7Baggers
Quarterly
Annual
    Unit: USD2025-09-30 2025-06-30 2025-03-31 2024-12-31 2024-09-30 2024-06-30 2024-03-31 2023-12-31 2023-09-30 2023-06-30 2023-03-31 2022-12-31 2022-09-30 2022-06-30 2022-03-31 2021-12-31 2021-09-30 2021-06-30 2021-03-31 2020-12-31 2020-09-30 2020-06-30 2020-03-31 2019-12-31 2019-09-30 2019-06-30 2019-03-31 2018-12-31 2018-09-30 2018-06-30 2018-03-31 2017-12-31 2017-09-30 2017-06-30 2017-03-31 2016-12-31 2016-09-30 2016-06-30 2016-03-31 2015-12-31 2015-09-30 2015-06-30 2015-03-31 2014-12-31 2014-09-30 2014-06-30 2014-03-31 2013-12-31 2013-09-30 2013-06-30 2013-03-31 2012-12-31 2012-09-30 2012-06-30 2012-03-31 2011-09-30 2011-06-30 2011-03-31 2010-12-31 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 2007-06-30 2007-03-31 
      
    		                                                                          
      operating activities:
    		                                                                          
      net income
    		79,000,000 255,000,000 298,000,000 251,000,000 326,000,000 301,000,000 301,000,000 216,000,000 245,000,000 309,000,000 321,000,000 56,000,000 230,000,000 248,000,000 258,000,000 103,000,000 143,000,000 185,000,000 228,000,000 34,000,000 185,000,000 276,000,000 178,000,000 168,000,000 175,000,000 196,000,000 198,000,000 201,000,000 197,000,000 202,000,000 107,000,000 -262,000,000 -97,000,000 -230,000,000 77,000,000 -47,000,000 42,000,000 33,000,000 24,000,000 29,605,000 46,299,000 38,943,000 28,153,000 33,792,000 16,122,000 7,811,000 4,498,000 -9,126,000 7,569,000 24,571,000 29,915,000 25,643,000 3,364,000 -37,306,000 18,089,000 18,950,000 17,440,000 17,388,000 17,628,000 16,173,000 10,579,000 10,590,000 -4,472,000 8,564,000 14,565,000 12,211,000 15,541,000 17,186,000 16,516,000 13,155,000 17,911,000 17,513,000 13,314,000 9,592,000 
      adjustments to reconcile net income to net cash from operating activities:
    		                                                                          
      depreciation and amortization
    		45,000,000 58,000,000 48,000,000 48,000,000 47,000,000 46,000,000 45,000,000 43,000,000 42,000,000 42,000,000 44,000,000 47,000,000 45,000,000 44,000,000 40,000,000 35,000,000 32,000,000 31,000,000 33,000,000 24,000,000 23,000,000 21,000,000 20,000,000 21,000,000 21,000,000 22,000,000 25,000,000 23,000,000 31,000,000 36,000,000 37,000,000 39,000,000 43,000,000 47,000,000 49,000,000 47,000,000 46,000,000 45,000,000 44,000,000 33,417,000 30,507,000 29,502,000 32,574,000 34,940,000 33,810,000 32,660,000 32,994,000 25,831,000 24,128,000 22,108,000 21,799,000 20,475,000 20,279,000 19,671,000 18,339,000 17,812,000 16,508,000 18,094,000 20,280,000 16,573,000 13,851,000 10,061,000 9,642,000 9,832,000 9,584,000 9,052,000 8,691,000 8,515,000 8,330,000 8,152,000 7,693,000 7,082,000 6,749,000 6,443,000 
      deferred income taxes
    		15,000,000 9,000,000 13,000,000 39,000,000 -7,000,000 -5,000,000 26,000,000 2,000,000 -29,000,000 -5,000,000 1,000,000 -31,000,000 -38,000,000 -13,000,000 16,000,000 -16,000,000 -15,000,000 1,000,000 6,000,000 -16,000,000 -9,000,000 -8,000,000 14,000,000 3,000,000 -12,000,000 4,000,000 15,000,000 26,000,000 -26,000,000 0 -6,000,000 -26,000,000 -27,000,000 -36,000,000 -5,000,000 2,000,000 -19,000,000 9,000,000 30,000,000 5,072,000 -19,477,000 6,308,000 1,097,000 8,353,000 -12,397,000 2,362,000 -670,000 7,395,000 -16,287,000 -22,139,000 -16,000 -11,053,000 1,787,000 -9,527,000 8,906,000 10,908,000 -4,458,000 1,619,000 -8,555,000 3,839,000 -2,470,000 3,094,000 -2,323,000 -923,000 -1,743,000 4,988,000 4,447,000 -486,000 -1,291,000 -4,358,000 -4,918,000 624,000 -1,764,000 -2,999,000 
      share-based compensation
    		-3,000,000 3,000,000 27,000,000 18,000,000 30,000,000 32,000,000 36,000,000 27,000,000 33,000,000 30,000,000 25,000,000 23,000,000 23,000,000 23,000,000 34,000,000 23,000,000 14,000,000 11,000,000 24,000,000 14,000,000 15,000,000 16,000,000 12,000,000 10,000,000 10,000,000 10,000,000 9,000,000 7,000,000 7,000,000 7,000,000 6,000,000    6,000,000 2,000,000 8,000,000 9,000,000 7,000,000 6,774,000 6,985,000 3,566,000 5,675,000                                
      other
    		  2,000,000 0 4,000,000 2,000,000 2,000,000 -1,000,000 -2,000,000 0 5,000,000 11,000,000 3,000,000 2,000,000 -8,000,000 24,000,000 -1,000,000 -2,000,000 12,000,000 10,000,000 3,000,000 2,000,000 -3,000,000 0 -8,000,000 0 3,000,000 -2,000,000 2,000,000 2,000,000 2,000,000 8,000,000 6,000,000 4,000,000 3,000,000 2,000,000 3,000,000 5,000,000 6,000,000 5,788,000 4,571,000 5,077,000 3,564,000 2,347,000                               
      changes in operating assets and liabilities:
    		                                                                          
