 | 0.48 | 0.46 | 0.45 | 0.42 | 0.37 | 0.4 | 0.39 | 0.38 | 0.33 | 0.32 | 0.31 | 0.35 | 0.32 | ||||||||||||
diluted | 1.67 | 1.61 | 1.42 | 1.44 | 1.37 | 1.36 | 1.34 | 1.22 | 1.19 | 0.37 | 1.11 | 1.12 | 1.05 | 1.06 | 0.99 | 1.01 | 0.89 | 0.64 | 0.83 | 0.87 | 0.86 | 0.37 | 0.48 | 0.51 | 0.49 | 0.48 | 0.38 | 0.41 | 0.43 | 0.21 | 0.27 | 0.23 | 0.05 | 0.35 | 0.21 | 0.22 | 0.18 | 0.403 | 0.51 | 0.5 | 0.61 | 0.08 | 0.6 | 0.57 | 0.59 | 0.48 | 0.54 | 0.6 | 0.59 | 0.47 | 0.46 | 0.44 | 0.41 | 0.37 | 0.39 | 0.38 | 0.38 | 0.33 | 0.32 | 0.31 | 0.32 | 0.26 | ||||||||||||
weighted-average common shares outstanding | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
basic | 57,771 | 57,306 | 57,382 | 57,157 | 57,099 | 56,655 | 56,776 | 56,544 | 56,337 | 55,708 | 55,829 | 55,611 | 55,300 | 54,887 | 54,882 | 54,906 | 54,667 | 54,486 | 54,627 | 54,468 | 54,192 | 53,434 | 53,328 | 53,094 | 53,475 | 53,452 | 53,941 | 53,408 | 53,081 | 52,016 | 52,139 | 51,880 | 51,585 | 50,932 | 50,911 | 50,705 | 50,767 | 50,555 | 50,541 | 50,274 | 50,679 | 50,316 | 25,572 | 25,474 | 23,908 | 22,341 | 22,415 | 22,259 | 22,168 | 21,900 | 21,941 | 21,859 | 21,768 | 21,429 | 21,488 | 21,368 | 21,251 | 20,967 | 20,995 | 20,909 | 20,854 | 20,756 | 20,741 | 20,686 | 20,603 | 20,616 | 20,586 | 20,572 | 20,520 | 20,525 | 20,508 | 20,498 | 14,497 | |
diluted | 59,567 | 58,873 | 58,956 | 58,602 | 58,500 | 58,240 | 58,444 | 58,013 | 57,921 | 57,323 | 57,337 | 57,260 | 57,098 | 56,871 | 56,761 | 56,853 | 56,871 | 56,925 | 56,971 | 56,997 | 56,891 | 55,787 | 55,713 | 55,181 | 55,796 | 55,981 | 56,364 | 56,078 | 55,698 | 54,397 | 54,632 | 54,251 | 53,518 | 52,829 | 52,828 | 52,548 | 52,633 | 52,133 | 52,045 | 51,931 | 52,334 | 52,210 | 26,535 | 26,433 | 24,826 | 23,095 | 23,186 | 22,960 | 22,582 | 22,364 | 22,409 | 22,321 | 21,768 | 21,942 | 22,010 | 21,886 | 21,796 | 21,583 | 21,570 | 21,579 | 21,516 | 21,147 | 21,126 | 21,074 | 20,925 | 20,928 | 20,874 | 20,892 | 20,715 | 20,777 | 20,636 | 20,647 | 17,470 | |
other expense | 2,255,000 | -1,832,000 | -5,275,000 | -2,884,000 | 406,000 | -1,461,000 | -513,000 | -893,000 | -481,000 | -890,000 | -1,211,000 | -2,967,000 | -3,383,000 | -3,164,000 | -3,369,000 | -3,097,000 | -3,125,000 | -3,522,000 | -3,307,000 | -3,165,000 | -2,963,000 | -3,124,000 | -2,765,000 | -3,155,000 | -1,827,000 | -1,899,000 | -1,168,000 | -1,136,000 | -551,000 | -560,000 | -372,000 | -501,000 | -327,000 | -265,000 | -8,586,000 | -3,204,000 | -3,203,000 | -3,040,000 | -3,016,000 | -3,022,000 | -3,015,000 | -3,023,000 | -3,062,000 | -2,874,000 | -2,938,000 | -5,255,000 | -2,664,000 | -2,672,000 | -2,225,000 | -2,245,000 | -2,213,000 | -1,914,000 | -1,168,000 | -1,072,000 | -1,258,000 | -951,000 | -944,000 | -797,000 | -718,000 | |||||||||||||||
revenue: | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
weighted-average common shares outstanding: | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
basic | 57,771 | 57,306 | 57,382 | 57,157 | 57,099 | 56,655 | 56,776 | 56,544 | 56,337 | 55,708 | 55,829 | 55,611 | 55,300 | 54,887 | 54,882 | 54,906 | 54,667 | 54,486 | 54,627 | 54,468 | 54,192 | 53,434 | 53,328 | 53,094 | 53,475 | 53,452 | 53,941 | 53,408 | 53,081 | 52,016 | 52,139 | 51,880 | 51,585 | 50,932 | 50,911 | 50,705 | 50,767 | 50,555 | 50,541 | 50,274 | 50,679 | 50,316 | 25,572 | 25,474 | 23,908 | 22,341 | 22,415 | 22,259 | 22,168 | 21,900 | 21,941 | 21,859 | 21,768 | 21,429 | 21,488 | 21,368 | 21,251 | 20,967 | 20,995 | 20,909 | 20,854 | 20,756 | 20,741 | 20,686 | 20,603 | 20,616 | 20,586 | 20,572 | 20,520 | 20,525 | 20,508 | 20,498 | 14,497 | |
diluted | 59,567 | 58,873 | 58,956 | 58,602 | 58,500 | 58,240 | 58,444 | 58,013 | 57,921 | 57,323 | 57,337 | 57,260 | 57,098 | 56,871 | 56,761 | 56,853 | 56,871 | 56,925 | 56,971 | 56,997 | 56,891 | 55,787 | 55,713 | 55,181 | 55,796 | 55,981 | 56,364 | 56,078 | 55,698 | 54,397 | 54,632 | 54,251 | 53,518 | 52,829 | 52,828 | 52,548 | 52,633 | 52,133 | 52,045 | 51,931 | 52,334 | 52,210 | 26,535 | 26,433 | 24,826 | 23,095 | 23,186 | 22,960 | 22,582 | 22,364 | 22,409 | 22,321 | 21,768 | 21,942 | 22,010 | 21,886 | 21,796 | 21,583 | 21,570 | 21,579 | 21,516 | 21,147 | 21,126 | 21,074 | 20,925 | 20,928 | 20,874 | 20,892 | 20,715 | 20,777 | 20,636 | 20,647 | 17,470 | |
interest and other income | 1,121,000 | 748,000 | 1,183,000 | 850,000 | 1,082,000 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
net income from continuing operations | 46,162,000 | 43,313,000 | 40,688,000 | 41,201,000 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
net income from discontinued operations, net of tax | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
net income attributable to noncontrolling interests in continuing operations | -159,000 | 253,000 | 440,000 | 352,000 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
net income attributable to noncontrolling interests in discontinued operations | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
amounts attributable to the ensign group, inc.: | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
income from continuing operations attributable to the ensign group, inc. | 46,321,000 | 43,060,000 | 40,248,000 | 40,849,000 | 11,511,000 | 8,906,000 | 2,007,000 | 13,526,000 | 13,356,000 | 10,494,000 | 12,393,000 | -10,399,000 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
income from discontinued operations, net of income tax | -451,000 | -30,000 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
net income per share | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
basic: | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
continuing operations | 0.86 | 0.81 | 0.76 | 0.76 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
discontinued operations | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
basic income per share attributable to the ensign group, inc. | 0.86 | 0.81 | 0.76 | 0.76 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
diluted: | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
diluted income per share attributable to the ensign group, inc. | 0.83 | 0.77 | 0.73 | 0.73 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
expense | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
return of unclaimed class action settlement | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
less: net income attributable to noncontrolling interests | 305,000 | 669,000 | 316,000 | 235,000 | 199,000 | -511,000 | 315,000 | 161,000 | 16,000 | 63,000 | 163,000 | 116,000 | 2,669,000 | 29,000 | 37,000 | 118,000 | 45,000 | -373,500 | -535,000 | -474,000 | -44,750 | 148,000 | 37,000 | |||||||||||||||||||||||||||||||||||||||||||||||||||
assisted and independent living revenue | 40,462,000 | 38,058,000 | 37,164,000 | 36,113,000 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
losses related to divestitures | -410,000 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
dividends per share | 0.034 | 0.045 | 0.045 | 0.045 | 0.045 | 0.043 | 0.043 | 0.043 | 0.043 | 0.04 | 0.04 | 0.04 | -0.073 | 0.075 | 0.075 | 0.075 | 0.08 | 0.07 | 0.07 | 0.07 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||
charge related to class action lawsuit | 11,000,000 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
losses related to operational closures | -1,286,000 | 4,017,000 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
loss related to divestitures | 1,357,500 | -2,505,000 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
losses related to operational closure | 7,935,000 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
less: net loss attributable to noncontrolling interests | -87,750 | -313,000 | -82,000 | -485,000 | -364,000 | -272,000 | -258,000 | -177,000 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
u.s. government inquiry settlement | 33,000,000 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
facility rent—cost of services | 18,480,000 | 18,176,000 | 8,283,000 | 3,549,000 | 3,557,000 | 3,404,000 | 3,338,000 | 3,314,000 | 3,256,000 | 3,374,000 | 3,368,000 | 3,321,000 | 2,595,000 | 3,331,000 | 3,433,000 | 3,616,000 | 3,631,000 | 3,616,000 | 3,575,000 | 2,783,000 | 3,707,000 | 3,724,000 | 3,701,000 | 2,807,250 | 3,282,000 | 3,948,000 | 3,999,000 | 3,127,750 | 4,177,000 | |||||||||||||||||||||||||||||||||||||||||||||
income from continuing operations | 10,796,000 | 8,371,000 | 1,533,000 | 13,041,000 | 13,349,000 | 10,642,000 | 12,430,000 | -10,763,000 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
loss from discontinued operations, net of income tax benefit of 38 and 1,157 for the three and nine months ended september 30, 2013, respectively | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
loss from discontinued operations, net of income tax | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
loss from discontinued operations | -0.08 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
loss from discontinued operations, net of income tax benefit of 0 for both the three and six months ended june 30, 2014 and 7 and 1,119 for the three and six months ended june 30, 2013, respectively | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
loss from discontinued operations, net of income tax benefit of 0 and 1,112 for the three months ended march 31, 2014 and 2013, respectively | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
income from discontinued operations, net of income tax provision of | -451,000 | -30,000 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
income from discontinued operations | -0.02 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
loss from discontinued operations, net of income tax benefit of 7 and 1,119 for the three and six months ended june 30, 2013 and 51 and 78 for the three and six months ended june 30, 2012, respectively | -26,000 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
loss from discontinued operations, net of income tax benefit | -26,000 | -1,748,000 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
loss from discontinued operations, net of income tax benefit of 1,112 and 27 for the three months ended march 31, 2013 and 2012, respectively | -1,748,000 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
less: net income attributable to noncontrolling interest | -76,000 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
weighted average common shares outstanding: | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
basic | 13,506 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
diluted | 16,878 |
Balance Sheets:
Quarterly
Annual
| Unit: USD | 2026-03-31 | 2025-12-31 | 2025-09-30 | 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 | 2010-09-30 | 2010-06-30 | 2010-03-31 | 2009-12-31 | 2009-09-30 | 2009-06-30 | 2009-03-31 | 2008-12-31 | 2008-09-30 | 2008-06-30 | 2008-03-31 | 2007-12-31 | 2007-09-30 |
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assets | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
current assets: | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
cash and cash equivalents | 539,498,000 | 503,881,000 | 443,668,000 | 363,969,000 | 282,666,000 | 464,598,000 | 532,066,000 | 477,336,000 | 511,839,000 | 509,626,000 | 467,870,000 | 419,974,000 | 326,969,000 | 316,270,000 | 308,864,000 | 285,580,000 | 248,546,000 | 262,201,000 | 304,620,000 | 198,411,000 | 155,527,000 | 236,562,000 | 175,380,000 | 201,738,000 | 63,217,000 | 59,175,000 | 44,396,000 | 39,042,000 | 37,824,000 | 31,083,000 | 45,657,000 | 27,184,000 | 35,057,000 | 42,337,000 | 40,055,000 | 33,476,000 | 31,507,000 | 57,706,000 | 40,414,000 | 33,519,000 | 51,370,000 | 41,569,000 | 40,069,000 | 50,635,000 | 62,609,000 | 50,408,000 | 39,206,000 | 22,393,000 | 57,469,000 | 65,755,000 | 45,997,000 | 27,499,000 | 42,536,000 | 40,923,000 | 32,028,000 | 32,785,000 | 32,618,000 | 29,584,000 | 25,650,000 | 38,111,000 | 50,973,000 | 36,926,000 | 26,353,000 | 41,452,000 | 38,855,000 | 21,365,000 | 33,687,000 | 33,060,000 | 41,326,000 | 56,407,000 | 50,934,000 | 54,446,000 | 51,732,000 | 6,418,000 |
accounts receivable—less allowance for doubtful accounts of 7,583 and 7,805 at march 31, 2026 and december 31, 2025, respectively | 663,247,000 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
investments—current | 55,677,000 | 68,506,000 | 62,641,000 | 54,473,000 | 61,805,000 | 62,255,000 | 38,969,000 | 24,126,000 | 14,459,000 | 17,229,000 | 16,433,000 | 20,018,000 | 20,101,000 | 15,441,000 | 12,233,000 | 8,991,000 | 12,093,000 | 13,763,000 | 12,844,000 | 10,573,000 | 14,623,000 | 13,449,000 | 17,577,000 | 16,357,000 | 15,021,000 | 17,754,000 | 13,026,000 | 8,003,000 | 4,037,000 | 8,682,000 | 9,688,000 | 12,952,000 | 13,631,000 | 13,092,000 | 9,108,000 | 13,643,000 | 9,829,000 | 11,550,000 | 7,511,000 | 3,503,000 | 2,003,000 | 2,004,000 | 4,500,000 | 4,751,000 | 4,992,000 | 6,060,000 | 5,883,000 | 4,451,000 | 4,521,000 | 5,511,000 | 3,783,000 | 3,279,000 | 3,371,000 | 5,195,000 | 4,254,000 | 4,737,000 | ||||||||||||||||||
prepaid expenses and other current assets | 61,678,000 | 62,932,000 | 87,525,000 | 70,703,000 | 57,872,000 | 60,882,000 | 45,844,000 | 47,699,000 | 42,451,000 | 35,036,000 | 37,921,000 | 41,618,000 | 39,246,000 | 36,339,000 | 36,497,000 | 32,774,000 | 32,586,000 | 29,562,000 | 32,660,000 | 35,643,000 | 30,588,000 | 26,659,000 | 25,969,000 | 27,150,000 | 25,565,000 | 24,428,000 | 25,150,000 | 25,632,000 | 24,019,000 | 24,130,000 | 25,105,000 | 27,801,000 | 24,735,000 | 28,132,000 | 21,441,000 | 23,135,000 | 21,374,000 | 19,871,000 | 18,569,000 | 16,496,000 | 19,441,000 | 18,827,000 | 15,417,000 | 12,395,000 | 11,998,000 | 8,434,000 | 8,432,000 | 7,657,000 | 9,023,000 | 9,213,000 | 7,700,000 | 7,086,000 | 8,424,000 | 8,636,000 | 7,985,000 | 6,912,000 | 7,373,000 | 7,667,000 | 8,274,000 | 7,072,000 | 7,661,000 | 6,953,000 | 6,695,000 | 5,866,000 | 6,498,000 | 8,076,000 | 5,789,000 | 5,074,000 | 4,692,000 | 4,750,000 | 5,454,000 | 5,423,000 | 5,319,000 | 8,229,000 |
total current assets | 1,320,100,000 | 1,272,304,000 | 1,206,578,000 | 1,067,195,000 | 986,391,000 | 1,157,632,000 | 1,196,930,000 | 1,115,080,000 | 1,088,188,000 | 1,046,930,000 | 994,347,000 | 927,635,000 | 830,497,000 | 781,125,000 | 726,848,000 | 682,682,000 | 633,111,000 | 639,709,000 | 668,118,000 | 567,104,000 | 513,316,000 | 582,956,000 | 526,627,000 | 547,306,000 | 433,321,000 | 411,081,000 | 393,201,000 | 375,546,000 | 357,729,000 | 348,072,000 | 348,413,000 | 327,569,000 | 344,726,000 | 368,076,000 | 339,845,000 | 323,845,000 | 305,623,000 | 333,862,000 | 308,750,000 | 288,014,000 | 293,239,000 | 294,970,000 | 269,530,000 | 255,945,000 | 255,856,000 | 213,642,000 | 193,931,000 | 184,192,000 | 203,468,000 | 210,996,000 | 185,309,000 | 169,380,000 | 174,808,000 | 167,599,000 | 155,749,000 | 154,122,000 | 142,963,000 | 140,639,000 | 130,688,000 | 134,453,000 | 143,804,000 | 127,066,000 | 115,839,000 | 124,305,000 | 117,327,000 | 89,762,000 | 102,710,000 | 101,186,000 | 104,448,000 | 114,594,000 | 109,600,000 | 118,272,000 | 120,363,000 | 70,955,000 |
property and equipment | 1,720,225,000 | 1,696,863,000 | 1,598,401,000 | 1,535,185,000 | 1,459,378,000 | 1,291,354,000 | 1,217,689,000 | 1,177,822,000 | 1,101,560,000 | 1,090,771,000 | 1,067,902,000 | 1,008,744,000 | 1,002,052,000 | 992,010,000 | 963,465,000 | 908,228,000 | 906,777,000 | 888,434,000 | 791,247,000 | 788,601,000 | 779,269,000 | 778,244,000 | 783,187,000 | 780,439,000 | 783,291,000 | 767,565,000 | 708,224,000 | 674,892,000 | 627,400,000 | 618,874,000 | 593,088,000 | 591,580,000 | 541,019,000 | 537,084,000 | 531,079,000 | 490,386,000 | 490,582,000 | 484,498,000 | 350,255,000 | 347,203,000 | 311,479,000 | 299,633,000 | 257,164,000 | 243,881,000 | 192,370,000 | 149,708,000 | 127,448,000 | 116,784,000 | 496,618,000 | 479,770,000 | 479,837,000 | 476,671,000 | 450,695,000 | 447,877,000 | 439,233,000 | 420,028,000 | 410,773,000 | 403,862,000 | 372,797,000 | 321,745,000 | 311,372,000 | 254,192,000 | 251,320,000 | 241,034,000 | 230,774,000 | 181,643,000 | 180,274,000 | 176,485,000 | 157,029,000 | 141,893,000 | 139,846,000 | 128,356,000 | 124,861,000 | 106,918,000 |
