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Consolidated Statements of Cash Flows - USD ($)
$ in Thousands
3 Months Ended
Mar. 31, 2019
Mar. 31, 2018
OPERATING ACTIVITIES:    
Net income $ 24,844 $ 33,958
Adjustments to reconcile net income to net cash provided by operating activities:    
Depreciation, amortization and other 11,971 12,075
Amortization of debt discount and deferred issuance costs 3,588 2,936
Amortization of debt discount and deferred issuance costs 602 1,671
Accretion of interest on deferred consideration 2,343 2,793
Amortization of inventory step-up to fair value 0 3,650
Loss on extinguishment of debt 0 4,567
Changes in assets and liabilities:    
Accounts receivable (10,682) (25,205)
Inventories 682 5,471
Prepaid expenses and other current and non-current assets 3,995 (1,842)
Accounts payable 1,802 (595)
Accrued payroll and related expenses (6,969) (5,988)
Other current and non-current liabilities 721 2,323
Net cash provided by operating activities: 32,897 35,814
INVESTING ACTIVITIES:    
Acquisitions of property and equipment (4,993) (4,949)
Proceeds from sale of Summers Ridge Property 0 146,644
Net cash (used for) provided by investing activities: (4,993) 141,695
FINANCING ACTIVITIES:    
Proceeds from issuance of common stock 6,847 5,652
Payments on Revolving Credit Facility (20,000) (10,000)
Finance Lease, Principal Payments 38 29
Repurchases of common stock (1,476) (3,232)
Payment for Contingent Consideration Liability, Financing Activities 12 1,017
Payments of Term Loan 0 (101,813)
Transaction costs related to debt exchange 0 (1,357)
Net cash used for financing activities: (14,679) (111,796)
Effect of exchange rates on cash 18 13
Net increase in cash and cash equivalents 13,243 65,726
Cash and cash equivalents, beginning of period 43,695 36,086
Cash and cash equivalents, end of period 56,938 101,812
SUPPLEMENTAL DISCLOSURES OF NON-CASH INVESTING AND FINANCING TRANSACTIONS:    
Purchase of property and equipment by incurring current liabilities $ 1,728 $ 2,067
Reduction of other current liabilities upon issuance of restricted share units 1970 0
Extinguishment of Convertible Senior Notes through issuance of common stock $ 0 $ 118,075