      receivables
    		348,000,000 -376,000,000 -90,000,000 -47,000,000 -26,000,000 118,000,000 -123,000,000 -646,000,000 -49,000,000 151,000,000 -234,000,000 -80,000,000 28,000,000 -64,000,000 21,000,000 -168,000,000 -55,000,000 -94,000,000 -98,000,000 269,000,000 -195,000,000 23,000,000 -197,000,000 -126,000,000 -41,000,000 120,000,000 -29,000,000 -23,000,000 -192,000,000 -232,000,000 -83,000,000 131,000,000 4,000,000 0 -32,000,000 79,000,000 -12,000,000 -149,000,000 -266,000,000 79,429,000 11,239,000 -139,694,000 105,026,000 -170,773,000 47,831,000 -135,282,000 -39,297,000 -4,968,000 -80,191,000 -63,525,000 -569,000 7,227,000 4,098,000 61,247,000 -54,356,000 -7,365,000 -2,256,000 -2,168,000 57,357,000 -63,298,000 -9,652,000 8,054,000 7,475,000 7,311,000 6,735,000 -29,613,000 41,198,000 -56,163,000 3,956,000 -6,016,000 28,317,000 -17,836,000 1,684,000 2,842,000 
      prepaid expenses and other current assets
    		-35,000,000 66,000,000 -56,000,000 -51,000,000 -22,000,000 8,000,000 8,000,000 0 -75,000,000 -1,000,000 7,000,000 -14,000,000 -46,000,000 -32,000,000 -32,000,000 24,000,000 -37,000,000 9,000,000 -15,000,000 82,000,000 59,000,000 72,000,000 -229,000,000 34,000,000 -24,000,000 -2,000,000 20,000,000 123,000,000 64,000,000 58,000,000 -239,000,000                 4,488,000 -4,696,000 -13,900,000 -8,956,000 1,616,000 -222,000 -5,065,000 -5,287,000 961,000 5,362,000 -8,142,000 -1,449,000 -3,159,000 -5,680,000 532,000 -1,271,000 -278,000 3,644,000 -2,912,000 -364,000 82,000 -706,000 -1,257,000 -750,000 -808,000 896,000 -2,249,000 
      medical claims and benefits payable
    		-107,000,000 31,000,000 -81,000,000 -105,000,000 113,000,000 -24,000,000 -24,000,000 -31,000,000 462,000,000 -147,000,000 296,000,000 -98,000,000 -154,000,000 142,000,000 263,000,000 -51,000,000 250,000,000 104,000,000 168,000,000 113,000,000 325,000,000 -21,000,000 127,000,000 -121,000,000 208,000,000 -228,000,000 34,000,000 -82,000,000 123,000,000 -104,000,000 -163,000,000 -286,000,000 401,000,000 151,000,000 -3,000,000 58,000,000 86,000,000 -173,000,000 255,000,000 122,952,000 67,318,000 44,120,000 247,610,000 76,676,000 199,664,000 104,641,000 149,754,000 37,081,000 167,219,000 -25,658,000 -3,385,000 -41,933,000 10,925,000 69,705,000 53,357,000 19,442,000 -9,769,000 -2,974,000 416,000 4,863,000 18,627,000 10,457,000 13,402,000 -5,593,000 -2,920,000 19,185,000 -6,345,000 -6,754,000 -6,235,000 170,000 -11,991,000 5,483,000 23,051,000 -9,860,000 
      amounts due government agencies
    		-386,000,000 -49,000,000 -32,000,000 -164,000,000 -246,000,000 -226,000,000 183,000,000 -181,000,000 -133,000,000 240,000,000 270,000,000 -68,000,000 -607,000,000 110,000,000 137,000,000 236,000,000 18,000,000 360,000,000 432,000,000 470,000,000 -225,000,000 88,000,000 113,000,000 52,000,000 -372,000,000 52,000,000 -35,000,000 -63,000,000 -716,000,000 33,000,000 172,000,000 219,000,000 -520,000,000 269,000,000 373,000,000 -30,000,000 -6,000,000 328,000,000 181,000,000 -251,124,000 155,383,000 202,776,000 94,965,000                                
      accounts payable, accrued liabilities and other
    		106,000,000 -33,000,000 -268,000,000 148,000,000 274,000,000 -92,000,000 -215,000,000 465,000,000 71,000,000 7,000,000 -215,000,000 95,000,000 107,000,000 -66,000,000 -81,000,000 9,000,000 144,000,000 -31,000,000 16,000,000 23,000,000 -196,000,000 4,000,000 247,000,000                                                    
      deferred revenue
    		15,000,000 -311,000,000 252,000,000 -314,000,000 352,000,000 -315,000,000 -90,000,000 -273,000,000 277,000,000 -240,000,000 295,000,000 -304,000,000 650,000,000 -5,000,000 -352,000,000 369,000,000 -41,000,000 -29,000,000 -304,000,000 314,000,000 7,000,000 11,000,000 -206,000,000 42,000,000 177,000,000 -177,000,000 -4,000,000 34,000,000 -13,000,000 -172,000,000 130,000,000 -187,000,000 185,000,000 -178,000,000 146,000,000 -65,000,000 276,000,000 10,000,000 -129,000,000 152,849,000 9,504,000 -112,088,000 -26,265,000 5,220,000 144,911,000 -100,331,000 24,060,000 -2,172,000 78,439,000 -89,855,000 -5,994,000 -1,503,000 -33,072,000 80,883,000 44,543,000 -26,898,000 -14,674,000 84,172,000 22,438,000 18,343,000 7,984,000 -90,664,000 26,800,000 6,743,000 1,670,000 52,968,000 10,385,000 -31,017,000 48,128,000 -38,062,000 -1,939,000 -2,282,000 8,986,000 17,219,000 
      income taxes
    		-200,000,000 47,000,000 77,000,000 -47,000,000 28,000,000 -64,000,000 65,000,000 -311,000,000 107,000,000 101,000,000 101,000,000 -57,000,000 13,000,000 -21,000,000 67,000,000 -16,000,000 9,000,000 -52,000,000 66,000,000 -48,000,000 -150,000,000 124,000,000 60,000,000 -19,000,000 7,000,000 -46,000,000 43,000,000 -67,000,000 -9,000,000 49,000,000 78,000,000 6,000,000 8,000,000 -89,000,000 59,000,000 -58,000,000 42,000,000 14,000,000 -24,000,000 -52,218,000 28,809,000 -440,000 1,849,000 16,666,000 9,047,000 11,374,000 4,642,000 -38,250,000 -9,988,000 552,000 8,424,000 40,050,000 -2,141,000 -16,074,000 -3,663,000 -11,386,000 -2,141,000 -5,430,000 15,931,000 -1,583,000 1,975,000 2,935,000 -7,610,000 -3,464,000 5,666,000 3,359,000 -11,774,000 -3,382,000 -1,943,000 7,134,000 4,704,000 3,757,000 886,000 4,346,000 
      net cash from operating activities
    		-125,000,000 -302,000,000 190,000,000 -224,000,000 873,000,000 -219,000,000 214,000,000 -690,000,000 949,000,000 487,000,000 916,000,000 -212,000,000 254,000,000 368,000,000 363,000,000 597,000,000 461,000,000 493,000,000 568,000,000 1,299,000,000 -158,000,000 613,000,000 136,000,000 29,000,000 242,000,000 -93,000,000 249,000,000 -123,000,000 -505,000,000 -80,000,000 394,000,000 -153,000,000 285,000,000 -47,000,000 719,000,000 40,000,000 355,000,000 139,000,000 139,000,000 219,214,000 258,076,000 94,077,000 553,633,000 219,059,000 605,738,000 24,563,000 210,897,000 78,339,000 223,492,000 -131,852,000 20,104,000 83,760,000 28,041,000 185,408,000 50,575,000 40,265,000 30,848,000 84,050,000 153,184,000 -16,841,000 51,787,000 -26,484,000 25,088,000 35,443,000 27,925,000 66,915,000 60,702,000 -59,724,000 62,895,000 -23,442,000 45,310,000 25,325,000 52,087,000 35,904,000 
      capex
    		-38,000,000 -42,000,000 -22,000,000 -11,000,000 -35,000,000 -27,000,000 -27,000,000 5,000,000 -26,000,000 -31,000,000 -32,000,000 -10,000,000 -31,000,000 -27,000,000 -23,000,000 -21,000,000 -27,000,000 -13,000,000 -16,000,000 -10,000,000 -19,000,000 -24,000,000 -21,000,000 -27,000,000 -10,000,000 -14,000,000 -6,000,000 -6,000,000 -10,000,000 -10,000,000 -4,000,000 -1,000,000 -25,000,000 -34,000,000 -26,000,000 -33,000,000 -41,000,000 -56,000,000 -46,000,000 0 -34,501,000 -40,886,000 -24,974,000 -43,163,000 -34,101,000 -19,882,000 -17,788,000 -33,623,000 -29,197,000 -24,062,000 -11,167,000 -25,597,000 -19,247,000 -19,796,000 -13,505,000 -15,055,000 -15,925,000 -14,941,000 -16,620,000 -14,395,000 -11,547,000 -5,905,000 -7,480,000 -8,466,000 -9,557,000 -10,228,000 -6,376,000 -12,270,000 -7,949,000 -7,554,000 -5,785,000 -6,074,000 -6,795,000 -3,645,000 
      free cash flows
    		-163,000,000 -344,000,000 168,000,000 -235,000,000 838,000,000 -246,000,000 187,000,000 -685,000,000 923,000,000 456,000,000 884,000,000 -222,000,000 223,000,000 341,000,000 340,000,000 576,000,000 434,000,000 480,000,000 552,000,000 1,289,000,000 -177,000,000 589,000,000 115,000,000 2,000,000 232,000,000 -107,000,000 243,000,000 -129,000,000 -515,000,000 -90,000,000 390,000,000 -154,000,000 260,000,000 -81,000,000 693,000,000 7,000,000 314,000,000 83,000,000 93,000,000 219,214,000 223,575,000 53,191,000 528,659,000 175,896,000 571,637,000 4,681,000 193,109,000 44,716,000 194,295,000 -155,914,000 8,937,000 58,163,000 8,794,000 165,612,000 37,070,000 25,210,000 14,923,000 69,109,000 136,564,000 -31,236,000 40,240,000 -32,389,000 17,608,000 26,977,000 18,368,000 56,687,000 54,326,000 -71,994,000 54,946,000 -30,996,000 39,525,000 19,251,000 45,292,000 32,259,000 
      investing activities:
    		                                                                          