right-of-use assets | 2,137,308,000 | 2,097,862,000 | 2,047,979,000 | 1,930,662,000 | 1,896,409,000 | 1,861,071,000 | 1,904,181,000 | 1,842,613,000 | 1,821,024,000 | 1,756,430,000 | 1,773,751,000 | 1,771,936,000 | 1,790,498,000 | 1,450,995,000 | 1,349,411,000 | 1,305,009,000 | 1,294,931,000 | 1,138,872,000 | 1,175,685,000 | 1,112,694,000 | 1,050,506,000 | 1,025,510,000 | 1,027,434,000 | 1,032,684,000 | 1,044,060,000 | 1,046,901,000 | 1,062,219,000 | 1,074,449,000 | 1,045,638,000 | |||||||||||||||||||||||||||||||||||||||||||||
insurance subsidiary deposits and investments | 194,309,000 | 166,841,000 | 169,142,000 | 170,752,000 | 157,307,000 | 141,246,000 | 115,496,000 | 112,756,000 | 107,666,000 | 92,687,000 | 86,818,000 | 85,770,000 | 82,052,000 | 67,652,000 | 41,689,000 | 40,077,000 | 38,024,000 | 36,567,000 | 35,180,000 | 38,288,000 | 34,370,000 | 32,105,000 | 31,768,000 | 32,499,000 | 32,916,000 | 30,571,000 | 34,561,000 | 38,929,000 | 42,937,000 | 36,168,000 | 32,487,000 | 31,396,000 | 28,065,000 | 28,685,000 | 26,245,000 | 25,899,000 | 25,176,000 | 23,634,000 | 27,655,000 | 31,018,000 | 30,955,000 | 32,713,000 | 30,050,000 | 19,857,000 | 19,145,000 | 17,873,000 | 18,170,000 | 17,681,000 | 17,728,000 | 16,888,000 | 18,712,000 | 19,384,000 | 18,943,000 | 17,315,000 | 18,149,000 | 17,840,000 | 17,168,000 | 16,752,000 | 16,605,000 | 16,261,000 | 15,751,000 | 15,845,000 | 15,397,000 | 13,985,000 | 13,810,000 | 13,580,000 | 12,797,000 | 11,695,000 | ||||||
deferred tax assets | 83,169,000 | 83,138,000 | 56,125,000 | 66,278,000 | 66,278,000 | 66,281,000 | 65,193,000 | 66,572,000 | 66,486,000 | 67,124,000 | 39,968,000 | 39,596,000 | 39,596,000 | 39,643,000 | 33,733,000 | 32,883,000 | 32,883,000 | 33,147,000 | 31,966,000 | 32,396,000 | 32,424,000 | 32,424,000 | 3,435,000 | 3,612,000 | 3,612,000 | 4,615,000 | 8,105,000 | 8,603,000 | 8,603,000 | 11,650,000 | 12,035,000 | 12,731,000 | 12,731,000 | 12,745,000 | ||||||||||||||||||||||||||||||||||||||||
restricted and other assets | 52,347,000 | 41,600,000 | 43,789,000 | 55,729,000 | 80,826,000 | 46,499,000 | 45,753,000 | 38,551,000 | 39,686,000 | 40,205,000 | 35,979,000 | 35,534,000 | 34,343,000 | 37,291,000 | 58,469,000 | 57,010,000 | 55,172,000 | 47,046,000 | 44,382,000 | 42,496,000 | 41,422,000 | 33,155,000 | 31,777,000 | 30,712,000 | 30,138,000 | 26,207,000 | 17,351,000 | 16,943,000 | 16,441,000 | 20,844,000 | 20,459,000 | 21,046,000 | 17,695,000 | 16,501,000 | 14,447,000 | 13,329,000 | 13,241,000 | 12,614,000 | 14,869,000 | 12,507,000 | 11,165,000 | 9,631,000 | 8,177,000 | 6,825,000 | 7,125,000 | 6,833,000 | 8,449,000 | 8,169,000 | 8,676,000 | 9,804,000 | 12,086,000 | 12,596,000 | 9,687,000 | 8,643,000 | 12,385,000 | 11,952,000 | 11,975,000 | 10,418,000 | 11,227,000 | 10,504,000 | 8,665,000 | 6,067,000 | 6,036,000 | 5,895,000 | 5,650,000 | 5,151,000 | 5,431,000 | 5,258,000 | 3,586,000 | 3,489,000 | 3,453,000 | 3,273,000 | 3,083,000 | |
intangible assets | 6,322,000 | 6,381,000 | 6,442,000 | 6,509,000 | 6,947,000 | 7,292,000 | 6,676,000 | 6,703,000 | 6,559,000 | 6,525,000 | 6,347,000 | 6,272,000 | 2,359,000 | 2,465,000 | 2,531,000 | 2,535,000 | 2,665,000 | 2,652,000 | 2,711,000 | 2,784,000 | 2,828,000 | 2,899,000 | 2,959,000 | 3,004,000 | 3,131,000 | 3,382,000 | 3,541,000 | 3,829,000 | 4,131,000 | 31,000,000 | 31,620,000 | 32,605,000 | 32,236,000 | 32,803,000 | 33,568,000 | 34,184,000 | 34,524,000 | 35,076,000 | 42,975,000 | 44,910,000 | 44,444,000 | 45,431,000 | 47,223,000 | 38,580,000 | 37,481,000 | 35,568,000 | 6,560,000 | 6,711,000 | 5,650,000 | 5,718,000 | 5,976,000 | 6,302,000 | 6,037,000 | 9,015,000 | 4,867,000 | 5,078,000 | 5,197,000 | 2,321,000 | 4,036,000 | 4,202,000 | 4,427,000 | 4,131,000 | 4,288,000 | 4,269,000 | 4,498,000 | 4,385,000 | 4,472,000 | 4,699,000 | 4,374,000 | 4,502,000 | 4,578,000 | 2,692,000 | 2,335,000 | 2,471,000 |
goodwill | 97,981,000 | 97,981,000 | 97,981,000 | 97,981,000 | 106,310,000 | 97,981,000 | 77,241,000 | 77,241,000 | 77,241,000 | 76,869,000 | 76,869,000 | 76,869,000 | 76,869,000 | 76,869,000 | 76,869,000 | 76,869,000 | 76,869,000 | 60,469,000 | 60,469,000 | 60,469,000 | 54,469,000 | 54,469,000 | 54,469,000 | 54,469,000 | 54,469,000 | 54,469,000 | 96,199,000 | 97,408,000 | 87,062,000 | 80,477,000 | 78,612,000 | 81,019,000 | 80,963,000 | 81,062,000 | 77,663,000 | 73,159,000 | 68,926,000 | 67,100,000 | 67,100,000 | 69,650,000 | 41,034,000 | 40,886,000 | 39,736,000 | 32,781,000 | 32,781,000 | 30,269,000 | 25,719,000 | 24,326,000 | 23,966,000 | 23,935,000 | 24,754,000 | 23,523,000 | 23,523,000 | 22,656,000 | 22,180,000 | 22,180,000 | 19,901,000 | 17,177,000 | 14,548,000 | 11,751,000 | 10,339,000 | 10,524,000 | 10,524,000 | 7,432,000 | 7,432,000 | 5,769,000 | 5,769,000 | 5,769,000 | 2,882,000 | 2,882,000 | 2,882,000 | 2,882,000 | 2,882,000 | 2,882,000 |
total assets | 5,611,761,000 | 5,462,970,000 | 5,226,437,000 | 4,930,291,000 | 4,759,846,000 | 4,669,356,000 | 4,629,159,000 | 4,437,338,000 | 4,308,410,000 | 4,177,541,000 | 4,081,981,000 | 3,952,356,000 | 3,862,238,000 | 3,452,022,000 | 3,265,274,000 | 3,124,671,000 | 3,044,559,000 | 2,850,623,000 | 2,813,379,000 | 2,648,553,000 | 2,512,500,000 | 2,545,578,000 | 2,464,990,000 | 2,488,157,000 | 2,388,006,000 | 2,361,909,000 | 2,359,549,000 | 2,321,521,000 | 2,218,359,000 | 1,181,958,000 | 1,143,575,000 | 1,125,847,000 | 1,092,709,000 | 1,102,433,000 | 1,070,848,000 | 1,032,184,000 | 984,469,000 | 1,001,025,000 | 853,415,000 | 840,075,000 | 773,681,000 | 747,759,000 | 682,503,000 | 628,939,000 | 573,294,000 | 493,916,000 | 402,879,000 | 380,832,000 | 771,478,000 | 760,315,000 | 738,240,000 | 723,592,000 | 711,500,000 | 690,862,000 | 667,948,000 | 646,921,000 | 625,208,000 | 596,339,000 | 566,781,000 | 508,276,000 | 501,003,000 | 425,139,000 | 410,735,000 | 402,908,000 | 391,348,000 | 321,850,000 | 314,682,000 | 308,330,000 | 296,901,000 | 282,611,000 | 276,039,000 | 270,447,000 | 267,389,000 | 203,404,000 |
liabilities and equity | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
current liabilities: | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
accounts payable | 116,132,000 | 97,327,000 | 105,796,000 | 102,799,000 | 95,326,000 | 98,947,000 | 90,274,000 | 88,652,000 | 82,635,000 | 92,811,000 | 77,091,000 | 78,207,000 | 81,466,000 | 77,087,000 | 63,495,000 | 60,414,000 | 56,850,000 | 58,116,000 | 57,206,000 | 58,700,000 | 53,942,000 | 50,901,000 | 50,971,000 | 42,694,000 | 40,917,000 | 44,973,000 | 40,019,000 | 44,694,000 | 44,595,000 | 44,236,000 | 41,323,000 | 39,018,000 | 31,977,000 | 39,043,000 | 39,443,000 | 32,915,000 | 33,828,000 | 38,991,000 | 38,005,000 | 38,085,000 | 35,695,000 | 36,029,000 | 34,699,000 | 33,843,000 | 38,819,000 | 33,186,000 | 27,783,000 | 26,508,000 | 26,722,000 | 23,793,000 | 22,212,000 | 21,315,000 | 23,206,000 | 26,069,000 | 23,211,000 | 21,077,000 | 16,603,000 | 21,169,000 | 22,734,000 | 19,455,000 | 20,027,000 | 17,616,000 | 16,267,000 | 15,079,000 | 15,498,000 | 12,874,000 | 14,339,000 | 15,172,000 | 12,682,000 | 12,267,000 | 12,590,000 | 12,199,000 | 14,699,000 | 11,809,000 |
accrued wages and related liabilities | 313,517,000 | 422,326,000 | 370,530,000 | 334,404,000 | 284,769,000 | 347,532,000 | 353,563,000 | 322,928,000 | 294,208,000 | 332,568,000 | 311,509,000 | 287,173,000 | 261,323,000 | 289,810,000 | 291,351,000 | 273,276,000 | 251,194,000 | 278,770,000 | 246,106,000 | 225,455,000 | 203,420,000 | 236,614,000 | 177,115,000 | 155,013,000 | 134,478,000 | 151,009,000 | 132,659,000 | 116,018,000 | 103,170,000 | 119,656,000 | 99,047,000 | 89,462,000 | 84,018,000 | 90,508,000 | 75,970,000 | 72,701,000 | 75,276,000 | 84,686,000 | 71,597,000 | 72,019,000 | 67,567,000 | 78,890,000 | 65,475,000 | 58,482,000 | 54,608,000 | 56,712,000 | 48,159,000 | 44,590,000 | 40,744,000 | 40,093,000 | 35,628,000 | 34,511,000 | 33,942,000 | 35,847,000 | 34,868,000 | 33,926,000 | 33,565,000 | 41,958,000 | 39,019,000 | 35,059,000 | 33,191,000 | 30,835,000 | 27,538,000 | 27,368,000 | 28,756,000 | 23,834,000 | 23,631,000 | 25,363,000 | 25,389,000 | 21,897,000 | 21,072,000 | 20,026,000 | 21,141,000 | 21,091,000 |
lease liabilities—current | 116,500,000 | 114,816,000 | 110,817,000 | 103,825,000 | 97,176,000 | 93,475,000 | 93,868,000 | 89,176,000 | 85,898,000 | 82,526,000 | 80,956,000 | 78,733,000 | 77,419,000 | 65,796,000 | 60,951,000 | 58,769,000 | 57,902,000 | 52,181,000 | 52,050,000 | 51,807,000 | 50,056,000 | 48,187,000 | 47,342,000 | 46,983,000 | 46,055,000 | 44,964,000 | 60,817,000 | 59,686,000 | 58,220,000 | |||||||||||||||||||||||||||||||||||||||||||||
accrued self-insurance liabilities—current | 94,868,000 | 81,623,000 | 73,854,000 | 75,542,000 | 69,959,000 | 67,331,000 | 57,989,000 | 61,356,000 | 62,589,000 | 54,664,000 | 50,197,000 | 49,907,000 | 50,280,000 | 48,187,000 | 47,136,000 | 49,728,000 | 43,728,000 | 40,831,000 | 38,730,000 | 36,222,000 | 35,135,000 | 34,396,000 | 33,022,000 | 29,493,000 | 28,873,000 | 29,252,000 | 26,707,000 | 26,981,000 | 25,375,000 | 25,446,000 | 23,113,000 | 24,826,000 | 22,163,000 | 22,516,000 | 21,639,000 | 21,010,000 | 20,461,000 | 21,359,000 | 22,076,000 | 20,829,000 | 18,204,000 | 18,122,000 | 17,069,000 | 16,537,000 | 16,694,000 | 15,794,000 | 15,642,000 | 14,771,000 | 13,335,000 | 15,461,000 | 16,154,000 | 14,662,000 | 16,769,000 | 16,034,000 | 15,897,000 | 16,259,000 | 12,946,000 | 12,035,000 | 11,518,000 | 12,742,000 | 10,672,000 | 10,500,000 | 10,079,000 | 8,543,000 | 8,413,000 | 7,239,000 | 6,997,000 | 7,587,000 | 7,148,000 | 7,342,000 | ||||
other accrued liabilities | 202,766,000 | 174,027,000 | 160,042,000 | 134,820,000 | 153,857,000 | 132,057,000 | 169,195,000 | 164,640,000 | 180,408,000 | 168,228,000 | 148,128,000 | 121,086,000 | 110,938,000 | 97,309,000 | 100,193,000 | 85,793,000 | 100,161,000 | 89,410,000 | 85,469,000 | 85,793,000 | 97,639,000 | 87,318,000 | 89,625,000 | 95,921,000 | 77,093,000 | 70,273,000 | 84,250,000 | 69,816,000 | 69,954,000 | 69,784,000 | 74,297,000 | 66,972,000 | 63,088,000 | 63,815,000 | 66,266,000 | 58,787,000 | 61,154,000 | 58,763,000 | 57,531,000 | 47,353,000 | 46,018,000 | 46,205,000 | 43,492,000 | 34,431,000 | 34,245,000 | 24,630,000 | 26,751,000 | 23,697,000 | 23,584,000 | 25,698,000 | 21,525,000 | 19,216,000 | 23,932,000 | 21,210,000 | 22,615,000 | 18,534,000 | 16,912,000 | 18,577,000 | 15,968,000 | 13,142,000 | 13,445,000 | 13,247,000 | 13,442,000 | 11,850,000 | 15,375,000 | 10,931,000 | 11,448,000 | 12,401,000 | 11,050,000 | 10,869,000 | 10,515,000 | 10,916,000 | 11,137,000 | 11,884,000 |
current maturities of long-term debt | 4,263,000 | 4,227,000 | 4,191,000 | 4,155,000 | 4,120,000 | 4,086,000 | 4,051,000 | 4,017,000 | 3,983,000 | 3,950,000 | 3,916,000 | 3,883,000 | 3,851,000 | 3,883,000 | 3,914,000 | 3,944,000 | 3,723,000 | 3,760,000 | 3,548,000 | 3,009,000 | 2,828,000 | 2,960,000 | 3,139,000 | 3,292,000 | 2,727,000 | 2,702,000 | 10,177,000 | 10,153,000 | 10,129,000 | 10,105,000 | 10,080,000 | 10,058,000 | 10,035,000 | 9,939,000 | 8,170,000 | 8,165,000 | 8,155,000 | 8,129,000 | 8,141,000 | 634,000 | 627,000 | 620,000 | 613,000 | 501,000 | 112,000 | 111,000 | 110,000 | 7,469,000 | 7,411,000 | 7,354,000 | 7,297,000 | 7,242,000 | 7,187,000 | 7,133,000 | 7,080,000 | 7,028,000 | 6,314,000 | 6,271,000 | 3,026,000 | 3,165,000 | 2,165,000 | 2,125,000 | 2,087,000 | 2,065,000 | 1,122,000 | 1,064,000 | 1,095,000 | 1,062,000 | 1,089,000 | 1,023,000 | 3,017,000 | 2,993,000 | 3,004,000 | |
total current liabilities | 848,046,000 | 894,346,000 | 825,230,000 | 755,545,000 | 705,207,000 | 743,428,000 | 768,940,000 | 730,769,000 | 709,721,000 | 734,747,000 | 671,797,000 | 618,989,000 | 585,277,000 | 582,072,000 | 567,040,000 | 531,924,000 | 513,558,000 | 523,068,000 | 483,109,000 | 460,986,000 | 443,020,000 | 562,399,000 | 525,202,000 | 581,038,000 | 330,143,000 | 343,173,000 | 354,629,000 | 327,348,000 | 311,443,000 | 269,227,000 | 247,860,000 | 230,336,000 | 211,281,000 | 225,821,000 | 222,488,000 | 204,578,000 | 209,874,000 | 211,928,000 | 199,059,000 | 178,920,000 | 168,111,000 | 179,866,000 | 161,348,000 | 143,794,000 | 150,392,000 | 130,433,000 | 118,445,000 | 109,566,000 | 111,854,000 | 112,456,000 | 150,873,000 | 145,001,000 | 153,966,000 | 121,347,000 | 103,724,000 | 96,876,000 | 87,054,000 | 100,387,000 | 96,027,000 | 82,200,000 | 88,722,000 | 74,535,000 | 69,872,000 | 71,813,000 | 71,768,000 | 57,304,000 | 58,895,000 | 61,270,000 | 57,637,000 | 53,119,000 | 52,787,000 | 53,306,000 | 57,394,000 | 55,130,000 |
long-term lease liabilities—less current portion | 1,987,386,000 | 1,949,213,000 | 1,902,946,000 | 1,792,218,000 | 1,767,210,000 | 1,735,325,000 | 1,777,566,000 | 1,720,250,000 | 1,701,652,000 | 1,639,326,000 | 1,657,955,000 | 1,657,782,000 | 1,676,987,000 | 1,355,113,000 | 1,259,717,000 | 1,216,335,000 | 1,207,104,000 | 1,056,515,000 | 1,093,176,000 | 1,034,517,000 | 973,679,000 | 950,320,000 | 952,866,000 | 958,249,000 | 970,350,000 | 973,983,000 | 974,496,000 | 988,145,000 | 963,172,000 | |||||||||||||||||||||||||||||||||||||||||||||
accrued self-insurance liabilities—less current portion | 183,860,000 | 164,792,000 | 160,646,000 | 158,991,000 | 150,661,000 | 144,421,000 | 126,037,000 | 123,835,000 | 117,364,000 | 111,246,000 | 97,502,000 | 92,794,000 | 94,023,000 | 83,495,000 | 77,621,000 | 76,793,000 | 71,602,000 | 69,308,000 | 68,299,000 | 66,556,000 | 66,742,000 | 62,402,000 | 62,016,000 | 61,324,000 | 60,185,000 | 58,114,000 | 58,958,000 | 57,565,000 | 56,419,000 | 54,605,000 | 54,704,000 | 53,775,000 | 51,518,000 | 50,220,000 | 50,012,000 | 48,658,000 | 46,827,000 | 43,992,000 | 45,717,000 | 43,365,000 | 39,872,000 | 37,881,000 | 36,938,000 | 35,856,000 | 34,695,000 | 34,166,000 | 33,658,000 | 32,792,000 | 32,944,000 | 33,642,000 | 35,393,000 | 36,376,000 | 36,121,000 | 34,849,000 | 34,928,000 | 33,492,000 | 32,942,000 | 32,014,000 | 31,438,000 | 29,019,000 | 25,393,000 | 25,059,000 | 23,572,000 | 21,762,000 | 20,693,000 | |||||||||
other long-term liabilities | 86,281,000 | 82,266,000 | 76,156,000 | 62,978,000 | 66,026,000 | 64,169,000 | 63,092,000 | 55,854,000 | 51,673,000 | 49,408,000 | 42,832,000 | 41,997,000 | 37,858,000 | 33,273,000 | 28,957,000 | 27,821,000 | 28,272,000 | 27,135,000 | 48,821,000 | 46,564,000 | 41,620,000 | 39,686,000 | 46,140,000 | 25,877,000 | 5,955,000 | 5,278,000 | 3,968,000 | 2,977,000 | 1,662,000 | |||||||||||||||||||||||||||||||||||||||||||||
long-term debt—less current maturities | 136,491,000 | 137,529,000 | 138,557,000 | 139,576,000 | 140,585,000 | 141,585,000 | 142,577,000 | 143,559,000 | 144,533,000 | 145,497,000 | 146,453,000 | 147,401,000 | 148,339,000 | 149,269,000 | 150,191,000 | 151,105,000 | 152,010,000 | 152,883,000 | 140,680,000 | 111,287,000 | 111,859,000 | 112,544,000 | 113,222,000 | 143,893,000 | 344,558,000 | 325,217,000 | 265,692,000 | 268,179,000 | 240,660,000 | 233,135,000 | 245,604,000 | 268,066,000 | 280,449,000 | 302,990,000 | 287,456,000 | 284,465,000 | 258,478,000 | 275,486,000 | 162,474,000 | 183,722,000 | 145,642,000 | 99,051,000 | 69,209,000 | 49,019,000 | 3,251,000 | 68,279,000 | 3,307,000 | 250,019,000 | 251,895,000 | 205,046,000 | 206,874,000 | 198,687,000 | 200,505,000 | 192,299,000 | 194,069,000 | 195,826,000 | 168,130,000 | 137,124,000 | 138,656,000 | 105,847,000 | 106,363,000 | 106,868,000 | 58,632,000 | 58,953,000 | 59,181,000 | 59,735,000 | 60,032,000 | 60,290,000 | 60,825,000 | |||||
total liabilities | 3,242,064,000 | 3,228,146,000 | 3,103,535,000 | 2,909,308,000 | 2,829,689,000 | 2,828,928,000 | 2,878,212,000 | 2,774,267,000 | 2,724,943,000 | 2,680,224,000 | 2,616,539,000 | 2,558,963,000 | 2,542,484,000 | 2,203,222,000 | 2,083,526,000 | 2,003,978,000 | 1,972,546,000 | 1,828,909,000 | 1,834,085,000 | 1,719,910,000 | 1,636,920,000 | 1,727,351,000 | 1,699,446,000 | 1,770,381,000 | 1,711,191,000 | 1,705,765,000 | 1,657,743,000 | 1,644,214,000 | 1,573,356,000 | 579,618,000 | 571,199,000 | 575,568,000 | 566,766,000 | 602,374,000 | 583,685,000 | 561,223,000 | 526,159,000 | 540,530,000 | 415,795,000 | 415,982,000 | 363,485,000 | 320,774,000 | 271,306,000 | 232,026,000 | 191,598,000 | 236,113,000 | 158,561,000 | 145,520,000 | 399,670,000 | 403,058,000 | 396,470,000 | 393,341,000 | 394,584,000 | 337,373,000 | 330,472,000 | 321,178,000 | ||||||||||||||||||
