Condensed Consolidated Statements of Cash Flows (unaudited) - USD ($) $ in Thousands	3 Months Ended
Mar. 31, 2020	Mar. 31, 2019
Operating activities
Net income	$ 70,448	$ 53,344
Adjustments to reconcile net income to net cash provided by operating activities:
Distributions from unconsolidated subsidiaries	8,479	7,872
Depreciation and amortization	51,752	52,138
Provision for expected credit losses	199	1,567
Equity in earnings of unconsolidated subsidiaries	(2,588)	(4,366)
Gain on sale of assets and businesses	(7,339)	(6,233)
Stock compensation expense	6,903	6,255
Amortization of debt discount, premium and issuance costs	553	3,231
Deferred income taxes	9,364	(81)
Changes in operating assets and liabilities, net of effects of business combinations:
Accounts receivable	(53,928)	(74,752)
Other current assets	27	(7,523)
Other assets	2,248	57,319
Accounts payable	(8,992)	4,324
Accrued expenses	(44,455)	(69,163)
Income taxes	11,413	17,830
Net cash provided by operating activities	44,084	41,762
Investing activities
Business combinations, net of cash acquired	(6,833)	(6,120)
Purchases of property and equipment	(39,208)	(49,073)
Investment in businesses	(9,848)	(27,608)
Proceeds from sale of assets and businesses	11,230	2
Net cash used in investing activities	(44,659)	(82,799)
Financing activities
Borrowings on revolving facilities	460,000	360,000
Payments on revolving facilities	(295,000)	(220,000)
Payments on term loans	(39,843)	(132,685)
Borrowings of other debt	6,487	8,290
Principal payments on other debt	(8,099)	(6,155)
Repurchase of common stock	(8,691)	0
Increase in overdrafts	0	6,050
Proceeds from issuance of non-controlling interests	1,679	3,425
Distributions to and purchases of non-controlling interests	(12,474)	(5,251)
Purchase of membership interests of Concentra Group Holdings Parent (Note 4)	(366,203)	0
Net cash provided by (used in) financing activities	(262,144)	13,674
Net decrease in cash and cash equivalents	(262,719)	(27,363)
Cash and cash equivalents at beginning of period	335,882	175,178
Cash and cash equivalents at end of period	73,163	147,815
Supplemental Information
Cash paid for interest	67,885	37,199
Cash paid for taxes	1,135	718
Operating lease right-of-use assets obtained in exchange for lease liabilities, excluding adoption impact of ASC Topic 842 at January 1, 2019	$ 67,894	$ 24,176

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