      purchases of investments
    		-186,000,000 -232,000,000 -189,000,000 -143,000,000 -395,000,000 -214,000,000 -380,000,000 -138,000,000 -371,000,000 -278,000,000 -646,000,000 -149,000,000 -351,000,000 -1,010,000,000 -403,000,000 -695,000,000 -1,012,000,000 -618,000,000 -388,000,000 0 0 -92,000,000 -578,000,000 -598,000,000 -776,000,000 -977,000,000 -185,000,000 -242,000,000 -288,000,000 -525,000,000 -389,000,000 -822,000,000 -260,000,000 -903,000,000 -733,000,000 -485,000,000 -470,000,000 -363,000,000 -611,000,000 -611,769,000 -318,253,000 -554,387,000 -438,591,000 -337,031,000 -248,020,000 -226,159,000 -142,145,000 -142,130,000 -95,802,000 -456,139,000 -76,012,000 -71,972,000 -90,117,000 -56,149,000 -88,199,000 -74,562,000 -78,663,000 -104,984,000 -140,222,000 -70,852,000 -42,329,000 -49,439,000 -59,429,000 -55,153,000 -24,055,000 -48,127,000 -81,852,000 -17,930,000 -67,630,000 -95,817,000 -178,863,000 -42,436,000 -29,991,000 -12,825,000 
      proceeds from sales and maturities of investments
    		300,000,000 386,000,000 331,000,000 240,000,000 365,000,000 295,000,000 211,000,000 102,000,000 124,000,000 175,000,000 371,000,000 316,000,000 203,000,000 366,000,000 513,000,000 364,000,000 343,000,000 314,000,000 308,000,000 206,000,000 141,000,000 257,000,000 493,000,000 412,000,000 1,099,000,000 425,000,000 366,000,000 375,000,000 735,000,000 792,000,000 543,000,000 233,000,000 664,000,000 441,000,000 433,000,000 454,000,000 700,000,000 464,000,000 348,000,000 263,428,000 321,522,000 285,441,000 255,609,000 158,964,000 147,188,000                              
      net cash paid in business combinations
    		0 0 -245,000,000 0 -49,000,000 0 -295,000,000 0    0        -693,000,000                0 -40,000,000 -6,000,000 -2,000,000 -372,684,000 -69,310,000 0 -8,006,000 -36,633,000    -3,837,000        0 0 -3,253,000 -3,512,000                
      purchases of property, equipment and capitalized software
    		-38,000,000 -42,000,000 -22,000,000 -11,000,000 -35,000,000 -27,000,000 -27,000,000 5,000,000 -26,000,000 -31,000,000 -32,000,000 -10,000,000 -31,000,000 -27,000,000 -23,000,000 -21,000,000 -27,000,000 -13,000,000 -16,000,000 -10,000,000 -19,000,000 -24,000,000 -21,000,000 -27,000,000 -10,000,000 -14,000,000 -6,000,000 -6,000,000 -10,000,000 -10,000,000 -4,000,000 -1,000,000 -25,000,000 -34,000,000 -26,000,000 -33,000,000 -41,000,000 -56,000,000 -46,000,000  -34,501,000 -40,886,000 -24,974,000                                
      net cash from investing activities
    		77,000,000 128,000,000 -123,000,000 19,000,000 -48,000,000 53,000,000 -488,000,000 -25,000,000 -280,000,000 -137,000,000 -302,000,000 148,000,000 -347,000,000 -665,000,000 74,000,000 -547,000,000 -698,000,000 -321,000,000 -87,000,000 -498,000,000 60,000,000 141,000,000 -103,000,000 -213,000,000 313,000,000 -564,000,000 171,000,000 322,000,000 423,000,000 253,000,000 145,000,000 -599,000,000 371,000,000 -506,000,000 -339,000,000 -71,000,000 142,000,000 41,000,000 -314,000,000 -754,925,000 -108,226,000 -329,059,000 -227,790,000 -274,449,000 -158,944,000 -74,845,000 -27,491,000 -1,895,000 -109,604,000 -410,612,000 -21,200,000 -2,790,000 -29,487,000 -18,589,000 -42,718,000 -3,885,000 -39,095,000 -79,682,000 -125,707,000 -24,495,000 -134,021,000 -4,849,000 -5,995,000 -3,837,000 -3,620,000 -24,261,000 -38,867,000 18,510,000 -20,536,000 -23,627,000 -209,839,000 -39,589,000 -1,440,000 -5,405,000 
      financing activities:
    		                                                                          