commitments and contingencies | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
equity | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
ensign group, inc. stockholders' equity: | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
common stock: 0.001 par value... | 62,000 | 62,000 | 61,000 | 61,000 | 61,000 | 61,000 | 61,000 | 61,000 | 60,000 | 60,000 | 60,000 | 60,000 | 60,000 | 59,000 | 58,000 | 58,000 | 58,000 | 58,000 | 58,000 | 58,000 | 58,000 | 58,000 | 57,000 | 57,000 | 57,000 | 56,000 | ||||||||||||||||||||||||||||||||||||||||||||||||
additional paid-in capital | 653,401,000 | 614,724,000 | 593,781,000 | 572,200,000 | 551,867,000 | 528,052,000 | 514,336,000 | 499,411,000 | 486,336,000 | 465,707,000 | 451,883,000 | 440,532,000 | 429,783,000 | 415,560,000 | 405,555,000 | 398,793,000 | 383,181,000 | 369,760,000 | 363,779,000 | 357,451,000 | 349,836,000 | 338,177,000 | 328,347,000 | 319,770,000 | 315,786,000 | 307,914,000 | 303,680,000 | 298,891,000 | 292,612,000 | 284,384,000 | 278,802,000 | 274,982,000 | 270,948,000 | 266,058,000 | 262,403,000 | 258,632,000 | 255,302,000 | 252,493,000 | 248,785,000 | 244,755,000 | 241,022,000 | 235,076,000 | 231,974,000 | 228,912,000 | 225,009,000 | 114,293,000 | 110,090,000 | 107,876,000 | 104,229,000 | 101,364,000 | 98,077,000 | 95,703,000 | 93,730,000 | 90,949,000 | 84,881,000 | 82,484,000 | 80,552,000 | 77,257,000 | 75,695,000 | 73,973,000 | 72,861,000 | 69,709,000 | 68,699,000 | 68,002,000 | 66,765,000 | 66,171,000 | 65,262,000 | 64,752,000 | 64,110,000 | 63,681,000 | 63,099,000 | 62,766,000 | 62,142,000 | 2,488,000 |
retained earnings | 1,852,008,000 | 1,756,137,000 | 1,664,458,000 | 1,584,233,000 | 1,503,442,000 | 1,426,762,000 | 1,350,664,000 | 1,275,657,000 | 1,208,074,000 | 1,142,653,000 | 1,124,358,000 | 1,063,738,000 | 1,002,976,000 | 946,339,000 | 889,069,000 | 835,941,000 | 781,290,000 | 733,992,000 | 688,287,000 | 643,906,000 | 597,375,000 | 551,055,000 | 507,554,000 | 467,219,000 | 429,689,000 | 391,523,000 | 426,414,000 | 401,996,000 | 378,443,000 | 344,901,000 | 321,448,000 | 303,157,000 | 285,398,000 | 264,691,000 | 255,903,000 | 244,049,000 | 235,689,000 | 235,021,000 | 218,887,000 | 209,778,000 | 200,566,000 | 193,420,000 | 181,890,000 | 170,355,000 | 159,095,000 | 145,846,000 | 136,043,000 | 128,721,000 | 269,459,000 | 257,502,000 | 245,710,000 | 236,689,000 | 225,760,000 | 239,344,000 | 238,831,000 | 226,843,000 | 215,685,000 | 204,073,000 | 195,001,000 | 184,572,000 | 172,757,000 | 150,647,000 | 141,802,000 | 133,222,000 | 124,910,000 | 117,249,000 | 110,491,000 | 103,234,000 | 96,237,000 | 89,304,000 | 83,328,000 | 77,632,000 | 72,119,000 | 66,708,000 |
treasury stock | -139,221,000 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
total ensign group, inc. stockholders' equity | 2,366,250,000 | 2,231,725,000 | 2,119,465,000 | 2,017,659,000 | 1,926,817,000 | 1,837,111,000 | 1,747,297,000 | 1,657,365,000 | 1,577,901,000 | 1,491,865,000 | 1,459,746,000 | 1,387,775,000 | 1,318,173,000 | 1,247,332,000 | 1,180,056,000 | 1,120,166,000 | 1,071,590,000 | 1,020,768,000 | 979,200,000 | 928,593,000 | 876,047,000 | 818,077,000 | 764,755,000 | 715,997,000 | 675,236,000 | 654,197,000 | 686,259,000 | 662,052,000 | 632,705,000 | 590,935,000 | 561,899,000 | 539,788,000 | 517,995,000 | 492,397,000 | 479,954,000 | 464,329,000 | 453,859,000 | 456,449,000 | 436,607,000 | 423,454,000 | 410,417,000 | 427,324,000 | 412,596,000 | 397,999,000 | 382,826,000 | 258,851,000 | 244,651,000 | 235,111,000 | 371,132,000 | 356,096,000 | 340,536,000 | 329,165,000 | 315,867,000 | 326,471,000 | 319,486,000 | 305,102,000 | 292,507,000 | |||||||||||||||||
non-controlling interest | 3,447,000 | 3,099,000 | 3,437,000 | 3,324,000 | 3,340,000 | 3,317,000 | 3,650,000 | 5,706,000 | 5,566,000 | 5,452,000 | 5,696,000 | 5,618,000 | 1,581,000 | 1,468,000 | 1,692,000 | 527,000 | 423,000 | 946,000 | 94,000 | 50,000 | -467,000 | 150,000 | 789,000 | 1,779,000 | 1,579,000 | 1,947,000 | 15,547,000 | 15,255,000 | 12,298,000 | 11,405,000 | 10,477,000 | 10,491,000 | 7,948,000 | 7,662,000 | 7,209,000 | 6,632,000 | 4,451,000 | 4,046,000 | 1,013,000 | 639,000 | -221,000 | -339,000 | -1,399,000 | -1,086,000 | -1,130,000 | -1,048,000 | -333,000 | 201,000 | 676,000 | 1,161,000 | 1,234,000 | 1,086,000 | 1,049,000 | -422,000 | -159,000 | -58,000 | ||||||||||||||||||
total equity | 2,369,697,000 | 2,234,824,000 | 2,122,902,000 | 2,020,983,000 | 1,930,157,000 | 1,840,428,000 | 1,750,947,000 | 1,663,071,000 | 1,583,467,000 | 1,497,317,000 | 1,465,442,000 | 1,393,393,000 | 1,319,754,000 | 1,248,800,000 | 1,181,748,000 | 1,120,693,000 | 1,072,013,000 | 1,021,714,000 | 979,294,000 | 928,643,000 | 875,580,000 | 818,227,000 | 765,544,000 | 717,776,000 | 676,815,000 | 656,144,000 | 701,806,000 | 677,307,000 | 645,003,000 | 602,340,000 | 572,376,000 | 550,279,000 | 525,943,000 | 500,059,000 | 487,163,000 | 470,961,000 | 458,310,000 | 460,495,000 | 437,620,000 | 424,093,000 | 410,196,000 | 426,985,000 | 411,197,000 | 396,913,000 | 381,696,000 | 257,803,000 | 244,318,000 | 235,312,000 | 371,808,000 | 357,257,000 | 341,770,000 | 330,251,000 | 316,916,000 | 327,884,000 | 319,064,000 | 304,943,000 | 292,449,000 | |||||||||||||||||
total liabilities and equity | 5,611,761,000 | 5,462,970,000 | 5,226,437,000 | 4,930,291,000 | 4,759,846,000 | 4,669,356,000 | 4,629,159,000 | 4,437,338,000 | 4,308,410,000 | 4,177,541,000 | 4,081,981,000 | 3,952,356,000 | 3,862,238,000 | 3,452,022,000 | 3,265,274,000 | 3,124,671,000 | 3,044,559,000 | 2,850,623,000 | 2,813,379,000 | 2,648,553,000 | 2,512,500,000 | 2,545,578,000 | 2,464,990,000 | 2,488,157,000 | 2,388,006,000 | 2,361,909,000 | 2,359,549,000 | 2,321,521,000 | 2,218,359,000 | 1,181,958,000 | 1,143,575,000 | 1,125,847,000 | 1,092,709,000 | 1,102,433,000 | 1,070,848,000 | 1,032,184,000 | 984,469,000 | 1,001,025,000 | 853,415,000 | 840,075,000 | 773,681,000 | 747,759,000 | 682,503,000 | 628,939,000 | 573,294,000 | 493,916,000 | 402,879,000 | 380,832,000 | 771,478,000 | 760,315,000 | 738,240,000 | 723,592,000 | 711,500,000 | 690,862,000 | 667,948,000 | 646,921,000 | 625,208,000 | |||||||||||||||||
accounts receivable—less allowance for doubtful accounts of 7,805 and 8,435 at december 31, 2025 and 2024, respectively | 636,985,000 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
common stock in treasury, at cost, 3,567 and 3,400 shares at december 31, 2025 and 2024, respectively | -139,198,000 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
accounts receivable—less allowance for doubtful accounts of 7,948 and 8,435 at september 30, 2025 and december 31, 2024, respectively | 612,744,000 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
common stock in treasury, at cost, 3,564 and 3,400 shares at september 30, 2025 and december 31, 2024, respectively | -138,835,000 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
accounts receivable—less allowance for doubtful accounts of 8,320 and 8,435 at june 30, 2025 and december 31, 2024, respectively | 578,050,000 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
common stock in treasury, at cost, 3,564 and 3,400 shares at june 30, 2025 and december 31, 2024, respectively | -138,835,000 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
accounts receivable—less allowance for doubtful accounts of 8,400 and 8,435 at march 31, 2025 and december 31, 2024, respectively | 584,048,000 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
common stock in treasury, at cost, 3,484 and 3,400 shares at march 31, 2025 and december 31, 2024, respectively | -128,553,000 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
accounts receivable—less allowance for doubtful accounts of 8,435 and 9,348 at december 31, 2024 and 2023, respectively | 569,897,000 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
common stock in treasury, at cost, 3,400 and 3,390 shares at december 31, 2024 and 2023, respectively | -117,764,000 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
accounts receivable—less allowance for doubtful accounts of 9,822 and 9,348 at september 30, 2024 and december 31, 2023, respectively | 554,091,000 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
prepaid income taxes | 25,960,000 | 18,798,000 | 4,643,000 | 15,298,000 | 16,336,000 | 5,452,000 | 4,136,000 | 8,814,000 | 1,224,000 | 13,550,000 | 739,000 | 2,536,000 | 5,934,000 | 148,000 | 6,219,000 | 6,509,000 | 8,590,000 | 12,794,000 | 19,447,000 | 14,122,000 | 10,343,000 | 50,000 | 302,000 | 1,325,000 | 7,873,000 | 3,254,000 | 8,141,000 | 6,792,000 | 4,719,000 | 2,992,000 | 5,078,000 | 10,217,000 | 2,665,000 | 9,915,000 | 11,435,000 | 10,729,000 | 8,400,000 | 3,787,000 | 3,232,000 | 2,616,000 | 246,000 | 5,882,000 | 3,857,000 | 1,427,000 | 397,000 | 1,245,000 | 1,242,000 | 2,177,000 | 1,399,000 | 1,495,000 | 5,835,000 | |||||||||||||||||||||||
common stock in treasury, at cost, 3,400 and 3,390 shares at september 30, 2024 and december 31, 2023, respectively | -117,764,000 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
accounts receivable—less allowance for doubtful accounts of 9,460 and 9,348 at june 30, 2024 and december 31, 2023, respectively | 547,121,000 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
common stock in treasury, at cost, 3,400 and 3,390 shares at june 30, 2024 and december 31, 2023, respectively | -117,764,000 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
accounts receivable—less allowance for doubtful accounts of 9,463 and 9,348 at march 31, 2024 and december 31, 2023, respectively | 519,439,000 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
common stock in treasury, at cost, 3,390 shares at both march 31, 2024 and december 31, 2023 | -116,569,000 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
accounts receivable—less allowance for doubtful accounts of 9,348 and 7,802 at december 31, 2023 and 2022, respectively | 485,039,000 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
common stock in treasury, at cost, 3,390 and 3,368 shares at december 31, 2023 and 2022, respectively | -116,555,000 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
accounts receivable—less allowance for doubtful accounts of 9,422 and 7,802 at september 30, 2023 and december 31, 2022, respectively | 472,123,000 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
common stock in treasury, at cost, 3,390 and 3,368 shares at september 30, 2023 and december 31, 2022, respectively | -116,555,000 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
accounts receivable—less allowance for doubtful accounts of 9,281 and 7,802 at june 30, 2023 and december 31, 2022, respectively | 446,025,000 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
common stock in treasury, at cost, 3,390 and 3,368 shares at june 30, 2023 and december 31, 2022, respectively | -116,555,000 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
accounts receivable—less allowance for doubtful accounts of 9,580 and 7,802 at march 31, 2023 and december 31, 2022, respectively | 444,181,000 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
other indefinite-lived intangibles | 3,972,000 | 3,972,000 | 3,972,000 | 3,807,000 | 3,727,000 | 3,727,000 | 3,621,000 | 3,621,000 | 3,546,000 | 3,716,000 | 3,299,000 | 3,068,000 | 3,068,000 | 3,068,000 | 36,098,000 | 30,922,000 | 28,118,000 | 27,602,000 | 26,201,000 | 25,249,000 | 25,249,000 | 25,249,000 | 24,653,000 | 24,444,000 | 20,990,000 | 19,586,000 | 19,086,000 | 19,246,000 | 18,896,000 | 18,646,000 | 17,716,000 | 16,226,000 | 14,551,000 | 12,361,000 | 10,509,000 | 8,340,000 | 7,740,000 | 7,740,000 | 7,740,000 | 7,740,000 | 7,740,000 | 10,888,000 | 10,598,000 | 10,598,000 | 9,911,000 | 1,481,000 | 1,481,000 | 1,241,000 | 672,000 | 672,000 | 672,000 | |||||||||||||||||||||||
common stock in treasury, at cost, 3,369 and 3,368 shares at march 31, 2023 and december 31, 2022, respectively | -114,646,000 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
accounts receivable—less allowance for doubtful accounts of 7,802 and 11,213 at december 31, 2022 and 2021, respectively | 408,432,000 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
common stock in treasury, at cost, 3,368 and 2,944 shares at december 31, 2022 and 2021, respectively | -114,626,000 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
accounts receivable—less allowance for doubtful accounts of 7,865 and 11,213 at september 30, 2022 and december 31, 2021, respectively | 353,956,000 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
escrow deposits | 8,287,000 | 15,571,000 | 400,000 | 100,000 | 350,000 | 100,000 | 35,000 | 364,000 | 14,050,000 | 50,000 | 300,000 | 7,271,000 | 660,000 | 2,652,000 | 10,025,000 | 228,000 | 849,000 | 23,925,000 | 2,394,000 | 1,582,000 | 1,298,000 | 6,704,000 | 1,646,000 | 400,000 | 2,310,000 | 3,344,000 | 2,485,000 | 16,153,000 | 600,000 | 1,880,000 | 3,252,000 | 1,000,000 | 250,000 | 4,506,000 | 7,843,000 | 4,635,000 | 210,000 | 2,940,000 | 175,000 | 9,718,000 | 1,450,000 | 250,000 | 500,000 | 7,595,000 | 17,014,000 | 10,090,000 | ||||||||||||||||||||||||||||
common stock in treasury, at cost, 3,368 and 2,944 shares at september 30, 2022 and december 31, 2021, respectively | -114,626,000 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
accounts receivable—less allowance for doubtful accounts of 7,827 and 11,213 at june 30, 2022 and december 31, 2021, respectively | 339,001,000 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
common stock in treasury, at cost, 3,368 and 2,944 shares at june 30, 2022 and december 31, 2021, respectively | -114,626,000 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
accounts receivable—less allowance for doubtful accounts of 13,212 and 11,213 at march 31, 2022 and december 31, 2021, respectively | 339,886,000 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
common stock in treasury, at cost, 3,077 and 2,944 shares at march 31, 2022 and december 31, 2021, respectively | -92,939,000 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
accounts receivable—less allowance for doubtful accounts of 11,213 and 8,718 at december 31, 2021 and 2020, respectively | 328,731,000 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
advance payment liabilities | 102,023,000 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
common stock in treasury, at cost, 2,944 and 2,791 shares at december 31, 2021 and 2020, respectively | -83,042,000 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
accounts receivable—less allowance for doubtful accounts of 11,267 and 8,718 at september 30, 2021 and december 31, 2020, respectively | 313,858,000 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
common stock in treasury, at cost, 2,812 and 2,791 shares at september 30, 2021 and december 31, 2020, respectively | -72,924,000 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
accounts receivable—less allowance for doubtful accounts of 10,602 and 8,718 at june 30, 2021 and december 31, 2020, respectively | 313,663,000 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
common stock in treasury, at cost, 2,811 and 2,791 shares at june 30, 2021 and december 31, 2020, respectively | -72,822,000 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
accounts receivable—less allowance for doubtful accounts of 11,090 and 8,718 at march 31, 2021 and december 31, 2020, respectively | 312,578,000 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
common stock in treasury, at cost, 2,791 shares at both periods ended march 31, 2021 and december 31, 2020 | -71,222,000 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