      proceeds from borrowings under credit facility and term loans
    		                                                                          
      common stock purchases
    		-500,000,000 0 -500,000,000 -500,000,000        -200,000,000 0   0 0 0 -128,000,000 -153,000,000 0 0 -453,000,000                                                    
      repayment of credit facility and term loans
    		                                                                          
      common stock withheld to settle employee tax obligations
    		-1,000,000 0 -36,000,000 0 -1,000,000 0 -56,000,000 0 -1,000,000 -1,000,000 -58,000,000 -1,000,000 0 -1,000,000 -52,000,000 -1,000,000 0 -1,000,000 -51,000,000                                                        
      net cash from financing activities
    		-220,000,000 -189,000,000 147,000,000 67,000,000 -364,000,000 12,000,000 -62,000,000 3,000,000 -6,000,000 10,000,000 -65,000,000 -183,000,000 10,000,000 -191,000,000 -77,000,000 21,000,000 -4,000,000 7,000,000 -207,000,000 156,000,000 -2,000,000 189,000,000 -118,000,000 -42,000,000 -148,000,000 -314,000,000 -48,000,000 -181,000,000 -509,000,000 -498,000,000 -5,000,000 4,000,000 299,000,000 334,000,000 -1,000,000 8,000,000 0 9,000,000 2,000,000 700,564,000 478,000 378,840,000 5,118,000 -4,143,000 124,451,000 -5,736,000 -35,932,000 2,895,000 -2,000 115,623,000 374,837,000 -680,000 -10,166,000 42,550,000 16,039,000 -8,101,000 3,668,000 3,538,000 1,954,000 6,806,000 104,938,000 113,000 939,000 26,000 -11,655,000 -24,629,000 -17,109,000 -1,774,000 -29,088,000 158,000 175,999,000 -9,644,000 888,000 -14,182,000 
      net decrease in cash, cash equivalents, and restricted cash and cash equivalents
    		-268,000,000                                                                          
      cash, cash equivalents, and restricted cash and cash equivalents at beginning of period
    		0 0 4,741,000,000  0 0 4,908,000,000  0 0 4,048,000,000  0 0 4,506,000,000  0 0 4,223,000,000  0 0 2,508,000,000  0 0 2,926,000,000 0 0 0 3,290,000,000                                            
      cash, cash equivalents, and restricted cash and cash equivalents at end of period
    		-268,000,000 -363,000,000 4,955,000,000  461,000,000 -154,000,000 4,572,000,000  663,000,000 360,000,000 4,597,000,000  -83,000,000 -488,000,000 4,866,000,000  -241,000,000 179,000,000 4,497,000,000  -100,000,000 943,000,000 2,423,000,000  407,000,000 -971,000,000 3,298,000,000 18,000,000 -591,000,000 -325,000,000 3,824,000,000                                            
      proceeds from borrowings under credit facility and term loan
    		                                                                          
      repayment of credit facility and term loan
    		                                                                          
      proceeds from borrowings under credit facility
    		  150,000,000 0                            0                                           
      proceeds from borrowings under term loan
    		  500,000,000                        100,000,000                                                
      net increase in cash, cash equivalents, and restricted cash and cash equivalents
    		  214,000,000  461,000,000 -154,000,000 -336,000,000  663,000,000 360,000,000 549,000,000  -83,000,000 -488,000,000 360,000,000  -241,000,000 179,000,000 274,000,000  -100,000,000 943,000,000 -85,000,000   -971,000,000 372,000,000 18,000,000 -591,000,000 -325,000,000 534,000,000                                            
      impairment
    		                                                                          
      changes in operating assets and liabilities, net of the effect of acquisitions:
    		                                                                          
      proceeds from senior notes offerings, net of issuance costs
    		                                                                          
      repayment of credit facility
    		   -150,000,000                        0 0                                              
      contingent consideration liabilities settled
    		           0 0 0 -20,000,000 0 0 0 -20,000,000                         0 0 -12,230,000 -38,119,000                            
      net increase in cash and cash equivalents, and restricted cash and cash equivalents
    		                                                                          
      cash and cash equivalents, and restricted cash and cash equivalents at beginning of period
    		                                                                          
      cash and cash equivalents, and restricted cash and cash equivalents at end of period
    		                                                                          
      loss on debt repayment
    		                                                                          
      repayment of senior notes
    		                                                                          
      repayment of term loan facility
    		                   0 0                                                      
      proceeds from borrowings under term loan facility
    		                   0 0 0 380,000,000 0 0                                                  
      cash paid for partial termination of warrants
    		                   0 0 0 -30,000,000                                                    
      cash paid for partial settlement of conversion option
    		                   0 0 0 -27,000,000                                                    
      cash received for partial settlement of call option
    		                   0 0 0 27,000,000                                                    
      repayment of principal amount of convertible senior notes
    		                   0 0 0 -12,000,000                                                    
      gain on debt repayment
    		                   10,000,000 0                                                      
      proceeds from senior notes offering, net of issuance costs
    		                    0            0                                          
      loss on sales of subsidiaries, net of gain
    		                                                                          
      non-cash restructuring charges
    		                               11,000,000                                           
      net cash received from sale of subsidiaries
    		                                                                          
      amortization of convertible senior notes and finance lease liabilities
    		                       0 1,000,000 1,000,000 3,000,000                                                
      (gain) loss on debt extinguishment
    		                       0 2,000,000 -14,000,000 -3,000,000                                                
      impairment losses
    		                               269,000,000 129,000,000                                          
      accounts payable and accrued liabilities
    		                       -35,000,000 98,000,000 -31,000,000 -30,000,000 -353,000,000 49,000,000 30,000,000 319,000,000 -102,000,000 108,000,000 -68,000,000 50,000,000 -5,000,000 -146,000,000 -58,000,000 205,000,000 50,459,000 -124,193,000 -31,639,000 189,373,000 -303,294,000 136,894,000 75,280,000 102,217,000 40,005,000 37,959,000 14,879,000 -31,847,000 32,375,000 13,952,000 12,167,000 -35,149,000 8,961,000 17,081,000 -25,796,000 25,351,000 -12,827,000 12,824,000 15,134,000 -20,327,000 9,586,000 -12,804,000 -2,922,000 -4,238,000 9,954,000 -6,343,000 -4,277,000 3,937,000 10,027,000 -3,716,000 8,452,000 
      non-cash restructuring costs
    		                            0 0 17,000,000                                            
      gain on sale of subsidiary
    		                                                   643,000 0 0 -2,390,000                    
      repayment of principal amount of 1.125% convertible notes
    		                        -55,000,000 -139,000,000 -46,000,000                                                
      cash paid for partial settlement of 1.125% conversion option
    		                        -105,000,000 -358,000,000 -115,000,000 -146,000,000 -343,000,000                                              
      cash received for partial termination of 1.125% call option
    		                        105,000,000 358,000,000 115,000,000  343,000,000                                              
      cash paid for partial termination of 1.125% warrants
    		                        -90,000,000 -321,000,000 -103,000,000 -130,000,000 -306,000,000                                              
      repayment of 1.625% convertible notes
    		                                                                          
      amortization of convertible senior notes and lease financing obligations
    		                           4,000,000 5,000,000 6,000,000 7,000,000 8,000,000 8,000,000 8,000,000 8,000,000 8,000,000 8,000,000 7,000,000 8,000,000 7,899,000 7,416,000 7,395,000 7,290,000 7,184,000 6,740,000 6,781,000 6,674,000 6,692,000                           
      loss on debt extinguishment
    		                           -3,000,000 10,000,000 5,000,000 10,000,000                                            
      cash received for partial settlement of 1.125% call option
    		                                                                          