accounts receivable—less allowance for doubtful accounts of 8,718 and 2,472 at december 31, 2020 and 2019, respectively | 305,062,000 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
common stock in treasury, at cost, 2,791 and 2,079 shares at december 31, 2020 and 2019, respectively | -71,213,000 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
accounts receivable—less allowance for doubtful accounts of 6,053 and 2,472 at september 30, 2020 and december 31, 2019, respectively | 294,151,000 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
cares act provider relief fund and advance payment liabilities | 123,988,000 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
common stock in treasury, at cost, 2,791 and 2,079 shares at september 30, 2020 and december 31, 2019, respectively | -71,203,000 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
accounts receivable—less allowance for doubtful accounts of 3,685 and 2,472 at june 30, 2020 and december 31, 2019, respectively | 302,061,000 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
cares act provider relief fund and advance payments liabilities | 207,642,000 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
common stock in treasury, at cost, 2,788 and 2,079 shares at june 30, 2020 and december 31, 2019, respectively | -71,049,000 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
accounts receivable—less allowance for doubtful accounts of 3,421 and 2,472 at march 31, 2020 and december 31, 2019, respectively | 329,518,000 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
common stock in treasury, at cost, 2,771 and 2,079 shares at march 31, 2020 and december 31, 2019, respectively | -70,296,000 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
accounts receivable—less allowance for doubtful accounts of 2,472 and 2,270 at december 31, 2019 and 2018, respectively | 308,985,000 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
assets held for sale - current | 1,859,000 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
current assets of discontinued operations | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
long-term assets of discontinued operations | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
current liabilities of discontinued operations | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
deferred gain related to sale-leaseback | 11,417,000 | 11,581,000 | 11,746,000 | 11,910,000 | 12,075,000 | 12,239,000 | 12,403,000 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
long-term liabilities of discontinued operations | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
equity: | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
common stock in treasury, at cost, 2,079 and 1,932 shares at december 31, 2019 and 2018, respectively | -45,296,000 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
accounts receivable—less allowance for doubtful accounts of 3,707 and 2,886 at september 30, 2019 and december 31, 2018, respectively | 308,093,000 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
common stock; 0.001 par value... | 55,000 | 55,000 | 55,000 | 55,000 | 54,000 | 54,000 | 54,000 | 53,000 | 53,000 | 53,000 | 53,000 | 52,000 | 52,000 | 52,000 | 52,000 | 51,000 | 26,000 | 26,000 | 26,000 | 22,000 | 23,000 | 23,000 | 22,000 | 22,000 | 22,000 | 22,000 | 22,000 | 22,000 | 22,000 | 22,000 | 22,000 | 22,000 | 22,000 | 21,000 | 21,000 | 21,000 | 21,000 | 21,000 | 21,000 | 21,000 | 21,000 | 21,000 | 21,000 | 21,000 | 21,000 | 21,000 | 21,000 | 14,000 | ||||||||||||||||||||||||||
common stock in treasury, at cost, 2,046 and 1,932 shares at september 30, 2019 and december 31, 2018, respectively | -43,890,000 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
accounts receivable—less allowance for doubtful accounts of 3,726 and 2,886 at june 30, 2019 and december 31, 2018, respectively | 296,935,000 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
common stock in treasury, at cost, 1,941 and 1,932 shares at june 30, 2019 and december 31, 2018, respectively | -38,890,000 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
accounts receivable—less allowance for doubtful accounts of 3,380 and 2,886 at march 31, 2019 and december 31, 2018, respectively | 291,701,000 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
common stock in treasury, at cost, 1,932 shares at march 31, 2019 and december 31, 2018, respectively | -38,405,000 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
accounts receivable—less allowance for doubtful accounts of 2,886 and 43,961 at december 31, 2018 and 2017, respectively | 276,099,000 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
deferred rent and other long-term liabilities | 11,234,000 | 11,450,000 | 11,645,000 | 11,608,000 | 11,268,000 | 11,490,000 | 11,119,000 | 10,980,000 | 9,124,000 | 8,545,000 | 9,975,000 | 9,860,000 | 3,976,000 | 3,811,000 | 3,357,000 | 3,260,000 | 3,235,000 | 3,151,000 | 3,162,000 | 3,222,000 | 3,237,000 | 3,155,000 | 3,142,000 | 3,213,000 | 3,411,000 | 3,306,000 | 3,312,000 | 3,206,000 | 2,864,000 | 2,253,000 | 2,643,000 | 2,663,000 | 2,951,000 | 2,897,000 | 3,415,000 | 2,524,000 | 4,913,000 | 4,674,000 | 4,791,000 | 4,890,000 | 1,887,000 | 2,238,000 | 2,462,000 | 2,505,000 | 2,675,000 | |||||||||||||||||||||||||||||
common stock in treasury, at cost, 1,932 shares at december 31, 2018 and 2017, respectively | -38,405,000 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
accounts receivable—less allowance for doubtful accounts of 2,484 and 43,961 at september 30, 2018 and december 31, 2017, respectively | 261,454,000 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
common stock in treasury, at cost, 1,932 shares at september 30, 2018 and december 31, 2017, respectively | -38,405,000 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
accounts receivable—less allowance for doubtful accounts of 1,643 and 43,961 at june 30, 2018 and december 31, 2017, respectively | 251,042,000 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
common stock in treasury, at cost, 1,932 shares at june 30, 2018 and december 31, 2017, respectively | -38,405,000 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
accounts receivable—less allowance for doubtful accounts of 1,762 and 43,961 at march 31, 2018 and december 31, 2017, respectively | 258,509,000 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
common stock in treasury, at cost, 1,932 shares at march 31, 2018 and december 31, 2017, respectively | -38,405,000 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
accounts receivable—less allowance for doubtful accounts of 43,961 and 39,791 at december 31, 2017 and 2016, respectively | 265,068,000 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
common stock in treasury, at cost, 1,932 and 1,520 shares at december 31, 2017 and 2016, respectively | -38,405,000 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
accounts receivable—less allowance for doubtful accounts of 43,328 and 39,791 at september 30, 2017 and december 31, 2016, respectively | 255,119,000 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
deferred tax asset | 22,499,000 | 23,013,000 | 23,013,000 | 23,073,000 | 21,427,000 | 20,823,000 | 20,823,000 | 5,449,000 | 10,597,000 | 11,500,000 | 11,500,000 | 11,509,000 | 11,493,000 | 10,930,000 | 4,380,000 | 4,464,000 | 3,576,000 | 3,490,000 | 3,753,000 | 2,234,000 | 4,787,000 | 4,913,000 | 4,380,000 | 3,514,000 | 5,681,000 | 6,669,000 | 5,973,000 | 6,392,000 | 6,659,000 | 5,488,000 | 4,262,000 | 4,546,000 | 3,229,000 | 2,793,000 | 2,565,000 | 4,119,000 | 5,309,000 | 5,396,000 | 4,865,000 | 7,386,000 | ||||||||||||||||||||||||||||||||||
accrued charge related to class action lawsuit | 11,000,000 | 11,000,000 | 11,000,000 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
common stock in treasury, at cost, 1,932 and 1,520 shares at september 30, 2017 and december 31, 2016, respectively | -38,405,000 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
accounts receivable—less allowance for doubtful accounts of 39,759 and 39,791 at june 30, 2017 and december 31, 2016, respectively | 243,248,000 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
common stock in treasury, at cost, 1,932 and 1,520 shares at june 30, 2017 and december 31, 2016, respectively | -38,405,000 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
accounts receivable—less allowance for doubtful accounts of 40,422 and 39,791 at march 31, 2017 and december 31, 2016, respectively | 242,863,000 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
common stock in treasury, at cost, 1,863 and 1,520 shares at march 31, 2017 and december 31, 2016, respectively | -37,185,000 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
accounts receivable—less allowance for doubtful accounts of 39,791 and 30,308 at december 31, 2016 and december 31, 2015, respectively | 244,433,000 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
common stock in treasury, at cost, 1,520 and 123 shares at december 31, 2016 and december 31, 2015, respectively | -31,117,000 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
accounts receivable—less allowance for doubtful accounts of 36,960 and 30,308 at september 30, 2016 and december 31, 2015, respectively | 232,465,000 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
assets held for sale—current | 8,466,000 | 422,000 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
liabilities held for sale—current | 1,709,000 | 875,000 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
common stock in treasury, at cost, 1,520 and 123 shares at september 30, 2016 and december 31, 2015, respectively | -31,117,000 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
accounts receivable—less allowance for doubtful accounts of 33,654 and 30,308 at june 30, 2016 and december 31, 2015, respectively | 226,623,000 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
common stock in treasury, at cost, 1,527 and 123 shares at june 30, 2016 and december 31, 2015, respectively | -31,131,000 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
accounts receivable—less allowance for doubtful accounts of 32,098 and 30,308 at march 31, 2016 and december 31, 2015, respectively | 217,171,000 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
common stock in treasury, at cost, 1,575 and 123 shares at march 31, 2016 and december 31, 2015, respectively | -31,223,000 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
restricted cash—current | 1,481,000 | 3,388,000 | 5,082,000 | 6,652,000 | 6,400,000 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
accounts receivable—less allowance for doubtful accounts of 30,308 and 20,438 at december 31, 2015 and 2014, respectively | 209,026,000 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
deferred tax asset—current | 15,403,000 | 10,736,000 | 10,602,000 | 10,602,000 | 10,615,000 | 8,033,000 | 8,633,000 | 9,221,000 | 9,232,000 | 13,966,000 | 13,351,000 | 13,370,000 | 14,871,000 | 10,178,000 | 10,620,000 | 8,676,000 | 11,942,000 | 10,147,000 | 8,696,000 | 10,707,000 | 8,868,000 | 7,615,000 | 8,401,000 | 9,690,000 | 8,040,000 | 6,663,000 | 6,858,000 | 6,558,000 | 8,669,000 | |||||||||||||||||||||||||||||||||||||||||||||
common stock in treasury, at cost, 123 and 150 shares at december 31, 2015 and 2014, respectively | -1,223,000 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
accounts receivable—less allowance for doubtful accounts of 27,595 and 20,438 at september 30, 2015 and december 31, 2014, respectively | 192,016,000 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
common stock in treasury, at cost, 146 and 150 shares at september 30, 2015 and december 31, 2014, respectively | -1,294,000 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
accounts receivable—less allowance for doubtful accounts of 23,913 and 20,438 at june 30, 2015 and december 31, 2014, respectively | 171,362,000 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
common stock in treasury, at cost, 146 and 150 shares at june 30, 2015 and december 31, 2014, respectively | -1,294,000 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
accounts receivable—less allowance for doubtful accounts of 23,005 and 20,438 at march 31, 2015 and december 31, 2014, respectively | 162,267,000 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
income tax payable | 5,914,000 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
common stock in treasury, at cost, 149 and 150 shares at march 31, 2015 and december 31, 2014, respectively | -1,304,000 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
accounts receivable—less allowance for doubtful accounts of 20,438 and 16,540 at december 31, 2014 and 2013, respectively | 130,051,000 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
fair value of interest rate swap | 1,631,000 | 1,828,000 | 2,003,000 | 1,948,000 | 2,597,000 | 2,866,000 | 3,116,000 | 2,723,000 | 2,150,000 | 2,143,000 | 2,090,000 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
common stock in treasury, at cost, 150 and 237 shares at december 31, 2014 and 2013, respectively | -1,310,000 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
accumulated other comprehensive loss | -993,000 | -1,112,000 | -1,214,000 | -1,186,000 | -1,580,000 | -1,745,000 | -1,901,000 | -1,662,000 | -1,313,000 | -1,308,000 | -1,274,000 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
accounts receivable—less allowance for doubtful accounts of 19,452 and 16,540 at september 30, 2014 and december 31, 2013, respectively | 120,647,000 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
common stock in treasury, at cost, 202 and 237 shares at september 30, 2014 and december 31, 2013, respectively | -1,505,000 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
accounts receivable—less allowance for doubtful accounts of 17,909 and 16,540 at june 30, 2014 and december 31, 2013, respectively | 124,441,000 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
restricted cash—less current portion | 1,819,000 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
common stock in treasury, at cost, 203 and 237 shares at june 30, 2014 and december 31, 2013, respectively | -1,509,000 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
accounts receivable—less allowance for doubtful accounts of 17,422 and 16,540 at march 31, 2014 and december 31, 2013, respectively | 120,569,000 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
common stock in treasury, at cost, 224 and 237 shares at march 31, 2014 and december 31, 2013, respectively | -1,585,000 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
accounts receivable—less allowance for doubtful accounts of 16,540 and 13,811 at december 31, 2013 and 2012, respectively | 111,370,000 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
long-term assets held for sale | 8,471,000 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
accrued charge related to u.s. government inquiry | 48,000,000 | 48,000,000 | 48,000,000 | 15,000,000 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
long-term liabilities held for sale | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
common stock in treasury, at cost, 237 and 301 shares at december 31, 2013 and 2012, respectively | -1,680,000 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
accounts receivable—less allowance for doubtful accounts of 15,568 and 13,811 at september 30, 2013 and december 31, 2012, respectively | 102,428,000 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
common stock in treasury, at cost, 295 and 301 shares at september 30, 2013 and december 31, 2012, respectively | -2,059,000 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
accounts receivable—less allowance for doubtful accounts of 14,014 and 13,811 at june 30, 2013 and december 31, 2012, respectively | 107,436,000 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