      repayment of principal amount of 1.625% convertible notes
    		                                                                          
      repayment of principal amount of 1.125% notes
    		                                                                          
      repayment of principal amount of 1.625% notes
    		                                                                          
      repayment of 1.125% convertible notes
    		                                                                          
      increase in restricted investments held-to-maturity
    		                               -2,000,000 0                                          
      cash paid for financing transaction fees
    		                              -5,000,000                                            
      proceeds from employee stock plans
    		                               8,000,000 0 10,000,000 1,000,000 8,000,000 0   9,364,000 249,000 7,298,000 1,089,000 6,412,000 11,000 6,287,000 1,330,000 4,246,000 304,000 4,617,000 235,000 2,634,000 86,000 2,737,000 2,748,000 0 3,178,000 2,462,000 2,194,000 319,000               
      proceeds from common stock offering, net of issuance costs
    		                                       -151,000 0                                  
      net increase in cash and cash equivalents
    		                               -748,000,000 955,000,000 -219,000,000 379,000,000 -23,000,000 497,000,000 189,000,000 -173,000,000 164,853,000 150,328,000 143,858,000 330,961,000 -59,533,000 571,245,000 -56,018,000 147,474,000 79,339,000 113,886,000 -426,841,000 373,741,000 80,290,000 -11,612,000 209,369,000 23,896,000 28,279,000 -4,579,000 7,906,000 29,431,000 -34,530,000 22,704,000 -31,220,000 20,032,000 31,632,000 12,650,000 18,025,000 4,726,000 -42,988,000 13,271,000 -46,911,000 11,470,000 -23,908,000 51,535,000 16,317,000 
      cash and cash equivalents at beginning of period
    		                               0 0 0 2,819,000,000 0 0 0 2,329,000,000 -63,000 0 0 1,539,063,000 0 0 0 935,895,000 0 0 0 795,770,000 0 0 0 493,827,000 0 0 455,886,000  0 0 469,501,000  0 0 387,162,000  0 0 459,064,000  0 0 403,650,000 
      cash and cash equivalents at end of period
    		                               -748,000,000 955,000,000 -219,000,000 3,198,000,000 -23,000,000 497,000,000 189,000,000 2,156,000,000 164,790,000 150,328,000 143,858,000 1,870,024,000 -59,533,000 571,245,000 -56,018,000 1,083,369,000 79,339,000 113,886,000 -426,841,000 1,169,511,000 80,290,000 -11,612,000 209,369,000 517,723,000 28,279,000 -4,579,000 463,792,000  -34,530,000 22,704,000 438,281,000  31,632,000 12,650,000 405,187,000  -42,988,000 13,271,000 412,153,000  -23,908,000 51,535,000 419,967,000 
      share-based compensation, including accelerated share-based compensation
    		                                3,000,000                                          
      prepaid expenses and other assets
    		                                -15,000,000 -26,000,000 -12,000,000  27,000,000 59,000,000 -202,000,000  33,715,000 40,251,000 -137,278,000  15,305,000 11,136,000 -78,023,000                            
      increase in restricted investments
    		                                  -7,000,000    -4,000,000 -784,000 8,986,000 -9,590,000 -4,612,000 -9,360,000 -8,679,000 -1,241,000 -14,381,000 2,132,000 -8,290,000 -1,818,000 -11,016,000 387,000 -880,000 -1,661,000 -493,000 -164,000 -1,023,000 -7,207,000 2,947,000 -3,759,000 -4,098,000 -656,000    445,000    -787,000     
      change in restricted investments
    		                                   0 -1,000,000                                      
      principal payments on convertible senior notes
    		                                                                          
      changes in operating assets and liabilities, net of effects from acquisitions:
    		                                                                          
      purchases of equipment
    		                                           -43,163,000 -34,101,000 -19,882,000 -17,788,000 -33,623,000 -29,197,000 -24,062,000 -11,167,000 -25,597,000 -19,247,000 -19,796,000 -13,505,000 -15,055,000 -15,925,000 -14,941,000 -16,620,000 -14,395,000 -11,547,000 -5,976,000 -7,480,000 -8,466,000 -9,557,000 -10,367,000 -6,376,000 -11,216,000 -8,921,000 -8,177,000 -5,785,000 -6,074,000 -6,795,000 -3,645,000 
      proceeds from sale-leaseback transactions
    		                                               0 0                          
      purchase of call option
    		                                                                          
      proceeds from issuance of warrants
    		                                               0 0 0 75,074,000                        
      treasury stock purchases
    		                                               -2,662,000 0 0 -50,000,000            0 0 -12,736,000 -14,976,000 -17,703,000 -2,271,000       
      principal payments on term loan
    		                                               0 0 -47,180,000 -291,000 -283,000 -273,000 -272,000 -301,000                    
      repayment of amount borrowed under credit facility
    		                                                   0 -10,000,000      0                
      proceeds from issuance of convertible senior notes, net of issuance costs
    		                                                                          
      proceeds from sale of subsidiary, net of cash surrendered
    		                                                   0 0 0 9,162,000                    
      proceeds from issuance of convertible senior notes, net of financing costs paid
    		                                                                          
      amount borrowed under credit facility
    		                                                   0 0 50,000,000 10,000,000    0                
      stock–based compensation
    		                                            5,659,000 4,860,000 5,596,000                            
      proceeds from issuance of convertible senior notes, net of deferred financing costs
    		                                                                          
      repayment of amounts borrowed under credit facility
    		                                                0 0 -40,000,000                     -10,000,000 0 -15,000,000 
      amortization of premium/discount on investments
    		                                             2,501,000 3,023,000 3,734,000 3,755,000 2,796,000 1,502,000 1,580,000 1,551,000 1,765,000 1,850,000 1,861,000 1,795,000 1,644,000                 
      amortization of deferred financing costs
    		                                             650,000 651,000 650,000 676,000 1,118,000 1,248,000 264,000 310,000 257,000 258,000 1,444,000 504,000 503,000 502,000 591,000 343,000 344,000 832,000 344,000 344,000 352,000 407,000 406,000       
      change in fair value of derivatives
    		                                               -5,000 -1,000 3,503,000 -119,000                        
      change in fair value of contingent consideration liabilities
    		                                             66,000 -4,265,000                            
      gain on disposal of property and equipment
    		                                             90,000 -950,000                            
      tax deficiency from employee stock compensation
    		                                             -28,000 -5,000 -1,000 -34,000 4,000 -42,000 -367,000 -109,000 -19,000 -31,000 -158,000 -225,000 -264,000                 
      proceeds from sale of property and equipment
    		                                                                          
      change in deferred contract costs
    		                                             -7,597,000 -6,145,000 3,093,000 2,551,000                          
      change in other noncurrent assets and liabilities
    		                                             -336,000 -117,000     2,862,000 -392,000 -1,926,000 -2,457,000 -2,723,000 3,127,000 -937,000                 
      proceeds from issuance of 1.125% notes, net of deferred financing costs
    		                                                                          
      purchase of 1.125% notes call option
    		                                               0 0                          
      excess tax benefits from employee stock compensation
    		                                             234,000 877,000 436,000 -306,000 367,000 1,177,000 -31,000 21,000 85,000 3,592,000 24,000 490,000 1,076,000 -125,000 241,000 66,000 113,000             
      settlement of interest rate swap
    		                                                0                          
      principal payments on lease financing obligations - related party
    		                                                                          
      gain on derivatives
    		                                              -2,000                            
      sales and maturities of investments
    		                                              147,370,000 171,795,000 78,380,000 73,773,000 75,647,000 84,341,000 76,893,000 71,005,000 65,767,000 104,979,000 60,159,000 61,275,000 39,913,000 68,357,000 63,610,000 53,226,000 54,595,000 67,478,000 46,665,000 35,627,000 57,628,000 51,091,000 55,452,000 82,353,000 44,426,000 13,175,000 34,715,000 11,402,000 
      sale of property and equipment
    		                                              5,715,000                            
      principal payments on lease financing obligations
    		                                              -20,000                            
      stock-based compensation
    		                                               8,040,000 8,504,000 7,729,000 4,421,000 4,570,000 5,636,000 5,146,000 4,666,000 4,349,000 4,310,000 4,064,000 2,263,000 2,760,000 2,372,000 2,136,000 1,755,000 2,272,000 2,024,000 1,434,000 2,042,000 2,182,000 2,076,000 1,511,000 1,950,000 1,594,000 1,777,000 1,867,000 
      loss on disposal of property and equipment
    		                                                                          
      impairment of goodwill and intangible assets
    		                                                                          
      gain on acquisition
    		                                                                          
      proceeds from issuance of 1.125% notes, net of deferred issuance costs
    		                                                 0 537,973,000                        
      amount borrowed under term loan
    		                                                                          
      credit facility fees paid
    		                                                          0                
      adjustments to reconcile net income to net cash change in operating activities:
    		                                                                          
      change in other non-current assets and liabilities
    		                                                438,000 -7,604,000 -408,000                        
      amortization of convertible senior notes
    		                                                                          
      non-cash interest on convertible senior notes
    		                                                  3,723,000 1,528,000 1,499,000 1,472,000 1,443,000 1,384,000 1,371,000 1,340,000 1,314,000 1,291,000 1,266,000 1,243,000 1,219,000 1,197,000 1,172,000 1,194,000         
      increase in deferred contract costs
    		                                                  1,756,000 7,189,000 4,256,000 -10,062,000 -12,993,000 -16,360,000 -6,770,000 -9,635,000 -8,703,000 -12,598,000               
      purchase of call option relating to 1.125% notes
    		                                                  -149,331,000                        
      change in fair value of interest rate swap
    		                                                                          
      unrealized gain on trading securities
    		                                                           -1,310,000 -2,320,000 -540,000  101,000 29,000 -3,639,000         
      loss on rights agreement
    		                                                           1,196,000 2,118,000 493,000  -92,000 -27,000 3,323,000         
      change in fair value of interest rate swap agreement
    		                                                    184,000                      
      supplemental cash flow information:
    		                                                                          
      cash paid during the period for:
    		                                                                          
      interest
    		                                                         269,000   6,080,000 142,000    339,000  53,000    654,000 838,000 1,203,000 
      schedule of non-cash investing and financing activities:
    		                                                                          
      retirement of common stock used for stock-based compensation
    		                                                         3,161,000    1,526,000    695,000  878,000 -33,000 -333,000     
      details of business combinations adjustments:
    		                                                                          
      increase in fair value of assets acquired
    		                                                         -256,000                 
      decrease in fair value of liabilities assumed
    		                                                         -1,045,000                 
      decrease in payable to sellers
    		                                                         -1,952,000                 
      unrealized (gain) loss on trading securities
    		                                                                          
      gain on rights agreement
    		                                                                          
      other-than-temporary impairment on available-for-sale securities
    		                                                                          
      gain on purchase of convertible senior notes
    		                                                                          
      changes in operating assets and liabilities, net of effects of business combinations:
    		                                                                          
      purchase of convertible senior notes
    		                                                                          
      cash and cash equivalents at beginning of year
    		                                                                          
      cash and cash equivalents at end of year
    		                                                                          
      gain on repurchase and retirement of convertible senior notes
    		                                                                 -1,532,000         
      tax deficiency from employee stock compensation recorded as additional paid-in capital
    		                                                           -293,000 -30,000 -353,000  -157,000 -14,000 -533,000         
      increase in other assets
    		                                                           -57,000 -88,000 -244,000 -676,000 884,000 -1,053,000 -1,708,000 -8,395,000 1,599,000 -615,000 -1,562,000 -1,409,000 -2,057,000 -550,000 -314,000 
      increase in other long-term liabilities
    		                                                           1,640,000 419,000 670,000 1,263,000 -16,000 -8,641,000 -131,000 1,820,000 1,601,000 2,247,000 363,000 2,721,000 2,085,000 1,307,000 3,177,000 
      proceeds from common stock offering, net of underwriting discount
    		                                                                          