common stock in treasury, at cost, 296 and 301 shares at june 30, 2013 and december 31, 2012, respectively | -2,063,000 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
accounts receivable—less allowance for doubtful accounts of 14,285 and 13,811 at march 31, 2013 and december 31, 2012, respectively | 98,285,000 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
long-term liabilties held for sale | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
common stock in treasury, at cost, 296 and 301 shares at march 31, 2013 and december 31, 2012, respectively | -2,065,000 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
accounts receivable—less allowance for doubtful accounts of 13,811 and 12,782 at december 31, 2012 and 2011, respectively | 94,187,000 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
common stock in treasury, at cost, 301 and 396 shares at december 31, 2012 and 2011, respectively | -2,099,000 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
non-controlling interests | 1,413,000 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
accounts receivable—less allowance for doubtful accounts of 13,628 and 12,782 at september 30, 2012 and december 31, 2011, respectively | 98,072,000 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
temporary equity - redeemable noncontrolling interest | 11,511,000 | 11,506,000 | 11,581,000 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
common stock in treasury, at cost, 344 and 396 shares at september 30, 2012 and december 31, 2011, respectively | -2,347,000 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
accounts receivable—less allowance for doubtful accounts of 12,232 and 12,782 at june 30, 2012 and december 31, 2011, respectively | 96,452,000 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
common stock in treasury, at cost, 378 and 396 shares at june 30, 2012 and december 31, 2011, respectively | -2,585,000 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
accounts receivable—less allowance for doubtful accounts of 12,794 and 12,782 at march 31, 2012 and december 31, 2011, respectively | 94,050,000 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
common stock in treasury, at cost, 376 and 396 shares at march 31, 2012 and december 31, 2011, respectively | -2,439,000 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
accounts receivable - net of allowance for doubtful accounts of 12,782 and 9,793 at december 31, 2011 and 2010, respectively | 86,311,000 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
deferred tax asset - current | 11,195,000 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
liabilities and stockholders' equity | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
accrued self-insurance liabilities - current | 12,369,000 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
long-term debt - less current maturities | 181,556,000 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
accrued self-insurance liabilities - less current portion | 31,904,000 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
stockholders' equity: | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
common stock in treasury, at cost, 396 and 582 shares at december 31, 2011 and 2010, respectively | -2,559,000 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
total stockholders' equity | 277,485,000 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
total liabilities and stockholders' equity | 596,339,000 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
accounts receivable—less allowance for doubtful accounts of 12,730 and 9,793 at september 30, 2011 and december 31, 2010, respectively | 80,965,000 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
liabilities and stockholders’ equity | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
stockholders’ equity: | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
common stock in treasury, at cost, 490 and 582 shares at september 30, 2011 and december 31, 2010, respectively | -3,177,000 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
total stockholders’ equity | 266,267,000 | 254,871,000 | 241,943,000 | 216,413,000 | 206,544,000 | 197,240,000 | 187,559,000 | 179,239,000 | 171,467,000 | 163,683,000 | 156,021,000 | 148,656,000 | 142,053,000 | 136,008,000 | 129,677,000 | 64,426,000 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
total liabilities and stockholders’ equity | 566,781,000 | 508,276,000 | 501,003,000 | 425,139,000 | 410,735,000 | 402,908,000 | 391,348,000 | 321,850,000 | 314,682,000 | 308,330,000 | 296,901,000 | 282,611,000 | 276,039,000 | 270,447,000 | 267,389,000 | 203,404,000 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
accounts receivable—less allowance for doubtful accounts of 11,068 and 9,793 at june 30, 2011 and december 31, 2010, respectively | 77,696,000 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
common stock in treasury, at cost, 564 and 582 shares at june 30, 2011 and december 31, 2010, respectively | -3,695,000 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
accounts receivable—less allowance for doubtful accounts of 10,856 and 9,793 at march 31, 2011 and december 31, 2010, respectively | 76,474,000 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
income taxes payable | 6,152,000 | 5,350,000 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
common stock in treasury, at cost, 564 and 582 shares at march 31, 2011 and december 31, 2010, respectively | -3,696,000 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
accounts receivable—less allowance for doubtful accounts of 9,254 and 7,575 at september 30, 2010 and december 31, 2009, respectively | 72,083,000 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
common stock in treasury, at cost, 609 and 638 shares at september 30, 2010 and december 31, 2009, respectively | -3,964,000 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
accounts receivable—less allowance for doubtful accounts of 8,095 and 7,575 at june 30, 2010 and december 31, 2009, respectively | 72,678,000 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
common stock in treasury, at cost, 612 and 638 shares at june 30, 2010 and december 31, 2009, respectively | -3,978,000 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
accounts receivable—less allowance for doubtful accounts of 8,218 and 7,575 at march 31, 2010 and december 31, 2009, respectively | 69,372,000 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
common stock in treasury, at cost, 616 and 638 shares at march 31, 2010 and december 31, 2009, respectively | -4,005,000 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
accounts receivable — less allowance for doubtful accounts of 7,575 and 7,266 at december 31, 2009 and 2008, respectively | 62,606,000 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
deferred tax asset — current | 8,126,000 | 9,242,000 | 6,862,000 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
accrued self-insurance liabilities — current | 10,074,000 | 7,454,000 | 7,424,000 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
long-term debt — less current maturities | 107,401,000 | 59,489,000 | 60,577,000 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
accrued self-insurance liabilities — long-term | 22,096,000 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
common stock in treasury, at cost, 638 and 672 shares at december 31, 2009 and 2008, respectively | -4,137,000 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
accounts receivable—less allowance for doubtful accounts of 7,045 and 7,266 at september 30, 2009 and december 31, 2008, respectively | 51,920,000 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
common stock in treasury, at cost, 648 and 672 shares at september 30, 2009 and december 31, 2008, respectively | -4,202,000 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
accounts receivable—less allowance for doubtful accounts of 6,948 and 7,266 at june 30, 2009 and december 31, 2008, respectively | 53,544,000 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
common stock in treasury, at cost, 665 and 672 shares at june 30, 2009 and december 31, 2008, respectively | -4,307,000 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
accounts receivable—less allowance for doubtful accounts of 7,383 and 7,266 at march 31, 2009 and december 31, 2008, respectively | 55,012,000 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
other investments | 445,000 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
accrued self-insurance liability | 19,405,000 | 19,214,000 | 18,929,000 | 18,381,000 | 17,236,000 | 17,623,000 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
common stock in treasury, at cost, 668 and 672 shares at march 31, 2009 and december 31, 2008, respectively | -4,324,000 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
accounts receivable — less allowance for doubtful accounts of 7,266 and 7,454 at december 31, 2008 and 2007, respectively | 49,188,000 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
insurance subsidiary deposits | 11,745,000 | 11,035,000 | 10,335,000 | 9,396,000 | 8,810,000 | 9,709,000 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
restricted assets | 3,768,000 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
accrued self-insurance liabilities | 18,864,000 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
common stock in treasury, at cost, 672 and 716 shares at december 31, 2008 and 2007, respectively | -4,347,000 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
accounts receivable—less allowance for doubtful accounts of 8,325 and 7,454 at september 30, 2008 and december 31, 2007, respectively | 44,597,000 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
common stock in treasury, at cost, 672 and 716 shares at september 30, 2008 and december 31, 2007, respectively | -4,350,000 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
accounts receivable—less allowance for doubtful accounts of 7,760 and 7,454 at june 30, 2008 and december 31, 2007, respectively | 44,955,000 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
common stock in treasury, at cost, 679 and 716 shares at june 30, 2008 and december 31, 2007, respectively | -4,395,000 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
accounts receivable—less allowance for doubtful accounts of 7,856 and 7,454 at march 31, 2008 and december 31, 2007, respectively | 50,350,000 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
common stock in treasury, at cost, 682 and 716 shares at march 31, 2008 and december 31, 2007, respectively | -4,411,000 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
accounts receivable — less allowance for doubtful accounts of 7,454 and 7,543 at december 31, 2007 and 2006, respectively | 50,615,000 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
series a redeemable convertible preferred stock; 0.001 par value... | 2,725,000 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
common stock in treasury, at cost, 716 and 755 shares at december 31, 2007 and 2006, respectively | -4,605,000 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
accounts receivable—less allowance for doubtful accounts of 7,582 and 7,543 at september 30, 2007 and december 31, 2006, respectively | 47,639,000 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
common stock in treasury, at cost, 745 and 755 shares at september 30, 2007 and december 31, 2006, respectively |
Cashflow Statements:
Quarterly
Annual
| Unit: USD | 2026-03-31 | 2025-12-31 | 2025-09-30 | 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 | 2010-09-30 | 2010-06-30 | 2010-03-31 | 2009-12-31 | 2009-09-30 | 2009-06-30 | 2009-03-31 | 2008-12-31 | 2008-09-30 | 2008-06-30 | 2008-03-31 | 2007-12-31 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
cash flows from operating activities: | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
net income | 99,756,000 | 95,534,000 | 83,911,000 | 84,466,000 | 80,353,000 | 79,750,000 | 78,567,000 | 71,181,000 | 68,960,000 | 21,823,000 | 63,968,000 | 64,090,000 | 59,969,000 | 60,519,000 | 56,242,000 | 57,803,000 | 50,088,000 | 48,961,000 | 48,344,000 | 50,583,000 | 49,837,000 | 46,162,000 | 43,312,000 | 40,689,000 | 41,201,000 | 27,326,000 | 27,828,000 | 28,925,000 | 27,607,000 | 26,559,000 | 20,350,000 | 22,326,000 | 23,293,000 | 11,222,000 | 14,274,000 | 12,381,000 | 2,956,000 | 21,006,000 | 11,184,000 | 11,363,000 | 9,290,000 | 14,437,000 | 13,157,000 | 13,235,000 | 15,088,000 | 10,796,000 | 8,371,000 | 1,533,000 | 13,041,000 | 13,349,000 | 10,612,000 | 12,404,000 | -12,511,000 | 1,665,000 | 13,036,000 | 12,279,000 | 12,828,000 | 10,355,000 | 11,598,000 | 12,976,000 | 12,746,000 | 9,887,000 | 9,619,000 | 9,348,000 | 8,693,000 | 7,686,000 | 8,184,000 | 7,923,000 | 7,859,000 | 6,797,000 | 6,519,000 | 6,334,000 | 6,229,000 |
adjustments to reconcile net income to net cash from operating activities: | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
depreciation and amortization | 28,801,000 | 27,721,000 | 26,633,000 | 25,785,000 | 24,188,000 | 22,519,000 | 21,474,000 | 20,488,000 | 19,657,000 | 19,233,000 | 18,446,000 | 17,596,000 | 17,112,000 | 16,880,000 | 15,941,000 | 14,858,000 | 14,676,000 | 14,602,000 | 13,929,000 | 13,795,000 | 13,659,000 | 13,489,000 | 13,757,000 | 13,605,000 | 13,720,000 | 10,953,000 | 14,319,000 | 13,184,000 | 12,598,000 | 12,199,000 | 11,902,000 | 11,621,000 | 11,622,000 | 11,760,000 | 11,448,000 | 10,750,000 | 10,514,000 | 9,701,000 | 10,912,000 | 9,771,000 | 8,298,000 | 7,926,000 | 7,289,000 | 6,379,000 | 6,517,000 | 5,087,000 | 4,677,000 | 7,804,000 | 8,862,000 | 8,713,000 | 8,797,000 | 8,668,000 | 7,764,000 | 7,319,000 | 7,179,000 | 7,042,000 | 6,924,000 | 6,502,000 | 6,179,000 | 5,546,000 | 5,059,000 | 4,260,000 | 4,023,000 | 3,955,000 | 3,863,000 | 3,239,000 | 3,209,000 | 2,965,000 | 2,517,000 | 2,353,000 | 2,178,000 | 1,993,000 | 1,965,000 |
amortization of deferred financing fees | 264,000 | 264,000 | 263,000 | 264,000 | 266,000 | 265,000 | 265,000 | 265,000 | 266,000 | 265,000 | 266,000 | 267,000 | 269,000 | 266,000 | 265,000 | 282,000 | 223,000 | 222,000 | 217,000 | 210,000 | 210,000 | 210,000 | 210,000 | 210,000 | 210,000 | 214,000 | 293,000 | 290,000 | 293,000 | 293,000 | 294,000 | 289,000 | 299,000 | 272,000 | 258,000 | 255,000 | 254,000 | 254,000 | 258,000 | 159,000 | 154,000 | 112,000 | 108,000 | 5,000 | 53,000 | 44,000 | 23,000 | 21,000 | 7,000 | ||||||||||||||||||||||||
stock-based compensation | 13,895,000 | 12,924,000 | 12,989,000 | 11,662,000 | 10,724,000 | 9,820,000 | 9,184,000 | 8,984,000 | 8,238,000 | 8,076,000 | 7,237,000 | 8,881,000 | 6,573,000 | 6,039,000 | 5,898,000 | 5,616,000 | 5,167,000 | 4,909,000 | 5,082,000 | 4,633,000 | 4,054,000 | 3,588,000 | 4,173,000 | 3,528,000 | 3,235,000 | 831,000 | 742,000 | 937,000 | 846,000 | 831,000 | 875,000 | 617,000 | 649,000 | 555,000 | 783,000 | 475,000 | 517,000 | 353,000 | 577,000 | 290,000 | 462,000 | 261,000 | |||||||||||||||||||||||||||||||
insurance proceeds and loss on long-lived assets | 1,915,000 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
other operating activities | 613,000 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
change in operating assets and liabilities | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
accounts receivable | -24,009,000 | -26,077,000 | -35,331,000 | 5,564,000 | -14,589,000 | -15,372,000 | -6,212,000 | -27,849,000 | -34,964,000 | -13,188,000 | -27,197,000 | -2,297,000 | -37,136,000 | -54,874,000 | -14,700,000 | 1,265,000 | -14,117,000 | -14,165,000 | -678,000 | -479,000 | -15,449,000 | -9,270,000 | 6,076,000 | 27,210,000 | -21,845,000 | -26,251,000 | -11,457,000 | -6,375,000 | -16,341,000 | -16,578,000 | -9,997,000 | 7,023,000 | 6,453,000 | -19,203,000 | -18,809,000 | -7,389,000 | -6,900,000 | -20,410,000 | -13,912,000 | -15,385,000 | -13,910,000 | -24,635,000 | -25,954,000 | -12,835,000 | -36,900,000 | -13,312,000 | 1,157,000 | -7,108,000 | -12,604,000 | -10,544,000 | 2,030,000 | -11,705,000 | -7,071,000 | 1,788,000 | -3,875,000 | -4,531,000 | -9,532,000 | -7,285,000 | -5,210,000 | -3,036,000 | -9,264,000 | -890,000 | -4,704,000 | -8,316,000 | -12,292,000 | 704,000 | 651,000 | -7,037,000 | -4,754,000 | -642,000 | 4,396,000 | -786,000 | |
prepaid income taxes | 1,878,000 | 30,686,000 | -9,054,000 | -23,510,000 | 13,057,000 | 12,903,000 | -7,162,000 | -18,798,000 | 3,830,000 | -3,829,000 | 457,000 | -457,000 | 4,643,000 | 10,655,000 | 1,038,000 | -16,336,000 | 5,452,000 | -1,316,000 | 4,678,000 | -8,814,000 | 1,224,000 | 12,326,000 | -13,550,000 | 0 | 739,000 | 1,419,000 | 3,952,000 | -5,843,000 | 6,072,000 | 290,000 | 2,081,000 | -6,797,000 | 6,654,000 | -5,325,000 | -3,779,000 | -10,293,000 | 252,000 | 1,022,000 | 6,549,000 | -4,619,000 | 4,887,000 | -1,348,000 | -2,073,000 | -4,720,000 | 2,992,000 | 2,086,000 | 5,140,000 | -7,579,000 | 7,250,000 | 1,519,000 | -706,000 | -2,329,000 | -4,613,000 | -555,000 | -616,000 | -2,370,000 | 5,636,000 | -2,025,000 | -2,430,000 | -1,427,000 | 1,333,000 | 1,242,000 | 2,195,000 | -781,000 | 100,000 | 4,428,000 | |||||||
prepaid expenses and other assets | -986,000 | -8,725,000 | -7,247,000 | 8,891,000 | -9,360,000 | -2,387,000 | -1,130,000 | -4,150,000 | -11,388,000 | 5,534,000 | 1,975,000 | -3,960,000 | 3,444,000 | -662,000 | -4,483,000 | -416,000 | -3,580,000 | 1,163,000 | 3,415,000 | -5,205,000 | -4,271,000 | -2,006,000 | 277,000 | -2,444,000 | -5,301,000 | -10,944,000 | 365,000 | -1,663,000 | 4,995,000 | 1,059,000 | 3,692,000 | -5,616,000 | 2,162,000 | -6,583,000 | 1,736,000 | -1,743,000 | -2,790,000 | -1,512,000 | -2,290,000 | 2,952,000 | -615,000 | -3,408,000 | -3,023,000 | -371,000 | -3,538,000 | ||||||||||||||||||||||||||||
cash surrender value of life insurance policy premiums | -7,490,000 | -2,024,000 | -4,037,000 | -4,806,000 | -7,489,000 | 7,000 | -4,115,000 | -1,047,000 | -9,678,000 | -4,349,000 | 409,000 | -2,048,000 | -10,084,000 | -2,236,000 | 243,000 | 2,295,000 | -7,916,000 | -1,448,000 | -644,000 | -1,421,000 | -7,440,000 | ||||||||||||||||||||||||||||||||||||||||||||||||||||
deferred compensation liability | 6,926,000 | 2,155,000 | 4,170,000 | 4,721,000 | 7,441,000 | 45,000 | 4,234,000 | 1,648,000 | 9,059,000 | 4,381,000 | -507,000 | 2,344,000 | 9,826,000 | 2,266,000 | -246,000 | -2,184,000 | 7,801,000 | 1,471,000 | 677,000 | 1,471,000 | 7,459,000 | ||||||||||||||||||||||||||||||||||||||||||||||||||||
operating lease obligations | -183,000 | -124,000 | -96,000 | -3,067,000 | -102,000 | -44,000 | -69,000 | -206,000 | 606,000 | -219,000 | 66,000 | 156,000 | -6,567,000 | 130,000 | 762,000 | -385,000 | -162,000 | -146,000 | -5,537,000 | 2,000 | -133,000 | -182,000 | -164,000 | -197,000 | -181,000 | -4,131,000 | -1,384,000 | ||||||||||||||||||||||||||||||||||||||||||||||
accounts payable | 18,705,000 | -8,369,000 | 497,000 | 8,473,000 | -3,521,000 | 8,072,000 | 322,000 | 4,817,000 | -10,376,000 | 15,220,000 | -316,000 | -3,258,000 | 4,278,000 | 12,992,000 | 2,681,000 | 3,664,000 | -1,467,000 | 785,000 | -1,393,000 | 4,957,000 | 2,768,000 | -570,000 | 7,877,000 | 2,577,000 | -3,257,000 | 8,674,000 | -4,573,000 | -202,000 | 558,000 | 1,051,000 | 2,105,000 | 6,741,000 | -6,815,000 | 830,000 | 6,878,000 | -335,000 | -4,044,000 | -1,578,000 | 1,610,000 | 2,036,000 | -1,491,000 | 1,242,000 | 1,192,000 | -5,047,000 | 4,393,000 | 3,814,000 | 431,000 | 904,000 | 2,829,000 | 714,000 | 2,381,000 | -471,000 | -4,860,000 | 2,009,000 | 2,044,000 | 5,494,000 | -6,395,000 | -1,515,000 | 3,867,000 | -887,000 | 1,236,000 | 1,457,000 | 1,188,000 | -419,000 | 2,624,000 | -1,465,000 | -833,000 | 2,490,000 | 415,000 | -323,000 | 391,000 | -2,500,000 | |
accrued wages and related liabilities | -97,663,000 | 55,263,000 | 45,072,000 | 42,498,000 | -60,021,000 | -5,311,000 | 33,646,000 | 30,635,000 | -38,978,000 | 23,267,000 | 25,691,000 | 27,657,000 | -28,648,000 | 24,675,000 | 19,469,000 | 23,827,000 | -28,989,000 | 33,589,000 | 23,175,000 | 25,499,000 | -34,562,000 | 35,345,000 | 22,102,000 | 20,535,000 | -13,443,000 | 31,101,000 | 16,640,000 | 12,849,000 | -13,204,000 | 20,608,000 | 9,586,000 | 5,444,000 | -6,490,000 | 14,539,000 | 3,268,000 | -2,575,000 | -9,410,000 | 1,871,000 | 22,000 | 4,452,000 | -11,323,000 | 13,415,000 | 6,993,000 | 3,874,000 | -2,104,000 | 10,373,000 | 1,750,000 | 3,870,000 | 651,000 | 4,465,000 | 1,117,000 | 569,000 | -1,905,000 | 730,000 | 942,000 | 361,000 | -8,393,000 | 2,939,000 | 3,960,000 | 1,868,000 | -4,186,000 | 3,297,000 | 170,000 | -1,388,000 | 4,922,000 | 203,000 | -1,732,000 | -26,000 | 3,492,000 | 825,000 | 1,046,000 | -1,115,000 | |
other accrued liabilities | 27,283,000 | 14,643,000 | 25,264,000 | -6,461,000 | 8,278,000 | -36,667,000 | 5,347,000 | 3,886,000 | -3,236,000 | 12,441,000 | 11,965,000 | 235,000 | -813,000 | -2,153,000 | 12,634,000 | -4,440,000 | -3,031,000 | 4,204,000 | -941,000 | -229,000 | -1,737,000 | -1,797,000 | 16,158,000 | 7,215,000 | -4,040,000 | -1,519,000 | 14,438,000 | 1,779,000 | -3,345,000 | -3,495,000 | 6,561,000 | 3,178,000 | -647,000 | -2,891,000 | 7,118,000 | 612,000 | 938,000 | 854,000 | 10,974,000 | 2,233,000 | -1,473,000 | 3,466,000 | 9,946,000 | 1,434,000 | 6,557,000 | -2,243,000 | 5,347,000 | 4,665,000 | -1,432,000 | 5,404,000 | 2,899,000 | -4,313,000 | 2,655,000 | 55,000 | 4,598,000 | 1,838,000 | -1,583,000 | 2,989,000 | 3,271,000 | 226,000 | -119,000 | -173,000 | -3,790,000 | 2,149,000 | 4,479,000 | -637,000 | -736,000 | 1,333,000 | 57,000 | 407,000 | -397,000 | -350,000 | |
accrued self-insurance liabilities | 30,449,000 | 12,344,000 | 353,000 | 13,854,000 | 8,710,000 | 26,633,000 | -2,187,000 | 5,513,000 | 14,055,000 | 15,737,000 | 4,258,000 | -537,000 | 9,369,000 | 5,817,000 | -2,728,000 | 9,956,000 | 4,740,000 | 3,928,000 | 4,079,000 | 1,102,000 | 4,615,000 | 1,860,000 | 4,225,000 | 2,223,000 | 1,985,000 | 1,600,000 | 969,000 | 2,365,000 | 1,352,000 | 1,715,000 | -1,324,000 | 4,288,000 | 1,061,000 | 639,000 | 1,697,000 | 2,191,000 | 1,568,000 | -1,782,000 | 3,093,000 | 4,908,000 | 1,906,000 | 1,729,000 | 1,388,000 | 946,000 | 1,355,000 | ||||||||||||||||||||||||||||
net cash from operating activities | 100,154,000 | 183,320,000 | 153,000,000 | 155,730,000 | 72,220,000 | 100,456,000 | 134,481,000 | 76,937,000 | 35,312,000 | 85,269,000 | 123,315,000 | 119,738,000 | 48,344,000 | 50,176,000 | 92,524,000 | 83,939,000 | 45,874,000 | 71,195,000 | 96,092,000 | 74,103,000 | 34,294,000 | 91,190,000 | 108,023,000 | 147,015,000 | 27,123,000 | 54,630,000 | 65,315,000 | 47,436,000 | 24,842,000 | 53,025,000 | 56,037,000 | 60,845,000 | 40,395,000 | 9,703,000 | 38,329,000 | 5,334,000 | 19,586,000 | 2,704,000 | 34,356,000 | 24,133,000 | 12,695,000 | 20,069,000 | 6,492,000 | 948,000 | 5,860,000 | 18,193,000 | 29,611,000 | 15,644,000 | 21,432,000 | -19,686,000 | 30,503,000 | 4,925,000 | 21,682,000 | 30,457,000 | 26,533,000 | 19,742,000 | 5,318,000 | 19,442,000 | 25,799,000 | 8,757,000 | 18,689,000 | 19,557,000 | 4,578,000 | 10,325,000 | 17,588,000 | 9,983,000 | 8,294,000 | 10,406,000 | 11,072,000 | 11,014,000 | 15,109,000 | 9,476,000 | 7,660,000 |
capital expenditures | -35,473,000 | -49,843,000 | -51,193,000 | -49,595,000 | -42,926,000 | -48,161,000 | -45,444,000 | -35,198,000 | -29,437,000 | -28,820,000 | -25,746,000 | -24,963,000 | -26,651,000 | -27,810,000 | -22,653,000 | -21,244,000 | -15,838,000 | -19,417,000 | -16,338,000 | -18,461,000 | -15,334,000 | -12,502,000 | -10,754,000 | -11,260,000 | -15,810,000 | -16,558,000 | -19,221,000 | -22,117,000 | -13,645,000 | -17,316,000 | -13,337,000 | -13,213,000 | -11,082,000 | -17,391,000 | -16,762,000 | -11,016,000 | -11,997,000 | -13,426,000 | -15,830,000 | -18,212,000 | -18,231,000 | -17,718,000 | -13,526,000 | -16,055,000 | -12,719,000 | -11,568,000 | -9,548,000 | -16,153,000 | -16,424,000 | -7,875,000 | -8,479,000 | -8,189,000 | -5,216,000 | -12,098,000 | -10,373,000 | -9,357,000 | -7,025,000 | -11,702,000 | -10,387,000 | -9,683,000 | -9,001,000 | -7,195,000 | -7,338,000 | -6,415,000 | -5,466,000 | -4,740,000 | -6,747,000 | -4,924,000 | 3,689,000 | -4,358,000 | -13,575,000 | -5,578,000 | 0 |
free cash flows | 64,681,000 | 133,477,000 | 101,807,000 | 106,135,000 | 29,294,000 | 52,295,000 | 89,037,000 | 41,739,000 | 5,875,000 | 56,449,000 | 97,569,000 | 94,775,000 | 21,693,000 | 22,366,000 | 69,871,000 | 62,695,000 | 30,036,000 | 51,778,000 | 79,754,000 | 55,642,000 | 18,960,000 | 78,688,000 | 97,269,000 | 135,755,000 | 11,313,000 | 38,072,000 | 46,094,000 | 25,319,000 | 11,197,000 | 35,709,000 | 42,700,000 | 47,632,000 | 29,313,000 | -7,688,000 | 21,567,000 | -5,682,000 | 7,589,000 | -10,722,000 | 18,526,000 | 5,921,000 | -5,536,000 | 2,351,000 | -7,034,000 | -15,107,000 | -6,859,000 | 6,625,000 | 20,063,000 | -509,000 | 5,008,000 | -27,561,000 | 22,024,000 | -3,264,000 | 16,466,000 | 18,359,000 | 16,160,000 | 10,385,000 | -1,707,000 | 7,740,000 | 15,412,000 | -926,000 | 9,688,000 | 12,362,000 | -2,760,000 | 3,910,000 | 12,122,000 | 5,243,000 | 1,547,000 | 5,482,000 | 14,761,000 | 6,656,000 | 1,534,000 | 3,898,000 | 7,660,000 |
cash flows from investing activities: | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
purchase of property and equipment | -35,473,000 | -49,843,000 | -51,193,000 | -49,595,000 | -42,926,000 | -48,161,000 | -45,444,000 | -35,198,000 | -29,437,000 | -28,820,000 | -25,746,000 | -24,963,000 | -26,651,000 | -27,810,000 | -22,653,000 | -21,244,000 | -15,838,000 | -19,417,000 | -16,338,000 | -18,461,000 | -15,334,000 | -12,502,000 | -10,754,000 | -11,260,000 | -15,810,000 | -16,558,000 | -19,221,000 | -22,117,000 | -13,645,000 | -17,316,000 | -13,337,000 | -13,213,000 | -11,082,000 | -17,391,000 | -16,762,000 | -11,016,000 | -11,997,000 | -13,426,000 | -15,830,000 | -18,212,000 | -18,231,000 | -17,718,000 | -13,526,000 | -16,055,000 | -12,719,000 | -11,568,000 | -9,548,000 | -16,153,000 | -16,424,000 | -7,875,000 | -8,479,000 | -8,189,000 | -5,216,000 | -12,098,000 | -10,373,000 | -9,357,000 | -7,025,000 | -11,702,000 | -10,387,000 | -9,683,000 | -9,001,000 | -7,195,000 | -7,338,000 | -6,415,000 | -5,466,000 | -4,740,000 | -6,747,000 | -4,924,000 | 3,689,000 | -4,358,000 | -13,575,000 | -5,578,000 | |
cash payments for acquisitions | -28,737,000 | -82,958,000 | -35,691,000 | -45,437,000 | -159,172,000 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
cash proceeds from insurance recoveries and sale of assets | 83,000 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
purchases of investments | -36,866,000 | -18,932,000 | -29,113,000 | -36,694,000 | -25,984,000 | -52,887,000 | -16,754,000 | -22,693,000 | -12,815,000 | -9,065,000 | -2,113,000 | -8,658,000 | -9,767,000 | -6,478,000 | -11,979,000 | -1,178,000 | -2,340,000 | -5,870,000 | -2,681,000 | -16,837,000 | -6,869,000 | -7,060,000 | -8,664,000 | -4,976,000 | -1,008,000 | ||||||||||||||||||||||||||||||||||||||||||||||||
maturities of investments | 29,717,000 | 17,392,000 | 29,029,000 | 35,387,000 | 17,862,000 | 3,844,000 | 3,286,000 | 8,983,000 | 10,284,000 | 6,749,000 | 4,241,000 | 7,071,000 | 791,000 | 2,451,000 | 7,125,000 | 2,227,000 | 2,553,000 | 3,564,000 | 3,518,000 | 16,969,000 | 3,430,000 | 10,853,000 | 8,174,000 | 4,056,000 | 1,396,000 | ||||||||||||||||||||||||||||||||||||||||||||||||
other investing activities | 89,000 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
net cash from investing activities | -71,187,000 | -123,940,000 | -77,313,000 | -68,120,000 | -243,804,000 | -166,587,000 | -78,901,000 | -109,909,000 | -34,655,000 | -44,944,000 | -75,319,000 | -26,464,000 | -35,971,000 | -42,411,000 | -67,175,000 | -28,356,000 | -48,240,000 | -116,038,000 | -17,007,000 | -28,650,000 | -12,212,000 | -10,181,000 | -20,159,000 | -12,784,000 | -15,542,000 | -97,627,000 | -51,132,000 | -72,863,000 | -25,393,000 | -55,942,000 | -14,025,000 | -55,781,000 | -25,463,000 | -23,527,000 | -34,440,000 | -27,229,000 | -21,397,000 | -98,212,000 | -12,567,000 | -79,753,000 | -20,104,000 | -47,962,000 | -31,149,000 | -52,972,000 | -36,455,000 | -73,444,000 | -12,003,000 | -59,319,000 | -28,085,000 | -8,189,000 | -10,155,000 | -27,746,000 | -19,145,000 | -22,417,000 | -26,011,000 | -17,509,000 | -18,321,000 | -29,182,000 | -68,625,000 | -19,026,000 | -39,219,000 | -7,605,000 | -18,275,000 | -6,878,000 | -35,028,000 | -21,369,000 | -6,479,000 | -17,593,000 | -25,101,000 | -4,455,000 | -15,616,000 | -5,758,000 | |
cash flows from financing activities: | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
payments on debt | -1,042,000 | -1,036,000 | -1,025,000 | -1,016,000 | -1,009,000 | -1,000,000 | -1,392,000 | -983,000 | -975,000 | -1,116,000 | -959,000 | -951,000 | -1,007,000 | -1,198,000 | -987,000 | -942,000 | -979,000 | -910,000 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||
issuance of common stock upon exercise of options | 11,490,000 | 6,318,000 | 9,024,000 | 8,652,000 | 5,050,000 | 3,990,000 | 7,977,000 | 4,090,000 | 6,229,000 | 5,662,000 | 4,148,000 | 5,905,000 | 2,654,000 | 3,971,000 | 2,635,000 | 3,303,000 | 2,768,000 | 1,072,000 | 1,246,000 | 2,982,000 | 3,880,000 | 6,242,000 | 4,404,000 | 456,000 | 1,552,000 | 1,127,000 | 1,829,000 | 3,213,000 | 2,334,000 | 1,357,000 | 1,858,000 | 2,920,000 | 1,062,000 | 1,963,000 | 1,292,000 | 957,000 | 1,026,000 | 1,413,000 | 747,000 | 3,377,000 | 509,000 | 484,000 | 934,000 | 2,410,000 | 965,000 | 313,000 | 1,199,000 | 998,000 | 469,000 | 793,000 | 607,000 | 1,294,000 | 71,000 | 1,001,000 | 928,000 | 2,067,000 | 325,000 | 333,000 | 174,000 | 775,000 | 110,000 | 84,000 | 264,000 | 13,000 | 137,000 | 30,000 | 74,000 | 58,000 | 8,000 | 39,000 | 74,000 | 85,000 | |
repurchase of shares of common stock to satisfy tax withholding obligations | -23,000 | -363,000 | 0 | -1,057,000 | -14,000 | 0 | 0 | -1,195,000 | -14,000 | 0 | 0 | -1,909,000 | -20,000 | 0 | 0 | -1,687,000 | -15,000 | 0 | -102,000 | -1,600,000 | -9,000 | -10,000 | -154,000 | 0 | 0 | ||||||||||||||||||||||||||||||||||||||||||||||||
repurchase of shares of common stock | 0 | 0 | -9,225,000 | -10,775,000 | 0 | 0 | -20,000,000 | -9,882,000 | 0 | 0 | 0 | -25,000,000 | 0 | 0 | -1,220,000 | -6,068,000 | 0 | 0 | 0 | -30,000,000 | 0 | ||||||||||||||||||||||||||||||||||||||||||||||||||||
dividends paid | -3,775,000 | -3,619,000 | -3,605,000 | -3,597,000 | -3,589,000 | -3,437,000 | -3,424,000 | -3,414,000 | -3,396,000 | -3,243,000 | -3,232,000 | -3,214,000 | -3,201,000 | -3,050,000 | -3,041,000 | -3,042,000 | -3,035,000 | -2,901,000 | -2,893,000 | -2,886,000 | -2,868,000 | -2,724,000 | -2,718,000 | -2,683,000 | -2,705,000 | -2,564,000 | -2,558,000 | -2,543,000 | -2,525,000 | -2,377,000 | -2,347,000 | -2,367,000 | -2,328,000 | -2,189,000 | -2,178,000 | -2,171,000 | -2,179,000 | -2,042,000 | -2,034,000 | -2,025,000 | -2,072,000 | -1,935,000 | -1,930,000 | -1,921,000 | -1,708,000 | -1,544,000 | -1,587,000 | -1,602,000 | -1,564,000 | -1,444,000 | -1,438,000 | -2,731,000 | -1,297,000 | -1,293,000 | -1,283,000 | -1,169,000 | -1,160,000 | -1,158,000 | -1,150,000 | -1,039,000 | -1,037,000 | -1,032,000 | -929,000 | -926,000 | -927,000 | -925,000 | -817,000 | -822,000 | -827,000 | -819,000 | |||
other financing activities | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
net cash from financing activities | 6,650,000 | 833,000 | -1,337,000 | -850,000 | -1,531,000 | 1,556,000 | 1,431,000 | -100,000 | -269,000 | -1,674,000 | -359,000 | -2,065,000 | -18,549,000 | -11,289,000 | 2,424,000 | 27,124,000 | -2,569,000 | -103,117,000 | -19,827,000 | -114,222,000 | 4,290,000 | -7,539,000 | 57,776,000 | -8,829,000 | 26,645,000 | 7,292,000 | -11,657,000 | -23,539,000 | -12,937,000 | -22,212,000 | 16,106,000 | 2,690,000 | 23,864,000 | -24,388,000 | 112,800,000 | -14,894,000 | 37,769,000 | 17,210,000 | 29,393,000 | 14,091,000 | 66,453,000 | -795,000 | 8,599,000 | -1,633,000 | 47,633,000 | -1,850,000 | 7,784,000 | -686,000 | 855,000 | -1,279,000 | -2,066,000 | 16,037,000 | 13,674,000 | 30,365,000 | -2,593,000 | -585,000 | -1,379,000 | -1,402,000 | -850,000 | 34,930,000 | -936,000 | -1,188,000 | -1,079,000 | -1,052,000 | -1,086,000 | -3,005,000 | -1,004,000 | ||||||