      equity offering costs paid
    		                                                                          
      cash paid in business purchase transactions
    		                                                            -131,970,000 -2,430,000             
      borrowings under credit facility
    		                                                                          
      payment of credit facility fees
    		                                                                      0 -76,000   
      unrealized gain on investments
    		                                                             207,000      -2,390,000 -2,738,000 -2,705,000     
      deferred taxes
    		                                                             -79,000    124,000  828,000 1,646,000 550,000  -156,000 -48,000 -68,000 
      net unrealized gain on investments
    		                                                             128,000      -1,562,000 -1,092,000 -2,155,000     
      accrued purchases of equipment
    		                                                             71,000    139,000  -1,054,000 972,000 623,000     
      details of business purchase transactions:
    		                                                                          
      other assets
    		                                                                 9,000,000         
      goodwill and intangible assets
    		                                                                 11,847,000  0 228,000 1,102,000     
      changes in operating assets and liabilities, net of effects of acquisitions:
    		                                                                          
      net cash paid in business purchase transactions
    		                                                                          
      decrease (increase) in restricted investments
    		                                                                          
      purchase and retirement of convertible senior notes
    		                                                              0 0           
      proceeds from issuance of convertible senior notes
    		                                                                          
      payment of convertible senior notes fees
    		                                                                          
      tax benefit from employee stock compensation
    		                                                                          
      proceeds from exercise of stock options and employee stock plan purchases
    		                                                                     172,000     
      operating activities
    		                                                                          
      gain on purchase and retirement of convertible senior notes
    		                                                               0           
      investing activities
    		                                                                          
      cash paid in business purchase transaction
    		                                                                   0       
      financing activities
    		                                                                          
      proceeds from exercise of stock options and employee stock purchases
    		                                                               0    298,000    883,000 1,266,000 390,000 
      increase in restricted cash
    		                                                                   -6,635,000    -4,282,000 -126,000 -3,200,000 
      repurchase and retirement of convertible senior notes
    		                                                                 -9,653,000         
      unrealized loss on investments
    		                                                                 -156,000         
      net unrealized loss on investments
    		                                                                 -32,000         
      business purchase transactions adjustments:
    		                                                                          
      unrealized loss on trading securities
    		                                                                          
      net cash (paid) acquired in business purchase transactions
    		                                                                          
      tax benefit from employee stock compensation recorded as additional paid-in capital
    		                                                                          
      tax provision from employee stock compensation recorded as additional paid-in capital
    		                                                                          
      supplemental cash flow information
    		                                                                          
      retirement of treasury stock
    		                                                                          
      cumulative effect of adoption of financial interpretation no. 48, accounting for uncertainty in income taxes
    		                                                                       0 0 446,000 
      details of business purchase transaction:
    		                                                                          
      fair value of assets acquired
    		                                                                   -4,524,000       
      common stock issued to seller
    		                                                                   2,524,000       
      net cash paid in business purchase transaction
    		                                                                   -2,000,000       
      amortization of capitalized long-term debt fees
    		                                                                     406,000     
      tax benefit from exercise of employee stock options recorded as additional paid-in capital
    		                                                                     -14,000  -88,000 214,000 428,000 
      repayments of amounts borrowed under credit facility
    		                                                                          
      repayment of mortgage note
    		                                                                          
      principal payments on capital lease obligations
    		                                                                          
      amortization of capitalized credit facility fees
    		                                                                       171,000 224,000 251,000 
      net cash acquired in purchase transactions
    		                                                                          
      repurchase and retirement of common stock
    		                                                                       -363,000   
      change in unrealized loss on investments
    		                                                                          
      change in net unrealized loss on investments
    		                                                                          
      value of stock issued for employee compensation earned in previous year
    		                                                                          
      details of acquisitions:
    		                                                                          
      less cash acquired in purchase transaction
    		                                                                          
      change in net unrealized gain on investments
    		                                                                        78,000 118,000 
      deferred tax asset related to business purchase
    		                                                                       1,168,000 0 873,000 
      accrual for capital expenditures
    		                                                                       -64,000   
      change in unrealized gain on investments
    		                                                                        126,000 186,000 
      amortization of capitalized credit facility fee
    		                                                                          
      prepaid and other current assets
    		                                                                          
      income taxes payable and receivable
    		                                                                          
      other long-term liabilities
    		                                                                          
      advances to related parties and other assets
    		                                                                          
      cash paid in purchase transactions, net of cash acquired and received in divestiture transaction
    		                                                                          
      issuance of common stock
    		                                                                          
      repayments of debt acquired in acquisition
    		                                                                          
      issuance (repayment) of mortgage note
    		                                                                          
      cash paid during the year for:
    		                                                                          
      accrual of software license fees
    		                                                                          
      accrual of equipment
    		                                                                          
      value of stock issued for employee compensation earned in the previous year
    		                                                                          
      fair value of assets acquired, net of assets sold
    		                                                                          
      less cash acquired in purchase and divestiture transaction
    		                                                                          
      liabilities assumed in purchase and divestiture transaction
    		                                                                          
      net cash (acquired) paid in purchase transactions and cash received in divestiture transaction
    		                                                                          
    The information provided in this report is taken from www.sec.gov and many other data providers. While we have conducted our best efforts to ensure that the parsed data is accurate, we cannot guarantee its accuracy. Please use caution and understand that any consequences of its use are your own responsibility.