net increase in cash and cash equivalents | 35,617,000 | 60,213,000 | -181,932,000 | -67,468,000 | 54,730,000 | -34,503,000 | 2,213,000 | 41,756,000 | 47,896,000 | 93,005,000 | 10,699,000 | 7,406,000 | 23,284,000 | -42,419,000 | 106,209,000 | 42,884,000 | -81,035,000 | 61,182,000 | 4,042,000 | 14,779,000 | 5,354,000 | 1,218,000 | 6,741,000 | -14,574,000 | -26,199,000 | -17,851,000 | 9,801,000 | -11,974,000 | 12,201,000 | 11,202,000 | -8,286,000 | 19,758,000 | 18,498,000 | -15,037,000 | 1,851,000 | 8,895,000 | -757,000 | 167,000 | 3,034,000 | 2,597,000 | 17,490,000 | -8,266,000 | -15,081,000 | 2,174,000 | |||||||||||||||||||||||||||||
cash and cash equivalents beginning of period | 503,881,000 | 0 | 0 | 0 | 464,598,000 | 0 | 0 | 0 | 509,626,000 | 0 | 0 | 0 | 316,270,000 | 0 | 0 | 0 | 262,201,000 | 0 | 0 | 0 | 236,562,000 | 0 | 0 | 31,083,000 | 0 | 0 | 0 | 42,337,000 | 0 | 0 | 0 | 57,706,000 | 0 | 0 | 0 | 41,569,000 | 0 | 0 | 0 | 50,408,000 | 0 | 0 | 0 | 65,755,000 | 0 | 0 | 0 | 40,685,000 | 0 | 0 | 0 | 29,584,000 | 0 | 0 | 72,088,000 | 0 | 0 | 38,855,000 | 0 | 0 | 41,326,000 | 0 | 0 | 51,732,000 | |||||||||
cash and cash equivalents end of period | 539,498,000 | 60,213,000 | 79,699,000 | 81,303,000 | 282,666,000 | -67,468,000 | 54,730,000 | -34,503,000 | 511,839,000 | 41,756,000 | 47,896,000 | 93,005,000 | 326,969,000 | 7,406,000 | 23,284,000 | 37,034,000 | 248,546,000 | -42,419,000 | 106,209,000 | 42,884,000 | 155,527,000 | 61,182,000 | -26,358,000 | 138,521,000 | 63,217,000 | 14,779,000 | 5,354,000 | 1,218,000 | 37,824,000 | -14,574,000 | 18,473,000 | -7,873,000 | 35,057,000 | 2,282,000 | 6,579,000 | 1,969,000 | 31,507,000 | 17,292,000 | 6,895,000 | -17,851,000 | 51,370,000 | 1,500,000 | -10,566,000 | -11,974,000 | 62,609,000 | 11,202,000 | 16,813,000 | -35,076,000 | 57,469,000 | 19,758,000 | 18,498,000 | -15,037,000 | 42,536,000 | 8,895,000 | -757,000 | 167,000 | 32,618,000 | -12,461,000 | -12,862,000 | 50,973,000 | 10,573,000 | -15,099,000 | 41,452,000 | -12,322,000 | 627,000 | 33,060,000 | 5,473,000 | -3,512,000 | 54,446,000 | ||||
deferred income taxes | -27,013,000 | -1,296,000 | 1,379,000 | -86,000 | 638,000 | -27,156,000 | -372,000 | 0 | 47,000 | -5,911,000 | -849,000 | 0 | 264,000 | -1,182,000 | 431,000 | -28,988,000 | 176,000 | 0 | 1,003,000 | 385,000 | 696,000 | 0 | 14,000 | 9,754,000 | 514,000 | 0 | 61,000 | -1,551,000 | -660,000 | -18,000 | 21,000 | 473,000 | 762,000 | -6,000 | 22,000 | -2,600,000 | 33,000 | -560,000 | 17,000 | 3,774,000 | -673,000 | 26,000 | -121,000 | -2,235,000 | 721,000 | -2,250,000 | 1,653,000 | 2,933,000 | 11,000 | -2,148,000 | 294,000 | -1,571,000 | -2,425,000 | -715,000 | 560,000 | -29,000 | -2,268,000 | 1,026,000 | -1,024,000 | 1,385,000 | -213,000 | -227,000 | |||||||||||
proceeds from debt | 0 | 200,000 | 0 | 13,572,000 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
non-cash leasing arrangement | 225,000 | 199,000 | 208,000 | 218,000 | 205,000 | 190,000 | 195,000 | 178,000 | 211,000 | 218,000 | 263,000 | 142,000 | 111,000 | 116,000 | 124,000 | 139,000 | 125,000 | 109,000 | 112,000 | 114,000 | 101,000 | 111,000 | 125,000 | 9,000 | 997,000 | ||||||||||||||||||||||||||||||||||||||||||||||||
impairment of long-lived assets | 0 | 0 | 0 | 1,849,000 | 0 | 0 | 705,000 | 155,000 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
provision for doubtful accounts | 637,000 | 434,000 | 438,000 | 320,000 | 701,000 | 340,000 | 378,000 | 327,000 | 831,000 | 363,000 | 1,887,000 | 89,000 | 132,000 | 27,000 | 2,142,000 | 0 | 710,000 | -661,000 | 2,560,000 | 2,865,000 | 2,634,000 | 247,000 | 1,312,000 | 990,000 | 299,000 | 540,000 | 615,000 | 722,000 | 1,129,000 | 402,000 | 570,000 | 9,089,000 | 7,287,000 | 7,297,000 | 7,350,000 | 8,442,000 | 7,989,000 | 6,316,000 | 5,765,000 | 6,032,000 | 5,302,000 | 3,725,000 | 4,743,000 | 3,908,000 | 2,637,000 | 3,229,000 | 3,405,000 | 3,601,000 | 2,978,000 | 2,554,000 | 2,973,000 | 3,279,000 | 2,256,000 | 2,127,000 | 1,812,000 | 1,939,000 | 1,941,000 | 1,814,000 | 2,227,000 | 1,485,000 | 1,398,000 | 1,550,000 | 1,606,000 | 920,000 | 817,000 | 1,213,000 | 163,000 | 1,000,000 | 999,000 | 1,051,000 | 996,000 | ||
cash received from insurance proceeds | 2,877,000 | 0 | 0 | 0 | 199,000 | 0 | 646,000 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
loss on insurance claims, other investments and asset disposals | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
escrow deposits | 26,067,000 | -35,069,000 | -3,200,000 | -160,000 | -486,000 | -891,000 | 877,000 | 7,284,000 | -15,171,000 | -400,000 | 0 | -250,000 | -65,000 | 329,000 | -14,000,000 | -300,000 | -6,611,000 | 1,992,000 | 7,373,000 | -10,025,000 | 621,000 | 23,076,000 | -21,531,000 | -2,394,000 | -284,000 | 5,406,000 | -5,058,000 | -1,646,000 | 1,910,000 | 1,034,000 | -859,000 | -2,485,000 | -15,553,000 | 1,280,000 | 1,372,000 | -3,252,000 | -750,000 | 4,256,000 | 3,337,000 | -7,843,000 | 2,730,000 | -2,940,000 | -8,268,000 | -500,000 | 9,419,000 | ||||||||||||||||||||||||||||
cash from insurance proceeds | 1,772,000 | 601,000 | 900,000 | 216,000 | 196,000 | 490,000 | 222,000 | 431,000 | 194,000 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
cash proceeds from the sale of assets | 10,000 | 820,000 | 200,000 | 30,000 | 4,000 | 961,000 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
other restricted assets | -48,000 | 656,000 | -9,000 | -1,848,000 | -216,000 | -301,000 | -300,000 | 97,000 | 461,000 | 769,000 | -357,000 | -24,000 | -196,000 | -395,000 | 764,000 | -281,000 | -1,680,000 | 120,000 | -279,000 | -340,000 | -341,000 | -358,000 | -237,000 | ||||||||||||||||||||||||||||||||||||||||||||||||||
non-controlling interest distribution | -265,000 | 0 | 0 | -278,000 | 0 | 0 | 0 | -4,000 | -273,000 | -3,000 | 0 | -1,019,000 | -641,000 | -1,248,000 | -480,000 | -1,243,000 | -240,000 | -720,000 | -280,000 | -177,000 | -2,000 | -44,000 | 0 | -292,000 | |||||||||||||||||||||||||||||||||||||||||||||||||
purchase of non-controlling interest | -382,000 | -64,000 | -11,000 | 0 | -4,411,000 | -29,000 | -10,000 | -22,000 | -57,000 | -100,000 | -77,000 | -9,000 | -669,000 | 0 | -26,000 | 0 | 0 | 0 | -83,000 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||
loss on insurance claims and asset disposals | -1,018,000 | 420,000 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
litigation | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
cash from insurance proceeds and the sale of assets | 1,496,000 | 1,494,000 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
net cash from in financing activities | -6,307,000 | -10,348,000 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
net decrease in cash and cash equivalents | -13,655,000 | -7,873,000 | -7,280,000 | 6,579,000 | 1,500,000 | -12,461,000 | -12,862,000 | -21,115,000 | 10,573,000 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
income taxes payable | 13,219,000 | 16,173,000 | 15,541,000 | 11,390,000 | 13,850,000 | 10,416,000 | 493,000 | -11,927,000 | 11,791,000 | 11,577,000 | 10,882,000 | 990,000 | 0 | 0 | -2,357,000 | 1,175,000 | 936,000 | 246,000 | 6,592,000 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||
write-off of deferred financing fees | 0 | 0 | 0 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
loss on sale of assets | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
deferred employer portion of social security taxes | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
other long-term liabilities | 311,000 | -8,000 | -13,000 | -14,000 | -12,000 | -11,000 | -12,000 | -11,000 | 111,000 | -20,000 | 10,000 | -167,000 | -30,608,000 | 20,263,000 | 19,922,000 | 677,000 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||
proceeds from sale of subsidiary shares | 0 | 0 | 0 | 0 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
payment of contingent consideration | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
payments of deferred financing costs | 0 | 0 | 0 | -19,000 | 0 | 0 | -3,077,000 | -120,000 | -291,000 | 0 | 0 | 73,000 | -91,000 | -2,717,000 | 0 | -1,893,000 | 0 | -1,385,000 | 0 | 0 | 0 | 0 | -12,000 | -718,000 | 14,000 | 0 | -39,000 | -219,000 | -28,000 | -2,504,000 | 0 | -39,000 | 0 | -3,000 | -5,000 | -868,000 | -25,000 | -52,000 | -25,000 | 0 | -93,000 | 4,000 | -296,000 | ||||||||||||||||||||||||||||||
loss on sale of assets and insurance claims | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
litigation adjustment | -555,000 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
cash payments for business acquisitions | 0 | 0 | -494,000 | 0 | 0 | 0 | -16,400,000 | 0 | 0 | 18,758,000 | -3,951,000 | -13,258,000 | -8,004,000 | -3,100,000 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
cash payments for asset acquisitions | -17,994,000 | -62,953,000 | -1,943,000 | -14,114,000 | -53,285,000 | -19,037,000 | -48,207,000 | -482,000 | -17,010,000 | -93,041,000 | 0 | -1,920,000 | -9,023,000 | 0 | -14,054,000 | -66,269,000 | -32,150,000 | -37,413,000 | -5,763,000 | -27,455,000 | -2,313,000 | -51,099,000 | -4,447,000 | ||||||||||||||||||||||||||||||||||||||||||||||||||
loss on insurance claims, legal matters and asset disposals | -171,000 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
cash proceeds from insurance proceeds and the sale of assets | 536,000 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
gain on sale of assets | 0 | -900,000 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
deconsolidation of an ancillary business | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
cash payments for medicare and medicaid licenses | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
proceeds from cares act provider relief fund and medicare advance payment program | 0 | 99,000 | 10,979,000 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
repayments of cares act provider relief fund and medicare advance payment program | 0 | -99,000 | -2,399,000 | -111,162,000 | -32,944,000 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
loss on insurance claims, legal adjustments and asset disposals | -246,000 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
loss on insurance claims, legal finding and asset disposals | 62,000 | -1,573,000 | 1,025,000 | 420,000 | 4,054,000 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
cash proceeds from the sale of assets and insurance proceeds | 13,000 | 853,000 | 120,000 | 118,000 | 121,000 | 216,000 | 5,260,000 | 54,000 | 2,521,000 | 1,546,000 | 64,000 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
escrow deposits used to fund acquisitions | 0 | 0 | 0 | 14,050,000 | 0 | 0 | 0 | 7,271,000 | 0 | 0 | 0 | 228,000 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
net income from discontinued operations, net of tax | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
loss on insurance claims and disposal of assets | 101,000 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
net cash from discontinued operating activities | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
cash proceeds from the sale of assets and ancillary business | 903,000 | 74,000 | 37,000 | 840,000 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
net cash from discontinued investing activities | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
dividends received from pennant | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
cash retained by pennant at spin-off | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
contribution from noncontrolling interest | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
net cash from discontinued financing activities | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
loss on sale of asset disposals | -50,000 | 441,000 | -236,000 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
cash proceeds from insurance proceeds | 455,000 | 6,250,000 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
proceeds from revolving credit facility and other debt | 36,600,000 | 0 | 120,600,000 | 260,000,000 | 485,000,000 | 360,000,000 | 270,000,000 | 265,000,000 | 245,000,000 | 195,000,000 | 210,000,000 | 195,000,000 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
payments on revolving credit facility and other debt | -648,000 | -849,000 | -37,490,000 | -30,857,000 | -320,732,000 | -240,666,000 | -433,160,000 | -362,529,000 | -243,448,000 | -257,517,000 | -257,512,000 | -217,505,000 | -222,501,000 | -217,421,000 | -322,065,000 | -217,037,000 | -89,037,000 | -362,015,000 | -212,033,000 | -200,165,000 | -137,164,000 | -110,152,000 | -80,150,000 | -80,149,000 | -60,091,000 | -94,027,000 | |||||||||||||||||||||||||||||||||||||||||||||||
proceeds from cares act provider relief fund | 9,139,000 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
amortization of deferred gain on sale-leaseback | -165,000 | -164,000 | -165,000 | -164,000 | -165,000 | -164,000 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
cash received from insurance proceeds related to reconstruction of damaged properties and business interruptions | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
income tax refund | 0 | 0 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
deferred employer portion of social security taxes under cares act | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
net cash from continuing operating activities | 91,190,000 | 108,023,000 | 147,015,000 | 27,123,000 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
net cash from continuing investing activities | -10,181,000 | -20,159,000 | -12,784,000 | -15,542,000 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
net cash from continuing financing activities | -19,827,000 | -114,222,000 | 4,290,000 | -7,539,000 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
cash and cash equivalents beginning of period, including cash of discontinued operations | 0 | 0 | 0 | 59,175,000 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
cash and cash equivalents end of period, including cash of discontinued operations | 61,182,000 | -26,358,000 | 138,521,000 | 63,217,000 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
less cash of discontinued operations at end of period | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
cash received from insurance proceeds related to replacement properties and business interruptions | 174,000 | 795,000 | 166,000 | 785,000 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
gain on insurance claims and disposal of assets | 83,000 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
repurchase of shares of common stock and subsidiary shares | -5,394,000 | 0 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
cares act provider relief funds | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
proceeds from medicare advance payment program | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
net increase in cash, cash equivalents, and restricted cash | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
impairment of long-lived assets and goodwill | 2,673,000 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
share-based compensation | 2,089,000 | 2,978,000 | 3,302,000 | 2,953,000 | 2,698,000 | 2,810,000 | 2,520,000 | 2,309,000 | 2,940,000 | 2,155,000 | 2,376,000 | 2,224,000 | 2,194,000 | 2,242,000 | 2,780,000 | 1,885,000 | 1,729,000 | 1,722,000 | 1,733,000 | 1,493,000 | 1,377,000 | 1,430,000 | 1,204,000 | 1,179,000 | 1,467,000 | 987,000 | 954,000 | 991,000 | 2,255,000 | 869,000 | |||||||||||||||||||||||||||||||||||||||||||
liabilities related to operational closures | -410,000 | 0 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
cash proceeds from sale leaseback | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
gains on insurance claims and disposal of assets | -4,000 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
insurance subsidiary deposits | -175,000 | -230,000 | -783,000 | -1,102,000 | 50,000 | -710,000 | -700,000 | -939,000 | -586,000 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
other long-term liability | 991,000 | 1,315,000 | -43,000 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
investments and change in other assets | -1,020,000 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
amortization of right-of-use assets | -254,000 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
change in other assets | -7,473,000 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
excess tax benefit from share-based compensation | -829,000 | -716,000 | -849,000 | -685,000 | -889,000 | -891,000 | -1,259,000 | -641,000 | -1,861,000 | -471,000 | -1,244,000 | -688,000 | -1,353,000 | -593,000 | -411,000 | -497,000 | -723,000 | -527,000 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||
gain on sale of urgent care centers | -16,655,000 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
deferred rent and other long-term liability | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
cash received from sale of urgent care centers and franchising businesses, net of note receivable | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
cash proceeds from sale-leaseback | 0 | 0 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
issuance of treasury stock upon exercise of options | 0 | 14,000 | 71,000 | 0 | 10,000 | 6,000 | 195,000 | 4,000 | 77,000 | 94,000 | 379,000 | 4,000 | 2,000 | 34,000 | 248,000 | 239,000 | 27,000 | 120,000 | 618,000 | 518,000 | 2,000 | 103,000 | 14,000 | 27,000 | 132,000 | 65,000 | 105,000 | 17,000 | 23,000 | 3,000 | 45,000 | 16,000 | 194,000 | 179,000 | |||||||||||||||||||||||||||||||||||||||
issuance of common stock upon exercise of options and vesting of restricted stock | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
goodwill and intangibles asset impairment | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
insurance subsidiary deposits and investments | 2,172,000 | -2,651,000 | 80,000 | -6,423,000 | 4,189,000 | -4,537,000 | 179,000 | -19,000 | -644,000 | -1,563,000 | 1,759,000 | -168,000 | -9,941,000 | -471,000 | -205,000 | 121,000 | -1,921,000 | 117,000 | 150,000 | 96,000 | 167,000 | -349,000 | 196,000 | -107,000 | 174,000 | -5,409,000 | -416,000 | -147,000 | -344,000 | -510,000 | 607,000 | -448,000 | |||||||||||||||||||||||||||||||||||||||||
charge related to class action lawsuit | 0 | 0 | 11,000,000 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
deferred rent liability | -195,000 | 37,000 | 339,000 | -168,000 | 330,000 | 79,000 | 242,000 | 751,000 | 78,000 | 45,000 | 82,000 | -263,000 | 454,000 | 97,000 | 26,000 | 83,000 | -10,000 | -61,000 | -14,000 | 81,000 | 14,000 | -76,000 | -198,000 | 85,000 | -5,000 | 105,000 | 212,000 | 610,000 | -391,000 | -19,000 | -289,000 | 53,000 | -350,000 | 453,000 | 458,000 | 379,000 | -117,000 | -50,000 | 15,000 | -354,000 | -228,000 | -46,000 | -173,000 | ||||||||||||||||||||||||||||||
cash proceeds from the sale of assets and insurance proceeds related to damaged properties | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
restricted and other assets | -103,000 | -388,000 | -201,000 | -1,921,000 | 17,000 | -139,000 | -193,000 | 1,374,000 | -386,000 | -289,000 | -334,000 | -1,337,000 | -1,273,000 | 186,000 | -389,000 | -216,000 | -350,000 | 488,000 | -262,000 | -24,000 | 21,000 | -177,000 | 3,201,000 | -84,000 | 119,000 | -1,517,000 | -126,000 | 455,000 | -211,000 | -278,000 | -160,000 | -245,000 | 1,000 | 274,000 | -177,000 | -181,000 | -180,000 | ||||||||||||||||||||||||||||||||||||
insurance proceeds received for damage to property | 167,000 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
gain on insurance claims for damaged property and other assets | -667,000 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
gain on disposition of intangibles, property and equipment | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
escrow deposits used to fund business acquisitions | 0 | 0 | 0 | 1,582,000 | 0 | 0 | 0 | 400,000 | 0 | 0 | 0 | 16,153,000 | 0 | 0 | 0 | 1,000,000 | 0 | 0 | 0 | 4,635,000 | 0 | 0 | 0 | 175,000 | 0 | 0 | 0 | 14,422,000 | 0 | 0 | 7,595,000 | 0 | 0 | 0 | 10,090,000 | ||||||||||||||||||||||||||||||||||||||
use of restricted cash | 0 | 1,481,000 | 1,907,000 | 1,694,000 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
cash proceeds from the sale of fixed assets and insurance proceeds | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
proceeds from common stock offering | 0 | 0 | 0 | 112,078,000 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
issuance costs in connection with common stock offering | 0 | -210,000 | -147,000 | -5,604,000 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
long-lived asset impairment | 0 | 0 | 111,000 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
gain on disposition of property and equipment | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
cash payment for business acquisitions | -42,300,000 | -32,952,000 | -8,693,000 | -500,000 | -7,729,000 | -55,591,000 | -490,000 | -30,928,000 | -18,867,000 | -22,298,000 | -38,709,000 | -49,701,000 | -4,526,000 | -29,294,000 | -9,148,000 | 263,000 | -6,054,000 | -28,664,000 | -10,646,000 | -9,001,000 | -4,512,000 | -11,002,000 | -7,043,000 | -20,208,000 | -41,510,000 | -7,955,000 | -37,074,000 | 0 | -11,192,000 | -7,617,000 | -39,168,000 | 0 | 0 | -22,133,000 | 0 | ||||||||||||||||||||||||||||||||||||||
cash payment for asset acquisitions | 0 | 0 | -310,000 | -120,158,000 | 0 | -1,899,000 | 2,000 | 1,000 | -426,000 | 0 | -6,802,000 | -9,244,000 | 0 | -7,339,000 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
cash proceeds from the sale of property and equipment and insurance proceeds | 1,529,000 | 409,000 | 608,000 | 0 | 20,000 | 174,000 | 197,000 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
proceeds from revolving credit facility | 220,000,000 | 115,000,000 | 345,000,000 | 325,000,000 | 187,000,000 | 175,250,000 | 156,750,000 | 110,000,000 | 95,000,000 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
losses related to operational closures | 3,906,000 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
fixed assets impairment | 0 | 0 | 0 | 137,000 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
loss on extinguishment of debt | 0 | 0 | 0 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
loss on termination of interest rate swap | 0 | 0 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
loss on disposition of property and equipment | 185,000 | 183,000 | 86,000 | 10,000 | 5,000 | -1,000 | 215,000 | 35,000 | -14,000 | 1,143,000 | 154,000 | 55,000 | 194,000 | 9,000 | 69,000 | 122,000 | 2,000 | -3,000 | 221,000 | 1,000 | 21,000 | 0 | 7,000 | 3,000 | 61,000 | 264,000 | 55,000 | 5,000 | 152,000 | 103,000 | |||||||||||||||||||||||||||||||||||||||||||
increase in restricted cash | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
cash retained by caretrust at separation | 0 | 0 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
prepayment penalty on early retirement of debt | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
losses related to operational closure | -177,000 | -240,000 | 7,798,000 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
cash received from sale of urgent care centers, net of note receivable | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
write-off of deferred financing fee | 0 | 197,000 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
income tax payable | 13,000 | 5,914,000 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
loss from sale of discontinued operations | 0 | 0 | 13,000 | 2,824,000 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
goodwill and other indefinite-lived intangibles impairment | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
amortization of deferred financing fees and debt discount | 148,000 | 147,000 | 148,000 | 148,000 | 148,000 | 148,000 | 186,000 | 205,000 | 205,000 | 205,000 | 205,000 | 206,000 | 206,000 | 209,000 | 208,000 | 203,000 | 191,000 | 159,000 | 168,000 | 159,000 | 136,000 | 191,000 | |||||||||||||||||||||||||||||||||||||||||||||||||||
gain on sale of equity method investment | 0 | 0 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
u.s. government inquiry accrual | -48,000,000 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
cash proceeds on sale of urgent care franchising business, net of note receivable | -3,000 | 0 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
cash proceeds on sale of equity method investment | 0 | 0 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
cash proceeds from the sale of property and equipment | 23,000 | 0 | 0 | 1,000 | 142,000 | 146,000 | 539,000 | 102,000 | 116,000 | 9,000 | 1,000 | 29,000 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
proceeds from from revolving credit facility | 29,000,000 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
net cash provided (used) in financing activities | 42,796,000 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
deferred income tax effect of purchase of noncontrolling interest | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
accrued self-insurance | 319,000 | 1,634,000 | 1,561,000 | -1,633,000 | -2,394,000 | 843,000 | -1,972,000 | 1,681,000 | 409,000 | 546,000 | 3,629,000 | 1,621,000 | 1,216,000 | 429,000 | 1,396,000 | 506,000 | 1,908,000 | 1,481,000 | 1,199,000 | 2,462,000 | 326,000 | -305,000 | 987,000 | 869,000 | |||||||||||||||||||||||||||||||||||||||||||||||||
deposits of restricted cash | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
uses of restricted cash | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
proceeds from issuance of debt | 95,000,000 | 60,000,000 | 48,700,000 | 0 | 15,000,000 | 0 | 0 | 21,525,000 | 15,000,000 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
prepayment penalties on early retirement of debt | 0 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
prepaid expenses and other current assets | -752,000 | 1,390,000 | 215,000 | -1,488,000 | -590,000 | 1,552,000 | 25,000 | -638,000 | -1,073,000 | 461,000 | 306,000 | 608,000 | -1,202,000 | -399,000 | 502,000 | -254,000 | -832,000 | 632,000 | 1,578,000 | -2,287,000 | -715,000 | -382,000 | 58,000 | 704,000 | -31,000 | -104,000 | |||||||||||||||||||||||||||||||||||||||||||||||
change in restricted cash | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
payments on long-term debt | -60,000,000 | -239,322,000 | -1,849,000 | -1,824,000 | -1,802,000 | -1,788,000 | -1,793,000 | -6,770,000 | -1,749,000 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
supplemental disclosures of cash flow information: | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
cash paid during the period for: | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
interest | 3,369,000 | 3,197,000 | 3,173,000 | 3,094,000 | 3,091,000 | 3,033,000 | 3,096,000 | 5,001,000 | 2,712,000 | 2,900,000 | 2,351,000 | 2,304,000 | 2,222,000 | 1,470,000 | 1,251,000 | 1,213,000 | 1,344,000 | 1,262,000 | 1,126,000 | 1,161,000 | 1,239,000 | ||||||||||||||||||||||||||||||||||||||||||||||||||||
income taxes | 158,000 | 7,348,000 | 9,730,000 | 160,000 | 6,901,000 | 9,187,000 | 10,295,000 | 7,870,000 | 8,305,000 | 7,985,000 | 6,065,000 | 4,710,000 | 8,066,000 | 4,100,000 | 8,100,000 | 3,191,000 | 3,810,000 | 4,308,000 | 106,000 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||
non-cash financing and investing activity: | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
accrued capital expenditures | 1,793,000 | 249,000 | -1,420,000 | 1,997,000 | 90,000 | -1,020,000 | 1,829,000 | -587,000 | 313,000 | 895,000 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
goodwill impairment | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
restricted assets and other | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
purchase of noncontrolling interest | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
acquisition of redeemable noncontrolling interest | 0 | 0 | 11,600,000 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
note receivable on sale of urgent care franchising business | 0 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
u.s. government inquiry settlement | 0 | 33,000,000 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
charge related to u.s. government inquiry | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
impairment of goodwill and other indefinite-lived intangibles | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
impairment of software development costs | -109,000 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
change in operating assets and liabilities, net of effects of acquisitions: | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
repurchases of shares of common stock | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
excess tax benefit from share based compensation | -398,000 | -489,000 | -459,000 | -91,000 | -441,000 | -43,000 | -24,000 | -333,000 | 37,000 | -44,000 | -9,000 | -56,000 | 21,000 | -7,000 | -15,000 | -106,000 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||
payments on long term debt | -6,571,000 | -1,561,000 | -42,281,000 | -1,702,000 | -715,000 | -507,000 | -497,000 | -542,000 | -364,000 | -263,000 | -259,000 | -275,000 | -273,000 | -231,000 | -2,252,000 | -263,000 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||
escrow deposits for acquisitions | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
cash proceeds from the sale of fixed assets | 113,000 | 329,000 | 273,000 | 51,000 | 0 | 0 | 58,000 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
principal payments under capital lease obligation | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
cash and cash equivalents beginning of year | 0 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
cash and cash equivalents end of year | 45,314,000 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
non-cash investing activity: | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
principal payments on capital lease obligations | -8,000 | -6,000 | -7,000 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
restricted assets | -154,000 | -105,000 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
other assets | -28,000 | 8,000 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
repurchase of common stock | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
proceeds from sale of common stock in connection with initial public offering (ipo), net of issuance costs | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
supplemental disclosures of cash flow information | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
non-cash investing and financing activities: | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
capital lease obligation | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
in conjunction with acquisitions: | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
fair value of assets acquired | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
less: debt assumed in connection with acquisitions | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
cash paid for acquisitions | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
purchase of other investments | -445,000 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
purchase of treasury stock | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
capital lease obligations | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
transfer of capital reserves from other assets to property and equipment | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
conditional asset retirement obligations under fin 47 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
debt assumed in connection with acquisitions | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
payments of deferred offering costs | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
cash payment for acquisitions | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
employee notes |